"Is the governance structure right? It's hard to say. It's currently being reviewed and likely to make changes to way we do clinical projects."

Rodgers said the national e-health agenda also has a "strong agenda" and NSW Health supports it.

"We have a wave two sites in NSW (Greater Western Sydney e-health consortium) is a collaboration between the Western Sydney and Blue Mountains health networks."

A community health systems project will also extend reach of the EMR program beyond state hospitals and clinical facilities.