France

Telemedicine Technologies (TTSA) is a French company provider of e-health solution operating in more than 43 countries, involving over 20 000 research centres, with more than 3 million patients in their data base and 50,000 users worldwide. The fields of expertise are divided in five key domains: real world evidence and registries, patient pathway, data services, AI and data visualization, and investigator site management with site solutions. Site solutions are designed to meet the challenges faced by investigation sites, hospitals, private clinics, and health centres involved in patient recruitment for clinical trials. Indeed, about half of clinical trials are delayed due to recruitment issues. 

In light of this, an innovative digital solution called CT-SCOUT has been developed. The goal is to simplify and speed up the process of identifying studies for which a patient could be eligible, based on their health status. In other words, the goal is to optimize patient pre-screening for a clinical trial. At a national level, there is a space that allows everyone to store and share their data, such as their health documents, securely. This is the “Mon espace santé” platform. As for it, the patient pre-screening process with CT-SCOUT involves entering patient data into the application by a research team member to evaluate compatible studies. These data are retrieved from the medical record or during a consultation with the patient. The link between these existing data in “Mon espace santé” and a digital solution such as CT-SCOUT, would improve patient accessibility to clinical studies. 

The french adoption site objective is to demonstrate the interest of the xShare Yellow Button applied to “Mon espace santé” and patients pre-screening with CT-SCOUT. 

By facilitating patient inclusion, patients can actively participate in their own health. Benefits are for the patient to empower their health with their assessment in clinical trial, for the Clinical investigator and the research team to be able to recruit the right number of patients and for both to advance clinical research. The patient uses the xShare Yellow Button service to fetch and assess in a user-friendly mobile application its medical data. The xShare Yellow Button service will for example allow patient data conversion in structured EEHRxF as well as sharing with third parties. A third party is CT-SCOUT (clinical investigator pre-screening tool). It indicates the studies for which the patient is potentially eligible to and facilitates the relation with investigative teams. In addition, data inserted in CT-SCOUT are shared with the EEHRxF to update the patient’s IPS including an audit trial of the data source.