Version 14.2

Release notes for V14.2.

Personally Controlled Electronic Health Record (PCEHR)

  • The PCEHR document list has been redesigned to have a look and feel similar to Microsoft Office.
  • The Users preferences (how they view the PCEHR document list) may be stored by user, or health service. Giving organisations control of how they see PCEHR data.
  • Access to PCEHR has been updated, with one central entry-point into all PCEHR functions from the Clinical Record; such as: viewing CDA documents, viewing Prescriptions, generating Event Summaries and Shared Health Summaries, and registering for PCEHR.
  • The PCEHR document list has also undergone significant changes to satisfy NEHTA’s Clinical Usability Program, Release One (CUP R1). This includes the following areas;
    • PCEHR document lists support sorting, grouping and filtering and contain more data
    • Clinical documents contain consistent exclusion statements and remember previous data inclusion/exclusion settings.
    • Shared Health Summaries no longer prompt for attestation.
    • Patient PCEHR validation occurs on the server-side, in the background, nightly within 24 hours of last validation; for the User this means you will no longer see the wait dialog upon opening a patients Clinical Record, unless the background process did not run. This will greatly improve the responsiveness and usability of the application. The validation only occurs for patients who do not have a PCEHR status recorded within the system.

Individual Health Identifier (IHI)

The Individual Health Identifier (IHI) validation and search occurs on the server-side, similar to PCEHR (above).

MeHR to PCEHR Transition (M2N)

Several changes have been made in order to transition MeHR Users into the National PCEHR record. These include:
  • Changes to the Service Exit window checkbox for sending documents to PCEHR or MeHR (below).
  • Changes to a PCEHR Event Summary to include a 'level 3' detail view of Progress Notes (below).
  • Event Summaries can now be generated before a Service is completed.
  • Changes to the way Users can access MeHR.

There are several complex business rules to determine whether MES or CHP documents are still sent to MeHR, whether dual send is enabled, whether CDA documents are sent to MeHR, or whether MeHR document submission is turned off and only PCEHR document submission is supported.

Service Exit Window

When closing a clinical record, the ‘Send Shared Health Summary to PCEHR’ checkbox is ticked by default if
  • the patient has consented to upload documents to the PCEHR; and
  • data has been recorded or changed during the encounter that is relevant to the Shared Health Summary.
If the ‘MeHR to PCEHR Transition’ module is turned on then the ‘Send Shared Health Summary to PCEHR’ checkbox is ticked by default if:
  • the patient has not declined to upload documents to the PCEHR; and
  • data has been recorded or changed during the encounter that is relevant to the Shared Health Summary.

If the ‘MeHR to PCEHR Transition’ module is turned on and the patient has an MeHR but not a PCEHR then the ‘Send to the MeHR’ checkbox will be replaced with two new checkboxes: ‘Send Event Summary to MeHR’, and ‘Send Shared Health Summary to MeHR’. These will create these PCEHR documents as normal, but instead of there being an option to send them to the PCEHR, there will be an option to send them to the MeHR.

PCEHR Event Summary

The PCEHR Event Summary document now includes the progress notes recorded for the encounter. Only the equivalent of a level 3 detail view of each progress note will be included (i.e. free text and the summary line for each clinical item).

Patient Service Report

The Patient Service Reports: 'Print Current Service Details' from report button in Clinical Record form; and 'Details of Selected Service' and 'Details of Selected Contact' from popup menu in Progress Notes are now customisable and it can be replaced with a local variation of the report. Contact Communicare to make changes to these reports (see Reports).

Fluvax central clinical item

The central item Immunisation;Fluvax has been renamed Immunisation;bioCSL Fluvax in response to a request from the Department of Health to do this. The reason is to try to stop users using the Fluvax item when delivering an alternative influenza vaccine such as Vaxigrip. Users should be aware that using the wrong clinical item when recording an influenza immunisation will cause erroneous data to be submitted to ACIR. Users should also be aware that giving a child the wrong vaccine may result in adverse effects such as febrile convulsions. <color Red>NOTE TO ADMINISTRATORS: You should review any local items that refer to Fluvax and consider the request from the Department of Health to rename the item as bioCSL Fluvax.</color>

Preferred Contact

In the Patient's Biographics a drop down list is added to allow the User to record a patient's preferred contact method.

Medicare Card Issue Number

In the Patient's Biographics, on the Social tab, the Issue number of the family member's on same Medicare Card is now visible.

Investigation Requests

The 'WA Health plain paper radiology' investigation request form has been updated to the latest format specified by WACHS (Approved 07/11/2013).

Investigation Results

The comments field available when reviewing investigation results has been expanded. It now supports multiple lines and unlimited text.

New Letter Writing Items

When using the ‘Save &amp; Write Letter’ item from a Referral type clinical item there are now letter items that can be used to enter ‘Referred to provider’, ‘Referral reason’ and ‘Appointment date’. These data are only available when a letter is generated from a Referral clinical item.

Printer Assignments

(Default) has been changed to (Windows Default) to clarify any confusion sites may be having with Printer Assignment defaults.

Discharge Summaries

Communicare can now create NEHTA compliant Discharge Summary documents. These may be uploaded to the PCEHR or sent via SMD (if you have these modules enabled). For more detail, see Discharge Summaries.

.Net Requirements

Some Communicare modules require Microsoft .Net Framework 4.0 or greater to be installed. These modules are: o National Prescription and Dispense Repository (NPDR)
  • Personally Controlled Electronic Health Record (PCEHR)
  • Clinical Document Architecture (CDA)
  • Electronic Transfer of Prescription (ETP)
  • Healthcare Identifier Service (HI)
  • Human Services Directory (HSD)
  • Secure Messaging
  • Reports outputting to the ANFPP web service, see Edit SQL Reports