Personal Medical Assistants

The main articles are:

• Diabetes mellitus
• Hypertension (high pressure)

2024

8 regions and 23 thousand people under remote supervision. How the project "Personal Medical Assistants" is being implemented in Russia

As of August 2024, eight regions are covered by the Personal Medical Assistants (PMP) project in Russia. At the same time, about 23 thousand people received special devices for remote monitoring of the state of health. This is stated in the materials of the Ministry of Health of the Russian Federation, published on September 3, 2024.

The goal of the PMP initiative is to create an ecosystem on the scale of the Russian Federation that provides constant remote monitoring of people suffering from hypertension, diabetes mellitus and other diseases that require regular monitoring of vital signs. The project by August 2024 covers the Irkutsk, Magadan, Novosibirsk, Ryazan, Tyumen, Samara regions, the Republic of Tatarstan and the Khanty-Mansi Autonomous Okrug - Ugra.

Under the PMP program, three types of domestic medical devices are available to patients - two tonometers and a glucometer. The devices, in particular, received 21,262 patients with hypertension and 1,930 people with diabetes. The medical device transmits data on the patient's condition to the mobile application of the smartphone at regular intervals, from where they are sent to the PMP platform. Further, through a protected connection, the measurement results are received by a medical organization, so that the attending physician can quickly coordinate or change treatment.

It is expected that by the end of 2024, about 25.2 thousand patients in the Russian Federation will be covered by remote observation. At the same time, work is underway to distribute medical devices based on artificial intelligence. In 2023, one such product was introduced in 85 Russian regions. According to the results of 2024, it is expected that at least three medical devices with AI will be used in each of the regions.^[1]

Launch of Remote Pregnancy Health Monitoring System

On March 18, 2024, a remote control system for pregnant women was launched in Russia. This was announced by the developer of the Personal Medical Assistants platform, on the basis of which the project is being carried out, Rostec.

Devices called "fetal monitors" that control the fetal heartbeat will be connected to a system that allows you to remotely monitor health indicators. The project starts in March of this year at the Mother and Child hospital in Moscow, the Mother and Child clinic in Yaroslavl, as well as in the Astrakhan and Vladimir regions, the Altai Republics, Bashkortostan and Sakha (Yakutia).

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Doctors will give tonometers, glucometers and fetal monitors to women who agree to participate in this project. Their patients will be connected to a special application, and otherwise they will lead a normal lifestyle. The devices are integrated with the Personal Medical Assistants system based on a solution with industrial Internet of Things technology IIoT.Istock - IoMT.Istok. The technology was developed by NPP Istok named after Shokin of the Roselectronics holding (part of Rostec).

The results of device measurements will be transmitted to the platform, from where they will be transmitted to various medical information systems, through which attending physicians will be able to monitor them.

The IoMT.Istock architecture is built in such a way that it allows integrating the platform with various information systems, software applications and equipment, so in the future we plan to further expand the range of compatible diagnostic remote monitoring devices for various nosologies, "said Anton Kokin, head of the Medicine project office of the United Instrument-Making Corporation.

The Personal Medical Assistants system was launched in 2023 to remotely monitor patients with chronic diseases. The operator of the system is the United Instrument-Making Corporation. The partners of the program were VTB, a network of centers "Mother and Child," "Rostelecom," "Doctis," "Tsifromed."^[2]

2023

Launch of a remote blood pressure control program in the Samara region

In the Samara region, a program for remote control of blood pressure was launched. The data is transmitted directly to the doctor. This initiative, which involves 100 feldsher-obstetric points in the region, became known in October 2023.

As Rossiyskaya Gazeta writes with reference to the Ministry of Health of the Samara Region, the region became a member of the Personal Medical Assistants fedproject. 1200 patients with hypertension and 200 patients with diabetes are under constant monitoring using medical devices with remote data transmission, the department noted.

A program for remote control of blood pressure was launched in the Samara region

As part of a pilot project in our region, we have increased the number of tonometers. Earlier, we provided 1000 patients in Tatarstan with devices connected to the Health Check-Up patient physiological indicators remote monitoring platform, "said Pyotr Kshnyakin, deputy head of the Personal Medical Assistants (PMP) Laboratory of the NTI Competence Center" Bionic Engineering in Medicine. "

According to him, data from the devices get to a special PMP platform, from where they are redirected to the InformSystem of the region, and then to Health Check-Up. With its help, patients are monitored by employees of the specially created Scientific and Practical Center for Remote Medicine SamGMU. The use of personal medical assistants will show the effectiveness and advantages of remote monitoring, added Krzniakin.

