| Grand Challenge | Submitter | Email | Example Link | Date |
| Develop a general purpose medical natural language parser | Dean sittig | deanforrest@yahoo.com[remove] | http://ii.nlm.nih.gov/ | 2 1 2004 |
| Universal Open Source EHR | Tim Cook | tim@openparadigms.com | http://openehr.org | 3 1 2004 |
| Develop EHR data standards that allows patient data to transferred from one EHR to another | Paul D. Smith | psmith@fammed.wisc.edu | | 4 1 2004 |
| Establish a secure national unique patient identifier | psmith@fammed.wisc.edu | psmith@fammed.wisc.edu | | 4 1 2004 |
| Develop an infrasructure to support a national Level 6 Ectronic Record System | Derek J. Kelly | dkelly@schosp.org | http://www.robinbt2.free-online.co.uk/virtualclassroom/chap5/s8/epr1.htm | 4 1 2004 |
| A small, pocket-sized handheld computer with a secure internet connection that can project its dispaly on any available white background (e.g., a piece of paper or the wall). The device also has the ability to use voice over IP to communicate with anyone in the organization or around the world. | Dean Sittig | deanforrest@yahoo.com | http://www.itsecurity.com/tecsnews/jun2003/jun38.htm | 5 1 2004 |
| To share patient information among distributed database systems supporting the EPR and to connect the patient's problems with medical knowledge-bases | Xavier Pastor | xpastor@clinic.ub.es | | 5 1 2004 |
| Hand Free Electronic Health Record (HFEHR) Voice recognition+Natural Language Processor | Leo Cousineau MD | lcousineau@kevric.com | | 5 1 2004 |
| Worldwide distribution of a personal device that enablse a person to carry in his pocket his complete health information, and grant his caregivers instant access to his health data, at all points of care | Amos Grushka, MD | amos@phamos.com | http://www.phamos.com | 7 1 2004 |
| Adoption /use/acceptance of an EMR/EHR by a majority of physicians | Derek J. Kelly MD | dkelly@schosp.org | | 18 1 2004 |
| A set of randomized controlled trials that demonstrate the value, or lack there of, a state of the art clinical information system complete with physician order entry in both the in-patient and out-patient setting. | Dean Sittig | dean@informatics-review.com(remove) | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12824090&dopt=Abstract | 19 1 2004 |
| Ensure that accreditation, licensing and certification organizations should mandate that students and working professionals develop and maintain proficiency in five core areas: delivering patient-centered care, working as part of interdisciplinary teams, practicing evidence-based medicine, focusing on quality improvement and using information technology (as per the IOM report "A Bridge to Quality"). Also guarantee government funding or tax credits for this process. | Derek J. Kelly | dkelly@schosp.org | http://www.nap.edu/books/0309087236/html/ | 21 1 2004 |
| Get practice into evidence AND THEN get evidence into practice | Michael Power | Michael.Power@ncl.ac.uk | | 21 1 2004 |
| Establish truly parsable marked-up data bases for individualized care so that powerful modern computing modalities can be applied to these data | Tom Lincoln, MD | tlincoln@exhubris.net | To my database">To my database | 21 1 2004 |
| Develop an enterprise architecture standard for health care organizations, including the metamodel and defined model views. A model built using the enterprise architecture metamodel would link the business, clinical, and technological sides of the organization, and would facilitate alignment of the technology with the business and clinical sides. The example link shows an example being developed by the Military Health System. | Brent D. Nelson, PhD | brent.nelson@eds.com; abe.nelson@verizon.net | http://www.tricare.osd.mil/Architecture/EA-start.htm | 21 1 2004 |
| Develop a model where patients can maintain their medical information on a web site that they can allow any practitioner to access. | William Gotthold | wgotthold@wvclinic.com | | 2 2 2004 |
| Either tie all needed data bases and applications to your EMR, or have a biometric single sign on that opens all needed applications | William Gotthold | wgotthold@wvclinic.com | | 2 2 2004 |
| Database of broad array of executable knowledge. Would represent a compendium of the highest quality rules, which could be accessed free or at low cost by anyone. | David Bates | dbates@partners.org | | 10 2 2004 |
| A Global Health Information Infrastructure | Don Detmer | detmer@virginia.edu | | 10 2 2004 |
| Delivery of clinical decision support in chronic disease management that substantially improves the management of chronic diseases | David Bates | dbates@partners.org | | 10 2 2004 |