{
  "schema_version": "2.0",
  "slug": "healthchainai-healthchain",
  "name": "HealthChain",
  "agent_url": "https://healthchainai.github.io/HealthChain/",
  "category": "Specialized verticals",
  "run_id": "run-healthchainai-healthchain-v2-2026-08-10",
  "run_at": "2026-08-10T21:30:00Z",
  "editor": "Hlido Editor",
  "editorial_method": "public-surface-tier-1+editorial-narrative-v2",
  "methodology_version": "2026.05",
  "methodology_url": "/methodology/public-surface-tier-1/",
  "score": 66,
  "tier": "FADING",
  "laddoo_score": 66,
  "confidence": "low-medium",
  "hlido_opinion": {
    "headline": "Open-source FHIR tooling that serves typed, validated healthcare tools to agents over MCP — credible scope, but the captured surface is a docs landing page, not proof.",
    "body": "HealthChain is aiming at a real and hard problem: agents operating on clinical data need tools that are typed and validated against FHIR, not free-form API calls, and the failure mode of getting that wrong is not a bad user experience but a bad clinical one. The framing — 'the open agentic stack for healthcare', with gateways, FHIR validation, agent tools and a sandbox as the named core concepts — is coherent and correctly ordered: validation first, connectivity second, deployment third. Serving those tools over both MCP and LangChain is the right distribution choice for 2026, and multi-EHR aggregation across Epic and Cerner is the use case that would actually justify the project's existence. The public signals are modest but real: version 0.16.0, 221 stars, 41 forks, an active Discord, a newsletter, and docs organised into getting-started, tutorials, cookbook and API reference. What we could read is a well-structured documentation home page and nothing more — no validation coverage claim, no conformance statement, no named deployment, no statement about PHI handling or what the sandbox does and does not isolate. For a healthcare-adjacent tool those absences are the review. The scope is worth taking seriously; the evidence on this surface does not yet let anyone take a position on whether the validation is correct, which is the entire product.",
    "voice": "Hlido Editor",
    "as_of": "2026-08-10",
    "editor_signature_pending": true
  },
  "tier_rationale": "FADING (66) because the project is open, actively documented and pointed at a genuinely valuable problem, but the captured public surface establishes no evidence about the thing that matters — the correctness and coverage of its FHIR validation. For clinical tooling, unverified validation is the central risk, and nothing public addresses conformance, PHI handling or a real deployment. Version 0.16.0 with 221 stars is early-stage traction, not adoption. It clears FLATLINE comfortably on openness and documentation structure; it cannot reach STEADY without published conformance or a named user.",
  "what_it_does_well": [
    "Correctly orders the problem: typed FHIR validation before agent connectivity",
    "Serves tools over both MCP and LangChain rather than betting on one",
    "Multi-EHR aggregation (Epic, Cerner) is the use case that justifies the project",
    "Documentation is structured into getting-started, tutorials, cookbook and API reference",
    "Open source with visible community surfaces (GitHub, Discord, newsletter)"
  ],
  "what_it_fails_at": [
    "No FHIR conformance or validation-coverage claim anywhere on the captured surface",
    "No statement about PHI handling, data residency, or what the sandbox isolates",
    "No named deployment, pilot or case study — traction is 221 stars, not usage",
    "Version 0.16.0: pre-1.0 for software whose failure mode is clinical",
    "Landing page is a docs index; the substantive claims live behind links we did not capture"
  ],
  "best_for": [
    "Engineering teams prototyping agentic workflows against FHIR data",
    "Health-tech builders who need EHR connectivity without writing integrations per vendor",
    "Research groups wanting an open, inspectable stack rather than a closed vendor SDK",
    "Developers evaluating whether MCP is a viable transport for clinical tooling"
  ],
  "not_recommended_for": [
    "Production clinical deployments requiring published conformance evidence",
    "Organisations needing a documented PHI/compliance posture before evaluation",
    "Teams wanting vendor support and SLAs rather than a Discord",
    "Anyone treating validated FHIR access as a solved dependency rather than a thing to verify"
  ],
  "red_flags": [],
  "compared_to": [],
