Most widely used care management systems in France

France sits at an inflection point in healthcare digitalisation. Following the Ma Santé 2022 reform and the subsequent Ségur du numérique en santé investment programme, the country has committed significant public funding to modernising its clinical information infrastructure. The Espace Numérique de Santé (ENS) framework, encompassing Mon Espace Santé and the Dossier Médical Partagé (DMP), now sets the interoperability baseline against which every care management platform is evaluated. For procurement teams, clinical directors, and digital health leads, understanding which systems are actually deployed across French care settings, and why, is essential context before any vendor conversation begins.

How the French healthcare system shapes platform adoption

France's healthcare system is structurally segmented in ways that directly influence software adoption. Public hospitals (établissements publics de santé) operate under different procurement rules and clinical requirements than general practice surgeries, medico-social organisations, or private clinics. This segmentation means no single platform dominates across all settings.

The Agence du Numérique en Santé (ANS) plays a central regulatory and certification role. Its référencement framework defines the technical and interoperability standards that platforms must meet to be eligible for public funding and deployment in nationally funded structures. Since the Ségur du numérique programme tied financial incentives directly to certified software, ANS alignment has shifted from a differentiator to a baseline requirement.

Interoperability mandates, particularly around HL7 FHIR and openEHR standards, have become the primary selection criterion for procurement teams. A survey of 195 French healthcare IT professionals conducted between Q3 2024 and Q1 2025 confirmed that interoperability ranked above cost and usability as the top evaluation factor when selecting medical record system platforms. This reflects the practical reality that a system unable to connect with Mon Espace Santé or exchange data via the DMP creates downstream compliance risk.

The distinction between primary care, secondary care, and the medico-social sector also matters for market analysis. Tools that perform well in a Maison de Santé Pluriprofessionnelle (MSP) may be entirely unsuited to a large public hospital, and vice versa.

Key categories of care management systems used in France

Before examining specific vendors, it helps to define the main platform categories in use:

• Medical record systems / Dossier Patient Informatisé (DPI): The core clinical record system, used to document consultations, store patient history, and generate referrals, prescriptions, and discharge summaries. Used across all care settings.

• Hospital Information Systems (HIS) / Systèmes d'Information Hospitaliers (SIH): Broader platforms integrating clinical, administrative, and operational functions within hospital environments.

• Care coordination platforms: Tools designed to support multidisciplinary teams and patient pathway management across organisational boundaries, particularly relevant to Communautés Professionnelles Territoriales de Santé (CPTS).

• Practice management and appointment scheduling tools: Primarily used in primary care and specialist outpatient settings, often bundled with basic clinical documentation.

• Medico-social management systems: Tailored to établissements d'hébergement pour personnes âgées dépendantes (EHPADs) and home care services, with specific regulatory documentation requirements.

According to Grand View Research, the French medical record system market is projected to reach USD 1,274.1 million by 2030, growing at approximately 4 per cent compound annual growth rate, with cloud and web-based deployment as the largest and fastest-growing segment. This represents a commercial market estimate rather than independently verified data.

Leading medical record and hospital information systems in French secondary care

The hospital medical record system market in France is dominated by a small number of large vendors, with international players holding significant positions alongside French specialists.

Dedalus is the most prominent vendor in French public hospital settings. According to reporting on the KLAS Global Hospital EHR Market Share report, Dedalus recorded the highest number of contracted hospital beds globally for multiple consecutive years. In France specifically, three public healthcare entities selected Dedalus solutions in 2025, and AP-HP, one of the world's largest hospital organisations, confirmed its intention to adopt the ORBIS/Care4U platform. This makes Dedalus the reference point for large public hospital procurement in France.

CompuGroup Medical (CGM) is identified by Xerfi's market intelligence report as one of the major foreign players in the French hospital information system segment, alongside Dedalus and GPI Group.

DxCare (developed by Medasys, now part of the Dedalus group) has historically been one of the most widely deployed DPI solutions in French hospitals and remains in active use across a significant number of public hospital sites.

Berger-Levrault appears among the French generalist vendors with a presence in hospital and public sector health information systems, though its primary strength lies in administrative rather than purely clinical functionality.

The clinical case for investing in robust hospital information systems is well established. A study conducted in an orthopaedic surgery department at a Paris teaching hospital demonstrated that integrating clinical decision support into the hospital information system increased guideline compliance from 82.8 per cent to 94.9 per cent, and that when the system was removed, physician behaviour reverted to baseline. In this study, this illustrates both the value and the dependency that well-integrated hospital systems can create.

