Health Cards '95

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Health Cards '95Edited byCO. KohlerHeidelberg, GermanyO. RienhoffGottingen, GermanyO.P. SchaeferFrankfurt, GermanyProceedings of the Health Cards '95 Conference,Frankfurt, Germany, 23 - 26 October, 19951995IOSPressOhmshaAmsterdam, Oxford, Tokyo, Washington, DC

Table of ContentsSession 1 and Session 2: Opening Sessions of the ConferenceSession 3: International ReviewsTakahashi, T., et al., Kyoto, JapanDieng, D., Namur, BelgiumMorency, D., Quebec, CanadaBrocas, A.-M., Paris, FranceGeiss, E., Siegburg, GermanySicurello, F., Milano, Italyvan Arkel, J., Leidschendam, NetherlandsPeterson, H., Klein, G.O., Stockholm, SwedenMcCurry, M., Leeds, United KingdomWilliams, J. T., Cheyenne, USASession 4: Insurance CardsFiedler, E., Verband der Angestelltenkrankenkassen e.V., Siegburg, GermanyThe Introduction of the German Health Insurance Card and its Effectson Data Communications within the System of Statutory HealthInsurance in GermanyBrenner, G., Schaefer, O.P., Zentralinstitut fur die kassenarztliche Versorgung,Koln, KV Hessen, Frankfurt, GermanyIntroduction of Medical Cards to Improve Communication136911121419222324252732Sauret, J., Ministere de la sant6 publique et de 1'assurance maladie, Paris, FranceA Health Ministry ViewfromFrance of the Set Up of a Card System inHealth Care36Perez-Garcia, J., Spanish Mint, Madrid, SpainComplementary Services orf Health Cards - The Spanish SocialSecurity Experience38van den Broek, L., Zorgverzekeraar DSW, Schiedam, NetherlandsIntroducing Smart Cards in Health Care in the Netherlands43Hahne-Reulecke, K., KV Hessen, Frankfurt, GermanyLegal Aspects of Introducing the Health Insurance Card and Effectsto Medical Confidentiality45Session 5: Standards and Health Telematics51Pernice, A., EU, DG XIII, Brussels, BelgiumG7 Activities - International Harmonization of Use of Data Cards inHealth Care53Schaefer, O.P., KV Hessen, Frankfurt, GermanyInteroperability of Card Systems in Germany: Assumptions andMinimal Requirements54

Sembritzki, J., Zentralinstitut der kassenarztlichen Versorgung, K61n, GermanyInteroperability of Card Systems in Germany: Standards and Technics57McCurry, M., National Health Services, Leeds, UKAn NHS View from England of Computer-Readable Cards in Health Care59Cortellessa, G., National Institute of Health, Rome, ItalyThe Experience of the Introduction of Medical Cards in Italy60Session 6: Patient CardsSchafer, E., State of North Dakota, Bismarck, North Dakota, USAThe Western Governors' Assocation - Health Passport Project6365Ellsasser, K.-H., Zimpelmann, B., Hertwig, U., Kohler, CO.,Deutsches Krebsforschungszentrum, Heidelberg, GermanyDocumentation and Communication in Oncology - Shared Care Systemby Hybrid Cards70Fortin, J.-P., Lavoie, G., Be'rube', J., Papillon, M.-J., University Laval,Quebec, CanadaThe PSC, a Trigger for an Evolution or a Revolution in the Health CareSystem: A Reflexion from the Quebec Experience75Hopkins, R., Griffith, N., Trivett, S., University of Exeter, Exeter, UKThe PANACEA Project78Engelbrecht, R., Hildebrand, C , Blecher, M., Brenner, G., Corcoy, R., Reith, A.,Gapp, C , Henn, H., Klepser, G., de Leiva, A., Massi-Benedetti, M., Mechtler, R.,Piwernetz, K., Sembritzki, J.,Thiery, J. GSF/MEDIS, Munchen, Germany84DIABCARD - A Smart Cardfor Patients with Chronic DiseasesSession 7: Professional Cards89Rienhoff, O., University of Gottingen, GermanyProfessional Cards of the European Future91Schnabel, U., MicroDatec, Erfurt, GermanyAdditional Applications of the German Insurance Card together with aProfessional Card93Taib, G., GIP/CPS, Paris, FranceCardfor Professional Health care Workers97Klein, G., SPRI, Stockholm, SwedenCreating an Infrastructure of Trusted Third Parties for Issuing ofCryptographic Cards for Signatures and User Identification100Ohyama, N., Takahashi, T., Univerity of Tokyo, University of Kyoto, JapanDevelopment of Medical Information Systems in Japan104

