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Ever since we started in 1991 in Barcelona with Health Cards Conferences in Europe, the dissemination of a variety of card systems in health administration as well as in Health Care has progressed rapidly. The decisive impulse for this development was doubtless the delivery of 75 Million administrative Health Insurance Cards in Germany from 1993 until 1995. The political reforms in Eastern European Countries and the ongoing reorganization of their Health Care Systems was the reason for their engagement in Health Cards. Various trials and pilot projects have been performed as well in the USA, Canada and the Asian rim states. Another impulse was the decision of the G7 countries to motivate their citizens to recognise and adopt the advantages of an information society. Nevertheless, the international breakthrough of patient data cards is yet to come. The need for international agreements on standards in the design of card systems, interfaces and security infrastructures is pointed out. A concerted action of all major international projects under one umbrella would significantly increase their impact on modern medicine.
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