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 the Communicare Data Updater.
New clinical items include those associated with newly released ICPC-2 PLUS codes. Some items are included only in a dataset which may not be available at your health service
March 2026
Clinical Items and Qualifiers
| New clinical item | Description |
|---|---|
| Test;result(s);streptococcal serology | With LOINC mapping for Antistreptolysin-O (ASLO) IU/mL and Anti-Streptococcal DNase (ADNB) U/mL |
| Updated clinical item | Description |
|---|---|
| Syphilis POC | For NT, Syphilis POC Test Result is no longer required |
Tip:
For new clinical items, remember to revisit
recalls, shortcut bar ($keywords), templates and so on where appropriate.
| New immunisation clinical items |
|---|
| Immunisation;Flucelvax |
| Immunisation;Fluzone |
| Updated immunisation clinical items | Description |
|---|---|
| Immunisation;Vaxigrip | Reactivated at 3 Feb 2026 in the AIR; updated description. |
| Immunisation;Fluzone | Reactivated at 3 Feb 2026 in the AIR; updated High-Dose description. |
| Immunisation;Fluad | Reactivated at 3 Feb 2026 in the AIR; updated description. |
| Immunisation;Influvac | Reactivated from 25 Feb 2026 (effective date 1 Feb); description updated. |
Communicare has been updated to the latest AIR vaccine dataset (1 March 2026).
Always check annual seasonal influenza vaccine availability statements on the The Australian Immunisation Handbook website. Vaccines and age eligibility change from year to year.
| Qualifier | Description |
|---|---|
| Oestradiol | Results qualifier for Test;Biochemistry;Other in pmol/L, mapped to LOINC code 2243-4. |
| Antistreptolysin-O (ASLO) | Result qualifier for Test;result(s);streptococcal serology in IU/mL, mapped to LOINC code 5370-2 |
| Anti-Streptococcal DNase (ADNB) | Result qualifier for Test;result(s);streptococcal serology in U/mL, mapped to LOINC code 5133 |
| Qualifier | Description |
|---|---|
| Drawing:head shape | Updated to a larger image with higher resolution. |
| NLCSP Family history of lung cancer | Replaced with a reference qualifier. |
Reports
| Report | Description |
|---|---|
| MyMedicare Registered | Generate a list of patients identified as registered for
MyMedicare in  Patient Biographics > Administration > Popup Alert Notes > with the phrase MyMedicare
Registered.Run the report from . |
| Report | Description |
|---|---|
|
Reports updated to automatically include data from the qualifiers Trichiasis check: right eye and Trichiasis check: left eye. |
Other updates
- On Patient Biographics > Social, new categories:
- Grant Parent (mat) - use for maternal grandparents
- Grant Parent (pat) - use for paternal grandparents
- Country codes now include State of Palestine (PSE).
January 2026
Clinical Items
| Updated clinical items |
|---|
| Audiology Assessment |
| Check up;ear health (brief) |
| Check up;ear health (comprehensive) |
Tip:
For new clinical items, remember to revisit
recalls, shortcut bar ($keywords), templates and so on where appropriate.
| New immunisation clinical items |
|---|
| Immunisation;FluMist |
| Immunisation;Pfizer Comirnaty LP 8.1 |
Reports
| Updated reports | Change |
|---|---|
| Daily Recall Lists | New parameter to limit previous recalls identified. Update any Scheduled Reports. |
| NKPI PI07, PI22, PI25 and PI26 Reports | Updates to reports available |
Templates
| Updated templates |
|---|
|
| CentreLink Medical certificate |
November 2025
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.
| New immunisation clinical items |
|---|
| Immunisation;COVID-19 generic Immunisation |
| Immunisation;Pfizer Comirnaty JN.1 Immunisation |
| Immunisation;Vaxneuvance |
| 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
| 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 |
Patient Biographics > Social
Added Child in Kinship Care to Patient Biographics > Social > Additional Kin Information > Relationship list; the inverse of Kinship Carer.
GRT and nKPI changes
| Update to | Now mapped to/Description | Report affected |
|---|---|---|
| 'Nephrologist' was categorised under 'Specialist other or not specified' | Renal medicine specialist | OSR/HCP |
|
Surgeon | OSR/HCP |
| ‘Resident Medical Officer’ was categorised under ‘Other health / clinical staff’ | Doctor – General Practitioner | OSR/HCP |
| Team.psychogeriatric assess team (PGAT) and Youth Worker were categorised under 'Allied Health – other' | SEWB staff – other or not specified | OSR/HCP |
| Dermal Clinician, Music Therapist and Physiologist were previously only mapped in NKPI reports | Allied Health other (for GRT) | OSR/HCP |
Templates
| New template |
|---|
| GP Chronic Conditions Careplan templates |
June 2025
Clinical items
Tip:
Some clinical items may have been made
available in previous updates to Communicare.
| 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 |
| 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.
| 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 |
| New Qualifier |
|---|
| Drawing;head shape |
| Start Smoking Age |
| Quit Smoking Age |
| Duration Smoking |
| Average Daily Cigarette Consumption |
| Smoking Pack-Years |
Reports
| New 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
| 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
| 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 |