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Encounters
Open a service recording for patient interactions and add clinical items, record progress notes, prescribe medications, review investigations, write referrals and manage recalls.
Encounters
Record patient encounters in Communicare using any one of the following methods.
Clinical Records
The clinical record comprises all clinical information recorded for a patient in Communicare by your health service. It includes clinical items and recalls.
Clinical Terms Browser
The Clinical Terms Browser is displayed each time you need to select a Clinical Item Type.

Encounters
Open a service recording for patient interactions and add clinical items, record progress notes, prescribe medications, review investigations, write referrals and manage recalls.
- Encounters
  Record patient encounters in Communicare using any one of the following methods.
  - Service Recording
    In Communicare, a service is where a patient interacts with a service provider. In general, it means to have a consultation with a health care provider, that is, a Doctor, Nurse, or Healthworker.
  - Clinical Records
    The clinical record comprises all clinical information recorded for a patient in Communicare by your health service. It includes clinical items and recalls.
    - Action required banner
    - Summary tab
      The summary tab contains a summary of the patient's clinical record. Which panes are visible depends on which System Parameters have been set.
    - Progress Notes
      Progress Notes are available for all providers for each service.
    - Detail tab
      The Detail tab displays the clinical items and clinical data that make up a patient's clinical record. The content displayed depends on the type of clinical item or data. Investigations and medications are also listed.
    - Clinical items
      A clinical item is the basic element of a clinical record. Clinical items are included in Communicare by default, but can be customised for your health service.
    - Clinical Terms Browser
      The Clinical Terms Browser is displayed each time you need to select a Clinical Item Type.
    - Episode
    - Qualifier edit panes
      In the clinical item, set or change the values of qualifiers associated with that clinical item in the qualifier edit panes.
    - Add drawings to clinical items
      Use drawing qualifiers in clinical items to more accurately display conditions or procedures on preset clinical images.
    - Special Qualifiers
      Special qualifiers include calculating qualifiers, HL7 qualifiers, required qualifiers, qualifiers with a range and qualifiers linked to system codes.
    - Referral Status
      A referral might have one of these statuses.
    - Finding Hidden Windows
    - Data Entry Wizard
- Medications
  This topic covers all Medications Management functionality within Communicare.
- Clinical Support

Clinical Terms Browser

The Clinical Terms Browser is displayed each time you need to select a Clinical Item Type.

Clinical terms are the words used to describe each Clinical Item Type. The terms browser is the tool that you use to select the words that will describe the condition, procedure, referral, recall, etc. that you wish to record.

The browser window features five tabs to allow terms to be selected using entirely different methods. The five tabs are titled Keyword, Most Recently Used, Topic, Picture and Advanced.

Keyword Searching

Any number of keywords may be defined for a clinical term. Keywords can be any word of two or more characters that you may wish to use to locate a clinical term. The keywords do not necessarily have to be in the terms. For example, 'Heart Attack' could be located using keywords 'Heart', 'Attack', 'Infarction', 'MI' or any other word or abbreviation you care to define.

Enter the starting characters of a keyword to search for all terms that have keywords starting with those characters. For Example DIAB will list all diabetes terms. The search can be further refined by entering the starting characters of a second word. Terms that do not contain a word starting with those characters will be eliminated. For Example, DIAB ME will shorten the list to 'Diabetes melitus' only.

14 November 2023