{
  "resourceType" : "Parameters",
  "id" : "eCKMReportDataRequestExample",
  "meta" : {
    "profile" : ["https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-report-data-in"]
  },
  "language" : "en",
  "parameter" : [{
    "name" : "participantID",
    "valueIdentifier" : {
      "system" : "https://dsacms.github.io/cmmi-access-model/participant-id",
      "value" : "ACCES12345"
    }
  },
  {
    "name" : "payerID",
    "valueIdentifier" : {
      "type" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
          "code" : "payerid",
          "display" : "Payer ID"
        }]
      },
      "system" : "urn:oid:2.16.840.1.113883.3.221.5",
      "value" : "12345"
    }
  },
  {
    "name" : "track",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS",
        "code" : "eCKM",
        "display" : "Early Cardio-Kidney-Metabolic track"
      }]
    }
  },
  {
    "name" : "reportType",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportTypeCS",
        "code" : "baseline",
        "display" : "Baseline Data Report"
      }]
    }
  },
  {
    "name" : "dataBundle",
    "resource" : {
      "resourceType" : "Bundle",
      "id" : "eCKMReportDataBundleExample",
      "meta" : {
        "profile" : ["https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-bundle"]
      },
      "language" : "en",
      "identifier" : {
        "system" : "http://example.org/data-bundle-id",
        "value" : "bundle-eckm-001"
      },
      "type" : "document",
      "timestamp" : "2026-01-26T12:00:00Z",
      "entry" : [{
        "fullUrl" : "http://example.org/Composition/eCKMReportDataCompositionExample",
        "resource" : {
          "resourceType" : "Composition",
          "id" : "eCKMReportDataCompositionExample",
          "meta" : {
            "profile" : ["https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-composition"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><h3>ACCESS eCKM Track Data Report</h3><p>Patient: John Doe (MBI: 1EG4TE5MK73)</p><p>Report Date: 2026-01-26</p><p>Author: Jane Smith</p></div>"
          },
          "status" : "final",
          "type" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "74465-6",
              "display" : "Questionnaire response Document"
            }]
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "date" : "2026-01-26T12:00:00Z",
          "author" : [{
            "reference" : "Practitioner/PractitionerExample"
          }],
          "title" : "ACCESS eCKM Track Data Report",
          "custodian" : {
            "reference" : "Organization/OrganizationExample"
          },
          "section" : [{
            "title" : "Data reporting for eCKM track",
            "code" : {
              "coding" : [{
                "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS",
                "code" : "eCKM"
              }]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p>Comprehensive eCKM Track Data Reporting including vital signs (blood pressure, body weight, waist circumference), and laboratory results (HbA1c, lipid panel).</p></div>"
            },
            "section" : [{
              "title" : "Blood Pressure",
              "code" : {
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "85354-9"
                }]
              },
              "entry" : [{
                "reference" : "Observation/BloodPressureExample"
              },
              {
                "reference" : "Observation/BloodPressureExample2"
              },
              {
                "reference" : "Observation/BloodPressureExample3"
              }]
            },
            {
              "title" : "Weight",
              "code" : {
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "29463-7"
                }]
              },
              "entry" : [{
                "reference" : "Observation/BodyWeightExample"
              }]
            },
            {
              "title" : "BMI",
              "code" : {
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "39156-5"
                }]
              },
              "entry" : [{
                "reference" : "Observation/BMIExample"
              }]
            },
            {
              "title" : "Waist Circumference",
              "code" : {
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "8280-0"
                }]
              },
              "entry" : [{
                "reference" : "Observation/WaistCircumferenceExample"
              }]
            },
            {
              "title" : "HbA1c",
              "code" : {
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "4548-4"
                }]
              },
              "entry" : [{
                "reference" : "Observation/HbA1cExample"
              }]
            },
            {
              "title" : "Lipids",
              "code" : {
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "18262-6"
                }]
              },
              "entry" : [{
                "reference" : "Observation/LDLCholesterolExample"
              }]
            }]
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/Patient/PatientExample",
        "resource" : {
          "resourceType" : "Patient",
          "id" : "PatientExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<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>"
          },
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MC"
              }]
            },
            "system" : "http://terminology.hl7.org/NamingSystem/cmsMBI",
            "value" : "1EG4TE5MK73"
          }],
          "name" : [{
            "family" : "Doe",
            "given" : ["John"]
          }],
          "gender" : "male",
          "birthDate" : "1950-01-01"
        }
      },
      {
        "fullUrl" : "http://example.org/Practitioner/PractitionerExample",
        "resource" : {
          "resourceType" : "Practitioner",
          "id" : "PractitionerExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">Practitioner Jane Smith, NPI: 1234567893</div>"
          },
          "identifier" : [{
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1234567893"
          }],
          "name" : [{
            "family" : "Smith",
            "given" : ["Jane"]
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/Organization/OrganizationExample",
        "resource" : {
          "resourceType" : "Organization",
          "id" : "OrganizationExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">Example Healthcare Organization, ACCESS Participant ID: ACCES12345</div>"
          },
          "identifier" : [{
            "system" : "https://dsacms.github.io/cmmi-access-model/participant-id",
            "value" : "ACCES12345"
          }],
          "active" : true,
          "name" : "Example Healthcare Organization"
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/BloodPressureExample",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "BloodPressureExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<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>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "vital-signs",
              "display" : "Vital Signs"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "85354-9",
