Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters	C	0..*	Parameters(4.0.1)	Operation Request or Response Constraints: access-unalign-condition-required
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for parameter	SΣC	5..*	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
name	Σ	1..1	string	Name from the definition
parameter:participantID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: participantID
value[x]	SΣC	1..1	Identifier	If parameter is a data type Constraints: access-participant-id-pattern
parameter:payerID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: payerID
value[x]	SΣC	1..1	Identifier	If parameter is a data type
parameter:patient	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: patient
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
parameter:track	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: track
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSTrackVS (0.9.0) (required)
parameter:condition	SΣC	0..*	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: condition
resource	S	1..1	ACCESSClinicalExclusionCondition(0.9.0)	Detailed information about conditions, problems or diagnoses
parameter:reason	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: reason
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSUnalignmentReasonVS (0.9.0) (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Parameters.parameter:track.​value[x]	Base	required	ACCESS Model Tracks Value Set	📍0.9.0	This IG
Parameters.parameter:reason.​value[x]	Base	required	ACCESS Unalignment Reason Value Set	📍0.9.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
access-participant-id-pattern	error	Parameters.parameter:participantID.value[x]	ACCESS Participant ID must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234)	value.matches('^ACCESS\\d{4}$')
access-unalign-condition-required	error	Parameters	When the unalignment reason is 'no-longer-clinically-eligible', at least one condition parameter must be provided to document the disqualifying diagnosis	parameter.where(name = 'reason').value.ofType(CodeableConcept).coding.where(system = 'https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS' and code = 'no-longer-clinically-eligible').exists() implies parameter.where(name = 'condition').exists()
ele-1	error	Parameters.implicitRules, Parameters.parameter, Parameters.parameter.modifierExtension, Parameters.parameter.name, Parameters.parameter:participantID, Parameters.parameter:participantID.name, Parameters.parameter:participantID.value[x], Parameters.parameter:payerID, Parameters.parameter:payerID.name, Parameters.parameter:payerID.value[x], Parameters.parameter:patient, Parameters.parameter:patient.name, Parameters.parameter:track, Parameters.parameter:track.name, Parameters.parameter:track.value[x], Parameters.parameter:condition, Parameters.parameter:condition.name, Parameters.parameter:reason, Parameters.parameter:reason.name, Parameters.parameter:reason.value[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:participantID, Parameters.parameter:payerID, Parameters.parameter:patient, Parameters.parameter:track, Parameters.parameter:condition, Parameters.parameter:reason	A parameter must have one and only one of (value, resource, part)	(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters	C	0..*	Parameters(4.0.1)	Operation Request or Response
Slices for parameter	S	5..*	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:participantID	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: participantID
value[x]	SC	1..1	Identifier	If parameter is a data type
resource		0..0		If parameter is a whole resource
parameter:payerID	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: payerID
value[x]	S	1..1	Identifier	If parameter is a data type
resource		0..0		If parameter is a whole resource
parameter:patient	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: patient
value[x]		0..0		If parameter is a data type
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
parameter:track	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: track
value[x]	S	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSTrackVS (0.9.0) (required)
resource		0..0		If parameter is a whole resource
parameter:condition	S	0..*	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: condition
value[x]		0..0		If parameter is a data type
resource	S	1..1	ACCESSClinicalExclusionCondition(0.9.0)	Detailed information about conditions, problems or diagnoses
parameter:reason	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: reason
value[x]	S	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSUnalignmentReasonVS (0.9.0) (required)
resource		0..0		If parameter is a whole resource
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Parameters.parameter:track.​value[x]	Base	required	ACCESS Model Tracks Value Set	📍0.9.0	This IG
Parameters.parameter:reason.​value[x]	Base	required	ACCESS Unalignment Reason Value Set	📍0.9.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
access-participant-id-pattern	error	Parameters.parameter:participantID.value[x]	ACCESS Participant ID must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234)	value.matches('^ACCESS\\d{4}$')
