{"id":38582,"date":"2020-03-16T19:06:12","date_gmt":"2020-03-16T18:06:12","guid":{"rendered":"https:\/\/www.datalex.ch\/expertises\/episode-2-telemedecine-droit\/"},"modified":"2020-04-01T20:15:29","modified_gmt":"2020-04-01T18:15:29","slug":"episode-2-telemedecine-droit","status":"publish","type":"portfolio","link":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/","title":{"rendered":"#2 &#8211; TELEMEDICINA E DIRITTO"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jmxvxir7-95d89c55a18459ca75a45c2f5baa280d\">\n.avia-section.av-jmxvxir7-95d89c55a18459ca75a45c2f5baa280d{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Virus-2.jpg);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-jmxvxir7-95d89c55a18459ca75a45c2f5baa280d main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-minimum-height av-minimum-height-custom  container_wrap sidebar_right'  data-section-bg-repeat='stretch'><div class='container av-section-cont-open' style='height:180px'><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-38582'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688\">\n#top .av-special-heading.av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688{\nmargin:15px 0 0 0;\npadding-bottom:5px;\ncolor:#ffffff;\nfont-size:40px;\n}\nbody .av-special-heading.av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688 .av-special-heading-tag{\nfont-size:40px;\n}\n.av-special-heading.av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688 .av-special-heading-tag{\nfont-size:28px;\n}\n}\n<\/style>\n<div  class='av-special-heading av-k86gh2cg-e268f6de162e97ab86dbeccdaed7a688 av-special-heading-h2 custom-color-heading blockquote modern-quote modern-centered  avia-builder-el-1  avia-builder-el-no-sibling  av-inherit-size'><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >COVID-19 Mini-s\u00e9rie<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k0ibabjl-8fe9bc842b2350b0a9dedad2ef664ba7\">\n.avia-section.av-k0ibabjl-8fe9bc842b2350b0a9dedad2ef664ba7{\nbackground-color:#ededed;\nbackground-image:unset;\nmargin-top:0px;\nmargin-bottom:0px;\n}\n<\/style>\n<div id='av_section_2'  class='avia-section av-k0ibabjl-8fe9bc842b2350b0a9dedad2ef664ba7 main_color avia-section-default avia-no-border-styling  avia-builder-el-2  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-38582'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-22o2sp1-f2efabf4c0fdd900e21f044630e70c26\">\n.flex_column.av-22o2sp1-f2efabf4c0fdd900e21f044630e70c26{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-22o2sp1-f2efabf4c0fdd900e21f044630e70c26 av_three_fourth  avia-builder-el-3  el_before_av_one_fourth  avia-builder-el-first  first flex_column_div av-zero-column-padding '   ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-p5n9wf-ba8aabdd933363cf9eeb02b5454a8e36\">\n#top .av-special-heading.av-p5n9wf-ba8aabdd933363cf9eeb02b5454a8e36{\nmargin:30px 30px 30px 30px;\npadding-bottom:40px;\ncolor:#253e43;\n}\nbody .av-special-heading.av-p5n9wf-ba8aabdd933363cf9eeb02b5454a8e36 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-p5n9wf-ba8aabdd933363cf9eeb02b5454a8e36 .special-heading-inner-border{\nborder-color:#253e43;\n}\n.av-special-heading.av-p5n9wf-ba8aabdd933363cf9eeb02b5454a8e36 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-p5n9wf-ba8aabdd933363cf9eeb02b5454a8e36 av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-4  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >COVID-19 Mini-s\u00e9rie \u00c9pisode #2 &#8211; T\u00e9l\u00e9m\u00e9decine <span class='special_amp'>&amp;<\/span> Droit : Recommandations et bonnes pratiques<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jlzlsr6x-5ab752379225619c4e2d35b21b1d3cc1\">\n#top .av_textblock_section.av-jlzlsr6x-5ab752379225619c4e2d35b21b1d3cc1 .avia_textblock{\ncolor:#000000;\n}\n<\/style>\n<section  class='av_textblock_section av-jlzlsr6x-5ab752379225619c4e2d35b21b1d3cc1'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p>T\u00e9l\u00e9consultations m\u00e9dicales: ce qu\u2019il faut savoir. L\u2019\u00e9pid\u00e9mie \u00e0 laquelle la population fait face n\u00e9cessite de trouver des solutions \u00e0 distance, en particulier pour les questions m\u00e9dicales, le tri aux urgences et la p\u00e9nurie de m\u00e9decins disponibles pour r\u00e9pondre \u00e0 des questions m\u00e9dicales et rassurer la population selon les sympt\u00f4mes d\u00e9crits. Des r\u00e9ponses aux questions qu\u2019il faut se poser pour l\u2019utilisation de la t\u00e9l\u00e9m\u00e9decine par les professionnels de la sant\u00e9.<\/p>\n<p>Contactez-nous si vous avez des questions.<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-150b95x-96a9c176c269fa6b1b28f96316773e6d\">\n.flex_column.av-150b95x-96a9c176c269fa6b1b28f96316773e6d{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-150b95x-96a9c176c269fa6b1b28f96316773e6d av_one_fourth  avia-builder-el-6  el_after_av_three_fourth  avia-builder-el-last  flex_column_div av-zero-column-padding '   ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k8711mvh-8b3d80790c29ec10a65bc56d20f3a3bc\">\n#top .av-special-heading.av-k8711mvh-8b3d80790c29ec10a65bc56d20f3a3bc{\nmargin:30px 30px 30px 30px;\npadding-bottom:40px;\ncolor:#253e43;\nfont-size:30px;\n}\nbody .av-special-heading.av-k8711mvh-8b3d80790c29ec10a65bc56d20f3a3bc .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-k8711mvh-8b3d80790c29ec10a65bc56d20f3a3bc .av-special-heading-tag{\nfont-size:30px;\n}\n.av-special-heading.av-k8711mvh-8b3d80790c29ec10a65bc56d20f3a3bc .special-heading-inner-border{\nborder-color:#253e43;\n}\n.av-special-heading.av-k8711mvh-8b3d80790c29ec10a65bc56d20f3a3bc .av-subheading{\nfont-size:24px;\n}\n<\/style>\n<div  class='av-special-heading av-k8711mvh-8b3d80790c29ec10a65bc56d20f3a3bc av-special-heading-h5 custom-color-heading blockquote modern-quote  avia-builder-el-7  el_before_av_button_big  avia-builder-el-no-sibling  av-inherit-size'><h5 class='av-special-heading-tag'  itemprop=\"headline\"  >HOTLINE 24\/7 COVID-19<\/h5><div class='av_custom_color av-subheading av-subheading_below'><p>+41 21 925 30 99<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<div  class='avia-button-wrap avia-button-center  avia-builder-el-8  el_after_av_heading  avia-builder-el-last ' >\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k870wvse-3a4950eb6ff3a6f8932c9b9436cffd07\">\n#top #wrap_all .avia-button.av-k870wvse-3a4950eb6ff3a6f8932c9b9436cffd07{\ncolor:#ffffff;\ntransition:all 0.4s ease-in-out;\n-webkit-transition:all 0.4s ease-in-out;\n-moz-transition:all 0.4s ease-in-out;\n-ms-transition:all 0.4s ease-in-out;\n-o-transition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-k870wvse-3a4950eb6ff3a6f8932c9b9436cffd07:hover{\ncolor:#ffffff;\ntransition:all 0.4s ease-in-out;\n-webkit-transition:all 0.4s ease-in-out;\n-moz-transition:all 0.4s ease-in-out;\n-ms-transition:all 0.4s ease-in-out;\n-o-transition:all 0.4s ease-in-out;\n}\n<\/style>\n<a href='https:\/\/www.datalex.ch\/expertises\/covid-19-conseils-juridiques\/' class='avia-color-theme-color avia-button avia-button-fullwidth av-k870wvse-3a4950eb6ff3a6f8932c9b9436cffd07 avia-icon_select-no avia-color-theme-color' ><span class='avia_iconbox_title' >Tous les articles<\/span><span class='avia_button_background avia-button avia-button-fullwidth avia-color-theme-color'><\/span><\/a><\/div><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_3'  