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Two points should be raised concerning the activity for the introduction of medical cards in Italy. The first one is related to standardisation of the information to be stored on medical cards. The Italian body in charge of the standardisation in all the fields, has a Commission on Medical Informatics that has created a working group, parallel to the corresponding CEN European group. The working group is coordinated by the author of the present abstract. The group has reached a first conclusion that the medical card should be composed of three parts: personal identification parameters, emergency-urgency personal data, oriented clinical data. These three parts will be discussed in some detail. The second part will be the illustration of field activity in Italy, essentially centred around the use of optical cards. It will be shown that this activity goes far beyond the experimental phase, being already an operative tool that includes the building of specialistic medical data bases and the use of telecommunications.
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