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Last Updated: Oct 05, 2026

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HL7 HL7-FHIR Exam Syllabus Topics:

SectionObjectives
Topic 1: Data Types and Structures- FHIR Data Types
  • 1. Primitive and complex data types
    • 2. Coding and CodeableConcept usage
      Topic 2: Interoperability and Messaging- Exchange Patterns
      • 1. Terminology services
        • 2. Messaging and documents in FHIR
          Topic 3: Security and Implementation- Security Concepts
          • 1. Data privacy considerations in healthcare APIs
            • 2. Authentication and authorization (OAuth2 concepts)
              Topic 4: FHIR Fundamentals- FHIR Overview and Architecture
              • 1. RESTful principles in healthcare interoperability
                • 2. FHIR purpose and evolution (STU3)
                  Topic 5: RESTful API Operations- FHIR REST Interactions
                  • 1. Search and conditional operations
                    • 2. Create, Read, Update, Delete (CRUD)
                      Topic 6: Profiles and Extensions- Customization Mechanisms
                      • 1. Extensions and implementation guides
                        • 2. Profiles and constraints
                          Topic 7: FHIR Resources- Core Resource Structure
                          • 1. Patient, Practitioner, Organization resources
                            • 2. Resource metadata and extensions

                              HL7 FHIR STU3 Proficiency Sample Questions:

                              Question #1

                              "a built bed is a filled bed"
                              -came about during the expansion phase of hospitals in which beds grew from 178 to 907,133 beds from 1872-1929

                              • A. Advance directives
                              • B. Roemer's law
                              • C. Moral agent
                              • D. Public hospitals
                              Reveal Solution  Discussion  0

                              Correct Answer: B  🗳️

                              Question #2

                              what does this list describe?:

                              • A. primitive institutions of social welfare
                              • B. consolidated systems of health services delivery
                              • C. advanced institutions of medical training and research
                              • D. distinct institutions of care for the sick
                              • E. organized institutions of medical practice
                              Reveal Solution  Discussion  0

                              Correct Answer: B  🗳️

                              Question #3

                              True about fwd and backward compatibility rules
                              A) Is Summary flag will not be changed
                              B) B) Minimum element cardinalities will not be changed
                              • A
                              • B
                              • A and B

                              • A. Correct Answer All of the above
                              • B. Correct Answer Option "Both A and B"
                              • C. Correct Answer Option "A, B, C and D"
                              • D. Correct Answer Only A is correct
                              Reveal Solution  Discussion  0

                              Correct Answer: B  🗳️

                              Question #4

                              these are nonprofit community hospitals financed through local philanthropy as opposed to taxes
                              -accepted both indigent and paying patients
                              -required charitable contributions from private citizens to cover operating expenses

                              • A. public hospitals
                              • B. short-stay hospital
                              • C. community hospitals
                              • D. voluntary hospitals
                              Reveal Solution  Discussion  0

                              Correct Answer: B  🗳️

                              Question #5

                              downsizing phase: from the mid 1980s onward, the main reasons for the decline in hospital capacity and utilization were a shift from inpatient to _______ care driven by changes in reimbursement and the impact of _________ care (emphasis on cost containment and utilization of resources)

                              • A. hospital characteristics
                              • B. social welfare
                              • C. pennsylvania hospital
                              • D. outpatient; managed care
                              Reveal Solution  Discussion  0

                              Correct Answer: D  🗳️

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