Part of this is now live. A read-only federal data API runs at solvinghealth.com/api/v1 — NPI registry, FDA clearances, recalls, adverse events, drug labels, clinical trials and CMS hospitals, no key, with the upstream source URL on every response. See the API reference. The wider platform architecture below is still design, and api.solvinghealth.com is not a live host — use the path above.
Architecture Databases API Security Home
Technical Platform Reference

The SolvingHealth Platform

Federal health databases, unified API, cross-reference intelligence, AI-powered answers. Built for healthcare builders.

Hear when the API is live API Docs View Architecture

Design spec  ·  FHIR R4  ·  HIPAA-aligned; no BAA executed  ·  not SOC 2 certified

7
Federal Databases
7
Federal datasets queried live
22
API Endpoints
5
Federal Sources
System Architecture

Data Pipeline

From raw federal data to intelligent answers in six layers.

CMS
NPPES, Hospital Compare
FDA
510(k), FAERS, DailyMed
OIG
LEIE Exclusions
NIH
ClinicalTrials.gov
CDC
Public Health Data
Ingest & Parse
Atlas Ingest Pipeline
CSV/JSON/XML parsing, dedup, normalization, FTS indexing
Normalize & Store
leie.db
npi.db
fda510k.db
labels.db
prices.db
trials.db
faers.db
Route & Auth
Unified API Gateway
Fastify 5 / 22 endpoints / API key auth / usage metering / rate limiting
Cross-Reference
Cross-Reference Engine
/v1/intelligence/* endpoints — provider dossiers, device lifecycle, drug reality scores
AI Intelligence Layer
POST /v1/ask — Claude Sonnet, context-aware, grounded in real federal data
Consume
Your Application
SurgeonValue / co-op.care / CareGoals / Your product
Data Layer

Federal Health Databases

Each database is a curated, indexed SQLite file built from public federal data sources. WAL mode for concurrent reads.

🛡
CredentialGuard
OIG LEIE (Office of Inspector General)
Verified Records
Monthly
leie.db
OIG LEIE CSV
Key Fields
npi name specialty exclusion_type exclusion_date state
Sample Query
GET /v1/credentials/search?name=smith&state=CO GET /v1/credentials/screen?npi=1234567890
👥
ProviderGraph
CMS NPPES (NPI Registry)
Verified Records
Weekly
npi.db
CMS NPPES API
Key Fields
npi first_name last_name taxonomy state credential
Sample Query
GET /v1/providers/search?taxonomy=orthop&state=CO GET /v1/providers/1234567890
🔬
ClearanceIQ
FDA openFDA 510(k)
Verified Records
Weekly
fda510k.db
openFDA API
Key Fields
k_number device_name applicant decision product_code predicate
Sample Query
GET /v1/clearances/search?q=knee+implant GET /v1/clearances/K241234
📋
LabelLens
DailyMed (NLM/FDA)
Verified Records
Weekly
labels.db
DailyMed SPL
Key Fields
drug_name generic_name manufacturer indications warnings dosage
Sample Query
GET /v1/labels/search?q=ibuprofen GET /v1/labels/search?manufacturer=pfizer
💰
PriceClear
CMS Hospital Compare
Verified Records
Quarterly
prices.db
CMS IPPS Data
Key Fields
drg_code hospital_name avg_charge avg_payment state discharges
Sample Query
GET /v1/prices/search?drg=470&state=CO GET /v1/prices/compare?drg=470&state=CO
🧪
TrialRadar
ClinicalTrials.gov (NIH)
Verified Records
Daily
trials.db
CT.gov API v2
Key Fields
nct_id title status phase condition sponsor
Sample Query
GET /v1/trials/search?q=knee+replacement GET /v1/trials/search?status=RECRUITING
⚠
SafetySignal
FDA FAERS
Verified Records
Quarterly
faers.db
openFDA FAERS
Key Fields
drug_name reaction outcome report_date serious report_count
Sample Query
GET /v1/safety/search?drug=acetaminophen GET /v1/safety/signals?drug=ibuprofen
API Reference

Comprehensive API

Organized by function. All authenticated via API key in x-api-key header. JSON responses.

