The holiday plates may be cleared, but for many EHR developers, a few compliance leftovers are still sitting in the fridge. The new year is approaching, and while the turkey might be gone, one question remains: Are your HTI-1 requirements fully satisfied, or is something still unfinished?

At Darena Health, we believe developers deserve to wrap up the year confidently, not chase half-done certifications or lingering technical enhancements. Now is the time to clean up those leftovers before 2026 brings the full weight of HTI-1 enforcement.

Why the Leftovers Matter

The Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing Final Rule (HTI-1) finalized in January 2024 represents the most significant update to the ONC Health IT Certification Program since 2015. It expands certification requirements, updates the USCDI standard to version 3, and reinforces rules around information sharing and predictive decision support.

Every vendor listed on the Certified Health IT Product List (CHPL) must not only complete the certification for these new criteria but also ensure that their systems remain operational, auditable, and compliant in real-world settings.

Many developers still have a few “leftovers” on their plates, items that passed testing but need finishing touches before they can truly serve providers and patients:

(g)(10) Standardized API for Patient and Population Services
Some EHRs have met certification requirements but have not verified that their API endpoints deliver full, real-time access across all USCDI v3 elements. This can expose providers to information blocking risks.
(b)(10) Electronic Health Information (EHI) Export
The EHI Export must be functional and usable for providers who need to respond to patient requests or transitions of care. Passing certification alone does not ensure practical compliance.
(b)(11) Decision Support Interventions (DSI)
Predictive DSIs are now under increased ONC scrutiny. Under HTI-1, developers must document the logic, evidence, and transparency of DSIs, ensuring clinicians understand how decisions are generated.

The Real Risk of Compliance Leftovers

A partial certification can leave your EHR exposed. Providers rely on certified technology for compliance, reporting, and audit defence. If your (g)(10) APIs do not enable true patient access or your (b)(10) exports are incomplete, EHRs risk not only regulatory action but loss of customer trust.

The ONC’s heightened focus on information blocking enforcement means incomplete or non-functional implementations can have legal and reputational consequences.

How Darena Health Helps

Darena Health’s pre-certified modules make it easy to finish what’s left on your compliance checklist without starting over.

Our HTI-1 certified solutions include:

(g)(10) Standardized APIs supporting SMART on FHIR v2.2 for both patient and population-level access
(b)(10) EHI Export for individual and bulk data sharing
(b)(11) Decision Support Interventions (DSI) with transparent and explainable models
(g)(9) Application Registration and Authorization for secure and consistent app connections

Each module is fully certified, integrated with CHPL documentation, Real-World Testing (RWT) plans, and evidence kits.

With Darena Health, EHRs can:

Ensure compliance with USCDI v3.1
Maintain consistent patient access and data exchange
Offload RWT preparation and audit documentation
Achieve plug-and-play readiness without rebuilding infrastructure

Why Finish the Leftovers Now

January 2026 might sound far away, but compliance renewals, testing windows, and audits begin much earlier. By addressing your remaining gaps now, you can avoid last-minute scrambles and ensure uninterrupted certification coverage.

Integrating Darena Health’s certified modules now helps you:

Keep your CEHRT at or above HTI-1 standards
Protect your providers from information blocking exposure
Free up your engineering teams to focus on innovation

A Clean Finish to the Year

This season, give your development team something better than leftovers to work on. Darena Health helps EHR vendors turn lingering compliance tasks into completed milestones.

With our certified, FHIR-first modules, you can close 2025 with a clean slate and start 2026 confident, compliant, and ready for what’s next.

No reheating required.