The Samara Ministry of Health reported that the Personal Medical Assistants project is included in the Healthcare Digital Transformation Strategy until 2024. Within the framework of it, it is planned to implement a number of measures, including the use of tonometers with online transmission of blood pressure indicators to a doctor, glucometers with transmission of blood sugar indicators and other types of modern medical devices.^[3]

Unification of 7 thousand medical devices in six regions of Russia

Rostec's digital platform "Personal Medical Assistants" has combined data with more than 7 thousand medical devices in six regions of Russia: in the Republic of Tatarstan, Novosibirsk, Irkutsk, Samara and Tyumen regions, the Khanty-Mansi Autonomous Okrug - Ugra. This was announced by Roselectronics on July 12, 2023. This allows remote monitoring of the health status of people with chronic diseases - hypertension and diabetes mellitus.

Patients participating in the project are given individual diagnostic devices - tonometers and glucometers, integrated with the information system "Personal Medical Assistants" based on the solution IIoT.Istock - IoMT.Istok. Results of systolic and diastolic pressure measurements, heart rate and capillary blood glucose levels are automatically transferred from devices to information systems of medical organizations, National Medical Research Center of the Ministry of Health of Russia, FMBA and other medical organizations for further processing by specialist doctors.

The platform is developed within the framework of the federal project "Personal Medical Assistants" and is the central link in the information exchange between patients, doctors and medical organizations. The operator of the information system "Personal Medical Assistants" by a decree of the government of the Russian Federation determined JSC "United Instrument-Making Corporation" (JSC "OPK," part of Rostec).

As of July 2023, we launched pilot operation of the platform with full technical support. The IIoT.Istock architecture allows you to integrate the platform with various medical devices, due to which it was possible to deploy the monitoring system as quickly as possible and ensure constant control of vital signs of patients with hypertension and diabetes mellitus. With the help of the platform, more than 9 thousand remote consultations with specialized specialist doctors have already been carried out, - said Konstantin Solodukhin, Advisor to the General Director of the United Instrument-Making Corporation.

Connecting more than 4,500 patients

More than 4,500 patients connected to Rostec's digital platform "Personal Medical Assistants," which provides remote monitoring of the health status of people with chronic diseases - hypertension and diabetes mellitus. The solution is based on the industrial Internet of Things IIoT.Istok. Rostec announced this on June 2, 2023.

Patients participating in the project are given individual diagnostic devices - tonometers and glucometers, integrated with the information system "Personal Medical Assistants" based on the solution IIoT.Istock - IoMT.Istok. Results of systolic and diastolic pressure measurements, heart rate and capillary blood glucose levels are automatically transferred from devices to information systems of medical organizations, National Medical Research Center of the Ministry of Health of Russia, FMBA and other medical organizations for further processing by specialist doctors.

The operator of the information system "Personal Medical Assistants" by a decree of the government of the Russian Federation determined JSC "United Instrument-Making Corporation" (part of Rostec). The IoMT.Istock platform was developed by specialists of NPP "Istok" named after Shokin.

More than 4,500 patients are already connected to the Personal Medical Assistants platform. In May 2023, pilot operation is underway - we continue to solve issues of optimizing technical processes on the platform. Since June, full-fledged technical support has been introduced, within the framework of which the main analytical tools for such users of the system as Roszdravnadzor, the Ministry of Health, as well as manufacturers of medical devices will be worked out. This will create a single effective digital environment for information exchange between doctors and patients, which will ensure constant monitoring of vital health indicators, "said Konstantin Solodukhin, Advisor to the General Director of the United Instrument-Making Corporation.

The project is being implemented in six regions of Russia: in the Republic of Tatarstan, Novosibirsk, Irkutsk, Samara and Tyumen regions, the Khanty-Mansi Autonomous Okrug - Ugra.

2022

"Daughter" "Rostec" was chosen by the operator of the legal regime for remote monitoring of patients with diabetes and hypertension

"Daughter" "Rostec was chosen by the operator of the experimental legal regime (EPR) for remote monitoring of patients with diabetes and hypertension. This became known in early September 2022 from the relevant document. Ministry of Economic Development

EPR involves the creation of a single centralized platform "Personal Medical Assistant," through which remote monitoring data from wearable devices, medical organizations, insurance companies and doctors will be exchanged. Information from devices will be analyzed according to standardized algorithms, including identifying in real time signs of deviations from the norm of vital signs of patient health.

