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If there is one thing that NN can do amazingly well it is pattern recognition. The biggest blockers to adoption are the EHR providers, regulations and just iner
by jmward01 1y ago
If there is one thing that NN can do amazingly well it is pattern recognition. The biggest blockers to adoption are the EHR providers, regulations and just inertia. It will happen, the only question is when and to a small degree, how.
- nradov 1y agoEHR vendors aren't the major blocker here. Most of them have pretty good APIs now (at least for reading USCDI data from patient charts). But the data quality as entered by users is often crap: when you're training it's going to be garbage in / garbage out unless you put enormous efforts into cleansing. And the raw images are often not in the EHR but rather in a separate PACS.
- jmward01 1y agoFrom what I have seen trying to build out new features into this area, EHR vendors often act like monopolies blocking a lot of competition by controlling any data exchange. The vendor lock-in is strong and very harmful to improving process and, ultimately, harms patient care.
- nradov 1y agoWhat specifically are they blocking? The most popular EHRs from vendors like Epic and Oracle have extensive interoperability APIs for multiple open industry standards. In general you can read all USCDI data pretty easily. Writing data is more limited, for understandable reasons. And if you want to distribute a SMART on FHIR app then you'll have to go through some sort of approval process. The strong vendor lock-in is unavoidable given how deeply an EHR gets embedded into any provider organization. No matter what regulators and standards bodies do, it will never be easy to switch.