diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index 1c81b07b1..56c5b0915 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -1210,6 +1210,9 @@ def search_param_match_found_code(type, element)
             match_found = values_found.any? do |identifier|
               identifier.value == identifier_value && (!value.include?('|') || identifier.system == identifier_system)
             end)
+        when 'string'
+          %(values = value.downcase.split(/(?<!\\\\),/).each { |str| str.gsub!('\\,', ',') }
+          match_found = values_found.any? { |value_in_resource| values.any? { |searched_value| value_in_resource.downcase.starts_with? searched_value } })
         else
           # searching by patient requires special case because we are searching by a resource identifier
           # references can also be URL's, so we made need to resolve those url's
diff --git a/lib/modules/uscore_v3.1.1/us_core_organization_sequence.rb b/lib/modules/uscore_v3.1.1/us_core_organization_sequence.rb
index e8dd35b24..19999cf73 100644
--- a/lib/modules/uscore_v3.1.1/us_core_organization_sequence.rb
+++ b/lib/modules/uscore_v3.1.1/us_core_organization_sequence.rb
@@ -56,8 +56,8 @@ def validate_resource_item(resource, property, value)
 
         when 'name'
           values_found = resolve_path(resource, 'name')
-          values = value.split(/(?<!\\),/).each { |str| str.gsub!('\,', ',') }
-          match_found = values_found.any? { |value_in_resource| values.include? value_in_resource }
+          values = value.downcase.split(/(?<!\\),/).each { |str| str.gsub!('\,', ',') }
+          match_found = values_found.any? { |value_in_resource| values.any? { |searched_value| value_in_resource.downcase.starts_with? searched_value } }
           assert match_found, "name in Organization/#{resource.id} (#{values_found}) does not match name requested (#{value})"
 
         when 'address'
diff --git a/lib/modules/uscore_v3.1.1/us_core_patient_sequence.rb b/lib/modules/uscore_v3.1.1/us_core_patient_sequence.rb
index c5495bbc6..e8e76bc84 100644
--- a/lib/modules/uscore_v3.1.1/us_core_patient_sequence.rb
+++ b/lib/modules/uscore_v3.1.1/us_core_patient_sequence.rb
@@ -86,8 +86,8 @@ def validate_resource_item(resource, property, value)
 
         when 'family'
           values_found = resolve_path(resource, 'name.family')
-          values = value.split(/(?<!\\),/).each { |str| str.gsub!('\,', ',') }
-          match_found = values_found.any? { |value_in_resource| values.include? value_in_resource }
+          values = value.downcase.split(/(?<!\\),/).each { |str| str.gsub!('\,', ',') }
+          match_found = values_found.any? { |value_in_resource| values.any? { |searched_value| value_in_resource.downcase.starts_with? searched_value } }
           assert match_found, "family in Patient/#{resource.id} (#{values_found}) does not match family requested (#{value})"
 
         when 'gender'
@@ -98,8 +98,8 @@ def validate_resource_item(resource, property, value)
 
         when 'given'
           values_found = resolve_path(resource, 'name.given')
-          values = value.split(/(?<!\\),/).each { |str| str.gsub!('\,', ',') }
-          match_found = values_found.any? { |value_in_resource| values.include? value_in_resource }
+          values = value.downcase.split(/(?<!\\),/).each { |str| str.gsub!('\,', ',') }
+          match_found = values_found.any? { |value_in_resource| values.any? { |searched_value| value_in_resource.downcase.starts_with? searched_value } }
           assert match_found, "given in Patient/#{resource.id} (#{values_found}) does not match given requested (#{value})"
 
         when 'identifier'
diff --git a/test/unit/sequence_base_test.rb b/test/unit/sequence_base_test.rb
index f15e0ecc6..e8728eb75 100644
--- a/test/unit/sequence_base_test.rb
+++ b/test/unit/sequence_base_test.rb
@@ -82,6 +82,77 @@ def setup
         end
       end
     end
+
+    it 'passes when string value starts with searched value' do
+      @instance = Inferno::TestingInstance.create!
+      client = FHIR::Client.new('')
+      patient_sequence = Inferno::Sequence::USCore311PatientSequence.new(@instance, client, true)
+      patient_resource = FHIR::Patient.new(
+        name: [{
+          family: 'LastName'
+        }]
+      )
+      patient_sequence.validate_resource_item(patient_resource, 'family', 'las')
+      patient_sequence.validate_resource_item(patient_resource, 'family', 'Las')
+      patient_sequence.validate_resource_item(patient_resource, 'family', 'LastName')
+    end
+
+    it 'fails when string value does not start with searched value' do
+      @instance = Inferno::TestingInstance.create!
+      client = FHIR::Client.new('')
+      patient_sequence = Inferno::Sequence::USCore311PatientSequence.new(@instance, client, true)
+      patient_resource = FHIR::Patient.new(
+        name: [{
+          family: 'LastName'
+        }]
+      )
+      assert_raises(Inferno::AssertionException) do
+        patient_sequence.validate_resource_item(patient_resource, 'family', 'something')
+      end
+    end
+
+    # NOTE: The base FHIR spec says that name search can be fuzzy, but we do not currently support this.
+    it 'passes for all required name search variants' do
+      @instance = Inferno::TestingInstance.create!
+      client = FHIR::Client.new('')
+      patient_sequence = Inferno::Sequence::USCore311PatientSequence.new(@instance, client, true)
+      patient_resource = FHIR::Patient.new(
+        name: [{
+          given: ['FirstName', 'MiddleName'],
+          family: 'LastName',
+          suffix: 'iii',
+          prefix: 'Mr.',
+          text: 'Mr. FirstName MiddleName LastName III'
+        }]
+      )
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'LastName')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'last')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'Last')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'FirstName')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'first')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'MiddleName')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'middle')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'iii')
+      patient_sequence.validate_resource_item(patient_resource, 'name', 'Mr. FirstName')
+    end
+
+    it 'fails for all invalid name searches' do
+      @instance = Inferno::TestingInstance.create!
+      client = FHIR::Client.new('')
+      patient_sequence = Inferno::Sequence::USCore311PatientSequence.new(@instance, client, true)
+      patient_resource = FHIR::Patient.new(
+        name: [{
+          given: ['FirstName', 'MiddleName'],
+          family: 'LastName',
+          suffix: 'iii',
+          prefix: 'Mr.',
+          text: 'Mr. FirstName MiddleName LastName III'
+        }]
+      )
+      assert_raises(Inferno::AssertionException) do
+        patient_sequence.validate_resource_item(patient_resource, 'name', 'XYZ')
+      end
+    end
   end
 
   describe '#date_comparator_value' do