# UDS Plus Home Page - De-Identified, Anonymized FHIR Profiles Library v0.1.0

* [**Table of Contents**](toc.md)
* **UDS Plus Home Page**

## UDS Plus Home Page

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/dapl/ImplementationGuide/hl7.fhir.us.dapl | *Version*:0.1.0 | |
| * IG Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:DAPL |

**Note about Canoncial URLs in IG:** All canonical (Official) URLs such as the one above http://hl7.org/fhir/us/uds-plus/ImplementationGuide/udsplus will be changed in the future and are not available currently on the web.
 
### Introduction

 Healthcare industry has embraced FHIR as the standard for data exchange and has been implementing FHIR in the real-world as part of the various accelerators such as Argonaut, DaVinci, Helios. The adoption of FHIR has been further expedited by the ASTP/ONC and CMS regulations which require the implementation of FHIR for multiple use cases. One of the competing requirement that is emerging in the industry is the need for data which does not contain PHI/PII. These requirements are common among Federal Reporting use cases such as UDS+, Public Health reporting to CDC, training data needs for training AI models, data needs for research programs. This implementation guide creates a set of profiles for USCDI resources that can be used to exchanged de-identified and anonymized information in the US. 

 This DRAFT Implementation Guide (IG) defines the specifications by which Federal Agencies such as HRSA, SAMSHA and others can receive line level de-identified and/or anonymized infomration. The IG specifies profiles to exchange 
* **De-identified Patient data using FHIR APIs**
* **Anonymized Patient data using FHIR APIs**
 

### Relationship to other Implementation Guides

 This section elaborates the relationship of this IG to other implementation guides 

#### Relationship to US Core Implmentation Guide

 This implementation guide, leverages terminology from US Core, but does not use US Core profiles directly because US Core profiles contain mandatory PHI/PII data elements which need to be excluded in the de-identification and/or anonymization process. 

#### Relationship to De-identification, Anonymization, Redaction Toolkit Services (DARTS) Implmentation Guide

 This implementation guide complements the the De-Identification, Anonymization, Redaction Toolkit Services (DARTS) Implementation Guide by defining the content profiles that need to be used for data exchange, where as the DARTS IG defines the services that take PHI/PII data and produce the content conformant to this DAPL IG. 

#### Relationship to Data Segmentation for Privacy (DS4P) Implmentation Guide

 DS4P IG specifies the tags,labels,obligations to be used to protect patient privacy during data exchange. Implementers of this IG can leverage any existing DS4P mechanisms if needed as part of the DAPL profiles and data exchanges containing DAPL profiles. 

#### Relationship to HRSA UDS+ Implmentation Guide

 HRSA UDS+ IG defines the specific content and APIs for Healthcenters to report data to HRSA annually. UDS+ will be reusing content profiles from this DAPL IG moving forward to build program specific content and will use the services from the DARTS IG to create the content. 

### Technical Overview

 Currently most of the FHIR data exchange in United States use profiles that contain PHI/PII and are based on US Core Implementation Guide. However, many organizations including Federal agencies do not have the regulatory authority to receive data containing PHI/PII. To enable agencies and organizations to receive line level information without PHI/PII, this IG publishes a set of profiles that can be used for data exchange. In the context of the IG, there are two primary actors namely 
* Data Submitters: Responsible for creating the de-identified or anonymized data and submitting the data to the Data Receivers.
* Data Receivers: Responsible for receiving, validating and processing the de-identified or anonymized data sent by the Data Submitters.
 

 The main sections of this IG are: 

*  [Background](background.md) - Provides business context for the implementation guide and information that implementers should be familiar with before reading the remainder of the IG. This identifies the context of the IG and the various reporting mechanisms. 
*  [Use Cases](usecases.md) - Defines the use case, workflows, actors and systems that will be used as part of the IG. 
*  [ Data Elements](dataelements.md) - Specifies common data elements and how they are represented from a de-identification and anonymization perspective. 
*  [Downloads](downloads.md) - Allows downloading a copy of this implementation guide and other useful information 



