0A4F4F9BD490A749D5437F821CF06DF1

Regulation of the General Law of Health in Matter of Transplants

http://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MT.pdf

http://leaux.net/URLS/ConvertAPI Text Files/1BD7294BD0388D09B2FBDAC8136C861F.en.txt

Examining the file media/Synopses/1BD7294BD0388D09B2FBDAC8136C861F.html:

This file was generated: 2020-07-14 06:12:06

Indicators in focus are typically shown highlighted in yellow;

Peer Indicators (that share the same Vulnerability association) are shown highlighted in pink;

"Outside" Indicators (those that do NOT share the same Vulnerability association) are shown highlighted in green;

Trigger Words/Phrases are shown highlighted in gray.

Link to Orphaned Trigger Words (Appendix (Indicator List, Indicator Peers, Trigger Words, Type/Vulnerability/Indicator Overlay)

Applicable Type / Vulnerability / Indicator Overlay for this Input

Vulnerability Type	Vulnerability	Indicator	# Matches
Political	Illegal Activity	crime	3
Political	criminal	criminal	1
Political	political affiliation	party	2
Political	political affiliation	political	1
Health	Motherhood/Family	family	5
Health	Pregnant	pregnant	1
Health	hospitalized patients	hospitalized	1
Health	patients in emergency situations	emergencies	2
Health	stem cells	stem cells	1
Social	Access to Social Goods	access	3
Social	Age	age	8
Social	Linguistic Proficiency	language	2
Social	Marital Status	marital status	3
Social	Marital Status	single	12
Social	Occupation	occupation	3
Social	Police Officer	officer	9
Social	Student	student	1
Social	Women	women	1
Social	education	educational	1
Social	parents	parents	1
Social	philosophical differences/differences of opinion	opinion	2
General/Other	Public Emergency	emergency	5
General/Other	Relationship to Authority	authority	16

Political / Illegal Activity

Searching for indicator crime:

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p.(None): VII. The databases of the National Transplant Registry will be confidential, you can only have access to the
p.(None): according to their field of competence, authorized personnel of:
p.(None): a) CENATRA;
p.(None): b) COFEPRIS;
p.(None): c) Customs authorities;
p.(None): d) State Transplant Centers or State Transplant Councils;
p.(None): e) Institutional Coordinations, and
p.(None): f) Health Establishments that have authorization in terms of article 315 of the Law.
p.(None): Article 63. It is the responsibility of the Director of the Health Establishment to supervise that the person in charge
p.(None): sanitary update the information required in terms of article 338 of the Law.
p.(None): CENATRA must notify COFEPRIS of the breach of the content of this Chapter, so that said
p.(None): Authority proceed in terms of the applicable legal provisions.
p.(None): Article 64. Only Organs, Tissues or cells from deceased Donors may be transplanted, to
p.(None): patients enrolled in the National Transplant Registry at least forty-eight hours before the
p.(None): Donor's loss of life certification. The cases of Urgency of
p.(None): Transplant.
p.(None): SIXTH TITLE
p.(None): INTERVENTION OF THE PUBLIC MINISTRY AND THE JUDICIAL AUTHORITY IN THE DONATION OF ORGANS, FABRICS OR CELLS
p.(None): Single Chapter
p.(None): On the Intervention of the Public Ministry and the Judicial Authority in the Donation of Organs, Tissues or Cells
p.(None): Article 65. In cases where the loss of the Donor's life is related to the investigation of
p.(None): a crime, intervention will be given to the Public Prosecutor's Office, in order to rule on whether the
p.(None): Removal of the organs, tissues and cells of said donor interferes with their investigation.
p.(None): The intervention referred to in the previous paragraph, will be given to the judicial authority in cases where it
p.(None): Find out about the crime in question.
p.(None): The Removal of Organs, Tissues and cells that is performed without giving the intervention to the Public Ministry or the
p.(None): judicial authority, in terms of this article, will give rise to responsibilities
p.(None): administrative and criminal provisions set forth in the applicable legislation.
p.(None): 19 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 66. In the case of persons in whom the loss of life has been certified, whose
p.(None): identity unknown or unable to locate relatives, intervention will be given to the Ministry
p.(None): Public in order to state whether the events that caused the loss of life may constitute a crime and in
p.(None): affirmative case will be as provided in the previous article.
p.(None): In the event that a judicial authority is aware of the facts that caused the loss of the life of
p.(None): people whose identity is unknown or cannot locate their relatives, the intervention of
p.(None): The judicial authority will be carried out in the same terms established in the previous paragraph.
p.(None): Article 67. The determinations of the Public Ministry or of the competent judicial authority that are issued in
p.(None): terms of the provisions of articles 65 and 66 of this Regulation do not constitute an authorization for
p.(None): Carry out the extraction of organs, tissues and cells.
p.(None): The determinations referred to in the preceding paragraph shall be made known to the Hospital Coordinator for
p.(None): that, where appropriate, the latter take the necessary steps to meet the requirements that
p.(None): establish the Law, this Regulation and other applicable legal provisions for the Extraction of
p.(None): Organs, tissues and cells.
p.(None): SEVENTH TITLE
p.(None): NATIONAL SUBSYSTEM OF DONATION AND TRANSPLANTS
p.(None): Single Chapter
p.(None): From the National Donation and Transplant Subsystem
p.(None): Article 68. The National Donation and Transplant Subsystem aims to coordinate actions that facilitate the
p.(None): Transplantation to patients who require it, under the principles of confidentiality,
p.(None): absence of profit, altruism, feasibility, transparency, equity and efficiency, data must be protected
p.(None): personnel in terms of the applicable legal provisions.
...

Political / criminal

Searching for indicator criminal:

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p.(None): Authority proceed in terms of the applicable legal provisions.
p.(None): Article 64. Only Organs, Tissues or cells from deceased Donors may be transplanted, to
p.(None): patients enrolled in the National Transplant Registry at least forty-eight hours before the
p.(None): Donor's loss of life certification. The cases of Urgency of
p.(None): Transplant.
p.(None): SIXTH TITLE
p.(None): INTERVENTION OF THE PUBLIC MINISTRY AND THE JUDICIAL AUTHORITY IN THE DONATION OF ORGANS, FABRICS OR CELLS
p.(None): Single Chapter
p.(None): On the Intervention of the Public Ministry and the Judicial Authority in the Donation of Organs, Tissues or Cells
p.(None): Article 65. In cases where the loss of the Donor's life is related to the investigation of
p.(None): a crime, intervention will be given to the Public Prosecutor's Office, in order to rule on whether the
p.(None): Removal of the organs, tissues and cells of said donor interferes with their investigation.
p.(None): The intervention referred to in the previous paragraph, will be given to the judicial authority in cases where it
p.(None): Find out about the crime in question.
p.(None): The Removal of Organs, Tissues and cells that is performed without giving the intervention to the Public Ministry or the
p.(None): judicial authority, in terms of this article, will give rise to responsibilities
p.(None): administrative and criminal provisions set forth in the applicable legislation.
p.(None): 19 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 66. In the case of persons in whom the loss of life has been certified, whose
p.(None): identity unknown or unable to locate relatives, intervention will be given to the Ministry
p.(None): Public in order to state whether the events that caused the loss of life may constitute a crime and in
p.(None): affirmative case will be as provided in the previous article.
p.(None): In the event that a judicial authority is aware of the facts that caused the loss of the life of
p.(None): people whose identity is unknown or cannot locate their relatives, the intervention of
p.(None): The judicial authority will be carried out in the same terms established in the previous paragraph.
p.(None): Article 67. The determinations of the Public Ministry or of the competent judicial authority that are issued in
p.(None): terms of the provisions of articles 65 and 66 of this Regulation do not constitute an authorization for
p.(None): Carry out the extraction of organs, tissues and cells.
p.(None): The determinations referred to in the preceding paragraph shall be made known to the Hospital Coordinator for
p.(None): that, where appropriate, the latter take the necessary steps to meet the requirements that
p.(None): establish the Law, this Regulation and other applicable legal provisions for the Extraction of
p.(None): Organs, tissues and cells.
p.(None): SEVENTH TITLE
...

Political / political affiliation

Searching for indicator party:

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p.(None): Transplants must have the necessary equipment and conditions that guarantee the adequate transfer of
p.(None): the same, in terms of the applicable legal provisions.
p.(None): For no reason may the organs, tissues and cells be transported in the same vehicle
p.(None): Transplant and materials, equipment, substances or any other object that could contaminate, damage or confuse them.
p.(None): Article 78. The transfer referred to in this Chapter shall be made under the responsibility of the person who for that purpose
p.(None): designate the Internal Transplant Committee of the Health Facility to which the Body has been assigned,
p.(None): Tissue or cell, who must carry a document that identifies and accredits as responsible in
p.(None): Terms of this article. The Internal Transplant Committee before making the transfer, must notify the
p.(None): CENATRA of the person designated for this purpose.
p.(None): Article 79. In the Donor's file, the Health Establishment to which the
p.(None): Organs, tissues or cells; the date of the Procuration, as well as the name of the person responsible for the transfer to
p.(None): referred to in the previous article and the data that derive from the official identification it carries,
p.(None): including the folio number of it.
p.(None): TENTH TITLE
p.(None): PERMITS AND NOTICES
p.(None): Single Chapter
p.(None): Permits and Notices
p.(None): Article 80. Sanitary permit will be required, for admission or departure from the national territory, as the case may be,
p.(None): of Tissues, cells and their Components for Transplant purposes.
p.(None): Article 81. To obtain the sanitary permit for admission to the national territory of Tissues,
p.(None): Cells and their Components for Transplant purposes, the interested party must submit the request to COFEPRIS in the
p.(None): corresponding official format, to which the corresponding documentation will be attached, in accordance with the following:
p.(None): I. Document proving the operation of the Health Establishment issued by the authority
p.(None): health of the country of origin, and
p.(None): II. Sanitary license of the Establishment with specific turn for Transplant.
p.(None): Article 82. For the admission of tissues or cells to the national territory, the Health Establishment that seeks
p.(None): To receive the tissue or cell, you must justify before COFEPRIS and CENATRA the need for their internment, as well as
p.(None): the difficulty of obtaining it in the country.
p.(None): Article 83. To obtain the sanitary permit for the exit of the national territory of Tissues and cells, the
p.(None): interested party must submit an application in the corresponding official form to COFEPRIS, to which the
p.(None): following documentation:
p.(None): I. Copy of the sanitary authorization of the Health Establishment to make the Disposition of Organs,
p.(None): Tissues and cells;
p.(None): 22 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Copy of the document proving the legal operation of the Health Establishment that you will receive
p.(None): Tissues and cells issued by the competent authority, for control purposes of the country of destination, and
p.(None): III. Letter of acceptance of the Health Establishment abroad.
p.(None): Article 84. Documents issued by the Health Establishment or the professional abroad
p.(None): they will be accompanied by their translation when they are written in a language other than Spanish, carried out by an expert
p.(None): translator.
p.(None): Article 85. COFEPRIS must be notified in the following cases:
p.(None): I. The withdrawal, temporary suspension and total or partial resumption of activities of the
p.(None): Health establishments that require health authorization for its operation, in terms of the Law
p.(None): and this Regulation;
p.(None): II. Appointment or removal of the health officer of the Health Establishments, and
p.(None): III. The others determined by the Law, these Regulations and other applicable legal provisions.
p.(None): TITLE ELEVENTH SURVEILLANCE
p.(None): Single Surveillance Chapter
...

Searching for indicator political:

Health / Motherhood/Family

Searching for indicator family:

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p.(None): I. The medical or surgical specialty related to Transplants to be performed, independently of others
p.(None): health care activities they provide;
p.(None): 15 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Clinical pathology laboratory;
p.(None): III. Pathological laboratory or access to one;
p.(None): IV. Blood bank or transfusion service, capable of providing blood units and Components
p.(None): Blood in the quantity and quality required for the type of transplant they perform;
p.(None): V. Recovery room;
p.(None): SAW. Intensive care unit;
p.(None): VII. Medical staff specialized in the type of transplants they perform, and other professional staff,
p.(None): technical and auxiliary health support with experience in Transplants;
p.(None): VIII. Medications, equipment and surgical medical instruments appropriate to the transplant they perform, and
p.(None): IX. The others indicated in this Regulation and other applicable legal provisions.
p.(None): Health Establishments that perform corneal transplantation exclusively, should only gather the
p.(None): requirements indicated in sections I, II, III, V, VII, VIII and IX, of this article.
p.(None): Article 52. To obtain the authorization referred to in article 315 of the Law, the
p.(None): Health establishments that carry out acts of Extraction, analysis, conservation, preparation and supply
p.(None): Organs, tissues and cells should have the following:
p.(None): I. A physical area with privacy and adequate environment to serve the family members of the potential Donor;
p.(None): II. Necessary equipment, as well as trained personnel for the certification of loss of life;
p.(None): III. A procedure that includes the registration of activities that include Extraction and
p.(None): Exchange of Organs, Tissues and cells, which allow the Traceability of said Organs, Tissues and
p.(None): cells;
p.(None): IV. Computer resources that guarantee electronic communication with CENATRA, and
p.(None): V. The others that indicate other applicable legal provisions.
p.(None): Article 53. The Secretariat may authorize, for therapeutic purposes, the installation of Organ Banks,
p.(None): Tissues and cells.
p.(None): For the purposes of the provisions of the preceding paragraph, an internal manual of
p.(None): procedures that contain the technical guidelines that must be observed in the analysis,
p.(None): conservation and preparation of Organs, Tissues and cells, in order to guarantee their viability and
p.(None): Traceability, as well as complying with infrastructure and equipment requirements, which are foreseen in
p.(None): applicable legal provisions.
p.(None): In the case of banks of Organs and cells, the Secretariat through general provisions published in
p.(None): The Official Gazette of the Federation will determine the functions that these and their health officials will have. These
p.(None): functions will be aimed at keeping the organs and cells in optimal conditions for the purpose of
p.(None): Transplants, their Traceability, as well as to monitor compliance with the applicable legal provisions.
p.(None): 16 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
...

p.(None): Organs, tissues and cells.
p.(None): SEVENTH TITLE
p.(None): NATIONAL SUBSYSTEM OF DONATION AND TRANSPLANTS
p.(None): Single Chapter
p.(None): From the National Donation and Transplant Subsystem
p.(None): Article 68. The National Donation and Transplant Subsystem aims to coordinate actions that facilitate the
p.(None): Transplantation to patients who require it, under the principles of confidentiality,
p.(None): absence of profit, altruism, feasibility, transparency, equity and efficiency, data must be protected
p.(None): personnel in terms of the applicable legal provisions.
p.(None): Article 69. The coordination of the National Donation and Transplant Subsystem is in charge of CENATRA.
p.(None): For the purposes of the preceding paragraph, CENATRA will have the following functions:
p.(None): I. Coordinate the donation and transplant activities of organs, tissues and cells of the
p.(None): members of the National Donation and Transplant Subsystem;
p.(None): II. Periodically evaluate the results achieved by the different members of the National Subsystem of
p.(None): Donation and Transplants, and
p.(None): III. To convene consensus to define the homologation of the criteria of integral medical attention in the matter of
p.(None): Transplants, as well as their diffusion.
p.(None): EIGHTH TITLE
p.(None): RECOGNITION OF THE MERIT AND ALTRUISM OF THE DONOR AND HIS FAMILIES
p.(None): Single Chapter
p.(None): From the Recognition to Merit and Altruism of the Donor and their Families
p.(None): Article 70. The Hospital Coordinator of the Health Establishment in which the donation was made will make
p.(None): record the merit and altruism of the Donor and his family, by means of a letter of
p.(None): 20 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): recognition, addressed to the family of the Donor, referring to the merit for having respected his will. In the
p.(None): Letter will not be specified Organs, Tissues or cells, reason for donation.
p.(None): Article 71. The CENATRA will annually hold a public ceremony of symbolic delivery of recognition
p.(None): to the merit and altruism of the Donor and his family.
p.(None): Likewise, CENATRA will promote that the State Transplant Centers or State Transplant Councils, in the
p.(None): framework of the National Donation and Transplant Subsystem, program annually, preferably during the month of
p.(None): September, the realization of a public ceremony of delivery of the recognition of merit and altruism of the Donor and
p.(None): of his family.
p.(None): NINTH TITLE
p.(None): THE TRANSPORTATION AND PACKING OF ORGANS, FABRICS AND CELLS
p.(None): Single Chapter
p.(None): Of the Transportation and Packaging of Organs, Tissues and Cells
p.(None): Article 72. The transfer of Organs, Tissues and cells of human beings for Transplant purposes, will be done in
p.(None): containers specifically designed for this, that allow its good handling, temperature and conservation in relation to
p.(None): with the type of Organ, Tissue or cell and ischemia time if necessary.
p.(None): Article 73. The containers referred to in the previous article must be identified by means of a document
p.(None): adhered that it will have the following data:
p.(None): I. The legend "ORGANS, FABRICS AND CELLS FOR TRANSPLANTATION";
p.(None): II. Type of Organ, Tissue or cell;
p.(None): III. Name of the Health Establishment where the Extraction was carried out;
p.(None): IV. Name of the Health Facility to be received by the Organ, Tissue or cell, and
p.(None): V. Name of the person responsible for the transfer.
p.(None): Article 74. The container must have a tight-fitting lid and appropriate measures according to the volume of the
p.(None): or the Organs, Tissues or cells to be transported.
p.(None): Article 75. The document must be accompanied by a document with the following information:
p.(None): I. Donor data, consisting of the initials of his name and the type of blood;
p.(None): II. Date and time of the Extraction, in order to determine the beginning of the period of cold ischemia;
p.(None): III. List of Organs, Tissues or cells that are in the container;
p.(None): IV. Destination Health Establishment and result of laboratory tests that rule out a risk
p.(None): sanitary, and
p.(None): V. Name of the person responsible for the transfer.
...

