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Because it’s extremely diverse between cultures and countries how names work. Here in Germany it’s typical to have several first names and it’s legal to use any of it, even though it might be just the name of your godfather/godmother.

FHIR has a relatively general definition for names, but multiple general and country-specific extensions exist for it: https://www.hl7.org/fhir/datatypes.html#HumanName




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