Central Data changes

Updates to clinical items in Communicare are summarised here.

Central updates are distributed both with each Communicare update and separately, and are automatically available to your health service. Update the Central items in your local database using Communicare Data Updater.

Some items are included only in a dataset which may not be available at your health service.

November 2025

Clinical items

Table 1. New clinical items
New clinical items
Audiology Assessment
Check up;ear health (brief)
Check up;ear health (comprehensive)
Foot screening
National Lung Cancer Screening Program
Results;lung cancer screening LDCT
Sepsis Pathway; ADULT primarycare NT
Sepsis Pathway;PAEDIATRIC primarycare NT
Strength&Difficulties;Parent Report11-17
Syphilis POC Test
Test;platelet count
Aglossia
Anxiety disorder;health
Aspergillosis;lung;allergic
Cardiomyopathy;Takotsubo
Cyst;perineural
Discomfort;chest
Enlarged;uterus
Ht failure;preserved eject fr
Ht failure;reduced eject fr
Hyperplasia;liver;focal nodula
Hypersomnia;idiopathic
Hyperthyroidism;subclinical
Hypoplasia;testicle
Hypothyroidism;subclinical
Infection;skin;recurrent
Mast cell activation syndrome
Multicystic dysplastic kidney
Osteoarthritis;temporomandibul
POTS
Pulmon langerhan histiocytosis
Ramsey Hunt syndrome
Rupture;ligament
Short;cervix;(in) pregnancy
Spasm;cricopharyngeal
Tendinopathy
Termination of pregnan;medical
Wheeze;viral induced
Immunisation;employment
Immunisations;childhood
Angiogram;pulmonary
Assessment;function;cognitive
Assessment;function;physical
Care;foot/feet;diabetes
Check up;milestones
Ineligible (for);renal transpl
Medical marijuana
Sacrohysteropexy
Scan;myocardial perfusion
Screening;lung cancer;scan
Waitlist;renal transp;inactive
Waitlist;renal transpla;active
Referral;NDIS
Tip:
For new clinical items, remember to revisit recalls, shortcut bar ($keywords), templates and so on where appropriate.
Table 2. New Immunisation clinical items
New immunisation clinical items
Immunisation;COVID-19 generic Immunisation
Immunisation;FluMist
Immunisation;Pfizer Comirnaty JN.1 Immunisation
Immunisation;Pfizer Comirnaty LP 8.1
Immunisation;Vaxneuvance
Table 3. New qualifiers
New Qualifiers
Drawing;head shape
Start Smoking Age
Quit Smoking Age
Duration Smoking
Average Daily Cigarette Consumption
Smoking Pack-Years
Acoustic reflex left ear Dropdown list
Acoustic reflex right ear Dropdown list
Audiology consent to share information? Dropdown list
Audiology service provider Dropdown list
Audiometry results reliability Dropdown list
Audiometry speech test type Dropdown list
Audiometry test condition type Dropdown list
Audiometry test type Dropdown list
Degree of hearing loss (L) Dropdown list
Degree of hearing loss (R) Dropdown list
Degree of hearing loss (bianural) Dropdown list
Diabetes foot screen finding Dropdown list
Ear Tx:application of drops demostrated? Dropdown list
Ear Tx:medication admin demostrated? Dropdown list
Ear Tx:tissue spear process demostrated? Dropdown list
Ear diagnosis (L) Dropdown list
Ear diagnosis (R) Dropdown list
Ear drum mobility assessment result (L) Dropdown list
Ear drum mobility assessment result (R) Dropdown list
Ear drum mobility assessment type (L) Dropdown list
Ear drum mobility assessment type (R) Dropdown list
Ear drum mobility interpertation (L) Dropdown list
Ear drum mobility interpertation (R) Dropdown list
Ear toileting (L) Dropdown list
Ear toileting (R) Dropdown list
Follow up required: Audiology Dropdown list
Follow up required: ENT Dropdown list
Follow up required: Primary Health Care Dropdown list
Hearing aid(s) fitted? Dropdown list
Hearing aid(s) required? Dropdown list
Hearing concerns Dropdown list
Identified interest:Ref.hearing support Dropdown list
Identified interest:Ref.speech pathology Dropdown list
Identified interest:Referral ENT Dropdown list
Identified interest:Referral audiology Dropdown list
Identified interest:other assessment Dropdown list
If tympanometry not performed Dropdown list
