Comparison between countries in the Southern Cone subregion

The information is organized according to the five main categories for implementing EHR systems:

  • Aspects specific to EHRAR#ef425225.0000
  • Patient data protection and secondary use of informationAR#ef4252100.0000
  • Actions of health professionalsAR#ef4252100.0000
  • Role of patients in relation to their health dataAR#ef4252100.0000
  • Standards for health and EHR interoperabilityAR#ef4252100.0000
  • Aspects specific to EHRBR#c9912a25.0000
  • Patient data protection and secondary use of informationBR#c9912a100.0000
  • Actions of health professionalsBR#c9912a100.0000
  • Role of patients in relation to their health dataBR#c9912a100.0000
  • Standards for health and EHR interoperabilityBR#c9912a100.0000
  • Aspects specific to EHRCL#f6873150.0000
  • Patient data protection and secondary use of informationCL#f68731100.0000
  • Actions of health professionalsCL#f68731100.0000
  • Role of patients in relation to their health dataCL#f68731100.0000
  • Standards for health and EHR interoperabilityCL#f68731100.0000
  • Aspects specific to EHRPY#1e978e0.0000
  • Patient data protection and secondary use of informationPY#1e978e50.0000
  • Actions of health professionalsPY#1e978e20.0000
  • Role of patients in relation to their health dataPY#1e978e50.0000
  • Standards for health and EHR interoperabilityPY#1e978e0.0000
  • Aspects specific to EHRUY#ff9b71100.0000
  • Patient data protection and secondary use of informationUY#ff9b71100.0000
  • Actions of health professionalsUY#ff9b71100.0000
  • Role of patients in relation to their health dataUY#ff9b71100.0000
  • Standards for health and EHR interoperabilityUY#ff9b71100.0000

Region: Cono Sur

In this section, all the countries of the subregión del Cono Sur are distributed according to the progress made on their regulatory framework for implementing electronic health records.

  • Argentina84,211AR#ef4252
  • Argentina84,211AR#ef4252
  • Argentina84,211AR#ef4252
  • Argentina84,211AR#ef4252
  • Brazil84,216BR#c9912a
  • Brazil84,216BR#c9912a
  • Brazil84,216BR#c9912a
  • Brazil84,216BR#c9912a
  • Chile89,477CL#f68731
  • Chile89,477CL#f68731
  • Chile89,477CL#f68731
  • Chile89,477CL#f68731
  • Paraguay26,3221PY#1e978e
  • Paraguay26,3221PY#1e978e
  • Paraguay26,3221PY#1e978e
  • Paraguay26,3221PY#1e978e
  • Uruguay100,0025UY#ff9b71
  • Uruguay100,0025UY#ff9b71
  • Uruguay100,0025UY#ff9b71
  • Uruguay100,0025UY#ff9b71
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Categories and dimensions for: Southern Cone

This section presents the level of progress of the Southern Cone subregion in developing the different dimensions of the five categories being analyzed.

Aspects specific to EHR
Patient data protection and secondary use of information
Actions of health professionals
Role of patients in relation to their health data
Standards for health and EHR interoperability

Country-by-country breakdown of: Southern Cone

This section provides links to the main legal texts of each country for the different categories and dimensions of their regulatory framework.

Specific regulations on EHR
Type of information in EHR
  • Law No. 26529

    Patient rights, health records, and informed consent - Articles 15 and 16

Minimum data to be included in EHR
  • Law No. 26529

    Patient rights, health records, and informed consent - Articles 15 and 16

Regulations on the transition from paper to electronic health records
  • No data to display
Personal data protection
Information exchange at the national level
  • Law No. 26529

    Patient rights, health records, and informed consent - Article 4

  • Law No. 25326

    Personal Data Protection Act, Article 11

Security in storing patient data
  • Law No. 26529

    Patient rights, health records, and informed consent - Article 18

  • Law No. 25326

    Personal Data Protection Act, Article 9

Secondary use of health information
Digital signature of professionals
Electronic documents
Access restrictions
  • Law No. 26529

