Articolo

AGI

My AGI research roadmap: sixteen subfields to work through, a month-by-month reading list built like a self-taught graduate seminar, and the people worth following.

Jay Ranpariya · EN

Forgotten Legends

A gallery of overlooked minds in computation, information theory, physics, and cognition, thinkers whose ideas outran their fame.

Jay Ranpariya · EN

building better judgement

Things are moving fast, edge remains in being able to figure out what's going to grow.

Jay Ranpariya · EN

neuro-inspired ai

How do nervous systems learn, remember and adapt, and how can we use principles behind them to build better AI and Physical AI?

Jay Ranpariya · EN

EHI → FHIR mappings that get better with every record

Rebuilding (and improvig) Epic's FHIR from one patient's EHI export -- and how a tiny community of data contributions could cultivate a new kind of mapping pipeline. code: github.com/jmandel/ehi-to-fhir interactive report: joshuamandel.com/ehi-to-fhir Under ONC's health-IT certification rules, any patient can request a…

Interop Blog · EN

"Data mapping" means data missing!

Every step that requires a provider to map internal codes to external standards is a step where data drops out. If you're looking to work with health data, you might think you will be good to go when: 1. The regulations require it. 2. The standards specify how to expose it. 3. The EHR is certified to the standards. 4.…

Interop Blog · EN

Building a Greenbergolem

--- Isaac Kohane posted a challenge on April 16: build a citation-distortion network like Steven Greenberg's 2009 BMJ figure, but AI-driven and reproducible for any claim. "There is a lot of AI work in this area but none to my knowledge could reproduce the figure below. Please prove me wrong. citationNetworks" Greenber…

Interop Blog · EN

ACO Quality Reporting Options (2x2)

As I come up to speed in a new role, I'm learning a lot about how ACOs collect clinical data, calculate quality measures for CMS, and report them. The rules are... complex, especially for a newcomer. And there are multiple options with distinct requirements and implications. This article is just consolidating my nascen…

Interop Blog · EN

Medicare Wants to Rein In At-Home Health Monitoring. Is It Cutting Fat or Muscle?

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Interop Blog · EN

SMART Health Links for Imaging, Too (Or: How to Kill the Clipboard while Ditching the Disk)

TL;DR: Open a sample study and learn how the protocol works. And: spec + code on GH. I'm an unusual patient: I publish my own health records in a public GitHub repository, imaging and EHI export included. Real clinical data is scarce, and developers building health software often never see a realistic example of the fo…

Interop Blog · EN

Interoperability vs. Absorption: Who Gets to Be the Agent?

Epic just announced "Connectors," a framework that invites outside software developers to plug their services into Epic’s AI assistants using the Model Context Protocol (MCP). Testing begins late this year, with broader distribution through the Epic Showroom starting in March 2027. On the patient side, Epic describes w…

Interop Blog · EN

2026 AI Agents vs. 2022 FHIR Compliance

I built Health Skillz to connect to EHRs via SMART on FHIR, but since all my own records are in Epic, I’d never bothered registering or testing it elsewhere. Then a colleague wanted to pull her records from eClinicalWorks. I pointed GPT-6 Astra at the eCW developer portal and asked it to register an account, create an…

Interop Blog · EN

How do caches work?

I think it is fair to say that most people have an idea of what caching does at a variety of levels. To someone not in tech, "clearing your cache" (also those yummy cookies!) is a way to get your browser to update. So it is understood that some data is stored pretty close to you. To someone in tech, you may understand that caching data is a way to keep it accessible so that you don't have to go and retrieve it. Content Delivery Networks (CDN's) cache webpages (and other data that is distributed) at different locations so that your performance as a user is faster. Great, makes sense! For both o

Jeremy Maslanko · EN

I finally learned how to study

At the age of 30, I have finally found the most effective way for me to learn a subject. I am currently in Georgia Tech's OMSCS program and have been learning about computer architecture. With online lectures, it can sometimes be challenging for me to stay engaged. The vidoes may be playing and I am looking at the screen, but I zone out and end up not knowing what was just taught. This snowballs as I then go on to the next video where I get even more confused because I do not know the concepts that we are building off of. I have never really been good at taking notes and typically when I study

Jeremy Maslanko · EN

A simple LRU Cache in Python

In a previous post , I explained some of the basic concepts of how caches work in hardware at the CPU level. As I mentioned to start that post, caching is used in many different areas of computer science. So how can you use this new knowledge you have gained? One way you might want to implement a cache is if you have expensive database calls. Let's say that you have a web app where you are displaying movie information. When a user searches for a movie, your backend will query your database for the information related to that movie. For a simple web app with a small number of active users, you