Health / Pregnant

Searching for indicator pregnant:

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p.(None): Health Establishment from which the Organ, Tissue or cell comes, informing the reasons for
p.(None): which it was not possible to perform this transplant, so that the Committee that has been informed determines
p.(None): a new Distribution of the Organ, Tissue or cell in question. Such determination must be notified.
p.(None): immediately to the National Transplant Registry.
p.(None): Article 19. The Health Establishment in which the Removal of the Organ, Tissue or
p.(None): cells must keep documentary evidence of the donation process, for at least five years counted
p.(None): from the Extraction.
p.(None): Chapter II
p.(None): Of Donor Transplants That Have Lost Life
p.(None): 6 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 20. For the Removal of Organs, Tissues and Cells of a Donor in which
p.(None): certified loss of life, in order to minimize the risks of adverse effects on the Recipient and not compromise
p.(None): The success of the Transplant must be verified by the corresponding medical evaluation that the
p.(None): Donor meets the following requirements:
p.(None): I. Have a useful physiological age for donation purposes at the time of loss of life;
p.(None): II. Not having presented malignancies with risk of metastasis, infections or other conditions
p.(None): that could affect the Recipient, and
p.(None): III. Not having suffered the deleterious effect of prolonged agony.
p.(None): Article 21. In the case of pregnant women in which the loss of life has been certified, preference will be given to
p.(None): the life of the product of conception before having Organs, Tissues or cells for Transplants.
p.(None): Article 22. For the realization of a Transplant of Organs, Tissues or cells from a Donor in which
p.(None): the loss of life has been certified, in foreign patients, it must comply with the
p.(None): following requirements:
p.(None): I. The Recipient must have a condition of stay in the national territory of resident
p.(None): temporary, temporary resident student or permanent resident and prove their uninterrupted stay in
p.(None): the country of at least six months prior to the transplant, except in cases of emergency
p.(None): diagnosed with fulminant hepatitis, properly documented, and
p.(None): II. The Recipient must have a favorable resolution from the Internal Transplant Committee of the
p.(None): Health Establishment where the Transplant will be performed, signed by all its members,
p.(None): previous medical, clinical and psychological evaluation. This resolution must state that it has been
p.(None): verified the absence of circumstances that could make presume acts of commerce or legal simulation
p.(None): whose objective is the onerous intermediation of Organs, Tissues and cells.
p.(None): The Secretariat may request the Health Establishment where the Transplant is to be performed, prior
p.(None): to that the same one is realized, the documentation that verifies the fulfillment of the indicated requirements.
p.(None): Article 23. Health professionals responsible for the extraction of organs, tissues or cells, should treat
p.(None): with care, respect and dignity to the Corpse, in order to preserve it and deliver it in the best conditions.
...

Health / hospitalized patients

Searching for indicator hospitalized:

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p.(None): National Transplant through the format established for this purpose by CENATRA, in order to activate a
p.(None): alert in the National Transplant Registry, to Health Establishments about the existence of a patient with
p.(None): Transplant Urgency status, so that they give priority to the Distribution and Assignment of the Organ in
p.(None): question to said patient.
p.(None): The validity of a notification about the existence of a patient with Transplant Urgency status
p.(None): it will be seventy-two hours counted from the receipt of the notification in the National Registry of
p.(None): Transplants, must be updated as many times as necessary, through the procedure indicated in this article.
p.(None): The documentation that supports the Emergency of Transplantation of a patient, must be protected by the Internal Committee of
p.(None): Transplants for a period of five years from the notification referred to in the second paragraph of this
p.(None): article and be available at any time in case the competent authorities require it. From
p.(None): If the Transplant is carried out, the protection of the information will be five years after its completion.
p.(None): Article 42. For cases of Transplant Urgency in the Assignment of the heart, the patient must present
p.(None): any of the following conditions, with no other treatment option:
p.(None): I. Patients with primary failure of the transplanted heart within the first forty-eight
p.(None): hours;
p.(None): II. Patients in cardiogenic shock and ventricular assistance;
p.(None): III. Patients in cardiogenic shock and with intra-aortic balloon counterpulsation;
p.(None): IV. Patients in cardiogenic shock who require vasoactive drugs and mechanical ventilation, or
p.(None): V. Patients hospitalized in functional class IV refractory to medical treatment.
p.(None): If there are several Heart Transplant Emergencies, the order of priority will be
p.(None): established in the previous sections.
p.(None): If there are two or more of the same degree of condition referred to in the first paragraph of this article,
p.(None): will assign by order of inscription in the National Transplant Registry.
p.(None): Article 43. For cases of Emergency Transplantation in the Assignment of the liver, the patient must be in
p.(None): any of the following situations:
p.(None): I. Fulminant or subfulminating hepatitis, and
p.(None): 14 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Primary failure of the transplanted liver.
p.(None): If there are several liver transplant emergencies, the order of priority established will be followed.
p.(None): in the previous fractions.
p.(None): If there are two or more equal situations referred to in the first paragraph of this article, it will be assigned by
p.(None): order of registration in the National Transplant Registry.
p.(None): Article 44. The priority Assignment of a kidney will be in those cases in which there is no possibility of submitting to the
p.(None): patient to a dialytic treatment and his condition endangers his life.
p.(None): Transplant recipients who lose the function of the transplanted kidney within a month,
p.(None): they will retain their seniority in the database of the National Transplant Registry, once they are registered
p.(None): again.
...

Health / patients in emergency situations

Searching for indicator emergencies:

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p.(None): Transplant Urgency status, so that they give priority to the Distribution and Assignment of the Organ in
p.(None): question to said patient.
p.(None): The validity of a notification about the existence of a patient with Transplant Urgency status
p.(None): it will be seventy-two hours counted from the receipt of the notification in the National Registry of
p.(None): Transplants, must be updated as many times as necessary, through the procedure indicated in this article.
p.(None): The documentation that supports the Emergency of Transplantation of a patient, must be protected by the Internal Committee of
p.(None): Transplants for a period of five years from the notification referred to in the second paragraph of this
p.(None): article and be available at any time in case the competent authorities require it. From
p.(None): If the Transplant is carried out, the protection of the information will be five years after its completion.
p.(None): Article 42. For cases of Transplant Urgency in the Assignment of the heart, the patient must present
p.(None): any of the following conditions, with no other treatment option:
p.(None): I. Patients with primary failure of the transplanted heart within the first forty-eight
p.(None): hours;
p.(None): II. Patients in cardiogenic shock and ventricular assistance;
p.(None): III. Patients in cardiogenic shock and with intra-aortic balloon counterpulsation;
p.(None): IV. Patients in cardiogenic shock who require vasoactive drugs and mechanical ventilation, or
p.(None): V. Patients hospitalized in functional class IV refractory to medical treatment.
p.(None): If there are several Heart Transplant Emergencies, the order of priority will be
p.(None): established in the previous sections.
p.(None): If there are two or more of the same degree of condition referred to in the first paragraph of this article,
p.(None): will assign by order of inscription in the National Transplant Registry.
p.(None): Article 43. For cases of Emergency Transplantation in the Assignment of the liver, the patient must be in
p.(None): any of the following situations:
p.(None): I. Fulminant or subfulminating hepatitis, and
p.(None): 14 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Primary failure of the transplanted liver.
p.(None): If there are several liver transplant emergencies, the order of priority established will be followed.
p.(None): in the previous fractions.
p.(None): If there are two or more equal situations referred to in the first paragraph of this article, it will be assigned by
p.(None): order of registration in the National Transplant Registry.
p.(None): Article 44. The priority Assignment of a kidney will be in those cases in which there is no possibility of submitting to the
p.(None): patient to a dialytic treatment and his condition endangers his life.
p.(None): Transplant recipients who lose the function of the transplanted kidney within a month,
p.(None): they will retain their seniority in the database of the National Transplant Registry, once they are registered
p.(None): again.
p.(None): Article 45. A cornea shall be assigned a priority, regardless of whether it comes from abroad, to the
p.(None): patient presenting corneal perforation or ulcer with imminent loss of the eyeball.
p.(None): Article 46. When in a Health Establishment a patient is identified who meets the
p.(None): characteristics indicated in articles 44 or 45 of these Regulations, the Internal Transplant Committee must
p.(None): Notify your Institutional Coordination, if you have it, CENATRA and your State Transplant Center or
p.(None): State Council of Transplants, so that this Transplant can be completed in the shortest possible time.
p.(None): Article 47. Cornea banks may only distribute them to those authorized Health Establishments
p.(None): for Corneal transplantation with those that have signed agreements for this purpose. The conclusion of these agreements is
p.(None): will inform CENATRA.
p.(None): Article 48. Health Institutions that import corneas may only use them for Transplantation
p.(None): in Receivers of their own Health Establishments.
p.(None): Article 49. The trade of Organs, Tissues or cells detached or sectioned by intervention is prohibited.
...

Health / stem cells

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p.(None): Article 47. Cornea banks may only distribute them to those authorized Health Establishments
p.(None): for Corneal transplantation with those that have signed agreements for this purpose. The conclusion of these agreements is
p.(None): will inform CENATRA.
p.(None): Article 48. Health Institutions that import corneas may only use them for Transplantation
p.(None): in Receivers of their own Health Establishments.
p.(None): Article 49. The trade of Organs, Tissues or cells detached or sectioned by intervention is prohibited.
p.(None): surgical, accident or wrongful act.
p.(None): FOURTH TITLE
p.(None): HEALTH ESTABLISHMENTS AND HEALTH RESPONSIBLE
p.(None): Single Chapter
p.(None): Of Health Establishments and Health Responsible
p.(None): Article 50. The Health Establishments in terms of article 315 of the Law may only carry out
p.(None): the acts expressly determined by the corresponding sanitary authorization, in the terms established by the Law,
p.(None): these Regulations and other applicable legal provisions.
p.(None): Article 51. To obtain the authorization referred to in article 315 of the Law, the
p.(None): Health establishments that perform acts of Organ, Tissue and Cell Transplants must have:
p.(None): I. The medical or surgical specialty related to Transplants to be performed, independently of others
p.(None): health care activities they provide;
p.(None): 15 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Clinical pathology laboratory;
p.(None): III. Pathological laboratory or access to one;
p.(None): IV. Blood bank or transfusion service, capable of providing blood units and Components
p.(None): Blood in the quantity and quality required for the type of transplant they perform;
p.(None): V. Recovery room;
p.(None): SAW. Intensive care unit;
p.(None): VII. Medical staff specialized in the type of transplants they perform, and other professional staff,
p.(None): technical and auxiliary health support with experience in Transplants;
p.(None): VIII. Medications, equipment and surgical medical instruments appropriate to the transplant they perform, and
p.(None): IX. The others indicated in this Regulation and other applicable legal provisions.
p.(None): Health Establishments that perform corneal transplantation exclusively, should only gather the
p.(None): requirements indicated in sections I, II, III, V, VII, VIII and IX, of this article.
p.(None): Article 52. To obtain the authorization referred to in article 315 of the Law, the
p.(None): Health establishments that carry out acts of Extraction, analysis, conservation, preparation and supply
p.(None): Organs, tissues and cells should have the following:
p.(None): I. A physical area with privacy and adequate environment to serve the family members of the potential Donor;
p.(None): II. Necessary equipment, as well as trained personnel for the certification of loss of life;
p.(None): III. A procedure that includes the registration of activities that include Extraction and
p.(None): Exchange of Organs, Tissues and cells, which allow the Traceability of said Organs, Tissues and
p.(None): cells;
p.(None): IV. Computer resources that guarantee electronic communication with CENATRA, and
p.(None): V. The others that indicate other applicable legal provisions.
p.(None): Article 53. The Secretariat may authorize, for therapeutic purposes, the installation of Organ Banks,
p.(None): Tissues and cells.
...

p.(None): established in the Law, this Regulation, the internal manuals of procedures approved in each
p.(None): bank and other applicable legal provisions;
p.(None): II. Ensure that the quality of the fabrics meets the international standards established to ensure
p.(None): the optimal conditions of the transplant;
p.(None): 17 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Implement and execute actions of Tissue Procurement that are under its protection, the
p.(None): which must be creditable;
p.(None): IV. Guarantee the Traceability of the Tissues, in accordance with the functions performed by the bank;
p.(None): V. Sign agreements with Health Establishments to promote the Distribution of Tissues for the purpose of
p.(None): Transplants;
p.(None): SAW. Maintain the optimal conditions for the transfer of the tissue that guarantee its viability for the transplant;
p.(None): VII. Supervise that the applicable legal provisions are complied with, and
p.(None): VIII. The others that determine the applicable legal provisions.
p.(None): FIFTH TITLE
p.(None): NATIONAL REGISTER OF TRANSPLANTS
p.(None): Single Chapter
p.(None): From the National Transplant Registry
p.(None): Article 61. The National Transplant Registry will operate under a computer system, which will be
p.(None): administered by CENATRA.
p.(None): Article 62. The integration, management and updating of the information of the National Registry of
p.(None): Transplants, in addition to meeting the provisions of the Federal Law on Transparency and Access to Public Information
p.(None): Government, will be subject to the following:
p.(None): I. Health officials should keep the surgeon's registry updated
p.(None): responsible for Extraction and Transplants and that of the Hospital Coordinators of your Establishment
p.(None): Health, informing high or low of these people;
p.(None): II. The health officer of the Health Establishment in which a Transplant will be performed,
p.(None): You must register the patient within forty-eight hours after the Internal Committee of
p.(None): Transplants grant your acceptance as a Candidate Recipient to receive a Transplant;
p.(None): III. Registration of a Candidate Recipient to receive the Transplant in the National Registry of
p.(None): Transplants, in terms of article 338, section V, of the Law, will be done only by the
p.(None): Public, social or private health establishment in which it is treated. In the cases of registration for
p.(None): receive more than one Organ, Tissue or cell, this will be done in the Health Establishment or Establishments in which it is attended,
p.(None): being able to generate more than one record per Recipient, but only one for each Organ, Tissue or cell in question;
p.(None): IV. Patients who transfer from one Health Facility to another, will retain their seniority
p.(None): in the National Transplant Registry;
p.(None): V. The health officer of the Health Establishment must keep the
p.(None): Information from Candidate Recipients to receive a Transplant, notifying the National Registry of
p.(None): Transplants any income or change;
p.(None): 18 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): SAW. The health officer of the Health Establishment must report a donation or
p.(None): of a Transplant, within the periods provided for in article 33, section XI, subsections b) and c), of this Regulation, and
p.(None): VII. The databases of the National Transplant Registry will be confidential, you can only have access to the
p.(None): according to their field of competence, authorized personnel of:
p.(None): a) CENATRA;
p.(None): b) COFEPRIS;
p.(None): c) Customs authorities;
p.(None): d) State Transplant Centers or State Transplant Councils;
p.(None): e) Institutional Coordinations, and
p.(None): f) Health Establishments that have authorization in terms of article 315 of the Law.
p.(None): Article 63. It is the responsibility of the Director of the Health Establishment to supervise that the person in charge
p.(None): sanitary update the information required in terms of article 338 of the Law.
p.(None): CENATRA must notify COFEPRIS of the breach of the content of this Chapter, so that said
p.(None): Authority proceed in terms of the applicable legal provisions.
p.(None): Article 64. Only Organs, Tissues or cells from deceased Donors may be transplanted, to
p.(None): patients enrolled in the National Transplant Registry at least forty-eight hours before the
p.(None): Donor's loss of life certification. The cases of Urgency of
p.(None): Transplant.
p.(None): SIXTH TITLE
p.(None): INTERVENTION OF THE PUBLIC MINISTRY AND THE JUDICIAL AUTHORITY IN THE DONATION OF ORGANS, FABRICS OR CELLS
p.(None): Single Chapter
p.(None): On the Intervention of the Public Ministry and the Judicial Authority in the Donation of Organs, Tissues or Cells
p.(None): Article 65. In cases where the loss of the Donor's life is related to the investigation of
p.(None): a crime, intervention will be given to the Public Prosecutor's Office, in order to rule on whether the
p.(None): Removal of the organs, tissues and cells of said donor interferes with their investigation.
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p.(None): V. Coordinate the National Donation and Transplant Subsystem;
p.(None): SAW. Coordinate the Distribution and Assignment of Organs, Tissues and Donor Cells with loss of life to
p.(None): Transplant, and
p.(None): VII. Operate the National Transplant Registry.
p.(None): Article 5. In any donation or transplant of Organs, Tissues and cells obtained from Donors who had lost the
p.(None): life, the health officials of the Health Establishments and the participating health personnel must
p.(None): keep the identity between the Donor and the Receiver anonymous.
p.(None): SECOND TITLE
p.(None): THE DONATION FOR TRANSPLANTATION PURPOSES
p.(None): Chapter I
p.(None): Consent for Donation for Transplant Purposes
p.(None): Article 6. Under no circumstances may organs, tissues and cells be available for transplant purposes, in
p.(None): against the will of the Donor.
p.(None): Article 7. The donation of the whole of a single Organ, essential for the conservation of life, may only
p.(None): be done once declared the loss of the life of the Donor.
p.(None): The eyes and corneal tissue may only be removed for Donor Transplantation purposes that have lost their lives, or
p.(None): by surgical act by medical indication.
p.(None): Article 8. CENATRA will announce, through publication that is made in the Official Gazette of the Federation, the
p.(None): official format that will be used to express the express consent to donate Organs, Tissues and
p.(None): cells after death for them to be used in transplants, in terms of the second paragraph
p.(None): of article 329 of the Law.
p.(None): The format referred to in the previous paragraph will contain at least the full name
p.(None): of his grantor, his age, sex, nationality, marital status, occupation, personal references, and the indication of
p.(None): document with which you have identified, as well as if it is a broad or limited donation.
p.(None): Article 9. The document in which the Donor expresses his consent for the living donation of his Organs,
p.(None): Tissues and cells for Transplant purposes, must be obtained by the Internal Transplant Committee and at least
p.(None): contain:
p.(None): I. Name of the Donor;
p.(None): II. Donor Address;
p.(None): 3 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Donor Age;
p.(None): IV. Donor sex;
p.(None): V. Marital status of the Donor;
p.(None): SAW. Donor occupation;
p.(None): VII. Name and address of spouse, concubine or concubine, if the Donor has;
p.(None): VIII. Name and address of the parents and in the absence of them, of any of their closest relatives, when the
p.(None): Donor is single;
p.(None): IX. The indication that by his own will and free of charge, he consents to the donation of the
p.(None): Organ, Tissue or cell in question, expressing that this donation will be understood as made between living, which must
p.(None): be in accordance with the applicable legal provisions;
p.(None): X. Name of the Recipient of the Organ, Tissue or cell;
p.(None): XI The indication of having received information to your satisfaction about the risks of the operation
p.(None): and the consequences of the extraction of the organ, tissue or cell;
p.(None): XII. Name, signature and address of the witnesses in the case of a private document;
p.(None): XIII Place and date the document is issued;
p.(None): XIV Signature or fingerprint of the Donor;
p.(None): XV. The indication of whether the donation is made in favor of any particular person or institution. In this case, it
p.(None): You must mention the name or company name or business name of that person or institution, and
p.(None): XVI. The other circumstances of manner, place and time that the donor considers pertinent, as well as
p.(None): any other that conditions the donation.
p.(None): In the case of donation between people in which there is no kind of relationship, it must be exhibited
p.(None): in addition, the express consent granted before a notary public, in terms of the provisions of article 333,
p.(None): Section VI, subsection b), of the Law.
p.(None): Article 10. The document stating the consent granted by the persons referred to in the
p.(None): First paragraph of article 324 of the Law, will be collected by the Hospital Coordinator, once
p.(None): certify the loss of life.
p.(None): The document stating the consent referred to in the preceding paragraph must contain, when
p.(None): less, the following:
p.(None): I. Name of the grantor and date of birth;
p.(None): II. Address of the grantor;
p.(None): III. Name and general information of the Donor, including date of birth, address and
p.(None): nationality;
p.(None): 4 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): IV. Relationship of the grantor with the Donor that legitimizes him to give his consent;
p.(None): V. The statement that he was informed about the donation in question, which was given
p.(None): opportunity to ask questions and that they were answered satisfactorily;
p.(None): SAW. The statement that being of legal age and in full use of his mental faculties,
p.(None): freely authorizes the total or partial donation of the Donor's body, free of charge, to be used for purposes
p.(None): of transplant;
p.(None): VII. Place and date the document is issued, and
p.(None): VIII. Signature or fingerprint of the grantor and that of two witnesses.
p.(None): Article 11. The public or private document by which the person expresses his express refusal to be a Donor, to whom
p.(None): refers to the second paragraph of article 324 of the Law, it will be written in free format, which must contain
p.(None): the signature of the person who expresses said refusal or his fingerprint in case of not being able to sign.
p.(None): Notwithstanding the foregoing, the Donor may express his refusal using the format that for this purpose, give
p.(None): know the CENATRA, through publication that is made in the Official Gazette of the Federation, which
p.(None): It must contain at least the full name of its grantor, his age, sex, nationality, marital status, occupation
p.(None): and the identification of the document with which it has been identified.
p.(None): Chapter II
p.(None): From the Hospital Coordinator
p.(None): Article 12. The Hospital Coordinator, in addition to what is indicated in the Law, will be responsible for:
p.(None): I. Verify that the Corpses of which Organs, Tissues or cells were disposed for Transplant purposes,
p.(None): delivered to their relatives or to the competent authority, with the least possible delay;
p.(None): II. Participate in the elaboration of work programs and projects, as well as manuals of
p.(None): medical, technical and administrative procedures related to the activities of Procurement of Organs, Tissues and
p.(None): cells that the Health Establishment carries out, as well as monitoring their observance;
p.(None): III. Participate in the training and evaluation of the performance of the personnel in charge and, where appropriate, assist in
p.(None): teaching and research activities in the field of transplants;
p.(None): IV. Promote and disseminate strategies and actions that encourage voluntary and altruistic donation to
p.(None): inside the Health Establishment in which they work, and
p.(None): V. The others that indicate other applicable legal provisions.
p.(None): Article 13. The Hospital Coordinator shall perform his duties in coordination with CENATRA, with
p.(None): State Transplant Centers or State Transplant Councils and, where appropriate, with the Coordinations
p.(None): Respective institutions.
p.(None): Article 14. Training of the Hospital Coordinator, referred to in article 316 Bis of the Law, as well as
p.(None): the issuance of the certificate evidencing said training will be in charge of the
...

