Cureka is an online store for finding doctors approved healthcare products including healthcare devices, dietary health supplements, pain management equipment, wellness products, herbal ayurveda products, hair care products, skincare, and baby care products. The website was founded in 2016 that helped millions of people to take care of their health.

Building software compliant with HIPAA standards necessitates a deep understanding of its Privacy and Security Rules to safeguard protected health information effectively.

WHAT IS HL7 INTEGRATION?

AI tools yes, not ChatGPT though. More contextualising and specialisation needed. And I'd add the notion that AI might be necessary as temporary fix, on our way to statistics. Its power is in weighing (literally) many more different factors then we could statistically figure out, also because of interdependencies between factors. Once that's done there may well be a path to less blackbox tooling like ML/DL towards logistic regression: https://pubmed.ncbi.nlm.nih.gov/33208887/ [[Machine learning niet beter dan Regressie 20201209145001]]

More ELIZA. The opposite of searching on the internet for your symptoms and ending up with selfdiagnosing yourself with 'everything' as all outliers are there too (availability bias), doing so through prompting generative AI will result in never suggesting outliers because it will stick to dominant scripted situations (see the vignettes quote earlier) and it won't deviate from your prompts.

Things missing in a prompt will not result from a prompt. This may reinforce one's own blind spots / omissions, lowering the probability of an intuitive leap to other possibilities. The machine helps you search under the light you switched on with your prompt. Regardless of whether you're searching in the right place.

This is where complexity comes in, teasing out narratives and recombine them into probes, probing actions that may changes the weights of narratives and mental models held about a situation. Not diagnostics, but building the path towards diagnostics. Vgl [[Probe proberend handelen 20201111162752]] [[Vertelpunt 20201111170556]]

Machines will do well in scripted situations (in itself a form of automation / codification). This was a factor in Hzap 08 / 09 in Rotterdam, where in programming courses the problems were simplified and highly scripted to enable the teacher to be able to grade the results, but at the cost of removing students from actual real life programming challenges they might encounter. It's a form of greedy reductionism of complexity. Whereas the proof of the pudding is performing well within complexity.

https://web.archive.org/web/20230406083125/https://inflecthealth.medium.com/im-an-er-doctor-here-s-what-i-found-when-i-asked-chatgpt-to-diagnose-my-patients-7829c375a9da

A comparison of ChatGPT responses to actual ER case descriptions. Interesting experiment by the author, though there shouldn't be an expectation for better results than it gave.

Not to mention the myopic insurance- and profit-driven "healthcare" industry itself.

A study across the population of Scotland researched the affects of covid by comparing those with a positive PCR test with a control group that did not have covid. Vaccinations were shown to decrease symptoms. There are concerns about long-term effects as the virus becomes endemic.

Healthcare is a service provided by others.

When a person asserts that they have a right to the labor of others, this stakes a claim of ownership over that person and their labor.

"slavery, condition in which one human being was owned by another." https://www.britannica.com/topic/slavery-sociology

Everyone has a right to health, but they can make no such claim to the service of others to maintain it.

NDR. (2021, March 19). AstraZeneca: Greifswalder Forscher finden Thrombose-Ursache. /nachrichten/mecklenburg-vorpommern/AstraZeneca-Greifswalder-Forscher-finden-Thrombose-Ursache,coronavirus4660.html

Notion – The all-in-one workspace for your notes, tasks, wikis, and databases. (n.d.). Notion. Retrieved 14 February 2022, from https://www.notion.so

Beaumont, P. (2021, September 16). Which countries are enforcing mandatory Covid jabs – and how? The Guardian. https://www.theguardian.com/world/2021/sep/16/which-countries-enforcing-mandatory-covid-vaccination

Johnson, S. (2021, June 7). Spat at, abused, attacked: Healthcare staff face rising violence during Covid. The Guardian. http://www.theguardian.com/global-development/2021/jun/07/spat-at-abused-attacked-healthcare-staff-face-rising-violence-during-covid

Sgaier, S. K. (2021, May 18). Opinion | Meet the Four Kinds of People Holding Us Back From Full Vaccination. The New York Times. https://www.nytimes.com/interactive/2021/05/18/opinion/covid-19-vaccine-hesitancy.html

Adams, R., & editor, R. A. E. (2021, September 15). Covid teams can vaccinate pupils against parents’ wishes, schools told. The Guardian. https://www.theguardian.com/education/2021/sep/15/covid-teams-can-vaccinate-pupils-against-parents-wishes-schools-told

