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Glossary

The words of the French health system, explained once and for all: those found on prescriptions, health insurance letters and hospital discharge notes.

A

Anticoagulant
A medicine that slows blood clotting to prevent a clot. It requires watching for bleeding and, for some, regular blood tests.
Official sourcePreparing the home before leaving hospitalPressure sores and falls: the two risks that unfold between visits

C

CPS card
The health professional's personal electronic identity card, required to submit electronic claims and to access national digital health services.
Official sourceHow home nursing works in FranceHow the practice is organised: protocols, hygiene, traceabilityLocum work at the practice: the round, tools, contract, terms

D

Direct billing
You do not pay upfront: the professional is paid directly by health insurance and, where applicable, by the top-up insurer.
Official sourceHome nursing care: what French health insurance coversHow home nursing works in France

F

Fee retrocession
The share of fees a locum pays back to the practice being covered, set by the locum contract.
Official sourceLocum work at the practice: the round, tools, contract, terms

H

HbA1c
Glycated haemoglobin: reflects diabetes control over the past two to three months, unlike a single blood glucose reading.
Insulin-treated diabetes: what a nursing visit changesHome blood draws: what really decides whether a result is reliable

I

IDEL (self-employed nurse)
A state-registered nurse working independently under agreement with the French health insurance system, providing care at patients' homes.
Official sourceHow home nursing works in France
Implantable port
A small device placed under the skin and connected to a deep vein, used for repeated treatments (chemotherapy, antibiotics, nutrition).
Home infusion and IV antibiotics: what actually happens
INR
A blood test measuring clotting, used to adjust the dose of vitamin-K antagonist anticoagulants.
Preparing the home before leaving hospitalHome blood draws: what really decides whether a result is reliable

L

M

Mon espace santé
The patient's national digital health record, including a shared medical file and secure messaging. The patient controls who can access it.
Official sourceHow we work with your GPVaccination at home: what a nurse can doHow home nursing works in FranceHome blood draws: what really decides whether a result is reliable

N

NGAP
The official list of nursing procedures and their billing codes, which determines what can be invoiced to French health insurance.
Official sourceHome nursing care: what French health insurance coversThe nursing care assessment: what actually happens at homeHow home nursing works in France
Nursing care assessment (BSI)
A structured assessment of autonomy and needs for dependent people aged 90 and over, which replaces the former care plan and sets the daily care package.
Official sourceThe nursing care assessment: what actually happens at homeReferring a patient: how the practice works with doctors
Nursing council (CDOI)
The departmental nursing council: registers professionals, reviews contracts and enforces the code of ethics.
Official sourceHow the practice is organised: protocols, hygiene, traceabilityLocum work at the practice: the round, tools, contract, terms

P

PRADO
The health insurance discharge support programme: an adviser arranges the first community appointments from the hospital before discharge.
Official sourcePreparing the home before leaving hospitalHow home nursing works in FranceHospital discharge: arranging the nursing handover at home
Pressure sore
Damage to skin and tissue caused by prolonged pressure on a support area (sacrum, heels, hips), common with immobility.
Official sourcePressure sores and falls: the two risks that unfold between visitsChronic wounds at home: what the nurse does, week by week

R

S

SESAM-Vitale
The electronic claims system: the patient's Vitale card and the professional's CPS card jointly sign an invoice sent to the health fund with no paperwork.
Official sourceHome nursing care: what French health insurance coversHow home nursing works in FranceHow the practice is organised: protocols, hygiene, traceabilityLocum work at the practice: the round, tools, contract, terms
SSIAD
A home nursing service providing prescribed care and personal hygiene support for older or disabled people.
Official sourceHow home nursing works in FranceHospital discharge: arranging the nursing handover at home

These definitions explain administrative and care terms. They do not replace medical advice or your own prescription.