p.(None): Transplant, this must be granted by those who exercise parental rights, the guardian or the legal representative, according to
p.(None): correspond.
p.(None): Article 18. If for any circumstance in the Health Establishment to which a
p.(None): Organ, tissue or cell to be transplanted, the transplant could not be performed, you must notify it in a manner
p.(None): Immediate in writing to the Internal Donation Coordination Committee or the Internal Transplant Committee of the
p.(None): Health Establishment from which the Organ, Tissue or cell comes, informing the reasons for
p.(None): which it was not possible to perform this transplant, so that the Committee that has been informed determines
p.(None): a new Distribution of the Organ, Tissue or cell in question. Such determination must be notified.
p.(None): immediately to the National Transplant Registry.
p.(None): Article 19. The Health Establishment in which the Removal of the Organ, Tissue or
p.(None): cells must keep documentary evidence of the donation process, for at least five years counted
p.(None): from the Extraction.
p.(None): Chapter II
p.(None): Of Donor Transplants That Have Lost Life
p.(None): 6 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 20. For the Removal of Organs, Tissues and Cells of a Donor in which
p.(None): certified loss of life, in order to minimize the risks of adverse effects on the Recipient and not compromise
p.(None): The success of the Transplant must be verified by the corresponding medical evaluation that the
p.(None): Donor meets the following requirements:
p.(None): I. Have a useful physiological age for donation purposes at the time of loss of life;
p.(None): II. Not having presented malignancies with risk of metastasis, infections or other conditions
p.(None): that could affect the Recipient, and
p.(None): III. Not having suffered the deleterious effect of prolonged agony.
p.(None): Article 21. In the case of pregnant women in which the loss of life has been certified, preference will be given to
p.(None): the life of the product of conception before having Organs, Tissues or cells for Transplants.
p.(None): Article 22. For the realization of a Transplant of Organs, Tissues or cells from a Donor in which
p.(None): the loss of life has been certified, in foreign patients, it must comply with the
p.(None): following requirements:
p.(None): I. The Recipient must have a condition of stay in the national territory of resident
p.(None): temporary, temporary resident student or permanent resident and prove their uninterrupted stay in
p.(None): the country of at least six months prior to the transplant, except in cases of emergency
p.(None): diagnosed with fulminant hepatitis, properly documented, and
p.(None): II. The Recipient must have a favorable resolution from the Internal Transplant Committee of the
p.(None): Health Establishment where the Transplant will be performed, signed by all its members,
p.(None): previous medical, clinical and psychological evaluation. This resolution must state that it has been
p.(None): verified the absence of circumstances that could make presume acts of commerce or legal simulation
p.(None): whose objective is the onerous intermediation of Organs, Tissues and cells.
p.(None): The Secretariat may request the Health Establishment where the Transplant is to be performed, prior
p.(None): to that the same one is realized, the documentation that verifies the fulfillment of the indicated requirements.
p.(None): Article 23. Health professionals responsible for the extraction of organs, tissues or cells, should treat
p.(None): with care, respect and dignity to the Corpse, in order to preserve it and deliver it in the best conditions.
p.(None): Article 24. The Corpse shall be delivered to the next of kin or to the competent authority as the case may be, at the conclusion of the
p.(None): Removal of Organs, Tissues or cells, for the above, hospital procedures should be expedited
p.(None): corresponding.
p.(None): Chapter III
p.(None): Of Transplants Between Live
p.(None): Article 25. In cases of Transplant with Living Donors, once the Internal Committee of
p.(None): Transplants have favorably evaluated both the Donor and the Candidate Recipient, must be
p.(None): Provide, prior to the transplant, the information corresponding to the National Registry of
p.(None): Transplants, through your computer system.
p.(None): 7 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): If after having provided the information referred to in the previous paragraph, the
p.(None): Transplant, the Candidate Recipient will retain the age of its registration in the National Transplant Registry.
p.(None): In cases where the Donor is not related to the patient, the Internal Transplant Committee
p.(None): of the Health Establishment where the Transplant is to be performed, must issue the resolution
p.(None): favorable to do it, prior to the registration of the Candidate Receiver in the National Registry of
p.(None): Transplants This resolution will be signed by all the members of the Internal Transplant Committee of the
p.(None): Health Establishment, when the Donor or Receiver are of foreign nationality.
p.(None): Article 26. The resolution referred to in article 333, section VI, subsection a), of the Law, must contain the
p.(None): next:
p.(None): I. The clinical summary of the case, including medical, clinical and psychological evaluation studies of the Recipient;
p.(None): II. The medical, clinical and psychological evaluation of the Donor, and
p.(None): III. The result of the investigation carried out by the Internal Transplant Committee, which should be considered by the
p.(None): result of the medical, clinical and psychological evaluations performed on the Donor and the Recipient, with the
p.(None): purpose of discarding possible conduct of legal simulation, trade or coercion whose purpose is the
p.(None): Onerous intermediation of Organs, Tissues and cells, stating that the absence of said
p.(None): behaviors
p.(None): For this purpose, the Internal Transplant Committee must add the documents that allow it
p.(None): check the absence of profit motive and coercion facts. These documents must
p.(None): be integrated into the clinical record
p.(None): Article 27. To perform transplants between living, when the Recipient, the Donor or both, are
...

p.(None): Health Establishment where the donation took place, and
p.(None): IV. To any Health Establishment of a National Health Institution.
p.(None): In the cases referred to in sections III and IV of this article, the Internal Committee
p.(None): Coordination for Donation or Transplant, as appropriate, will attempt to deliver
p.(None): Organs, tissues and cells generated in your Health Establishment, to Health Establishments of
p.(None): Health Institutions of its own sector, that is, if the Health Establishment is public, it will look for a
p.(None): Health Establishment of a Public Sector Health Institution, and if private, to a Health Establishment
p.(None): of a private sector Health Institution.
p.(None): Article 39. Internal Transplant Committees may, in exceptional and duly justified cases,
p.(None): previous opinion of CENATRA, establish distribution schemes that allow to allocate organs, tissues and
p.(None): cells to a Health Establishment that does not belong to your Health Institution, with the approval of the
p.(None): Institutional coordination to which it belongs, where appropriate.
p.(None): The reasons that justify the establishment of exceptional distribution schemes referred to in the paragraph
p.(None): above, they may be circumstances that make it more appropriate and feasible to consider a
p.(None): Health Establishment that does not belong to your Health Institution.
p.(None): 13 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 40. For the Distribution and Assignment of Organs, Tissues and Donor Cells that have lost their lives
p.(None): under 18 years of age, called pediatric, in case there is no Transplant Urgency,
p.(None): give preference to recipients who are under 18 years of age.
p.(None): Article 41. The notification of a Transplant Urgency by a Health Establishment implies the Distribution and
p.(None): Nationally preferred allocation of an Organ, Tissue or cell to the patient who has been qualified in such
p.(None): condition.
p.(None): The determination of a Transplant Urgency corresponds to the Internal Transplant Committee of the Establishment of
p.(None): Health in which the transplant will be performed. The Transplant Urgency must be notified to the Registry
p.(None): National Transplant through the format established for this purpose by CENATRA, in order to activate a
p.(None): alert in the National Transplant Registry, to Health Establishments about the existence of a patient with
p.(None): Transplant Urgency status, so that they give priority to the Distribution and Assignment of the Organ in
p.(None): question to said patient.
p.(None): The validity of a notification about the existence of a patient with Transplant Urgency status
p.(None): it will be seventy-two hours counted from the receipt of the notification in the National Registry of
p.(None): Transplants, must be updated as many times as necessary, through the procedure indicated in this article.
p.(None): The documentation that supports the Emergency of Transplantation of a patient, must be protected by the Internal Committee of
p.(None): Transplants for a period of five years from the notification referred to in the second paragraph of this
p.(None): article and be available at any time in case the competent authorities require it. From
p.(None): If the Transplant is carried out, the protection of the information will be five years after its completion.
p.(None): Article 42. For cases of Transplant Urgency in the Assignment of the heart, the patient must present
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p.(None): result of the medical, clinical and psychological evaluations performed on the Donor and the Recipient, with the
p.(None): purpose of discarding possible conduct of legal simulation, trade or coercion whose purpose is the
p.(None): Onerous intermediation of Organs, Tissues and cells, stating that the absence of said
p.(None): behaviors
p.(None): For this purpose, the Internal Transplant Committee must add the documents that allow it
p.(None): check the absence of profit motive and coercion facts. These documents must
p.(None): be integrated into the clinical record
p.(None): Article 27. To perform transplants between living, when the Recipient, the Donor or both, are
p.(None): foreigners, in addition to complying with the provisions of article 333 of the Law, will be as follows:
p.(None): I. In cases where there is no relationship between the Donor and the Receiver:
p.(None): a) They must prove their condition of regular stay in the country, in the terms of the provisions
p.(None): applicable migration, with a verifiable permanence in national territory, of at least six months
p.(None): prior to the transplant, and
p.(None): b) The Recipient must have a clinical record of at least six months in the Establishment of
p.(None): Health in which said transplant will be performed;
p.(None): II. In cases where there is a relationship between the Donor and the Receiver:
p.(None): a) It must be added to the original clinical file or certified copy of the documentation that proves the relationship
p.(None): kinship, duly apostilled or, where appropriate, legalized in terms of legal provisions
p.(None): applicable. If the documentation exhibited is written in a language other than Spanish, it must be accompanied by
p.(None): the translation performed by a translator expert, and
p.(None): b) The Internal Transplant Committee must draw up an act signed by all its members, in which it is done
p.(None): state that there are no circumstances that make a simulation presume
p.(None): 8 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Legal or trade of Organs, Tissues and cells, or, made of coercion towards the Donor.
p.(None): In order to draw up the minutes referred to in the previous paragraph, the
p.(None): Medical, clinical and psychological evaluations of the Recipient and the Donor.
p.(None): The Health Establishment in which the Transplant is to be performed must register the Candidate Recipient of the
p.(None): Organ, Tissue or cell in the National Transplant Registry at least fifteen business days in advance,
p.(None): if it is a Transplant between relatives by consanguinity, civil or affinity until the fourth grade, and in the
p.(None): other cases, at least six months prior to the transplant.
p.(None): Article 28. In the cases provided for in articles 26, section III and 27, section II, subparagraph b), of this Regulation,
p.(None): COFEPRIS and CENATRA, when they deem it necessary, may request any other element of
p.(None): conviction that allows to prove the legality of the realization of the Transplant.
p.(None): Chapter IV
p.(None): Of the Internal Committees of Coordination for Donation and Transplants
p.(None): Article 29. The Internal Donation Coordination Committees, as well as the Internal Transplant Committees,
...

p.(None): I. Document proving the operation of the Health Establishment issued by the authority
p.(None): health of the country of origin, and
p.(None): II. Sanitary license of the Establishment with specific turn for Transplant.
p.(None): Article 82. For the admission of tissues or cells to the national territory, the Health Establishment that seeks
p.(None): To receive the tissue or cell, you must justify before COFEPRIS and CENATRA the need for their internment, as well as
p.(None): the difficulty of obtaining it in the country.
p.(None): Article 83. To obtain the sanitary permit for the exit of the national territory of Tissues and cells, the
p.(None): interested party must submit an application in the corresponding official form to COFEPRIS, to which the
p.(None): following documentation:
p.(None): I. Copy of the sanitary authorization of the Health Establishment to make the Disposition of Organs,
p.(None): Tissues and cells;
p.(None): 22 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Copy of the document proving the legal operation of the Health Establishment that you will receive
p.(None): Tissues and cells issued by the competent authority, for control purposes of the country of destination, and
p.(None): III. Letter of acceptance of the Health Establishment abroad.
p.(None): Article 84. Documents issued by the Health Establishment or the professional abroad
p.(None): they will be accompanied by their translation when they are written in a language other than Spanish, carried out by an expert
p.(None): translator.
p.(None): Article 85. COFEPRIS must be notified in the following cases:
p.(None): I. The withdrawal, temporary suspension and total or partial resumption of activities of the
p.(None): Health establishments that require health authorization for its operation, in terms of the Law
p.(None): and this Regulation;
p.(None): II. Appointment or removal of the health officer of the Health Establishments, and
p.(None): III. The others determined by the Law, these Regulations and other applicable legal provisions.
p.(None): TITLE ELEVENTH SURVEILLANCE
p.(None): Single Surveillance Chapter
p.(None): Article 86. The Ministry of Health is responsible for monitoring compliance with these Regulations and others.
p.(None): applicable legal provisions, which will be carried out in accordance with the Seventh Title of the Law.
p.(None): Article 87. During the health verification visit and when the health authority deems it
p.(None): necessary, the procedures required to verify that the Organs, tissues, cells,
p.(None): Donors and recipients meet the sanitary conditions and requirements established by the Law, these Regulations and others
p.(None): applicable legal provisions. In case of finding any irregularity, deficiency or anomaly, the authority
p.(None): The company may order the necessary actions to identify the origin of the failures or problems.
p.(None): The minutes that are drawn up for this purpose will be made in accordance with the provisions of article 401, section III, of the Law
p.(None): and other applicable legal provisions.
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p.(None): Transplant, and
p.(None): VII. Operate the National Transplant Registry.
p.(None): Article 5. In any donation or transplant of Organs, Tissues and cells obtained from Donors who had lost the
p.(None): life, the health officials of the Health Establishments and the participating health personnel must
p.(None): keep the identity between the Donor and the Receiver anonymous.
p.(None): SECOND TITLE
p.(None): THE DONATION FOR TRANSPLANTATION PURPOSES
p.(None): Chapter I
p.(None): Consent for Donation for Transplant Purposes
p.(None): Article 6. Under no circumstances may organs, tissues and cells be available for transplant purposes, in
p.(None): against the will of the Donor.
p.(None): Article 7. The donation of the whole of a single Organ, essential for the conservation of life, may only
p.(None): be done once declared the loss of the life of the Donor.
p.(None): The eyes and corneal tissue may only be removed for Donor Transplantation purposes that have lost their lives, or
p.(None): by surgical act by medical indication.
p.(None): Article 8. CENATRA will announce, through publication that is made in the Official Gazette of the Federation, the
p.(None): official format that will be used to express the express consent to donate Organs, Tissues and
p.(None): cells after death for them to be used in transplants, in terms of the second paragraph
p.(None): of article 329 of the Law.
p.(None): The format referred to in the previous paragraph will contain at least the full name
p.(None): of his grantor, his age, sex, nationality, marital status, occupation, personal references, and the indication of
p.(None): document with which you have identified, as well as if it is a broad or limited donation.
p.(None): Article 9. The document in which the Donor expresses his consent for the living donation of his Organs,
p.(None): Tissues and cells for Transplant purposes, must be obtained by the Internal Transplant Committee and at least
p.(None): contain:
p.(None): I. Name of the Donor;
p.(None): II. Donor Address;
p.(None): 3 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Donor Age;
p.(None): IV. Donor sex;
p.(None): V. Marital status of the Donor;
p.(None): SAW. Donor occupation;
p.(None): VII. Name and address of spouse, concubine or concubine, if the Donor has;
p.(None): VIII. Name and address of the parents and in the absence of them, of any of their closest relatives, when the
p.(None): Donor is single;
p.(None): IX. The indication that by his own will and free of charge, he consents to the donation of the
p.(None): Organ, Tissue or cell in question, expressing that this donation will be understood as made between living, which must
p.(None): be in accordance with the applicable legal provisions;
p.(None): X. Name of the Recipient of the Organ, Tissue or cell;
p.(None): XI The indication of having received information to your satisfaction about the risks of the operation
p.(None): and the consequences of the extraction of the organ, tissue or cell;
p.(None): XII. Name, signature and address of the witnesses in the case of a private document;
p.(None): XIII Place and date the document is issued;
p.(None): XIV Signature or fingerprint of the Donor;
p.(None): XV. The indication of whether the donation is made in favor of any particular person or institution. In this case, it
p.(None): You must mention the name or company name or business name of that person or institution, and
p.(None): XVI. The other circumstances of manner, place and time that the donor considers pertinent, as well as
p.(None): any other that conditions the donation.
p.(None): In the case of donation between people in which there is no kind of relationship, it must be exhibited
p.(None): in addition, the express consent granted before a notary public, in terms of the provisions of article 333,
...