              "display" : "Blood pressure panel with all children optional"
            }],
            "text" : "Blood Pressure"
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-01-15T10:30:00Z",
          "component" : [{
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "8480-6",
                "display" : "Systolic blood pressure"
              }]
            },
            "valueQuantity" : {
              "value" : 138,
              "unit" : "mm[Hg]",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          },
          {
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "8462-4",
                "display" : "Diastolic blood pressure"
              }]
            },
            "valueQuantity" : {
              "value" : 88,
              "unit" : "mm[Hg]",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/BloodPressureExample2",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "BloodPressureExample2",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<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>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "vital-signs",
              "display" : "Vital Signs"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "85354-9",
              "display" : "Blood pressure panel with all children optional"
            }],
            "text" : "Blood Pressure"
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-01-22T10:30:00Z",
          "component" : [{
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "8480-6",
                "display" : "Systolic blood pressure"
              }]
            },
            "valueQuantity" : {
              "value" : 132,
              "unit" : "mm[Hg]",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          },
          {
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "8462-4",
                "display" : "Diastolic blood pressure"
              }]
            },
            "valueQuantity" : {
              "value" : 84,
              "unit" : "mm[Hg]",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/BloodPressureExample3",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "BloodPressureExample3",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<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>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "vital-signs",
              "display" : "Vital Signs"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "85354-9",
              "display" : "Blood pressure panel with all children optional"
            }],
            "text" : "Blood Pressure"
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-02-05T10:30:00Z",
          "component" : [{
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "8480-6",
                "display" : "Systolic blood pressure"
              }]
            },
            "valueQuantity" : {
              "value" : 140,
              "unit" : "mm[Hg]",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          },
          {
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "8462-4",
                "display" : "Diastolic blood pressure"
              }]
            },
            "valueQuantity" : {
              "value" : 90,
              "unit" : "mm[Hg]",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/BodyWeightExample",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "BodyWeightExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">Body Weight: 85 kg measured on 2026-01-15</div>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "vital-signs",
              "display" : "Vital Signs"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "29463-7",
              "display" : "Body weight"
            }]
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-01-15T10:30:00Z",
          "valueQuantity" : {
            "value" : 85,
            "unit" : "kg",
            "system" : "http://unitsofmeasure.org",
            "code" : "kg"
          }
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/BMIExample",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "BMIExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">BMI: 27.5 kg/m2 measured on 2026-01-15</div>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "vital-signs",
              "display" : "Vital Signs"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "39156-5",
              "display" : "Body mass index (BMI) [Ratio]"
            }]
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-01-15T10:30:00Z",
          "valueQuantity" : {
            "value" : 27.5,
            "unit" : "kg/m2",
            "system" : "http://unitsofmeasure.org",
            "code" : "kg/m2"
          }
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/WaistCircumferenceExample",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "WaistCircumferenceExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">Waist Circumference: 95 cm measured on 2026-01-15</div>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "vital-signs",
              "display" : "Vital Signs"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "8280-0",
              "display" : "Waist Circumference at umbilicus by Tape measure"
            }]
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-01-15T10:30:00Z",
          "valueQuantity" : {
            "value" : 95,
            "unit" : "cm",
            "system" : "http://unitsofmeasure.org",
            "code" : "cm"
          }
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/HbA1cExample",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "HbA1cExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">Hemoglobin A1c: 6.5% measured on 2026-01-15</div>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "laboratory",
              "display" : "Laboratory"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "4548-4",
              "display" : "Hemoglobin A1c/Hemoglobin.total in Blood"
            }]
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-01-15T10:30:00Z",
          "valueQuantity" : {
            "value" : 6.5,
            "unit" : "%",
            "system" : "http://unitsofmeasure.org",
            "code" : "%"
          }
        }
      },
      {
        "fullUrl" : "http://example.org/Observation/LDLCholesterolExample",
        "resource" : {
          "resourceType" : "Observation",
          "id" : "LDLCholesterolExample",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0"]
          },
          "language" : "en",
          "text" : {
            "status" : "generated",
            "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">LDL Cholesterol: 140 mg/dL measured on 2026-01-15</div>"
          },
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "laboratory",
              "display" : "Laboratory"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "18262-6",
              "display" : "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }]
          },
          "subject" : {
            "reference" : "Patient/PatientExample"
          },
          "effectiveDateTime" : "2026-01-15T10:30:00Z",
          "valueQuantity" : {
            "value" : 140,
            "unit" : "mg/dL",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg/dL"
          }
        }
      }]
    }
  }]
}