Translation. Region: Russian Federation –
Source: Moscow Government – Moscow Government –
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Mayor of Moscow Sergei Sobyanin and St. Petersburg Governor Alexander Beglov signed a cooperation agreement between the governments of Moscow and St. Petersburg on the implementation of information technology in outpatient medical organizations of the St. Petersburg state healthcare system.
"We are simultaneously investing enormous resources in the construction and renovation of clinics and hospitals in Moscow and St. Petersburg, introducing new technologies and equipment. And in today's world, digitalization of this sector is, of course, crucial, potentially significantly increasing its efficiency and the provision of care to citizens," said Sergei Sobyanin.
The Moscow mayor emphasized that the implementation of this system will benefit residents not only of St. Petersburg but also of Moscow, as the joint development of such systems creates a certain synergy.
In accordance with the agreement, the Moscow Government will ensure the implementation of the regional segment of the capital's Unified Medical Information and Analytical System (UMIAS) in St. Petersburg clinics.
“It will be more convenient for residents of the city on the Neva to make doctor’s appointments and medical examinations online, view their electronic medical records with laboratory and instrumental test results, medical examination reports, medical examination histories, medical certificates, and much more,” Sergei Sobyanin clarified on his channel in
Source: Moscow Mayor's channelMAX messenger
Alexander Beglov, in turn, recalled that two years ago, Moscow and the Northern Capital signed an agreement to implement an information and analytical system in the city's hospitals, and that it is being successfully implemented.
"Today is truly a historic day for us. Together with Moscow, the Northern Capital is fulfilling the instructions of our President, Vladimir Vladimirovich Putin, regarding the national healthcare project. Vladimir Vladimirovich emphasized and directed the implementation of artificial intelligence in all sectors. Moscow has now created a healthcare system, innovative and analytical, that is the best in the country. I would even say it is one of the best in Europe, because it enables the integration of absolutely all healthcare institutions," the Governor of St. Petersburg noted.
Implementation of the Unified Medical Information System (EMIS) in St. Petersburg clinics
Medical workers in St. Petersburg will have access to the following modern digital services:
— electronic registration for routing patient flows and maintaining appointment schedules in electronic form;
— a centralized laboratory service for issuing orders for tests and receiving their results electronically;
— an electronic medical record for recording and viewing information about patients’ health in a single digital environment;
— an instrumental diagnostic service for prescribing and receiving the results of instrumental examinations in electronic form;
— a telemedicine service for conducting remote consultations with patients.
Additionally, St. Petersburg clinics will implement a medical decision support system powered by artificial intelligence (AI). It will assist specialists in making preliminary and final diagnoses.
The agreement is planned to be implemented in three stages.
During the preparatory phase, the Government of St. Petersburg will ensure that the outpatient information and telecommunications infrastructure meets the minimum requirements for the operation of components of the regional segment of the Unified Medical Information System (EMIS), including data transmission channels to the network interface on the equipment of Moscow data processing centers.
St. Petersburg clinics will be equipped with the computing equipment and software necessary for the implementation and operation of the regional segment of the Unified Medical Information System (EMIS).
Furthermore, this stage will ensure the standardization of outpatient medical facilities' operational processes. This includes establishing uniform rules for outpatient patient consultations, as well as approving standardized templates for electronic medical documents and reference books used by clinics.
During the implementation phase, the clinics will be connected to the regional segment of the Unified Medical Information System (EMIS). This work involves adapting and modifying its components, as well as integrating them with the St. Petersburg state information system "Regional Fragment of the Unified State Information System in Healthcare" (REGIZ) and other information systems.
To test the system's functional characteristics, pilot testing will be conducted in three city clinics in St. Petersburg—No. 3, 17, and 71.
During the operational phase, all outpatient medical facilities in the St. Petersburg state healthcare system will begin operating in a digital environment.
As part of the agreement, the Moscow Government will ensure:
— procurement of equipment and infrastructure for data processing centers (DPC) in Moscow, modification and adaptation of EMIS components;
— provision of Moscow’s computing infrastructure in the data center for the deployment of the regional segment of the EMIAS, and then the deployment and operation of the regional segment of the EMIAS in the data center;
— improvement of the regional segment of the Unified Medical Information System (EMIS), including software development;
— technical support for the regional segment of the EMIAS at the stages of implementation and operation;
— training of users of the regional segment of EMIAS, representatives of the regional technical support service of St. Petersburg and the regional competence center of St. Petersburg, as well as their methodological support.
