This study examined the key components necessary for implementing smart hospitals in Mexico, with a focus on identifying essential technologies, classifying them by the level of hospital care, reviewing the current regulatory framework, and analyzing the main challenges faced by healthcare institutions. Using a qualitative descriptive approach based on document analysis, international guidelines and national data were reviewed to determine the technological, structural, and human resource conditions required for smart hospital development.The core technologies identified include telemedicine, the Internet of Things, electronic health records, artificial intelligence, and high-bandwidth connectivity. These were categorized according to their applicability to primary, secondary, and tertiary levels of care. The findings highlight that the integration of these technologies remains limited owing to several critical barriers, including the lack of wireless infrastructure in clinical areas and insufficient interoperability among electronic systems—only 21% of existing systems meet national certification standards. The shortage of trained personnel and absence of updated telemedicine regulations also hinder large-scale adoption. This study contributes a structured diagnostic framework to inform institutional and policy-level decision making and addresses the current gap in the national guidelines for digital health implementation. The analysis spans 2019 to 2023 and incorporates international benchmarks for hospital infrastructure and workforce development. Future work will include validation through case studies and field evaluations in clinical settings.