HRSA 2024 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
2.0.0 - STU2 Release 1 - Standard for Trial-Use

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## Extension: UDS Plus Sex Extension

Official URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-sex-extension | Version: 2.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: UDSPlusSexExtension

Indicates the sex of the patient

Context of Use

This extension may be used on the following element(s):

- Element ID: `Patient`

### Introduction

Healthcenters are enouraged to use the uds-plus-sex-extension to capture the sex of the patient. This is in alignment with the CMS Sex codes and the UDS Manual. However, this change was implemented recently and in order to allow Healthcenters and their vendors who have already tested the 2024 reporting changes the uds-plus-birthsex-extension is still part of the patient profile. The uds-plus-birthsex-extension is also enhanced to allow the CMS sex codes in addition to the HL7 AdministrativeGender codes that were previously allowed. The cardinality is relaxed from 1..1 to 0..1 but one of either uds-plus-sex or uds-plus-birthsex-extension should be present. For 2025 reporting, uds-plus-birthsex-extension will be removed and hence vendors are encouraged to transition to use uds-plus-sex extension.

Usage info

Usage:

- Use this Extension: De-Identified UDS Plus Patient
- Examples for this Extension: Patient/de-identified-example

### Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | Extension | Indicates the sex of the Patient.
url |  | 1..1 | uri | "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-sex-extension"
value[x] |  | 1..1 | code | Value of extension Binding: CMS Sex (extensible): The set of sex codes to be used for UDS+ reporting.
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | Extension | Indicates the sex of the Patient.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-sex-extension"
value[x] |  | 1..1 | code | Value of extension Binding: CMS Sex (extensible): The set of sex codes to be used for UDS+ reporting.
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type code: Indicates the sex of the patient

Maturity: 2

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | Extension | Indicates the sex of the Patient.
url |  | 1..1 | uri | "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-sex-extension"
value[x] |  | 1..1 | code | Value of extension Binding: CMS Sex (extensible): The set of sex codes to be used for UDS+ reporting.
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | Extension | Indicates the sex of the Patient.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-sex-extension"
value[x] |  | 1..1 | code | Value of extension Binding: CMS Sex (extensible): The set of sex codes to be used for UDS+ reporting.
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type code: Indicates the sex of the patient

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Extension.value[x] | extensible | CMSSex `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121` from https://vsac.nlm.nih.gov

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |