A shared medical file (dossier de soins partagé - DSP) is a secure, personal electronic healthcare file that is under the patient's direct control. It is provided free of charge by the eSanté Agency (Agence eSanté).
The main purpose of the DSP is to promote exchanges between healthcare professionals and to enable better coordinated patient care by centralising all of the patient's essential health-related information.
The DSP is now in a pilot phase involving a limited number of patients. However, any adult who wishes to take part in the pilot programme may submit a voluntary request to the eSanté Agency to open a pilot DSP.
Who is concerned
Any adult who does not already have a shared medical file may apply to open a pilot DSP as a volunteer patient.
Persons who have declared a primary care physician are automatically assigned a pilot phase DSP.
How to proceed
Applying to open a DSP
To apply to have a shared medical file (DSP) opened as a voluntary patient, interested parties must contact the eSanté Agency help-desk:
- by email at firstname.lastname@example.org;
- or by telephone at (+352) 2712 5018 33;
- or by contacting reception desk no. 12 in the social security building (125, route d’Esch, L-1471 Luxembourg).
The eSanté Agency will then send the applicant a voluntary pilot DSP application form.
Within 7 days of the receiving the application, the volunteer patient will receive a letter from the eSanté Agency containing all of the information they will need to activate and access their DSP.
Using the DSP
Access to a shared medical file is restricted to the patient who is its holder, and to accredited healthcare professionals attending to the patient and to whom the patient will have given the right of access.
The DSP holder may also appoint a 'DSP assistant' who has the same access rights as the holder to help them manage their electronic health file.
Patients can access their DSP from the www.esante.lu portal using their personal and secure user credentials that the eSanté Agency will send them by post.
A DSP holder can access their data at any time, and for any reason.
Advantages of the DSP
The shared medical file:
- centralises all of the patient's essential medical information that the healthcare professional would require for the coordination and continuity of care, with the patient's consent (e.g., x-ray exam results, consultation reports, lab test results, etc.);
- does not replace the file held by the healthcare professional, who will continue to update their patient file with notes taken during the care provided; they only extract the information relevant for the DSP;
- does not contain any documents when it is created, but will be updated over time after its activation, as described in the information letter that the eSanté Agency sends to the patient.