p.(None): nationality;
p.(None): 4 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): IV. Relationship of the grantor with the Donor that legitimizes him to give his consent;
p.(None): V. The statement that he was informed about the donation in question, which was given
p.(None): opportunity to ask questions and that they were answered satisfactorily;
p.(None): SAW. The statement that being of legal age and in full use of his mental faculties,
p.(None): freely authorizes the total or partial donation of the Donor's body, free of charge, to be used for purposes
p.(None): of transplant;
p.(None): VII. Place and date the document is issued, and
p.(None): VIII. Signature or fingerprint of the grantor and that of two witnesses.
p.(None): Article 11. The public or private document by which the person expresses his express refusal to be a Donor, to whom
p.(None): refers to the second paragraph of article 324 of the Law, it will be written in free format, which must contain
p.(None): the signature of the person who expresses said refusal or his fingerprint in case of not being able to sign.
p.(None): Notwithstanding the foregoing, the Donor may express his refusal using the format that for this purpose, give
p.(None): know the CENATRA, through publication that is made in the Official Gazette of the Federation, which
p.(None): It must contain at least the full name of its grantor, his age, sex, nationality, marital status, occupation
p.(None): and the identification of the document with which it has been identified.
p.(None): Chapter II
p.(None): From the Hospital Coordinator
p.(None): Article 12. The Hospital Coordinator, in addition to what is indicated in the Law, will be responsible for:
p.(None): I. Verify that the Corpses of which Organs, Tissues or cells were disposed for Transplant purposes,
p.(None): delivered to their relatives or to the competent authority, with the least possible delay;
p.(None): II. Participate in the elaboration of work programs and projects, as well as manuals of
p.(None): medical, technical and administrative procedures related to the activities of Procurement of Organs, Tissues and
p.(None): cells that the Health Establishment carries out, as well as monitoring their observance;
p.(None): III. Participate in the training and evaluation of the performance of the personnel in charge and, where appropriate, assist in
p.(None): teaching and research activities in the field of transplants;
p.(None): IV. Promote and disseminate strategies and actions that encourage voluntary and altruistic donation to
p.(None): inside the Health Establishment in which they work, and
p.(None): V. The others that indicate other applicable legal provisions.
p.(None): Article 13. The Hospital Coordinator shall perform his duties in coordination with CENATRA, with
p.(None): State Transplant Centers or State Transplant Councils and, where appropriate, with the Coordinations
p.(None): Respective institutions.
p.(None): Article 14. Training of the Hospital Coordinator, referred to in article 316 Bis of the Law, as well as
p.(None): the issuance of the certificate evidencing said training will be in charge of the
p.(None): 5 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
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p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CURRENT TEXT
p.(None): New Regulation published in the Official Gazette of the Federation on March 26, 2014
p.(None): On the margin a seal with the National Shield, which says: United Mexican States.- Presidency of the
p.(None): Republic.
p.(None): ENRIQUE PEÑA NIETO, President of the United Mexican States, in exercise of the power conferred on me by the article
p.(None): 89, section I, of the Political Constitution of the United Mexican States, and based on articles 39 of the
p.(None): Organic Law of the Federal Public Administration and 3rd, section XXVI; 13, section A, section II; 17 Bis, paragraphs
p.(None): first and second, fractions II, IV, VIII and X; 202; 375, fraction VI; 313 to 342; 393 to 401 Bis 2; 462 and 462 Bis,
p.(None): second paragraph, of the General Health Law, I have been pleased to issue the following
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN THE FIELD OF TRANSPLANTS FIRST TITLE
p.(None): GENERAL DISPOSITION
p.(None): Single Chapter
p.(None): Of the General Provisions
p.(None): Article 1. The purpose of this Regulation is to regulate the disposition of organs, tissues and cells,
p.(None): with the exception of blood, blood components and progenitor or stem cells, which is performed for the purpose of
p.(None): transplants Its provisions are of public order, social interest and mandatory application throughout the
p.(None): National territory.
p.(None): Article 2. For the purposes of this Regulation, in addition to the definitions provided in article 314 of the Law,
p.(None): understand by:
p.(None): I. CENATRA: The National Transplant Center;
p.(None): II. State Transplant Centers or State Transplant Councils: The structures
p.(None): administrative or collegiate bodies established by the governments of federal entities or
p.(None): those already in charge of carrying out, in a coordinated manner with CENATRA, the functions
p.(None): linked to the matter of Disposition of Organs, Tissues and cells for Transplant purposes;
p.(None): III. COFEPRIS: The Federal Commission for Protection against Health Risks;
p.(None): IV. Internal Donation Coordination Committee: The Committee referred to in the second paragraph of Article 316
p.(None): of the law;
p.(None): V. Internal Transplant Committee: The Committee referred to in the third paragraph of article 316 of the Law;
p.(None): SAW. Compatibility: The degree of genetic similarity among individuals that is checked after carrying
p.(None): carry out studies corresponding to blood group, immunogenetic,
p.(None): 1 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
...

p.(None): cells, both in life and after the loss of it, for transplant purposes;
p.(None): 2 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Encourage the development of study and research programs related to Organ Disposition,
p.(None): Tissues and cells, in regards to Transplants;
p.(None): IV. Inform and guide the population about the donation of Organs, Tissues and cells for Transplant purposes, as well
p.(None): as, to promote the participation of the media in the dissemination of information related to the actions that
p.(None): involve activities in favor of the culture of donation of organs, tissues and cells;
p.(None): V. Coordinate the National Donation and Transplant Subsystem;
p.(None): SAW. Coordinate the Distribution and Assignment of Organs, Tissues and Donor Cells with loss of life to
p.(None): Transplant, and
p.(None): VII. Operate the National Transplant Registry.
p.(None): Article 5. In any donation or transplant of Organs, Tissues and cells obtained from Donors who had lost the
p.(None): life, the health officials of the Health Establishments and the participating health personnel must
p.(None): keep the identity between the Donor and the Receiver anonymous.
p.(None): SECOND TITLE
p.(None): THE DONATION FOR TRANSPLANTATION PURPOSES
p.(None): Chapter I
p.(None): Consent for Donation for Transplant Purposes
p.(None): Article 6. Under no circumstances may organs, tissues and cells be available for transplant purposes, in
p.(None): against the will of the Donor.
p.(None): Article 7. The donation of the whole of a single Organ, essential for the conservation of life, may only
p.(None): be done once declared the loss of the life of the Donor.
p.(None): The eyes and corneal tissue may only be removed for Donor Transplantation purposes that have lost their lives, or
p.(None): by surgical act by medical indication.
p.(None): Article 8. CENATRA will announce, through publication that is made in the Official Gazette of the Federation, the
p.(None): official format that will be used to express the express consent to donate Organs, Tissues and
p.(None): cells after death for them to be used in transplants, in terms of the second paragraph
p.(None): of article 329 of the Law.
p.(None): The format referred to in the previous paragraph will contain at least the full name
p.(None): of his grantor, his age, sex, nationality, marital status, occupation, personal references, and the indication of
p.(None): document with which you have identified, as well as if it is a broad or limited donation.
p.(None): Article 9. The document in which the Donor expresses his consent for the living donation of his Organs,
p.(None): Tissues and cells for Transplant purposes, must be obtained by the Internal Transplant Committee and at least
p.(None): contain:
p.(None): I. Name of the Donor;
p.(None): II. Donor Address;
p.(None): 3 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Donor Age;
p.(None): IV. Donor sex;
p.(None): V. Marital status of the Donor;
p.(None): SAW. Donor occupation;
p.(None): VII. Name and address of spouse, concubine or concubine, if the Donor has;
p.(None): VIII. Name and address of the parents and in the absence of them, of any of their closest relatives, when the
p.(None): Donor is single;
p.(None): IX. The indication that by his own will and free of charge, he consents to the donation of the
p.(None): Organ, Tissue or cell in question, expressing that this donation will be understood as made between living, which must
p.(None): be in accordance with the applicable legal provisions;
p.(None): X. Name of the Recipient of the Organ, Tissue or cell;
p.(None): XI The indication of having received information to your satisfaction about the risks of the operation
p.(None): and the consequences of the extraction of the organ, tissue or cell;
p.(None): XII. Name, signature and address of the witnesses in the case of a private document;
p.(None): XIII Place and date the document is issued;
p.(None): XIV Signature or fingerprint of the Donor;
p.(None): XV. The indication of whether the donation is made in favor of any particular person or institution. In this case, it
p.(None): You must mention the name or company name or business name of that person or institution, and
p.(None): XVI. The other circumstances of manner, place and time that the donor considers pertinent, as well as
p.(None): any other that conditions the donation.
p.(None): In the case of donation between people in which there is no kind of relationship, it must be exhibited
p.(None): in addition, the express consent granted before a notary public, in terms of the provisions of article 333,
p.(None): Section VI, subsection b), of the Law.
p.(None): Article 10. The document stating the consent granted by the persons referred to in the
p.(None): First paragraph of article 324 of the Law, will be collected by the Hospital Coordinator, once
p.(None): certify the loss of life.
p.(None): The document stating the consent referred to in the preceding paragraph must contain, when
...

p.(None): IV. Promote and disseminate strategies and actions that encourage voluntary and altruistic donation to
p.(None): inside the Health Establishment in which they work, and
p.(None): V. The others that indicate other applicable legal provisions.
p.(None): Article 13. The Hospital Coordinator shall perform his duties in coordination with CENATRA, with
p.(None): State Transplant Centers or State Transplant Councils and, where appropriate, with the Coordinations
p.(None): Respective institutions.
p.(None): Article 14. Training of the Hospital Coordinator, referred to in article 316 Bis of the Law, as well as
p.(None): the issuance of the certificate evidencing said training will be in charge of the
p.(None): 5 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): CENATRA, for which it may benefit from academic institutions, in terms of the agreements that for this purpose are
p.(None): celebrate.
p.(None): Article 15. In addition to the training referred to in article 316 Bis of the Law, the Hospital Coordinator
p.(None): you must prove every five years, before the members of your Internal Donation Coordination Committee, or the
p.(None): Internal Committee of Transplants of the Health Establishment in which they work, which has the knowledge
p.(None): updated to perform its function. Said accreditation must be notified to CENATRA.
p.(None): THIRD TITLE THE TRANSPLANTS
p.(None): Chapter I Common Provisions
p.(None): Article 16. When this Regulation refers to Tissue Transplantation, it may be Tissue Transplant.
p.(None): simple or compound, understood as a Simple Tissue Transplant, one that is made of a single Tissue, and of
p.(None): Composite tissue, that Transplant that is performed of different musculoskeletal tissues, using or not
p.(None): vascular anastomosis, among which are those of limbs and face.
p.(None): Article 17. A person will be considered a candidate to receive a Transplant when:
p.(None): I. Have a condition that can be treated effectively through an Organ Transplant,
p.(None): Tissue or cell;
p.(None): II. Do not present other diseases that could put at risk the success of the Transplant;
p.(None): III. Have a physical and mental condition that allows us to assume that it will tolerate the Transplant and its evolution, and
p.(None): IV. Grant your informed consent in accordance with the applicable legal provisions.
p.(None): In the case of minors or the patient's inability to grant their consent for the performance of the
p.(None): Transplant, this must be granted by those who exercise parental rights, the guardian or the legal representative, according to
p.(None): correspond.
p.(None): Article 18. If for any circumstance in the Health Establishment to which a
p.(None): Organ, tissue or cell to be transplanted, the transplant could not be performed, you must notify it in a manner
p.(None): Immediate in writing to the Internal Donation Coordination Committee or the Internal Transplant Committee of the
p.(None): Health Establishment from which the Organ, Tissue or cell comes, informing the reasons for
p.(None): which it was not possible to perform this transplant, so that the Committee that has been informed determines
p.(None): a new Distribution of the Organ, Tissue or cell in question. Such determination must be notified.
p.(None): immediately to the National Transplant Registry.
...

p.(None): order of registration in the National Transplant Registry.
p.(None): Article 44. The priority Assignment of a kidney will be in those cases in which there is no possibility of submitting to the
p.(None): patient to a dialytic treatment and his condition endangers his life.
p.(None): Transplant recipients who lose the function of the transplanted kidney within a month,
p.(None): they will retain their seniority in the database of the National Transplant Registry, once they are registered
p.(None): again.
p.(None): Article 45. A cornea shall be assigned a priority, regardless of whether it comes from abroad, to the
p.(None): patient presenting corneal perforation or ulcer with imminent loss of the eyeball.
p.(None): Article 46. When in a Health Establishment a patient is identified who meets the
p.(None): characteristics indicated in articles 44 or 45 of these Regulations, the Internal Transplant Committee must
p.(None): Notify your Institutional Coordination, if you have it, CENATRA and your State Transplant Center or
p.(None): State Council of Transplants, so that this Transplant can be completed in the shortest possible time.
p.(None): Article 47. Cornea banks may only distribute them to those authorized Health Establishments
p.(None): for Corneal transplantation with those that have signed agreements for this purpose. The conclusion of these agreements is
p.(None): will inform CENATRA.
p.(None): Article 48. Health Institutions that import corneas may only use them for Transplantation
p.(None): in Receivers of their own Health Establishments.
p.(None): Article 49. The trade of Organs, Tissues or cells detached or sectioned by intervention is prohibited.
p.(None): surgical, accident or wrongful act.
p.(None): FOURTH TITLE
p.(None): HEALTH ESTABLISHMENTS AND HEALTH RESPONSIBLE
p.(None): Single Chapter
p.(None): Of Health Establishments and Health Responsible
p.(None): Article 50. The Health Establishments in terms of article 315 of the Law may only carry out
p.(None): the acts expressly determined by the corresponding sanitary authorization, in the terms established by the Law,
p.(None): these Regulations and other applicable legal provisions.
p.(None): Article 51. To obtain the authorization referred to in article 315 of the Law, the
p.(None): Health establishments that perform acts of Organ, Tissue and Cell Transplants must have:
p.(None): I. The medical or surgical specialty related to Transplants to be performed, independently of others
p.(None): health care activities they provide;
p.(None): 15 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Clinical pathology laboratory;
p.(None): III. Pathological laboratory or access to one;
p.(None): IV. Blood bank or transfusion service, capable of providing blood units and Components
p.(None): Blood in the quantity and quality required for the type of transplant they perform;
p.(None): V. Recovery room;
p.(None): SAW. Intensive care unit;
p.(None): VII. Medical staff specialized in the type of transplants they perform, and other professional staff,
p.(None): technical and auxiliary health support with experience in Transplants;
p.(None): VIII. Medications, equipment and surgical medical instruments appropriate to the transplant they perform, and
p.(None): IX. The others indicated in this Regulation and other applicable legal provisions.
p.(None): Health Establishments that perform corneal transplantation exclusively, should only gather the
...

p.(None): authorized, and
p.(None): II. Maintain the Fabric in optimum condition until its processing or Final Destination, or,
p.(None): Send it to another Health Facility.
p.(None): Article 60. Those responsible for Tissue Banks will have the following functions:
p.(None): I. Ensure that the preservation and storage of tissues is carried out in accordance with the
p.(None): established in the Law, this Regulation, the internal manuals of procedures approved in each
p.(None): bank and other applicable legal provisions;
p.(None): II. Ensure that the quality of the fabrics meets the international standards established to ensure
p.(None): the optimal conditions of the transplant;
p.(None): 17 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Implement and execute actions of Tissue Procurement that are under its protection, the
p.(None): which must be creditable;
p.(None): IV. Guarantee the Traceability of the Tissues, in accordance with the functions performed by the bank;
p.(None): V. Sign agreements with Health Establishments to promote the Distribution of Tissues for the purpose of
p.(None): Transplants;
p.(None): SAW. Maintain the optimal conditions for the transfer of the tissue that guarantee its viability for the transplant;
p.(None): VII. Supervise that the applicable legal provisions are complied with, and
p.(None): VIII. The others that determine the applicable legal provisions.
p.(None): FIFTH TITLE
p.(None): NATIONAL REGISTER OF TRANSPLANTS
p.(None): Single Chapter
p.(None): From the National Transplant Registry
p.(None): Article 61. The National Transplant Registry will operate under a computer system, which will be
p.(None): administered by CENATRA.
p.(None): Article 62. The integration, management and updating of the information of the National Registry of
p.(None): Transplants, in addition to meeting the provisions of the Federal Law on Transparency and Access to Public Information
p.(None): Government, will be subject to the following:
p.(None): I. Health officials should keep the surgeon's registry updated
p.(None): responsible for Extraction and Transplants and that of the Hospital Coordinators of your Establishment
p.(None): Health, informing high or low of these people;
p.(None): II. The health officer of the Health Establishment in which a Transplant will be performed,
p.(None): You must register the patient within forty-eight hours after the Internal Committee of
p.(None): Transplants grant your acceptance as a Candidate Recipient to receive a Transplant;
p.(None): III. Registration of a Candidate Recipient to receive the Transplant in the National Registry of
p.(None): Transplants, in terms of article 338, section V, of the Law, will be done only by the
p.(None): Public, social or private health establishment in which it is treated. In the cases of registration for
p.(None): receive more than one Organ, Tissue or cell, this will be done in the Health Establishment or Establishments in which it is attended,
p.(None): being able to generate more than one record per Recipient, but only one for each Organ, Tissue or cell in question;
p.(None): IV. Patients who transfer from one Health Facility to another, will retain their seniority
p.(None): in the National Transplant Registry;
...

