Download the Brazil Acute Care EHR and Digital Health 2026 Market Report
New from Black Book Research Insights: Brazil Acute Care EHR and Digital Health 2026 — a qualitative, buyer-ready market report covering demand drivers, national platforms, standards, and the vendor landscape shaping Brazil’s acute-care EHR/HIS and digital hospital decisions across the 2026–2030 planning horizon.
Why this report, why now
Brazil enters 2026 at an inflection point for acute-care digitization. The country’s delivery model blends a large universal public system (SUS), a substantial supplementary/private insurance sector (ANS ecosystem), and a diverse provider mix spanning state and municipal hospitals, philanthropic providers (Santa Casa-type institutions), university hospitals, and major private hospital groups. There is no single “Brazil buyer,” and no single workflow model or interoperability dependency that fits all.
At the same time, interoperability has shifted from an “IT roadmap item” to an eligibility requirement. Brazil’s national interoperability agenda—centered on RNDS and related citizen/professional digital channels—continues raising expectations for standardized exchange, identity handling, audit-ready governance, and durable participation. This redefines what an “enterprise EHR” must be: not only a hospital record, but an anchor platform that can safely publish, consume, reconcile, and govern data across networks.
Seven forces are converging to reshape procurement and modernization priorities:
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National interoperability expectations intensify (standards alignment becomes a board-level risk topic)
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Citizen digital access expands, raising the bar for scheduling, results access, and secure communications
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Public-sector modernization continues—unevenly, creating a market for staged modernization, managed services, and integration-first strategies
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Revenue-cycle and payer friction becomes a clinical platform driver in the private/supplementary market (documentation and coding quality increasingly determine financial performance)
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Telehealth normalizes into hybrid models, turning workflow design—not video tools—into the core challenge
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Cybersecurity and resilience reshape vendor shortlists, with evidence-based controls and downtime readiness becoming non-negotiable
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Clinical AI moves from pilots to governed deployment, driven by productivity and safety goals, constrained by accountability, data quality, and regulatory fit
In this environment, “best system” is not a universal label. Strategic fit varies materially by segment—and by what decision-makers weight most: SUS reporting and continuity, ANS interchange rigor, throughput and command-center needs, privacy-by-design under LGPD, telehealth workflow integration, security and resilience, and implementation feasibility in capacity-constrained environments.
What you’ll get
A practical, procurement-aligned view of Brazil’s acute-care EHR and digital health market, including:
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Organization segments and buying dynamics across Brazil’s acute-care environment (public, philanthropic, university, and private sectors)
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Seven trends shaping Brazil’s acute-care digital health market in 2026—translated into concrete procurement implications
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Common procurement patterns (platform consolidation vs. replacement, integration reality, compliance reporting needs, and services capacity constraints)
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A procurement-ready strategic fit framework with 18 practical evaluation dimensions that can be adapted into a weighted scoring model
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National platforms and interoperability foundations that shape minimum architecture requirements (identity, interoperability participation, and dual “SUS vs supplementary” standards reality)
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Vendor landscape and platform patterns—viable vendor categories by domain (not a ranking), plus predictable strengths and failure modes
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A buyer-ready procurement requirements checklist and due diligence questions to prevent common project failure points
Brazil Acute Care EHR and Digital Health 2026
Segment-specific requirements across six acute-care environments
The report examines buying dynamics and digital priorities across:
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Federal/national health digital initiatives (architecture/standards alignment, identity, security, governance expectations cascading into provider platforms)
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State and municipal public networks (SUS delivery) (access, reporting, continuity, throughput; staged modernization and integration-first programs)
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Philanthropic hospitals delivering SUS services (hybrid funding pressure; modular modernization that preserves legacy investments)
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Federal/university hospitals (research enablement, specialty workflows, governance, standardized platforms with local extensions)
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Large private hospital groups (advanced workflows, analytics, patient experience; strong focus on RCM integration and payer interactions)
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Mid-size private hospitals and regional chains (deployable, value-driven platforms; operational and billing stability prioritized over maximal clinical depth)
18 procurement-ready evaluation dimensions
Use the report’s scoring framework to structure shortlists and due diligence across dimensions such as:
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Identity and patient matching readiness (Brazilian identifiers, reconciliation, audit trails)
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Interoperability architecture (APIs/eventing, reusable connectors, governance, participation roadmaps)
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Clinical documentation and structured data (balance usability + structure; continuity + analytics readiness)
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Orders/results and departmental integration (lab/radiology/pharmacy/device integration strategy)
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Medication safety and pharmacy workflows (verification, admin workflows, audit trails, downtime continuity)
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Patient flow and operational command (bed management, discharge, ED flow visibility and escalation)
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Revenue-cycle and billing integration (coding support, documentation completeness checks, denial/glosa prevention, payer interchange)
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Digital front door and communications (scheduling, check-in, results access, secure messaging—integrated, not parallel records)
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Telehealth and hybrid care enablement (integrated scheduling/documentation/prescribing/follow-up and billing support)
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Analytics and reporting (near-real-time operational reporting, quality reporting, data stewardship)
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AI governance readiness (intended use, safety validation, drift monitoring, human oversight and auditability)
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Cybersecurity posture (IAM/MFA, logging/encryption, supplier assurance)
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Resilience and downtime operations (tested recovery, offline workflows, RTO/RPO realism)
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Implementation capacity and methodology (clinical engagement, training, migration realism, time-to-stable)
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Localization and configurability (Portuguese-first workflows configurable without customization debt)
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Upgradeability and technical debt control (release management without repeated bespoke rework)
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Partner ecosystem and local support model (local coverage, response SLAs, optimization capability)
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Total cost of ownership (licensing, infrastructure, integration, optimization—avoiding hidden interface/customization traps)
Buyer-ready structure: shortlisting, trade-offs, and failure prevention
Use the minimum requirements checklist and due diligence questions to focus procurement effort where Brazilian projects most often fail:
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Under-scoped data migration and identity cleanup
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Interface sprawl without integration governance
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Insufficient clinical engagement and training, leading to shadow workflows
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Inadequate downtime planning and recovery evidence
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Contracting that funds software but underfunds integration, optimization, and change management

