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

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EraMilestones
1960s–70sEarly hospital information systems; MEDLINE; the problem-oriented medical record; first clinical decision support research
1970s–80sExpert systems (e.g. MYCIN for infections); HELP system rules; Regenstrief and VA systems
1990sInternet, early EHRs, HL7 v2 spreads; IOM reports on safety ('To Err Is Human')
2000sONC created (2004); SNOMED CT, LOINC adoption; patient portals
2010sHITECH incentives drive near-universal EHR use; FHIR emerges; analytics and population health
2020sCures Act APIs and information blocking rules, TEFCA, telehealth boom, generative AI
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