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Conformance over time

What changed across the record, month by month

Covering 2026-08 to 2026-10. Every figure below is computed from the observation record on each publish; none of it is stored, and none of it is written by hand.

88 endpoints, 3 months of record, 71 recorded declaration changes and 7 recorded returns.

2026-10 is covered only as far as 2026-10-03, the most recent observation on the record. Its counts are a part of that month, not all of it.

This report does not say whether grades moved. The observation record retains availability and a capability fingerprint; it has never retained a grade, so no run can look up what an endpoint was graded last month. Deriving one from the fingerprint would be inventing a measurement nobody took. What is reported instead is what the record does hold: who was observed, who answered, and what changed in what they declare.

Month by month

2026-08

45 endpoints were observed at least once this month. 37 answered every check they were given and 8 missed at least one. An endpoint absent from both numbers was not observed at all this month, which is a fact about this project's runs.

Entered the record

Missed at least one check

Changed what it declares

10 recorded changes to what an endpoint declares.

  1. 2026-08-07 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.259.0' -> '2.260.0'
  2. 2026-08-08 L.A. Care Health Plan Provider Directory API
    • software_version: '5.4.1.13_edfx' -> '5.4.1.11_edfx'
  3. 2026-08-11 HealthPartners Patient Access API
    • software_version: '4.0.817' -> '5.0.14'
  4. 2026-08-12 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.260.0' -> '2.262.0'
  5. 2026-08-12 Epic on FHIR public sandbox
    • software_version: 'May 2026' -> 'August 2026'
    • resource_count: 59 -> 60
    • resources_with_interactions: 59 -> 60
  6. 2026-08-19 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.262.0' -> '2.264.0'
  7. 2026-08-19 HealthPartners Patient Access API
    • software_version: '5.0.14' -> '5.0.23'
  8. 2026-08-25 UnitedHealthcare Provider Directory API
    • software_version: '4.4.2.4' -> '4.5.0.9'
  9. 2026-08-28 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.264.0' -> '2.265.0'
  10. 2026-08-29 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.265.0' -> '2.266.0'

Moved from one condition to another

No endpoint that failed to answer moved from one recorded condition to another this month. A month with no move is the ordinary case; a month before this project began retaining the condition can produce no move at all, which is a fact about the record rather than about any endpoint.

2026-09

88 endpoints were observed at least once this month. 63 answered every check they were given and 25 missed at least one. An endpoint absent from both numbers was not observed at all this month, which is a fact about this project's runs.

Entered the record

Missed at least one check

Changed what it declares

51 recorded changes to what an endpoint declares.

