# Clinical Note Document

26.0.0 AU

Clinical Note Document - Local Development build (v26.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Example Bundle: Clinical Note Document Bundle

Document Details

Last updated: 2025-03-17 08:39:24+1000; Language: en-AU

Profile: CND Bundle

Final Document at 2025-03-17 08:39:24+1000 by PractitionerRole General practitioner for Mrs. Anne Thompson Female, DoB: 1954-10-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)

Document Subject

Profile: CND Patient

Mrs. Anne Thompson Female, DoB: 1954-10-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)

Other Ids: | Medicare Number/32788511952 (, period: (?) --> 2019-05) Medical Record Number/123456
Contact Detail | 123 Sunshine Blvd Brisbane QLD 4000 (home)
Informal Carer: | indicator: Yes carer: Carer Display Name
Person Recorded Sex Or Gender: | value: Female
Australian Indigenous Status | Australian Indigenous Status: 1 (Aboriginal but not Torres Strait Islander origin)
Individual Gender Identity: | value: Identifies as female gender

Document Content

## Note Narrative

Placeholder section text.. patient seems to have high blood pressure so I am attaching some education materials from heart foundation

## Medications

During the visit Dr Mayo ordered rosuvastatin during the visit.. this is not a prescription but a record of it.

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:c88e115a-4efd-4de5-be70-cabc24d51ced

Resource Organization:

> Profile: CND Organization

> identifier: National Organisation Identifier/8003626566707032

> type: Aged care facility

> name: Sunshine Care Home

> > contact

> > telecom: ph: (03) 5550 4075, reception-sunshine@example.com.au

> > address: 123 Sunshine Blvd Brisbane QLD 4000

Entry 3 - fullUrl = urn:uuid:c909bb7d-9040-4d14-9e43-5e16e0d00c14

Resource Patient:

> Profile: CND Patient

> Mrs. Anne Thompson Female, DoB: 1954-10-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)

> Other Ids: | Medicare Number/32788511952 (, period: (?) --> 2019-05) Medical Record Number/123456
> Contact Detail | 123 Sunshine Blvd Brisbane QLD 4000 (home)
> Informal Carer: | indicator: Yes carer: Carer Display Name
> Person Recorded Sex Or Gender: | value: Female
> Australian Indigenous Status | Australian Indigenous Status: 1 (Aboriginal but not Torres Strait Islander origin)
> Individual Gender Identity: | value: Identifies as female gender

Entry 4 - fullUrl = urn:uuid:e88b38af-f884-45fa-a792-faff0e9af5d2

Resource PractitionerRole:

> Profile: CND PractitionerRole

> identifier: Medicare Provider Number/1234561A

> active: true

> practitioner: Practitioner Helen Mayo

> organization: Organization Bobrester Medical Center

> code: General practitioner

Entry 5 - fullUrl = urn:uuid:204ae814-b412-4c04-925b-a82e2c3a7943

Resource Practitioner:

> Profile: CND Practitioner

> identifier: National provider identifier/8003619900015717, Ahpra Registration Number/MED0000932945

> active: true

> name: Helen Mayo

> telecom: helen.mayo@bobrestermedical.example.com

> address: 87 Western Brisbane QLD 4013 AU (work)

> ### Qualifications

> - | Code
> * | Doctor of Medicine

Entry 6 - fullUrl = urn:uuid:466e0daa-8b1d-4834-bc38-4e1fff95e339

Resource Organization:

> Profile: CND Organization

> identifier: ABN/12345678901

> type: Medical Center

> name: Bobrester Medical Center

> > contact

> > telecom: info@bobrestermedical.example.com, ph: (07) 5550 2427(Work)

> > address: 87 Western Brisbane QLD 4013 AU

Entry 7 - fullUrl = urn:uuid:582d02c1-75e0-45b2-80bd-970bf95ea960

Resource DocumentReference:

> Profile: CND DocumentReference

> status: Current

> type: Cardiology Education note

> > content

> > ### Attachments

> > - | ContentType | Url | Title
> > * | application/pdf | https://assets.contentstack.io/v3/assets/blt8a393bb3b76c0ede/bltb991e38e5f923469/659c8651b177906d3ad0425c/Blood-pressure-brochure.pdf | High blood pressure - Understanding and managing your blood pressure

Entry 8 - fullUrl = urn:uuid:a48ea4cb-30c9-4926-9231-8ef18965c659

Resource Medication:

> Profile: CND Medication

> Medication Generic Drug Name: Rosuvastatin

> Medication Brand Name: Crestor

> code: Crestor 20mg tablet, 30 pack

> > ingredient

Entry 9 - fullUrl = urn:uuid:55e5dc61-c7b6-40a6-9c3b-030d2459e81e

Resource MedicationStatement:

> Profile: CND MedicationStatement

> status: active

> status: recorded

> subject: Mrs. Anne Thompson

> informationSource: Practitioner Helen Mayo

> ### Dosages

> - | Timing
> * | 3 per 1 week