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Administration
Set up Clinical, manage configuration, user records, updates, back ups and other maintenance.
Maintenance
Use update, backup and restore and other maintenance utilities to manage MedicalDirector Clinical .
Reference Information
File Formats
This section describes the use and specifications of the file formats used for linking, importing, exporting and the general transfer of data between Clinical and other programs or modules.
IMM.OUT
The Immunisations Output file format is used to send immunisation data to third-party software packages.

Administration
Set up Clinical, manage configuration, user records, updates, back ups and other maintenance.
- Installing, Modifying, or Uninstalling Clinical/
  Install Clinical/ and its related components with the Installation Wizard.
- Installing Clinical, Pracsoft, and MDref Updates Automatically
  Update Clinical, Pracsoft, or MDref without monitoring the Installation Wizard or intervening directly.
- Upgrading Clinical
  Upgrade the server and workstations that run Clinical.
- Installing or Upgrading SQL Server
  Install SQL Server or upgrade your existing SQL Server installation.
- Adding your Licence Details
  After installing Clinical, or if you renew your Service-Level Agreement (SLA) with MedicalDirector, enter your licence details.
- Maintenance
  Use update, backup and restore and other maintenance utilities to manage MedicalDirector Clinical .
  - MedicalDirector Automatic Updates
    Automatically download incremental updates for ClinicalPracsoft .
  - Backup and Restore
    Use the MedicalDirector Backup and Restore utilities to back up and restore Clinical and Pracsoft.
  - Maintenance and Recovery Planning For Your System
    Your practice is responsible for protecting its own data files. If this process fails, your financial and clinical records can be lost.
  - Maintenance Utilities
  - Reference Information
    - Country-Of-Birth Codes
      A subset of data provided by the Australia Bureau of Statistics (ABS) is used in Clinical when you record a patient's country of birth and ethnicity.
    - Ethnicity Codes
      The following hierarchical list of ethnicity codes is a subset of data provided by the Australian Bureau of Statistics(ABS), and is used in Clinical when you record a patient's country of birth and ethnicity.
    - Language Codes
      Instances of 'nec' found following refer to "Not Elsewhere Classified".
    - File Formats
      This section describes the use and specifications of the file formats used for linking, importing, exporting and the general transfer of data between Clinical and other programs or modules.
      - ADDRESS.IN
        The ADDRESS.IN file format is used to import specialists' information into the Clinical Address book.
      - Patients.In
      - IMM.OUT
        The Immunisations Output file format is used to send immunisation data to third-party software packages.
      - Patients.Out
      - Transfer.Out
        Transfer.out is the preferred standard for transferring data from MedicalDirector Clinical or into MedicalDirector Pracsoft when linked to a third-party package.
      - Visits.Out
        The VISITS.OUT format is a '|' (ASCII character 124) delimited format and is used for transferring information relating to the Medicare items recorded during a consultation.
      - HL7
        The HL7 format is one of two industry standard formats used for the transfer of Investigation results such as Pathology and Radiology.
      - PIT
        The PIT format is one of two industry standard formats used for the transfer of Investigation results such as Pathology and Radiology.
      - Generic ASCII v2 Format
- Managing Practitioner and User Records
  Each user must be defined in MedicalDirector Clinical's user database.
- Custom Options
  Clinical provides numerous user-definable options for tailoring the program to your requirements.
- MyMedicare Import Wizard
  Update the MyMedicare status of your Clinical and Pracsoft patients.
- Telehealth Widget
  Use the Telehealth widget for Telehealth consults with patients.
- Adding New Widgets
  Add new widgets from the widget store.
- eHealth
  Summarises Clinical's support for eHealth.
- Healthcare Identifier Service
  The Healthcare Identifier Service (HI Service) issues unique IDs to healthcare providers and individuals who seek healthcare.
- Technical Reference
  Technical reference information for Clinical.
- Clinical System Requirements
  Minimum requirements for computers on which Clinical is installed.
- Moving Data to a New Server
  Move your MedicalDirector Clinical data to a new server and configure the workstations.
- Auditing User Access with MDTrace Log
  Log information about the way people at your practice use Clinical.
- Patient Database Clean-up Tips
  If your practice has just migrated to MedicalDirector Clinical or you have merged patient databases you should clean up your patient database.
- Upgrading SQL Server
  Both Clinical and Pracsoft use Microsoft SQL databases. Clinical and Pracsoft require two SQL Server instances.
- Business Transition Guide
  Relocating your Practice or making significant changes to your Business practices can be challenging enough without adding complications from the software your business uses.
- FTP and MedicalDirector
  Set up an FTP client application for downloading data.
- IP and Host Name Resolution Requirements for MedicalDirector Communication Services
  Set up MedicalDirector Communication Services so multiple users can record progress notes simultaneously.
- Setting Folder Permissions

IMM.OUT

The Immunisations Output file format is used to send immunisation data to third-party software packages.

IMM.OUT Format

The IMM.OUT format is a pipe delimited '|' (ASCII character 124) format used by Clinical to send details of immunisations to billing packages. For example:

ExternalID|Patient:SURNAME|Patient:FIRSTNAME|Patient:TITLE|Patient:ADDRESS|...|Sequence|Batch

There is no prescribed limitation on the amount of data that can be sent in each field. For more information including a full specification of this format, refer to VISITS.OUT Format. The field sizes are based on the size of the fields in Clinical databases and may change at any time without notification. The table lists the field names and number of characters currently used in the Clinical databases. Each record is terminated by a CR-LF.

There are two different IMM.OUT file formats available; select which format you wish to use (Default or Generic) via the Advanced Link Settings of Clinical.

A standard format is used for all billing packages, with a separate format for Pracsoft.

17 August 2026