fasten-connect

Fasten Connect — Patient Health Record Ingestion

Connects patient-authorized real EHR data into HealthClaw Guardrails via Fasten Connect. Once ingested, all records flow through the full guardrail stack: PHI redaction, audit trail, step-up authorization, and tenant isolation.

Two modes:

• Standard — patient authenticates with their EHR portal (Epic, Cerner, Athena, etc.)
• TEFCA IAS — single identity verification (CLEAR / ID.me) retrieves records from all QHINs the patient has records at, without per-provider logins

Environment Variables

Integration Flow

1. Embed the Fasten Stitch Widget

<!-- Standard mode -->
<fasten-stitch-element public-id="your_public_test_key"></fasten-stitch-element>

<!-- TEFCA IAS mode — identity-verified, multi-provider -->
<fasten-stitch-element public-id="your_public_test_key" tefca-mode="true"></fasten-stitch-element>

<link rel="stylesheet" href="https://stitch.fastenhealth.com/v0.4/bundle.css">
<script src="https://stitch.fastenhealth.com/v0.4/bundle.js"></script>

2. Handle the Widget Callback

document.querySelector('fasten-stitch-element')
  .addEventListener('widget.complete', async (event) => {
    const { org_connection_id, endpoint_id, tefca_directory_id,
            platform_type, connection_status } = event.detail;

    // Register connection with HealthClaw Guardrails
    await fetch('/fasten/connections', {
      method: 'POST',
      headers: {
        'Content-Type': 'application/json',
        'X-Tenant-Id': YOUR_TENANT_ID,
      },
      body: JSON.stringify({
        org_connection_id,
        endpoint_id,
        tefca_directory_id,  // use this as stable ID in TEFCA mode
        platform_type,
        connection_status,
      }),
    });
  });