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There are additional fees involved with TEFCA IAS in live mode. Please contact [email protected] or your Account Representative for more information

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What is TEFCA IAS?

TEFCA (Trusted Exchange Framework and Common Agreement) is a framework designed to enable the secure and seamless exchange of health information across the United States. The Individual Access Services (IAS) mode under TEFCA allows patients to access their own health information electronically and share it with third-party applications or services. Fasten Health supports a number of different mechanisms for retrieving medical records on behalf of patients, including TEFCA IAS. Here’s a short example of what the Fasten Connect widget looks like in TEFCA IAS mode:

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General Flow for Developers

From a developer’s perspective, here’s what’s happening under the hood when records flow through Fasten:
  1. QHIN Integration Fasten connects with a Qualified Health Information Network (QHIN). QHINs are essentially the access points to the TEFCA framework. They provide the network APIs and routing needed to reach records across participating health systems.
  2. Identity Verification via CSPs To ensure patients are who they say they are, Fasten relies on Credential Service Providers (CSPs) certified by the Kantara Initiative. These vendors verify patient identity using government ID + facial match and return an OpenID Connect Token containing verified attributes (e.g., name, DOB).
  3. Secure Data Requests When Fasten queries the QHIN for records, it attaches the patient’s OpenID Connect Token. The QHIN (and any downstream nodes) validate the token using the public key published by the CSP. This ensures requests are tied to a verified patient identity and trusted by the network.
  4. Record Retrieval Once validated, Fasten can retrieve longitudinal health records from the appropriate source system through the QHIN, normalize them, and make them available via our unified API.
Why it matters:For developers, none of this extra wiring is something you need to implement. Fasten handles the QHIN partnerships, identity assurance, token validation, and data normalization so your integration stays simple: a single API call to us.
TEFCA IAS Flow Diagram

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Example Test Patients

To help developers test their integration with TEFCA IAS, we provide the following example test patients. These test patients simulate real-world scenarios and can be used to validate your implementation.
NamePhoneEmailDOBGenderAddress
Allison Hackett608-555-1243[email protected]01/15/1987Female1325 Main St, Madison, WI, US 57303
Damon Mychart608-211-3314[email protected]07/26/1979Male308 Oak St, Madison, WI, US 53711
Dog Beaker410-707-2690[email protected]11/24/1985Male124 Lake Street, Vernon, CT, US 06066
Barbara Testa831-600-3769[email protected]05/24/1947Female8855 Orchid Blvd, Reading, PA, US 19602
Tracy CraneTest222-360-1564[email protected]12/26/1936Female458 Streich Street Lunenburg, MA, US 01462
Camila Maria Lopez469-469-4321[email protected]09/12/1987Female3268 West Johnson St. Apt 117 Garland, TX, US 75043
Derrick Lin785-785-4321[email protected]06/3/1973Male7324 Roosevelt Ave Indianapolis, IN, US 46201
Homer J Simpson217-123-3608[email protected]02/9/1975Male742 Evergreen Terrace Madison, WI, US 53711

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How to Use Test Patients

  1. Embed the Fasten Connect widget in your application with TEFCA IAS mode enabled.
  2. Log in with the provided email address
  3. When prompted to provide identity verification (using Clear or ID.me), use the corresponding phone number and DOB.
  4. Follow the flow to authenticate, consent, and retrieve data.
If you encounter any issues or need further assistance, contact our support team at [email protected].