ACCESS eCKM Track Data Report

Patient: John Doe (MBI: 1EG4TE5MK73)

Report Date: 2026-01-26

Author: Jane Smith

 <custodian> <reference value="Organization/OrganizationExample"/> </custodian> <section> <title value="Data reporting for eCKM track"/> <code> <coding> <system value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS"/> <code value="eCKM"/> </coding> </code> <text> <status value="generated"/><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> </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="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/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>