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      },
      "name" : "US Core Location Example",
      "description" : "An Example of a conformant US Core Location resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/holy-healthcare"
      },
      "name" : "US Core Healthcare Organization Example",
      "description" : "An Example of a conformant US Core Healthcare Organization resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Parameters"
      }],
      "reference" : {
        "reference" : "Parameters/reporting-parameters-example"
      },
      "name" : "UDS Plus Reporting Parameters Example",
      "description" : "An Example of a conformant UDS Plus Reporting Parameters resource with de-identifeid information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Parameters"
      }],
      "reference" : {
        "reference" : "Parameters/de-identify-data-operation-urls-example"
      },
      "name" : "UDS Plus Parameters Example for $deidentify operation",
      "description" : "An Example of a conformant UDS Plus Parameters resource for sending input and receiving output from $deidentify operation.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "RelatedPerson"
      }],
      "reference" : {
        "reference" : "RelatedPerson/de-identified-example"
      },
      "name" : "UDS Plus RelatedPerson Example",
      "description" : "An Example of a conformant UDS Plus Related Person resource with de-identified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Coverage"
      }],
      "reference" : {
        "reference" : "Coverage/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Encounter"
      }],
      "reference" : {
        "reference" : "Encounter/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Encounter"
      }],
      "reference" : {
        "reference" : "Encounter/example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationRequest"
      }],
      "reference" : {
        "reference" : "MedicationRequest/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationStatement"
      }],
      "reference" : {
        "reference" : "MedicationStatement/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-income-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/acme-payer"
      },
      "name" : "Acme Health Plan"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Parameters"
      }],
      "reference" : {
        "reference" : "Parameters/example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/de-identified-smallpop-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/smallpop-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Procedure"
      }],
      "reference" : {
        "reference" : "Procedure/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/de-identified-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-sexual-orientation-example"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/uds-plus-data-receiver-server"
      },
      "name" : "Uds Plus Data Receiver CapabilityStatement",
      "description" : "This is a CapabilityStatement that defines the expected capabilities of the Data Receiver actor as a Server."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/uds-plus-data-source"
      },
      "name" : "Uds Plus Data Source CapabilityStatement",
      "description" : "This is a CapabilityStatement that defines the expected capabilities of the Data Source actor."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/uds-plus-data-submitter-client"
      },
      "name" : "Uds Plus Data Submitter CapabilityStatement",
      "description" : "This is a CapabilityStatement that defines the expected capabilities of the Data Submitter actor."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/uds-plus-trust-service-provider"
      },
      "name" : "Uds Plus Trust Service Provider CapabilityStatement",
      "description" : "This is a CapabilityStatement that defines the expected capabilities of the Trust Service Provider actor."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/udsplus-agriculture-worker-status-codes"
      },
      "name" : "UDS Plus Agriculter Worker Status Codes",
      "description" : "The UDS Plus CodeSystem is a 'starter set' of codes supported for identifying agriculture worker status for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/udsplus-housing-status-codes"
      },
      "name" : "UDS Plus Housing Status Codes",
      "description" : "The UDS Plus CodeSystem is a 'starter set' of codes supported for identifying Housing status of patients in UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/uds-plus-insurance-codes"
      },
      "name" : "UDS Plus Insurance Codes",
      "description" : "The UDS Plus CodeSystem is a 'starter set' of codes supported for identifying insurance types used by patients in UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/udsplus-service-delivery-codes"
      },
      "name" : "UDS Plus Housing Service Delivery Codes",
      "description" : "The UDS Plus CodeSystem is an 'addition set' of one code to the existing Location Service Delivery Codes value set for UDS+ purposes."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "OperationDefinition"
      }],
      "reference" : {
        "reference" : "OperationDefinition/udsplus-de-identify"
      },
      "name" : "Generate De-Identified data",
      "description" : "Generates de-identified  data from identifiable data. The de-identification algorithm to be used is left to the implementers of the operation. Errors during the execution of the operation can be returned as OperationOutcome per the FHIR spec as a return parameter."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "OperationDefinition"
      }],
      "reference" : {
        "reference" : "OperationDefinition/import"
      },
      "name" : "UDS Plus Import",
      "description" : "Notification from a Health Center about the availability of the data to HRSA using Bulk Import mechanism."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-adverseevent"
      },
      "name" : "De-Identified UDS Plus AdverseEvent",
      "description" : "The UDS+ profile is based on the AdverseEvent resource and establishes the core elements, extensions, vocabularies and value sets for representing Allergies and Intolerances for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-age-extension"
