Saint Petersburg Builds the Medicine of the Future Today

Saint Petersburg is building the medicine of the future today. The city is not just implementing digital technologies — it is creating a unified ecosystem with the patient at its center. The foundation of this transformation has been large-scale government projects such as “Electronic Healthcare” and “Creation of a Unified Digital Healthcare Environment Based on the Unified State Health Information System (EGISZ)”. Thanks to these initiatives, the city now operates a digital twin of citizens’ health — a data array formed from more than 90 million structured electronic medical documents, which helps doctors make accurate diagnoses, managers make informed decisions, and patients actively manage their health.

A Unified System for Everyone

All medical care in the city is recorded in structured electronic medical documents (SEMD). Data is automatically transferred from medical information systems (MIS) of healthcare institutions to the Unified State Health Information System of Saint Petersburg (GIS “REGIZ”), and is also integrated with the federal system EGISZ.

Separate centralized services have been created for all key areas, including cardiology, oncology, preventive care, and maternity care.

Results That Speak for Themselves

Leadership: Saint Petersburg is among the leaders in implementing SEMD, having introduced 89 types of documents. By the end of 2024, more than 90 million SEMDs had been generated.

Scale of data: The REGIZ repository accumulates data on 492 million laboratory tests, 23 million instrumental examinations, and 276 million cases of medical care delivery.

Full automation: 100% of birth certificates, sick leave certificates, and other medical documents are issued electronically. The Preferential Drug Provision system has issued 3.1 million electronic prescriptions.

An Ecosystem of Services for All Participants

By 2024, the city had 40 full-scale electronic medical services, distributed for the convenience of key user groups:

20 — for patients

11 — for healthcare professionals

9 — for healthcare managers

Another significant achievement is the active integration of private clinics — 146 organizations are already connected, which makes the medical history of patients receiving care in different institutions complete and continuous.

The “Health of a Petersburg Resident” Portal

The central resource for providing medical services to city residents in digital form is the “Health of a Petersburg Resident” portal — a major strategic city project launched back in 2011.

Currently, more than 2 million users are registered on the platform — their number has doubled since 2021.

Through their personal account, patients have access to 32 digital services and sub-services, including:

• viewing medical history
• booking doctor appointments
• scheduling preventive medical examinations
• calling a doctor to the home
• searching for medicines and viewing preferential prescriptions
• maintaining a vaccination calendar
• sending feedback

and other services.

A key component of the platform is the Electronic Medical Record (EMR) — a source of aggregated information for each individual patient.

It contains the full history of visits to medical organizations, results of laboratory and instrumental examinations, issued prescriptions for preferential medicines, the patient’s personal vaccination calendar, and other useful information.

Among the most popular services are also the “Child’s Personal Account”, which allows parents to monitor their children’s health indicators, and the “Electronic Prescription” service.

The latter allows patients to receive preferential medicines at a pharmacy using a QR code, minimizing paper document circulation.

For healthcare managers, these tools provide opportunities to precisely monitor issued prescriptions, forecast procurement needs, and analyze data.

The Doctor and the Digital Assistant: A Unified Information Ecosystem

The integrated electronic medical record is available not only to patients but also to physicians.

A dedicated resource — the “Doctor’s Portal” — has been created for them. It aggregates all electronic medical documents created across all state medical organizations in Saint Petersburg.

This simplifies disease diagnosis, the prescription of laboratory and instrumental examinations, and ensures continuity of medical care across the region.

For example, a patient’s past illnesses are grouped by corresponding nosologies, while laboratory results are organized by type of analysis.

This approach makes it possible to analyze data on a patient’s health across various disease groups and better track the dynamics of health indicators.

Doctors also have access to signal markers regarding the patient’s health status, such as the presence of diabetes or the risk of developing acute coronary syndrome.

Intelligent Systems Supporting Physicians

The digital infrastructure has become a platform for implementing more advanced tools — clinical decision support systems (CDSS) based on artificial intelligence.

These solutions are already actively used in clinical practice.

For example, AI algorithms successfully assist in analyzing medical images:

• mammography images

• CT scans of the brain and chest organs

• X-ray and fluorography data

Their key task is to become a “second pair of eyes” for physicians.

They process vast amounts of visual data with extremely high speed and accuracy, highlighting suspicious areas, measuring pathological changes, and tracking their dynamics over time.

This minimizes the risk of missing subtle signs, especially when working with large volumes of examinations.

It is important to emphasize that these technologies are not designed to replace doctors, but to become reliable assistants.

They take on part of the labor-intensive analytical work, allowing specialists to focus on what matters most — a comprehensive assessment of the clinical picture, communication with the patient, and choosing the optimal treatment strategy.

Thus, the synergy between medical expertise and digital assistants is a natural step toward the medicine of the future — more personalized, efficient, and human-centered.

Registry Platform

The enormous volume of primary data accumulated in REGIZ in structured form provides tremendous opportunities for analytics.

Saint Petersburg has implemented the “Disease Registries” subsystem, which allows automated formation of nosological registries of various levels of complexity and patient control lists based on specified parameters, as well as visualization of analytical data.

