This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.0.1: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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: Uds Plus Patient Example for a patient residing in a zip code with small population (<20000 people) - XML Representation

Page standards status: Informative

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<Patient xmlns="http://hl7.org/fhir">
  <id value="de-identified-smallpop-example"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="De-identified Patient Example"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="This is a patient example for the *UDS+ Patient Profile*."/>
    </extension>
    <profile
             value="http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient"/>
  </meta>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2106-3"/>
        <display value="White"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2108-9"/>
        <display value="European"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="White"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2135-2"/>
        <display value="Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2184-0"/>
        <display value="Dominican"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-birthsex-extension">
    <valueCode value="F"/>
  </extension>
  <extension
             url="http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension">
    <valueQuantity>
      <value value="36"/>
      <unit value="yr"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </valueQuantity>
  </extension>
  <extension
             url="http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-gender-identity-extension">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
        <code value="NASK"/>
        <display value="Not Asked"/>
      </coding>
      <text value="Not Asked"/>
    </valueCodeableConcept>
  </extension>
  <active value="true"/>
  <gender value="female"/>
  <address>
    <postalCode value="00000">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="masked"/>
      </extension>
    </postalCode>
  </address>
</Patient>