Introduction

This profile is used to represent de-identified RelatdPerson information. The de-identification process has to remove all data elements not explicitly identified as “SUPPORTED” in the profile.

The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.

In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a RelatedPerson resource text element may contain information such as the RelatedPerson name. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.

Ids and References

The original RelatedPerson resource id should not be included in the De-identified RelatedPerson instance. Instead a new id should be created and provided as part of the FHIR resource. This Data Submitter should be capable of using the generated id to relink the data to the original RelatedPerson. All resource references to the RelatedPerson submitted as part of the UDS+ report should refer to newly generated id.

Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed

• patient

Examples

Examples of identifiable data and its corresponding de-identifiable data is present in Reporting Guidance.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from RelatedPerson

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	De-Identified UDS Plus RelatedPerson
id	S	0..1	id	The de-identified RelatedPerson identifier created by the health center to send data to HRSA.
text		0..0
contained		0..0
extension		0..0
patient	S	1..1	Reference(De-Identified UDS Plus Patient)	The patient this person is related to
display		0..0
relationship	S	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (extensible): The set of codes to be used for UDS+ reporting.
text		0..0
name		0..0
telecom		0..0
gender		0..0
birthDate		0..0
address		0..0
photo		0..0
communication		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
RelatedPerson.relationship	extensible	PatientRelationshipType

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	De-Identified UDS Plus RelatedPerson
id	SΣ	0..1	id	The de-identified RelatedPerson identifier created by the health center to send data to HRSA.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
active	?!Σ	0..1	boolean	Whether this related person's record is in active use
patient	SΣ	1..1	Reference(De-Identified UDS Plus Patient)	The patient this person is related to
relationship	SΣ	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (extensible): The set of codes to be used for UDS+ reporting.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
RelatedPerson.relationship	extensible	PatientRelationshipType
RelatedPerson.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RelatedPerson	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RelatedPerson	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	De-Identified UDS Plus RelatedPerson
id	SΣ	0..1	id	The de-identified RelatedPerson identifier created by the health center to send data to HRSA.
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	A human identifier for this person
active	?!Σ	0..1	boolean	Whether this related person's record is in active use
patient	SΣ	1..1	Reference(De-Identified UDS Plus Patient)	The patient this person is related to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
relationship	SΣ	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (extensible): The set of codes to be used for UDS+ reporting.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
period		0..1	Period	Period of time that this relationship is considered valid
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
RelatedPerson.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.patient.type	extensible	ResourceType
RelatedPerson.relationship	extensible	PatientRelationshipType
RelatedPerson.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RelatedPerson	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RelatedPerson	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from RelatedPerson

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	De-Identified UDS Plus RelatedPerson
id	S	0..1	id	The de-identified RelatedPerson identifier created by the health center to send data to HRSA.
text		0..0
contained		0..0
extension		0..0
patient	S	1..1	Reference(De-Identified UDS Plus Patient)	The patient this person is related to
display		0..0
relationship	S	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (extensible): The set of codes to be used for UDS+ reporting.
text		0..0
name		0..0
telecom		0..0
gender		0..0
birthDate		0..0
address		0..0
photo		0..0
communication		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
RelatedPerson.relationship	extensible	PatientRelationshipType

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	De-Identified UDS Plus RelatedPerson
id	SΣ	0..1	id	The de-identified RelatedPerson identifier created by the health center to send data to HRSA.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
active	?!Σ	0..1	boolean	Whether this related person's record is in active use
patient	SΣ	1..1	Reference(De-Identified UDS Plus Patient)	The patient this person is related to
relationship	SΣ	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (extensible): The set of codes to be used for UDS+ reporting.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
RelatedPerson.relationship	extensible	PatientRelationshipType
RelatedPerson.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RelatedPerson	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RelatedPerson	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	De-Identified UDS Plus RelatedPerson
id	SΣ	0..1	id	The de-identified RelatedPerson identifier created by the health center to send data to HRSA.
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	A human identifier for this person
active	?!Σ	0..1	boolean	Whether this related person's record is in active use
patient	SΣ	1..1	Reference(De-Identified UDS Plus Patient)	The patient this person is related to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
relationship	SΣ	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (extensible): The set of codes to be used for UDS+ reporting.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
period		0..1	Period	Period of time that this relationship is considered valid
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
RelatedPerson.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.patient.type	extensible	ResourceType
RelatedPerson.relationship	extensible	PatientRelationshipType
RelatedPerson.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RelatedPerson	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RelatedPerson	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from RelatedPerson

Summary

Must-Support: 3 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• De-Identified UDS Plus Patient (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient)

Maturity: 2