Digital clinical histories from the colombian perspective: security, quality and data management

Main Article Content

Iván Santiago Rendón Gutiérrez
David Felipe Ruiz Pérez
Violeta Suárez H.
Juan David Prieto

Abstract

The user’s medical history is the only valid document that demonstrates the type of care a patient has received; therefore, it must faithfully reflect the quality of care provided by health professionals, as well as basic personal information, but of vital importance. In Colombia there is a great difficulty that gets in the process of quality care: each health promoting entity (EPS, for its initials in Spanish) generates a clinical history to its members, but does not share it with their counterparts when a user decides to migrate to another EPS, which causes duplication and loss of potentially important information.


Through the bibliographic review of multiple national and international sources, the flow of health data in the national territory is evaluated, as well as the feasibility of implementing a national digital health records management system, among other aspects. This document presents the advantages of creating a national system that contains a unique clinical history by user in digital format, the existing regulations that favor the privacy of personal data, as well as practices that ensure the accuracy of the information supplied in each medical or legal proceeding. It is concluded that, in Colombia, it is necessary to implement a national system of electronic medical records that encourages the availability, quality and confidentiality of user data in order to streamline processes and procedures in the health sector.

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