Submitted by SPH DIGITAL on
Analysis Domain
Domain
The regulatory framework includes provisions related to the assignment and/or transfer of personal data
Regulation number
30
Domain
The regulatory framework defines processes to ensure the confidentiality of health data
Regulation number
30
Domain
The regulatory framework establishes the duty to inform patients of the ways in which their data will be used
Regulation number
30
Domain
The regulatory framework regulates secondary uses of personal health data
Regulation number
10
Domain
The regulatory framework provides for the cross-border transfer of personal health data
Regulation number
15
Domain
The regulatory framework defines processes to ensure the security of health data
Regulation number
20
Domain
The regulatory framework establishes a maximum storage time (temporary retention period) for health data
Regulation number
15
Domain
The regulatory framework establishes the relevant jurisdiction for matters related to custody and storage of personal health data
Regulation number
20
Domain
The regulatory framework provides for the creation of a authority responsible for ensuring data protection
Regulation number
10
Domain
The regulatory frameworks establish actions to develop the infrastructure needed for the practice of telemedicine
Documents
Law No. 729 on digital signatures
Regulations for Law No. 729, Electronic Signatures Act (asamblea.gob.ni)
Regulation number
0
Domain
The regulatory frameworks establish actions to develop the connectivity needed for the practice of telemedicine
Documents
Regulation No. 064 for the registration of medical devices

The definition of medical device under this regulation is any instrument, apparatus, tool, machine, appliance, implant, material, or other similar or related item used alone or in combination with each other, including accessories and software necessary for its proper application as proposed by the manufacturer for use on human beings, intended for the diagnosis, prevention, monitoring, treatment, and alleviation of disease, injury, or disability. They are also used in research, replacement or modification of the anatomy, physiological processes, and the control of conception.

Regulation number
0
Domain
Express consent to the terms and conditions of use is required in order to access the telemedicine service
Regulation number
0
Domain
There are standards or procedures to ensure the identification of the parties involved in the telemedical care process
Regulation number
0
Domain
The regulatory frameworks require the registration of telemedicine activities
Regulation number
0
Domain
The regulatory framework provides for authorizations and levels of access to telemedicine platforms
Regulation number
0
Domain
The regulatory framework provides for the use of electronic and/or digital health records for telemedicine services
Regulation number
0
Domain
The regulatory framework provides for the use of digital signatures for telemedicine services
Regulation number
30
Domain
The regulatory framework provides for the use of digital prescriptions for telemedicine services
Regulation number
0
Domain
The regulatory frameworks regulate and define interoperability standards for health systems (exchange of information recorded during the telemedicine service with other institutions and providers in the health system)
Regulation number
0
Domain
The regulatory frameworks provide for the possibility of interoperability between telemedicine services and medical devices
Regulation number
0
Domain
There is a law or provision that authorizes telemedicine for health care teams
Documents
General Health Law 423
Regulation number
0
Domain
The legal framework prohibits the health care team from providing virtual care
Regulation number
60
Domain
The regulatory framework provides for a specific registry for the health team providing telemedicine services
Regulation number
0
Domain
There are established rights and obligations for the health care team in relation to the practice of telemedicine
Regulation number
0
Domain
Provides for the participation of scientific, professional, or trade associations in the development of specific protocols for telemedicine services
Regulation number
0
Domain
There are rules of conduct for telemedicine services
Regulation number
0
Domain
The regulatory framework establishes that fees for telemedicine consultations are to be set in a manner equivalent to an in-person/traditional consultation
Regulation number
0
Domain
Requires an insurance policy for the provision of telemedicine services in professional practice
Regulation number
0
Domain
The regulatory framework regulates the provision of interjurisdictional telemedicine services (professionals in other jurisdictions in the same country or in another country)
Regulation number
0
Domain
The regulatory framework regulates interjurisdictional consultations with colleagues (professionals consulting colleagues located in a different jurisdiction in the same country or in another country)
Regulation number
0
Domain
The regulatory framework regulates the provision of interjurisdictional telemedicine services (patients in the same country or in another country)
Regulation number
0
Domain
The regulatory framework promotes actions to humanize telemedicine services
Regulation number
0
Domain
The regulatory framework requires specific consent in the case of highly sensitive personally identifiable data (voice and image)
Documents
General Health Law 423
Regulation number
0
Domain
Guarantees access to telemedicine to the population without any distinction based on coverage and/or health insurance to ensure equity
Regulation number
0
Domain
The regulatory framework establishes patients' right to access their personal health data obtained through telemedicine services
Regulation number
15
Domain
The regulatory framework recognizes patients’ rights and obligations in relation to telemedicine services
Regulation number
0
Domain
The regulatory framework guarantees patients' right to autonomy and self-determination with respect to telemedicine consultations
Regulation number
0
Domain
The regulatory framework requires that the patient be informed of the conditions for eligibility for and carrying out the virtual consultation (technology, rules of conduct)
Regulation number
0
Domain
The regulatory framework aims to close digital gaps to enable access to telemedicine
Documents
General Health Law 423
No. 177 Guide for Teleconsultation in the Context of COVID-19 (minsa.gob.ni)

The teleconsultation guide aims to provide clear and timely information to the population on aspects related to COVID-19. It does not address how care should be provided using ICTs.

