41554 blogs · [ { "id": "01a08791-4cbb-7209-a04c-d9163e1ad7fe", "title": "7,000+ Clicks to Register a FHIR App", "url": "https://joshuamandel.com/blog/posts/7000-clicks-to-register-a-fhir-app", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9163e566ece", "title": "Anyone Can Add Structure... If Plans Publish the Rules of Play", "url": "https://joshuamandel.com/blog/posts/anyone-can-add-structure-if-plans-publish-the-rules-of-play", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9163f4c1da0", "title": "Beyond \"Loading...\": Thirty-four prototypes before breakfast", "url": "https://joshuamandel.com/blog/posts/beyond-loading-thirty-four-prototypes-before-breakfast", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916404a437f", "title": "Demystifying FHIR Terminology Bindings: An AI-Assisted Guide", "url": "https://joshuamandel.com/blog/posts/demystifying-fhir-terminology-bindings-an-ai-assisted-guide", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164061e634", "title": "FHIR meets Ralph Wiggum (or: Agents Can Find Spec Bugs!)", "url": "https://joshuamandel.com/blog/posts/fhir-meets-ralph-wiggum-or-agents-can-find-spec-bugs", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91640711d22", "title": "From MCP Server to AI Skill: A Simpler, More Powerful Way to Analyze Federal Regulation Comments", "url": "https://joshuamandel.com/blog/posts/from-mcp-server-to-ai-skill-a-simpler-more-powerful-way-to-analyze-federal-regulation-comments", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916409a24fd", "title": "Granting Permission to Yourself: American Medical Records Requests are Often Absurd", "url": "https://joshuamandel.com/blog/posts/granting-permission-to-yourself-american-medical-records-requests-are-often-absurd", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91640c0ccbc", "title": "Health Skillz: Why I Built My Own Health Record Connector for Claude.ai & Codex", "url": "https://joshuamandel.com/blog/posts/health-skillz-why-i-built-my-own-health-record-connector-for-claude-ai-codex", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164117320d", "title": "How I Used AI Agents to Assess the State of EHI Export", "url": "https://joshuamandel.com/blog/posts/how-i-used-ai-agents-to-assess-the-state-of-ehi-export", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91641dab3c5", "title": "HTI-5 Analysis: A Battle is Brewing Over AI Agents as EHR Users", "url": "https://joshuamandel.com/blog/posts/hti-5-analysis-a-battle-is-brewing-over-ai-agents-as-ehr-users", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916420cabd1", "title": "HTI-5: Deregulation, Rhetoric, and Architectural Gaps", "url": "https://joshuamandel.com/blog/posts/hti-5-deregulation-rhetoric-and-architectural-gaps", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91642be3f14", "title": "I Built an AI Skill to Help Patients Request Their EHI Export", "url": "https://joshuamandel.com/blog/posts/i-built-an-ai-skill-to-help-patients-request-their-ehi-export", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91642dd147d", "title": "I Graded 265 EHRs on the \"Export Everything\" Requirement. (Median grade was D.)", "url": "https://joshuamandel.com/blog/posts/i-graded-265-ehrs-on-the-export-everything-requirement-median-grade-was-d", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164368f08a", "title": "I registered Health Skillz at 500 Epic sites... then couldn't connect", "url": "https://joshuamandel.com/blog/posts/i-registered-health-skillz-at-500-epic-sites-then-couldn-t-connect", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91643770298", "title": "Initial Analysis of Diagnostic Imaging RFI Response: Market Failures and Regulatory Blind Spots", "url": "https://joshuamandel.com/blog/posts/initial-analysis-of-diagnostic-imaging-rfi-response-market-failures-and-regulatory-blind-spots", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91643d2c6a0", "title": "Open Data, Agents, and the Next Era of Prior Authorization in CMS-0057-F", "url": "https://joshuamandel.com/blog/posts/open-data-agents-and-the-next-era-of-prior-authorization-in-cms-0057-f", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164474bcf8", "title": "Patient-Directed Notifications in Nationwide Health Data Networks", "url": "https://joshuamandel.com/blog/posts/patient-directed-notifications-in-nationwide-health-data-networks", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916452ba048", "title": "Real-Time Notifications at Scale: A Brokered Approach for CMS-Aligned Networks", "url": "https://joshuamandel.com/blog/posts/real-time-notifications-at-scale-a-brokered-approach-for-cms-aligned-networks", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916455541ca", "title": "SMART Permission Tickets: Argonaut Launch!", "url": "https://joshuamandel.com/blog/posts/smart-permission-tickets-argonaut-launch", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91645ab16c6", "title": "Sub-Agents Are Getting Easier", "url": "https://joshuamandel.com/blog/posts/sub-agents-are-getting-easier", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916464b17ab", "title": "The