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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.
Send documents
Using Communicare you can send documents electronically.
Discharge Summaries
Communicare can create and send Discharge Summaries either in the CDA format (compliant with eHealth standards in Australia) or in a less constrained RTF format. RTF format Discharge Summaries cannot be sent to MeHR, whereas CDA format documents can be sent to either My Health Record or MeHR.
eDischarge CDA Document Summary Data sections

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.
        Writing letters and referrals
        You can write letters and referrals from a patient's clinical record. You can also write letters from Documents and Results or from File > Documents.
        Discharge Summaries
        Communicare can create and send Discharge Summaries either in the CDA format (compliant with eHealth standards in Australia) or in a less constrained RTF format. RTF format Discharge Summaries cannot be sent to MeHR, whereas CDA format documents can be sent to either My Health Record or MeHR.
        eDischarge CDA Document Summary Data sections
      - 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.
      - Combined Address Book
        The combined address book stores local address book entries and allows you to search multiple, online provider directories.
  - 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.

eDischarge CDA Document Summary Data sections

Problems/Diagnoses This Visit - contains any Condition class clinical items that were recorded between the admission and discharge dates.
Clinical Interventions Performed This Visit - contains any Procedure class clinical items that were conducted between the admission and discharge dates.
Clinical Synopsis - populated from the free text field on the Discharge;hospital;summary clinical item.
Diagnostic Investigations - contains any investigation results for investigations that were conducted between the admission and discharge dates.
Current Medications On Discharge - contains medications recorded in Communicare that the patient will continue or commence on discharge.
Ceased Medications - contains any medications recorded in Communicare that were stopped, cancelled or ran their course between the admission and discharge dates.
Adverse Reactions - lists any adverse reactions recorded for the patient on their clinical record.
Alerts - lists any alerts recorded for the patient on their clinical record.
Arranged Services - populated from the Discharge;hospital;summary clinical item.
Record of Recommendations and Information Provided - populated from the Discharge;hospital;summary clinical item.
Participants - contains all providers who recorded a service for this patient in Communicare between the admission and discharge dates.
Primary Recipients - contains the details of the discharge summary recipient selected in the To field of the Document View window.

4 June 2025