The traceability of care in EHPAD refers to the structured recording of each act, evaluation, and transmission in the resident’s file. Since the nursing law of June 27, 2025, and the decrees of June 26, 2026, this traceability has become enforceable: each nursing prescription must be based on a documented prior clinical evaluation. Facilities using a DUI software like Netsoins, deployed in the DomusVi network, face a tight schedule to align their practices with this new framework.
Enforceable traceability in EHPAD: what the June 2026 decrees change
The two decrees of June 26, 2026, expand the scope of acts and prescriptions that can be carried out by nurses: consultation, nursing diagnosis, prescription of health products, and additional examinations. The effective date is set for June 30, 2026.
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The HAS conditions this expanded autonomy on a precise framework. Each prescription must be based on a documented prior clinical evaluation in the care file, with formalized alert criteria and national monitoring of practices. The term “enforceable” means that in case of a dispute or audit, the absence of documented evidence in the file constitutes a breach.
For teams in EHPAD, this transforms traceability from a recommended good practice into a verifiable legal obligation. A DomusVi facility that configures its protocols in Netsoins must now ensure that the evaluation-prescription-follow-up sequence is documented without interruption, from nursing diagnosis to targeted transmission.
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Several facilities are already engaging in a training on medication errors with Netsoins DomusVi to embed these documentary reflexes before the regulatory deadline.
Documentary continuity city-EHPAD: the BSI as a pivot of traceability
Avenant 11 to the nursing convention, published in the JO on May 6, 2026, evolves the Nursing Care Assessment (BSI) and the content of the nursing care file in the community. The structured collection of data is strengthened: formalized nursing diagnosis, traceability of autonomy evaluations, care plan, and targeted transmissions.
This evolution creates a documentary continuity between the community, home, and EHPAD. When a resident enters a facility after receiving care from a liberal nurse, their BSI must be able to feed into the DUI file without re-entry or loss of information. The technical challenge for software like Netsoins is to absorb this structured data and return it in a format usable by the coordinating physician.
The existing content on Netsoins presents the software’s features (computerized medical file, telemedicine, billing) without addressing this inter-sectoral dimension. Yet, this is the component that is most often missing in EHPAD: traceability does not stop at the walls of the facility.
Points of vigilance for the continuity of the care file
- Ensure that the Netsoins configuration includes the fields of the revised BSI (nursing diagnosis, autonomy criteria, structured care plan) to avoid double entry during the admission of a new resident
- Ensure that targeted transmissions comply with the format expected by the DMP, as enforceable traceability requires effective interoperability with the shared medical file
- Train nurses and nursing assistants on the new documentary sequences before June 30, 2026, distinguishing between what falls under autonomous nursing prescription and what requires medical validation
Netsoins DomusVi configuration: structuring the resident file for compliance
Regulatory compliance cannot be resolved by a software update. It requires a configuration effort that translates legal obligations into fields, alerts, and workflows in the DUI. On Netsoins, several areas deserve particular attention.
The first concerns nursing prescription protocols. The June 2026 decrees require that each nursing prescription be linked to a clinical evaluation. In Netsoins, this means creating a documentary link between the evaluation form and the prescribed act, with automatic timestamping. Without this chaining, traceability remains declarative.
The second area focuses on medication alerts. The recent integration of the Posos prescription e-scan module into Netsoins allows for the automatic recognition of medications, dosage forms, dosages, and prescriptions from a photo of the prescription. This component reduces transcription errors for poly-medicated residents, but it does not exempt the need to ensure that every treatment modification is documented with its clinical reason.
The third area is access rights management. The GDPR regulation and HDS hosting require a complete history of actions. In a network like DomusVi, where teams rotate between facilities, the configuration of user profiles determines the reliability of the audit trail.
Resident data security and HDS hosting in senior residences
Traceability has probative value only if the data is protected. Hosting according to the HDS (Health Data Hosts) standard guarantees a technical framework, but operational security also depends on daily practices.
Three concrete points deserve an internal audit before the 2026 deadline:
- The password policy and account authentication for Netsoins, ensuring that each caregiver has a personal identifier (no shared sessions on a care workstation)
- The frequency and verification of backups, as a technical incident that erases care records can have direct legal consequences under the enforceable traceability regime
- The procedure for responding to access requests from residents or their families, reinforced by the GDPR and the logic of the DMP
These verifications do not fall solely under the IT department. The coordinating physician, health manager, and quality director must participate to ensure that the technical configuration reflects the reality of care.
The deadline of June 30, 2026, imposes a short timeline. DomusVi facilities utilizing Netsoins have a software base compatible with the requirements, but the transition from theoretical compliance to effective traceability at the resident’s bedside remains an organizational challenge as much as a technological one.