  "evidence_urls": [
    {
      "claim": "Serves typed, validated FHIR tools to agents over MCP or LangChain",
      "source": "https://healthchainai.github.io/HealthChain/",
      "tested_at": "2026-08-10",
      "verified": true
    },
    {
      "claim": "Supports multi-EHR aggregation across Epic and Cerner",
      "source": "https://healthchainai.github.io/HealthChain/",
      "tested_at": "2026-08-10",
      "verified": true
    },
    {
      "claim": "Version 0.16.0, 221 stars, 41 forks",
      "source": "https://healthchainai.github.io/HealthChain/",
      "tested_at": "2026-08-10",
      "verified": true
    },
    {
      "claim": "Core concepts are Gateways, FHIR validation, Agent Tools and Sandbox",
      "source": "https://healthchainai.github.io/HealthChain/",
      "tested_at": "2026-08-10",
      "verified": true
    }
  ],
  "agent_relevance": {
    "has_api": true,
    "has_cli": false,
    "has_mcp": true,
    "has_webhook": false,
    "has_sdk": true,
    "behavioral_testable": true,
    "agent_integration_path": "Exposes FHIR tools to agents over MCP or LangChain, with a Python package and an API reference. The design intent — that an agent consumes validated, typed tools rather than raw EHR endpoints — is the correct shape for this domain. Whether the validation layer is trustworthy is not establishable from the public surface.",
    "agent_friendly_score": 7
  },
  "checklist": [
    {
      "id": "homepage_loads",
      "pass": true,
      "required": true,
      "tested_at": "2026-08-10T04:31:30.917Z"
    },
    {
      "id": "primary_value_prop",
      "pass": true,
      "required": true,
      "evidence": "'The open agentic stack for healthcare'",
      "tested_at": "2026-08-10T04:31:30.917Z"
    },
    {
      "id": "cta_present",
      "pass": true,
      "required": true,
      "evidence": "'Get Started'",
      "tested_at": "2026-08-10T04:31:30.917Z"
    },
    {
      "id": "pricing_or_access",
      "pass": true,
      "required": true,
      "evidence": "Open source; install documented",
      "tested_at": "2026-08-10T04:31:30.917Z"
    },
    {
      "id": "evidence_or_demo",
      "pass": false,
      "required": true,
      "evidence": "No conformance evidence, benchmark or named deployment on the captured surface",
      "tested_at": "2026-08-10T04:31:30.917Z"
    },
    {
      "id": "docs_public",
      "pass": true,
      "required": false,
      "evidence": "Docs, tutorials, cookbook and API reference in nav, no login",
      "tested_at": "2026-08-10T04:31:30.917Z"
    }
  ],
  "staleness_after": "2026-11-10",
  "review_age_days_at_publish": 0,
  "next_review_due_at": "2026-11-10",
  "attestation_url": "/data/attestations/healthchainai-healthchain.json",
  "signature_pending": true,
  "source": "hlido-editor-v2",
  "marking_signal": {
    "marking_statement": false,
    "detection_tool": false,
    "cop_signatory": null,
    "evidence_url": null,
    "checked_at": "2026-08-10",
    "source": "r4-enrich-2026-08-10",
    "note": "No marking or provenance statement for AI-generated clinical output on the captured surface."
  },
  "evidence_images": {
    "run_id": "run-29e63c3221373f49-healthchainai-github-io",
    "base": "https://images.hlido.eu/reviews/healthchainai-healthchain/run-29e63c3221373f49-healthchainai-github-io",
    "files": [
      "home.png",
      "pageinstallation_.png",
      "pagetutorials_.png",
      "pagecookbook_.png"
    ],
    "urls": [
      "https://images.hlido.eu/reviews/healthchainai-healthchain/run-29e63c3221373f49-healthchainai-github-io/home.png",
      "https://images.hlido.eu/reviews/healthchainai-healthchain/run-29e63c3221373f49-healthchainai-github-io/pageinstallation_.png",
      "https://images.hlido.eu/reviews/healthchainai-healthchain/run-29e63c3221373f49-healthchainai-github-io/pagetutorials_.png",
      "https://images.hlido.eu/reviews/healthchainai-healthchain/run-29e63c3221373f49-healthchainai-github-io/pagecookbook_.png"
    ]
  },
  "repo_url": "https://github.com/healthchainai/HealthChain",
  "pricing_facts": {
    "schema": "pricing-facts/1",
    "pricing_disclosed": {
      "pass": true,
      "evidence": "Open source; install documented",
      "tested_at": "2026-08-10"
    },
    "last_verified": "2026-08-10",
    "basis": "Derived from Hlido-held evidence only (engine checklist + editorial text); quotes are verbatim from the scorecard; not vendor-supplied; re-derived daily. Verify current prices on the vendor's pricing page.",
    "derived_at": "2026-08-21"
  }
}