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
{
"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"
}
}
}
]
}
}
]
}