Authors - Leonardo Juan Ramirez Lopez, Juan Sebastian Orozco Duran Abstract - The Interoperable Electronic Records Platform (PIRE) is an interoperable solution designed to unify existing telemedicine systems and integrate Medical Internet of Things (IoMT) platforms into a single, secure, and scalable ecosystem. This approach enables real-time consolidation of clinical information, facilitating more agile and effective decision-making. From a project management perspective, PIRE represents an innovative strategy by centralizing data from multiple sources, thereby optimizing the planning, execution, and monitoring of digital health initiatives. The project combines exploratory, descriptive, and analytical methods within the Scrum framework, structured across four iterative cycles: (1) architecture definition and IoMT device integration, (2) security planning and clinical data protection, (3) graphical interface and relational model design, and (4) testing and validation in simulated and real-world environments. PIRE adopts international standards such as HL7 FHIR, DICOM, and SNOMED CT to ensure interoperability among heterogeneous healthcare systems. Preliminary results demonstrate a significant reduction in clinical data access times, enhanced information security, and increased operational efficiency through redundancy elimination. Overall, PIRE not only strengthens care continuity and patient safety but also enables a replicable model for digital health project management, grounded in interoperable platforms that unify processes, reduce costs, and improve care quality.