Ercolano, P. (2021, September 20). The legality of vaccine mandates. The Hub. https://hub.jhu.edu/2021/09/20/stacey-lee-employer-vaccine-mandate/

Regev-Yochay, G., Gonen, T., Gilboa, M., Mandelboim, M., Indenbaum, V., Amit, S., Meltzer, L., Asraf, K., Cohen, C., Fluss, R., Biber, A., Nemet, I., Kliker, L., Joseph, G., Doolman, R., Mendelson, E., Freedman, L. S., Harats, D., Kreiss, Y., & Lustig, Y. (2022). 4th Dose COVID mRNA Vaccines’ Immunogenicity & Efficacy Against Omicron VOC (p. 2022.02.15.22270948). medRxiv. https://doi.org/10.1101/2022.02.15.22270948

Huang, L., & Cao, B. (2021). Post-acute conditions of patients with COVID-19 not requiring hospital admission. The Lancet Infectious Diseases, 0(0). https://doi.org/10.1016/S1473-3099(21)00225-5

Been making that point about health (especially since, like education, it's a provincial jurisdiction). It's easy to think of perverse incentives if a profit motive dominates education and health. Physicians would want people to remain sick and teachers would prefer it if learners required more assistance.

Hadn't thought enough about the DND part. Sure gives me pause, given the amounts involved. Or the fact that there's a whole lot of profit made in that domain.

So, businesspeople are quick to talk about "cost centres". Some of them realize that those matter a whole lot.

Governor Kathy Hochul. (2022, January 27). #COVID Case and Hospitalization Update: -17,305 New Cases -8,741 Hospitalizations (-594) -134 New deaths reported by healthcare facilities through HERDS https://t.co/bIeDmJzJ2l [Tweet]. @GovKathyHochul. https://twitter.com/GovKathyHochul/status/1486794356421976069

CDC/IDSA COVID-19 Clinician Call: Vaccine Boosters. (n.d.). Retrieved 27 April 2022, from https://www.idsociety.org/multimedia/clinician-calls/cdcidsa-covid-19-clinician-call-vaccine-boosters/

Nerd, G. M.-K. H. (2021, December 22). Of Course Unvaccinated People Should Get Medical Care. Medium. https://gidmk.medium.com/of-course-unvaccinated-people-should-get-medical-care-34b26ae7eaa4

Eric Topol. (2021, April 23). Just published @TheLancet: Effect of vaccine in >23,000 health care workers https://t.co/ohy3VyHM3C Dose response: No vaccine 977 infections; 1 dose 71 infections; 2 doses 9 infections (14|8|4 per 10,000 person-days) "can prevent both symptomatic and asymptomatic infection " https://t.co/EybVBFmXrU [Tweet]. @EricTopol. https://twitter.com/EricTopol/status/1385729322472730626

ReconfigBehSci on Twitter: ‘RT @TheLancetInfDis: Newsdesk in March issue: #COVID19 among American Indians and Alaska Natives https://t.co/cJj2815IYw’ / Twitter. (n.d.). Retrieved 3 March 2021, from https://twitter.com/SciBeh/status/1367060643896053760

Body bags, overflowing morgues and chaotic hospitals: Hong Kong’s pandemic goes critical. (2022, March 9). Washington Post. https://www.washingtonpost.com/world/2022/03/09/hong-kong-covid-hospitals-morgues/

Campbell, D., & editor, D. C. H. policy. (2022, March 10). Global Covid-19 death toll ‘may be three times higher than official figures.’ The Guardian. https://www.theguardian.com/world/2022/mar/10/global-covid-19-death-toll-may-be-three-times-higher-than-official-figures

Al Newman. (2022, March 8). @danaparish @jennybluebird2U To your point: Https://t.co/CsULpIACoI [Tweet]. @AlNewman_. https://twitter.com/AlNewman_/status/1501056062262333441

Reuters. (2022, February 24). EMA backs Pfizer COVID booster for teens, Moderna shot for ages 6-11. Reuters. https://www.reuters.com/business/healthcare-pharmaceuticals/ema-recommends-approval-pfizers-covid-vaccine-12-over-2022-02-24/

Health sector facing ‘challenges not seen in a century’ as Victoria issues rare Code Brown. (2022, January 17). ABC News. https://www.abc.net.au/news/2022-01-18/victoria-records-more-covid-19-deaths-hospitalisations-and-cases/100762978

