{
  "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": "2026-08-20 00:51 UTC",
  "generator": "fhir-scorecard",
  "scorecards": [
    {
      "availability": "answered 14 of the last 14 daily checks (100%)",
      "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 557 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
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          ],
          "key": "interop",
          "score": 60,
          "title": "Interop readiness"
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      ],
      "drift_alternations": [],
      "drift_events": [
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        "2026-08-12: software_version: '2.260.0' -> '2.262.0'",
        "2026-08-19: software_version: '2.262.0' -> '2.264.0'"
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      "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 14 of the last 14 daily checks (100%)",
      "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 886 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
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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",
              "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"
        }
      ],
      "drift_alternations": [],
      "drift_events": [],
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      "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 14 of the last 14 daily checks (100%)",
      "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,
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            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
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              "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/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "max_points": 25,
              "message": "25 resource types declared",
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              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "max_points": 25,
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              "ok": true,
              "points": 25
            }
          ],
          "key": "transparency",
          "score": 80,
          "title": "Capability transparency"
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        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
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              "max_points": 40,
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              "ok": false,
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            },
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              "citation": "https://hl7.org/fhir/us/core/",
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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
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          ],
          "key": "interop",
          "score": 38,
          "title": "Interop readiness"
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      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "aetna-demo",
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      "kind": "payer",
      "name": "Aetna Patient Access (public demo instance)",
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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 14 of the last 14 daily checks (100%)",
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        {
          "findings": [
            {
              "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 547 ms (median across 3 reachable vantages on one network)",
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              "ok": true,
              "points": 40
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          ],
          "key": "reachability",
          "score": 100,
          "title": "Reachability"
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        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "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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              "message": "software name/version missing",
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              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "max_points": 25,
              "message": "28 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "message": "28/28 declared resources document their interactions",
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              "ok": true,
              "points": 25
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          ],
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          "score": 80,
          "title": "Capability transparency"
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        {
          "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",
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              "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_alternations": [],
      "drift_events": [],
      "endpoint_id": "cigna-patientaccess",
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      "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 14 of the last 14 daily checks (100%)",
      "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 718 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",
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              "ok": true,
              "points": 20
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "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/",
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              "max_points": 40,
              "message": "US Core / CARIN / Da Vinci profiles declared in 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": 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"
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      ],
      "drift_alternations": [],
      "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 14 of the last 14 daily checks (100%)",
      "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 1000 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"
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      ],
      "drift_alternations": [],
      "drift_events": [
        "2026-08-11: software_version: '4.0.817' -> '5.0.14'",
        "2026-08-19: software_version: '5.0.14' -> '5.0.23'"
      ],
      "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 14 of the last 14 daily checks (100%)",
      "dimensions": [
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          "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 688 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_alternations": [],
      "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 12 of 12 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 203 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_alternations": [],
      "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 12 of 12 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 111 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_alternations": [],
      "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 12 of 12 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 844 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_alternations": [],
      "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 12 of 12 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 108 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_alternations": [],
      "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 12 of 12 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 672 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_alternations": [],
      "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 12 of 12 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 452 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_alternations": [],
      "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 12 of 12 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 108 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_alternations": [],
      "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 12 of 12 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 627 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_alternations": [],
      "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 12 of 12 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 640 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_alternations": [
        "2026-08-08 to 2026-08-20: returned 5 times to a declaration first observed 2026-08-08 (software_version: '5.4.1.11_edfx' -> '5.4.1.13_edfx') - counted, not recorded as a new change each time",
        "2026-08-11 to 2026-08-20: returned 5 times to a declaration first observed 2026-08-08 (software_version: '5.4.1.13_edfx' -> '5.4.1.11_edfx') - counted, not recorded as a new change each time"
      ],
      "drift_events": [
        "2026-08-08: 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 12 of 12 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 525 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_alternations": [],
      "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 12 of 12 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 311 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_alternations": [],
      "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 14 of the last 14 daily checks (100%)",
      "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 412 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_alternations": [],