    Patient rights, health records, and informed consent - Article 13

Access in emergencies
  • Law No. 26529

    Patient rights, health records, and informed consent - Article 9

  • Law No. 25326

    Personal Data Protection Act, Article 11

Electronic prescriptions
Consent to use personal health data
  • Law No. 26529

    Patient rights, health records, and informed consent - Article 6

  • Law No. 25326

    Personal Data Protection Act, Article 6

Patient identification and authentication
  • Law No. 26529

    Patient rights, health records, and informed consent - Articles 13 and 17

Patients’ right to edit their personal health data
  • Law No. 26529

    Patient rights, health records, and informed consent - Articles 14 and 19

Patients' access to their personal health data
  • Law No. 26529

    Patient rights, health records, and informed consent - Article 16

Interoperability and standards
Codes and standards for health
Specific regulations on EHR
  • Law No. 13787

    Digitization and use of computerized systems for the storage and handling of patient records

  • CFM Resolution No. 1821/2007

    Approves the technical standards for the digitization and use of computer systems for the custody and management of patients’ medical records, authorizing the elimination of paper-based processes and the exchange of identifiable health information

Type of information in EHR
  • No data to display
Minimum data to be included in EHR
  • No data to display
Regulations on the transition from paper to electronic health records
  • Law No. 13787

    Digitization and use of computerized systems for the storage and management of patient records

Personal data protection
Information exchange at the national level
  • Ordinance No. 2073, Article 1

    Use of interoperability and health information standards for health information systems in the Universal Health System, at the municipal, district, state, and federal levels, and for private systems and the supplementary health sector

  • Law No. 13709

    Personal data processing - Articles 325 and 26

Security in storing patient data
  • Law No. 13709

    Personal data processing - Article 7

  • Law No. 13787

    Digitization and use of computerized systems for the storage and management of patient records - Article 4

Secondary use of health information
Digital signature of professionals
Electronic documents
Access restrictions
  • Law No. 13787

    Digitization and use of computerized systems for the storage and management of patient records - Article 4

Access in emergencies
Electronic prescriptions
Consent to use personal health data
  • Law No. 13709

    General Personal Data Protection Act (LGPD), Article 7

Patient identification and authentication
  • Law No. 13709

    General Personal Data Protection Act (LGPD), Article 5

Patients’ right to edit their personal health data
  • Law No. 13709

    General Personal Data Protection Act (LGPD), Articles 17 and 18

Patients' access to their personal health data
  • Law No. 13709

    General Personal Data Protection Act (LGPD), Article 9

Interoperability and standards
  • Directive No. 2073

    Regulates the use of interoperability and health information standards for health information systems in the Universal Health System, at the municipal, district, state, and federal levels, and for private systems and the supplementary health sector

Codes and standards for health
  • Directive No. 2073

    Regulates the use of interoperability and health information standards for health information systems in the Universal Health System, at the municipal, district, state, and federal levels, and for private systems and the supplementary health sector - Appendix, Chapter II

Specific regulations on EHR
  • Law No. 20584, Article 12

    Regulates the rights and duties of individuals regarding actions related to their health care

  • Decree No. 41

    Approves the regulations on clinical records - Articles 2 and 16

Type of information in EHR
  • Law No. 20584

    Regulates the rights and duties of individuals regarding actions related to their health care - Article 12

  • Decree No. 41

    Approves the regulations on clinical records - Articles 2 and 16

Minimum data to be included in EHR
  • Law No. 20584

    Regulates the rights and duties of individuals regarding actions related to their health care - Article 12

  • Decree No. 41

    Approves the regulations on clinical records - Articles 2 and 16

Regulations on the transition from paper to electronic health records
  • No data to display
Personal data protection
Information exchange at the national level
Security in storing patient data
  • Law No. 19799

    Electronic documents, electronic signatures, and electronic signature certification services

  • Supreme Decree No. 83

    Approves the technical regulation for government agencies on the security and confidentiality of electronic documents

  • Decree No. 41

    Regulations on clinical records - Articles 8 and 9

Secondary use of health information
Digital signature of professionals
  • Law No. 19799

    Electronic documents, electronic signatures, and electronic signature certification services

Electronic documents
  • Law No. 19799

    Electronic documents, electronic signatures, and electronic signature certification services

Access restrictions
Access in emergencies
Electronic prescriptions
  • Law 20724

    Amends the health code in relation to the regulation of pharmacies and medicines - Article 101

Consent to use personal health data
Patient identification and authentication
  • Decree No. 41

