The Problem
Electronic record systems were built for storage. Not for defensibility.
In high-liability environments — health systems, organ procurement organizations, state registries, probate courts — ambiguity in event sequencing creates measurable legal, regulatory, and reputational exposure.
When a patient dies, that event triggers downstream obligations across a dozen institutions simultaneously: the hospital, the OPO, the state vital records office, the insurer, the SSA. Today, each institution manages its own record. None of them agree on sequence. None of them can prove sequence. That is the liability.
Evident enforces verifiable sequence integrity at the infrastructure layer — a cryptographically anchored, jurisdiction-normalized ledger that becomes the canonical reference every downstream system defers to.
The Platform
Five interlocking layers. Each one deepens institutional dependency.
| L1 | Authoritative Event Ledger | Cryptographically anchored, jurisdiction-normalized record of lifecycle events. Immutable timestamps. Complete event lineage. No state is ever lost. |
| L2 | Institutional Routing Engine | Policy-driven routing to authorized endpoints with acknowledgment loops and retraction mechanics. Each workflow embedded deepens the moat. |
| L3 | Compliance & Defensibility | Full event provenance, audit-ready export, and time-sequenced evidence for dispute and regulatory defense. Risk reduction as a recurring revenue driver. |
| L4 | Integration Layer | Direct integrations into Epic, Cerner, state vital registries, OPO systems, courts, insurers, and SSA. Each integration is a structural switching cost. |
| L5 | Intelligence & Data | Benchmarks, fraud detection, donation conversion analytics, jurisdictional variance reporting. Aggregated intelligence point solutions cannot replicate. |
Roadmap
Four phases. Each expands TAM and deepens switching costs.
| Phase 1 | Death & Organ Donation | Mo. 1–12 | Core ledger live. Epic & Cerner integrations. OPO network routing. 3 health systems + 2 state registries on production ledger. |
| Phase 2 | Identity State Transitions | Mo. 13–24 | Birth, guardianship, incapacity. Court integrations. Insurer routing. Intelligence Layer as external product. 10+ routing partners. |
| Phase 3 | Financial Trigger Automation | Mo. 25–36 | Authenticated events as automated financial triggers for insurers, SSA, and pension systems. Fraud detection module. |
| Phase 4 | National Standardization | Mo. 37–48 | Regulatory recognition from NCHS, CMS, SSA. De facto national infrastructure. API marketplace. |
Market Timing
The window to build this is now.
State-level push for digital death registration, federal EHR mandates, post-pandemic organ donation reform, and escalating institutional liability pressure are converging simultaneously. Healthcare litigation exposure exceeds $55B annually in the US — with digital audit defensibility increasingly central to risk mitigation.
Epic and Cerner control 75%+ of inpatient EHR but cannot replicate state registry relationships. State registries control legal authority but cannot build routing infrastructure. Evident sits between them as neutral, indispensable infrastructure that both sides depend on. First-mover infrastructure advantage in this category is available today.
Institutional Engagement
Health systems, organ procurement organizations, state registries, and regulated enterprises seeking defensible record infrastructure are invited to initiate discussion.
Institutional investors and qualified partners can access detailed financial materials, technical architecture documentation, and governance materials through our identity-verified capital portal.
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