Anyone Can Add Structure... If Plans Publish the Rules of Play
There is a lot of pressure right now to improve prior authorization. Some of that work is overdue and useful: fewer portals, less faxing, cleaner tran...
Recent Posts
SMART Permission Tickets: Argonaut Launch!
Tomorrow, we are launching a new Argonaut project: SMART Permission Tickets. The goal is to define a standard way for authorization decisions to trave...
This architecture is the forcing function for recognizing (explicitly or…
This architecture is the forcing function for recognizing (explicitly or tacitly) AI agents as drivers of interoperability. Agents will increasingly b...
Initial Analysis of Diagnostic Imaging RFI Response: Market Failures and Regulatory Blind Spots
For the full analysis of 97 submissions to regulations dot gov, see my Regulatory Comment Browser....
[I]n the paper era, I would have just walked the prescription two minutes…
[I]n the paper era, I would have just walked the prescription two minutes across the street. We digitized the prescriber-to-pharmacy connection and ca...
From MCP Server to AI Skill: A Simpler, More Powerful Way to Analyze Federal Regulation Comments
Last summer I shared an MCP server that let AI tools query public comments on federal regulations. It worked — but hosting and maintaining it was a pa...
The Battle for Health Data Moves to the Fine Print
To unleash healthcare innovation, the federal government is targeting “unconscionable” contracts. But in trying to slay tech Goliaths, regulators may ...
In addition to creating his own delightful hti5 analysis dashboard (hti5.org),…
In addition to creating his own delightful hti5 analysis dashboard (hti5.org), Jacob Reider crafted an HTI-5 response that's a masterclass in clear, s...
I've taken the opportunity to spruce up my Regulatory Comment Browser for HTI-5…
I've taken the opportunity to spruce up my Regulatory Comment Browser for HTI-5 https://lnkd.in/gcYWynf3 including richer mining of full comments for ...
HTI-5 Analysis: A Battle is Brewing Over AI Agents as EHR Users
Guest post from Gemini Pro analyzing HTI-5 comments on the theme of artificial intelligence / robotic process automation, sourced from my regulations....
Love this -- and it inspired me to re-run my Regulations.gov pipeline against…
Love this -- and it inspired me to re-run my Regulations.gov pipeline against HTI-5 Proposed Rule comments :-) https://lnkd.in/gBv8N3QD is an example ...
Love this LLM powered regulatory comment dashboard for HTI-5!
Love this LLM powered regulatory comment dashboard for HTI-5!...
Perils of agentic coding with voice transcription when the nanny calls in…
Perils of agentic coding with voice transcription when the nanny calls in sick......
Today the SMART Health IT team published our response to ONC's Diagnostic…
Today the SMART Health IT team published our response to ONC's Diagnostic Imaging Interoperability RFI. Quick context: after the imaging provisions of...
If you're participating in ASTP's EHIgnite Challenge, you may want to start off…
If you're participating in ASTP's EHIgnite Challenge, you may want to start off by requesting your own EHI Export. I've built an AI Skill to help :-)...
I Built an AI Skill to Help Patients Request Their EHI Export
Every patient in the US has the right to a complete electronic copy of their medical record. Since December 2023, every certified EHR system has been ...
Granting Permission to Yourself: American Medical Records Requests are Often Absurd
Imagine walking into your local public library to check out a book, only to be handed a third-party disclosure form designed for an insurance company....
Sigh, I think I know my next idea for an LLM-assisted "make the pain legible"…
Sigh, I think I know my next idea for an LLM-assisted "make the pain legible" project: how well do provider orgs do at making release-of-information P...
By far the hardest thing about building an end-to-end agent skill that helps a…
By far the hardest thing about building an end-to-end agent skill that helps a patient submit a full EHI export request to their healthcare provider i...
SMART Health IT team submitted formal comments on HTI-5. Feel free to read and…
SMART Health IT team submitted formal comments on HTI-5. Feel free to read and borrow language. Briefly: Deregulation should not mean losing sight of ...
Provider org friends: anybody know HIM/ROI staff who would be willing to talk…
Provider org friends: anybody know HIM/ROI staff who would be willing to talk with me about an open source (agent-driven) tool I'm putting together to...
