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Updated: Aug 19, 2026
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HL7 HL7-FHIR Exam Overview:
| Certification Vendor: | HL7 International |
| Exam Name: | HL7 FHIR STU3 Proficiency Exam |
| Exam Number: | HL7-FHIR |
| Exam Price: | $195 USD |
| Real Exam Qty: | 50 |
| Related Certifications: | HL7 FHIR R4 Proficiency Certificate HL7 FHIR Implementation Specialist |
| Certificate Validity Period: | 3 years |
| Passing Score: | 70% |
| Exam Format: | Multiple Choice, Multi-select, True/False |
| Available Languages: | English |
| Exam Duration: | 120 minutes |
| Recommended Training: | FHIR STU3 Proficiency Exam Preparation Tutorial HL7 FHIR STU3 Fundamentals Course |
| Exam Registration: | HL7 Certification Portal |
| Sample Questions: | HL7 HL7-FHIR Sample Questions |
| Exam Way: | Online proctored or onsite at authorized test centers |
| Pre Condition: | No mandatory prerequisites; familiarity with healthcare interoperability and basic FHIR knowledge recommended |
| Official Syllabus URL: | https://www.hl7.org/implement/certification/fhir-stu3.cfm |
HL7 HL7-FHIR Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Licensing and Intellectual Property | 4% | - Open license terms - Usage and distribution rights |
| Topic 2: Terminology | 4% | - Code systems and value sets - Concept maps and terminology services |
| Topic 3: Resource Concepts | 20% | - Data types and elements - Resource definition and structure - Resource identification and versioning |
| Topic 4: FHIR Fundamentals | 16% | - Core principles and goals - Key concepts and terminology - Specification structure and organization |
| Topic 5: Conformance and Implementation Guidance | 12% | - Implementation guides and usage - Profiles and extensions - Capability statements and conformance rules |
| Topic 6: FHIR Maintenance and Governance | 10% | - Change management and updates - Versioning and release process |
| Topic 7: Exchange Mechanisms | 14% | - RESTful API operations - Bundles, messages and documents - Search and query capabilities |
| Topic 8: Representing Healthcare Concepts | 14% | - Workflow and management resources - Clinical and administrative resources |
| Topic 9: Safety and Security | 6% | - Data privacy and integrity - Access control and authorization |
HL7 FHIR STU3 Proficiency Sample Questions:
1. what does this list describe?:
-selecting the wrong patient
-ordering wrong drug
-missing critical lab results
A) days of care
B) outpatient; managed care
C) durable power of Attorney
D) mistakes made w/ EHRs
2. this is a night spent in the hospital by a patient
A) hospitalization rate
B) teaching hospital
C) value; outpatient
D) inpatient day
3. how do the types of hospitals rank from most to least in proportion in the US?
A) private nonprofit, private for profit, state and local government, federal
B) informed consent
C) private health insurance
D) Pennsylvania Hospital
4. 1) From an architectural perspective relating to organizing FHIR resources. When breaking down the healthcare distribution model into smaller chunks (or resources for FHIR) it is important to have a framework and a set of guidelines to promote consistency and integrity within the resource structures and in the way resources reference each other.
What is the correct sequence of the 6 layers that comprise the framework a) Foundation, base, clinical, financial, specialized, resource contextualization b) Resource contextualization, base, foundation, clinical, financial, specialized c) Resource contextualization, base, foundation, clinical, specialized, financial d) Base, foundation, clinical, financial, specialized, resource contextualization
A) Correct Answer b
B) Correct Answer C or D
C) Correct Answer a,c,e
D) Correct Answer A
5. one of the most important responsibilities of the board is to appoint the _______, evaluate his or her performance, and remove them if necessary
A) CFO
B) BOARD OF TRUSTEES
C) CEO
D) MANAGERS
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: C |
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