Section 71401 · Technical Factor F.2 · September 30, 2027 deadline
Transport is solved. Semantics is not.
Make your rural network mean the same thing across four EHRs and a pharmacy system.
The structural gap states are working with.
40%
of local health departments have no informatics staff. (NACCHO 2024)
42%
of clinicians use outside clinical info — even when their hospital has access. (ONC 2023)
4–6
EHR vendors per rural network — vs. 1 in an integrated delivery system.
The record moves through the HIE. The meaning does not travel with it.
Forty percent of local health departments have no informatics staff. The 195 rural hospitals that have closed since 2005 didn’t fail at care. They failed at reporting it.
One patient. Four independent rural facilities. One year. Measure not counted.
Day 0
FQHC primary care
A1c 9.2% logged to local flowsheet field
Month 2
Community pharmacy
30-day refill gap in dispensing record
Month 5
Community mental health
PHQ-9 narrative, no instrument score
Month 9
Critical Access Hospital ED
Discharge summary, local diagnosis codes
Month 12 · Reporting cycle
Reporting assembly
No semantic match
Measure not counted
UDS / eCQM numerator miss: LOINC 4548-4 absent, PHQ-9 score absent.
The record moved through the HIE. The meaning did not travel with it.
Complement, not replace.
Transport
Semantic
Analytics
Sits between the layer that moves data and the layer that uses it.
Metadata, not patient data.
Foundry works on schemas and field definitions. PHI never crosses a facility boundary.
Traditional integration grows. Mapping-artifact architecture doesn’t.
It grows with every new facility onboarded and every annual specification change.
Eight states have put public dollars against this gap.
Eight states. $1.7B in public RHTP plans naming the same gap.
Public allocations and program plans (FY2026 NOFO awards) — not vendor or MTN engagements.
One more thing
Today your F.2 report is reconstructed by hand across four EHRs and a pharmacy system.
Tomorrow it assembles itself from the schemas you already own.
Federal reporting stops being a fire drill.
Thirty days. Three facilities. No PHI.
- What we map
- UDS · MBQIP · T-MSIS · eCQM
- What we quantify
- Hours of manual reconciliation today
- What we demonstrate
- Drift-resilient mapping against a real spec change
Procurement: NASPO ValuePoint · state cooperative contracts · Rural Tech Catalyst Fund (NOFO Cat. F · supports F.2).
Rural communities are owed health data infrastructure that doesn’t require an informaticist their state can’t hire. We’re building it.
— Warren Pettine, MD, Founder & CEO MTN · University of Utah Medical Machine Intelligence Lab
Get the white paper
Rural Data Infrastructure in Weeks, Not Quarters — Executive Edition
Hitting Your RHTP F.2 Milestones Before the 2027 Deadline