SMART Health IT

SMART Health IT is the open standards and open source project run by the Computational Health Informatics Program at Boston Children's Hospital and Harvard Medical School that defines SMART on FHIR - the OAuth 2.0-based SMART App Launch framework that lets patient-facing and clinician-facing apps plug into any EHR and read clinical records over FHIR. The project publishes the HL7 SMART App Launch and FHIR Bulk Data specifications, the SMART Health Cards and SMART Health Links verifiable clinical data frameworks, open source client libraries, and free public sandboxes - an open FHIR R4 server loaded with synthetic patient records, the SMART App Launcher for simulating EHR and patient portal launches, and a reference Bulk Data server for testing system-level export.

SMART Health IT publishes 5 APIs on the APIs.io network, including Bulk Data API, Clinical Records API, Conformance API, and 2 more. Tagged areas include SMART on FHIR, FHIR, Health IT, EHR Integration, and Clinical Data.

SMART Health IT’s developer surface includes authentication, documentation, and 9 more developer resources.

🌐 Visit website 📡 Source on GitHub
34.9/100 thin ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-08-05 · rubric v0.9.1
AccessFreeOpen⚡ Free to try
6 APIs
SMART on FHIRFHIRHealth ITEHR IntegrationClinical DataClinical RecordsPatient FacingOpen StandardsInteroperability

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-08-05 · rubric v0.9.1
Composite quality — 34.9/100 · thin
Contract Quality 15.2 / 25
Developer Ergonomics 3.9 / 20
Commercial Clarity 5.8 / 20
Operational Transparency 4.8 / 13
Governance 0.0 / 12
Discoverability 7.4 / 10
Agent readiness — 31/100 · agent aware
Machine-Readable Contract 18 / 18
Agentic Access Contract 10 / 10
MCP Server 0 / 12
Machine-Readable Auth 10 / 10
Idempotency 0 / 9
Stable Error Semantics 0 / 8
Request/Response Examples 0 / 7
Rate-Limit Signaling 7 / 7
Typed Event Surface 0 / 6
Agent Skills 0 / 5
Well-Known Catalog 0 / 4
Consent & Bot Identity 0 / 3
A2A Agent Card 0 / 8
Dry-Run / Simulate Mode 0 / 4
Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/smarthealthit: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 6

Individual APIs this provider publishes, each with its own machine-readable definition.

SMART Health Cards Framework

Specification for issuing and verifying tamper-evident clinical records - vaccination history, lab results, and insurance cards - as signed JWS payloads carried in QR codes or f...

SMART Health IT Bulk Data API

FHIR Bulk Data $export operations on the reference Bulk Data server.

SMART Health IT Clinical Records API

Observations, conditions, medications, encounters, allergies, and immunizations.

SMART Health IT Conformance API

Server capability discovery.

SMART Health IT Patients API

Synthetic patient demographic records.

SMART Health IT SMART App Launch API

OAuth 2.0 authorization endpoints on the SMART App Launcher.

Open Collections 1

Open, tool-agnostic API collections (OpenAPI-derived and Bruno).

SMART Health IT Sandbox FHIR APIs

OPEN COLLECTION

Pricing Plans 1

Published pricing tiers and plan structures.

Smarthealthit Plans Pricing

1 plans

PLANS

Rate Limits 1

Documented rate limits and quota policies.

Smarthealthit Rate Limits

4 limits

RATE LIMITS

FinOps 1

Cost, billing, and metering signals for API financial operations.

Smarthealthit Finops

FINOPS

Security Posture 3

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Smarthealthit Authentication

oauth2 · 1 scheme

SECURITY

Smarthealthit Domain Security

TLSv1.3 · DMARC

SECURITY

Smarthealthit Vulnerability Disclosure

disclosure policy published

SECURITY

Agentic Access 1

Recommended x-agentic-access execution contracts for AI agents.

