Translational Medicine & Clinical Diagnosis

(EMR) Electronic Medical Record, (DSS) Discussion Support Systems, Translational Medicine, Current Medical Information Terminology, the architecture of design largely ignores differential diagnosis and current medical information. A Tsunami of new biomedical knowledge changes half of what we know and overwhelms attempts at setting standards. We lack a dynamic current medical information database that is accessible to the clinician and that can quantitate diagnostic evidence based on outcome.