HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.1.0 - STU1 Release 1.1 - Standard for Trial-Use International flag

This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Uds Plus Patient Example - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Patient",
  "id" : "de-identified-example",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "De-identified Patient Example"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "This is a patient example for the *UDS+ Patient Profile*."
      }
    ],
    "profile" : [
      🔗 "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient"
    ]
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "detailed",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2108-9",
            "display" : "European"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
    },
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2135-2",
            "display" : "Hispanic or Latino"
          }
        },
        {
          "url" : "detailed",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2184-0",
            "display" : "Dominican"
          }
        },
        {
          "url" : "text",
          "valueString" : "Hispanic or Latino"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
    },
    {
      "url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-birthsex-extension",
      "valueCode" : "F"
    },
    {
      "url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension",
      "valueQuantity" : {
        "value" : 70,
        "unit" : "yr",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    },
    {
      "url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-gender-identity-extension",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "code" : "ASKU",
            "display" : "asked but unknown"
          }
        ],
        "text" : "asked but unknown"
      }
    },
    {
      "url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/udsplus-agriculture-worker-status",
      "valueCode" : "migratory"
    },
    {
      "url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-housing-status-extension",
      "valueCode" : "permanent-supportive-housing"
    },
    {
      "url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-veteran-status-extension",
      "valueBoolean" : false
    }
  ],
  "active" : true,
  "gender" : "female",
  "address" : [
    {
      "postalCode" : "03600"
    }
  ]
}