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Re: [Gnumed-devel] Sesame vitale

From: Dr Jean Philippe LIOT
Subject: Re: [Gnumed-devel] Sesame vitale
Date: Tue, 08 Apr 2003 11:53:46 +0200
User-agent: Mozilla/5.0 (X11; U; Linux i686; en-US; rv:1.3) Gecko/20030313

Karsten Hilbert wrote:

can you give us a summary on the use of the Sesame
vitale card ?

I am thinking in terms of:

 - what does it store ?
It has been created to manage the electronical record of medical event to improve the cost of health.
As you may know, french health system is base on big central organisations (ex: SECURITE SOCIALE (SECU)).  These organisations get funds from many cotisation and use it to paid the medical expense.
The SESAME VITALE Card store data of the patient, SECU's number (an id number), date of birth, adress ...
 - how, when and for what is it used ?
It is use by doctor, chemist, kine ... all medical intervenants ... in any case a patient has to paid. It is use to format the record in order
to help the center to manage medical paiement. For instance, A french customer just give theire SESAME vital card. The doctor is paid directly later by the SECU.
 - what is the minimum functionality for GnuMed to be able to
   take advantage of that card ?
They created  an organisation called GIE SESAME-VITAL to manage the sesame vital card. They released an API to access the data. See that link if you can read french GIE SESAM-VITAL.
In few word, we need to register to the GIE-SESAM. They would give us some card and the API to access SESAM CARD through a specific reader. As i am not human doctor, i not will not be easy to get it. Therefore, we will have a problem as the software should have to transmit the data to the center.
hope it will help you.

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