The hospital medical record system market is not static. Legacy system replacement cycles are long, and many French hospitals continue to operate on older platforms while planning migrations. Procurement decisions at this level typically involve multi-year timelines and significant change management investment.

Care management platforms in French primary care and general practice

The primary care software market in France is more fragmented than the hospital segment, with a clearer competitive dynamic between a small number of dominant vendors.

Cegedim Santé holds the broadest position in the French primary care IT market. Its flagship general practitioner (GP) product, Crossway, is described as the most widely used medical record system among French GPs, and the group's portfolio extends to Medi+4000, Maiia (scheduling and teleconsultation), Simply-Vitale, and MonLogicielMedical. Following its acquisition of Visiodent, the leading software-as-a-service (SaaS) solution for dental practices, Cegedim has further consolidated its position across health clinic settings, now equipping over 1,000 health clinics in France.

Doctolib has grown from an appointment booking platform into a broader clinical management tool. Doctolib has been reported to hold more than 90 per cent of online medical appointment bookings in France, and its acquisition of MonDocteur further consolidated this position. Doctolib's clinical record functionality has expanded, making it increasingly competitive with traditional medical record system vendors in primary care. Its dominance in scheduling does not automatically translate to dominance in clinical documentation, where Cegedim retains a stronger position.

CGM's AxiSanté has seen declining market share. In 2025, CGM launched Libellia as its next-generation GP platform, signalling that its legacy product required replacement rather than iteration.

Maiia, now part of the Cegedim group, serves both as a standalone scheduling and teleconsultation tool and as an integrated component within Cegedim's broader ecosystem. It is particularly relevant for Maisons de Santé Pluriprofessionnelles, where shared agenda management across multiple clinicians is a core requirement.

The competitive dynamics between Cegedim and Doctolib in French primary care IT represent the central market tension for procurement teams in this segment. Both vendors are investing heavily in expanding their functional scope, which means the competitive landscape in 2026 looks materially different from 2022.

Platforms supporting coordinated and community care

Care coordination across multidisciplinary teams, particularly within CPTS and MSP structures, requires platforms that go beyond single-clinician record-keeping to support shared patient pathways, task management, and cross-organisational communication.

Terr-eSanté is a platform specifically designed for territorial health coordination in France, used by CPTS and other coordinated care structures to manage shared patient information and care pathways across multiple organisations and professional types.

Globule and Titan Santé appear among the tools referenced in the medico-social and coordinated care segments, supporting complex patient pathway management across community and institutional settings.

These platforms are particularly relevant for organisations managing patients with chronic conditions or complex social care needs, where the care pathway spans primary care, specialist services, and social support. This is precisely the scenario where fragmented, single-setting medical record systems create documentation gaps and coordination failures.

The acceptability study of a web-based medical record system and ecological momentary assessment tool conducted across four community psychiatry departments in France found that 86 per cent of clinicians would recommend the tool to colleagues, and 67 per cent expressed interest in daily use. This suggests that clinician acceptance of coordinated digital tools in community settings is achievable when usability is prioritised. The same study noted that 52 per cent of participants expressed discomfort with data storage arrangements, underscoring that data security and residency concerns remain a significant adoption barrier in community care contexts.

Medico-social sector: systems used in EHPAD and home care settings

The medico-social sector, encompassing EHPADs and Services de Soins Infirmiers à Domicile (SSIAD), operates under distinct regulatory documentation requirements that shape software selection. Platforms in this segment must support dependency assessment tools (such as the AGGIR grid), care plan documentation, medication management, and reporting to regulatory bodies.

Titan (Titan Santé) is among the established platforms in the EHPAD segment, offering care management functionality tailored to residential elderly care settings.

Ogust serves home care services, providing scheduling, care plan management, and administrative functionality for SSIAD and similar organisations.

Arche MC2 is another platform referenced in the medico-social segment, with functionality oriented toward the specific documentation and compliance requirements of this sector.

The 2026 roundup of DPI solutions published by Lona Santé identifies 22 platforms across hospital, clinic, EHPAD, and social/medico-social settings, confirming the breadth of the vendor landscape in this segment. Ségur du numérique certification is identified as the key quality benchmark across all categories.

A key consideration for EHPAD and home care procurement is that these organisations often have smaller IT teams and more constrained budgets than hospital systems. This makes vendor support quality and implementation complexity more significant evaluation factors than in secondary care.

