nightscout-librelink-up VS fasten-onprem

I would definitetly recommend the Dexcom G7. As I come from the libre3 I have to say that the G7 overall feels more sophisticated, yet alone the overpatch they send with each sensor will help keeping the sensor on my arm. In the past the libre3 often just fell of during my swim training.

Further, libre3 is often just not supported by third party apps or pumps or other. They do not provide an official API, that might be helpful for tracking your clucose. Back in the days I used and contributed to https://github.com/timoschlueter/nightscout-librelink-up to periodically fetched my sensor data from librelink and stored it my nightscout, that runs on my server at my home. That helped a lot, but it was more than a hack.

I’m currently importing data from LibreLinkUp into Nightscout using this project: https://github.com/timoschlueter/nightscout-librelink-up

I have an uploader retrieve monitored results from my GCM device and import them to Nightscout: https://github.com/timoschlueter/nightscout-librelink-up

I Like your Idea of using a Webcam. If you are using libre Link Up I can recommend https://github.com/timoschlueter/nightscout-librelink-up

try this one : https://github.com/timoschlueter/nightscout-librelink-up

> In the US, this is part of the EHR push, each EHR is supposed to accept any outside application

To be explicit for readers here, outside applications can connect to some EHR systems using SMART on FHIR, but not all (this is what Apple Health supports in their PHR) - and this is separate from HIEs. For reasons OP mentioned, this is impractical for treatment at scale, but is currently the best way to get your health records in your pocket, or to insurance companies, for example.

Fasten is a great OSS project that facilitates this flow for individuals, and I'd suggest you check them out: https://github.com/fastenhealth/fasten-onprem

> getting a hook into the vendor operated HIEs

This is a only part of the equation - for example, one of the biggest networks we connect with is Carequality, and this is more of a framework that's not operated by any vendors. Rather, vendors connect to a shared directory and speak the same language for medical data exchange.

> The evil part of the operation is that now Metriport has proxy access to the data and eventually will get hacked

This just speaks even more volumes to our open source approach - we're not hiding behind obscurity for security.

> and bought by private equity that will sell the data to TransEquirian Insurance Score agencies.

Only if someone wants spend a long time in prison! We can not legally do anything with the data we have proxy access to, except deliver it to the healthcare organizations we work with that are involved with treating the patient - nor would we want to. There are acquisition events with healthcare organizations all the time, and the HIPAA rules protecting the data do not change.

Hopefully you can agree that, especially with us being the only vendor in the space that's open source, there is no evil at play.

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.