Fasten Health

aid: fasten-health
name: Fasten Health
description: Fasten Health is a healthcare data interoperability company offering a unified medical record platform that gives
  patients and developers access to clinical data across the U.S. healthcare system. Fasten began as an open-source project
  — Fasten OnPrem, a self-hosted personal/family electronic medical record manager that ingests FHIR Bundles and is distributed
  under GPL-3.0 with 2.7k+ GitHub stars. The team then productized the connectivity layer as Fasten Connect, a commercial
  REST + FHIR API and Stitch client SDK suite that lets developers retrieve clinical records from 50,000+ healthcare systems
  and 60,000+ organizations including Epic, Cerner, MyChart, Kaiser Permanente, HCA, Ascension, Humana, and Medicare. Founded
  by engineers who lived through the fragmentation of health data firsthand and based in New York City, Fasten ships GPL/MIT/Apache
  2.0 open source repos alongside the hosted Fasten Connect platform.
kind: contract
accessModel:
  pricing: unknown
  onboarding: unknown
  trial: false
  try_now: false
  public: false
  label: Unknown
  confidence: low
  source: []
  generated: '2026-07-22'
  method: derived
position: Producing
access: Open Source
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/fasten-health.png
tags:
- Healthcare
- FHIR
- Personal Health Record
- Electronic Medical Record
- Health Data Interoperability
- TEFCA
- EHI Export
- Patient Consent
- Self-Hosted
- Open-Source
- HL7
- Healthcare Connectivity
tags_raw:
- Healthcare
- FHIR
- Personal Health Record
- Electronic Medical Record
- Health Data Interoperability
- TEFCA
- EHI Export
- Patient Consent
- Self-Hosted
- Open Source
- HL7
- Healthcare Connectivity
created: '2026-05-25'
modified: '2026-08-14'
url: https://raw.githubusercontent.com/api-evangelist/fasten-health/refs/heads/main/apis.yml
specificationVersion: '0.23'
x-type: opensource
x-tier: 1
apis:
- aid: fasten-health:fasten-onprem
  name: Fasten OnPrem
  description: Fasten OnPrem is an open-source, self-hosted, personal and family electronic medical record manager written
    in Go (47%) and TypeScript (35%). It runs as a Docker container behind HTTPS/TLS, supports multi-user family accounts
    with admin and viewer roles, and ingests medical data either through manual entry or by importing FHIR Bundles. It ships
    condition-specific dashboards and diagnostic test tracking, with planned vaccination-recommendation, conversational medical-history,
    and wearable-integration features. Distributed under GPL-3.0 with 2.7k+ stars; the official container image is hosted
    at ghcr.io/fastenhealth/fasten-onprem. STATUS - the repository was ARCHIVED (read-only) on GitHub as verified on 2026-08-14;
    last push 2026-02-13 and last tagged release v1.1.3 on 2024-10-01. The self-hosted product line is no longer under active
    development; Fasten's active work is the commercial Fasten Connect platform.
  humanURL: https://github.com/fastenhealth/fasten-onprem
  tags:
  - Personal Health Record
  - Electronic Medical Record
  - Self-Hosted
  - FHIR
  - Family Health
  - Open-Source
  tags_raw:
  - Personal Health Record
  - Electronic Medical Record
  - Self-Hosted
  - FHIR
  - Family Health
  - Open Source
  properties:
  - type: SourceCode
    url: https://github.com/fastenhealth/fasten-onprem
  - type: Documentation
    url: https://github.com/fastenhealth/fasten-onprem#readme
  - type: ContainerImage
    url: https://github.com/fastenhealth/fasten-onprem/pkgs/container/fasten-onprem
    name: GHCR ghcr.io/fastenhealth/fasten-onprem
  - type: License
    url: https://github.com/fastenhealth/fasten-onprem/blob/main/LICENSE.md
    name: GPL-3.0
  - type: Issues
    url: https://github.com/fastenhealth/fasten-onprem/issues
  - type: ChangeLog
    url: https://github.com/fastenhealth/fasten-onprem/releases
  - type: GettingStarted
    url: https://github.com/fastenhealth/fasten-onprem#install-instructions
- aid: fasten-health:fasten-connect
  name: Fasten Connect API
  description: Fasten Connect is the commercial REST + FHIR API for retrieving patient clinical records from 50,000+ U.S.
