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
Change History
Change History
The following is a list of all the changes based on versions.
Changes made from 1.0.0 to 1.0.1
- Removed mentions of alternate submission mechanisms from Background.
- Clarified MUST SUPPORT definition in the specification to deal with data elements that may not be present in the mapping tables but are present in the UDS+ profiles.
- Updated Coverage to make capitatedMemberMonths and feeForServiceMemberMonths as optional.
- Added clarifications on Income Observation to represent > 200% using valueQuantity instead of valueRange.
- Change Income Observation to allow valueQuantity along with valueRange.
- Added explicit requirements to Data Submitter to not submit data elements not specified in the UDS+ profiles.
- Added explicit requirements to Data Receiever to reject submission when a Data Submitter submits data elements not specified in the UDS+ profiles.
- Removed aggregate reporting option from reporting guidance.
- Added clarification to Data Submitter quality reporting to include only patients who meet the criteria for the Initial Patient Population.
- Added partial submission requirements as part of the Data Submitter requirements.
- Added partial submission requirement validation for Data Receiver.
- Added information for on-boarding process as part of the reporting guidance.
- Added submissionTime to Manifest file.
- Updated data mapping tables to remove blank rows and mappings not necessary.
- Added examples for Requests and Responses as part of the Implementation Guidance.
- Updated capability statements to use UDS+ profiles instead of US Core profiles.
Changes made from 0.4.1 to 1.0.0
- Added cardinality constraints for Healthcare information in the Manifest file.
- Enhanced Race, Ethnicity, Birth Sex, Sexual Orientation, Gender Identity constraints for inferno based testing and updated examples.
- Added prenatalReferralOnly Indicator to Manifest file.
- Added guidance in mapping tables for Prenatal data and Live Birth Weight data.
- Removed dependencies on QI core and enabled QI core extensions within UDS+ IG on Procedure.
- Added guidance for school based service location indication on Encounter page.
- Removed RelatedPerson demographics information as it is not needed for De-Identified Coverage.
- Fixed errors related to the Build to enable AdverseEvent, AllergyIntolerance and Observation profiles for Diagnostic Studies.
Changes made from 0.4.0 to 0.4.1
- Changed grantId to grantNumber in Manifest file.
- Added Health Center Contact Person Name, Health Center Address and Contact Person’s Phone in Manifest.
- Added support for bearer token as part of the protocol for each resource link.
- Added support for funding streams as part of the Reporting Parameters profile.
- Added support for all reports in the Reporting Parameters profile.
- Added notes for Manifest and Reporting Parameters profiles.
- Added eCQM mappings for HbA1c poor control(CMS122) and Controlling High Blood Pressure.(CM165)
- Updated examples fixing errors for all UDS Plus De-identified resources.
- Fixed issues with MedicationRequest and MedicationStatement profiles to enable their display.
Changes made from 0.3.0 to 0.4.0
- Added dataAbsentReason for Patient.address.postalCode to support masking and reporting for UDS+
- Added InsuranceCodes for Coverage resource profile to match values needed for UDS+ tables
- Added preferredIndicator to Patient.language for computation of Table 3B
- Verified support for 2023 reporting Race and Ethnicity Values derivation for Table 3B
- Updated Coverage Resource profile
- Changed USCore dependency from 5.0.1 to 6.0.0 (USCDI v3)
- Updated Data Element Mappings.
- Added guidance for Race, Ethnicity, Sexual Orientation and Gender Identity.
- Added support for dataAbsentReason for IncomeObservation
- Added extensions to Coverage for capitation months and fee for service months for Table 4.
- Added mappings for the IVD, HIV Linkage to Care and Dental Sealants measures.
- Added Grant Number, Health Center Id, Health Center Name to the Manifest
- Added ability to identify a patient as part of specific tables and reports.
Changes for 0.3.0
- Updated Use Case Diagram to show the polling of status.
- Added paragraph on re-submission of UDS+ reports
- Added paragraph on the submission process and the flexibility to implement Steps 1 through 9 of the Use Case workflow.
- Updated implementation guidance with sequence diagrams for Step 9 and 10a, 10b.
- Updated Data Source Requirements for SMART on FHIR and Group Export operation requirements
- Updated Data Source Requirements to specify Group Management capabilities.
- Updated Trust Service Provider requirements for de-identification.
- Updated Data Receiver Requirements for re-submission.
- Added Table specific guidance in the reporting guidance.
- Removed Implementation Notes and consolidated to Reporting Guidance.
- Added examples for De-identified profiles.
- Added examples for UDS+ File Manifest.
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Updated the following profiles
- Patient, Encounter, Condition, Parameters - Manifest
Changes for 0.2.0
- Addition of profiles for De-identified patient data. (Added extensions for agriculture worker status, gender identity, housing status)
- Addition of linkages from abstract model to implementation details.
- Added Change History.
- Addition of codesystems for Agriculture Worker Status, Insurance Type. Housing status.