National Health Identity (INS)
The National Health Identity (INS) makes it possible to reference healthcare data with a unique, long-lasting identity shared by all healthcare professionals.
Getting started
Since January 1, 2021, it has been mandatory for all healthcare data to be referenced with the INS.
- Limit misidentification of people in care, monitored or accompanied;
- Have a reliable identity that facilitates the exchange and sharing of personal health data ;
- Contribute to the quality of care and the safety of care;
- Enable the accelerated deployment of digital exchange and sharing services in the healthcare sector.
How to use INS
The INS must be "qualified" in order to be used. To do this, two conditions are necessary:
- On the one hand, the INS must come from the national reference bases (RNIPP (INSEE), SNGI (CNAV) and RFI (Cnam), all three synchronized with each other) or be checked against these bases, using the INSi teleservice implemented by Cnam.
- On the other hand, the user's identity must be validated in accordance with the rules and good practices of identitovigilance (RNIV) (verification of an identity document with a high level of guarantee or electronic identification with a substantial level of guarantee).
The INS implementation guide
We guide you through the steps to take, the players to contact, the documentation to consult.
Understanding INS in 3 min
Regulatory framework
Law 2016-41 of January 26, 2016 on the modernization of our healthcare system
Decree no. 2019-1036 of October 8, 2019 amending decree no. 2017-412 of March 27, 2017
Order of May 27, 2021 approving modifications to the "Identifiant national de santé" reference system
The INS repository describes the conditions and procedures for implementing the obligation to reference health data with the INS.
Frequently asked questions
What does INS consist of?
- The INS number (NIR - numéro d'inscription au répertoire national des personnes physiques - or NIA - numéro identifiant attente - of the individual). In practical terms, this number corresponds to the social security number for those entitled to benefits, i.e. the vast majority of adults. For other insured persons, this number appears on their social security certificate and will be displayed in the digital health space (Mon espace santé);
- Five strict reference traits(birth name, first name(s) at birth, date of birth, gender, place of birth).
What's in it for me?
As players in the healthcare and medico-social sectors, your customers are obliged to reference the healthcare data they process with INS. Evolving your products thus enables you to offer your customers a solution that complies with regulations.
Find out more about CHU d'Allauch's experience: INS - retour d'expérience du Centre Hospitalier d'Allauch - YouTube
What happens if I don't?
If you are concerned by the implementation of INS, you need to offer your customers an INS-compatible solution as soon as possible to enable them to comply with the obligation, which applies from January 1, 2021, to reference all healthcare data with INS.To do so, consult our guided path on INS implementation.
Non-compliance with this obligation entails several impacts:
- Your customers will not reference INS in their software, which will entail possible penalties with regard to several schemes (Ségur, HOPEN, portal referencing in Mon espace santé, etc. ).
- Your customers will not be in compliance with regulations. They will therefore be liable in the event of misidentification of their patients and users.
- The exchange and sharing of healthcare data by your customers will be less fluid.
- The identity used by your customers will not be the reference one, taken from the civil registry databases.
Training
Access the various contents of the platform e-santé-formation
Our experts on the subject
Finding your way around technical doctrine
The technical doctrine presents the actions of the ministerial roadmap for the digital shift.
