# DeIdentified UDS Plus Coverage - De-Identified, Anonymized FHIR Profiles Library v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **DeIdentified UDS Plus Coverage**

## Resource Profile: DeIdentified UDS Plus Coverage 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-coverage | *Version*:0.1.0 | |
| * 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*:DeIdentifiedUDSPlusCoverage |

 
The UDS+ profile establishes the core elements, extensions, vocabularies and value sets for representing Coverage for UDS+ program. 

All canonical (Official) URLs will be changed in the future and are not available currently on the web.

### Introduction

This profile is used to represent de-identified Coverage information. The de-identification process has to remove all data elements not explicitly identified as "SUPPORTED" in the profile.

The [HHS De-identification Guidance](https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/coveredentities/De-identification/hhs_deid_guidance.pdf) is to be followed to ensure appropriate level of de-identification is performed.

According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes Coverage.period.

In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a Coverage resource text element may contain information such as the Coverage date, beneficiary information. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.

**Ids and References**

The original Coverage resource id should not be included in the De-identified Coverage instance. Instead a new id should be created and provided as part of the FHIR resource. The Data Submitter should be capable of using the generated id to relink the data to the original Coverage. All resource references to the Coverage submitted as part of the UDS+ report should refer to newly generated id.

Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed

* beneficiary
* Payor

**Date Truncation**

The Data Submitter has to truncate the following dates to only have a precision of year

* period

**Usages:**

* Examples for this Profile: [Coverage/de-identified-example](Coverage-de-identified-example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.dapl|current/StructureDefinition/uds-plus-coverage)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-uds-plus-coverage.csv), [Excel](StructureDefinition-uds-plus-coverage.xlsx), [Schematron](StructureDefinition-uds-plus-coverage.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "uds-plus-coverage",
  "meta" : {
    "versionId" : "12",
    "lastUpdated" : "2022-07-12T02:03:11.293+00:00",
    "source" : "#3LDMUQYYwafwTzqK"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/dapl/ImplementationGuide/dapl"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/dapl/ImplementationGuide/dapl"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-coverage",
  "version" : "0.1.0",
  "name" : "DeIdentifiedUDSPlusCoverage",
  "title" : "DeIdentified UDS Plus Coverage",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-16T10:54:28+00:00",
  "publisher" : "HL7 International / Cross Group Projects",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    }]
  }],
  "description" : "The UDS+ profile establishes the core elements, extensions, vocabularies and value sets for representing Coverage for UDS+ program.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "cdanetv4",
    "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
    "name" : "Canadian Dental Association eclaims standard"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "cpha3pharm",
    "uri" : "http://www.pharmacists.ca/",
    "name" : "Canadian Pharmacy Associaiton eclaims standard"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Coverage",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Coverage",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Coverage",
      "path" : "Coverage",
      "short" : "UDS Plus Coverage",
      "definition" : "The UDS+ profile is based on the **QI Core Coverage profile and establishes the core elements, extensions, vocabularies and value sets for representing Coverage for UDS+ program."
    },
    {
      "id" : "Coverage.id",
      "path" : "Coverage.id",
      "short" : "The de-identified Coverage identifier created by the health center to send data to HRSA.",
      "definition" : "De-dentified Coverage identifier.",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.text",
      "path" : "Coverage.text",
      "short" : "Cannot include any text in the resource as part of the de-identified data.",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "Coverage.contained",
      "path" : "Coverage.contained",
      "short" : "Cannot include any contained resources in the resource as part of the de-identified data.",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "Coverage.extension:capitatedMemberMonths",
      "path" : "Coverage.extension",
      "sliceName" : "capitatedMemberMonths",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-capitated-member-months-extension"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Coverage.extension:feeForServiceMemberMonths",
      "path" : "Coverage.extension",
      "sliceName" : "feeForServiceMemberMonths",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-feeforservice-member-months-extension"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Coverage.status",
      "path" : "Coverage.status",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "active",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.type",
      "path" : "Coverage.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "description" : "The set of codes to be used for UDS+ reporting.",
        "valueSet" : "http://hl7.org/fhir/us/uds-plus/ValueSet/uds-plus-insurance-codes"
      }
    },
    {
      "id" : "Coverage.type.text",
      "path" : "Coverage.type.text",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "Coverage.beneficiary",
      "path" : "Coverage.beneficiary",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/uds-plus/StructureDefinition/de-identified-uds-plus-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Coverage.beneficiary.display",
      "path" : "Coverage.beneficiary.display",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "Coverage.period",
      "path" : "Coverage.period",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.payor",
      "path" : "Coverage.payor",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/uds-plus/StructureDefinition/de-identified-uds-plus-patient",
        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization",
        "http://hl7.org/fhir/us/uds-plus/StructureDefinition/de-identified-uds-plus-relatedperson"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Coverage.payor.display",
      "path" : "Coverage.payor.display",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    }]
  }
}

```
