De-Identified, Anonymized FHIR Profiles Library
0.1.0 - STU1 Release 1 - Standard for Trial-Use

De-Identified, Anonymized FHIR Profiles Library, published by HL7 International / Cross Group Projects. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-dapl/ and changes regularly. See the Directory of published versions

## Extension: UDS Plus Race Extension

Official URL: http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-race-extension | Version: 0.1.0
Standards status: Trial-use | Maturity Level: 1 | 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

Usages:

- Use this Extension: De-Identified UDS Plus Patient

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 1..1 | USCoreRaceExtension | Indicates the race of the Patient. Constraints: us-core-23
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..6 | Extension | 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: 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 including absence reasons. (required)
extension:text | S | 1..1 | Extension | 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: 1

Differential View

This structure is derived from USCoreRaceExtension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 1..1 | USCoreRaceExtension | Indicates the race of the Patient. Constraints: us-core-23
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..6 | Extension | 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: 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 including absence reasons. (required)
extension:text | S | 1..1 | Extension | 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: 1

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:ombCategory.​value[x] | Base | required | Race Categories | 📦20250419 | VSAC v0.24
Extension.extension:detailed.​value[x] | Base | required | Detailed race including absence reasons. | 📦20250419 | VSAC v0.24

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`
us-core-23 | error | Extension | If "ASKU" or "UNK" are present, then no other OMB race categories can be present. | `extension.where(url = 'ombCategory').value.where(code in 'ASKU'|'UNK').exists() implies extension.where(url = 'ombCategory').count() = 1`