Smarthealthit Agentic Access

15 operations · 1 acting

15 operations · 1 acting

AGENTIC

Resources

Documentation 2

Reference material describing how the API behaves

Documentation
Documentation
 Specification
Specification

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess
AgenticAccess

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization
GitHubOrganization

Access & Security 3

Authentication, authorization, and security posture

VulnerabilityDisclosure
VulnerabilityDisclosure
 DomainSecurity
DomainSecurity
 Authentication
Authentication

Operate 1

Status, limits, changes, and where to get help

RateLimits
RateLimits

Commercial 2

Pricing, plans, and the legal terms of use

Plans
Plans
 FinOps
FinOps

Company 1

The organization behind the API

Website
Website

Source (apis.yml)

apis.yml Raw ↑ 
aid: smarthealthit
url: https://raw.githubusercontent.com/api-evangelist/smarthealthit/refs/heads/main/apis.yml
name: SMART Health IT
kind: organization
description: SMART Health IT is the open standards and open source project run by the Computational Health Informatics Program
  at Boston Children's Hospital and Harvard Medical School that defines SMART on FHIR - the OAuth 2.0-based SMART App Launch
  framework that lets patient-facing and clinician-facing apps plug into any EHR and read clinical records over FHIR. The
  project publishes the HL7 SMART App Launch and FHIR Bulk Data specifications, the SMART Health Cards and SMART Health Links
  verifiable clinical data frameworks, open source client libraries, and free public sandboxes - an open FHIR R4 server loaded
  with synthetic patient records, the SMART App Launcher for simulating EHR and patient portal launches, and a reference Bulk
  Data server for testing system-level export.
accessModel:
  pricing: free
  onboarding: open
  trial: false
  try_now: true
  public: true
  label: Free · Open access
  confidence: high
  source:
  - plans
  - authentication
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/smarthealthit.png
tags:
- SMART on FHIR
- FHIR
- Health IT
- EHR Integration
- Clinical Data
- Clinical Records
- Patient Facing
- Open Standards
- Interoperability
created: '2026-07-11'
modified: '2026-07-11'
specificationVersion: '0.19'
apis:
- aid: smarthealthit:smarthealthit-health-cards-framework
  name: SMART Health Cards Framework
  tags:
  - Health Cards
  - Verifiable Credentials
  - Immunization Records
  - Health Links
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://smarthealth.cards
  baseURL: https://spec.smarthealth.cards
  properties:
  - url: https://spec.smarthealth.cards/
    type: Documentation
  description: Specification for issuing and verifying tamper-evident clinical records - vaccination history, lab results,
    and insurance cards - as signed JWS payloads carried in QR codes or files. Issuers expose the FHIR $health-cards-issue
    operation; verifiers validate signatures against published issuer keys. SMART Health Links extend the model to shareable
    links over richer clinical data. Maintained with the Verifiable Clinical Information (VCI) coalition.
- aid: smarthealthit:smarthealthit-bulk-data-api
  name: SMART Health IT Bulk Data API
  description: FHIR Bulk Data $export operations on the reference Bulk Data server.
  humanURL: https://r4.smarthealthit.org
  baseURL: https://r4.smarthealthit.org
  tags:
  - Bulk Data
  properties:
  - type: OpenAPI
    url: openapi/smarthealthit-bulk-data-api-openapi.yml
  - type: Documentation
    url: https://docs.smarthealthit.org/
  - type: APIReference
    url: https://r4.smarthealthit.org/metadata
  - type: Documentation
    url: https://hl7.org/fhir/smart-app-launch/
  - type: APIReference
    url: https://launch.smarthealthit.org/v/r4/fhir/metadata
