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

: CKM Report Data Request Example

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="CKMReportDataRequestExample"/>
  <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="CKM"/>
        <display value="Cardio-Kidney-Metabolic 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="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"><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">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/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">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">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">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">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">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">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">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">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">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">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>
    </resource>
  </parameter>
</Parameters>