2025: The transition to electronic medical books in Russia was postponed for another year due to private clinics
The transition to electronic medical books in Russia was postponed for another year, since only 53% of private clinics provide medical examination data. This was announced in July 2025 by Deputy Minister of Health Vadim Vankov. Also, the introduction of electronic medical books slows down the position of Rospotrebnadzor. Now their recipients need to simultaneously undergo a medical examination and training in Rospotrebnadzor. This problem is being worked out in order to make the procedure consistent and understandable, said Vankov.[1]
2024: The Ministry of Health of the Russian Federation postponed the transition to electronic medical books for another year
Ministry of Health Russia postponed the transition to electronic medical books for a year. This became known in early August 2024. According to the new order of the department, the full introduction of digital medical books is now scheduled for September 1, 2025. It was previously planned that the transition will take place by September 1, 2023, then the deadline was postponed to September 1, 2024.
Order of the Ministry of Health of Russia dated June 28, 2024 No. 332n amends the order of February 18, 2022 No. 90n "On approval of the form, procedure for maintaining reports, accounting and issuing personal medical books to employees, including in the form of an electronic document." The document will enter into force on August 31, 2024.
The explanatory note to the draft order states that the adjustments were developed to maintain for the year the transitional provisions introduced in August 2023 on the possibility of maintaining previously issued medical books on paper. Specific reasons for the new delay are not specified in the project documents.
The medical book is formed through the portal of public services after passing a medical examination by an employee. Mandatory holders of such a document include employees of catering, consumer services for the population working with children and water, as well as representatives of a number of other professions. For medical workers, there is a different procedure for medical examinations, and a personal medical book is not required for them.
In August 2023, Russian Minister of Health Mikhail Murashko said that in a number of regions there are difficulties with the transition to electronic document management. He noted that some subjects have already been working in this mode for many years, but the exact number of clinics and lagging regions have not been named.
The transition to the digital format of medical documentation in Russia is underway in stages. The last of similar projects was the transfer of compulsory medical insurance policies to digital form, which also faced problems and was postponed from July 2022 to December 2022. To ensure a smooth transition, the Ministry of Health left the opportunity to use both a paper and an electronic policy formed on the portal of public services. By mid-August 2023, according to Ministry of Digital Development, 50 million Russians have already received a digital policy.[2]
2023: Ministry of Health postponed for a year the transition to electronic medical books due to GIS flaw
The Ministry of Health of the Russian Federation postponed the transition to electronic medical books for a year due to a flaw in the relevant state information system. This became known in July 2023.
As Rossiyskaya Gazeta writes with reference to the relevant document of the Ministry of Health, all medical books will become electronic from September 1, 2024, and not in 2023, as previously planned. At the same time, information about such books should be entered in the previously created register of issued medical books.
 | It is allowed to establish that until September 1, 2024, personal medical books issued on paper are allowed to be issued and circulated in accordance with the form in force until the date of entry into force of this order, the document says. |  |
It also follows from it that from September 1, 2023, a transitional period will be introduced, during which both electronic and paper medical books will be valid.
The Ministry of Health announced the possibility of obtaining personal medical books from September 2023 through the portal of state services in February 2022. For their registration, it is planned to use the Federal State Information System of Sanitary and Epidemiological Information (ELMK subsystem). They wanted to take part of the data from the Unified State Information System in the field of health care (Uniform State Health Information System).
It is planned to establish that an employee will be able to apply for the formation of an electronic medical book through the State Public services portal with a statement in the form of an electronic document signed with a simple electronic signature. The order of the Ministry of Health of Russia by mid-August 2023 has so far established the requirement to sign the application with an enhanced unqualified electronic signature.[3]
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