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Feature Articles

A Data Scientist's Guide To Open Source Community Analysis

By Cali Dolfi | December 20, 2022

In the golden age of data analysis, open source communities are not exempt from the frenzy around getting some big, fancy numbers onto presentation slides. Such information can bring even more value if you master the art of generating a well-analyzed question with proper execution. You might expect me, a data scientist, to tell you that data analysis and automation will inform your community decisions. It's actually the opposite. Use data analysis to build on your existing open source community knowledge, incorporate others, and uncover potential biases and perspectives not considered. You might be an expert at implementing community events, while your colleague is a wiz at all things code. As each of you develops visualizations within the context of your own knowledge, you both can benefit from that information.

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The New Rules of Healthcare Platforms (Part 2): Pipe Scale vs. Platform Scale

By Vince Kuraitis, JD/MBA, and Randy Williams, MD | November 21, 2022

Platform businesses scale differently than traditional businesses. Platforms scale through network effects. In the previous post, we introduced and described a widely used metaphor: pipes vs. platforms. Traditional businesses are pipes. Their value chains are linear. Value is added at sequential stages before a final product or service is delivered to consumers at the end of the pipeline. Platforms do not produce goods or services themselves—they make connections among stakeholders and facilitate value exchange among those stakeholders. Value is created outside the platform. Both pipeline businesses and platform businesses strive to achieve scale—but the type of scale they strive for is vastly different. In this post, we’ll explain how pipeline businesses strive for economies of scale (on the supply side) and how platform businesses scale through network effects (on the demand side).

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ONC HITAC Public Health Data Systems Task Force Releases Recommendations

By Noam H. Arzt, Ph.D. | November 18, 2022

On November 10, 2022 the Office of the National Coordinator for Health Information Technology’s (ONC) Health Information Technology Advisory Committee (HITAC) accepted and approved the recommendations of its ad hoc Public Health Data Systems Task Force. As discussed in an earlier post, the Task Force has been meeting since August 2022 and was charged with examining how improvements might be made in ONC certification rules for criteria related to public health data submission. In addition, and perhaps for the first time, the task force was also charged with developing recommendations related to the public health side of the equation: how public health data systems and/or standards might improve to ensure a smoother flow of information with clinical care. Read More »

How Open Source Powers Innovation

By Gordon Haff | November 16, 2022

Where do people come together to make cutting-edge invention and innovation happen?....What of open source software? Certainly, major projects are highly collaborative. Open source software also supports the kind of knowledge diffusion that, throughout history, has enabled the spread of at least incremental advances in everything from viticulture to blast furnace design in 19th-century England. That said, open source software, historically, had a reputation primarily for being good enough and cheaper than proprietary software. That's changed significantly, especially in areas like working with large volumes of data and the whole cloud-native ecosystem. This development probably represents how collaboration has trumped a tendency towards incrementalism in many cases. IP concerns are primarily handled in open source software—occasional patent and license incompatibility issues notwithstanding.

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The New Rules of Healthcare Platforms (Part 1): Value Creation Shifts from Pipes to Platforms

By Vince Kuraitis, JD/MBA, and Randy Williams, MD | November 7, 2022

Value for customers is created differently on platforms than by traditional product/service business models. Today we’ll present and discuss the metaphor of how traditional businesses can be thought of as “pipelines” and how these pipes differ from digital platforms. This post is the first in a new series: “The New Rules of Healthcare Platforms.” We’ll be writing about platform thinking, new mental models, and the new economics of platform business models and strategy. We’ll have at least seven posts to explain these new rules. You’ll have some unlearning to do. We’ll illustrate how platform business models are fundamentally different than traditional product/service business models. To understand platforms, we need to change more than just our thinking—we need to learn new rules about how the digital world works and how platforms fit in.

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Draft TEFCA Facilitated FHIR Implementation Guide: A Public Health Perspective

By Noam H. Arzt, Ph.D. | November 3, 2022

On October 7, 2022, the Trusted Exchange Framework and Common Agreement (TEFCA) project released a Draft TEFCA Facilitated FHIR Implementation Guide. As described in an earlier post, the project released a specific plan for integrating HL7 Fast Health Information Resources (FHIR) into the architecture that was defined explicitly in a new Roadmap for later implementation. This draft implementation guide (IG) provides the initial proposed details for this functionality. TEFCA only poses technical requirements on its direct participants, the Qualified Health Information Networks, or QHINs, but they are not the actual sources nor destinations of the data. The actual “FHIR details” are sketchy in this IG; maybe that is by design. It seems to specify just what the QHIN needs to know to do patient discovery and move the query and response around rather than any specifics on where a query originates nor where the response goes, let alone what data is contained.

