The telecare medicine information system enables or supports health-care delivery services. In recent years, the increased availability of lower-cost telecommunications systems and custom made physiological monitoring devices for patients have made it possible to bring the advantages of telemedicine directly into the patient's home. These systems are moving towards an environment where automated patient medical records and electronically interconnected telecare facilities are prevalent. A secure authentication scheme will thus be needed to safeguard data integrity, confidentiality, and availability. Many schemes based on cryptography have been proposed for the goals. However, much of the schemes are vulnerable to various attacks, and are neither efficient, nor user friendly. Specially, in terms of efficiency, some schemes need the exponential computation resulting in high time cost. Therefore, we propose a novel authentication scheme that is added the pre-computing idea within the communication process to avoid the time-consuming exponential computations. Finally, it is shown to be more secure and practical for telecare medicine environments.

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With the rapid development of the Internet, digitization and electronic orientation are required in various applications of our daily life. For e-medicine, establishing Electronic patient records (EPRs) for all the patients has become the top issue during the last decade. Simultaneously, constructing an integrated EPR information system of all the patients is beneficial because it can provide medical institutions and the academia with most of the patients' information in details for them to make correct decisions and clinical decisions, to maintain and analyze patients' health. Also beneficial to doctors and scholars, the EPR system can give them record linkage for researches, payment audits, or other services bound to be developed and integrated into medicine. To tackle the illegal access and to prevent the information from theft during transmission over the insecure Internet, we propose a password-based user authentication scheme suitable for information integration.

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The rapid rise and development of the internet has made digitization of our everyday life common. E-medicine, including electronic prescription records, electronic prescriptions, diagnosis information systems, and others are now being regarded as future trends. As development on the structure and format of electronic patient records and prescriptions matures, the implementation of a comprehensive medical information system is imperative, one which is constructed from integrating the various electronic information systems that is being developed. It is important to allow the implementation of such a system applicable to the present medical environment, which facilitates the integration of electronic patient record from all levels of medical centers and clinics, secures the transmission of these integrated patient records between them, enables the combined use of electronic prescriptions with patients' medications, and permits anonymous or confidential transmission of patients' private data. To put the ideas into practice, in this study, we would like to propose an Integrated Medical Information System.