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.

Communicare user sites retain the ability to maintain their own unique set of additional Clinical Item definitions. Reporting and auditing functions are included so that user sites can maintain their local, unique and unambiguous Clinical Item definitions when central Clinical Item definitions are added and updated.

The central items may be for one or more specific projects such as the Aboriginal Family Futures Project or may be used to maintain and distribute standard code sets such as ICPC or ICD-10. Recalls and generic protocols are also included so that central control may be exercised over recalls as well. This allows central distribution of immunisation schedules, for example.

This program should be run from the Communicare folder on the server. The central data database ( CENTRAL.fdb) must be copied from into the same directory as the Communicare database.

The program will run only on a Communicare server, and only if the user is an Administrator.
Note:
  • Central datasets have their own access groups. For any site users, including the administrator, to be able to use or even see the Central items, the users must be added to these groups.
  • To change the Central datasets, set the datasets required in the Datasets table on the System Parameters > System tab and run the centralupdate program to import the new data. Contact Communicare Support for further help.
  • If there is a conflict in a description between a Central item and a site item, the site item will generally be deleted if not in use, otherwise the site description will be changed by appending [1] (or 2 or 3, etc. ) to the end of the site description. These conflicts will be listed in the action window and the site description should be amended by the administrator as soon as possible to avoid confusion.

Datasets

In the Datasets table on the System Parameters > System tab, the following datasets are available:
  • Communicare Infrastructure - do not deselect this dataset. It is used by Communicare internally and many parts of Communicare depend on it.
  • Communicare Value Added - additional clinical item types not yet included in ICPC such as custom check-ups and EPC items. This dataset is required for antenatal care reporting. It contains the Fagerstrom clinical item.
  • ICPC-2 Plus - contains all supported ICPC-2 PLUS clinical terms and groupers.
  • Immunisation Age Based Reviews - defines regular immunisation reviews based on age.
  • Immunisation Vaccines - a list of vaccines by brand name. We distribute both ICPC-2 PLUS 'generic' immunisation types and Communicare 'brand' vaccine dataset. The latter dataset is fully coded with AIR codes to facilitate the electronic transmission of AIR details to AIR. We usually recommend that health services adopt the 'brand' dataset and disable all but a few of the 'generic' dataset. It is the health service's decision whether to record brand or generic names. In the case of influenza, ICPC-2 PLUS distributes both Immunisation;flu and Immunisation;influenza. They are analogous and either can be used. The Communicare dataset distributes Immunisation;Fluvax, Immunisation;Vaxigrip, and others as they become available. Immunisation;ADT is the ICPC-2 PLUS item and Immunisation;ADT vaccine is the Communicare item. Immunisation;Q fever is the ICPC-2 PLUS item and Immunisation;Q fever vaccine is the Communicare item. You will also see Immunisation;BCG, Immunisation;CDT and Immunisation;Triple antigen as both ICPC-2 PLUS and Communicare items. We strongly recommend using the Communicare 'brand' vaccine dataset.
  • Various program, project, local and national initiative datasets. For example:
    • Australian Nurse-Family Partnership (ANFPP) - participating health services should contact the Australian Nurse Family Partnership Program for details. Any required reports will be distributed directly by the ANFPP. For more information, see Australian Nurse-Family Partnership Program.
    • Drug and Alcohol Treatment Service (DATS) - this dataset is required for residential drug and alcohol services that need to submit data using the National Minimum Dataset. There are variations for NSW. For more information, see Drug and Alcohol Treatment Service.
    • Flinders Care Plan - Flinders Model of Chronic Disease Care Management as adapted for Closing the Gap which includes My Health Story and Living Well Smoke Free. If you require Flinders Care Plan support, contact the Flinders Model team at http://flindersprogram.com.au or phone (08) 8404 2607. For more information, see Flinders Care Plan.
    • HACC and CHSP - these datasets (there is a separate dataset for Victoria) satisfy data collection for HACC or the CHSP using the export reports. Submission details can be obtained from HACC. Use either the HACC and CHSP or the HACC and CHSP (Victoria) dataset, but not both. For more information, see Home Support Programs.
    • Headspace - participating health services will need to export data using the headspace export program. Submission details will be provided by headspace. For more information, see Headspace.
    • Healthy Under 5 Kids (HU5K) - this program is a Northern Territory Government, Department of Health (DoH) initiative. This program incorporates a series of age specific child health checks which include growth assessment and the childhood vaccination schedule. AMSANT and DoH have jointly worked to make this program available through the Communicare system. For information relating to data and electronic health record system functionality, contact AMSANT. For queries relating to the Healthy Under 5 Kids program please contact NT DoH, Child & Youth Health Strategy Unit. For more information, see Healthy Under 5 Kids.
    • iSISTAQUIT (implement Supporting Indigenous Smokers To Assist Quitting) - is a multi-component intervention aimed at improving health providers’ provision of smoking cessation care to pregnant Aboriginal and Torres Strait Islander women, funded by the Commonwealth Government. This program is currently restricted. For more information, see iSISTAQUIT.
    • NT Child Health Check Initiative - this program has now ceased.
    • RACGP Aboriginal & TSI Health Check - combined annual Aboriginal and Torres Strait Islander health check developed in conjunction with the RACGP and NACCHO. For more information, see RACGP Aboriginal & TSI Health Check.
    • RHD and acute rheumatic fever - Northern Territory RHD and acute rheumatic fever protocol items. For more information, see RHD and acute rheumatic fever.
    • Tackling Smoking - participating health services should import this dataset and request the accompanying reports. For more information, see Tackling Smoking.
    • STRIVE - participating health services should import this dataset and request the accompanying reports. In addition, to facilitate the recognition of local laboratory codes used for some STI results, health services should request the import of the codes used by their specific STI pathology lab. For more information, see STRIVE.
    • The George Institute - The George Institute Health Assessment and Recommendations. For more information, see HealthTracker.