What is “My health space”, this new shared medical file?



Eighteen years after the launch of the “personal medical file” in 2004, which became a “shared medical file” in 2017, the Minister of Health Olivier Véran officially launched “My health space” this Thursday, February 3, during a conference Press.

This new digital service, which includes, among other things, the shared medical record, aims like its predecessors to facilitate coordination between healthcare professionals and to streamline the care pathway thanks to the centralization of patient data.

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Unlike the shared medical file which only convinced 9.3 million patients in 2020 on a voluntary basis, this service has been operational since 1er last January will be created automatically for the approximately 60 million people covered by health insurance, unless they object.

►Storage of documents and medical profile

On the interface, allergies, vaccinations and treatments can be entered in the “medical profile” of the user, who can choose the information he wishes to communicate. In his shared medical file, the patient will be able to store documents such as x-rays, blood tests or prescriptions. Through their own software, healthcare professionals will have access to certain documents or information relating to the patient after obtaining their consent. The latter will be able to choose, on a case-by-case basis, to which professional he gives access.

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Dominique Pon, ministerial responsible for digital health and initiator of the project, talks about “layers of security” : “In addition to prior consent, he said, the patient can block a healthcare professional and hide documents. “There is also traceability of all access,” he adds, so that the patient can follow which professional consulted one of his documents and when.

►Secure health messaging

The main novelty of this “health space”, a messaging system that allows professionals to send messages or exchange documents with their patients in a secure manner. A feature that Jacques Battistoni, president of the union of general practitioners MG France, sees favorably: “Exchanges by email with patients have developed a lot since the start of the health crisis, including to request prescriptions”, he explains.

“I had to do it myself, he adds, but it bothered me a bit. » This hassle shared by some doctors is explained by the fact that these very confidential exchanges were previously done by lambda and insecure messaging.

►Large-scale experimentation

Prior to its nationwide deployment, the interface has been tested in the Haute-Garonne, Loire-Atlantique and Somme departments since July 2021. Out of 3.3 million accounts opened in these departments, “we found an opposition rate of 0.6%, which is very low” congratulates himselfMarguerite Cazeneuve, Deputy Director of Health Insurance.

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Now accessible to all, health insurance will continue for the next two months, by email or by post, sending codes to activate or oppose the opening of the account. Patients will then have six weeks to express their refusal, failing which their space will be automatically created. The file is currently only accessible via a website, but an application should be released in the spring.

For Dominique Pon, this public service would enable patients to become “actors in their care pathway” and to have their data returned. However, this interface raises concerns about patient health data and medical secrecy.

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