The following is based on the answers to the State of FHIR survey 2023.
Regulation
In France, the use of FHIR is advocated through CI-SIS, the Interoperability framework set by the French e-Health agency (ANS). While the exact compliance deadlines are not specified, FHIR is advised for electronic health data exchange. There is no information on fines for non-compliance. However, funds are available to stimulate FHIR adoption, with reference to the Segur Numerique en Sante program, which is part of a broader digital health initiative.
National Standards Development
InteropSanté & ANS are the primary national standards organizations. A national FHIR data model is already widely used and published on Simplifier.net. France has developed many FHIR standards for specific use cases, almost all deriving from this national data model. There is a strong drive towards improved care and innovation in health data standards.
FHIR Implementation
The anticipated growth in FHIR adoption in France is significant, with the expectation of improved access to information. Noteworthy FHIR use cases include the Annuaire santé (a healthcare professional directory) and Service d'Accès aux Soins (SAS for healthcare access). Future implementations to look forward to include services for bed availability (Répertoire Opérationnel des Ressources or ROR), Mon Espace Santé, and a FHIR terminology service.
Challenges in FHIR implementation include high investment costs, unclear benefits, and a lack of FHIR knowledge. Despite these challenges, the outlook for FHIR implementation in France is positive, with a strong push towards leveraging FHIR for better healthcare outcomes.
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The mission of the non-profit association [Interop'Santé](http://www.interopsante.org) is to build and promote standardized semantic interoperability in the field of healthcare in France.
This association embeds HL7 France, the French affiliate of HL7 International, as well as IHE France, the French affiliate of IHE International.
Interop'Santé in its HL7 France component has signed a development license agreement with _SNOMED International_, so as to be able to include SNOMED CT content in its products (specifications, implementation guides, value sets).
Implementation, deployment and usage of any SNOMED CT content is subject to the signature of a [SNOMED CT Affiliate License Agreement](https://www.snomed.org/snomed-ct/get-snomed-ct).
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test
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Cortex
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Ce projet regroupe l'ensemble des profils utilisés par l'API Agenda de Mon espace santé.
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Ce projet regroupe l'ensemble des profils utilisés par l'API Documents de Mon espace santé.
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Travaux préalables sur la Dispensation
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Ce projet regroupe l'ensemble des ressources FHIR utilisées par l'API Mesures de Mon espace santé.
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dsfsdfsd
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Cnam project
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Artifacts used in Ordoclic workflows
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FHIR
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The FR Core Implementation Guide is based on FHIR Version R4 and defines the minimum set of constraints on the FHIR resources to create the FR Core Profiles. It also defines the minimum set of FHIR RESTful interactions for each of the FR Core Profiles to access patient data. By establishing the “floor” of standards to promote interoperability and adoption through common implementation it allows for further standards development evolution for specific uses cases.
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Ce projet regroupe l'ensemble des ressources FHIR utilisées par l'API Mesures de Mon espace santé.
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Package HL7 France FHIR R4 (Administrative) - October 2021 version
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Package HL7 France FHIR R4 (Administrative) __Release 2022__
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Ressources de conformité basées sur le modèle d'exposition 3.0 du ROR (built Mon Dec 9 2024 14 28+0000+00 00)
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