lbhnact
Joined 11 years ago
Karma
234
Submissions
83
Member since
Feb 21
Data enthusiast trying to get medical data more standardized and interpretable. MD, MPH. dlevinbrown.com
View on Hacker NewsRecent submissions
Comment · 8 years ago
I can't speak for all graph stores, but in addition to ADB being json-native as described below, many graph users describe the types of any value, not just floats or ints, as a relation or property to the value itself.
So you'd never have any value; object, key, value of a string, int, float, or reference, without associated meta-data typing it elsewhere in the graph, and would be unlikely to operate on that data without making reference to those properties.
Comment · 8 years ago
Love each of the new releases. Would appreciate hearing any stories of performance implications with the 'Distributed COLLECT' improvements.
Comment · 9 years ago
weather.gov/5digitzip will take you straight to what you want and is just about as easy as an app for most folks.
Using well-designed government services feels like a good habit these days.
Try it on your desktop or mobile browser, easy as pie: http://weather.gov/10018
Comment · 9 years ago
If you want to go all the way back, UNC still hosts ibiblio.org, which has links to the first website at CERN http://info.cern.ch/ and TBL's first page.
Comment · 9 years ago
Just want to add support. One of my childhood friends has a felony from when he was an overly-rambunctious teenager that he still gets punished for - including being kicked off AirBnB - for something he stole more than 20 years ago. Despite this, he's a very successful leader in mental health services management.
So many people deserve a chance to redeem themselves from being 'branded', yet are denied the exact opportunities that would allow them to do so. This problem goes back a long, long ways.[1]
Anything you can do to help is great. Best of luck!
Comment · 9 years ago
>>It's just new to physicians, or something they didn't think they'd have to deal with.
Bingo.
Comment · 9 years ago
FHIR is probably the best we are going to do for a long while to come.
If you're ever interested in learning more, my company builds the national reference implementation of SMART on FHIR for the Harvard DBMI, in support of the NIH 'Sync For Science' Pilot - happy to talk all about FHIR and data exchange standards!
The participating vendors will be launching pilots this year and things are proceeding well. If we can give them some positive attention for it, maybe we'll see some progress. I sure hope so!
[]https://www.healthit.gov/buzz-blog/health-innovation/nih-and...
Comment · 9 years ago
Without bickering over MU requirements, you'd probably note that MU has been almost entirely ineffective at solving actual care problems with data exchange.
Of 50 state exchanges, most have collapsed, with only occasional use of the ad-hoc implementations and networks that remain. And people dying everyday while vendors like ECW get wrist-slaps for lying to CMS about their MU compliance.
-http://www.healthcareitnews.com/news/eclinicalworks-pay-155-...
Comment · 9 years ago
No they were not. The quote, by David Blumenthal who designed the HITECH legistlation said this:
"Before you can create interoperability, you have to create operability"[1]
I'll leave it to you to decide whether this was a wise philosophy to underpin a major national IT project.
[1]http://www.healthcareitnews.com/news/blumenthal-look-stage-1...
Comment · 9 years ago
Just-graduated MD/MPH and former EMT and ED admin here. I empathize strongly, since the first time I watched a 16-year girl who'd been in a MVC and first transported to Duke, who needed sub-specialty consults at UNC get re-scanned.
I'd read about CT dosing and realized that we had just increased this girls lifetime likelihood of ovarian or endometrial cancer by perhaps about 1/1000. For absolutely no reason other than the fact we couldn't get the images 8 miles down the road from the Duke ED, and the attending wanted to 'just be sure'.
I asked the resident why they couldn't send them digitally and they just laughed. That was 2009.
It's 8 years and a few hundred billion of national EMR spend later - and you know what? We still can't send an image between the two EDs. UNC and Duke were the first two nodes/servers on Usenet back in 1980[1], and 37 years later we can barely exchange medical data using our combined 1.3 billion dollars of Epic EMR implementations.
This problem harms people needlessly every day. Please use your voice as a provider to remind people whenever possible.
Comment · 9 years ago
The new release looks packed full of features - especially excited about Keylines and encryption.
FYI, a minor copy edit suggestion: "HIPPA", should be "HIPAA".
-https://en.wikipedia.org/wiki/Health_Insurance_Portability_a...