Taking into account the incoming requests and proposals, the Ministry of Health is implementing a set of additional organizational and explanatory measures aimed at making the transition to the new system as smooth and understandable as possible.

A working meeting was held at the Ministry of Health with the participation of leading doctors from public and private medical organizations, representatives of relevant structures and experts from practical healthcare.

During the constructive dialogue, practical issues of implementing the Electronic Prescription system were discussed, as well as proposals for further improving individual procedures, taking into account the real experience of medical professionals and the needs of patients.

The proposals made during the meeting formed the basis for further elaboration of the system implementation issues.

In order to ensure continuous professional dialogue, it was decided to establish an Expert Council under the Ministry of Health. Its public meetings will be held on a regular basis, weekly on Fridays, with the participation of representatives of the medical community, the pharmaceutical sector and other interested specialists.

During the meeting, the existing mechanisms of the Electronic Recipe system were also explained.

It is noted that the connection of private medical organizations and doctors to the corresponding module is carried out free of charge. To connect, please contact the support service by phone +998 (71) 202-50-00.

Special attention is paid to the issues of medical practice. It is emphasized that prescribing, including electronic prescriptions, is solely the responsibility of a doctor.

In order to ensure the continuity of patient treatment, in the absence of the necessary medicine in a particular medical organization, the doctor prescribes a prescription, and the registration and entry of relevant information into the electronic system is carried out by the pharmacist of the pharmacy organization.

It is explained that when a citizen applies to a pharmacy, the release of a medicinal product is carried out by a pharmacist on the basis of an electronic prescription, a document with a QR code or a PINFL.

For foreign citizens, it is possible to register in public medical institutions in order to obtain an electronic prescription on general terms.

In order to provide operational support to the population, the Ministry of Health continues to operate a 24-hour call center at the short number 1003, through which citizens can receive consultations and clarifications on all issues related to the Electronic Prescription system.

Patients on bed rest, as well as people with chronic diseases, can contact their family doctor by phone for advice and an electronic prescription. In the absence of the family doctor's contact details, the necessary assistance is organized through a call center.

Following discussions with the participation of the medical and expert community, an order was adopted by the Minister of Health, consolidating and clarifying the mechanisms already being implemented, as well as defining a further step-by-step procedure for implementing the Electronic Prescription system, taking into account practical suggestions from specialists and feedback from system participants, providing:

1) phased implementation of the "Electronic Prescription" system in the territory of the city of Tashkent and 15 pilot districts (cities) with the registration of electronic prescriptions for the international nonproprietary name of medicines and the entry of all prescriptions directly by the doctor into the electronic system;

2) free connection of medical and pharmaceutical organizations to the DMED information system, as well as integration of their existing information systems with the digital platform of the Ministry of Health, subject to the necessary technical conditions;

3) step-by-step formation of prescription lists of medicines converted to electronic prescription, with the approval of individual lists at each stage and their preparation by the Expert Council, taking into account the medical significance, social risks and practical needs of the healthcare system;

4) the definition of the first stage of implementation, in which an electronic prescription is required for antibiotics, synthetic antibacterial drugs and hormonal drugs of systemic action;

5) consolidation of the doctor's authority to issue electronic prescriptions, including the possibility of prescribing medicines that are not available in a particular medical organization, followed by the entry of information into the system by pharmacists of pharmacies;

6) establishing the procedure for the release of prescription drugs in pharmacies based on an electronic prescription, including the use of the patient's PINFL, as well as maintaining the possibility of issuing paper prescriptions in exceptional cases during the transition period and in emergency situations;

7) determining the mechanism by which, if the patient or his representative does not have an electronic prescription, the pharmacy pharmacist has the right, on the basis of an identity document (including in paper or electronic form), to enter a PINFL and familiarize himself with the electronic prescription through the system followed by the release of a prescription drug;

8) ensuring the rights of citizens, including foreign citizens, to receive medical care and medicines, including in emergency cases, as well as informing the public about the stages of the system's implementation and lists of medicines through official sources;

9) the organization of constant explanatory work and feedback, including the operation of a round-the-clock call center 1003, through which it is provided:

treatment of patients on bed rest and suffering from chronic diseases to their family doctor;

obtaining an electronic prescription by contacting a family doctor remotely (in some cases, to a specialized specialist);

organization of patronage services and provision of necessary medical services at home, if indicated.;

10) establishment of a special procedure for prescribing prescriptions for patients with chronic diseases, providing for the possibility of prescribing:

up to 60 days of treatment - for drugs prescribed for the treatment of chronic diseases, encoded in accordance with the International Classification of Diseases (ICD) and drugs with pronounced anabolic activity.;

up to 90 days of treatment - for other ready-made medicines (within the framework of reinvention - up to 30 days) according to the decision of the attending physician.

In these cases, the validity period of the electronic prescription and the corresponding QR code is extended for the duration of the prescribed course of treatment.

The Ministry of Health emphasizes that the Electronic Prescription system is aimed at improving the safety of treatment, increasing responsibility for prescribing medicines and streamlining drug trafficking.

All changes are implemented in stages with constant monitoring of practice and taking into account feedback from citizens and medical professionals.