Blooper reel time! I foolishly decided to record a live, totally untested demo…
Blooper reel time! I foolishly decided to record a live, totally untested demo of my new "Request My EHI Export" Skill. I mean, why not......
How I Used AI Agents to Assess the State of EHI Export
This is the technical companion to "I Graded Every EHR's Patient Data Export Documentation." That post says what I found; this one says how I found it...
I Graded 265 EHRs on the "Export Everything" Requirement. (Median grade was D.)
A caveat up front: Evaluating EHI export documentation is hard. Vendors' published specs are often limited, cryptic, or use product-specific terminolo...
For all my challenges getting access to my EHI Exports from Epic, and all of my…
For all my challenges getting access to my EHI Exports from Epic, and all of my challenges reading and understanding the table definitions... accordin...
Your human users might only read the visible content in your page, but bots…
Your human users might only read the visible content in your page, but bots read the HTML comments 🙂 I appreciated this nugget from my ehi export ana...
Your C-CDA Is Exquisitely Unlikely to Be a Satisfactory EHI Export
Under §170.315(b)(10), certified health IT must be able to export all electronic health information stored by the product. Not a summary/highlights, b...
I'm doing research for a deeper dive on "Current State of EHI Export…
I'm doing research for a deeper dive on "Current State of EHI Export Implementation Across Certified Health IT", but will share a few gems as I come a...
After the marathon of registering Health Skillz across 500+ Epic organizations…
After the marathon of registering Health Skillz across 500+ Epic organizations (and working around thousands of portal clicks, and debugging broken OA...
Health Tech Policy Peeps: EHI Exports are supposed to include patient/provider…
Health Tech Policy Peeps: EHI Exports are supposed to include patient/provider secure message history (i.e., portal messages), yes?...
I registered Health Skillz at 500 Epic sites... then couldn't connect
This is a follow-up to 7,000+ Clicks to Register a FHIR App. That post covered the work of getting a confidential SMART on FHIR client registered at ~...
Beyond "Loading...": Thirty-four prototypes before breakfast
I'm building Health Skillz, a patient-facing app that helps people bring their healthcare data securely into their browser from provider systems -- an...
7,000+ Clicks to Register a FHIR App
TL;DR: I built Health Skillz to help patients connect their health records to an AI assistant. An important feature of such an app is the ability to m...
POWER USER FEEDBACK DROVE MAJOR HEALTH SKILLZ IMPROVEMENTS THIS WEEK
POWER USER FEEDBACK DROVE MAJOR HEALTH SKILLZ IMPROVEMENTS THIS WEEK...
Connecting AI to Health Records (Live Workshop with Dave deBronkart, Hugo…
Connecting AI to Health Records (Live Workshop with Dave deBronkart, Hugo Campos, and Gilles Frydman). I recently posted about Health Skillz, a protot...
Just in time for today's webinar: a handy cheatsheet of what certification and…
Just in time for today's webinar: a handy cheatsheet of what certification and reporting requirements HTI-5 proposes to change, vs current state: http...
Real-Time Notifications at Scale: A Brokered Approach for CMS-Aligned Networks
The CMS Interoperability Framework asks CMS-Aligned Networks to deliver appointment and encounter notifications using FHIR Subscriptions. While provid...
Demystifying FHIR Terminology Bindings: An AI-Assisted Guide
(Guest Post by Shelley / Exe.dev, via Claude Opus 4.5 with access to Zulip. Jira, and the FHIR spec, and a detailed set of prompts based on today's HL...
FHIR meets Ralph Wiggum (or: Agents Can Find Spec Bugs!)
The "Ralph Wiggum loop" went viral in early 2026. Named after the Simpsons character, the idea is dead simple: run an AI agent in a loop until done, r...
Patient-Directed Notifications in Nationwide Health Data Networks
(Guest post authored by ChatGPT 5.2 Pro -- if you think this slop, call me out!)...
Sub-Agents Are Getting Easier
When a task is too big for one context window, the answer (in mid-January 2026) is more agents, not a bigger window....
The Value Was Never the Framework
Back in 2016, I pushed back against the idea of "Custom Resources" in FHIR....
Open Data, Agents, and the Next Era of Prior Authorization in CMS-0057-F
The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets the right goals: reduce administrative burden, speed access to care, and...
