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International IT Institutes

ISAS
REPORT
IsasTitle:
IT advances have opened

Coordinator : Mrs.Thơm

Student:  Phan Anh Đức


 Nguyễn Văn Huy
 Nguyễn Thành Trung
 Nguyễn Thành Trung

Group : 5
Batch : MMS0908
Quarter : 1

11/2009
Isas NIIT ThangLong IT advances have opened

IT Advances Have Opened

Batch Code: MMS0908

Start Date: Nov /8/2009 End Date: Nov/14/2009

Name of the Coordinator: Mrs.Thơm

Name of Students:  Phan Anh Đức


 Nguyễn Văn Huy
 Nguyễn Thành Trung
 …………………………

Date of Submission: 11/2009

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CERTIFICATE
This is to certify that this report Multimadia Setup embodies the original
work done by Group5 in partial fulfillment of the course requirement at
NIIT.

Coordinator: Mrs.Thơm

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ACKNOWNLEDGEMENT

I have benefited a lot of from the feedback and suggestion given to us by


Mrs.Thơm and other faculty members.

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Music

Referred to entertain, first day we think of music. Just as this, music is second can not lack in the lives
of anyone in our . from ancient times, music has been present in the lives of each person, it helps reduce
the pressure at work, hard to dispel, allowing each person the spirit back to nature, about the soul in
light of his. Over time, the entertainment became more plentiful, today thanks to the remarkable
development of information technology we have many sources and different entertainment but music is
always the first choice. To meet the needs of the people's music must also constantly developed to suit
each time . as well as many other areas of information technology has helped develop the music and
bring it to close to people than ever before.
Previously, the information industry is not the birth of hearing a song by his favorite singer presents
difficult is even luxury, as well as the scope of influence of singer and abandoned in a narrow
geographical range of specific, health spread of the song and music is limited to very .History, we want
to hear a Song Bac Ninh is one of them to swim to the country's Sunset the "instant he, instant sisters"

to the Lim festival of the fall or wait for the songs they sing sea to enjoy the tone of their lanes clear,
bold nature rustic village
But as the days that people can only save the Song through my mind, and of course those of their
distant country known to be the Song of the light, simple to store since . Keep all of them or the only
word of mouth, long and gradual loss of the original lyrics of it, also the vocal enchantment of the heart
can only be remembered in the mind and enjoy the time . It has everything else, we eventually have the
technology to change perceptions as well as how to enjoy his music. . Since 1965, the common cassette
tape music began selling the market, at first could only play the audio quality mono (single channel,
single speaker), but since 1966 has cassette tape stereo (multi-channel ) [2].

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Music

Started, by having in hand the cassette tape and machines that had been the favorite songs by the
artist expressed his love, the rest we need to do is for the machine you want to listen to the tape and
press machine will play the notes left for us to enjoy all your favorite things before we get , and thus
the music closer to the listener, the singer known more, old songs as well as vocalist gold is stored
for later generations, and from this music really is about how it was connecting time and space.
But industry where it stopped growing and many new improvements to the many cassette machines
equipped with Dolby soy filter system to filter the noise, soy arising from the radio cassette tape. In
1979, Sony built a Sony Walkman, portable cassette player and small thereby helping more common
use of the information Cassette. course, over time needs to enjoy music more and more people
become so hard over, while the machine cassette revealed several disadvantages if used to happen to
the situation with your home, or your "balance" if the wheels were pressed by the machine path, over
again for convenience when moving must carry with free play and real . Over time technological
development rushing other new player, also advanced to continuous life-time development the
development of information technology as other mp3 players. MP3 format appeared in the late 1990s
has allowed music fans can gather and listen to hundreds of digital music. But the songs that are still
stored on the computer. Limited capacity of former biggest problem with the MP3 first. These
products often have storage capacity of 32MB or 64MB, hardly enough to store an audio CD full
length. In 2000, flash memory card was born to meet the needs archive music on mobile devices
dong. 2002, mp3 video display and the first born. 2004, color screen has become popular in the MP3
device to create a turning point for the great music of all . course, the player based on flash memory
as the iPod Shuffle is there small size, cheap and no display still more lovers. Player's first touch
screen appeared on the market in 2007.The system is the first iPod Touch 16GB storage and touch
screen 3.5-inch. Samsung also introduced MP3 touch screen devices YP-P2 response capacity 16GB
and Bluetooth connectivity. In 2008, the MP3 player is designed with traditional wide screen and the
buttons are easy to use .2009, the MP3 devices today have features such as Wi-Fi, integrated browser
Web, video games, listening stations, applications (about Apple's App Store application work with
iPod Touch) and the ability to play content stored on external devices such as TV or stereo. Other
iPod models that support S-Video to connect to the TV. Zune HD was introduced from September
and a competitor to Apple's iPod Touch. Products with OLED touch screen, storage capacity to
32GB, Wi-Fi and the adjustment of HD radio.

