1. National Health Information Infrastructure at Columbia University and New York Presbyterian Hospital James J. Cimino, M.D. Professor of Medical Informatics and Medicine

2. History and Mission Columbia University and Presbyterian Hospital: health care, education and research 1987 - Center for Medical Informatics (CU) and Clinical Information Services (PH) 1994 – Department of Medical Informatics 1999 – NewYork Presbyterian Hospital merger Today: NYPH Medical Informatics Services

3. Current Activities Infrastructure –Security –Terminology services –Interface engines –Master patient index Clinical: –WebCIS: Web-based Clinical Information System –PatCIS: Patient Clinical Information System –PalmCIS: Palm-based Clinical Information System –Vigilens: Web-based clinical decision support –IDEATel: Informatics for Diabetes Education and Telemedicine

4. Current Activities (cont.) Education: –Digital Library Initiative –Infobuttons for clinical decision support –MI-HEART –Vesalius Research: –Intermed collaboratory (GLIF) –Bioinformatics –Medical language processing (MedLEE)

5. Planned Future Activities Extending GLIF HL7 – Virtual Medical Record Infobutton Manager Education in School of Nursing EzVAC: New York Presbyterian Hospital Immunization Registry Remote Clinical Viewer