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This European Pre-standard defines a standard way of securing healthcare objects. The objects are secured in such a way that they can be transported over open, unsecured networks, or stored in open unsecured repositories. An application is able to decide whether to apply any combination of encryption and digital signature to an object. In general this European Pre-standard does not consider the contents of the objects, but can be applied to any octet string. This European Pre-standard is based on existing security standards. This European Pre-standard does not consider how the actual security is applied to the objects. A security infrastructure is assumed, which is used for performing the actual security operations.