I apologize if posted in the wrong category. I just wanted to share some light regarding an upcoming funding opportunity from the US Department of Health Services to fund Health Center Programs to move into UDS+. Currently, all Health Centers that are receiving funding from HRSA are reporting to HRSA using the EHB system in which data is manually entered into the EHB system by Health Centers. Now they are looking into electronic integration between EMRs and the UDS reporting system using FHIR. I don’t know the details yet but they say it is about 55 million US Dollars. I think there might be a possibility for OEMR to take this opportunity to create a UDS+ reporting module to do just that.
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Are you talking about the FQHC program? Are you connected with a health center program wanting to leverage OpenEMR? If so please let us know as we have a number of things we’d like to do to support FQHC and if there are funding opportunities that’s something the OpenEMR project is interested in doing. The challenge we’ve had in the past is not having a FQHC interested in using OpenEMR.
Thanks,
Stephen Nielson
OpenEMR Project Administrator
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Hi Stephen,
Yes, I work for Pohnpei Community Health Center which is a FQHC. We are not as big the the other CHCs in the United States but we are one of them. Actually, we are one of the poorest CHCs serving over 20,000 patients with incomes below poverty line. I implemented OpenEMR at our facility in 2015 and started using it in 2016 until now. We were fortunate to have chosen OpenEMR. It has served our purpose to deliver quality health services to many people who cannot afford quality health care. I watched the video on OpenEMR FHIR - Lecture 1. It would be nice if OpenEMR could preconfigure its FHIR feature or maybe call it UDS+ feature for which users would just click on it at the end of each year and be done with UDS reports. Sorry, didn’t mean to get carried away.
Regards,
Kanoberson Asher
IT- Pohnpei Community Health Center
Stephen, Keep in mind that in addition to FQHCs you have the sister program
which is the entire RHC (rural health clinic) community (5500 clinics in US) that would benefit from openEMR specific initiatives. Multiple grant and funding opportunities available there as well. Shameless plug, we are a small multi-center RHC operation just getting done with our transition away from a standard vendor type EHR to OEMR.
And I helped! 
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Has there been any progress in developing more functionality for FQHC’s and RHC’s? I would think OpenEMR would be a great platform for these and other similar Community Health Organizations. Operating Expenses are going up and reimbursements aren’t keeping up.
@Kanoberson @ohendricks6, picking this thread back up: there’s now a free UDS module for OpenEMR. From the 2026 UDS Manual it produces:
- Patients by ZIP Code and Tables 3A, 3B, 4, 5 and 6A
- the 330(g), (h) and (i) Grant Reports
- a Table 9D worksheet
- a page listing the records Tables 6B and 7’s eCQMs can’t see yet
It installs with composer require anun333/oe-module-uds-report and runs on OpenEMR 8.4 with PHP 8.3 or later: GitHub - anun333/oe-module-uds-report: HRSA Uniform Data System (UDS) report for OpenEMR — Patients by ZIP Code and Tables 3A, 3B and 4 (2026 UDS Manual). Pre-release; validated on synthetic data only. · GitHub
It doesn’t do UDS+, the FHIR submission this thread started with; it produces the tables that are otherwise built by hand. It has only been tested with synthetic patients. What it needs most is one health center willing to compare its totals with a UDS report it has already filed. Only totals would be compared; no patient data leaves the clinic.
@Kanoberson, Pohnpei would be the ideal first check, if you’re open to it. Which OpenEMR version are you on? And which poverty guidelines and insurance categories do you report with? Those are the parts most likely to need adjusting outside the 50 states.
@adunsulag, you wrote here that the challenge had been “not having a FQHC interested in using OpenEMR”. Pohnpei has used it since 2016, and this module is meant to make the reporting side easier for the next one.
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@Kanoberson, a short update, since a few things have changed since my last post:
- All of Table 6A now counts, including the lines defined by value sets: tobacco cessation drugs, MOUD, language assistance, and food, housing and financial insecurity. Each site fetches the value sets from the National Library of Medicine with its own free UMLS account, and no patient data leaves the clinic. One thing to check before fetching from Pohnpei: the FSM isn’t a SNOMED International member country. For users there, the UMLS licence’s SNOMED CT terms ask you to notify SNOMED International, which may charge per-site fees unless it waives them.
- Tables 6B and 7 (the eCQM lines) work on current OpenEMR master builds.
- Older OpenEMR releases: it now installs on 8.1, 8.2 and 8.3 as well as 8.4, with PHP 8.3 or later. 8.0 and older can’t run it.
The offer from my last post stands: compare its totals with a UDS report Pohnpei has already filed, totals only. Even just your OpenEMR version would help. If you’re on 7.x, tell me and I’ll work out what the upgrade would involve.