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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.
Medications
This topic covers all Medications Management functionality within Communicare.
Prescribing
Use Communicare to prescribe medications.
Real time prescription monitoring
If your site is integrated with eRx, Communicare can be configured so that whenever a monitored medicine is prescribed and the prescription is about to be saved, the information is validated by the state's real time prescription monitoring service against the National Data Exchange (NDE) using eRx.
Enable and use RTPM
After you have enabled RTPM, when you prescribe a medication, the RTPM service is contacted when you attempt to save the prescription.

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.
- Medications
  This topic covers all Medications Management functionality within Communicare.
  - Medication Overview
    Displays all Prescription, Administer and Supply medication information for the selected patient.
  - Medication Management Configuration
    Medications management changed significantly in V21.2 and later. Before you upgrade from V19.2 and earlier, consider the configuration options available for medications management in Communicare.
  - Prescribing
    Use Communicare to prescribe medications.
    - Write Prescriptions
      Use the Add Medication window, Write a Prescription tab when you want to write a prescription, print it and give it to a patient to fill outside your health service.
    - Create Medication Orders
      If you are a doctor, create a Medication Order for medication to be administered or supplied at your health service. If you are a nurse or health worker, create a medication order for the associated verbal or written order from an authorised provider.
    - Create Medication Orders from Prescriptions
      If you have written a prescription that is part of a Medication Request, and you need to supply some of the medication to the patient now to cover the period until the the pharmacy order is fulfilled and arrives for the patient, you can create a medication order from the prescription.
    - Finalise Prescriptions
      You can finalise prescriptions to send for ePrescribing, print or update without printing out prescriptions.
    - Medication Requests
      In Communicare V20.2 and later, you can create medication requests. Medication requests combine multiple medications on one prescription.
    - Electronic Transfer of Prescriptions
      Communicare can be configured for electronic transfer of prescriptions (ETP) to a central repository.
    - Print Prescriptions
      When you close the clinical record, you are prompted to finalise any prescriptions that haven't been finalised or printed that day.
    - Add Adverse Reactions
      Record an adverse reaction for a reaction a patient has to a substance of any sort.
    - Decision Support
      Communicare provides prescribing decision support based on clinical items with a valid ICPC-2 PLUS code and uses pharmaceutical content sourced from the MIMS drug database.
    - Stop a Medication
      You can discontinue a regular or once-off medication because the patient no longer takes this medication for whatever reason.
    - Stop Multiple Medications
      You can stop multiple current or expired regular and once-off medications simultaneously.
    - Repeat medications
      Create a repeat for medication orders or represcribe regular and once off prescriptions.
    - Represcribe multiple medications
      You can represcribe multiple current, regular and once off medications simultaneously and change the duration for all medications if required. You can also represcribe expired regular medications.
    - Make Medications Regular or Once-off
      If you decide that a patient should continue taking a once-off medication that you have previously prescribed, you can change it to a regular medication. Similarly, if you want to stop a regular medication after the current prescription, you can change it to a once-off medication.
    - Adjust Medications
      In V20.2 and later, you can adjust the duration of a medication. Use this feature to change the expiry date of the medication shown in Communicare when you want a patient to take more or less of a medication that has already been prescribed.
    - Delete Medications
      Delete a medication only if it was prescribed in error. If you no longer want a patient to take a prescribed medication, stop that medication instead.
    - Choose Streamlined Authority
      When a PBS medication is listed under the streamlined authority rules, a streamlined authority approval number is automatically added to a prescription.
    - Drug Browser
      In the Drug Browser, you can browse product information from the MIMS Pharmaceutical database.
    - Extemporaneous Preparations (Drug Recipes)
      Use Extemporaneous Preparations to define drug recipes for display in the drug browser and for use when prescribing medications.
    - Verbal Orders
      Verbal Orders are available when the Medication Management module is enabled.
    - Real time prescription monitoring
      If your site is integrated with eRx, Communicare can be configured so that whenever a monitored medicine is prescribed and the prescription is about to be saved, the information is validated by the state's real time prescription monitoring service against the National Data Exchange (NDE) using eRx.
      - Enable and use RTPM
        After you have enabled RTPM, when you prescribe a medication, the RTPM service is contacted when you attempt to save the prescription.
      - RTPM errors
        If system is not correctly configured, you may see one of the following RTPM error messages.
  - Medication History
    Use Medication History to record current medications for a patient of your health service that your patient is taking but which may have been prescribed in hospital or at another service.
  - Administer and Supply Medication
    In Communicare V20.1 and later, the separate Supply and Administer functions are merged into a single Administer and Supply function. Use Administer and Supply to record the administration or supply of a medication, or both administration and supply of a medication during the current service.
  - Imprest Management
    Imprest Management allows management of the Imprest drug list and the Imprest orders.
  - Consolidated Orders
    Consolidated orders are groups of medication requests that have been requested from an external pharmacy.
- Clinical Support

Enable and use RTPM

After you have enabled RTPM, when you prescribe a medication, the RTPM service is contacted when you attempt to save the prescription.

To enable RTPM integration in Communicare:

Select File > System Parameters tab.
On the Clinical tab, set Use RTPM Service.
On the Web Services tab, in the Real-Time Prescription Monitoring (RTPM) Service pane:
- In the URL field, enter the URL of the RTPM API.
- In the API Key field, enter the RTPM key.
Click Save and enter the authority code provided by Communicare Support.

After the RTPM service has been enabled, when you prescribe a medication and save it, Communicare contacts the RTPM service via eRx and sends the following information:

The patient's Medicare number and individual reference number, if one is recorded, so that the patient can be identified.
AMT codes, to identify the medication being prescribed.

The RTPM service performs real-time prescription monitoring and returns a response.

Depending on the results, one of the following alerts is displayed in Communicare.

Table 1. RTPM alerts
RTPM alert icon	Description
	There is no cause for concern in the information on the patient's RTPM profile.
	There is information on the patient's RTPM profile you should evaluate before continuing with this script.
	The patient has recent alerts.
	There is a problem communicating with the RTPM service. To continue prescribing the current medication, the prescriber must include the method used for checking this prescription and click I have checked by another method. Include any additional details concerning the verification process.

Review the alerts:

To view extra information from the Health Professional Portal and the patient's profile, click Extra Details.
If you want to prescribe the monitored drug, click OK - Proceed.
If you no longer want to prescribe the monitored drug, click Go Back to return to the Add Medications window.

For WA, if a site is integrated with eRx, monitored medications flow to the real-time prescription monitoring system via eRx and results can be viewed in an RTPM Notification Client app, outside of Communicare.

14 November 2023