This service helps healthcare managers forecast the epidemiological situation in the city, track patient routing and the workload of medical institutions, and identify patients requiring additional attention and supervision from physicians.

Currently, more than 56 registries have been created in the system, and more than 10 more are under development.

The data from the registry subsystem is actively used not only for healthcare management but also in the clinical practice of physicians in various medical fields.

For example, in 2024, a registry was created for patients who did not undergo scheduled tuberculosis screening.

As a result of additional proactive work carried out by healthcare professionals, the coverage rate of preventive tuberculosis examinations increased from 54.6% to 79.7%.

Similar projects are being implemented in cardiovascular surgery, gastroenterology, and other medical areas.

The registry platform is a “dashboard” for healthcare managers, showing the health of the entire city healthcare system in real time.

Digitalization of Healthcare in Saint Petersburg: Plans and Prospects

Access to the results of diagnostic examinations and medical prescriptions in electronic form has been ensured for all citizens, including through the Gosuslugi national portal.

Centralized monitoring of the distribution and use of medicines purchased with budget funds has also been organized.

A pilot service has been launched to inform citizens about the estimated arrival time of ambulance teams, as well as an online visualization service for emergency dispatches.

A system of specialized communication is being designed for groups such as people with hearing impairments and speech disorders.

For example, a patient who cannot communicate with an operator by voice will be able to type a message, which will be automatically voiced to the ambulance dispatcher, while the dispatcher’s voice will be converted into text.

The city has also launched and continues to develop analytical dashboards for the healthcare system, allowing managers to monitor factors such as:

• salaries of healthcare professionals
• staffing levels
• citizen requests
• preventive medical examinations
• preferential drug provision

The nearest plans for further development of healthcare digitalization in the city include the following key directions:

• developing new scenarios for the use of artificial intelligence technologies

• expanding information exchange with private medical organizations

• deepening analytical work with SEMD data and medical records

• expanding the possibilities for booking doctor appointments and conducting telemedicine consultations using the national messenger Max

Conclusion

The digital transformation of healthcare in Saint Petersburg is not merely about collecting data or launching pilot projects.

It is a fully developed ecosystem where technology serves one goal — to make healthcare more efficient, accessible, and personalized for every resident of the city.

Author: Andrey Dyukov

Commercial Director, Netrika Medicine (part of N3.Group and Tashir Medica)

A Fundamentally New Version of N3.MDM

In 2025, we reached a new technological milestone by beginning the development of the next generation of our flagship product — the N3.Master Data Management system.

Based on many years of experience working with the largest regional healthcare systems, we are creating a fundamentally new architecture. Its goal is to provide our customers with a reference tool for managing master data — unprecedented in performance, easily scalable, and ready for integration into federal projects of any complexity.

Development of Regional Projects

In 2025, the Master Data Management team continued the successful implementation of government contracts that include development, technical support, and maintenance of our solutions deployed within the IT infrastructure of regional healthcare systems.

Among the most significant were the completed projects in Saint Petersburg and the Leningrad Region. Both regions have been using our software products for many years, consistently improving their functionality. The next stage of our cooperation began in 2024.

Both projects were large-scale and complex, requiring significant effort, maximum responsibility, and extensive expertise.

The project in Saint Petersburg was also unique due to the strict information security requirements.

Our contribution to the creation of the Unified Medical Information System of the Leningrad Region was the implementation of end-to-end master data management functionality based on the N3.MDM platform.

We ensured centralized management and rapid updating of all medical classifiers and reference directories for more than 1,166 organizations — both public and private.

Today the system integrates 979 reference directories and classifiers, forming a reliable foundation for the correct operation of all modules of the unified medical information system — from clinical tasks to financial planning.

Netrika Medicine integrates key healthcare services — doctor appointment scheduling and telemedicine consultations — with the national messenger MAX. Patients gain access to electronic medical services through a new communication channel on their smartphones.

The doctor appointment scheduling service via MAX has passed verification and has been launched in the Kuzbass region. Residents of the region can access the service through the chatbot of the Kuzbass Ministry of Health in the national messenger MAX — “Doctor Appointment in Kuzbass.”

In the near future, residents of Kuzbass will also be able to receive telemedicine consultations through MAX.

In addition, the following services will soon become available for our customers:

• Automatic reminders: notifications about upcoming doctor appointments and, in the future, notifications about upcoming preventive medical examinations.
• Extended telemedicine: additional formats of online interaction with medical specialists.
• Signing of medical agreements and consents for medical intervention.

Netrika Medicine is ready to develop an individual implementation plan taking into account the existing IT infrastructure and the architecture of the regional healthcare information system in order to scale this solution to other regions.

Technical integration is possible in two ways:

• through the N3.Healthcare integration platform;

• directly with regional data platforms.

Requests and inquiries can be sent to: zs@n3med.ru

Data Management Platform: Transition to a New Level of Operation

In 2025, our N3.Data Management Platform, the test release of which was obtained in 2024, was fully completed and put into pilot operation.

