Health data sovereignty: the LATAM regulatory map in 2026
Chile, Colombia, Mexico and Brazil are advancing interoperability laws with different approaches. A summary of what each framework requires.
The region is moving fast, but not in the same direction. These are the points that most affect an interoperability architecture.
Data residency
Several frameworks require clinical data to remain within national borders. A federated model complies by design: the data never crosses the institution's boundary.
Consent
Granular consent — by data type and by purpose — is becoming the norm. This requires every query to carry its purpose as context.
Mandatory standards
HL7 FHIR R4 appears, explicitly or implicitly, in most recent regulations, accompanied by national implementation guides.

