A system for the collection and/or processing of data from various sources, and using the information for policy making and management of health services. It could be paper-based or electronic. (From http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTHEALTHNUTRITIONANDPOPULATION/EXTHSD/0,,contentMDK:22239824~menuPK:376799~pagePK:148956~piPK:216618~theSitePK:376793,00.html. http://www.who.int/healthinfo/systems/en/)

Integrated set of files, procedures, and equipment for the storage, manipulation, and retrieval of information.

Integrated, computer-assisted systems designed to store, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital.

The systematic application of information and computer sciences to public health practice, research, and learning.

Information intended for potential users of medical and healthcare services. There is an emphasis on self-care and preventive approaches as well as information for community-wide dissemination and use.

Systems designed to provide information primarily concerned with the administrative functions associated with the provision and utilization of services; also includes program planning, etc.

Management of the acquisition, organization, retrieval, and dissemination of health information.

Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.

Organized procedures for establishing patient identity, including use of bracelets, etc.

The procedures involved in combining separately developed modules, components, or subsystems so that they work together as a complete system. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)

Special hospitals which provide care for ill children.

The field of information science concerned with the analysis and dissemination of medical data through the application of computers to various aspects of health care and medicine.

Organized services to provide information on any questions an individual might have using databases and other sources. (From Random House Unabridged Dictionary, 2d ed)

Computer systems capable of assembling, storing, manipulating, and displaying geographically referenced information, i.e. data identified according to their locations.

Management of the acquisition, organization, storage, retrieval, and dissemination of information. (From Thesaurus of ERIC Descriptors, 1994)

A system containing any combination of computers, computer terminals, printers, audio or visual display devices, or telephones interconnected by telecommunications equipment or cables: used to transmit or receive information. (Random House Unabridged Dictionary, 2d ed)

Protective measures against unauthorized access to or interference with computer operating systems, telecommunications, or data structures, especially the modification, deletion, destruction, or release of data in computers. It includes methods of forestalling interference by computer viruses or so-called computer hackers aiming to compromise stored data.

Description of pattern of recurrent functions or procedures frequently found in organizational processes, such as notification, decision, and action.

Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.

Organized services to provide health care for children.

The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals.

The concept concerned with all aspects of providing and distributing health services to a patient population.

The term "United States" in a medical context often refers to the country where a patient or study participant resides, and is not a medical term per se, but relevant for epidemiological studies, healthcare policies, and understanding differences in disease prevalence, treatment patterns, and health outcomes across various geographic locations.

A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.

Descriptions and evaluations of specific health care organizations.

Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.

Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.

Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.

The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.

Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.

Organized collections of computer records, standardized in format and content, that are stored in any of a variety of computer-readable modes. They are the basic sets of data from which computer-readable files are created. (from ALA Glossary of Library and Information Science, 1983)

Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of radiology services and facilities.

Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.

Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.

The circulation or wide dispersal of information.

Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative and clinical activities associated with the provision and utilization of clinical laboratory services.

Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.

The privacy of information and its protection against unauthorized disclosure.

Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.

Systems composed of a computer or computers, peripheral equipment, such as disks, printers, and terminals, and telecommunications capabilities.

Individual's rights to obtain and use information collected or generated by others.

Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.

Public Law No: 111-5, enacted February 2009, makes supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009.

Automated systems applied to the patient care process including diagnosis, therapy, and systems of communicating medical data within the health care setting.

How information is gathered in personal, academic or work environments and the resources used.

Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of ambulatory care services and facilities.

NATIONAL LIBRARY OF MEDICINE service for health professionals and consumers. It links extensive information from the National Institutes of Health and other reviewed sources of information on specific diseases and conditions.

An infant during the first month after birth.

Sequential operating programs and data which instruct the functioning of a digital computer.

A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.

The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.

Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.

Countries in the process of change with economic growth, that is, an increase in production, per capita consumption, and income. The process of economic growth involves better utilization of natural and human resources, which results in a change in the social, political, and economic structures.

The attitude and behavior associated with an individual using the computer.

The application of technology to the solution of medical problems.

Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.

The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.

Public Law 104-91 enacted in 1996, was designed to improve the efficiency and effectiveness of the healthcare system, protect health insurance coverage for workers and their families, and to protect individual personal health information.

The transfer of information from experts in the medical and public health fields to patients and the public. The study and use of communication strategies to inform and influence individual and community decisions that enhance health.

Planning for needed health and/or welfare services and facilities.

The state of the organism when it functions optimally without evidence of disease.

Familiarity and comfort in using computers efficiently.

Organized activities related to the storage, location, search, and retrieval of information.

The state wherein the person is well adjusted.

Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)

Public attitudes toward health, disease, and the medical care system.

The measurement of the health status for a given population using a variety of indices, including morbidity, mortality, and available health resources.

The state of being free from intrusion or disturbance in one's private life or affairs. (Random House Unabridged Dictionary, 2d ed, 1993)

Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.

Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).

Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.

Systems where the input data enter the computer directly from the point of origin (usually a terminal or workstation) and/or in which output data are transmitted directly to that terminal point of origin. (Sippl, Computer Dictionary, 4th ed)

Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)

The portion of an interactive computer program that issues messages to and receives commands from a user.

The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.

Collections of systematically acquired and organized information resources, and usually providing assistance to users. (ERIC Thesaurus, http://www.eric.ed.gov/ accessed 2/1/2008)

The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)

Management of public health organizations or agencies.

Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.

Customer satisfaction or dissatisfaction with a benefit or service received.

Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.

Computer-based systems that enable management to interrogate the computer on an ad hoc basis for various kinds of information in the organization, which predict the effect of potential decisions.

Services for the diagnosis and treatment of disease and the maintenance of health.

Coordination of activities and programs among health care institutions within defined geographic areas for the purpose of improving delivery and quality of medical care to the patients. These programs are mandated under U.S. Public Law 89-239.

Services offered to the library user. They include reference and circulation.

The concept pertaining to the health status of inhabitants of the world.

Components of a national health care system which administer specific services, e.g., national health insurance.

A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)

The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.

The activities and endeavors of the public health services in a community on any level.

Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.

Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.

Diagnostic, therapeutic and preventive health services provided for individuals in the community.

Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.

The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.

The seeking and acceptance by patients of health service.

Community or individual involvement in the decision-making process.

The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.

Planning for health resources at a regional or multi-state level.

Process of teaching a person to interact and communicate with a computer.

The teaching or training of patients concerning their own health needs.

An agency of the NATIONAL INSTITUTES OF HEALTH concerned with overall planning, promoting, and administering programs pertaining to advancement of medical and related sciences. Major activities of this institute include the collection, dissemination, and exchange of information important to the progress of medicine and health, research in medical informatics and support for medical library development.

Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.

Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.

The status of health in urban populations.

A concept, developed in 1983 under the aegis of and supported by the National Library of Medicine under the name of Integrated Academic Information Management Systems, to provide professionals in academic health sciences centers and health sciences institutions with convenient access to an integrated and comprehensive network of knowledge. It addresses a wide cross-section of users from administrators and faculty to students and clinicians and has applications to planning, clinical and managerial decision-making, teaching, and research. It provides access to various types of clinical, management, educational, etc., databases, as well as to research and bibliographic databases. In August 1992 the name was changed from Integrated Academic Information Management Systems to Integrated Advanced Information Management Systems to reflect use beyond the academic milieu.

Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.

Social and economic factors that characterize the individual or group within the social structure.

Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.

Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)

Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.

Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).

The field of information science concerned with the analysis and dissemination of data through the application of computers.

'Medical Libraries' are repositories or digital platforms that accumulate, organize, and provide access to a wide range of biomedical information resources including but not limited to books, journals, electronic databases, multimedia materials, and other evidence-based health data for the purpose of supporting and advancing clinical practice, education, research, and administration in healthcare.

Print and non-print materials collected, processed, and stored by libraries. They comprise books, periodicals, pamphlets, reports, microforms, maps, manuscripts, motion pictures, and all other forms of audiovisual records. (Harrod, The Librarians' Glossary, 4th ed, p497)

Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.

Management of the organization of HEALTH FACILITIES.

Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of operating room services and facilities.

Specifications and instructions applied to the software.

The status of health in rural populations.

Institutions which provide medical or health-related services.

Introduction of changes which are new to the organization and are created by management.

The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.

Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.

Procedures, strategies, and theories of planning.

The promotion and maintenance of physical and mental health in the work environment.

Economic sector concerned with the provision, distribution, and consumption of health care services and related products.

A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.

Communications networks connecting various hardware devices together within or between buildings by means of a continuous cable or voice data telephone system.

Organizations and individuals cooperating together toward a common goal at the local or grassroots level.

A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.

Those actions designed to carry out recommendations pertaining to health plans or programs.

I'm sorry for any confusion, but "Vermont" is a U.S. state and not a medical term. Therefore, it doesn't have a medical definition. It is located in the New England region of the United States and is known for its scenic beauty, particularly its green mountains, and is also renowned for its production of maple syrup. If you have any questions about medical topics or terms, I would be happy to help with those!

The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).

The promotion and support of consumers' rights and interests.

The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)

Communications using an active or passive satellite to extend the range of radio, television, or other electronic transmission by returning signals to earth from an orbiting satellite.

Specialists in the management of a library or the services rendered by a library, bringing professional skills to administration, organization of material and personnel, interpretation of bibliothecal rules, the development and maintenance of the library's collection, and the provision of information services.

Hospital department which is responsible for the administration and provision of x-ray diagnostic and therapeutic services.

Planning for the equitable allocation, apportionment, or distribution of available health resources.

Facilities which administer the delivery of health care services to people living in a community or neighborhood.

