
CliniPay Arc is a Clinical Arc–style HealthTech demonstration that wires common NHS interoperability patterns to Arc Testnet USDC using HTTP 402 / x402 nanopayments. It reframes how clinical data APIs are commercialised: today, vendors like EMIS and TPP charge flat annual partner-programme fees plus per-integration licensing, and EPR platforms (Epic at Lewisham & Greenwich £52M, Somerset & Dorset £222M) bury interop inside ten-year contracts. Agents, however, call APIs per-millisecond. CliniPay Arc shows a per-call settlement lane built for that traffic. The project showcases four primary surfaces: a local SNOMED CT RF2 browser (SQLite-backed search and concept detail, with optional paid LLM-assisted concept summary); NHSBSA dm+d intelligence (free wardle-compatible search plus paid lookup and prescribing summary); an NHS UK "open data" lane that grounds paid retrieval and synthesis in curated CSV datasets; and Confidential Data Rails (CDR) vault workflows with policy framing and file-handling patterns suitable for a demo. A shared shell provides wallet connectivity, facilitator selection (Circle Gateway vs Thirdweb EIP-3009), and transparent balance UX. An optional on-chain runner supports hackathon-style evidence gathering, separate from the clinical demos. Stack: React 19 + TypeScript + Vite client, Express server, OpenAPI discovery, local data-prep scripts. All clinical content is synthetic or reference-only — this is an engineering and payments interoperability prototype for judges and builders, not a clinical system
26 Apr 2026