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The RFID and sensor technology has great potential in medical and healthcare service to improve patient safety and medical services. However, the privacy problem related to medical and healthcare information has become a serious issue in the real service environment. In this paper, we propose privacy architecture for mobile RFID based integrated service with medical and healthcare application. To support reliable and personal privacy controllable service, the proposed medical system has medical discovery gateway and medical privacy management server. Furthermore, the medical application architecture was verified to real hospital environment by ER and health examination service as a trial service style.