Peru Context
Artificial intelligence in medicine in Peru
Artificial intelligence for doctors in Peru can reduce documentation work, organize medical history, and support evidence-based queries. Its use must preserve the medical record and professional review.
To evaluate a tool, it is helpful to distinguish between the medical record, the electronic system that manages it, and the national registry that allows access to clinical information among authorized facilities.
Peru Peru
Clinical history: NTS No. 139-MINSA/2018.
National registry: RENHICE, created by Law 30024.
Local system: Establishment SIHCE.
Telehealth: Framework Law No. 30421.
What medical record management must preserve in Peru
The NTS No. 139-MINSA/2018/DGAIN It establishes technical and administrative procedures for the management, preservation, and disposal of medical records in IPRESS, in addition to a standardized basic content. An AI tool can assist in drafting, but it does not eliminate that management cycle.
| Opening and identification | The history must be unequivocally linked to the patient and the IPRESS providing the care. |
| Care record | Every care provided must be documented with sufficient content, in chronological order, and with professional authorship. |
| Integrity | Changes and additions must preserve the consistency of the record and show who intervened. |
| Access and confidentiality | The information query must correspond to authorized functions and respect patient privacy. |
| Archive and availability | The IPRESS must preserve the medical record and be able to retrieve it within the applicable terms and conditions. |
Standardization does not mean filling all notes with the same text. It means consistently recording what is necessary for care, continuity, and auditing. The Peruvian guide to clinical documentation with AI offers an operational review for clinics and professionals.
PERUVIAN FRAME
Electronic health record and information exchange in Peru
Peru has built a framework that separates the history preserved by each IPRESS, the system that manages it, and the national access mechanism. This architecture matters when clinical support software is integrated.
NTS 139
Streamline the management of medical records and the basic content that IPRESS must record.
Law 30024
Create the National Registry of Electronic Health Records to facilitate authorized access to clinical information.
D.S. 009-2017-SA
It regulates the RENHICE and defines actors, authorizations, and access conditions.
Law 30421
Establishes the telehealth framework and its use of technologies to expand coverage and quality.
Reference institutes and hospitals in Peru
Peruvian high complexity is concentrated in national hospitals and specialized institutes, especially in Lima, along with developing regional networks. Among the reference institutions are:
National Institute of Neoplastic Diseases
Lima. Specialized governing and healthcare institution in oncology, with teaching and research functions.
National Institute of Child Health San Borja
Lima. High-complexity pediatric institute and national reference center.
Cayetano Heredia National Hospital
Lima. National teaching hospital with general and specialized care for the northern area of the capital.
Dos de Mayo National Hospital
Lima. National referral hospital with specialized services and a teaching tradition.
Non-exhaustive selection of benchmark public institutions. This is not a ranking nor does it indicate affiliation with Itaca.
Clinical record, SIHCE, and RENHICE: different functions
These three pieces are related, but they are not interchangeable. AI can assist with a task within the process; it does not replace the institutional system or the national registry.
| Element | Main function | Responsibility |
|---|---|---|
| Medical history | Ordered set of documents where a person's care is recorded. | The IPRESS that generates the care administers and preserves it. |
| SINCE | Electronic Health Record Information System used by an IPRESS to record and manage the history. | The IPRESS defines operation, profiles, security, and integration. |
| RENHICE | National infrastructure to access electronic health record information under rules and authorizations. | The Ministry of Health manages the registry; it does not replace the local history. |
Telehealth does not eliminate the duty to document care
The Framework Law on Telehealth uses information and communication technologies to expand coverage and quality. Remote care remains healthcare and must leave the corresponding record in the medical history.
When AI is incorporated, the IPRESS must define what data the tool receives, who can review the result, how errors are corrected, and how the content is incorporated into the SIHCE. Subsequent access via RENHICE does not correct an incomplete note at the source.
Scope: Requirements may vary by IPRESS type, service, and contract. This summary does not replace the institution's legal, regulatory, or security review.
Five questions to evaluate a tool
- Is the draft associated with the patient and are my findings correct?
- Does the professional retain final approval?
- Does IPRESS control users, permissions, and traceability?
- Does the result enter the SIHCE without losing authorship or context?
- Does the data processing comply with Law 29733 and its applicable rules?
Where AI can contribute to Peruvian clinical practice
In a system that combines private practice, public IPRESS, insurance, and regional networks, utility usually emerges in repetitive tasks that consume clinical time and hinder documentary consistency.
Documentation
Prepare draft notes, summaries, and reports for the professional's review.
Standardization
Help apply common structures without replacing the individual assessment of each case.
Evidence consultation
Synthesize medical sources for specific questions and facilitate their review.
Continuity
Organize background information and previous encounters to retrieve relevant information for the subsequent care.
AI does not solve interoperability, document quality, or data protection on its own. It is a support layer that must fit into the institution's controls and systems.
ITACA IN PERU
Convert conversations and documents into review-ready clinical notes
Itaca helps turn conversations, documents, and quick notes into structured clinical drafts. It also allows the use of templates and longitudinal context depending on the contracted functions.
The professional reviews and approves the content. The IPRESS maintains responsibility for the SIHCE, archiving, custody, access, and the connection with RENHICE when applicable.
Official sources for further reading
- NTS No. 139-MINSA/2018/DGAIN: Medical record management.
- Law No. 30024: National Registry of Electronic Medical Records.
- D.S. No. 009-2017-SA: Regulations of Law No. 30024.
- Law No. 30421: Telehealth Framework Law.
- Security and privacy in clinical notes with AI.
Editorial and source review: Itaca team. Updated: September 11, 2026. Use this page for initial guidance. Before deciding, confirm the current regulations and your institution's policies.
Frequently asked questions about medical AI in Peru
Does RENHICE replace the IPRESS medical record?
No. RENHICE facilitates authorized access to clinical information, while each IPRESS retains and manages the history it generates.
Is an AI assistant an EHR?
Not necessarily. It can be a support tool that prepares content for review before incorporating it into the institutional system.
Can AI approve a doctor's note?
No. The professional must review, correct, and decide which content becomes part of the clinical record.
Should a teleconsultation be documented?
Yes. The remote modality does not eliminate the obligation to record the care in accordance with the applicable flow and rules.
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