Thanks to Anand Raghavan for helping me debug my HealthEx :: Claude connection!…
Thanks to Anand Raghavan for helping me debug my HealthEx :: Claude connection! With a little bit of help from the Clear tech team to boot, we managed...
HTI-5: Deregulation, Rhetoric, and Architectural Gaps
The latest proposed rule from ASTP/ONC frames a significant deregulation of the Health IT Certification Program as a necessary pivot toward a "FHIR-fo...
Help me, health tech hive mind: I understand TEFCA IAS RLS works for some…
Help me, health tech hive mind: I understand TEFCA IAS RLS works for some people even though it finds zero hits for me. What predicts this? Are there ...
Thanks to some help from an OpenAI employee who saw my tweets, I finally got…
Thanks to some help from an OpenAI employee who saw my tweets, I finally got off the waitlist for ChatGPT Health. I spent the morning putting it throu...
Presenting "Argonaut Review of 2025," our comprehensive look-back:…
Presenting "Argonaut Review of 2025," our comprehensive look-back: https://lnkd.in/g8YneauZ. We’ve packed a high-impact year into a quick review; lear...
Health Skillz: Why I Built My Own Health Record Connector for Claude.ai & Codex
TL;DR: I built Health Skillz, a Claude Skill that fetches your health records directly from your patient portal using SMART on FHIR. It pulls all your...
Just connected my health records (maybe?) to Claude.ai through their recently…
Just connected my health records (maybe?) to Claude.ai through their recently announced connector. I got stuck at several points (RLS returned nothing...
I've updated the SMART Health Checkin protocol draft + demo to align with…
I've updated the SMART Health Checkin protocol draft + demo to align with OpenID For Verifiable Presentations. It's... an opinionated profile and def...
Fixing the "All or Nothing" Problem in Health Data Sharing: Experiments with Selective Disclosure for FHIR (SD-JWT)
The IETF recently published RFC 9901, standardizing Selective Disclosure for JSON Web Tokens (SD-JWT). This is a significant technical milestone for h...
So excited that the selective disclosure JWT spec is finalized! Also, nano…
So excited that the selective disclosure JWT spec is finalized! Also, nano banana Pro is extremely capable; I had it create this explainer diagram for...
This is awesome -- gives us new, powerful options for patients to share…
This is awesome -- gives us new, powerful options for patients to share verifiable clinical data without a forced choice of "share everything or nothi...
Authorization as a Network Scaling Problem
When we designed the SMART Backend Services specification, we deliberately left flexibility for implementers to handle authorization logic below the O...
Proposal: SMART Health Check-in Protocol
The CMS Interoperability Framework aims to "Kill the Clipboard," enabling patients to digitally share health records, insurance data, and other paperw...
With an Argonaut Connectathon coming up this week (topic: writing clinical…
With an Argonaut Connectathon coming up this week (topic: writing clinical notes to EHRs), I've been putting together testing tools... but with a diff...
If everyone would expose usable, complete, idiomatic, well-documented APIs with…
If everyone would expose usable, complete, idiomatic, well-documented APIs with a openly-published specs, I would care a lot less about standards. Our...
Thank you for speaking out in favor of usability! Clipboards have some very…
Thank you for speaking out in favor of usability! Clipboards have some very strong and important UX properties that we should understand deeply before...
Let's Talk about Appropriate Use Criteria
Few initiatives represent the gap between promise and reality quite like the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging. T...
Fulfilling the Cures Act: Conversational Interop as a "Successor Technology"
The 21st Century Cures Act set a clear north star: a patient’s electronic health information must be reachable “without special effort” through “APIs ...
Speeding Spec Development by Making AIs Argue
Speeding Spec Development by Making AIs Argue...
Making AI observable is a huge part of making it trustworthy. Check out MedLog!
Making AI observable is a huge part of making it trustworthy. Check out MedLog!...
Privacy Reviews in Big Tech ... and TEFCA
Big tech companies spend a lot of time thinking about privacy design before they release anything that touches personal information. They don't just c...
Thrilled to announce the official publication of the HL7 FHIR Implementation…
Thrilled to announce the official publication of the HL7 FHIR Implementation Guide for Continuous Glucose Monitoring (CGM)! 🎉 This new standard creat...
Additional Resources" in FHIR: problem & solution...
Additional Resources" in FHIR: problem & solution......
