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