K10 Score (psychological distress) Dropdown list
Left dorsalis pedis - doppler Dropdown list
Left posterior tibial - doppler Dropdown list
NLCSP Any previous chest CT Dropdown list
NLCSP Eligibility Dropdown list
NLCSP History of cancer Dropdown list
NLCSP Low-dose CT suitability Dropdown list
NLCSP Lung Cancer screening offered Dropdown list
NLCSP Results Low Dose CT Scan Dropdown list
NLCSP Type of screening test Dropdown list
NTPCASP 1st antimicrobial commenced Dropdown list
NTPCASP Fluids Administered Dropdown list
NTPCPSP 1st antimicrobial commenced Dropdown list
NTPCPSP Fluids Administered Dropdown list
NTPCSP 2nd antimicrobial commenced Dropdown list
NTPCSP IDC required Dropdown list
NTPCSP Inotropes required Dropdown list
OAE results reliability Dropdown list
OAE test result (L) Dropdown list
OAE test result (R) Dropdown list
OAE test type Dropdown list
Right dorsalis pedis - doppler Dropdown list
Right posterior tibial - doppler Dropdown list
SDQP:collection occasion:version 11-17y Dropdown list
Speech / language concerns Dropdown list
Syphilis Contact Tracing? Dropdown list
Syphilis POC Test Result Dropdown list
Tissue spears used Dropdown list
Tympanometry (L) (general result) Dropdown list
Tympanometry (L) (specialist result) Dropdown list
Tympanometry (R) (general result) Dropdown list
Tympanometry (R) (specialist result) Dropdown list
Type of hearing loss (L) Dropdown list
Type of hearing loss (R) Dropdown list
Type of hearing loss (binaural) Dropdown list
White cell count greater than/less than Dropdown list
AA:PC:other reason for assessment Free text
Acoustic Reflex Free text
Additional Criteria (Sepsis or other) Free text
Additional Criteria [Septic Shock] Free text
Audiology management Free text
Audiometry 3 frequency average (L) Free text
Audiometry 3 frequency average (R) Free text
Audiometry 3 frequency average (binaural Free text
Audiometry speech test result Free text
Could it be sepsis? RECOGNISE Free text
Details of Smoking History Free text
Doppler ultrasound Free text
Ear Diagnosis and Management Free text
Ear Health Management Free text
Ear Rx: oral medication dispensed Free text
Ear Rx: topical drops (L) Free text
Ear Rx: topical drops (R) Free text
Ear Treatment Free text
Ear drum mobility assessment Free text
Ear drum mobility assessment outcome Free text
Ear drum mobility other assessments Free text
Education for foot care Free text
Educational resources provided Free text
Escalate for further medical review if Free text
Foot risk status Free text
Foot screen Free text
Foot screen checklist Free text
HANDOVER Free text
Hearing / Speech Concerns Free text
Hearing Status Free text
If sepsis not suspected now Free text
Lactate at 4 hrs (Time & Level mmol/L) Free text
Lactate at 8 hrs (Time & Level mmol/L) Free text
Lung Cancer Screening Free text
NLCSP Clinical Information for Request Free text
NTPCSP Resusitate Bundle Time Completed Free text
OAE number of bands for pass result Free text
OAE test note Free text
Otoacoustic emissions (OAE)
Patient interest in mgmt of ear problem Free text
Presenting Concerns - Audiology Free text
RE-ASSESS & MONITOR (paed) Free text
REASSESS & MONITOR (adult) Free text
RESPOND & ESCALATE Free text
RESUSCITATE SEPSIS BUNDLE Free text
Risk factors for foot complication Free text
Screening result and Assessment Free text
Sepsis Suspected Free text
Sepsis screening negative Free text
Syphilis Other Treatment Free text
Syphilis Treatment Details Free text
Imaging Request: Low Dose CT Scan Investigation
Syphilis Order Serology Investigation
Acoustic reflex notes Memo
Audiology overall comments/conclusion Memo
Ear health management plan Memo
Hearing status comment/conclusion Memo
NLCSP Actionable additional findings Memo
Otoscopy notes Memo
Sepsis increased suspicion (adult) Memo
Sepsis increased suspicion (paed) Memo
Syphilis Screening/Assessment Comments Memo
Average daily cigarette consumption Numeric
Duration smoking Numeric
HbA1c (eAG) Numeric
