New Functionality of IEMR
“N3.Integrated Electronic Medical Record” (N3.IEMR), a regional subsystem of the N3.Healthcare digital platform, received a number of important functional enhancements in 2025 that correspond to the current needs of our customers.
In particular, in response to the launch within the specialized subsystem of the Unified State Health Information System (EGISZ) of the Register of Information on the Health Status of Citizens (RSOZS), which serves as a source of data for maintaining the State Information Resource for Military Registration (GIR VU), a component for integration with RSOZS was created on the N3.Healthcare platform.
Now regional users of the platform can automatically transmit the necessary data from their medical information systems (MIS) of healthcare organizations to the federal registry in full.
Work also continued, which began in 2024, on the integration of N3.IEMR with the State Information System of Mandatory Health Insurance (GIS MHI).
Previously, as part of the first stage of the project, N3.IEMR received methods for integrating MIS of healthcare organizations with the subsystem “Federal Unified Register of Insured Persons” (FERZL) of GIS MHI and for transmitting structured electronic financial documents (SEFD) to the Federal Subsystem of Personalized Medical Care Accounting (FPUMP) of GIS MHI.
In 2025, following the development of GIS MHI, additional methods were implemented in N3.IEMR, expanding the possibilities of interaction.
Thanks to this, healthcare organizations can ensure full digital interaction with the Federal Mandatory Health Insurance Fund (FOMS) and quickly interact with the federal level regarding inpatient, outpatient, and emergency medical care.
At the same time, FOMS receives the ability, based on objective data, to assist in planning financing, ensure transparency of financial flows, and strengthen control over the quality of medical care provided within the MHI program.
“N3.Integrated Electronic Medical Record” (N3.IEMR), a regional subsystem of the N3.Healthcare digital platform, received a number of important functional enhancements in 2025 that correspond to the current needs of our customers.
In particular, in response to the launch within the specialized subsystem of the Unified State Health Information System (EGISZ) of the Register of Information on the Health Status of Citizens (RSOZS), which serves as a source of data for maintaining the State Information Resource for Military Registration (GIR VU), a component for integration with RSOZS was created on the N3.Healthcare platform.
Now regional users of the platform can automatically transmit the necessary data from their medical information systems (MIS) of healthcare organizations to the federal registry in full.
Work also continued, which began in 2024, on the integration of N3.IEMR with the State Information System of Mandatory Health Insurance (GIS MHI).
Previously, as part of the first stage of the project, N3.IEMR received methods for integrating MIS of healthcare organizations with the subsystem “Federal Unified Register of Insured Persons” (FERZL) of GIS MHI and for transmitting structured electronic financial documents (SEFD) to the Federal Subsystem of Personalized Medical Care Accounting (FPUMP) of GIS MHI.
In 2025, following the development of GIS MHI, additional methods were implemented in N3.IEMR, expanding the possibilities of interaction.
Thanks to this, healthcare organizations can ensure full digital interaction with the Federal Mandatory Health Insurance Fund (FOMS) and quickly interact with the federal level regarding inpatient, outpatient, and emergency medical care.
At the same time, FOMS receives the ability, based on objective data, to assist in planning financing, ensure transparency of financial flows, and strengthen control over the quality of medical care provided within the MHI program.
Development of the Patient Index
The “N3.Patient Index” service helps users of regional MIS identify patients and correctly form integrated electronic medical records.
It collects information about each patient from the information systems of all medical organizations where the patient has previously received treatment: outpatient clinics, hospitals, laboratories, diagnostic centers, emergency services, and others.
Thanks to this, the medical institution where a person is currently receiving care can correctly identify the patient.
A new component — the Patient Master Record — has appeared in the service, opening new possibilities for solving the problem of accurate patient identification based on personal data.
The fact is that neither in Russia nor in the world does a universal identifier exist.
For example, full name and date of birth cannot serve as universal identifiers because many people may have the same data. Passport numbers, insurance policy numbers, and similar attributes also cannot serve as universal identifiers because passports may change several times during a person’s life, and children do not have them.
The Master Record contains all the data necessary for identification (full name, date of birth, address, contact phone numbers, SNILS number, and other documents), and each patient is assigned a unique static ID.
At the same time, the data in the record is dynamically updated automatically whenever changes occur in any of the source systems of data for the IEMR.
Thus, the Master Record provides other information systems with a reliable identifier that can be used to determine patient identity.
In 2025 this functionality was rolled out to regional healthcare systems, with Rostov Region and the Republic of Kalmykia among the first.
The “N3.Patient Index” service helps users of regional MIS identify patients and correctly form integrated electronic medical records.
It collects information about each patient from the information systems of all medical organizations where the patient has previously received treatment: outpatient clinics, hospitals, laboratories, diagnostic centers, emergency services, and others.
Thanks to this, the medical institution where a person is currently receiving care can correctly identify the patient.
A new component — the Patient Master Record — has appeared in the service, opening new possibilities for solving the problem of accurate patient identification based on personal data.
The fact is that neither in Russia nor in the world does a universal identifier exist.
For example, full name and date of birth cannot serve as universal identifiers because many people may have the same data. Passport numbers, insurance policy numbers, and similar attributes also cannot serve as universal identifiers because passports may change several times during a person’s life, and children do not have them.
The Master Record contains all the data necessary for identification (full name, date of birth, address, contact phone numbers, SNILS number, and other documents), and each patient is assigned a unique static ID.
At the same time, the data in the record is dynamically updated automatically whenever changes occur in any of the source systems of data for the IEMR.
