Electronic Health Record Regulations in Peru 2026: What Your Clinic Must Comply With

The electronic health record (EHR) in Peru is not optional — it's a regulatory obligation that has been progressively tightening. If your clinic, practice, or health center still operates with paper records or systems that don't meet regulatory requirements, you're exposed to sanctions and, worse, risks to continuity of care.

In this article we explain the current regulations, what your institution must comply with, and how a modern hospital information system (HIS) helps you achieve it.

Current regulatory framework

Law 30024 — National Electronic Health Records Registry (RENHICE)

Law 30024, enacted in 2013 and regulated through successive decrees, created RENHICE (Registro Nacional de Historias Clinicas Electronicas). Its goal: to allow any authorized healthcare professional to access a patient's medical record regardless of where they were treated.

Key points:

• All public and private healthcare facilities must generate electronic health records.
• EHRs must be able to interoperate with RENHICE using standards defined by MINSA.
• Patients have the right to access their electronic health record.
• Facilities must guarantee confidentiality, integrity, and availability of data.

NTS No. 139-MINSA — Technical Health Standard for EHR

The Technical Health Standard establishes specific requirements that an electronic health record must meet:

Law 29733 — Personal Data Protection

Health data is classified as sensitive data under Law 29733. This means:

• Express patient consent for data processing
• Database registration with the National Data Protection Authority (APDP)
• Technical and organizational security measures proportional to the risk
• Patient rights to access, rectify, and cancel their data

What your EHR system must comply with

Based on current regulations, your electronic health record system must:

1. Generate structured clinical records with coded diagnoses (ICD-10), procedures, and prescriptions.
2. Support electronic signatures so each record has legal validity and traceability of who generated it.
3. Implement role-based access control — A physician sees clinical data; an administrator sees appointment data; the patient sees their own information.
4. Maintain immutable audit logs recording who accessed what data, when, and from where.
5. Encrypt data at rest and in transit to comply with Law 29733.
6. Allow data export in standard formats for RENHICE interoperability.
7. Guarantee availability with automatic backups and a disaster recovery plan.

Risks of non-compliance

Non-compliance with EHR regulations isn't just a regulatory issue. It has practical consequences:

• Administrative sanctions — SUSALUD can impose fines and operational restrictions on non-compliant facilities.
• Legal liability — In case of an adverse event, inadequate clinical records weaken your legal position.
• Loss of accreditations — Institutions seeking accreditation (JCI, SuSalud) require EHR systems that meet specific standards.
• Operational risk — Paper records get lost, deteriorate, and don't allow simultaneous access by multiple professionals.

How Davix HIS helps you comply

Davix HIS was designed with Peruvian and Latin American electronic health record regulations in mind:

• Structured clinical records with ICD-10 coding and mandatory fields per NTS 139.
• Integrated electronic signature — Each record is digitally signed by the responsible professional, meeting legal validity requirements.
• Granular access control — Define permissions by role (physician, nurse, administrator, patient) and data type.
• Complete audit logs — Every access, creation, modification, and query is recorded with user, date, time, and IP.
• AES-256 encryption for data at rest and TLS 1.3 for data in transit.
• HL7/FHIR APIs and standards for RENHICE interoperability and integration with other systems.
• Cloud native — Guaranteed availability, automatic geo-redundant backups, and security updates with zero downtime.
• Native PACS and LIS integration — If you also operate with imaging or laboratory, everything connects without additional integrations.

Frequently asked questions

When is the electronic health record mandatory in Peru?

The mandate has been implemented progressively. Higher-complexity facilities (hospitals, clinics) are already required to comply. Lower-complexity facilities have extended deadlines, but the trend is clear: all will need to migrate to EHR. Don't wait until the deadline to implement.

Does a cloud-based system comply with Peruvian regulations?

Yes, as long as it meets the security, encryption, and availability requirements established by NTS 139 and Law 29733. Davix operates on certified cloud infrastructure that meets these standards.

Can I migrate my paper medical records to digital?

Yes. The process involves digitizing existing documents (scanning) and progressively beginning to generate new records electronically. Davix allows importing historical patient data to build an initial foundation.

What if my clinic is small — do I still need to comply?

Yes. The regulations apply to all healthcare facilities, regardless of size. The advantage of a cloud system like Davix is that the cost is proportional to size: a small practice can start with the Essential plan without a disproportionate investment.

Conclusion

Electronic health record regulations in Peru are clear and compliance is non-negotiable. Key takeaways:

• EHR is mandatory for public and private healthcare facilities.
• Technical requirements include electronic signatures, encryption, auditing, and interoperability.
• Non-compliance exposes you to sanctions, legal risks, and loss of accreditations.
• A modern cloud HIS like Davix simplifies compliance by including these requirements natively.

Check the Davix HIS pricing or schedule a demo to see how we help you comply with current regulations.