Yearb Med Inform 2016; 25(S 01): S10-S11
DOI: 10.15265/IYS-2016-s001
Original Article
Georg Thieme Verlag KG Stuttgart

Reflections on the Yearbook from the 1990’s to the Present

M. J. Ball
1  IBM Research, Baltimore, Maryland, USA
J. S. Silva
2  Silva Consulting Services, Eldersburg, Maryland, USA
› Author Affiliations
Further Information

Publication History

20 May 2016

Publication Date:
06 March 2018 (online)



The authors highlight IMIA’s progress over the past twenty years as a key bridging organization that translates health informatics theory into practice. In contrast, they describe that electronic health record (EHR) systems built in the 20th Century are not meeting the needs of clinical users. Moreover, these EHRs are not architected to keep pace with the rapid changes in the evolving health ecosystem. They conclude that 21st Century health IT systems need to be architected into an ecosystem-wide suite of interacting complex adaptive systems that support individuals, clinicians, managers and policy-makers with the high value/high usability computing paradigm that dominates the Internet today.