      },
      "name" : "UDS Plus Age Extension",
      "description" : "Indicates the age of the patient at a specific time"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-allergyintolerance"
      },
      "name" : "De-Identified UDS Plus AllergyIntolerance",
      "description" : "The UDS+ profile is based on the AllergyIntolerance resource and establishes the core elements, extensions, vocabularies and value sets for representing Allergies and Intolerances for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-birthsex-extension"
      },
      "name" : "UDS Plus Birth Sex Extension",
      "description" : "Indicates the birth sex of the patient"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-capitated-member-months-extension"
      },
      "name" : "UDS Plus Capitated Member Months Extension",
      "description" : "Indicates the number of capitated member months of the patient for the reporting year"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-clinical-result-observation"
      },
      "name" : "De-Identified UDS Plus Clinical Result Observation",
      "description" : "The UDS+ profile is based on the Observation resource and establishes the core elements, extensions, vocabularies and value sets for representing clinical result observations for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-coverage"
      },
      "name" : "DeIdentified UDS Plus Coverage",
      "description" : "The UDS+ profile establishes the core elements, extensions, vocabularies and value sets for representing Coverage for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-deidentify-operation-data-urls-parameter"
      },
      "name" : "UDS Plus DeIdentify Data Urls Parameter",
      "description" : "The UDS+ profile is based on the **Parameters FHIR Resource and establishes the core elements, extensions, vocabularies and value sets for representing the data for sending input and receiving output for the DeIdentify operation of UDS+ ."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-diagnosis"
      },
      "name" : "De-Identified UDS Plus Diagnosis",
      "description" : "The UDS+ profile is based on the Condition resource and establishes the core elements, extensions, vocabularies and value sets for representing Diagnosis for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-encounter"
      },
      "name" : "De-Identified UDS Plus Encounter",
      "description" : "The UDS+ profile is based on the Encounter resource and establishes the core elements, extensions, vocabularies and value sets for representing encounters,visit information for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-ethnicity-extension"
      },
      "name" : "UDS Plus Ethnicity Extension",
      "description" : "Indicates the ethnicity of the patient."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-event-recorded-datetime-extension"
      },
      "name" : "UDS Plus Event Recorded Date Time Extension",
      "description" : "Indicates the time the event was recorded, this is a required field when an event is declared as NotDone."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-feeforservice-member-months-extension"
      },
      "name" : "UDS Plus FeeForService Member Months Extension",
      "description" : "Indicates the number of FeeForService member months of the patient for the reporting year"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-gender-identity-extension"
      },
      "name" : "UDS Plus Gender Identity Extension",
      "description" : "Indicates the gender identity of the patient at a specific time"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-housing-status-extension"
      },
      "name" : "UDS Plus Housing Status Extension",
      "description" : "Indicates the housing status of the patient at a specific time"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-immunization"
      },
      "name" : "De-Identified UDS Plus Immunization",
      "description" : "The UDS+ profile is based on the Immunization resource and establishes the core elements, extensions, vocabularies and value sets for representing immunizations for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/de-identified-uds-plus-income-observation"
      },
      "name" : "De-Identified UDS Plus Income",
      "description" : "The UDS+ profile is based on the Observation resource and establishes the core elements, extensions, vocabularies and value sets for representing Income ranges for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-lab-observation"
      },
      "name" : "De-Identified UDS Plus Lab Observation",
      "description" : "The UDS+ profile is based on the Observation resource and establishes the core elements, extensions, vocabularies and value sets for representing lab observations for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-location"
      },
      "name" : "UDS Plus Location",
      "description" : "Indicates the location where the care was provided"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-medicationrequest"
      },
      "name" : "De-Identified UDS Plus MedicationRequest",
      "description" : "The UDS+ profile is based on the MedicationRequest resource and establishes the core elements, extensions, vocabularies and value sets for representing MedicationRequest for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-medicationstatement"
      },
      "name" : "De-Identified UDS Plus MedicationStatement",
      "description" : "The UDS+ profile is based on the MedicationStatement resource and establishes the core elements, extensions, vocabularies and value sets for representing MedicationStatement for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-import-manifest"
      },
      "name" : "UDS Plus Import Manifest",
      "description" : "The UDS+ profile is based on the **Parameters FHIR Resource and establishes the core elements, extensions, vocabularies and value sets for representing the Manifest for UDS+ import FHIR Operations."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-patient-reporting-parameters"
      },
