Conformance evaluations

Interoperability Agent

FHIR R4 and US Core Intake Test Kit

SCRIMED conformance evaluations execute deterministic checks against synthetic fixtures and declared connector contracts. A synthetic pass is not certification, partner acceptance, production authorization, or permission to exchange live healthcare data.

Synthetic statussynthetic-pass
Live readinesslive-blocked
Checks passed6
Pre-live blockers3

Deterministic checks

FHIR R4 with deployment-selected US Core 8.0.1 profiles

pass

Synthetic fixture present

synthetic · fixture

fixture-fhir-clinical-record-intake-v1
  • A deterministic FHIR intake fixture must be bound to this evaluation.
pass

Synthetic-only assertion

synthetic · privacy

syntheticOnly=true
  • The evaluation must reject production healthcare data.
pass

FHIR Bundle structure

synthetic · structure

resourceType=Bundle
  • The fixture declares a FHIR Bundle before resource-level normalization.
pass

Required resource coverage

synthetic · profile

Patient, Encounter, Observation, Condition, MedicationRequest, CarePlan
  • The synthetic bundle covers the resource classes required by the connector contract.
pass

FHIR contract binding

synthetic · contract

deployment-approved FHIR R4/R4B profile; CapabilityStatement; US Core and USCDI alignment where applicable; SMART scopes for approved applications
  • The connector contract declares FHIR and deployment-specific conformance targets.
pass

Deterministic fixture validation

synthetic · quality

10/10 checks passed
  • Required signals, safeguards, trace, prohibited actions, and live-review gates must pass.
block

Implementation guide selection

live-readiness · profile

Decision required
  • Select and version-pin deployment-specific US Core profiles and required extensions.
block

CapabilityStatement verification

live-readiness · conformance

Partner artifact required
  • Validate the partner server CapabilityStatement against the approved connector scope.
block

Identity, consent, and durable audit

live-readiness · governance

Production controls not approved
  • Tenant identity, purpose-of-use, consent, and durable audit must be approved and tested.
available

Synthetic FHIR fixture

Deterministic Bundle-shaped input with required resources, safeguards, and trace.

Inspect evidence
available

Integration fixture validation

10 deterministic checks currently pass.

Inspect evidence
required-before-live

Deployment CapabilityStatement

Partner capability and supported interaction evidence must be retained.

required-before-live

Profile validation report

Selected US Core profiles, extensions, terminology, and version pins must pass partner testing.

Required before live exchange

Production use remains denied until every deployment-specific blocker is resolved.

01Deployment-specific US Core profile selection and version pinning
02Partner CapabilityStatement and endpoint acceptance testing
03Tenant identity, SMART authorization, consent, and purpose-of-use approval
04Durable audit persistence and incident-response controls
05Security, privacy, clinical governance, and partner acceptance

Linked controls

Contract, fixture, and standards evidence remain inspectable.

Primary sources

Official references retained for implementation and partner review.