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PANIO is the name of a project. The project's goal is to make the computer life of orthodontic providers easier.


There's a lot of great software and hardware to do a variety of different tasks in the orthodontic practice. Yet, more often than not, these systems don't know how to talk to one another. Doctors,vendors and engineers are working together at PANIO to study how to allow these systems to communicate with each other.

We are interacting with various organizations, like the American Dental Association (ADA)DICOMHealth Level 7 (HL7)American Association of Orthodontists (AAO)Integrating the Healthcare Enterprise (IHE), Joint Cephalometrics Experts Group (JCEG).

We are defining, correcting, documenting and implementing existing informatics standards, to make them work for the orthodontic community.

We want the existence of an approved way of communicating orthodontic data. Something that developers can use to make their software or hardware work with software and hardware of other developers.


The ADA released a fact sheet to help dentists understand provisions of the 21st Century Cares Act
See original article here: In case link no longer works, here is a downloaded version:
Adding a Blue Button
So there is this Blue Button initiative, which pushes software vendors to add a blue button ( on the software, indicating that the patient or doctor can download the medical record for a patient. It is now being proposed for implementation Medicare patients.…
The idea is to Further Reduce Administrative, Regulatory Burden to Lower Healthcare Costs. This is a direct move towards reducing clinician burnout from too much useless data overhead. CMS is Centers for Medicare & Medicaid Services. From wikipedia:  The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services https://en.wikipedia.…
A good article by Atul Gawande the author of The Checklist Manifesto in the New Yorker, which also touches interoperability:

Dentacoin is the first Blockchain based informatics system to make its way into the dental community. Is it actually useful?

Meltdown and Sepctre are a codename for various vulnerabilities of basically every Intel processor, which allows a malicious attacker to gain unrestricted access to the computer's memory, so every copy/paste command, every keyboard stroke, etc.

Everyone is concerned about passwords, and medical data might be even worse!
Blockchain as Our Future

In case you still have not understood how much of a game changing technology blockchains can be, this article from the World Government Summit gives a pretty good picture.

why is this article cool?

It's super cool, because humanity now has a way to solve the big messy global transition from paper to electronics in an interoperable, functional and scalable way! And this article will give you example of exactly how this can become true and how game changing it will be from a technical, medical and governmental perspective.

I've personally struggled with this concept for a long time. When i thought about it, the options i would come up seemed to be only 3:
  1. Vendors: those who develop the systems that providers use to collect and store clinical data retrieved from patients.
  2. Providers: the doctors who provide medical care also by collecting and storing patient's data in systems developed by the vendors.
  3. Patients.
The Office of the National Coordinator for Health Information Technology (ONC) has published a Request for Information (RFI) aimed at establishing the correct metrics to use when trying to assess whether the goal of widespread interoperability of electronic health care records has been met.

why is this cool?

It's exciting, because this means the government is serious about actual real interoperability: they want to define a way to measure how well medical software can communicate with each other.

It's official: the AAO is now sponsoring the PANIO effort

The goal is to have a standard for this directory, such that every group, individual, organization or institution who is maintaining one, could have the ability to share it, and make a more comprehensive and up to date version available.
Dr. John Grubb steps down
Dr. John Grubb has been of great help and an invaluable resource. He has most recently followed up to make work item ACT-6 A Digital Standard for Sharing Orthodontic Viewsets progress steadily. We really hope he will still find time to volunteer work with us. His feedback is greatly appreciated and he will always be welcome to join us, physically or remotely. Thanks John!…

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