      "name" : "UDS Plus Patient Reporting Parameters",
      "description" : "The UDS+ profile is based on the **Parameters FHIR Resource and establishes the core elements, extensions, vocabularies and value sets for representing the Patients and if they are counted for the various reports."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/de-identified-uds-plus-patient"
      },
      "name" : "De-Identified UDS Plus Patient",
      "description" : "This Patient profile represents a Patient availing HRSA services."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-procedure"
      },
      "name" : "De-Identified UDS Plus Procedure",
      "description" : "The UDS+ profile is based on the Procedure resource and establishes the core elements, extensions, vocabularies and value sets for representing procedures for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-race-extension"
      },
      "name" : "UDS Plus Race Extension",
      "description" : "Indicates the race of the patient."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-recordedDate-extension"
      },
      "name" : "UDS Plus RecordedDate Extension",
      "description" : "Indicates the recorded date of a clinical event"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/de-identified-uds-plus-relatedperson"
      },
      "name" : "De-Identified UDS Plus RelatedPerson",
      "description" : "This Patient profile represents a RelatedPerson of a Patient availing HRSA services."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-servicerequest"
      },
      "name" : "De-Identified UDS Plus ServiceRequest",
      "description" : "The UDS+ profile is based on the ServiceRequest resource and establishes the core elements, extensions, vocabularies and value sets for representing ServiceRequest for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-sexual-orientation-observation"
      },
      "name" : "De-Identified UDS Plus Sexual Orientation",
      "description" : "The UDS+ profile is based on the **US Core Sexual Orientation Observation profile and establishes the core elements, extensions, vocabularies and value sets for representing Sexual Orientation for UDS+ program."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/uds-plus-veteran-status-extension"
      },
      "name" : "UDS Plus Veteran Status Extension",
      "description" : "Indicates the Veteran status of the patient."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/udsplus-agriculture-worker-status"
      },
      "name" : "UDS Plus Agriculture Worker Status Extension",
      "description" : "Indicates the agriculture worker status of the patient at a specific time"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/udsplus-agriculture-worker-status"
      },
      "name" : "Uds Plus Agriculture Worker Status Codes",
      "description" : "The Uds Plus Agriculture Worker Status Codes is a 'starter set' of codes for specifying agriculture worker status for Patients."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/uds-plus-birthsex-codes"
      },
      "name" : "Uds Plus Birth Sex Codes",
      "description" : "The Uds Plus Birth Sex Codes is a set of codes for identifying the birth sex of Patients."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/uds-plus-gender-identity-codes"
      },
      "name" : "Uds Plus Gender Identity Codes",
      "description" : "The Uds Plus Gender Identity Codes is a 'starter set' of codes for identifying the gender identity of Patients."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/udsplus-housing-status"
      },
      "name" : "Uds Plus Housing Status Codes",
      "description" : "The Uds Plus Housing Status Codes is a 'starter set' of codes for identifying the Patient's housing status."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/uds-plus-insurance-codes"
      },
      "name" : "Uds Plus Insurance Codes",
      "description" : "The Uds Plus Insurance Codes is a 'starter set' of codes for identifying the source of the insurance for Patients."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/uds-plus-service-delivery-codes"
      },
      "name" : "Uds Plus Service Delivery Codes",
      "description" : "The UDS Plus CodeSystem is an 'addition set' of one code to the existing Location Service Delivery Codes value set for UDS+ purposes."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/uds-plus-sexual-orientation-codes"
      },
      "name" : "Uds Plus Sexual Orientation Codes",
      "description" : "The Uds Plus Sexual Orientation Codes is a 'starter set' of codes for identifying the sexual orientation of Patients."
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "UDS Plus Home Page",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "background.html"
        }],
        "nameUrl" : "background.html",
        "title" : "Background",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "spec.html"
        }],
        "nameUrl" : "spec.html",
        "title" : "FHIR API Reporting Specification",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "implementation.html"
        }],
        "nameUrl" : "implementation.html",
        "title" : "Implementation Notes",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "usecases.html"
        }],
        "nameUrl" : "usecases.html",
        "title" : "Use Cases and Workflows",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "changes.html"
        }],
        "nameUrl" : "changes.html",
        "title" : "Change History",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "dataelements.html"
        }],
        "nameUrl" : "dataelements.html",
        "title" : "Data Elements and FHIR Mappings",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "reportingguidance.html"
        }],
        "nameUrl" : "reportingguidance.html",
        "title" : "Reporting Guidance",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Useful Downloads",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "credits.html"
        }],
        "nameUrl" : "credits.html",
        "title" : "Credits",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "license.html"
        }],
        "nameUrl" : "license.html",
        "title" : "License",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