access-unalign-condition-required	error	Parameters	When the unalignment reason is 'no-longer-clinically-eligible', at least one condition parameter must be provided to document the disqualifying diagnosis	parameter.where(name = 'reason').value.ofType(CodeableConcept).coding.where(system = 'https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS' and code = 'no-longer-clinically-eligible').exists() implies parameter.where(name = 'condition').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters	C	0..*	Parameters(4.0.1)	Operation Request or Response Constraints: access-unalign-condition-required
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for parameter	SΣC	5..*	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
name	Σ	1..1	string	Name from the definition
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	ΣC	0..1	Resource	If parameter is a whole resource
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:participantID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: participantID
value[x]	SΣC	1..1	Identifier	If parameter is a data type Constraints: access-participant-id-pattern
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:payerID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: payerID
value[x]	SΣC	1..1	Identifier	If parameter is a data type
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:patient	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: patient
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:track	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: track
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSTrackVS (0.9.0) (required)
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:condition	SΣC	0..*	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: condition
resource	S	1..1	ACCESSClinicalExclusionCondition(0.9.0)	Detailed information about conditions, problems or diagnoses
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:reason	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: reason
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSUnalignmentReasonVS (0.9.0) (required)
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Parameters.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Parameters.parameter:track.​value[x]	Base	required	ACCESS Model Tracks Value Set	📍0.9.0	This IG
Parameters.parameter:reason.​value[x]	Base	required	ACCESS Unalignment Reason Value Set	📍0.9.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
access-participant-id-pattern	error	Parameters.parameter:participantID.value[x]	ACCESS Participant ID must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234)	value.matches('^ACCESS\\d{4}$')
access-unalign-condition-required	error	Parameters	When the unalignment reason is 'no-longer-clinically-eligible', at least one condition parameter must be provided to document the disqualifying diagnosis	parameter.where(name = 'reason').value.ofType(CodeableConcept).coding.where(system = 'https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS' and code = 'no-longer-clinically-eligible').exists() implies parameter.where(name = 'condition').exists()
ele-1	error	Parameters.meta, Parameters.implicitRules, Parameters.language, Parameters.parameter, Parameters.parameter.extension, Parameters.parameter.modifierExtension, Parameters.parameter.name, Parameters.parameter.value[x], Parameters.parameter.part, Parameters.parameter:participantID, Parameters.parameter:participantID.extension, Parameters.parameter:participantID.name, Parameters.parameter:participantID.value[x], Parameters.parameter:participantID.part, Parameters.parameter:payerID, Parameters.parameter:payerID.extension, Parameters.parameter:payerID.name, Parameters.parameter:payerID.value[x], Parameters.parameter:payerID.part, Parameters.parameter:patient, Parameters.parameter:patient.extension, Parameters.parameter:patient.name, Parameters.parameter:patient.part, Parameters.parameter:track, Parameters.parameter:track.extension, Parameters.parameter:track.name, Parameters.parameter:track.value[x], Parameters.parameter:track.part, Parameters.parameter:condition, Parameters.parameter:condition.extension, Parameters.parameter:condition.name, Parameters.parameter:condition.part, Parameters.parameter:reason, Parameters.parameter:reason.extension, Parameters.parameter:reason.name, Parameters.parameter:reason.value[x], Parameters.parameter:reason.part	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter.extension, Parameters.parameter.modifierExtension, Parameters.parameter:participantID.extension, Parameters.parameter:payerID.extension, Parameters.parameter:patient.extension, Parameters.parameter:track.extension, Parameters.parameter:condition.extension, Parameters.parameter:reason.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:participantID, Parameters.parameter:payerID, Parameters.parameter:patient, Parameters.parameter:track, Parameters.parameter:condition, Parameters.parameter:reason	A parameter must have one and only one of (value, resource, part)	(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))

Summary

Mandatory: 10 elements(1 nested mandatory element)
Must-Support: 19 elements
Fixed: 6 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0)
• ACCESS Clinical Exclusion Condition (https://globalalliantinc.com/access/StructureDefinition/access-clinical-exclusion-condition|0.9.0)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Parameters.parameter (Closed)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters	C	0..*	Parameters(4.0.1)	Operation Request or Response Constraints: access-unalign-condition-required
