What is the approach to the scenario where one or more messages, which had been encrypted using the public key of a specific doctor, arrives in the doctor's system while the doctor is away? It may not matter for purely personal items however in the case of any time-sensitive patient needs it could be a big problem.

The message, if unconfirmed beyond a defined time, *could* notify the message originator who could re-send it to an alternative person, but what then if the *originator* happened to be away?

Is there any provision for the information to be securely messaged (emailed) to a group, rather than to an individual? And who decrypts on behalf of the group? A trusted computer administrator/ clinical manager could be responsible for the decryption process obviating any breach of the individual doctors' personal passphrases. And yet even if the sending party could *know* to send the message to a group, this approach would preclude the perhaps intended ability to limit the message to the individual, rather than to the group responsible for a patient.



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