CKM Report Data Bundle Example - XML Representation

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: CKM Report Data Bundle Example

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="CKMReportDataBundleExample"/>
  <meta>
    <profile
             value="https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-bundle"/>
  </meta>
  <language value="en"/>
  <identifier>
    <system value="http://example.org/data-bundle-id"/>
    <value value="bundle-ckm-001"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2026-01-26T12:00:00Z"/>
  <entry>
    <fullUrl
             value="http://example.org/Composition/CKMReportDataCompositionExample"/>
    <resource>
      <Composition>
        <id value="CKMReportDataCompositionExample"/>
        <meta>
          <profile
                   value="https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-composition"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Composition_CKMReportDataCompositionExample"> </a><h3>ACCESS CKM Track Data Report</h3><p>Patient: John Doe (MBI: 1EG4TE5MK73)</p><p>Report Date: 2026-01-26</p><p>Author: Jane Smith</p></div>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="74465-6"/>
            <display value="Questionnaire response Document"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <date value="2026-01-26T12:00:00Z"/>
        <author>🔗 
          <reference value="Practitioner/PractitionerExample"/>
        </author>
        <title value="ACCESS CKM Track Data Report"/>
        <custodian>🔗 
          <reference value="Organization/OrganizationExample"/>
        </custodian>
        <section>
          <title value="Data reporting for CKM track"/>
          <code>
            <coding>
              <system
                      value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS"/>
              <code value="CKM"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>Comprehensive CKM Track Data Reporting including vital signs (blood pressure, body weight, waist circumference), and laboratory results (HbA1c, eGFR, uACR, lipid panel).</p></div>
          </text>
          <section>
            <title value="Blood Pressure"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="85354-9"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/BloodPressureExample"/>
            </entry>
            <entry>🔗 
              <reference value="Observation/BloodPressureExample2"/>
            </entry>
            <entry>🔗 
              <reference value="Observation/BloodPressureExample3"/>
            </entry>
          </section>
          <section>
            <title value="Weight"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="29463-7"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/BodyWeightExample"/>
            </entry>
          </section>
          <section>
            <title value="BMI"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="39156-5"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/BMIExample"/>
            </entry>
          </section>
          <section>
            <title value="Waist Circumference"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="8280-0"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/WaistCircumferenceExample"/>
            </entry>
          </section>
          <section>
            <title value="HbA1c"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="4548-4"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/HbA1cExample"/>
            </entry>
          </section>
          <section>
            <title value="eGFR"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="98979-8"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/eGFRExample"/>
            </entry>
          </section>
          <section>
            <title value="uACR"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14959-1"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/uACRExample"/>
            </entry>
          </section>
          <section>
            <title value="Lipids"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="18262-6"/>
              </coding>
            </code>
            <entry>🔗 
              <reference value="Observation/LDLCholesterolExample"/>
            </entry>
          </section>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Patient/PatientExample"/>
    <resource>
      <Patient>
        <id value="PatientExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Patient_PatientExample"> </a>Patient John Doe, male, born 1950-01-01, Medicare ID: 1EG4TE5MK73</div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MC"/>
            </coding>
          </type>
          <system value="http://terminology.hl7.org/NamingSystem/cmsMBI"/>
          <value value="1EG4TE5MK73"/>
        </identifier>
        <name>
          <family value="Doe"/>
          <given value="John"/>
        </name>
        <gender value="male"/>
        <birthDate value="1950-01-01"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Practitioner/PractitionerExample"/>
    <resource>
      <Practitioner>
        <id value="PractitionerExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Practitioner_PractitionerExample"> </a>Practitioner Jane Smith, NPI: 1234567893</div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1234567893"/>
        </identifier>
        <name>
          <family value="Smith"/>
          <given value="Jane"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Organization/OrganizationExample"/>
    <resource>
      <Organization>
        <id value="OrganizationExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Organization_OrganizationExample"> </a>Example Healthcare Organization, ACCESS Participant ID: ACCES12345</div>
        </text>
        <identifier>
          <system
                  value="https://dsacms.github.io/cmmi-access-model/participant-id"/>
          <value value="ACCES12345"/>
        </identifier>
        <active value="true"/>
        <name value="Example Healthcare Organization"/>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/BloodPressureExample"/>
    <resource>
      <Observation>
        <id value="BloodPressureExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_BloodPressureExample"> </a>Blood Pressure: 138/88 mm[Hg] measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85354-9"/>
