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.

The list of connected services is available online.

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.

Guarantees are set out on the dedicated page.

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.

In order to request test products for certificates (CPS cards and test software certificates) issued by the IGC-Santé, go to our service page for the IGC-Santé.

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.

It is compulsory to have an individual CPx-type card to log in to the INSi teleservice. Three types of cards are supported: CPS, CPE, CPF. 

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.

CPx cards issued before December 2020 have a contactless chip that prevents from overwriting its code.

The new CPS R3V3 cards that are now in circulation have a Mifare Desfire chip. These cards can stock crypto-secret keys that work with the Mifare Desfire protocol.

All the information about this feature is available in the Manual to deploy contactless CPx cards (available to download below). One must be cautious about the data inserted in the chip’s writing code.

We strongly advise against using this section of the chip to stock access rights. The ANS recommends you to use the ANSSI guidelines on using a "transparent" reader in connected mode. This does not involve a cryptographic protocol during a badge authentication – only the UTL (logic treatment unit) takes part in the cryptographic protocol.

ANSSI advises against setting up a “smart” badge allowing a double authentication breaking from the UTL.

All the recommendations on securing systems for physical access and video projection are available in the document below, "Recommendations on securing systems for physical and video projection access".

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).

The certificates that the ANS issues are an official means to identify the players of the health sector, persons and organisations. Certificates also act as a seal of quality, making sure that the issuing cryptographic key infrastructures (CKP) are conform to the sector’s best practice standards. Certificates can be revoked in case of failure to comply.

No, a person may only have one e-CPS card at a time.