4 13. That the Commission, in its observations, made no comments on this operative paragraph. 14. That the Court notes that, despite the State informed that it had taken actions to implement the Interactive Manual on Human Rights (Manual Interactivo de Derechos Humanos) with emphasis placed on justice and bioethics operators, it had failed to submit accurate information on the measures taken to divulge the rights of the patients in compliance with Operative Paragraph No. 6. Considering the representatives´ statements, the Court deems it necessary that the State furnish an updated and detailed report on the specific actions taken to fully comply with Operative Paragraph No. 6 of the Judgment (supra Having Seen clause number 1.) * * * 15. That in relation to Operative Paragraph No. 7 containing the obligation of the State to implement within a reasonable term an education and training program for justice operators and health care professional about the laws enacted by Ecuador in relation to patients´ rights and the punishment for violating them, the State informed that the implementation of an interinstitutional agreement with the Ministry of Justice (Ministerio de Justicia) was under way with the purpose to comply with this paragraph as soon as practicable. Moreover, the State affirmed that on March 17, 2009, Mrs. Carmen Cornejo, Mr. Bismarck Albán, Mr. Alejandro Ponce, Attorney-at-law, Mr. Oswaldo Santos and Mrs. Ibeth Orellana held a meeting and agreed that "[t]he Under-secretariat of Human Rights and [the] Coordination of Public Defense w[ould] summon the law schools of the following universities to a regulatory reform process: U[niversidad] Central, […] San Francisco de Quito, […] Católica del Ecuador, […] del Azuay, […] Espíritu Santo, […]Santiago de Guayaquil, […] de las Américas and further participants they might deem necessary." The process would be focused on the following rules: the Code of Ethics for Medical Doctors, the Criminal Code, the inclusion of the crime of medical malpractice, and a bill of law on medical malpractice. 16. That the representatives, in their observations, highlighted that the State had not yet issued the Rules of Application of Law No. 77 - Law on the Rights and Protections of the Patient (Ley de Derechos y Amparo del Paciente)- published in the Official Registry Supplement No. 626 on February 3, 1995. In this regard, they pointed out that no legal rule providing for the crime of medical malpractice, and for the civil, criminal and administrative sanctions associated therewith, had been enacted. 17. That the Commission, in its observations, made no comments on this operative paragraph. 18. That the Court appreciates the decision made by the State to enter into an institutional agreement with the Ministry of Justice to implement an education and training program for justice operators and health care professionals about the laws enacted by Ecuador in relation to patients´ rights and the punishment for violating them. Nonetheless, the Court considers it necessary that the State furnish an updated and detailed report on the specific actions taken to fully comply with this operative paragraph of the Judgment (supra Having Seen clause number 1.) * * *