{
  "disclaimer": "Observational snapshot of public, unauthenticated FHIR discovery surfaces. Not an audit, a ranking of care quality, or a statement about any organization's regulatory compliance.",
  "generated_at": "2026-08-15 02:13 UTC",
  "generator": "fhir-scorecard",
  "scorecards": [
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 516 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "3 resource types declared (narrow but fully documented)",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "3/3 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "3 profile canonical(s) declared in rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 60,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [
        "2026-08-07: software_version: '2.259.0' -> '2.260.0'",
        "2026-08-12: software_version: '2.260.0' -> '2.262.0'"
      ],
      "endpoint_id": "cms-blue-button-2",
      "grade": "B",
      "kind": "payer",
      "name": "CMS Blue Button 2.0 (Medicare)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 827 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "22 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "22/22 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "humana",
      "grade": "A",
      "kind": "payer",
      "name": "Humana Patient Access API",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 313 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "25 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "25/25 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "no profile canonical declared in rest.resource.supportedProfile, rest.resource.profile, instantiates, imports, or meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/us/core/",
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              "max_points": 0,
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              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 38,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "aetna-demo",
      "grade": "C",
      "kind": "payer",
      "name": "Aetna Patient Access (public demo instance)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 576 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
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          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "28 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "28/28 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
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          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "cigna-patientaccess",
      "grade": "A",
      "kind": "payer",
      "name": "Cigna Patient Access API",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 478 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "26 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "26/26 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "bcbs-mn",
      "grade": "A",
      "kind": "payer",
      "name": "Blue Cross Blue Shield of Minnesota Patient Access API (preview)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 2970 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "146 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "145/146 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [
        "2026-08-11: software_version: '4.0.817' -> '5.0.14'"
      ],
      "endpoint_id": "healthpartners",
      "grade": "A",
      "kind": "payer",
      "name": "HealthPartners Patient Access API",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 442 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "28 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "27/28 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "capital-bluecross",
      "grade": "A",
      "kind": "payer",
      "name": "Capital Blue Cross Patient Access API",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 487 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "17 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "17/17 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "17 profile canonical(s) declared in rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 60,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "iehp-patient-access",
      "grade": "B",
      "kind": "payer",
      "name": "Inland Empire Health Plan Patient Access API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 375 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "7 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "7/7 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "7 profile canonical(s) declared in rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "SMART discovery not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 0,
              "message": "OAuth security not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 0,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "iehp-provider-directory",
      "grade": "D",
      "kind": "payer_provider_directory",
      "name": "Inland Empire Health Plan Provider Directory API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 531 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "24 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "24/24 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.profile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "sharp-health-plan-patient-access",
      "grade": "A",
      "kind": "payer",
      "name": "Sharp Health Plan Patient Access API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 188 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "7 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "7/7 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "8 profile canonical(s) declared in rest.resource.profile, rest.resource.supportedProfile, none of them US Core, CARIN, or Da Vinci; also checked instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I4",
              "max_points": 0,
              "message": "informational: title names US Core, CARIN, or Da Vinci in prose, but no profile canonical is declared in any conformance element. Prose is not a conformance claim and scores nothing either way; adding rest.resource.supportedProfile entries would make the claim machine-readable",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "SMART discovery not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 0,
              "message": "OAuth security not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 0,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "sharp-health-plan-provider-directory",
      "grade": "D",
      "kind": "payer_provider_directory",
      "name": "Sharp Health Plan Provider Directory API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 625 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "10 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "10/10 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "kaiser-permanente-health-plan",
      "grade": "A",
      "kind": "payer",
      "name": "Kaiser Permanente Health Plan Patient Access API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 579 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "146 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "146/146 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "147 profile canonical(s) declared in CapabilityStatement.instantiates, rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 60,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "scfhp-patient-access",
      "grade": "B",
      "kind": "payer",
      "name": "Santa Clara Family Health Plan Patient Access API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 198 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "4 resource types declared (narrow but fully documented)",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "4/4 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "4 profile canonical(s) declared in rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "SMART discovery not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 0,
              "message": "OAuth security not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 0,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "scfhp-provider-directory",
      "grade": "D",
      "kind": "payer_provider_directory",
      "name": "Santa Clara Family Health Plan Provider Directory API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 454 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "144 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "144/144 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "hpsm-patient-access",
      "grade": "A",
      "kind": "payer",
      "name": "Health Plan of San Mateo Patient Access API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 413 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "24 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "24/24 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "SMART discovery not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 0,
              "message": "OAuth security not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [
        "2026-08-08: software_version: '5.4.1.13_edfx' -> '5.4.1.11_edfx'",
