Pharmacie
Bilan partagé de médication : le nouveau métier du pharmacien en 2026
Rémunérée par la CPAM, intégrée à Mon Espace Santé, la BPM transforme l'officine en acteur clinique. Les outils, eux, ne suivent pas.
Application partielleApplication : 2022-01-01
Mon Espace Santé / Ségur (FR)
French Ségur Numérique digital health programme and Mon Espace Santé
French healthcare digital transformation program. DUI referencing wave 2 open until 31 December 2026.
Secteurs concernés
01 · Qu'est-ce que c'est ?
The Ségur Numérique digital health programme, launched in 2021 as part of the Ségur de la santé, finances the digital transformation of healthcare establishments and professionals to develop secure medical-data sharing. Mon Espace Santé is the digital health space automatically provided to every French insured person since February 2022, containing the Shared Medical Record (DMP), secure messaging, care calendar and document vault.
The programme is steered by ANS (Digital Health Agency) which defines the reference frameworks (CI-SIS), qualifications (DSFT), and technical requirements for "Ségur" referencing of business software (hospital DPI, clinic DUI, pharmacy LGO, etc.).
02 · Qui est concerné ?
- Healthcare establishments (hospitals, clinics, nursing homes, health centres), fundable on their DUI/DPI.
- Pharmacies, fundable on their LGO.
- Practices of doctors, nurses, physiotherapists, midwives, fundable on their business software.
- Labs and imaging centres, fundable on their LIS/RIS.
03 · Calendrier d'application
Mon Espace Santé deployed since February 2022. Ségur referencing wave 1 finished in 2023, wave 2 ongoing until 31 December 2026.
- February 2022: opening of Mon Espace Santé for every insured person.
- 2022-2023: Ségur referencing wave 1 (basic interoperability: DMP, MS Santé, INS).
- 2024-2026: Ségur wave 2 call for projects, focused on real usage and performance indicators.
- 31 December 2026: deadline of the wave-2 call.
- From 2027: ANS town-hospital coordination roadmap (FHIR/HL7).
04 · Sanctions
No direct administrative sanction, the scheme is financial and incentive-based. But absence of Ségur wave-2 referencing leads to loss of funding (significant: up to several hundred thousand euros per establishment) and, more structurally, progressive exclusion from ARS (Regional Health Agencies) schemes that drive activity.
For pharmacies, non-referencing also leads to losing CPAM remuneration for connected acts (BPM uploaded to the DMP, e-prescription, traced vaccination).
05 · Comment s'y conformer
- Centralized INS (National Health Identifier) qualification at stay scheduling, not at admission.
- Structured CDA-r2 reports with AI dictation to pass the 80% DMP submission threshold.
- Per-practitioner usage dashboard (% DMP, % MS Santé, % INS), effective social pressure.
- Optimized CPS signature (batched, end of day) rather than per report.
06 · Questions fréquentes
- What is the INS?
- The Identifiant National de Santé (INS) is the unique patient identifier in the French health system. It is qualified by cross-checking with ADRi (ANS service) at admission and ensures patient-identification safety and consistency across establishments.
- What is a CDA-r2 report?
- CDA-r2 (Clinical Document Architecture release 2) is the standard format for a structured medical report, readable by humans and machines. It contains normalized sections (admission reasons, history, exams, conclusion, discharge treatment). It is the format the DMP expects for a report to be indexable and usable.
- What is a BPM?
- The Shared Medication Review is a clinical pharmacy act conducted at the pharmacy for polymedicated patients aged 65 and over. It is reimbursed €60 by CPAM (annual follow-up €30). It must be uploaded to the patient's DMP to be eligible for reimbursement.
- Is e-prescription mandatory?
- Yes, from 2026 for medications and progressively for other prescriptions (biology, imaging, medical devices). It is a structuring change requiring every pharmacy LGO and doctor software to be interoperable with the Health Insurance e-prescription service.
Sources officielles
Articles d'analyse
Bilan partagé de médication : le nouveau métier du pharmacien en 2026 Ségur numérique vague 2 : le DUI clinique arrive à l'heure de vérité Clinique & SantéSégur numérique vague 2 : le DUI clinique arrive à l'heure de vérité
L'appel à projets DUI vague 2 court jusqu'au 31 décembre 2026. Pour les cliniques privées, l'enjeu n'est pas le financement, c'est la pénétration réelle de Mon Espace Santé.
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