Patient Birth Name

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 7/7/2016
  • SDWG: 7/7/2016
  • SDWG C-CDA R2.1 Upgrade: 2/2/2017

  • Reviewed on 12/9/2021 Examples Task Force and agreed to rename this example to Birth Name, not previous name.

C-CDA 2.1 Example:

  • recordTarget

Reference to full CDA sample:

  • Empty CCD

Validation location

  • SITE

  • Other required elements are omitted so several errors will be present if inserted without adding other information (e.g. telecom, address)


  • This example illustrates how to structure Patient's birth name, which is a special case of previous name.


  • ONC


  • Brett Marquard, (GitHub: brettmarquard)


  • Demographics, Name, Prior Name, Previous Name, Birth Name




Example: download example view on GitHub

    <!-- Note: several other data elements (telecom, address, etc.) are required to meet C-CDA R2.1 requirements -->
        <id extension="444222222" root="2.16.840.1.113883.4.1"/>
            <!-- SDWG reviewed and approved approach for recording a birth name and legal name -->
            <name use="L">
                <given qualifier="BR">Alicia</given> <!-- BR = Birth name-->
                <family qualifier="BR">Newman</family> <!-- BR = Birth name-->
                <!-- Optional valid time - best practice -->
                    <low value="20010505"/>
                    <high value="20210510"/>
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