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di de th se fr hu ar pr ha th After some discussions with the clinicians at our local Proceedings of the 35th Hawaii International Conference on System Sciences- 2002 Proceedings of the 35th 0-7695-1435-9/02 $17.0The effective management of chronic disease, such as abetes and cardiovascular disease, are increasingly pendent upon information technology. Traditionally ese information systems have been developed within condary care (hospitals), and have only been accessible om within the home institution. Many dozens (if not ndreds) of these information systems exits at hospitals ound the UK. Unfortunately the majority of care is ovided by primary care (GP’s) and nurses, who do not ve easy, real time access to the information recorded in ese centralised hospital information systems. This ca