Session 8: Emergency Cards105Cirre, P., Gallagher, M., CARDLINK Project, France, IrelandCARDUNK Project - An European Project for the Implementationof an Interoperable Emergency Dataset on a SmartCard107Badiali, M.H., Aranda, A., SOLAIC, Paris, FranceSANTAL - An Advanced Smart Health Card Application for France110Drescher, S., Haase, H.-J., ComBrok, Geesthacht, GermanyUFECARD - Smart Card Assisted Medical Record Support System116Schroeder-Boersch, H., Heidelberger Arztegruppe, Heidelberg, GermanyExperiences in Implementation of a Standardized Emergency Card119D'Aquila, A., Sonnati, M., Arnulfo, G., Reboa, G., University of Genova, ItalyHealth Smart Card for Prevention and Monitoring ofRisk Patients124Session 9: Legal Aspects125Vuillet-Tavernier, S., CNIL, Paris, FranceThe French Experience of Health Cards - Ethical and Legal Issues The Approach of the French Data Protection Authority127Bruening, P.J., Congress of the United States, Washington D.C., USAHealth Cards in the United States: Legal Considerations128Giesen, T., Der Sachsische Datenschutzbeauftragte, Dresden, GermanyHealth Cards and Right of Privacy132Chabert-Peltat, C , Cabinet Bensoussan, Paris, FranceHealth Card in France: New Rules Regarding Medical Data137Reimer, H., RoBnagel, A., TeleTrust, Erfurt, GermanyLegal and Technical Requirements for the security Infrastructure ofHealth Cards142Session 10: Technical Aspects and Users Needs143Beyer, R., IBM, Boblingen, GermanySmart Cards, Technologies and their Application145Courtois, C , Philips Smart Cards, Le Plessis Robinson, FranceHow to Secure a Telemedicine System?150Ishikawa, K., Miyaji, M., Nakamura, Y., Nishi, S., Sasaki, T.,Tsuji, K., Yamamoto, K., Watanabe, R., Medical School, et al., Kagawa, JapanTroubles about Privacy Protection as Security Issues of the PersonalHealth Data Management in Japan and some Solution Proposals151Chaum, D., DigiCash, Amsterdam, NetherlandsHealth Care Data Self-Determination: Fantasy or Real Possibility155Mohr, J.R., University of Victoria, CanadaComprehensive Health Records Based on Advanced Card Technologyand Networked Computers: Are they Feasible?158

Schipplick, F., Schlumberger, Ismaning, GermanyThe Smart Card - The Key for TelemedicineSession 11: Technical Aspects and Users NeedsBdrubd, J., Fortin, J.-P., Papillon, M.-J., Lavoie, G., University Laval,Quebec, CanadaThe Evaluation of the Rimouski Project: A Strategy for Development162167169Struif, B., GMD, Darmstadt, GermanyMultifunctional Card Terminals for the German Health Care171Lender, F., Horster, P., ComCard, Falkenstein, Universitat Chemnitz, GermanyHybrid Opto-Smart-Cards: Application to Health Care175Zoreda, J.L., de Pereda, J., Redondo, A., Umpierre, M., University ofMadrid, SpainA Hybrid Smart Card Model in Health Care180Fujimori, H., Himeji Medical Assoc., Himeji, JapanThe Present Conditions of the new Health-Medical IC-Card System'IKI-IKV Card in Himeji185Beattie, J.A.G., Jones, V.M., Petrie, J.C.P., Thompson, B., Universityof Aberdeen, Aberdeenshire, UK188Optical Health Cards - Patient-Carried Comprehensive Medical RecordsSession 12: Medical ProjectsRuggiero, C , Giacomini, M., Sacile, R., University of Genova, ItalyTowards a Smart Cardfor the ElderlyBrockman, A.F., Steer, P.J., Chelsea and Westminster Hospital,London, UKThe Use of the Optical Memory Card to Facilitate Patient Centered Careduring Pregnancy and to Provide a Basis for an Integrated PerinatalData Collection SystemSerpieri, A., General Hospital Lecco, Milano, ItalyPercorso Nascita: From Pregnany to Delivery193195197202Sabater Tobella, J., Sales Csonka, M., Ros Monleon, J.M.,Cortadellas Torroella, J., Madrigal Gil, S., Laboratory Sabater Tobella,Barcelona, SpainTARMEDICA: Optical Cardfor Clinical data storage207Cimino, A., Valentini, U., Girelli, A., Rocca, L., Corsini, R.,Spedali Civili di Brescia, USSL Brescia, ItalyUsing Microprocessor Cards for the Transmission of Information inDiabetes Care212

