# Home - 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)
* **Home**

## Home

| | |
| :--- | :--- |
| *Official URL*:http://digitalhealth.gov.au/fhir/cnd/ImplementationGuide/au.gov.digitalhealth.cnd | *Version*:26.0.0 |
| Active as of 2026-06-19 | *Computable Name*:CND_ImplementationGuide |
| **Copyright/Legal**: This content is licensed under a Creative Commons Attribution 4.0 International License. See [https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/) | |

# Clinical Note Document FHIR Implementation Guide

### Introduction

This guide is a collection of HL7® FHIR® Release 4 (R4) artefacts authored and maintained by the Australian Digital Health Agency.

The goal of the Clinical Note Document is to provide a consistent method for passing clinical information relevant to a clinical care setting from one healthcare organisation to another in a safe and secure manner using existing point-to-point transfer mechanisms. It aims at addressing an identified gap in how healthcare organisations transfer health information between clinical information systems (CIS) where a standard format does not exist.

This Implementation Guide outlines scenarios where the Clinical Note Document is beneficial and recommends a structured format using FHIR artefacts. At this stage, it doesn't provide any guidance on how the Clinical Note Document may be exchanged. It assumes that already established exchange mechanisms will continue to be used in the first instance.

The Clinical Note Document FHIR Implementation Guide is an open specification, allowing implementers to extend it for their own use cases as long as they meet its conformance requirements.

### Overview

The development of the Clinical Note Document has emerged from the aged care clinical information systems requirements workstream (ACCIS), which responded to recommendations 68 and 109 of the [Royal Commission into Quality and Safety](https://www.royalcommission.gov.au/aged-care). The development of the ACCIS requirements identified a gap in how healthcare organisations transfer clinical information to and from a clinical information system (CIS) to another clinical software system where a standard format does not already exist.

The development of the Clinical Note Document supports and aligns with interoperability as a strategic priority in the [Australian National Digital Health Strategy](https://www.digitalhealth.gov.au/national-digital-health-strategy), as outlined in the National Healthcare Interoperability Plan 2023-2028, which states that interoperability of clinical information is essential to high-quality, sustainable health care in which clinical information is collected in a prescribed manner and can be shared in real time with patients and their providers.

Specifically, Action 3.5 in Priority Area 3 – Information Sharing is to assess the current interoperability between GP and residential care and primary care systems, identifying issues, requirements and potential solutions to resolve issues.

The Clinical Note Document also aligns with Outcome 3 of the [Aged Care Data and Digital Strategy 2024-2029](https://www.health.gov.au/resources/publications/aged-care-data-and-digital-strategy-2024-2029): Data is shared and reused securely to deliver a sustainable and continually improving care delivery system. Best efforts were made to align the Clinical Note Document to the National Minimum Data Set v1.

Standards create consistency and compatibility, support a single source of truth, and enable interoperability. This document describes the scenarios and business requirements for the Clinical Note Document, leveraging existing standards and infrastructure.

Efforts to standardise software systems aligns to the interoperability principles stated in the [National Healthcare Interoperability Plan (Agency2023)](https://www.digitalhealth.gov.au/about-us/strategies-and-plans/national-healthcare-interoperability-plan). The sections in this document specifically aligns to the following interoperability principles:

* health information is discoverable and accessible
* national healthcare identifiers are used across the healthcare sector
* national digital health standards and specifications are agreed and adopted
* core national healthcare digital infrastructure is used across the sector
* collaboration and stakeholder engagement underpin interoperability.

The standardising of software systems needs to reflect the above interoperability principles.

### How to read this guide

This guide is divided into several pages which are listed at the top of each page in the menu bar.

* [Home](index.md): This page provides the introduction and scope for the Implementation Guide.
* [Conformance](conformance.md): This page describes the set of rules to claim conformance to this guide including the expectations for **Mandatory** and **Must Support** elements.
* [Guidance](guidance.md): These pages provide additional guidance on some topics to ensure a clearer pathway for consistent implementation by adopting organisations. These topics are: 
* [Terminology](terminology-guidance.md): This page provide guidance on some key terminology concepts that are key for interoperability.
* [Author and Recipient](author-and-recipient.md): This page provides guidance on how to represent authoring and receiving parties of the Clinical Note Document.
* [Use Cases](use-cases.md): This page highlights some potential use cases for the Clinical Note Document.
 
