When researchers divided participants into young-previous and old-old, with age 70 as the cutoff, they found the same pattern of cognitive variations between young-old and old-old in the control and diabetes groups. Thus, the researchers concluded, the diabetes-connected cognitive deficits show up early and remain stable. Related StoriesBariatric surgery improves excess weight, metabolic health and quality of life in adolescents after 3 yearsStudy suggests need for specific treatment options for adolescents with onset type 2 diabetesStudy finds high prevalence of dehydration in the elderly living in UK care homes Velocity and executive working are thought to be among the major components of cognitive wellness, says co-author Roger Dixon, PhD.Patient privacy can be another salient concern, especially given the raising frequency of cyberattacks. Finally, the technical complexity of establishing specifications is daunting. As Koppel explains, even something ostensibly simple, such as blood-pressure measurement, can get lost in translation because of the modifiers accompanying the figures: standing, seated, preinjection, labile, non-compliant. So imagine a common language for MRI reports or operative notes. Although sector influence is indisputable, such an explanation conflicts with the impression I got from Judy Faulkner, ceo of EHR maker Epic Systems, who advocates for government-created specifications.