Session 13:Medical ProjectsPanfilo, M., Palombi, L., Mariotti, S., Nucchetti, G., Corsetti, E., Dario, C ,Carlini, A., Tessarin, M., Leone, I., Fusiello, S.,Janssen Pharmaceuticals, et al., Rome, ItalyA National Network of General Practitioners for EpidemiologicSurveillance and a Local Network Experimenting the Health Cardas a Communication Tool between G.P.s and Local Health StructuresRusso, P., Ventriglia, E., GESAN Sri, Napels, ItalyThe Citizen Data Card Project: An Integrated Health and AdministrativeData Storage System Using CardsWenzlaff, P., Trappe, H.-J., Fretter, R., Zeller, C , Kbhler, CO.,Medizinische Hochschule, Hannover, et al., GermanyDEFICARD: Health card Project in Cardiology, Concept and OneYear Report and Field Trial ExperiencesSillmanns, H., Initiativkreis der Zahnarzte Buhl, GermanyExperiences with the Dental Information CardKarounou, V., Vassilakopoulos, G., National Technical University ofAthens, University of Piraeus, GreecePlans and Experiments with Health Cards in GreeceSession 14: Work in Progress215217219222225229233Diener, F., Bundesvereinigung Deutscher Apothekerverbande,Eschborn, GermanyYour Pharmacy Consultation Card235Webb, K. with assistance of Lout, J., Precis Smart Card Systems,Oklahoma City, USAMediCard - Health Smart Card System236Hrabcik, H., Braun, R.W., Piller, E., Austrian Ministry of Defence,Austria Card, Vienna, AustriaMedical Functions on a Dynamically Multifunctional PersonalChip System (mPCS)240Kossmann, M., PACE MEDICAL, Freiburg, GermanyExperiences with the X-Ray Card243Millot, R., Groupement des Assurances de Personnes, Paris, FranceTowards a Generalized Patient Card in France - The ContributiveStrategy of Complementary Health Insurers246Session 15: Work in ProgressPapillon, M.-J., Fortin, J.-P., Be"rube\ J., Lavoie, G., University Laval,Quebec, CanadaThe PSC in Quebec: A TriggerfroImprove Drug PerscriptionCirre, P., SANTAL, Saint-Nazaire, FranceSANTAL, a Multi-Service Health Smart Card Trial in theStaint-Nazaire Area249251254

Netz, V., BKK, Essen, GermanyUsing Chip Cards to Promote Personal Health256Ueda, H., Kiyotani, T., Ministry of Health, Medical Information SystemDevelopment Center, Tokyo, JapanPersonal Health Card System in Japan261Horie, M., Ogushi, Y., Okada, Y., Sakashita, Y., Ota, Y.,Hayashi, Y., Suzuki, S., University Tokai, Isehara Kanagawa, JapanOptical Memory Cardfor Community Health and Welfare in Isehara264Session 16: Administrative ProjectsWilliams, J. T., State of Wyoming, Cheyenne, USAThe State of Wyoming Smart Card Application for SupplementalFood for Pregnant Women, Infants, and Children , Food Stampsand Tracking of Immunization269271Hara, K., Medical School, Kagawa, Japan276Application of Optical Memory Cardfor the Management of Maternity CareOzasa, K., Hayashi, K., Higashi, A., Watanabe, Y., Kawai, K., Saito, A.,Tofukuji, I., Kamachi, S., University of Medicine, Kyoto, Olympus Optical,Tokyo,JapanHealth Administration System Using an Optical Memory Card ina Rural Community279Markwell, D., Clinical Information Consultancy, Reading, UKAdministrative Uses of Patient Data Cards284Opiela, M., United States Postal Service, Washington, DC, USAMulti-Functional Cards for Health Care Applications288Session 17: Quality Assurance and Administrative Projects291Schober-Halstenberg, H.-J., Arztekammer Berlin, GermanyQuality Assurance for Renal Replacemant Therapy - QuasiNiere293Hara, S., National Institute of Japanese Literature, Tokyo, JapanHealth Care Support Information System Based on Optical Cards294Rivera Spencer, K., Rivera Harding Systems, Ontario, CanadaAn Evaluation of the Ontario Encounter Card Project299Picas, J.M., Vilalta, J., PAMEM, Barcelona, SpainThe Health Information System of PAMEM300Matsuura, S., Yamaguchi, M., Medical Center for Adults, Hyogo,Goshiki Town, JapanAn Integrated Regional Health and Medical Care System throughthe Use of Medical Cards302

Session 18: Joint Panel on Health Cards307Rienhoff, O., et al., University of Gottingen, GermanyWorking Group: Health Professional Cards309Kobe, J., et al., PACE Medical, Freiburg, GermanyWorking Group: Check List for Health Cards in Germany312Reimer, H., et al., TeleTrust, Erfurt, GermanyWorking Group: Security Infrastructure314Schaefer, O.P., et al., KV Hessen, Frankfurt, GermanyWorking Group: Data Structure315Struif, B., et al., GMD, Darmstadt, GermanyWorking Group: Multifunktionales Karten-Terminal fur dasGesundheitswesen318Session 19: Industry SessionHirayama, K., Morishima, K., Hosoja, H., Kamijima, J., Canon,Kawasaki, JapanOptical Memory Card - Present and Future State of the Technologyand its Applications319321Schlegelmilch, G., Philips Semiconductors, Hamburg, GermanyContributions of an IC-Manufacturer to Chip card Projects inHealth Service Applications327Ichikawa, K., Olympus Optical, Tokyo, JapanSecurity of the Optical Memory Card331Thomasson, J.-P., SGS-Thomson, Rousset, FranceSmart Cards and Fraud334Spillane, J., MEDCO Containment, Montvale, N.J., USACoordinated Care340Speaker and Chairpersons343Subject Index351Appendix: G-7 Health Data Cards355

Health Cards '95 Edited by CO. Kohler Heidelberg, Germany O. Rienhoff Gottingen, Germany O.P. Schaefer Frankfurt

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