p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): SAW. The health officer of the Health Establishment must report a donation or
p.(None): of a Transplant, within the periods provided for in article 33, section XI, subsections b) and c), of this Regulation, and
p.(None): VII. The databases of the National Transplant Registry will be confidential, you can only have access to the
p.(None): according to their field of competence, authorized personnel of:
p.(None): a) CENATRA;
p.(None): b) COFEPRIS;
p.(None): c) Customs authorities;
p.(None): d) State Transplant Centers or State Transplant Councils;
p.(None): e) Institutional Coordinations, and
p.(None): f) Health Establishments that have authorization in terms of article 315 of the Law.
p.(None): Article 63. It is the responsibility of the Director of the Health Establishment to supervise that the person in charge
p.(None): sanitary update the information required in terms of article 338 of the Law.
p.(None): CENATRA must notify COFEPRIS of the breach of the content of this Chapter, so that said
p.(None): Authority proceed in terms of the applicable legal provisions.
p.(None): Article 64. Only Organs, Tissues or cells from deceased Donors may be transplanted, to
p.(None): patients enrolled in the National Transplant Registry at least forty-eight hours before the
p.(None): Donor's loss of life certification. The cases of Urgency of
p.(None): Transplant.
p.(None): SIXTH TITLE
p.(None): INTERVENTION OF THE PUBLIC MINISTRY AND THE JUDICIAL AUTHORITY IN THE DONATION OF ORGANS, FABRICS OR CELLS
p.(None): Single Chapter
p.(None): On the Intervention of the Public Ministry and the Judicial Authority in the Donation of Organs, Tissues or Cells
p.(None): Article 65. In cases where the loss of the Donor's life is related to the investigation of
p.(None): a crime, intervention will be given to the Public Prosecutor's Office, in order to rule on whether the
p.(None): Removal of the organs, tissues and cells of said donor interferes with their investigation.
p.(None): The intervention referred to in the previous paragraph, will be given to the judicial authority in cases where it
p.(None): Find out about the crime in question.
p.(None): The Removal of Organs, Tissues and cells that is performed without giving the intervention to the Public Ministry or the
p.(None): judicial authority, in terms of this article, will give rise to responsibilities
p.(None): administrative and criminal provisions set forth in the applicable legislation.
p.(None): 19 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 66. In the case of persons in whom the loss of life has been certified, whose
p.(None): identity unknown or unable to locate relatives, intervention will be given to the Ministry
p.(None): Public in order to state whether the events that caused the loss of life may constitute a crime and in
p.(None): affirmative case will be as provided in the previous article.
p.(None): In the event that a judicial authority is aware of the facts that caused the loss of the life of
p.(None): people whose identity is unknown or cannot locate their relatives, the intervention of
p.(None): The judicial authority will be carried out in the same terms established in the previous paragraph.
p.(None): Article 67. The determinations of the Public Ministry or of the competent judicial authority that are issued in
p.(None): terms of the provisions of articles 65 and 66 of this Regulation do not constitute an authorization for
p.(None): Carry out the extraction of organs, tissues and cells.
p.(None): The determinations referred to in the preceding paragraph shall be made known to the Hospital Coordinator for
p.(None): that, where appropriate, the latter take the necessary steps to meet the requirements that
p.(None): establish the Law, this Regulation and other applicable legal provisions for the Extraction of
p.(None): Organs, tissues and cells.
p.(None): SEVENTH TITLE
p.(None): NATIONAL SUBSYSTEM OF DONATION AND TRANSPLANTS
p.(None): Single Chapter
p.(None): From the National Donation and Transplant Subsystem
p.(None): Article 68. The National Donation and Transplant Subsystem aims to coordinate actions that facilitate the
p.(None): Transplantation to patients who require it, under the principles of confidentiality,
p.(None): absence of profit, altruism, feasibility, transparency, equity and efficiency, data must be protected
p.(None): personnel in terms of the applicable legal provisions.
p.(None): Article 69. The coordination of the National Donation and Transplant Subsystem is in charge of CENATRA.
p.(None): For the purposes of the preceding paragraph, CENATRA will have the following functions:
p.(None): I. Coordinate the donation and transplant activities of organs, tissues and cells of the
p.(None): members of the National Donation and Transplant Subsystem;
p.(None): II. Periodically evaluate the results achieved by the different members of the National Subsystem of
p.(None): Donation and Transplants, and
p.(None): III. To convene consensus to define the homologation of the criteria of integral medical attention in the matter of
p.(None): Transplants, as well as their diffusion.
p.(None): EIGHTH TITLE
p.(None): RECOGNITION OF THE MERIT AND ALTRUISM OF THE DONOR AND HIS FAMILIES
p.(None): Single Chapter
p.(None): From the Recognition to Merit and Altruism of the Donor and their Families
p.(None): Article 70. The Hospital Coordinator of the Health Establishment in which the donation was made will make
p.(None): record the merit and altruism of the Donor and his family, by means of a letter of
p.(None): 20 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): recognition, addressed to the family of the Donor, referring to the merit for having respected his will. In the
p.(None): Letter will not be specified Organs, Tissues or cells, reason for donation.
p.(None): Article 71. The CENATRA will annually hold a public ceremony of symbolic delivery of recognition
p.(None): to the merit and altruism of the Donor and his family.
p.(None): Likewise, CENATRA will promote that the State Transplant Centers or State Transplant Councils, in the
p.(None): framework of the National Donation and Transplant Subsystem, program annually, preferably during the month of
p.(None): September, the realization of a public ceremony of delivery of the recognition of merit and altruism of the Donor and
p.(None): of his family.
p.(None): NINTH TITLE
p.(None): THE TRANSPORTATION AND PACKING OF ORGANS, FABRICS AND CELLS
p.(None): Single Chapter
p.(None): Of the Transportation and Packaging of Organs, Tissues and Cells
p.(None): Article 72. The transfer of Organs, Tissues and cells of human beings for Transplant purposes, will be done in
p.(None): containers specifically designed for this, that allow its good handling, temperature and conservation in relation to
p.(None): with the type of Organ, Tissue or cell and ischemia time if necessary.
p.(None): Article 73. The containers referred to in the previous article must be identified by means of a document
p.(None): adhered that it will have the following data:
p.(None): I. The legend "ORGANS, FABRICS AND CELLS FOR TRANSPLANTATION";
p.(None): II. Type of Organ, Tissue or cell;
p.(None): III. Name of the Health Establishment where the Extraction was carried out;
p.(None): IV. Name of the Health Facility to be received by the Organ, Tissue or cell, and
p.(None): V. Name of the person responsible for the transfer.
p.(None): Article 74. The container must have a tight-fitting lid and appropriate measures according to the volume of the
p.(None): or the Organs, Tissues or cells to be transported.
p.(None): Article 75. The document must be accompanied by a document with the following information:
p.(None): I. Donor data, consisting of the initials of his name and the type of blood;
p.(None): II. Date and time of the Extraction, in order to determine the beginning of the period of cold ischemia;
p.(None): III. List of Organs, Tissues or cells that are in the container;
p.(None): IV. Destination Health Establishment and result of laboratory tests that rule out a risk
p.(None): sanitary, and
p.(None): V. Name of the person responsible for the transfer.
p.(None): Article 76. For the management and conservation of the Organs, Tissues or cells to be transplanted, they must be used,
...

p.(None): 21 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Preservation thereof, in terms of the applicable legal provisions and through the techniques
p.(None): internationally accepted.
p.(None): Article 77. Vehicles dedicated to the transport of Organs, Tissues and cells of human beings for the purpose of
p.(None): Transplants must have the necessary equipment and conditions that guarantee the adequate transfer of
p.(None): the same, in terms of the applicable legal provisions.
p.(None): For no reason may the organs, tissues and cells be transported in the same vehicle
p.(None): Transplant and materials, equipment, substances or any other object that could contaminate, damage or confuse them.
p.(None): Article 78. The transfer referred to in this Chapter shall be made under the responsibility of the person who for that purpose
p.(None): designate the Internal Transplant Committee of the Health Facility to which the Body has been assigned,
p.(None): Tissue or cell, who must carry a document that identifies and accredits as responsible in
p.(None): Terms of this article. The Internal Transplant Committee before making the transfer, must notify the
p.(None): CENATRA of the person designated for this purpose.
p.(None): Article 79. In the Donor's file, the Health Establishment to which the
p.(None): Organs, tissues or cells; the date of the Procuration, as well as the name of the person responsible for the transfer to
p.(None): referred to in the previous article and the data that derive from the official identification it carries,
p.(None): including the folio number of it.
p.(None): TENTH TITLE
p.(None): PERMITS AND NOTICES
p.(None): Single Chapter
p.(None): Permits and Notices
p.(None): Article 80. Sanitary permit will be required, for admission or departure from the national territory, as the case may be,
p.(None): of Tissues, cells and their Components for Transplant purposes.
p.(None): Article 81. To obtain the sanitary permit for admission to the national territory of Tissues,
p.(None): Cells and their Components for Transplant purposes, the interested party must submit the request to COFEPRIS in the
p.(None): corresponding official format, to which the corresponding documentation will be attached, in accordance with the following:
p.(None): I. Document proving the operation of the Health Establishment issued by the authority
p.(None): health of the country of origin, and
p.(None): II. Sanitary license of the Establishment with specific turn for Transplant.
p.(None): Article 82. For the admission of tissues or cells to the national territory, the Health Establishment that seeks
p.(None): To receive the tissue or cell, you must justify before COFEPRIS and CENATRA the need for their internment, as well as
p.(None): the difficulty of obtaining it in the country.
p.(None): Article 83. To obtain the sanitary permit for the exit of the national territory of Tissues and cells, the
p.(None): interested party must submit an application in the corresponding official form to COFEPRIS, to which the
p.(None): following documentation:
p.(None): I. Copy of the sanitary authorization of the Health Establishment to make the Disposition of Organs,
p.(None): Tissues and cells;
p.(None): 22 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Copy of the document proving the legal operation of the Health Establishment that you will receive
p.(None): Tissues and cells issued by the competent authority, for control purposes of the country of destination, and
p.(None): III. Letter of acceptance of the Health Establishment abroad.
p.(None): Article 84. Documents issued by the Health Establishment or the professional abroad
p.(None): they will be accompanied by their translation when they are written in a language other than Spanish, carried out by an expert
p.(None): translator.
p.(None): Article 85. COFEPRIS must be notified in the following cases:
p.(None): I. The withdrawal, temporary suspension and total or partial resumption of activities of the
p.(None): Health establishments that require health authorization for its operation, in terms of the Law
p.(None): and this Regulation;
p.(None): II. Appointment or removal of the health officer of the Health Establishments, and
p.(None): III. The others determined by the Law, these Regulations and other applicable legal provisions.
p.(None): TITLE ELEVENTH SURVEILLANCE
p.(None): Single Surveillance Chapter
p.(None): Article 86. The Ministry of Health is responsible for monitoring compliance with these Regulations and others.
p.(None): applicable legal provisions, which will be carried out in accordance with the Seventh Title of the Law.
p.(None): Article 87. During the health verification visit and when the health authority deems it
p.(None): necessary, the procedures required to verify that the Organs, tissues, cells,
p.(None): Donors and recipients meet the sanitary conditions and requirements established by the Law, these Regulations and others
p.(None): applicable legal provisions. In case of finding any irregularity, deficiency or anomaly, the authority
p.(None): The company may order the necessary actions to identify the origin of the failures or problems.
p.(None): The minutes that are drawn up for this purpose will be made in accordance with the provisions of article 401, section III, of the Law
p.(None): and other applicable legal provisions.
p.(None): Article 88. The health authority may, at any time, determine the cases in which the Bodies,
p.(None): Tissues and their Components and cells do not meet the requirements and optimal conditions for their use, in the
p.(None): terms established by these Regulations and in the other applicable legal provisions.
p.(None): Article 89. In the exercise of its powers, the health authority may request the support of the
p.(None): personnel from the technical areas of the Secretariat that are considered necessary.
p.(None): TRANSITORY
p.(None): FIRST. This Regulation shall enter into force on the day following its publication in the Official Gazette of the
p.(None): Federation.
p.(None): 23 of 24
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p.(None): Transplant, and
p.(None): VII. Operate the National Transplant Registry.
p.(None): Article 5. In any donation or transplant of Organs, Tissues and cells obtained from Donors who had lost the
p.(None): life, the health officials of the Health Establishments and the participating health personnel must
p.(None): keep the identity between the Donor and the Receiver anonymous.
p.(None): SECOND TITLE
p.(None): THE DONATION FOR TRANSPLANTATION PURPOSES
p.(None): Chapter I
p.(None): Consent for Donation for Transplant Purposes
p.(None): Article 6. Under no circumstances may organs, tissues and cells be available for transplant purposes, in
p.(None): against the will of the Donor.
p.(None): Article 7. The donation of the whole of a single Organ, essential for the conservation of life, may only
p.(None): be done once declared the loss of the life of the Donor.
p.(None): The eyes and corneal tissue may only be removed for Donor Transplantation purposes that have lost their lives, or
p.(None): by surgical act by medical indication.
p.(None): Article 8. CENATRA will announce, through publication that is made in the Official Gazette of the Federation, the
p.(None): official format that will be used to express the express consent to donate Organs, Tissues and
p.(None): cells after death for them to be used in transplants, in terms of the second paragraph
p.(None): of article 329 of the Law.
p.(None): The format referred to in the previous paragraph will contain at least the full name
p.(None): of his grantor, his age, sex, nationality, marital status, occupation, personal references, and the indication of
p.(None): document with which you have identified, as well as if it is a broad or limited donation.
p.(None): Article 9. The document in which the Donor expresses his consent for the living donation of his Organs,
p.(None): Tissues and cells for Transplant purposes, must be obtained by the Internal Transplant Committee and at least
p.(None): contain:
p.(None): I. Name of the Donor;
p.(None): II. Donor Address;
p.(None): 3 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Donor Age;
p.(None): IV. Donor sex;
p.(None): V. Marital status of the Donor;
p.(None): SAW. Donor occupation;
p.(None): VII. Name and address of spouse, concubine or concubine, if the Donor has;
p.(None): VIII. Name and address of the parents and in the absence of them, of any of their closest relatives, when the
p.(None): Donor is single;
p.(None): IX. The indication that by his own will and free of charge, he consents to the donation of the
p.(None): Organ, Tissue or cell in question, expressing that this donation will be understood as made between living, which must
p.(None): be in accordance with the applicable legal provisions;
p.(None): X. Name of the Recipient of the Organ, Tissue or cell;
p.(None): XI The indication of having received information to your satisfaction about the risks of the operation
p.(None): and the consequences of the extraction of the organ, tissue or cell;
p.(None): XII. Name, signature and address of the witnesses in the case of a private document;
p.(None): XIII Place and date the document is issued;
p.(None): XIV Signature or fingerprint of the Donor;
p.(None): XV. The indication of whether the donation is made in favor of any particular person or institution. In this case, it
p.(None): You must mention the name or company name or business name of that person or institution, and
p.(None): XVI. The other circumstances of manner, place and time that the donor considers pertinent, as well as
p.(None): any other that conditions the donation.
p.(None): In the case of donation between people in which there is no kind of relationship, it must be exhibited
p.(None): in addition, the express consent granted before a notary public, in terms of the provisions of article 333,
p.(None): Section VI, subsection b), of the Law.
...

