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 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).
Decree no. 2023-1210 of December 20, 2023 defines the terms and conditions for implementing this deadline and specifies the Digital Prescription process. As part of Ségur wave 2, work on digital prescriptions is continuing, particularly in the field of healthcare products with prescribing physicians and pharmacies. However, the level of deployment of solutions expected by the end of 2024 has not yet been achieved, and we are therefore concentrating our efforts on ensuring that all doctors and pharmacies in towns and cities are fully equipped by 2025. For the deployment of other professions in towns and hospitals, work is underway to adapt the initial timetable.
In order to ensure the buy-in of Healthcare Professionals, the Digital Ordering System must become part of their business processes, which requires work to integrate it into the software offerings of prescribers and prescriptions.
This involves several stages:
- The prescriber enters the 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 displayed on the prescription under the 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. Procedures performed or dispensed are also transmitted to Assurance Maladie, alongside the invoice, and stored in the e-prescription database.
With Assurance Maladie in possession of prescription, dispensing or procedure performance data, 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 long as it is automatically fed into the DMP from the prescriber's software.
In practice
The GIE SESAM-Vitale is making the "digital prescription" specification package available to publishers on its Espace Industriels. Publishers doctors, pharmacists, LPP (liste des produits et prestations remboursables par l'Assurance Maladie) professionals, midwives, dental surgeons, nurses, masseurs-kinésithérapeutes, orthoptists, speech therapists and pedicures-podologues 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, will be rolled out from 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.
The rollout will be carried out in stages and in conjunction with representatives of the professions concerned. The level of deployment of solutions expected by the end of 2024 has not been achieved, and the deadline of 12/31/2024 set by law has been adapted. As a result, we are concentrating our efforts on ensuring that all doctors and pharmacies in towns and cities are fully equipped by 2025. For the deployment of other professions in towns and hospitals, work is underway to adapt the initial timetable: See the press committee of the 11th Ségur digital follow-up committee
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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
Decree no. 2023-1222 of December 20, 2023 on electronic prescriptions
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 publisher 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 the 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 that the end-to-end service functions correctly and that the e-prescription database is properly populated, prior to deployment.
For any questions relating to the development of the 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
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