"There's a lot of work ahead. I hope that we'll accomplish it together. I'd like to thank Alexander Dmitrievich again for our joint efforts in all areas of our common agreement, our common agreement on socioeconomic development, and in the specific areas where we're already making progress," Sergei Sobyanin emphasized.
The main result of the implementation of the EMIAS in the outpatient network is expected to be an improvement in the quality of medical care for the population of St. Petersburg.
The implementation of EMIAS is a continuation of the joint work that began in 2024. At that time, inpatient medical facilities in St. Petersburg gained access to digital technologies.
Today, 21 city hospitals in St. Petersburg are connected to the EMIAS clinical information subsystem. Work is planned to be completed at the remaining 14 hospitals by the end of 2026.
15,900 employees of city healthcare organizations have been trained to use the system. In addition, methodological support and consultations were provided to representatives of the regional technical support service and the St. Petersburg Competence Center.
"Moscow is sharing its proven solutions with the country's regions. We are pleased that our experience is proving useful," Sergei Sobyanin concluded on his channel.
Source: Moscow Mayor's channelMAX messenger
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EMIAS is the technological core of the capital's healthcare system.
In 2011, EMIAS was established in Moscow, marking the beginning of the digital transformation of the capital's healthcare system and becoming its technological core.
Today, all of the city's medical facilities—clinics, hospitals, and the A.S. Puchkov Ambulance and Urgent Care Station—operate within a common digital environment. It brings together over 120,000 doctors and nurses.
EMIAS has created over 25.2 million electronic patient records, containing over 4.7 billion digital entries. An additional 1.5 million are added daily. The system has facilitated over 1.6 billion online and offline doctor appointments (electronic registration).
Thanks to a medical decision support system powered by artificial intelligence, Moscow specialists have provided over 15 million preliminary diagnoses to outpatients.
EMIAS has simplified many processes in Moscow's healthcare system and created convenient channels of communication between doctors and patients, as well as between medical specialists, and between outpatient and inpatient care. Thanks to EMIAS services, Muscovites can, for example, schedule a doctor's appointment remotely, receive an electronic prescription, and view their health information online in their electronic medical records.
An electronic medical record is a convenient and secure way to monitor your health. It contains all the key information about your medical care: doctor's examination records, referrals, vaccination history, test and examination results, and much more. All of this is now digitally collected in one place and accessible online.
Electronic medical record data helps doctors see a complete picture of a patient's health, medical services provided, and surgical interventions performed, and, based on this information, choose the most effective treatment strategy.
In 2020, Muscovites gained access to their electronic medical records on the mos.ru portal and in the EMIAS.INFO mobile app. Over the past six years, residents have gained access to 10.9 million electronic medical records.
More than 1.9 million adult Muscovites have gained access to their children's electronic medical records, and over 2,600 guardians have gained access to their wards' electronic medical records.
In 2025, Muscovites accessed their electronic medical records 1.5 times more often. Almost all requests are made through the EMIAS.INFO mobile app.
In addition, in 2025, new projects were implemented that make healthcare more convenient and improve the quality of medical care in Moscow.
Thus, patients can now view the protocols of decisions by medical commissions regarding in vitro fertilization (IVF) in their electronic medical records.
Patients undergoing chemotherapy can participate in periodic online surveys about their well-being in the EMIAS.INFO mobile app. They will receive special notifications about this. The system then analyzes the collected data and automatically identifies patients at high risk of adverse events. A chemotherapist is required to review the survey results within one business day and then, if necessary, provide an urgent telemedicine consultation. This project helps prevent complications and ensure the continuity of anticancer therapy.
Moscow was the first city in Russia to implement the ability to enter health data into electronic medical records and manage doctor appointments using an AI assistant. This new feature can be enabled and used in the EMIAS.INFO mobile app. Patients can record blood pressure, pulse, and other data, as well as receive information about appointments with specialists, lab tests, and instrumental examinations, and cancel them using voice.
Cardiotocography data has been digitized at antenatal clinics and women's health centers. The results are now available in expectant mothers' electronic medical records.
You can now order subsidized meals at milk distribution points not only on the mos.ru portal, but also through the EMIAS.INFO mobile app and through your electronic medical record on the mos.ru portal.
