Josh Mandel, MD

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Josh Mandel, MD

Josh Mandel, MD

@JoshCMandel

physician, programmer, and would-be pâtissier/poet. Chief Architect for #MicrosoftHealth and for @SMARTHealthIT. Bsky: https://t.co/gZapxtia3H

Madison Katılım Haziran 2012
602 Takip Edilen3.2K Takipçiler
Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
With W3C Digital Credentials API, it's *finally possible* to design a health-data-sharing protocol that's idiomatic (standard FHIR-based resource sharing, questionnaire filling, etc) and works cross-platform (from web and mobile app requests to Android + iOS wallets)! See article for background + details on my updated "SMART Health Check-in Protocol".
Josh Mandel, MD@JoshCMandel

x.com/i/article/2052…

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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
Yeah. Their app doesn't even support pinch to zoom.
Keith W. Boone@motorcycle_guy

I hate it that the @newyorktimes tries to upsell me every time I log in, and suggest their own app for reading. They are about to lose my subscription because of it. If you are listening NY Times, you will lose a paying subscriber if you make me Click six times just to get to my paid subscription content every log in.

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Maia Bittner
Maia Bittner@maiab·
my kids frequently complain that their food is too juicy but I don’t really know what this means or what to do with it. like this lemonade is too juicy… 🤷‍♀️
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Tibo@thsottiaux·
It’s the little things that matter, what are some small papercuts you have noticed in Codex? We’ll fix as many as possible in the next week.
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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
There is *a lot* I want to know about where GPT-5.5 thought summaries come from. In the middle of debugging tool use outputs like: > • Ran find /opt/android-sdk /usr/share/java -name '*guava*.jar' 2>/dev/null | head -20 I get the following thought trace (!!) > • I need to look for a guava jar, so I'll start by searching online. I'm curious about the best places to find it. Should I check grocery stores, specialty shops, or maybe some online retailers? I wonder what brands are out there and if there's a specific type I should aim for, such as guava jam or preserves. I'll take a quick look and see what options come up!
Josh Mandel, MD tweet media
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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
Hmm @AnthropicAI or knowledgeable users, does "full" here mean "including pre-resumption"? >The design should have been simple: if a session has been idle for more than an hour, we could reduce users’ cost of resuming that session by clearing old thinking sections. Since the request would be a cache miss anyway, we could prune unnecessary messages from the request to reduce the number of uncached tokens sent to the API. We’d then resume sending full reasoning history.
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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
@dorofino I think you're talking about two very different layers of the stack. The shape and quality of the data that clients are authorized to see.
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Diego Orofino
Diego Orofino@dorofino·
SMART Permission Tickets look promising for provenance and scoping. The thing I keep bumping against is that once a permission is granted, what gets returned still depends on whether the source data has real structure. A signed ticket to pull plan docs does not help much if the payload is a 40-page PDF with no schema behind it.
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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
How might SMART Permission Tickets help with patient self-access, proxy access, public health, and more? Overview / explainer / live demo here: youtu.be/KlHGLZgkqcw
YouTube video
YouTube
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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
Airline platitude or undertaker platitude? "It is our honor to care for you on your journey."
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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
Even better than canned visualization app is adhoc report generation using the analysis JSON as input. claude.ai/public/artifac… is the generated visualization HTML, and claude.ai/share/8ac52a72… is the Claude session that generated it (you can see it requires very little prompting). @zakkohane
Josh Mandel, MD tweet media
Josh Mandel, MD@JoshCMandel

This seemed like a fun task for Claude Opus 4.7! joshuamandel.com/greenbergolem/ has an example run on the claim "Hydroxychloroquine improves clinical outcomes in patients with COVID-19." github.com/jmandel/greenb… describes the pipeline. I spent 3-4h on this with Claude Code managing 10 parallel copilot subagents for ~12h. It can run autonomously to analyze claims where the literature is findable in full-text open access sources. github.com/jmandel/greenb… is the underlying output data with nodes, edges, and judgments driving the UI.

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Josh Mandel, MD
Josh Mandel, MD@JoshCMandel·
This seemed like a fun task for Claude Opus 4.7! joshuamandel.com/greenbergolem/ has an example run on the claim "Hydroxychloroquine improves clinical outcomes in patients with COVID-19." github.com/jmandel/greenb… describes the pipeline. I spent 3-4h on this with Claude Code managing 10 parallel copilot subagents for ~12h. It can run autonomously to analyze claims where the literature is findable in full-text open access sources. github.com/jmandel/greenb… is the underlying output data with nodes, edges, and judgments driving the UI.
Isaac Kohane@zakkohane

I will personally cheerlead anyone who can bring AI-driven critical thinking to generate a citation network with these fine-grained _judgements_ in the typology links to any specified topic. 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

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`@ick_real·
I'm looking for a ridiculously old-fashioned girl's name for our new born . Think great-grandma name. Very old and rare. Any suggestions asap pls?
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