diff --git a/api/src/main/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImpl.java b/api/src/main/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImpl.java
index aeeb7f813..037077fd6 100644
--- a/api/src/main/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImpl.java
+++ b/api/src/main/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImpl.java
@@ -148,7 +148,14 @@ public org.openmrs.Patient toOpenmrsType(@Nonnull org.openmrs.Patient currentPat
 		}
 		
 		for (HumanName name : patient.getName()) {
-			currentPatient.addName(nameTranslator.toOpenmrsType(name));
+			PersonName existingName = null;
+			if (name.hasId()) {
+				existingName = currentPatient.getNames().stream().filter(n -> n.getUuid().equals(name.getId())).findFirst()
+				        .orElse(null);
+			}
+			
+			PersonName pn = nameTranslator.toOpenmrsType(existingName != null ? existingName : new PersonName(), name);
+			currentPatient.addName(pn);
 		}
 		
 		if (patient.hasGender()) {
diff --git a/api/src/test/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImplTest.java b/api/src/test/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImplTest.java
index 73a885b5d..eae554874 100644
--- a/api/src/test/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImplTest.java
+++ b/api/src/test/java/org/openmrs/module/fhir2/api/translators/impl/PatientTranslatorImplTest.java
@@ -66,6 +66,8 @@ public class PatientTranslatorImplTest {
 	
 	private static final String PATIENT_IDENTIFIER_UUID = "654321-fedcba-654321";
 	
+	private static final String PATIENT_NAME_UUID = "1fdb5469-57c7-435f-b009-3dcceb23b0a2";
+	
 	private static final String PATIENT_GIVEN_NAME = "Jean Claude";
 	
 	private static final String PATIENT_FAMILY_NAME = "van Damme";
@@ -304,10 +306,30 @@ public void shouldTranslateFhirPatientNameToOpenmrsPatientName() {
 		PersonName personName = new PersonName();
 		personName.setGivenName(PATIENT_GIVEN_NAME);
 		personName.setFamilyName(PATIENT_FAMILY_NAME);
-		when(nameTranslator.toOpenmrsType(any())).thenReturn(personName);
+		when(nameTranslator.toOpenmrsType(any(), any())).thenReturn(personName);
+		
+		Patient patient = new Patient();
+		HumanName name = new HumanName();
+		name.addGiven(PATIENT_GIVEN_NAME);
+		name.setFamily(PATIENT_FAMILY_NAME);
+		patient.addName(name);
+		
+		org.openmrs.Patient result = patientTranslator.toOpenmrsType(patient);
+		assertThat(result.getGivenName(), equalTo(PATIENT_GIVEN_NAME));
+		assertThat(result.getFamilyName(), equalTo(PATIENT_FAMILY_NAME));
+	}
+	
+	@Test
+	public void shouldTranslateFhirPatientNameToExistingOpenmrsPatientName() {
+		PersonName personName = new PersonName();
+		personName.setUuid(PATIENT_NAME_UUID);
+		personName.setGivenName(PATIENT_GIVEN_NAME);
+		personName.setFamilyName(PATIENT_FAMILY_NAME);
+		when(nameTranslator.toOpenmrsType(any(), any())).thenReturn(personName);
 		
 		Patient patient = new Patient();
 		HumanName name = new HumanName();
+		name.setId(PATIENT_NAME_UUID);
 		name.addGiven(PATIENT_GIVEN_NAME);
 		name.setFamily(PATIENT_FAMILY_NAME);
 		patient.addName(name);
@@ -315,6 +337,7 @@ public void shouldTranslateFhirPatientNameToOpenmrsPatientName() {
 		org.openmrs.Patient result = patientTranslator.toOpenmrsType(patient);
 		assertThat(result.getGivenName(), equalTo(PATIENT_GIVEN_NAME));
 		assertThat(result.getFamilyName(), equalTo(PATIENT_FAMILY_NAME));
+		assertThat(result.getPersonName().getUuid(), equalTo(PATIENT_NAME_UUID));
 	}
 	
 	@Test