* [Security and Privacy](security-and-privacy.md): This page provides Security requirements including TLS encryption standards, FHIR communications security, and privacy obligations for Clinical Note Document implementations.
* [FHIR Artefacts](artifacts.md): These pages provide detailed descriptions and formal definitions for all the FHIR artefacts defined in this guide. 
* [Profiles and Extensions](profiles-and-extensions.md): This page lists the FHIR profiles and extensions that are defined in this guide.
* [Terminology Artefacts](terminology-artefacts.md): This page lists the FHIR terminology that are defined in this guide.
 
* [Examples](examples.md): This page lists all the examples used in this Implementation Guide.
* [Support](downloads.md): This section provides support resources for implementers. 
* [Known Issues](known-issues.md): This page lists known issues with this specification at the time of publishing along with their descriptions.
* [Downloads](downloads.md): This page provides links to downloadable artefacts including the Agency FHIR NPM package.
 
* [Change Log](changelog.md): This page documents the version history and changes made to this implementation guide across different releases.
* [Licence and Legal](legal.md): This page lists the licensing, copyright, and disclaimers under which this guide is issued.

### Document purpose and scope

The primary aim of this implementation guide is to support implementers adopting the Clinical Note Document (CND) using [FHIR, Release 4 (v4.0.1) [HL7FHIR4]](#HL7FHIR4). It provides the technical specifications, FHIR profiles, extensions, and terminology definitions required to create and consume interoperable Clinical Note Documents across healthcare organisations.

This document describes specific conformance expectations such as profile obligations, cardinality and terminology constraints, validation requirements, and implementation guidance needed for consistent CND exchange. Other requirements, such as local workflow design, user interface behaviour, and organisation-specific operational processes, are managed separately and remain the responsibility of implementing systems.

Reference has been made to International and Australian Standards, and to Standards from HL7. The following standards are referred to in the text in such a way that some or all of its content constitutes requirements for the purposes of this specification:

* [FHIR, Release 4 (v4.0.1) [HL7FHIR4]](#HL7FHIR4)
* [Australian Base Profiles Implementation Guide [HL7AUBIG]](#HL7AUBIG)
* [Australian Core Profiles Implementation Guide [HL7AUCIG]](#HL7AUCIG)
* [FHIRPath Specification v2.0.0 [HL7FHIRPATH]](#HL7FHIRPATH)
* [FHIR Clinical Documents v1.0.1 [HL7FHIRCDIG]](#HL7FHIRCDIG)

Wherever possible, material in this specification is based on existing standards. All efforts have been made to minimise divergence from the HL7 Australia standards ([AU Core [HL7AUCIG]](#HL7AUCIG) and [AU Base [HL7AUBIG]](#HL7AUBIG)) to provide for system interoperability and compatibility with other profiles. Issues of an editorial nature in the source material (such as spelling or punctuation errors) are intentionally reproduced.

### Intended audience

This implementation guide is aimed at software development teams, architects, and designers that implement the Clinical Note Document.

This implementation guide and related artefacts are technical in nature and the audience is expected to be familiar with the language of health data specifications and to have some familiarity with health information standards and specifications, such as FHIR.

### Relationships with other work

This implementation guide builds on other specifications, helping ensure a consistent approach to data sharing that should ease adoption. The specific guides used, and the portions relevant from each of them are as follows:

### Cross version analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both [R4 (au.gov.digitalhealth.cnd.r4)](package.r4.tgz) and [R4B (au.gov.digitalhealth.cnd.r4b)](package.r4b.tgz) are available.

### Global profiles

*There are no Global profiles defined*

### References

| | |
| :--- | :--- |
| [HL7AUBIG] | HL7 Australia, FHIR R4 standard for AU Base Implementation Guide, v6.0.0 |
|   | [https://hl7.org.au/fhir/6.0.0/index.html](https://hl7.org.au/fhir/6.0.0/index.html) |

| | |
| :--- | :--- |
| [HL7FHIR4] | Health Level Seven, Inc., 30 October 2019, FHIR R4. |
|   | [http://hl7.org/fhir/R4/](http://hl7.org/fhir/R4/) |

| | |
| :--- | :--- |
| [HL7AUCIG] | HL7 Australia, FHIR R4 standard for AU Core Implementation Guide, v2.0.0 |
|   | [https://hl7.org.au/fhir/core/2.0.0/index.html](https://hl7.org.au/fhir/core/2.0.0/index.html) |

| | |
| :--- | :--- |
| [HL7FHIRPATH] | HL7 International, FHIRPath Specification, v2.0.0 |
|   | [http://hl7.org/fhirpath](http://hl7.org/fhirpath) |

| | |
| :--- | :--- |
| [HL7FHIRCDIG] | Health Level Seven, Inc., 30 January 2026, v.1.0.1 |
|   | [https://hl7.org/fhir/uv/fhir-clinical-document/en/](https://hl7.org/fhir/uv/fhir-clinical-document/en/) |

