[HN Gopher] The case for open source solutions in HIPAA
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       The case for open source solutions in HIPAA
        
       Author : billybuckwheat
       Score  : 9 points
       Date   : 2024-11-24 20:16 UTC (2 hours ago)
        
 (HTM) web link (allthingsopen.org)
 (TXT) w3m dump (allthingsopen.org)
        
       | westurner wrote:
       | From the article: https://allthingsopen.org/articles/the-case-
       | for-open-source-... :
       | 
       | > _currently keeping client journal entries with Apple Pages_
       | 
       | Those are "unstructured notes" in medical informatics or health
       | informatics.
       | 
       | Health informatics:
       | https://en.wikipedia.org/wiki/Health_informatics
       | 
       | For the medical dictation to transcription to unstructured notes
       | workflow,
       | 
       | OpenAI Whisper is free but not open source, and it hallucinates;
       | https://www.wired.com/story/hospitals-ai-transcription-tools...
       | 
       | Perhaps dictation to unstructured text to chart form fields is
       | the clinical workflow that needs optimization.
       | 
       | Which chart form fields work with other physicians' tools too?
       | 
       | FHIR is an open spec:
       | https://en.wikipedia.org/wiki/Fast_Healthcare_Interoperabili... :
       | 
       | > _FHIR builds on previous data format standards from HL7, like
       | HL7 version 2.x and HL7 version 3.x. But it is easier to
       | implement because it uses a modern web-based suite of API
       | technology, including a HTTP-based RESTful protocol, and a choice
       | of JSON_ [JSON-LD], _XML or RDF for data representation.[1] One
       | of its goals is to facilitate interoperability between legacy
       | health care systems, to make it easy to provide health care
       | information to health care providers and individuals on a wide
       | variety of devices from computers to tablets to cell phones, and
       | to allow third-party application developers to provide medical
       | applications which can be easily integrated into existing
       | systems. [2]_
       | 
       | > _FHIR provides an alternative to document-centric approaches by
       | directly exposing discrete data elements as services. For
       | example, basic elements of healthcare like patients, admissions,
       | diagnostic reports and medications can each be retrieved and
       | manipulated via their own resource URLs._
       | 
       | FHIR spec: https://build.fhir.org/
       | 
       | Which EHRs / EMRs support FHIR?
       | 
       | FHIR / Open Source Implementations:
       | https://confluence.hl7.org/display/FHIR/Open+Source+Implemen...
       | 
       | FHIR / Public Test Servers:
       | https://confluence.hl7.org/display/FHIR/Public+Test+Servers
       | 
       | /? awesome clinical open source:
       | https://www.google.com/search?q=awesome+clinical+open+source
        
         | westurner wrote:
         | > _Perhaps dictation to unstructured text to chart form fields
         | is the clinical workflow that needs optimization._
         | 
         | Medical annotation, Terminology Server, NER: Named Entity
         | Recognition, WSD: Word-sense Disambiguation, AI Summarization,
         | look up and pre-fill the correct forms and form fields in the
         | chart (according to the unstructured notes), Medical Coding
         | 
         | Clinical coding or Medical coding:
         | https://en.wikipedia.org/wiki/Clinical_coder
         | 
         | From https://news.ycombinator.com/item?id=38739890#38744177 re:
         | Linked Data in heath informatics:
         | 
         | > _Yeah, so it 's at that workflow where they're not getting
         | linked data edges out of their own unstructured data input._
        
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       (page generated 2024-11-24 23:01 UTC)