🇲🇽 EMA Health México Implementation Guide
0.11.0 - ci-build

🇲🇽 EMA Health México Implementation Guide - Local Development build (v0.11.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Tipo de documento clínico (México) - TTL Representation

Active as of 2026-10-12

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/cs-document-type> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "cs-document-type"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cs-document-type</b></p><a name=\"cs-document-type\"> </a><a name=\"hccs-document-type\"> </a><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class=\"grid\"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>loinc</td><td>loinc</td><td>string</td><td>LOINC document-ontology code that denotes the same document kind (verified against tx.fhir.org)</td></tr><tr><td>norm</td><td>norm</td><td>string</td><td>Numeral of NOM-004-SSA3-2012 that defines the document</td></tr></table><p><b>Concepts</b></p><p>This case-sensitive code system <code>https://emahealth.io/fhir/mx/CodeSystem/cs-document-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>loinc</b></td><td><b>norm</b></td></tr><tr><td style=\"white-space:nowrap\">historia-clinica<a name=\"cs-document-type-historia-clinica\"> </a></td><td>Historia clínica</td><td/><td>34117-2</td><td>NOM-004-SSA3-2012 6.1</td></tr><tr><td style=\"white-space:nowrap\">nota-evolucion<a name=\"cs-document-type-nota-evolucion\"> </a></td><td>Nota de evolución</td><td/><td>11506-3</td><td>NOM-004-SSA3-2012 6.2</td></tr><tr><td style=\"white-space:nowrap\">nota-interconsulta<a name=\"cs-document-type-nota-interconsulta\"> </a></td><td>Nota de interconsulta</td><td/><td>11488-4</td><td>NOM-004-SSA3-2012 6.3</td></tr><tr><td style=\"white-space:nowrap\">nota-referencia-traslado<a name=\"cs-document-type-nota-referencia-traslado\"> </a></td><td>Nota de referencia/traslado</td><td>Referencia a otro establecimiento o traslado del paciente. LOINC separa la nota de referencia (57133-1) del resumen de traslado (18761-7); la norma las trata como un solo documento y se anota la de referencia.</td><td>57133-1</td><td>NOM-004-SSA3-2012 6.4</td></tr><tr><td style=\"white-space:nowrap\">nota-inicial-urgencias<a name=\"cs-document-type-nota-inicial-urgencias\"> </a></td><td>Nota inicial de urgencias</td><td/><td>34111-5</td><td>NOM-004-SSA3-2012 7.1</td></tr><tr><td style=\"white-space:nowrap\">nota-ingreso<a name=\"cs-document-type-nota-ingreso\"> </a></td><td>Nota de ingreso</td><td/><td>47039-3</td><td>NOM-004-SSA3-2012 8.1</td></tr><tr><td style=\"white-space:nowrap\">nota-preoperatoria<a name=\"cs-document-type-nota-preoperatoria\"> </a></td><td>Nota preoperatoria</td><td/><td/><td>NOM-004-SSA3-2012 8.5</td></tr><tr><td style=\"white-space:nowrap\">reporte-lista-verificacion-cirugia<a name=\"cs-document-type-reporte-lista-verificacion-cirugia\"> </a></td><td>Reporte de lista de verificación de cirugía</td><td/><td/><td>NOM-004-SSA3-2012 8.6</td></tr><tr><td style=\"white-space:nowrap\">nota-preanestesica<a name=\"cs-document-type-nota-preanestesica\"> </a></td><td>Nota preanestésica, vigilancia y registro anestésico</td><td/><td>34751-8</td><td>NOM-004-SSA3-2012 8.7</td></tr><tr><td style=\"white-space:nowrap\">nota-postoperatoria<a name=\"cs-document-type-nota-postoperatoria\"> </a></td><td>Nota postoperatoria</td><td>Describe la intervención realizada: es la nota operatoria (LOINC Surgical operation note).</td><td>11504-8</td><td>NOM-004-SSA3-2012 8.8</td></tr><tr><td style=\"white-space:nowrap\">nota-egreso<a name=\"cs-document-type-nota-egreso\"> </a></td><td>Nota de egreso</td><td/><td>18842-5</td><td>NOM-004-SSA3-2012 8.9</td></tr><tr><td style=\"white-space:nowrap\">hoja-enfermeria<a name=\"cs-document-type-hoja-enfermeria\"> </a></td><td>Hoja de enfermería</td><td/><td>34746-8</td><td>NOM-004-SSA3-2012 9.1</td></tr><tr><td style=\"white-space:nowrap\">reporte-servicios-auxiliares<a name=\"cs-document-type-reporte-servicios-auxiliares\"> </a></td><td>Reporte de los servicios auxiliares de diagnóstico y tratamiento</td><td/><td/><td>NOM-004-SSA3-2012 9.2</td></tr><tr><td style=\"white-space:nowrap\">carta-consentimiento-informado<a name=\"cs-document-type-carta-consentimiento-informado\"> </a></td><td>Carta de consentimiento informado</td><td/><td>59284-0</td><td>NOM-004-SSA3-2012 10.1</td></tr><tr><td style=\"white-space:nowrap\">hoja-egreso-voluntario<a name=\"cs-document-type-hoja-egreso-voluntario\"> </a></td><td>Hoja de egreso voluntario</td><td/><td>86449-6</td><td>NOM-004-SSA3-2012 10.2</td></tr><tr><td style=\"white-space:nowrap\">hoja-notificacion-ministerio-publico<a name=\"cs-document-type-hoja-notificacion-ministerio-publico\"> </a></td><td>Hoja de notificación al Ministerio Público</td><td/><td/><td>NOM-004-SSA3-2012 10.3</td></tr><tr><td style=\"white-space:nowrap\">reporte-causa-muerte-vigilancia<a name=\"cs-document-type-reporte-causa-muerte-vigilancia\"> </a></td><td>Reporte de causa de muerte sujeta a vigilancia epidemiológica</td><td/><td/><td>NOM-004-SSA3-2012 10.4</td></tr><tr><td style=\"white-space:nowrap\">nota-defuncion<a name=\"cs-document-type-nota-defuncion\"> </a></td><td>Nota de defunción y de muerte fetal</td><td/><td>47046-8</td><td>NOM-004-SSA3-2012 10.5</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://emahealth.io/fhir/mx/CodeSystem/cs-document-type"] ;
  fhir:CodeSystem.version [ fhir:value "0.11.0"] ;
  fhir:CodeSystem.name [ fhir:value "CsDocumentTypeMx"] ;
  fhir:CodeSystem.title [ fhir:value "Tipo de documento clínico (México)"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-10-12T02:16:44+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "EMA Health SpA"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "EMA Health SpA" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://emahealth.io" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "contacto@emahealth.io" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Documentos que integran el expediente clínico según la NOM-004-SSA3-2012.\nBase nacional del dominio `document-type`; cada cliente la siembra y la\nextiende."] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "18"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.property [
