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Administration
Communicare Administrators can tune the way in which Communicare works at your health clinic using the configuration, tools and task information.
System Administration
Reference Tables
Clinical Item Maintenance
Clinical items are an essential building block for providing a care pathway with the clinical record workflow.

Administration
Communicare Administrators can tune the way in which Communicare works at your health clinic using the configuration, tools and task information.
- System Administration
  - System Parameters
    If you belong to the System Administrators user group, you can configure Communicare by setting system parameters.
  - Organisation Maintenance
    Configure Communicare for your organisation by setting organisation parameters. Changes to organisation parameters affect the Communicare system for the organisation and all workstations.
  - User Groups
    Users of the Communicare system are organised into groups. Rights to access various parts of Communicare are given to these groups of users.
  - Reference Tables
    - Certificates Maintenance
      The Certificates Maintenance window lists all of the currently installed certificates that can be used in various places in Communicare.
    - Appointment Facility
    - Requirements
      Requirements are services or objects that may be needed for particular patient appointments and services, such as Fasting Bloods, Test Results, Transport, X-Rays.
    - Public Holidays
      Public holidays identify normal working days (or part days) that the practice will be closed.
    - MIMS Database Import
      If your site uses the Prescribing Full or Prescribing Once off/short course module, Adverse Reactions or browses the MIMS drug database, update MIMs monthly.
    - Formularies
      Use the Formulary Maintenance window to manage medication lists or formularies.
    - Locality
      The Locality reference table is a list of places used in patient addresses. It is initially populated with over 14,000 localities used by Australia Post when your Communicare server is installed.
    - Patient Skin
    - Patient Group Maintenance
      Use the Patient Group Maintenance window to define the groups that a patient can belong to and the behaviour of those groups.
    - Encounter Place
      An encounter place can take one of two forms.
    - Text Shortcuts
      Add or modify the text shortcuts for commonly used blocks of text available in Communicare. Text shortcuts can be used by clinicians in progress notes and letters.
    - Dosage instructions
      Use the Dosage Instruction window to review abbreviations or short codes for use when prescribing and add new abbreviations.
    - Medicare Benefits Schedule Shortlist
      Because the Medicare Benefits Schedule (MBS) is so big, you can control the order in which Medicare Benefits Schedule (MBS) items are displayed in Communicare and add short descriptions that are meaningful to your context.
    - Private Billing Configuration
      Use File > Reference Tables > Private Billing options to modify the fee schedule and private billing types used by the Private Billing module.
    - Investigations
      Investigations can be requested by a provider from within a patient's clinical record. Use the Investigation reference table to define investigations.
    - Clinical Item Maintenance
      Clinical items are an essential building block for providing a care pathway with the clinical record workflow.
      - Clinical Item Type
        A clinical item type is a predefined value that a clinical item for a patient can take.
      - Create a Clinical Item
        Trained Administrators can create new clinical items if required.
      - Qualifier Types
        Qualifiers add additional meaning to a clinical item, for example to add observations, dates and to request investigations.
    - Special Lookup Table Maintenance
    - Transport Mode
    - Chart Types
    - Viewing Rights
      Viewing Rights define access levels to clinical data for each user group.
    - SNOMED CT Import
      Communicare uses SNOMED CT-AU terminology to capture clinical data.
    - Reference Table Codes
      Communicare reference tables use a variety of codes to identify and manage clinical data.
  - Appointment Session Templates
    Appointment Session Templates identify when appointments can be made, in a general way. They are used as a template for creating the sessions into which appointments are actually booked.
  - Providers
    The Providers window lists clinicians who have been added to Communicare as providers at your health service.
  - Medicare Number Import
    Patient Medicare numbers can be imported directly from files provided by Medicare Australia.
  - Patient Import
  - Communicare Security
    Communicare's security scheme is designed to be easy to maintain yet effective. It works on 3 layers: SYSDBA, ADMINISTRATOR, MEDISYS.
  - Daily Process Service
  - Automatic Patient Status Change
  - Terminal Server and Communicare
    The Communicare client can be installed on a Terminal Server.
  - Backup Regimes
    Backups of your Communicare database are critical for business continuity in the event of a disaster. Communicare is automatically backed up to the server nightly. Your site should take regular backups of these backups.
  - Disaster Recovery
    In the event of disaster, call Communicare Support on 1800 798 441 and follow these steps to recover your data.
  - File Transfer
    Communicare demos and updates are available from the Communicare User Portal - Help and Support tab.
  - Firewall Configuration
  - Upgrades
    Communicare upgrades are performed remotely by Communicare Support at a time arranged with the system administrator.
  - Database Connection Settings
  - Central Data Update
    This program allows a specific set of Clinical Item definitions to be centrally maintained and distributed to user sites by Communicare. These centrally maintained Clinical Item definitions are referred to as central items.
  - Terms Conversion
    Together with your Implementation Consultant, when your site goes live with Communicare, a clinician with Administrator user privileges can use the Terms Converter tool to convert local terms into centrally maintained terms, for example, ICPC-2 PLUS terms.
  - CAT Export Tool
    Use the CAT Export Tool to export datasets defined by the Improvement Foundation from Communicare as XML. These XML datasets can then be loaded into PEN CS' Clinical Audit Tool (CAT).
  - Background Processes
    Communicare runs a number of server-side background processes that integrate with various external services.
- Tools
  Use these tools to help manage Communicare.
- Regular Administrator Tasks
  There are several regular maintenance tasks for the Communicare Administrator to perform.

Clinical Item Maintenance

Clinical items are an essential building block for providing a care pathway with the clinical record workflow.

Clinical items are developed using standards and guidelines that inform the care pathway and the data that must be recorded.

At a minimum, Communicare uses ICPC-2 PLUS for central clinical items. Clinical items for enterprise customers are also linked to SNOMED CT codes.

Using clinical items, clinicians can record a clinical event in a patient's record using structured data. Clinical items incorporate qualifiers to ask relevant clinical questions and record responses in a structured way.

Before editing or adding clinical items, you should understand the impact on related clinical record workflow building blocks:

Recalls - a clinical item that has a planned date that has not been actioned yet. A recall is listed in the patient's clinical record in the To Do list. It can be triggered from a clinical item or a particular qualifier (in addition to other ways in which a recall can be triggered.)
Reports - measure the programs and services provided; enable proactive recall follow-up; enable easy reporting to government organisations.
Scheduled reports - a way of sending structured data to people for information or action.
Imaging and pathology - requesting and reviewing
Charts - measurements recorded as qualifiers in a clinical item can be charted. For example, INR, qualifier or centile charts.
Medications - prescribe, chart, administer and supply
Letters - a way of collating structured and unstructured data recorded in the patient's clinical record into a single letter.
- Care Plans - a type of letter template that can be revised as care needs change. A patient can have one care plan for each topic.
Medicare - a way of generating revenue for the programs and services provided.

15 March 2024