html,body{font-size:16px !important;line-height:18px !important;height:100%;color:#333;padding:0;margin:0}*,html,body{font-family:"Poppins",sans-serif;font-weight:normal;letter-spacing:normal;-webkit-font-smoothing:antialiased;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;text-rendering:geometrirecision;-webkit-tap-highlight-color:rgba(0,0,0,0);outline:none !important;letter-spacing:-0.1px;word-wrap:break-word}.row{display:flex;flex-wrap:wrap;margin-left:-10px;margin-right:-10px;padding:0 2px}.col{flex:0 0 auto;width:25%;margin-bottom:20px;padding-left:10px;padding-right:10px}.col .entity-item{height:100%}strong,b{font-family:"Poppins",sans-serif;font-weight:bold}figure{margin:0;padding:0}a{text-decoration:none;color:#174fae}a:hover{text-decoration:underline}pre{padding:5px;margin-top:20px;background:#f3f3f3;border:1px solid #ccc}p{font-size:18px;line-height:24px}.link{cursor:pointer}.nowrap{white-space:nowrap}.overflow-auto{overflow:auto !important;-webkit-overflow-scrolling:touch !important}.h1,.h2,.h3,.h4,.h5,.h6,h1,h2,h3,h4,h5,h6{font-family:"Poppins",sans-serif;font-weight:bold}.multiple:after{content:',';margin-right:4px}.multiple:last-child:after{content:'';margin-right:0}.icon-home{display:flex;justify-content:center;align-items:center}.icon-home svg{fill:#fff;width:15px;height:15px}.icon svg{fill:#fff;width:35px;height:35px}.m-0{margin:0 !important}.p-0{padding:0 !important}.mt-0{margin-top:0 !important}.mb-0{margin-bottom:0 !important}.mb-2{margin-bottom:10px !important}.me-1{margin-right:5px !important}.me-2{margin-right:10px !important}.mb-4{margin-bottom:20px !important}.mt-2{margin-top:20px !important}.mt-1{margin-top:10px !important}.opacity-0{opacity:0 !important}hr{border:0;border-top:1px solid #ccc}.hide-scrollbar{overflow-x:scroll;scrollbar-width:none}.hide-scrollbar::-webkit-scrollbar{display:none}.d-none{display:none !important}.btn{display:inline-block;font-weight:400;line-height:1.5;color:#212529;text-align:center;text-decoration:none;vertical-align:middle;cursor:pointer;-webkit--select:none;-moz--select:none;-select:none;background-color:transparent;border:1px solid transparent;padding:.375rem .75rem;font-size:1rem;border-radius:.25rem;transition:color .15s ease-in-out,background-color .15s ease-in-out,border-color .15s ease-in-out,box-shadow .15s ease-in-out}.btn:hover{text-decoration:none}.btn-link{font-weight:400;color:#0d6efd;text-decoration:none}.btn-group-sm>.btn,.btn-sm{padding:.25rem .5rem;font-size:.875rem;border-radius:.2rem}.btn-outline-dark{color:#212529;border-color:#212529}.btn-outline-dark a{color:#212529}.btn-outline-dark:hover{color:#fff;background-color:#212529;border-color:#212529}.btn-outline-dark:hover a{color:#fff;text-decoration:none}.btn-outline-light{color:#f8f9fa;border-color:#f8f9fa}.btn-outline-light:hover{color:#000;background-color:#f8f9fa;border-color:#f8f9fa}.btn-secondary{color:#fff;background-color:#6c757d;border-color:#6c757d}.btn-dark{color:#fff;background-color:#001c4c;border-color:#001c4c}.btn-danger{color:#fff;background-color:#dc3545;border-color:#dc3545}.btn-light{color:#000;background-color:#f8f9fa;border-color:#f8f9fa}.btn-rounded{border-radius:50px}.btn-dark:hover{color:#ccc}.btn-outline-dark{color:#212529;border-color:#212529}.btn-outline-dark:hover{color:#fff;background-color:#212529;border-color:#212529}.btn-movie{font-size:25px;line-height:25px;padding:0;border-radius:50% !important;width:60px;height:60px;margin:0 15px 0 0;display:flex;justify-content:center;align-items:center}.btn-movie svg{width:30px;height:30px}.btn-icon{line-height:0}.btn-icon svg{fill:#fff;width:1.1em;height:1.1em}.btn-movie:hover svg{fill:#fff}.breadcrumb{font-size:16px;line-height:30px}.breadcrumb{display:flex;flex-wrap:wrap;padding:0;margin-bottom:1rem;list-style:none}.breadcrumb-item+.breadcrumb-item{padding-left:.5rem}.breadcrumb-item+.breadcrumb-item::before{float:left;padding-right:.5rem;color:#6c757d;content:"/";font-size:12px}.sidebar{display:flex;justify-content:space-between;height:100%;flex-direction:column}.sticky-box{height:100%;width:100%;margin-bottom:20px;padding:0}.banner{position:sticky;top:10px;margin-bottom:20px;margin-left:auto;margin-right:auto}.banner