# CND Patient - 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 Patient**

## Resource Profile: CND Patient 

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

 
This profile defines patient identification and demographic requirements for a Clinical Note Document in Australia, ensuring consistent capture of consumer details including name and identity information for clinical note exchange across healthcare settings. 

### Usage scenarios

The following are supported usage scenarios for this profile:

* Query for records associated with a patient
* Record or update a record associated with a patient
* Query for basic demographics and other administrative information about a patient
* Record or update basic demographics and other administrative information about a patient
* Read information about a patient referenced by another resource

### Profile specific implementation guidance

* An individual's IHI **SHOULD** be used in `Patient.identifier` if available, in preference to Medicare or DVA numbers.
* See guidance on the construction of identifiers in each Identifier profile and the section on [Business Identifiers](https://build.fhir.org/ig/hl7au/au-fhir-base/generalguidance.html#business-identifiers) in AU Base.
* This profile supports the sex, gender, and related concepts of: Gender Identity 
* The Clinical Note Document follows the HL7 AU Base guidance for [Administrative Gender (Patient.gender)](https://build.fhir.org/ig/hl7au/au-fhir-base/sexgender.html#administrative-gender-patientgender)".
* The Clinical Note Document patient incorporates the [Individual Gender Identity](http://hl7.org/fhir/StructureDefinition/individual-genderIdentity) extension to facilitate the exchange of Patient's gender data (as outlined in the [HL7 Gender Harmony IG](https://hl7.org/xprod/ig/uv/gender-harmony/informative1/)).
 
* Patient names shall be provided in parts such as `name.family` and `name.given` 
* Clinical Note Document Preferred Name extension can be used to specify preferred name of the patient
 

**Usages:**

* Use this Profile: [CND Bundle](StructureDefinition-cnd-bundle.md)
* Refer to this Profile: [CND Composition](StructureDefinition-cnd-composition.md), [CND DocumentReference](StructureDefinition-cnd-documentreference.md) and [CND MedicationStatement](StructureDefinition-cnd-medicationstatement.md)
* Examples for this Profile: [Patient/ex-patient-anne](Patient-ex-patient-anne.md) and [Patient/ex-patient-smith](Patient-ex-patient-smith.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-patient.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-patient.csv), [Excel](StructureDefinition-cnd-patient.xlsx), [Schematron](StructureDefinition-cnd-patient.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-patient",
  "url" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient",
  "version" : "26.0.0",
  "name" : "CND_Patient",
  "title" : "CND Patient",
  "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 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. ",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "AU",
      "display" : "Australia"
    }]
  }],
  "purpose" : "This profile defines patient identification and demographic requirements for a Clinical Note Document in Australia, ensuring consistent capture of consumer details including name and identity information for clinical note exchange across healthcare settings.",
  "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" : "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" : "loinc",
    "uri" : "http://loinc.org",
    "name" : "LOINC code for the element"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Patient",
  "baseDefinition" : "http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Patient",
      "path" : "Patient",
      "short" : "Clinical Note Document Patient",
      "constraint" : [{
        "key" : "inv-01-family-name-length-not-absent",
        "severity" : "warning",
        "human" : "Family name must be between 1 and 40 characters if data-absent-reason is not present, allowing the alphabetic and numeric character sets (including special characters), and may contain blank characters as per METeOR id 613331",
        "expression" : "Patient.name.family.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists().not() implies Patient.name.family.matches('^.{1,40}$')",
        "source" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient"
      },
      {
        "key" : "inv-02-given-name-length-if-not-absent",
        "severity" : "warning",
        "human" : "Given name must be between 1 and 40 characters if data-absent-reason is not present, allowing the alphabetic and numeric character sets (including special characters), and may contain blank characters as per METeOR id 613331",
        "expression" : "Patient.name.given.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists().not() implies Patient.name.given.matches('^.{1,40}$')",
        "source" : "http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient"
      }]
    },
    {
      "id" : "Patient.extension",
      "path" : "Patient.extension",
      "min" : 2
    },
    {
      "id" : "Patient.extension:indigenousStatus",
      "path" : "Patient.extension",
      "sliceName" : "indigenousStatus",
      "min" : 1
    },
    {
      "id" : "Patient.extension:genderIdentity",
      "path" : "Patient.extension",
      "sliceName" : "genderIdentity",
      "min" : 1
    },
    {
      "id" : "Patient.extension:sexParameterForClinicalUse",
      "path" : "Patient.extension",
      "sliceName" : "sexParameterForClinicalUse",
      "mustSupport" : true
    },
    {
      "id" : "Patient.extension:informalCarer",
      "path" : "Patient.extension",
      "sliceName" : "informalCarer",
      "short" : "Patient's informal carer information",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/informal-carer"]
      }]
    },
    {
      "id" : "Patient.name",
      "path" : "Patient.name",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "use"
        }],
        "rules" : "open"
      }
    },
    {
      "id" : "Patient.name.family",
      "path" : "Patient.name.family",
      "short" : "Patient's family name",
      "min" : 1
    },
    {
      "id" : "Patient.name.given",
      "path" : "Patient.name.given",
      "short" : "Patient's given name"
    },
    {
      "id" : "Patient.name:preferredName",
      "path" : "Patient.name",
      "sliceName" : "preferredName",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Patient.name:preferredName.use",
      "path" : "Patient.name.use",
      "min" : 1,
      "fixedCode" : "usual"
    },
    {
      "id" : "Patient.name:preferredName.family",
      "path" : "Patient.name.family",
      "min" : 1
    },
    {
      "id" : "Patient.birthDate",
      "path" : "Patient.birthDate",
      "short" : "Patient's date of birth"
    },
    {
      "id" : "Patient.birthDate.extension:accuracyIndicator",
      "path" : "Patient.birthDate.extension",
      "sliceName" : "accuracyIndicator",
      "short" : "Patient's date of birth accuracy indicator"
    }]
  }
}

```
