the national health identifier (INS) tested in Val-de-Marne, Bouches-du-Rhône and Dordogne


The experiment “will involve reinforced exchanges between the primary health insurance funds [CPAM] and liberal professionals on the integration of INS and identitovigilance “, added without further details the Ministry of Solidarity and Health, the Digital Health Agency (ANS), the National Fund of health insurance (Cnam) and the GIE Sesam-Vitale in this joint press release released on April 8.

No timetable has been released.

The obligation to use the registration number in the identification directory of natural persons (called “NIR” or social security number) as an INS came into force on January 1, 2021, it is recalled.

The national health identifier has been renamed the national health identity, they also said.

A logo was created for the occasion, accompanied by a slogan: “Well identified, well cared for”.

On this occasion, a “communication kit” will be “shared with the actors, including in particular visuals intended for patients explaining the importance of presenting an identity document, at least during one of their visits”.

In March, the ANS and the general direction of the supply of care (DGOS) had expressed their desire to accelerate the deployment of the INS in 2021, it is recalled.

The objective of reaching “90% of exchanges using the INS at the end of 2022” announced on this occasion has been lowered to 80%, we learn in the press release.

About 100 software programs are now authorized by the National Deposit and Approval Center (CNDA) to call the INSi (integrated national health identifier) ​​teleservice “of which about half have already been deployed.[és]”in health and medico-social establishments, private professional offices or dispensing pharmacies, it is indicated.” About a hundred other solutions are currently in the process of being approved. “

The INSi teleservice allows health and medico-social actors respecting the security conditions of the INS reference system to obtain the INS and the reference identity traits of a patient / user, it is recalled.

It has experienced a “significant increase since the beginning of the year”, with “about 40,000 calls per week, continuously increasing for several months”. Of these, 15% come from liberal professionals.

A new version (4.0) of the teleservice “should be put into service at the end of May 2021, integrating, for those actors who so wish, the possibility of identifying themselves electronically as a legal person” using the IGC-health certification authority of the ANS.

“This electronic identification method will be conditional on the conduct of a self-approval procedure by the structure responsible for referencing its data with the INS, to verify compliance with the requirements of the INS standard”, it is indicated. .

Studies are underway “to allow electronic identification of professionals working in health through Pro health Connect”.

In addition, “80% of INS searches are carried out on the basis of the patient’s identity traits. [nom, prénom, sexe et date de naissance] and 20% from their Vitale card “.

A new decree approving the INS repository, which is opposable, and integrating the INS implementation guide and the national identitovigilance repository (RNIV), must be published this month.

The RNIV must also become opposable, it is recalled.


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