Patient With Prior Addresses

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 3/6/2018

  • SDWG: 10/1/2018

C-CDA 2.1 Example:

  • recordTarget/PatientRole/addr[2]

  • recordTarget/PatientRole/addr[3]

Reference to full CDA sample:

  • N/A

Validation location



  • This example illustrates how to structure multiple past addresses for a patient


  • Ed Donaldson, (GitHub: donaldson-ed)


  • Demographics



Example: download example view on GitHub

<!-- recordTarget example from C-CDA-Examples/Header/Patient Demographic Information 
    added multiple home addresses
        <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 
             and in this instance represents patient's current address -->
        <addr use="HP">
            <streetAddressLine>152 Creek Lane</streetAddressLine>
            <useablePeriod xmlns:xsi="" xsi:type="IVL_TS">
                <low value="20110822"/>
            <!-- It is permissible to omit a low element to indicate current residence -->
            <!-- It is permissible to omit a high element or use nullFlavor='NA' -->
        <addr use="H">
            <streetAddressLine>191 S OAK AVE</streetAddressLine>
            <useablePeriod xmlns:xsi="" xsi:type="IVL_TS">
                <low value="20110131"/>
                <high value="20110821"/>
        <addr use="H">
            <streetAddressLine>1141 W MAIN AVE</streetAddressLine>
            <useablePeriod xmlns:xsi="" xsi:type="IVL_TS">
                <low value="20070513"/>
                <high value="20110130"/>
        <telecom value="tel:+1(565)867-5309" use="MC"/>
        <telecom value="" use="WP"/>
            <name use="L">
            <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"/>
            <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="OMB Standards for Race and Ethnicity"/>
            <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="OMB Standards for Race and Ethnicity"/>
                <languageCode code="eng"/>
                <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"/>
                <languageCode code="ita"/>
                <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"/>
                <preferenceInd value="false"/>
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