    healthcare systems. The API surface is documented in OpenAPI 1.0.11 at api.connect.fastenhealth.com/v1 and uses HTTP Basic
    authentication with public/private key pairs prefixed public_test_/private_test_ or public_live_/private_live_. Capabilities
    include catalog discovery (search brands, fetch organization metadata, brand logos, bulk catalog export), patient-to-provider
    connection orchestration via the /bridge/connect and /bridge/reconnect endpoints, organization-connection status checks,
    bulk EHI (Electronic Health Information) export requests with task polling and signed downloads, TEFCA synthetic-patient
    revocation for testing, and a support-ticket endpoint.
  humanURL: https://docs.connect.fastenhealth.com/api-reference/introduction
  baseURL: https://api.connect.fastenhealth.com/v1
  tags:
  - FHIR
  - Healthcare Connectivity
  - EHI Export
  - TEFCA
  - REST
  - Patient Records
  properties:
  - type: Documentation
    url: https://docs.connect.fastenhealth.com/api-reference/introduction
  - type: OpenAPI
    url: https://docs.connect.fastenhealth.com/api-reference/openapi.yaml
  - type: OpenAPI
    url: openapi/fasten-health-connect-openapi-original.yml
    name: Fasten Connect OpenAPI 3.0.1 (harvested verbatim, info.version 1.0.11)
  - type: Overlay
    url: overlays/fasten-health-connect-overlay.yaml
  - type: APIReference
    url: https://docs.connect.fastenhealth.com/api-reference/introduction
  - type: Authentication
    url: https://docs.connect.fastenhealth.com/api-reference/authentication
  - type: GettingStarted
    url: https://docs.connect.fastenhealth.com/quickstart
  - type: Signup
    url: https://portal.fastenhealth.com
    name: Fasten Connect Developer Portal
  - type: Sandbox
    url: https://docs.connect.fastenhealth.com/guides/test-data
  - type: TestCredentials
    url: https://docs.connect.fastenhealth.com/guides/test-patient-credentials
- aid: fasten-health:fasten-connect-webhooks
  name: Fasten Connect Webhooks
  description: Fasten Connect emits HMAC-verified webhook events to notify integrators of asynchronous operations such as
    EHI export completion, connection lifecycle changes, and TEFCA workflow updates. Documentation covers event types, delivery
    semantics with retries, signature verification, and a webhook debugging simulator for local development.
  humanURL: https://docs.connect.fastenhealth.com/webhooks/introduction
  tags:
  - Webhook
  - Event-Driven
  - Async
  tags_raw:
  - Webhooks
  - Event-Driven
  - Async
  properties:
  - type: Documentation
    url: https://docs.connect.fastenhealth.com/webhooks/introduction
  - type: Webhooks
    url: asyncapi/fasten-health-webhooks.yml
    name: Fasten Connect webhook catalog (7 event types)
  - type: Events
    url: https://docs.connect.fastenhealth.com/webhooks/events
  - type: Delivery
    url: https://docs.connect.fastenhealth.com/webhooks/delivery
  - type: Verification
    url: https://docs.connect.fastenhealth.com/webhooks/verification
  - type: Tooling
    url: https://docs.connect.fastenhealth.com/guides/webhook-debugging-simulator
    name: Webhook Debugging Simulator
- aid: fasten-health:fasten-stitch
  name: Fasten Stitch Client SDKs
  description: Stitch is Fasten Connect's client-side embeddable component that lets a patient pick their healthcare provider,
    authenticate, and grant data-sharing consent inside a host application. Stitch is shipped as three SDKs — a framework-neutral
    Web Component, a React SDK, and a React Native SDK — each with quickstart and reference docs. Client events stream connection
    lifecycle, error, and consent signals back to the host app. The Stitch element source repos (fasten-stitch-element-react,
    fasten-stitch-element-react-native) are MIT-licensed on GitHub with companion playground apps.