class='avia-section av-qg9ikf-7243d56a031e29b48a82b516f33a1a22 main_color avia-section-default avia-no-border-styling  avia-builder-el-9  el_after_av_section  el_before_av_one_full  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-38582'><div class='entry-content-wrapper clearfix'>\n<section  class='av_textblock_section av-k867xm75-6b93d07b6a9ee2f54a8f37da82c30e5f'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-38408 alignleft\" src=\"https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56-300x224.png\" alt=\"\" width=\"300\" height=\"224\" srcset=\"https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56-300x224.png 300w, https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56-768x573.png 768w, https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56-705x526.png 705w, https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png 884w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Covid-19 Mini-s\u00e9ries juridiques Gabriel Avigdor, CIPP\/E, Dr Ludovic Tirelli Sp\u00e9cialiste FSA en droit p\u00e9nal \/ Avocats<br \/>\nCette mini-s\u00e9rie vise \u00e0 fournir des lignes directrices et des recommandations aux organisations suisses durant l\u2019incertitude li\u00e9e \u00e0 la propagation du nouveau coronavirus et aux r\u00e9centes d\u00e9cisions des autorit\u00e9s suisses.<br \/>\nLes r\u00e9percussions sur l\u2019\u00e9conomie nous am\u00e8nent \u00e0 cr\u00e9er ces \u00e9pisodes pour apporter des conseils pratiques et informations utiles pour les entreprises et organisations priv\u00e9es et publiques.<\/p>\n<p>Le vendredi 13 mars 2020, se basant sur la loi f\u00e9d\u00e9rale sur les \u00e9pid\u00e9mies (LEp), le Conseil f\u00e9d\u00e9ral a d\u00e9cid\u00e9 par <a href=\"https:\/\/www.newsd.admin.ch\/newsd\/message\/attachments\/60654.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ordonnance 2<\/a>, d\u2019interdire les cours pr\u00e9sentiels dans les \u00e9coles. Le 16 mars, il r\u00e9vise son ordonnance 2 et fait usage de son pouvoir pour ordonner des mesures au niveau f\u00e9d\u00e9ral qualifiant l\u2019\u00e9pid\u00e9mie de situation extraordinaire pour imposer des mesures \u00e0 toute la Suisse (art. 7 LEp).<\/p>\n<p>L\u2019\u00e9conomie semble paralys\u00e9e, les enseignants d\u00e9ploient des solutions d\u2019e-Learning, les familles doivent trouver des solutions de garde, les employeurs oscillent entre flexibilit\u00e9 et pragmatisme. De leur c\u00f4t\u00e9, les professionnels de la sant\u00e9 et institutions de soins sont sur le pied de guerre pour garantir une couverture sanitaire suffisante et faire face \u00e0 l\u2019augmentation des cas. La t\u00e9l\u00e9m\u00e9decine peut r\u00e9pondre \u00e0 l\u2019\u00e9pid\u00e9mie de #Covid-19, comme outil compl\u00e9mentaire \u00e0 la m\u00e9decine traditionnelle, notamment pour le tri en cas de doutes sur les sympt\u00f4mes. La t\u00e9l\u00e9m\u00e9decine requiert toutefois quelques pr\u00e9cautions \u00e9l\u00e9mentaires, tant d\u2019un point vue scientifique, que de l\u2019organisation technique et informatique. Nos recommandations dans cet \u00e9pisode #2 de notre mini-s\u00e9rie juridique Covid-19.<\/p>\n<\/div><\/section>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='after_section_3'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-38582'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-wtf9al-630334b91bdcf1d1b66cd607bda1c073\">\n.flex_column.av-wtf9al-630334b91bdcf1d1b66cd607bda1c073{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-wtf9al-630334b91bdcf1d1b66cd607bda1c073 av_one_full  avia-builder-el-11  el_after_av_section  el_before_av_iconlist  avia-builder-el-first  first flex_column_div av-zero-column-padding '   ><section  class='av_textblock_section av-k86733ob-b5b8a60b43ce1bac297b678f6ee016eb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h2>Q.1 Existe-t-il une loi qui r\u00e8gle l\u2019art de la t\u00e9l\u00e9m\u00e9decine en droit suisse ?