Electronic recipe

2023

Mishustin allowed doctors of private clinics to write prescriptions online

In July 2023, Prime Minister Mikhail Mishustin signed a decree that established a new experimental legal regime to expand the possibilities of remote interaction between a doctor and a patient using telemedicine technologies. As part of the experiment, doctors at private clinics write prescriptions online.

According to the document, 15 medical organizations with a license and IT capabilities will take part in the experiment. Among them are Sberbank, Russian Railways-Medicine, Medsi Group of Companies, Doctor Nearby, M-Line, RenKlinik, European Medical Center. Minister of Economic Development Maxim Reshetnikov noted that in the future this list may be replenished.

Mikhail Mishustin

Such a vast number of participants once again emphasizes the interest of the business as soon as possible to confirm the effectiveness of telemedicine technologies and provide services in demand by the population, "Reshetnikov said.

The experiment expands the possibility of remote communication between a doctor and a patient using telemedicine. The bottom line is that patients of the clinics participating in the experiment will be able to choose the attending physician for a planned re-appointment. That is, if the first offline reception was carried out by one doctor, then the patient will be able to observe and receive consultations on the same disease in a different division of the same clinic selected using technologies in any region of Russia. It will also be possible to prescribe and correct treatment online, including prescribing for drugs.

The doctor will be able to form a prescription in the form of an electronic document only for the diagnosis established earlier at a face-to-face appointment. In order for the specialist to have access to the necessary data, a clause on consent to the exchange of data in the Uniform State Health Information System will be added to the contract between the patient and the clinic.^[1]

Moscow doctors wrote more than 35 million electronic prescriptions in 2 years

Moscow doctors have written more than 35 million electronic prescriptions in 2 years since the launch of the service in February 2021. This was announced in February 2023 by the press service of the mayor of Moscow.

We continue to develop digital medical services, including working to make it easy and convenient for citizens to contact city clinics and pharmacy centers. The project for the design of electronic prescriptions with a QR code, which launched in February 2021, was aimed primarily at creating the most comfortable conditions for patients. If earlier they needed to have a paper prescription with them, issued on a form and certified with a doctor's signature and seal, then within two years it is enough only to present a QR code on the screen of a mobile device at the pharmacy, "said Ilya Tyrov, deputy head of the Moscow City Health Department.

Since the launch of the project in February 2021, Moscow doctors have written more than 35 million electronic prescriptions

According to him, by February 2023, you can get drugs on electronic prescriptions in more than 2.5 thousand pharmacies. Electronic prescriptions with a QR code are accepted in all pharmacies subordinate to the Moscow Department of Health, as well as in a number of commercial pharmacy chains connected to a single medical information and analytical system (EMIAS). If the smartphone is discharged or broken, the patient can print the QR code of a preferential prescription in the information kiosk of the clinic by scanning the compulsory medical insurance policy. And in pharmacy centers at city polyclinics, to obtain preferential drugs, it is enough for citizens to present a compulsory medical insurance policy instead of a prescription. Patients who do not use prescriptions electronically can get a traditional paper form from a doctor. It will also be needed if the townspeople want to purchase medicines from a pharmacy that is not connected to EMIAS.

Muscovites can view the issued valid electronic prescriptions in their electronic medical records in the "My prescriptions" section^[2]

2022

Moscow will begin to issue preferential electronic prescriptions for up to a year

In Moscow, they will begin to issue preferential electronic prescriptions for up to a year. This became known on November 24, 2022.

Patients who require long-term course treatment and who are entitled to receive drugs for free or at a discount will be able to receive a preferential prescription with a validity period of up to a year.

It will be possible to receive medicines for them once every one or three months without the need to renew the prescription in a medical organization. The frequency of dispensing drugs and the duration of course treatment is determined exclusively by the attending physician. Such an approach will free Muscovites from unnecessary visits to the clinic to obtain prescriptions, said Anastasia Rakova, Deputy Mayor of Moscow for Social Development.

We have launched this pilot project for the convenience of Muscovites in need of long-term drug treatment who have the right to receive preferential drug provision. Now doctors will be able to write preferential electronic prescriptions for them with a validity period of up to one year. Thus, patients will no longer have to come to the clinic once again to issue a prescription for drugs that they take on an ongoing basis, - said Anastasia Rakova.

