My Medical Record (Mi Expediente)

📋 What does this module do?

Mi Expediente is a patient-owned clinical record: you track your blood pressure, glucose, oxygen saturation (SpO2), weight and height with evolution charts; you keep consultations, prescriptions, documents (certificates, lab orders), studies with results, and now approved care plans. You authorize — and can revoke — who (doctor, lab, hospital) accesses your record. Doctors can record consultations, issue prescriptions and build task-based care plans the patient follows between visits.

❤️ Vitals

Blood pressure, glucose, SpO2, weight/height/IMC with line charts.

🩺 Consultations

Doctor records motivo, findings and CIE-10 codes (principal + additional tags).

💊 Prescriptions

Recipes with CUMS medicine picker (official catalog) and print/PDF.

📄 Documents & studies

Certificates, lab orders and study results with parameters.

📋 Care plans

Approved task-based plans with steps, timing, frequency and rewards.

🔐 Privacy

Vínculos: you decide who sees your record and can revoke anytime.

🧑‍⚕️ Patient panel (home)

Your dashboard shows your vitals summary, the evolution charts, your consultations, prescriptions, documents, studies and the approved care plans. Everything is yours; the doctors you authorize can contribute consultations, prescriptions, documents, studies and care plans.

📈 Vitals and charts

1

Register

Enter the reading with date and time (systolic/diastolic/pulse, glucose in fasting/postprandial/random, SpO2 + pulse, weight/height/waist/neck).

2

Follow the trend

Pick any metric and see its evolution in a line chart over time.

3

BMI

Calculated automatically from weight and height, with automatic classification.

📋 Care plans (approved)

After a consultation the doctor can build a structured, task-based care plan and approve it. You see it in "Mi Plan de Cuidados": each task with its steps, when to do it (momento), times per day, duration, an optional attached document (diet, exercises, breathing plan) and the reward promised for compliance. Templates from official guidelines (glucose, cholesterol, exercise, energy) can be combined and adapted by the doctor.

💡 A plan in "borrador" (draft) status is never shown to the patient — only approved plans appear.

🩺 Doctor access

1

How a doctor gets in

Via the share link the patient generates (token mode) or, if the doctor registered the patient, through "Mis Pacientes" (entity mode). The doctor may sign up right from the link (name, email, specialty, cédula).

2

What the doctor can do

Read the record, record vitals, consultations (with CIE-10), prescriptions (CUMS picker), documents (certificates, lab orders), studies with results, and build/approve care plans.

3

Traceability

Every change to the clinical history is logged (who, when, field, old/new value).

🔗 Interoperability & NOM-024

This section calmly answers the most common question: "can the record leave this platform and be read elsewhere?" — and how close it is to Mexico's official electronic health record standard.

For the patient

📤 Your data isn't locked in

From your panel you can export your full record anytime (Excel-ready format), or hand it to a new doctor/hospital in a format their own system can read.

🏷️ Diagnoses and medicines with official codes

Not just free text — every diagnosis uses the official CIE-10 (ICD-10) catalog, and every medicine the official CUMS code. Any doctor receiving your record knows exactly what was diagnosed and prescribed, with no ambiguity.

🕵️ Every change is logged

Who changed your clinical history, when, and what it said before and after — for your protection, no exceptions.

For the doctor

The following is technical information so a professional can precisely assess how close the system is to the interoperability that NOM-024-SSA3-2012 (Mexico's Electronic Health Record Information Systems standard) calls for.

Interoperability requirement	Status in Mi Expediente
Diagnoses coded with an official catalog	Met full CIE-10 (14,387 codes, WHO Spanish catalog)
Medications coded with an official catalog	Met official CUMS/CNIS (2,113+ codes, national health-supplies compendium)
Change traceability (who/when/before/after)	Met full per-field audit log on the clinical history
Structured export for administrative/statistical use	Met CSV with consultations, prescriptions, studies and documents
Export in an HL7 interchange standard	Partial a real FHIR R4 Bundle (Patient + Condition/ICD-10 + MedicationRequest/CUMS + vitals Observation) — this IS HL7, but NOT CDA, the specific format the standard's text names
Formal certification with the health authority	Not applicable to software NOM-024 certification is obtained by the clinic/institution using the system, not by the software vendor

Honest summary: the system already structures diagnoses and medications with the official catalogs NOM-024 requires, keeps full traceability, and exports the record as FHIR R4 — the current HL7 standard for clinical data exchange. Strictly speaking, the standard's text names HL7 CDA (an earlier HL7 generation, not FHIR) as the clinical document format, so a literal reading would ask for CDA specifically. In practice, any institution receiving this record can read diagnoses and medications unambiguously thanks to the official catalogs — which is the real goal the standard is after.

⚠️ No software can honestly claim to "comply with NOM-024" in the sense of holding a certificate — that process belongs to the clinic/hospital with the health authority, using a system like this as its foundation. Be wary of any vendor offering certification as if it were a simple product checkbox.

🔐 Privacy and links

The record is patient-owned. Access is granted through vínculos (links) that you create and can revoke at any time; a revoked link immediately blocks the doctor. Doctors can also request access and you approve it.

🔔 Reminders

You can enable WhatsApp reminders for taking your readings; the message includes your values and a friendly nudge. (Email reminders are planned.)

🔧 Troubleshooting

The doctor can't open the link — check the link wasn't revoked or expired; generate a new one from your panel.

I don't see my care plan — only approved plans are shown; ask your doctor to approve it (drafts are never visible to the patient).

CSRF "token has expired" — the session token refreshed; retry the action (the page refreshes the token automatically).

A reading doesn't save — validate the values (e.g. glucose format, SpO2 range) and that you're logged in as the patient.