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Music

In addition to the portable player's development of information technology music lovers also enjoy
the music style you want with specialized equipment dung.1 how to listen now that people love is
listen to music online on how to listen website. Day is very active, just type the name of listeners
want to hear songs that had been his favorite song to suffering but to find a CD or tape collection
that song .
Now, thanks to information technology that the music has evolved over the .Music to listen to the
people closest to the various ways that this by actively listening to all of your music listening style.
Future development direction

Many experts believe that about 11 years, we could use up to 50th generation iPod and can see 3D
video.
Industry of online music will develop me. Will change the style of many people listen to music
After about a decade to appear on the market, MP3 devices are starting to not purchase items in the
list of users. Not because the device is not useful today, people tend to download music and listen
directly on the phone rather than carrying two devices to simultaneously. As in the case of Apple,
although the iPod is still "the golden egg," iPhone sales are considered "the bitter sweet" to them for
each iPhone sold usually mean customers will not buy iPod anymore.
The appearance of memory card, DVD and music industry are making online sales of CDs decline.
When lower bandwidth charges and faster Internet connections, CD will be difficult to place

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Cinema

Historical film is the process of the birth and development of cinema from the late 19th century until
now. After more than 100 years of establishment and rapid development, the film from a new form of
entertainment merely become a tool of art and media, entertainment and most important of modern
society .
According to the Guinness record for film recording motion pictures first known today as the movie
was filmed Roundhay Garden Scene with the speed of 12 frames per second in Leeds, England in
1888.

Film quickly became a minor novelty entertainment department became a film projection booth
indispensable in large fairs. Where it is often a slideshow of the one-minute short film, depicting
scenes of daily living or sports activities. Although the film has never been editing, attention to the
back corner or simply do not know how a director, the film is still popular and create conditions for
developing a strong film in the next century that.
Until the late 1920s, almost all Hollywood films are already free. Sound quickly to help the film
become attractive and appealing than the audience, also put the movie studios to small spot to be
closed because not enough capital cost to the system recorded for the film. Sound is one reason
American film through the Great Depression and entered the heyday (The Golden Age of
Hollywood) with a series of great films come out, it comes with a series of super - I like Greta Garbo,
Clark Gable, Katharine Hepburn or Humphrey Bogart.
Sound has made the process of film production must change fundamentally, the voice of the
screenplay is more elaborate, the actors must also be familiar with both the acting could have read
the phone, The birth of music and noise can lead to the formation of a new genre, typically with the
musical film The Broadway Melody (1929) or the American film Le Million (1931) directed by the
French school of super - to René Clair. Following the sound, big step Monday technical film is the
film color . 1965, with the introduction of universal type super 8 camera by Kodak production,
cinema of the amateur artist was born. Step latest film at the end of the 20th century is applied to
digital cinema, from the use of digital camera to the Digital Magic staged film and sound on your
computer.

