Framework compass
The “Technical Framework house” describes the actions in the ministerial roadmap for the eHealth shift.
It lists all the applicable standards and services for the deployment of digital services in an organised, trusted technical framework.
Click on an area in the diagram to find out the most important things about the subject.
Services socles
Référentiels Socles
Éthique :
Sécurité :
Interopérabilité :
Légendes :
Plateformes numériques
Outils
Gisement de données
Documents de référence
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Support
This topic covers support for the major national programmes run by the Ministry of Health:
- The HOP'EN programme
- The Digital Care Homes (ESMS) plan
- Telehealth
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Commitment
All stakeholders will be involved in the debate on national eHealth policy and the terms of its implementation.
This participatory approach is reflected in
- the eHealth Council (CNS)
- The eHealth Council’s subject-specific working groups
- citizen workshops
- the "Committed to eHealth" charter for manufacturers
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Evaluation
Evaluation is key to the development of practices:
- Evaluating the compliance of digital services with the regulatory framework to give users confidence
- Evaluating the service provided by digital technology to patients and professionals.
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Innovation
There are two actions aimed at accelerating innovations and bringing about or disseminating new concepts or technologies.
- the Structures 3.0 Call for projects aims to create a network of pilot structures ready to experiment with new digital practices
- The eHealth Council (CNS)’s Sector Development Working Group
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Health Data Hub
Health is expected to be a priority industry for the development of artificial intelligence (AI) in France.
The creation of the Health Data Hub is meant to facilitate access to health data for innovative projects of public interest under high security conditions and with respect for citizens' rights.
Découvrirthe sheet Health Data HubEn cours de construction
Service package
The service package allows healthcare professionals to access multiple services in one place.
Core services: Shared Medical Record (DMP), secure messaging (MSS), e-prescription, e-treatment coordination services
A mirrored version of the patient’s Health Data Personal Space
Services offered by private stakeholders: Publishers, manufacturers and eHealth innovation players
Existing services offered by the compulsory and complementary Health Insurance Funds, for instance
Découvrirthe sheet Service packageEn cours de construction
Mon Espace Santé
Mon Espace Santé is a personal space where users manage their health data, exchange messages with their health professionals, and aggregate all events related to their care.
Mon Espace Santé includes a set of eHealth services that users can activate to facilitate the exchange of data concerning their health.
It simplifies citizen's courses of treatment throughout their life and guarantees the protection of their health data.
Découvrirthe sheet Mon Espace SantéTo see on the same subject
Opérationnel
Coordination Tools
This is a set of services for courses of treatment, allowing professionals to coordinate, share information about the user's situation, and organise their course of treatment seamlessly.
Access to digital coordination services is provided via the service package for professionals and the Health Data Personal Space user space.
These services are provided by the manufacturers retained under the e-Treatment framework agreement.
Découvrirthe sheet Coordination ToolsTo see on the same subject
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MSSanté Secure Messaging Service for professionals and citizens
MSSanté is the secure national health messaging system.
It is a secure exchange space within which health, medical, and social care professionals can securely email health data (which is kept confidential , and the identities of those involved in the exchanges can be trusted).
It allows the exchange of messages and documents such as referral letters or reports (hospitalisations, consultations, labwork, etc.).
Découvrirthe sheet MSSanté Secure Messaging Service for professionals and citizensTo see on the same subject
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Shared Medical Record (DMP)
The Shared Medical Record (DMP), a service for sharing medical information, is the eHealth record that stores and secures patients' health information: treatments, test results, allergies, etc.
It allows that information to be shared with the patient's preferred health professionals, who need it to treat their patients.
Découvrirthe sheet Shared Medical Record (DMP)To see on the same subject
En cours de construction
Calendar
The objective is to centralise the user's/patient's appointments in their Mon Espace Santé, drawing from the various existing and future systems and appointment platforms.
Découvrirthe sheet CalendarEn cours de construction
e-Prescription
E-prescription refers to making the prescription process more digital between doctors, pharmacists and other prescription dispensers.
