# CND DocumentReference - 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)
* [**FHIR Artefacts**](fhir-artefacts.md)
* [**Artefacts Summary**](artifacts.md)
* **CND DocumentReference**

## Resource Profile: CND DocumentReference 

| | |
| :--- | :--- |
| *Official URL*:http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-documentreference | *Version*:26.0.0 |
| Active as of 2026-06-19 | *Computable Name*:CND_DocumentReference |
| **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/) | |

 
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. 

 
This profile defines document reference requirements for attachments in a Clinical Note Document in Australia, ensuring consistent representation of clinical supporting documents such as pathology reports and medication charts that accompany clinical notes exchanged between healthcare providers. 

### Usage scenarios

The following are supported usage scenarios for this profile:

* Record or update information about a documentreference referenced by another resource
* Read information about a documentreference referenced by another resource

**Usages:**

* Use this Profile: [CND Bundle](StructureDefinition-cnd-bundle.md)
* Refer to this Profile: [CND Composition](StructureDefinition-cnd-composition.md)
* Examples for this Profile: [DocumentReference/ex-documentreference-blood-pressure](DocumentReference-ex-documentreference-blood-pressure.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/au.gov.digitalhealth.cnd|current/StructureDefinition/StructureDefinition-cnd-documentreference.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-cnd-documentreference.csv), [Excel](StructureDefinition-cnd-documentreference.xlsx), [Schematron](StructureDefinition-cnd-documentreference.sch) 

 ![](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.



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cnd-documentreference",
  "url" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-documentreference",
  "version" : "26.0.0",
  "name" : "CND_DocumentReference",
  "title" : "CND DocumentReference",
  "status" : "active",
  "date" : "2026-06-19T14:17:49+10:00",
  "publisher" : "Australian Digital Health Agency",
  "contact" : [{
    "name" : "Australian Digital Health Agency",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.digitalhealth.gov.au"
    },
    {
      "system" : "email",
      "value" : "help@digitalhealth.gov.au"
    }]
  },
  {
    "name" : "Australian Digital Health Agency",
    "telecom" : [{
      "system" : "email",
      "value" : "help@digitalhealth.gov.au",
      "use" : "work"
    }]
  }],
  "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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "AU",
      "display" : "Australia"
    }]
  }],
  "purpose" : "This profile defines document reference requirements for attachments in a Clinical Note Document in Australia, ensuring consistent representation of clinical supporting documents such as pathology reports and medication charts that accompany clinical notes exchanged between healthcare providers. ",
  "copyright" : "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/)",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "fhircomposition",
    "uri" : "http://hl7.org/fhir/composition",
    "name" : "FHIR Composition"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "xds",
    "uri" : "http://ihe.net/xds",
    "name" : "XDS metadata equivalent"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DocumentReference",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DocumentReference",
      "path" : "DocumentReference",
      "short" : "Clinical Note Document DocumentReference"
    },
    {
      "id" : "DocumentReference.subject",
      "path" : "DocumentReference.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient"]
      }]
    },
    {
      "id" : "DocumentReference.author",
      "path" : "DocumentReference.author",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-organization",
        "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-practitionerrole"]
      }]
    },
    {
      "id" : "DocumentReference.content",
      "path" : "DocumentReference.content",
      "short" : "Attachments supporting clinical information such as, pathology reports and medication charts"
    },
    {
      "id" : "DocumentReference.content.attachment",
      "path" : "DocumentReference.content.attachment",
      "short" : "Attachments might be a PDF or image or other file type"
    }]
  }
}

```
