Book I: Health protection for individuals

I.-When the patient is discharged from the healthcare establishment, a liaison letter, drawn up by the doctor in the establishment who treated the patient, is given to the patient by this doctor, or by another member of the healthcare team mentioned in 1° of article L. 1110-12 who treated the patient, and who ensures that the information required for continuity of care has been understood. In compliance with the provisions…

A medical file is created for each patient hospitalised in a public or private health establishment. This file contains at least the following elements, classified as follows : 1° Formalised information collected during outpatient consultations provided in the establishment, during reception in the emergency department or at the time of admission and during the hospital stay, and in particular : a) The letter from the doctor who initiated the consultation…

The file includes the patient’s identification and, where applicable, that of the trusted support person defined in article L. 1111-6 and that of the person to be notified. Each document in the record is dated and includes the patient’s identity with surname, first name, date of birth or identification number, as well as the identity of the healthcare professional who collected or produced the information. Medical prescriptions are dated, with…

In the event that the practitioner who prescribed the hospitalisation requests communication of the file, this communication may only take place with the agreement of the patient, the person with parental authority or the person in charge of the legal protection measure with representation relating to the person when the person concerned is not capable of expressing his/her wishes. Except in emergencies, in the event of disagreement between the protected…

During their hospital stay, patients who have been administered a labile blood product are informed in writing. In the case of minors, this information is communicated to the holders of parental authority, unless the minor has made known his or her opposition as provided for in article L. 1111-5 and, in the case of adults subject to a legal protection measure with representation relating to the person, to the person…

Public health establishments and private health establishments authorised to provide the public hospital service are obliged to inform the doctor designated by the hospitalised patient or his family by letter of the date and time of admission and of the department concerned. At the same time, they shall invite the doctor to contact the hospital department, to provide any useful information about the patient and to express any wish to…

Information relating to patients’ health is either kept within the health care institutions which have compiled it, or deposited by these institutions with a host in compliance with the provisions of article L. 1111-8. The director of the institution shall ensure that all measures are taken to ensure the safekeeping and confidentiality of the information thus stored or hosted. The medical record referred to in article R. 1112-2 is kept…

When a private health establishment which is not authorised to provide the public hospital service ceases its activities, information concerning the health of patients may, subject to the necessary sorting, be donated to a public archive service by means of a contract between the director of the establishment and the competent administrative authority.

The conditions of access to the health information referred to in article L. 1111-7 as well as the length of time it is kept and the procedures for keeping it are mentioned in the welcome booklet provided for in article L. 1112-2. This information is also provided to patients receiving outpatient consultations or admitted to the emergency department.