We've COIN'd a new acronym! Conversational Interop intro from the inimitable…
We've COIN'd a new acronym! Conversational Interop intro from the inimitable Mark Braunstein with slides & talking points organized by Notebook LLM :)...
Beyond the Care Gap List: Outreach Lottery
A thought experiment on making healthcare outreach smarter and more balanced....
Can $50B for Rural Health Drive a New Wave of Interoperability?
The Rural Health Transformation Program (part of the “One Big Beautiful Bill,” Public Law 119–21) dedicates $50 billion over five years. States must a...
The podcast is out! Thanks Keith J. Figlioli for inviting me on "Healthcare is…
The podcast is out! Thanks Keith J. Figlioli for inviting me on "Healthcare is Hard"! Seth Hain and Brendan Keeler are tough acts to follow, but I enj...
Define X: For projects < X lines of code, I'm no longer worried about…
Define X: For projects < X lines of code, I'm no longer worried about maintainability -- if they work today, LLMs will assuredly keep them working for...
Digital exhaust, carbon fixation, and your health data: Every time you visit a…
Digital exhaust, carbon fixation, and your health data: Every time you visit a healthcare provider, invisible signals radiate across digital networks...
Conversational Interoperability Takes Shape: A Read-Out from the HL7 Connectathon
Imagine two AI agents, one representing a clinician buried in paperwork, the other a remote registry for a rare disease, exchanging messages in plain ...
To belabor an analogy: What we want is a credit card statement (translation…
To belabor an analogy: What we want is a credit card statement (translation into HIN context: who got my data, when did they get it, what did they get...
Please repost or point me to actual studies; I need this data :)
Please repost or point me to actual studies; I need this data :)...
Excited to share Kiln, a browser-based tool I've been hacking together for…
Excited to share Kiln, a browser-based tool I've been hacking together for generating synthetic notes. Think: turn a quick clinical sketch into a full...
Love how Mark Braunstein brings this work to life -- and can't wait to kick the…
Love how Mark Braunstein brings this work to life -- and can't wait to kick the tires on Banterop this weekend in Pittsburgh!...
This conversational interop paradigm is really coming together! Thanks Pawan…
This conversational interop paradigm is really coming together! Thanks Pawan Jindal, MD for building and testing with us -- and Mahbubul Haque for all...
A kraken clutchin’ me keel" (!!) -- working on a clinical note synthesizer, I…
A kraken clutchin’ me keel" (!!) -- working on a clinical note synthesizer, I borrowed a variation of the old "talk like a pirate" trope to test out,...
Introducing Banterop: Testbed for Language-First Interoperability :-) We've…
Introducing Banterop: Testbed for Language-First Interoperability :-) We've historically advanced healthcare interoperability by defining structured d...
Task isolation, not “multi-agent magic”
Task isolation, not “multi-agent magic”...
Why do LLMs *love* fallbacks and defaults and the silent swallowing of errors?…
Why do LLMs love fallbacks and defaults and the silent swallowing of errors? In almost every way GPT-5 is a better at designing abstractions and struc...
Next Wave: AI for Public Comments
In prior work, I built a tool to analyze thousands of public comments. A core feature is a simple clustering algorithm that groups nearly identical su...
Following up on discussion about CMS Interop Framework and "CMS-Aligned…
Following up on discussion about CMS Interop Framework and "CMS-Aligned Networks"... it's clear that true national-scale interoperability needs more t...
An Order to Harm
"This will kill people."...
My Latest Regulations.gov Comment analysis: ~Everyone Rejects HHS’s "Personal Responsibility and Work Opportunity" Reinterpretation
A July 2025 HHS reinterpretation of PRWORA (8 U.S.C. §1611) reverses nearly three decades of practice by newly classifying programs like Federally Qua...
CMS is making big, bold, SMART change possible in health tech! Amy Gleason…
CMS is making big, bold, SMART change possible in health tech! Amy Gleason asks: "Are you in?" Say yes :-)...
Big news: SMART Health Cards and Links is now a formal HL7 standard 🎉
Big news: SMART Health Cards and Links is now a formal HL7 standard 🎉...
The Prior Auth API is a Trap
The Da Vinci DTR Implementation Guide aims to reduce prior authorization friction by standardizing the format for asking and answering clinical questi...