ins{position:sticky;top:10px;text-decoration:none;display:block;overflow:hidden !important}.banner ins:after{content:'PUBLICIDAD';background:#f5f5f5;width:100%;display:block;text-align:center;font-size:12px;line-height:12px;padding:4px 0}.bottom-ad-module{display:none}.roba-mobile{display:none}.roba-mobile,.roba-desktop{min-height:600px}.roba-desktop{display:flex;justify-content:start;align-items:end;flex-direction:column;width:320px;max-width:320px}.board-article-outbrain{margin-bottom:40px}.input-group{position:relative;display:flex;flex-wrap:wrap;align-items:stretch;width:100%}.input-group>.form-control,.input-group>.form-select{position:relative;flex:1 1 auto;width:1%;min-width:0}.input-group:not(.has-validation)>.dropdown-toggle:nth-last-child(n+3),.input-group:not(.has-validation)>:not(:last-child):not(.dropdown-toggle):not(.dropdown-menu){border-top-right-radius:0;border-bottom-right-radius:0}.input-group>:not(:first-child):not(.dropdown-menu):not(.valid-tooltip):not(.valid-):not(.invalid-tooltip):not(.invalid-){margin-left:-1px;border-top-left-radius:0;border-bottom-left-radius:0}.form-control{display:block;width:100%;padding:.375rem .75rem;font-size:1rem;font-weight:400;line-height:1.5;color:#212529;background-color:#fff;background-clip:padding-box;border:1px solid #ced4da;-webkit-appearance:none;-moz-appearance:none;appearance:none;border-radius:.25rem;transition:border-color .15s ease-in-out,box-shadow .15s ease-in-out}.form-control-sm{min-height:calc(1.5em+.5rem+2px);padding:.25rem .5rem;font-size:.875rem;border-radius:.2rem}.container{width:1140px;margin-left:auto;margin-right:auto}.top{margin-bottom:20px}.topbar-container{width:100%;background-color:#001c4c}.topbar{position:relative;display:flex;justify-content:center;padding:10px 0;z-index:2}.header-section{border-top:1px solid #fff;background-color:#eaede2;padding:10px 0;text-align:center}.header-section .header-section-title,.header-section .header-section-title a{font-family:"Poppins",sans-serif;font-weight:700;font-size:26px;line-height:26px;margin:0;padding:0;color:#001c4c}.menu-container{width:100%}.menu{position:relative;display:flex;justify-content:center;border-bottom:1px solid #ffffff59;padding:5px 0;z-index:2;background-color:#f3f3f3}.menu .navbar-nav{display:flex;flex-direction:row;list-style:none;padding:0;margin:0}.menu .navbar-nav .nav-link{display:block;padding:.5rem;text-decoration:none;transition:color .15s ease-in-out,background-color .15s ease-in-out,border-color .15s ease-in-out;color:rgba(0,0,0,.55);font-weight:500;font-size:14px;line-height:14px;text-transform:uppercase}.form-search-container{padding:15px 0;width:auto;background-color:#e9f1f8}.form-search{display:flex;flex-direction:row;justify-content:center;width:1140px;margin-left:auto;margin-right:auto}.form-search form{display:flex;width:50%}.form-search .input-search-autocomplete{background-color:#ffffffa8}.section{width:100%;margin-bottom:40px}.section .section-header{display:flex;align-items:center;justify-content:space-between;border-top:3px solid #001c4c;border-bottom:1px solid #001c4c;margin-bottom:20px}.section .section-header p,.section .section-header h2,.section .section-header h1{font-size:24px;line-height:28px;font-weight:bold;color:#001c4c;font-size:24px;line-height:24px;padding:10px 0;margin:0}.entity-item{display:flex;flex-direction:column;position:relative;width:100%;border-bottom:4px solid #001c4c;background:#f3f3f3;box-shadow:0 0 4px #000;text-align:left;margin-bottom:0}.entity-item .entity-item-details{order:1;padding:10px}.entity-item .entity-title,.entity-item .entity-title a{font-size:18px;line-height:20px;font-family:"Poppins",sans-serif;font-weight:600;color:#333;text-decoration:none;margin-bottom:0;margin-top:0;text-transform:uppercase}.entity-item .entity-title small{font-size:14px;line-height:16px}.entity-item .entity-title a:before{content:"";top:0;left:0;right:0;bottom:0;display:block;margin:0;padding:0;position:absolute;z-index:2}.entity-item .entity-item-image{order:0}.entity-item .figure{position:relative;aspect-ratio:.66666667;display:flex;justify-content:center;align-items:center;background-color:#222;color:#fff;overflow:hidden}.entity-item .figure:after{content:var(--category-var);position:absolute;bottom:5px;right:5px;font-size:14px;line-height:14px;text-align:right;background:#2e579e;color:#fff;font-weight:bold;padding:3px 6px;border-radius:5px}.entity-item .figure .img{position:absolute;top:0;left:0;width:100%;height:100%;object-fit:cover}.footer{background-color:#001c4c;padding:20px 0}.footer .container{display:flex;flex-direction:column;justify-content:center;align-items:center;text-align:center}.footer p{font-size:14px;line-height:1;color:#fff;text-align:center;padding:0 10px}.footer a{color:#ccc}.gallery{display:grid;grid-auto-flow:column;grid-auto-columns:calc(100% / 1.1);gap:10px;overflow-x:scroll;scroll-snap-type:x mandatory;scroll-behavior:smooth}.gallery figure{scroll-snap-align:start;position:relative;aspect-ratio:16 / 9;border-radius:10px;border:1px solid #ccc;display:flex;justify-content:center;align-items:center;background-color:#222;color:#fff;width:100%}.gallery img{position:absolute;top:0;left:0;width:100%;height:100%;object-fit:cover;border-radius:10px}.video-gallery{display:grid;grid-auto-flow:column;grid-auto-columns:calc(100% / 1.1);gap:10px;overflow-x:scroll;scroll-snap-type:x mandatory;scroll-behavior:smooth}.video{scroll-snap-align:start;border-radius:10px;overflow:hidden}.video iframe{width:100%;height:100%;aspect-ratio:16 / 9}.entity-gallery .gallery-row>*{border:1px solid #ffffff00}.entity-gallery .gallery-row{display:grid;grid-auto-flow:column;grid-auto-columns:calc(100% / 4.06);gap:15px;overflow-x:auto;overflow-y:hidden;scroll-snap-type:x mandatory;scroll-behavior:smooth;scroll-padding:0}.entity-gallery .gallery-row-6{grid-auto-columns:calc(100% / 5.9)}.entity-gallery .gallery-column{width:100%;scroll-snap-align:start;object-fit:cover}.entity-gallery .entity-item{display:flex;flex-direction:column;position:relative;margin-bottom:0;height:100%}.carousel-wrapper{position:relative}.carousel-button{position:absolute;top:50%;transform:translateY(-50%);background-color:#00000099;color:white;border:0;padding:10px 10px;cursor:pointer;z-index:10;border-radius:100%;display:flex;justify-content:center;align-items:center}.carousel-button svg{fill:#fff;width:20px;height:20px}.carousel-prev{left:0}.carousel-next{right:0}.accordion{width:100%;border:1px solid #ccc;border-radius:8px}.accordion-item{border-top:1px solid #ccc}.accordion-header{display:flex;justify-content:start;align-items:center;padding:15px;cursor:pointer;font-weight:bold}.accordion-header .badge{background-color:#6c757d;color:#fff;padding:5px 10px;border-radius:4px;font-size:14px}.accordion-checkbox{display:none}.accordion-content{max-height:0;overflow:hidden;transition:max-height .3s ease;padding:0 10px;background-color:#fff}.accordion-checkbox:checked ~ .accordion-content{max-height:500vh;padding:0 10px}.accordion-content .table{width:100%;margin-top:10px;margin-bottom:10px;border-collapse:collapse}.accordion-content .table td{padding:10px;border:1px solid #ddd}.accordion-item:first-of-type{border-top:0}.accordion-header::after{flex-shrink:0;margin-left:auto;content:"+";background-repeat:no-repeat;background-size:1.25rem;transition:transform .2s ease-in-out}.accordion-header h4{font-weight:normal}.accordion-content p{margin-top:0}.no-disponible{text-align:center}@media(max-width:1024px){.container{width:100%}.top{margin-bottom:0}.other-container{width:100%;margin:0;padding-left:15px;padding-right:15px}.col{flex:0 0 auto;width:50%}.menu{display:block}.aside-container{display:none}.form-search{width:100%}.form-search form{display:flex;width:100%;margin:0 