Digital prescription
E-prescription, deployed under the name L'Ordonnance numérique, consists in dematerializing the prescription circuit between prescribing and prescribing professionals.
Getting started
The Digital Prescription has been deployed since 2022 for healthcare product prescriptions, with doctors and town pharmacies. The law provides for the scope of the Digital Prescription to be extended to all prescriptions for healthcare products and services before December 31, 2024 (see order no. 2020-1408 of November 18, 2020).
In order to ensure the buy-in of Healthcare Professionals, the Digital Ordinance must become part of their business process, which requires work to integrate it into prescribers' and prescribers' software offerings.
This is characterized by several stages:
- The prescriber enters prescription data, which is sent in structured format and stored in the e-prescription database, hosted and secured by Assurance Maladie.
- Each prescription is associated with a unique prescription number, accessible via a QR code and appearing on the prescription under this QR code.
- This QR code enables the prescribing healthcare professional to consult the prescription data by querying the e-prescription database from his or her software, and then to fill the prescription. The acts performed or dispensations are also transmitted to Assurance Maladie, alongside the invoice, and stored in the e-prescription base.
Since Assurance Maladie has the data on prescriptions, dispensing or procedures performed, the prescriber no longer needs to scan the prescription and send it via the SCOR (SCannérisation des ORdonnances) device. Patients can also retrieve their prescription from Mon espace santé, as it is automatically fed into the DMP from the prescriber's software.
In practice
GIE SESAM-Vitale is making the "unified e-prescription" specification package available to publishers on its Espace Industriels. Prescribing editors, pharmacists and LPP (liste des produits et prestations remboursables par l'Assurance Maladie) professionals can access it from their Espace Industriels account. Find all the information on the GIE SESAM-Vitale website
When ?
Following on from the PEM 2D (2017 to 2018) and then e-prescription (2018 to 2021) experiments, unified e-prescription, the core service of the Ségur du Numérique, has been rolled out since 2022 to prescribing and prescribing healthcare professionals and the general public under the name of Digital Prescription, starting with doctors and pharmacists.
In parallel, work is continuing with other categories of healthcare professionals.
Deployment will take place in stages and in liaison with representatives of the professions concerned, in order to meet the 12/31/2024 deadline set by law.
Discover the digital prescription on video
Compliance
Law on the organization and transformation of the healthcare system
July 24, 2019 - Law on the organization and transformation of the healthcare system
Order no. 2020-1408 of November 18, 2020
Unified e-prescription service / Digital prescription integrated into business software
The "unified e-prescription" or "digital prescription" service is offered in integrated mode in prescribers' and prescribers' business software. It is being rolled out in several stages:
- The publication of publishers' specifications for prescriber and prescription software, made available on the GIE Sesam-Vitale industrial space;
- The development of the software-integrated solution by the publishers;
- The signing of an agreement setting out the contractual conditions for deployment of the service and verification of the conformity of their developments by the CNDA (Centre National de Dépôt et d'Agrément);
- Progressive deployment in the field, training and support by publishers for their user clientele.
Preseries of the Digital Ordinance
The rollout of the service is currently conditional on the production of a software pre-series, included in the contractual conditions of the agreement signed by the publisher when it was authorized by the CNDA. These pre-production runs ensure, prior to deployment, that the end-to-end service functions properly and that the e-prescription database is correctly populated.
For any questions relating to the development of Digital Prescription, contact GIE Sesam - Vitale at the following address: relations-industriels@sesam-vital.fr
Frequently asked questions
A FAQ for manufacturers is available on the GIE Sesam-Vitale manufacturers' area. If you do not have access to this area, please consult the access request procedure
.Documentation
Roadmap
Project milestones
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T1 2023 :
The CNAM, GIE and MOAD are continuing with software pre-series with publishers applying to roll out the Digital Prescription
.On 27/03/2023, the pharmacist software Id. (LGPI, version 2.20, from publisher EQUASENS), referenced Ségur, successfully validated the pre-series phase. This publisher, which represents a significant market share for the equipment of city pharmacies, has begun the deployment of the service to its pharmacist customers.
In June 2023, physician software Weda also successfully validated its pre-series phase.
A teleservice for speech therapists to consult prescription data via amelipro is currently being tested. This will enable the Digital Prescription service to be adapted to the profession's uses, and the software specifications to be drawn up for 2024.
A teleservice for consulting prescription data by speech therapists via amelipro is currently being tested.
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T2 2023
An initial trial of the Digital Prescription in establishments has been carried out on pilot EHPADs, in order to define the conditions for successful deployment in establishments;
Deployment was gradually extended to new categories of healthcare professionals, in conjunction with representatives of the professions concerned, to extend the uses of the service:
- mid 2023: availability of surgeon-dentist and midwife specifications .
- end 2023: publication of specifications for nurses and masseurs kinésithérapeutes
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2024
Deployment will continue in conjunction with wave 2 of Segur, in order to keep pace with the widespread use of the Digital Ordinance set out in legislative and regulatory texts.
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