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Travis Osterman, DO, MS
@TravisOsterman
, 9 tweets, 11 min read Read on Twitter
1/ Here is an update on the current status of #mCODE (thread format) based on the Cancer Data Summit @MITREcorp mitre.org/cancer-data-su…
2/ APPROVED: #mCODE 0.91 was approved by @HL7 as a Standard for Trial Use (STU) - congrats
3/ DATA GAPS: We still struggle to capture #cancer disease status in the #EHR. Cancer staging and status are not the same - stable disease, progression, etc.
4/ IMPLEMENTORS: If you're interested in building on the #mCODE data standard, check out the CodeX @HL7 #FHIR Accelerator confluence.hl7.org/download/attac… and here is the implement guide hl7.org/fhir/us/mcode/…
5/ INTERNATIONALIZATION: We need to ensure that #mCODE can be implemented in non-US countries. Specifically, this applies to which ontologies are tied to #mCODE
6/ PILOTS: Compass is running at @intermtncancer and was updated by @MVanMeterMD and iCARE icaredata.org is running at @ALLIANCE_org, both using @HL7 #FHIR R4
7/ CLINICAL TRIAL MATCHING: while #mCODE is more than clinical trial matching, lots of excitement about improving clinical trial matching through data standards. Specifically, a need to improve how we store inclusion/exclusion criteria about trials.
8/ MORE INFO: Current #mCODE version (0.91) and more information available at mcodeinitiative.org
9/ A giant thank you to so many for this effort @intermtncancer @MITREhealth @theNCI @HL7 @BrighamWomens @ASCO @FDAOncology @MITREcorp @ALLIANCE_org @MVanMeterMD @rsm2800 @cjaffemd @VictorDzau @bertagnollimm @jhalamka @davidbutlermd @rschilsky #mCODE
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#mCODE #cancer #EHR #FHIR

More from @TravisOsterman see all

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Travis Osterman, DO, MS
@TravisOsterman
Here is a summary of the @ASCO Minimal Common Oncology Data Elements (#mCODE) project ... in thread format
#ASCO19
1/ Problem:
#clinicaltrials continue to be the primary way to answer question in oncology but few patients enroll. Despite more data being stored in the #EHR, we can't easily combine data across systems as few are interoperable. This is a missed opportunity.
2/ Solution:
#mCODE is a newly proposed data standard that leverages and expands existing data standards to promote answering clinically meaningful oncology questions across medical records allowing us to learn from more patients
Read 8 tweets

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Ninja Acéré
@NinjaAcere
Long time due : long #thread sur l'expertise, tiré du chapitre "Who's your expert" de Nonsense on Stilts de Pigliucci et d'un article d'Alvin Goldman intitulé "Experts : which one should you trust ?"
Il est fort peu probable que vous disposiez des ressources nécessaires pour vous faire un avis sur tous les débats scientifiques (même en se restreignant à ceux qui vous concernent en tant que citoyen) : éducation, accès à l'information voire tout simplement le temps ...
Vous n'avez pas le choix, il va falloir écouter l'avis d'un expert. Mais lequel ? Qui est votre expert ? Le problème de l'expertise, c'est qu'il a l'air d'être circulaire (et ça on le sait au moins depuis Platon et le Charmide)
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Ophelia
@Ophelia_BDSM
#Thread
#BDSM #Femdom #Missbrauch

Mein namenloser neuer Sub hat bis heute keinen Namen, weil ich bis heute das Gefühl hatte, keinen passenden zu finden.

Etwas hat gefehlt, etwas war... unklar.

Ich hab ja geahnt, dass er eine Geschichte hat.
Aus vielen Gründen.

1/
2/
Andeutungen, Verhaltensweisen und vllt eine traurige, recht verlässlich gewordenen Menschenkenntnis im BDSM-Kontext, wenn es um Missbrauch geht.

Ich hatte immer schon ein Gespür für Menschen mit schwerer Vergangenheit - vielleicht weil man auf derselben Frequenz schwingt?
3/
Dieses Gespür wurde irgendwie noch geschärft, seit ich in der Szene unterwegs bin und mich so viel mit dem Thema befasse und diesen intensiven Kontakt zu Menschen mit solchen Erfahrungen habe und mit ihnen arbeite.

Ich erwähne hier einmal mehr, dass ich keinesfalls ~
Read 20 tweets
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GreatGameIndia
@GreatGameIndia
Critical information on the EVMs used in 2019 Indian General Elections and the background and ownership of the foreign companies involved in its manufacture.

#thread
Imported micro-controllers from a multi-billion dollar corporation based in the USA/Netherlands were sourced for the EVMs used in the current elections. The name of the company is NXP and the product identification is MK61FX512VMD12.
Below is the Corporate Office address of NXP whose micro-controllers were used in EVMs for current elections.

NXP Semiconductors Netherlands B.V.
High Tech Campus 60
5656 AG Eindhoven
The Netherlands

Trade register number: 17070621
VAT number: NL800009782B01
Read 18 tweets
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Glen Peters
@Peters_Glen
THREAD (The Global Status of CCS)

CCS is moving, but moving way too slowly for for 1.5°C or 2°C.

Even if you are not a CCS fan, worth checking the report by @GlobalCCS to get an update on the current status of CCS around the world.

#COP24 globalccsinstitute.com/resources/glob…
There currently exists ~40MtCO₂ per year capture *capacity* (0.1% global emissions), the vast majority for Enhanced Oil Recovery (EOR). It is harder to know how much of CO₂ is stored (not commonly reported or verified), but the estimate here is 200MtCO₂ (cumulatively).
Of the 230MtCO₂ cumulative storage, the vast majority is in the US and for enhanced oil recovery. Norway is the only country (substantially) sequestering CO₂ specifically for storage purposes, where carbon pricing makes it beneficial to store the CO₂. Policy is important!
Read 9 tweets
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Jikku Varghese Jacob
@Jikkuvarghese
#Thread #KeralaFloods Detailed thread to document the historic efforts of various online groups in rescue and relief operations. Trust me, Whatsapp and Google sheets were the powerful weapons we had. Pic: An online control room set by NRKs in house at Abu Dhabi (1/n)
It was the time we truly realised the power of social media and instant messaging services with regard to disaster management. Many were stranded on roof-tops without any other contact to the world other than their mobile phones. Whatsapp brilliantly solved the issue. (2/n)
Before going in detail let me point out the problem statements. 1) Govt issued some helpline numbers but most of them were busy with numerous calls 2) Thousands of SOS requests flooded in social media which were not addressed in a systematic manner, hence turned spams (3/n)
Read 26 tweets
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Chris Chambers
@CDChambers62
There is a lot going on in space these days! Here is an update on the current status of modern missions, and some of the most innovative and interesting projects on the planner, plus some longer term projects for the near and distant future.
Also included are many of the companies that make space exploration and travel possible.
NASA’s current missions:

NASA currently has 39 different active missions. Some are decades old, like the Voyager I mission that launched September 5th, 1977 and is now in interstellar space (made famous, or more famous, by "Star Trek: The Motion Picture").
Read 65 tweets

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