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

## : Unalignment Request - ESRD Example - JSON Representation

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    {
      "resourceType" : "Parameters",
      "id" : "UnalignmentRequestESRDExample",
      "meta" : {
        "profile" : [
          🔗 "https://globalalliantinc.com/access/StructureDefinition/access-unalign-in"
        ]
      },
      "parameter" : [
        {
          "name" : "participantID",
          "valueIdentifier" : {
            "system" : "https://globalalliantinc.com/access/participant-id",
            "value" : "ACCESS1234"
          }
        },
        {
          "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" : "patient",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "PatientESRDExample",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient Jane Smith, female, born 1955-06-15, Medicare ID: 9876543210B</div>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MC"
                    }
                  ]
                },
                "system" : "http://terminology.hl7.org/NamingSystem/cmsMBI",
                "value" : "9876543210B"
              }
            ],
            "name" : [
              {
                "family" : "Smith",
                "given" : [
                  "Jane"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1955-06-15"
          }
        },
        {
          "name" : "track",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://globalalliantinc.com/access/CodeSystem/ACCESSTrackCS",
                "code" : "CKM",
                "display" : "Cardio-kidney-metabolic track"
              }
            ]
          }
        },
        {
          "name" : "reason",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS",
                "code" : "no-longer-clinically-eligible",
                "display" : "No longer clinically eligible"
              }
            ],
            "text" : "Patient has developed end-stage renal disease (ESRD) requiring dialysis, which makes them ineligible for the ACCESS Model."
          }
        },
        {
          "name" : "condition",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "ESRDConditionExample",
            "meta" : {
              "profile" : [
                🔗 "https://globalalliantinc.com/access/StructureDefinition/access-clinical-exclusion-condition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">End stage renal disease (ESRD)</div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "problem-list-item",
                    "display" : "Problem List Item"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                  "code" : "N18.6",
                  "display" : "End stage renal disease"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/PatientESRDExample"
            },
            "onsetDateTime" : "2026-01-15"
          }
        }
      ]
    }