Thus, the Master Record provides other information systems with a reliable identifier that can be used to determine patient identity.
In 2025 this functionality was rolled out to regional healthcare systems, with Rostov Region and the Republic of Kalmykia among the first.
Registry Platform: New Projects
In 2025, several regions of the country implemented projects based on the N3.Registry Platform software product, designed to create patient registries according to specific nosologies and other parameters.
In particular, as part of a project for the Leningrad Region, more than 17 flexible registries were created on the basis of the registry platform, including registries for tuberculosis diseases, palliative care, venereal diseases, psychiatry, narcology, oncology, and others.
In the Neurosurgery Department of the Stavropol Regional Clinical Hospital, the registry platform helps monitor patients with malignant brain tumors from the moment of diagnosis until the completion of treatment.
Thus, doctors monitor whether the patient follows the prescribed treatment strategy, which significantly affects the outcome.
In the Kamchatka Territory, the registry platform is used in a wide range of scenarios:
In the Kemerovo Region — Kuzbass, a registry for chronic heart failure (CHF) has been created to help prevent this widespread disease, detect it at early stages, and provide timely treatment.
In 2026, we plan further architectural and functional improvements to the N3.Registry Platform product.
In 2025, several regions of the country implemented projects based on the N3.Registry Platform software product, designed to create patient registries according to specific nosologies and other parameters.
In particular, as part of a project for the Leningrad Region, more than 17 flexible registries were created on the basis of the registry platform, including registries for tuberculosis diseases, palliative care, venereal diseases, psychiatry, narcology, oncology, and others.
In the Neurosurgery Department of the Stavropol Regional Clinical Hospital, the registry platform helps monitor patients with malignant brain tumors from the moment of diagnosis until the completion of treatment.
Thus, doctors monitor whether the patient follows the prescribed treatment strategy, which significantly affects the outcome.
In the Kamchatka Territory, the registry platform is used in a wide range of scenarios:
- monitoring palliative patients
- monitoring patients who require long-term home care
- tracking patients admitted to regional state medical organizations for emergency care
- planning high-tech or specialized medical care under federal benefit programs
In the Kemerovo Region — Kuzbass, a registry for chronic heart failure (CHF) has been created to help prevent this widespread disease, detect it at early stages, and provide timely treatment.
In 2026, we plan further architectural and functional improvements to the N3.Registry Platform product.
Doctor Portal: Import Independence and Intelligent Functions
N3.Doctor Portal, a component of N3.IEMR, is designed to visualize information about all cases of patient visits to medical organizations in the region: medical documents (reports, discharge summaries, etc.), laboratory and instrumental research data, and other information.
Thanks to this tool, a physician can objectively evaluate a patient’s medical history and make decisions about further treatment.
In 2025, the team completed the transition of all regions using the N3.Healthcare platform to a cross-platform version supporting operating systems based on the Linux kernel included in the Russian software registry.
The main improvement to the N3.Doctor Portal, implemented this year, was the module for its integration with information systems of commercial medical organizations, allowing data from private clinics and medical centers of the selected region to be displayed in the portal.
Such a module has already been implemented in the Khabarovsk Territory and the Zabaykalsky Territory.
The same tool is used in the operation of the Mila medical online assistant (developed by ElNetMed), which allows patients to collect in their personal account information about their medical cases from both public and private clinics.
In addition, the Doctor Portal is now integrated with analytical information systems based on artificial intelligence technologies to enable clinical decision support system (CDSS) modules.
These intelligent tools analyze patient data and generate detailed reports on health indicators. A physician can use this report to verify the accuracy of a diagnosis.
Implementation of CDSS has already been completed in the Kamchatka Territory, Kemerovo Region, Arkhangelsk Region, and Murmansk Region.
The demand for the intelligent assistant among physicians continues to grow over time.
In the coming year, the IEMR team plans significant development of the Doctor Portal with additional useful functionality to provide new opportunities for ensuring continuity of medical care.
N3.Doctor Portal, a component of N3.IEMR, is designed to visualize information about all cases of patient visits to medical organizations in the region: medical documents (reports, discharge summaries, etc.), laboratory and instrumental research data, and other information.
Thanks to this tool, a physician can objectively evaluate a patient’s medical history and make decisions about further treatment.
In 2025, the team completed the transition of all regions using the N3.Healthcare platform to a cross-platform version supporting operating systems based on the Linux kernel included in the Russian software registry.
The main improvement to the N3.Doctor Portal, implemented this year, was the module for its integration with information systems of commercial medical organizations, allowing data from private clinics and medical centers of the selected region to be displayed in the portal.
Such a module has already been implemented in the Khabarovsk Territory and the Zabaykalsky Territory.
The same tool is used in the operation of the Mila medical online assistant (developed by ElNetMed), which allows patients to collect in their personal account information about their medical cases from both public and private clinics.
In addition, the Doctor Portal is now integrated with analytical information systems based on artificial intelligence technologies to enable clinical decision support system (CDSS) modules.
These intelligent tools analyze patient data and generate detailed reports on health indicators. A physician can use this report to verify the accuracy of a diagnosis.
Implementation of CDSS has already been completed in the Kamchatka Territory, Kemerovo Region, Arkhangelsk Region, and Murmansk Region.
The demand for the intelligent assistant among physicians continues to grow over time.
In the coming year, the IEMR team plans significant development of the Doctor Portal with additional useful functionality to provide new opportunities for ensuring continuity of medical care.