• 1. Introduction
  • 2. The German Health Telematics Infrastructure
  • 3. Induced Process Changes
  • 3.1 General Changes
  • 3.2 Discharge Letter Process
  • 4. Existing Approaches for Managing Smart Cards in Hospitals
  • 4.1 The Decentralized Approach
  • 4.2 The VerSA Approach
  • 4.3 Disadvantages
  • 5. The Clinic Card Approach
  • 5.1 Technical Architecture
  • 5.2 Smart Card Management Unit
  • 5.3 The Clinic Card and Card Middleware
  • 5.4 Connector
  • 5.5 Remote Access
  • 5.6 Unique Characteristics of the Central Approach
  • 5.7 Discharge Letter Process
  • 6. Comparison of the presented approaches
  • 6.1 Evaluation Framework
  • 6.2 Hardware Requirements and Integration
  • 6.3 Session Management
  • 6.4 Usability
  • 6.5 Further Value-adding Aspects
  • 7. Conclusion and Outlook
  • 8. References