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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.
Encounters
Record patient encounters in Communicare using any one of the following methods.
Clinical Records
The clinical record comprises all clinical information recorded for a patient in Communicare by your health service. It includes clinical items and recalls.
Summary tab
The Summary tab contains a summary of the patient's clinical record.

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.
  - Service Recording
    In Communicare, a service is where a patient interacts with a service provider. In general, it means to have a consultation with a health care provider, that is, a Doctor, Nurse, or Healthworker.
  - Clinical Records
    The clinical record comprises all clinical information recorded for a patient in Communicare by your health service. It includes clinical items and recalls.
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    - Summary tab
      The Summary tab contains a summary of the patient's clinical record.
      - Main Summary
        Use the Main Summary to get an overview of your patient's health. The Main Summary is displayed when you open a patient's clinical record.
      - Medication Summary
        The Medication Summary displays all active medications, including once-off or regular medications prescribed to the patient, supplied, administered, or added to their medication history.
      - Social & Family History
        Use the Social & Family History tab on the Summary in the clinical record to manage the patient's social and family history.
      - Care Plans
        Use the Care Plan tab on the Summary in the clinical record to manage a patient's care plans.
      - Obstetrics & Pregnancy
        Use the Obstetrics tab to view all pregnancies past and present, start and end a pregnancy, and record antenatal checkups.
    - Progress Notes
      The Progress Notes tab displays historical services on the left, and enables you to edit your current note and view the to-do list on the right-hand side.
    - 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.
    - Clinical items
      A clinical item is the basic element of a clinical record.
    - Clinical Terms Browser
      The Clinical Terms Browser is displayed each time you need to select a Clinical Item Type.
    - Episode
    - Qualifier edit panes
      In the clinical item, set or change the values of qualifiers associated with that clinical item in the qualifier edit panes.
    - Add drawings to clinical items
      Use drawing qualifiers in clinical items to more accurately display conditions or procedures on preset clinical images.
    - Special Qualifiers
      Special qualifiers include calculating qualifiers, HL7 qualifiers, required qualifiers, qualifiers with a range and qualifiers linked to system codes.
    - Finding Hidden Windows
      The Bring to Front navigation bar stays on top of other windows and indicates which windows are open.
    - Data Entry Wizard
  - Intramail
    Use the intramail system to send secure internal electronic messages within Communicare.
- Medications
  This topic covers all Medications Management functionality within Communicare.
- Clinical Support

Summary tab

The Summary icon Summary tab contains a summary of the patient's clinical record.

From the Summary tab, you can access summaries of a patient's clinical information:

Main Summary
By default, the Main Summary tab is displayed when you open a patient's clinical record.
Medication Summary
Social & family History
Care Plan
Obstetrics

15 March 2024