Venture-Specific Data
GET/v1/credentials/searchSearch OIG LEIE exclusions
GET/v1/credentials/screenSingle NPI exclusion check
GET/v1/providers/searchCMS NPPES provider search
GET/v1/providers/:npiSingle provider by NPI
GET/v1/clearances/searchFDA 510(k) device clearances
GET/v1/clearances/:kNumberSingle clearance + predicates
GET/v1/labels/searchDailyMed drug labels
GET/v1/prices/searchCMS hospital pricing data
GET/v1/prices/comparePrice comparison by DRG
GET/v1/trials/searchClinicalTrials.gov search
GET/v1/safety/searchFDA FAERS adverse events
GET/v1/safety/signalsAggregated safety signals
Cross-Reference Intelligence
GET/v1/intelligence/provider/:npiFull provider dossier (all sources)
GET/v1/intelligence/device/:queryDevice lifecycle (clearance + safety)
GET/v1/intelligence/drug/:nameDrug reality score (label + safety + trials)
GET/v1/intelligence/hospitalHospital transparency (pricing + exclusions)
POST/v1/intelligence/screenBulk NPI screening (up to 100)
AI-Powered
POST/v1/askNatural language query, AI answers from real data
Access
GET/v1/statsDatabase statistics (public)
POST/v1/keys/createSelf-service API key creation
GET/v1/keys/usageUsage dashboard for your key
Security & Compliance

Built for Healthcare

Federal public data, zero PHI, enterprise-grade auth and metering.

🔒

API Key Authentication

SHA-256 hashed API keys stored server-side. Keys never stored in plaintext. Transmitted via x-api-key header over HTTPS.

📊

Usage Metering

Every API call logged with timestamp, endpoint, and response time. Per-key usage limits enforced. Real-time usage dashboard via /v1/keys/usage.

⚡

Rate Limiting

Fastify rate-limit middleware. Per-key and per-IP limits prevent abuse.

🏛

Data Sovereignty

All data sourced from public federal databases (CMS, FDA, OIG, NIH). No protected health information (PHI). No patient data. HIPAA-aligned by design.

🛡

No PHI, Ever

Solving Health indexes public federal registries only. Provider NPIs, device clearances, hospital prices, clinical trials, and safety signals. Zero patient identifiers.

📝

Audit Trail

Full request logging in gateway.db. Every API call tracked by key, endpoint, timestamp, and response code. Export-ready for compliance reviews.

Infrastructure

Tech Stack

Modern, lightweight, deployment-ready. No heavy ORM. No managed database bills. Just SQLite and Fastify.

⚡
Fastify 5
API framework (60K req/s)
💾
SQLite + WAL
Multiple databases, zero config
🟢
Node.js 22
LTS runtime
📘
TypeScript 5
Full type safety
🐳
Docker
Dockerfile ready for Railway/Fly.io
▲
Vercel
Gateway + frontends deployed
🧠
Claude Sonnet
AI intelligence layer
🎨
Vite
Static site build (gateway)
⚛
React 19
co-op.care frontend
◯
Next.js 15
SurgeonValue MVP
🔍
FTS5
Full-text search on all DBs
Get Started

Start Querying in 5 Minutes

No key and no signup. Seven federal health datasets behind one base URL, and every response names its source.

Try the public API See every endpoint

Not yet serving  ·  FHIR R4  ·  HIPAA-aligned, no BAA executed

The Solving Health Ecosystem

SurgeonValue Eleven physician-attested agents for orthopedic surgeons ClinicalSwipe Physician review marketplace Solving Health Healthcare intelligence from real federal data co-op.care Worker-owned home care cooperative CareGoals Advance care planning through conversation altru.care Medicare billing and clinical services Comfort Card The family care file, kept on your own device

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