It simplifies and secures the prescription transmission process, from writing the prescription to dispensing by the pharmacist, or enables fulfillment by the prescription dispenser.
It helps to make exchanges between doctors and prescription dispensers more fluid and reliable, and thus to promote the coordination of care, particularly through the sharing of information in the DMP.
Découvrirthe sheet e-PrescriptionEn cours de construction
Ethics toolbox
The aim of the Ethics Unit is to provide an ethical framework for the development of eHealth that is responsible and respects the rights of everyone in the ecosystem, both patients and professionals, in order to guarantee trust, compliance, and, consequently, practices. The creation of the Ethics Unit corresponds to Action 4, "Ethics", of the eHealth Roadmap presented at the eHealth Council on 18 June 2020.
Découvrirthe sheet Ethics toolboxOpérationnel
Cyber-surveillance
In order to improve the security of health information systems, a cyber-surveillance service is being set up.
Cyber-surveillance is a service to diagnose and evaluate the security of the information system with regard to the Internet.
It is meant to measure how susceptible a system's Internet-exposed interfaces are to known vulnerabilities.
Découvrirthe sheet Cyber-surveillanceTo see on the same subject
En cours de construction
ApCV
The France Connect authentication system and the Carte Vitale app (ApCV) will guarantee a secure connection, allowing the patient to be unambiguously identified when using eHealth services.
Découvrirthe sheet ApCVTo see on the same subject
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e-CPS
e-CPS is a means of electronic authentication for healthcare professionals.
It offers strong authentication on mobile devices.
e-CPS is based on Pro Santé Connect, the centralising authority for identity providers.
Integrating e-CPS into your apps guarantees that you will have an authentication system that complies with regulations at all times, and is based on enforceable data.
Découvrirthe sheet e-CPSTo see on the same subject
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FranceConnect
FranceConnect is a centralising authority for identity providers: AMELI, tax account, postal service, MSA, Mobile Connect et Moi.
It allows stakeholders offering eHealth services to identify their users (citizens/patients) in a way that takes the sensitivity of the service into account.
Implementing the solution is simple and based on standard technologies.
As of 2021, new identity providers will add further "substantial level of assurance" options, in particular with the Carte Vitale app (ApCV) and the electronic national ID card (CNIé).
Since 2020, private eHealth services have also been able to use FranceConnect. Designers, apply to try it out.
Découvrirthe sheet FranceConnectTo see on the same subject
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Pro Santé Connect
Pro Santé Connect is a centralising authority for identity providers.
It provides
- for professionals in the health sector, a simple way to authenticate themselves electronically to access digital services.
- for digital services, a simple way to implement an electronic authentication solution.
Pro Santé Connect carries out the authentication instead of the eHealth services and saves you from having to manage this process.
Découvrirthe sheet Pro Santé ConnectTo see on the same subject
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French National eHealth ID (INS)
The French National eHealth ID (INS) allows all stakeholders to use the same ID for the user: the INS identity.
This allows for optimised sharing of medical information between care providers, with complete security and trust.
Health data must be listed with the INS identity byJanuary 1, 2021.
Découvrirthe sheet French National eHealth ID (INS)Opérationnel
RPPS+ (French HPs shared directory)
The RPPS is the leading directory for identifying individual professionals working in the health, medical and social care sectors.
The data on the identity of professionals and their skills are reliable and enforceable.
The ANS Health Directory services allow you to access RPPS data for any use requiring the identification of a professional in the sector.
The RPPS is also used to issue professionals with electronic means of identification (CPS card, e-CPS, etc.) to access eHealth services that have incorporated Pro Santé Connect.
Découvrirthe sheet RPPS+ (French HPs shared directory)To see on the same subject
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FINESS+
The Health Directory is the national reference directory containing the identification data of all professionals involved in the health system.
The data on the identity of professionals and their skills are reliable, and enforceable.
Integrating the Health Directory in your applications allows you to have up-to-date, enforcable data.