Jorge A. Caballero, MD (jorgecaballero.eth). (2022, January 10). 🧵/ I just spoke with two journalists about data that shows how the U.S. healthcare system is collapsing before our eyes. The million dollar question during both interviews was, “What else could we be doing right now?” The answer: Flatten the hospitalization curve. Now. [Tweet]. @DataDrivenMD. https://twitter.com/DataDrivenMD/status/1480607009867132928

Major COVID course correction immediately required. (n.d.). Retrieved February 7, 2022, from https://ozsage.org/media_releases/major-covid-course-correction-immediately-required/

wparmet. (2022, January 5). Major Questions about Vaccine Mandates, the Supreme Court, and the Major Questions Doctrine. Bill of Health. http://blog.petrieflom.law.harvard.edu/2022/01/05/major-questions-vaccine-mandates-supreme-court/

Bower, Dr Marlee, Scarlett Smout, Amarina Donohoe-Bales, Lily Teesson, Eleisha Lauria, Julia Boyle, Philip Batterham, et al. ‘A Hidden Pandemic? An Umbrella Review of Global Evidence on Mental Health in the Time of COVID-19’. PsyArXiv, 14 January 2022. https://doi.org/10.31234/osf.io/bzpvw.

Berger, Eric. ‘As Omicron Peaks, the US Healthcare System Is Left “Broken beyond Repair”’. The Guardian, 4 February 2022, sec. Society. https://www.theguardian.com/society/2022/feb/03/us-coronavirus-healthcare-system-providers.

Nursing professionals are facing with severe sleep problems during the covid 19 pandemic time. Nurses were asked to work in an environment that had a more increased level of risk than ever before. Depression and anxiety from the workplace could affect the confidence of healthcare workers in themselves as well as general trust in the healthcare system. This will lead to their turnover intention which may undermine the efforts of the governments to control the COVID-19 pandemic. The rising concern may change the working schedules of healthcare workers, offering more occupational healthcare support.

Hall, V. G., Ferreira, V. H., Wood, H., Ierullo, M., Majchrzak-Kita, B., Manguiat, K., Robinson, A., Kulasingam, V., Humar, A., & Kumar, D. (2022). Delayed-interval BNT162b2 mRNA COVID-19 vaccination enhances humoral immunity and induces robust T cell responses. Nature Immunology, 1–6. https://doi.org/10.1038/s41590-021-01126-6

French, G. (2021). Impact of Hospital Strain on Excess Deaths During the COVID-19 Pandemic—United States, July 2020–July 2021. MMWR. Morbidity and Mortality Weekly Report, 70. https://doi.org/10.15585/mmwr.mm7046a5

Halliday, J., & correspondent, J. H. N. of E. (2022, January 17). ‘Christmas was awful’: On the Omicron frontline at the Royal Preston hospital. The Guardian. https://www.theguardian.com/world/2022/jan/17/christmas-was-awful-on-the-omicron-frontline-at-the-royal-preston-hospital

Halliday, J., & correspondent, J. H. N. of E. (2022, January 17). ‘Christmas was awful’: On the Omicron frontline at the Royal Preston hospital. The Guardian. https://www.theguardian.com/world/2022/jan/17/christmas-was-awful-on-the-omicron-frontline-at-the-royal-preston-hospital

Yong, E. (2021, December 16). America Is Not Ready for Omicron. The Atlantic. https://www.theatlantic.com/health/archive/2021/12/america-omicron-variant-surge-booster/621027/

Up the line to death: Covid-19 has revealed a mortal betrayal of the world’s healthcare workers. (2021, January 29). The BMJ. https://blogs.bmj.com/bmj/2021/01/29/up-the-line-to-death-covid-19-has-revealed-a-mortal-betrayal-of-the-worlds-healthcare-workers/

Pathology insider describes unworkable conditions in SydPath PCR labs. (2022, January 10). ABC News. https://www.abc.net.au/news/2022-01-10/pathology-insider-describes-unworkable-conditions/100744536

Barry McAree 💙. (2022, January 6). Teachers on these islands will get FFP2(rightly so).Healthcare workers on other parts of these islands..nah!..Surgical masks/spit guards/not PPE,for working with COVID-positive patients risking other patient’s, our own & our family’s health.”Protect the NHS”🤔⁦@CMO_England⁩ https://t.co/OngrD5BBPU [Tweet]. @BarryMcAree. https://twitter.com/BarryMcAree/status/1478883258305814536

Davis, N., & correspondent, N. D. S. (2021, December 31). What do we know about the Omicron Covid variant so far? The Guardian. https://www.theguardian.com/world/2021/dec/31/what-do-we-know-about-the-omicron-covid-variant-so-far