  1. 2026-09-02 Elevance Health shared Provider Directory API
    • resource_count: 7 -> 8
    • resources_with_interactions: 7 -> 8
  2. 2026-09-02 Kaiser Permanente Health Plan Patient Access API
    • resource_count: 10 -> 12
    • resources_with_interactions: 10 -> 12
    • declared profiles: 15 -> 0
  3. 2026-09-03 HealthPartners Patient Access API
    • software_version: '5.0.23' -> '5.0.34'
    • declared profiles: 113 -> 122
  4. 2026-09-03 Imperial Health Plan Provider Directory API
    • software_version: '5.0.23' -> '5.0.34'
  5. 2026-09-04 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.266.0' -> '2.267.0'
  6. 2026-09-05 HealthPartners Patient Access API
    • software_version: '5.0.34' -> '5.0.35'
  7. 2026-09-05 Imperial Health Plan Provider Directory API
    • software_version: '5.0.34' -> '5.0.35'
  8. 2026-09-08 Firely public test server
    • declared profiles: 215 -> 217
  9. 2026-09-09 Medplum public API
    • software_version: '5.1.37-627079f' -> '5.1.37-0c4d54c'
  10. 2026-09-10 HealthPartners Patient Access API
    • software_version: '5.0.35' -> '5.0.55'
  11. 2026-09-10 Imperial Health Plan Provider Directory API
    • software_version: '5.0.35' -> '5.0.55'
  12. 2026-09-10 Medplum public API
    • software_version: '5.1.37-0c4d54c' -> '5.1.37-a834432'
  13. 2026-09-11 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.267.0' -> '2.268.0'
  14. 2026-09-11 Medplum public API
    • software_version: '5.1.37-a834432' -> '5.1.37-2436608'
  15. 2026-09-11 Paramount Health Care Interoperability API
    • resource_count: 157 -> 195
    • resources_with_interactions: 157 -> 195
  16. 2026-09-12 Medplum public API
    • software_version: '5.1.37-2436608' -> '5.1.37-a9b62fb'
  17. 2026-09-14 HAPI FHIR public test server (R4)
    • declared profiles: 0 -> 3
  18. 2026-09-15 Medplum public API
    • software_version: '5.1.37-a9b62fb' -> '5.1.38-148f059'
  19. 2026-09-16 CareSource Patient Access API
    • software_version: '0.55.3' -> '0.56.0'
  20. 2026-09-16 CareSource Provider Directory API
    • software_version: '0.55.3' -> '0.56.0'
  21. 2026-09-16 HAPI FHIR public test server (R5)
    • declared profiles: 132 -> 63
  22. 2026-09-16 Medplum public API
    • software_version: '5.1.38-148f059' -> '5.1.39-a4523f7'
  23. 2026-09-16 Quartz Patient Access API
    • software_version: 'August 2025' -> 'May 2026'
  24. 2026-09-17 Health Plan of San Mateo Patient Access API
    • 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'
  25. 2026-09-17 Medplum public API
    • software_version: '5.1.39-a4523f7' -> '5.1.39-6ffc6eb'
  26. 2026-09-17 Priority Health Patient Access API
    • 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'
  27. 2026-09-18 HAPI FHIR public test server (R4)
    • software_version: '8.11.16-SNAPSHOT/7e7129efb5/2026-07-08' -> '8.13.9-SNAPSHOT/24f65e12fb/2026-09-17'
  28. 2026-09-18 HAPI FHIR public test server (R5)
    • software_version: '8.11.16-SNAPSHOT/7e7129efb5/2026-07-08' -> '8.13.9-SNAPSHOT/24f65e12fb/2026-09-17'
  29. 2026-09-18 Medplum public API
    • software_version: '5.1.39-6ffc6eb' -> '5.1.39-830c511'
  30. 2026-09-18 Medplum public API
    • software_version: '5.1.39-830c511' -> '5.1.39-6e99ae7'
  31. 2026-09-22 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.268.0' -> '2.269.0'
  32. 2026-09-22 CareSource Patient Access API
    • software_version: '0.56.0' -> '0.58.0'
  33. 2026-09-22 CareSource Provider Directory API
    • software_version: '0.56.0' -> '0.58.0'
  34. 2026-09-22 Medplum public API
    • software_version: '5.1.39-6e99ae7' -> '5.1.39-2fe66c9'
  35. 2026-09-23 Medplum public API
    • software_version: '5.1.39-2fe66c9' -> '5.1.39-ab2bf85'
  36. 2026-09-23 UnitedHealthcare Provider Directory API
    • software_version: '4.5.0.9' -> '4.6.1.7'
  37. 2026-09-24 Firely public test server
    • software_version: '6.9.1+e4f2e63c5e20f326898f61339c3b3fcd48017201' -> '6.10.0+85497ec0fbbebba6d026fcb7f8ca70efc9955b69'
  38. 2026-09-24 Firely public test server (R5)
    • software_version: '6.9.1+e4f2e63c5e20f326898f61339c3b3fcd48017201' -> '6.10.0+85497ec0fbbebba6d026fcb7f8ca70efc9955b69'
  39. 2026-09-24 HealthPartners Patient Access API
    • software_version: '5.0.55' -> '5.0.65'
  40. 2026-09-24 Imperial Health Plan Provider Directory API
    • software_version: '5.0.55' -> '5.0.65'
  41. 2026-09-24 Medplum public API
    • software_version: '5.1.39-ab2bf85' -> '5.1.40-c196169'
  42. 2026-09-25 HAPI FHIR public test server (R4)
    • software_version: '8.13.9-SNAPSHOT/24f65e12fb/2026-09-17' -> '8.13.10-SNAPSHOT/6bd250944e/2026-09-25'
  43. 2026-09-25 HAPI FHIR public test server (R5)
    • software_version: '8.13.9-SNAPSHOT/24f65e12fb/2026-09-17' -> '8.13.10-SNAPSHOT/6bd250944e/2026-09-25'
  44. 2026-09-25 Medplum public API
    • software_version: '5.1.40-c196169' -> '5.1.42-89c6095'
  45. 2026-09-26 Medplum public API
    • software_version: '5.1.42-89c6095' -> '5.1.42-298e653'
  46. 2026-09-28 Medplum public API
    • software_version: '5.1.42-298e653' -> '5.1.42-890af94'
  47. 2026-09-29 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.269.0' -> '2.270.0'
  48. 2026-09-29 HAPI FHIR public test server (R4)
    • declared profiles: 0 -> 4
  49. 2026-09-29 Medplum public API
    • software_version: '5.1.42-890af94' -> '5.1.42-2ec3843'
  50. 2026-09-30 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.270.0' -> '2.271.0'
  51. 2026-09-30 Medplum public API
    • software_version: '5.1.42-2ec3843' -> '5.1.43-dfbf43c'

