On Wed, 16 Feb 2005 15:20, you wrote:
> 1) when you say "the requesting doctor polls", is is straightforward
> to set up the server to poll the mailbox, are special software
> packages required to process S/MIME email

it's the same process as polling email - in fact, you can use fetchmail or 
your favourite email client to do it.
A python 2-liner can do it for you too.

> 2) would this approach scale well, for example if a lab (or data
> clearinghouse) had a thousand doctor groups, would the administrative
> workload for the lab to maintain such a system be unattractive?

Suppose it scales - my  path provider is Mayne Health, one of Australias 
largest pathology service providers. Their customer base is probably more 
like tens of thousands rather than thousands.

Horst


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