      "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 14 of the last 14 daily checks (100%)",
      "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 468 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,
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            },
            {
              "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,
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              "points": 25
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          ],
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          "score": 80,
          "title": "Capability transparency"
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          "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",
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              "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,
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          ],
          "key": "interop",
          "score": 100,
          "title": "Interop readiness"
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      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "va-lighthouse",
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      "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 13 of the last 14 daily checks (93%)",
      "dimensions": [
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
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              "ok": true,
              "points": 60
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "/metadata responded in 398 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",
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              "max_points": 20,
              "message": "software name and version declared",
              "observed": true,
              "ok": true,
              "points": 20
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            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T3",
              "max_points": 25,
              "message": "60 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
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            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "observed": true,
              "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",
              "observed": true,
              "ok": true,
              "points": 40
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            {
              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
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              "max_points": 35,
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              "ok": true,
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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",
              "observed": true,
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          "key": "interop",
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      "kind": "ehr",
      "name": "Epic on FHIR public sandbox",
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          "findings": [
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              "citation": "https://hl7.org/fhir/R4/http.html",
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            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
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          "title": "Reachability"
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        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "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": "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"
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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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              "citation": "https://hl7.org/fhir/smart-app-launch/conformance.html",
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      "drift_alternations": [],
      "drift_events": [],
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      "kind": "ehr",
      "name": "Oracle Health (Cerner) open sandbox",
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      "reachable": true,
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          "findings": [
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              "citation": "https://hl7.org/fhir/R4/http.html",
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          "findings": [
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              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "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",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "ok": true,
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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
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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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        "2026-08-19: software_version: '5.1.30-76fa156' -> '5.1.30-74dfb62'",
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      "kind": "ehr",
      "name": "Medplum public API",
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      "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 14 of the last 14 daily checks (100%)",
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          "findings": [
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              "citation": "https://hl7.org/fhir/R4/http.html",
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              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
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              "citation": "https://hl7.org/fhir/us/core/",
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              "message": "US Core / CARIN / Da Vinci profiles declared in CapabilityStatement.instantiates, rest.resource.supportedProfile",
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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)",
              "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": "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_alternations": [],
      "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 14 of the last 14 daily checks (100%)",
      "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 591 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_alternations": [],
      "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 14 of the last 14 daily checks (100%)",
      "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 1735 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_alternations": [],
      "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 14 of the last 14 daily checks (100%)",
      "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 1703 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_alternations": [],
      "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 14 of the last 14 daily checks (100%)",
      "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 609 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_alternations": [],
      "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"
    },
    {
      "availability": "answered 2 of 2 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 995 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": "9 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "9/9 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": "9 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_alternations": [],
      "drift_events": [],
      "endpoint_id": "unitedhealthcare-provider-directory",
      "grade": "C",
      "kind": "payer_provider_directory",
      "name": "UnitedHealthcare Provider Directory API",
      "observed_since": "2026-08-19",
      "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 0 of 2 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 not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 401",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "latency unmeasured: endpoint unreachable",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "reachability",
          "score": 0,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "transparency",
          "score": null,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": null,
          "title": "Interop readiness"
        }
      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "wellpoint-patient-access",
      "grade": "not observed",
      "kind": "payer",
      "name": "Wellpoint Patient Access API",
      "observed_since": "2026-08-19",
      "reachable": false,
      "vantage_note": "not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 401"
    },
    {
      "availability": "answered 2 of 2 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 177 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": "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": 100,
          "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_alternations": [],
      "drift_events": [],
      "endpoint_id": "elevance-shared-provider-directory",
      "grade": "C",
      "kind": "payer_provider_directory",
      "name": "Elevance Health shared Provider Directory API",
      "observed_since": "2026-08-19",
      "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 2 of 2 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 1973 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": "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": "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_alternations": [],
      "drift_events": [],
      "endpoint_id": "imperial-provider-directory",
