Durable public assets
Maintained repositories, reference services, tests, documentation, and implementation guides that lower the cost of standards-based health data work.
Open standards. Open code. Public trust.
Open source software for US health care.
Transparent Health is a 501(c)(3) open source software foundation for the US health care system. We work with public agencies, health systems, developers, and implementation partners to build reusable health data infrastructure, patient access programs, and public-good software.
Collaboration creates
- Open repositories Reference software, tests, and documentation that can be reused across programs.
- Field-tested programs Patient access cohorts, trust infrastructure work, and standards implementation playbooks.
- Durable stewardship Maintenance, governance, and security review after the initial implementation cycle ends.
Why open source
Health care runs on shared infrastructure. It should be open.
Identity, patient access, and interoperability are problems every part of the system has to solve. Transparent Health gives those shared problems a neutral place to become open tools and implementation patterns instead of isolated one-off builds.
Open source software foundation
We build public-good health software in the open.
The foundation's public repositories reflect its standards DNA: FHIR, consumer health profiles, identity assurance, provider data tools, OAuth, health cards, discovery, and trust infrastructure. Some repositories are original work, and some began elsewhere and are maintained as part of a broader public-good software commons.
Collaboration model
Shared infrastructure, built in the open.
Transparent Health works with agencies, health systems, developers, and community partners as a neutral home for practical US health care infrastructure. The goal is to turn implementation work into software, guidance, and operating models that other communities can adopt.
Measurable access programs
Patient navigation programs that help people connect portals, gather records, resolve missing data, and leave behind reusable playbooks.
Trust infrastructure
Help states, agencies, and health systems publish discovery files, trust bundles, identity attestations, and verification artifacts in open, auditable ways.
Responsible stewardship
Maintenance, security review, governance, and community operations so useful code does not disappear when a project cycle ends.
Foundation programs
Programs grounded in open source infrastructure.
Each program is designed to create practical results for participants while producing open artifacts, lessons, and infrastructure that can benefit the wider US health care ecosystem.
Open source infrastructure
We steward code and reference patterns for identity, FHIR, patient access, provider data, discovery, and trust infrastructure.
Explore GitHubPatient record access
We help patients and families collect, organize, and understand medical information across portals, scanned documents, faxes, and electronic sources.
Explore the modelIdentity and informatics
We advise public agencies, health systems, and implementers on identity, FHIR, OAuth2, OpenID Connect, SMART on FHIR, HL7v2, PKI, and cloud implementations.
See capabilitiesTrust publication services
We host public artifacts, verification documents, trust bundles, and DNS entries used for domain verification, discovery, and program transparency.
Publish with confidenceApplied patient access program
Patient navigation that creates evidence, not just anecdotes.
Patient access is a legal right, but it is still a practical maze. Transparent Health can help design and operate a navigator model where trained helpers walk people through account setup, portal access, consent, document intake, and record assembly.
Applied cohorts can produce measurable outputs: portals connected, records collected, gaps identified, turnaround time reduced, and open playbooks that other communities can reuse.
Connect
Help people create or recover portal access, complete MFA, and connect to supported patient-facing APIs.
Collect
Receive scanned records, PDFs, mailed copies, and faxes, then organize the materials with clear provenance.
Assemble
Build record packets, medication lists, timelines, and visit-prep summaries for patients and caregivers.
Carry forward
Teach people how to keep records current and how to share only what is needed with trusted recipients.
For agencies and health systems
Standards expertise that feeds back into open source infrastructure.
Transparent Health can help design, review, prototype, and operate systems where identity, interoperability, cryptography, and health data governance meet, with a preference for reusable patterns and open implementation guidance.
Identity and trust
- OpenID Connect and OAuth2
- Okta, Azure, AWS, Google, and custom IdP integrations
- x.509 PKI, certificate operations, trust bundles, Direct, and DNS
- Identity proofing, assurance levels, and trustmark patterns
Health data standards
- FHIR and SMART on FHIR
- HL7v2, provider data, Blue Button, and patient access APIs
- Privacy-preserving record linkage and matching design
- Implementation guides, conformance, and interoperability testing
Software development and platforms
- Python, Django, JavaScript, Git, MongoDB, relational databases, Palantir and other big data platforms
- SHA, bcrypt, PBKDF2, tokenization, JWT, and audit patterns
- Cloud-native deployment assistance on FEDRAMP AWS and Microsoft Azure GovCloud
- Architecture reviews, procurement support, and delivery coaching
Verification services
Identity is foundational to health care.
Transparent Health helps people and organizations establish identity in ways that support accountable access, record control, and trust decisions.
We can provide digitally signed attestations for Identity Assurance Levels (IAL) 1, 2, and 3 where a program needs portable evidence of identity assurance.
Public hosting
Stable public documents, discovery files, and DNS-based proof.
We host public documents, trust materials, domain verification records, and related DNS entries for programs that need a durable, transparent publication point. We can also help host well-known directories for FHIR, JWKS, and other standards-based discovery needs.
- Public machine-readable documents and JWTs
- DNS TXT records for domain and service verification
- Certificate publication
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