{"id":99288,"date":"2026-05-08T01:09:43","date_gmt":"2026-05-08T01:09:43","guid":{"rendered":"https:\/\/mybusinessfuture.com\/diga-verguetungsreform-epa-rollout-wachstumsmarkt-it\/"},"modified":"2026-11-03T17:20:02","modified_gmt":"2026-11-03T17:20:02","slug":"diga-verguetungsreform-epa-rollout-wachstumsmarkt-it","status":"publish","type":"post","link":"https:\/\/mybusinessfuture.com\/fr\/diga-verguetungsreform-epa-rollout-wachstumsmarkt-it\/","title":{"rendered":"DiGA et ePA : les pistes pour les prestataires IT"},"content":{"rendered":"<p style=\"display:inline-block;background:#c0392b;color:#fff;padding:4px 14px;border-radius:20px;font-size:0.85em;margin-bottom:18px;\">4 min de lecture<\/p>\n<p style=\"font-size:0.85em;color:#6b7075;margin:0 0 18px;\">Mis \u00e0 jour le 3 novembre 2026 \u00b7 Publi\u00e9 initialement le 8 mai 2026<\/p>\n<p><strong>Le dossier patient \u00e9lectronique est d\u00e9sormais utilis\u00e9 dans les soins au quotidien dans toute l\u2019Allemagne. Certaines applications de sant\u00e9 num\u00e9riques disposent par ailleurs de leurs propres actes de facturation m\u00e9dicale. Les prestataires IT peuvent ainsi intervenir sur les interfaces, les tests et l\u2019int\u00e9gration aux logiciels de cabinet. L\u2019obtention d\u2019un contrat d\u00e9pend des besoins concrets et des exigences de chaque client.<\/strong><\/p>\n<div style=\"background:#202528;color:#fff;padding:32px 36px;margin:32px 0;border-radius:8px;\">\n<p style=\"margin:0 0 18px 0;font-size:0.95em;font-weight:800;text-transform:uppercase;letter-spacing:0.2em;color:#e8828d;border-bottom:2px solid rgba(232,130,141,0.3);padding-bottom:12px;\">L\u2019essentiel en bref<\/p>\n<ul style=\"margin:0;padding-left:22px;color:rgba(255,255,255,0.92);line-height:1.6;\">\n<li style=\"margin-bottom:12px;\"><strong style=\"color:#e8828d;\">L\u2019ePA est utilis\u00e9 dans les soins.<\/strong> Les professionnels et \u00e9tablissements de sant\u00e9 sont tenus de l\u2019utiliser. Les assur\u00e9s peuvent s\u2019opposer \u00e0 la cr\u00e9ation du dossier.<\/li>\n<li style=\"margin-bottom:12px;\"><strong style=\"color:#e8828d;\">La r\u00e9mun\u00e9ration li\u00e9e aux DiGA d\u00e9pend de chaque application.<\/strong> Certaines applications disposent d\u2019actes sp\u00e9cifiques pour le suivi et l\u2019\u00e9valuation.<\/li>\n<li><strong style=\"color:#e8828d;\">Les exigences techniques doivent \u00eatre examin\u00e9es au cas par cas.<\/strong> Le service de gestion des m\u00e9dicaments et la gestion documentaire de l\u2019ePA utilisent des interfaces diff\u00e9rentes.<\/li>\n<\/ul>\n<\/div>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Ce que l\u2019ePA implique pour les \u00e9diteurs de logiciels de cabinet<\/h2>\n<p>Le programme \u00ab ePA pour tous \u00bb a \u00e9t\u00e9 lanc\u00e9 dans toute l\u2019Allemagne le 29 avril 2025. Depuis le 1er octobre 2025, les m\u00e9decins ainsi que d\u2019autres professionnels et \u00e9tablissements de sant\u00e9 sont tenus de l\u2019utiliser. Pour les assur\u00e9s, l\u2019utilisation reste facultative. Ils peuvent s\u2019opposer \u00e0 la cr\u00e9ation du dossier ou \u00e0 son utilisation ult\u00e9rieure, explique le <a href=\"https:\/\/www.bundesgesundheitsministerium.de\/epa-na-sicher\">minist\u00e8re f\u00e9d\u00e9ral allemand de la Sant\u00e9<\/a>.