Jewett, C. (2021, November 4). Patients Went Into the Hospital for Care. After Testing Positive There for Covid, Some Never Came Out. Kaiser Health News. https://khn.org/news/article/hospital-acquired-covid-nosocomial-cases-data-analysis/

Shaun Lintern. (2021, December 30). Leeds Hospital to host one of the first “Nightingale hubs” based in a car park at St James’s Hospital. NHS wants space for up to 4k extra beds nationally...but who will staff these beds? Https://t.co/dzntJniPhq [Tweet]. @ShaunLintern. https://twitter.com/ShaunLintern/status/1476464984926339076

Tapper, J. (2021, December 19). Mass rapid tests in Liverpool cut hospital stays by a third. The Observer. https://www.theguardian.com/world/2021/dec/19/mass-rapid-tests-in-liverpool-cut-hospital-stays-by-a-third

Facebook, Twitter, options, S. more sharing, Facebook, Twitter, LinkedIn, Email, URLCopied!, C. L., & Print. (2021, December 17). Op-Ed: How can we prevent a second winter of despair with Omicron? Los Angeles Times. https://www.latimes.com/opinion/story/2021-12-17/op-ed-averting-a-second-winter-of-despair-with-omicron

Loud Silenced Doctors | Science-Based Medicine. (2021, December 19). https://sciencebasedmedicine.org/muzzled/

Timothy Caulfield. (2021, December 14). @LuisSchang @joerogan The Great Conspiracy Theory Paradox! Https://t.co/sEPuwvXJKp [Tweet]. @CaulfieldTim. https://twitter.com/CaulfieldTim/status/1470818785867153408

227 B.C. chiropractors threaten to sue regulatory college if vaccines ordered. (n.d.). Vancouversun. Retrieved December 17, 2021, from https://vancouversun.com/news/local-news/227-b-c-chiropractors-threaten-to-sue-regulatory-college-if-vaccines-ordered

Morgan, M. (2021). Matt Morgan: Caring for unvaccinated patients. BMJ, 374, n2022. https://doi.org/10.1136/bmj.n2022

shinydoc. (2021, December 12). I love how I, an actual GP...who was involved in the initial covid vaccination programme ...has to tune in at 8pm with the public to find out that apparently we are vaccinating the entire adult population with boosters by the end of the year [Tweet]. @irishayesha. https://twitter.com/irishayesha/status/1470123478221303810

Shaun Lintern. (2021, December 5). Just one of many msgs I’ve received today: Https://t.co/jgRqeZPuIe [Tweet]. @ShaunLintern. https://twitter.com/ShaunLintern/status/1467621369420697600

Progressive International. (2021, November 29). BREAKING: 2.5 million nurses from 28 countries have filed for a UN investigation of human rights violations by the EU, UK, Switzerland, Norway, and Singapore for blocking the waiver on Covid-19 vaccine patents as new strains proliferate: Http://covid19criminals.exposed https://t.co/Rj37RqDA4J [Tweet]. @ProgIntl. https://twitter.com/ProgIntl/status/1465202919687348227

gianluca c 🏴‍☠️🇻🇪 #TeamFauci #MaskUp #no GBD. (2021, November 29). Gauteng just updated 47 week and its shit https://t.co/yu5aLzwoJE [Tweet]. @gianlucac1. https://twitter.com/gianlucac1/status/1465300644336738308

Bundesverfassungsgericht: Bundesnotbremse war verfassungsgemäß. (2021, November 30). tagesschau.de. https://www.tagesschau.de/inland/bundesnotbremse-bundesverfassungsgericht-101.html

News, A. B. C. (n.d.). COVID-19 vaccine mandates moving the needle, experts say. ABC News. Retrieved November 11, 2021, from https://abcnews.go.com/Health/covid-19-vaccine-mandates-moving-needle-experts/story?id=80928249

Jones, S., & Giuffrida, A. (2021, November 9). At a glance: Covid vaccine mandates around the world. The Guardian. https://www.theguardian.com/world/2021/nov/09/covid-vaccine-mandates-around-the-world

Campbell, D., & editor, D. C. H. policy. (2021, November 3). Covid jabs to be compulsory for NHS staff in England from April. The Guardian. https://www.theguardian.com/society/2021/nov/03/covid-jabs-to-be-compulsory-for-nhs-staff-in-england-from-april