This is a strategically important milestone that allows us to systematically develop the platform and deeply integrate it with all products of the N3.Healthcare ecosystem.

We have now established lifecycle control at a new level, enabling us to flexibly adapt the architecture to the growing demands of the market.

Mandatory Health Insurance Analytics: Creating an End-to-End Control Framework

One of the most significant practical results of the year was the successful completion of work on creating a unified analytics framework for the Mandatory Health Insurance (MHI) system.

We integrated the N3.Analytics platform with the N3.GIS MHI solution in several regions, including Saint Petersburg.

This created the foundation for a comprehensive end-to-end analytics framework. Already now, all structured electronic financial documents transmitted to the system are available for monitoring and in-depth analysis.

As the project continues to develop, full coverage of financial flows in the context of medical data will be implemented. This will allow our customers to obtain a complete tool for analyzing the volumes and movement of funds for medical services provided.

Regional Solutions: From Administration to Value-Oriented Services

Kamchatka Territory: automation of legally significant processes.

For medical organizations in the region, we created a system for rapid submission of electronic document extracts to regulatory authorities.

The built-in platform constructor automatically generates the required package of documents, including both the original structured electronic medical documents signed with a digital signature and their human-readable versions.

This transforms a bureaucratic process that previously took weeks into a task that can be completed in minutes.

“500 SEMD” Data Mart: a new paradigm for monitoring.

We introduced a solution that changes the very approach to monitoring digitalization.

The data mart allows evaluation of physician participation while considering the real context, including periods of temporary disability.

This provides regions with a precise tool for internal analysis and strong arguments in dialogue with federal authorities, enabling the transition from “blind” verification to objective and context-based monitoring.

Technological Foundation: Modernization and Automation

We successfully completed an update of the visualization component:

• the user interface was redesigned
• performance and stability were improved
• new functionality was added
• a full security audit was conducted

Despite the scale of changes, we ensured transparent system updates: a data migration mechanism from the previous version was implemented, minimizing the risk of data loss for customers.

Updated data marts for the federal registries of healthcare professionals and healthcare organizations (FRMR and FRMO 2.0).

Data from the main relevant sources, including federal reference directories, is now automatically aggregated in a comprehensive manner.

This significantly reduces manual work and lowers the risk of errors when preparing reports.

Plans for 2026: Strategy of Intelligent Data

The core of the plans for 2026 is the further development of the N3.AI Platform.

In 2025 we successfully piloted these technologies by releasing three specialized AI assistants designed for:

• data quality control
• reporting automation
• appointment scheduling

The experience gained confirmed the high efficiency and demand for AI-based solutions.

Our goal for 2026 is to make artificial intelligence an integral part of the product ecosystem.

We plan to integrate modules of the N3.AI Platform across all key business areas of the company, starting with deep integration into the N3.Data Management Platform.

This will enable the system not only to visualize information but also to automatically detect anomalies, forecast trends, and generate preventive recommendations.

Thus, the focus in 2026 will shift toward creating value through intelligent data processing — both in products for customers and in internal processes — strengthening the company’s foundation: data-driven management tools.

Oleg Kuznetsov, Head of Medical Data Exchange Services at Netrika Medicine, talks about the development in 2025 of the services “N3.Exchange with the High-Cost Nosologies Registry” and “N3.Prescription Data Exchange. Stock Balances”, as well as the development of data exchange transcoder modules and the team’s plans for the coming year.

Strategic Growth and Partnership

For Netrika Medicine, 2025 became a stage of strategic growth in the commercial market. Our expertise has been strengthened through a partnership with N3.Health, a technology partner that uses the N3.Healthcare integration platform as the foundation for digitalizing more than 9,500 private clinics.

This partnership allows us not only to develop services but also to create solutions of a new level. Our focus is on building a seamless information environment, where data from corporate healthcare (private clinics) and government systems operate together in real time for the benefit of patients.

High-Cost Nosologies Registry: Federal-Level Monitoring in Real Time

One of the key achievements of the year was participation in large-scale contracts for the development of regional healthcare subsystems.

In particular, as part of a project in the Leningrad Region, a fundamentally new product was created — a service for data exchange with the High-Cost Nosologies Registry.

These are rare and severe diseases whose treatment is financed from the federal budget. The service ensures the transfer of data on 14 such diseases from regional systems to the federal registry.

During the year, we completed the full cycle — from concept to industrial operation. Our new product now enables medical organizations to directly generate and transmit data on pharmaceutical demand.

The solution is already ready for scaling and implementation in other regions.

Transcoders: “Translators” of Data Between Public and Commercial Healthcare

Another development direction is the creation of transcoders.

These are specialized modules that ensure secure and convenient data exchange between different medical systems. They connect laboratory and diagnostic systems of the private sector (operating on the N3.Health platform) with government healthcare subsystems.

As a result, a referral from a public clinic to a commercial laboratory center, the completion of diagnostic testing, and the return of results to the physician become a fully automated end-to-end process.