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Cinema

Many famous films, attracting audiences than content, also resort to technical tricks film, such as
Titanic, dinosaur park, Pearl Harbor, Egyptian Mummy, The Hung ... What Digital Magic film used
to do?
A simple method most countries cinema development was ever used. If a scene needs a high-rise
buildings caught fire, people will create a model exactly like real buildings, and use camera angles
and lighting to the model was shot in flames. Since the early cinema, which has a constantly opens
with the camera to surprise the audience, that Georges Méliès - names are considered the "father of
genre fiction" . The film A Trip To The Moon was born in 1902 as an example. Combination of real
footage with animation, the paint and wallpaper samples shrink, Georges Méliès just opens just
creative. Techniques such as filming fell on each other (double exposure), divide the screen (split
screen), the stop-animation (stop-motion animation) ... he used became lessons for the beginner to
technical tricks later.

To the 1920s and 1930s, Digital Magic film stock accumulated from the birth of legendary films,
notably The Thief Of Bagdad (1924). Works with the Arab context is mysterious "right to" the hand
of director Raoul Walsh. He used innovative techniques to the time that created the dragon spraying
fire scene, spiders are under water, horse fly in the sky and petals to the brave heroes of the Army
dust blind. Many film began using blue screen techniques (blue screen), it is still used until now:
actors acting before blue background, at up to then, the fonts will be replaced by frame other scenes.
Race of information technology in the 1970s helped the Magic to Digital Cinema achieved many
significant achievements. Star Wars (1977), product of George Lucas and the technical staff
members, is evidence for the achievements gained from the development of techniques available to a
system of special tools for filmmakers to fiction. Many critics have estimated that, the spacecraft
model, firearms and the Star Wars robot shown so very hard to find fault. Most advanced technology
that era - computer - also used to control the camera.

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Cinema

Today's computer technology growing, creating efficient models and movies with more modern,
more realistic. But required, who do this have good technical and computer graphics programs
3D.lllll
Can see the image special effect of outstanding 3D film compared to the 2D film. Clearly known
three-dimensional space, the audience feel the emotional impact is stronger. Genre action, adventure
film adventure, horror films and animation will be most appropriate for 3D. However, if a bit narrow
screen, the 3D film can not maximize the effectiveness of it.
Mr Brian Hall - Chairman of the Management Company Megastar - for idea of 3D films already
exists from more than 100 this year and his first film was released as "The power of love" in the U.S.
in 1922.
But four years ago it started a new strong identity with the giant screen at IMAX theaters in America.
3D films are considered revolutionary in the film industry, progress from silent to sound films are
from black and white to color, from 2D to 3D is 3D animation and feature films.
In Hanoi and Ho Chi Minh, Mega has a 3D movie projection room with about 8 billion investment
per room. Megastar's first 3D film to the public Vietnamese as "Avatar" will be released in late 2009.
"Avatar" by Original Fox is a mix of many genres: Science Fiction, adventurer, action ... produced in
four years with funding of 200 million USD, Will become the largest 3D film of all time. Thus, clear
effects on the film carefully and in particular the development of information technology in general is
always accompanied with the development of cinema, when audiences are always eager to enjoy new
things. Technology will continue to grow and a certainty that audiences see the film will be the
"witches" of Digital Magic moments to meet with one label.

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Game

Film industry to wait more than 40 years appear first film is free. The other game, no need to 40
years that the only integrity 10 years have witnessed so much change the world is colorful
entertainment

Game is a gadget-electronic technology to serve the computing needs of human entertainment. It is


software built by a certain content, allowing the participants control a "character" as you want and
follow the rules of the game is installed. Through a screen of data coding is given in the form of
images, for players to observe the evolutions of the game. This is the key to be the appeal of the
game. Accompanied by a sound system installed to play audio in the control of the user
simultaneously with the image on the screen. As a compelling film that players can change as you
wish. Attractive in pictures and sound stimulation victory tastes and instincts of the human
imagination, forcing them to conquer the game. Game by the development of information
technology, divided into several categories: the content, in the form of ...
Game was born and developed by the development of computing. The history of video games began
when electronic computers to generation step 2, the electronic devices are still bulky, slow then the
development of electronic computers to 3. The companies innovative game development and peace
was born on his entertainment industry. Who pioneered the games are very popular names in the
game as the author village game "Pong" game ever to be mistaken as first written in 1972 by Alan
Alcorn, engineer of the software companies Atari (U.S.).

