Recording PMHC

To record PMHC encounters so that the data can be used in the PMHC MDS, use PMHC-specific clinical items.

Use the following clinical items for primary mental health contacts. These are included in the PMHC MDS and can usually be found on a button in the clinical record labelled PMHC.

  • PMHC Episode Start - this must be completed at the start of any new episode (a series of contacts over a period of time related to the same mental health issues). Ensure that you include intake context:
    • Intake and treatment Episode
    • Intake Only Episode - also record the referred to organisation path
    • Treatment Only Episode - also record the intake organisation path
  • PMHS Service Contact - this must be completed every time the client attends during the ongoing episode. This cannot be added until there is an episode start and not after an episode end.
  • PMHC Episode End - this must be completed at the same time as the final service contact for the ongoing episode when the episode is deemed to be over.
  • PMHC Client (optional) – captures information relating to the client that is not currently recorded in the patient biographics.
To record primary mental health contacts:
  1. Ensure that the client’s biographic details, including languages spoken, are up-to-date. Use PMHC Client to capture any additional client information that is not included in the patient biographics.
  2. At the start of an episode, add both PMHC Episode Start and PMHS Service Contact to the patient's clinical record and address every qualifier if possible. You cannot record a service contact if there is no open episode, that is, an episode that has been started but not yet ended.
  3. At every subsequent contact, add PMHS Service Contact to the patient's clinical record and address every qualifier if possible.
  4. When you deem that the episode is over, complete both PMHS Service Contact and PMHC Episode End.
Tip: You cannot add activity items until after a patient has been enrolled in a program. However, you can still add activity items after a patient has been exited from a program. This allows for genuine backdating of clinical items. For example:
  • If you are using an offline client and your clinical program enrolments and exits have got out of step, you can backdate an exit.
  • If items are out of sequence, correct the items.
  • For a patient who exited last week, record an action from two weeks ago.