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Testing the Nation’s Health care Information Infrastructure



Kevin G. Brady, Ram D. Sriram, Bettijoyce B. Lide, Kathleen M. Roberts


According to a report by the Center for Medicare and Medicaid Services [CMS] (, the United States spent nearly $2.6 trillion dollars on health care in 2010. It is estimated that this will nearly double by the end of this decade. This is underscored by a statement made by Jonathan Bush, CEO of Athenahealth (see Fortune, January 16, 2012, page 22): “The U.S. spends an amount equal to 300 % of India’s GNP on health care, and India’s population is three times ours.” In an attempt to reign in the health care costs, the Bush and Obama administrations have initiated a major effort in moving from paper-based medical record keeping to using electronic health records (EHRs), including the establishment of the Office of the National Coordinator for Health Information Technology (ONC) and providing appropriate incentives for the Nation’s physicians to move to the use of EHRs. This will lead to considerable automation in the health care industry. In order to take advantage of such automation, it is imperative that the information generated in the health care enterprise is digitally encoded, stored and transported reliably, securely, and efficiently.
Computer (IEEE Computer)


Healthcare, HL7, IEEE, Conformance Testing, Medical Devices, IHE, NwHIN, Meaningful Use


Brady, K. , Sriram, R. , Lide, B. and Roberts, K. (2012), Testing the Nation’s Health care Information Infrastructure, Computer (IEEE Computer) (Accessed April 12, 2024)
Created November 10, 2012, Updated February 19, 2017