# Terminology - Clinical Note Document v26.0.0

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# Clinical Note Document

26.0.0
AU

*  [FHIR IGs](https://implementer.digitalhealth.gov.au/fhir-resources) 
*  [Implementer Hub](https://implementer.digitalhealth.gov.au/) 
*  [Agency site](https://www.digitalhealth.gov.au) 

* [**Table of Contents**](toc.md)
* [**Guidance**](guidance.md)
* **Terminology**

## Terminology

### General terminology usage

The Clinical Note Document will be implemented by systems that require reporting using AIHW Meteor codes, while the exchange medium FHIR utilises HL7/NCTS codes. NCTS CodeSystems have been created for the METEOR "Person-Indigenous Status, code N", "Person-sex, code X" and "Person-gender, code X" to accommodate the occurrences when METEOR is updated with no significant change to the METEOR value domain codes. These NCTS CodeSystems are then utilised in the relevant ValueSets and ConceptMaps. The concept maps have been created to facilitate the translation of the AIHW Meteor codes with the HL7 codes and vice-versa.

#### Value sets relevant to this Implementation Guide

* [Australian Indigenous Status](https://healthterminologies.gov.au/fhir/ValueSet/australian-indigenous-status-1)
* [Person sex](https://healthterminologies.gov.au/fhir/ValueSet/person-sex-1)
* [Person gender](https://healthterminologies.gov.au/fhir/ValueSet/person-gender-1)

#### Code systems relevant to this Implementation Guide

* [Australian Indigenous Status](https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1)
* [Person sex](https://healthterminologies.gov.au/fhir/CodeSystem/person-sex-1)
* [Person gender](https://healthterminologies.gov.au/fhir/CodeSystem/person-gender-1)

### Concept maps

The Clinical Note Document provides standards for the exchange of clinical document notes for the patient, between the CIS and GP systems. The information requirements reference the use of Meteor AIHW data to represent patient demographics (sex, gender, indigenous status) whereas the data exchange medium is FHIR. Concept maps facilitate the exchange of codes from different CodeSystems e.g. METEOR and HL7.

#### Concept Maps relevant to this Implementation Guide

* [Person Sex to HL7 FHIR Sex Parameter for Clinical Use](https://healthterminologies.gov.au/fhir/ConceptMap/person-sex-to-hl7-sex-param-for-clinical-use-1)
* [HL7 FHIR Sex Parameter for Clinical Use to Person Sex](https://healthterminologies.gov.au/fhir/ConceptMap/hl7-sex-param-for-clinical-use-to-person-sex-1)
* [Person Gender to HL7 FHIR Gender Identity](https://healthterminologies.gov.au/fhir/ConceptMap/person-gender-to-hl7-gender-identity-1)
* [HL7 FHIR Gender Identity to Person Gender](https://healthterminologies.gov.au/fhir/ConceptMap/hl7-gender-identity-to-person-gender-1)

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IG © 2026+ [Australian Digital Health Agency](https://www.digitalhealth.gov.au). Package au.gov.digitalhealth.cnd#26.0.0 based on [FHIR 4.0.1](http://hl7.org/fhir/R4/). Generated 2026-06-19

Links: [Table of Contents](toc.md) | [QA Report](qa.md) | [Version History](https://fhir.digitalhealth.gov.au/dh/history.html) | [Report an issue or propose a change](mailto:help@digitalhealth.gov.au) 

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