Is Your Data Stack Compliant?

Fractional Specialist for HTI-1, HTI-2, HTI-3, HTI-4, USCDI v3/v4, and MHMDA Privacy. I provide diligent technical validation for clinical logic, privacy engineering, and E2E EHR & EMR Testing.

Audit My Pipelines

Accepting 5 audits for March 2026.

HTI-1 through HTI-4 & USCDI v3/v4 Compliance Services

HTI-1 through HTI-4 & Regulatory Auditing

Strategic technical validation for approaching HTI rule deadlines. I audit your SQL and Databricks logic to ensure compliance with USCDI v3/v4 and MHMDA mandates.

  • US Core 6.1.0 Support
  • Clinical Data Integrity
  • Audit-Ready Documentation

Privacy Engineering

I transform legal requirements into engineering reality. I build and audit automated de-identification pipelines and secure PHI handling protocols.

  • Automated De-identification
  • PHI Handling Strategy
  • Cloud Data Security
IDEAL FOR STARTUPS

Fractional Expert Support

Diligent support for lean teams and startups. I understand the constraints of small teams and the importance of runway. I provide expert validation at critical milestones so you don't need a full-time hire.

  • Architecture Checkpoints
  • Pre-Release Audits
  • Investor Diligence Readiness

HTI-1 through HTI-4 & USCDI v3/v4

Mandatory compliance for 2026–2027 and beyond.

  • US Core 6.1.0 Migration Audit
  • Algorithm Transparency (b)(11)
  • USCDI v3/v4 Data Class Mapping

Implementation Guide →

Payers

Vendor ingestion and data integrity.

  • Ingestion QA: Vendor pipeline validation.
  • Data Parity: Legacy vs. Modern migration checks.

Providers

Clinical data integrity and EMR flows.

  • EMR Integration: Data acceptance and clinical workflows.
  • Data Parity: Legacy vs. Modern migration checks.

De-Identify Live

AI-Ready Data streams. Real-time scrubbing of FHIR & Unstructured Notes.

  • NLP Redaction: Removing PHI from Clinical Notes & Radiology.
  • "In-Place" Processing: De-identify within your private VPC (AWS/Azure).
  • Research Utility: Pseudonymization for Longitudinal Studies.

Data Masking & De-Identification Architecture

Guidance and consulting for compliant pipelines.

I can help architect "Zero-Trust" pipelines that sanitize data before it leaves your secure environment.

Methods

  • HIPAA Safe Harbor (18 Identifiers)
  • Expert Determination (Statistical)
  • Pseudonymization (Tokenization)

Data Types

  • Structured (FHIR, HL7 v2, CCDA)
  • Unstructured (Notes, Discharge Summaries)
  • DICOM (Medical Imaging Headers)

Cloud Native

  • Azure Health Data Services
  • Google Cloud Healthcare API
  • AWS Comprehend Medical

Cloud & Clinical Infrastructure

Amazon Web Services (AWS) Microsoft Azure Google Cloud Platform (GCP) Databricks Epic App Orchard MS SQL InterSystems IRIS Smile CDR Firely

What Are HTI-1 through HTI-4 and Why Do They Matter for Your Startup?

The Health Data, Technology, and Interoperability (HTI) rules (HTI-1, HTI-2, HTI-3, and HTI-4) are landmark regulations from the ONC designed to increase data transparency, end "information blocking," and advance interoperability. For HealthTech companies, this isn't just a regulatory hurdle. It's a fundamental shift in how clinical data must be architected.

Approaching HTI-1 through HTI-4 Deadlines

Health IT developers must urgently transition to USCDI v3/v4 standards and meet new certification criteria across HTI-1 (2026), HTI-2, HTI-3, and HTI-4 (2027). Check the latest ONC deadlines. Failing to validate your data logic now creates massive technical debt and liability later.

USCDI v3/v4 Standards

HTI rules mandate the use of the United States Core Data for Interoperability (USCDI) Version 3 and v4. USCDI v3 is required for certification in 2026; v4 adds 20 new elements for forward compatibility. Rigorous mapping of clinical data classes and elements ensures seamless, standardized exchange.

Anti-Information Blocking & DSI Transparency

Startups must prove their systems do not interfere with the access, exchange, or use of electronic health information (EHI). HTI-2 adds DSI (b)(11) privacy and security requirements; HTI-4 covers e-prescribing, RTPB, and prior auth APIs. Validation is required to ensure compliance with these "Conditions of Certification."

Don't navigate HTI-1 through HTI-4 alone.

Leverage 15 years of "Zero-Fail" clinical data engineering to audit your logic before deadlines hit. View ONC regulatory deadlines. HTI-1 through HTI-4 & USCDI v3/v4 Implementation Guide.

Book HTI-1 through HTI-4 & USCDI v3/v4 Readiness Assessment