The ANS conducted a study on telehealth in France, based on 14 practices covering 11 specialties. These are: 

• nephrology, geriatrics, cardiology, orthopedics/traumatology, anethesia, psychiatry, gerontopsychiatry (teleconsultation practices);
• neuropediatrics, dermatology, maxillofacial surgery (tele-expertise practices);
• ophthalmology, medical and surgical neurology, tele-radiology, chronic wounds treatment (multi-act practices).

These practices are presented as fact sheets in the document below “Restitution des cas d’usage en télémédecine”

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 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.

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.

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.

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