Jeremy Maslanko · EN

Rethinking generational wealth

When I hear generational wealth mentioned, there is a certain image that I get in my head. Private jets, multiple houses, and never having to think about what something costs. There is probably a staff consisting of landscapers, housekeepers, nannies, lawyers, and accountants just to name a few. It is what I think about when I think of how the ultra-wealthy live their lives. With this image in mind, how do we actually define generational wealth? I am sure there are many definitions, but Investopedia defines generational wealth as "...generational wealth refers to financial assets passed from o

Jeremy Maslanko · EN

Diagnosing a Faulty Breaker with ChatGPT

Let me start with a disclaimer. This is not a how-to guide on how to replace a breaker. Working on breakers, live wires, and electrical panels can be extremely dangerous. If you are not confident in your handyman abilities, the money spent on an electrician will be well worth it. With that out of the way, let us move on to my situation. My wife and I bought our house in June of 2026. Shortly after moving, we noticed that the dishwasher was not completing its cycles, leaving an unwanted residue on the dishes from the soap that hadn't been fully rinsed off. We actually didn't know that the dishw

Jeremy Maslanko · EN

I Published a Book

I can now add 'Published Author' to my resume and if you look at my book on Amazon, I'm sure you will be impressed! Not everyone is able to churn out a book with OVER 40 pages like I can, and I didn't even need to include any pictures! Hopefully by now you realize I am being facetious. My 'book' that I published has less than 300 words. It would be more appropriate to call it a coloring book, however, that is exactly how I want it to be used. I try to read a fair amount. Any given year, I will read between 15-20 books which does not account for the countless articles I read on HackerNews. I ty

Jeremy Maslanko · EN

A Call to End Meeting Transcript Summaries

AI continues to leak into every part of business, and for the most part, I can see some sort of value proposition for the various features and products. Vision models have provided improvements over traditional OCR techniques, agentic patterns have enabled automation of more mundane tasks, and chat interfaces have given users a seach product that can provide answers to their specific question. Sure, none of these solutions are perfect and have their fair share of errors. But overall, they have been an improvement. Virtual (and hybrid) meetings have become the norm since COVID, however, meeting

Jeremy Maslanko · EN

I Forgot How to Spell

Over the past month or so, I have started to build a habit of journaling. One day while writing, I started to write a word and then stopped. The reason? I wasn't sure how to spell it. No big deal, let me Google it real quick and continue. However, in the next paragraph, I did the same thing. Okay, I don't like this. I know how to spell, right? Of course I do, but maybe there are a few words I need some help with. What I wanted to know, was, how did this happen? I learned how to spell in school and know how to read, so where did things go awry? When looking up words to confirm how they are spel

Jeremy Maslanko · EN

Best Practices for Religious Representation, Part I: Check for Traps

Religion suffuses role-playing’s most basic structure: the adventuring party with a fighter, thief, wizard, and cleric. Fantasy mainstays like demons, dragons, heavens and hells, pantheons, diverse monsters, and magic originate in religious lore. The decisions people make without thinking about their cosmology carry ideological weight that validates some demographics and denies others—and not even just in terms of religious identity. This article is a toolkit to help creators and players of games and fiction build religious characters and organizations, portray them with fairness and respect,

James Mendez Hodes · EN

Asian Representation and the Martial Arts

This article discusses how Asian martial arts stereotypes fit into orientalist dynamics, in which the Western gaze rewrites and reduces Asian experience to a cool violent thing for white consumption. I also point out how imperialist, exploitative attitudes complicate real-world martial arts practice. Finally, we’ll go over practical guidelines for representing Asian martial culture in your creative work. You’ll leave this article prepared not only to avoid racism, but also to craft stronger martial arts stories in general.

James Mendez Hodes · EN

How to Change Your Conversations About Cultural Appropriation

This article discusses cultural appropriation. More precisely, it discusses discussions about cultural appropriation, which stress me out more than any other cultural consulting topic. The question of whether a given expression is or is not cultural appropriation, and the corollary question of whether cultural appropriation is even real or not, tends to polarize and ossify conversations between otherwise like-minded people. But what if we reframed the conversation? What if we talked about the same content, but we broke the topic of cultural appropriation down into its component parts: the dist

James Mendez Hodes · EN

The most important point I can make about orcs

Seeing my friends and acquaintances struggle to explain why we feel so strongly about orcs to people who vehemently disagree, I thought I'd try rephrasing my orcticles’ most important point in language which both sides—since evidently now there are sides—could accept.

James Mendez Hodes · EN