To make sure your software complies with the guidelines required to implement INS into software, several documents are available:

Le Centre de Gestion des Terminologies de Santé a donc pour mission de se charger de cette maîtrise d’ouvrage opérationnelle des ressources sémantiques, mais aussi du guichet national de publication, ainsi que de l’accompagnement des utilisateurs. En France, le CGTS regroupe à date au sein de son catalogue 34 Terminologies couvrant un grand nombre de domaines médicaux.

There are two steps to follow:

Step 1: Administrative phase

Should you wish to order test CPS cards or register authorisations for test software, you may:

• read our complete products offer ;
• place an order
  To place an order, select your Profile and your Structure, then choose “Produits de développement. Commander des produits de développement : carte et/ou certificat logiciel de test" (Test products for products, cards and/or test software).

Step 2: Technical phase

Use the card you validated after step 1 in order to connect with the Trusted Platform IGC-Santé. You will be able to order, withdraw, monitor and revoke test certificates through the IHM or Webservice interface.
In order to do so, make sur you have inserted your test card in the card reader. 

Read more about specific setup guidelines:

The open access data is free to download. However, the user must be mindful of the General Conditions when working with the Health Pro Directory information.

There are two search options in the Health Pro Directory:

• A keyword search (Who ? What ? Where ?) that allows you to find professionals in matching establishments;
• A detailed search (Profession, specialisation, skills, ID, place of practice) to target health professionals or health structures.

The RPPS has restricted access content. You need to log in to the Health Pro Directory to access these data. The use of a CPS card as means of authentication is required:

• if you carry a Director of Establishement (CDE) card or a liberal CPS card, you may automatically access the information whose access is granted to you;
• in other cases, accessing the directory with a CPx-type card may need a prior enrolment process with the ANS. You will need to fill a RPPS access request form.

You need a card reader in order to authentify yourself with a CPx-type card.

For further information, read our pages to the CPS and e-CPS.

Health professionals are encouraged to use MOS and NOS for three main reasons :

• enhance the interoperability of information systems by harmonising names, attributes, codes and nomenclatures;
• share the same understanding of the information, regardless of which directory or reference document it is taken from;
• facilitate the specification, analysis and conception of a project. 

The ANS offers training on MOS-NOS and the elaboration method for exchanges’ functional specs (see our Documentation section).

The illustration below gives you examples of the types of professionals using the MOS-NOS: 

A terminology is an ensemble of concepts defined by terms which belong to a specific language set. 

Terminologies are defined through a research process aimed at finding the most relevant terms used by a specific profession (or a field of expertise) in a particular context of use. 

Centralising and monitoring this vocabulary is essential to maintain a coherent use of the terms amongst eHealth experts and healthcare professionals.

Our partner, the GIE Sesam-Vitale, is here to provide you with support and answer your questions about your software project, how to integrate INSi, or solve any potential technical setbacks. 

The helpdesk is available by phone at +33 (0)2 43 57 42 88, from 9am to 12noon, and from 2pm to 6pm, Monday to Friday. You may also send an email to centre-de-service@sesam-vitale.fr.

In order to make the check lists more transparent and reduce the risk of seeing your Ségur application denied, we have published a document listing common mistakes, which is available below:

Your level of access to the ROR data depends on the nature of the data you wish to use (public/restricted) and the perimeter you wish to cover (one ROR or several ROR directories).

The ROR data in public access:

• is available as opendata since mid-2022;
• will be available directly on the national ROR with no specific procedure in early 2023.

The ROR data in restricted access (professional access):

• for one regional ROR, you must complete a request form to join the regional circle of trust and send it to the region’s GRADeS;
• for several ROR directories, you must complete a request form to join the national circle of trust and send it to the ROR program team.

The update frequency depends on the source of the data. Data is updated daily when it comes from entities such as: national councils for the Ordres, the army health service, the FINESS directory, the CPx card information system; the MSSanté information system. Data coming from regional health agencies is updated on a weekly basis.

The IGC-Santé is dedicated to the health sector and follows strict procedures in terms of data collection, professional identification, and works with certified authorities (RPPS register, etc.).

The certificates issued by the IGC guarantee the security of software or electronic cards, such as the CPS card.

The IGC also manages the publication of these certificates and can revoke them – this is signalled to the apps using certificates in revocation listings.

A software publisher usually integrates several terminologies that cover standard usages: common names and codes, language names and codes, countries... 

Then they integrate “Base Terminologies” (drug terminologies, billing, administrative) and occupation-specific terminologies (Terminology of the living, cardiology terminology, geriatric terminologies, etc.).

The MOS is a collection of concepts described homogeneously and neutrally in terms of technologies. It offers a common description of the information processed and exchanged in the information systems to make digital communication easier.

The overall consistency of the MOS is founded on the definition and description of its UML (Unified Modelling Language) concepts.

Some MOS concepts can be coded. They are associated with the nomenclatures of health objects (NOS), i.e. lists of codes/labels.

You are encouraged to use MOS and NOS to :

• optimise and coordinate efforts when you analyse or conceive a system (or an application) by re-using the same semantic components;
• make sure there is consistency in your internal developments and with external systems, for the best possible interoperability.

The digital transition in France involves much more health data transfers. It is essential to set up a common language in this ecosystem, which currently lacks homogeneity at a local and international scale. The CGTS was created by the State to centralise the semantic resources for health professionals.

The European Commission’s studies have determined there is a need for a base vocabulary, such as MOS and NOS, which can be used as a starting point for:

• develop and evolve information systems (IS) to formalise the conceptual and logical data they utilise (for instance, the MOS is a reference for the modelling of the RPPS);
• share information between ISs to create specific models of data they can use (thus, the MOS is underlying the ROR exposure model);
• combine and synthetise elements originating from different sources;
• publish data in a common format, such as a directory or catalogue of service (for example, the Annuaire Santé / Health Pro Directory).

There are two main reasons for the creation of IGC-Santé :

• guaranteeing the security of private keys and certificates issued by the ANS: the access to these private keys must be limited in order to prevent duplicates or their installation more than one device;
• maintaining a continuity in services: many health apps used to work on certificates issued by former CKI that ceased their activity in January 2021. These apps must be compatible with certificates issued by the IGC-Santé.

In addition, these certificates meet the security standards (risk analysis, safety policies), or “Certifying Policies” that comply with the PGSS-IS guidelines.

Upgrading your products allows you to offer your customers a solution that complies with current regulations. Failure to meet this requirement will have several impacts: 

• Your customers will not incorporate the INS into their software, which will entail possible penalties with regard to several systems (Ségur Wave 1, HOPEN, portal listing in Mon Espace Santé, etc.) ; 

• Your customers will not be in compliance with the law. They will therefore be responsible for any errors in the identification of their patients and users ; 

• Sharing health data by your customers will be more time consuming ; 

• The identity used by your customers may not be the right one, for instance if a patient uses their married name or if the patient is a child registered under their parent’s social security number.