# 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

## : Smith - XML Representation

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    <Patient xmlns="http://hl7.org/fhir">
      <id value="ex-patient-smith"/>
      <meta>
        <profile
                 value="http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient ex-patient-smith</b></p><a name="ex-patient-smith"> </a><a name="hcex-patient-smith"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cnd-patient.html">CND Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">null Smith  Male, DoB: 1985-10-18 ( IHI: Austalian Healthcare Identifier - Individual#8003608333647261)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Medicare Number/88788511953 (, period: (?) --&gt; 2018-07)</li><li>Medical Record Number/123456</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">123 Sunshine Blvd Brisbane QLD 4000 (home)</td></tr><tr><td style="background-color: #f3f5da" title="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.">Informal Carer:</td><td colspan="3"><ul><li>indicator: <span title="Codes:{http://snomed.info/sct 373067005}">No</span></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..  This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.  When exchanging these concepts, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).">Patient Sex Parameter For Clinical Use:</td><td colspan="3"><ul><li>value: <span title="Codes:{http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use male-typical}">Apply male-typical setting or reference range</span></li><li>period: 2000-01-01 --&gt; 2025-06-05</li><li>comment: Based on recent clinical assessment</li><li>supportingInfo: <span title="Codes:{http://loinc.org LA33-6}">Yes</span></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="This extension applies to the Patient, Person, and RelatedPerson resources and is used to indicate whether a person identifies as being of Aboriginal or Torres Strait Islander origin."><a href="http://hl7.org.au/fhir/6.0.0/StructureDefinition-indigenous-status.html">Australian Indigenous Status</a></td><td colspan="3">australian-indigenous-status-1: 3 (Both Aboriginal and Torres Strait Islander origin)</td></tr><tr><td style="background-color: #f3f5da" title="An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. This represents an individual’s identity, ascertained by asking them what that identity is.
     In the case where the gender identity is communicated by a third party, for example, if a spouse indicates the gender identity of their partner on an intake form, a Provenance resource can be used with a Provenance.target referring to the Patient, with a targetElement extension identifying the gender identity extension as the target element within the Patient resource.  When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).">Individual Gender Identity:</td><td colspan="3"><ul><li>value: <span title="Codes:{http://snomed.info/sct 446151000124109}">Male gender identity</span></li></ul></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org.au/fhir/StructureDefinition/indigenous-status">
        <valueCoding>
          <system
                  value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1"/>
          <code value="3"/>
          <display value="Both Aboriginal and Torres Strait Islander origin"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/informal-carer">
        <extension url="indicator">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="373067005"/>
              <display value="No"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/individual-genderIdentity">
        <extension url="value">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="446151000124109"/>
              <display value="Male gender identity"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse">
        <extension url="value">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use"/>
              <code value="male-typical"/>
              <display value="Apply male-typical setting or reference range"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="period">
          <valuePeriod>
            <start value="2000-01-01"/>
            <end value="2025-06-05"/>
          </valuePeriod>
        </extension>
        <extension url="comment">
          <valueString value="Based on recent clinical assessment"/>
        </extension>
        <extension url="supportingInfo">
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <identifier>
        <extension url="http://hl7.org.au/fhir/StructureDefinition/ihi-status">
          <valueCoding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1"/>
            <code value="active"/>
            <display value="active"/>
          </valueCoding>
        </extension>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/ihi-record-status">
          <valueCoding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1"/>
            <code value="verified"/>
            <display value="verified"/>
          </valueCoding>
        </extension>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="NI"/>
            <display value="National unique individual identifier"/>
          </coding>
          <text value="IHI"/>
        </type>
        <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
        <value value="8003608333647261"/>
      </identifier>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MC"/>
            <display value="Patient's Medicare Number"/>
          </coding>
          <text value="Medicare Number"/>
        </type>
        <system value="http://ns.electronichealth.net.au/id/medicare-number"/>
        <value value="88788511953"/>
        <period>
          <end value="2018-07"/>
        </period>
      </identifier>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MR"/>
            <display value="Medical record number"/>
          </coding>
          <text value="Medical Record Number"/>
        </type>
        <system value="urn:oid:2.16.840.1.113883.19.5"/>
        <value value="123456"/>
        <assigner>🔗
          <reference value="Organization/ex-organization-sunshine-rh"/>
        </assigner>
      </identifier>
      <name>
        <use value="usual"/>
        <family value="Smith"/>
        <given>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="unknown"/>
          </extension>
        </given>
        <prefix value="Mr"/>
      </name>
      <gender value="male"/>
      <birthDate value="1985-10-18">
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator">
          <valueCoding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/date-accuracy-indicator-1"/>
            <code value="AAE"/>
          </valueCoding>
        </extension>
      </birthDate>
      <address>
        <use value="home"/>
        <line value="123 Sunshine Blvd"/>
        <city value="Brisbane"/>
        <state value="QLD"/>
        <postalCode value="4000"/>
      </address>
    </Patient>