p.(None): nationality;
p.(None): 4 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): IV. Relationship of the grantor with the Donor that legitimizes him to give his consent;
p.(None): V. The statement that he was informed about the donation in question, which was given
p.(None): opportunity to ask questions and that they were answered satisfactorily;
p.(None): SAW. The statement that being of legal age and in full use of his mental faculties,
p.(None): freely authorizes the total or partial donation of the Donor's body, free of charge, to be used for purposes
p.(None): of transplant;
p.(None): VII. Place and date the document is issued, and
p.(None): VIII. Signature or fingerprint of the grantor and that of two witnesses.
p.(None): Article 11. The public or private document by which the person expresses his express refusal to be a Donor, to whom
p.(None): refers to the second paragraph of article 324 of the Law, it will be written in free format, which must contain
p.(None): the signature of the person who expresses said refusal or his fingerprint in case of not being able to sign.
p.(None): Notwithstanding the foregoing, the Donor may express his refusal using the format that for this purpose, give
p.(None): know the CENATRA, through publication that is made in the Official Gazette of the Federation, which
p.(None): It must contain at least the full name of its grantor, his age, sex, nationality, marital status, occupation
p.(None): and the identification of the document with which it has been identified.
p.(None): Chapter II
p.(None): From the Hospital Coordinator
p.(None): Article 12. The Hospital Coordinator, in addition to what is indicated in the Law, will be responsible for:
p.(None): I. Verify that the Corpses of which Organs, Tissues or cells were disposed for Transplant purposes,
p.(None): delivered to their relatives or to the competent authority, with the least possible delay;
p.(None): II. Participate in the elaboration of work programs and projects, as well as manuals of
p.(None): medical, technical and administrative procedures related to the activities of Procurement of Organs, Tissues and
p.(None): cells that the Health Establishment carries out, as well as monitoring their observance;
p.(None): III. Participate in the training and evaluation of the performance of the personnel in charge and, where appropriate, assist in
p.(None): teaching and research activities in the field of transplants;
p.(None): IV. Promote and disseminate strategies and actions that encourage voluntary and altruistic donation to
p.(None): inside the Health Establishment in which they work, and
p.(None): V. The others that indicate other applicable legal provisions.
p.(None): Article 13. The Hospital Coordinator shall perform his duties in coordination with CENATRA, with
p.(None): State Transplant Centers or State Transplant Councils and, where appropriate, with the Coordinations
p.(None): Respective institutions.
p.(None): Article 14. Training of the Hospital Coordinator, referred to in article 316 Bis of the Law, as well as
p.(None): the issuance of the certificate evidencing said training will be in charge of the
p.(None): 5 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
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p.(None): other cases, at least six months prior to the transplant.
p.(None): Article 28. In the cases provided for in articles 26, section III and 27, section II, subparagraph b), of this Regulation,
p.(None): COFEPRIS and CENATRA, when they deem it necessary, may request any other element of
p.(None): conviction that allows to prove the legality of the realization of the Transplant.
p.(None): Chapter IV
p.(None): Of the Internal Committees of Coordination for Donation and Transplants
p.(None): Article 29. The Internal Donation Coordination Committees, as well as the Internal Transplant Committees,
p.(None): must be installed under the responsibility of the directors or holders of the Establishments
p.(None): Health, by signing an act, which must stipulate their respective characteristics,
p.(None): operation and operation, as well as the people who integrate them, in accordance with the provisions of the Law, the
p.(None): this Regulation and other applicable legal provisions.
p.(None): Article 30. The Internal Donation Coordination Committees shall be composed of:
p.(None): I. The Director General or his equivalent of the Health Establishment, and in his absence, his
p.(None): Immediately inferior that has a high level of medical, academic and professional knowledge, who
p.(None): will preside;
p.(None): II. A representative of the Hospital Bioethics Committee of the Health Establishment;
p.(None): III. A representative of the legal area of the Health Establishment, in case of having said area or of the
p.(None): Institution to which it belongs;
p.(None): IV. The chief of emergency of the Health Establishment;
p.(None): V. The head of intensive care of the Health Establishment if it exists;
p.(None): SAW. The health officer of the Health Establishment, in cases where this function is not performed
p.(None): by any of the persons indicated in the preceding fractions, and
p.(None): VII. The other members that the Health Establishment determines for its proper functioning,
p.(None): which will have training and knowledge in the area of Disposition of Organs, Tissues and
p.(None): cells.
p.(None): The Hospital Health Coordinator will serve as Technical Secretary of the Internal Committee of
p.(None): Donation Coordination.
p.(None): 9 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): The sessions of the Internal Donation Coordination Committee will be considered valid with the
p.(None): assistance of the majority of its members and their decisions will be taken by majority.
p.(None): The President of the Internal Donation Coordination Committee will have a quality vote in case of a tie.
p.(None): Article 31. The Internal Donation Coordination Committees, in addition to those provided by the Law, shall have the
p.(None): following functions:
p.(None): I. Prepare the minutes corresponding to each session that takes place, which once signed by the
p.(None): Members will be incorporated into the corresponding minutes book. Both the minutes and the book must be kept by a
p.(None): minimum of five years. In the case of the minutes book, the five years will be counted from the date of the last
p.(None): recorded record
p.(None): In the minutes referred to in the preceding paragraph, the following shall be recorded, among other aspects:
p.(None): a) The changes of members that have been presented in the Internal Coordination Committees
p.(None): for Donation and Hospital Coordinators, and
p.(None): b) The provisions of Organs, Tissues and cells made in the Health Establishment to which they belong,
p.(None): specifying the Medical, legal and scientific Criteria and arguments that were taken into account for its Distribution;
p.(None): II. Establish the Distribution of Organs, Tissues and cells to other Health Establishments, in accordance with
p.(None): the procedures established by CENATRA, and
p.(None): III. Assist with the health officer in providing the National Transplant Registry, within
p.(None): of the forty-eight hours after the event, the information of your Health Establishment related to:
p.(None): a) Transplant surgeons responsible for Extraction, as well as Hospital Coordinators, and
p.(None): b) Section III of article 338 of the Law.
p.(None): Article 32. The Internal Transplant Committees shall consist of:
p.(None): I. The Director General or his equivalent of the Health Establishment, and in his absence, his
p.(None): Immediately inferior that has a high level of medical, academic and professional knowledge, who
p.(None): will preside;
p.(None): II. The psychiatrist or psychologist of the Health Establishment, in case of having said professional;
p.(None): III. A representative of the legal area of the Health Establishment, in case of having said area or of the
p.(None): Institution to which it belongs;
p.(None): IV. A representative of each Transplant Program of the health services involved in the Transplant of
p.(None): concerned
p.(None): V. A representative of the Hospital Bioethics Committee of the Health Establishment;
p.(None): SAW. A representative of the Research Ethics Committee;
p.(None): 10 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): VII. The health officer of the Health Establishment, in cases where this function is not performed
p.(None): by any of the persons indicated in the preceding fractions, and
p.(None): VIII. The other members that the Health Establishment determines for its proper functioning,
p.(None): which will have training and knowledge in the area of Disposition of Organs, Tissues and
p.(None): cells.
p.(None): The Hospital Health Coordinator will serve as Technical Secretary of the Internal Committee of
p.(None): Transplants
p.(None): The sessions of the Internal Transplant Committee will be considered valid with the assistance of the majority of
p.(None): its members, except in cases where matters related to the selection of Donor and Recipient are discussed
p.(None): for Transplants in persons of foreign nationality, in which case the participation of
p.(None): all of its members. The decisions of the Internal Transplant Committee will be taken by majority.
p.(None): The President of the Internal Transplant Committee will have a quality vote in case of a tie.
p.(None): Article 33. Internal Transplant Committees, in addition to those provided by Law, shall have the functions
p.(None): following:
p.(None): I. Carry out the selection of Donors and Recipients for Transplantation, with the exception of cases in which the
p.(None): Donation of Organs, Tissues or cells is made between people who have a relationship by consanguinity,
p.(None): civil or affinity, in which case said Committee will evaluate the feasibility and feasibility of carrying out the
p.(None): Transplant;
p.(None): II. Supervise that the Transplants that are carried out in the Health Establishment, in addition to complying with
p.(None): the principles referred to in article 327 of the Law, are carried out with maximum security,
p.(None): in accordance with the principles of medical ethics and in accordance with the requirements established by the Law and
p.(None): this regulation;
p.(None): III. Supervise the performance of the Hospital Coordinator, as well as the surgical team and the various
p.(None): health professionals participating in the Transplant;
p.(None): IV. Select the Histocompatibility laboratory to be used for tests related to
p.(None): Transplants;
p.(None): V. Evaluate, where appropriate, the attention of the resolutions or recommendations issued by the Hospital Committees of
p.(None): Bioethics, Research and Research Ethics;
p.(None): SAW. Establish the Assignment of Organs, Tissues and cells, as well as the Distribution of them to others
p.(None): Health Establishments, in accordance with the procedures established by CENATRA;
p.(None): VII. Establish procedures for the conservation of Organs, Tissues and cells;
p.(None): VIII. Approve or reject the realization of the Transplant, previous opinion of the availability of the
p.(None): human resources, materials and supplies necessary for its realization;
p.(None): IX. Evaluate the results of the Transplant Programs that the Health Establishment has;
p.(None): 11 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): X. Dictaminate, as the case may be, the publications that may derive from the work programs or
p.(None): of research of the Health Establishment within the area of Transplants;
p.(None): XI Assist with the health officer in providing the National Transplant Registry with information on
p.(None): Your Health Establishment relating to:
p.(None): a) Section II of Article 338 of the Law, within forty-eight hours after designation;
p.(None): b) Section III of article 338 of the Law, within forty-eight hours after the event;
p.(None): c) Section IV of Article 338 of the Law, within seventy-two hours after the event, and
p.(None): d) Section V of article 338 of the Law, within forty-eight hours after the resolution of the
p.(None): Internal Transplant Committee;
p.(None): XII. Prepare the minutes corresponding to each session that takes place, which once signed by the
p.(None): Members will be integrated into the corresponding minutes book. Both the minutes and the book must
p.(None): Keep for a minimum of five years. In the case of the minutes book, the five years will be computed from the
p.(None): date of the last recorded act.
p.(None): In the minutes referred to in the preceding paragraph, the following shall be recorded, among other aspects:
p.(None): a) The changes of members that have been presented in the Internal Transplant Committees,
p.(None): of Hospital Coordinators, as well as of the surgeons responsible for the Extraction and Transplants of Organs,
p.(None): Tissues and cells;
p.(None): b) Cases of acceptance of Candidate Receptors and rejection of patients to be Receptors of
p.(None): Organs, tissues and cells for transplantation, as well as living donors;
p.(None): c) The provisions of Organs, Tissues and cells made in the Health Establishment to which they belong,
p.(None): specifying the Medical, legal and scientific Criteria and arguments that were taken into account for its Distribution,
p.(None): Y
p.(None): d) Transplants performed in the Health Establishment to which they belong, specifying
p.(None): Medical, legal, scientific and ethical Criteria and arguments that were taken into account for their
p.(None): Assignment, and
p.(None): XIII The others that establish the applicable legal provisions.
p.(None): Article 34. Internal Transplant Committees must have a quality management system of
p.(None): Transplant Programs, defined, where appropriate, in coordination with their respective Coordinations
p.(None): Institutional, which should be sent to CENATRA and the State Transplant Centers or
p.(None): State Transplant Councils, which may formulate the recommendations they deem pertinent.
p.(None): Article 35. The health officer referred to in article 338 of the Law shall provide CENATRA with the
p.(None): information regarding the integration of the Internal Transplant Committee and the Internal Coordination Committee for the
p.(None): Donation, if the latter exists, as well as the changes of its members or, where appropriate, the
p.(None): dissolution of the Committee.
p.(None): 12 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Chapter V
p.(None): On the Distribution and Assignment of Organs, Tissues and Cells for Transplant Purposes
p.(None): Article 36. The Internal Committees of Coordination for Donation, and Transplants of
p.(None): Health Establishments, as appropriate, will be responsible for carrying out the Distribution and
p.(None): Assignment of Organs, Tissues and cells, in accordance with the provisions of articles 316 and 339 of the Law, based on
p.(None): the criteria and requirements set forth in said system, this Regulation, and other legal provisions
p.(None): applicable.
p.(None): Likewise, the Committees referred to in the preceding paragraph shall establish an internal Distribution procedure for
p.(None): each type of Organ, Tissue and cell contemplated in its Transplant Programs, which must be in accordance with the
p.(None): procedures established by CENATRA.
p.(None): The internal procedure referred to in the preceding paragraph must be approved by the Director
p.(None): General, or its equivalent, of the Health Establishment and by the Institutional Coordination, of having the latter.
p.(None): This procedure will be sent to CENATRA for its information, which may formulate the recommendations it deems
p.(None): relevant.
...

p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Implement and execute actions of Tissue Procurement that are under its protection, the
p.(None): which must be creditable;
p.(None): IV. Guarantee the Traceability of the Tissues, in accordance with the functions performed by the bank;
p.(None): V. Sign agreements with Health Establishments to promote the Distribution of Tissues for the purpose of
p.(None): Transplants;
p.(None): SAW. Maintain the optimal conditions for the transfer of the tissue that guarantee its viability for the transplant;
p.(None): VII. Supervise that the applicable legal provisions are complied with, and
p.(None): VIII. The others that determine the applicable legal provisions.
p.(None): FIFTH TITLE
p.(None): NATIONAL REGISTER OF TRANSPLANTS
p.(None): Single Chapter
p.(None): From the National Transplant Registry
p.(None): Article 61. The National Transplant Registry will operate under a computer system, which will be
p.(None): administered by CENATRA.
p.(None): Article 62. The integration, management and updating of the information of the National Registry of
p.(None): Transplants, in addition to meeting the provisions of the Federal Law on Transparency and Access to Public Information
p.(None): Government, will be subject to the following:
p.(None): I. Health officials should keep the surgeon's registry updated
p.(None): responsible for Extraction and Transplants and that of the Hospital Coordinators of your Establishment
p.(None): Health, informing high or low of these people;
p.(None): II. The health officer of the Health Establishment in which a Transplant will be performed,
p.(None): You must register the patient within forty-eight hours after the Internal Committee of
p.(None): Transplants grant your acceptance as a Candidate Recipient to receive a Transplant;
p.(None): III. Registration of a Candidate Recipient to receive the Transplant in the National Registry of
p.(None): Transplants, in terms of article 338, section V, of the Law, will be done only by the
p.(None): Public, social or private health establishment in which it is treated. In the cases of registration for
p.(None): receive more than one Organ, Tissue or cell, this will be done in the Health Establishment or Establishments in which it is attended,
p.(None): being able to generate more than one record per Recipient, but only one for each Organ, Tissue or cell in question;
p.(None): IV. Patients who transfer from one Health Facility to another, will retain their seniority
p.(None): in the National Transplant Registry;
p.(None): V. The health officer of the Health Establishment must keep the
p.(None): Information from Candidate Recipients to receive a Transplant, notifying the National Registry of
p.(None): Transplants any income or change;
p.(None): 18 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): SAW. The health officer of the Health Establishment must report a donation or
p.(None): of a Transplant, within the periods provided for in article 33, section XI, subsections b) and c), of this Regulation, and
p.(None): VII. The databases of the National Transplant Registry will be confidential, you can only have access to the
p.(None): according to their field of competence, authorized personnel of:
p.(None): a) CENATRA;
p.(None): b) COFEPRIS;
p.(None): c) Customs authorities;
p.(None): d) State Transplant Centers or State Transplant Councils;
p.(None): e) Institutional Coordinations, and
p.(None): f) Health Establishments that have authorization in terms of article 315 of the Law.
p.(None): Article 63. It is the responsibility of the Director of the Health Establishment to supervise that the person in charge
p.(None): sanitary update the information required in terms of article 338 of the Law.
p.(None): CENATRA must notify COFEPRIS of the breach of the content of this Chapter, so that said
p.(None): Authority proceed in terms of the applicable legal provisions.
p.(None): Article 64. Only Organs, Tissues or cells from deceased Donors may be transplanted, to
p.(None): patients enrolled in the National Transplant Registry at least forty-eight hours before the
p.(None): Donor's loss of life certification. The cases of Urgency of
p.(None): Transplant.
p.(None): SIXTH TITLE
p.(None): INTERVENTION OF THE PUBLIC MINISTRY AND THE JUDICIAL AUTHORITY IN THE DONATION OF ORGANS, FABRICS OR CELLS
p.(None): Single Chapter
p.(None): On the Intervention of the Public Ministry and the Judicial Authority in the Donation of Organs, Tissues or Cells
...

p.(None): the difficulty of obtaining it in the country.
p.(None): Article 83. To obtain the sanitary permit for the exit of the national territory of Tissues and cells, the
p.(None): interested party must submit an application in the corresponding official form to COFEPRIS, to which the
p.(None): following documentation:
p.(None): I. Copy of the sanitary authorization of the Health Establishment to make the Disposition of Organs,
p.(None): Tissues and cells;
p.(None): 22 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Copy of the document proving the legal operation of the Health Establishment that you will receive
p.(None): Tissues and cells issued by the competent authority, for control purposes of the country of destination, and
p.(None): III. Letter of acceptance of the Health Establishment abroad.
p.(None): Article 84. Documents issued by the Health Establishment or the professional abroad
p.(None): they will be accompanied by their translation when they are written in a language other than Spanish, carried out by an expert
p.(None): translator.
p.(None): Article 85. COFEPRIS must be notified in the following cases:
p.(None): I. The withdrawal, temporary suspension and total or partial resumption of activities of the
p.(None): Health establishments that require health authorization for its operation, in terms of the Law
p.(None): and this Regulation;
p.(None): II. Appointment or removal of the health officer of the Health Establishments, and
p.(None): III. The others determined by the Law, these Regulations and other applicable legal provisions.
p.(None): TITLE ELEVENTH SURVEILLANCE
p.(None): Single Surveillance Chapter
p.(None): Article 86. The Ministry of Health is responsible for monitoring compliance with these Regulations and others.
p.(None): applicable legal provisions, which will be carried out in accordance with the Seventh Title of the Law.
p.(None): Article 87. During the health verification visit and when the health authority deems it
p.(None): necessary, the procedures required to verify that the Organs, tissues, cells,
p.(None): Donors and recipients meet the sanitary conditions and requirements established by the Law, these Regulations and others
p.(None): applicable legal provisions. In case of finding any irregularity, deficiency or anomaly, the authority
p.(None): The company may order the necessary actions to identify the origin of the failures or problems.
p.(None): The minutes that are drawn up for this purpose will be made in accordance with the provisions of article 401, section III, of the Law
p.(None): and other applicable legal provisions.
p.(None): Article 88. The health authority may, at any time, determine the cases in which the Bodies,
p.(None): Tissues and their Components and cells do not meet the requirements and optimal conditions for their use, in the
p.(None): terms established by these Regulations and in the other applicable legal provisions.
p.(None): Article 89. In the exercise of its powers, the health authority may request the support of the
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p.(None): from the Extraction.
p.(None): Chapter II
p.(None): Of Donor Transplants That Have Lost Life
p.(None): 6 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 20. For the Removal of Organs, Tissues and Cells of a Donor in which
p.(None): certified loss of life, in order to minimize the risks of adverse effects on the Recipient and not compromise
p.(None): The success of the Transplant must be verified by the corresponding medical evaluation that the
p.(None): Donor meets the following requirements:
p.(None): I. Have a useful physiological age for donation purposes at the time of loss of life;
p.(None): II. Not having presented malignancies with risk of metastasis, infections or other conditions
p.(None): that could affect the Recipient, and
p.(None): III. Not having suffered the deleterious effect of prolonged agony.
p.(None): Article 21. In the case of pregnant women in which the loss of life has been certified, preference will be given to
p.(None): the life of the product of conception before having Organs, Tissues or cells for Transplants.
p.(None): Article 22. For the realization of a Transplant of Organs, Tissues or cells from a Donor in which
p.(None): the loss of life has been certified, in foreign patients, it must comply with the
p.(None): following requirements:
p.(None): I. The Recipient must have a condition of stay in the national territory of resident
p.(None): temporary, temporary resident student or permanent resident and prove their uninterrupted stay in
p.(None): the country of at least six months prior to the transplant, except in cases of emergency
p.(None): diagnosed with fulminant hepatitis, properly documented, and
p.(None): II. The Recipient must have a favorable resolution from the Internal Transplant Committee of the
p.(None): Health Establishment where the Transplant will be performed, signed by all its members,
p.(None): previous medical, clinical and psychological evaluation. This resolution must state that it has been
p.(None): verified the absence of circumstances that could make presume acts of commerce or legal simulation
p.(None): whose objective is the onerous intermediation of Organs, Tissues and cells.
p.(None): The Secretariat may request the Health Establishment where the Transplant is to be performed, prior
p.(None): to that the same one is realized, the documentation that verifies the fulfillment of the indicated requirements.
p.(None): Article 23. Health professionals responsible for the extraction of organs, tissues or cells, should treat
p.(None): with care, respect and dignity to the Corpse, in order to preserve it and deliver it in the best conditions.
p.(None): Article 24. The Corpse shall be delivered to the next of kin or to the competent authority as the case may be, at the conclusion of the
p.(None): Removal of Organs, Tissues or cells, for the above, hospital procedures should be expedited
p.(None): corresponding.
p.(None): Chapter III
p.(None): Of Transplants Between Live
p.(None): Article 25. In cases of Transplant with Living Donors, once the Internal Committee of
p.(None): Transplants have favorably evaluated both the Donor and the Candidate Recipient, must be
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p.(None): Traceability, as well as complying with infrastructure and equipment requirements, which are foreseen in
p.(None): applicable legal provisions.
p.(None): In the case of banks of Organs and cells, the Secretariat through general provisions published in
p.(None): The Official Gazette of the Federation will determine the functions that these and their health officials will have. These
p.(None): functions will be aimed at keeping the organs and cells in optimal conditions for the purpose of
p.(None): Transplants, their Traceability, as well as to monitor compliance with the applicable legal provisions.
p.(None): 16 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 54. The supply and reception of Organs, Tissues and cells for therapeutic purposes, may only
p.(None): be carried out between Health Establishments that have the specific authorization of the Secretariat,
p.(None): to carry out the Extraction, conservation, supply or Transplants of the type of Organ, Tissue or cell of which
p.(None): try.
p.(None): Article 55. The person responsible for the extraction of organs and composite tissues must be a medical professional and have
p.(None): with a specialty or postgraduate degree, in accordance with the Transplant Program for which the Health Facility
p.(None): It is authorized.
p.(None): The removal of simple tissue or cells may be performed by trained medical or technical personnel.
p.(None): Article 56. The person responsible for each Organ, Tissue and Cell Transplant Program must be professional
p.(None): doctor, with title legally issued and registered by the competent educational authorities, and be
p.(None): designated by the Internal Transplant Committee, giving notice to CENATRA. Such designation must be established in
p.(None): the corresponding record.
p.(None): Article 57. Banks of Organs, Tissues and cells must function in coordination with one or more
p.(None): Health establishments authorized for the purposes of this Regulation.
p.(None): Article 58. Tissue Banks may be:
p.(None): I. Cornea;
p.(None): II. Bone;
p.(None): III. Skeletal muscle;
p.(None): IV. Skin;
p.(None): V. Cardiovascular;
p.(None): SAW. Of amnion, and
p.(None): VII. The others authorized by the Secretariat, according to advances in science and technology in this area.
p.(None): Article 59. Tissue Banks will have the following functions:
p.(None): I. Receive the tissues sent for temporary protection of the Health Establishments
p.(None): authorized, and
p.(None): II. Maintain the Fabric in optimum condition until its processing or Final Destination, or,
p.(None): Send it to another Health Facility.
p.(None): Article 60. Those responsible for Tissue Banks will have the following functions:
p.(None): I. Ensure that the preservation and storage of tissues is carried out in accordance with the
p.(None): established in the Law, this Regulation, the internal manuals of procedures approved in each
p.(None): bank and other applicable legal provisions;
p.(None): II. Ensure that the quality of the fabrics meets the international standards established to ensure
p.(None): the optimal conditions of the transplant;
p.(None): 17 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
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p.(None): official format that will be used to express the express consent to donate Organs, Tissues and
p.(None): cells after death for them to be used in transplants, in terms of the second paragraph
p.(None): of article 329 of the Law.
p.(None): The format referred to in the previous paragraph will contain at least the full name
p.(None): of his grantor, his age, sex, nationality, marital status, occupation, personal references, and the indication of
p.(None): document with which you have identified, as well as if it is a broad or limited donation.
p.(None): Article 9. The document in which the Donor expresses his consent for the living donation of his Organs,
p.(None): Tissues and cells for Transplant purposes, must be obtained by the Internal Transplant Committee and at least
p.(None): contain:
p.(None): I. Name of the Donor;
p.(None): II. Donor Address;
p.(None): 3 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Donor Age;
p.(None): IV. Donor sex;
p.(None): V. Marital status of the Donor;
p.(None): SAW. Donor occupation;
p.(None): VII. Name and address of spouse, concubine or concubine, if the Donor has;
p.(None): VIII. Name and address of the parents and in the absence of them, of any of their closest relatives, when the
p.(None): Donor is single;
p.(None): IX. The indication that by his own will and free of charge, he consents to the donation of the
p.(None): Organ, Tissue or cell in question, expressing that this donation will be understood as made between living, which must
p.(None): be in accordance with the applicable legal provisions;
p.(None): X. Name of the Recipient of the Organ, Tissue or cell;
p.(None): XI The indication of having received information to your satisfaction about the risks of the operation
p.(None): and the consequences of the extraction of the organ, tissue or cell;
p.(None): XII. Name, signature and address of the witnesses in the case of a private document;
p.(None): XIII Place and date the document is issued;
p.(None): XIV Signature or fingerprint of the Donor;
p.(None): XV. The indication of whether the donation is made in favor of any particular person or institution. In this case, it
p.(None): You must mention the name or company name or business name of that person or institution, and
p.(None): XVI. The other circumstances of manner, place and time that the donor considers pertinent, as well as
p.(None): any other that conditions the donation.
p.(None): In the case of donation between people in which there is no kind of relationship, it must be exhibited
p.(None): in addition, the express consent granted before a notary public, in terms of the provisions of article 333,
p.(None): Section VI, subsection b), of the Law.
p.(None): Article 10. The document stating the consent granted by the persons referred to in the
p.(None): First paragraph of article 324 of the Law, will be collected by the Hospital Coordinator, once
p.(None): certify the loss of life.
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p.(None): Article 33. Internal Transplant Committees, in addition to those provided by Law, shall have the functions
p.(None): following:
p.(None): I. Carry out the selection of Donors and Recipients for Transplantation, with the exception of cases in which the
p.(None): Donation of Organs, Tissues or cells is made between people who have a relationship by consanguinity,
p.(None): civil or affinity, in which case said Committee will evaluate the feasibility and feasibility of carrying out the
p.(None): Transplant;
p.(None): II. Supervise that the Transplants that are carried out in the Health Establishment, in addition to complying with
p.(None): the principles referred to in article 327 of the Law, are carried out with maximum security,
p.(None): in accordance with the principles of medical ethics and in accordance with the requirements established by the Law and
p.(None): this regulation;
p.(None): III. Supervise the performance of the Hospital Coordinator, as well as the surgical team and the various
p.(None): health professionals participating in the Transplant;
p.(None): IV. Select the Histocompatibility laboratory to be used for tests related to
p.(None): Transplants;
p.(None): V. Evaluate, where appropriate, the attention of the resolutions or recommendations issued by the Hospital Committees of
p.(None): Bioethics, Research and Research Ethics;
p.(None): SAW. Establish the Assignment of Organs, Tissues and cells, as well as the Distribution of them to others
p.(None): Health Establishments, in accordance with the procedures established by CENATRA;
p.(None): VII. Establish procedures for the conservation of Organs, Tissues and cells;
p.(None): VIII. Approve or reject the realization of the Transplant, previous opinion of the availability of the
p.(None): human resources, materials and supplies necessary for its realization;
p.(None): IX. Evaluate the results of the Transplant Programs that the Health Establishment has;
p.(None): 11 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): X. Dictaminate, as the case may be, the publications that may derive from the work programs or
p.(None): of research of the Health Establishment within the area of Transplants;
p.(None): XI Assist with the health officer in providing the National Transplant Registry with information on
p.(None): Your Health Establishment relating to:
p.(None): a) Section II of Article 338 of the Law, within forty-eight hours after designation;
p.(None): b) Section III of article 338 of the Law, within forty-eight hours after the event;
p.(None): c) Section IV of Article 338 of the Law, within seventy-two hours after the event, and
p.(None): d) Section V of article 338 of the Law, within forty-eight hours after the resolution of the
p.(None): Internal Transplant Committee;
p.(None): XII. Prepare the minutes corresponding to each session that takes place, which once signed by the
p.(None): Members will be integrated into the corresponding minutes book. Both the minutes and the book must
p.(None): Keep for a minimum of five years. In the case of the minutes book, the five years will be computed from the
p.(None): date of the last recorded act.
p.(None): In the minutes referred to in the preceding paragraph, the following shall be recorded, among other aspects:
p.(None): a) The changes of members that have been presented in the Internal Transplant Committees,
...

