# Carefluence

**Canonical:** https://apis.io/providers/carefluence/  
**Website:** https://carefluence.com/  
**APIs profiled:** 2

Carefluence is a US health-IT interoperability vendor whose product is an ONC-certified, FHIR-based Open API platform that EHR, telehealth, remote patient monitoring, HIE and health-analytics vendors license to reach regulatory compliance and to exchange clinical data with other systems. The Carefluence Open API R4 was certified on 2022-06-29 under CHPL ID 15.04.04.2657.Care.R4.01.0.220629 against ONC criteria 170.315 (d)(1,3,9-10,12-13) and (g)(4-7,9-10), including the § 170.315(g)(10) Standardized API for Patient and Population Services; the company states it was the first FHIR-based Open API product to earn ONC 2015 Edition certification, in July 2016, and was an early participant in the Argonaut Project. The platform is a FHIR R4 server (US Core IG v3.1.1, 24 resource types) fronted by a first-party SMART on FHIR OAuth 2.0 / OpenID Connect authorization server, with a data translator for HL7 v2 and C-CDA normalization, adapters for non-FHIR back ends, a built-in integration engine, an asynchronous FHIRops product, and an announced Model Context Protocol server for AI agents.

## Kin Score — 47.3 / 100 (developing)

Scored 2026-09-02 under rubric 0.18.0.

| Facet | Score |
|---|---|
| Discoverability | 68.5 |
| Contract Quality | 40.9 |
| Governance | 18.2 |
| Contract Governance | 18.2 |
| Operational Transparency | 0.0 |
| Developer Ergonomics | 66.1 |
| Commercial Clarity | 42.1 |
| Access Clarity | 42.1 |

Regulatory layer — **Health**: 61.3 (matched via tags).

## Agent readiness — 25.2 (agent-aware)

| Dimension | Value |
|---|---|
| Spec Presence | yes |
| Agentic Access | no |
| Reversibility Documented | no |
| MCP Server | documented |
| Auth Clarity | bearer |
| Idempotency | no |
| Error Semantics | documented |
| OpenAPI Examples | no |
| Rate Limit Signal | documented |
| Event Surface Described | no |
| Agent Skills | derived |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | no |
| Delegated Identity | no |
| Protected Resource Metadata | no |
| Dynamic Client Registration | no |
| Agentic Commerce | no |

## APIs (2)

- **Carefluence Open API R4** — The ONC-certified § 170.315(g)(10) Standardized API for Patient and Population Services. A HL7 FHIR R4 (4.0.1) RESTful server conforming to the US Core Implementation Guide v3.1...
- **Carefluence SMART on FHIR Authorization Server** — The first-party OpenID Connect / OAuth 2.0 authorization server that issues every token the Carefluence Open API R4 accepts, and the administration portal where developers regis...

## Security (2)

- **Carefluence Authentication** — 2 schemes
- **Carefluence Domain Security** — TLSv1.3 · HSTS · DNSSEC · DMARC

## Plans (1)

- **Carefluence Plans Pricing**

## Tags

Company, Healthcare, Interoperability, FHIR, HL7, SMART on FHIR, Electronic Health Records, Clinical Data, Health IT, ONC Certified, USCDI, OAuth 2.0, Telehealth, Health Information Exchange

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/carefluence/). Scores are computed from the provider's own public artifacts under a published rubric.