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Now electronic and paper medical records duplicate each other.

Adults and children’s polyclinics in the capital are starting the transition to electronic medical records without duplication on paper. This was reported by Anastasia Rakova, Deputy Mayor of Moscow for Social Development.

Medical documents will be created and stored immediately in electronic form in the Unified Medical Information and Analytical System (UMIAS) In two children’s polyclinics, this procedure will be introduced in April. For this, the necessary information is now being digitized. After the experiment, in October, the project will begin to be implemented in other children’s clinics. The innovation was made possible by a single digital healthcare platform.

“We have reached a high level of penetration of advanced technologies in healthcare. With a single digital platform, we have the opportunity to take the next step into the clinic of the future. Polyclinics of the city are gradually starting to switch to electronic medical records management in UMIAS – examination protocols, research results, information on vaccinations and many others. We will start an experiment on the basis of two children’s polyclinics – they will use electronic medical records without duplication on paper. This will allow us to debug all the processes, and from October we plan to gradually begin to extend the modern format of medical history management to other children’s polyclinics in Moscow. For this, in particular, by April we plan to digitize all the necessary documents from children’s medical records. Thus, all information about the health of babies will always be at the fingertips of doctors and parents. Based on the results, we will also make a decision on the implementation of the project in the adult polyclinic network, ”said Anastasia Rakova.

At the same time, at the request of the patient or his legal representative, the medical record will also be kept on paper.

In accordance with the order of the capital Department of Health medical documents in pediatric and adult polyclinics are now generated electronically in UMIAS. These include information about the patient, examination protocols, discharge epicrisis, appointment of consultations and procedures, a certificate of incapacity for work, an ambulance call card, results of laboratory and instrumental studies, prescriptions, vaccine prophylaxis and others.

Now an electronic medical record is an analogue of a paper one, both documents are kept in parallel. The pilot project in two children’s polyclinics will last two months and will allow debugging a new format and solving all emerging issues.

Access to the electronic medical record can be obtained on portal.To do this, the user must have a compulsory medical insurance policy and be over 15 years old. Parents can apply separately to access the child’s card.

The transition to the maintenance of medical documents in electronic form is carried out in accordance with the order of the Ministry of Health of Russia dated September 7, 2020 No. 947n.


EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

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