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

M. J. Ball, J. S. Silva

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)S10-S11
JournalYearbook of medical informatics
StatePublished - May 20 2016


  • EHRs
  • Health ecosystem
  • Internet of Things
  • complex adaptive system
  • high value / high usability paradigm

ASJC Scopus subject areas

  • Medicine(all)


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