Brendan Keeler

Brendan Keeler

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Health API Guy; interoperability and FHIR evangelist

Mapping the Evolution Stages of Major EHR Systems
SocialJun 8, 2026

Mapping the Evolution Stages of Major EHR Systems

Given the data program visualizations for @Cognizant and @PointClickCare in the May Monthly Review last week, I got a few questions on how far along other EHRs are in their evolution. So I thought it’d be fun to explain...

By Brendan Keeler
Proxy Access to Health Data Remains Unsolved Challenge
SocialJun 1, 2026

Proxy Access to Health Data Remains Unsolved Challenge

Patient access to health data is becoming table stakes. Proxy access (for parents, caregivers, adult children) is the next unsolved quest. The health system side makes it look easy. It isn't, everywhere else. https://t.co/XQxZ7TeG8F

By Brendan Keeler
Two Years of TEFCA: What Works, What Doesn’t
SocialMay 26, 2026

Two Years of TEFCA: What Works, What Doesn’t

Brad Thorson, Pryce Ancona and I are back, but we’re trying something a bit different this time. Given a little Memorial Day lead-up lull afflicting the industry, we decided to give a primer and run-down on the successes and failures...

By Brendan Keeler
Epic Moves to Dismiss Disability Access Lawsuit
SocialMay 20, 2026

Epic Moves to Dismiss Disability Access Lawsuit

Epic finally filed their Motion to Dismiss in American Association for Disability Justice v. Epic. As a reminder, if you’re forgetting that particular lawsuit, it was structured around the premise: …𝘵𝘩𝘢𝘵 𝘵𝘩𝘦 𝘤𝘰𝘮𝘱𝘢𝘯𝘺’𝘴 𝘢𝘳𝘤𝘩𝘪𝘵𝘦𝘤𝘵𝘶𝘳𝘦 𝘧𝘰𝘳 𝘢𝘤𝘤𝘦𝘴𝘴𝘪𝘯𝘨 𝘮𝘦𝘥𝘪𝘤𝘢𝘭 𝘳𝘦𝘤𝘰𝘳𝘥𝘴 (𝘱𝘢𝘳𝘵𝘪𝘤𝘶𝘭𝘢𝘳𝘭𝘺 𝘪𝘵𝘴 𝘳𝘦𝘭𝘪𝘢𝘯𝘤𝘦...

By Brendan Keeler
Integration Costs Shift to RPA as APIs Become Liabilities
SocialMay 11, 2026

Integration Costs Shift to RPA as APIs Become Liabilities

Software ships at near-zero marginal cost. The maintenance tail does not. Every API is a liability the moment it ships, and a finite R&D budget can only service so much of yesterday's surface area before next quarter's earnings call wins...

By Brendan Keeler
SAP Blocks External AI on Customer Data, Reinforces Ownership Split
SocialMay 9, 2026

SAP Blocks External AI on Customer Data, Reinforces Ownership Split

SAP just told customers they can't point external AI agents at SAP data without permission. Throttling, suspension, termination if they do. How could they possibly lay claim to their customers' data? It seems preposterous. Whether through Salesforce's taxation or outright...

By Brendan Keeler
Vision, Not Voice, Drives Healthcare AI's Future
SocialMay 6, 2026

Vision, Not Voice, Drives Healthcare AI's Future

Ambient AI freed clinicians' hands, so everyone in health AI is chasing better inputs. Active voice, passive vision, new cameras in exam rooms. I think they're solving the wrong problem. Vision, not voice, is the modality that matters most in healthcare's...

By Brendan Keeler
AI Swapped Effort for Time, Not Productivity
SocialMay 5, 2026

AI Swapped Effort for Time, Not Productivity

AI didn't solve my productivity problem. It replaced the constraint I understood (effort) with one I'd already beaten once (time). https://t.co/VEPUVUMcoe

By Brendan Keeler
Court Bars Non‑Party Contract
SocialMay 1, 2026

Court Bars Non‑Party Contract

Judge Conway dismissed @veevasystems v. @HeyEpic with prejudice on standing grounds, ruling that non-parties to a contract can't challenge its validity under Wisconsin law. Both the declaratory judgment claim and the tortious interference claim are dead. Conway also...

By Brendan Keeler
API Counts Mislead; Interoperability Shouldn’t Hinge on Convenience
SocialApr 27, 2026

API Counts Mislead; Interoperability Shouldn’t Hinge on Convenience

@HeyEpic CEO Judy Faulkner sat down with @Freakonomics last week, and the interview mostly covered familiar ground. I added some editorial notes that the show left on the table: why API counts don't equal developer experience, why her discussion of...

By Brendan Keeler
Epic's Surgical Reply Forces Veeva Into Arbitration Trap
SocialApr 23, 2026

Epic's Surgical Reply Forces Veeva Into Arbitration Trap

Epic filed their Reply in Veeva Systems v. Epic this week, closing the MTD briefing. The Reply is tight and surgical - Epic quotes Veeva's own opposition back at itself three times in the first paragraph and builds the whole...

By Brendan Keeler
MyChart’s 250 Deep Links Reveal Limits of Data‑Only Portals
SocialApr 21, 2026

MyChart’s 250 Deep Links Reveal Limits of Data‑Only Portals

Everyone has strong opinions about MyChart. I decided to stop speculating and take a look under the hood. The MyChart APK declares roughly 250 deep links covering everything from geofenced appointment check-in to payer-to-payer data exchange to bedside tablet pairing. The...

By Brendan Keeler
Two ePA Routes for Same Drug Create Workflow Chaos
SocialApr 16, 2026

Two ePA Routes for Same Drug Create Workflow Chaos

A rheumatologist prescribes Humira for a patient with Crohn's. The patient might self-inject at home with a prefilled pen or come into the infusion center for IV administration. Same drug, doctor and patient, so must be straightforward, right? Under CMS-0062, two...

By Brendan Keeler
Health Gorilla Misses Multiple Court Deadlines, Faces Default
SocialApr 13, 2026

Health Gorilla Misses Multiple Court Deadlines, Faces Default

@healthgorilla just let a federal class action go unanswered. Plaintiff Ricky Lott filed for entry of default today in the Southern District of Florida after Health Gorilla blew past its response deadline. And it wasn't the only deadline they missed....

By Brendan Keeler