A ton of EMR systems are cloud-hosted these days. There’s already patient data for probably a billion humans in the various hyperscalers.
Totally understand that approaches vary but beyond EMR there’s work to augment radiologists with computer vision to better diagnose, all sorts of cloudy things.
It’s here. It’s growing. Perhaps in your jurisdiction it’s prohibited? If so I wonder for how long.
In the US, HIPAA requires that health care providers complete a Business Associate Agreement with any other orgs that receive PHI in the course of doing business [1]. It basically says they understand HIPAA privacy protections and will work to fulfill the contracting provider's obligations regarding notification of breaches and deletion. Obviously any EMR service will include this by default.
Most orgs charge a huge premium for this. OpenAI offers it directly [2]. Some EMR providers are offering it as an add-on [3], but last I heard, it's wicked expensive.
I'm pretty sure the LLM services of the big general-purpose cloud providers do (I know for sure that Amazon Bedrock is a HIPAA Eligible Service, meaning it is covered within their standard Business Associate Addendum [their name for the Business Associate Agreeement as part of an AWS contract].)
Sorry to edit snipe you; I realized I hadn't checked in a while so I did a search and updated my comment. It appears OpenAI, Google, and Anthropic also offer BAAs for certain LLM services.
In the US, it would be unthinkable for a hospital to send patient data to something like ChatGPT or any other public services.
Might be possible with some certain specific regions/environments of Azure tho, because iirc they have a few that support government confidentiality type of stuff, and some that tout HIPAA compliance as well. Not sure about details of those though.
Actually the abstractions are much thinner than with something like NextJS imo. It all comes down to what you are comfortable with. If you learned web dev in the React era, this approach feels very odd, but if you come from something like Ruby on Rails, this actually quite intuitive and not a lot of abstraction (see Jeremy‘s comment in this thread).
I personally like to stay with normal HTML and FrankenUI instead FastHTML instead of MonsterUI tho.
For the creation part of a KG I do understand this. But for inference and knowledge organisation, there is still value in graph based semantic structures imo
There is no compelling evidence that MRI contrast agent causes cancer. Gadolinium (the stuff that’s in the contrast agent) can deposit in the body, e.g. in the brain, but if this even has any consequences is still unclear. Nonetheless there is some nice research going on how to drastically reduce the amount of contrast agent needs to be administered through image postprocessing.
The same symptoms can be caused by either a blood clot OR by hemorrhage in the brain. If you give a patient with a hemorrhage fibrinolytics, you killed him. That’s why you need the CT first: to rule out bleeding.
A service to send pdfs to your kindle device through a chrome extension or web app.