{"id":3780,"date":"2026-09-11T17:38:56","date_gmt":"2026-09-11T17:38:56","guid":{"rendered":"https:\/\/itaca.ai\/?page_id=3780"},"modified":"2026-09-11T18:07:30","modified_gmt":"2026-09-11T18:07:30","slug":"artificial-intelligence-in-peruvian-medicine","status":"publish","type":"page","link":"https:\/\/itaca.ai\/en\/inteligencia-artificial-en-medicina-peru\/","title":{"rendered":"Artificial intelligence for doctors in Peru"},"content":{"rendered":"
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Peru Context<\/p>\n\n

Artificial intelligence for doctors in Peru<\/h1>\n\n

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.<\/p>\n\n

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.<\/p>\n\n

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Understand the framework of Peru<\/a><\/div>\n<\/div>\n<\/div>\n\n
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Peru Peru<\/strong><\/p>\n\n

Clinical history:<\/strong> NTS No. 139-MINSA\/2018.<\/p>\n\n

National registry:<\/strong> RENHICE, created by Law 30024.<\/p>\n\n

Local system:<\/strong> Establishment SIHCE.<\/p>\n\n

Telehealth:<\/strong> Framework Law No. 30421.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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What medical record management must preserve in Peru<\/h2>\n\n

The NTS No. 139-MINSA\/2018\/DGAIN<\/a> 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.<\/p>\n\n

Opening and identification<\/strong><\/td>The history must be unequivocally linked to the patient and the IPRESS providing the care.<\/td><\/tr>
Care record<\/strong><\/td>Every care provided must be documented with sufficient content, in chronological order, and with professional authorship.<\/td><\/tr>
Integrity<\/strong><\/td>Changes and additions must preserve the consistency of the record and show who intervened.<\/td><\/tr>
Access and confidentiality<\/strong><\/td>The information query must correspond to authorized functions and respect patient privacy.<\/td><\/tr>
Archive and availability<\/strong><\/td>The IPRESS must preserve the medical record and be able to retrieve it within the applicable terms and conditions.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n

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.<\/p>\n<\/div>\n\n\n\n

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PERUVIAN FRAME<\/p>\n\n

Electronic health record and information exchange in Peru<\/h2>\n\n

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.<\/p>\n\n

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NTS 139<\/h3>\n\n

Streamline the management of medical records and the basic content that IPRESS must record.<\/p>\n<\/div>\n\n

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Law 30024<\/h3>\n\n

Create the National Registry of Electronic Health Records to facilitate authorized access to clinical information.<\/p>\n<\/div>\n\n

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D.S. 009-2017-SA<\/h3>\n\n

It regulates the RENHICE and defines actors, authorizations, and access conditions.<\/p>\n<\/div>\n\n

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Law 30421<\/h3>\n\n

Establishes the telehealth framework and its use of technologies to expand coverage and quality.<\/p>\n<\/div>\n<\/div>\n\n

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Reference institutes and hospitals in Peru<\/h2>\n\n

Peruvian high complexity is concentrated in national hospitals and specialized institutes, especially in Lima, along with developing regional networks. Among the reference institutions are:<\/p>\n\n

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National Institute of Neoplastic Diseases \u2197<\/span><\/a><\/h3>\n\n

Lima.<\/strong> Specialized governing and healthcare institution in oncology, with teaching and research functions.<\/p>\n\n

National Institute of Child Health San Borja \u2197<\/span><\/a><\/h3>\n\n

Lima.<\/strong> High-complexity pediatric institute and national reference center.<\/p>\n<\/div>\n\n

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Cayetano Heredia National Hospital \u2197<\/span><\/a><\/h3>\n\n

Lima.<\/strong> National teaching hospital with general and specialized care for the northern area of the capital.<\/p>\n\n

Dos de Mayo National Hospital \u2197<\/span><\/a><\/h3>\n\n

Lima.<\/strong> National referral hospital with specialized services and a teaching tradition.<\/p>\n<\/div>\n<\/div>\n\n

Non-exhaustive selection of benchmark public institutions. This is not a ranking nor does it indicate affiliation with Itaca.<\/p>\n<\/div>\n\n\n\n

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Clinical record, SIHCE, and RENHICE: different functions<\/h2>\n\n

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.<\/p>\n\n

Element<\/th>Main function<\/th>Responsibility<\/th><\/tr><\/thead>
Medical history<\/strong><\/td>Conjunto ordenado de documentos donde queda registrada la atenci\u00f3n de una persona.<\/td>La IPRESS que genera la atenci\u00f3n la administra y conserva.<\/td><\/tr>
SIHCE<\/strong><\/td>Sistema de Informaci\u00f3n de Historias Cl\u00ednicas Electr\u00f3nicas usado por una IPRESS para registrar y gestionar la historia.<\/td>La IPRESS define operaci\u00f3n, perfiles, seguridad e integraci\u00f3n.<\/td><\/tr>
RENHICE<\/strong><\/td>Infraestructura nacional para acceder a informaci\u00f3n de historias cl\u00ednicas electr\u00f3nicas bajo reglas y autorizaciones.<\/td>El Ministerio de Salud administra el registro; no reemplaza la historia local.<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div>\n\n\n\n
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Telesalud no elimina el deber de documentar la atenci\u00f3n<\/h2>\n\n

La Ley Marco de Telesalud utiliza tecnolog\u00edas de informaci\u00f3n y comunicaci\u00f3n para ampliar cobertura y calidad. La atenci\u00f3n remota sigue siendo atenci\u00f3n sanitaria y debe dejar el registro que corresponda en la historia cl\u00ednica.<\/p>\n\n

Cuando se incorpora IA, la IPRESS debe definir qu\u00e9 datos recibe la herramienta, qui\u00e9n puede revisar el resultado, c\u00f3mo se corrigen errores y c\u00f3mo se incorpora el contenido al SIHCE. El acceso posterior mediante RENHICE no corrige una nota incompleta en origen.<\/p>\n\n

Scope:<\/strong> los requisitos pueden variar por tipo de IPRESS, servicio y contrato. Esta s\u00edntesis no reemplaza la revisi\u00f3n legal, regulatoria o de seguridad de la instituci\u00f3n.<\/p>\n<\/div>\n\n

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Five questions to evaluate a tool<\/h3>\n\n