Markets · bedrock market · provisional
Healthcare (FHIR)
Standards and network market. The Kin Score Market layer reads each provider in its market:
who it integrates with, how deep those integrations go, and where the market publishes its own structure.
Methodology.
24providers measured
12 (50.0%)declare their own
3 (12.5%)covered by others only
1 (4.2%)distribution only (sell through, not integrations)
8 (33.3%)undeclared
0in-market workflows shown (1 bridges)
Provisional. Provisional and unweighted: the Market layer is not part of the composite or agent readiness. Leader lists are read within a position, never as one ranking. A provider that declares nothing we can
read is shown as undeclared, with no number: we never infer integrations.
Where this market publishes its structure
- Epic and Oracle Health FHIR endpoint bundles machine-readable
- TEFCA QHINs (RCE) and CommonWell members and products machine-readable
- eClinicalWorks partner directory machine-readable
- Carequality directory not machine-readable: credentialed
- TEFCA participants not machine-readable: credentialed
- athenahealth Marketplace not machine-readable: 403
Own = declares at least one integration itself; covered = visible only because an aggregator, standards body, regulator or partner contract names it; distribution-only = listed only on cloud marketplaces it sells through, a channel reported beside, never counted as its own declared integrations; undeclared = nothing we can read, so no number; declares_compatibility = providers with a `compatible` shape vote, report only (kin, 2026-10-13): never counted as own, never in depth or position.
Leaders by position (provisional)
Provisional: grouped by position, depth compared within a position only. Distribution (cloud marketplaces) and iPaaS bridges are counted beside
position, never inside it. Unknown-builder listings are left out of position shares and counted here.
gravity 4 · other companies invest to build on it
| Provider | Depth | Integrations | In / out | Unknown builder | Distribution | iPaaS bridge | Mix |
|---|
| drchrono |
52.3 |
44 |
43 / 1 |
0 |
0 |
0 |
partner-built 98%, contract 2% |
| eClinicalWorks |
51.8 |
64 |
56 / 8 |
5 |
0 |
0 |
partner-built 88%, provider-built 3%, standard 2%, unknown 8% |
| NextGen Healthcare |
51.8 |
50 |
50 / 0 |
0 |
0 |
0 |
partner-built 100% |
| Canvas Medical |
9.0 |
6 |
0 / 6 |
0 |
0 |
0 |
partner-built 100% |
standard 4 · listed by a voluntary standard's own directory
| Provider | Depth | Integrations | In / out | Unknown builder | Distribution | iPaaS bridge | Mix |
|---|
| athenahealth |
36.4 thin |
2 |
0 / 2 |
0 |
0 |
0 |
contract 33%, standard 67% |
| Health Gorilla |
34.5 thin |
2 |
0 / 2 |
0 |
0 |
0 |
standard 100% |
| Metriport |
34.5 thin |
2 |
0 / 2 |
0 |
0 |
0 |
standard 100% |
| Flexpa |
20.2 thin |
2 |
0 / 2 |
0 |
0 |
0 |
own-page 50%, standard 50% |
core 1 · builds the connectors its customers need
| Provider | Depth | Integrations | In / out | Unknown builder | Distribution | iPaaS bridge | Mix |
|---|
| Medplum |
12.0 |
7 |
0 / 7 |
0 |
0 |
0 |
provider-built 100% |
list 4 · a long list on its own page, mostly unevidenced
| Provider | Depth | Integrations | In / out | Unknown builder | Distribution | iPaaS bridge | Mix |
|---|
| 1upHealth |
9.0 |
5 |
0 / 5 |
0 |
0 |
0 |
own-page 100% |
| Elation Health |
9.0 |
16 |
0 / 16 |
0 |
0 |
0 |
own-page 100% |
| Paubox |
9.0 |
3 |
0 / 3 |
0 |
0 |
0 |
own-page 100% |
| Amigo |
3.0 thin |
1 |
0 / 1 |
0 |
0 |
0 |
own-page 100% |
long-tail 1 · reached only through iPaaS bridges
| Provider | Depth | Integrations | In / out | Unknown builder | Distribution | iPaaS bridge | Mix |
|---|
| Gainsight |
9.1 |
31 |
0 / 31 |
0 |
1 |
30 |
ipaas-bridge 97%, distribution 3% |
distribution 1 · only sells through cloud marketplaces
| Provider | Depth | Integrations | In / out | Unknown builder | Distribution | iPaaS bridge | Mix |
|---|
| Benchling |
9.6 thin |
1 |
0 / 1 |
0 |
1 |
0 |
distribution 100% |
unknown 1 · every listing has an unknown builder
| Provider | Depth | Integrations | In / out | Unknown builder | Distribution | iPaaS bridge | Mix |
|---|
| Healthie |
51.8 |
16 |
0 / 16 |
16 |
0 |
0 |
unknown 100% |
undeclared 8 · declares nothing we can read: no number
Workflows
No in-market workflows yet; bridges: 1 (1 not yet mapped to a capability).
In-market workflows only: a step on the market provider's side maps to this market's business capabilities (BC-2800, BC-2830, BC-2850, BC-2860, BC-2870, BC-2900), and the partner is not a generic export/notify app. Other workflows are counted as bridges (including any whose steps do not resolve to a capability yet). Methodology.