HRSA 2024 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
2.0.0 - STU2 Release 1 - Standard for Trial-Use
HRSA 2024 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
2.0.0 - STU2 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 (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| 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):
Patient
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:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
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 | ||||
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 | ||||
Other representations of profile: CSV, Excel, Schematron
| 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 |
| 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() |