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This European Prestandard specifies services and methods for securing interactive communications used within healthcare. Interactive communications are defined for the purposes of this standard as scenarios where both systems are online and in bi-directional communication simultaneously. Securing in this European Prestandard includes the preservation of data integrity, the preservation of confidentiality with respect to the data being communicated, and accountability in terms of authentication of one or both communicating parties. NOTE Examples of interactive communication are the download of HTML content over the Internet, a DICOM communication, or remote login to a computer. This European Prestandard does not specify methods related to availability of the interactive communication, certification and certificate management and key management. Neither does this European Prestandard specify a mechanism for concealing that a communication session is in progress. This European Prestandard does not specify the methods or services required to secure the communicating systems themselves.