Medical informatics in the United States

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 stage in the mid 1950s were the development of the expert systems such as MYCIN and INTERNIST-I. In 1965, the national library of medicine started to use MEDLINE and MEDLARS. At that time, Neil Pappalardo, marble of Curtis, and Robert Greenes developed MUMPS in Octo Barnett’s Laboratory of Computer Science at Massachusetts General Hospatl. In the 1970s and 1980s it was the most commonly used programming language for clinical applications. The operating software of MUMPS was employed to support characteristics of language of MUMPS. In date of 2004, a descendant of this system is employed in the system of hospital of businesses of veterans of the United States. 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 healthcare facilities.

In the 1970’s a growing number of commercial vendors began to market practice management and electronic medical records systems. Although a profusion of the products exists, currently only one minority of use of experts of health entirely comprised the electronic systems of discs of care of health. In the United States in 1996, the payments of HIPAA about the intimacy and the medical transmission record created the impulse so that a great number of doctors move towards employing the software of EMR, mainly in order to it blocked medical invoicing. In the USA, progress towards a standardized infrastructure of the information of health is in hand. 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 to achieve widespread adoption of interoperable electronic health records (EHRs) in the US  with in 10 years. For more information concerning of the federal initiatives in this sector, to see the organizations of improvement of quality. Brailer resigned of 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.

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