According to her, at the appointment, the doctor will be able to immediately write out an electronic prescription indicating the schedule of his service - once a month or once every three months, and the patient will come immediately to the pharmacy at the clinic or pharmacy of the state pharmacy network "Pharmacies of the Capital," subordinate to the Moscow Department of Health, and receive the necessary medicines. Citizens can see data on prescriptions in electronic medical records in the "My prescriptions" section, as well as in the information rooms of polyclinics. Thus, already at the stage of the pilot project, Muscovites will get rid of tens of thousands of unnecessary visits to the clinic per year, and doctors will free up the time that they can devote to patients

Preferential electronic prescriptions with a validity period of up to a year are prescribed to patients who are entitled to receive drugs at the expense of the city and federal budgets. Long-term course treatment can be prescribed to patients with certain chronic diseases, for example, diseases of the circulatory systems, musculoskeletal and respiratory systems, endocrine diseases, as well as those who have a high risk of their development or are in a recovery period after suffering acute diseases. You can get preferential medicines with a validity period of up to a year using the QR code of an electronic prescription or using a compulsory health insurance policy (compulsory medical insurance).

The issued prescription with a prolonged validity period is available to patients in the electronic medical record in the "My prescriptions" section on mos.ru mobile application and in, as EMIAS.INFO well as in the infomat of the clinic - it will be marked with a special symbol. When viewing the prescription, information such as the possible frequency of receipt of drugs (once a month or every three months), the amount of the drug to be dispensed, the schedule of dispensing the drug, the status of the current and/or expired period are displayed.

A history of servicing a preferential electronic prescription issued for a long period (the date of its service, the name and address of the pharmacy, the trade name of the drug issued and the number of packages received) will also be available.

Electronic prescriptions with a QR code are written in all city polyclinics from February 2021. These include both discounted e-prescriptions and full-cost prescriptions. Muscovites can receive medicines prescribed by a doctor by presenting a QR code on the screen of a mobile device. This option is available in all pharmacies of the city's Department of Health and in hundreds of commercial locations. In addition, in case the smartphone fails, is lost or discharged, the QR code of the preferential prescription can be printed in the information kiosk of the clinic by scanning the compulsory medical insurance policy. Also in pharmaceutical points at city policlinics instead of the electronic recipe with the QR code the patients can show the policy of compulsory health insurance for receiving preferential medicine ^[3].

Creation of a federal register of electronic prescriptions

On April 14, 2022, it became known about the creation in Russia of a federal register of medical appointments, which will collect all information about the issued electronic prescriptions for drugs. The project operator has chosen a subsidiary of the Center for the Development of Advanced Technologies (CRPT) - "Digital Health." Read more here.

2021: Electronic prescriptions: a new stage in the digitalization of healthcare

Electronic recipes have become a new stage in the digitalization of healthcare in Russia. Thanks to this technology, it is possible to significantly improve the quality of service and the provision of medicines to the population. To get a medicine in a pharmacy, you just need to show the pharmacist a QR code in a smartphone - this is very convenient. This functionality is implemented in the mobile application "My Recipe." Read more here.

2019

In the EU, it became possible to receive medicines on electronic prescriptions issued in another country

At the end of April 2019, Croatia became the fifth country to join the system of cross-border exchange of electronic prescriptions with other EU member states. Now Croatian patients will be able to receive medicines using electronic prescriptions prescribed in their home country, even traveling to Finland, Estonia, Luxembourg and the Czech Republic.

An electronic system health care that allows European countries to exchange digital recipes was launched in early 2019. Its first participants were Finland and Estonia. It is known that in the period from January to April 2019, more than 1000 Finnish patients traveling in Estonia received medicines in local pharmacies with prescriptions issued in Finland. Soon, Luxembourg and the Czech Republic joined these countries, and Croatia in April. Malta Greece Portugal, Cyprus and, and 2021, the system are expected to merge 22 by the end of 2019. states

European countries began to exchange electronic recipes

This system, based on EU Directive 2011/24, aims to ensure continuity of patient care in all EU countries. The developers of the system plan that in the future, the countries participating in the system will be able to exchange not only electronic prescriptions, but also epicrises of patients. Digital epicrises will contain important information regarding allergic reactions, current drug therapy, past diseases and operations performed. International exchange of electronic prescriptions and patient data can save a person's life in an emergency.

The brief on key aspects of a patient's health is only part of a broader set of data on the state of the citizen. Such records, the European Health Record, should be kept on all EU resident patients and could form the basis for the next step of eHealth reform - the creation of an electronic medical records exchange system.^[4]

Ministry of Health allowed doctors to write electronic prescriptions

From April 7, 2019, all Russian doctors will begin to write out electronic prescriptions to patients in accordance with Order of the Ministry of Health No. 4n of January 14, 2019. Document entitled "Order on Approval of the Procedure for Prescribing Drugs, forms of prescription forms for medicinal products, the procedure for issuing these forms, their registration and storage "is posted on the official portal of legal acts. The Ministry of^[5].