Découvrirthe sheet FINESS+To see on the same subject
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ROR
The Operational Directory of Resources (ROR) is the data repository describing the health care available in both the medical and social care sectors.
Some thirty business applications are currently connected to the ROR.
These applications, used by professionals or users, help to guide people or coordinate courses of treatment.
To see on the same subject
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HDS
Personal health details are sensitive data
and they are regulated by law to protect our rights.
Health data hosting (HDS) must therefore be carried out under security conditions appropriate to the data's criticality.
A standard published by ministerial order defines the terms and conditions expected.
Découvrirthe sheet HDSOpérationnel
General Security Policy for HIS
The General Security Policy for Health Information Systems (PGSSI-S) sets out the relevant standards and good practices as well as a common framework for Information System security in the health sector.
Designers: Identify the implementation stages for an implementation in accordance with your roadmaps.
Découvrirthe sheet General Security Policy for HISTo see on the same subject
En cours de construction
Health Terminology Management Centre (CGTS)
Healthcare professionals use multiple terminologies, value sets, etc. for different formats used by software publishers.
The CGTS is a national public portal that distributes semantic resources for the health and social care sector, free of charge.
Designers: The CGTS offers support services to optimise the use of terminologies in your apps
Découvrirthe sheet Health Terminology Management Centre (CGTS)To see on the same subject
En cours de construction
Multi-Terminology Server
The CGTS is a national public portal that distributes semantic resources for the health and social care sector, free of charge.
The Multi-Terminology Server (MTS) is the technical tool of the Health Terminology Management Centre (CGTS) for the dissemination and management of health terminology.
Découvrirthe sheet Multi-Terminology ServerTo see on the same subject
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SIS Interoperability Framework
The interoperability framework for health IT systems (CI-SIS) sets out the rules for compatible health information system by setting specifications for flows between such systems.
Designers: Learn about the technical and semantic standards, and make your applications interoperable with other professional tools.
Découvrirthe sheet SIS Interoperability FrameworkAccelerating the digital shift in health
For several years now, the French health system has been undergoing a transformation, with the implementation of a policy to transform our health system, and in particular eHealth (securing health data, interoperability, etc.)
This transformation policy is described in a roadmap based on five major actions: Strengthening the governance of digital health, intensifying the ethics, security and interoperability of health information systems (IS), accelerating the deployment of core digital services, deploying digital health platforms at the national level and supporting innovation, evaluating and encouraging the commitment of stakeholders, in order to facilitate the development of innovative projects in the health sector.
The implementation of the "Accelerating the digital shift" roadmap is described in the technical framework. The purpose of this doctrine is to describe the technical and architectural frameworks in which digital services for exchanging and sharing data are to take place (interoperability framework, core standards, tools, etc.). Like the “Accelerating the eHealth shift" roadmap, this Technical Framework focuses on the exchange and sharing of health data in the health and social care fields. This support will make it possible to improve both the care pathway as perceived by patients and health professionals, and the reliability and security of health data.
The compass of the eHealth framework
In order to help professionals develop medical devices and IT tools, the G_NIUS platform contains a service to make this technical framework easier to understand: The Framework Compass. In the House, you’ll find support for each action in the digital health roadmap (standards, applicable services for the development of your project).
The bricks of the house represent every action that can be taken in the process of creating and marketing your project. Click on a brick to find information that will help you develop your health innovation project (Mon Espace Santé, DMP, E-monitoring, health data hosting (HDS), etc.). The compass helps you search for support and information on the use of standards, the services in place, dedicated tools, applications (for professionals and patients), test platforms, new digital or health legislation, and related news and events.
You can also keep up with the latest trends in eHealth entrepreneurship with our podcast "100 jours pour réussir (100 Days to Succeed)". The programme includes interviews with experts (Agence du Numérique en Santé, CNIL, etc.) on topical issues and several tips for moving from theory to practice.
G_NIUS, via this compass, will help you to orientate yourself in this roadmap in order to carry out your project.