Taking into account a favorable environment with the growing computerization of medical records in medical offices, the development of hospital information systems and the diffusion of medical smart cards, it is now possible to envisage the generalization of the communication of digital information through new information technologies. The Réseau Santé Social will provide a certain number of basic functions with which new services could be offered to improve the management of medical information and the coordination of care. The intermediation platform RITHME with allow asynchronous communication between the participants of a sanitary sector, responding to the needs and expectations of the physicians working in private and public sectors. This platform has experience in the geographical area of Lille-Armentières (Nord), gathering 40 family doctors, two hospitals, and three labs, and will be expanded to generalize its offer.