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Game

Benefits:

. The first game is known comes from recreation needs, is a form of development based on games,
films, literary works and get ideas from everyday life takes place. The game now no longer merely so
that it became a media broadcast, the number of participants is raised hundreds of millions of people
around the world. It can promote the culture of countries included in the ads for the issuer and build
the game. Besides game can now apply for the service industries of the society. From the health
sector, education or national defense security.
Skills useful in life that you will learn if the game play properly.
1. Calm and request resources
2. Computer team
3. Typing skills
4. Thinking physics
5. Reflex hand - eye
6. Computing skills
Besides game offers a huge source of revenue. Contribute to budget state budget is not smal
Impact:
However, everything has two faces and not harm the game is, if you regularly play violent games will
be adverse health and especially the treatment . many accidents occur as all everyone .2008 added
more case horrified . only took the game to make it fall on the players status addictive, but most
gamers are young people .Time for learning have been the "appropriation" by the game .. The "fan
game" giddy excluding day, selling energy and money into the game "invisible added. Game pretty
much hands the blood "hegemony" did not hesitate to put real money to buy virtual weapons, armor
virtual ... not even put the money to hire a gamer is "plowed" help yourself

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Game

Where this amount if you do not lie parent or theft, shoplifting, robbery and even the people.
Especially when the fight over the virtual world into real battle of life outside the game is really fun
to become a risk to social .Game it really is almost identical to
that drug. It has a very intense the attraction. What was going offline last known, not only young
children but also adults that have blocks invisible students, engineers, BA, director of company
involved and barbecue ,.... do not know how much money, the wealth and most importantly, time.
And death:
- Waste of money to load the card, buy black market outside.
- Two health product image sitting for too long regardless of day and night.
- Lost confidence when entering the real world.
- Time for family, friends, work.
- Time passed, the character of their heavy exercise is increasingly lose value, they are gong to
continue to pursue the things an invisible virtual exhaustion.
Corollary:
- Many students of the school's reputation as Polytechnic University, Humanities ,.... had to drop out
of school, test ban, expulsion.
- A lot of engineering bachelor's no attention to the work, neglect their studies to improve their lot as
the project was lax, talent is key ,......
- The fathers, mothers were not interested in children, families ,......
Future development direction

-The development of information technology to directly influence the development of the gaming
industry. The future of information technology will be developed rushing, the world would be a
social information network Internet has made distance the world is becoming small. Knowledge and
information will not border any activities beyond national and into activity of the whole is
indispensable .Game also developed continuously.
-We are entering a new era - the era of 3D MMORPG game. And in another few years only graphics
will play an extremely important role in the decision to choose . Game features the use of human,
true simulation of movement brought an area new look for the game industry World. Now that really
is difficult to distinguish between a person with flesh and bone with a character created by the
computer.
-Between interactive gaming and game will be improved up
Games for education, health, security and defense will be focused and developed

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Education

Educational technology (also called learning technology)


technology) is the study and ethical
practice of facilitating learning and improving performance by creating, using and
managing appropriate technological processes and resources. The term educational
technology is often associated with, and encompasses, instructional theory and
learning theory.While instructional technology covers the processes and systems of
learning and instruction, educational technology includes other systems used in the
process of developing human capability.

For several decades, vendors of equipment such as laptop computers and interactive
white boards have been claiming that their technologies would transform classrooms
and learning in many positive ways, but there has been little evidence provided to
substantiate these claims.