<\/h2>\n<p>R.1: Non. Le droit suisse ne r\u00e8gle pas l\u2019art de la m\u00e9decine \u00e0 distance de mani\u00e8re particuli\u00e8re. Ce sont les r\u00e8gles usuelles du droit m\u00e9dical et les grands principes du droit priv\u00e9 (CC et CO), administratif (LPM\u00e9d, lois cantonales sur la sant\u00e9 publique, etc.) et p\u00e9nal (CP) qui continuent \u00e0 s\u2019appliquer. Toutefois, le droit suisse et la jurisprudence doivent s\u2019appliquer et \u00eatre interpr\u00e9t\u00e9es dans un contexte particulier ; celui de l\u2019exercice de la m\u00e9decine \u00e0 distance. Il s\u2019agit de tenir compte des caract\u00e9ristiques et limitations de cet art : limitation des sens, de contacts physiques (anamn\u00e8se sans ausculation ou palpation) ou visuels (t\u00e9l\u00e9phone), absence d\u2019odeur, mauvaise qualit\u00e9 vid\u00e9o ou sonore, r\u00e9actions \u00e9motionnelles limit\u00e9es, m\u00eame avec une bonne qualit\u00e9 vid\u00e9o, terrain d\u2019expression limit\u00e9.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-k86733ob-b5b8a60b43ce1bac297b678f6ee016eb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h2>Q.2 Quels sont les actes de t\u00e9l\u00e9m\u00e9decine et qui peut les pratiquer ?<\/h2>\n<p>R.2.1: L\u2019acte le plus fr\u00e9quent est la t\u00e9l\u00e9consultation, soit une consultation m\u00e9dicale \u00e0 distance. Il peut s\u2019agir d\u2019une consultation simultan\u00e9e (t\u00e9l\u00e9phone) ou en diff\u00e9r\u00e9 (e-mail, messagerie instantan\u00e9e), laquelle consiste \u00e0 conseiller un patient, lui prescrire des m\u00e9dicaments ou proc\u00e9der \u00e0 son anamn\u00e8se et diagnostic \u00e0 distance.<\/p>\n<p>R.2.2 Seul un m\u00e9decin autoris\u00e9 dans un canton peut pratiquer la t\u00e9l\u00e9m\u00e9decine. Ce droit s\u2019\u00e9tend aux<\/p>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>m\u00e9decins assistants et au personnel soignant, de cabinet ou hospitalier, directement instruit et surveill\u00e9, agissant sous l\u2019enti\u00e8re responsabilit\u00e9 du m\u00e9decin. Le m\u00eame principe s\u2019applique pour les soci\u00e9t\u00e9s de t\u00e9l\u00e9m\u00e9decine, au sein desquelles seuls des m\u00e9decins autoris\u00e9s ou le personnel form\u00e9 agissant sous sa responsabilit\u00e9 peuvent pratiquer. Au moins une ann\u00e9e de pratique est recommand\u00e9e.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-k86733ob-b5b8a60b43ce1bac297b678f6ee016eb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2>Q.3 Les soins \u00e0 distance sont-ils pris en charge par les assurances-maladie ?<\/h2>\n<p>R.3: En g\u00e9n\u00e9ral, oui. Les prestations de soins doivent r\u00e9pondre \u00e0 trois crit\u00e8res en \u00e9tant pr\u00e9sum\u00e9es \u00eatre appropri\u00e9es, efficaces et \u00e9conomiques (art. 32 LAMal), sauf preuve contraire. Dans le cadre d\u2019une pand\u00e9mie telle que le coronavirus, ces crit\u00e8res seront tr\u00e8s vraisemblablement r\u00e9unis. Une t\u00e9l\u00e9consultation pourra \u00eatre rembours\u00e9e si elle est fournie depuis ou vers l\u2019\u00e9tranger, notamment au vu des restrictions de vol et la fermeture des fronti\u00e8res. Les positions Tarmed (AF.10 pour le futur Tardoc) tiennent compte des t\u00e9l\u00e9consultations m\u00e9dicales pour les prestations de base et cumulables.