p.(None): relevant.
p.(None): Article 37. The Internal Committees for the Coordination of Donation and Transplants may not delegate
p.(None): its faculty for the Distribution and Assignment of Organs, Tissues and cells, so this faculty does not
p.(None): It may be exercised by only one person.
p.(None): Article 38. Distribution by Health Establishment, if there is no Emergency of
p.(None): Transplant, will be done taking into account the following order:
p.(None): I. To the Health Establishment where the donation takes place, provided it is authorized to make
p.(None): Transplants of the type of Organ, Tissue or cell in question;
p.(None): II. To the Health Institution to which the Health Establishment belongs, for which it will be assisted
p.(None): of its Institutional Coordinations, where appropriate, for said Distribution;
p.(None): III. To any Health Establishment of the federative entity in which the
p.(None): Health Establishment where the donation took place, and
p.(None): IV. To any Health Establishment of a National Health Institution.
p.(None): In the cases referred to in sections III and IV of this article, the Internal Committee
p.(None): Coordination for Donation or Transplant, as appropriate, will attempt to deliver
p.(None): Organs, tissues and cells generated in your Health Establishment, to Health Establishments of
p.(None): Health Institutions of its own sector, that is, if the Health Establishment is public, it will look for a
p.(None): Health Establishment of a Public Sector Health Institution, and if private, to a Health Establishment
p.(None): of a private sector Health Institution.
p.(None): Article 39. Internal Transplant Committees may, in exceptional and duly justified cases,
p.(None): previous opinion of CENATRA, establish distribution schemes that allow to allocate organs, tissues and
p.(None): cells to a Health Establishment that does not belong to your Health Institution, with the approval of the
p.(None): Institutional coordination to which it belongs, where appropriate.
p.(None): The reasons that justify the establishment of exceptional distribution schemes referred to in the paragraph
p.(None): above, they may be circumstances that make it more appropriate and feasible to consider a
p.(None): Health Establishment that does not belong to your Health Institution.
p.(None): 13 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 40. For the Distribution and Assignment of Organs, Tissues and Donor Cells that have lost their lives
p.(None): under 18 years of age, called pediatric, in case there is no Transplant Urgency,
p.(None): give preference to recipients who are under 18 years of age.
p.(None): Article 41. The notification of a Transplant Urgency by a Health Establishment implies the Distribution and
p.(None): Nationally preferred allocation of an Organ, Tissue or cell to the patient who has been qualified in such
p.(None): condition.
p.(None): The determination of a Transplant Urgency corresponds to the Internal Transplant Committee of the Establishment of
p.(None): Health in which the transplant will be performed. The Transplant Urgency must be notified to the Registry
p.(None): National Transplant through the format established for this purpose by CENATRA, in order to activate a
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p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 20. For the Removal of Organs, Tissues and Cells of a Donor in which
p.(None): certified loss of life, in order to minimize the risks of adverse effects on the Recipient and not compromise
p.(None): The success of the Transplant must be verified by the corresponding medical evaluation that the
p.(None): Donor meets the following requirements:
p.(None): I. Have a useful physiological age for donation purposes at the time of loss of life;
p.(None): II. Not having presented malignancies with risk of metastasis, infections or other conditions
p.(None): that could affect the Recipient, and
p.(None): III. Not having suffered the deleterious effect of prolonged agony.
p.(None): Article 21. In the case of pregnant women in which the loss of life has been certified, preference will be given to
p.(None): the life of the product of conception before having Organs, Tissues or cells for Transplants.
p.(None): Article 22. For the realization of a Transplant of Organs, Tissues or cells from a Donor in which
p.(None): the loss of life has been certified, in foreign patients, it must comply with the
p.(None): following requirements:
p.(None): I. The Recipient must have a condition of stay in the national territory of resident
p.(None): temporary, temporary resident student or permanent resident and prove their uninterrupted stay in
p.(None): the country of at least six months prior to the transplant, except in cases of emergency
p.(None): diagnosed with fulminant hepatitis, properly documented, and
p.(None): II. The Recipient must have a favorable resolution from the Internal Transplant Committee of the
p.(None): Health Establishment where the Transplant will be performed, signed by all its members,
p.(None): previous medical, clinical and psychological evaluation. This resolution must state that it has been
p.(None): verified the absence of circumstances that could make presume acts of commerce or legal simulation
p.(None): whose objective is the onerous intermediation of Organs, Tissues and cells.
p.(None): The Secretariat may request the Health Establishment where the Transplant is to be performed, prior
p.(None): to that the same one is realized, the documentation that verifies the fulfillment of the indicated requirements.
p.(None): Article 23. Health professionals responsible for the extraction of organs, tissues or cells, should treat
p.(None): with care, respect and dignity to the Corpse, in order to preserve it and deliver it in the best conditions.
p.(None): Article 24. The Corpse shall be delivered to the next of kin or to the competent authority as the case may be, at the conclusion of the
p.(None): Removal of Organs, Tissues or cells, for the above, hospital procedures should be expedited
p.(None): corresponding.
p.(None): Chapter III
p.(None): Of Transplants Between Live
p.(None): Article 25. In cases of Transplant with Living Donors, once the Internal Committee of
p.(None): Transplants have favorably evaluated both the Donor and the Candidate Recipient, must be
p.(None): Provide, prior to the transplant, the information corresponding to the National Registry of
p.(None): Transplants, through your computer system.
p.(None): 7 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
...

p.(None): Organ, Tissue or cell in the National Transplant Registry at least fifteen business days in advance,
p.(None): if it is a Transplant between relatives by consanguinity, civil or affinity until the fourth grade, and in the
p.(None): other cases, at least six months prior to the transplant.
p.(None): Article 28. In the cases provided for in articles 26, section III and 27, section II, subparagraph b), of this Regulation,
p.(None): COFEPRIS and CENATRA, when they deem it necessary, may request any other element of
p.(None): conviction that allows to prove the legality of the realization of the Transplant.
p.(None): Chapter IV
p.(None): Of the Internal Committees of Coordination for Donation and Transplants
p.(None): Article 29. The Internal Donation Coordination Committees, as well as the Internal Transplant Committees,
p.(None): must be installed under the responsibility of the directors or holders of the Establishments
p.(None): Health, by signing an act, which must stipulate their respective characteristics,
p.(None): operation and operation, as well as the people who integrate them, in accordance with the provisions of the Law, the
p.(None): this Regulation and other applicable legal provisions.
p.(None): Article 30. The Internal Donation Coordination Committees shall be composed of:
p.(None): I. The Director General or his equivalent of the Health Establishment, and in his absence, his
p.(None): Immediately inferior that has a high level of medical, academic and professional knowledge, who
p.(None): will preside;
p.(None): II. A representative of the Hospital Bioethics Committee of the Health Establishment;
p.(None): III. A representative of the legal area of the Health Establishment, in case of having said area or of the
p.(None): Institution to which it belongs;
p.(None): IV. The chief of emergency of the Health Establishment;
p.(None): V. The head of intensive care of the Health Establishment if it exists;
p.(None): SAW. The health officer of the Health Establishment, in cases where this function is not performed
p.(None): by any of the persons indicated in the preceding fractions, and
p.(None): VII. The other members that the Health Establishment determines for its proper functioning,
p.(None): which will have training and knowledge in the area of Disposition of Organs, Tissues and
p.(None): cells.
p.(None): The Hospital Health Coordinator will serve as Technical Secretary of the Internal Committee of
p.(None): Donation Coordination.
p.(None): 9 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): The sessions of the Internal Donation Coordination Committee will be considered valid with the
p.(None): assistance of the majority of its members and their decisions will be taken by majority.
p.(None): The President of the Internal Donation Coordination Committee will have a quality vote in case of a tie.
p.(None): Article 31. The Internal Donation Coordination Committees, in addition to those provided by the Law, shall have the
p.(None): following functions:
p.(None): I. Prepare the minutes corresponding to each session that takes place, which once signed by the
p.(None): Members will be incorporated into the corresponding minutes book. Both the minutes and the book must be kept by a
p.(None): minimum of five years. In the case of the minutes book, the five years will be counted from the date of the last
p.(None): recorded record
...

p.(None): 12 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Chapter V
p.(None): On the Distribution and Assignment of Organs, Tissues and Cells for Transplant Purposes
p.(None): Article 36. The Internal Committees of Coordination for Donation, and Transplants of
p.(None): Health Establishments, as appropriate, will be responsible for carrying out the Distribution and
p.(None): Assignment of Organs, Tissues and cells, in accordance with the provisions of articles 316 and 339 of the Law, based on
p.(None): the criteria and requirements set forth in said system, this Regulation, and other legal provisions
p.(None): applicable.
p.(None): Likewise, the Committees referred to in the preceding paragraph shall establish an internal Distribution procedure for
p.(None): each type of Organ, Tissue and cell contemplated in its Transplant Programs, which must be in accordance with the
p.(None): procedures established by CENATRA.
p.(None): The internal procedure referred to in the preceding paragraph must be approved by the Director
p.(None): General, or its equivalent, of the Health Establishment and by the Institutional Coordination, of having the latter.
p.(None): This procedure will be sent to CENATRA for its information, which may formulate the recommendations it deems
p.(None): relevant.
p.(None): Article 37. The Internal Committees for the Coordination of Donation and Transplants may not delegate
p.(None): its faculty for the Distribution and Assignment of Organs, Tissues and cells, so this faculty does not
p.(None): It may be exercised by only one person.
p.(None): Article 38. Distribution by Health Establishment, if there is no Emergency of
p.(None): Transplant, will be done taking into account the following order:
p.(None): I. To the Health Establishment where the donation takes place, provided it is authorized to make
p.(None): Transplants of the type of Organ, Tissue or cell in question;
p.(None): II. To the Health Institution to which the Health Establishment belongs, for which it will be assisted
p.(None): of its Institutional Coordinations, where appropriate, for said Distribution;
p.(None): III. To any Health Establishment of the federative entity in which the
p.(None): Health Establishment where the donation took place, and
p.(None): IV. To any Health Establishment of a National Health Institution.
p.(None): In the cases referred to in sections III and IV of this article, the Internal Committee
p.(None): Coordination for Donation or Transplant, as appropriate, will attempt to deliver
p.(None): Organs, tissues and cells generated in your Health Establishment, to Health Establishments of
p.(None): Health Institutions of its own sector, that is, if the Health Establishment is public, it will look for a
p.(None): Health Establishment of a Public Sector Health Institution, and if private, to a Health Establishment
p.(None): of a private sector Health Institution.
p.(None): Article 39. Internal Transplant Committees may, in exceptional and duly justified cases,
p.(None): previous opinion of CENATRA, establish distribution schemes that allow to allocate organs, tissues and
p.(None): cells to a Health Establishment that does not belong to your Health Institution, with the approval of the
p.(None): Institutional coordination to which it belongs, where appropriate.
p.(None): The reasons that justify the establishment of exceptional distribution schemes referred to in the paragraph
p.(None): above, they may be circumstances that make it more appropriate and feasible to consider a
...

p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 40. For the Distribution and Assignment of Organs, Tissues and Donor Cells that have lost their lives
p.(None): under 18 years of age, called pediatric, in case there is no Transplant Urgency,
p.(None): give preference to recipients who are under 18 years of age.
p.(None): Article 41. The notification of a Transplant Urgency by a Health Establishment implies the Distribution and
p.(None): Nationally preferred allocation of an Organ, Tissue or cell to the patient who has been qualified in such
p.(None): condition.
p.(None): The determination of a Transplant Urgency corresponds to the Internal Transplant Committee of the Establishment of
p.(None): Health in which the transplant will be performed. The Transplant Urgency must be notified to the Registry
p.(None): National Transplant through the format established for this purpose by CENATRA, in order to activate a
p.(None): alert in the National Transplant Registry, to Health Establishments about the existence of a patient with
p.(None): Transplant Urgency status, so that they give priority to the Distribution and Assignment of the Organ in
p.(None): question to said patient.
p.(None): The validity of a notification about the existence of a patient with Transplant Urgency status
p.(None): it will be seventy-two hours counted from the receipt of the notification in the National Registry of
p.(None): Transplants, must be updated as many times as necessary, through the procedure indicated in this article.
p.(None): The documentation that supports the Emergency of Transplantation of a patient, must be protected by the Internal Committee of
p.(None): Transplants for a period of five years from the notification referred to in the second paragraph of this
p.(None): article and be available at any time in case the competent authorities require it. From
p.(None): If the Transplant is carried out, the protection of the information will be five years after its completion.
p.(None): Article 42. For cases of Transplant Urgency in the Assignment of the heart, the patient must present
p.(None): any of the following conditions, with no other treatment option:
p.(None): I. Patients with primary failure of the transplanted heart within the first forty-eight
p.(None): hours;
p.(None): II. Patients in cardiogenic shock and ventricular assistance;
p.(None): III. Patients in cardiogenic shock and with intra-aortic balloon counterpulsation;
p.(None): IV. Patients in cardiogenic shock who require vasoactive drugs and mechanical ventilation, or
p.(None): V. Patients hospitalized in functional class IV refractory to medical treatment.
p.(None): If there are several Heart Transplant Emergencies, the order of priority will be
p.(None): established in the previous sections.
p.(None): If there are two or more of the same degree of condition referred to in the first paragraph of this article,
p.(None): will assign by order of inscription in the National Transplant Registry.
p.(None): Article 43. For cases of Emergency Transplantation in the Assignment of the liver, the patient must be in
p.(None): any of the following situations:
p.(None): I. Fulminant or subfulminating hepatitis, and
p.(None): 14 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Primary failure of the transplanted liver.
p.(None): If there are several liver transplant emergencies, the order of priority established will be followed.
p.(None): in the previous fractions.
p.(None): If there are two or more equal situations referred to in the first paragraph of this article, it will be assigned by
p.(None): order of registration in the National Transplant Registry.
p.(None): Article 44. The priority Assignment of a kidney will be in those cases in which there is no possibility of submitting to the
p.(None): patient to a dialytic treatment and his condition endangers his life.
p.(None): Transplant recipients who lose the function of the transplanted kidney within a month,
p.(None): they will retain their seniority in the database of the National Transplant Registry, once they are registered
p.(None): again.
p.(None): Article 45. A cornea shall be assigned a priority, regardless of whether it comes from abroad, to the
p.(None): patient presenting corneal perforation or ulcer with imminent loss of the eyeball.
p.(None): Article 46. When in a Health Establishment a patient is identified who meets the
p.(None): characteristics indicated in articles 44 or 45 of these Regulations, the Internal Transplant Committee must
p.(None): Notify your Institutional Coordination, if you have it, CENATRA and your State Transplant Center or
...

