This paper is attempting given a summery of the major building blocks and driving forces in the developments of medical informatics and medical imaging in special. The role of multi-media and broadband communication will be described. The paper should give an indication where the author sees medical imaging in the world of informatics, focusing from R&D to product developments, with emphases on standards and prototyping. The author will also define the molecule and atoms of medical informatics and medical imaging. The architecture of the CEN TC 251/4 draft standard will be described in relation to the general objectives of CEN TC 251.
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