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.

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.

The service is only available for foreign patients that meet the following criteria:

• the patient must come from an EU country providing the Sesali service;
• the patient must have activated the service (depending on their country);
• the patient must have a medical summary in file in their country’s systems.

The list of eligible nationalities is available on the Sesali.fr homepage.

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. 

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".

Access to the service may be restricted for the following reasons:

• you do not specialise in occupational medicine
• you work for a private insurance company
• you no longer practise
• your CPS card has expired or been revoked
• your web browser is not compatible
• you are using a mobile appliance (smartphone or tablet)
• you are not included in the following list of health professionals:
  • general practitioners and specialists (radiologists, biologists, independent, employee, Samu-Emergencies-C.15, interns)
  • biological pharmacists and interns
  • pharmacists in dispensaries or hospitals
  • dental surgeon, interns
  • midwives
  • nurses
  • physical therapist
  • pedicure-podiatrists
  • speech therapists
  • ergotherapists, psychomotor specialists, orthopists, dieticians
  • medical radiologists

This midware allows the interfacing between computer applications, such as the Vivoptim doctors portal and the CPS card.

The professionals included in the Health Pro Directory are those listed in the RPPS by the Ordres (civil health professional) and the Army Health Service – SSA (military health professional):

• Doctors
• Pharmacists
• Dentists
• Midwives
• Physical therapists (Kine)
• Chiropodists
• Nurses

Professions listed in ADELI:

• Social service assistants Dental assistants
• Audioprosthesists
• Chiropractors
• Nutritionists
• Epithesists
• Ergotherapists
• Radiologists
• Ocularists
• Opticians
• Orthopaedist
• Speech therapists
• Psychologist
• Psycho-motor therapist
• Lab technicians

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.

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).