  humanURL: https://docs.connect.fastenhealth.com/stitch/v4/introduction
  tags:
  - SDK
  - Embeddable Component
  - Patient Consent
  - React
  - React Native
  - Web Component
  properties:
  - type: Documentation
    url: https://docs.connect.fastenhealth.com/stitch/v4/introduction
  - type: SDKs
    url: https://docs.connect.fastenhealth.com/stitch/v4/sdks/web-component/quickstart
    name: Stitch Web Component SDK
  - type: SDKs
    url: https://docs.connect.fastenhealth.com/stitch/v4/sdks/react/quickstart
    name: Stitch React SDK
  - type: SDKs
    url: https://docs.connect.fastenhealth.com/stitch/v4/sdks/react-native/quickstart
    name: Stitch React Native SDK
  - type: SourceCode
    url: https://github.com/fastenhealth/fasten-stitch-element-react
    name: fasten-stitch-element-react
  - type: SourceCode
    url: https://github.com/fastenhealth/fasten-stitch-element-react-native
    name: fasten-stitch-element-react-native
  - type: Examples
    url: https://github.com/fastenhealth/react-web-playground
    name: React Web Playground
  - type: Examples
    url: https://github.com/fastenhealth/react-native-playground
    name: React Native Playground
  - type: SourceCode
    url: https://github.com/fastenhealth/fasten-stitch-element-flutter
    name: fasten-stitch-element-flutter (ALPHA, not published to pub.dev)
  - type: Events
    url: https://docs.connect.fastenhealth.com/stitch/v4/client-events
  - type: Components
    url: components/fasten-health-components.yml
- aid: fasten-health:fasten-identity-proofing
  name: Fasten Identity Proofing & TEFCA IAS
  description: Identity proofing endpoints and guides cover Fasten-issued identity verification as well as a Bring Your Own
    Identity path for integrators that already meet NIST IAL2 / TEFCA IAS requirements. Documentation includes a TEFCA Individual
    Access Services developer guide and patient consent + data collection guidance for HIPAA-aligned implementations.
  humanURL: https://docs.connect.fastenhealth.com/identity-proofing/introduction
  tags:
  - Identity Proofing
  - TEFCA
  - IAL2
  - Patient Consent
  - HIPAA
  properties:
  - type: Documentation
    url: https://docs.connect.fastenhealth.com/identity-proofing/introduction
  - type: Documentation
    url: https://docs.connect.fastenhealth.com/identity-proofing/bring-your-own-identity
    name: Bring Your Own Identity
  - type: Documentation
    url: https://docs.connect.fastenhealth.com/guides/patient-consent-data-collection
    name: Patient Consent & Data Collection
  - type: Documentation
    url: https://docs.connect.fastenhealth.com/guides/tefca-ias
    name: TEFCA IAS Developer Guide
  - type: OAuthScopes
    url: scopes/fasten-health-scopes.yml
  - type: Authentication
    url: authentication/fasten-health-authentication.yml
  - type: Endpoint
    url: https://identity.fastenhealth.com/oauth2/par
    name: Documented OAuth 2.0 PAR endpoint (RFC 9126). NOTE - identity.fastenhealth.com did not resolve in public DNS (NXDOMAIN)
      when probed on 2026-08-14; recorded as documented, not as independently reachable.