     fhir:index 0 ;
     fhir:CodeSystem.property.code [ fhir:value "loinc" ] ;
     fhir:CodeSystem.property.description [ fhir:value "LOINC document-ontology code that denotes the same document kind (verified against tx.fhir.org)" ] ;
     fhir:CodeSystem.property.type [ fhir:value "string" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.property.code [ fhir:value "norm" ] ;
     fhir:CodeSystem.property.description [ fhir:value "Numeral of NOM-004-SSA3-2012 that defines the document" ] ;
     fhir:CodeSystem.property.type [ fhir:value "string" ]
  ] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "historia-clinica" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Historia clínica" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "34117-2" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 6.1" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-evolucion" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota de evolución" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "11506-3" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 6.2" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-interconsulta" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota de interconsulta" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "11488-4" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 6.3" ]
     ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-referencia-traslado" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota de referencia/traslado" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Referencia a otro establecimiento o traslado del paciente. LOINC separa la nota de referencia (57133-1) del resumen de traslado (18761-7); la norma las trata como un solo documento y se anota la de referencia." ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "57133-1" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 6.4" ]
     ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-inicial-urgencias" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota inicial de urgencias" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "34111-5" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 7.1" ]
     ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-ingreso" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota de ingreso" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "47039-3" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 8.1" ]
     ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-preoperatoria" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota preoperatoria" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 8.5" ]
     ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "reporte-lista-verificacion-cirugia" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Reporte de lista de verificación de cirugía" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 8.6" ]
     ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-preanestesica" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota preanestésica, vigilancia y registro anestésico" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "34751-8" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 8.7" ]
     ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-postoperatoria" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota postoperatoria" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Describe la intervención realizada: es la nota operatoria (LOINC Surgical operation note)." ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "11504-8" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 8.8" ]
     ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-egreso" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota de egreso" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "18842-5" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 8.9" ]
     ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "hoja-enfermeria" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hoja de enfermería" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "34746-8" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 9.1" ]
     ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "reporte-servicios-auxiliares" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Reporte de los servicios auxiliares de diagnóstico y tratamiento" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 9.2" ]
     ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "carta-consentimiento-informado" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Carta de consentimiento informado" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "59284-0" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 10.1" ]
     ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "hoja-egreso-voluntario" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hoja de egreso voluntario" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "86449-6" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 10.2" ]
     ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "hoja-notificacion-ministerio-publico" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hoja de notificación al Ministerio Público" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 10.3" ]
     ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "reporte-causa-muerte-vigilancia" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Reporte de causa de muerte sujeta a vigilancia epidemiológica" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 10.4" ]
     ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "nota-defuncion" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nota de defunción y de muerte fetal" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "loinc" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "47046-8" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "norm" ] ;
       fhir:CodeSystem.concept.property.valueString [ fhir:value "NOM-004-SSA3-2012 10.5" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/cs-document-type.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/cs-document-type.ttl> .