N3.ODII (N3. Exchange of instrumental data)

Main article: Laboratory Information Systems (LIS, LIS)

The service "N3. Exchange of instrumental research data" ("N3. ODII"), developed by Netrika Medicine, combines information systems used in the process of instrumental research and simplifies access to their results.

2025: Ability to involve patients in the process of sharing medical images and documents

The company "ElNetMed" has modernized the service "N3.Health Exchange of instrumental research data" (ODII). Now it not only supports work with state information systems and specialized medical organizations, but also allows patients to be involved in the process of exchanging medical images and documents, as well as using artificial intelligence technologies to analyze medical data. The company announced this on December 3, 2025.

The N3.Health ODII service is designed specifically for the direction of instrumental diagnostics and ensures the exchange of applications and research results between clinics, diagnostic, reference centers and patients through secure communication channels.

In addition, medical organizations can automatically upload instrumental research data to Uniform State Health Information System and regional information systems, as well as transfer medical images to CAMI and REMI. This helps clinics meet licensing requirements and generate compulsory medical insurance reporting in terms of medical documentation without additional integrations.

Thanks to this functionality of the service, referrals for instrumental diagnostics are transmitted and stored electronically, which eliminates the loss of paper documents and makes statistics on referrals and patient turnout available at any time. The N3.Health ODII service also supports the transmission and exchange of medical data obtained from research using wearable devices, for example, holters for monitoring heart activity.

The update also affected remote diagnostics - the cloud storage of medical images has become available to users. The doctor forms a link after the study and gives it to the patient, who can share the pictures with any specialist or send them to an outside expert for a second opinion. You no longer need to write and store CDs and document scans. In addition, for the second opinion, the functionality of the doctor's access to the patient's medical history and history was implemented through the regional portal of the doctor, or through the Mila application.

Partnership with the developer of AI solutions in the field of health care "Platform Third Opinion" made it possible to introduce artificial intelligence technologies for the analysis of medical images into the service "N3.Health ODII." This option is available both to physicians as a digital diagnostic assistant and to patients for additional image decryption.

In addition, N3.Health ODII provides tools for data aggregation, quality control and building personalized reporting, conducting television and radio consultations on secure communication channels.

The service update opened up a whole system of additional opportunities for the operation of clinics, diagnostic and reference centers. Now medical organizations can focus on the quality of diagnostics and entrust us with the technical part, without worrying about the security of stored and transmitted data and without spending internal resources on additional integrations, "said Pyotr Puzanov, head of the ElNetMed instrumental research automation department (N3.Health integration platform).

2021: Unified Information Exchange Protocol in N3.ODII

According to the information for May 2021, the service "N3. Exchange of instrumental research data" uses a patient-centered model for organizing work with information. The results of the studies clearly correlate with the patient and can be included in the electronic medical record.

Along with laboratory studies, instrumental diagnostic methods are used in routine and preventive examinations, in the detection of diseases, to control their course, to assess the effectiveness of therapy. They are carried out on special equipment that allows you to assess the state or operation of a particular body, system.

Several information systems are usually involved in the study. In the medical information system (MIS), the doctor forms a referral for research. The analyst enters the patient's data and study parameters into the AWS of the diagnostic equipment. The results of the study - in most cases, this medical image in a special format accompanied by a doctor's conclusion - are stored on a specialized server (PACS) locally in a medical institution or in the Central Archive of Medical Images (CAMI).

The problem is that the informational support of instrumental diagnostic methods is often fragmented and disordered. It may depend on the requirements for recording information about a patient in a specific repository, on the competencies of medical personnel, or on the rules adopted in a single medical organization. Finding the results of the necessary study - for example, when a patient visits another institution, it is difficult even if all medical images are stored in CAMI. Such a situation may lead to an erroneous diagnosis or the need to perform expensive procedures again.

The service "N3. Exchange of instrumental research data" ("N3.ODII") is designed to solve this problem. According to the developers, the service provides all information systems - participants in the process with a single information exchange protocol (API) based on the industry standard HL7 FHIR. Importantly, all data are structured around the patient, who is uniquely identified across all systems at all stages of the process. For this, special "smart" algorithms are used - the so-called patient index.

The search for a patient in CMI thus becomes simple and fast, and if MIES or the RIS is fully integrated with the service, then the results of the study can be viewed without leaving the main system in the same window. The doctor sees all available information: medical images, descriptions, conclusions and recommendations of specialists. The data obtained can be useful for clarifying diagnosis and selecting optimal methods, treatments analyzing the dynamics of development. new growths

The N3.ODII service allows you to flexibly approach the process of performing a study. For example, you can take a picture in one institution, but describe it in another. You can supplement the information on the study - add the so-called "second opinion" based on the results of viewing the picture by another doctor. In all cases, the service will combine information related to one study and provide it to the information system in which the attending physician works. Thus, the service in the future can go beyond the region and is widely used to provide telemedicine services.

The N3.ODII Service harmoniously combines the information systems of the region involved in the support of instrumental studies, and is able to accumulate information about any studies without restrictions: CT, MRI, X-ray, ultrasound, echocardiography, Holter monitoring and any others. We ensure the complete continuity of data and transfer it to external information systems - including the federal services IEMK and RAMD, VIMIS. At the same time, it doesn't matter what study it was, where and when it was done, how information about the patient was introduced - all the data are grouped around the patient and available to the attending physician, "said Igor Bashkov, commercial director of Netrika Medicine.