Lactate level Numeric
Quit smoking age Numeric
Smoking Pack-Years Numeric
Start smoking age Numeric
AA:PC:F/H sensorinueral hearing loss Tick Box
AA:PC:audiology audiology for employment Tick Box
AA:PC:audiology review Tick Box
AA:PC:behavioural concerns Tick Box
AA:PC:ear discharge (L) Tick Box
AA:PC:ear discharge (R) Tick Box
AA:PC:ear pain (L) Tick Box
AA:PC:ear pain (R) Tick Box
AA:PC:hazardous noise exposure Tick Box
AA:PC:hearing loss (L) Tick Box
AA:PC:hearing loss (R) Tick Box
AA:PC:history of otitis meida (L) Tick Box
AA:PC:history of otitis meida (R) Tick Box
AA:PC:learning outcomes Tick Box
AA:PC:poor school attendance Tick Box
AA:PC:speech and language Tick Box
AA:PC:tinnitus (L) Tick Box
AA:PC:tinnitus (R) Tick Box
AA:PC:vertigo Tick Box
Blood Test for Syphilis Serology Tick Box
Central capillary return more than 2 sec Tick Box
Check feet daily Tick Box
Clinician/parent/caregiver concern cont. Tick Box
Clinician/patient/caregiver concern cont Tick Box
Clinician/patient/caregiver concern intl Tick Box
Communication strategies advised? Tick Box
Ear Tx:med.admin.edu. given to patient Tick Box
Follow local transfer protocol Tick Box
ISOBAR/ISBAR handover Tick Box
Lactate not trending down Tick Box
NLCSP Family history lung cancer Tick Box
NLCSP No longer participating Tick Box
NLCSP shared decision making Tick Box
NTPCSP Handover copy sepsis pathway Tick Box
NTPCSP Handover culture pathology Tick Box
New altered mental state Tick Box
Other STI Testing Tick Box
Rx Ceftriaxzone 500mg/Azithromycin 1g Tick Box
Rx LA Bicillin 1.8g Tick Box
STI Symptoms Tick Box
Sepsis diagnosis & mangt plan discussed Tick Box
Syphilis POC Test Consent Given? Tick Box
Syphilis Testing Contraindications? Tick Box
Targeted vital signs not improving Tick Box
Urine output less than 0.5ml/kg/hr Tick Box
Verbal education provided Tick Box
Ways to minimise risk to feet Tick Box
Wearing appropriate footwear Tick Box
When and where to get help Tick Box
2 foot pulses able to be palpated - L Yes, No
2 foot pulses able to be palpated - R Yes, No
Abdomen query infection (adult) Yes, No
Abdomen query infection (paed) Yes, No
Abnormal white cell counts (if POCT) Yes, No
Acute weight loss assoc'd w dehydration Yes, No
Blood cultures collected Yes, No
Central capillary return > 2 seconds Yes, No
Clinician/parent/caregiver concern initl Yes, No
Current (active) foot ulcer Yes, No
Decreased feeding Yes, No
Drop in systolic BP Yes, No
End Stage kidney disease Yes, No
Foot deformities Yes, No
Genitourinary query infection (adult) Yes, No
IV Access established Yes, No
IV line access query infection (paed) Yes, No
Increasing REWS Yes, No
Increasing respiratory rate Yes, No
Increasing respiratory rate > 25/min Yes, No
Intact sensation on 3 sites - left foot Yes, No
Intact sensation on 3 sites - right foot Yes, No
Intravenous & dialysis access (adult) Yes, No
Isolated vital sign in REWS red zone Yes, No
Lactate > 2 mmol/L Yes, No
Lactate collected Yes, No
Lower limb amputation Yes, No
Maternity query infection Yes, No
Musculoskeletal query infection (adult) Yes, No
Musculoskeletal query infection (paed) Yes, No
NLCSP Results recall Yes, No
NTPCSP Fluid balance commenced Yes, No
Neurological (adult) Yes, No
Neurological (paed) Yes, No
New altered mental status Yes, No
Obs consistent with infection (adult) Yes, No
Obs consistent with infection (paed) Yes, No
Opted out NCSR reminders Yes, No
Peripheries consistent with infection Yes, No
Petechiae Yes, No
Previous foot ulcer Yes, No
REWS 3 or more Yes, No
REWS 5 or more
REWS greater than 5 Yes, No
Reduced capacity to self-care for feet Yes, No
Respiratory query infection (adult) Yes, No
Respiratory query infection (paed) Yes, No
Sepsis/Septic Shock Diagnosis Yes, No
Skin changes query infection (adult) Yes, No
Skin changes query infection (paed) Yes, No
SpO2 maintained (adult) Yes, No
SpO2 maintained (paed) Yes, No
Suspected Charcot foot Yes, No
Unexplained severe/strong pain Yes, No
Weak cry, grunting, irritable Yes, No

