{"id":22827,"date":"2021-11-26T08:38:13","date_gmt":"2021-11-26T14:38:13","guid":{"rendered":"https:\/\/saluddigital.com\/?p=22827"},"modified":"2025-10-21T11:26:10","modified_gmt":"2025-10-21T17:26:10","slug":"propuestas-para-la-interoperabilidad-del-expediente-clinico-electronico-en-mexico","status":"publish","type":"post","link":"https:\/\/saluddigital.com\/en\/big-data\/propuestas-para-la-interoperabilidad-del-expediente-clinico-electronico-en-mexico\/","title":{"rendered":"Proposals for the interoperability of the electronic medical record in Mexico"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"22827\" class=\"elementor elementor-22827\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c985268 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5c985268\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5f90e9ba\" data-id=\"5f90e9ba\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-30bb0066 elementor-widget elementor-widget-heading\" data-id=\"30bb0066\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">During the last day of the International Seminar: Digitization and interoperability of the electronic medical record, Dr. Dwight Dyer, general director of Health Information, presented the current proposals in Mexico.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-76db615e elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"76db615e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-17ec94b1\" data-id=\"17ec94b1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-19cb8bcc elementor-widget elementor-widget-text-editor\" data-id=\"19cb8bcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>From November 17 to 19, the Senate of the Republic held the International Seminar: Digitization and interoperability of the electronic clinical file, with guests from international organizations such as the <a href=\"https:\/\/saluddigital.com\/noticias\/la-ops-participo-en-el-segundo-dia-del-seminario-internacional-sobre-la-digitalizacion-del-sector-salud-organizado-por-el-senado-en-mexico\/\">Pan American Health Organization<\/a> or the <a href=\"https:\/\/saluddigital.com\/noticias\/primer-dia-del-seminario-internacional-digitalizacion-e-interoperabilidad-del-expediente-clinico-electronico-en-el-senado-mexicano\/\">Inter-American Development Bank<\/a>.<\/p><p>For the final day of the Seminar, Dr. Dwight Dyer, general director of Health Information, presented the current proposals in Mexico on the interoperability of the electronic medical record (ECE).<\/p><p><strong>What is the electronic medical record? <\/strong><\/p><p>In the first instance, the head of the Health Information Directorate defined what the ECE is. ECE is called \u201cthe unique set of information and personal data of a patient, which is integrated within all types of establishment for medical care, consists of written documents, graphics, imaging, electronic, magnetic, electromagnetic, optical, etc. , in which the staff must make the records, annotations, records and certifications corresponding to their intervention in the patient&#039;s medical care in accordance with the applicable legal provisions.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3908f42e elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"3908f42e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7c4c6099\" data-id=\"7c4c6099\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c1a5d55 elementor-widget elementor-widget-image\" data-id=\"3c1a5d55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"630\" src=\"https:\/\/saluddigital.com\/wp-content\/uploads\/2021\/11\/11-21-06.jpg\" class=\"attachment-full size-full wp-image-22829\" alt=\"\" srcset=\"https:\/\/saluddigital.com\/wp-content\/uploads\/2021\/11\/11-21-06.jpg 1200w, https:\/\/saluddigital.com\/wp-content\/uploads\/2021\/11\/11-21-06-660x347.jpg 660w, https:\/\/saluddigital.com\/wp-content\/uploads\/2021\/11\/11-21-06-840x441.jpg 840w, https:\/\/saluddigital.com\/wp-content\/uploads\/2021\/11\/11-21-06-768x403.jpg 768w, https:\/\/saluddigital.com\/wp-content\/uploads\/2021\/11\/11-21-06-18x9.jpg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-518d05b8\" data-id=\"518d05b8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c80a7b4 elementor-widget elementor-widget-text-editor\" data-id=\"1c80a7b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some of the challenges and tasks that Dyer poses respond to the formats of the ECE, for example, that the physical file is the basis of the ECE, severs its structure and makes it slow to update, so the registry must be the operative model of Care and information must be flexible and representable according to the needs of the user, both the medical professional and the patient.