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for parameter	SΣC	5..*	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
name	Σ	1..1	string	Name from the definition
parameter:participantID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: participantID
value[x]	SΣC	1..1	Identifier	If parameter is a data type Constraints: access-participant-id-pattern
parameter:payerID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: payerID
value[x]	SΣC	1..1	Identifier	If parameter is a data type
parameter:patient	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: patient
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
parameter:track	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: track
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSTrackVS (0.9.0) (required)
parameter:condition	SΣC	0..*	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: condition
resource	S	1..1	ACCESSClinicalExclusionCondition(0.9.0)	Detailed information about conditions, problems or diagnoses
parameter:reason	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
name	SΣ	1..1	string	Name from the definition Fixed Value: reason
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSUnalignmentReasonVS (0.9.0) (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Parameters.parameter:track.​value[x]	Base	required	ACCESS Model Tracks Value Set	📍0.9.0	This IG
Parameters.parameter:reason.​value[x]	Base	required	ACCESS Unalignment Reason Value Set	📍0.9.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
access-participant-id-pattern	error	Parameters.parameter:participantID.value[x]	ACCESS Participant ID must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234)	value.matches('^ACCESS\\d{4}$')
access-unalign-condition-required	error	Parameters	When the unalignment reason is 'no-longer-clinically-eligible', at least one condition parameter must be provided to document the disqualifying diagnosis	parameter.where(name = 'reason').value.ofType(CodeableConcept).coding.where(system = 'https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS' and code = 'no-longer-clinically-eligible').exists() implies parameter.where(name = 'condition').exists()
ele-1	error	Parameters.implicitRules, Parameters.parameter, Parameters.parameter.modifierExtension, Parameters.parameter.name, Parameters.parameter:participantID, Parameters.parameter:participantID.name, Parameters.parameter:participantID.value[x], Parameters.parameter:payerID, Parameters.parameter:payerID.name, Parameters.parameter:payerID.value[x], Parameters.parameter:patient, Parameters.parameter:patient.name, Parameters.parameter:track, Parameters.parameter:track.name, Parameters.parameter:track.value[x], Parameters.parameter:condition, Parameters.parameter:condition.name, Parameters.parameter:reason, Parameters.parameter:reason.name, Parameters.parameter:reason.value[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:participantID, Parameters.parameter:payerID, Parameters.parameter:patient, Parameters.parameter:track, Parameters.parameter:condition, Parameters.parameter:reason	A parameter must have one and only one of (value, resource, part)	(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters	C	0..*	Parameters(4.0.1)	Operation Request or Response
Slices for parameter	S	5..*	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:participantID	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: participantID
value[x]	SC	1..1	Identifier	If parameter is a data type
resource		0..0		If parameter is a whole resource
parameter:payerID	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: payerID
value[x]	S	1..1	Identifier	If parameter is a data type
resource		0..0		If parameter is a whole resource
parameter:patient	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: patient
value[x]		0..0		If parameter is a data type
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
parameter:track	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: track
value[x]	S	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSTrackVS (0.9.0) (required)
resource		0..0		If parameter is a whole resource
parameter:condition	S	0..*	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: condition
value[x]		0..0		If parameter is a data type
resource	S	1..1	ACCESSClinicalExclusionCondition(0.9.0)	Detailed information about conditions, problems or diagnoses
parameter:reason	S	1..1	BackboneElement	Operation Parameter
modifierExtension		0..0		Extension
name	S	1..1	string	Name from the definition Fixed Value: reason
value[x]	S	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSUnalignmentReasonVS (0.9.0) (required)
resource		0..0		If parameter is a whole resource
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Parameters.parameter:track.​value[x]	Base	required	ACCESS Model Tracks Value Set	📍0.9.0	This IG
Parameters.parameter:reason.​value[x]	Base	required	ACCESS Unalignment Reason Value Set	📍0.9.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
access-participant-id-pattern	error	Parameters.parameter:participantID.value[x]	ACCESS Participant ID must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234)	value.matches('^ACCESS\\d{4}$')
