{ "app_to_server": { "answers": [ { "answer": "not_retrieved", "answer_text": "not retrieved on this run", "asks": "Declares private_key_jwt client authentication at the token endpoint", "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html", "detail": "the SMART discovery document was requested and not served on this run", "key": "private_key_jwt", "source": "SMART discovery: token_endpoint_auth_methods_supported" }, { "answer": "not_retrieved", "answer_text": "not retrieved on this run", "asks": "Declares the client_credentials grant, which SMART Backend Services uses", "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html", "detail": "the SMART discovery document was requested and not served on this run", "key": "client_credentials", "source": "SMART discovery: grant_types_supported" }, { "answer": "not_retrieved", "answer_text": "not retrieved on this run", "asks": "Declares the client-confidential-asymmetric capability", "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html", "detail": "the SMART discovery document was requested and not served on this run", "key": "client_confidential_asymmetric", "source": "SMART discovery: capabilities" }, { "answer": "not_retrieved", "answer_text": "not retrieved on this run", "asks": "Declares system-level scopes", "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html", "detail": "the SMART discovery document was requested and not served on this run", "key": "system_scopes", "source": "SMART discovery: scopes_supported" }, { "answer": "declared", "answer_text": "declared", "asks": "Declares an export operation", "citation": "https://hl7.org/fhir/R4/capabilitystatement.html", "detail": "export is declared on Account, ActivityDefinition, AdverseEvent, AllergyIntolerance, Appointment, AppointmentResponse, AuditEvent, Basic, BodyStructure, Bundle, CapabilityStatement, CarePlan, CareTeam, ChargeItem, ChargeItemDefinition, Claim, ClaimResponse, ClinicalImpression, CodeSystem, Communication, CommunicationRequest, CompartmentDefinition, Composition, ConceptMap, Condition, Consent, Contract, Coverage, CoverageEligibilityRequest, CoverageEligibilityResponse, DetectedIssue, Device, DeviceDefinition, DeviceMetric, DeviceRequest, DeviceUseStatement, DiagnosticReport, DocumentManifest, DocumentReference, EffectEvidenceSynthesis, Encounter, Endpoint, EnrollmentRequest, EnrollmentResponse, EpisodeOfCare, EventDefinition, Evidence, EvidenceVariable, ExampleScenario, ExplanationOfBenefit, FamilyMemberHistory, Flag, Goal, GraphDefinition, Group, GuidanceResponse, HealthcareService, ImagingStudy, Immunization, ImmunizationEvaluation, ImmunizationRecommendation, ImplementationGuide, InsurancePlan, Invoice, Library, Linkage, List, Location, Measure, MeasureReport, Media, Medication, MedicationAdministration, MedicationDispense, MedicationKnowledge, MedicationRequest, MedicationStatement, MedicinalProduct, MedicinalProductAuthorization, MedicinalProductContraindication, MedicinalProductIndication, MedicinalProductInteraction, MedicinalProductPackaged, MedicinalProductPharmaceutical, MedicinalProductUndesirableEffect, MessageDefinition, MessageHeader, MolecularSequence, NamingSystem, NutritionOrder, Observation, OperationDefinition, Organization, OrganizationAffiliation, Patient, PaymentNotice, PaymentReconciliation, Person, PlanDefinition, Practitioner, PractitionerRole, Procedure, Provenance, Questionnaire, QuestionnaireResponse, RelatedPerson, RequestGroup, ResearchDefinition, ResearchElementDefinition, ResearchStudy, ResearchSubject, RiskAssessment, RiskEvidenceSynthesis, Schedule, SearchParameter, ServiceRequest, Slot, Specimen, SpecimenDefinition, StructureDefinition, StructureMap, Subscription, Substance, SubstanceSpecification, SupplyDelivery, SupplyRequest, Task, TerminologyCapabilities, TestReport, TestScript, ValueSet, VerificationResult, VisionPrescription", "key": "export_operation", "source": "CapabilityStatement: rest.operation and rest.resource.operation" }, { "answer": "not_listed", "answer_text": "not listed", "asks": "Instantiates the Bulk Data Access implementation guide", "citation": "https://hl7.org/fhir/R4/capabilitystatement.html", "detail": "0 canonicals are