  - type: APIReference
    url: https://bulk-data.smarthealthit.org/
- aid: smarthealthit:smarthealthit-clinical-records-api
  name: SMART Health IT Clinical Records API
  description: Observations, conditions, medications, encounters, allergies, and immunizations.
  humanURL: https://r4.smarthealthit.org
  baseURL: https://r4.smarthealthit.org
  tags:
  - Clinical Records
  properties:
  - type: OpenAPI
    url: openapi/smarthealthit-clinical-records-api-openapi.yml
  - type: Documentation
    url: https://docs.smarthealthit.org/
  - type: APIReference
    url: https://r4.smarthealthit.org/metadata
  - type: Documentation
    url: https://hl7.org/fhir/smart-app-launch/
  - type: APIReference
    url: https://launch.smarthealthit.org/v/r4/fhir/metadata
  - type: APIReference
    url: https://bulk-data.smarthealthit.org/
- aid: smarthealthit:smarthealthit-conformance-api
  name: SMART Health IT Conformance API
  description: Server capability discovery.
  humanURL: https://r4.smarthealthit.org
  baseURL: https://r4.smarthealthit.org
  tags:
  - Conformance
  properties:
  - type: OpenAPI
    url: openapi/smarthealthit-conformance-api-openapi.yml
  - type: Documentation
    url: https://docs.smarthealthit.org/
  - type: APIReference
    url: https://r4.smarthealthit.org/metadata
  - type: Documentation
    url: https://hl7.org/fhir/smart-app-launch/
  - type: APIReference
    url: https://launch.smarthealthit.org/v/r4/fhir/metadata
  - type: APIReference
    url: https://bulk-data.smarthealthit.org/
- aid: smarthealthit:smarthealthit-patients-api
  name: SMART Health IT Patients API
  description: Synthetic patient demographic records.
  humanURL: https://r4.smarthealthit.org
  baseURL: https://r4.smarthealthit.org
  tags:
  - Patients
  properties:
  - type: OpenAPI
    url: openapi/smarthealthit-patients-api-openapi.yml
  - type: Documentation
    url: https://docs.smarthealthit.org/
  - type: APIReference
    url: https://r4.smarthealthit.org/metadata
  - type: Documentation
    url: https://hl7.org/fhir/smart-app-launch/
  - type: APIReference
    url: https://launch.smarthealthit.org/v/r4/fhir/metadata
  - type: APIReference
    url: https://bulk-data.smarthealthit.org/
- aid: smarthealthit:smarthealthit-smart-app-launch-api
  name: SMART Health IT SMART App Launch API
  description: OAuth 2.0 authorization endpoints on the SMART App Launcher.
  humanURL: https://r4.smarthealthit.org
  baseURL: https://r4.smarthealthit.org
  tags:
  - SMART App Launch
  properties:
  - type: OpenAPI
    url: openapi/smarthealthit-smart-app-launch-api-openapi.yml
  - type: Documentation
    url: https://docs.smarthealthit.org/
  - type: APIReference
    url: https://r4.smarthealthit.org/metadata
  - type: Documentation
    url: https://hl7.org/fhir/smart-app-launch/
  - type: APIReference
    url: https://launch.smarthealthit.org/v/r4/fhir/metadata
  - type: APIReference
    url: https://bulk-data.smarthealthit.org/
common:
- type: AgenticAccess
  url: agentic-access/smarthealthit-agentic-access.yml
- type: VulnerabilityDisclosure
  url: security/smarthealthit-vulnerability-disclosure.yml
- type: DomainSecurity
  url: security/smarthealthit-domain-security.yml
- type: Authentication
  url: authentication/smarthealthit-authentication.yml
- type: Website
  url: https://smarthealthit.org
- type: Documentation
  url: https://docs.smarthealthit.org
- type: GitHubOrganization
  url: https://github.com/smart-on-fhir
- type: Specification
  url: https://hl7.org/fhir/smart-app-launch/
- type: Plans
  url: plans/smarthealthit-plans-pricing.yml
- type: RateLimits
  url: rate-limits/smarthealthit-rate-limits.yml
- type: FinOps
  url: finops/smarthealthit-finops.yml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com