Guided Notes
The Informatics Discipline: History & Landscape
From early hospital computing and expert systems to EHR adoption, interoperability policy and AI — key milestones, organizations (AMIA, HIMSS, HL7), and recurring lessons.
Milestones
Slide 1 / 5| Era | Milestones |
|---|---|
| 1960s–70s | Early hospital information systems; MEDLINE; the problem-oriented medical record; first clinical decision support research |
| 1970s–80s | Expert systems (e.g. MYCIN for infections); HELP system rules; Regenstrief and VA systems |
| 1990s | Internet, early EHRs, HL7 v2 spreads; IOM reports on safety ('To Err Is Human') |
| 2000s | ONC created (2004); SNOMED CT, LOINC adoption; patient portals |
| 2010s | HITECH incentives drive near-universal EHR use; FHIR emerges; analytics and population health |
| 2020s | Cures Act APIs and information blocking rules, TEFCA, telehealth boom, generative AI |