For patients: waiting time for test results is reduced. There is no longer a need to collect paper forms and bring them to the doctor.

For public clinics: the load on their own laboratories decreases, and they gain the ability to use the capacity of private partner networks, especially during peak periods or for complex tests.

For commercial centers: there is an automatic flow of requests from the government healthcare system and a legitimate channel for data exchange.

Our expertise enables fast implementation without complexity for customers. In 2025, we not only developed this technology but also scaled it to four regions: Chelyabinsk Region, Saint Petersburg, Khabarovsk Territory, and Zabaykalsky Territory.

The key principle is that we take on the entire technical complexity of integration. Implementation takes place without the need to modify internal systems of clinics and laboratories, saving time and budget.

Prescription Data Exchange: A Closed Digital Cycle and Control of Drug Stock

In 2025, we introduced a prescription data exchange transcoder, which for the first time in Russia created a complete digital cycle for commercial prescriptions.

A pilot project in the Zabaykalsky Territory demonstrated its effectiveness. A prescription issued by a public medical organization is automatically transmitted to all connected commercial pharmacies (five pharmacies participated in the pilot project).

The pharmacy records the dispensing of the medication, and the prescription status is automatically updated for the physician.

Through the MILA mobile application, the patient can see the entire journey of the prescription — from issuance to readiness at the pharmacy.

This is not just data exchange but a closed digital ecosystem where everyone benefits: doctors, pharmacies, and most importantly, patients.

Prescription Data Exchange and Monitoring of Drug Stock Levels

Work on pharmaceutical supply management was strengthened not only in the region mentioned above.

In the Kamchatka Territory, integration with the Federal Preferential Drug Provision Registry (FRLLO) was expanded.

Thanks to our solution, in addition to prescription and benefits data, additional information can now be transmitted to the federal level, including:

• data on planned personalized needs of privileged patient categories for medical products
• requests for the supply of medical devices
• information on deliveries
• dispensing of medicines
• electronic certificates
• forecasts of drug consumption

In addition, a new product for drug stock data exchange was developed.

It enables pharmacies and warehouses to transmit information on the stock of medicines and medical devices to a unified regional repository.

Medical information systems receive access to up-to-date information about drug availability, which increases the accuracy of prescriptions and reduces the risk of shortages.

B2B Integrations: Connecting the Moscow Region EMIAS with Commercial Laboratories

The year 2025 also became an important stage in the development of the B2B integration direction.

We implemented integration with the Unified Medical Information and Analytical System (EMIAS) of the Moscow Region for laboratory diagnostics.

Now, requests from EMIAS are automatically sent to commercial laboratories. Once the laboratory completes the tests, the results are automatically returned to EMIAS via the API of the prescription data exchange service of the N3.Healthcare integration platform.

As a result, patients benefit the most, receiving their results faster.

Plans for 2026

We plan to replicate the success of the EMIAS integration in the commercial prescription market, enabling pharmacies and regional systems to operate within a unified digital environment.

Projects are also being developed to implement laboratory data exchange subsystems within the infrastructure of major medical information systems, ensuring direct interaction with commercial clinics.

Other products will continue to evolve as well, gaining new useful functionality with each update.

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.

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.

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:

• 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.

Andrey Korshunov, Head of Patient Services at Netrika Medicine, describes 2025 as a period of implementing strategic plans through import substitution and the development of solutions for the public sector, participation in federal initiatives, entry into the Belarusian market, and strengthening interaction with the commercial segment.

All these areas are interconnected: regional experience is used in federal and international projects, developments for government customers become the basis for B2B solutions, and new requests shape the product agenda for the coming years.

Import Substitution: Preserving Services and Updating Architecture

In Saint Petersburg, in 2025 we completed one of the largest stages of import substitution within the “Health of a Petersburg Resident” project: key services were developed further and new modules were introduced, including a patient identification service.

Currently, more than 2 million users are registered on the platform — their number has doubled since 2021.

Through their personal account, patients have access to 32 digital services, including several sub-services. One of the most popular features among users is the “Child’s Personal Account”, which allows parents to monitor children’s health indicators.

In the regions, within the framework of import substitution, many familiar patient services had to be significantly redesigned: regional portals, doctor appointment scheduling systems, call center operator workstations, queue management, and identification services.

At the same time, certification deadlines for regional solutions remained fixed. Existing user services had to be adapted to new requirements while preserving their functionality and familiar logic for patients.

B2B Direction: Expanding Information Interaction with the Commercial Segment

Alongside government projects, we continued to develop the B2B direction.

In 2025, integration for doctor appointment scheduling was successfully implemented with several medical information systems used by commercial clinics, including the MIS of the Medscan Group.

This is an important step confirming the possibility of scaling our solutions to the private healthcare market.

Developers of MIS for commercial clinics show strong interest in our unified integration mechanisms.

The experience gained in 2025 forms the basis for the future development of patient flow management services: solutions developed within regional and international projects are now being transformed into product capabilities for B2B clients.

There is also significant potential in this direction through the development of our telemedicine solutions.

