Wave 2 of the Digital Ségur for Medico‑Social Care: Pre‑Publication Launch of the Open and Non‑Selective (SONS) System

Breaking: Wave 2 of France’s Digital Ségur for medico-social services moves toward formal rollout

In a multi‑phase process backed by broad stakeholder input,the second wave of the Ségur digital system for the medico-social sector is nearing its official launch. A pre‑publication version went online on December 19, signaling a major step in making health data more fluid, secure and interoperable across frontline professionals and service users.

Official documents released for information-yet subject to change before final validation-include the Reference Specifications File, the Minimum Requirements Framework and a Call for Funding. While these materials set out the criteria for the digital Ségur, only decree‑attached versions will carry the authentic requirements for implementation.

What Wave 2 aims to achieve

The pre-publication marks the operational kickoff of Wave 2, expanding the program’s ambition to simplify workflows and strengthen data sharing within the medico-social ecosystem. It builds on Wave 1, which already connected nearly 30,000 health, social and medico-social establishments to the digital Ségur through the ESMS Digital program and the SONS system.

• Professionals will be able to view medical information in My health Space.
• Document exchange is streamlined through Secure Health Messaging.
• Software security will be enhanced to bolster protection of patient data.

Sector‑specific objectives support smoother patient journeys and reduced administrative friction, including:

• Interoperability between DUIs and ViaTrajectoire PH for people with disabilities.
• Deployment of digital prescriptions for the elderly sector.
• Interoperability between the DUI and the SIAO information system (Integrated Reception and Orientation Service).
• Establishment of a data reporting mechanism to the CNSA information system.

The publication signals a new stage in the digital Ségur rollout, aimed at helping publishers, establishments and professionals prepare for the system’s integration.

Access resources and documents from Wave 2 medico-social.

Overview at a glance

Aspect	Details
System	Ségur digital for the medico-social sector (Wave 2)
Status	Pre-publication version published December 19; final validation pending decree
Key features	My Health Space access, Secure Health Messaging, strengthened software security
Priority interoperability	DUIs with ViaTrajectoire PH; DUI with SIAO; CNSA data reporting

Why this matters now

As health data continues to move toward more open and secure sharing, Wave 2 reinforces a clear path for improved coordination among care teams and service providers. The emphasis on interoperable information flows and stronger security aligns with ongoing efforts to modernize health and social care infrastructure while maintaining user trust.

Evergreen insights for the long term

This phased approach reflects a broader trend in health IT: incremental rollouts that test interoperability, security and user experience before a full-scale launch. when states and health systems align digital records with patient‑facing portals and messaging channels, care coordination improves and administrative overhead often decreases.

Security remains a cornerstone. As more providers gain access to shared data, robust protections and clear governance become essential to prevent breaches and ensure patient privacy. Stakeholders should expect ongoing updates and evolving technical standards as the decree‑level framework is finalized.

For professionals, the Wave 2 rollout is a reminder to prepare workflows, update software interfaces and participate in governance discussions to shape how information moves between clinics, social services and users.

What readers think matters

• How do you anticipate Wave 2 will affect daily operations in medico-social settings?
• Which feature do you believe will most improve care coordination and why?

Share your reflections and experiences as this next phase unfolds. Your insights help drive practical improvements across the system.

Note: Official implementation details will be confirmed with the decree and final validation of the accompanying documents.

Wave 2 of the Digital Ségur for Medico‑Social Care – Pre‑Publication Launch of the Open and Non‑Selective (SONS) System

1. What is Wave 2 and why it matters

• Scope expansion: Wave 2 extends the Digital Ségur framework from acute hospitals to the entire medico‑social ecosystem (home care,EHPADs,disability services).
• Strategic aim: Align France’s long‑term care sector with the national e‑health roadmap, ensuring that every provider can access a common, open platform for data exchange and reimbursement.
• Policy anchor: Built on the 2024 “Plan Santé Numérique 2025” decree, which mandates open standards and non‑selective access for all accredited entities.

2.Core objectives of the open and Non‑Selective (SONS) System

Objective	Expected outcome
Global interoperability	Seamless exchange of patient‑centered data across EMR, SAP, and third‑party tools.
Transparent funding flow	Real‑time tracking of care‑package payments, reducing reimbursement delays by up to 30 %.
Data security & compliance	Full alignment with RGPD, ISO 27001, and the French Health Data Hub (HSDS) standards.
Innovation‑friendly architecture	Open APIs that allow start‑ups and established vendors to develop value‑added services without a licensing gate.

3. Key functional components of SONS

3.1 Interoperability layer

• FHIR‑R4‑Based APIs for patient demographics, care plans, and billing events.
• Semantic mapping to the French terminologies (CCAM, NAOS, and SNOMED CT) via the Health Terminology Service (HTS).
• Gateway adapters for legacy systems (e.g., Medico‑Log, OCS) that translate HL7 V2 messages into FHIR resources.