Interoperability and the role of ANS certification

ANS certification, the référencement ANS, is the practical gateway through which care management platforms become eligible for use in publicly funded French healthcare structures. For procurement teams, a platform's ANS certification status is a necessary but not sufficient condition: it confirms baseline compliance with national interoperability and security standards, but does not guarantee clinical fit or implementation quality.

The two most operationally significant interoperability requirements are:

• DMP / Mon Espace Santé integration: Platforms must read from and write to the national patient health record (Dossier Médical Partagé), now accessible through Mon Espace Santé. This is a legal and operational requirement for most care settings.

• e-Prescribing (ordonnance numérique): The national e-prescribing infrastructure requires certified integration, which has become a standard expectation for any GP or outpatient platform.

Beyond ANS certification, the shift toward HL7 FHIR and openEHR standards reflects a broader move toward structured, machine-readable clinical data that can support AI-assisted workflows and cross-system data exchange. Platforms built on proprietary data models face increasing pressure to expose FHIR application programming interfaces (APIs) or risk exclusion from future integrated care architectures.

ANS certification status changes over time as vendors update their platforms. Procurement teams should verify current certification status directly with ANS rather than relying on vendor claims or third-party summaries.

Comparative overview: selecting the right system by use case

The table below maps the main platform categories to care settings, representative vendors, and key selection factors. It is a fast-reference starting point, not an exhaustive evaluation.

Key considerations for procurement and digital transformation planning

Procurement decisions in French healthcare IT carry significant long-term consequences. The following criteria should structure any vendor evaluation process.

Interoperability and standards compliance

• Does the platform hold current ANS certification?

• Does it support HL7 FHIR APIs for data exchange?

• Is DMP / Mon Espace Santé integration certified and operational, not merely roadmapped?

Data security, General Data Protection Regulation (GDPR), and data residency

• Where is patient data processed and stored? EU data residency is a baseline expectation for French public health organisations.

• Does the vendor hold ISO 27001 certification or equivalent?

• How does the vendor manage data breach notification obligations under GDPR?

Migration complexity and legacy system risk

• What is the data migration pathway from the incumbent system?

• What downtime or parallel-running periods are required?

• Does the vendor provide structured migration support, or does this fall to the customer?

Total cost of ownership

• What are the full implementation, training, and ongoing support costs over a five-year horizon?

• Are pricing models subscription-based (SaaS) or licence-based, and how does this affect budget planning?

Clinical usability and adoption

• Evidence suggests that ease of use is a primary driver of medical record system adoption among clinicians, while perceived risk is a significant barrier. Procurement teams should plan for structured change management and clinician engagement, not just technical deployment.

• What training resources and ongoing support does the vendor provide?

Vendor stability and roadmap

• The French health IT market is consolidating. Vendors that appear independent today may be acquired or restructured within the procurement lifecycle. Assessing vendor financial stability and strategic roadmap is a legitimate due diligence step.

Navigating the French care management landscape

The French care management software market is segmented by care setting in ways that make cross-sector comparisons less useful than setting-specific analysis. In secondary care, Dedalus holds the strongest position in large public hospitals, with DxCare maintaining a significant installed base. In primary care, Cegedim Santé's Crossway leads on clinical record functionality while Doctolib dominates scheduling and appointment management. The medico-social sector operates with a distinct set of vendors, Titan Santé, Ogust, and Arche MC2, shaped by its specific regulatory documentation requirements.

Across all segments, ANS certification and interoperability with Mon Espace Santé are non-negotiable baseline requirements. Platforms that cannot demonstrate current certification and operational DMP integration should be excluded from shortlists regardless of other merits.

For procurement teams beginning a selection process, the recommended next steps are to consult the ANS référencement catalogue to verify current certification status for shortlisted vendors, issue a structured request for proposal that explicitly tests interoperability claims against live environments, and engage clinical end-users early in the evaluation process, given the well-documented relationship between clinician buy-in and successful system adoption.

Frequently asked questions

▶ Which care management platforms are most widely used in French hospitals?

Dedalus holds the strongest position in large French public hospitals. Its ORBIS/Care4U platform was selected by three public healthcare entities in 2025, and AP-HP confirmed its intention to adopt it. DxCare, developed by Medasys and now part of the Dedalus group, maintains a significant installed base across public hospital sites. CompuGroup Medical and Berger-Levrault also appear in the mid-size hospital segment, according to Xerfi's market intelligence report.

