CMS ACCESS Model API
0.9.8 - draft
US
This page is part of the ACCESS Model IG v0.9.8 DRAFT (v0.9.8: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions
<Parameters xmlns="http://hl7.org/fhir">
<id value="BHReportDataRequestExample"/>
<meta>
<profile
value="https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-report-data-in"/>
</meta>
<language value="en"/>
<parameter>
<name value="participantID"/>
<valueIdentifier>
<system
value="https://dsacms.github.io/cmmi-access-model/participant-id"/>
<value value="ACCES12345"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="payerID"/>
<valueIdentifier>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"/>
<code value="payerid"/>
<display value="Payer ID"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.3.221.5"/>
<value value="12345"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="track"/>
<valueCodeableConcept>
<coding>
<system
value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS"/>
<code value="BH"/>
<display value="Behavioral Health track"/>
</coding>
</valueCodeableConcept>
</parameter>
<parameter>
<name value="reportType"/>
<valueCodeableConcept>
<coding>
<system
value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportTypeCS"/>
<code value="baseline"/>
<display value="Baseline Data Report"/>
</coding>
</valueCodeableConcept>
</parameter>
<parameter>
<name value="dataBundle"/>
<resource>
<Bundle>
<id value="BHReportDataBundleExample"/>
<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-bh-001"/>
</identifier>
<type value="document"/>
<timestamp value="2026-01-26T12:00:00Z"/>
<entry>
<fullUrl
value="http://example.org/Composition/BHReportDataCompositionExample"/>
<resource>
<Composition>
<id value="BHReportDataCompositionExample"/>
<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"><h3>ACCESS BH 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 BH Track Data Report"/>
<custodian>🔗
<reference value="Organization/OrganizationExample"/>
</custodian>
<section>
<title value="Data reporting for BH track"/>
<code>
<coding>
<system
value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS"/>
<code value="BH"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>Behavioral Health Track Data Reporting including depression and anxiety assessments and patient-reported outcomes.</p></div>
</text>
<section>
<title value="Depression (PHQ-9)"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="44249-1"/>
</coding>
</code>
<entry>🔗
<reference
value="QuestionnaireResponse/DepressionPHQ9Example"/>
</entry>
</section>
<section>
<title value="Anxiety (GAD-7)"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69737-5"/>
</coding>
</code>
<entry>🔗
<reference
value="QuestionnaireResponse/AnxietyGAD7Example"/>
</entry>
</section>
<section>
<title value="Overall Function (WHODAS 2.0)"/>
<code>
<coding>
<system
value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS"/>
<code value="WHODAS"/>
</coding>
</code>
<entry>🔗
<reference value="QuestionnaireResponse/WHODASExample"/>
</entry>
</section>
<section>
<title value="Patient's Global Impression of Change"/>
<code>
<coding>
<system
value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS"/>
<code value="PGIC"/>
</coding>
</code>
<entry>🔗
<reference value="QuestionnaireResponse/BHPGICExample"/>
</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">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">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">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/QuestionnaireResponse/DepressionPHQ9Example"/>
<resource>
<QuestionnaireResponse>
<id value="DepressionPHQ9Example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>PHQ-9 QuestionnaireResponse for John Doe. Total score: 7.</p></div>
</text>
<questionnaire
value="http://example.org/Questionnaire/PHQ9Questionnaire"/>
<status value="completed"/>
<subject>🔗
<reference value="Patient/PatientExample"/>
</subject>
<authored value="2026-01-15T10:30:00Z"/>
<author>🔗
<reference value="Patient/PatientExample"/>
</author>
<item>
<linkId value="phq9-1"/>
<text value="Little interest or pleasure in doing things"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-2"/>
<text value="Feeling down, depressed, or hopeless"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-3"/>
<text
value="Trouble falling or staying asleep, or sleeping too much"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-4"/>
<text value="Feeling tired or having little energy"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-5"/>
<text value="Poor appetite or overeating"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-6"/>
<text
value="Feeling bad about yourself — or that you are a failure or have let yourself or your family down"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-7"/>
<text
value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-8"/>
<text
value="Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-9"/>
<text
value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq9-10"/>
<text
value="How difficult have these made it for you to do your work, take care of things at home, or get along with other people?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6573-5"/>
<display value="Somewhat difficult"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="total-score"/>
<answer>
<valueDecimal value="7"/>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/QuestionnaireResponse/AnxietyGAD7Example"/>
<resource>
<QuestionnaireResponse>
<id value="AnxietyGAD7Example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>GAD-7 QuestionnaireResponse for John Doe. Total score: 6.</p></div>