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-k86733ob-b5b8a60b43ce1bac297b678f6ee016eb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2>Q.4 Comment respecter les r\u00e8gles de l\u2019art m\u00e9dical en cas de pand\u00e9mie ?<\/h2>\n<p>R.4: Respecter les r\u00e8gles de l\u2019art m\u00e9dical, implique pour le m\u00e9decin d\u2019user de la m\u00eame diligence qu\u2019entre pr\u00e9sents. En cas de doute, ou si les circonstances l\u2019exigent, le m\u00e9decin devra rediriger le patient pour une consultation ou vers l\u2019h\u00f4pital le plus proche si la t\u00e9l\u00e9consultation seule ne permet pas de garantir un traitement avec la m\u00eame qualit\u00e9 qu\u2019au cabinet m\u00e9dical. Dans le cadre de l\u2019\u00e9pid\u00e9mie Covid-19, les connaissances scientifiques \u00e9voluent tr\u00e8s rapidement et la population fait face \u00e0 de nombreuses fausses informations circulant sur les r\u00e9seaux sociaux qu\u2019elle peut prendre pour fiables, Le t\u00e9l\u00e9-m\u00e9decin a un grand r\u00f4le \u00e0 jouer pour assurer un tri efficace des cas d\u00e9f\u00e9r\u00e9s ou non aux h\u00f4pitaux pour \u00e9viter leur surcharge. Dans un contexte d\u2019\u00e9pid\u00e9mie, le m\u00e9decin de premier recours se basera sur les toutes connaissances scientifiques actualis\u00e9es pour le cas de Covid-19, \u00e9manantd\u2019organisations internationales, de litt\u00e9rature scientifique, de l\u2019OFSP et des m\u00e9decins cantonaux.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-k86733ob-b5b8a60b43ce1bac297b678f6ee016eb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2>Q.5 Secret m\u00e9dical et protection des donn\u00e9es patient, comment faire ?<\/h2>\n<p>R.5: Avec l\u2019utilisation des nouvelles technologies, le m\u00e9decin doit aussi garantir le secret m\u00e9dical et la protection des donn\u00e9es personnelles. Les donn\u00e9es de sant\u00e9 sont consid\u00e9r\u00e9es comme sensibles et m\u00e9ritent une protection particuli\u00e8re. Deux principes cl\u00e9s : ne collecter que les donn\u00e9es n\u00e9cessaires pour le but vis\u00e9 et supprimer les donn\u00e9es une fois l\u2019\u00e9pid\u00e9mie termin\u00e9e. La CNIL en France a \u00e9mis un d\u00e9cret pour faciliter l\u2019acc\u00e8s aux solutions de t\u00e9l\u00e9m\u00e9decine sans se rendre au cabinet d\u2019un m\u00e9decin et des r\u00e8gles de base pour prot\u00e9ger les donn\u00e9es patients.<\/p>\n<p>En Suisse, le Pr\u00e9pos\u00e9 f\u00e9d\u00e9ral \u00e0 la protection des donn\u00e9es (PFPDT) s\u2019est prononc\u00e9 et a fournis des conseils sur les donn\u00e9es au cabinet m\u00e9dical; leur s\u00e9curit\u00e9, les risques de l\u2019utilisation du cloud, un guide complet sur la tenue du dossier m\u00e9dical et le secret m\u00e9dical. Pour rappel, toute violation du secret m\u00e9dical est passible de sanctions p\u00e9nales (art. 321 du Code p\u00e9nal \u2018CP\u2019). La transmission d\u2019informations m\u00e9dicales \u00e0 un confr\u00e8re ou la consultation d\u2019un \u00e9pisode pr\u00e9c\u00e9dent de soins requiert le consentement du patient. En cas de risque pour la sant\u00e9 publique un int\u00e9r\u00eat public ou priv\u00e9 peut primer celui au droit \u00e0 la sph\u00e8re priv\u00e9e et permettre une collecte valable, pour pr\u00e9server des int\u00e9r\u00eats vitaux (ce sujet sera trait\u00e9 s\u00e9par\u00e9ment). Seuls les m\u00e9decins doivent collecter des donn\u00e9es d\u00e9taill\u00e9es.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-k86733ob-b5b8a60b43ce1bac297b678f6ee016eb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2>Q.6 Quelles recommandations pour l\u2019utilisation des nouvelles technologies ?