instantiated and none is Bulk Data's", "key": "bulk_data_guide", "source": "CapabilityStatement: instantiates" } ], "note": "What the endpoint's own documents declare about app-to-server access, observed on this run. Nothing here was requested or exercised, and none of it is graded." }, "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, "unanswered": false, "withheld_points": 0 }, { "citation": "https://hl7.org/fhir/R4/http.html", "code": "R2", "max_points": 40, "message": "/metadata responded in 469 ms (median across 3 reachable vantages on one network)", "observed": true, "ok": true, "points": 40, "unanswered": false, "withheld_points": 0 } ], "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, "unanswered": false, "withheld_points": 0 }, { "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, "unanswered": false, "withheld_points": 0 }, { "citation": "https://hl7.org/fhir/R4/capabilitystatement.html", "code": "T3", "max_points": 25, "message": "144 resource types declared", "observed": true, "ok": true, "points": 25, "unanswered": false, "withheld_points": 0 }, { "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, "unanswered": false, "withheld_points": 0 } ], "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, "unanswered": false, "withheld_points": 0 }, { "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html", "code": "I2", "max_points": 35, "message": "SMART .well-known/smart-configuration absent or incomplete", "observed": true, "ok": false, "points": 0, "unanswered": false, "withheld_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, "unanswered": false, "withheld_points": 0 } ], "key": "interop", "score": 65, "title": "Interop readiness" } ], "drift_alternations": [], "drift_events": [ "2026-10-02: software_version: '4.0.1 3.11.1 v1.0.0-rc+202609141200 4c9554d' -> '4.0.1 3.11.2 v1.0.0-rc+202609291200 22bf7ee'" ], "endpoint": { "availability": "answered 16 of the last 16 daily checks (100%)", "base_url": "https://api.bcbsnefhir.com/r4", "endpoint_id": "bcbsne-patient-access", "expects_fhir": "r4", "failure_kinds": [], "grade": "B", "interop_score": 65, "kind": "payer", "last_answered": "2026-10-03", "name": "Blue Cross and Blue Shield of Nebraska Patient Access API", "observed_since": "2026-09-18", "reachability_score": 100, "reachable": "true", "reverified_date": "", "transparency_score": 100, "vantages_reached": 3, "vantages_reporting": 3, "verification_basis": "live_capability", "verified_date": "2026-09-13", "verified_method": "base URL taken from the metadata URL Blue Cross and Blue Shield of Nebraska prints verbatim on its own Interoperability Resources page, https://api.bcbsnefhir.com/r4/metadata, which the page tells developers to visit to learn the API's syntax and parameters. Live CapabilityStatement retrieved unauthenticated from the davis-ca residential vantage: fhirVersion 4.0.1, 144 resource types, 37 supportedProfile canonicals including the CARIN Blue Button Coverage and ExplanationOfBenefit profiles. The document names the platform operator, not the payer - publisher '1upHealth', software '1up FHIR Server' - so attribution rests on BCBSNE publishing that exact address in its own materials, on a bcbsnefhir.com host, which is the second basis docs/SAMPLING-FRAME.md allows for a vendor-named document. The page scopes the API to BCBSNE's Medicare Advantage and Qualified Health Plan lines and prints no Provider Directory base URL, so no provider-directory entry is claimed for this issuer" }, "generated_at": "2026-10-03 15:21 UTC", "schema_version": 2, "vantage": "reconciled from github-actions/macos-latest, github-actions/ubuntu-latest, github-actions/windows-latest", "vantages": [ { "elapsed_ms": 324, "error": null, "failure_kind": null, "network": "github-actions", "reachable": true, "status": 200, "vantage": "github-actions/macos-latest" }, { "elapsed_ms": 754, "error": null, "failure_kind": null, "network": "github-actions", "reachable": true, "status": 200, "vantage": "github-actions/ubuntu-latest" }, { "elapsed_ms": 469, "error": null, "failure_kind": null, "network": "github-actions", "reachable": true, "status": 200, "vantage": "github-actions/windows-latest" } ] }