 ![](assets/images/adha-logo-light.svg) 

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) 

Publisher: [Australian Digital Health Agency](https://www.digitalhealth.gov.au) | ABN: 84 425 496 912, Level 25, 175 Liverpool Street, Sydney, NSW 2000 | Phone: [1300 901 001](tel:1300901001) | Email: [help@digitalhealth.gov.au](mailto:help@digitalhealth.gov.au) | [https://www.digitalhealth.gov.au](https://www.digitalhealth.gov.au) | [Privacy policy](https://www.digitalhealth.gov.au/about-us/policies-privacy-and-reporting/privacy-policy) | [Terms of Use](https://www.digitalhealth.gov.au/about-us/policies-privacy-and-reporting/terms-of-use)

![](cc0.png)
The Australian Digital Health Agency acknowledges the Traditional Custodians of Country throughout Australia, and their continuing connection to land, sea and community. We pay our respects to them and their cultures, and to Elders, past and present.



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      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-jurisdiction"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-publisher"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "default-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-canonicals"
      },
      {
        "url" : "value",
        "valueString" : "pin-multiples"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "show-inherited-invariants"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "usage-stats-opt-out"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludexml"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludejson"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludettl"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludemap"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "shownav"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "autoload-resources"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "template/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "input/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-qa"
      },
      {
        "url" : "value",
        "valueString" : "temp/qa"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-temp"
      },
      {
        "url" : "value",
        "valueString" : "temp/pages"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-output"
      },
      {
        "url" : "value",
        "valueString" : "output"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-suppressed-warnings"
      },
      {
        "url" : "value",
        "valueString" : "input/ignoreWarnings.txt"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-history"
      },
      {
        "url" : "value",
        "valueString" : "http://digitalhealth.gov.au/fhir/cnd/history.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-html"
      },
      {
        "url" : "value",
        "valueString" : "template-page.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-md"
      },
      {
        "url" : "value",
        "valueString" : "template-page-md.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-context"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/ex-patient-anne"
      },
      "name" : "Anne Thompson",
      "description" : "An example of a patient, Anne Thompson, that conforms to the [Clinical Note Document - Patient](StructureDefinition-cnd-patient.html). Anne lives at [Sunshine Residential Home](Organization-ex-organization-sunshine-rh.html).",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/ex-documentreference-blood-pressure"
      },
      "name" : "Blood Pressure Management",
      "description" : "An example of a document reference that conforms to [Clinical Note Document - DocumentReference](StructureDefinition-cnd-documentreference.html) profile. This example represents managing blood pressure guide by the Heart Foundation.",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-documentreference"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/ex-organization-bobrester"
      },
      "name" : "Bobrester Medical Center",
      "description" : "An example of an organization, Bobrester Medical Center, that conforms to [Clinical Note Document - Organization](StructureDefinition-cnd-organization.html) profile. Bobrester Medical Center is where [Dr Mayo](Practitioner-ex-practitioner-helen.html) practices as a GP.",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-organization"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/ex-bundle-anne"
      },
      "name" : "Clinical Note Document Bundle",
      "description" : "An example of a document Bundle that conforms to the requirements of a Clinical Note Document. This example is a representation of [Use Case 2](use-cases.html#author-clinical-note-document-with-a-pdf-attachment-in-a-gp-cis).",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-bundle"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Composition"
      }],
      "reference" : {
        "reference" : "Composition/ex-composition-anne"
      },
      "name" : "Clinical Note Document Composition for patient Anne",
      "description" : "An example of a composition that conforms to [Clinical Note Document - Composition](StructureDefinition-cnd-composition.html).",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-composition"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-bundle"
      },
      "name" : "CND Bundle",
      "description" : "This profile specialises the [FHIR Clinical Document Bundle](https://hl7.org/fhir/uv/fhir-clinical-document/en/StructureDefinition-clinical-document-bundle.html) for the purposes of the Clinical Note Document in Australia. All the guidelines and conformance requirements defined of the FHIR Clinical Document Bundle apply.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-composition"
      },
      "name" : "CND Composition",
      "description" : "This profile specialises the [FHIR Clinical Document Composition Profile](https://hl7.org/fhir/uv/fhir-clinical-document/en/StructureDefinition-clinical-document-composition.html) for the purposes of a Clinical Note Document in Australia. All the guidelines and conformance requirements defined of the FHIR Clinical Document Composition apply.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-department"