15px}.entity-item .entity-title,.entity-item .entity-title a{font-size:16px;line-height:18px}.breadcrumb{margin-bottom:10px;padding-left:15px;padding-right:15px}.gallery{grid-auto-columns:calc(100% / 1.1)}.entity-gallery .gallery-row{grid-auto-columns:calc(100% / 2.3)}.section .section-header p,.section .section-header h2,.section .section-header h1{font-size:20px;line-height:22px}.roba-desktop{display:none}.roba-mobile{position:relative;top:0;margin-bottom:30px;display:flex;justify-content:start;align-items:center;flex-direction:column;width:calc(100vw - 30px);max-width:calc(100vw - 30px)}.roba-mobile ins{position:sticky;top:0}.bottom-ad-module{display:block;position:fixed;bottom:0;left:0;width:100%;margin:0;box-shadow:0 -1px 5px 0 rgba(0,0,0,.2);text-align:center;line-height:0;background:#f5f5f5;z-index:3000004;transition:transform .5s ease,opacity .5s ease}.bottom-ad-module-hidden{transform:translateY(100%);opacity:0}.bottom-ad-module .publi-box__close-btn{display:block;color:#666;background:#f5f5f5;z-index:1000001;font-size:17px;padding:5px;box-shadow:1px -2px 2px 0 rgba(0,0,0,.2);border-top-left-radius:8px;width:28px;height:28px;position:absolute;top:-28px;right:0;cursor:pointer}} .article{width:100%}.movie-header{position:relative;margin-bottom:40px;display:flex;flex-direction:row;align-items:flex-start}.movie-header .figure{position:relative;aspect-ratio:.66666667;display:flex;justify-content:center;align-items:center;background-color:#222;color:#fff;width:250px;flex:0 0 250px;overflow:hidden;margin-right:20px}.movie-header .figure .img{position:absolute;top:0;left:0;width:100%;height:100%;object-fit:cover}.movie-title-container{margin:0 auto;z-index:1;flex:1 1 100%;overflow:hidden}.movie-title-container .title{border-top:4px solid #001c4c;border-bottom:1px solid #ccc;font-weight:bold;font-size:36px;line-height:38px;margin:0;padding:10px 0;margin-bottom:20px;color:#001c4c;text-transform:uppercase}.movie-title-container .author-name{margin-bottom:30px}.movie-title-container .author-name a{font-weight:normal;text-transform:uppercase}.movie-title-container .categories{position:absolute;bottom:0;margin-bottom:0}.movie-title-container .categories-relative{position:relative}.movie-title-container .categories a{margin-bottom:10px;margin-right:5px}.movie-title-container .tagline{margin-bottom:20px}.movie-buttons{display:flex;align-items:center;margin-bottom:20px}.movie-buttons .btn-buy{font-size:20px;line-height:1;font-family:sans-serif;font-weight:normal;text-transform:uppercase;height:60px;justify-content:center;align-items:center;display:flex;padding:0 30px;border-radius:30px}.movie-buttons .discountPercentage{font-size:22px;line-height:22px;font-weight:bold;color:green}.movie-container{display:flex;flex-direction:row}.movie-body{margin:0;width:780px;flex:0 0 780px;overflow:hidden}.aside-container{text-align:right;width:320px;flex:0 0 320px;position:relative;margin-left:40px}.providers{width:100%}.providers .provider-container{margin-bottom:20px}.providers a{margin-right:10px;display:inline-block}.providers a:last-child{margin-right:0}.providers img{width:55px;height:55px;border-radius:5px}.providers .provider-type{display:block;background:#eaede2;padding:5px;margin-bottom:10px;font-weight:bold}.providers .provider-container:last-child{margin-bottom:0}.movie-info .row-info{display:flex;flex-direction:row;margin-top:10px;margin-bottom:10px}.movie-info .col-title{font-size:18px;line-height:24px;width:40%;flex:0 0 40%;display:flex;align-items:center;margin:0;font-weight:normal}.movie-info .col-title .icon{display:flex;margin-right:5px}.movie-info .col-title .icon svg{width:20px;height:20px}.movie-info .col-value{width:60%;flex:0 0 60%}.movie-info .col-value p{padding:0;margin:0}.movie-info .col-value .link{white-space:nowrap;text-overflow:ellipsis;display:block;overflow:hidden}.movie-share{position:fixed;bottom:10px;right:10px;z-index:1000}.movie-share .btn{font-size:25px;line-height:25px;padding:0;border-radius:50% !important;width:60px;height:60px;display:flex;justify-content:center;align-items:center;background:#064cc3}.movie-share .btn svg{width:30px;height:30px;fill:#fff}.circle-wrap{width:60px;height:60px;background:#ccc;border-radius:50%;margin:0 15px 0 0;z-index:1}.circle-wrap .circle{position:relative}.circle-wrap .circle .mask,.circle-wrap .circle .fill{width:60px;height:60px;position:absolute;border-radius:50%}.mask .fill{clip:rect(0,30px,60px,0);background-color:#000}.circle-wrap .circle .mask{clip:rect(0,60px,60px,30px)}.circle-wrap .inside-circle{font-family:sans-serif;width:49px;height:49px;border-radius:50%;background:#064cc3;color:#fff;position:absolute;z-index:100;font-weight:700;font-size:18px;line-height:18px;top:5px;left:5px;display:flex;justify-content:center;align-items:center}@media(max-width:1024px){.movie-body{width:100%;flex:0 0 100%;overflow:unset}.movie-header{flex-direction:column}.movie-header .figure{margin:0;width:100%;flex:0 0 100%;background-color:transparent;aspect-ratio:unset;padding:20px 50px}.movie-header .figure .img{position:relative;height:auto;box-shadow:0 0 10px 0 #333}.movie-title-container{width:100%;margin:0;padding-left:15px;padding-right:15px;text-align:center}.movie-title-container .title{border-top:0;font-size:26px;line-height:30px;margin:0 0 20px 0}.movie-buttons{flex-direction:column;margin-bottom:30px;border-bottom:1px solid #ccc;padding-bottom:20px}.movie-buttons .btn-buy{margin-bottom:10px}.movie-title-container .categories{position:relative}.movie-container{margin:0;padding-left:15px;padding-right:15px}.movie-info .row-info{flex-direction:column}.movie-info .col-title,.movie-info .col-value p,.movie-info .col-value a{margin:0}.movie-info .col-title{width:100%;flex:0 0 100%;font-weight:600}.movie-info .col-value{width:100%;flex:0 0 100%}}
La revolución digital de la Salud y los nuevos avances de las ciencias médicas constituyen retos de gran calado para el Derecho. Nos enfrentamos a un cambio de paradigma que afecta a la determinación de la capacidad para tomar decisiones complejas. Estas cuestiones se revelan todavía más complicadas en situaciones en las que concurre la minoría de edad -con o sin madurez-, así como en el caso de pacientes con patologías neurodegenerativas o con capacidades cognitivas alteradas. Cierto es que el paciente, en la actualidad, cuenta con más información que nunca para erigirse en protagonista de su salud, pero, ¿el paciente activo está preparado para acceder a la información, comprenderla y aplicarla a la toma de sus decisiones? En definitiva, ¿en qué casos podemos afirmar que el paciente digital es libre y que sus decisiones son fruto de una voluntad consciente y responsable? ¿Qué dice el Derecho sobre ello? Incide igualmente este cambio de paradigma en la responsabilidad, ya que la presencia y la utilización de objetos conectados va a permitir al paciente monitorizar su estado de salud y adoptar un comportamiento en consonancia al conocimiento del mismo. En estrecha relación con la autonomía, la historia clínica digital brinda la posibilidad de tratar toda la información del paciente con el objeto de coordinar la asistencia. A su vez, el tratamiento de los datos que se desprenden de la documentación clínica es una potente herramienta para la investigación biosanitaria. La digitalización de la información médica a gran escala y el tratamiento mediante técnicas big data conllevarán también cambios en los parámetros de imputación de la responsabilidad en tanto en cuanto las herramientas de inteligencia artificial como parte del estado de la ciencia se vayan incorporando a la lex artis ad hoc. Este trabajo pretende, desde un enfoque multidisciplinar, abarcando la Ciencia y el Derecho, dar respuesta a las cuestiones que el nuevo paradigma de la e-Salud plantea a la autonomía y a la disposición de los datos clínicos, sin perder de vista lo que sucede más allá de nuestras fronteras, al tratarse de un fenómeno global.