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If Users download the Template File set from this page or a source CKM, the template can be viewed and edited using the Template Designer tool, freely available from  [TBD] the tooling download page.

Please feel free to edit and add Template examples directly on this page or email for assistance.

UK (Leeds Care Record)
CategoryNameFile DownloadContext

Clinic Visits

GP Encounter - Leeds Care Record, UK

SOAP demonstrationSource CKMInternational

Heart Failure Clinical First Visit Summary

Source CKMEU (Semantic HealthNET)

Primary Health Visit ExtractPrimary Health Visit.zipAustralia (NT Shared Antenatal Care)

Progress NoteProgress Note.zipAustralia (NT Hearing Health Program)

IDCR Vital signs encounterSource CKMUK


ePrescription (epSoS/Contsys)Source CKMEurope

ePrescription (FHIR)Source CKMHL7 FHIR

End of Life Care

End of Life Care Coordination Document - Leeds EPCCSSource CKMUK (Leeds EPCCS project)

End of Life Care Coordination Document - UKSource CKMUK


PrescriptionSource CKMAustralia (demonstration)

Scottish Medication Summary

Source CKMUK

Nursing Observations

Vital Signs Encounter

Source CKMUK demonstration

Persistent Lists

Adverse Reaction ListAdverse Reaction List.zipAustralia (NT Shared Antenatal Care)

Family HistoryFamily History.zipAustralia (NT Shared Antenatal Care)

Medication ListMedication List.zipAustralia (NT Shared Antenatal Care)

Problem ListProblem

Australia (NT Shared Antenatal Care)

Social SummarySocial Summary.zipAustralia (NT Shared Antenatal Care)

Vaccination ListVaccination List.zipAustralia (NT Shared Antenatal Care)


ENT Operation ReportContextual problem listSource CKMAustralia (NT Hearing Health Program)


Australian Childhood Immunisation Register ReportSource CKMAustralia (demonstration)MBS and DVA Services ReportSource CKMAustralia (demonstration)Organ Donor ReportSource CKMAustralia (demonstration)PBS and RPBS Medicines ReportSource CKMAustralia (demonstration)UK

Summary Documents

Health SummaryHealth Summary.zipAustralia (NT Shared Antenatal Care)

Transfer of Care Document


Source CKMInternational (demonstration)Remote On-call Referral/HandoverSource CKMAustralia (NT RMP Program)

Telemedicine Assessment

Remote Medical Practitioner Assessment Source CKMAustralia (NT RMP Program)Teleotology AssessmentSource CKMAustralia (NT Hearing Health Program)

Test Result

226 HZ Tympanogram ReportSource CKMAustralia (NT Hearing Health Program)Audiology Speech Test Report

Source CKM

Australia (NT Hearing Health Program)Audiometry ReportSource CKMAustralia (NT Hearing Health Program)High Frequency Tympanogram Report

Source CKM

Australia (NT Hearing Health Program)Imaging ReportImaging Report.zipAustralia (NT Shared Antenatal Care)Pathology ReportPathology Report.zipAustralia (NT Shared Antenatal Care)

Test Result

Imaging ReportImaging Report.zipAustralia (NT Shared Antenatal Care)

Pathology ReportPathology

Australia (NT Shared Antenatal Care)


Core examinationsSource CKMUK

Diadem dementia screeningSource CKMUK

Care Plan

My asthma planSource CKMUK

Coordination of care

Robotic Surgery Radiology Planning MeetingSource CKMUK


RES Primary Hip Arthroplasty reportSource CKMSlovenia