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adunsulag
searching Neon…
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adunsulag
2y ago
They renamed the US Digital Services agency to be DOGE. I don't know if they can rename a branch of government but that's how they are doing it. Musk has then gotten Trump to appoint members of his initial DOGE as representative
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adunsulag
2y ago
Oracle purchased Cerner which is now sitting on a ton of healthcare data.
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adunsulag
2y ago
I read your comment and yet I see tons of startups putting AI directly in the path of healthcare diagnosis, healthcare clinical decision support systems, and healthcare workflow automations. Very few are paying any attention to the 2-10% o
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adunsulag
2y ago
Was excited about this and then saw AGPL on it. Note the OP's software is MIT. My personal preference is GPL, but MIT is better than AGPL in my opinion.
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adunsulag
2y ago
Its a tool, like any other tool a software developer would use. In areas where I have a lot of repetition or need to pour through verbose (but simple) documentation, its such a game changer. I can spend 5 minutes thinking about what I wan
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adunsulag
2y ago
This is where I want highly sensitive healthcare consumers of LLMs to be at. Note summation, suggested diagnosis (provider always in control), and other augmented abilities for the clinical staff without the risk of health care data sent o
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adunsulag
2y ago
My understanding is that customers believed they had control as Crowdstrike gave them configuration options to delay updates / stagger them. Apparently many of them were surprised that Crowdstrike had the ability to bypass all these c
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adunsulag
2y ago
I was reading your reply and started thinking, this sounds a lot like what I did to do encrypted search with Bloom Filters and indexes. I click on the first link and find the exact website I used when researching and building our encrypted
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adunsulag
2y ago
OpenEMR is an OSS practice management system and is certified for medical use by ONC in the USA. It has been deployed in the medical context in many jurisdictions in the USA. There are some government agencies / larger organizations
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adunsulag
2y ago
>To be explicit for readers here, outside applications can connect to some EHR systems using SMART on FHIR, but not all (this is what Apple Health supports in their PHR) - and this is separate from HIEs. For reasons OP mentioned, this is
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adunsulag
2y ago
In your FHIR implementation, what version of USCDI do you support? I'm assuming you're following US Core profile's with your implementation guides? Have you implemented US Core STU 6.1.0? I know I'd be interested in us
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adunsulag
2y ago
Thank you, I looked at Zoho a number of years ago and when I reached out to their team they did not recommend using them for HIPAA related transactions. I'm happy to see that change!
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adunsulag
3y ago
Saying let the courts decide when there is massive ambiguity for the small projects and developers just means that many of us (I know I will) will region block the EU until some one else deals with the court system and provides clarity for
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adunsulag
3y ago
Seeing a lot of it going on in healthcare right now, especially healthcare startups. Wonder how soon regulators will step in and start stomping down on it... it usually takes several years to a decade for any federal rule to be issued so s
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adunsulag
3y ago
What the is the code you are using in your data. Is it SNOMED? CPT4? Something else?
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adunsulag
3y ago
I used to have the same philosophy having also spent hundreds of hours dealing with the bureaucracy both technical and human of HIPAA and the need to have more data to improve health outcomes for people. I then went through the process of a
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adunsulag
3y ago
I put my kids through both scratch and khan academy javascript. I've found that it helps them come to terms a lot with the underlying mechanics of scratch and my oldest is now graduating onto building web apps. When my child hits a h
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adunsulag
4y ago
There's always a nuance, and I laugh when people tell me 'this is relatively simple'. It often seems like it can be done with wordpress but if the client is fixed that the app MUST function in a way that wordpress doesn'
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adunsulag
4y ago
Many stores I go to in rural america ONLY accept cash or check. The areas are so poor they refuse to pay the credit card fee. That and I suspect there's a lot of tax evasion going on.
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adunsulag
4y ago
Perhaps its the people who cook with a lot of home ingredients (eggs, meats, vegetables, fruits) that are feeling the most pain. My food budget has gone up 25% in the last year for the same basket of goods. I track those numbers pretty co
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adunsulag
4y ago
As someone who just got helped get OpenEMR (another OSS EHR) certified via ONC, I don't envy your journey through certification and wish you the very best of luck. Looking through your documentation what version of FHIR are you targeti
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adunsulag
4y ago
There are lots of new EHRs being approved. Just go look on CHPL and you can see that there are a 100 new EHRs that have made it through the 2015 Cures Update certification. Its hard and expensive but it can be done as I can attest to gett
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adunsulag
4y ago
FYI in the healthcare space to meet ONC Cures Update regulations for bulk patient export, its a requirement to use SHA384 (RS384 or ES384). I would think most implementations will be safe due to the 4GB payload criteria, but if anyone is d
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adunsulag
4y ago
Before people get their hopes up on this, remember there is no enforcement mechanism currently. OIG has to issue a final ruling on the penalties for HealthIT which I've heard from some insiders could take as long as another year. For