If anyone knows Michael Saylor, tell him hospital medical record systems are ripe for disruption. An analog to his hyper intelligence software could probably win bigly in this area.
I wrote software to something akin to this for my internship a decade and a half ago.
Still nothing today beats what I made for myself back then. Saylor could beat it handily. See https://sourceforge.net/projects/scutmonkey-md/
nostr:nprofile1qqsyvrp9u6p0mfur9dfdru3d853tx9mdjuhkphxuxgfwmryja7zsvhqpzamhxue69uhhv6t5daezumn0wd68yvfwvdhk6tcpz9mhxue69uhkummnw3ezuamfdejj7qgwwaehxw309ahx7uewd3hkctcscpyug is passionate about this area and active with nostr based solutions. Maybe something to explore?
I know a large not for profit multi specialty private group practice located in south east Minnesota that spent $800M on their EMR…because I was one of the technical physician evaluators…and it can’t do what one 4th year medical student did to make his own life better as an intern.
Medicine is full of good people getting screwed. And stupid bad people getting rich for almost no effort.
@trbouma is working on this I think?
I hope someday regular doctors can have what I made for myself 15 years ago…all my source code has been available for free since the beginning, but I’m no FOSS leader :)
I’m not sure if this is what you’re thinking of.
https://primal.net/e/note1tdpakkzl2t38wz2ljawm3fu7hrl3l5vvmw9e8dgfpx4nel7cp7pskhn9vd
EHR at every practice level is hot trash and desperately needs improvement
I had medfools.com scutsheets auto filled out for me when I arrived at the hospital in the AM…I used my software every day in internship.
Even at the SNF and primary level. With assembly line medicine not making actual patient care and improved outcomes a priority. The way things are structured you crush yourself going through hospital records and there are a lot of providers who don't bother doing that, and it's not fair to patients to do that
The SNF sometimes only get a poorly filled out 3008 without much to go on. I've had patients with month long admits be transferred to the SNF with only that. Then we have to get staff to hound the hospital for information. It's a nightmare of a system where it's clear the patient isn't the concern and it's disgusting.
Let's do this on Nostr, doc!
All it is is a lame pseudo-xml for medical data and a programmatically generated PDF file…
But a real xml implementation with xml transforms could make this kick ass. The medical knowledge needed isn’t huge.
Forget xmls, jsons and massive ehrs with lots of configuration, on Nostr we can have a separate Client for each role in health care, specifically designed for the functions of that role alone. There will be a client designed for ER nurses alone with only the stuff and automations they need to perform their jobs. The client then generates Fhir data and signs as nostr events on the patient's own relay services. All providers from different medical institutions assemble the medical record directly on the user's preferred relay. Those records are visible to each other immediately without any syncing required between systems.
I work in the SNF as a mid-level doing IM and this would be great. There are so many providers that don't go through the patients hospital records and miss key information. Some of this is laziness, some is the hospitals don't provide all information in their discharge paperwork whether from laziness, time etc.
A relay method would connect patient data amazingly well with simple and efficient way to search information without reading through 100+ pages of hospital records. The PCP would be able to see the culmination of info to follow up and the patient could control access ability. All could improve outcomes for patient and decrease cost and strain on the system as a whole.
“Interoperability” is non-existent. I sold to hospitals at one point. What a mess.
Citrix & Epic everywhere.
Cost millions & take forever to implement.
The real joke is the government requires interoperability. In practice this just means all the medical data crisscrossing the network is unencrypted and in a very poorly specified text based format that varies from hospital to hospital (and even at the same hospital over time). It is interoperable in the sense that anyone can plug in to the network, listen for packets, and write their own parser for every event from every data source and store it in their own proprietary database.
There is huge money in those systems and maintaining and even the super users for training the trainers.
Epic chooses their customers. There’s a waiting list. Imagine that. Chooses customers& what they pay. 💰
Guess who actually pays?
Healthcare is beyond broken. Some great doctors out there but most are captured or just going through the motions at this point.
I know someone who sells those systems, and everything associated with them. He's been doing it for about 10 years I think and crushing it by fiat standards. He works constantly though and doesn't get to spend much time with his family which is sad
I sold high end software for 25+ years. It’s a very lucrative career in fiat terms but it’s a tough world. Not many survive over long time periods. Unless you’ve been in it, it’s hard to describe how different a world it is from regular jobs.