\u00a0\u00a0<\/p><p>ECEs must promote digitization and access to digital tools for their users.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a9f8363 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"a9f8363\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-36ade3a9\" data-id=\"36ade3a9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1e19610d elementor-widget elementor-widget-text-editor\" data-id=\"1e19610d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Interoperability<\/strong><\/p><p>On the other main topic of the seminar, interoperability, Dr. Dyer explained the differences between two interoperable standards used for the implementation of ECE in public and private health systems: HL7 and REST.<\/p><ul><li>HL7 (Health Level 7): It is a protocol or a standard that facilitates the electronic exchange of clinical information, it is focused on the exchange of data between applications.<\/li><li>REST: an interface architecture between systems to indicate the execution of operations on data in any information exchange format (XML, JSON, etc.).<\/li><\/ul><p>Unlike HL7, REST simplifies the way data is shared.<\/p><p>In the case of Mexico, the Ministry of Health uses a system called Health Care Administration and Management Environment (AAMATES). In the words of Dr. Dyer, it is a flexible computing environment that facilitates the traceability of information and also shares the highest security standards.<\/p><p>The Government of Mexico has a practical guide to build the governance of the health care registry:<\/p><ul><li>Focus on users, focus registration on attentions<\/li><li>Authentication must be traceable by electronic signature<\/li><li>Open technology standards should be privileged<\/li><li>Contemplate horizons of technological obsolescence<\/li><li>Build public health goods, legislate with an emphasis on incentives<\/li><li>Specify technical mechanisms in official regulations<\/li><li>Regulate technical standards in guidelines<\/li><\/ul><p>Consult the other presentations of the Seminar in the following link:<\/p><p><a href=\"https:\/\/www.youtube.com\/watch?v=zKwMXY6xhiA\">https:\/\/www.youtube.com\/watch?v=zKwMXY6xhiA<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-410c8a04 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"410c8a04\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5036b4ca\" data-id=\"5036b4ca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1340b224 elementor-widget elementor-widget-toggle\" data-id=\"1340b224\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3231\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3231\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> BIBLIOGRAPHY<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3231\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3231\"><p><strong>SENATE OF THE REPUBLIC<\/strong><\/p><p><a href=\"https:\/\/www.youtube.com\/watch?v=zKwMXY6xhiA\">https:\/\/www.youtube.com\/watch?v=zKwMXY6xhiA<\/a> \u00a0\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Durante el \u00faltimo d\u00eda del Seminario Internacional: Digitalizaci\u00f3n e interoperabilidad del expediente cl\u00ednico electr\u00f3nico, el Dr. Dwight Dyer director general de Informaci\u00f3n en Salud present\u00f3 las propuestas actuales en M\u00e9xico. Del 17 al 19 de noviembre el Senado de la Republica realiz\u00f3 el Seminario Internacional: Digitalizaci\u00f3n e interoperabilidad del expediente cl\u00ednico electr\u00f3nico, contando con invitados de organizaciones internacionales como la Organizaci\u00f3n Panamericana de la Salud o el Banco Interamericano de Desarrollo. Para el d\u00eda final del Seminario, el Dr. Dwight Dyer director general de Informaci\u00f3n en Salud present\u00f3 