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

## : Check Eligibility Request - TTL Representation

Active as of 2026-03-06

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    @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:OperationDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "CheckEligibility"] ; #
      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: OperationDefinition CheckEligibility</b></p><a name=\"CheckEligibility\"> </a><a name=\"hcCheckEligibility\"> </a><p>URL: [base]/Patient/$check-eligibility</p><p>Input parameters Profile:<a href=\"StructureDefinition-access-check-eligibility-in.html\">ACCESS Check Eligibility Request Parameters</a></p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>participantID</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td/><td><div><p>ACCESS participant identifier. Must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234).</p>\n</div></td></tr><tr><td>IN</td><td>payerID</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td/><td><div><p>Payer ID for the patient.</p>\n</div></td></tr><tr><td>IN</td><td>patient</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a></td><td/><td><div><p>Patient information.  It <strong>SHOULD</strong> contain the Medicare Beneficiary Identifier (MBI).</p>\n</div></td></tr><tr><td>IN</td><td>track</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td><a href=\"ValueSet-ACCESSTrackVS.html\">ACCESS Model Tracks Value Set</a> (Required)</td><td><div><p>ACCESS track for which eligibility is being checked.</p>\n</div></td></tr><tr><td>IN</td><td>condition</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a></td><td/><td><div><p>Patient's conditions.</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "https://globalalliantinc.com/access/OperationDefinition/CheckEligibility"^^xsd:anyURI ;
    fhir:l <https://globalalliantinc.com/access/OperationDefinition/CheckEligibility>
      ] ; #
      fhir:version [ fhir:v "0.9.0"] ; #
      fhir:name [ fhir:v "CheckEligibility"] ; #
      fhir:title [ fhir:v "Check Eligibility Request"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:kind [ fhir:v "operation"] ; #
      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 "The **$check-eligibility** operation allows a participant to submit basic information on a patient who they believe will be a good candidate for the ACCESS model and who wants to be part of the ACCESS Model. The participant can use this API to do a quick check on which patients may be eligible before officially submitting the patient's information for consideration and inclusion in the ACCESS Model."] ; #
      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:code [ fhir:v "check-eligibility"] ; #
      fhir:resource ( [ fhir:v "Patient"] ) ; #
      fhir:system [ fhir:v false] ; #
      fhir:type [ fhir:v true] ; #
      fhir:instance [ fhir:v false] ; #
      fhir:inputProfile [
    fhir:v "https://globalalliantinc.com/access/StructureDefinition/access-check-eligibility-in|0.9.0"^^xsd:anyURI ;
    fhir:l <https://globalalliantinc.com/access/StructureDefinition/access-check-eligibility-in?version=0.9.0>
      ] ; #
      fhir:parameter ( [
    fhir:name [ fhir:v "participantID" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "ACCESS participant identifier. Must follow the pattern ACCESS#### where #### represents exactly 4 digits (e.g., ACCESS0001, ACCESS1234)." ] ;
    fhir:type [ fhir:v "Identifier" ]
      ] [
    fhir:name [ fhir:v "payerID" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "Payer ID for the patient." ] ;
    fhir:type [ fhir:v "Identifier" ]
      ] [
    fhir:name [ fhir:v "patient" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "Patient information.  It **SHOULD** contain the Medicare Beneficiary Identifier (MBI)." ] ;
    fhir:type [ fhir:v "Patient" ]
      ] [
    fhir:name [ fhir:v "track" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "ACCESS track for which eligibility is being checked." ] ;
    fhir:type [ fhir:v "CodeableConcept" ] ;
    fhir:binding [
    fhir:strength [ fhir:v "required" ] ;
    fhir:valueSet [
    fhir:v "https://globalalliantinc.com/access/ValueSet/ACCESSTrackVS|0.9.0"^^xsd:anyURI ;
    fhir:l <https://globalalliantinc.com/access/ValueSet/ACCESSTrackVS?version=0.9.0>       ]     ]
      ] [
    fhir:name [ fhir:v "condition" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "Patient's conditions." ] ;
    fhir:type [ fhir:v "Condition" ]
      ] ) . #