About Us
At West Coast Informatics, we believe that healthcare data should speak a common language. Our mission is to make managing that language effortless.
TermHub™ was built to simplify how healthcare organizations access, maintain, and use terminologies — bringing accuracy, consistency, and speed to every patient record, report, and workflow.
Whether you’re a payer, provider, or digital health innovator, TermHub delivers the structure, reliability, and automation needed to keep your data aligned with the latest standards.
Why Teams Choose TermHub
Simplicity
Latest content releases are always ready to use.
Confidence
Version control, provenance, and audit history built in.
Flexibility
Bring your own data (BYOD) for private content, cloud or on-premises, with project isolation for teams.
Developer Focused
Clear APIs with examples. Get up and running in 5 minutes.
Build automations to eliminate manual interventions.
Meet the Team
Dr. Marcos Mireles
Jesse Efron
Brian Carlsen
Tim Williams
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Founder/Chief Technology Officer
Brian Carlsen, is a computer scientist and healthcare terminology expert. He has more than 20 years of experience developing tooling to browse, author, publish, and implement standard healthcare terminologies in a variety of contexts and for a variety of organizations from government agencies and standards development organizations to private sector companies.
He was instrumental in the National Library of Medicine's development of RXNORM as the standard drug terminology for the United States in the early 2000s. As an active participant in the SNOMED International community since its founding in 2007, he has served on various technical committees and advisory boards and speaks and presents regularly at the annual conference.
Beyond work for the US Government and standards organization, Brian has substantial experience working with “real world” healthcare data including time at Apple Health in the lead up to the launch of Apple Health Records as well as being founder of the startup Ciitizen which provided a personal health record (PHR) to cancer patients based on data from patient right of access and had a successful exit in September 2021.
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Founder/Chief Operating Officer
Jesse started his career as a software engineer, finding his calling in Clinical Informatics. What excites him is the ability to participate in the improvement of global healthcare.
He has expanded upon his software expertise by providing value as a project leader, solutions architect, data analyst, and educator.
As the Chief Operating Officer of WCI, he combines his understanding of the industry, expertise in software solutions, and experience working with content authors to help increase the adoption of the Clinical Informatics solution.
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Director of Clinical Informatics
Tim started as a software developer but found healthcare terminology while helping to develop some of the first releases of SNOMED CT. He spent 7 years providing support for content development and developing quality assurance around terminology products including value sets, mappings, and terminology extensions. Since 2006 he has been helping large healthcare clients develop, quality assure and implement terminology products within clinical systems. He has also contributed to multiple healthcare standards including two HL7 Informative Documents.
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Medical Advisor
Marcos is a visionary medical doctor and healthcare strategist who saw firsthand how technology could radically enhance clinical care and decided to act. Motivated by the potential for meaningful change, he pursued a Master’s in Artificial Intelligence to bridge the gap between frontline medicine and cutting-edge digital solutions.
With over 10 years of experience in both clinical and administrative settings, he now helps design the next generation of clinical terminology platforms and AI-enabled tools for smarter, safer healthcare. His mission is to transform how health systems operate, embedding intelligence, interoperability and patient-centered design into the core of clinical workflows.
About West Coast Informatics
TermHub is a product of West Coast Informatics (WCI), a U.S.-based healthcare informatics company focused on interoperability and data standardization.
For over a decade, WCI has helped organizations such as the National Cancer Institute, the U.S. Veterans Health Administration, SNOMED International, and other major payers modernize their use of healthcare terminologies. That expertise led directly to the creation of TermHub — a modern, FHIR-native platform that transforms complex terminology management into a secure, automated, and scalable service.
Partnerships & Sponsorships
Among our relationships and partnerships are:
Regenstrief Institute — supporting accurate representation and FHIR enablement of LOINC.
SNOMED International — collaborating to expand adoption and practical use of SNOMED CT.
National Cancer Institute — contributing to terminology services that support oncology research and data standardization.
Smile Digital Health — advancing FHIR-based interoperability through integrated solutions.
Form.io — provides enterprise and government organizations with a fully self-hosted and integrated form-building and data management platform providing 100% control of their data security and compliance requirements.