<\/p>\n<p>Pour un projet logiciel, cette distinction soul\u00e8ve un cas pratique : un cabinet peut avoir besoin de l\u2019ePA dans son fonctionnement quotidien alors qu\u2019aucun dossier utilisable n\u2019existe pour une personne prise en charge. L\u2019interface et les processus internes devraient traiter ces situations de mani\u00e8re compr\u00e9hensible. Le nombre d\u2019assur\u00e9s aupr\u00e8s du r\u00e9gime l\u00e9gal ne permet donc pas non plus de d\u00e9duire le nombre de dossiers effectivement utilis\u00e9s.<\/p>\n<p><strong>Qu\u2019est-ce qu\u2019un syst\u00e8me primaire ?<\/strong> Dans le contexte de l\u2019ePA, ce terme d\u00e9signe le logiciel par lequel un \u00e9tablissement acc\u00e8de aux fonctions du dossier patient, par exemple un syst\u00e8me de gestion de cabinet.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Quelles prestations li\u00e9es aux DiGA sont r\u00e9mun\u00e9r\u00e9es<\/h2>\n<p>Les applications de sant\u00e9 num\u00e9riques, appel\u00e9es DiGA, contribuent \u00e0 la prise en charge de certaines pathologies. Les prestations m\u00e9dicales ou psychoth\u00e9rapeutiques r\u00e9mun\u00e9r\u00e9es en compl\u00e9ment d\u00e9pendent de chaque application et des r\u00e8gles de facturation en vigueur.<\/p>\n<p>L\u2019<a href=\"https:\/\/www.kbv.de\/praxis\/verordnungen\/diga\">Association nationale des m\u00e9decins conventionn\u00e9s allemands<\/a> r\u00e9pertorie \u00e0 cet effet des actes distincts dans la nomenclature. Pour l\u2019application \u00ab Invirto \u00bb, elle d\u00e9crit par exemple un acte de suivi et d\u2019\u00e9valuation assorti de conditions relatives aux cat\u00e9gories de professionnels autoris\u00e9es \u00e0 le facturer. Ces actes ne constituent pas une r\u00e9mun\u00e9ration g\u00e9n\u00e9rale pour tout accompagnement li\u00e9 \u00e0 chaque DiGA.<\/p>\n<p>La nomenclature allemande des actes m\u00e9dicaux conventionn\u00e9s, l\u2019Einheitlicher Bewertungsma\u00dfstab, comportait d\u00e9j\u00e0 en 2024 des actes de suivi et d\u2019\u00e9valuation pour certaines applications. On ne peut en d\u00e9duire un nouveau droit g\u00e9n\u00e9ral \u00e0 r\u00e9mun\u00e9ration \u00e0 partir d\u2019avril 2026. Pour les fabricants et leurs partenaires IT, le point de d\u00e9part est donc le parcours de soins concret propre \u00e0 chaque application.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">O\u00f9 se situent les travaux d\u2019int\u00e9gration des interfaces<\/h2>\n<p>Le <a href=\"https:\/\/gemspec.gematik.de\/docs\/gemILF\/gemILF_PS_ePA\/latest\/\">guide d\u2019impl\u00e9mentation de la gematik<\/a> d\u00e9crit diff\u00e9rentes interfaces de l\u2019ePA. Pour le service de gestion des m\u00e9dicaments, il mentionne des interfaces FHIR permettant de g\u00e9rer la liste et le plan de m\u00e9dication. Pour la gestion documentaire, il d\u00e9crit un profil du standard IHE XDS.b. Toute personne qui pr\u00e9voit une int\u00e9gration doit donc examiner le cas d\u2019usage concern\u00e9 et les sp\u00e9cifications applicables.