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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.
Clinical Support
Investigations and documents
Communicare receives pathology and imaging results, letters and other documents electronically and sends documents and letters electronically using HL7 messages.
Documents
Documents can be received from external sources, sent from Communicare or added to Communicare.
Clinical Document Architecture (CDA)
Communicare can send and receive CDA documents.
Shared Health Summaries
Communicare creates Shared Health Summaries in the CDA format compliant with eHealth standards in Australia. Shared Health Summaries can then be uploaded to My Health Record or an internal CDA repository.
Shared Health Summary Exclusion Statements
Set exclusion statements for any section in the Shared Health Summary that does not include data.

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.
- Clinical Support
  - Investigations and documents
    Communicare receives pathology and imaging results, letters and other documents electronically and sends documents and letters electronically using HL7 messages.
    - Documents and results summary
      Use the Documents and Results window to display internal, incoming and outgoing documents and incoming results for any patient at your service.
    - Investigations
    - Documents
      Documents can be received from external sources, sent from Communicare or added to Communicare.
      - Read-only documents
        Read-only documents in Communicare cannot be modified under any circumstances.
      - Add documents
        Documents are the electronic reflection of printed material that is important enough to be recorded in the patient's file. Only add documents to Communicare that cannot be encoded using normal clinical items.
      - Send documents
        Using Communicare you can send documents electronically.
      - Receive documents
        Using Communicare you can receive documents electronically.
      - Delete documents
        Use the Browse Documents window to delete documents.
      - Clinical Document Architecture (CDA)
        Communicare can send and receive CDA documents.
        Event Summaries
        Communicare creates Event Summaries in the CDA format compliant with eHealth standards in Australia. Event summaries can then be uploaded to My Health Record or an internal CDA repository.
        Shared Health Summaries
        Communicare creates Shared Health Summaries in the CDA format compliant with eHealth standards in Australia. Shared Health Summaries can then be uploaded to My Health Record or an internal CDA repository.
        Shared Health Summary Exclusion Statements
        Set exclusion statements for any section in the Shared Health Summary that does not include data.
        CDA Third Party Storage
        Instead of sending CDA documents like the Event Summary and Shared Health Summary to My Health Record directly, some large health services may use a private repository.
      - Combined Address Book
        The combined address book stores local address book entries and allows you to search multiple, online provider directories.
      - EPD address book
        The EPD address book was replaced in Communicare V22.2 by the combined address book to support searching the local address book and online provider directories simultaneously, and secure message exchange.
      - Secure Messaging
        Secure Message Delivery (SMD) is the government standard for sending medical documents and messages securely and safely.
  - Referral Management
    Manage incoming internal and external referrals from a single list.
  - Birth Notifications
    For customers who belong to the Western Australian Country Health Service, use the Birth Notifications module to manage notifications related to births from a single list.
  - Recalls
    Recalls are the elements that make up a care plan. Recalls can be either generated automatically by Communicare or manually created by the user.
  - Datasets
    Datasets are a user-friendly coding system, giving health professionals a standardised way to record data and report on data entered in a patient’s clinical record.

Shared Health Summary Exclusion Statements

Set exclusion statements for any section in the Shared Health Summary that does not include data.

When a user is generating a Shared Health Summary and there is no data in a data section (Medication, Problem/Diagnosis, Procedures and Immunisations) the user must set the exclusion statement for that section. Select from the following options:

None known - use when you want to make a positive statement that there are no known items. This is equivalent to no clinically significant items known. The absence of items in a list is not evidence that there are none known, even if the expectation is that the user will record any existing items in the system. Communicare does not set this exclusion statement if there are no list items, instead it is a positive statement made by a healthcare provider before or during the document authoring process.
None supplied- use when there are no items to list, and the user has not made an explicit statement of None known. None supplied does not imply anything at all about whether there are items, or whether they are known, or why there are no items supplied. Except for shared health summaries, Communicare sets this exclusion statement automatically, in the absence of any list items, and where the user has had the opportunity to specify a different exclusion statement but has not done so.

If the user excludes all clinical information using the tree in the document, it will default to an exclusion statement of None Supplied.

9 February 2024