Digital Clinical Record — The Health Record in the Digital Age

What Is Digital Clinical Record?

The digital clinical record is the electronic file containing all of a patient's health information: visits, diagnoses, treatments, laboratory results, images, and progress notes. It is the most commonly used term in Mexico and Central America for what is known in Peru and South America as Electronic Health Record (EHR/HCE) and in Brazil as Prontuario Eletronico.

In Mexico, NOM-024-SSA3 regulates the "Expediente Clinico Electronico" (Electronic Clinical Record), establishing the technical and interoperability standards that health information systems must meet. This regulation is equivalent to EHR/HCE standards in other countries in the region.

The SEO importance of this term lies in the fact that users in different Latin American countries search using different terminology. While in Mexico the search is for "expediente clinico digital" or "expediente clinico electronico," in other countries it is "historia clinica electronica" or "prontuario eletronico." A HIS operating in multiple countries must adapt to these terminological and regulatory differences.

Why It Matters in Healthcare

• Regulatory framework: Mexico's NOM-024-SSA3 establishes specific requirements that every digital clinical record system must meet.
• Care continuity: Centralizes all patient information so that any authorized healthcare professional can access it.
• Interoperability: Enables information exchange between healthcare institutions following standards such as HL7 and FHIR.
• Legal validity: The digital record has legal standing when it complies with applicable regulations.
• Clinical efficiency: Eliminates paper records, reduces transcription errors, and streamlines clinical workflows.
• Multi-country access: Healthcare networks operating across multiple LATAM countries need a system that adapts to each local regulation.

How Davix Relates to Digital Clinical Record

• The Davix HIS provides a comprehensive digital clinical record that meets the regulatory requirements of multiple Latin American countries.
• It adapts to the local terminology and regulations of each country where it operates (NOM-024 in Mexico, HCE regulations in Peru, Colombia, and others).
• It centralizes all patient clinical information — visits, laboratory, imaging, pharmacy — on a unified cloud-native platform.
• It supports interoperability through HL7 and FHIR standards for information exchange with other systems.
• Its multi-site architecture enables management of clinical records for patients who receive care at different network locations.

Implement a digital clinical record that meets your country's regulations. Discover how the Davix HIS adapts to your market.