🇵🇪 EMA Health Perú Implementation Guide
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: Tipo de documento clínico (Perú) - JSON Representation

Active as of 2026-10-12

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{
  "resourceType" : "CodeSystem",
  "id" : "cs-document-type",
  "text" : {
    "status" : "generated",
    "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 NTS 139-MINSA/2018 that defines the formato</td></tr></table><p><b>Concepts</b></p><p>This case-sensitive code system <code>https://emahealth.io/fhir/pe/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\">atencion-integral-consulta-externa<a name=\"cs-document-type-atencion-integral-consulta-externa\"> </a></td><td>Formato de atención integral por etapa de vida (consulta externa)</td><td/><td>34108-1</td><td>NTS 139-MINSA/2018 5.2.1 1)</td></tr><tr><td style=\"white-space:nowrap\">atencion-emergencia<a name=\"cs-document-type-atencion-emergencia\"> </a></td><td>Formato de atención de emergencia</td><td/><td>34111-5</td><td>NTS 139-MINSA/2018 5.2.1 2) (Anexo N° 7)</td></tr><tr><td style=\"white-space:nowrap\">historia-clinica-hospitalizacion<a name=\"cs-document-type-historia-clinica-hospitalizacion\"> </a></td><td>Historia clínica de hospitalización (anamnesis, examen clínico, diagnóstico, tratamiento, plan de trabajo)</td><td/><td>47039-3</td><td>NTS 139-MINSA/2018 5.2.1 3) 3.1–3.5</td></tr><tr><td style=\"white-space:nowrap\">evolucion<a name=\"cs-document-type-evolucion\"> </a></td><td>Evolución</td><td/><td>34130-5</td><td>NTS 139-MINSA/2018 5.2.1 3) 3.6</td></tr><tr><td style=\"white-space:nowrap\">epicrisis<a name=\"cs-document-type-epicrisis\"> </a></td><td>Epicrisis</td><td>Documento médico legal con el resumen de la historia clínica al egreso, elaborado por el médico tratante (LOINC Physician Discharge summary).</td><td>11490-0</td><td>NTS 139-MINSA/2018 5.2.1 3) 3.7</td></tr><tr><td style=\"white-space:nowrap\">ficha-familiar<a name=\"cs-document-type-ficha-familiar\"> </a></td><td>Ficha familiar</td><td/><td/><td>NTS 139-MINSA/2018 5.2.1 4) (Anexo N° 1)</td></tr><tr><td style=\"white-space:nowrap\">filiacion<a name=\"cs-document-type-filiacion\"> </a></td><td>Formato de filiación</td><td/><td/><td>NTS 139-MINSA/2018 5.2.2 1)</td></tr><tr><td style=\"white-space:nowrap\">notas-enfermeria<a name=\"cs-document-type-notas-enfermeria\"> </a></td><td>Notas de enfermería</td><td/><td>34746-8</td><td>NTS 139-MINSA/2018 5.2.2 2)</td></tr><tr><td style=\"white-space:nowrap\">hoja-control-medicamentos<a name=\"cs-document-type-hoja-control-medicamentos\"> </a></td><td>Hoja de control de medicamentos u hoja de control visible</td><td/><td>80565-5</td><td>NTS 139-MINSA/2018 5.2.2 3)</td></tr><tr><td style=\"white-space:nowrap\">grafica-signos-vitales<a name=\"cs-document-type-grafica-signos-vitales\"> </a></td><td>Gráfica de signos vitales</td><td/><td>8716-3</td><td>NTS 139-MINSA/2018 5.2.2 4)</td></tr><tr><td style=\"white-space:nowrap\">balance-hidroelectrolitico<a name=\"cs-document-type-balance-hidroelectrolitico\"> </a></td><td>Hoja de balance hidroelectrolítico</td><td/><td/><td>NTS 139-MINSA/2018 5.2.2 5)</td></tr><tr><td style=\"white-space:nowrap\">interconsulta<a name=\"cs-document-type-interconsulta\"> </a></td><td>Formato de interconsulta</td><td/><td>11488-4</td><td>NTS 139-MINSA/2018 5.2.2 6)</td></tr><tr><td style=\"white-space:nowrap\">orden-intervencion-quirurgica<a name=\"cs-document-type-orden-intervencion-quirurgica\"> </a></td><td>Orden de intervención quirúrgica</td><td/><td/><td>NTS 139-MINSA/2018 5.2.2 7)</td></tr><tr><td style=\"white-space:nowrap\">reporte-operatorio<a name=\"cs-document-type-reporte-operatorio\"> </a></td><td>Reporte operatorio</td><td/><td>11504-8</td><td>NTS 139-MINSA/2018 5.2.2 8)</td></tr><tr><td style=\"white-space:nowrap\">anestesia<a name=\"cs-document-type-anestesia\"> </a></td><td>Formatos de anestesia</td><td/><td/><td>NTS 139-MINSA/2018 5.2.2 9)</td></tr><tr><td style=\"white-space:nowrap\">historia-clinica-materno-perinatal<a name=\"cs-document-type-historia-clinica-materno-perinatal\"> </a></td><td>Formato de la historia clínica materno perinatal</td><td/><td/><td>NTS 139-MINSA/2018 5.2.2 10)</td></tr><tr><td style=\"white-space:nowrap\">notas-obstetricia<a name=\"cs-document-type-notas-obstetricia\"> </a></td><td>Notas de obstetricia</td><td/><td/><td>NTS 139-MINSA/2018 5.2.2 11)</td></tr><tr><td style=\"white-space:nowrap\">ficha-odontoestomatologica<a name=\"cs-document-type-ficha-odontoestomatologica\"> </a></td><td>Ficha