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Title III: Predictive medicine, genetic identification and genetic research

Article R1131-1 of the French Public Health Code

The examination of a person’s genetic characteristics or their identification by genetic fingerprinting for medical purposes consists of analysing their genetic characteristics inherited or acquired at an early stage of prenatal development. The purpose of this analysis is: 1° Either to establish, confirm or invalidate the diagnosis of a genetic disease in a person; 2° Or to search for the characteristics of one or more genes likely to be at…

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Article R1131-2 of the French Public Health Code

The following constitute analyses for the purpose of determining a person’s genetic characteristics or identification by genetic fingerprinting for medical purposes: 1° Cytogenetic analyses, including molecular cytogenetic analyses; 2° Molecular genetic analyses; 3° Any other medical biology analysis prescribed with the intention of obtaining information for determining the genetic characteristics of a person equivalent to that obtained by the analyses mentioned in 1° and 2° above. These analyses are listed…

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Article R1131-3 of the French Public Health Code

The prescription and performance of an examination of a person’s genetic characteristics for medical purposes, as well as the specific procedures for appropriate genetic counselling, are subject to rules of good practice defined by order of the Minister for Health, issued on a proposal from the Director General of the Agence de la biomédecine after receiving the opinion of the Agence nationale de sécurité du médicament et des produits de…

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Article R1131-4 of the French Public Health Code

Before giving written consent, the person concerned is informed of the characteristics of the disease under investigation, the means of detecting it, the degree of reliability of the analyses and the possibilities for prevention and treatment. They will also be informed of the genetic transmission of the disease under investigation and the possible consequences for other members of their family. The information mentioned in the previous paragraph is brought to…

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Article R1131-5 of the French Public Health Code

In a patient presenting a symptom of a genetic disease, a genetic characteristics test may only be prescribed as part of an individual medical consultation. In the case of an asymptomatic person with a family history, a genetic characteristics test may only be prescribed as part of an individual medical consultation. This consultation is carried out by a doctor working as part of a multidisciplinary team combining clinical and genetic…

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Article R1131-6 of the French Public Health Code

The analyses defined in 1° and 2° of article R. 1131-2 are carried out under the responsibility of a practitioner approved for this purpose under the conditions laid down in article R. 1131-9 and working in one of the establishments or organisations mentioned in article R. 1131-13. The approved practitioner alone is authorised to sign the analysis reports.

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Article R1131-7 of the French Public Health Code

The approved practitioner referred to in article R. 1131-6 must be a doctor or pharmacist, holding a diploma of specialised studies in medical biology or an equivalent diploma or, exceptionally, a scientist with specific qualifications or work in the fields of analyses defined in 1° and 2° of article R. 1131-2 . Depending on the category of analyses covered by the application for approval, this approved practitioner must also provide…

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Article R1131-8 of the French Public Health Code

When the analyses defined in 1° and 2° of article R. 1131-2 are performed in a medical biology analysis laboratory mentioned in article L. 6211-2, the approved practitioner mentioned in article R. 1131-6 must be the director or deputy director of the laboratory.

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Article R1131-9 of the French Public Health Code

The approval of practitioners referred to in Article R. 1131-6 is issued by the Director General of the Agence de la biomédecine, for a period of five years. It may be limited to some of the analyses mentioned in 1° and 2° of Article R. 1131-2. The application for approval shall be made in accordance with a standard dossier drawn up by the Director General of the Agency, which shall…

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Article R1131-10 of the French Public Health Code

Renewal of the practitioner’s accreditation is issued by the Director General of the Agence de la biomédecine. Renewal is subject to assessment of the practitioner’s activity, in accordance with the following criteria: 1° Participation by the practitioner in continuing education in the field of genetic characteristics testing ; 2° Obtaining qualifications, carrying out work and publishing during the period of validity of the approval. These criteria are specified by the…

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