The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.

Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.

Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.

Use of an interactive computer system designed to assist the physician or other health professional in choosing between certain relationships or variables for the purpose of making a diagnostic or therapeutic decision.

Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.

Precise procedural mathematical and logical operations utilized in the study of medical information pertaining to health care.

Organized services to provide mental health care.

Instruments or technological means of communication that reach large numbers of people with a common message: press, radio, television, etc.

The field of information science concerned with the analysis and dissemination of data through the application of computers applied to the field of nursing.

The interactions between members of a community and representatives of the institutions within that community.

Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.

Using certified ELECTRONIC HEALTH RECORDS technology to improve quality, safety, efficiency, and reduce HEALTHCARE DISPARITIES; engage patients and families in their health care; improve care coordination; improve population and public health; while maintaining privacy and security.

Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of clinical pharmacy services.

The systematic surveying, mapping, charting, and description of specific geographical sites, with reference to the physical features that were presumed to influence health and disease. Medical topography should be differentiated from EPIDEMIOLOGY in that the former emphasizes geography whereas the latter emphasizes disease outbreaks.

The concept covering the physical and mental conditions of women.

Data recorded by nurses concerning the nursing care given to the patient, including judgment of the patient's progress.

The organization and administration of health services dedicated to the delivery of health care.

Evaluation of biomedical technology in relation to cost, efficacy, utilization, etc., and its future impact on social, ethical, and legal systems.

Recording of pertinent information concerning patient's illness or illnesses.

A specified list of terms with a fixed and unalterable meaning, and from which a selection is made when CATALOGING; ABSTRACTING AND INDEXING; or searching BOOKS; JOURNALS AS TOPIC; and other documents. The control is intended to avoid the scattering of related subjects under different headings (SUBJECT HEADINGS). The list may be altered or extended only by the publisher or issuing agency. (From Harrod's Librarians' Glossary, 7th ed, p163)

Representations, normally to scale and on a flat medium, of a selection of material or abstract features on the surface of the earth, the heavens, or celestial bodies.

The science dealing with the earth and its life, especially the description of land, sea, and air and the distribution of plant and animal life, including humanity and human industries with reference to the mutual relations of these elements. (From Webster, 3d ed)

Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)

The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.

Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.

Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.

Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.

The use of automatic machines or processing devices in libraries. The automation may be applied to library administrative activities, office procedures, and delivery of library services to users.

Small computers using LSI (large-scale integration) microprocessor chips as the CPU (central processing unit) and semiconductor memories for compact, inexpensive storage of program instructions and data. They are smaller and less expensive than minicomputers and are usually built into a dedicated system where they are optimized for a particular application. "Microprocessor" may refer to just the CPU or the entire microcomputer.

An evaluation procedure that focuses on how care is delivered, based on the premise that there are standards of performance for activities undertaken in delivering patient care, in which the specific actions taken, events occurring, and human interactions are compared with accepted standards.

The physical condition of human reproductive systems.

Individuals licensed to practice medicine.

Activities concerned with governmental policies, functions, etc.

Organized services to provide health care to expectant and nursing mothers.

Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.

I'm sorry for any confusion, but "Brazil" is not a medical term or concept, it is a country located in South America, known officially as the Federative Republic of Brazil. If you have any questions related to health, medicine, or science, I'd be happy to help answer those!

The terms, expressions, designations, or symbols used in a particular science, discipline, or specialized subject area.

An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.

A management function in which standards and guidelines are developed for the development, maintenance, and handling of forms and records.

Administrative units of government responsible for policy making and management of governmental activities.

Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.

Software designed to store, manipulate, manage, and control data for specific uses.

Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.

(Note: 'North Carolina' is a place, not a medical term. However, I can provide a fun fact related to health and North Carolina.)

Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.

Services designed for HEALTH PROMOTION and prevention of disease.

Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.

Facilities for collecting and organizing information. They may be specialized by subject field, type of source material, persons served, location, or type of services.

The circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics (http://www.cdc.gov/socialdeterminants/).

The inhabitants of rural areas or of small towns classified as rural.

Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.

The freedom of patients to review their own medical, genetic, or other health-related records.

The interactions between representatives of institutions, agencies, or organizations.

Information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care.

Educational attainment or level of education of individuals.

Statistical interpretation and description of a population with reference to distribution, composition, or structure.

A geographic area defined and served by a health program or institution.

A computer in a medical context is an electronic device that processes, stores, and retrieves data, often used in medical settings for tasks such as maintaining patient records, managing diagnostic images, and supporting clinical decision-making through software applications and tools.

An American National Standards Institute-accredited organization working on specifications to support development and advancement of clinical and administrative standards for healthcare.

A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.

I'm sorry for any confusion, but the term "Virginia" is not a medical concept or condition that has a defined meaning within the medical field. It is primarily used as a proper noun to refer to a state in the United States, a historical figure, or other non-medical uses.