Get the free Patient Birth Name - CDA Example - HL7.org
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Patient NameDateAddressCitySSNStateBirthdateCell #iPhone # Email AddressPreferred method of contact: Race (please select):Ethnicity:home phoneWhiteHispanicAsianNative Hawaiian or Pacific Islander
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How to fill out patient birth name
How to fill out patient birth name
01
Start by asking the patient to provide their full birth name.
02
Write down the name exactly as it appears on their birth certificate.
03
Double check the spelling and accuracy of the name before saving it in the patient's records.
Who needs patient birth name?
01
Healthcare professionals and administrative staff members who are responsible for maintaining and updating patient records.
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What is patient birth name?
Patient birth name refers to the name given to a person at birth.
Who is required to file patient birth name?
Healthcare providers and hospitals are required to file patient birth name.
How to fill out patient birth name?
Patient birth name should be filled out accurately on the birth certificate or medical records.
What is the purpose of patient birth name?
The purpose of patient birth name is to uniquely identify an individual for medical and legal purposes.
What information must be reported on patient birth name?
The patient's legal name at birth, as recorded on official documents, must be reported on patient birth name.
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