The new chat logic, tested in the Leningrad Region, brings interaction between patient and doctor closer to the familiar format of a messenger.

This technology will help meet the needs of private clinics for modern communication channels.

Regions: From Telemedicine to Core Infrastructure

In the Leningrad Region, telemedicine became the key focus of 2025.

We significantly redesigned the standard solution: when submitting a request for a telemedicine consultation, a patient now has a separate chat with a doctor, essentially functioning like a messenger but within a secure medical environment.

The region also implemented a citizen request service as a separate product, as well as a unified deferred appointment journal, which prevents patients from being lost when there are no available appointment slots.

At the request of the customer, 24/7 monitoring of doctor appointment availability was also introduced. For the company, this is a new support format that has already proven its effectiveness.

In the Kamchatka Territory, a component of the N3.Healthcare platform for intelligent patient routing was successfully implemented.

It solves a key task: in real time it determines which medical district a patient is assigned to and which specialists the patient can consult.

The solution automates appointment scheduling: the system automatically directs the patient to the appropriate doctor, forms an electronic queue, and optimizes the workload of specialists.

This reduces waiting time and makes the process of receiving medical care simpler and more transparent.

The development of regional portals is one of the key directions of our product strategy.

We continuously expand their functionality, relying on the experience of successful implementations, including projects in the Rostov Region.

MAX Messenger: A New Channel for Medical Services

The year 2025 was also important in terms of developing new channels of interaction with patients.

Together with the MAX messenger team and regional authorities, we are building a model where medical services are delivered through the communication channels people already use.

We are integrating key healthcare services — doctor appointment scheduling and telemedicine consultations — with the national messenger MAX.

In Kuzbass, the appointment service has already passed verification and has been launched: residents can access it through the chatbot of the Kuzbass Ministry of Health in MAX — “Doctor Appointment in Kuzbass.”

Through MAX, a patient can receive consultations and schedule appointments: provide consent for personal data processing, select a medical organization, doctor, and appointment time — without leaving the messenger.

The launch of the service has produced a significant practical result: the monthly number of telemedicine consultations in Kuzbass has increased more than fourfold, confirming the demand for and effectiveness of digital patient interaction channels.

The doctor appointment scheduling service follows the same user scenario as on the Gosuslugi portal, but within a more familiar communication channel.

A telemedicine consultation is organized in a similar way: the doctor initiates the request from their working system, the patient receives a link and connects to a video consultation through MAX.

The doctor remains in their familiar interface, while the patient uses a convenient communication channel on a smartphone.

In the near future we plan to expand the available scenarios: notifications and reminders about appointments, further development of telemedicine services, and the possibility of signing medical documents and consents digitally.

The first medical institutions to implement this approach were in the Kemerovo Region.

Their experience became a growth point: the convenient format quickly gained recognition and began to scale rapidly.

While initially only a few regions showed interest, by December the service had been launched in many regions, including Krasnodar Territory, Rostov Region, Stavropol Territory, Saint Petersburg, Khabarovsk Territory, Kursk Region, and Zabaykalsky Territory.

New Product Directions and Plans for 2026

Another direction is remote monitoring.

Regions are purchasing glucometers and blood pressure monitors, and the task of information systems is to automatically collect patient readings.

Integrations with such solutions presented to regional customers have received positive feedback.

Another key task is the development of regional data marts, which combine information about the population, doctors, medical services, and appointment schedules.

After a certain pause, work on this project has resumed with renewed intensity, as it has once again been included among the priority federal initiatives.

At the same time, products within the direction are expanding the use of AI-based digital assistants.

These assistants are integrated into telemedicine solutions and portals to visually highlight important data and simplify navigation within user scenarios.

Team

The implementation of all these projects became possible thanks to the team.

During the year, the workload for the direction increased significantly. The team reorganized its work so that this growth did not affect implementation timelines or quality.

Import substitution under tight deadlines, regional portals, the international portal in Belarus, integration with MAX — all of these projects were implemented simultaneously.

The year became a test of resilience and flexibility.

At the same time, the team not only managed the increased workload but also maintained stability: the staff composition remained almost unchanged and even expanded.

For us, this is one of the key results of the year and a reliable foundation that allows us to solve increasingly complex tasks.

In 2026, the company will continue developing the initiated directions: expanding service scenarios in the new messenger, bringing new products to market, and moving forward in international projects.

For regions and partners this means one simple thing: digital healthcare services for patients will become more accessible and easier to use.

The year without federal co-financing became a test of maturity for both the regions and the developers. Netrika Medicine not only maintained its position in the public sector but also expanded its project portfolio through large enterprises and international partners. Andrey Dyukov, Commercial Director of Netrika Medicine, explains how the economics of projects have changed, why Belarus is transitioning to Russian standards, and where to look for new growth points.

How do you assess the current level of healthcare digitalization in Russia? What have the regions achieved in 2025 with the participation of your company?

