fasten-onprem VS immich

Interestingly your [1] citation may no longer be the case. The 21st Century Cures Act was signed 8 years ago (but compliance was only required as of 2023). It states that Healthcare Institutions (& EHR developers) must provide a mechanism for patients to access their health records electronically in a standardized format (FHIR).

It's what allowed my open-source startup Fasten Health to even exist. I was diagnosed with a chronic condition, and wanted a way to store my health records privately on my own devices. A bit of luck and a POC later, I was able to confirm that patients can access their own records with little-to-no barriers.

https://github.com/fastenhealth/fasten-onprem

Is anyone running fasten with postgres? Is it faster? If so, could you share your docker-compose and config.yaml? Thanks!

I'm actually working on an open-source Personal Health Record (PHR) app called Fasten Health - https://github.com/fastenhealth/fasten-onprem

It allows patients to pull their complete medical history from their various healthcare institutions, and store it locally without having to worry about some corporation monetizing and data-mining their health record

So 1yr ago, I decided to build it myself, and posted about it on reddit

So I finally took the plunge and decided to commit to working on my project full-time - Fasten Health, an Open-source Personal Health Record aggregator

I've been working on my own Open-Source Personal Health Record (PHR) that leverages FHIR & Smart-on-FHIR https://github.com/fastenhealth/fasten-onprem

Hopefully with the Cures Act Final Rule, interoperability will become the norm

Fasten Health v0.1.2 has been released!

Basically my application Fasten Health is designed to allow patients to pull their medical records from healthcare institutions — of with there are 10,000 currently supported, and 100,000s of thousands in the US.

Fasten - Fasten is an open-source, self-hosted, personal/family electronic medical record aggregator, designed to integrate with 1000's of insurances/hospitals/clinics.

It really is hard to leave Gmail when all of your data has been conveniently stored therein. This is one of Google's retention strategies and it is indeed brilliant.

That said, there's a vast number of self-hosted alternatives like Stalwart Mail (email) [1], Immich (images) [2], NextCloud (Google Docs) [3], etc.

[1] https://stalwa.rt

[2] https://immich.app

[3] https://nextcloud.com/

Last year we added CLIP-based image search to https://immich.app/ and even though I have a pretty good understanding of how it works, it still blows my mind damn near every day. It's the closest thing to magic I've ever seen.

I’m a big fan of https://immich.app/ and I use it every day for thousands of assets

Real-world applications often require complex queries that go beyond simple Approximate Nearest Neighbor (ANN) search. To explore a practical example of such applications, let's take a closer look at immich, a self-hosted photo and video backup solution that highlights the importance of advanced vector and traditional relational queries.

I discovered these 3 amazing projects recently:

Cryptpad, essentially google docs/sheets/forms e2e encrypted. It does include collaboration. https://github.com/cryptpad/cryptpad

Immich, google photos self hostable, with share options https://github.com/immich-app/immich

Nginxproxymanager manages certificates and proxies to self hosted stuff through nginx https://github.com/NginxProxyManager/nginx-proxy-manager

Great self hosting stuff!

I realize it's very hard, but can we maybe reconsider opening the encryption-at-rest feature request? https://github.com/immich-app/immich/issues/450

Maybe we can give temporary access to processing steps in the pipeline, then have Immich forget the keys after it does the processing?