Medical Information in US

Natural Medical, Natural Medicine, Health Performance, Health Information The earliest use of computation for medicine was for dental projects in the 1950s at the United States National Bureau of Standards by Robert Ledley. The next step in the mid 1950s were the development of expert systems such as MYCIN and INTERNIST-I. In 1965, the National Library of Medicine started to use MEDLINE and MEDLARS. At this time, Neil Pappalardo, Curtis Marble, and Robert Greenes developed MUMPS (Massachusetts General Hospital Utility Multi-Programming System) in Octo Barnett's Laboratory of Computer Science at Massachusetts General Hospital in Boston. In the 1970s and 1980s it was the most commonly used programming language for clinical applications. The MUMPS operating system was used to support MUMPS language specifications. As of 2004, a descendent of this system is being used in the United States Veterans Affairs hospital system. The VA has the largest enterprise-wide health information system that includes an electronic medical record, known as the Veterans Health Information Systems and Technology Architecture or VistA. A graphical user interface known as the Computerized Patient Record System (CPRS) allows health care providers to review and update a patient’s electronic medical record at any of the VA's over 1,000 health care facilities. In the 1970's a growing number of commercial vendors began to market practice management and electronic medical records systems. Although many products exists only a small number of health practitioners use fully featured electronic health care records systems. Homer R. Warner, one of the Fathers of Medical Informatics, founded the Department of Medical Informatics at the University of Utah in 1968, and the American Medical Informatics Association (AMIA) has a award named after him on application of informatics to medicine The US HIPAA of 1996, regulating privacy and medical record transmission, created the impetus for large numbers of physicians to move towards using EMR software, primarily for the purpose of secure medical billing. The US is making progress towards a standardized health information infrastructure. In 2004 the US Department of Health and Human Services (HHS) formed the Office of the National Coordinator for Health Information Technology (ONCHIT), headed by David J. Brailer, M.D., Ph.D. The mission of this office is widespread adoption of interoperable electronic health records (EHRs) in the US within 10 years. See quality improvement organizations for more information on federal initiatives in this area. Brailer resigned from the post in April, 2006. The Certification Commission for Healthcare Information Technology (CCHIT), a private nonprofit group, was funded in 2005 by the U.S. Department of Health and Human Services to develop a set of standards for electronic health records (EHR) and supporting networks, and certify vendors who meet them. In July, 2006 CCHIT released its first list of 22 certified ambulatory EHR products, in two different announcements.

1 comments:

medical August 14, 2008 at 7:13 PM  

Electronic medical records softwares come with a lot of advantages. They have ultimately replace (or will replace) hard-copy records of medical issues.

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