- aid: fasten-health:gofhir-models
  name: gofhir-models
  description: Apache 2.0 licensed Go client library and generated FHIR resource models used by Fasten's services to parse,
    validate, and emit FHIR R4 payloads. Maintained as a standalone open source dependency.
  humanURL: https://github.com/fastenhealth/gofhir-models
  tags:
  - FHIR
  - Go
  - SDK
  - Library
  properties:
  - type: SourceCode
    url: https://github.com/fastenhealth/gofhir-models
  - type: License
    url: https://github.com/fastenhealth/gofhir-models/blob/main/LICENSE
    name: Apache 2.0
- aid: fasten-health:fhir-react
  name: fhir-react
  description: MIT-licensed React component library for rendering FHIR resources, useful for building patient portals and
    clinical viewers on top of Fasten data.
  humanURL: https://github.com/fastenhealth/fhir-react
  tags:
  - FHIR
  - React
  - UI Components
  - SDK
  properties:
  - type: SourceCode
    url: https://github.com/fastenhealth/fhir-react
  - type: License
    url: https://github.com/fastenhealth/fhir-react/blob/main/LICENSE
    name: MIT
- aid: fasten-health:fasten-toolbox
  name: Fasten Toolbox
  description: Standalone FHIR-based developer tools derived from the main Fasten platform, including catalog browsing, display
    component previews, and other utilities for working with FHIR data.
  humanURL: https://github.com/fastenhealth/fasten-toolbox
  tags:
  - FHIR
  - Developer Tools
  - Utilities
  properties:
  - type: SourceCode
    url: https://github.com/fastenhealth/fasten-toolbox
- aid: fasten-health:folio
  name: Folio
  description: Apache 2.0 licensed modern PDF library for Go with a layout engine, HTML-to-PDF conversion, form-fill support,
    digital signatures, and barcode rendering. Open-sourced by Fasten to power patient-facing medical record exports.
  humanURL: https://github.com/fastenhealth/folio
  tags:
  - PDF
  - Go
  - Library
  - Document Generation
  properties:
  - type: SourceCode
    url: https://github.com/fastenhealth/folio
  - type: License
    url: https://github.com/fastenhealth/folio/blob/main/LICENSE
    name: Apache 2.0
- aid: fasten-health:fasten-connect-quickstart
  name: Fasten Connect Quickstart Sample
  description: MIT-licensed JavaScript starter project that demonstrates an end-to-end Fasten Connect integration — credential
    setup, Stitch embed, bulk EHI export request, and webhook-driven download.
  humanURL: https://github.com/fastenhealth/fasten-connect-quickstart
  tags:
  - Sample
  - Quickstart
  - JavaScript
  - Integration
  properties:
  - type: SourceCode
    url: https://github.com/fastenhealth/fasten-connect-quickstart
  - type: License
    url: https://github.com/fastenhealth/fasten-connect-quickstart/blob/main/LICENSE
    name: MIT
- aid: fasten-health:fasten-answers-ai
  name: Fasten Answers AI
  description: GPL-3.0 licensed Python proof-of-concept for AI-powered health insights — exploratory work on conversational
    querying of a patient's longitudinal medical record using LLMs.
  humanURL: https://github.com/fastenhealth/fasten-answers-ai
  tags:
  - Artificial Intelligence
  - LLM
  - Healthcare
  - Proof of Concept
  properties:
  - type: SourceCode
    url: https://github.com/fastenhealth/fasten-answers-ai
  - type: License
    url: https://github.com/fastenhealth/fasten-answers-ai/blob/main/LICENSE
    name: GPL-3.0
common:
- type: AgenticAccess
  url: agentic-access/fasten-health-agentic-access.yml
- type: Authentication
  url: authentication/fasten-health-authentication.yml
- type: ContributionGuide
  url: https://github.com/fastenhealth/fasten-onprem/blob/main/CONTRIBUTING.md
- type: DomainSecurity
  url: security/fasten-health-domain-security.yml
- type: Website
  url: https://www.fastenhealth.com
- type: Documentation
  url: https://docs.connect.fastenhealth.com
