DMP (My health space): the shared medical file

What is the DMP/My Health Space?

The Shared Medical Record (DMP) is a digital health record that centralizes your medical information, thus facilitating coordination between healthcare professionals. It contains data such as your medical history, allergies, current treatments, test results, as well as your advance directives.

Does the DMP still exist?

The DMP integrated into My health space

Since July 1, 2021, it is no longer possible to create new DMPs. However, the existing DMPs have been integrated into the new “My health space” service, accessible to all socially insured people. This service offers secure access to your health data and also includes secure messaging for communicating with healthcare professionals.

Monespacesanté.com: for all policyholders

The creation of My health space is automatic for all beneficiaries of a compulsory health insurance plan, unless they object. You have been informed of this creation by email or letter, with the possibility of objecting to the opening of this space within six weeks of sending the letter.

What is the benefit of the DMP for a patient?

A true online health record, the personalized medical file aims to bring together online and make accessible to health professionals all the elements of your medical file.

Access to medical information

The DMP has the advantage of making all medical information concerning you available to doctors. Having easy access to the right information can save crucial time in some emergency cases, when you arrive at the emergency room of a hospital where you have never been treated and where you are a complete stranger.

Access to all medical documents

The medical team, with the DMP, has access in a single place to your current or past medical treatments, your hospitalization, operation and consultation reports. It accesses your examination results (analyses, x-rays, ultrasound, MRI, etc.) and can find the contact details of people to notify in the event of an emergency.

Make your advance directives known

One of the major benefits of the DMP is to allow the patient to include their advance directives regarding their end of life. This includes their wishes regarding the medical treatments they do or do not wish to receive, as well as their stance on organ donation.

Better support

Thanks to your shared medical file, the medical team caring for you quickly knows everything they need to know about your case: the pathologies you suffer from, your medical history, any allergies, your blood group, etc. As well as the history of care you have received over the last 24 months (provided by Health Insurance).

Saving time and money

Better and more quickly informed about your medical history and the treatments you are following, the healthcare team will thus avoid prescribing unnecessary or redundant examinations – which will save time in their intervention and save money for the Insurance. disease, but also will help avoid drug interactions.

Do all doctors have access to the shared medical record?

Not all doctors automatically have access to a patient’s Shared Medical File (DMP).

Patient consent for access to shared documents

Access to the DMP requires the patient’s prior consent. The latter may decide to share his file with certain health professionals or to restrict access to certain types of information. If a patient does not want their information shared, they can choose not to activate their DMP or limit access to it.

Only for authorized healthcare professionals

Only health professionals authorized and registered with the Order of Physicians or other competent orders can access the DMP. This includes general practitioners, specialists, pharmacists, nurses, etc., but this access is conditional on their role in medical monitoring.

Access according to the need for care

Access is limited to what is necessary for the medical care of the patient. For example, a treating physician will have access to all medical information related to the overall care of the patient, while a specialist may only have access to data relevant to his specialty.

Very secure personal information

Access to the DMP is secured by an authentication code and access rights management system. The patient can at any time change who can consult their file, and under what conditions.

An exception: emergency cases

In the event of an emergency, any emergency medical officer can access your Shared Medical File. If your condition presents an immediate risk to your health, a healthcare professional can access it through a special procedure called “break glass access”.

A record of all these emergency accesses must appear in your DMP, the access parameters of which you can also modify at any time from your account.

What medical information is present in the DMP?

The Shared Medical File (DMP) brings together several types of medical information which aim to improve the coordination of care and patient management. All this information is centralized in the same space.

Administrative information

First, the DMP contains administrative information relating to the patient’s identity. This includes first name, last name, date of birth and contact details. The DMP also centralizes the patient’s Social Security number, which is used for identification and monitoring of care.

Medical history

The DMP aggregates the patient’s medical history, allowing doctors and other caregivers to have an overview of the patient’s health history. This includes information on chronic illnesses, hospitalizations, surgical procedures, as well as possible allergies and intolerances.

Prescribed care

The DMP contains information about prescribed medications and current treatments. This includes a list of medications that the patient takes regularly, whether for a chronic condition or for one-off treatments. This section allows healthcare professionals to monitor the progress of treatments and avoid redundancy.

Medical test results

The results of laboratory tests, blood tests, medical imaging (x-rays, ultrasounds, etc.), as well as reports of hospitalization or other consultations can be added by health professionals. This information makes it possible to monitor the evolution of diseases and better guide future decisions.

Important medical documents

The DMP also includes important medical documents, such as prescriptions, consultation reports and medical summaries written by healthcare professionals. These documents summarize all the treatments and care administered, which can be crucial, particularly during new consultations or in the event of a change of treating physician.

Contact details of healthcare professionals

Finally, the DMP contains information on the contact details of healthcare professionals involved in the patient’s care. This includes the treating physician, specialists, as well as other practitioners or establishments involved in monitoring the patient.

How to create your shared medical record?

Since 2021, it is no longer possible to create a DMP yourself, knowing that it has been integrated into My health space

Automatic creation of a My Health Space account

When you are registered with Social Security, a My Health Space account is automatically created for you, even if you have not taken any active steps. This account allows you to access your DMP, as well as other features related to the management of your health data.

Connection to My health space

After your account is automatically created, you will receive an activation code by mail or SMS. Once you have received your activation code, log in via the official website monespacesante.fr. You can identify yourself using your Social Security number and the activation code.

Oppose the creation of your space

If you do not want the DMP to be activated or powered, you can refuse the activation of your health space when you receive the email or letter informing you of its creation. This allows you to block access to your health data, including the creation of the DMP.

Supply of the DMP by health professionals

Once your DMP is accessible, it will be updated as you undergo medical consultations. During each consultation, your doctor will be able to populate your DMP with information relating to your medical follow-up, via his professional software.

It is advisable to discuss the regular feeding of your DMP with your GP, so that it always accurately reflects your state of health and your current treatments.

Complete and manage your DMP

Once your DMP is activated and powered, you can access it at any time via My health space. If you have important documents relating to your health, you can add them to your DMP. You also have the possibility of controlling access to your DMP, by authorizing certain professionals to consult or add information.

How can you access your Shared Medical File (DMP)?

An ultra simple connection

Nothing could be easier. You can consult your DMP on your computer, but also from your tablet and smartphone. On the dmp.fr website, click on “My DMP”, then enter your username (when connecting for the first time, use the password given to you during creation).

Double identification

To secure your authentication, you will need to create a new password. This new password, chosen by you, must be entered as well as a different single-use access code each time you log in and received on your email address or by SMS.

Cancel or deactivate your DMP

If your DMP has already been created automatically and you do not want it to be used, you have the option to deactivate or delete it. This option is located in your space management settings. You can also contact your Primary Health Insurance Fund (CPAM) and tell them of your wish.

Refuse power to your DMP

If you do not want your care teams and health professionals to add information to your DMP, you can ask them not to add information to your DMP. It is important to speak with healthcare professionals to let them know that you do not want to share or include certain information in your medical record.

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