Regulation number
0
Domain
The regulatory framework promotes access to telemedicine without discrepancies based on patients' socioeconomic conditions
Regulation number
0
Domain
The regulatory framework ensures respect for cultural diversity, beliefs, and personal values in the practice of telemedicine
Regulation number
0
Domain
The regulatory framework identifies vulnerable groups deserving special treatment or reasonable accommodation in telemedicine services
Regulation number
0
Domain
The regulatory framework ensures telemedicine services that uphold the rights of children and adolescents
Regulation number
0
Domain
The regulatory framework ensures telemedicine services that uphold the rights of the elderly
Regulation number
0
Domain
The regulatory framework ensures telemedicine services that uphold the rights of people with disabilities
Regulation number
0
Domain
The regulatory framework ensures gender-sensitive telemedicine services
Regulation number
0
Domain
The regulatory framework incorporates environmental sustainability into its telemedicine regulations
Regulation number
0
Domain
The regulatory framework establishes the bioethical principles relevant to telemedicine consultations
Regulation number
0
Domain
There are regulatory frameworks for implementing temporary telemedicine services for the duration of the COVID-19 pandemic
Regulation number
0
Domain
Regulations on telemedicine exist
Regulation number
0
Domain
The regulatory framework establishes definitions on the use of telemedicine
Regulation number
0
Domain
The regulatory framework lists the principles relevant to the practice of telemedicine
Regulation number
0
Domain
The regulatory framework considers telemedicine to be a right of patients and lists the conditions necessary for its practice
Regulation number
0
Domain
The regulatory framework establishes a specific responsibility for telemedicine services
Regulation number
0
Domain
The regulatory framework requires the telemedicine tool to establish secure communication channels
Regulation number
0
Domain
The regulatory framework establishes telemedicine as a complementary or alternative service to in-person/traditional care
Regulation number
0
Domain
The regulatory framework requires informed consent for telemedicine procedures in the same cases as those legally required for in-person procedures
Regulation number
0
Domain
The regulatory frameworks establish telemedicine care modalities (synchronous/asynchronous)
Regulation number
0
Domain
The regulatory framework provides for specific telemedicine programs according to the needs of the population
Regulation number
0
Domain
The regulatory framework establishes parameters and conditions to determine the jurisdictional status of telemedicine services
Regulation number
0
Domain
The regulations establish a specialized authority for telemedicine
Regulation number
0
Domain
The regulations provide for a budget item and personnel assigned to the area
Regulation number
0
Domain
The regulatory framework establishes the rules and authorities for certification, authorization (physical and technical infrastructure), accreditation, and monitoring of professionals, facilities, and technological developments relevant to the practice of
Regulation number
0
Domain
Telemedicine services are integrated with the national health strategy
Regulation number
0
Domain
The regulatory framework includes quality standards for telemedicine
Regulation number
0
Domain
The public administration has a digital agenda in which telemedicine is a key component
Regulation number
0
Domain
The regulatory framework establishes the requirement that healthcare teams undergo continuous education and training in digital skills for providing telemedicine services
Regulation number
0
Domain
The regulatory framework establishes authorities in charge of educating citizens about their rights and obligations in relation to telemedicine services
Regulation number
0
Domain
Telemedicine is planned for all levels of health care
Regulation number
0
Domain
Includes regulatory frameworks for the protection of personal data
Documents
Law No. 787 on personal data protection
Special Cybercrime Act No. 1042
Regulation number
60
Domain
The regulatory framework places health data in a special category of protection within personal data
Regulation number
60
Domain
The regulatory framework requires the consent of the owner to process their health data
Regulation number
60
Domain
The regulatory framework provides for the processing of personal health data
Regulation number
60
Domain
The regulatory framework grants citizens ownership and specific rights regarding their personal data
Regulation number
30
Dashboard Country
Nicaragua
Total
555
Domain totals
Regulation number
450
Domain
Personal data protection in telemedicine
Max
480
Regulation Avg
0.94
Total porc
93.75
Regulation number
30
Domain
Technological aspects of telemedicine
Max
345
Regulation Avg
0.09
Total porc
8.70
Regulation number
60
Domain
Role of health institutions and teams in telemedicine
Max
375
Regulation Avg
0.16
Total porc
16.00
Regulation number
15
Domain
Role of patients in telecare
Max
225
Regulation Avg
0.07
Total porc
6.67
Regulation number
0
Domain
Core principles and human rights in telemedicine
Max
300
Regulation Avg
0.00
Total porc
0.00
Regulation number
0
Domain
Impact of the COVID-19 pandemic on the development of telemedicine
Max
100
Regulation Avg
0.00
Total porc
0.00
Regulation number
0
Domain
Regulatory aspects of telemedicine
Max
360
Regulation Avg
0.00
Total porc
0.00
Regulation number
0
Domain
Telemedicine governance
Max
135
Regulation Avg
0.00
Total porc
0.00
Total Avg
0.25
Total max
2220
Total porc
25.00