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Exam Code: HL7-FHIR
Exam Name: HL7 FHIR STU3 Proficiency
Updated: Sep 01, 2026
Q & A: 148 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Representing Healthcare Concepts | 14% | - Workflow and management resources - Clinical and administrative resources |
| Topic 2: Terminology | 4% | - Code systems and value sets - Concept maps and terminology services |
| Topic 3: Licensing and Intellectual Property | 4% | - Usage and distribution rights - Open license terms |
| Topic 4: FHIR Fundamentals | 16% | - Specification structure and organization - Key concepts and terminology - Core principles and goals |
| Topic 5: FHIR Maintenance and Governance | 10% | - Change management and updates - Versioning and release process |
| Topic 6: Conformance and Implementation Guidance | 12% | - Implementation guides and usage - Capability statements and conformance rules - Profiles and extensions |
| Topic 7: Exchange Mechanisms | 14% | - Search and query capabilities - RESTful API operations - Bundles, messages and documents |
| Topic 8: Resource Concepts | 20% | - Resource definition and structure - Resource identification and versioning - Data types and elements |
| Topic 9: Safety and Security | 6% | - Access control and authorization - Data privacy and integrity |
Question 1
inpatient hospital services constitute the largest share, about ______ of total health care expenditures in the United States
A. 1/3
B. 2/3
C. 1/2
D. 11/16
Question 2
Regarding authentication as it is documented in specification, two statements:
1. Other than testing systems, FHIR servers should authenticate the clients.
2. All systems shall protect authenticator mechanisms, and select the type of credential/strength of authenticator based on use-case and risk management.
a: 1&2 True
b: 1 is True and 2 is False
c: 1 is False and 2 is True
d: 1&2 False
A. Correct Answer C or D
B. Correct Answer a,c,e
C. Correct Answer a
D. Correct Answer D "requests, events and definitions can point to their respective definitions events and requests can point to the proposals, plans or orders they are based on"
Question 3
in the US, hospital services cost ____% more than the OECD average
A. 40
B. private nonprofit, private for profit, state and local government, federal
C. 37
D. ethics
Question 4
this is derived by dividing the average daily census for that period by the average number of beds (capacity)
-indicates the proportion of a hospital's total inpatient capacity actually utilized
-used as a measure of performance when compared w/ competitors or statewide or nationwide data (facilities with higher rates are considered more successful)
A. occupancy rate
B. average daily rate (adr)
C. consolidation
D. salary per fte
Question 5
this gives hospitals the authority to participate in the Medicare and Medicaid programs and get reimbursement from them
A. licensure
B. credentialing
C. certification
D. ethics
Solutions:
| Question 1 Answer: A | Question 2 Answer: C | Question 3 Answer: C | Question 4 Answer: A | Question 5 Answer: C |
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