      },
      "name" : "CND Department",
      "description" : "This profile constrains [AU Core Organization](https://hl7.org.au/fhir/core/StructureDefinition-au-core-organization.html) to meet the requirements of this Implementation Guide for a healthcare organisation department or unit. Implementers are highly encouraged to review AU Core Organization profile before using this profile.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-documentreference"
      },
      "name" : "CND DocumentReference",
      "description" : "This profile of [Document Reference](https://hl7.org/fhir/R4/documentreference.html) supports Clinical Note Documents attachments such as, pathology reports and medication charts. This profile also supports describing a document that is made available to a system and is used for documents that are not authored and assembled in FHIR e.g. documents whose form is an attachment.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-medication"
      },
      "name" : "CND Medication",
      "description" : "This profile constrains [AU Core Medication](https://hl7.org.au/fhir/core/StructureDefinition-au-core-medication.html)to meet the requirements of this Implementation Guide for medications. Implementers are highly encouraged to review AU Core Medication profile before using this profile. The purpose of this profile is to provide a representation of a medication for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-medicationstatement"
      },
      "name" : "CND MedicationStatement",
      "description" : "This profile constrains [AU Core MedicationStatement](https://hl7.org.au/fhir/core/StructureDefinition-au-core-medicationstatement.html)to meet the requirements of this Implementation Guide for medication statements. Implementers are highly encouraged to review AU Core MedicationStatement profile before using this profile.  This profile defines a medication statement structure that localises core concepts, including terminology, for use in a Clinical Note Document context. A medication statement is a statement of current and/or past medications taken by the patient. This is not a prescription or a legally recognised medicine chart.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-organization"
      },
      "name" : "CND Organization",
      "description" : "This profile constrains [AU Core Organization](https://hl7.org.au/fhir/core/StructureDefinition-au-core-organization.html) to meet the requirements of this Implementation Guide for a healthcare organisation. Implementers are highly encouraged to review AU Core Organization profile before using this profile.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-patient"
      },
      "name" : "CND Patient",
      "description" : "This profile constrains [AU Core Patient](https://hl7.org.au/fhir/core/StructureDefinition-au-core-patient.html) to meet the requirements of this Implementation Guide for a patient or consumer. Implementers are highly encouraged to review AU Core Patient profile before using this profile. This profile defines a patient or a consumer of Clinical Note Document.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-practitioner"
      },
      "name" : "CND Practitioner",
      "description" : "This profile constrains [AU Core Practitioner](https://hl7.org.au/fhir/core/StructureDefinition-au-core-practitioner.html) to meet the requirements of this Implementation Guide for a practitioner. Implementers are highly encouraged to review AU Core Practitioner profile before using this profile. This profile defines a practitioner, in a Clinical Note Document context.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cnd-practitionerrole"
      },
      "name" : "CND PractitionerRole",
      "description" : "This profile constrains [AU Core PractitionerRole](https://hl7.org.au/fhir/core/StructureDefinition-au-core-practitionerrole.html) to meet the requirements of this Implementation Guide for a practitioner role. Implementers are highly encouraged to review AU Core PractitionerRole profile before using this profile. This profile of PractitionerRole defines a Clinical Note Document Practitioner Role.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/ex-practitioner-helen"
      },
      "name" : "Dr Helen Mayo",
      "description" : "An example of a practitioner, Dr Helen Mayo, that conforms to [Clinical Note Document - Practitioner](StructureDefinition-cnd-practitioner.html) profile. Dr Mayo practices at the [Bobrester Medical Center](Organization-ex-organization-bobrester.html) as a GP and visits [Sunshine Residential Home](Organization-ex-organization-sunshine-rh.html) on regular basis.",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-practitioner"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "PractitionerRole"
      }],
      "reference" : {
        "reference" : "PractitionerRole/ex-practitionerrole-helen-bobrester"
      },
      "name" : "Dr Mayo GP at Bobrester Medical Center",
      "description" : "An example of a PractitionerRole that conforms to [Clinical Note Document - PractitionerRole](StructureDefinition-cnd-practitionerrole.html). It represent [Dr Mayo](Practitioner-ex-practitioner-helen.html) practicing as a GP at the [Bobrester Medical Center](Organization-ex-organization-bobrester.html).",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-practitionerrole"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/informal-carer"
      },
      "name" : "Informal Carer",
      "description" : "This extension can be used to represent information about an informal carer of a patient. An informal carer includes any person, such as a family member, friend or neighbour, who is giving regular, ongoing assistance to another person. This may provide healthcare providers with additional information on the patients support system and identified contact person. The definition for the patient’s informal carer existence indicator is the same described in the [definition section](https://meteor.aihw.gov.au/content/787901) of the NMDS. Additionally, this extension allows for the representation of the carer information.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/informal-carer-existence-indicator-vs"