las propuestas actuales en M\u00e9xico sobre la interoperabilidad del expediente cl\u00ednico electr\u00f3nico (ECE). \u00bfQu\u00e9 es el expediente cl\u00ednico electr\u00f3nico? En primera instancia el titular de la Direcci\u00f3n de Informaci\u00f3n en Salud defini\u00f3 qu\u00e9 es el ECE. Se le llama ECE \u201cal conjunto \u00fanico de informaci\u00f3n y datos personales de un paciente, que se integra dentro de todo tipo de establecimiento para la atenci\u00f3n m\u00e9dica, consta de documentos escritos, gr\u00e1ficos, imagenol\u00f3gicos, electr\u00f3nicos, magn\u00e9ticos, electromagn\u00e9ticos, \u00f3pticos, etc., en los cuales el personal deber\u00e1 hacer los registro, anotaciones, constancias y certificaciones correspondientes a su intervenci\u00f3n en la atenci\u00f3n m\u00e9dica de paciente con apego a las disposiciones jur\u00eddicas aplicables\u201d. Algunos de los desaf\u00edos y tareas que plantea Dyer, responden a los formatos de los ECE, por ejemplo, que el expediente f\u00edsico sea la base del ECE sega su estructura y vuelve lenta su actualizaci\u00f3n, por lo que el registro debe ser el modelo operativo de atenci\u00f3n y la informaci\u00f3n debe ser representable de forma flexible seg\u00fan las necesidades del usuario, tanto el profesional m\u00e9dico como el paciente.&nbsp;&nbsp; Los ECE deben promover la digitalizaci\u00f3n y el acceso a herramientas digitales para sus usuarios. Interoperabilidad Sobre el otro t\u00f3pico principal del seminario, la interoperabilidad, el Dr. Dyer, explic\u00f3 las diferencias entre dos est\u00e1ndares interoperables utilizados para la implementaci\u00f3n de ECE en sistemas de salud p\u00fablica y privada: HL7 y REST. HL7 (Health Level 7): Es un protocolo o un est\u00e1ndar que facilita el intercambio electr\u00f3nico de informaci\u00f3n cl\u00ednica, est\u00e1 enfocado en el intercambio de datos entre aplicaciones. REST: una arquitectura de interfaz entre sistemas para indicar la ejecuci\u00f3n de operaciones sobre datos en cualquier formato de intercambio de informaci\u00f3n (XML, JSON, etc.). A diferencia de HL7, REST simplifica la manera en la que se comparten los datos. En el caso de M\u00e9xico, la Secretar\u00eda de Salud, utiliza un sistema denominado Ambiente de Administraci\u00f3n y Manejo de Atenciones en Salud (AAMATES). En palabras del Dr. Dyer, se trata de un ambiente inform\u00e1tico flexible que facilita la trazabilidad de la informaci\u00f3n y adem\u00e1s comparte los est\u00e1ndares m\u00e1s altos de seguridad. El Gobierno de M\u00e9xico cuenta con gu\u00eda pr\u00e1ctica para construir el gobierno del registro de atenciones en salud: Centrarse en los usuarios, enfocar el registro en las atenciones La autenticaci\u00f3n debe ser trazable mediante firma electr\u00f3nica Se debe privilegiar a est\u00e1ndares tecnol\u00f3gicos abiertos Contemplar horizontes de obsolescencia tecnol\u00f3gica Construir bienes p\u00fablicos de salud, legislar con \u00e9nfasis en incentivos Especificar mecanismos t\u00e9cnicos en la normatividad oficial Reglamentar los est\u00e1ndares t\u00e9cnicos en lineamientos Consulta las dem\u00e1s ponencias del Seminario en el siguiente enlace: https:\/\/www.youtube.com\/watch?v=zKwMXY6xhiA BIBLIOGRAF\u00cdA SENADO DE LA REP\u00daBLICA https:\/\/www.youtube.com\/watch?v=zKwMXY6xhiA &nbsp;&nbsp;<\/p>","protected":false},"author":1,"featured_media":22829,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[156,160,3396],"tags":[145],"class_list":["post-22827","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-big-data","category-noticias","category-uso-de-plataformas-digitales","tag-noticias"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts\/22827","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/comments?post=22827"}],"version-history":[{"count":0,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts\/22827\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/media\/22829"}],"wp:attachment":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/media?parent=22827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/categories?post=22827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/tags?post=22827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}