The Prior Authorization (De)regulation Paradox
HHS wants to deregulate....
Which healthcare regulations should we kill?
Yesterday, the comment period closed on the Agency for Healthcare Research and Quality RFI titled "Ensuring Lawful Regulation and Unleashing Innovatio...
Coverage Commons empowers you to turn an insurance denial into a winning appeal…
Coverage Commons empowers you to turn an insurance denial into a winning appeal by using the insurer's own secret rules against them, then shares thos...
Deregulation of Certified Health IT: Cuts to Real World Testing
Personal note: The value proposition of regulation and deregulation is full of trade-offs. My personal take is that the Real World Testing cuts are a ...
Voices from the CMS RFI: Attitudes Toward the Health System
In the summer of 2025, CMS sought public input on building a patient-centered digital health ecosystem. Patient voices reveal fundamental worldviews a...
Props to Isaac Kohane for being the first person to put in an analysis request…
Props to Isaac Kohane for being the first person to put in an analysis request for my CMS RFI MCP stack. I had Claude 4 Opus code do "/analysis-workfl...
CMS RFI MCP: Now It's Your Turn to Analyze 10k Pages ;)
A few weeks ago, I shared an interactive dashboard summarizing public comments on the CMS Health Tech Ecosystem RFI. Now for the next step: make the u...
Anybody remember HATEOS (that aspirational coda to REST)? Um... with MCP,…
Anybody remember HATEOS (that aspirational coda to REST)? Um... with MCP, HATEOS is suddenly real. Like your tool response can just provide a "suggest...
Has anyone seen evidence that health data breaches are "fueling the data broker…
Has anyone seen evidence that health data breaches are "fueling the data broker industry" as a Fox News article claims? It seems wildly implausible th...
OK, I've updated my CMS RFI Browser with all ~1k comments now available!…
OK, I've updated my CMS RFI Browser with all ~1k comments now available! https://lnkd.in/griQiNYu -- same set of themes, now with lots more notable qu...
Creating a "Living Manual" for EHI Export
It is a significant undertaking to maintain and document a modern EHR database spanning diverse clinical domains and workflows. It's no surprise that ...
We, um, might have submitted the highest word-count RFI submission out of the…
We, um, might have submitted the highest word-count RFI submission out of the whole set ;)...
The Real Story Behind Epic's 0.0000055% EHI Export Rate
In their recent response to CMS and ONC's "Health Technology Ecosystem" RFI, Epic Systems stated:...
The CMS Health Tech RFI received 1,300+ comments! While we wait for them all to…
The CMS Health Tech RFI received 1,300+ comments! While we wait for them all to be posted, I built an AI tool to analyze the first ~500....
How to Read 10,000 Pages of Public Comments
When the government asks for public comment on a new policy, it can get an overwhelming response. The recent CMS RFI on a "Digital Healthcare Ecosyste...
Healthcare's High-Tech Future Forgets One Thing: The Humans?
This is the first in a short series of articles drawing on themes, attestations, and conflicts surfaced in the CMS Health Tech Ecosystem RFI, which cl...
SQL on FHIR is going to be a big deal for anyone feeding FHIR data into…
SQL on FHIR is going to be a big deal for anyone feeding FHIR data into analytics, research, and quality improvement....
"Give every American friction‑free, real‑time control of their own health…
"Give every American friction‑free, real‑time control of their own health data—shared through open, standards‑based rails that all payers, providers a...
Is it obvious to everyone that you can give ChatGPT (any model, but o3 is…
Is it obvious to everyone that you can give ChatGPT (any model, but o3 is particularly good) a PDF form (e.g., parking citation appeal form ;-)) toget...
OK, I've been learning + thinking about quality measures over the past couple…
OK, I've been learning + thinking about quality measures over the past couple of weeks. So much opportunity here. Design sketch: using LLM/MCP‑abstra...
What will TEFCA's financials look like in 2028? Brendan Keeler recently…
What will TEFCA's financials look like in 2028? Brendan Keeler recently challenged my proposal for a patient-developer credential -- he expressed conc...
Why My App Doesn't Know Your Labs Are Ready
Why My App Doesn't Know Your Labs Are Ready...
Why Every Certified EHR Needs to Support CDS Hooks
Why Every Certified EHR Needs to Support CDS Hooks...
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server...
