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The BMI 502 come back to the computers application in medicine again in this week. The health informatics technology is the stem field in biomedical informatics, and is the application of technology which most closely related to health care. Dr. Parker gave us a case study of HIT in Utah health system, and lead us to get a practical conception of how the HIT will impact the practice in medicine and what problems and issues related to the implementation of HIT in hospital. First from technology perspective, the main obstacle in HIT field is still the standard. Although there is a HD7 standard for integration of the health information system, the wildly acceptance of the standard is still is big issue. Because currently there are many big hospital systems, such as Banner, United health, Mayo clinics, etc, which all have their own health information system with different standards. How to integrate these different systems together under a uniform standard definitely involve the issues to upgrade of systems, which will involve more cost in implementation and in training. So how to push these hospital systems to give up their own standards to accept a new standard is a big issue. Then secondly, from personal perspective, how to resolve the security problem in patient information will also be a challenge. Once the wild implementation of health information system in national wide, the individual health information would be an important private field that require high security technology, as well as policy, to ensure the safety of patient health information. In Dr Parker's lecture, the security issue was not discussed in class. I hope to hear the discussion in the future classes about HIT technology.
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Di Pan
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