Скачать или смотреть The History of EHRs in the US (Fall 24', BIOS 417)

Class 1 of BIOS 417 mini-course offered at Stanford Fall 24' ("Back to the Future" with Electronic Health Records and Clinical AI). Opinions in content are my own (though influenced and improved by many!)

Lecturer: Eric Pan
Course Facilitators: Eric Pan, Michael Wornow

Chapters:
00:00 - Course Logistics
01:10 - Introduction & course expectations
03:10 - Classroom structure & participation
05:00 - History of EHRs (Part 1)
06:45 - "Back to the Future" analogy for EHR evolution
08:05 - EMR vs EHR definitions
10:35 - Specialty vs integrated systems (Flatiron, Epic)
11:07 - Implementation challenges & clinical burnout
17:13 - Technical infrastructure (Chronicles, Clarity, FHIR/OMOP)
22:36 - AI's potential role in EHRs
24:07 - History of the Internet
24:25 - ARPANET origins & government funding
27:58 - Data standardization evolution
29:44 - Comparison to EHR development challenges
33:20 - History of EHRs (Part 2), government regulations
36:03 - Epic's origin story (Judy Faulkner, 1979)
39:10 - Installation & maintenance realities
41:08 - International perspectives (Estonia's blockchain)
41:48 - Data Interoperability + standards landscape (HL7v2/v3, FHIR, OMOP)
44:32 - USB-C analogy for compatibility challenges
47:12 - Authentication frameworks (SMART on FHIR)
48:21 - Data mapping complexities
49:50 - Why multiple standards persist
50:56 - Current State & Future Directions (MU outcomes + digital transformation)
51:50 - Tragedy of the Commons in data sharing
52:56 - Blockchain potential & trust challenges
55:00 - Patient data ownership barriers
1:06:10 - Epic's ecosystem limitations
1:11:43 - Future of personal health records