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server...
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server...
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server
We Can Parse Terabytes, But We Still Can’t Find the FHIR Server...
TIL that CMS maintains Health Tech's best-hidden, most... understated wall of…
TIL that CMS maintains Health Tech's best-hidden, most... understated wall of shame. https://lnkd.in/gxXhwfGQ...
ID Verification Wasn't Enough": Data Breach Risks in TEFCA IAS
ID Verification Wasn't Enough": Data Breach Risks in TEFCA IAS...
With Pocket shutting down, I got Claude 4 to build me a GitHub-backed…
With Pocket shutting down, I got Claude 4 to build me a GitHub-backed alternative (simple links.md file bootstrapped from Pocket export csv... & GH Ac...
Do TEFCA’s pricing rules setting up a "biggest‑QHIN‑wins" dynamic?
Do TEFCA’s pricing rules setting up a "biggest‑QHIN‑wins" dynamic?...
I'm calling it: this is the best banner image of my RFI series.
I'm calling it: this is the best banner image of my RFI series....
Gemini's Deep Research post-completion flow now offers to pivot from its full…
Gemini's Deep Research post-completion flow now offers to pivot from its full report to an "infographic", in addition to an audio overview. (Infograph...
My Data, My Code, My Health
My Data, My Code, My Health...
Pixel's Plight: A CT Slice Longs for Liberation! (DICOM & Friends)
Pixel's Plight: A CT Slice Longs for Liberation! (DICOM & Friends)...
Why Our Registry Needs Full EHI via Patient-Approved API
Why Our Registry Needs Full EHI via Patient-Approved API...
Fixing My Record Was a Nightmare.
Fixing My Record Was a Nightmare....
Real Trust in TEFCA: Why Individual Transparency and Control Can't Be an Afterthought
The ongoing rollout and evolution of the Trusted Exchange Framework and Common Agreement (TEFCA) – a framework designed to enable different health inf...
Portal Access: Can We Make It Easier Than My Commute?
Portal Access: Can We Make It Easier Than My Commute?...
Slow Bulk APIs: A Quality & Safety Bottleneck
Slow Bulk APIs: A Quality & Safety Bottleneck...
Bulk Data: Can I Get an Amen for a Working "_since" Parameter?
Bulk Data: Can I Get an Amen for a Working "_since" Parameter?...
USCDI: More Than A Suggestions Box?
USCDI: More Than A Suggestions Box?...
=> Building Trust in TEFCA: Give Users the Keys <=
Today's Voice: Paul Graham (as grokked by Gemini)...
Building Trust in TEFCA: Give Users the Keys
Building Trust in TEFCA: Give Users the Keys...
All of Your Health Data... Now With Less Faxing?
All of Your Health Data... Now With Less Faxing?...
Refactored https://lnkd.in/gHMhmeRt to include Cross-Cutting Principles + Item-…
Refactored https://lnkd.in/gHMhmeRt to include Cross-Cutting Principles + Item-specific Responses. Now it's easier to review and contribute :-)...
CMS & ASTP/ONC RFI is out -- click below if you want to collaborate on…
CMS & ASTP/ONC RFI is out -- click below if you want to collaborate on responses, or see what I'm thinking. I've set up a GitHub repo and seeded it wi...
You should respond to CMS's Health Tech Ecosystem RFI. Borrow ideas or share a PR!
Disclaimer: The views and opinions expressed here and on the linked collaborative sites are my own and do not necessarily represent the views or posit...
Better Browser APIs for Sharing SMART Health Cards, FHIR Bundles, and other Digital Credentials
Josh Mandel Explores New Presentation APIs for Digital Health Data....
Evaluating FHIR's Evolution: AI-Assisted Analysis of R4→R6 Changes
As the FHIR community steers towards our R6 release, a key objective is to provide stable, mature resources. With the first normative ballot in the R6...
So important to highlight how FHIR Bulk Data supports diverse use cases (here:…
So important to highlight how FHIR Bulk Data supports diverse use cases (here: value-based care, clinical trial recruitment, and clinical research)....
MCP: Practical Considerations for LLM and EHR Integration. (Conversation with Farzad & Aledade Team)
Yesterday I had the pleasure of joining Farzad Mostashari and the Aledade, Inc. team (Nicholas Gerner, Ashok Srinivasan, and Jonas Goldstein) to explo...