<\/p>\n<p>Les droits d\u2019acc\u00e8s constituent un second point de contr\u00f4le. Selon le guide, le syst\u00e8me de gestion des dossiers v\u00e9rifie l\u2019autorisation d\u2019acc\u00e8s d\u2019un \u00e9tablissement. En l\u2019absence d\u2019autorisation ou si celle-ci a \u00e9t\u00e9 retir\u00e9e, les contenus ne peuvent pas \u00eatre consult\u00e9s et les documents ne peuvent pas \u00eatre d\u00e9pos\u00e9s. Pour le d\u00e9veloppement, cela signifie que les tests doivent aussi couvrir les acc\u00e8s refus\u00e9s et les messages appropri\u00e9s destin\u00e9s au personnel du cabinet.<\/p>\n<p>Dans son guide, la gematik renvoie \u00e0 un mod\u00e8le du syst\u00e8me de gestion des dossiers ePA destin\u00e9 au d\u00e9veloppement et aux tests. Un tel mod\u00e8le peut faciliter la pr\u00e9paration. Les contr\u00f4les et justificatifs suppl\u00e9mentaires requis pour un produit donn\u00e9 doivent \u00eatre d\u00e9termin\u00e9s selon son type.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Comment les prestataires \u00e9valuent les projets potentiels<\/h2>\n<p>Du point de vue de la r\u00e9daction, trois pistes se d\u00e9gagent : l\u2019int\u00e9gration aux logiciels de cabinet, l\u2019assistance technique aux fabricants de DiGA et l\u2019examen de projets d\u2019achat sp\u00e9cifiques. Elles ne permettent pas d\u2019\u00e9tablir un volume de contrats ni de garantir des projets futurs.<\/p>\n<p>Avant de pr\u00e9senter une offre, les prestataires devraient identifier le client et le produit concern\u00e9. S\u2019agit-il d\u2019afficher une liste de m\u00e9dicaments, d\u2019\u00e9changer des documents ou de d\u00e9velopper une fonction au sein d\u2019une DiGA ? Les interfaces, les droits d\u2019acc\u00e8s et les tests en d\u00e9pendent. Dans le cas d\u2019un appel d\u2019offres, le p\u00e9rim\u00e8tre des prestations, les crit\u00e8res de qualification et les d\u00e9lais figurent dans les documents de consultation correspondants.<\/p>\n<p>Pour \u00e9tablir un devis, il est utile de clarifier les responsabilit\u00e9s d\u00e8s le d\u00e9part : qui fournit l\u2019environnement de test ? Qui assure le suivi m\u00e9tier et qui v\u00e9rifie la mise en \u0153uvre ? Ces questions permettent de mieux cerner le travail n\u00e9cessaire qu\u2019une hypoth\u00e8se g\u00e9n\u00e9rale sur un march\u00e9 en croissance rapide.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Questions fr\u00e9quentes<\/h2>\n<details>\n<summary><strong>Les assur\u00e9s doivent-ils utiliser le dossier patient \u00e9lectronique ?<\/strong><\/summary>\n<p style=\"margin:8px 0 4px 24px;color:#555;line-height:1.6;\">Non. Les assur\u00e9s peuvent s\u2019opposer \u00e0 la cr\u00e9ation de l\u2019ePA et \u00e0 son utilisation ult\u00e9rieure. Des obligations d\u2019utilisation sp\u00e9cifiques s\u2019appliquent aux professionnels et \u00e9tablissements de sant\u00e9.<\/p>\n<\/details>\n<details>\n<summary><strong>L\u2019accompagnement li\u00e9 \u00e0 chaque DiGA est-il r\u00e9mun\u00e9r\u00e9 s\u00e9par\u00e9ment ?<\/strong><\/summary>\n<p style=\"margin:8px 0 4px 24px;color:#555;line-height:1.6;\">Il n\u2019est pas possible de r\u00e9pondre de fa\u00e7on g\u00e9n\u00e9rale. La KBV mentionne des actes sp\u00e9cifiques pour certaines applications et d\u00e9crit les conditions applicables \u00e0 chacun.