Personally, I do not have a problem with the concept of smartcard use. It is built on the same principle of security as chip and pin for bank cards. Results in a 2 part authentication.
However, integration of smartcards should NOT result in loss of clinical functionality. If there is a lack of functionality , this reflects the failure of those who have been responsible for delivering this integration.
However, with Agfa Impax 6.2 integrated with smartcards we have found the following loss of functionality 1. Teaching files: Agfa Impax has good teaching file functionality used by many of our users. It is possible to create your personal teaching files which are private which you use of teaching and training. Due to indequate integration between CFH smartcards, and Impax 6.2, we have lost the private teaching files functionality. These teaching files have been made public -allowing ANY user to delete anybodys teaching file. This is due to poor integration. 2. again with smartcards: It is not possible to create a custom profile for all radiologist. This increases the training burden on Trusts.
I feel that despite the higher prices we pay, the functionality we get is less than Trusts who are buying directly from Agfa without CFH smartcards.