There is widespread acknowledgement that our health-care system is ‘in the midst of a radical transformation.’  This transformation some believe is a direct result of the $36.3 billion that the US government plans to spend over the next several years to drive adoption of the Electronic Health Record (EHR). I believe that the massive stimulus package signed by President Obama in early 2009 was just a step in the process, an incentive package, or moreover a catalyst to a situation that was already fraught with issues – the integration of information in health care. First, there is a ‘knowledge void’ in the healthcare community – it is drowning in oceans of information, and still does not know the best ways to identify medical trends, prevent health problems and treat them cost-effectively.  When you are drowning in an ocean, you try to keep afloat and also recognize that you cannot drink the water – what a situation to be in! Some of the reasons that there is an information-led transformation and that the problems were there previously:

There is a driving the need for Healthcare IT systems to leverage data and create interoperability standards, these include the need to:

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