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The Missing Ingredient in Today's Patient Portals: Network Effects (Part 4)

By Vince Kuraitis, and Jody Ranck | October 23, 2022

As described in the first three posts in this series, today’s patient portals are inherently flawed and doomed to mediocrity. The result is that today’s patient portals cannot achieve a critical mass of adoption and utilization, and therefore portals can’t achieve network effects. In this post, we will: Summarize key points from the first three posts in this series; Explain how today’s patient portals miss out on three types of network effects; Explain the implications: why tomorrow’s portals must be reconfigured to achieve network effects

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2022 HL7 Working Group Meeting Continues to Advance a Public Health Agenda

By Daryl Chertcoff | October 7, 2022

The HLN Consulting team attended the HL7 36th Annual Plenary & Working Group Meeting (WGM) held in Baltimore, MD, September 17 – 23, 2022. More than 500 attendees, representing all aspects of the industry, were a part of the WGM in-person meeting after 2 years of virtual meetings. The seven day event started on Saturday with a weekend connectathon. This meeting offered an opportunity for attendees to come together and collaborate. It was a valuable meeting especially for people involved in standards development around healthcare. Read More »

Build An Open Source Project Using This Essential Advice

By Bolaji Ayodeji | September 28, 2022

Open source is a flourishing and beneficial ecosystem that publicly solves problems in communities and industries using software developed through a decentralized model and community contributions. Over the years, this ecosystem has grown in number and strength among hobbyists and professionals alike. It's mainstream now—even proprietary companies use open source to build software. With the ecosystem booming, many developers want to get in and build new open source projects. The question is: How do you achieve that successfully? This article will demystify the lifecycle and structure of open source projects. I want to give you an overview of what goes on inside an open source project and show you how to build a successful and sustainable project based on my personal experience.

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OpenSSF: On A Mission To Improve Security Of Open Source Software

By Gaurav Kamathe | September 26, 2022

Open source software (OSS), once a niche segment of the development landscape, is now ubiquitous. This growth is fantastic for the open source community. However, as the usage of OSS increases, so do concerns about security. Especially in mission-critical applications— think medical devices, automobiles, space flight, and nuclear facilities—securing open source technology is of the utmost priority. No individual entity, whether developers, organizations, or governments, can single-handedly solve this problem. The best outcome is possible when all of them come together to collaborate. The Open Source Security Foundation (OpenSSF) formed to facilitate this collaboration.

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ONC Launches Public Health Data Systems Task Force

By Noam H. Arzt, Ph.D. | September 18, 2022

In August 2022 the Office of the National Coordinator for Health Information Technology (ONC) launched the 2022 Public Health Data Systems Task Force as a subcommittee of the Health Information Technology Advisory Committee (HITAC). The task force will meet through the beginning of November to present recommendations continuing and building upon the work of the 2021 task force. Members of the task force include individuals from various levels of government, relevant public health associations, and industry partners. Specifically, the task force is focused on the certification criteria for EHR products certified under the ONC Health IT Certification Program that cover transmission of data from EHRs to public health in these domains...

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Remixing Linux For Blind And Visually Impaired Users

By Vojtech Polasek | September 13, 2022

When I was around 5 years old, my father brought home our first computer. From that moment on, I knew I wanted to pursue a career in computers. I haven't stopped hanging around them since. During high school, when considering which specific area I wanted to focus on, I started experimenting with hacking, and that was the moment I decided to pursue a career as a security engineer. I'm now a software engineer on the security compliance team. I've been at Red Hat for over two years, and I work remotely in the Czech Republic. Outside of my day job, I play blind football, and I'm involved in various projects connecting visually impaired and sighted people together, including working in a small NGO that runs activities for blind and visually impaired people. I'm also working on an accessible Fedora project currently called Fegora, an unofficial Linux distribution aimed at visually impaired users.

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Today's Patient Portals CAN NOT Work: Friction ACROSS Portals (Part 3)

By Vince Kuraitis, and Jody Ranck | September 12, 2022

Friction across multiple patient portals dramatically limits their usefulness—there’s no practical way for patients OR providers to reconcile and integrate information and workflow. This is the third post in our series on patient portals. We’ve used platform terminology and concepts to explain why today’s patient portals are doomed to mediocrity. Let’s recap: The first post in this series introduced the platform terminology of single-homing vs.multihoming. Patients strongly would prefer to have as few portals as possible — ideally one, i.e., a single “home”. The second post described the difference between stand-alone value and network value. Today’s patient portals can provide some stand-alone value, but they provide minimal network value. In this post we’ll discuss the pitfalls of friction across multiple portals. Your mom having seven portals is more than just inconvenient—it’s dangerous.

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Open Source Matters In Data Analytics: Here's Why

By Ray Paik | September 9, 2022

Open source is critical in data analysis while providing long-term benefits for the users, community members, and business. It's been a little over a year since I wrote my article titled Introducing the Cube Community. As I worked with our community members and other vendors, I've become more convinced of the benefits of open source in data analytics. I also think it's good to remind ourselves periodically why open source matters and how it provides long-term benefits for everyone. One of the first things I heard from the Cube community was that they often received better support in chat from other community members than they did with proprietary software and a paid support plan. Across many open source communities, I find people who are motivated to help other (especially new) community members and see it as a way of giving back to the community.

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Usability And Accessibility Start With Open Communication

By Klaatu | September 2, 2022

Amazing though it may seem, we each experience the world differently. That's one reality with over 6 billion interpretations. Many of us use computers to broaden our experience of the world, but a computer is part of reality and so if you experience reality without, for instance, vision or sound, then you also experience a computer without vision or sound (or whatever your unique experience might be). As humans, we don't quite have the power to experience the world the way somebody does. We can mimic some of the surface-level things (I can close my eyes to mimic blindness, for example) but it's only an imitation, without history, context, or urgency. As a result of this complexity, we humans design things primarily for ourselves, based on the way we experience the world. That can be frustrating, from an engineering and design viewpoint, because even when you intend to be inclusive, you end up forgetting something "obvious" and essential, or the solution to one problem introduces a problem for someone else, and so on. What's an open source enthusiast, or programmer, or architect, or teacher, or just everyday hacker, supposed to do to make software, communities, and processes accessible?

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