odonto-estomatológica</td><td/><td/><td>NTS 139-MINSA/2018 5.2.2 12)</td></tr><tr><td style=\"white-space:nowrap\">patologia-clinica<a name=\"cs-document-type-patologia-clinica\"> </a></td><td>Formatos de patología clínica (solicitud e informe)</td><td/><td>11502-2</td><td>NTS 139-MINSA/2018 5.2.2 13)</td></tr><tr><td style=\"white-space:nowrap\">diagnostico-imagenes<a name=\"cs-document-type-diagnostico-imagenes\"> </a></td><td>Formatos de diagnóstico por imágenes (solicitud e informe)</td><td/><td>18748-4</td><td>NTS 139-MINSA/2018 5.2.2 14)</td></tr><tr><td style=\"white-space:nowrap\">anatomia-patologica<a name=\"cs-document-type-anatomia-patologica\"> </a></td><td>Formatos de anatomía patológica (solicitud e informe)</td><td/><td>11526-1</td><td>NTS 139-MINSA/2018 5.2.2 15)</td></tr><tr><td style=\"white-space:nowrap\">consentimiento-informado<a name=\"cs-document-type-consentimiento-informado\"> </a></td><td>Formato de consentimiento informado</td><td/><td>59284-0</td><td>NTS 139-MINSA/2018 5.2.2 16)</td></tr><tr><td style=\"white-space:nowrap\">retiro-voluntario<a name=\"cs-document-type-retiro-voluntario\"> </a></td><td>Formato de retiro voluntario</td><td/><td>86449-6</td><td>NTS 139-MINSA/2018 5.2.2 17)</td></tr><tr><td style=\"white-space:nowrap\">referencia-contrarreferencia<a name=\"cs-document-type-referencia-contrarreferencia\"> </a></td><td>Formato de referencia y contrarreferencia</td><td/><td>57133-1</td><td>NTS 139-MINSA/2018 5.2.2 18)</td></tr><tr><td style=\"white-space:nowrap\">informe-alta<a name=\"cs-document-type-informe-alta\"> </a></td><td>Informe de alta</td><td>Se entrega a todo paciente al egreso (LOINC Hospital Discharge summary); la epicrisis es el documento del médico tratante.</td><td>34105-7</td><td>NTS 139-MINSA/2018 5.2.2 19)</td></tr></table></div>"
  },
  "url" : "https://emahealth.io/fhir/pe/CodeSystem/cs-document-type",
  "version" : "0.11.0",
  "name" : "CsDocumentTypePe",
  "title" : "Tipo de documento clínico (Perú)",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-10-12T02:14:28+00:00",
  "publisher" : "EMA Health SpA",
  "contact" : [
    {
      "name" : "EMA Health SpA",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://emahealth.io"
        },
        {
          "system" : "email",
          "value" : "contacto@emahealth.io"
        }
      ]
    }
  ],
  "description" : "Formatos que integran la historia clínica según la NTS N° 139-MINSA/2018/DGAIN.\nBase nacional del dominio `document-type`; cada cliente la siembra y la\nextiende.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 25,
  "property" : [
    {
      "code" : "loinc",
      "description" : "LOINC document-ontology code that denotes the same document kind (verified against tx.fhir.org)",
      "type" : "string"
    },
    {
      "code" : "norm",
      "description" : "Numeral of NTS 139-MINSA/2018 that defines the formato",
      "type" : "string"
    }
  ],
  "concept" : [
    {
      "code" : "atencion-integral-consulta-externa",
      "display" : "Formato de atención integral por etapa de vida (consulta externa)",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "34108-1"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.1 1)"
        }
      ]
    },
    {
      "code" : "atencion-emergencia",
      "display" : "Formato de atención de emergencia",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "34111-5"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.1 2) (Anexo N° 7)"
        }
      ]
    },
    {
      "code" : "historia-clinica-hospitalizacion",
      "display" : "Historia clínica de hospitalización (anamnesis, examen clínico, diagnóstico, tratamiento, plan de trabajo)",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "47039-3"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.1 3) 3.1–3.5"
        }
      ]
    },
    {
      "code" : "evolucion",
      "display" : "Evolución",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "34130-5"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.1 3) 3.6"
        }
      ]
    },
    {
      "code" : "epicrisis",
      "display" : "Epicrisis",
      "definition" : "Documento médico legal con el resumen de la historia clínica al egreso, elaborado por el médico tratante (LOINC Physician Discharge summary).",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "11490-0"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.1 3) 3.7"
        }
      ]
    },
    {
      "code" : "ficha-familiar",
