We recommend seeking advice from your local ethics committee, as regulation may vary across different regions. Academic and health institutions may also have their own guidelines and processes that you will need to adhere to.
Ethics approval may not be required if your evaluation focuses on general HealthPathways usage and the data you collect is used as part of your regular monitoring and improvements processes.
Canterbury received such an exemption under New Zealand Ministry of Health auditing provisions. The data was for regular reporting and evaluation purposes and contained no identifiable patient information, therefore no additional ethics application was necessary.