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Hot take: Most clinicians should code at time of data entry in order to not play telephone with patients' medical information. Transmission chain method > App

Hot take: Most clinicians should code at time of data entry in order to not play telephone with patients' medical information. Transmission chain method > Application in studies of memory: https://en.wikipedia.org/wiki/Transmission_chain_method https://en.wikipedia.org/wiki/Transmission_chain_method https://en.wikipedia.org/wiki/False_memory_syndrome#Evidence_for_false_memories https://en.wikipedia.org/wiki/False_memory_syndrome#Evidence... : > Human memory is created and highly suggestible Though nowhere is it shown that clinicians are even competent enough to add RDFa linked data annotations to their TXT unstructured notes with an encabulator. It's clear that there's value in disambiguation; did they say "biomemetic" or "liquid metal" days ago on a dictaphone in a loud environment?

westurner 3y ago
> Though nowhere is it shown that clinicians are even competent enough to add RDFa linked data annotations to their TXT unstructured notes with an encabulator. You can add Linked Data (JSON-LD RDF) annotations with threaded markdown to document Trump vectors with W3C Web Annotations. This [SNMOED-CT, ICD10-] competition could be scored with Web Annotations as the schema for the output. W3C Web Annotations open source implementations: - hypothesis/h: https://github.com/hypothesis/h https://github.com/hypothesis/h - https://github.com/linkeddata/dokieli https://github.com/linkeddata/dokieli - https://www.w3.org/annotation/wiki/Implementations https://www.w3.org/annotation/wiki/Implementations
- westurner 3y ago
  * You can add Linked Data (JSON-LD RDF) annotations with threaded markdown to document term vectors with W3C Web Annotations. ElasticSearch's Term Vector optionally returns with_positions_offsets, with_positions_offsets_payloads: https://www.elastic.co/guide/en/elasticsearch/reference/current/term-vector.html https://www.elastic.co/guide/en/elasticsearch/reference/curr... Meilisearch has showMatchesPosition: https://www.meilisearch.com/docs/reference/api/search#show-matches-position https://www.meilisearch.com/docs/reference/api/search#show-m... : > `showMatchesPosition` returns the location of matched query terms within all attributes, even attributes that are not set as searchableAttributes. Meilisearch > Comparison to Alternatives; Algolia, ElasticSearch, Meilisearch, Typesense: https://www.meilisearch.com/docs/learn/what_is_meilisearch/comparison_to_alternatives https://www.meilisearch.com/docs/learn/what_is_meilisearch/c... And then now instead, Vector search engines: TODO
  - westurner 3y ago
    Vector database: https://en.wikipedia.org/wiki/Vector_database https://en.wikipedia.org/wiki/Vector_database
nradov 3y ago
You're missing the point. We have a shortage of clinicians. Any extra time spent doing data entry is time not spent treating patients. As long as claims are getting paid, coded clinical data quality is a secondary concern. Changing this would require major structural realignments in the entire healthcare system, which obviously won't happen any time soon.
- westurner 3y ago
  When you realize that you need better than unstructured notes to do Clinical Decision Support ("AI"), which passes a Cost-Benefit Analysis.

westurner 3y ago

> Though nowhere is it shown that clinicians are even competent enough to add RDFa linked data annotations to their TXT unstructured notes with an encabulator. You can add Linked Data (JSON-LD RDF) annotations with threaded markdown to document Trump vectors with W3C Web Annotations. This [SNMOED-CT, ICD10-] competition could be scored with Web Annotations as the schema for the output. W3C Web Annotations open source implementations: - hypothesis/h: https://github.com/hypothesis/h https://github.com/hypothesis/h - https://github.com/linkeddata/dokieli https://github.com/linkeddata/dokieli - https://www.w3.org/annotation/wiki/Implementations https://www.w3.org/annotation/wiki/Implementations

westurner 3y ago
* You can add Linked Data (JSON-LD RDF) annotations with threaded markdown to document term vectors with W3C Web Annotations. ElasticSearch's Term Vector optionally returns with_positions_offsets, with_positions_offsets_payloads: https://www.elastic.co/guide/en/elasticsearch/reference/current/term-vector.html https://www.elastic.co/guide/en/elasticsearch/reference/curr... Meilisearch has showMatchesPosition: https://www.meilisearch.com/docs/reference/api/search#show-matches-position https://www.meilisearch.com/docs/reference/api/search#show-m... : > `showMatchesPosition` returns the location of matched query terms within all attributes, even attributes that are not set as searchableAttributes. Meilisearch > Comparison to Alternatives; Algolia, ElasticSearch, Meilisearch, Typesense: https://www.meilisearch.com/docs/learn/what_is_meilisearch/comparison_to_alternatives https://www.meilisearch.com/docs/learn/what_is_meilisearch/c... And then now instead, Vector search engines: TODO
- westurner 3y ago
  Vector database: https://en.wikipedia.org/wiki/Vector_database https://en.wikipedia.org/wiki/Vector_database

nradov 3y ago

You're missing the point. We have a shortage of clinicians. Any extra time spent doing data entry is time not spent treating patients. As long as claims are getting paid, coded clinical data quality is a secondary concern. Changing this would require major structural realignments in the entire healthcare system, which obviously won't happen any time soon.

westurner 3y ago
When you realize that you need better than unstructured notes to do Clinical Decision Support ("AI"), which passes a Cost-Benefit Analysis.