      "display" : "Ficha familiar",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.1 4) (Anexo N° 1)"
        }
      ]
    },
    {
      "code" : "filiacion",
      "display" : "Formato de filiación",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 1)"
        }
      ]
    },
    {
      "code" : "notas-enfermeria",
      "display" : "Notas de enfermería",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "34746-8"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 2)"
        }
      ]
    },
    {
      "code" : "hoja-control-medicamentos",
      "display" : "Hoja de control de medicamentos u hoja de control visible",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "80565-5"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 3)"
        }
      ]
    },
    {
      "code" : "grafica-signos-vitales",
      "display" : "Gráfica de signos vitales",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "8716-3"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 4)"
        }
      ]
    },
    {
      "code" : "balance-hidroelectrolitico",
      "display" : "Hoja de balance hidroelectrolítico",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 5)"
        }
      ]
    },
    {
      "code" : "interconsulta",
      "display" : "Formato de interconsulta",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "11488-4"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 6)"
        }
      ]
    },
    {
      "code" : "orden-intervencion-quirurgica",
      "display" : "Orden de intervención quirúrgica",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 7)"
        }
      ]
    },
    {
      "code" : "reporte-operatorio",
      "display" : "Reporte operatorio",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "11504-8"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 8)"
        }
      ]
    },
    {
      "code" : "anestesia",
      "display" : "Formatos de anestesia",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 9)"
        }
      ]
    },
    {
      "code" : "historia-clinica-materno-perinatal",
      "display" : "Formato de la historia clínica materno perinatal",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 10)"
        }
      ]
    },
    {
      "code" : "notas-obstetricia",
      "display" : "Notas de obstetricia",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 11)"
        }
      ]
    },
    {
      "code" : "ficha-odontoestomatologica",
      "display" : "Ficha odonto-estomatológica",
      "property" : [
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 12)"
        }
      ]
    },
    {
      "code" : "patologia-clinica",
      "display" : "Formatos de patología clínica (solicitud e informe)",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "11502-2"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 13)"
        }
      ]
    },
    {
      "code" : "diagnostico-imagenes",
      "display" : "Formatos de diagnóstico por imágenes (solicitud e informe)",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "18748-4"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 14)"
        }
      ]
    },
    {
      "code" : "anatomia-patologica",
      "display" : "Formatos de anatomía patológica (solicitud e informe)",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "11526-1"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 15)"
        }
      ]
    },
    {
      "code" : "consentimiento-informado",
      "display" : "Formato de consentimiento informado",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "59284-0"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 16)"
        }
      ]
    },
    {
      "code" : "retiro-voluntario",
      "display" : "Formato de retiro voluntario",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "86449-6"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 17)"
        }
      ]
    },
    {
      "code" : "referencia-contrarreferencia",
      "display" : "Formato de referencia y contrarreferencia",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "57133-1"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 18)"
        }
      ]
    },
    {
      "code" : "informe-alta",
      "display" : "Informe de alta",
      "definition" : "Se entrega a todo paciente al egreso (LOINC Hospital Discharge summary); la epicrisis es el documento del médico tratante.",
      "property" : [
        {
          "code" : "loinc",
          "valueString" : "34105-7"
        },
        {
          "code" : "norm",
          "valueString" : "NTS 139-MINSA/2018 5.2.2 19)"
        }
      ]
    }
  ]
}