Hacker News Re-Imagined

Germany's national healthcare system adopts Matrix for communication

1 hour ago

Created a post 243 points @Arathorn

Germany's national healthcare system adopts Matrix for communication

@kragen 3 minutes

Replying to @Arathorn 🗣

This is wonderful! I've been using Matrix for the last several months for work, and it's mostly a huge improvement over that vile ransomware Slack. Especially Gomuks is a huge improvement.

One drawback I've been suffering is that I can't figure out how to keep logs. Our server had a failure and was down for a day, so Element on my phone decided it should forget all its keys (and also my password). Now I've lost access to all the past channel logs on our E2E channels, and it seems like nobody on the channel has a version they can usably copy and paste; Element in particular doesn't allow you to copy and paste large chunks of chat history because, when you scroll back a lot, the chunks that are scrolled out of view cease to exist (from the point of view of the copy-paste buffer).

Also gomuks deleted all my session information when my local disk got full. Maybe I should try Bitlbee?

So, there are still a lot of rough edges! But there's a path to getting them fixed, since it's free software and an open protocol spec. Hopefully the German government will be a good collaborator in contributing improvements!

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@throawayclose 39 minutes

Replying to @Arathorn 🎙

Great! now they only need to fix the problem of doctors giving preference to private health insurance vs public health insurance. Or the problem of doctors systematically rejecting immigrants to be their GP or even giving them an appointment.

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@johnchristopher 53 minutes

Replying to @Arathorn 🎙

Great [0] !

Anyone can comment on how this is going to be used ? What are people using matrix for in the German healthcare system context ? The full plan document is in German (which I don't speak).

[0] and you can check out my history to see I am not a die hard matrix fan, far from it.

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@rjzzleep 34 minutes

Replying to @Arathorn 🎙

TI is Telematik Infrastruktur. So TI-Messenger is just a messenger running on the VPN used for patient-data.

It's good to see this happening. One of the biggest German healthcare contractors - famous for terrible code - had managed to creep their S/MIME demo implementation derivative code as a standard for secure communication in the healthcare world. With a MITM at each Kassenaerztliche Vereinigung(i.e. the people that represent the doctors and that charge ~2% per transaction for charging the public insurance companies). So it's unaudited "E2E" with a MITM by design. Given the complexity of this codebase, I do hope that they just use it unmodified.

EDIT: one of the reasons why the KVs rolls/ed their own is because of inherent distrust between the physicians or the institution representing them and the governments health ministry getting that data. They believe that the government is incentivizing hospitals to take over physicians share of the cake. I wouldn't say that the distrust is misplaced, but unfortunately these crappy half baked own solutions born out of nepotism don't help their case.

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@meibo 1 hour

Replying to @Arathorn 🎙

Happy to hear there apparently are people that can make sensible technical decisions in German government.

Realistically there weren't a lot of choices other than Matrix though, looking at what the law demands.

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@javajosh 1 hour

Replying to @Arathorn 🎙

Cool. Does anyone have a paper comparing all the neu-fangled IM tech? I find myself a bit confused.

BTW my favorite Matrix feature from the concept paper: "Integrität dank hohem Out-of-the-box-Sicherheitsniveau" - dank, hohem out-of-the-box Sicherheitsniveau sounds pretty great. (Wonder why they didn't say "aus der Box"?)

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@stuartbman 14 minutes

Replying to @Arathorn 🎙

This is a much better system. In the UK we've gone from using pagers (I still use one) to proprietary systems which don't talk to one another (Medic Bleep, NerveCentre) in order to meet the ISO standard.

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@kken 49 minutes

Replying to @Arathorn 🎙



@deadalus 26 minutes

Replying to @Arathorn 🎙

Digital Communications Protocols (comparison) :

https://docs.google.com/spreadsheets/d/1-UlA4-tslROBDS9IqHal...

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@nimbius 1 hour

Replying to @Arathorn 🎙

curious to know if matrix ever resolved their "federated" authentication problem. Can I finally host my own node completely separate from the matrix? this always made portability somewhat of a dicey situation.

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