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Digital transformation occurs at different levels of the health care system, encompassing both practical medicine and industry management. Technological processes of digital medicine are accompanied by different information flows, formed in accordance with diagnosis and treatment business processes. To ensure the effective functioning and interaction of these processes, it is necessary to create information medical environments in health care facilities and regulate the exchange of digital medical data. The proposed concept of forming medical information environment is based on the principles of openness, fractality, continuity of the life cycle of the digital medical data and compliance with the level of access to these data. The implementation of the proposed concept was carried out in the development and research of medical information environments of various levels. The functions and their limitations in the business processes of the local MIE are analyzed and it is shown that taking into account the criteria for the formation of this environment provides information support for the doctor’s activities with digital medical data. This article also presents the main points of connecting a mobile component to an interhospital medical information environment. The structure and functions of the interhospital medical information environment, based on the principle of fractality, are aimed at integrating local medical information environments and the mobile component, which expands the application scope of digital medicine so at to increase the availability and quality of medical services.