specification: API Commons Plans
specificationVersion: '0.1'
schema: https://raw.githubusercontent.com/api-evangelist/interface-research/main/schema/api-commons.yml#/$defs/Plans
provider: SMART Health IT
providerId: smarthealthit
created: '2026-07-11'
modified: '2026-07-11'
reconciled: true
tags:
- SMART on FHIR
- FHIR
- Health IT
- Open Standards
- Plans
description: >-
  Everything SMART Health IT operates is free and open. It is a standards
  organization (Boston Children's Hospital / Harvard Medical School), not a
  commercial API vendor - there are no paid tiers, no API keys to buy, and no
  sales motion. The specifications (SMART App Launch, FHIR Bulk Data, SMART
  Health Cards) are open HL7/community standards, the client libraries and
  reference servers are open source under the smart-on-fhir GitHub
  organization, and the public sandboxes (open FHIR R2/R3/R4 servers, the
  SMART App Launcher, and the reference Bulk Data server) are free to use with
  no registration. The sandboxes serve synthetic data only and are intended
  for development and testing, not production workloads or real PHI.
notes: >-
  Production SMART on FHIR access is obtained from EHR vendors (Epic, Oracle
  Health/Cerner, athenahealth, and others) under their own developer programs
  and terms - those are separate providers, not SMART Health IT plans.
sources:
- https://smarthealthit.org/
- https://docs.smarthealthit.org/
- https://github.com/smart-on-fhir
plans:
- id: smarthealthit-open-sandbox
  name: Open Sandbox (Free)
  type: free
  description: >-
    The complete public surface - the open FHIR R4 sandbox at
    r4.smarthealthit.org (plus DSTU2/STU3 variants), the SMART App Launcher
    at launch.smarthealthit.org, and the reference Bulk Data server at
    bulk-data.smarthealthit.org. No registration, no API key, no charge; use
    is bounded only by fair-use expectations for a shared test service.
  entries:
  - label: Sandbox Requests
    name: sandbox_requests
    type: usage
    metric: requests
    limit: -1
    timeFrame: month
    geo: global
    unit: 1
    price: free (shared test infrastructure, synthetic data only)
    userMultiplied: false
  elements:
  - name: Open FHIR R4/R3/R2 Endpoints
  - name: SMART App Launcher (EHR, Patient Portal, Standalone Launches)
  - name: Bulk Data $export Reference Server
  - name: Open Source Client Libraries
  - name: HL7 SMART App Launch Specification
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com