AI agents can review patient charts, but EHR access rules take months to navigate

zakkohane · x · 2026-11-14

Josh Mandel argues that AI agents can now reliably review a patient's chart — but agentic access needs data and workflows beyond current USCDI FHIR APIs.

Under existing rules, a medical practice can spend months navigating EHR vendor partner fees, IP terms, and app registration just to enable agent access. The author contends there's a better way and calls for reforming data access mechanisms to fit agentic applications.

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