The year 2025 became the final stage of the large-scale project to create a unified digital healthcare environment, summarizing the results of many years of work that began in 2021. The main focus was on completing the implementation of previously developed solutions, deepening the integration of regional information systems, and strengthening the connection between regional systems and federal services. Our company worked simultaneously in several directions, ensuring the practical implementation of these processes.

What were the key areas of work for the company in 2025?

The company developed three key areas. The first is the public sector, including work on major regional projects and long-term cooperation with federal structures — the Federal Medical-Biological Agency of Russia (FMBA).

The second area is international projects. The key customer is the Republic of Belarus, where we participate in the formation of a unified digital healthcare environment and implement infrastructure solutions at the national level. In 2025 we successfully completed the second stage of the national project. In other countries we also implement and adapt components of the N3.Healthcare digital platform, which enriches our solution and brings new expertise to Russian projects. Projects in other countries are generally based on the most widely used international standard HL7 FHIR.

The third area is corporate and industrial healthcare. In 2025 we launched a cycle of projects in the field of corporate health, including the development of integrations with ERP and HR systems, the creation of analytics on employee health indicators and ratings, and the development of tools for corporate health management. Working with several leading enterprises, we have confirmed that we can deliver fast and effective results using our existing expertise and platform solutions. We believe that large-scale projects in industrial healthcare will fully reveal our potential.

What key product and technological achievements would you highlight based on the results of the year?

The main achievement of the company in 2025 was the development of our own AI platform, integrated into a unified architecture of solutions. Unlike isolated modules, the platform is a practical tool used in real healthcare processes.

Within the platform several key services have been implemented: an AI assistant for data quality control, a NoSQL assistant for automatic reporting, an intelligent assistant for doctor appointment scheduling, and a technical support assistant.

How did the company’s financial dynamics change in 2025, given the absence of federal co-financing?

Financial dynamics were formed in fundamentally new conditions: federal co-financing was discontinued, while the tasks of developing digital healthcare remained unchanged and the expectations of patients, doctors, and healthcare authorities continued to grow.

Despite this, the regions continued to invest their own funds in digital transformation, which reflects the maturity and resilience of the market. Our financial results in this segment of the market remained generally at the same level as in 2024, which allows us to scale and further develop our regional projects.

Has the company’s customer profile changed in 2025? If so, how?

The number of customers has increased. Previously we mainly worked with regional authorities and public medical organizations, but now large enterprises, insurance companies, and participants of the commercial healthcare sector are actively turning to us.

This became possible thanks to our expertise, which allows us to work at the intersection of public, departmental, and commercial healthcare. We provide comprehensive and scalable solutions covering all processes, making us a reliable partner for different segments of the market.

How did the needs and requests of regional customers change during 2025?

Funding for government projects decreased, and regions became more selective in allocating resources, carefully prioritizing investments. In these conditions the company proved its value as a long-term partner: we provide solutions that quickly deliver practical benefits and significantly improve the speed and quality of implementing new services.

Which international directions do you consider promising?

In 2025 we carried out extensive preparatory work for international expansion, establishing contacts in Africa, Asia, and Latin America, including Nigeria, Ghana, South Africa, Egypt, and India.

In 2025 the company successfully defended its plan to enter the Indian market as part of the St. Petersburg IT accelerator, which helped refine our product strategy and obtain recommendations for working with international customers.

Our international partners are attracted by our use of international standards such as HL7 FHIR, as well as our experience in implementing solutions in regions with large populations, such as Saint Petersburg and Krasnodar Territory. They are also interested in the completeness of our approach — from appointment scheduling and medical documentation to diagnostics, prescriptions, and digital communication channels between patients and doctors.

This systemic approach allows international customers to obtain a ready-to-scale solution that delivers rapid social impact. We are ready to enrich digital solutions in other countries with our own expertise while preserving their existing ecosystems through an integration-based approach.

What goals does the company set for 2026?

In 2026 the company plans to continue developing all key directions. We will further expand and improve regional projects, which remain the most significant area of our work, and continue developing corporate healthcare, including joint initiatives with FMBA Russia and other federal agencies.

At the same time, we will strengthen our international presence in the CIS and beyond.

Alongside the public sector, Netrika Medicine continues to actively develop cooperation with the commercial segment of the healthcare market. Company specialists develop solutions and services relevant for private medical organizations and expand expertise in advanced artificial intelligence technologies. Andrey Gul, Chief Technology Officer of Netrika Medicine, summarizes the results.

In 2025, when selecting directions for technological development, Netrika Medicine relied on several key market trends.

Growing Adoption of AI-Based Solutions

Within the N3.Healthcare integration platform, we consistently develop artificial intelligence technologies. For us, this is not an experiment but a practical tool that already helps solve everyday tasks of medical organizations.

Last year we launched the N3.AI platform, which combined artificial intelligence tools for medical care and analytics in a unified environment. A key element of the platform is AI assistants within the BI module “N3.Analytics”. They automate the creation of reports and dashboards, reducing the time required for these tasks from several hours to just a few minutes.

