{
  "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 531 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": [
    "2026-09-17: software_version: '4.0.1 3.9.0 v1.0.0-rc+202607151200 bc93922' -> '4.0.1 3.11.1 v1.0.0-rc+202609141200 4c9554d'",
    "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 56 of the last 56 daily checks (100%)",
    "base_url": "https://api.hpsmfhir.com/r4",
    "endpoint_id": "hpsm-patient-access",
    "expects_fhir": "r4",
    "failure_kinds": [],
    "grade": "B",
    "interop_score": 65,
    "kind": "payer",
    "last_answered": "2026-10-03",
    "name": "Health Plan of San Mateo Patient Access API",
    "observed_since": "2026-08-08",
    "reachability_score": 100,
    "reachable": "true",
    "reverified_date": "2026-08-19",
    "transparency_score": 100,
    "vantages_reached": 3,
    "vantages_reporting": 3,
    "verification_basis": "live_capability",
    "verified_date": "2026-08-07",
    "verified_method": "live CapabilityStatement fetch (fhirVersion 4.0.1, 144 resource types). The CapabilityStatement names the vendor, not the plan: publisher '1upHealth', software '1up FHIR Server'. Attribution to Health Plan of San Mateo rests on the plan printing this base URL on its own site, at https://www.hpsm.org/about-us/data-interoperability/app-developer-resources, under the heading 'Available Patient Access and Provider Directory API Endpoints'. The same base URL appears in ONC's Lantern export via the 1upHealth endpoint directory. One base serves both surfaces per the plan's own heading"
  },
  "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": 269,
      "error": null,
      "failure_kind": null,
      "network": "github-actions",
      "reachable": true,
      "status": 200,
      "vantage": "github-actions/macos-latest"
    },
    {
      "elapsed_ms": 1032,
      "error": null,
      "failure_kind": null,
      "network": "github-actions",
      "reachable": true,
      "status": 200,
      "vantage": "github-actions/ubuntu-latest"
    },
    {
      "elapsed_ms": 531,
      "error": null,
      "failure_kind": null,
      "network": "github-actions",
      "reachable": true,
      "status": 200,
      "vantage": "github-actions/windows-latest"
    }
  ]
}