# SMART Health IT

**Canonical:** https://apis.io/providers/smarthealthit/  
**Website:** https://smarthealthit.org  
**APIs profiled:** 6

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.

## Kin Score — 35.9 / 100 (thin)

Scored 2026-08-25 under rubric 0.14.0. Trend: flat (+0.0 from 35.9).

| Facet | Score |
|---|---|
| Discoverability | 74.1 |
| Contract Quality | 53.5 |
| Governance | 0.0 |
| Contract Governance | 0.0 |
| Operational Transparency | 34.2 |
| Developer Ergonomics | 21.4 |
| Commercial Clarity | 28.9 |
| Access Clarity | 28.9 |

Regulatory layer — **Health**: 22.5 (matched via tags).

## Agent readiness — 24.8 (agent-aware)

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

## Access

Free · Open access — onboarding: open, pricing: free, trial: no (confidence: high).

## APIs (6)

- **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.

## Agentic access (1)

- **Smarthealthit Agentic Access** — 15 operations · 1 acting

## Security (3)

- **Smarthealthit Authentication** — oauth2 · 1 scheme
- **Smarthealthit Domain Security** — TLSv1.3 · DMARC
- **Smarthealthit Vulnerability Disclosure** — disclosure policy published

## Plans (1)

- **Smarthealthit Plans Pricing**

## Tags

SMART on FHIR, FHIR, Health IT, EHR Integration, Clinical Data, Clinical Records, Patient Facing, Open Standards, Interoperability

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