Patient personal privacy is definitely another salient concern, especially given the increasing frequency of cyberattacks. Finally, the technical complexity of establishing specifications is challenging. As Koppel explains, even something ostensibly simple, such as blood-pressure measurement, will get lost in translation because of the modifiers accompanying the numbers: standing, seated, preinjection, labile, non-compliant. So imagine a common vocabulary for MRI reports or operative notes. Although sector influence is indisputable, this description conflicts with the impression I got from Judy Faulkner, ceo of EHR maker Epic Systems, who advocates for government-created criteria.Miller, III, M.D., Ph.D., Arlene Dalcin, R.D., Gerald J. Jerome, Ph.D., Steven Geller, M.D., Gary Noronha, M.D., Thomas Pozefsky, M.D., Jeanne Charleston, R.N., Jeffrey B. Reynolds, M.S., Nowella Durkin, Richard R. Rubin, Ph.D., Thomas A. Louis, Ph.D., and Frederick L. Brancati, M.D., M.H.S.: Comparative Effectiveness of Weight-Reduction Interventions in Clinical Practice Obesity can be an important and growing public health problem around the global globe. In the usa, approximately one third of adults are obese. As a result, obese persons have an elevated risk of death, from cardiovascular disease especially.2,3 The economic burden of the obesity epidemic is enormous; the approximated direct and indirect costs related to obesity exceed $110 billion each year in the usa.4 A thorough body of evidence from efficacy trials shows that weight loss is normally achievable and that modest weight reduction has beneficial effects on cardiovascular risk factors.5-7 However, practically all these trials tested intensive in-person interventions in highly decided on participants.