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.

If a document can be encoded or recorded as a normal clinical item it does not need to be recorded as a document. Clinical items are structured so that relevant health information can be extracted by using reports, whereas documents cannot be analysed with any reliability by any method.

Limit the use of documents to those cases where the information does not need to be encoded into clinical items and clinical details are not required. Documents are useful for logging actions that have been performed. It can be useful, for example, to store a scanned document from a faxed or emailed discharge summary.

Scanned documents are those documents that are directly scanned into Communicare. All other documents are electronic documents.