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The article analyzes the development trends of regional medical information systems in the field of health care. The authors pay special attention to the peculiarities of the development of regional medical systems, identify individual and general problems of these systems, and finally draw conclusions about the ongoing development of the legal framework of the Russian Federation in the field of e-health, and as a solution to the identified problems, they propose to form unified rules at the federal level containing general principles and provisions on regional medical information systems, including the electronic health records.

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In the article, the authors analyze the technical possibility of forming a unified supranational system of electronic interaction in the field of healthcare of the EAEU member states. The authors identify individual and common problems, propose to use a decentralized approach (blockchain), as well as Ethereum distributed registry technologies in order to develop a technical solution for the exchange of medical information by the EAEU member countries.