generated: '2026-09-02'
method: searched
source: >-
  NuGet search + registration metadata
  (https://azuresearch-usnc.nuget.org/query?q=carefluence,
  https://api.nuget.org/v3/registration5-semver1/<id>/index.json), fetched
  2026-09-02. npm, PyPI, RubyGems, crates.io, Maven Central, pkg.go.dev and
  Packagist searched for "carefluence" with zero results.
name: Carefluence client packages
description: >-
  Carefluence ships .NET client libraries on NuGet under the owner account
  carefluence-team. They are genuinely first-party, and they are stale: the
  newest release across all three packages predates the R4 API's June 2022 ONC
  certification by more than three years.
registries_searched:
- registry: nuget
  query: carefluence
  hits: 3
- registry: npm
  query: carefluence
  hits: 0
- registry: pypi
  query: carefluence
  hits: 0
  note: 'https://pypi.org/pypi/carefluence/json returned 404.'
- registry: rubygems
  query: carefluence
  hits: 0
- registry: crates.io
  query: carefluence
  hits: 0
- registry: maven-central
  query: carefluence
  hits: 0
- registry: pkg.go.dev
  query: carefluence
  hits: 0
- registry: packagist
  query: carefluence
  hits: 0
- registry: github
  query: 'https://github.com/carefluence'
  hits: 0
  note: 'HTTP 404 — Carefluence publishes no GitHub organization.'
packages:
- name: Carefluence
  registry: nuget
  url: https://www.nuget.org/packages/Carefluence
  official: true
  official_evidence: >-
    NuGet owner carefluence-team, authors "Carefluence", projectUrl
    http://www.carefluence.com on the 1.0/1.1/1.4 releases.
  language: dotnet
  version: 1.7.0
  published: '2019-02-21'
  latest_listed: true
  total_downloads: 19861
  description: >-
    "Carefluence OpenAPI Client library has methods connect to the OpenAPI
    Server and query patient data from EHRs" (publisher's own description on
    release 1.1.0; later releases ship the placeholder string "Description").
  note: >-
    Ten published versions, only 1.7.0 listed. Last release 2019-02-21 — three
    years before the R4 product it nominally wraps was certified, and seven
    years before this profile was taken.
- name: Carefluence.CDSHooks
  registry: nuget
  url: https://www.nuget.org/packages/Carefluence.CDSHooks
  official: true
  official_evidence: NuGet owner carefluence-team.
  language: dotnet
  version: 1.0.0.7
  published: '2019-03-04'
  latest_listed: true
  total_downloads: 19093
  description: Carefluence .NET SDK for Token management methods.
  note: >-
    Fifteen published versions; 1.0.0.7 is the only listed one, and the version
    ordering is non-monotonic (1.0.8 exists but is unlisted and predates it in
    the listed set). Named for CDS Hooks but described as token management.
- name: Carefluence.Adapter.13.0
  registry: nuget
  url: https://www.nuget.org/packages/Carefluence.Adapter.13.0
  official: true
  official_evidence: NuGet owner carefluence-team, authors "Carefluence".
  language: dotnet
  version: 13.0.0
  published: '2017-06-21'
  latest_listed: true
  total_downloads: 1801
  description: >-
    No description published (placeholder string "Description"). The name
    matches the "Adapters for non-FHIR server Connectivity" product line.
  note: Single release, 2017-06-21. Oldest and least-downloaded of the three.
findings:
- >-
  All three first-party packages are .NET-only. There is no JavaScript, Python,
  Java or Go client for a FHIR API whose buyers are health-IT developers.
- >-
  Newest first-party release is 2019-03-04. The certified R4 API dates from
  2022-06-29 and the MCP server product was announced later still; no package
  has been touched since. This is the strongest provider-published decay signal
  on the Carefluence surface.
- >-
  None of the three packages publishes a repository URL, licence URL or release
  notes, so a consumer cannot see what changed or read the source.