"United Instrument-Making Corporation" was chosen by the operator of the legal regime for remote monitoring of patients with diabetes and hypertension

The project provides for the use of two types of devices - medical devices registered in Russia to track blood pressure, heart rate, glycemia, as well as auxiliary devices that have not yet been registered as medical devices and can track variations in heart rhythm, for example, fitness bracelets. The doctor will not have the right to make decisions only on the basis of data from the second type of device, the document emphasizes.

The operator of the EPR will be appointed United Instrument-Making Corporation JSC (OPK, part of the Rostec Group of Companies), which planned to complete the development of a platform for monitoring the condition of patients with hypertension and diabetes mellitus in July 2022. The pilot will work out not only the concept of remote monitoring, but also such practical issues as participation in remote monitoring of patients who do not have smartphones, said Konstantin Solodukhin, Deputy General Director of United Instrument-Making Corporation JSC in early June 2022.

Decree on the establishment of an experimental legal regime in the field of digital innovation and the approval of the Program of an experimental legal regime in the field of digital innovation in the field of medical activities using telemedicine technologies "Personal medical assistants"

Launch of the experiment on remote health monitoring through wearable devices in the Russian Federation

At the end of August 2022, it became known about the introduction in Russia of an experimental legal regime (EPR) for remote health monitoring using special wearable devices. Data from such equipment will be collected on the Personal Medical Assistants platform.

As Kommersant writes with reference to the draft government decree developed by the Ministry of Economic Development of the Russian Federation, the experiment will be held in six regions of the country (in the Republic of Tatarstan, Novosibirsk, Samara, Tyumen, Ryazan and Magadan regions) and will be launched until the end of 2022.

An experiment on remote health monitoring through wearable devices is being launched in Russia

Personal devices are planned to be issued as prescribed by a doctor to patients with chronic diseases, such as diabetes mellitus, hypertension, as well as citizens with limited mobility, people with disabilities and the elderly. The attending physician will have access to indicators of blood pressure, heart rate, blood sugar. Patients who have entered into a voluntary health insurance agreement will be able to use devices for the prevention of diseases.

Impersonal data on the state of health of citizens will be automatically transferred from personal devices to the information systems of medical organizations. If the parameters from the PMP device deviate from the norm established by the attending physician in each individual case, the patient and the doctor will receive a signal about the occurrence of a critical situation requiring a response.

Thus, the digital innovation tested in the EPR will ensure not only the detection of diseases in citizens at an early stage, but will also significantly reduce the mortality rate of the population as a result of timely provision of medical care to patients.

{{quote'Remote monitoring service with the help of special devices will be relevant for people with chronic diseases, with limited mobility and senior citizens. The introduction of information and telemedicine technologies will strengthen control over the health of the population of large cities and in remote, hard-to-reach settlements, - said Deputy Minister of Economic Development Maxim Kolesnikov^[4] }}

Platform launch

In early June 2022, the Ministry of Health of the Russian Federation announced the launch of a project for remote monitoring of patients with chronic diseases - "Personal Medical Assistants." The patient monitoring platform will be integrated with the Unified State Health Information System (Uniform State Health Information System) and the main IT systems in the health sector. In general, it will process information received from personal medical devices.

According to Olia Artemova, Deputy Director of the Department of Digital Development and Information Technologies of the Russian Ministry of Health, remote monitoring of key health indicators for patients with hypertension and diabetes will be organized in six regions of Russia during 2022. To do this, patients will be attached to special portable devices, which, if any deviations are recorded, give a signal.

Ministry of Health of the Russian Federation launches a platform for remote monitoring of patients with chronic diseases

The pilot project is designed for two years, based on its results, requirements will be formed for assistant devices for monitoring and transmitting information from them. During the experiment, conditions will be worked out for the development of systems for supporting medical decision-making and artificial intelligence, as well as the possibility of producing domestic medical devices for remote tracking of health conditions.

The project will scale. As expected, by 2024, the services of personal medical assistants will cover at least 10% of patients in the Russian Federation who are at risk for the main diseases: hypertension, diabetes mellitus and chronic heart failure.

The project "Personal Medical Assistants" is spelled out in the passport "Strategies for the digital transformation of the Healthcare industry until 2024 and for the planning period until 2030."^[5]

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