Resource. Interactive Quiz

FHIR Readiness Quiz

Score your FHIR readiness against the production bar ACOs and healthtech teams need for the CMS ACCESS Model and modern value-based contracts. 12 questions across four sections. Personalized score, section breakdown, and the gap-closing recommendations we use with clients. Takes about 5 minutes.

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Section 1

FHIR foundation

The system-facing FHIR surface that everything downstream depends on.

Question 1
Q1.

Production FHIR R4 endpoint live for your primary EHR (Epic, Cerner, or Meditech).

Authenticated, ingestion-capable, not just a sandbox.

Question 2
Q2.

SMART on FHIR / OAuth 2.0 authentication with documented system, user, and patient scopes.

Scopes approved and tested against vendor sandbox before any production calls.

Question 3
Q3.

Backend Services registration approved for population-scale ingestion.

Server-to-server JWT auth pattern. Lead time at Epic is 6 to 10 weeks.

Question 4
Q4.

USCDI v3 core resources ingested into your data platform.

Condition, Observation, Procedure, MedicationStatement, AllergyIntolerance, Encounter at minimum.

Section 2

Cross-organizational and patient-facing

The FHIR work that extends beyond a single EHR boundary.

Question 5
Q5.

FHIR Bulk Data API operational with at least one major attributed-population payer.

$export operation running on a dependable cadence with retries and partial-failure handling.

Question 6
Q6.

Patient-facing FHIR endpoint with consent capture and revocation flow.

Required by ONC mandate. Reinforced under ACCESS scoring.

Question 7
Q7.

Multi-EHR participating provider organizations covered (or single-EHR fully covered).

ACCESS scoring runs against the whole attributed population, not the largest EHR participant.

Section 3

Production hardening

The non-negotiables that determine whether the pipeline survives 18 months in production.

Question 8
Q8.

Token rotation, rate-limit handling, and retry policies automated and alerted.

Each vendor has different rate limits. Without per-vendor tuning, ingestion stalls silently.

Question 9
Q9.

Freshness monitoring, dead-letter handling, and uptime SLAs in place.

Alerts when ingestion latency exceeds the freshness SLA tied to clinical workflow needs.

Question 10
Q10.

Schema-change alerting for vendor-side FHIR resource updates.

Epic, Cerner, and Meditech all ship updates that can silently change resource structure.

Section 4

Governance and audit

The compliance and operating-model layer required for HIPAA, ACCESS audit trails, and clinical-content quality.

Question 11
Q11.

Audit logging on PHI access structured for HIPAA review.

Per-access logs with named principal, scope, and timestamp. Retained per your compliance stance.

Question 12
Q12.

Clinical-content governance forum exists with named owners.

FHIR will surface coding inconsistencies in your EHR. Without governance, data quality drifts silently.