Interoperability
Resolution 1888 of 2025: Colombia takes a decisive step on clinical interoperability
What Resolution 1888 requires, the deadlines it sets, and what a Colombian provider must solve to comply without rebuilding its systems.
Resolution 1888 of 2025 mandates interoperability of the electronic health record in Colombia and sets concrete deadlines. For providers, the practical question is not whether to comply, but how much of what already runs has to change.
What it requires
The rule establishes that providers must be able to exchange the medical record with the rest of the system through defined standards, rather than through point-to-point integrations negotiated case by case.
What that means in practice
Three capabilities have to be in place:
- Unambiguous patient identification across organisations — a master index, not a lookup table per agreement.
- A clinical repository able to expose documents in the format the rule requires.
- Traceability and consent: who accessed what, when, and under which authorisation.
Where to start
Almost no organisation needs to replace its HIS to comply. What it needs is an interoperability layer on top of what it already runs, translating to the standard and centralising identification and audit.
That is precisely what Dandelion does, and the approach behind Uruguay’s National Electronic Health Record.