<\/p>\n<\/details>\n<details>\n<summary><strong>Toutes les interfaces de l\u2019ePA utilisent-elles le m\u00eame standard ?<\/strong><\/summary>\n<p style=\"margin:8px 0 4px 24px;color:#555;line-height:1.6;\">Le guide de la gematik distingue notamment les interfaces FHIR pour le service de gestion des m\u00e9dicaments et IHE XDS.b pour la gestion documentaire. Le cas d\u2019usage concret d\u00e9termine le standard applicable.<\/p>\n<\/details>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">\u00c0 lire aussi<\/h2>\n<ul>\n<li><a href=\"https:\/\/mybusinessfuture.com\/fr\/migration-vers-s-4hana-les-entreprises-de-taille-moyenne-face-a-une-decision-en\/\">Migration vers S\/4HANA : les PME allemandes face \u00e0 une d\u00e9cision en 2026<\/a><\/li>\n<li><a href=\"https:\/\/mybusinessfuture.com\/ki-im-erp-mittelstand-nutzen\/\">Zuerst Daten bereinigen, dann die ERP-KI kaufen<\/a><\/li>\n<li><a href=\"https:\/\/mybusinessfuture.com\/fr\/les-stress-tests-que-les-banques-allemandes-ne-reussissent-pas\/\">Les tests de r\u00e9sistance auxquels les banques allemandes \u00e9chouent actuellement<\/a><\/li>\n<\/ul>\n<p style=\"padding-top:36px;margin:44px 0 18px;font-weight:700;font-size:1.05em;color:#1a1a1a;\">\u00c0 d\u00e9couvrir dans le r\u00e9seau MBF Media<\/p>\n<div style=\"padding:14px 18px;border:1px solid #e5e5e5;border-radius:8px;background:#fafafa;margin-bottom:6px;\">\n<div style=\"font-size:0.7em;font-weight:700;color:#0bb7fd;text-transform:uppercase;letter-spacing:0.12em;margin-bottom:4px;\">cloudmagazin<\/div>\n<p><a href=\"https:\/\/www.cloudmagazin.com\/fr\/2026\/05\/03\/amazon-bedrock-agentcore-cli-deployment-ki-agenten\/\" style=\"font-weight:600;line-height:1.4;color:#1a1a1a;text-decoration:none;\">Amazon Bedrock AgentCore : d\u00e9ploiement CDK et tests A\/B pour les agents IA en production dans les entreprises<\/a><\/p>\n<\/div>\n<div style=\"padding:14px 18px;border:1px solid #e5e5e5;border-radius:8px;background:#fafafa;\">\n<div style=\"font-size:0.7em;font-weight:700;color:#d65663;text-transform:uppercase;letter-spacing:0.12em;margin-bottom:4px;\">digital-chiefs<\/div>\n<p><a href=\"https:\/\/www.digital-chiefs.de\/fr\/hannover-messe-2026-industrie-5-0-cio-infrastruktur\/\" style=\"font-weight:600;line-height:1.4;color:#1a1a1a;text-decoration:none;\">Hannover Messe 2026 : l\u2019industrie 5.0 comme cadre d\u2019investissement pour les DSI de la r\u00e9gion DACH<\/a><\/p>\n<\/div>\n<p style=\"text-align:right;color:#5f5f5f;font-size:0.85em;margin-top:48px;\"><em>Source de l\u2019image : g\u00e9n\u00e9r\u00e9e par IA (novembre 2026)<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019ePA et les applications de sant\u00e9 num\u00e9riques imposent des exigences distinctes aux prestataires IT. Voici o\u00f9 ils peuvent intervenir.<\/p>\n","protected":false},"author":151,"featured_media":115002,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_focuskw":"Opportunit\u00e9s r\u00e9forme DiGA","_yoast_wpseo_title":"DiGA et ePA : les pistes pour les prestataires IT","_yoast_wpseo_metadesc":"Le dossier m\u00e9dical \u00e9lectronique et les applications de sant\u00e9 num\u00e9riques offrent des pistes aux prestataires IT. 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