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Concerns over Limited Adoption of 'Bulk FHIR': Analysis of EHR Industry Trends

Limited Adoption by Design - by Brendan Keeler - Health API Guy

July 9, 2026EHR Association

Summary

Brendan Keeler critiques the EHR Association's blog content. He points out that while the association suggests deregulation for items like CPOE and patient demographics, its attempt to limit 'bulk FHIR' is clumsy and concerning.

Details

Technology expert Brendan Keeler expresses concern regarding content published by the EHR Association. Specifically, he criticizes the association's handling of 'bulk FHIR,' stating that the attempt to restrict bulk FHIR usage is somewhat clumsy. The article notes that the EHR Association has proposed several deregulation suggestions. These include removing computerized provider order entry (CPOE) or patient demographics and observations. Keeler acknowledges that some of these proposals have merit, echoing recent calls for simplification in healthcare processes. However, his focus remains on the technical implications of data exchange standards. This piece serves as an opinion article analyzing industry policy trends from a technical perspective, highlighting the importance of standardized, large-scale data processing (bulk FHIR) in modern healthcare IT systems.

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