Medsphère obtains accreditation for INS management

5 November 2020
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A crucial step for the regulatory requirement coming into force on 1 January 2021

We are pleased to inform you that our Administrative Patient Management (APM) software solution, Medsphère, has obtained INS accreditation following the CNDA review conducted on October 20th.

This approval will enable our APM to meet the regulatory requirements expected on January 1, 2021 for the implementation of the National Health Identifier!


What is the INS?

The implementation of the National Health Identifier (INS) retrieved via the INSi teleservice is a regulatory requirement (decree of October 10, 2019 and order of December 28, 2019), which stipulates that all health data (collected as part of treatment) must be referenced with the INS and identity attributes qualified as of January 1, 2021.

  • Every user has a personal INS.
  • It is composed of a number (NIR or NIA) and identity attributes (a minimum of last name at birth, given name(s) at birth, sex, date and place of birth).
  • The INS is obtained by a call to a teleservice of the GIE Sesam Vitale – INSi.

Sesam Vitale then provides the INS value as well as a status. When the INS is confirmed by Sesam-Vitale, the INS is considered “qualified” and can then, through interoperability, be sent to other applications in the same HIS (same domain), such as EPRs.


Learn more…

INS and Certification

Only master software requires approval. The procedure was carried out for the Evolucare Group for the Medsphère software. This software received CNDA certification on Oct. 27, 2020


For a long time now, hospital information systems have identified patients using a specific numbering system, commonly known as the PPI (Permanent Patient Identifier). This number uniquely identifies the patient through the HIS, regardless of the patient’s stay. The PPI is retained and remains the strict patient identifier as before. The INS supplements the patient’s identifying information but does not replace it.


The INS-C is a calculated value (hence the “C”) used to identify a patient in the context of DMP version 1 only. This information will eventually disappear as DMP version 2 does not use INS-C, instead using INS.


Version 2 of the DMP uses the INS as the patient identifier. However, Sesam-Vitale (in charge of the DMP) requires us to retrieve the value of the INS from these services directly and not from the CNAM, as described above. This means that the INS retrieved for the DMP v2 is retrieved by other means and will be used only for the DMP.

INS and Hop’en

As part of the “Ma Santé 2020” project, healthcare institutions were able to apply for the Hop’en program with the aim of improving their information systems. Four prerequisites are required, regardless of the fields in which the institution has applied.

Indicator P1.1: Rate of applications at the core of the treatment process, administrative patient management and the PMSI connected to a unique repository of patient identities and able to integrate the INS require the integration of the INS.

The INS, in addition to being a regulatory requirement for all HIS, is also a prerequisite for Hop’en.