1. 1980
1.1. Institute of Medicine implements study creating first major backing of EHR systems
1.2. HL& begins in 1987, develops electronic standards for HIM technology
1.3. First Large Scale Medical Picture Archiving and Communication system (PACS) built
1.3.1. Radiology information systems developed
2. 1990
2.1. Many health information systems designed with Centralized approach where all patient data is located on a central server
2.2. Growing support for distributed systems where bits and pieces of patient data are stored on multiple databases
2.3. Workstation development in the 90s led to identification of 3 classes of workstations suitable for HIM ,
2.3.1. Smart terminals
2.3.2. Handheld terminals
2.3.3. Full configured workstations
2.4. computer systems were built to have shorter processing and retrieval times.
2.5. Internet Developed
3. 2000
3.1. Health Information and Technology for Economic Clinical Health Act passed in 2009
3.2. Computerized Physician Order Entry adopted
3.3. Bar coded medication dispensing introduced
3.4. Automated dispensing machines
3.5. institutions develop multiple types of EHR systems
3.5.1. Hospitals adopt different EMRs and different vendors within the same system
4. 2020
4.1. 3D bioprinting
4.1.1. 3d printed drugs theorized
4.1.2. Living human tissue bioprinted for organ transplants
5. 1960
5.1. Computer Stored Ambulatory Record developed for Mass. general hospital in collaboration with Harvard.
5.1.1. First system separated into multiple parts including non clinical databases
5.2. Lockheed development of Clinical information system
5.3. Health Evaluation through Logical Processing (HELP) clinical support system begins development at University of Utah
6. 1970
6.1. VA becomes the first government agency to utilize EHR with VistA, Decentralized Hospital Computer Program (DHCP)
7. 2010
7.1. Healthcare Artificial Intelligence introduced (AI)
7.1.1. Google DeepMind health medical mining tool
7.1.2. Atomwise pre clinical drug candidate identifier
7.1.3. Algorithmic identification of of various diseases and large database screening for early identification of medical conditions
7.2. Robotics implemented, allowing for autonomous collection of health data
7.2.1. Wearable robots for rehabilitation and enhancement
7.2.2. Robotic prostheses created to relace limbs
7.2.3. Robotic exoskeletons for assistance with movement disorders
7.3. Nanomedicine
7.3.1. analysis of large complex datasets
7.3.2. Nanoparticles
7.4. Cloud Computing introduced
7.4.1. Remote patient monitoring
7.4.2. Real time data sharing
7.4.3. High volume remote storage lowering costs
7.5. 85% of hospitals adopt EHRs following H&HS standards since the 2009 act
7.5.1. as of 2017, 94% hospitals utilizing EHR