HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.1 - STU1 Release 1 - Standard for Trial-Use
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
Page standards status: Trial-use |
This section provides an overview of the Implementation Guide (IG).
Currently UDS data is submitted using a tabular data format via participating health centers. The submission mechanisms include portals, sftp and other mechanisms. The data submitted is aggregated at the sites and is submitted to HRSA’s UDS systems and does not have patient level data currently. While this data satisfies the basic reporting, HRSA would like to improve the efficiency, quality and timeliness of the data along with the granularity of the data. The granularity of the data should include patient level de-identified data to support the analysis to be performed by BPHC. As part of the UDS+ project, HRSA would like to standardize the data submission protocols, formats and increase the granularity of the data being submitted to support the downstream analysis to be performed.
Read the Use Cases section to get an idea of the various systems, actors and the data flow requirements.
The following are the guiding principles for the UDS+ IG.
The following requirements are in-scope for the UDS+ IG based on the use cases.
The following aspects are out-of-scope for the UDS+ IG based on the use cases.
This guide is based on the HL7 FHIR R4 standard, as well as US Core IG, Bulk Data Access IG, SMART App Launch IG for Backend Services Authorization.
Implementers of the UDS+ IG must understand some basic information about the underlying specifications listed above.
The UDS+ IG is built on other FHIR specifications, including the US Core IG. The UDS+ IG will use US Core IG profiles as required for the reporting use cases. In addition to the profiles, the codesystems and valuesets specified in US Core will be leveraged as needed. The version of the US Core IG referenced is the one that supports United States Core Data for Interoperability (USCDIv3) as required in the Office of the National Coordinator (ONC) 21st Century Cures Act certification criteria and the SVAP versions adopted.
UDS+ will leverage the Bulk Data Access IG to access data about multiple patients. The Bulk Data Access IG is used to retrieve population level information from EHRs, subject to applying appropriate authorities and policies. The version of the Bulk Data Access IG referenced is the one that supports the USCDIv3 required in the ONC 21st Century Cures Act certification criteria and the SVAP versions adopted.
The UDS+ IG uses SMART App Launch IG for Backend Services Authorization to secure all system-to-system interactions among the various actors in the IG. The version of the SMART App Launch IG referenced is the one that supports USCDIv3 as required in the ONC 21st Century Cures Act certification criteria and the SVAP versions adopted.
The UDS+ IG aligns with QI Core IG and [DEQM](/index.html to create de-identified profiles that are relevant for UDS+ quality measure reporting. HRSA receives data related to multiple quality measures and aligning with QI Core and DEQM profiles reduces implementer burden.
The UDS+ IG implementers should leverage UDS Reporting Manuals and Other Guidance for more information on the data to be reported for UDS+ and detailed guidance on specific tables that need to be reported.