Nevertheless, in the lack of a complete measure, awareness has to be inferred from a patient’s motor responsiveness; this fact unquestionably contributes to the higher rate of diagnostic mistakes in this band of patients.7-9 The second goal of clinical assessment is to harness and nurture any available response, through intervention, right into a form of reproducible communication, rudimentary however. The acquisition of any interactive and functional verbal or nonverbal approach to communication can be an important milestone. Clinically, repeatable and consistent communication demarcates the upper boundary of a minimally mindful state.6 In this article, we present the results of a report conducted between November 2005 and January 2009 in which functional magnetic resonance imaging was routinely found in the evaluation of a group of 54 individuals with a clinical medical diagnosis to be in a vegetative state or a minimally conscious state.So EHRs will be just as good as the quality metrics they’re made to capture; technology can’t conquer fundamental measurement problems. We measure many things that have no worth to patients, while a lot of what individuals do value, including our interest, remains unmeasurable. Why, Wachter asks, perform we do nothing very similar in health care? In a moving passage, Wachter speaks with a renowned surgeon who once spent his evenings before surgery reading his notes on the next day’s patients. No longer. His notes have been rendered homogeneous by the tyranny of clicks and auto-populated fields uselessly. I can’t even picture their faces. The blanks on our screens could be filled with terms, but the process of understanding cannot be auto-populated.