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Last Updated: Aug 18, 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:

                              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


                              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


                              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


                              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


                              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


                              Solutions:

                              Question # 1
                              Answer: B
                              Question # 2
                              Answer: B
                              Question # 3
                              Answer: B
                              Question # 4
                              Answer: B
                              Question # 5
                              Answer: D

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