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.
234 karma · joined February 21, 2015
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.
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
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!
Bingo.
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...
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-...
"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...
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.
FYI, a minor copy edit suggestion: "HIPPA", should be "HIPAA".
-https://en.wikipedia.org/wiki/Health_Insurance_Portability_a...
The notion that a startup has A: deep insights into the nature of cognitive function that others do not; and B: devised and tested a paradigm that sustainably improves it, was always a little shocking to see claimed.
I can't find good tables in the article or on your teams site. [edited]
I know you guys take your numbers seriously but I'd love to see anything allowed out pre-publication.
[edit]Thanks to poster below I see this is AUC. Thanks!
An incredible overview of the problem was written 20 years ago by John McPhee[1], as part of his book "The Control of Nature". Unfortunately, solving the problem in the long term means essentially undermining the entire economy of South Louisiana, and leaving the City of New Orleans destitute.
I served in Baton Rouge for 3 years and spent a lot of time on the Mississippi River. It's an extraordinary resource that much of America silently takes for granted. I with there were better solutions to save it and protect the people of Louisiana, but I don't feel like I have better answers to these questions that anyone else. It's a tough situation.
[1]: http://www.newyorker.com/magazine/1987/02/23/atchafalaya
They also don't note the brands with East Coast production there like, say, Sierra Nevada and Oscar Blues, which would be hard to argue don't count as breweries.
Anyway, Santa Rosa is so small, it could really be the winner. But per capita, it would be hard to imagine anywhere else besides Asheville would be the spot.
I often noted with them at the time similar notions of the implications for the job market. There's so much hype out there, but I think RHR will be one of the companies that actually illustrates to the public where things are headed.
Come work in healthcare, you may change your mind.
In healthcare, a lack of domain expertise, rigor, collaboration, and regulation kills people every day. And inhibits our science. And is the root cause of billions a week in waste.
Yes, most web content and it's delivery we could do well, or be better off, without. But in many jobs, the software constrains or enables behaviors that have real consequences.
There is, don't worry. This would be 'Standalone Software' that is labeled as:
"intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals"
So, by claiming to be a Medical Device, it's regulated. And since it seems to be a pretty lousy, unapproved, medical device, it's actually illegal.
Maybe when Theranos.com comes available, these guys could try to snag it though!
[1]http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidanc...
Never really got past 'Scientology', and that probably won't stick.
What's a better term than the vapid 'Metascience', or the clunky 'scientometrics'.
How about 'Superscience'? That would be an awesome Doctorate to hang on the wall.
always looking to meet smart people!
And even in other states that didn’t adopt the expansion, like North Carolina and Missouri, patients like Oregón still have hope of a transplant in a life-or-death situation. That’s because these states allow for a “medically needy” pathway, or a “spend-down” program, whereby patients can meet the Medicaid limit by deducting certain items, including unpaid medical bills, from their income.
In NC at least, these mostly happen not because of the spend-down rule. They happen because we have a public university, with a public hospital, that is supported through the state by the public to provide care for the poor.
And if the complicated and often contradictory paths through considerations of ethics are 'annoying' to you, why? Are they 'wrong' on some moral plane that 'doesn't exist?'.
Ethics, life, and why we are all here is hard stuff. But if you think there's no point, then please don't vote in the rest of our elections this fall!
We are. :)
I empathize with your problem with CCD/HL7v2 as much as you can imagine; which is why we support FHIR infrastructure across a number of use-cases. Feel free to reach out, I always enjoy chatting with people experienced in the space.