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.

You can select the way in which clinical items about the current patient are listed. Select from the following options:

• Class - groups clinical items by the Class attribute (data values), or clinical data of the same type on separate tabs. If a tab is not displayed for a patient, there are no clinical items of that class or clinical data included in that patient's record. The following tabs may be included:
  • Admission - lists all clinical items recorded in Communicare with a Class attribute of Admission.
  • Adverse Reaction - lists any recorded adverse reactions.
  • Alert - in V20.1 and later, lists any recorded structured alerts.
  • Condition - lists all clinical items recorded in Communicare with a Class attribute of Condition.
  • Document - lists all incoming and outgoing documents and letters including referral letters.
    • Unreviewed, incoming documents are highlighted in red.
    • Reviewed documents are not highlighted.
  • History - lists all clinical items recorded in Communicare with a Class attribute of History.
  • Immunisation - lists a patient's full immunisation record, that is all clinical items recorded in Communicare with a Class attribute of Immunisation. If this tab is not displayed, no immunisations have been recorded in Communicare.
  • Ix Request - lists all investigation requests.
  • Ix Result - lists all investigation results.
    • Unreviewed results are highlighted in red.
    • Reviewed results are not highlighted.
  • Procedure - lists all clinical items recorded in Communicare with a Class attribute of Procedure.
  • Referral - lists all clinical items recorded in Communicare with a Class attribute of Referral.
    • The date displayed is the date the referral was created; if an appointment is added the date displayed is the date of the appointment
    • Active referrals are highlighted in gold.
    • Expired referrals are highlighted in red.
    • Completed referrals are not highlighted.
  • Rx - Administer - lists medications that were administered to the patient.
  • Rx - Prescription - lists a patient's full prescribing record for all time, including regular and once-off prescriptions and medication orders. It also lists all expired and stopped medications that are no longer displayed on the Medication Summary.
    • Active medications are highlighted in green.
    • Expired medications are highlighted in red.
  • Rx - Supply - lists medications that were supplied to the patient.
  • SMS - lists all SMS messages sent to the patient.
  Tip: If your site does not use Prescribing, and some medications are still recorded, you may see Acute Medication and Chronic Medication instead of Rx - Prescription.
• Topic - groups medical or health related data. Use this view to show information about general health or a medical area of interest. Each topic for which the patient has information recorded is displayed on a separate tab. If the patient has no information recorded under a topic, no tab is displayed. For example, if a patient has no information recorded about Child health, the tab for the topic Child does not display. Topics are unique to each organisation. Two special tabs are:
  • Medication - shows prescriptions, administer and supply records
  • Unclassified Documents - shows documents not yet sorted into an appropriate topic
• Date - the default option that lists all the clinical items chronologically starting with the most recent at the top of the list. Its primary purpose is to see what has happened recently, or for a period in the past.

Communicare retains the last tab viewed for both View by class and View by topic. For example, if the Referral tab is viewed for a patient and a new patient is selected, the Referral tab is initially shown for the new current patient.

Clinical items can be added, changed and deleted, or recalls completed from all clinical record views. Double-click a clinical item to display details for viewing and editing, depending on what type of clinical item is selected. If the item is a recall you will be prompted to complete the recall.