1. e-Health Portal and SNOMED for a more personalized integrated EHR Guy Bisson M.D.,M.Sc.,FRCP(c) Full professor and director Academic computing

2. Ambulatory care Collaborative care Multidisciplinary care team Chronic diseases Information overload Continuity of care Information access Communications Coordination of care Patient empowerment Valid information Knowledge management ChangesChallenges

3. To help : a new breed of EHR Hospital centered Professional centered Centralized Departmental Episode of care Patient centered Distributed Longitudinal Classical EHRNeeded EHR

4. Composite and service-oriented applications

5. For a complete integration with personalized view Portal Community Patient Clinician Information Access User

6. Education Research

7. Diagnosis : Myocardial Infarction Information trigger Automatic SNOMED encoding User profile Rules/Business process Tailored personalized information EHR Data PACS Data EBM Data