            <display value="Blood pressure panel with all children optional"/>
          </coding>
          <text value="Blood Pressure"/>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8480-6"/>
              <display value="Systolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="138"/>
            <unit value="mm[Hg]"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8462-4"/>
              <display value="Diastolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="88"/>
            <unit value="mm[Hg]"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/BloodPressureExample2"/>
    <resource>
      <Observation>
        <id value="BloodPressureExample2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_BloodPressureExample2"> </a>Blood Pressure: 132/84 mm[Hg] measured on 2026-01-22</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85354-9"/>
            <display value="Blood pressure panel with all children optional"/>
          </coding>
          <text value="Blood Pressure"/>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-22T10:30:00Z"/>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8480-6"/>
              <display value="Systolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="132"/>
            <unit value="mm[Hg]"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8462-4"/>
              <display value="Diastolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="84"/>
            <unit value="mm[Hg]"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/BloodPressureExample3"/>
    <resource>
      <Observation>
        <id value="BloodPressureExample3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_BloodPressureExample3"> </a>Blood Pressure: 140/90 mm[Hg] measured on 2026-02-05</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85354-9"/>
            <display value="Blood pressure panel with all children optional"/>
          </coding>
          <text value="Blood Pressure"/>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-02-05T10:30:00Z"/>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8480-6"/>
              <display value="Systolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="140"/>
            <unit value="mm[Hg]"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8462-4"/>
              <display value="Diastolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="90"/>
            <unit value="mm[Hg]"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/BodyWeightExample"/>
    <resource>
      <Observation>
        <id value="BodyWeightExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_BodyWeightExample"> </a>Body Weight: 85 kg measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29463-7"/>
            <display value="Body weight"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <valueQuantity>
          <value value="85"/>
          <unit value="kg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/BMIExample"/>
    <resource>
      <Observation>
        <id value="BMIExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_BMIExample"> </a>BMI: 27.5 kg/m2 measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="39156-5"/>
            <display value="Body mass index (BMI) [Ratio]"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <valueQuantity>
          <value value="27.5"/>
          <unit value="kg/m2"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg/m2"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/Observation/WaistCircumferenceExample"/>
    <resource>
      <Observation>
        <id value="WaistCircumferenceExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_WaistCircumferenceExample"> </a>Waist Circumference: 95 cm measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8280-0"/>
            <display
                     value="Waist Circumference at umbilicus by Tape measure"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <valueQuantity>
          <value value="95"/>
          <unit value="cm"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="cm"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/HbA1cExample"/>
    <resource>
      <Observation>
        <id value="HbA1cExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_HbA1cExample"> </a>Hemoglobin A1c: 6.5% measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="4548-4"/>
            <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <valueQuantity>
          <value value="6.5"/>
          <unit value="%"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/eGFRExample"/>
    <resource>
      <Observation>
        <id value="eGFRExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_eGFRExample"> </a>eGFR: 75 mL/min/1.73m2 measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="98979-8"/>
            <display
                     value="Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)/1.73 sq M"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <valueQuantity>
          <value value="75"/>
          <unit value="mL/min/1.73_m2"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mL/min/{1.73_m2}"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/uACRExample"/>
    <resource>
      <Observation>
        <id value="uACRExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_uACRExample"> </a>Urine Albumin-Creatinine Ratio: 45 mg/g measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="14959-1"/>
            <display value="Microalbumin/Creatinine [Mass Ratio] in Urine"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <valueQuantity>
          <value value="45"/>
          <unit value="mg/g"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/g"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/LDLCholesterolExample"/>
    <resource>
      <Observation>
        <id value="LDLCholesterolExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Observation_LDLCholesterolExample"> </a>LDL Cholesterol: 140 mg/dL measured on 2026-01-15</div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18262-6"/>
            <display
                     value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/PatientExample"/>
        </subject>
        <effectiveDateTime value="2026-01-15T10:30:00Z"/>
        <valueQuantity>
          <value value="140"/>
          <unit value="mg/dL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
</Bundle>