      "grade": "C",
      "kind": "payer_provider_directory",
      "name": "Imperial Health Plan Provider Directory API",
      "observed_since": "2026-08-19",
      "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 0 of 2 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 not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: TLS error: SSLError",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "latency unmeasured: endpoint unreachable",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "reachability",
          "score": 0,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "transparency",
          "score": null,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": null,
          "title": "Interop readiness"
        }
      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "imperial-patient-access",
      "grade": "not observed",
      "kind": "payer",
      "name": "Imperial Health Plan Patient Access API",
      "observed_since": "2026-08-19",
      "reachable": false,
      "vantage_note": "not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: TLS error: SSLError"
    },
    {
      "availability": "answered 0 of 2 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 not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 500",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "latency unmeasured: endpoint unreachable",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "reachability",
          "score": 0,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "transparency",
          "score": null,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": null,
          "title": "Interop readiness"
        }
      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "hcsc-provider-directory",
      "grade": "not observed",
      "kind": "payer_provider_directory",
      "name": "Health Care Service Corporation Provider Directory API",
      "observed_since": "2026-08-19",
      "reachable": false,
      "vantage_note": "not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 500"
    },
    {
      "availability": "answered 0 of 2 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 not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 404",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "latency unmeasured: endpoint unreachable",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "reachability",
          "score": 0,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "transparency",
          "score": null,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": null,
          "title": "Interop readiness"
        }
      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "christus-provider-directory",
      "grade": "not observed",
      "kind": "payer_provider_directory",
      "name": "CHRISTUS Health Plan Provider Directory API",
      "observed_since": "2026-08-19",
      "reachable": false,
      "vantage_note": "not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 404"
    },
    {
      "availability": "answered 1 of 1 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 1008 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": "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_alternations": [],
      "drift_events": [],
      "endpoint_id": "florida-blue-patient-access",
      "grade": "A",
      "kind": "payer",
      "name": "Florida Blue Patient Access API (CMS Interoperability conformance endpoint)",
      "observed_since": "2026-08-20",
      "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 1 of 1 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 952 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_alternations": [],
      "drift_events": [],
      "endpoint_id": "florida-blue-provider-directory",
      "grade": "A",
      "kind": "payer_provider_directory",
      "name": "Florida Blue Provider Directory API (CMS Interoperability conformance endpoint)",
      "observed_since": "2026-08-20",
      "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 1 of 1 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 202 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": "9 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "9/9 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": "9 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": "OAuth/SMART security service declared in CapabilityStatement",
              "observed": true,
              "ok": true,
              "points": 25
            }
          ],
          "key": "interop",
          "score": 38,
          "title": "Interop readiness"
        }
      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "avmed-patient-access",
      "grade": "B",
      "kind": "payer",
      "name": "AvMed Patient Access API",
      "observed_since": "2026-08-20",
      "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 0 of 1 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 not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 404",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "citation": "https://hl7.org/fhir/R4/http.html",
              "code": "R2",
              "max_points": 40,
              "message": "latency unmeasured: endpoint unreachable",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "reachability",
          "score": 0,
          "title": "Reachability"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "transparency",
          "score": null,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "NR",
              "max_points": 0,
              "message": "no CapabilityStatement was retrieved from any vantage on this run",
              "observed": false,
              "ok": false,
              "points": 0
            }
          ],
          "key": "interop",
          "score": null,
          "title": "Interop readiness"
        }
      ],
      "drift_alternations": [],
      "drift_events": [],
      "endpoint_id": "avmed-provider-directory",
      "grade": "not observed",
      "kind": "payer_provider_directory",
      "name": "AvMed Provider Directory API",
      "observed_since": "2026-08-20",
      "reachable": false,
      "vantage_note": "not reached from any of the 3 vantages tried, all on one network (github-actions), so this run cannot separate an endpoint that is down from one that does not answer this network: HTTP 404"
    },
    {
      "availability": "answered 1 of 1 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 704 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": "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": 100,
          "title": "Capability transparency"
        },
        {
          "findings": [
            {
              "citation": "https://hl7.org/fhir/us/core/",
              "code": "I1",
              "max_points": 40,
              "message": "22 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_alternations": [],
      "drift_events": [],
      "endpoint_id": "amerihealth-caritas-next-patient-access",
      "grade": "B",
      "kind": "payer",
      "name": "AmeriHealth Caritas Next (Florida) Patient Access API",
      "observed_since": "2026-08-20",
      "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 1 of 1 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 309 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": "6 resource types declared",
              "observed": true,
              "ok": true,
              "points": 25
            },
            {
              "citation": "https://hl7.org/fhir/R4/capabilitystatement.html",
              "code": "T4",
              "max_points": 25,
              "message": "6/6 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": "6 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_alternations": [],
      "drift_events": [],
      "endpoint_id": "amerihealth-caritas-next-provider-directory",
      "grade": "C",
      "kind": "payer_provider_directory",
      "name": "AmeriHealth Caritas Next (Florida) Provider Directory API",
      "observed_since": "2026-08-20",
      "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 1 of 1 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 234 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/version missing",
              "observed": true,
              "ok": false,
              "points": 0
            },
            {
              "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": "0/24 declared resources document their interactions",
              "observed": true,
              "ok": false,
              "points": 0
            }
          ],
          "key": "transparency",
          "score": 55,
          "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/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_alternations": [],
      "drift_events": [],
      "endpoint_id": "22-health-patient-access",
      "grade": "C",
      "kind": "payer",
      "name": "22 Health (Community Care Plan) Patient Access API",
      "observed_since": "2026-08-20",
      "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 1 of 1 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 184 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": "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": 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, 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_alternations": [],
      "drift_events": [],
      "endpoint_id": "22-health-provider-directory",
      "grade": "A",
      "kind": "payer_provider_directory",
      "name": "22 Health (Community Care Plan) Provider Directory API",
      "observed_since": "2026-08-20",
      "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"
}