MCP in Your Browser: Secure, Local LLM Tools with postMessage Transport
We want agentic AI systems to handle real work (e.g., kick off a prior authorization or summarize glucose management history)....
o3 Meets The Enigma: A Tale of AI, Puzzles, and Prompt Engineering
I accidentally hoarded OpenAI o3 query credits this month (the psychology of scarcity in the ChatGPT "Plus" tier!). Fortuitously, this left me with 50...
EHR Association's Proposal Would Deregulate the Foundations of Patient Access and Population Management
A recent letter from the HIMSS Electronic Health Record (EHR) Association to ONC outlines recommendations ostensibly aimed at "Smart Deregulation in H...
Conversational Interop for Prior Auth (demo!)
What if, instead of pre-specifying every data field and every possible workflow step, we could enable conversations between capable systems?...
Designing for Delay: A Liaison UX for Prior Auth and Other Asynchronous Clinical Tasks
Clinical workflows are full of necessary steps that don't happen instantly. Think about prior authorization (PA) – a classic example – but also tasks ...
Connect the Dots for Prior Auth: A2A && MCP?
Another day, another open protocol!...
Theory to Practice: LLM Agents Using MCP Tools on Real EHR Data (with demo)
Last week, I discussed how LLM agents embedded in EHRs could transform complex workflows like prior authorization by using tools to interact conversat...
Even frontier LLMs can use a helping hand when it comes to detailed API…
Even frontier LLMs can use a helping hand when it comes to detailed API documentation for fast-moving open source libraries and tools. I put together ...
Someone please tell me my analysis is wrong! Requiring plan-side physician…
Someone please tell me my analysis is wrong! Requiring plan-side physician involvement to approve prior authorizations would be a step backwards....
Analysis: "Reducing Medically Unnecessary Delays in Care Act"
Prior authorization imposes a barrier to timely care. While tech solutions (including conversational AI agents using FHIR, as I discussed last week) o...
Prior auth is friction. Can't we just talk?
Prior authorization is friction. We try to automate it with structured data, through consensus-based standards like HL7 Da Vinci's Burden Reduction FH...
Presenting "Argonaut: Wrapped," our 2024 year-end review:…
Presenting "Argonaut: Wrapped," our 2024 year-end review: https://lnkd.in/e-QKUyEA. We've packed a busy year into a tidy package -- discover what made...
❤️ Centers for Disease Control and Prevention for NVSS: It's *amazing* that…
❤️ Centers for Disease Control and Prevention for NVSS: It's amazing that anyone can download 200MB .zip with ~all 3.6M USA births in 2023, including ...
Healthcare data access vs. privacy tensions aren't zero-sum. Better-designed…
Healthcare data access vs. privacy tensions aren't zero-sum. Better-designed Health Information Networks can bend the tradeoff curve, enabling conveni...
A few aspects to untangle re: Individual Access under TEFCA! I'll touch on 1)…
A few aspects to untangle re: Individual Access under TEFCA! I'll touch on 1) User Experience, 2) Developer Experience, and 3) Data... with a quick r...
LinkedIn post on May 11, 2024
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Argonaut's 2024 "FHIR Write" initiative launches today, focused on continuous…
Argonaut's 2024 "FHIR Write" initiative launches today, focused on continuous glucose monitoring! We're streamlining standards-based integration of CG...
Argonaut's 2024 "FHIR Write" initiative launches today, focused on continuous…
Argonaut's 2024 "FHIR Write" initiative launches today, focused on continuous glucose monitoring! We're streamlining standards-based integration of CG...
I'm excited to be participating in the FHIR® Access Control Meetup on April…
I'm excited to be participating in the FHIR® Access Control Meetup on April 30th! The meetup will explore real-world challenges and solutions around a...
LinkedIn post on April 11, 2024
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LinkedIn post on September 08, 2023
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LinkedIn post on October 20, 2022
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Working on CCPA compliance? To meet toll-free number requirements for your…
Working on CCPA compliance? To meet toll-free number requirements for your privacy policy, see ccpatollfree.com. I'm sharing because my brother Marc M...
LinkedIn post on December 05, 2019
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So excited to be joining the Microsoft Healthcare team!
So excited to be joining the Microsoft Healthcare team!...