HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.1.0 - STU1 Release 1.1 - Standard for Trial-Use
HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.1.0 - STU1 Release 1.1 - Standard for Trial-Use
HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG, published by HRSA BPHC. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/drajer-health/uds-plus/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension | Version: 1.1.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: UDSPlusAgeExtension | ||
Indicates the age of the patient at a specific time
Context of Use
This extension may be used on the following element(s):
This extension is used to convey the age of the patient at a specific point in time. The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed on the age extension.
According to the HHS guidance, for patients whose age is computed to be greater than 89 the de-identification rule requires it be reported as greater > 90 and not report the specific age.
The following is new content for 1.1.0
**Representing Age > 89 **
Since Age is represented as a valueQuantity data type the following method should be used to represent Age > 89.
* Age > 89 : use valueQuantity.value to represent 90, units of a and comparator of ">="
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 age of the Patient. | |
  url |
1..1 | uri | "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension" | |
  value[x] |
C | 1..1 | Quantity | Value of extension uds-plus-age-1: All Patients aged more than 89 years, should be grouped together as 90+ years to meet de-identification requirements. |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
1..1 | Extension | Indicates the age 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-age-extension" | |
| value[x] |
C | 1..1 | Quantity | Value of extension uds-plus-age-1: All Patients aged more than 89 years, should be grouped together as 90+ years to meet de-identification requirements. |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension of type Quantity: Indicates the age of the patient at a specific time
Maturity: 2
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
1..1 | Extension | Indicates the age of the Patient. | |
| url |
1..1 | uri | "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension" | |
| value[x] |
C | 1..1 | Quantity | Value of extension uds-plus-age-1: All Patients aged more than 89 years, should be grouped together as 90+ years to meet de-identification requirements. |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
1..1 | Extension | Indicates the age 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-age-extension" | |
| value[x] |
C | 1..1 | Quantity | Value of extension uds-plus-age-1: All Patients aged more than 89 years, should be grouped together as 90+ years to meet de-identification requirements. |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| 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() | |
| uds-plus-age-1 | error | Extension.value[x] | All Patients aged more than 89 years, should be grouped together as 90+ years to meet de-identification requirements. : (($this.where(code = 'a').value <= 89) or ($this.where(code = 'a' and comparator = '>=').value = 90)) or (($this.where(code = 'mo').value <= 1068) or ($this.where(code = 'mo' and value > 1068 and value <= 1080).comparator = '>=')) or (($this.where(code = 'd').value <= 32485) or ($this.where(code = 'd' and value > 32485 and value <= 32850).comparator = '>=')) or (($this.where(code = 'wk').value < 4628) or ($this.where(code = 'wk' and value > 4628 and value <= 4680).comparator = '>=')) |