      },
      "name" : "Informal Carer Existence Indicator",
      "description" : "The Informal Carer Existence Indicator value set defines concepts for the existence of Informal Carer.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/information-recipient-type-vs"
      },
      "name" : "Information Recipient Type",
      "description" : "Subset of codes from v3-ParticipationType for use as Clinical Document Information Recipient codes.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/ex-department-memory-care-sunshine"
      },
      "name" : "Memory Care Unit - Sunshine Residential Home",
      "description" : "An example of a department, Memory Care Unit at Sunshine Residential Home, that conforms to [Clinical Note Document - Department](StructureDefinition-cnd-department.html) profile. The Memory Care Unit is a specialised dementia care unit within [Sunshine Residential Home](Organization-ex-organization-sunshine-rh.html).",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-department"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationStatement"
      }],
      "reference" : {
        "reference" : "MedicationStatement/ex-medicationstatement-rosuvastatin-anne"
      },
      "name" : "Rosuvastatin by Dr Mayo for patient Anne",
      "description" : "An example of medication statement that conforms to [Clinical Note Document - MedicationStatement](StructureDefinition-cnd-medicationstatement.html). This statement was made by [Dr Mayo](Practitioner-ex-practitioner-helen.html) during a visit to [Sunshine Residential Home](Organization-ex-organization-sunshine-rh.html).",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medicationstatement"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Medication"
      }],
      "reference" : {
        "reference" : "Medication/ex-medication-crestor"
      },
      "name" : "Rosuvastatin Medication",
      "description" : "An example of a medication that conforms to [Clinical Note Document - Medication](StructureDefinition-cnd-medication.html) profile.",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medication"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/ex-patient-smith"
      },
      "name" : "Smith",
      "description" : "An example of an aged care patient, John Smith, that conforms to the [Clinical Note Document - Patient](StructureDefinition-cnd-patient.html). John Smith lives at [Sunshine Residential Home](Organization-ex-organization-sunshine-rh.html).",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/ex-organization-sunshine-rh"
      },
      "name" : "Sunshine Residential Home",
      "description" : "An example of a care facility, Sunshine Residential Home, that conforms to [Clinical Note Document - Organization](StructureDefinition-cnd-organization.html) profile. Sunshine Residential Home is where [Mrs. Anne Thompson](Patient-ex-patient-anne.html) resides and where [Dr Mayo](Practitioner-ex-practitioner-helen.html) attends on regular basis.",
      "exampleCanonical" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-organization"
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "conformance.html"
        }],
        "nameUrl" : "conformance.html",
        "title" : "Conformance",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "guidance.html"
        }],
        "nameUrl" : "guidance.html",
        "title" : "Guidance",
        "generation" : "markdown",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "terminology-guidance.html"
          }],
          "nameUrl" : "terminology-guidance.html",
          "title" : "Terminology",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "author-and-recipient.html"
          }],
          "nameUrl" : "author-and-recipient.html",
          "title" : "Author and Recipient",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "address-mapping.html"
          }],
          "nameUrl" : "address-mapping.html",
          "title" : "Address Mapping",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "use-cases.html"
          }],
          "nameUrl" : "use-cases.html",
          "title" : "Use Cases",
          "generation" : "markdown"
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "security-and-privacy.html"
        }],
        "nameUrl" : "security-and-privacy.html",
        "title" : "Security and Privacy",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhir-artefacts.html"
        }],
        "nameUrl" : "fhir-artefacts.html",
        "title" : "FHIR Artefacts",
        "generation" : "markdown",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "artifacts.html"
          }],
          "nameUrl" : "artifacts.html",
          "title" : "Artefacts Summary",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "profiles-and-extensions.html"
          }],
          "nameUrl" : "profiles-and-extensions.html",
          "title" : "Profiles and Extensions",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "terminology-artefacts.html"
          }],
          "nameUrl" : "terminology-artefacts.html",
          "title" : "Terminology Artefacts",
          "generation" : "markdown"
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "examples.html"
        }],
        "nameUrl" : "examples.html",
        "title" : "Examples",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "support.html"
        }],
        "nameUrl" : "support.html",
        "title" : "Support",
        "generation" : "markdown",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "known-issues.html"
          }],
          "nameUrl" : "known-issues.html",
          "title" : "Known Issues",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "downloads.html"
          }],
          "nameUrl" : "downloads.html",
          "title" : "Downloads",
          "generation" : "markdown"
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "changelog.html"
        }],
        "nameUrl" : "changelog.html",
        "title" : "Change Log",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "legal.html"
        }],
        "nameUrl" : "legal.html",
        "title" : "Licence and Legal",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