Reports

Table 4. New reports
New reports
STI - Syphilis POC Screening
Database Consistency > Report Usage Extended
Electronic Claims > Patient Claims by Encounter Place
Intramail > Unread Intramail Messages
Patients > Service List
Transport Management > Patient Transport History

June 2025

Clinical items

Tip:
Some clinical items may have been made available in previous updates to Communicare.
Table 5. New & removed immunisation clinical items
New immunisation clinical items Removed immunisation clinical items
Immunisation;COVID-19 generic (GNCOV) Fluvax Junior
Immunisation;ABRYSVO Afluria Quad (NIP)
Immunisation;Beyfortus (Nirsevimab) Afluria Quad (Non-NIP)
Immunisation;Arexvy Fluarix Tetra (NIP)
Immunisation;Dengvaxia Fluarix Tetra (Non-NIP)
Immunisation;Moderna Spikevax XBB.1.5
Immunisation;Pfizer Comirnaty XBB.1.5
Immunisation;Prevenar 20
Immunisation;Q-VAX
Immunisation;Vaxchora
Immunisation;Verorab
Immunisation;Pfizer Comirnaty JN.1
Table 6. New & modified clinical items & qualifiers
New clinical items Description
Assessment;smoking/vaping In support of the NLCSP.
National Lung Cancer Screening Program (NLCSP) Main clinical item to support management of patients for the NLCSP.
Results;lung cancer screening LDCT Results clinical item to support the management of the NLCSP radiology screen which is the low dose CT scan (LDCT). Use to set up your recalls based on the NLCSP management protocol.
Check up:ear health (brief) Ear health check up clinical item to support ear health workflows and PI26 data collection; covers tympanometry, otoscopy and assessment.
Check up;ear health (comprehensive) Ear health check up clinical item to support ear health workflows and PI26 data collection; covers tympanometry, otoscopy, assessment and management.
Audiology Assessment Ear health check up clinical item to support ear health workflows and PI26 data collection; for audiology service providers.
Sepsis Pathway;ADULT primarycare NT Adult primary health care sepsis pathway. For more information, seeSepsis information and resources | NT Health.
Sepsis Pathway;PAEDIATRIC primarycare NT Paediatric primary health care sepsis pathway. For more information, seeSepsis information and resources | NT Health.
Foot screening Improves foot screening options.
Hyperemesis Gravidarum PUQE-24 Score
CVD Risk Calculator (AusCVDRisk)
Sexual Orientation
Geriatric Depression Scale Calculator
Strength&Difficulties;Parent Report
Strength&Difficulties;Youth Self Report
HACC/CHSP Social support group
Abuse;vapes;nicotine
Angiectasia;intestinal
Arteriosclerosis;obliterans
Delay;receptive language
Dependence;vaping;nicotine
Disease;rheumatic heart;border
Disorder;cartilage
Gastrointestinal stromal tumor
Headache;chronic
Hyperproteinaemia
Injury;scapholunate
Myopenia
Otitis media;acute;recurrent
Problem;auditory processing
Problem;executive function
Problem;vaping
Problem;vaping;nicotine
Reduced;tolerance;exercise
Retinoschisis
Sarcopenia
Schatzki ring
Stiff person syndrome
Stroke;lacunar
Stroke;migrainous
Tear;SLAP
Unable(to);stop vapes;nicotine
Advice/educat;vaping;nicotine
Antrostomy;maxillary
Banding;varices;oesophagus
Counselling;vaping;nicotine
Echocardiography;transoesophag
Echocardiography;transthoracic
Insertion;IVC filter
ORIF;fracture
Opioid replacement therapy
Scan;parathyroid sestamibi
Segmentectomy;lung
Surgery;bariatric
Surgery;bypass;Roux-en-Y
Referral;bariatric surgeon
Tip:
For new clinical items, remember to revisit recalls, shortcut bar ($keywords), templates and so on where appropriate.
Table 7. Modified clinical items
Modified Clinical Items Description
Check up;antenatal Addition of PUQE-24 assessment and score
ASQ-TRAK Ages & Stages Questionnaire Updated ASQ Assessment age dropdown list options
Table 8. New qualifiers
New Qualifier
Drawing;head shape
Start Smoking Age
Quit Smoking Age
Duration Smoking
Average Daily Cigarette Consumption
Smoking Pack-Years

Reports
Appointments > Appointment Details
Appointments > Timeslot Details
Database_Consistency Report Usage Extended
DATS_NSW (suite of reports)
Electronic_Claims > Claims and Payments by Provider
Electronic_Claims > Services Paid by Period
Investigations > Requested
Investigations > Results Received
Investigations > Unreviewed Abnormal Content
Medications > Medication Summary for Selected Patient
Medications > Patients on selected Therapeutic Class
Reference_Tables > Providers List by Specialty

Datasets

Table 9. Modified datasets
Modified dataset Description
HACC and CHSP Updated items for Funding Source and service type; addition of Gender mapping
Drug and Alcohol Treatment Service Addition of Gender and Sexual Orientation mapping

Templates

Table 10. New & updated templates
New template Updated template
NLCSP Low Dose CT Referral (free text clinical information) Medical Certificate (Centrelink)
NLCSP Low Dose CT Referral (linked clinical information) NDSS Registration
WA Referral Form CRS - Request for Endoscopy (replaces Direct Access Gastrointestinal Endoscopy (Adult)) PIP Indigenous Health registration and consent (IP017)
Referral Form for Allied Health Medicare Aboriginal and TSI
Work Capacity Certificate - SA