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Education

 Viet Nam is country there is tradition about education. One of Viet Nam
essential accomplishment is reached as of incoming of water foundation day
now, that is accomplishment about education. According to Ministry of
Education deputy minister- Viet Nam education, the accomplishment of the
education ground Vietnameses that in 55 year pass off is pride the country.
 At present Viet Nam has 20 million persons take away book to school, can say that is
education ground there is large-scale and seize up to 1/ 4 population are go to schooling.
From place had to 95% analphabetic populations year 1945, to now Viet Nam there was
94% literate population

 At present Viet Nam are advancing vigorously on road spread education high
school is underpinning. For November/ 1999, Hanoi capital became
underpinning high school popular fiducial consummation firstted metropolitan
area and if those norm to government published become general allegation be
surely in this year 2000, Viet Nam will have a series of underpinning high
school popular consummation gently accredited city.
 Pupil Number is quite jurisprudent in all of grade learns already numerously in
year near here. Viet Nam's jurisprudent pupil troupes attends competitions
OLYMPIC Internationally snatched many admiring event loftiness demob gain
overs in international friends.

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Education

 Country modernnization Ministry of Education leader- Viet Nam


education told: Viet Nam implement the careerring of industrialization- in world
backgrounds steps into information age, knowledge economy, consequently
Viet Nam education ground also must have new turning point. Viet Nam also
will develop a number of education centers there is high quality, continuation
choosed cadres has leveling go oversea education, promote talent education,
inchmeal come close world knowledge economy.

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 Present ever also right taller future. Intellect era's human being is rightness
occupied future, inexpectant that future come passively fastening rightness are
future to answerably of idea own.

 Phyla is educational educate human being, man-power resources education for


economy- society, is Phyla create concept system, is new aware morphological
construction substantive division. Formation not aware that only reflection is
objectively actual that it still is driving force blast, be navigation light gives actual
to move towards. Consequenthy, there isn't what reason that education doesn't
strive to precede era, make precursive combatant, fugle give desired right track to
country's ship son go.
 we is determined " education is premier national policy " as soon as many
scandal, its weakness, a look instance deeply about education's importance
special, about riches position in course build a civilized societies, education still
actual situations are prosperous.
Need to renovate active stalwart education thought. It be urgent thing, to signify
strategically.

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Internet development landmarks in Viet Nam


For Internet use officially In day Viet Nam 19/ 11/ 1997.
- For December/ 2006, approximately there is 4.059.392 subscription converge
barter, with user number is 14.683.783, over 100 people Internet user reach
17, 67%. Viet Nam's international connection channel capacity Sums: 7076
Mbps. Total Viet Nam domain names 34.924
- User number and development speed subscription annual that incline
increase, about 1, 5 times compared to past year.
- Day 26/ 12/ 2003, all of 64/ 64 provinces, borough accomplished that program
to end give Internet up to universities, high level and High school on
province surveyor's compass, is municipal

- In Viet Nam , Ministry of Education and Training are pursuing objective,


wide spruce tape interconnected network connection to all of nationwide
upper school, including infant school grade learnned, gemmates and job
training base. Along with Internet " wave clothing " concernment, each
pedagogue and pupil will be create gratutous email one-address with the
name body school domain in order to create favourableness for
managerial business and communications and liaison between school
and pupil. With a view to this objective exec, Ministry of Education and
Training covenanted text cooperatively with troops (Viettel)
telecommunication holding company deploy education Web. Under
which, upper schools is nationwide gently networked chilblain pack
Internet is high-quality with favourable price special. Optical cable
System is also connects from 4 Mbps Ministry about base with spruce
tapes. This plan are to locals education phyla responding diligently.
Among them, busy Hanoi is integrated urgent, electronical
documentation electronical teaching project, teachwares, selection
owing to school sends pedagogue about who is to build phyla's school
material depository.

