Table.

Levels of risk in the use of health telematic systems

Risk level	User	Typical activity	Typical system
1	Citizen	Self education, awareness	Website, health kiosk
2	Patient, carer	Inquiry about insulin dosing	Website for diabetic patients
		Consent for procedure	Videodisc with options for prostate cancer treatment
3	Clinician working at own level	General practitioner prescribing drugs	Drug prescribing or interaction system
		Nurse recording care plan	Nurse care planning system
		Physiotherapist using electronic patient record	Electronic patient record
4	Clinician working above  normal level	General practitioner referring patient to tertiary care	Website, telemedicine link to tertiary care
		Nurse triaging patient over telephone	Decision support system for nurse triage (such as NHS Direct)
5	Closed loop systems	Autonomous implant	Implanted defibrillator
		Direct device by sensor or feedback	Closed loop infusion controller, ventilator
		Automated scheduling	Automated screening, appointments scheduling