Battle for Health Data Moves to the Fine Print", "url": "https://joshuamandel.com/blog/posts/the-battle-for-health-data-moves-to-the-fine-print", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916465aba15", "title": "The Value Was Never the Framework", "url": "https://joshuamandel.com/blog/posts/the-value-was-never-the-framework", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91646dcfb3d", "title": "Your C-CDA Is Exquisitely Unlikely to Be a Satisfactory EHI Export", "url": "https://joshuamandel.com/blog/posts/your-c-cda-is-exquisitely-unlikely-to-be-a-satisfactory-ehi-export", "published_at": "2026-04-03T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164791c01b", "title": "Authorization as a Network Scaling Problem", "url": "https://joshuamandel.com/blog/posts/authorization-as-a-network-scaling-problem", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91647eedffd", "title": "Beyond the Care Gap List: Outreach Lottery", "url": "https://joshuamandel.com/blog/posts/beyond-the-care-gap-list-outreach-lottery", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164832583f", "title": "Can $50B for Rural Health Drive a New Wave of Interoperability?", "url": "https://joshuamandel.com/blog/posts/can-50b-for-rural-health-drive-a-new-wave-of-interoperability", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91648d25249", "title": "Fixing the \"All or Nothing\" Problem in Health Data Sharing: Experiments with Selective Disclosure for FHIR (SD-JWT)", "url": "https://joshuamandel.com/blog/posts/fixing-the-all-or-nothing-problem-in-health-data-sharing-experiments-with-selective-disclosure-for-fhir-sd-jwt", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164907e6d4", "title": "Fulfilling the Cures Act: Conversational Interop as a \"Successor Technology\"", "url": "https://joshuamandel.com/blog/posts/fulfilling-the-cures-act-conversational-interop-as-a-successor-technology", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916493fe579", "title": "Let's Talk about Appropriate Use Criteria", "url": "https://joshuamandel.com/blog/posts/let-s-talk-about-appropriate-use-criteria", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91649b7efa0", "title": "Privacy Reviews in Big Tech ... and TEFCA", "url": "https://joshuamandel.com/blog/posts/privacy-reviews-in-big-tech-and-tefca", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91649f91001", "title": "Proposal: SMART Health Check-in Protocol", "url": "https://joshuamandel.com/blog/posts/proposal-smart-health-check-in-protocol", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164a198073", "title": "Speeding Spec Development by Making AIs Argue", "url": "https://joshuamandel.com/blog/posts/speeding-spec-development-by-making-ais-argue", "published_at": "2025-11-23T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164a2249c0", "title": "An Order to Harm", "url": "https://joshuamandel.com/blog/posts/an-order-to-harm", "published_at": "2025-09-15T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164a8ce0af", "title": "Conversational Interoperability Takes Shape: A Read-Out from the HL7 Connectathon", "url": "https://joshuamandel.com/blog/posts/conversational-interoperability-takes-shape-a-read-out-from-the-hl7-connectathon", "published_at": "2025-09-15T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164ae1026b", "title": "My Latest Regulations.gov Comment analysis: ~Everyone Rejects HHS’s \"Personal Responsibility and Work Opportunity\" Reinterpretation", "url": "https://joshuamandel.com/blog/posts/my-latest-regulations-gov-comment-analysis-everyone-rejects-hhss-personal-responsibility-and-work-opportunity-reinterpretation", "published_at": "2025-09-15T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164b8f3d1e", "title": "Next Wave: AI for Public Comments", "url": "https://joshuamandel.com/blog/posts/next-wave-ai-for-public-comments", "published_at": "2025-09-15T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164c3b4cdc", "title": "The Prior Auth API is a Trap", "url": "https://joshuamandel.com/blog/posts/the-prior-auth-api-is-a-trap", "published_at": "2025-09-15T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164cfb9887", "title": "The Prior Authorization (De)regulation Paradox", "url": "https://joshuamandel.com/blog/posts/the-prior-authorization-de-regulation-paradox", "published_at": "2025-09-15T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164dc39fff", "title": "Which healthcare regulations should we kill?", "url": "https://joshuamandel.com/blog/posts/which-healthcare-regulations-should-we-kill", "published_at": "2025-09-15T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164e412337", "title": "Analysis: \"Reducing Medically Unnecessary Delays in Care Act\"", "url": "https://joshuamandel.com/blog/posts/analysis-reducing-medically-unnecessary-delays-in-care-act", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164ec137ef", "title": "Better Browser APIs for Sharing SMART Health Cards, FHIR Bundles, and other Digital