    Approves the regulations on clinical records - Article 6

  • Exempt Decree No. 643

    Supersedes the technical regulation on health information standards - Chapter 3

Patients’ right to edit their personal health data
Patients' access to their personal health data
  • Decree No. 41

    Approves the regulations on clinical records - Article 10

Interoperability and standards
Codes and standards for health
Specific regulations on EHR
  • No data to display
Type of information in EHR
  • No data to display
Minimum data to be included in EHR
  • No data to display
Regulations on the transition from paper to electronic health records
  • No data to display
Personal data protection
Information exchange at the national level
  • No data to display
Security in storing patient data
  • No data to display
Secondary use of health information
Digital signature of professionals
  • SG Resolution No. 12 - Ministry of Public Health and Social Welfare

    Ratifies the official use of electronic signatures in information systems authorized by the Ministry of Public Health and Social Welfare - Article 1 (does not have implementing regulations, but is in force)

  • Law No. 4017

    Legal validity of electronic signatures, digital signatures, data messages, and electronic files

  • Law No. 4610

    Amends and expands the scope of Law No. 4017/10 on the legal validity of electronic signatures, digital signatures, data messages, and electronic files

Electronic documents
  • No data to display
Access restrictions
  • No data to display
Access in emergencies
  • No data to display
Electronic prescriptions
  • No data to display
Consent to use personal health data
Patient identification and authentication
  • No data to display
Patients’ right to edit their personal health data
  • No data to display
Patients' access to their personal health data
Interoperability and standards
  • No data to display
Codes and standards for health
  • No data to display
Specific regulations on EHR
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system

  • Decree No. 122/019

    Incorporation of health institutions and individuals into the National Electronic Health Record system

Type of information in EHR
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system

  • Decree No. 122/019

    Incorporation of health institutions and individuals into the National Electronic Health Record system

Minimum data to be included in EHR
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system

  • Decree No. 122/019

    Incorporation of health institutions and individuals into the National Electronic Health Record system

Regulations on the transition from paper to electronic health records
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system

  • Decree No. 122/019

    Incorporation of health institutions and individuals into the National Electronic Health Record system

Personal data protection
  • Law No. 1831

    Protection of personal data and the write of habeas data

  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system

Information exchange at the national level
Security in storing patient data
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system - Article 12

Secondary use of health information
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system - Article 12

Digital signature of professionals
  • Law No. 18600

    Law No. 18600 of September 21, 2009 on electronic documents and signatures

  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system - Article 121

Electronic documents
  • Law No. 18600

    Law No. 18600 of September 21, 2009 on electronic documents and signatures - Article 4

Access restrictions
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system - Article 18

Access in emergencies
  • Decree No. 242/017

    Mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system - Article 5

Electronic prescriptions
  • Law No. 19355

    Law No. 19355 of December 30, 2015 to approve the National Budget for 2015-2019 - Article 466

Consent to use personal health data
  • Law No. 18335

    Patients and users of health services - Article 11

  • Law No. 18331

    Protection of personal data and the write of habeas data - Articles 5, 9, and 18

Patient identification and authentication
  • Decree No. 242/017

    Implementing regulations for Article 466 of Law No. 19355 on mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system, repealing Decree No. 396/003, Article 12

Patients’ right to edit their personal health data
  • Decree No. 242/017

    Implementing regulations for Article 466 of Law No. 19355 on mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system, repealing Decree No. 396/003, Article 13

  • Law No. 18331

    Protection of personal data and the writ of habeas data - Article 15

Patients' access to their personal health data
  • Decree No. 242/017

    Implementing regulations for Article 466 of Law No. 19.355 on mechanisms for exchanging clinical information for healthcare purposes through the National Electronic Health Record system, repealing Decree No. 396/003, Article 10

Interoperability and standards
  • Decree No. 242/017

    Incorporation of health institutions and individuals into the National Electronic Health Record system

Codes and standards for health
  • Decree No. 242/017

    Incorporation of health institutions and individuals into the National Electronic Health Record system

This dashboard reflects the results of a survey and analysis of 115 legal texts, most of which were accessed on the legal information web portals of the 26 countries in the region. The conceptual framework used to create the dashboard is based on the findings of the literature on this field. Three studies in particular were key to the tool’s development: