The API Report CardAPI Index
Health Gorilla

Health Gorilla API

Healthcare / EHR (national health data network, TEFCA QHIN) · healthgorilla.com

Documented FHIR R4 and STU3 REST APIs cover Patient360, lab ordering, ADT feeds, and referrals, with OAuth2, a free sandbox, and an open developer portal. Moving real PHI requires a paid contract, signed BAA, and vetting, and that vetting is now under scrutiny in the Epic lawsuit.

Last verified: July 2026Healthcare
API GRADE
F
VERIFIED JUL 2026

SCORECARD

ExistenceGOODDocumented FHIR R4 and STU3 REST APIs cover Patient360, lab ordering, ADT, referrals, and subscriptions.
AccessFAILSandbox is free, but production PHI requires a paid contract, signed BAA, and case-by-case vetting.
CoveragePOORFederated queries mean coverage varies by upstream source; completeness depends on which EHR or lab responds.
AuthGOODOAuth 2.0 client credentials with SMART on FHIR for patient mediated flows; standard, well documented mechanisms.
Docs & DXGOODFull developer portal with an OpenAPI index, GitHub example code, and free sandbox accounts against synthetic data.
StabilityMIXEDTwo FHIR versions run in production, STU3 in older products and R4 in newer, with per-product schema differences.
Supergood: Health Gorilla has an API, but using it means gates, contracts, or workarounds. Ours doesn't: stable endpoints, normalized JSON, managed auth.

Frequently asked questions

Health Gorilla scores F on the API Report Card. Documented FHIR R4 and STU3 REST APIs cover Patient360, lab ordering, ADT feeds, and referrals, with OAuth2, a free sandbox, and an open developer portal. Moving real PHI requires a paid contract, signed BAA, and vetting, and that vetting is now under scrutiny in the Epic lawsuit.

Tried to integrate with Health Gorilla?
SOURCES
Production API access requires a negotiated paid contract and a vetting / onboarding process that is not self-serve, sandbox is free but moving real PHI requires sales engagement and a signed BAA developer.healthgorilla.com
API rate limits and per-call / per-record pricing are not transparently published; customers report having to negotiate quotas inside the master agreement developer.healthgorilla.com
FHIR resource coverage varies by upstream data source, for any given resource (e.g., DocumentReference, MedicationStatement, Observation) what comes back depends on which EHR / lab / HIE actually responded to the federated query developer.healthgorilla.com
Federated FHIR query model means latency and completeness vary materially between calls, there is no single 'system of record' returning a guaranteed bundle developer.healthgorilla.com
Vetting of 'who can request records for what purpose' through Health Gorilla's APIs is now the central allegation in Epic v. Health Gorilla, plaintiffs allege the API itself was used to surface PHI for marketing rather than treatment courtlistener.com
Two FHIR versions in production (STU3 in older products, R4 in newer ones) creates per-product schema and search-parameter inconsistencies that developers must track developer.healthgorilla.com
Lab-ordering API workflows require LIS / lab-vendor-specific compendium configuration that often involves Health Gorilla professional services, not pure self-serve medplum.com
Epic, OCHIN, Reid Health, Trinity Health, and UMass Memorial Health filed a federal lawsuit in Jan 2026 alleging Health Gorilla and partners 'operate as organized syndicates to monetize patient records without patients' knowledge or consent,' allegedly using fictitious providers and shell entities to request 300,000+ records for non-treatment uses (e.g., marketing to mass-tort lawyers) healthcareitnews.com
GuardDog Telehealth, one of Health Gorilla's network participants, publicly admitted misrepresenting its services to access patient health information, the first concession in the Epic lawsuit and a direct attribution of data-governance failure to Health Gorilla's vetting medcitynews.com
Pricing is opaque and contract-gated, public pricing is not published; quotes vary significantly by use case (lab ordering vs Patient360 vs ADT vs Infrastructure) and customer size, making procurement comparisons hard sourceforge.net
Customer-record-request workflows have been criticized by health systems for insufficient verification of 'treatment purpose', a structural complaint inside TEFCA that the Epic lawsuit has now turned into a public, named one against Health Gorilla specifically fiercehealthcare.com
Coverage outside top-tier EHRs and large IDNs is uneven, community hospitals, FQHCs, and post-acute providers may not be reachable in practice even when nominally part of TEFCA / Carequality healthgorilla.com
Embedded viewer / iFrame integration has historically required Health Gorilla professional services for theming and SSO setup rather than being fully self-serve healthgorilla.com
Real-world TEFCA participation by EHRs (notably Epic Nexus going live in 2024-2025) has begun cannibalizing the 'one API to all records' value proposition, customers can increasingly query the Epic Nexus QHIN directly and may not need a third-party QHIN onhealthcare.tech