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The NHS Executive launched the NHS information management and technology strategy in December 1992. One of the principal initiatives of the strategy is "a common [information management and technology] infrastructure for secure sharing of information."2 Included in this initiative are the replacement of the NHS number, the development of NHS administrative registers, NHS-wide networking,3 a thesaurus of clinical terms, technical standards, and ensuring confidentiality and security. These projects are well under way, and some are nearing completion. An
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