        "2026-08-08: software_version: '5.4.1.11_edfx' -> '5.4.1.13_edfx'",
        "2026-08-11: software_version: '5.4.1.13_edfx' -> '5.4.1.11_edfx'",
        "2026-08-12: software_version: '5.4.1.11_edfx' -> '5.4.1.13_edfx'",
        "2026-08-13: software_version: '5.4.1.13_edfx' -> '5.4.1.11_edfx'",
        "2026-08-14: software_version: '5.4.1.11_edfx' -> '5.4.1.13_edfx'",
        "2026-08-15: software_version: '5.4.1.13_edfx' -> '5.4.1.11_edfx'"
      ],
      "endpoint_id": "la-care-provider-directory",
      "grade": "A",
      "kind": "payer_provider_directory",
      "name": "L.A. Care Health Plan Provider Directory API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 629 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "24 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "24/24 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "SMART discovery not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 0,
              "message": "OAuth security not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "ccah-provider-directory",
      "grade": "A",
      "kind": "payer_provider_directory",
      "name": "Central California Alliance for Health Provider Directory API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 8 of 8 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 253 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "8 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "8/8 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "SMART discovery not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 0,
              "message": "OAuth security not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "chg-provider-directory",
      "grade": "A",
      "kind": "payer_provider_directory",
      "name": "Community Health Group Provider Directory API",
      "observed_since": "2026-08-08",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 348 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "8 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "8/8 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "SMART discovery not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 0,
              "message": "OAuth security not applicable: a Provider Directory API is public by design",
              "observed": true,
              "ok": true,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "cigna-provider-directory",
      "grade": "A",
      "kind": "payer_provider_directory",
      "name": "Cigna Provider Directory API",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 328 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "19 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "19/19 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.profile, rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "va-lighthouse",
      "grade": "A",
      "kind": "provider",
      "name": "VA Lighthouse Patient Health API (production)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 9 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 282 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
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          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "60 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "60/60 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 35,
              "message": "SMART discovery document present and complete",
              "observed": true,
              "ok": true,
              "points": 35
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
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          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
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      "drift_events": [
        "2026-08-12: software_version: 'May 2026' -> 'August 2026'; resource_count: 59 -> 60; resources_with_interactions: 59 -> 60"
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      "kind": "ehr",
      "name": "Epic on FHIR public sandbox",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
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      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
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        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
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              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
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            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 218 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
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          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
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              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "42 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "42/42 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
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          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
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              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
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              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "no OAuth security service declared",
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              "ok": false,
              "points": 0
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          "key": "interop",
          "score": 62,
          "title": "Interop readiness"
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      "drift_events": [],
      "endpoint_id": "oracle-health-open",
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      "kind": "ehr",
      "name": "Oracle Health (Cerner) open sandbox",
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      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
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              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
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            {
              "citation": "https://hl7.org/fhir/R4/http.html",
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              "max_points": 40,
              "message": "/metadata responded in 411 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
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          "key": "reachability",
          "score": 100,
          "title": "Reachability"
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        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
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              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "146 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "146/146 declared resources document their interactions",
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              "ok": true,
              "points": 25
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          ],
          "key": "transparency",
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          "title": "Capability transparency"
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        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
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              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
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              "ok": true,
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              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
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              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
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              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
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          ],
          "key": "interop",
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          "title": "Interop readiness"
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      "drift_events": [
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      "endpoint_id": "medplum",
      "grade": "A",
      "kind": "ehr",
      "name": "Medplum public API",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
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              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
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            {
              "citation": "https://hl7.org/fhir/R4/http.html",
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              "message": "/metadata responded in 157 ms (median across 3 reachable vantages on one network)",
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          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
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            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "message": "software name/version missing",
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            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "26 resource types declared",
