{"id":3804,"date":"2026-09-11T17:34:21","date_gmt":"2026-09-11T17:34:21","guid":{"rendered":"https:\/\/itaca.ai\/?page_id=3804"},"modified":"2026-09-11T18:07:34","modified_gmt":"2026-09-11T18:07:34","slug":"artificial-intelligence-in-medicine-brazil","status":"publish","type":"page","link":"https:\/\/itaca.ai\/en\/inteligencia-artificial-en-medicina-brasil\/","title":{"rendered":"Artificial intelligence for doctors in Brazil"},"content":{"rendered":"
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BRAZIL CONTEXT<\/p>\n\n

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

Artificial intelligence for physicians in Brazil can support documentation, medical history organization, and evidence consultation. Its use must preserve the medical record and the physician's autonomy.<\/p>\n\n

Brazil combines rules on record digitization, data protection, telehealth, and a specific CFM resolution for the use of AI in medicine.<\/p>\n\n

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Understanding the Brazilian framework<\/a><\/div>\n<\/div>\n<\/div>\n\n
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Brazil Brazil<\/strong><\/p>\n\n

Central document:<\/strong> patient chart.<\/p>\n\n

Digitization:<\/strong> Law No. 13,787\/2018.<\/p>\n\n

Health data:<\/strong> sensitive under the LGPD.<\/p>\n\n

Medical AI:<\/strong> CFM Resolution 2,454\/2026.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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What a digital medical record must preserve in Brazil<\/h2>\n\n

The Law 13,787\/2018<\/a> It regulates the digitization and use of computerized systems to keep, store, and manage medical records. The process must preserve integrity, authenticity, and confidentiality.<\/p>\n\n

Integrity<\/strong><\/td>The digital document must reflect the clinical record without unauthorized alterations.<\/td><\/tr>
Authenticity<\/strong><\/td>The institution must be able to demonstrate origin, authorship, and correspondence with the digitized or created document.<\/td><\/tr>
Confidentiality<\/strong><\/td>Access must be restricted and protected in accordance with professional secrecy and data legislation.<\/td><\/tr>
Conservation<\/strong><\/td>The law establishes rules for the archiving, digitization, and retention periods of the medical record.<\/td><\/tr>
Professional Review<\/strong><\/td>The physician remains responsible for the clinical information that they validate and incorporate into the record.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n

An automatic transcription or summary does not acquire the guarantees of the medical record on its own. It must undergo review and institutional system controls. The AI clinical documentation guide for Brazil offers an operational review.<\/p>\n<\/div>\n\n\n\n

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FRAME FROM BRAZIL<\/p>\n\n

Medical record, data protection, telehealth and AI<\/h2>\n\n

Brazil has distinct regulatory layers that complement each other. The institution must evaluate the clinical registry, data processing, care modality, and the purpose of the AI.<\/p>\n\n

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Law 13.787<\/h3>\n\n

It regulates the digitization, custody, and computerized management of patient medical records.<\/p>\n<\/div>\n\n

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LGPD<\/h3>\n\n

Classify health data as sensitive and require adequate controls for its processing.<\/p>\n<\/div>\n\n

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CFM 2,314<\/h3>\n\n

It regulates telemedicine and requires recording healthcare delivery in a physical medical record or electronic system.<\/p>\n<\/div>\n\n

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CFM 2.454<\/h3>\n\n

Establish principles for AI in medicine, with human oversight, transparency, governance, and the physician's final decision.<\/p>\n<\/div>\n<\/div>\n\n

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University and high-complexity hospitals in Brazil<\/h2>\n\n

Brazil combines the SUS with large university, philanthropic, and private hospitals. Among the benchmark institutions for complexity, teaching, research, or innovation are:<\/p>\n\n

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Hospital of the Clinics of the Faculty of Medicine of USP \u2197<\/span><\/a><\/h3>\n\n

S\u00e3o Paulo.<\/strong> Public university complex of high complexity, teaching, and research.<\/p>\n\n

Porto Alegre Clinical Hospital \u2197<\/span><\/a><\/h3>\n\n

Porto Alegre.<\/strong> Public university hospital linked to UFRGS and the EBSERH network.<\/p>\n<\/div>\n\n

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Albert Einstein Israelite Hospital \u2197<\/span><\/a><\/h3>\n\n

S\u00e3o Paulo.<\/strong> Philanthropic hospital providing highly complex care, education, and health innovation.<\/p>\n\n

Syrian-Lebanese Hospital \u2197<\/span><\/a><\/h3>\n\n

S\u00e3o Paulo.<\/strong> High-complexity philanthropic hospital with teaching and research activities.<\/p>\n<\/div>\n<\/div>\n\n

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

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Medical record, S-RES and RNDS: different functions<\/h2>\n\n

The local registry, the system that manages it, and the national exchange network are related, but they are not equivalent.<\/p>\n\n

Element<\/th>Main function<\/th>Responsibility<\/th><\/tr><\/thead>
Medical record<\/strong><\/td>Patient clinical information set and care record.<\/td>The establishment and the responsible professionals produce and safeguard it.<\/td><\/tr>
S-RES<\/strong><\/td>Electronic Health Record System that captures and manages care information.<\/td>The organization defines security, profiles, signature, traceability, and integration.<\/td><\/tr>
RNDS<\/strong><\/td>National Health Data Network for interoperability and continuity within the digital health ecosystem.<\/td>It does not replace the complete medical record kept by the provider.<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div>\n\n\n\n
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The CFM resolution keeps the final decision with the physician<\/h2>\n\n

CFM Resolution 2,454\/2026 allows the use of AI as support for clinical decision-making, management, research, and education, but keeps the final say on diagnosis, treatment, and prognosis with the physician.<\/p>\n\n

The standard requires human oversight and transparency toward the patient when AI plays a relevant role. It also addresses governance, risk classification, auditing, and data protection. The institution must document how it applies these principles to each tool.<\/p>\n\n

Scope:<\/strong> A solution may also be subject to sanitary, medical device, telemedicine, professional ethics, and security requirements depending on its purpose.<\/p>\n<\/div>\n\n

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