Matriz de Competências em Informática em Saúde e Saúde Digital: um framework interprofissional para sistemas de saúde inteligentes

Proposta da Sociedade Brasileira de Informática em Saúde para formação, avaliação e governança

Authors

DOI:

https://doi.org/10.59681/2175-4411.v18.2026.1635

Keywords:

Health Informatics, Digital Health, Interprofessional Education, Artificial Intelligence, Competency Framework

Abstract

Digital transformation in health has increased the need for structured frameworks to guide the education, assessment, and certification of professionals across care, educational, managerial, and research settings. This article presents the Competency Matrix in Health Informatics and Digital Health proposed by the Brazilian Society of Health Informatics (SBIS), with an interprofessional approach aligned with the contemporary demands of intelligent health systems. It is an update and expansion study of a previously published document, developed through technical-scientific consensus among experts and based on a structured documentary review of national and international references, including IMIA, WHO, HIMSS, UNESCO, the European Union, PAHO, and recent literature on artificial intelligence, data governance, interoperability, digital education, and algorithmic ethics. The matrix was organized into 13 competency domains and four progressive levels of complexity, ranging from the foundations of health informatics and information literacy to strategic governance, clinical and operational artificial intelligence, interoperability, security, user experience, analytics, digital sustainability, and education supported by intelligent technologies. The model also, in a cross-cutting manner, incorporates the distinction between explicit and implicit artificial intelligence, thereby expanding its applicability to education, professional development, and institutional governance. It is concluded that the matrix serves as a framework for curricula, residencies, certifications, institutional policies, and national strategies, contributing to an ethical, safe, interprofessional digital transformation oriented toward the needs of the Brazilian Unified Health System (SUS).

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Author Biographies

Grace Marcon Dal Sasso, UFSC

Fundadora da NurseVox e IA na Enfermagem
Professora Associada da UFSC (Informática em Saúde, Saúde Digital e IA Clínica)
Bolsista Fulbright Professor Visitante Columbia University, Mmebro da HIMSS e AMIA e Vice-presidente da SBIS

Antonio Carlos Onofre de Lira, Diretor Médico Regional Oncologia D'Or, Professor em Medicina na USCS e Presidente da Sociedade Brasileira de Informática em Saúde

Diretor Médico Regional Oncologia D'Or, Professor em Medicina na USCS e Presidente da Sociedade Brasileira de Informática em Saúde

Heimar de Fatima Marin, Universidade Federal de São Paulo

Alumni Professor, Health and Nursing Informatics, UNIFESP

President of the International Academy of Health Sciences Informatics/ United States

Juliano de Souza Gaspar, Virtual Care e Universidade Federal de Minas Gerais

Business Developer ,  Professor e Pesquisador em Informática em Saúde e Saúde Digital

Analista de Sistemas 

References

BAUCHNER, H. et al. AI, health, and health care today and tomorrow: the JAMA summit. JAMA. 2025. doi:10.1001/jama.2025.1849

BICHEL-FINDLAY, J. et al. Recommendations of the International Medical Informatics Association (IMIA) on Education in Biomedical and Health Informatics: Second Revision. International Journal of Medical Informatics, v. 170, 104908, 2023. Disponível em: https://doi.org/10.1016/j.ijmedinf.2022.104908 DOI: https://doi.org/10.1016/j.ijmedinf.2022.104908

BRASIL. Ministério da Ciência, Tecnologia e Inovações (MCTI). Plano Brasileiro de Inteligência Artificial (PBIA). Brasília: MCTI, 2024. Disponível em: https://www.gov.br/mcti/pt-br/acompanhe-o-mcti/noticias/2024/07/plano-brasileiro-de-ia-tera-supercomputador-e-investimento-de-r-23-bilhoes-em-quatro-anos/ia_para_o_bem_de_todos.pdf/view

CAR, J.; ONG, Q.C.; ERLIKH-FOX, T. et al. The digital health competencies in medical education framework: An international consensus statement based on a Delphi study. JAMA Network Open, v. 8, n. 1, e2453131, 2025. Disponível em: https://doi.org/10.1001/jamanetworkopen.2024.53131 DOI: https://doi.org/10.1001/jamanetworkopen.2024.53131

DAL SASSO, G. T. M.; MARIN, H.; PERES, H. H. C.; GASPAR, J. de S. Domínios, competências e habilidades em informática em saúde e saúde digital: análise documental. Journal of Health Informatics, São Paulo, v. 16, n. 1, 2024. Disponível em: https://jhi.sbis.org.br/index.php/jhi-sbis/article/view/1440 DOI: https://doi.org/10.59681/2175-4411.v16.2024.1440

DAN, B. et al. The AI-augmented clinician: Are we ready? Dev Med Child Neurol. 2025. doi:10.1111/dmcn.16291 DOI: https://doi.org/10.1111/dmcn.16291

DE GAGNE, J.C. The state of artificial intelligence in nursing education: Past, present, and future directions. International Journal of Environmental Research and Public Health, v. 20, n. 6, 4884, 2023. Disponível em: https://doi.org/10.3390/ijerph20064884 DOI: https://doi.org/10.3390/ijerph20064884

