CMS ACCESS Model API
0.9.0 - ci-build

CMS ACCESS Model API - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : ACCESS Unalignment Reason Codes - TTL Representation

Draft as of 2026-03-06

Raw ttl | Download

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:CodeSystem ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ACCESSUnalignmentReasonCS"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ACCESSUnalignmentReasonCS</b></p><a name=\"ACCESSUnalignmentReasonCS\"> </a><a name=\"hcACCESSUnalignmentReasonCS\"> </a><p>This case-sensitive code system <code>https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">geographic-relocated<a name=\"ACCESSUnalignmentReasonCS-geographic-relocated\"> </a></td><td>Geographic relocated</td><td>Patient has relocated outside of the geographic area in which the aligned participant is licensed to provide services.</td></tr><tr><td style=\"white-space:nowrap\">loss-of-contact<a name=\"ACCESSUnalignmentReasonCS-loss-of-contact\"> </a></td><td>Loss of contact</td><td>Despite good faith efforts, defined as making three or more outreach attempts over 30 or more days, contact with the patient has been lost and therefore no longer able to engage with them.</td></tr><tr><td style=\"white-space:nowrap\">no-longer-clinically-eligible<a name=\"ACCESSUnalignmentReasonCS-no-longer-clinically-eligible\"> </a></td><td>No longer clinically eligible</td><td>Patient's conditions have changed such that they are no longer eligible for the ACCESS Model.</td></tr><tr><td style=\"white-space:nowrap\">patient-initiated<a name=\"ACCESSUnalignmentReasonCS-patient-initiated\"> </a></td><td>Patient initiated</td><td>Patient no longer wants to participate in the ACCESS Model after the initial 90-day lock-in period.</td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS"^^xsd:anyURI ;
    fhir:l <https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS>
      ] ; #
      fhir:version [ fhir:v "0.9.0"] ; #
      fhir:name [ fhir:v "ACCESSUnalignmentReasonCS"] ; #
      fhir:title [ fhir:v "ACCESS Unalignment Reason Codes"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2026-03-06T16:03:26-05:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "Global Alliant, Inc."] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Global Alliant, Inc." ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://globalalliantinc.com" ]     ] [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "david.h@globalalliantinc.org" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "This codesystem defines the codes indicating the reason for the requested unalignment."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] )
      ] ) ; #
      fhir:copyright [ fhir:v "Copyright (c) 2026 Centers for Medicare and Medicaid Services (CMS)."] ; #
      fhir:caseSensitive [ fhir:v true] ; #
      fhir:content [ fhir:v "complete"] ; #
      fhir:count [ fhir:v "4"^^xsd:nonNegativeInteger] ; #
      fhir:concept ( [
    fhir:code [ fhir:v "geographic-relocated" ] ;
    fhir:display [ fhir:v "Geographic relocated" ] ;
    fhir:definition [ fhir:v "Patient has relocated outside of the geographic area in which the aligned participant is licensed to provide services." ]
      ] [
    fhir:code [ fhir:v "loss-of-contact" ] ;
    fhir:display [ fhir:v "Loss of contact" ] ;
    fhir:definition [ fhir:v "Despite good faith efforts, defined as making three or more outreach attempts over 30 or more days, contact with the patient has been lost and therefore no longer able to engage with them." ]
      ] [
    fhir:code [ fhir:v "no-longer-clinically-eligible" ] ;
    fhir:display [ fhir:v "No longer clinically eligible" ] ;
    fhir:definition [ fhir:v "Patient's conditions have changed such that they are no longer eligible for the ACCESS Model." ]
      ] [
    fhir:code [ fhir:v "patient-initiated" ] ;
    fhir:display [ fhir:v "Patient initiated" ] ;
    fhir:definition [ fhir:v "Patient no longer wants to participate in the ACCESS Model after the initial 90-day lock-in period." ]
      ] ) . #