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Andrey Torres

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Report 1 · Regulatory study · Australia–Colombia 2026

Mandatory Interoperability

A 360° analysis of Colombia's Resolution 1888 of 2025: the FHIR R4 mandate, the analyzer → RDA data chain, and the exact point where compliance breaks — read against the Australian institutions that ran this race a decade earlier.

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Report 1 · Interoperability & Resolution 1888

Report 1 cover — Mandatory Interoperability

What the report covers

The regulatory pyramid: why Resolution 1888 borrows its force from habilitation — your licence to operate, not a fine.

The data chain: who is actually obligated (the HIS) — and who is not (the analyzer, the LIMS, the distributor).

The translation gap: the single point where HL7 v2 / ASTM must become FHIR R4 — the real bottleneck.

The Australian mirror: the same destination reached in 14 years vs Colombia's compressed 6 — and what it predicts.

The structured lab result is deferred — but dated on the horizon. When it lands, LIMS↔FHIR and CUPS↔LOINC mapping becomes mandatory, and today no one has solved it. That is where the first mover wins.

Written for

Hospital & IPS executives (CIO / CTO / CFO)HealthTech & digital-health leadersIVD & medical-device strategyLab & diagnostics directorsHealth investors & advisors

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Andrey Torres

About the author

Andrey Torres

Biomedical engineer working in clinical architecture, FHIR interoperability and lab operational intelligence, across implementations in Colombia and Australia. Builder of STRATEGOS — strategy as a knowledge graph with an explainable AI agent.