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The accountability framework defines the means that can be used to:
- ensure traceability of actions carried out in relation to a healthcare IS;
- guarantee the value of recorded traces;
- control the use made of this healthcare IS.
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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.
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The study conducted by the ANS helped establish that the equipment used in telehealth practices can be :
- A space dedicated to telehealth
- A teleconsultation booth
- A console with screen
- A teleconsultation cart
- A visioconference cart
- A PACS console
- A computer with webcam
- A digital tablet
- A smartphone
- Carte Vitale reader
- Digital dermatoscope
- Digital otoscope
- Digital ophthalmoscope
- Digital fundus camera
- Connected echograph scanner
- Connected thermometer, stetoscope, scale and tensionmeter
Further information is available in the Documentation.
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In an inclusive way, all digital services aimed at citizens and useful for their healthcare can apply. Eligible services must be for the use of patients/citizens and proposed by public or private actors in the medical (health, wellness), social-medical, or social fields. The services must be included the definition set out by the L. 1111-13-1 bill:
These services may include mobile apps, websites, connected objects, medical devices. They may be free services or not.
Services in the realm of the EU regulation 2017/745 relating to medical devices must be conform to security and performance requirements. If your solution passes the conformity requirements, it will receive the CE label for medical devices.
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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.
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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.
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In order for your service to be referenced in the My Health Space database, it must comply with the eHealth doctrine.
The doctrine is re-edited each year and defines the base rules of good practice for security, interoperability, and ethics applicable to eHealth services.
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My Health Space includes the following health data:
- The medical profile entered by the patient, in an unstructured format (preconditions, allergies);
- Health measurements (weight, height, BMI, temperature, waist size, heart rate, blood pressure, glycemic index, level of pain) in FHIR format;
- Health documents (for example: test and diagnosis results, hospitalisation reports, medical treatments).
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