The order makes changes to the procedure for issuing prescription forms, their registration and storage and prescribes the transition to electronic circulation of recipes. Each electronic prescription issued, according to the document, must be signed by an enhanced electronic signature of a medical worker - a paramedic, obstetrician or doctor, depending on who the patient turned to.

The Order also contains forms of prescription forms, information on the maximum permissible number of individual narcotic and psychotropic drugs for prescription per prescription and information on the recommended number of individual drugs per prescription.

The transition to the issuance of electronic prescriptions is due to federal law No. 242-FZ "On the use of information technologies in the field of health protection," which entered into force in January 2018. The text of the law approved the possibility of issuing prescriptions in electronic form if the patient or his legal representative gives his consent to this.

2018: Muscovites were given more than 45 million electronic prescriptions in four years

At the beginning of 2018, the capital's doctors issued more than 45 million electronic prescriptions to patients, of which 43 million were preferential, citizens can receive medicines for them free in pharmacies at clinics. This opportunity appeared among doctors in 2014, after the introduction of this service into the Unified Medical Information and Analytical System (EMIAS). The project was developed and implemented by the Department of Information Technologies of the city of Moscow together with the Department of Health of the city of Moscow.

On average, Moscow doctors write more than 300 thousand electronic prescriptions per week. The EMIAS service allows a doctor to issue an electronic prescription seven times faster than if he did it by hand. And the specialist can devote the saved time to his patients.

"The electronic prescription, which the doctor issues directly at his workplace when receiving a patient, immediately enters the system and becomes available for viewing by employees of the pharmacy. With such a prescription, they can learn about the drugs prescribed by the doctor when the patient presents a compulsory health insurance policy. Moreover, a specialist who writes a prescription for a medical drug can pre-check its presence in the pharmacy. Thus, the time of both the doctor and the patient is additionally saved, "said Alexei Khripun, head of the Moscow City Health Department.

You can check information on an electronic prescription using infomats in any polyclinic in the city or using the "Appointment to the Doctor" service on the portal mos.ru. This feature became available from the end of 2017. After updating the service, the user can view current and archival recipes^[6].

2014: More than half of Moscow's state-owned clinics have mastered the design of recipes in electronic form

By the end of 2014, more than half of the state polyclinics in the capital had mastered the design of prescriptions in electronic form. This component of the Unified Medical Information and Analytical System (EMIAS) is already used by doctors in 370 clinics. It is planned to complete the implementation of an electronic prescription in all children's and adult polyclinics in Moscow in the first quarter of 2015.

The demand for the service is confirmed by statistics: by December 2014, more than 3.7 million electronic prescriptions had already been issued, of which more than 85% were served. The new format for issuing prescriptions is very convenient for preferential categories of citizens who regularly receive medicines for free or with a 50% discount.

The advent of an electronic prescription will simplify the lives of patients, facilitate the work of doctors and bring significant benefits to the city. Previously, it took up to 6 minutes for a doctor to manually write one prescription on a typographic form of strict reporting. Now this process takes no more than a minute, since some of the patient data is already contained in the system and they do not need to be filled in again every time. The introduction of new technologies can save 600 thousand person-hours of doctors' time per year. This time can be spent by the doctor on a more attentive examination of the patient and diagnosis.

In addition, with the transition to paperless prescription design, it will be possible to significantly reduce printing costs. Today, according to the requirements of the law, even having written out the appointment in electronic form, the doctor must print it out. In the case of preferential prescriptions, you can do without this, because the patient receives medicines at the pharmacy at the clinic connected to the EMIAS, and the pharmacist sees the doctor's appointments in the system.

"Now the prescription is defined by federal law as" written prescription of a drug, "and this outdated wording does not allow you to refuse to print unnecessary papers and translate the preferential prescription completely into electronic form, says Vladimir Makarov, Deputy Head of the Moscow City Information Technology Department, - "It is necessary to amend the existing regulatory framework as soon as possible, and now active work is underway on this at the level of the Ministry of Health of the Russian Federation, the Government of Moscow and the Department of Health of the city of Moscow."

12.5 million preferential prescriptions are written and printed in Moscow per year, which is a stack of paper more than 1.5 km high - this is higher than 3 Ostankino TV towers. Thanks to the transfer to electronic form of only one type of medical documentation - a prescription for drugs and medical products - it will be possible to save significant amounts from the city budget.

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