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 Race Extension

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

Indicates the race of the patient.

Context of Use

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

- Element ID: `Patient`

Usage info

Usage:

- Use this Extension: De-Identified UDS Plus Patient

### 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 USCoreRaceExtension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | USCoreRaceExtension | Indicates the race of the Patient.
Slices for extension |  |  |  | Content/Rules for all slices
extension:detailed |  | 1..* | Extension | Extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | USCoreRaceExtension | Indicates the race of the Patient.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ombCategory | S | 0..5 | Extension | (USCDI) American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White
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 | "ombCategory"
value[x] |  | 1..1 | Coding | Value of extension Binding: OMB Race Categories (required): The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
extension:detailed |  | 1..* | Extension | Extension
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 | "detailed"
value[x] |  | 1..1 | Coding | Value of extension Binding: Detailed Race (required)
extension:text | S | 1..1 | Extension | (USCDI) Race Text
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 | "text"
value[x] |  | 1..1 | string | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
Documentation for this format

This structure is derived from USCoreRaceExtension

Summary

Complex Extension: Indicates the race of the patient.

- ombCategory: Coding: The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
- detailed: Coding: An Extension
- text: string: Plain text representation of the race concept(s).

Maturity: 2

Differential View

This structure is derived from USCoreRaceExtension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | USCoreRaceExtension | Indicates the race of the Patient.
Slices for extension |  |  |  | Content/Rules for all slices
extension:detailed |  | 1..* | Extension | Extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 1..1 | USCoreRaceExtension | Indicates the race of the Patient.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ombCategory | S | 0..5 | Extension | (USCDI) American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White
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 | "ombCategory"
value[x] |  | 1..1 | Coding | Value of extension Binding: OMB Race Categories (required): The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
extension:detailed |  | 1..* | Extension | Extension
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 | "detailed"
value[x] |  | 1..1 | Coding | Value of extension Binding: Detailed Race (required)
extension:text | S | 1..1 | Extension | (USCDI) Race Text
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 | "text"
value[x] |  | 1..1 | string | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
Documentation for this format

This structure is derived from USCoreRaceExtension

Summary

Complex Extension: Indicates the race of the patient.

- ombCategory: Coding: The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
- detailed: Coding: An Extension
- text: string: Plain text representation of the race concept(s).

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Extension.extension:ombCategory.value[x] | required | OmbRaceCategories `http://hl7.org/fhir/us/core/ValueSet/omb-race-category`
Extension.extension:detailed.value[x] | required | DetailedRace `http://hl7.org/fhir/us/core/ValueSet/detailed-race`

#### 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() |