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> I happen to believe that the Dutch government might be in favor of the above. > They see a possible way for the use of smart-cards where patients use it as > a copy of the place-holders to systems where information about them is > stored AND use it to control the access control lists. > > But.. > things will work out only if a substantial effort has been put into the > generation of the Information Infrastructure. I am not so convinced about the security of smartcards as the people who sell them appear to be. See www.cl.cam.ac.uk/users/rja14/tamper.html for how to break them. Optical cards might be more suitable for patient-held records. However, we do have a couple of people now funded to work here on the infrastructure issues. Vaclav Matyas ([log in to unmask]) is designing a system to certify clinicians' public keys, and Fabien Petitcolas ([log in to unmask]) is looking at web-based records. Interested parties should get in touch with them. Maybe next year we can have a Europe-wide project to put togther a transnational system, Ross %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%