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    Regulatory obligation 2026

    FSE 2.0: What's New for Psychologists?

    From March 31, 2026, every psychologist — freelance or in private practice — is required to feed the Electronic Health Record 2.0 with the reports of psychological assessments provided. Non-medical psychologists also fall under this obligation. Documents (psychodiagnostic reports, psychological assessment reports) must be sent to the regional FSE gateway. within 5 days from the evaluation, in CDA2 format and digitally signed.

    BeebeeDoc automates the entire process: from the psychodiagnostic report to the EHR, with enhanced protection of your patients' privacy in accordance with EU Regulation 679/2016, Article 9 (sensitive data). Without changing your way of working. No manual steps, no additional software.

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    Psychological report CDA2

    Automatic generation of the psychodiagnostic report in the CDA2 format required by the Ministry, with ICD-10 diagnoses for psychological disorders (anxiety, phobia, depression, adjustment disorders, etc.), testing tools used, and therapeutic pathway.

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    Integrated digital signature

    Sign PAdES with OTP or CAdES via Namirial directly from the patient's file: the psychological report is legally validated in one click, without interrupting the interview.

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    Guaranteed delivery within 5 days

    Automatic transmission to the regional FSE gateway immediately after signing. You'll meet the 5-day requirement without having to think about it, with enhanced privacy protection for psychological data.

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    Ministry of Health · CNOP

    FSE 2.0 Accredited Software for Psychologists


    BeebeeDoc is registered among the software enabled for the transmission of clinical documents to the FSE 2.0, in compliance with the guidelines of the National Council of the Order of Psychologists (CNOP) and the technical specifications of Legislative Decree 34/2020.

    How it works

    From the psychological interview to the ESF in a few seconds

    Here are the 4 steps to transform your psychological evaluation into an ESF 2.0 compliant report:

    1

    Record the interview and the test instruments

    Enter the patient's psychological history, psychometric test results (MMPI-2, Rorschach, WAIS, WISC, etc.), medical history, and assessment objectives into BeebeeDoc. All of this is structured in the designated fields of the record.

    2

    Select ICD-10 diagnosis and treatment path

    From the quick autocomplete, choose the ICD-10 code that corresponds to the psychological disorder you're experiencing (anxiety, phobia, depression, PTSD, etc.). Document the recommended treatment plan, number of sessions, and intervention modality (individual, couple, group).

    3

    Generate the CDA2 psychodiagnostic report

    BeebeeDoc automatically compiles the psychodiagnostic report in the CDA2 HL7 format required by the Ministry. Everything you enter (medical history, tests, diagnosis, treatment plan) is transformed into an official clinical document, ready for digital signature.

    4

    Sign and send to the ESF

    Sign the report in PAdES, the format the Health Record requires, with an OTP on your smartphone. BeebeeDoc sends it straight to the FSE gateway of your region. The system checks the status in real time. Done: the report is in the patient’s Health Record, visible to their GP, in full compliance with the privacy rules of GDPR article 9.

    Frequently asked questions about FSE 2.0 for psychologists

    Yes, absolutely. Effective March 31, 2026, all psychologists — both medical and non-medical — who practice privately or in private facilities They are required to feed the Electronic Health Record 2.0 with psychological assessment reports. This requirement has been clarified by the Ministry of Health and the EHR 2.0 Implementation Decrees. This is not optional: it falls within the professional obligations set forth in the CNOP guidelines.

    Psychodiagnostic reports and psychological evaluation reports. Specifically:

    • Psychodiagnostic report: document that summarizes the psychological history, the testing instruments used (MMPI-2, Rorschach, WAIS, WISC, TAT, etc.), the ICD-10 diagnosis and the recommended treatment path.
    • Psychological evaluation report: clinical document describing the assessment performed, the test results, the psychodiagnostic picture and the indications for treatment.
    • Clinical report for therapeutic pathways (if the patient accesses therapy sessions): in this case, you can document the sessions, progress towards goals, and send periodic follow-up reports to the FSE, always respecting confidentiality.

    Documents must be in CDA2 HL7 format and digitally signed within 5 days of the service.

    Yes, privacy is maximum. The psychological data are special category according to art. 9 of the GDPR (EU Regulation 679/2016). BeebeeDoc applies enhanced protections:

    • End-to-end encryption: Data is encrypted during transport and at rest on the servers.
    • Granular access control: Only authorized individuals (you and your delegates) can access patient data.
    • Anonymization for statistics: if you use the data for research or outcome evaluation, they are anonymized.
    • Complete audit logsAll data access is logged. You can control who viewed what and when.
    • NIS2 ComplianceWe are adopting the new European cybersecurity standard for critical infrastructure.

    Your patients always retain ownership of their data. Informed consent for the processing of psychological data is mandatory and documented in BeebeeDoc.

    BeebeeDoc automatically generates reports in the CDA2 HL7 format certified by the Ministry. When you create a relationship in BeebeeDoc, the system:

    • It composes the HL7 CDA2 route according to the ministerial technical specifications.
    • Validate the ICD-10 codes entered (differentiated for psychology: F40-F99).
    • Ensure that the required fields are filled out (medical history, diagnosis, path).
    • Show any errors before signing, so you can fix them.

    Once the report is signed and submitted to the FSE, the regional gateway performs further compliance checks. If any issues arise, BeebeeDoc notifies you in real time so you can correct them.

    Failure to submit the report to the ESF within 5 days is a violation of the regulatory obligation. Consequences:

    • Violation of Legislative Decree 34/2020: the obligation is sanctioned. The Ministry may challenge failure to comply.
    • Violation of CNOP guidelines: the Order could proceed with disciplinary checks.
    • Harm to patients: the patient does not have the report in his FSE, losing continuity of care.

    BeebeeDoc helps you avoid mistakes: Generate the report at the end of the evaluation; signing takes just seconds, and the system immediately transmits it to the EHR. There's no risk of forgetting. You can set automatic reminders if you prefer.

    Three things: enabling with your own region, the electronic signature configured and the records set up to produce the required document. The platform's ministerial accreditation is already in place and does not have to be requested by the professional.

    Regional gateways are separate, so you need authorisation in each region where you provide the service. From the software the sending stays the same: the destination changes, not the way you work.

    The outcome comes back into the software and stays attached to the document, with the date. It is the evidence to have when you must show you transmitted on time.

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