Patient Demographic Information

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 9/24/2015

  • SDWG: 10/15/2015

  • SDWG C-CDA R2.1 Upgrade: 2/2/2017

C-CDA 2.1 Example:

  • recordTarget

Reference to full CDA sample:

  • Empty CCD

Validation location


  • This example illustrates how to structure Patient Demographics for the 170.314(b)(2) Transitions of care - A) Patient Demographics.


  • ONC


  • John D'Amore (GitHub: jddamore)


  • Demographics, Name, Address, Telecom, Phone, Email, Race, Ethnicity, Religious Affiliation, Marital Status, Language




Example: download example view on GitHub

        <!-- The @root OID below (which is fictional) would be specific to an institution's record identifier system. -->  
        <id root="2.16.840.1.113883.3.6132" extension="345678912-0154"/>
        <!-- HP is "primary home" from valueSet 2.16.840.1.113883.1.11.10637 -->
        <addr use="HP">
            <!-- You can have multiple [1..4] streetAddressLine elements. Single shown below -->
            <streetAddressLine>1436 Jennyhill Ln.</streetAddressLine>
            <!-- 5 or 9 digit zip codes from valueSet 2.16.840.1.113883.>
            <!-- PostalCode is required if the country is US. If country is not specified, it's assumed to be US. If country -->
            <!-- is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies -->
            <!-- State is required if the country is US. If country is not specified, it's assumed to be US. -->
            <!-- If country is something other than US, the state MAY be present but MAY be bound to different vocabularies -->
            <!-- OR is "Oregon" from valueSet 2.16.840.1.113883. -->
            <!-- US is the two digit code for "United States" -->
        <!-- MC is "mobile contact" from HL7 AddressUse 2.16.840.1.113883.5.1119 -->
        <telecom value="tel:+1(565)867-5309" use="MC"/>
        <!-- Multiple telecoms are possible -->
        <telecom value="" use="WP"/>
            <name use="L">
            <!-- From CDA R2 on administrativeGender Code: This attribute does not include terms related to clinical gender. 
			Gender is a complex physiological, genetic and sociological concept that requires multiple observations in order to be 
			comprehensively described. The purpose of this attribute is to provide a high level classification that can additionally 
			be used for the appropriate allocation of inpatient bed assignment.-->
            <!-- Sex at birth and gender identity may be specified in social history -->
            <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male" codeSystemName="AdministrativeGender"/>
            <birthTime value="19621022"/>
            <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatus"/>
            <religiousAffiliationCode code="1013" displayName="Christian (non-Catholic, non-specific)" codeSystem="2.16.840.1.113883.5.1076" codeSystemName="HL7 Religious Affiliation"/>
            <!-- CDC Race and Ethnicity code set contains the five minimum race and ethnicity categories defined by OMB Standards -->
            <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race and Ethnicity"/>
            <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race and Ethnicity"/>
                <languageCode code="en"/>
                <!-- "en" is ISO 639-1 alpha-2 code for "English" -->
                <modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
                <proficiencyLevelCode code="E" displayName="Excellent" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
                <preferenceInd value="true"/>
            <!-- Multiple languages are permitted. Only one should have a preferenceInd = true --> 
                <languageCode code="ita"/>
                <!-- "ita" is ISO 639-2 alpha-3 code for "Italian" -->
                <modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
                <proficiencyLevelCode code="G" displayName="Good" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
                <!-- Patient's preferred language -->
                <preferenceInd value="false"/>
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