What this means for your practice
Separate the technical standard from permission to use a named service. Confirm that service's own onboarding, permitted uses and continuing responsibilities with its provider.
An example to discuss with your team
Trace the access route for the named interface using its own documentation.


Questions to take to your supplier
Ask for the actual access route and who completes each prerequisite before agreeing a delivery commitment. The FHIR security guidance linked below explains that the exchange standard is not itself a security protocol. Your supplier should explain the approved design and permitted use for the specific connection being proposed.
Agree the working process
Identify the exact service or vendor interface the project intends to use. Then ask its responsible provider for the current onboarding route, permitted uses and ongoing responsibilities. Keep each prerequisite assigned to a person who can resolve it, including any organisational approvals or account arrangements. Public technical documentation can help the implementation team understand the format, but it does not settle whether this organisation is authorised to use that service for this purpose. Make that distinction visible in the project plan before dates are committed.
Ask the supplier to explain which work can proceed while access is unresolved and which depends on confirmation. Use authorised test arrangements rather than assume production access will be available for discovery. Record the approved access scope and the owner responsible after launch. The practice should be able to distinguish an implementation question from an access question and understand the next action for each, without being asked to interpret the standard as if it were a permission letter.
How to check the result
Count access prerequisites unresolved before delivery commitments.
Turn reading into a next step
Your action checklist
Work through these checks with your team or supplier. Tick the ones you have resolved and leave unknowns open.
Record what you know, what is still missing and the answer you need from your team or supplier.
Use project decisions only, without personal, patient or confidential details. Entries stay in this page and are not submitted to Kay & Co. Copy or download before leaving; this page does not save your notes.
Further reading
These sources provide background for the topic. The practice examples and checklist are illustrative planning suggestions from Kay & Co.
Related guides
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