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This serves as discussion for MC Q&A. We have a list of MC items.

These include:

  • architectures for electronic medical records and other health information systems used for billing, scheduling or research.
  • decision support systems in healthcare
  • messaging standards for the exchange of information between health care information systems (e.g. through the use of the HL7 data exchange standard) - these specifically define the means to exchange data, not the content
  • controlled medical vocabularies such as the Standardized Nomenclature of Medicine, Clinical Terms (SNOMED-CT) or Logical Observation Identifiers Names and Codes (LOINC) - used to allow a standard, accurate exchange of data content between systems and providers.
  • use of hand-held or portable devices to assist providers with data entry/retrieval or medical decision-making

History

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The earliest use of computation for medicine was for dental projects in the 1950's at the National Bureau of Standards by Robert Ledley.

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 Department of Defense hospital system.

In the United States in 1996, HIPAA regulations concerning 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.

Another thread that began in the early to mid-1970s was the development of expert systems such as MYCIN and INTERNIST-I.

In the UK moves towards registration and regulation of those involved in Health Informatics have begun with the formation of the UK Council for Health Informatics Professions (UKCHIP)

See also

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