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The agency believes it can introduce EPRs in nine months through building on existing French systems: health insurance records covering almost all of the population, smartcards used by 650,000 healthcare professionals to authenticate insurance transactions, electronic pharmaceutical data covering 8m people and regional EPRs covering 1m.
Asip Santé's Elie Lobel said that it chose its consortium of suppliers on 10 March 2010, and plans to deliver version 1 of the DMP by 10 December. "It might be a little bit ambitious," he told a session at the HC2010 conference in Birmingham on 29 April 2010, but reusing existing systems will allow quick progress.
"Even though we like the revolutionary way in France, we went for the evolutionary solution, which seemed much more reasonable," he added. The consortium of suppliers includes Santeos, Atos Wordline and Extelia. The agency expects to have capacity for at least 5m DMPs in place by the end of this year.
The DMP will use a new national patient identifier, introduced in December 2009. Asip Santé had intended to use the national administration number, but was legally blocked from doing so.
Patients will be given access to DMP records online through single use passwords. "The system we are thinking of is using mobile phones to provide these one time passwords," said Lobel. Patients will be able to upload their own documents to their DMPs, see audit trail information and open or close access to records to specific healthcare professionals.
France's DMP is designed to be compatible with the European Commission's Epsos project, which aims to allow key data from national patient record systems to be viewed when a patient requires care when in another European country. There are five types of data involved: allergies, chronic conditions, pharmaceutical records, gender and national patient identification number.
Epsos involves 12 EU countries. The UK is a member, and is contributing expertise in quality control, but does not plan to host a pilot.
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