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Ed
Medicine

Information and communication technologies are about to make a massive move into medical
practice, not only in selected areas of 'high-tech' medicine, but throughout the field. Research
in information technologies is needed in the areas of medical imaging, telecooperation,
education and training

Medical images are produced in such a number and richness of detail that they can only be analyzed
with the help of the computer. Computers not only improve the quality of the images, but also help in
reconstructing structures, detecting anomalies and measuring. In particular, computers help with an
appropriate visualization to make the image contents understandable to the clinician. Three-
dimensional images are used more and more. They have the inherent problem that it is extremely
difficult to visualize images consisting of a cloud of material in different shades of grey. Mechanisms
have to be found that render the interesting detail and hide other structures that are not relevant for a
particular situation. The selection and composition of algorithms depend on the medical goals of a
particular analysis and thus can only be determined together with medical experts

Images are needed to plan and control microinvasive surgical procedures. It is therefore necessary to
design systems that support the physician with appropriate visualizations throughout the whole
process from image acquisition, diagnosis, treatment planning, surgery to final control.

As medical professionals become more specialized, diagnosis and treatment occur in cooperation
between different physicians that may be distributed. They have to use computers to exchange their
medical data, in particular images. However, data transfer alone is not sufficient. they must also be
able to communicate about their patients, to talk freely about medical data and refer to that data
during their discussion. Merging these two communication channels (verbal and data
communication) is a challenge that needs to be addressed before teleconsultation can be reasonably
efficient. And finally, medical knowledge increases at an amazing pace. Physicians are required to
keep up with new knowledge for their whole life. To ensure the quality of diagnosis and treatment,
special emphasis on continuous education is needed. Computer-based techniques can help with this
task, in particular if they provide training on the job, assisting in the analysis of images and
teleconsultation.

All these problems can be solved only in interdisciplinary teams. One needs physicians that are open-
minded to think about new computer-based approaches. Computer scientists have to listen for the
problems of their medical partners. Psychologists have to look at human-human and human-
computer interaction. Engineers and administrators have to make things work. A single profession
can no longer deal with all aspects of the complex problems. Furthermore, new systems have to be
designed iteratively, with the

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user in mind. Systems must be addressed to real user problems. However, it is not possible to
completely assess the value of a new development before it is taken into daily practice with real
users. Developers must be ready to radically change their systems until these really meet the user
needs. Users must be involved, but not in a naive fashion ("tell me what you need"). A constructive
dialog between users and developers, involving a sequence of prototype systems, is needed to acquire
the real user needs.

The Link Between IT and Medicine


Dr. Mark Smith's Ability to Design Medical Record Systems Puts His Finger on Pulse for Improving Care in ER and Beyond
Dr. Mark Smith, department chair in emergency medicine at Georgetown University Medical Center
(GUMC), stands at the crossroads of a number of seemingly unrelated health care initiatives.

An expert in the areas of medical informatics, disaster medicine, simulation training, complexity
theory and systems medicine, Smith melds his more than 30 years of experience as a physician with
his ability to design systems for keeping accurate patient medical records.

In addition to his academic role in the School of Medicine, Smith serves as the chair of MedStar
Emergency Physicians, which provides emergency medicine physician leadership and staffing at four
of the seven MedStar hospitals, including Georgetown University Hospital and Washington Hospital
Center.

“One of the reasons I find emergency medicine so interesting is that an emergency department is a
fractal of a whole hospital,” Smith says. “People enter the ER, are registered, undergo an initial
evaluation, receive a series of diagnostic tests, are administered treatment and then go through a
discharge process. It’s a microcosm of a whole hospital admission process, only compressed in time.”

Smith’s prowess with emergency medicine alone is a valuable asset for the medical school’s
curriculum, says Dr. Stephen Ray Mitchell, dean for the School of Medicine.

“(He) is really unique in many ways -- kind of a Renaissance man. He’s a big picture guy,” he says.
“He envisioned the information system at Washington Hospital Center. They actually hired him to
make the emergency department run better, and he had a student walking behind every treating
doctor asking, ‘What is it that you need right now?’ So when they programmed the system, he was
able to say, ‘At this point we need to pull in the blood test, and here we need to go out and get the X-
ray.’ ”

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All fourth-year medical students participate in a four-week experience in emergency medicine at


Georgetown. They receive certification in advanced cardiac life support and clinical emergency
department rotation.

