{
  "signal_id": "SIG-2026-024",
  "observed_date": "2025-12-22",
  "category": "AI + Information Blocking + Interoperability",
  "title": "ASTP/ONC HTI-5 proposal explicitly contemplates automated and autonomous AI access to electronic health information",
  "what_changed": "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.",
  "affected_actors": [
    "ASTP/ONC",
    "EHR developers",
    "AI agents",
    "providers",
    "patients",
    "app developers"
  ],
  "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.",
  "status": "Proposed rule / active watch",
  "evidence_class": "E5 — official ASTP/ONC source",
  "impact": 5,
  "immediacy": 3,
  "relevance": 5,
  "novelty": 5,
  "adoption_leverage": 5,
  "priority_score": 92,
  "sources": [
    "https://healthit.gov/resources/health-data-technology-and-interoperability-astp-onc-deregulatory-actions-to-unleash-prosperity-hti-5-proposed-rule/"
  ],
  "public_slug": "/signal/2025-12-22-hti5-autonomous-ai/",
  "watch_conditions": [
    "Final rule",
    "changes to definitions",
    "API/certification requirements",
    "enforcement."
  ],
  "last_verified": "2026-08-08",
  "version": "1.0"
}