Muscovites can order a range of medical certificates online through their electronic medical record and the EMIAS.INFO mobile app. All documents are created using approved medical forms, certified by a physician's electronic signature, endorsed by the medical organization's seal, and have a unique QR code to confirm their authenticity. Completed certificates can be downloaded from the electronic medical record, printed, or emailed. This new feature reduces the workload on clinics, frees doctors from routine tasks, and significantly simplifies residents' lives. However, the ability to obtain certificates at medical institutions remains.
A system to support medical decision-making in Moscow clinics
A medical decision support system (MDS) has been implemented in Moscow's adult outpatient clinics. This AI-powered service analyzes patient complaint data entered into the Unified Medical Information and Analytical System (EMIS) and offers the physician three most likely preliminary diagnoses. The physician selects one of the proposed diagnoses or creates their own if they disagree with the AI's opinion. This significantly simplifies the process of establishing a preliminary diagnosis.
More than 15 million diagnoses have already been made using the SPVR. And thanks to packaged prescriptions developed by Moscow medical specialists and implemented in the EMIAS in addition to the preliminary diagnosis module, doctors spend 10 times less time prescribing tests to confirm their decisions. The final decision always rests with the specialist, but the SPVR serves as a reliable assistant.
In addition, a new AI-based diagnostic system (SDS) module has been implemented in adult city outpatient clinics, assisting primary care physicians and general practitioners in making final diagnoses. The AI service analyzes the patient's electronic medical record data for the past two years, as well as the complaints and medical history recorded in the current protocol, and sends an informational message to the physician. If the physician and the AI service agree, the digital assistant reports the diagnosis as consistent. If they disagree, the physician receives an informational message about the digital assistant's alternative opinion. The final decision rests with the physician.
Moscow has halved the time it takes to receive medical test results thanks to digitalization.Moscow has transitioned hospitals to digital monitoring of all stages of patient treatment.A digital assistant has freed up more than 250,000 hours for Moscow doctors to spend with patients.
EMIAS in hospitals – paperless clinics
The gradual integration of Moscow hospitals into the Unified Medical Information and Analytical System (EMIS) began in 2019. This included the end-to-end automation of key medical care processes, from admission to discharge.
In addition, we carried out a technological upgrade of network and hardware systems, installed modern server and software equipment, updated employee workstations, and trained medical personnel—doctors, nurses, medical registrars, and laboratory staff.
In 2023, the first seven major Moscow hospitals transitioned to the paperless clinic model. These include the N.V. Sklifosovsky Research Institute of Emergency Care, the V.V. Veresaev City Clinical Hospital, O.M. Filatov City Clinical Hospital No. 15, the V.M. Buyanov City Clinical Hospital, the N.I. Pirogov City Clinical Hospital No. 1, the Infectious Diseases Clinical Hospital No. 1, and the S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center.
Currently, all multidisciplinary clinics in Moscow operate exclusively in a digital environment.
Thanks to the project, all medical information in hospitals is now recorded and stored digitally. It is accessible to medical workers on tablets and laptops integrated with the Unified Medical Information and Analytical System (EMIS).
Electronic document management has significantly increased staff mobility and freed employees from a large volume of paperwork.
In addition, specialists have access to specialized digital services to assist in interacting with patients.
As a result, digital clinics are engaged in patient care even before the ambulance arrives. During the examination and transport of an emergency patient, ambulance crew physicians, using tablets connected to the EMIAS, enter electrocardiogram results, as well as vital signs such as blood pressure, respiratory rate, and blood oxygen levels, into the system. Emergency room physicians see this data online on their monitors and can prepare in advance everything necessary for immediate medical care, including surgery and intensive care.
A digital triage system helps optimize the routing of patients arriving at the emergency department. Its algorithms analyze patients' clinical indicators and categorize them according to priority levels for medical care: red, yellow, and green. The service doesn't replace the specialist, but rather acts as their assistant. The final decision on the priority and types of necessary medical care is made by the emergency department physician.
The "Digital Resuscitation" service has been implemented in hospital intensive care units (ICUs). It allows all patient monitoring data to be collected electronically. The service displays ICU physician orders, their status, and important patient health indicators. This makes it easier for medical professionals to monitor the current situation and adjust treatment strategies if necessary.
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Please note: This information is raw content obtained directly from the source. It represents an accurate account of the source's assertions and does not necessarily reflect the position of MIL-OSI or its clients.