- type: GitHub
  url: https://github.com/fastenhealth/fasten-onprem
  name: fasten-onprem (flagship repo)
- type: GitHubOrg
  url: https://github.com/fastenhealth
- type: Blog
  url: https://blog.fastenhealth.com
- type: ChangeLog
  url: https://docs.connect.fastenhealth.com/changelog
- type: Signup
  url: https://portal.connect.fastenhealth.com
  name: Fasten Connect Developer Portal
- type: Pricing
  url: https://www.fastenhealth.com
  name: Contact Sales (Book a Demo)
- type: Support
  url: https://docs.connect.fastenhealth.com/support
- type: FAQ
  url: https://docs.connect.fastenhealth.com/faqs
- type: License
  url: https://github.com/fastenhealth/fasten-onprem/blob/main/LICENSE.md
  name: GPL-3.0 (Fasten OnPrem)
- type: ContainerImage
  url: https://github.com/fastenhealth/fasten-onprem/pkgs/container/fasten-onprem
  name: GHCR ghcr.io/fastenhealth/fasten-onprem
- type: Sandbox
  url: https://docs.connect.fastenhealth.com/guides/test-data
- type: Examples
  url: https://github.com/fastenhealth/fasten-connect-quickstart
- type: Demo
  url: https://github.com/fastenhealth/fooclinic
  name: fooclinic Demo Medical Clinic
- type: Status
  url: https://status.fastenhealth.com/
- type: StatusPage
  url: https://status.fastenhealth.com/
- type: Careers
  url: https://wellfound.com/company/fasten-health
- type: DeveloperPortal
  url: https://portal.fastenhealth.com
  name: Fasten Connect Developer Portal
- type: APIReference
  url: https://docs.connect.fastenhealth.com/api-reference/introduction
- type: GettingStarted
  url: https://docs.connect.fastenhealth.com/quickstart
- type: SignUp
  url: https://portal.fastenhealth.com
- type: GitHubOrganization
  url: https://github.com/fastenhealth
- type: TermsOfService
  url: https://policy.fastenhealth.com/terms.html
- type: PrivacyPolicy
  url: https://policy.fastenhealth.com/connect/privacy_policy.html
- type: AgentCard
  url: a2a/fasten-health-a2a.yml
  name: A2A agent card served at docs.connect.fastenhealth.com (graded near-conformant)
- type: AgentSkill
  url: skills/_index.yml
  name: Provider-published Agent Skill (saved verbatim)
- type: LLMsTxt
  url: llms/fasten-health-llms.txt
- type: WellKnown
  url: well-known/fasten-health-well-known.yml
- type: Packages
  url: packages/fasten-health-packages.yml
- type: SDKs
  url: packages/fasten-health-packages.yml
  name: Stitch client SDKs (npm) + Go libraries
- type: Conventions
  url: conventions/fasten-health-conventions.yml
- type: Idempotency
  url: conventions/fasten-health-conventions.yml
  name: Natural-key idempotency on org_connection_id (POST /bridge/fhir/ehi-export)
- type: ErrorCatalog
  url: errors/fasten-health-problem-types.yml
- type: Lifecycle
  url: lifecycle/fasten-health-lifecycle.yml
- type: ChangeLog
  url: changelog/fasten-health-changelog.yml
  name: Structured changelog (72 dated entries, 2024-09-30..2026-08-04)
- type: Conformance
  url: conformance/fasten-health-conformance.yml
- type: Compliance
  url: https://trust.fastenhealth.com/
  name: SOC 2 + HIPAA, CARIN Alliance Code of Conduct signatory
- type: TrustCenter
  url: security/fasten-health-trust-center.yml
- type: Sandbox
  url: sandbox/fasten-health-sandbox.yml
  name: FooClinic sandbox, TEFCA C-CDA fixtures, test/live key modes
- type: DataModel
  url: data-model/fasten-health-data-model.yml
- type: Components
  url: components/fasten-health-components.yml
- type: OAuthScopes
  url: scopes/fasten-health-scopes.yml
- type: Plans
  url: plans/fasten-health-plans-pricing.yml
- type: RateLimits
  url: rate-limits/fasten-health-rate-limits.yml
- type: Webhooks
  url: asyncapi/fasten-health-webhooks.yml
- type: Overlay
  url: overlays/fasten-health-connect-overlay.yaml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
x-enrichment:
  date: '2026-08-14'
  status: enriched
  artifacts_added: 25
  pass: local-v1