fasten-connect SKILL.md skillB

fasten-connect from aks129/healthclawguardrails is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.

Install it, pinned
mdr add aks129/healthclawguardrails/fasten-connect@git:20260924.14e2094

Pins git:20260924.14e2094 in mdr.lock. Pin the fingerprint instead.

Audit grade
B, 16 of 17 checks passed
Kind
SKILL.md skill
Repository
aks129/healthclawguardrails
Path
skills/fasten-connect/SKILL.md
Versions recorded
3
Latest version
git:20260924.14e2094, committed Sep 24, 2026
First version recorded
Mar 29, 2026
Size
8,618 bytes
Repository stars
31
License
MIT

Use this skill whenever connecting a patient's real health records from EHR systems (Epic, Cerner, Athena) or the TEFCA national network into HealthClaw Guardrails. Covers: Fasten Stitch widget embed, org_connection_id registration, EHI export job tracking, NDJSON ingestion status, TEFCA IAS identity-verified multi-provider retrieval, and post-import Curatr quality scan workflow.

Collected from public GitHub. Every version is saved exactly as it was and never changes. Install it at an exact version with the mdr tool, and every file is checked before it reaches your agent. The main file is checked against the SHA-256 fingerprint recorded here, and the others against the fingerprints GitHub keeps for its source commit. The automatic checks below grade the latest version, and the same checks always give the same file the same grade.

What the file says

# Fasten Connect — Patient Health Record Ingestion

Connects patient-authorized real EHR data into HealthClaw Guardrails via
[Fasten Connect](https://docs.connect.fastenhealth.com). Once ingested, all
records flow through the full guardrail stack: PHI redaction, audit trail,
step-up authorization, and tenant isolation.

**Two modes:**
- **Standard** — patient authenticates with their EHR portal (Epic, Cerner, Athena, etc.)
- **TEFCA IAS** — single identity verification (CLEAR / ID.me) retrieves records from all
  QHINs the patient has records at, without per-provider logins

---

## Environment Variables

| Variable | Required | Description |
|---|---|---|
| `FASTEN_PUBLIC_KEY` | Yes | Fasten API public key (`public_test_*` or `public_live_*`) |
| `FASTEN_PRIVATE_KEY` | Yes | Fasten API private key — never expose client-side |
| `FASTEN_WEBHOOK_SECRET` | Recommended | Standard-Webhooks HMAC secret from Fasten portal |
| `FASTEN_CURATR_SCAN` | No | Set `true` to run Curatr quality scan after each import |
| `FASTEN_TEFCA_MODE` | No | Default `false`. Set `true` only when Fasten has enabled TEFCA IAS for the account; the `/connect` page then adds `tefca-mode=true` to the widget |
…

Read the whole file at its exact version.

How to install

The exact contents, by fingerprint
mdr add aks129/healthclawguardrails/fasten-connect@sha256:afe044d31ae88364

The line at the top of this page pins the label git:20260924.14e2094, which is what most people want. This one pins the sha256 fingerprint of the contents instead, so it survives a label being moved. Either way the exact version is written to mdr.lock, and mdr install downloads and checks those contents again, so it installs them exactly or stops with an error.

Badge

mdr badge

[![mdr](https://markdownregistry.com/badge/art_pxhze4v7xxafqhyr.svg)](https://markdownregistry.com/a/art_pxhze4v7xxafqhyr)

3 badge image fetches in 30 days. What the badge shows.

Versions

The registry has recorded 3 versions of this file, between Mar 29, 2026 and Sep 24, 2026, about one every 90 days.

versioncommittedcommitsizeaudit
git:20260924.14e2094 latest2026-09-24 14e2094 8,618 BB view · diff
git:20260414.cf87ffd2026-04-14 cf87ffd 8,266 BB view · diff
git:20260329.86f6e682026-03-29 86f6e68 8,294 BB view

Audit of the latest version

B  16 of 17 checks passed. Fixed automatic checks with no AI involved, so the same checks give the same answer every run.
  • fail: No script tag (matched: <script)
  • pass: Frontmatter block present
  • pass: Frontmatter declares a name
  • pass: Frontmatter declares a description
  • pass: Size between 200 bytes and 200 KB (8618 bytes)
  • pass: No zero-width or bidi control characters
  • pass: No instruction hidden inside an HTML comment
  • pass: No link to an exfiltration or paste host
  • pass: No credential-shaped string
  • pass: No instruction to send local credentials anywhere
  • pass: No text hidden with inline styles
  • pass: No prompt-injection phrasing
  • pass: No curl or wget piped into a shell
  • pass: No recursive delete of root, home or parent
  • pass: No instruction to read or print local credentials
  • pass: No base64 blob over 200 characters
  • pass: No link to a raw IP address

Starting a new one? Use a template for SKILL.md on mdpantry, which passes every one of these checks and says what to change in it.

Source

GitHub

aks129/healthclawguardrails · 31 stars · license MIT · pushed 2026-10-20 · branch main

API

GET https://markdownregistry.com/api/v1/artifacts/art_pxhze4v7xxafqhyr
GET https://markdownregistry.com/api/v1/resolve?ref=aks129/healthclawguardrails/fasten-connect
GET https://markdownregistry.com/api/v1/blob/afe044d31ae88364506baa211868e8e35d41a605873eff59619ef57b78608cbd

Your AI assistant does the legwork. You hear about the deals worth your word. Hand yours the standing instructions at modelranch.com and it joins the network that reads files like this one.

Guides: the SKILL.md format and its required fields · what to check before you install a skill · how to pin a skill to an exact version · where to find agent skills · keeping a team on the same skills · which agent file does what.

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