EUROPEAN COMMISSION. European Declaration on Digital Rights and Principles for the Digital Decade. Brussels, 2023. Disponível em: https://digital-strategy.ec.europa.eu/en/library/european-declaration-digital-rights-and-principles

EUROPEAN COMMISSION; JOINT RESEARCH CENTRE. COSGROVE, J.; CACHIA, R. DigComp 3.0: The Digital Competence Framework. Luxembourg: Publications Office of the European Union, 2025. Disponível em: https://publications.jrc.ec.europa.eu/repository/handle/JRC144121

EUROPEAN UNION. Artificial Intelligence Act (AI Act). Brussels, 2024. Disponível em: https://artificialintelligenceact.eu/. Acesso em: 3 mar. 2026.

GOSAK, L. et al. The ChatGPT effect and transforming nursing education with generative AI: Discussion paper. Nurse Education in Practice, v. 75, 103888, 2024. Disponível em: https://pubmed.ncbi.nlm.nih.gov/38219503/ DOI: https://doi.org/10.1016/j.nepr.2024.103888

HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HIMSS). CPHIMS Review Guide: Preparing for Success in Healthcare Information and Management Systems. 4. ed. Boca Raton: CRC Press, 2021. 330 p. ISBN 9780367566254.

HIMSS. Digital Health: A Framework for Healthcare Transformation. Chicago (IL): HIMSS, 2022. Disponível em: https://www.himss.org/sites/hde/files/media/file/2022/12/21/dhi-white-paper.pdf

HIMSS ANALYTICS. Digital Health Indicator. Chicago: HIMSS, 2022. Disponível em: https://www.himss.org/maturity-models/digital-health-indicator/

HWANG, W.Y.K.; TING, D.S.W. Augmented intelligence: an emerging paradigm for AI in healthcare. Ann Acad Med Singap. 2025;54(11):732-735. doi:10.47102/annals-acadmedsg.2025184 DOI: https://doi.org/10.47102/annals-acadmedsg.2025184

KIM, T.W. Application of artificial intelligence chatbots, including ChatGPT, in education, scholarly work, programming, and content generation and its prospects: a narrative review. Journal of Educational Evaluation for Health Professions, v. 20, 2023. Disponível em: https://jeehp.org/journal/view.php?number=502 DOI: https://doi.org/10.3352/jeehp.2023.20.38

LEE, K. H. et al. The Status and Future of Biomedical and Health Informatics Education Worldwide: A 2024 Review. e-Health Informatics Journal, 2024. Disponível em: https://e-hir.org/journal/view.php?doi=10.4258/hir.2024.30.2.113

MIKKONEN, K. et al. Competência em saúde digital entre profissionais de saúde: uma análise transversal de clusters em 19 países e regiões. Int J Nurs Stud. 2026 abr;176:105348. doi: 10.1016/j.ijnurstu.2026.105348. Epub 2026 21 de jan. PMID: 41621343. DOI: https://doi.org/10.1016/j.ijnurstu.2026.105348

PAHO. Electronic Health Records and the Importance of Documentation for IS4H. Washington, DC: PAHO, 2022. Disponível em: https://iris.paho.org/items/e889fc11-d748-46b2-ae14-9b7f819bfb74

ROYLE, R.; HANSEN, D. Connected Care: Digital Health in Australia. Melbourne: Monash University Publishing, 2024. ISBN 978-1922979964. Disponível em: https://dokumen.pub/download/connected-care-digital-health-in-australia-9781922979988-9781922979964-9781922979971.html

SOCIEDADE BRASILEIRA DE INFORMÁTICA EM SAÚDE (SBIS). Home. São Paulo: SBIS, 2026. Disponível em: https://sbis.org.br. Acesso em: 6 abr. 2026.

UNESCO. Recommendation on the Ethics of Artificial Intelligence. Paris: UNESCO, 2021. Disponível em: https://unesdoc.unesco.org/ark:/48223/pf0000381137

WORLD HEALTH ORGANIZATION (WHO). Global Strategy on Digital Health 2020–2025. Geneva: WHO, 2021. Disponível em: https://www.who.int/docs/default-source/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf

WORLD HEALTH ORGANIZATION (WHO). World Health Assembly endorses extension of the Global Digital Health Strategy to 2027. Geneva: WHO, 23 May 2025. Disponível em: https://www.who.int/news/item/23-05-2025-world-health-assembly-endorses-extension-of-the-global-digital-health-strategy-to-2027. Acesso em: 3 mar. 2026.

Published

2026-05-14

How to Cite

Dal Sasso, G. M., Lira, A. C. O. de, Marin, H. de F., & Gaspar, J. de S. (2026). Matriz de Competências em Informática em Saúde e Saúde Digital: um framework interprofissional para sistemas de saúde inteligentes: Proposta da Sociedade Brasileira de Informática em Saúde para formação, avaliação e governança. Journal of Health Informatics, 18(1), 1635. https://doi.org/10.59681/2175-4411.v18.2026.1635

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