After receiving the opinion of the establishment’s medical commission or, in the case of establishments that are part of a regional hospital grouping, the medical college or the grouping medical commission, or the medical conference, as appropriate, the establishment’s representative or the representative of the support establishment in the case of establishments that are part of a regional hospital grouping takes all necessary steps, in conjunction with the chair of these bodies and the doctor responsible for medical information, to ensure the confidentiality of nominative medical data. In particular, these measures concern the scope, procedures for granting and controlling access authorisations and the recording of access.