Standards-Based Interoperable Electronic Health Records, Not Hardware-Driven Solutions: Technical Report from the Regional Dialogue

Standards-Based Interoperable Electronic Health Records, Not Hardware-Driven Solutions: Technical Report from the Regional Dialogue | Zenodo Skip to main Communities My dashboard Log in Sign up Zenodo is currently experiencing slowness and intermittent outages due to heavy automated traffic from bots and AI crawlers. We are aware of the problem, and our team is focused on stabilizing the service. Thank you for your patience. Published April 30, 2026 | Version v1 Report Open Standards-Based Interoperable Electronic Health Records, Not Hardware-Driven Solutions: Technical Report from the Regional Dialogue Authors/Creators Otzoy Garcia, Daniel Roberto (Researcher) 1, 2 Lazala, Oscar (Researcher) 2 Vallejo, Adriana (Researcher) 3 Alonso, Diego (Researcher) 4 Sarabia, Juan Carlos (Researcher) 5 Show affiliations 1.

RECAINSA 2.

HL7 Central America and the Dominican Republic 3.

Health Data Science Program 4.

FIGSA 5.

Ministry of Health & Wellness of Belize Description This technical report systematizes the main contributions, lessons learned, and recommendations from the regional dialogue “Interoperable Electronic Health Record Based on Standards, Not Hardware,” organized by HL7 Central America and the Dominican Republic in April 2026. The document addresses one of the most relevant structural challenges for health systems in Latin America and the Caribbean: moving from isolated digitalization efforts toward the development of sustainable, standards-based interoperable architectures. Drawing on experiences shared by experts from Argentina, Belize, and Mexico, the report analyzes clinical interoperability as a systemic capability that does not depend solely on technological tools, but on the convergence of governance, roadmaps, regulation, incentives, specialized talent, technical standards, and institutional sustainability. It emphasizes that the adoption of standards such as HL7 FHIR and SNOMED CT is essential, but insufficient unless accompanied by local capacities to implement, govern, and sustain them over time. The report presents a conceptual framework for health interoperability, examines the paradigm shift from isolated systems to interoperable architectures, and organizes the panel’s contributions around governance, stakeholder alignment, technical implementation, innovation, capacity building, and investment protection. It also proposes technical recommendations for governments, multilateral organizations, healthcare providers, academia, and other actors within the digital health ecosystem. Its main conclusion is that interoperability should not be understood as a one-time technological goal, but as an institutional, technical, and political capability that must be built deliberately, progressively, and sustainably. This document aims to serve as a technical and academic reference for those designing, regulating, implementing, or supporting digital health transformation processes across Latin America and the Caribbean. Files RT - HCEI basada en estándares.pdf Files (7.9 MB) Name Size Download all RT - HCEI basada en estándares.pdf md5:9e6e20f7f59929672909cde022a8f19f 7.9 MB Preview Download 128 Views 82 Downloads Show more details All versions This version Views Total views 128 128 Downloads Total downloads 82 82 Data volume Total data volume 892.1 MB 892.1 MB More info on how stats are collected.... Versions External resources Indexed in OpenAIRE Communities Details DOI DOI Badge DOI 10.5281/zenodo.20031377 Markdown [](https://doi.org/10.5281/zenodo.20031377) reStructuredText .. image:: https://zenodo.org/badge/DOI/10.5281/zenodo.20031377.svg :target: https://doi.org/10.5281/zenodo.20031377 HTML <a href="https://doi.org/10.5281/zenodo.20031377"><img src="https://zenodo.org/badge/DOI/10.5281/zenodo.20031377.svg" alt="DOI"></a> Image URL https://zenodo.org/badge/DOI/10.5281/zenodo.20031377.svg Target URL https://doi.org/10.5281/zenodo.20031377 Resource type Report Publisher Zenodo Languages Spanish Rights License Creative Commons Attribution 4.0 International The Creative Commons Attribution license allows re-distribution and re-use of a licensed work on the condition that the creator is appropriately credited. Read more Citation Export Technical metadata Created May 7, 2026 Modified May 7, 2026 Jump up About About Policies Infrastructure Principles Projects Roadmap Contact Blog Blog Support Help FAQ Developers REST API OAI-PMH Contribute GitHub Donate Funded by Powered by CERN Data Centre & InvenioRDM Status Privacy policy Cookie policy Terms of Use This site uses cookies. Find out more on how we use cookies Accept all cookies Accept only essential cookies

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