The legislature has entrusted the GMSIH with five missions (Article L. 6113-10 of the Public Health Code) :
1 - Unification of the information systems used by health care institutions. This involves ensuring the portability of the different elements (software, infrastructure elements, etc.) that make up the information systems of health care institutions and networks in such a way as to guarantee their interchangeability. Whether by choice or by constraint (in case of failure of their publisher), health care institutions must, in effect, be able to replace any software application in their information system without users suffering any functional regression.
2 - Work on the interoperability of the information systems used by health care institutions. This means guaranteeing good circulation of information between different components; within the health care institution’s information system, between different health care institutions’ information systems and in exchanges with the health information system (in particular with health networks). This also means ensuring, over time, ongoing access to data in spite of the technological development of support and archiving tools. This interoperability is, at the same time, technical (ability of the infrastructures to be successfully integrated with each other), organizational (ability of the information system to allow different industry players to exchange data for the smooth functioning of production processes and piloting of the enterprise) and semantic (ability of the different players to understand each other, not only within the health care institution, but also within the entire health information system).
3 - Opening of health care institutions’ information systems. This opening measures the capacity of an information system to be adapted in situations where the environment develops rapidly, whether in the case of regulatory reforms or during the sharing or merging of information systems, or for any other reason. In particular, it involves giving significant consideration to standardization during the setting up of the elements that make up the information system.
4 - Security. This mission consists of guaranteeing to the patients, personnel (doctors, nurses, managers, etc.) of health care institutions and to other players in the health care system that the interoperability and opening of health care institutions’ information systems will preserve the confidentiality of the transmitted data. It must also enable permanent maintenance of the smooth functioning of the information technology support system for the information system.
5 - Exchange of information within health networks between family medical providers, health care institutions and medical social workers in order to improve the coordination of care. This new mission extends the GMSIH’s action beyond health care institutions and into health networks. The GMSIH must therefore also implement, to the benefit of the information system of the health networks, the work that it has already completed or intends to carry out to fulfill the four missions described above.
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