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There are additional fees involved with TEFCA IAS in live mode. Please contact support@fastenhealth.com 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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Enable Tefca Mode

If you’ve already followed our Quickstart Guide, all you need to do is set the tefca-mode attribute to true on the <fasten-stitch-element> tag. 
<fasten-stitch-element
    public-id="pub_test_xxxxxxxxxx"
    tefca-mode="true"
></fasten-stitch-element>
Yes, it’s that simple!
There are additional fees involved with TEFCA IAS in live mode. Please contact support@fastenhealth.com or your Account Representative for more information

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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 Hackett608-555-1243ahackett@gmail.com01/15/1987Female1325 Main St, Madison, WI, US 57303
Damon Mychart608-211-3314dmychart@me.com07/26/1979Male308 Oak St, Madison, WI, US 53711
Dog Beaker410-707-2690dogbeaker@aol.com11/24/1985Male124 Lake Street, Vernon, CT, US 06066
Barbara Testa831-600-3769btesta@hotmail.com05/24/1947Female8855 Orchid Blvd, Reading, PA, US 19602
Tracy CraneTest222-360-1564tcranetest@gmail.com12/26/1936Female458 Streich Street Lunenburg, MA, US 01462
Camila Maria Lopez469-469-4321knixontestemail@epic.com09/12/1987Female3268 West Johnson St. Apt 117 Garland, TX, US 75043
Derrick Lin785-785-4321knixontestemail2@epic.com06/3/1973Male7324 Roosevelt Ave Indianapolis, IN, US 46201
Homer J Simpson217-123-3608hsimpson@gmail.com02/9/1975Male742 Evergreen Terrace Madison, WI, US 53711

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Clear Test Patients

CLEAR’s verification process in TEFCA mode uses the following patient identifiers to automatically match the test patients in the table above:
NamePhoneEmail
Allison Hackett608-555-1243ahackett@gmail.com
Damon Mychart608-211-3314dmychart@me.com
Dog Beaker410-707-2690dogbeaker@aol.com
Barbara Testa831-600-3769btesta@hotmail.com
Tracy CraneTest222-360-1564tcranetest@gmail.com
Camila Maria Lopez469-469-4321knixontestemail@epic.com
Derrick Lin785-785-4321knixontestemail2@epic.com
Homer J Simpson217-123-3608hsimpson@gmail.com

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ID.me Test Patients

ID.me verification process in TEFCA mode is based on a username and password. The following test users are available:
NameEmailPassword
Allison Hackettahackett@gmail.comIDme2026!!
Damon Mychartdmychart@me.comIDme2026!!
Dog Beakerdogbeaker@aol.comIDme2026!!
Barbara Testabtesta@hotmail.comIDme2026!!
Tracy CraneTesttcranetest@gmail.comIDme2026!!
Camila Maria Lopezknixontestemail@epic.comIDme2026!!
Derrick Linknixontestemail2@epic.comIDme2026!!
Homer J Simpsonhsimpson@gmail.comIDme2026!!
Derrick Linknixontestemail2@epic.comIDme2026!!

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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 + email address (for CLEAR) or email address + password (for ID.me)
  4. Follow the flow to authenticate, consent, and retrieve data.
If you encounter any issues or need further assistance, contact our support team at support@fastenhealth.com.