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the application suites that build on the infrastructure are available. The need to support the communications hardware infrastructure has been recognized. The support of software in that role may well be simpler, since its replication is nearly free.

The desired balance for health information infrastructure support can be replicated in all fields of information technology. We expect the parameters to differ for commerce, defense, education, entertainment, and manufacturing. The common principle we advocate is that, as we move from a supply-limited to a demand-constrained information world, our analysis and actual service methods must change.


[1] Harbeson v. Parke Davis, 746 F.2d 517 (9th Cir. 1984).

[2] Wiederhold, Gio. 1995. ''Digital Libraries," Communications of the ACM, April.

[3] George Miller.

[4] Isabelle de Zegher-Geets et al. 1988. "Summarization and Display of On-Line Medical Records," M.D./Computing 5(3):38–46.

[5] Willis Ware, "The New Faces of Privacy," P-7831, RAND Corporation, 1994.

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