markolschesky

6 ms·

1.
by markolschesky 7y ago
At least in the case of subscriptions I looked at: 1) It's a continually updated file, so if you didn't subscribe you wouldn't get new data weekly/monthly. Likely the subscription aligns with the data refreshes for most
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by markolschesky 7y ago
It's rough. We thought about switching to Microsoft Teams and we realized that so many decisions about our relatively young company were tucked in DMs and private channels in Slack that we couldn't leave. Email is non-sticky (just
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by markolschesky 7y ago
I agree that some folks often exaggerate the danger in HIPAA, especially for someone like OP with a relatively small operation. But, for companies with larger operations and reach it's definitely a non-trivial problem. Our relatively s
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by markolschesky 7y ago
Our company had early access to this product and I was impressed by it. Our company had built our own FHIR datastore and I can attest to the fact that it's a more complex endeavor than it seems externally. The killer feature of the pro
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by markolschesky 7y ago
It's not necessarily liability, but it is shared responsibility. Someone validating that they will take responsibility for parts of your stack can be very important, especially at scale.
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by markolschesky 7y ago
I love Mirth and the community that's built around it. Thank you very much for all the work you did on the project.
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by markolschesky 7y ago
HL7v2 was invented in 1989. It was invented to meet the needs of then intra-operability between existing HIS systems. HL7 itself is a open organization comprised of a variety of members from vendors to health systems to life sciences/p
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by markolschesky 7y ago
Is this not the full version? https://itunes.apple.com/us/app/microsoft-onenote/id78480155... It's not quite as feature complete if you're not using Office, but it's still pretty handy.
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by markolschesky 8y ago
Of course. I mostly wanted to get something out quickly. Those are all a bunch of small snippets of ROS and Physical Exams which demonstrate many of the things which the article discussed, notably finding Dx, Medications and whether or not
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by markolschesky 8y ago
The textbook answer is typically that there is exponentially more data in unstructured data, but I agree with you. I thought about the unmodified use cases for this tooling for awhile and the major use case that I could come up with was fin
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by markolschesky 8y ago
If you want to play with this and you're looking for a decent sample exam note, I grabbed some pieces of standard looking notes (Physical, ROS, Hand exam) and tossed them into a gist here: https://gist.github.com/molsch
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by markolschesky 9y ago
That's actually pretty common, especially for older physicians or high-volume specialists. There are also some companies working on solutions to automate this using in-room speech recognition technologies like https://iscrib
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by markolschesky 9y ago
De-identified data and data contributed by people (read, not Covered Entities) is not covered by HIPAA. Someone could build a database of procedure cost comprised of these data sets, but price transparency isn't so easy due to the nuan
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by markolschesky 9y ago
> Sounds like they didn't buy the database. RxNorm (the codes discussed) is wholly open source. You can download weekly and monthly updates for free. Just pure laziness/avarice. https://www.nlm.nih.gov/research&
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by markolschesky 9y ago
The developer loaded the hard-coded data to evade detection and the PM oversaw the process where the data was validated against the government's test harness for Meaningful Use. I suppose you could argue that those people would have pu
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by markolschesky 9y ago
SiriKit only supports a limited number of domains and intents, of which playing music is not one of them.
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by markolschesky 9y ago
No Spotify, no buy. Being locked into Apple Music is a non-starter for me. It's still mindboggling to me that Siri can't/won't interface with my Spotify account. My lowly Amazon Echo supports this just fine. In fact, I p
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by markolschesky 9y ago
Not at all. There are APIs and also a data transfer protocol called Direct that can facilitate that data exchange in healthcare. You've just got to follow the rules of the road wrt to compliance.
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by markolschesky 9y ago
HIPAA doesn't care about the logistics of whether or not the intermediary can/cannot decrypt the data. If the intermediary touches the data and it's not exempt by the conduit exception, then there has to be a BAA in place. It
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by markolschesky 9y ago
Phone carriers are exempted under the carrier exception of HIPAA. Same thing with phone calls. API transactions are not exempted, even when encryption is used or data is not persisted in the middleware. http://www.hitechanswers.n
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by markolschesky 9y ago
I wouldn't think that a Fax API provider would be exempt under the conduit exception of HIPAA/HITECH. You couldn't guarantee that the API vendor wasn't sniffing/storing/protecting data while transmitting the da
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CloudFlare, Data Breaches, and the HIPAA Conduit Exemption(datica.com)
1 points by markolschesky 10y ago|0 comments
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by markolschesky 10y ago
We open-sourced all of our docs where I work. As previously noted, it's no substitute for a lawyer if something serious is really on the line, but it's probably a good place to get started. If you're not selling B2B you proba
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by markolschesky 10y ago
I thought that the Carvana trade-in onboarding was pure magic. A "custom" video that described the valuation of my car was so cool that even though I ended up trading in my car with a car I bought at a dealership I really wanted
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by markolschesky 10y ago
Does anyone know if there is support for CTIA headphones on the OnePlus Two (and Three?). I really loved my OPO, but not having Mic support on existing headphones I already owned was a dealbreaker for calls and audio support.
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by markolschesky 10y ago
Had no idea that WhatsApp was even a Twilio customer let alone one of its largest. >We currently generate significant revenue from WhatsApp and the loss of WhatsApp could harm our business, results of operations and financial condition.
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by markolschesky 10y ago
I recently helped a research group at a healthcare organization build a HIPAA-compliant version of mixpanel into their application to help patients with CBTi. The app used this XML-based framework to manage the formatting of the questions s
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by markolschesky 11y ago
For an American, it's easy to blame this on HIPAA compliance, but IMHO it has just as much to do with the speed/method in which medical malpractice suits are managed in Brazil. NPR had an article in which it took 17 years for a fa
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by markolschesky 11y ago
I'm totally on board with FHIR. I just don't think we're there yet. I've talked with 3 of the Argonaut sites and real-life, production ready FHIR capabilities are lacking. There aren't many useful provider-facing ap
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by markolschesky 11y ago
That's true on the one hand. On the other hand, Athena wants a significant chunk of your profits to connect to their API. At least HL7v2 interface were one-time, scale everywhere from a cost model.

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