use strict;
my $str = '<records>
<record>
<name>Jon</name>
<surname>Doe</surname>
<dob>2001-02-01</dob>
<comment>
<![CDATA[[ Patient with > 2 and < 5 siblings]]]>
</comment>
</record>
<record>
<name>Jane</name>
<surname>Doe</surname>
<dob>2001-02-01</dob>
<comment>
<![CDATA[[ Patient with > 2 siblings ]]]>
</comment>
</record>
</records>';
my $regex = qr/\[CDATA\[\[[^]*?]]>/mp;
my $subst = '';
my $result = $str =~ s/$regex/$subst/rg;
print "The result of the substitution is' $result\n";
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Perl, please visit: http://perldoc.perl.org/perlre.html