However, our approach is based not on the number of use cases but on their practical value. Therefore, we currently focus on three priority areas:

• automation of routine data operations (implemented through AI assistants);
• intelligent monitoring of the completeness and accuracy of records;
• access to electronic medical services through the national messenger MAX.

In 2026 we will continue developing AI solutions both as components of the N3.Healthcare platform and as standalone services.

One of the key tasks for the near future is a module for assessing the quality of electronic medical record completion within the Integrated Electronic Medical Record (N3.IEMR). We have carried out extensive work to create an MVP and consider this solution not only as a tool for data quality control but also as a way to reduce the workload of medical staff and improve process management.

Among our medium-term plans is the application of AI in telemedicine services and the development of clinical decision support systems (CDSS). In this work we maintain a balance between functionality and reliability: such solutions must not only be useful but also clinically validated.

Our goal is for technologies to take over routine tasks so that specialists can focus on what matters most — helping patients.

Digitalization of the Commercial Healthcare Segment

Commercial medical organizations (clinics, pharmacies, and others) are increasingly implementing digital solutions and expanding data exchange with the public healthcare sector.

Together with the company ElNetMed, we began this work in 2024. In 2025 it expanded significantly and produced substantial results. In particular, a solution for exchanging medical documents between commercial and public clinics has been created and is being actively implemented.

Today we carefully evaluate opportunities for entering international markets with solutions for commercial organizations — including medical, pharmaceutical, and insurance companies.

The export potential of our products is not limited to CIS countries. We see interest from partners in Africa, Asia, and Latin America.

Another promising direction in the Russian B2B segment is the development of a workforce health management platform. It is especially relevant for large companies, particularly industrial enterprises where employees work in conditions that may negatively affect their health.

National Messenger MAX

The MAX messenger is integrated into all government digital services, including healthcare services.

In 2025 we launched a chatbot in MAX that helps citizens schedule doctor appointments, receive telemedicine consultations, and sign informed consent forms digitally with a single click.

In the second half of the year, the first regional projects to implement this solution for our customers were launched.

In 2026 we will continue implementing these projects in the regions where the company operates and will monitor emerging customer needs related to the functionality of the messenger.

Russian healthcare is entering a phase of mature digitalization: the focus is shifting toward end-to-end digital platforms that unite the public and private sectors, automate routine processes, improve data quality, and create the foundation for AI services that significantly enhance the experience of patients, doctors, and healthcare managers. Healthcare software developers must adapt to these new realities and evolve their products in line with current trends. We spoke with Igor Bashkov, CEO of Netrika Medicine, about how the company addressed these challenges in 2025.

What trends in healthcare digitalization shaped the activities of Netrika Medicine in 2025?

First, 2025 was marked by the widespread introduction of the national messenger Max. This also affected healthcare: functions such as doctor appointment scheduling, telemedicine consultations, and digital signing of informed consent forms by patients are now implemented through the messenger.

This trend will only strengthen, as our clients must comply with regulatory requirements and achieve the necessary performance indicators. Therefore, we integrated the Max messenger into our products and launched projects to connect our clients to it. Some of these projects are currently being implemented in pilot mode, while others have already entered full-scale operation.

Second, as we predicted, the trend of introducing AI technologies in healthcare is shifting from the analysis of medical images to the analysis of structured electronic medical documents (SEMD). We developed the N3.AI platform and have already gained product experience demonstrating how intelligent tools benefit patients as well as regional medical information and analytical centers and healthcare authorities, simplifying monitoring and control mechanisms.

For example, these tools can accelerate the process of scheduling doctor appointments and automate the creation of reports and analytical selections in a convenient format using natural language queries. We are also moving toward the creation of a full clinical decision support system (CDSS) based on artificial intelligence.

Another key trend is the closer interaction between the public and private healthcare sectors. Together with our partner company ElNetMed, we are implementing a unique solution that allows commercial clinics and pharmacy chains to exchange various types of data with public medical organizations, such as prescriptions and laboratory test results.

Currently, more than 9,500 commercial medical organizations from 85 regions of Russia transmit data to the Unified State Health Information System (EGISZ) through the N3.Health platform.

In the Zabaykalsky Territory, a free mobile application for patients called Mila has been introduced. It aggregates data from both public and private medical institutions. Through this application, patients gain access to their unified medical record and can share it with their treating physician when necessary. This represents a strong competitive advantage for us.

Which projects implemented last year were the most significant for the company?

Among the most important regional projects was the completion of work on the “Health of Petersburg” portal. Overall, in every region where the N3.Healthcare platform has been implemented, its support and improvement continued in one way or another.

All our customers note the growth in the competence of our teams, their ability to handle complex tasks, and their delivery of high-quality results. We achieved this through the development of a new strategy aimed at the company’s growth and transformation.

To support this process, we are working to create comfortable conditions for employees so that everyone can perform their tasks efficiently and effectively. Today we are ready to undertake projects of any level of complexity.

There is a lot of discussion today about the export potential of Russian digital solutions. Is this relevant for you?

Absolutely. One example is our cooperation with the Republic of Belarus. In 2025 we implemented the second large-scale national healthcare project there.