Magee, L. A., Dadelszen, P. von, Kalafat, E., Duncan, E. L., O’Brien, P., Morris, E., Heath, P., & Khalil, A. (2021). COVID-19 vaccination in pregnancy—Number needed to vaccinate to avoid harm. The Lancet Infectious Diseases, 0(0). https://doi.org/10.1016/S1473-3099(21)00691-5

Benjamin Veness. (2021, November 2). Singapore’s 🇸🇬 Senior Minister of State for Health, Dr Janil Puthucheary, told Parliament on 1 November: “I hope my explanation has helped members understand why although we say we are living with COVID-19, we cannot just open up, and risk having the number of cases shoot up.” [Tweet]. @venessb. https://twitter.com/venessb/status/1455396047765733376

ReconfigBehSci. (2021, November 2). interestingly the Singapore Health Minister also mentions “boosting through mild infections”—A concept that is currently generating much furore in the UK in the wake of the release of the JCVI minutes on child vaxx decisions 1/n [Tweet]. @SciBeh. https://twitter.com/SciBeh/status/1455445587910922240

Kenneth Baillie. (2021, October 27). When a healthcare system fails, increasing numbers of people suffer and die needlessly. That’s all. If you aren’t a patient or staff, you don’t see it. But this is happening, now, all over the UK. 2/n [Tweet]. @kennethbaillie. https://twitter.com/kennethbaillie/status/1453422360795680769

Covering COVID-19 vaccine boosters: 4 tips and a timeline. (n.d.). Retrieved October 25, 2021, from https://journalistsresource.org/home/covid-19-boosters-tip-sheet/

Gregory, A., Stewart, H., & Sample, I. (2021, October 19). Implement ‘plan B’ winter measures now or risk NHS crisis, Johnson warned. The Guardian. https://www.theguardian.com/world/2021/oct/19/implement-plan-b-winter-measures-now-or-risk-nhs-crisis-johnson-warned

Godlee, F. (2021). Why healthcare needs rebels. BMJ, 375, n2559. https://doi.org/10.1136/bmj.n2559

Pisanu, E., Benedetto, A. D., Infurna, M. R., & Rumiati, R. I. (2021). Psychological impact in Healthcare Professionals during emergencies: The Italian experience with COVID-19. PsyArXiv. https://doi.org/10.31234/osf.io/5rzj9

Mahase, E. (2021). Covid-19: Antibody levels fall after second Pfizer dose, but protection against severe disease remains, studies indicate. BMJ, 375, n2481. https://doi.org/10.1136/bmj.n2481

Michael Eisen on Twitter. (n.d.). Twitter. Retrieved 8 October 2021, from https://twitter.com/mbeisen/status/1443201806272643073

Adams, R., & editor, R. A. E. (2021, September 15). Covid teams can vaccinate pupils against parents’ wishes, schools told. The Guardian. https://www.theguardian.com/education/2021/sep/15/covid-teams-can-vaccinate-pupils-against-parents-wishes-schools-told

Real-time Assessment of Community Transmission findings. (n.d.). Imperial College London. Retrieved August 18, 2021, from http://www.imperial.ac.uk/medicine/research-and-impact/groups/react-study/real-time-assessment-of-community-transmission-findings/

Ohio health care workers warn of “astronomical” COVID-19 pediatric surge—ABC News. (n.d.). Retrieved October 1, 2021, from https://abcnews.go.com/Health/ohio-health-care-workers-warn-astronomical-covid-19/story?id=80309375

Currently, delivery options for basic needs such as food, groceries, clothing are available to any business, and the pharmaceutical industry is no exception. It means customers expect their medicines will be delivered in time without any interruptions.

Cecco, L. (2021, September 15). Canada: Alberta healthcare system on verge of collapse as Covid cases and anti-vax sentiments rise. The Guardian. https://www.theguardian.com/world/2021/sep/15/canada-alberta-healthcare-system-covid-cases-rise

Rafiquddin, Sadia. “Doctors Treating Unvaccinated Covid Patients Are Succumbing to Compassion Fatigue.” The Guardian, September 18, 2021, sec. US news. https://www.theguardian.com/us-news/2021/sep/18/doctors-caring-unvaccinated-covid-patients.

Reno-Chanca, S., Van Hoey, J., Santolaya-Prego de Oliver, J. A., Blasko-Ochoa, I., Sanfeliu Aguilar, P., & Moret-Tatay, C. (2021). Differences Between the Psychological Symptoms of Health Workers and General Community After the First Wave of the COVID-19 Outbreak in Spain. Frontiers in Psychology, 12, 644212. https://doi.org/10.3389/fpsyg.2021.644212