access-unalign-condition-required	error	Parameters	When the unalignment reason is 'no-longer-clinically-eligible', at least one condition parameter must be provided to document the disqualifying diagnosis	parameter.where(name = 'reason').value.ofType(CodeableConcept).coding.where(system = 'https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS' and code = 'no-longer-clinically-eligible').exists() implies parameter.where(name = 'condition').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters	C	0..*	Parameters(4.0.1)	Operation Request or Response Constraints: access-unalign-condition-required
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for parameter	SΣC	5..*	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
name	Σ	1..1	string	Name from the definition
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	ΣC	0..1	Resource	If parameter is a whole resource
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:participantID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: participantID
value[x]	SΣC	1..1	Identifier	If parameter is a data type Constraints: access-participant-id-pattern
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:payerID	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: payerID
value[x]	SΣC	1..1	Identifier	If parameter is a data type
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:patient	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: patient
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:track	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: track
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSTrackVS (0.9.0) (required)
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:condition	SΣC	0..*	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: condition
resource	S	1..1	ACCESSClinicalExclusionCondition(0.9.0)	Detailed information about conditions, problems or diagnoses
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:reason	SΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
name	SΣ	1..1	string	Name from the definition Fixed Value: reason
value[x]	SΣC	1..1	CodeableConcept	If parameter is a data type Binding: ACCESSUnalignmentReasonVS (0.9.0) (required)
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Parameters.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Parameters.parameter:track.​value[x]	Base	required	ACCESS Model Tracks Value Set	📍0.9.0	This IG
Parameters.parameter:reason.​value[x]	Base	required	ACCESS Unalignment Reason Value Set	📍0.9.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
access-participant-id-pattern	error	Parameters.parameter:participantID.value[x]	ACCESS Participant ID must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234)	value.matches('^ACCESS\\d{4}$')
access-unalign-condition-required	error	Parameters	When the unalignment reason is 'no-longer-clinically-eligible', at least one condition parameter must be provided to document the disqualifying diagnosis	parameter.where(name = 'reason').value.ofType(CodeableConcept).coding.where(system = 'https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS' and code = 'no-longer-clinically-eligible').exists() implies parameter.where(name = 'condition').exists()
ele-1	error	Parameters.meta, Parameters.implicitRules, Parameters.language, Parameters.parameter, Parameters.parameter.extension, Parameters.parameter.modifierExtension, Parameters.parameter.name, Parameters.parameter.value[x], Parameters.parameter.part, Parameters.parameter:participantID, Parameters.parameter:participantID.extension, Parameters.parameter:participantID.name, Parameters.parameter:participantID.value[x], Parameters.parameter:participantID.part, Parameters.parameter:payerID, Parameters.parameter:payerID.extension, Parameters.parameter:payerID.name, Parameters.parameter:payerID.value[x], Parameters.parameter:payerID.part, Parameters.parameter:patient, Parameters.parameter:patient.extension, Parameters.parameter:patient.name, Parameters.parameter:patient.part, Parameters.parameter:track, Parameters.parameter:track.extension, Parameters.parameter:track.name, Parameters.parameter:track.value[x], Parameters.parameter:track.part, Parameters.parameter:condition, Parameters.parameter:condition.extension, Parameters.parameter:condition.name, Parameters.parameter:condition.part, Parameters.parameter:reason, Parameters.parameter:reason.extension, Parameters.parameter:reason.name, Parameters.parameter:reason.value[x], Parameters.parameter:reason.part	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter.extension, Parameters.parameter.modifierExtension, Parameters.parameter:participantID.extension, Parameters.parameter:payerID.extension, Parameters.parameter:patient.extension, Parameters.parameter:track.extension, Parameters.parameter:condition.extension, Parameters.parameter:reason.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:participantID, Parameters.parameter:payerID, Parameters.parameter:patient, Parameters.parameter:track, Parameters.parameter:condition, Parameters.parameter:reason	A parameter must have one and only one of (value, resource, part)	(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))

Summary

Mandatory: 10 elements(1 nested mandatory element)
Must-Support: 19 elements
Fixed: 6 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0)
• ACCESS Clinical Exclusion Condition (https://globalalliantinc.com/access/StructureDefinition/access-clinical-exclusion-condition|0.9.0)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Parameters.parameter (Closed)