▶ What is the leading medical record system for GPs in France?

Cegedim Santé's Crossway is described as the most widely used medical record system among French general practitioners. Doctolib holds more than 90 per cent of online medical appointment bookings in France and has expanded its clinical record functionality, making it increasingly competitive in primary care. CompuGroup Medical's legacy product AxiSanté has seen declining market share, and the company launched Libellia as its next-generation GP platform in 2025.

▶ What does ANS certification mean, and why does it matter for procurement?

ANS certification, known as référencement ANS, is issued by the Agence du Numérique en Santé. It confirms that a platform meets national interoperability and security standards, and it's the practical gateway through which platforms become eligible for use in publicly funded French healthcare structures. Since the Ségur du numérique programme tied financial incentives directly to certified software, ANS alignment has shifted from a differentiator to a baseline requirement. Certification status changes over time, so procurement teams should verify it directly with ANS rather than relying on vendor claims.

▶ What interoperability standards do French care management platforms need to support?

Platforms operating in French healthcare must integrate with the Dossier Médical Partagé, the national patient health record accessible through Mon Espace Santé. They must also support certified e-prescribing via the national ordonnance numérique infrastructure. Beyond these requirements, HL7 FHIR and openEHR standards are increasingly central to procurement decisions. A survey of 195 French healthcare IT professionals conducted between Q3 2024 and Q1 2025 found that interoperability ranked above cost and usability as the top evaluation factor when selecting medical record system platforms.

▶ Which platforms support coordinated care across CPTS and MSP structures in France?

Terr-eSanté is designed specifically for territorial health coordination in France, and it's used by Communautés Professionnelles Territoriales de Santé and similar structures to manage shared patient information across multiple organisations. Globule and Titan Santé also appear in the coordinated and medico-social care segments. Maiia, now part of the Cegedim group, is particularly relevant for Maisons de Santé Pluriprofessionnelles, where shared agenda management across multiple clinicians is a core requirement.

▶ What systems are used in French EHPADs and home care services?

The medico-social sector operates with a distinct set of vendors shaped by its specific regulatory documentation requirements. Titan Santé and Arche MC2 are among the established platforms in the EHPAD segment, offering care management functionality tailored to residential elderly care settings. Ogust serves home care services, including Services de Soins Infirmiers à Domicile, providing scheduling, care plan management, and administrative functionality. A 2026 roundup published by Lona Santé identifies 22 platforms across hospital, clinic, EHPAD, and social and medico-social settings, with Ségur du numérique certification identified as the key quality benchmark across all categories.

▶ How large is the French medical record system market, and how is it growing?

According to Grand View Research, the French medical record system market is projected to reach USD 1,274.1 million by 2030, growing at approximately 4 per cent compound annual growth rate. Cloud and web-based deployment is the largest and fastest-growing segment. This represents a commercial market estimate rather than independently verified data.

▶ What data security and GDPR requirements should procurement teams check when selecting a platform?

Procurement teams should confirm where patient data is processed and stored, as EU data residency is a baseline expectation for French public health organisations. They should check whether the vendor holds ISO 27001 certification or an equivalent, and how the vendor manages data breach notification obligations under the General Data Protection Regulation. An acceptability study conducted across four community psychiatry departments in France found that 52 per cent of clinicians expressed discomfort with data storage arrangements, confirming that data security and residency concerns remain a significant adoption barrier in community care settings.

▶ What are the key factors to evaluate when selecting a care management platform in France?

Procurement teams should assess current ANS certification status, operational integration with Mon Espace Santé and the Dossier Médical Partagé, and support for HL7 FHIR application programming interfaces. Data security, EU data residency, and GDPR compliance are baseline requirements. Migration complexity, total cost of ownership over a five-year horizon, and vendor financial stability all carry significant weight given the long replacement cycles in French healthcare IT. Clinical usability is also a practical factor: evidence suggests that ease of use is a primary driver of medical record system adoption among clinicians, while perceived risk is a significant barrier.

▶ Why doesn't a single platform dominate across all French care settings?

France's healthcare system is structurally segmented. Public hospitals operate under different procurement rules and clinical requirements than general practice surgeries, medico-social organisations, or private clinics. Tools that perform well in a Maison de Santé Pluriprofessionnelle may be entirely unsuited to a large public hospital, and vice versa. This segmentation means no single platform dominates across all settings, and market analysis is most useful when conducted at the level of a specific care setting rather than across the sector as a whole.