In this paper we describe the Italian reality of the use and diffusion of Health Cards or Patient Data Cards (PDC). The computerisation of Medical Record is becoming now a necessity, and the role of a portable medical record by means of Patient Card is very important and useful to integrate the Health Information Systems. We will briefly illustrate the history and the present Italian situation on the cards applications in health care. Experiences, projects and pilot experiments will be listed. A lot of these initiatives present a lack of harmonisation and coordination aspects. The proposal is to create national and regional plans in order to increase the diffusion of the electronic data cards applications in social and health care, and, in this context, to involve the Public Administration offices, (at national, regional and local levels), the health services operators and also the companies of medical informatics sector.
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