“Georgetown was one of the first medical schools to require every single student to do emergency
medicine -- long before ‘ER’ was on TV, so it’s been in our fabric, and Mark has made it an excellent
program,” Mitchell says.

Smith, who joined Georgetown in 2000, regards emergency medicine as a valuable lens through
which to test innovations in health care. “If it works in the emergency department, it will probably
work anywhere,” he says.
Data-Centric Technology
System design is the process of defining and developing a system to satisfy specified data processing
needs. It is all about managing complexity, and health care is about as complex as it gets, says Smith.
His amalgam of expertise provides him with a distinct perspective on health care reform, particularly
expectations centered on the electronic patient record.

Integrating information from a hodgepodge of disparate clinical data sources offers significant
potential for reducing errors, inefficiencies and costs, he says.

Currently, medical personnel operate in an environment where information that is needed for clinical
decisionmaking may not be immediately available, Smith explains.

An electronic medical record should provide current, accurate, clinically relevant patient information,
in effect making the caregiver aware of everything that is happening to a patient, but designing a
universal network of systems to capture, store and deliver that information has proven elusive.

“The electronic medical record is not an end in itself,” Smith cautions. “The end is better
management of health and illness. For that we need information presented in such a way that it best
informs patient care decisions. The challenge is to integrate all information about a person’s health,
disease, and episodic illness across the complete continuum of care.”
He says information has to be available in a way that it’s going to make a difference in care.
“Something I read years ago in an article in the Wall Street Journal has stayed with me -- ‘In the
absence of action, information is overhead.’

Smith realized early on the importance of integrating information science with medicine. He received
a master’s degree in computer science from Stanford University before graduating with his medical
degree from Yale University School of Medicine.

“I love the intellectual clarity and complexity of mathematics and computer science, but I wanted my
life’s work to involve serving people and to have the texture of a human endeavor,” he says. “That is
why I left computer science to become a physician.”

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But he never lost his interest in the display and use of information.

“From his years of clinical experience, he knows the practical limitations of a range of theoretical
approaches and can guide the development of systems that will have true clinical utility for improved
patient care,” says Dr. Howard Federoff, executive vice president for health sciences and executive
dean of the School of Medicine.

For decades Smith has believed the most potent force for improving medicine was going to be the
application of information technology in the service of hospitals’ care mission. “Optimum
information systems would enable care that is safer, faster, cheaper, and better. That has been my
driving vision,” he says.

And so was born, Azyxxi, an integrated clinical information system currently in use at Georgetown
University Hospital and recently acquired by Microsoft. Smith co-developed the system, which
provides a real-time, comprehensive picture of a patient’s health care history.

Physicians and staff providing care for a particular patient have immediate access to current,
accurate, critically important information from a multitude of disparate data sources and data types,
including laboratory test results, past medical history, X-ray images, full motion angiograms,
ultrasound pictures, electrocardiograms, demographic information, scanned documents and more.
Making Data Count
One of the unique aspects of the Azyxxi information system that Smith designed is that it works
equally well in providing views across groups of patients as it does in diving down into an individual
patient. So it can be used to drive quality improvement and clinical research across an organization.

Smith points out the challenge of designing solutions that can adapt to the unforeseeable needs of a
rapidly evolving scientific knowledge base. His general philosophy -- learned the hard way after once
discarding a piece of “unimportant” data that he wound up needing -- is to collect everything.

“You never know what’s going to turn out to be important. Digital storage is cheap, so as long as you
aren’t delaying treatment in an emergency situation, go ahead and collect it,” Smith says.

When it comes to using technology to drive safer care, Smith points out that his 25 plus years of
running emergency departments has taught him that mistakes occur in medicine because some basic
lessons taught in the first year of medical school are not heeded. A change in vital signs -- a rising
pulse, a falling blood pressure -- that signals deterioration in the state of a patient is somehow not
always paid attention to by the clinician.

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