Credentials", "url": "https://joshuamandel.com/blog/posts/better-browser-apis-for-sharing-smart-health-cards-fhir-bundles-and-other-digital-credentials", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164f726b27", "title": "CMS RFI MCP: Now It's Your Turn to Analyze 10k Pages ;)", "url": "https://joshuamandel.com/blog/posts/cms-rfi-mcp-now-it-s-your-turn-to-analyze-10k-pages", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164fcd70b8", "title": "Conversational Interop for Prior Auth (demo!)", "url": "https://joshuamandel.com/blog/posts/conversational-interop-for-prior-auth-demo", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9164ffbf688", "title": "Connect the Dots for Prior Auth: A2A && MCP?", "url": "https://joshuamandel.com/blog/posts/connect-the-dots-for-prior-auth-a2a-mcp", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916504faad4", "title": "Creating a \"Living Manual\" for EHI Export", "url": "https://joshuamandel.com/blog/posts/creating-a-living-manual-for-ehi-export", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91650c505b9", "title": "Deregulation of Certified Health IT: Cuts to Real World Testing", "url": "https://joshuamandel.com/blog/posts/deregulation-of-certified-health-it-cuts-to-real-world-testing", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91650c7a2ff", "title": "EHR Association's Proposal Would Deregulate the Foundations of Patient Access and Population Management", "url": "https://joshuamandel.com/blog/posts/ehr-association-s-proposal-would-deregulate-the-foundations-of-patient-access-and-population-management", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9165119c8bf", "title": "Designing for Delay: A Liaison UX for Prior Auth and Other Asynchronous Clinical Tasks", "url": "https://joshuamandel.com/blog/posts/designing-for-delay-a-liaison-ux-for-prior-auth-and-other-asynchronous-clinical-tasks", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9165201f4fc", "title": "Evaluating FHIR's Evolution: AI-Assisted Analysis of R4→R6 Changes", "url": "https://joshuamandel.com/blog/posts/evaluating-fhir-s-evolution-ai-assisted-analysis-of-r4-r6-changes", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916525ac5b0", "title": "Healthcare's High-Tech Future Forgets One Thing: The Humans?", "url": "https://joshuamandel.com/blog/posts/healthcare-s-high-tech-future-forgets-one-thing-the-humans", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9165300daa5", "title": "How to Read 10,000 Pages of Public Comments", "url": "https://joshuamandel.com/blog/posts/how-to-read-10000-pages-of-public-comments", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91653345209", "title": "MCP in Your Browser: Secure, Local LLM Tools with postMessage Transport", "url": "https://joshuamandel.com/blog/posts/mcp-in-your-browser-secure-local-llm-tools-with-postmessage-transport", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916539f40a6", "title": "MCP: Practical Considerations for LLM and EHR Integration. (Conversation with Farzad & Aledade Team)", "url": "https://joshuamandel.com/blog/posts/mcp-practical-considerations-for-llm-and-ehr-integration-conversation-with-farzad-aledade-team", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91653e2b6cc", "title": "o3 Meets The Enigma: A Tale of AI, Puzzles, and Prompt Engineering", "url": "https://joshuamandel.com/blog/posts/o3-meets-the-enigma-a-tale-of-ai-puzzles-and-prompt-engineering", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91654d890de", "title": "Prior auth is friction. Can't we just talk?", "url": "https://joshuamandel.com/blog/posts/prior-auth-is-friction-can-t-we-just-talk", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91655637cdc", "title": "Real Trust in TEFCA: Why Individual Transparency and Control Can't Be an Afterthought", "url": "https://joshuamandel.com/blog/posts/real-trust-in-tefca-why-individual-transparency-and-control-can-t-be-an-afterthought", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91655c88bdd", "title": "The Real Story Behind Epic's 0.0000055% EHI Export Rate", "url": "https://joshuamandel.com/blog/posts/the-real-story-behind-epic-s-0-0000055-ehi-export-rate", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d916562675e0", "title": "Theory to Practice: LLM Agents Using MCP Tools on Real EHR Data (with demo)", "url": "https://joshuamandel.com/blog/posts/theory-to-practice-llm-agents-using-mcp-tools-on-real-ehr-data-with-demo", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d9165670bb47", "title": "Voices from the CMS RFI: Attitudes Toward the Health System", "url": "https://joshuamandel.com/blog/posts/voices-from-the-cms-rfi-attitudes-toward-the-health-system", "published_at": "2025-07-04T00:00:00+00:00" }, { "id": "01a08791-4cbb-7209-a04c-d91656ac7fce", "title": "You should respond to CMS's Health Tech Ecosystem RFI. Borrow ideas or share a PR!", "url": "https://joshuamandel.com/blog/posts/you-should-respond-to-cms-s-health-tech-ecosystem-rfi-borrow-ideas-or-share-a-pr", "published_at": "2025-07-04T00:00:00+00:00" } ] posts Claim your blog
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