</text>
<questionnaire
value="http://example.org/Questionnaire/GAD7Questionnaire"/>
<status value="completed"/>
<subject>🔗
<reference value="Patient/PatientExample"/>
</subject>
<authored value="2026-01-15T10:30:00Z"/>
<author>🔗
<reference value="Patient/PatientExample"/>
</author>
<item>
<linkId value="gad7-1"/>
<text value="Feeling nervous, anxious, or on edge"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-2"/>
<text value="Not being able to stop or control worrying"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-3"/>
<text value="Worrying too much about different things"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-4"/>
<text value="Trouble relaxing"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-5"/>
<text value="Being so restless that it is hard to sit still"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-6"/>
<text value="Becoming easily annoyed or irritable"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-7"/>
<text
value="Feeling afraid as if something awful might happen"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="total-score"/>
<answer>
<valueDecimal value="6"/>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/QuestionnaireResponse/WHODASExample"/>
<resource>
<QuestionnaireResponse>
<id value="WHODASExample"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>WHODAS 2.0 (12-item) QuestionnaireResponse for John Doe. Total score: 26.</p></div>
</text>
<questionnaire
value="http://example.org/Questionnaire/WHODASQuestionnaire"/>
<status value="completed"/>
<subject>🔗
<reference value="Patient/PatientExample"/>
</subject>
<authored value="2026-01-15T10:30:00Z"/>
<author>🔗
<reference value="Patient/PatientExample"/>
</author>
<item>
<linkId value="whodas-s1"/>
<text value="Standing for long periods such as 30 minutes"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<display value="Mild"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s2"/>
<text value="Taking care of household responsibilities"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<display value="Moderate"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s3"/>
<text
value="Learning a new task, for example learning how to get to a new place"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<display value="Mild"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s4"/>
<text
value="How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<display value="Mild"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s5"/>
<text
value="How much of a problem did you have with being emotionally affected by your health problems?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<display value="Moderate"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s6"/>
<text
value="Concentrating on doing something for ten minutes?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<display value="Mild"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s7"/>
<text
value="Walking a long distance such as a kilometer [or equivalent]?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<display value="Moderate"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s8"/>
<text value="Washing your whole body?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<display value="None"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s9"/>
<text value="Getting dressed?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<display value="None"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s10"/>
<text value="Dealing with people you do not know"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<display value="Mild"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s11"/>
<text value="Maintaining a friendship"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<display value="Mild"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-s12"/>
<text value="Your day-to-day work"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<display value="Moderate"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="whodas-h1"/>
<text
value="Overall, in the past 30 days, how many days were these difficulties present?"/>
<answer>
<valueDecimal value="3"/>
</answer>
</item>
<item>
<linkId value="whodas-h2"/>
<text
value="In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?"/>
<answer>
<valueDecimal value="3"/>
</answer>
</item>
<item>
<linkId value="whodas-h3"/>
<text
value="In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?"/>
<answer>
<valueDecimal value="3"/>
</answer>
</item>
<item>
<linkId value="total-score"/>
<answer>
<valueDecimal value="26"/>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/QuestionnaireResponse/BHPGICExample"/>
<resource>
<QuestionnaireResponse>
<id value="BHPGICExample"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>PGIC QuestionnaireResponse for John Doe. Response: Very much improved.</p></div>
</text>
<questionnaire
value="http://example.org/Questionnaire/BHPGICQuestionnaire"/>
<status value="completed"/>
<subject>🔗
<reference value="Patient/PatientExample"/>
</subject>
<authored value="2026-01-15T10:30:00Z"/>
<author>🔗
<reference value="Patient/PatientExample"/>
</author>
<item>
<linkId value="pgic-1"/>
<text
value="Since beginning treatment, how would you describe your overall change in activity limitations, symptoms, emotions, and quality of life?"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<display value="Very much improved"/>
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
</Bundle>
</resource>
</parameter>
</Parameters>