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Viewing profile — dgoncharov

dgoncharov

HN member
Joined
Tue, Jan 04, 2022, 9:36 PM UTC
HN karma
71
Public activity
30 items

About dgoncharov

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Recent public activity

  1. comment
    Comment #40467544

    > one that is very secure Another reason we're open source - better security. > Most health providers still require faxes, which is a huge pain in the butt. Yes indeed - mindblowin…

  2. comment
    Comment #40467283

    > Most traditional provider orgs don't care about open source Depends who you're talking to - from our experience CTOs of large provider orgs love the open source aspect (generally…

  3. comment
    Comment #40467256

    Feel free to get in touch with us - we've migrated others of HG, and they can vouch that they get better data density, coverage, quality, and speed with Metriport. > distinguish yo…

  4. comment
    Comment #40467114

    > CAIR2 is specific to California. Every state registry has some technical differences in HL7 V2 Didn't know CAIR2 was only used in CA - I guess a correct statement would be every …

  5. comment
    Comment #40466996

    See the bottom of the post: "We charge per full medical record retrieval for a patient (which we call a query). This starts at $1 per query (with a monthly minimum), and scales dow…

  6. comment
    Comment #40462446

    Roughly 93% of the US population, so just north of 300 million.

  7. comment
    Comment #40462434

    > Is this intended for use by providers or consumers/patients? This currently can only be used by providers, or healthcare IT vendors working with providers. Referring to the post:…

  8. comment
    Comment #40461427

    What're you working on in specific? Can help provide clarification if you're able to describe the use case.

  9. comment
    Comment #40461255

    Thank you!!

  10. comment
    Comment #40461254

    Thank you!

  11. comment
    Comment #40461251

    We'd love to open source it - but are too strapped for time to do so. Perhaps one day in the future.

  12. comment
  13. comment
    Comment #40461235

    Thank you - it's a difficult problem for sure, but that makes it all the more fun and rewarding. > should be handled on state level Many of the aforementioned HIEs in the US are ac…

  14. comment
    Comment #40461094

    > In the US, this is part of the EHR push, each EHR is supposed to accept any outside application To be explicit for readers here, outside applications can connect to some EHR syst…

  15. comment
    Comment #40460165

    Thank you! That's right, we can't even request our own records using Metriport - this currently can only be done for a Treatment purpose of use (and opens up a lot gray area of wha…

  16. comment
    Comment #40460091

    Pretty much! We're essentially building a service that leverages multiple networks - from a modern healthcare engineer's perspective, and focusing on product/data usability.

  17. comment
    Comment #40459697

    Thank you! Glad to see more open-source in healthcare - was the idea here sort of like a reusable EHR backend for building digital health products? I see some mention of HAPI FHIR …

  18. comment
    Comment #40459504

    Europe is its own beast of healthcare data problems for sure - perhaps one day. We get asked the fundraising question a lot, especially since we're open source. Once investors unde…

  19. comment
    Comment #40459260

    Glad you enjoyed the read - we're happy that we landed at a domain/space that we're both passionate about, and is impactful. Pretty great outcome as far as pivots go!

  20. comment
    Comment #40459153

    Yes!! A lot of folk think that the only way to get data into EHRs is by writing one-off integrations with a specific hospital IT system - but you can achieve the same thing using a…

  21. comment
    Comment #40458831

    Thank you for the detailed questions - lots to dig into: > In your FHIR implementation, what version of USCDI do you support? I'm assuming you're following US Core profile's with y…

  22. comment
    Comment #40458493

    Thank you - glad to see there are others that are aware of the mess of healthcare data! > Would it make sense to go one step further and bet on the future being the cloud - and sta…

  23. comment
    Comment #40458403

    > How does this compare to ehealthexchange Good question! eHealth Exchange (eHEX) is one of 3 national HIEs that we connect to (currently through Carequality). eHEX is mainly focus…

  24. comment
    Comment #40456505

    Hahaha definitely feel you there - also see you're a seasoned healthcare vet with the FHIR puns! Integrating with vaccine registries is another unique beast, and we haven't had the…

  25. story
    Launch HN: Metriport (YC S22) – Open-source API for healthcare data exchange

    Hey HN, Dima and Colin here from Metriport ( https://www.metriport.com/ ), an open-source platform that makes it easy for healthcare organizations to access and exchange medical da…