# 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

## : Clinical Note Document Composition for patient Anne - XML Representation

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="ex-composition-anne"/>
      <meta>
        <profile
                 value="http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-composition"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition ex-composition-anne</b></p><a name="ex-composition-anne"> </a><a name="hcex-composition-anne"> </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-composition.html">CND Composition</a></p></div><blockquote><p><b>Information Recipient Extension</b></p><ul><li>type: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PRCP}">primary information recipient</span></li><li>party: <a href="Organization-ex-organization-sunshine-rh.html">Organization Sunshine Residential Home</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1 100.32054}">Aged Care Clinical Notes</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 107903-7}">Clinical note</span></p><p><b>date</b>: 2025-03-17 08:39:24+1000</p><p><b>author</b>: <a href="PractitionerRole-ex-practitionerrole-helen-bobrester.html">PractitionerRole General practitioner</a></p><p><b>title</b>: Progress Note for Mrs. Anne Thompson</p><p><b>custodian</b>: <a href="Organization-ex-organization-bobrester.html">Organization Bobrester Medical Center</a></p></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension">
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
              <code value="PRCP"/>
              <display value="primary information recipient"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="party">
          <valueReference>🔗
            <reference value="Organization/ex-organization-sunshine-rh"/>
          </valueReference>
        </extension>
      </extension>
      <status value="final"/>
      <type>
        <coding>
          <system
                  value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
          <code value="100.32054"/>
        </coding>
      </type>
      <category>
        <coding>
          <system value="http://loinc.org"/>
          <code value="107903-7"/>
          <display value="Clinical note"/>
        </coding>
      </category>
      <subject>🔗
        <reference value="Patient/ex-patient-anne"/>
      </subject>
      <date value="2025-03-17T08:39:24+10:00"/>
      <author>🔗
        <reference value="PractitionerRole/ex-practitionerrole-helen-bobrester"/>
      </author>
      <title value="Progress Note for Mrs. Anne Thompson"/>
      <custodian>🔗
        <reference value="Organization/ex-organization-bobrester"/>
      </custodian>
      <section>
        <title value="Note Narrative"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="61149-1"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Placeholder section text.. patient seems to have high blood pressure so I am attaching some education materials from heart foundation</div>
        </text>
        <entry>🔗
          <reference
                     value="DocumentReference/ex-documentreference-blood-pressure"/>
        </entry>
      </section>
      <section>
        <title value="Medications"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10160-0"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">During the visit Dr Mayo ordered rosuvastatin during the visit.. this is not a prescription but a record of it.</div>
        </text>
        <entry>🔗
          <reference
                     value="MedicationStatement/ex-medicationstatement-rosuvastatin-anne"/>
        </entry>
      </section>
    </Composition>