Clinical Item Attributes

Admissions

Admitted to - the institution the patient was admitted or referred to (see Address Book for information about maintaining this list)
Transport mode - the mode of transport used when admitting the patient (see Transport Mode for information about maintaining this list)
Alcohol related - the clinical item was caused by or related to alcohol consumption
Emergency - An Admission may be marked as an Emergency. Emergency admissions may be considered to be evacuations.

Episode - defines the episode of care as First, New or Ongoing.
Alcohol related - the clinical item was caused or related to alcohol consumption

(No additional fields)

Actual duration (minutes) - the time spent in minutes performing the clinical item
Route and Site - records the route and site of the immunisation
Dose (this course) - specify if the immunisation is the first, second, or so on in a course
Dose Number - specify the immunisation dose number until now
Performed at current encounter place- set if the immunisation was performed at the clinic. If you are recording historical immunisations performed elsewhere in Australia, deselect this option. This field is used for the ACIR (Done Here) report.
Administered overseas - if you are recording historical immunisations performed overseas, set instead of Performed at current encounter place.
Vaccine batch - record the batch number of the vaccine
Serial Number - record the serial number of the vaccine if required. If Serial Number Mandatory is set in the clinical item type properties, you must record the serial number.
Vaccine expiry date - record the expiry date of the vaccine

Actual duration (minutes) - the time spent performing the clinical item in minutes

The patient is referred - record referrals to another organisation or referrals to this organisation. If the Referral Management module is enabled:
- This field is disabled and you can create only outgoing referrals
- Create incoming referrals from the Referrals menu.
Organisation - the professional or institution the patient was referred to or from (see Address Book for information about maintaining this list)
Provider referred to - free text to record a particular name
Appointment Date - record the date and time of an appointment
Escort - free text to record the name of an escort for the patient
Transport mode - the mode of transport used when the patient is to attend an appointment (see Transport_Mode for where to maintain this list)
Referral Complete - the date the referral is deemed to have been completed
The referral is Critical - set if the referral is critical for reporting purposes
The referral is an Emergency - set to mark the admission as an emergency admission or evacuation
The referral is Alcohol related - set to mark the clinical item as caused by or related to alcohol consumption
Current Referral status is - a label showing the current status of the referral

If Prescribing is not used, the Comment field for Acute Medications is labelled Acute medication and the Date is labelled Date prescribed
If Prescribing is not used, the Comment field for Chronic Medications is labelled Chronic medication, the Date is labelled From Date, and an End Date field is added