Shared medical file (DMP): definition, creation, compulsory?

The shared medical file (DMP) in digital version was launched in December 2018 by the Minister of Health at the time, Agnès Buzyn. This digital health book could become as unavoidable as the vital card. What is its definition? Is it compulsory? What advantages? How does it work? Explanations.

The shared medical file (DMP) is a Digital health book. It allows to keep, centralize and secure the health information of a patient, such as his health examinations, his allergies to drugs, his hospital reports … he is gRituits and confidential.

He is not Not mandatory to create a shared medical file (DMP). Furthermore, or not the existence of a DMP has no impact on care reimbursements. The closure of the DMP can be requested at any time on the DMP.fr website.

The shared medical file (DMP) allows keep your health information online and access it From the DMP application or the DMP.fr site. It allows you to share health information with health professionals of your choice, in particular to facilitate care in the event of a medical emergency.

• Everything is centralized in the same place. The idea is to centralize all the information concerning your health in the same place. In practice, no need to go home to find your last mammography before an appointment with the gynecologist. In a few clicks, the doctor will be able to access it, via the DMP.
• Better bind city medicine and hospital and therefore, promote better continuity of care courses. In addition, each professional will be able to see what another professional has prescribed you. This will thus facilitate better quality medical management by limiting the risk of drug interactions, allergies or treatment incompatibilities. Finally, it will avoid exams and/or redundant medical and prescriptions.

A shared medical file (DMP) gain in efficiency when it is completed regularly. Patients therefore have every interest in talking to their attending physician so that the latter fuel it with their medical information. In addition, patients should not hesitate to add information themselves to them to enrich their DMP as much as possible.

Each person attached to a social security scheme can open a DMP. The opening can be done directly online on the DMP.fr site by clicking on “Create your DMP” or in pharmacy or with your doctor. In any case, you must have your vital card, essential to identify. The shared medical file can only be created with the consent of the insured. EHPAD nurses and health professionals are also authorized. At any time, the patient can request the closure of his DMP. In practice, it’s quite simple: just have your social security number and that of the vital card. A username and password are then sent by SMS or by email. The DMP can then be viewed at any time on DMP.FR, from a computer, a tablet or a smartphone via the DMP application.

Different actors can feed the shared medical file (DMP).

• Firstly The patient himself By indicating its allergies, its medical history, its vaccines or the trusted people to contact in an emergency and this since the DMP application or the DMP.FR site.
• THE treating doctor and specialists Can also feed the DMP, for example by updating the medical history of their patients (pathologies, treatments, allergies, vaccines, etc.).
• L’Health insurance As for it automatically adds reimbursement history to the DMPs opened by the insured. Finally, many health and medico-social establishments feed the DMP automatically with the documents of their patients. Work is underway for the reports of laboratories and radiology centers to be automatically added to the DMP.

The DMP is automatically fueled by health insurance from care history (reports, exams, etc.) and reimbursed treatments of the last 24 months. The patient, meanwhile, can add in a few clicks, from the dedicated DMP app or the DMP.FR site, information useful for his medical follow -up (blood group, allergies, vaccines, history, etc.). You can also store radios, blood assessments or operating reports.

Only healthcare professionals who follow you have access to your digital medical file. But what is important is that it is The patient who keeps his hand. In short, we can also choose who sees what. For example, we can make sure that the physiotherapist can see the last ankle radio, but not the results of the latest blood report or the smear. We can oppose that information be delivered by a health professional or even hide medical information at any time, except for the attending physician who must be able to ensure complete medical follow -up of his patients. For his part, the health professional must enter a code to consult it. During the first connection, this generates an SMS or email alert to the patient, in order to warn him.

It is possible to consult your DMP at any time. Either on the DMP.FR website by clicking on “I access my DMP” And by seizing his identifiers. Either using the DMP application, available on Google Play AppStore.

To remember: Bring your vital card; Find out an email address or mobile phone number which will be used to notify you as soon as a new document is added to your DMP; Declare your attending physician and choose healthcare professionals that can access your DMP.

The DMP finds its usefulness in many situations and mainly when consulting a doctor for the first time or in the event of hospitalization. Thanks to the DMP, caregivers have quickly and easily access to the patient’s medical profile. This allows for example to avoid risks linked to drug interactions or allergies.

The DMP can nevertheless be opened without your authorization in an emergency : an emergency worker can open it if you are unwell. Provided however that you have checked the box allowing access to your file in an emergency when creating the DMP.

In addition to the patient’s consent for the creation of the DMP, this keeps control of your health data Since he chooses health professionals who will have the right to access it. Mutuals and Social Security for example do not have access to it. In addition, connection to the DMP is highly secure: the patient receives a single -use code by SMS to connect to it. Finally, the DMPs are kept by a host of health data which received an approval from the ministry in charge of health. The data stored there is encrypted, from a key specific to each insured. These data cannot therefore be disseminated or used for commercial, studies or other purposes.

Source: Health insurance.