{"id":40782,"date":"2019-05-27T08:26:08","date_gmt":"2019-05-27T06:26:08","guid":{"rendered":"https:\/\/lexing.ch\/?p=40782"},"modified":"2019-05-27T12:35:03","modified_gmt":"2019-05-27T10:35:03","slug":"numerisation-du-dossier-patient-et-cloud","status":"publish","type":"post","link":"https:\/\/lexing.ch\/en\/numerisation-du-dossier-patient-et-cloud\/","title":{"rendered":"Num\u00e9risation du dossier patient et cloud"},"content":{"rendered":"

\"S\u00e9bastien<\/p>\n

Vous apprenez de mani\u00e8re incidente et fortuite que les jeunes m\u00e9decins qui ont repris le cabinet de votre vieil et docte ami le Dr Hippocrate ont d\u00e9cid\u00e9 de num\u00e9riser tous les dossiers m\u00e9dicaux et de les stocker dans les nuages (cloud computing), de mani\u00e8re, notamment, \u00e0 permettre leur accessibilit\u00e9 en tout temps et en tout lieu. R\u00e9tif \u00e0 tout ce qui concerne l\u2019informatique, vous vous interrogez sur le modus operandi choisi, respectivement sur la l\u00e9galit\u00e9 du proc\u00e9d\u00e9 adopt\u00e9. En particulier vous vous \u00e9tonnez du fait de n\u2019avoir jamais \u00e9t\u00e9 consult\u00e9, alors que ce sont vos donn\u00e9es de sant\u00e9 qui sont ainsi num\u00e9ris\u00e9es, puis stock\u00e9es dans un cloud. Finalement, vous vous interrogez sur la meilleure mani\u00e8re d\u2019agir en ces circonstances.<\/p>\n

Les donn\u00e9es relatives \u00e0 la sant\u00e9 sont logiquement consid\u00e9r\u00e9es comme des donn\u00e9es sensibles, n\u00e9cessitant une protection particuli\u00e8re. Diff\u00e9rentes normes sur la plan f\u00e9d\u00e9ral et cantonal tendent \u00e0 assurer que leur traitement interviendra dans des conditions de s\u00e9curit\u00e9 optimales. Le Pr\u00e9pos\u00e9 f\u00e9d\u00e9ral a \u00e9mis de nombreuses recommandations<\/a> relativement \u00e0 la protection des donn\u00e9es au cabinet m\u00e9dical.<\/p>\n

La num\u00e9risation des dossiers m\u00e9dicaux n\u00e9cessite plusieurs mesures organisationnelles et pr\u00e9ventives, dont l\u2019impl\u00e9mentation d\u2019un firewall, le recours \u00e0 des logiciels de s\u00e9curit\u00e9 (cryptage notamment) ou encore la formation permanente du personnel. Mieux vaut donc recourir \u00e0 des professionnels aguerris que de tenter de s\u2019improviser sp\u00e9cialiste en s\u00e9curit\u00e9 des syst\u00e8mes d\u2019information. \u00c0 d\u00e9faut et en cas de probl\u00e8me, vos carences en cette mati\u00e8re pourraient \u00eatre retenues \u00e0 votre encontre.<\/p>\n

En mati\u00e8re d\u2019informatique dans les nuages (cloud computing), le consentement explicite et pr\u00e9alable de chaque patient est absolument n\u00e9cessaire et ce quel que soit le lieu o\u00f9 les donn\u00e9es sont effectivement stock\u00e9es. En effet, un patient est en droit de s\u2019opposer en tout temps \u00e0 un traitement informatique de ses donn\u00e9es et d\u2019opter pour le papier. Le consentement doit \u00eatre obtenu par \u00e9crit pour des motifs de preuve. Il convient \u00e9galement de pr\u00e9ciser qu\u2019avant de recueillir le consentement du patient, le m\u00e9decin doit encore l\u2019informer des risques \u00e9ventuels li\u00e9s au stockage de ses donn\u00e9es personnelles dans les nuages.<\/p>\n

Une fois nanti de cet accord, vous devrez vous assurer que toutes les donn\u00e9es sont exclusivement stock\u00e9es en Suisse aux fins de respecter le secret m\u00e9dical. Le respect de ce secret ne peut \u00eatre garanti par des fournisseurs de service cloud \u00e9trangers.<\/p>\n

Dans le cas d\u2019esp\u00e8ce, vous pouvez donc signifier \u00e0 votre nouveau m\u00e9decin traitant votre d\u00e9saccord et il devra conserver votre dossier au format papier.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vous apprenez de mani\u00e8re incidente et fortuite que les jeunes m\u00e9decins qui ont repris le cabinet de votre vieil et docte ami le Dr Hippocrate ont d\u00e9cid\u00e9 de num\u00e9riser tous les dossiers m\u00e9dicaux et de les stocker dans les nuages (cloud computing), de mani\u00e8re, notamment, \u00e0 permettre leur accessibilit\u00e9 en tout temps et en tout […]<\/p>\n","protected":false},"author":22,"featured_media":40865,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[565,11],"tags":[3189,3179,3180,3181,2277],"class_list":["post-40782","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-conseils-de-sebastien-fanti-en","category-news-en","tag-numerisation-en","tag-dossier-patient-en","tag-informatique-dans-les-nuages-en","tag-cloud-computing-en","tag-dossier-electronique-du-patient-en","expertise-cloud-computing","expertise-donnees-medicales","expertise-protection-des-donnees"],"yoast_head":"\nNum\u00e9risation du dossier patient et cloud - Lexing Switzerland<\/title>\n<meta name=\"description\" content=\"Votre m\u00e9decin est-il en droit de num\u00e9riser votre dossier patient et de le stocker dans le cloud? 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Cet article esquisse une r\u00e9ponse \u00e0 une question r\u00e9currente en mati\u00e8re de traitement des donn\u00e9es m\u00e9dicales.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lexing.ch\/numerisation-du-dossier-patient-et-cloud\/\" \/>\n<meta property=\"og:site_name\" content=\"Lexing Switzerland\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Lexing.ch\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/sebastien.fanti\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-05-27T06:26:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-05-27T10:35:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lexing.ch\/wp-content\/uploads\/2019\/05\/dossier-patient-cloud.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2800\" \/>\n\t<meta property=\"og:image:height\" content=\"1867\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"S\u00e9bastien Fanti\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"Votre m\u00e9decin est-il en droit de num\u00e9riser votre dossier patient et de le stocker dans le cloud? 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A l\u2019instar de Maverick (son surnom), la disruption constitue son ADN et les solutions out of the box ont sa pr\u00e9f\u00e9rence.","sameAs":["https:\/\/lexing.ch","https:\/\/www.facebook.com\/sebastien.fanti\/","https:\/\/www.instagram.com\/sebastienfanti\/","https:\/\/www.linkedin.com\/in\/sebastienfanti\/","https:\/\/x.com\/sebastienfanti","https:\/\/www.youtube.com\/user\/sebastienfanti","https:\/\/soundcloud.com\/sebastienfanti"]}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/posts\/40782","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/comments?post=40782"}],"version-history":[{"count":3,"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/posts\/40782\/revisions"}],"predecessor-version":[{"id":40869,"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/posts\/40782\/revisions\/40869"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/media\/40865"}],"wp:attachment":[{"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/media?parent=40782"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/categories?post=40782"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lexing.ch\/en\/wp-json\/wp\/v2\/tags?post=40782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}