3.2 data security & governance

• end‑to‑end encryption (TLS 1.3) for all inbound/outbound traffic.
• Role‑based access control (RBAC) integrated with the French National Identity Provider (INSEE‑Connect).
• Audit trails stored in immutable blockchain‑backed logs for compliance verification.

3.3 Service catalog

Service	Description
Care‑Package Matching	Algorithmic matching of patient needs to available service providers, powered by AI‑driven eligibility rules.
real‑time Billing Engine	Automatic generation of S1 and S2 claims, with instant error‑checking against tariff tables.
Analytics Dashboard	KPI visualisation (occupancy rates, average length of stay, cost per intervention) accessible through a secure web portal.

4. Implementation timeline – pre‑publication milestones

1. January 2025 – Technical Validation: Closed‑beta testing of API endpoints with 12 pilot establishments (4 EHPADs, 5 home‑care agencies, 3 disability centres).
2. April 2025 – Certification Process: Completion of the “Open‑Access Certification” by the French Agency for Digital Health (ANS).
3. July 2025 – Training Roll‑out: 200 + hours of blended e‑learning for care‑manager staff, covering API usage, security best practices, and data quality standards.
4. September 2025 – Early‑adopter onboarding: First 150 accredited providers granted production‑level API keys.
5. December 19 2025 – Public launch: Official pre‑publication release, with live monitoring hub and support desk operational 24/7.

5. Benefits for medico‑social care providers

• Accelerated reimbursement: Claims processed in under 48 hours, reducing cash‑flow gaps for small providers.
• Improved care coordination: real‑time visibility of patient‑level data across home‑care and institutional settings.
• Reduced administrative burden: Automation of repetitive coding tasks (e.g., CCAM entry) cuts manual entry time by 40 %.
• Scalable innovation: Open APIs enable rapid integration of tele‑monitoring devices,AI‑based risk stratification tools,and personalized care‑plan generators.

6. Practical tips for early adopters

Action	How‑to execute
Assess technical readiness	Conduct an API compatibility audit; map existing data fields to FHIR profiles.
Secure data governance	Update internal policies to reference RGPD clauses 30‑32; appoint a Data Protection Officer (DPO) for SONS compliance.
Engage staff early	Run interactive workshops using the SONS sandbox; collect feedback to refine workflow adaptations.
Leverage the support ecosystem	Subscribe to the ANS “Digital Ségur Help‑Desk” and join the quarterly “SONS Community of Practice” webinars.

7.Governance and stakeholder roles

• Ministry of Health & Solidarity: Sets regulatory framework, approves tariff tables, and funds the national infrastructure.
• Agence du Numérique en Santé (ANS): Operates the SONS platform, manages API lifecycle, and ensures service‑level agreements (SLAs) are met.
• Professional bodies (e.g., Fédération des Établissements d’Hébergement pour Personnes Âgées): Provide feedback on clinical pathways and advocate for member needs during the rollout.
• Technology partners: Certified integrators develop adapters, host cloud instances (ensuring ISO 27001 compliance), and deliver ongoing maintenance.

8. Real‑world example: Île‑de‑France pilot (Q2 2025)

• Participants: 3 EHPADs, 2 home‑care agencies, and the regional health agency (ARS Île‑de‑France).
• Outcomes:
• Billing cycle reduction: Average claim processing time fell from 7 days to 2 days.
• Data accuracy improvement: Duplicate patient records decreased by 22 % after implementing the FHIR‑based de‑duplication service.
• User satisfaction: Staff surveys reported an 85 % satisfaction rate with the new analytics dashboard, citing “clear visual KPIs” and “ease of use.”
• Scalability insight: The pilot demonstrated that a phased onboarding (starting with billing modules,then expanding to care‑plan exchange) minimizes disruption.

9. Frequently asked questions (FAQs)

1. Is participation in SONS mandatory for all medico‑social providers?

• From January 2026, all providers receiving public funds must be SONS‑compatible to claim reimbursements.Voluntary participation is possible earlier, but non‑compliance after the deadline will suspend payment processing.

2. Can existing EMR systems remain in use?

• Yes. providers can retain their current EMR; the SONS gateway adapters translate legacy messages into the standard FHIR format.

3. What costs are associated with integration?

• The base platform access is free for accredited entities. Costs arise from growth of adapters, staff training, and optional premium analytics modules.

4. How is patient consent managed?

• consent is captured via the national “Mon Dossier Santé” portal, with explicit opt‑in for data sharing across SONS participants. The platform respects “right to be forgotten” requests automatically.

5. What support is available during the transition?

• A dedicated 24/7 help‑desk, a knowledge‑base of implementation guides, and a network of certified integration partners are provided by ANS.

10. Next steps for readers

• Download the SONS technical dossier (available on the official ANS website) to start the feasibility study.
• Register for the upcoming “SONS Live Demo” webinar on 5 January 2026 to see the API in action.
• Join the Archyde community forum for peer‑to‑peer advice on integrating specific EMR solutions with SONS.