Digital integration of city hospital and clinic diagnostic equipment

January 17

The Moscow integrated digital network comprises 1,300 digital diagnostic devices, including computer and magnetic tomography scans, mammography equipment, densitometers, X-ray machines, fluorography and angiography apparatus, which have  been integrated in the Integrated  Radiological Information Service (IRIS) of the IMIAS system.

X-ray operators with access to this service can provide descriptions of X-ray images in accordance with their specialty, and their conclusions are automatically loaded to the patients’ electronic case history.

“Moscow currently holds a leading position when it comes to the digitalisation of healthcare in general and radiological diagnostics in particular. The COVID-19 pandemic has accelerated the integration of our diagnostic devices, so that now doctors can quickly and efficiently describe their analyses remotely, without any physical contact with their patients. We have completed the integration of the diagnostic devices of our hospitals and outpatient clinics into a unified digital network: 1,300 digital diagnostic devices have been integrated in the Integrated Radiological Information Service (IRIS) of the IMIAS system. Thanks to this, GPs can see the results of an X-ray operator in the patient’s electronic case history and can also look at the image itself, which helps them diagnose or suggest additional tests. The patients can read the results of their tests in their electronic case history on or via the EMIAS.INFO («ЕМИАС.ИНФО») app as soon as the X-ray operator submits them. The IRIS also has the personal digital archives of each patient, which the doctors can use to monitor any changes in the course of an illness.  This has greatly improved the quality of diagnoses,” Deputy Mayor for Social Development Anastasia Rakova said.

The integration of digital devices at Moscow hospitals and outpatient clinics was completed between 2019 and 2020 and the system currently comprises over 1,300 devices, including more than 580 X-ray machines. The hospitals’ diagnostic units make up 51 percent of all hospital equipment and include, in part, angiography equipment, which is used to visualise the inside of blood vessels and organs and apply the necessary treatment.

“The integration of our diagnostic devices into an integrated system has increased the quality of radiological diagnostic and has made it more affordance for people who can now take all the necessary tests, from mammography to CT imaging, at their district outpatient clinics. They no longer have to travel across the city for an appointment with a specialist who can provide expert conclusions in serious cases. All images transmitted to the IRIS are available to the workers of the Moscow Reference Centre of Radiological Diagnostics, our leading specialists who hold PhD degrees in their specialty and are members of respective international associations. The establishment of the Moscow Reference Centre is one more sphere where we have taken the global lead: it is the world’s first teleradiology centre in the system of public medicine,” said Sergei Morozov, Director of the Centre for Diagnostics and Telemedicine.

The Integrated Radiological Information Service (IRIS) was established in 2014 with support from the Moscow Government at the Diagnostics and Telemedicine Centre. As of now, up to 25,000 radiological images made in Moscow have been transferred to it.


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