Telemedicine in Peru: Regulation, Advances, and How to Implement It (2026)

Peru was one of the first Latin American countries to regulate telemedicine with Law 30421 (2016) and its regulation DS 003-2019-SA. The COVID-19 pandemic dramatically accelerated adoption, and in 2026, telemedicine is no longer an experiment — it's an established care modality with a solid legal framework.

Current legal framework

Law 30421 — Telehealth Framework Law

Approved in 2016, it establishes:

• Definition of telehealth as remote service delivery using ICT
• Modalities: teleconsultation, telediagnosis, teleinterconsultation, telemonitoring
• Scope: public and private sectors
• Responsibilities of the provider and healthcare professional

DS 003-2019-SA — Regulation

Defines operational requirements:

• Technology infrastructure requirements
• Patient informed consent
• Registration in the electronic medical record
• Electronic prescription through telemedicine
• Quality requirements for care

RM 116-2020-MINSA — Teleconsultation during health emergency

Issued during the pandemic, it simplified requirements for enabling teleconsultation and extended its application to more clinical scenarios.

RM 810-2023-MINSA — Telehealth care

Updates guidelines for telehealth service delivery, including updated technical and quality requirements.

Telemedicine modalities in Peru

Technical requirements

For teleconsultation

• Secure (encrypted) videoconference platform
• Electronic medical record for documenting care
• Electronic prescription with digital signature
• Patient informed consent (can be verbal, recorded)
• Stable internet connection (minimum 2 Mbps upload/download)

For teleradiology

• Cloud PACS allowing secure remote access
• Web viewer with diagnostic quality
• Radiology report with electronic signature
• Secure communication of urgent findings
• Monitor with adequate resolution (2MP minimum for general radiology)

For laboratory telediagnosis

• LIS with remote access for validation
• Electronic signature of the validating professional
• Patient results portal

Notable advances (2024-2026)

1. RENHICE expansion

The National Electronic Medical Records Network advances in connecting public and private providers. Systems supporting HL7 FHIR will be better positioned.

2. Telemedicine at EsSalud

EsSalud has significantly expanded its teleconsultation offering, serving millions of insured patients remotely. The model has proven efficient and accepted by patients.

3. Teleradiology in rural areas

MINSA has implemented teleradiology programs to connect rural health centers with radiologists at reference hospitals. This demonstrates the technology is ready — scale is what's needed.

4. Electronic prescriptions

Implementation of electronic prescriptions with digital signatures advances in both public and private sectors, enabling complete teleconsultation.

Practical implementation in the private sector

Frequently asked questions

Do I need special authorization for telemedicine in Peru?

You must register the telehealth modality in your provider registration with SUSALUD. It's not a separate authorization process, but an update to your registration.

Can I prescribe via teleconsultation?

Yes, as long as the prescription is electronic with a valid digital signature under Law 27269. The prescription must include all data required by regulation.

Do insurers cover teleconsultation?

EPS and private insurers cover teleconsultation under the same conditions as in-person visits. EsSalud also offers teleconsultation to its members.

What technology platform do I need?

You need an HIS with integrated teleconsultation, or an HIS with video platform integration. Ideally, the medical record, electronic prescription, and video call should be in a single workflow.

Conclusion

Telemedicine in Peru has a mature legal framework and growing adoption:

• Law 30421 and its regulation provide the complete legal framework.
• Teleconsultation, teleradiology, and telediagnosis are regulated and valid.
• Electronic prescription with digital signature is required for teleconsultation.
• RENHICE will connect providers — systems must support FHIR.
• Davix supports native teleradiology, electronic signature, and HIS for teleconsultation.

Check Davix pricing or schedule a demo to implement telemedicine at your institution.