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Ecuador · Clinical software · Operational intelligence
Scheduling, electronic unified health records (historia clínica única), lab tests, billing, the patient portal and teleconsultation in a single system. And it connects via API with what your center already uses: your invoicing provider, your analyzers and the systems you don't plan to change.
20 minutes by video call. No product pitch and nobody chasing you afterwards.
Data migration includedNo lock-inUnlimited usersConnects with what you already use
EnmaThis is what your team would find when opening the system today. Without anyone having to look for it.
We come from the clinical laboratory, the most demanding side of health data. We integrate analyzers model by model and have connected health-center billing with the tax authorities of three countries.
In one sentence
TenmaHealth is AI-powered clinical software for medical centers and clinics with 3 to 80 professionals in Ecuador. It brings together scheduling, electronic unified health records, lab tests, billing, the patient portal and teleconsultation in a single system, compares every result with the patient's own history and flags what can't wait. It connects via API with the electronic invoicing provider your center already uses, and with the analyzers and systems your center already uses.
It's a fit if
Your center follows up with its patients over time, works with lab tests or with insurers, and already has systems in place that it doesn't want to throw away.
It's also a fit if
You're growing: a second site, a new specialty, an in-house lab or teleconsultation, and your current system no longer keeps up.
Not the right fit today
Dental clinics and single-practitioner offices without clinical follow-up. We'd rather tell you now than waste your time in a meeting.
How we solve it
We call this operational intelligence: your system doesn't wait for you to ask.
Every result against the patient's own history, with what has changed flagged.
From registration to report, from booking to payment, with no manual steps.
Overdue follow-ups, expiring authorizations, programs being abandoned.
Your rules, your protocols, your workflows and your brand.
Enma instantly, people when needed.
Your center sets the rules. Your team always makes the decision.
What changes in Ecuador
This is the doubt that holds almost every center back: changing systems means breaking what took years to build. Not with us. TenmaHealth connects via API with what your center already uses, and whatever can't be connected, we tell you in writing before you sign anything.
Your invoicing
We integrate with the electronic invoicing provider your center already uses. You keep invoicing where you invoice today; what disappears is typing in the same patient twice.
Your equipment
We come from the clinical laboratory. We integrate analyzers model by model, with HL7, FHIR and ASTM. The result goes straight into the patient's health record.
Your other systems
Accounting, payroll, the website, the CRM. We review each vendor's interfaces and documentation to agree on what to connect and with what scope.
And what's specific to Ecuador
Health records
In Ecuador, the MSP's unified health record (historia clínica única) defines the forms and the minimum data for each visit. The system is configured to those formats and logs every access and every change, with the user and the time.
Identity
We work with cédula and RUC, through the Civil Registry. The scope of each validation is confirmed in the proposal.
Who pays
IESS, private insurers, agreements with companies and self-pay patients. Each agreement with its own rate schedule, authorizations and consolidated billing.
Data
Data protected in accordance with Ecuadorian personal data protection law, or on your own center's server. Your data is yours and you can take it with you whenever you want.
Invoicing
Electronic receipts with the Internal Revenue Service (SRI) and identity validation against the Civil Registry. Current status: confirmed in the proposal.
Language
The system, the reports and what the patient sees use Ecuador's vocabulary: “historia clínica única electrónica”, “exámenes de laboratorio”, “seguros”.
Proof, not promises
Connecting a clinical system with a tax authority is the most demanding work in this industry. We've already done it three times.
| Country | System |
|---|---|
| Mexico | CFDI with the SAT, through a PAC |
| Chile | DTE with the SII |
| Peru | Electronic receipts with SUNAT |
| Ecuador | Electronic receipts with the SRI |
| Spain | Verifactu |
In Ecuador: Electronic receipts with the Internal Revenue Service (SRI) and identity validation against the Civil Registry. We take care of this: you don't have to coordinate vendors or chase anyone.
How it works
These aren't success stories. They're examples of how the system works.
Today
The current result is viewed in isolation. To review the trend, someone has to find the previous result at your center and assess the clinical context.
With TenmaHealth
The result enters the health record already compared with the patient's own history and is flagged before the physician signs.
What changes
The physician decides instead of searching.
Today
The front desk handles appointments, changes, results and payments by phone, interrupting whatever they're doing.
With TenmaHealth
They book from the portal with your brand, pay when booking, get a reminder and rate the care afterwards.
What changes
Fewer calls and a fuller schedule.
Who it's for
How we get started in Ecuador
Next step
We're not a consulting firm. We won't listen to you only to send you a report two weeks from now. In those twenty minutes we look at how your center works and tell you right there what can be automated, what's best to connect first and what we wouldn't touch.
You bring the processes, we bring the technology. Nobody knows your center better than you do. What we know is which parts of it software can solve, in what order, and what isn't worth touching.
You leave with a clear roadmap, whether or not you work with us. And if we see we're not a fit, we'll tell you on the call too.
Or write to us wherever you prefer
20 minutes by video call. We agree on the day and time with you.
Let's talk about your centerNo commitment. You leave the call with a clear roadmap.
Frequently asked questions
That's the question we're asked most, and the short answer is yes. We connect via API with what your center already uses and with industry standards: HL7, FHIR and ASTM for analyzers and laboratory. If something has no API, we look at it in the initial conversation and tell you in writing whether it connects, how and with what scope. We never take it for granted before seeing it.
No. We integrate with the electronic invoicing provider your center already uses; we don't force you to move what already works. You keep invoicing where you invoice today, and the system stops asking you to type in the same patient twice.
The system is configured to the formats your center uses and the types of care it provides. We review the exact scope in the initial conversation and it goes in writing in the proposal: we don't take for granted what we haven't seen working.
We integrate with the electronic invoicing provider your center already uses. We've already solved electronic invoicing for health centers in Mexico, Chile and Peru, so we know the way. The scope for Ecuador is confirmed in writing in the proposal.
In Ecuador, the MSP's unified health record (historia clínica única) defines the forms and the minimum data for each visit. The system is configured to those formats and logs every access and every change, with the user and the time.
Yes, and it's the best argument we have. We have integrated health-center billing with the SAT in Mexico, the SII in Chile and SUNAT in Peru. Connecting a clinical system with a tax authority is the most demanding work in this industry, and we've already done it three times.
We work with Ecuadorian documents: cédula and RUC, through the Civil Registry. The scope of each validation is confirmed in the proposal.
No. Migration is included and our team does it, in milestones and with a trial migration that you validate before the final one. Paper records are not digitized: they're recorded in the system from go-live.
Data protected in accordance with Ecuadorian personal data protection law. It can also be hosted on your own center's server. Your data is yours and you can take it with you whenever you want.
It depends on the size of your center and what it needs. It always includes migration, unlimited users and support. After reviewing the scope, we present a fixed-price proposal.