Signal Radar · SIG-2026-024

ASTP/ONC HTI-5 proposal explicitly contemplates automated and autonomous AI access to electronic health information

92/100 priorityAI + Information Blocking + InteroperabilityProposed rule / active watch2025-12-22

The HTI-5 proposed rule describes a future FHIR foundation for AI-enabled interoperability and proposes clarifying information-blocking definitions to include automated means of access, potentially including autonomous AI systems.

Why it matters

If finalized in similar form, AI-agent access to health data could become an explicit interoperability and information-blocking issue rather than an edge-case integration question.

Decision implication

Track final-rule language and design P4L's agentic-AI adoption framework around explicit data-access rights, governance, authentication, provenance, and human authority.

Who or what is affected

  • ASTP/ONC
  • EHR developers
  • AI agents
  • providers
  • patients
  • app developers

Evidence and sources

E5 — official ASTP/ONC source

P4L distinguishes the sourced event from the interpretation above. Participation, funding, proposed policy, or program inclusion does not by itself establish clinical effectiveness.

What P4L is watching next

  • Final rule
  • changes to definitions
  • API/certification requirements
  • enforcement.

Related proof records

Last verified: 2026-08-08 · Version 1.0 · Stable ID: SIG-2026-024