Articles from 2023

13 articles published in 2023.

Three Hard Truths About LLMs in Production Nobody Warned Me About

Three Hard Truths About LLMs in Production Nobody Warned Me About

Twelve years in ML and I still got burned. Stochasticity is a systems design problem. Your target model will be deprecated. Silent failures are worse than loud ones. Here is what production healthcare AI actually taught me.

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What AI Agents Actually Are (And What They Can't Do Yet)

What AI Agents Actually Are (And What They Can't Do Yet)

Everyone is building 'agents.' Most are just APIs with a system prompt. Here's the precise definition, what the components that actually matter are, the failure modes I've hit, and how to pick the right pattern for your problem.

EngineeringRead more →
Stop Using Optional Props: Why Discriminated Unions Make Better React Components

Stop Using Optional Props: Why Discriminated Unions Make Better React Components

Optional props feel flexible until they ship a runtime error to production that TypeScript should have caught at compile time. Here is the pattern I now use in every component.

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CDS Hooks: What Nobody Tells You Before You Build
·5 min read

CDS Hooks: What Nobody Tells You Before You Build

I spent months building a CDS Hooks integration that actually worked. Here's what the documentation doesn't mention.

HealthcareRead more →
The Food Truck Method: Building MVPs That Don't Suck
·6 min read

The Food Truck Method: Building MVPs That Don't Suck

After building dozens of MVPs, I finally figured out why most turn into dumpster fires. Here's my framework for building fast without the regret.

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React State Management & Clean SPA Architecture
10 min read

React State Management & Clean SPA Architecture

State management becomes much less important when working with SSR, but it's still important to understand the basics of state management in React.js. Chances are you may see a React.js single page application with a need for simple state management. In this article, we will explore the most popular state management tools in the React.js ecosystem: Redux, Zustand, Recoil, and the Context API, but there are many more.

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HIPAA Consent: What Engineers Actually Need to Know
·10 min read

HIPAA Consent: What Engineers Actually Need to Know

I spent 3 months drowning in HIPAA documentation. Here's what actually matters for engineers building healthcare apps.

HealthcareRead more →
Ingesting HL7v2 with ❄️ Snowflake Part 1
·9 min read

Ingesting HL7v2 with ❄️ Snowflake Part 1

Snowflake is a cloud-based data warehouse system that enables organizations to securely store, query, and analyze their vast amounts of data. It has powerful capabilities for managing complex workloads and quickly adapting to changing business needs. This article will explore how Snowflake can be used as a data warehouse for healthcare organizations.

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HL7v2 Healthcare Integrations with 🫏 Mulesoft
·8 min read

HL7v2 Healthcare Integrations with 🫏 Mulesoft

In this article, we will explore how to utilize the MuleSoft Accelerator for achieving a comprehensive patient view through FHIR and HL7 v2-based integrations with EHRs and other clinical applications.

HealthcareRead more →
How to ingest HL7v2 Messages into Google Cloud
·17 min read

How to ingest HL7v2 Messages into Google Cloud

In this article, we will explore how to utilize the Google Cloud Healthcare API for capturing HL7v2 over MLLP, converting it to FHIR for cloud use.

HealthcareRead more →
Mirth Connect: Part 2 - Adding 🐰RabbitMQ
5 min read

Mirth Connect: Part 2 - Adding 🐰RabbitMQ

Using RabbitMQ with Mirth Connect can offer several advantages, especially in complex healthcare integration scenarios. Integrations can become more durable, scalable, and easier to maintain.

HealthcareRead more →
Mirth Connect: Part 1 - Getting Started with 🐳 Docker
·7 min read

Mirth Connect: Part 1 - Getting Started with 🐳 Docker

Getting up and running with the industry's oldest and most widely used healthcare interoperability standard. Let's setup the popular open source integration engine Mirth Connect to send and receive HL7v2 messages.

HealthcareRead more →
Healthcare Integration For Beginners: HL7v2
·6 min read

Healthcare Integration For Beginners: HL7v2

HL7v2, is a messaging standard widely used in the healthcare industry to support clinical and administrative data communication between different software applications.

HealthcareRead more →