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Updated: Aug 20, 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 Format: | Multiple Choice, Multi-select, True/False |
| Passing Score: | 70% |
| Exam Price: | $195 USD |
| Certificate Validity Period: | 3 years |
| Related Certifications: | HL7 FHIR R4 Proficiency Certificate HL7 FHIR Implementation Specialist |
| Real Exam Qty: | 50 |
| Exam Duration: | 120 minutes |
| Available Languages: | English |
| 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: Safety and Security | 6% | - Data privacy and integrity - Access control and authorization |
| Topic 2: Licensing and Intellectual Property | 4% | - Open license terms - Usage and distribution rights |
| Topic 3: Representing Healthcare Concepts | 14% | - Workflow and management resources - Clinical and administrative resources |
| Topic 4: FHIR Maintenance and Governance | 10% | - Change management and updates - Versioning and release process |
| Topic 5: Terminology | 4% | - Concept maps and terminology services - Code systems and value sets |
| Topic 6: Exchange Mechanisms | 14% | - RESTful API operations - Bundles, messages and documents - Search and query capabilities |
| Topic 7: Conformance and Implementation Guidance | 12% | - Capability statements and conformance rules - Implementation guides and usage - Profiles and extensions |
| Topic 8: Resource Concepts | 20% | - Resource identification and versioning - Data types and elements - Resource definition and structure |
| Topic 9: FHIR Fundamentals | 16% | - Key concepts and terminology - Core principles and goals - Specification structure and organization |
HL7 FHIR STU3 Proficiency Sample Questions:
1. these committees are charged w/ developing guidelines and standards for ethical decision making in delivery of health care
-resolve issues related to medical ethics
-multidisciplinary
A) ethics committee
B) benefit corporation
C) chief ethics officer
D) credentials committee
2. the creation of the _______ and __________ programs in 1965 also had a significant-albeit indirect-impact on the increased number of hospital beds and their utilization, as government-funded health insurance became available to a large number of elderly and poor Americans
A) Medicaid; Veteran's Administration
B) Federal Employees Retirement System; Medicare
C) Public Hospitals
D) Medicaid; Medicare
3. according to one classification scheme, hospitals with fewer than 100 beds would be classified as _______, those with 100 to 500 beds as ________, and those with 500-plus beds as ______
-fewer than half of all community hospitals in US have 100 beds or more
A) hill-burton act
B) days of care
C) small; medium; large
D) swing bed
4. Resources which do not allow extension to be part of the root element
A) Parameters, Basic
B) Parameters, Bundle
C) Basic, Bundle
D) All of the above
A) 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"
B) Correct Answer B Explanation There are a few resources (ones that do not specialize DomainResource) where extensions are not allowed on the root element, but extensions can appear elsewhere through the resource http://hl7.org/fhir/extensibility.html
C) Correct Answer Option "Both A and B"
D) Correct Answer Only A is correct
5. what hospitals in the US, thanks to the Hill-Burton Act, outnumber all other types of hospitals today?
A) pennsylvania hospital
B) mistakes made w/ EHRs
C) nonprofit community hospitals
D) rural hospitals
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: C |
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