Declarations returned to

Counted apart from the changes above, because one hostname in front of more than one backend is not a run of releases.

Moved from one condition to another

An endpoint that did not answer, and whose recorded condition differs from the previous day it did not answer. Neither end of a move is a grade and neither is read as better or worse than the other; this reports that the condition changed.

2026-10

88 endpoints were observed at least once this month. 71 answered every check they were given and 17 missed at least one. An endpoint absent from both numbers was not observed at all this month, which is a fact about this project's runs.

Entered the record

No endpoint entered the record this month.

Missed at least one check

Changed what it declares

10 recorded changes to what an endpoint declares.

  1. 2026-10-01 CMS Blue Button 2.0 (Medicare)
    • software_version: '2.271.0' -> '2.272.0'
  2. 2026-10-01 HealthPartners Patient Access API
    • software_version: '5.0.65' -> '5.0.86'
    • resource_count: 146 -> 24
    • resources_with_interactions: 145 -> 24
    • declared profiles: 122 -> 88
  3. 2026-10-01 Imperial Health Plan Provider Directory API
    • software_version: '5.0.65' -> '5.0.86'
  4. 2026-10-01 Medplum public API
    • software_version: '5.1.43-dfbf43c' -> '5.2.0-30b2a62'
  5. 2026-10-02 Blue Cross and Blue Shield of Nebraska Patient Access API
    • 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'
  6. 2026-10-02 Cox HealthPlans Interoperability API
    • software_version: '4.0.1 3.9.0 v1.0.0-rc+202607151200 bc93922' -> '4.0.1 3.11.2 v1.0.0-rc+202609291200 22bf7ee'
  7. 2026-10-02 Health Plan of San Mateo Patient Access API
    • 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'
  8. 2026-10-02 Medplum public API
    • software_version: '5.2.0-30b2a62' -> '5.2.0-4e9a937'
  9. 2026-10-02 Priority Health Patient Access API
    • 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'
  10. 2026-10-03 Medplum public API
    • software_version: '5.2.0-4e9a937' -> '5.2.1-e0db1fc'

Declarations returned to

Counted apart from the changes above, because one hostname in front of more than one backend is not a run of releases.

Moved from one condition to another

An endpoint that did not answer, and whose recorded condition differs from the previous day it did not answer. Neither end of a move is a grade and neither is read as better or worse than the other; this reports that the condition changed.

What a reader should take from this

Nothing here is a trend. A month is a window over one project's probing schedule, and a month with fewer observations is a month with fewer runs, not a month with less availability. The per-endpoint record at the observation record carries every observation with its date, which is the evidence these counts are drawn from.

The narrative front door this report was planned to have is a piece of writing, not a computation, and is deliberately not generated here.