Dossier Médical Partagé (DMP)
The Dossier Médical Partagé (DMP) is the digital health record, implemented by the French health insurance scheme.
Getting started
The Dossier Médical Partagé (DMP) (shared medical record) responds to a public health challenge. By centralizing a patient's health information, the DMP strengthens collaboration between all healthcare professionals, whether they practice in town, hospital or the medico-social sector, and facilitates patient follow-up. Its use is particularly relevant for having the right information, at the right time, wherever you are.
For any healthcare/medical-social and social professionals, it is also the guarantee of better medical care for patients. To access the DMP, healthcare professionals have two connection channels: from their DMP-compatible business software or via the WebPS DMP interface (from the dmp.fr site), authenticating via a CPx/e-CPS professional card or via an application server certificate (CSA) in structure. Discover the electronic means of identification that's right for every situation.
The healthcare/medical-social and social professional can consult the documents contained in the DMP, if authorized by the patient and according to the habilitation matrix of the DMP. It can be used to supply documents useful for patient care. For professionals in the medico-social and social sphere, technical work is underway to enable operational access to the DMP under the conditions set out in the habilitation matrix.
Some documents are subject to mandatory inclusion in the DMP: Article L. 1111-15 of the French Public Health Code "Each healthcare professional, whatever his or her mode and place of practice, must enter in the shared medical record, on the occasion of each act or consultation, the diagnostic and therapeutic elements necessary for the coordination of the care of the person under his or her care, the list of which is set by order of the minister in charge of health" (Arrêté du 26 avril 2022, modifié par l'arrêté du 23 mai 2024).
Beyond the feeds made by patients and/or healthcare professionals, certain documents are automatically fed into patients' DMPs by the Health Insurance, such as reimbursement histories.
On the user side, the DMP has been integrated since early 2022, into their digital space, called Mon espace santé, created for all people affiliated to a French compulsory Health Insurance scheme, unless they have objected. A medical file is then automatically created for these users. For those who already had a DMP before this automatic creation, all data is retrieved in Mon espace santé.
In practice
In order to interface with the DMP software must first be authorized by the Centre national de dépôt et d'agrément (CNDA).
The process aims to ensure that the software complies with the specifications defined in the integration guide.
- DMP Compatibility Authorization Process (CNDA)
- LPS integration guide (Espace Industriel du GIE SESAM Vitale)
In addition, a software version compliant with the Ségur du numérique en santé is strongly recommended: Le Ségur du numérique en santé
When ?
The DMP has been integrated into Mon espace santé since 1er January 2022, and has been created automatically for all people affiliated to a French compulsory Health Insurance scheme, unless they have objected.
Compliance
Interface with the DMP
To be able to interface with the DMP under the conditions defined in the publishers' contract (DMP general conditions and special conditions), software must first be authorized by the Centre national de dépôt et d'agrément (CNDA).
The authorization process aims to ensure that software complies with the specifications defined in the business software integration guide in order to guarantee interoperability and service security.
The DMP-Compatibility can be complete (creation, feeding or consultation of the DMP) or partial. Software authorization for DMP-Compatibility is acquired following a specific process.
The DMP-Compatibility guide is designed to ensure the interoperability and security of the service.
Frequently asked questions
Training
Access the different contents of the platform esanté-formation
Documentation
Our experts on the subject
- Assignment manager, DMP expertise: YEZZA.GABSI@assurance-maladie.fr
- Assignment manager, DMP expertise: SEVERINE.BRACHET3@assurance-maladie.fr
Finding your way around technical doctrine
The technical doctrine presents the actions of the ministerial roadmap for the digital shift.
The Dossier Médical Partagé (DMP): A Key Space for Innovation in Digital Health
The Dossier Médical Partagé, or DMP, is a personal, secure digital space where every patient in France can store and share their health information with the healthcare professionals of their choice. Understanding how the DMP works and its potential is essential for innovators wishing to develop relevant, regulation-compliant digital healthcare services.
DMP: A Pillar of Care Coordination
The DMP centralizes a patient's medical data, such as treatments, allergies, medical history, test results and care reports. This digital file promotes better coordination between the various professionals involved in patient care, thereby improving the quality and safety of care.
Opportunities for Innovation around the DMP
For players in digital healthcare, the DMP represents fertile ground for innovation. By respecting security and confidentiality standards, it is possible to develop applications and services that:
- Ease access to DMP information by patients and professionals thanks to intuitive, ergonomic interfaces.
- Provide clinical decision support tools based on analysis of the data contained in the DMP.
- Improve monitoring of chronic diseases through personalized reminders or alerts.
- Enable patients to better understand and manage their health with clear, tailored information.
Regulatory and Technical aspects
Access to the DMP is secure and controlled. Healthcare professionals must have a CPS (Carte de Professionnel de Santé) or e-CPS card to access it, while patients retain full control over their data: they can consult the history of accesses to their file or even hide certain documents. The Caisse Nationale de l'Assurance Maladie (CNAM) plays a central role in the deployment and maintenance of the DMP. The creation of a DMP is a right offered to every person receiving health insurance in France.
The Code de la Santé Publique (CSP) strictly regulates the use of medical data contained in the DMP. In addition, a dedicated commission ensures compliance with the ethical and regulatory rules associated with this system.
By integrating these technical and regulatory aspects, innovators can design tailored solutions that integrate harmoniously into the DMP ecosystem, serving patients and healthcare professionals alike.