<\/h2>\n<p>R6: En cas de stockage de donn\u00e9es patients sur un support externe au cabinet (appareil mobile) : extraire ces donn\u00e9es (Smartphone), les mettre au dossier m\u00e9dical et les supprimer du support ou de l\u2019appareil mobile pour \u00e9viter une perte ou un acc\u00e8s ind\u00fb aux donn\u00e9es m\u00e9dicales. Attention, les entreprises tierces et les prestataires informatiques ne garantissent pas le secret m\u00e9dical. Crypter les pi\u00e8ces jointes, utiliser un e-mail s\u00e9curis\u00e9, garder les donn\u00e9es en Suisse et \u00e9viter le cloud.<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k871614g-2370f885eecf27132846a150d0937ffa\">\n#top .avia-icon-list-container.av-k871614g-2370f885eecf27132846a150d0937ffa .iconlist_icon{\nfont-size:28px;\n}\n#top #wrap_all .avia-icon-list-container.av-k871614g-2370f885eecf27132846a150d0937ffa .av_iconlist_title{\nfont-size:28px;\n}\n<\/style>\n<div  class='avia-icon-list-container av-k871614g-2370f885eecf27132846a150d0937ffa  avia-builder-el-18  el_after_av_one_full  avia-builder-el-last '><ul class='avia-icon-list avia_animate_when_almost_visible avia-icon-list-left av-iconlist-small av-k871614g-2370f885eecf27132846a150d0937ffa avia-iconlist-animate'>\n<li><div class='iconlist_icon av-oh22m7-a62a8e3ab9060e7c6400f1f466eeafe4 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue830' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry av-iconlist-empty\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><div class='av_iconlist_title iconlist_title_small  '  itemprop=\"headline\" ><a href='https:\/\/www.datalex.ch\/expertises\/covid-19-conseils-juridiques\/' title='Retour'>Retour<\/a><\/div><\/header><div class='iconlist_content '  itemprop=\"text\" ><\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<\/ul><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":38583,"comment_status":"open","ping_status":"closed","template":"","tags":[],"portfolio_entries":[608],"class_list":["post-38582","portfolio","type-portfolio","status-publish","has-post-thumbnail","hentry","portfolio_entries-covid-19-mini-serie-it"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>#2 - TELEMEDICINA E DIRITTO - datalex<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"#2 - TELEMEDICINA E DIRITTO - datalex\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/\" \/>\n<meta property=\"og:site_name\" content=\"datalex\" \/>\n<meta property=\"article:modified_time\" content=\"2020-04-01T18:15:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png\" \/>\n\t<meta property=\"og:image:width\" content=\"884\" \/>\n\t<meta property=\"og:image:height\" content=\"660\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"14 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/\",\"url\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/\",\"name\":\"#2 - TELEMEDICINA E DIRITTO - datalex\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.datalex.ch\\\/cms\\\/wp-content\\\/uploads\\\/2020\\\/03\\\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png\",\"datePublished\":\"2020-03-16T18:06:12+00:00\",\"dateModified\":\"2020-04-01T18:15:29+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/#breadcrumb\"},\"inLanguage\":\"it-IT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"it-IT\",\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.datalex.ch\\\/cms\\\/wp-content\\\/uploads\\\/2020\\\/03\\\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png\",\"contentUrl\":\"https:\\\/\\\/www.datalex.ch\\\/cms\\\/wp-content\\\/uploads\\\/2020\\\/03\\\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png\",\"width\":884,\"height\":660},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/expertises\\\/episode-2-telemedecine-droit\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"#2 &#8211; TELEMEDICINA E DIRITTO\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/#website\",\"url\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/\",\"name\":\"datalex\",\"description\":\"Avocats sp\u00e9cialis\u00e9s dans les nouvelles technologies - lawyers specializing in new technologies\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.datalex.ch\\\/it\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"it-IT\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"#2 - TELEMEDICINA E DIRITTO - datalex","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/","og_locale":"it_IT","og_type":"article","og_title":"#2 - TELEMEDICINA E DIRITTO - datalex","og_url":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/","og_site_name":"datalex","article_modified_time":"2020-04-01T18:15:29+00:00","og_image":[{"width":884,"height":660,"url":"https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"14 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/","url":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/","name":"#2 - TELEMEDICINA E DIRITTO - datalex","isPartOf":{"@id":"https:\/\/www.datalex.ch\/it\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/#primaryimage"},"image":{"@id":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/#primaryimage"},"thumbnailUrl":"https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png","datePublished":"2020-03-16T18:06:12+00:00","dateModified":"2020-04-01T18:15:29+00:00","breadcrumb":{"@id":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/#breadcrumb"},"inLanguage":"it-IT","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/"]}]},{"@type":"ImageObject","inLanguage":"it-IT","@id":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/#primaryimage","url":"https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png","contentUrl":"https:\/\/www.datalex.ch\/cms\/wp-content\/uploads\/2020\/03\/Capture-d\u2019\u00e9cran-2020-03-24-\u00e0-19.14.56.png","width":884,"height":660},{"@type":"BreadcrumbList","@id":"https:\/\/www.datalex.ch\/it\/expertises\/episode-2-telemedecine-droit\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.datalex.ch\/it\/"},{"@type":"ListItem","position":2,"name":"#2 &#8211; TELEMEDICINA E DIRITTO"}]},{"@type":"WebSite","@id":"https:\/\/www.datalex.ch\/it\/#website","url":"https:\/\/www.datalex.ch\/it\/","name":"datalex","description":"Avocats sp\u00e9cialis\u00e9s dans les nouvelles technologies - lawyers specializing in new technologies","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.datalex.ch\/it\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"it-IT"}]}},"_links":{"self":[{"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/portfolio\/38582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/portfolio"}],"about":[{"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/types\/portfolio"}],"replies":[{"embeddable":true,"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/comments?post=38582"}],"version-history":[{"count":2,"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/portfolio\/38582\/revisions"}],"predecessor-version":[{"id":38585,"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/portfolio\/38582\/revisions\/38585"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/media\/38583"}],"wp:attachment":[{"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/media?parent=38582"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/tags?post=38582"},{"taxonomy":"portfolio_entries","embeddable":true,"href":"https:\/\/www.datalex.ch\/it\/wp-json\/wp\/v2\/portfolio_entries?post=38582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}