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="ReportDataRequestExample"/>
<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>