Smart Health Council
Smart Health Council.
Standards-and-certification for the federated-health utility infrastructure. Council sets rules, certifies conformance, ratifies architectural commitments, and promulgates the Patient Bill of Rights.
About
The Smart Health Council is the governance body for Smart Health Network. Council is structurally analogous to the Anthropic Long-Term Benefit Trust with healthcare-substrate-governance scope.
Council governs network rules, sets standards-conformance criteria, certifies conformance, ratifies architectural commitments, and promulgates the Patient Bill of Rights.
Council does not operate the substrate. Smart Health Network PBC operates the substrate. Council holds capture-resistance veto at governance scope.
Trustees are financially disinterested by structural design. Mission-lock survives capture pressure — from capital partners, AI-platform partners, sovereign partners, operating stakeholders.
Standards
The substrate composes with healthcare standards bodies — HL7, FHIR Accelerator universe, FAST IG, NCQA. Substrate is the federated-data utility infrastructure beneath these standards layers.
FHIR Accelerator universe: Da Vinci, FAST, Helios, CARIN Alliance, CodeX, Gravity, Vulcan.
NCQA composition: Federated quality measurement composes with HEDIS.
HL7 substantive engagement: substrate authors normative content where applicable; substrate composes with FHIR Accelerator universe as integration patterns.
Certification
Council certifies conformance through a two-track architecture:
Track A — Council Certification Framework. Standards conformance certification at the governance scope.
Track B — PBC Operational Stand-Up. Institutional CA-grade operational infrastructure operated by Smart Health Network PBC under Council rule-setting.
Council certification operates as the architectural-certification framework at the utility infrastructure governance layer.
Council certifies the substrate neutral-trusted-hub attributes — payload-blind routing through the Hub between providers, payers, and patients; per-operation authority binding; patient-primary architectural organization; non-modifiable architectural commitments. Council certification is what makes the trusted-hub framing load-bearing rather than self-claimed.
Transparency
- Council decision log — every Council decision recorded and auditable
- Capture-resistance audit trail — every action touching on capture-resistance disposition recorded
- Architectural decision records — public registry at developers.smarthealthnetwork.org
- Annual transparency report
Members
Council Member admission per Council ratification cycle. State Members onboard via state-RFP pathway.
Delaware participates as first-cohort demonstration partner at the June 9, 2026 sandbox-grade demonstration. Founding signatory status confirmed through ratification. Additional cohort expansion sequencing follows per-state Governor disposition cycles.
Compact framework legal structure: coordinative. State-by-state independent adoption. Not a binding interstate compact under Article I §10 cl. 3 of the United States Constitution. No Congressional consent required.