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              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "25/26 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
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          "score": 80,
          "title": "Capability transparency"
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        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
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              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
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              "ok": true,
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              "max_points": 25,
              "message": "OAuth/SMART security service declared in CapabilityStatement",
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          ],
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          "score": 100,
          "title": "Interop readiness"
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      "drift_events": [],
      "endpoint_id": "inferno-reference",
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      "kind": "reference",
      "name": "ONC Inferno reference server (US Core / SMART)",
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              "citation": "https://hl7.org/fhir/R4/http.html",
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          "score": 100,
          "title": "Reachability"
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        {
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              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "message": "software name and version declared",
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            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "max_points": 25,
              "message": "146 resource types declared",
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              "ok": true,
              "points": 25
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            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "max_points": 25,
              "message": "146/146 declared resources document their interactions",
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          "title": "Capability transparency"
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          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
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              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
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              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "no OAuth security service declared",
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          ],
          "key": "interop",
          "score": 62,
          "title": "Interop readiness"
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      ],
      "drift_events": [],
      "endpoint_id": "firely-public",
      "grade": "B",
      "kind": "reference",
      "name": "Firely public test server",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
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    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
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              "citation": "https://hl7.org/fhir/R4/http.html",
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              "citation": "https://hl7.org/fhir/R4/http.html",
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              "max_points": 40,
              "message": "/metadata responded in 1328 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
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          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
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              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.1' (expected 4.x)",
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              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "146 resource types declared",
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              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "146/146 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "147 profile canonical(s) declared in CapabilityStatement.instantiates, rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "no OAuth security service declared",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 0,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "hapi-fhir-r4",
      "grade": "C",
      "kind": "reference",
      "name": "HAPI FHIR public test server (R4)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 492 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '4.0.0' (expected 4.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "146 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "146/146 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "146 profile canonical(s) declared in rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "no OAuth security service declared",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 0,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "smart-health-it-r4",
      "grade": "C",
      "kind": "reference",
      "name": "SMART Health IT open sandbox (R4)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 1448 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '5.0.0' (expected 5.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "158 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "158/158 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in rest.resource.supportedProfile",
              "observed": true,
              "ok": true,
              "points": 40
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "no OAuth security service declared",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 62,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "hapi-fhir-r5",
      "grade": "B",
      "kind": "reference",
      "name": "HAPI FHIR public test server (R5)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 1185 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '5.0.0' (expected 5.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "158 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "158/158 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "377 profile canonical(s) declared in rest.resource.profile, rest.resource.supportedProfile, none of them US Core, CARIN, or Da Vinci; also checked instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "no OAuth security service declared",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 0,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "firely-r5",
      "grade": "C",
      "kind": "reference",
      "name": "Firely public test server (R5)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    },
    {
      "availability": "answered 10 of 10 checks so far; availability is reported once 14 observations exist",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R1",
              "max_points": 60,
              "message": "/metadata answers with HTTP 2xx over HTTPS: reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks",
              "observed": true,
              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 474 ms (median across 3 reachable vantages on one network)",
              "observed": true,
              "ok": true,
              "points": 40
            }
          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T1",
              "max_points": 30,
              "message": "fhirVersion declared: '3.0.1' (expected 3.x)",
              "observed": true,
              "ok": true,
              "points": 30
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T2",
              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "117 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "117/117 declared resources document their interactions",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "117 profile canonical(s) declared in rest.resource.profile, none of them US Core, CARIN, or Da Vinci; also checked rest.resource.supportedProfile, instantiates, imports, meta.profile",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I2",
              "max_points": 0,
              "message": "no vantage retrieved .well-known/smart-configuration on this run, so whether it is published is unknown",
              "observed": false,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
              "code": "I3",
              "max_points": 25,
              "message": "no OAuth security service declared",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": 0,
          "title": "Interop readiness"
        }
      ],
      "drift_events": [],
      "endpoint_id": "smart-health-it-stu3",
      "grade": "C",
      "kind": "reference",
      "name": "SMART Health IT open sandbox (STU3)",
      "observed_since": "2026-08-05",
      "reachable": true,
      "vantage_note": "reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks"
    }
  ],
  "vantage": "reconciled from github-actions/macos-latest, github-actions/ubuntu-latest, github-actions/windows-latest"
}