The first stage involved adapting the N3.Master Data Management component for the centralized information system. The new project is a logical continuation of our partnership.

In addition to Belarus, we are negotiating with partners from Asia, Africa, and Latin America, including medical, pharmaceutical, and insurance companies. Russian developers are valued for their professionalism and high standards of data security.

How does the international experience of healthcare digitalization differ from the Russian one?

The similarity lies in the fact that our customers both in Russia and abroad are mature, demanding, and eager to implement innovations. They understand what results they want to achieve and how to achieve them.

Of course, this creates additional pressure on us, increases the level of complexity and responsibility, and requires overcoming challenges. It is sometimes difficult, but we rely on the company’s values, support each other, and grow stronger through the implementation of complex projects.

The difference between customers lies mainly in approaches and technologies. For example, in Belarus the architecture of the unified healthcare system is modular like the Russian EGISZ, but it uses the FHIR standard instead of HL7 CDA.

Therefore, when promoting our platform internationally, we ensure that it supports various standards and technological approaches.

What modern technologies help you create more advanced products?

Artificial intelligence is increasingly penetrating healthcare processes. In particular, the Ministry of Health of Russia initiated the sectoral incident No. 11, “Implementation of Artificial Intelligence Technologies,” aimed at promoting medical products based on AI technologies in the regions of the Russian Federation.

However, AI is not the only technology used to automate routine operations. Robotic Process Automation (RPA) systems also remain relevant. They perform tasks based on clearly defined algorithms, such as document collection, monitoring, and control.

In 2026–2027, RPA tools will continue to be implemented in regional ministries of health, medical information and analytical centers, and medical organizations.

Another important technology is IoT. Alongside wearable medical devices such as cardiac monitors, the healthcare industry is showing growing interest in wearable devices that are not classified as medical devices — for example, smartwatches, fitness bracelets, and smart rings.

Currently, the data from such devices cannot be used directly in medical information systems, but it may become valuable in the future within the framework of the federal project “Long and Active Life.”

How has the situation with the quality of medical data generated and transmitted by medical institutions changed over the past year?

Today it is impossible to imagine regional healthcare management without an analytical platform, and effective analytics requires high-quality medical data in sufficient volume.

Another promising trend is the secure exchange of medical data among participants in the healthcare system and related sectors. This makes it possible to combine many data fragments into a single large dataset and create various super services.

One example is the “Birth of a Child” super service. In a maternity hospital, a medical birth certificate is issued and transferred from the medical information system to the N3.Healthcare platform, and from there to the federal medical document registry. This automatically triggers a chain of processes that generate additional documents for the child — such as a SNILS number, medical insurance policy, and official birth certificate, along with the assignment of benefits.

Medical data exchange is also important for creating datasets used to train AI models. In such cases, it is necessary to ensure that the data is anonymized.

Which digital services are most in demand among patients today? And how are developers responding to these requests?

First, patients always value fast response times, especially when scheduling a doctor’s appointment. Integrating medical services with the national messenger will make this process more transparent, controllable, and secure.

Second, patients often need to receive medical care remotely, which is addressed through telemedicine services.

Third, there is growing demand for reducing routine interactions between patients and medical organizations — for example, quickly obtaining legally significant documents or test results.

The initiative of the Ministry of Health of Russia aims to make citizens’ medical documents practically useful. For example, in 2026 an online service for ordering medical certificates and other documents should become available in all regions, a service already used by millions of patients.

How will Russian healthcare develop in 2026 and where does Netrika Medicine plan to move next?

First, integration between the public and private healthcare sectors will intensify. In particular, all private clinics working within the mandatory health insurance system will have to connect not only to EGISZ, but also to the State Health Insurance Information System (GIS OMS).

Second, the use scenarios for the Max messenger and other online healthcare services will become increasingly diverse.

Third, many large companies are including employee health and safety in their long-term sustainability strategies. The functionality of our platform allows it to be applied not only at the regional level but also within industrial enterprises. This represents a huge market with significant potential, and we are currently building relationships with key customers in this area.

The combination of data analytics and AI technologies enables medical organizations to gradually move from treating diseases after they occur to preventing them.

Our customers who have implemented analytical platforms have already learned to work with data accurately, responsibly, and effectively — creating a strong foundation for further implementation of intelligent solutions.

Final thoughts

The main result of 2025 for me as CEO is that we once again confirmed our main uniqueness — our people and our culture.

Our breakthrough solutions, whether integration with MAX or the development of N3.AI, were implemented thanks to a team that knows how to work proactively.

When we talk about entering new markets or strategic development, we are primarily talking about the people who make it possible. Our customers in Russia and abroad choose us not only for our technological stack but also for the human factor.

We do not sell a product “box” and disappear. We enter into long-term partnerships, understand our customers’ challenges, and share risks with them.

Because socially significant projects can only be implemented in this way — based on mutual respect and a sincere desire to help.

This approach may not always be measurable in metrics and may not always generate immediate profits. But it allows us to maintain high standards even in conditions of growing turbulence in the world around us.