General/Other / Relationship to Authority

Searching for indicator authority:

(return to top)
p.(None): opportunity to ask questions and that they were answered satisfactorily;
p.(None): SAW. The statement that being of legal age and in full use of his mental faculties,
p.(None): freely authorizes the total or partial donation of the Donor's body, free of charge, to be used for purposes
p.(None): of transplant;
p.(None): VII. Place and date the document is issued, and
p.(None): VIII. Signature or fingerprint of the grantor and that of two witnesses.
p.(None): Article 11. The public or private document by which the person expresses his express refusal to be a Donor, to whom
p.(None): refers to the second paragraph of article 324 of the Law, it will be written in free format, which must contain
p.(None): the signature of the person who expresses said refusal or his fingerprint in case of not being able to sign.
p.(None): Notwithstanding the foregoing, the Donor may express his refusal using the format that for this purpose, give
p.(None): know the CENATRA, through publication that is made in the Official Gazette of the Federation, which
p.(None): It must contain at least the full name of its grantor, his age, sex, nationality, marital status, occupation
p.(None): and the identification of the document with which it has been identified.
p.(None): Chapter II
p.(None): From the Hospital Coordinator
p.(None): Article 12. The Hospital Coordinator, in addition to what is indicated in the Law, will be responsible for:
p.(None): I. Verify that the Corpses of which Organs, Tissues or cells were disposed for Transplant purposes,
p.(None): delivered to their relatives or to the competent authority, with the least possible delay;
p.(None): II. Participate in the elaboration of work programs and projects, as well as manuals of
p.(None): medical, technical and administrative procedures related to the activities of Procurement of Organs, Tissues and
p.(None): cells that the Health Establishment carries out, as well as monitoring their observance;
p.(None): III. Participate in the training and evaluation of the performance of the personnel in charge and, where appropriate, assist in
p.(None): teaching and research activities in the field of transplants;
p.(None): IV. Promote and disseminate strategies and actions that encourage voluntary and altruistic donation to
p.(None): inside the Health Establishment in which they work, and
p.(None): V. The others that indicate other applicable legal provisions.
p.(None): Article 13. The Hospital Coordinator shall perform his duties in coordination with CENATRA, with
p.(None): State Transplant Centers or State Transplant Councils and, where appropriate, with the Coordinations
p.(None): Respective institutions.
p.(None): Article 14. Training of the Hospital Coordinator, referred to in article 316 Bis of the Law, as well as
p.(None): the issuance of the certificate evidencing said training will be in charge of the
p.(None): 5 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): CENATRA, for which it may benefit from academic institutions, in terms of the agreements that for this purpose are
p.(None): celebrate.
p.(None): Article 15. In addition to the training referred to in article 316 Bis of the Law, the Hospital Coordinator
p.(None): you must prove every five years, before the members of your Internal Donation Coordination Committee, or the
...

p.(None): Article 22. For the realization of a Transplant of Organs, Tissues or cells from a Donor in which
p.(None): the loss of life has been certified, in foreign patients, it must comply with the
p.(None): following requirements:
p.(None): I. The Recipient must have a condition of stay in the national territory of resident
p.(None): temporary, temporary resident student or permanent resident and prove their uninterrupted stay in
p.(None): the country of at least six months prior to the transplant, except in cases of emergency
p.(None): diagnosed with fulminant hepatitis, properly documented, and
p.(None): II. The Recipient must have a favorable resolution from the Internal Transplant Committee of the
p.(None): Health Establishment where the Transplant will be performed, signed by all its members,
p.(None): previous medical, clinical and psychological evaluation. This resolution must state that it has been
p.(None): verified the absence of circumstances that could make presume acts of commerce or legal simulation
p.(None): whose objective is the onerous intermediation of Organs, Tissues and cells.
p.(None): The Secretariat may request the Health Establishment where the Transplant is to be performed, prior
p.(None): to that the same one is realized, the documentation that verifies the fulfillment of the indicated requirements.
p.(None): Article 23. Health professionals responsible for the extraction of organs, tissues or cells, should treat
p.(None): with care, respect and dignity to the Corpse, in order to preserve it and deliver it in the best conditions.
p.(None): Article 24. The Corpse shall be delivered to the next of kin or to the competent authority as the case may be, at the conclusion of the
p.(None): Removal of Organs, Tissues or cells, for the above, hospital procedures should be expedited
p.(None): corresponding.
p.(None): Chapter III
p.(None): Of Transplants Between Live
p.(None): Article 25. In cases of Transplant with Living Donors, once the Internal Committee of
p.(None): Transplants have favorably evaluated both the Donor and the Candidate Recipient, must be
p.(None): Provide, prior to the transplant, the information corresponding to the National Registry of
p.(None): Transplants, through your computer system.
p.(None): 7 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): If after having provided the information referred to in the previous paragraph, the
p.(None): Transplant, the Candidate Recipient will retain the age of its registration in the National Transplant Registry.
p.(None): In cases where the Donor is not related to the patient, the Internal Transplant Committee
p.(None): of the Health Establishment where the Transplant is to be performed, must issue the resolution
p.(None): favorable to do it, prior to the registration of the Candidate Receiver in the National Registry of
p.(None): Transplants This resolution will be signed by all the members of the Internal Transplant Committee of the
p.(None): Health Establishment, when the Donor or Receiver are of foreign nationality.
p.(None): Article 26. The resolution referred to in article 333, section VI, subsection a), of the Law, must contain the
p.(None): next:
p.(None): I. The clinical summary of the case, including medical, clinical and psychological evaluation studies of the Recipient;
...

p.(None): IV. Patients who transfer from one Health Facility to another, will retain their seniority
p.(None): in the National Transplant Registry;
p.(None): V. The health officer of the Health Establishment must keep the
p.(None): Information from Candidate Recipients to receive a Transplant, notifying the National Registry of
p.(None): Transplants any income or change;
p.(None): 18 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): SAW. The health officer of the Health Establishment must report a donation or
p.(None): of a Transplant, within the periods provided for in article 33, section XI, subsections b) and c), of this Regulation, and
p.(None): VII. The databases of the National Transplant Registry will be confidential, you can only have access to the
p.(None): according to their field of competence, authorized personnel of:
p.(None): a) CENATRA;
p.(None): b) COFEPRIS;
p.(None): c) Customs authorities;
p.(None): d) State Transplant Centers or State Transplant Councils;
p.(None): e) Institutional Coordinations, and
p.(None): f) Health Establishments that have authorization in terms of article 315 of the Law.
p.(None): Article 63. It is the responsibility of the Director of the Health Establishment to supervise that the person in charge
p.(None): sanitary update the information required in terms of article 338 of the Law.
p.(None): CENATRA must notify COFEPRIS of the breach of the content of this Chapter, so that said
p.(None): Authority proceed in terms of the applicable legal provisions.
p.(None): Article 64. Only Organs, Tissues or cells from deceased Donors may be transplanted, to
p.(None): patients enrolled in the National Transplant Registry at least forty-eight hours before the
p.(None): Donor's loss of life certification. The cases of Urgency of
p.(None): Transplant.
p.(None): SIXTH TITLE
p.(None): INTERVENTION OF THE PUBLIC MINISTRY AND THE JUDICIAL AUTHORITY IN THE DONATION OF ORGANS, FABRICS OR CELLS
p.(None): Single Chapter
p.(None): On the Intervention of the Public Ministry and the Judicial Authority in the Donation of Organs, Tissues or Cells
p.(None): Article 65. In cases where the loss of the Donor's life is related to the investigation of
p.(None): a crime, intervention will be given to the Public Prosecutor's Office, in order to rule on whether the
p.(None): Removal of the organs, tissues and cells of said donor interferes with their investigation.
p.(None): The intervention referred to in the previous paragraph, will be given to the judicial authority in cases where it
p.(None): Find out about the crime in question.
p.(None): The Removal of Organs, Tissues and cells that is performed without giving the intervention to the Public Ministry or the
p.(None): judicial authority, in terms of this article, will give rise to responsibilities
p.(None): administrative and criminal provisions set forth in the applicable legislation.
p.(None): 19 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): Article 66. In the case of persons in whom the loss of life has been certified, whose
p.(None): identity unknown or unable to locate relatives, intervention will be given to the Ministry
p.(None): Public in order to state whether the events that caused the loss of life may constitute a crime and in
p.(None): affirmative case will be as provided in the previous article.
p.(None): In the event that a judicial authority is aware of the facts that caused the loss of the life of
p.(None): people whose identity is unknown or cannot locate their relatives, the intervention of
p.(None): The judicial authority will be carried out in the same terms established in the previous paragraph.
p.(None): Article 67. The determinations of the Public Ministry or of the competent judicial authority that are issued in
p.(None): terms of the provisions of articles 65 and 66 of this Regulation do not constitute an authorization for
p.(None): Carry out the extraction of organs, tissues and cells.
p.(None): The determinations referred to in the preceding paragraph shall be made known to the Hospital Coordinator for
p.(None): that, where appropriate, the latter take the necessary steps to meet the requirements that
p.(None): establish the Law, this Regulation and other applicable legal provisions for the Extraction of
p.(None): Organs, tissues and cells.
p.(None): SEVENTH TITLE
p.(None): NATIONAL SUBSYSTEM OF DONATION AND TRANSPLANTS
p.(None): Single Chapter
p.(None): From the National Donation and Transplant Subsystem
p.(None): Article 68. The National Donation and Transplant Subsystem aims to coordinate actions that facilitate the
p.(None): Transplantation to patients who require it, under the principles of confidentiality,
p.(None): absence of profit, altruism, feasibility, transparency, equity and efficiency, data must be protected
p.(None): personnel in terms of the applicable legal provisions.
p.(None): Article 69. The coordination of the National Donation and Transplant Subsystem is in charge of CENATRA.
p.(None): For the purposes of the preceding paragraph, CENATRA will have the following functions:
p.(None): I. Coordinate the donation and transplant activities of organs, tissues and cells of the
p.(None): members of the National Donation and Transplant Subsystem;
p.(None): II. Periodically evaluate the results achieved by the different members of the National Subsystem of
p.(None): Donation and Transplants, and
p.(None): III. To convene consensus to define the homologation of the criteria of integral medical attention in the matter of
p.(None): Transplants, as well as their diffusion.
p.(None): EIGHTH TITLE
...

p.(None): Article 78. The transfer referred to in this Chapter shall be made under the responsibility of the person who for that purpose
p.(None): designate the Internal Transplant Committee of the Health Facility to which the Body has been assigned,
p.(None): Tissue or cell, who must carry a document that identifies and accredits as responsible in
p.(None): Terms of this article. The Internal Transplant Committee before making the transfer, must notify the
p.(None): CENATRA of the person designated for this purpose.
p.(None): Article 79. In the Donor's file, the Health Establishment to which the
p.(None): Organs, tissues or cells; the date of the Procuration, as well as the name of the person responsible for the transfer to
p.(None): referred to in the previous article and the data that derive from the official identification it carries,
p.(None): including the folio number of it.
p.(None): TENTH TITLE
p.(None): PERMITS AND NOTICES
p.(None): Single Chapter
p.(None): Permits and Notices
p.(None): Article 80. Sanitary permit will be required, for admission or departure from the national territory, as the case may be,
p.(None): of Tissues, cells and their Components for Transplant purposes.
p.(None): Article 81. To obtain the sanitary permit for admission to the national territory of Tissues,
p.(None): Cells and their Components for Transplant purposes, the interested party must submit the request to COFEPRIS in the
p.(None): corresponding official format, to which the corresponding documentation will be attached, in accordance with the following:
p.(None): I. Document proving the operation of the Health Establishment issued by the authority
p.(None): health of the country of origin, and
p.(None): II. Sanitary license of the Establishment with specific turn for Transplant.
p.(None): Article 82. For the admission of tissues or cells to the national territory, the Health Establishment that seeks
p.(None): To receive the tissue or cell, you must justify before COFEPRIS and CENATRA the need for their internment, as well as
p.(None): the difficulty of obtaining it in the country.
p.(None): Article 83. To obtain the sanitary permit for the exit of the national territory of Tissues and cells, the
p.(None): interested party must submit an application in the corresponding official form to COFEPRIS, to which the
p.(None): following documentation:
p.(None): I. Copy of the sanitary authorization of the Health Establishment to make the Disposition of Organs,
p.(None): Tissues and cells;
p.(None): 22 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): II. Copy of the document proving the legal operation of the Health Establishment that you will receive
p.(None): Tissues and cells issued by the competent authority, for control purposes of the country of destination, and
p.(None): III. Letter of acceptance of the Health Establishment abroad.
p.(None): Article 84. Documents issued by the Health Establishment or the professional abroad
p.(None): they will be accompanied by their translation when they are written in a language other than Spanish, carried out by an expert
p.(None): translator.
p.(None): Article 85. COFEPRIS must be notified in the following cases:
p.(None): I. The withdrawal, temporary suspension and total or partial resumption of activities of the
p.(None): Health establishments that require health authorization for its operation, in terms of the Law
p.(None): and this Regulation;
p.(None): II. Appointment or removal of the health officer of the Health Establishments, and
p.(None): III. The others determined by the Law, these Regulations and other applicable legal provisions.
p.(None): TITLE ELEVENTH SURVEILLANCE
p.(None): Single Surveillance Chapter
p.(None): Article 86. The Ministry of Health is responsible for monitoring compliance with these Regulations and others.
p.(None): applicable legal provisions, which will be carried out in accordance with the Seventh Title of the Law.
p.(None): Article 87. During the health verification visit and when the health authority deems it
p.(None): necessary, the procedures required to verify that the Organs, tissues, cells,
p.(None): Donors and recipients meet the sanitary conditions and requirements established by the Law, these Regulations and others
p.(None): applicable legal provisions. In case of finding any irregularity, deficiency or anomaly, the authority
p.(None): The company may order the necessary actions to identify the origin of the failures or problems.
p.(None): The minutes that are drawn up for this purpose will be made in accordance with the provisions of article 401, section III, of the Law
p.(None): and other applicable legal provisions.
p.(None): Article 88. The health authority may, at any time, determine the cases in which the Bodies,
p.(None): Tissues and their Components and cells do not meet the requirements and optimal conditions for their use, in the
p.(None): terms established by these Regulations and in the other applicable legal provisions.
p.(None): Article 89. In the exercise of its powers, the health authority may request the support of the
p.(None): personnel from the technical areas of the Secretariat that are considered necessary.
p.(None): TRANSITORY
p.(None): FIRST. This Regulation shall enter into force on the day following its publication in the Official Gazette of the
p.(None): Federation.
p.(None): 23 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): SECOND. The provisions of the Regulations of the General Health Law on Health Control of the
p.(None): Disposition of Organs, Tissues and Dead Bodies of Human Beings, which refer to the donation, disposition and
p.(None): transplantation of organs, tissues and cells, other than blood and its components, progenitor cells
p.(None): hematopoietic or trunk, as well as those provisions that oppose this Regulation.
p.(None): Consequently, Sections Third and Fourth of Chapter III remain in force; Chapter IV, and Chapter
p.(None): V of the Regulations of the General Health Law on Health Control of Organ Disposal,
p.(None): Tissues and Corpses of Human Beings, as well as the other provisions of the same order, that are necessary
p.(None): for the application of said Sections and Chapters mentioned above.
p.(None): THIRD. The Agreement is abrogated by which the guidelines for the allocation and distribution of
p.(None): organs and tissues of corpses of human beings for transplantation, published in the Official Gazette of the Federation on 23
p.(None): April 2009
p.(None): ROOM. The Agreement delegated to the Head of the Federal Commission for the Protection against Protection is repealed
...

Orphaned Trigger Words

p.(None): prevent the risk of rejection of the Organ, Tissue or transplanted cells;
p.(None): VII. Hospital Coordinator: To the Hospital Organ and Tissue Donor Coordinator for Transplants to which
p.(None): section XX of article 314 of the Law refers;
p.(None): VIII. Medical Criteria: The clinical, laboratory and cabinet elements, defined by the Committees
p.(None): Transplant Interns, which allow selecting candidates to receive an Organ, Tissue or cell;
p.(None): IX. Health Establishments: The clinical or hospital units that perform acts of
p.(None): Extraction, analysis, conservation, preparation, supply and transplantation of Organs, Tissues and cells;
p.(None): X. Removal of Organs, Tissues or cells: The surgical act through which one or several are obtained
p.(None): Organs, tissues or cells of a living or deceased donor for subsequent transplantation into one or more recipients;
p.(None): XI Histocompatibility: The similarity between two or more tissues at the level of their genetic characteristics
p.(None): and immunological;
p.(None): XII. Law: The General Health Law;
p.(None): XIII Transplant Opportunity: The set of conditions of time, mode and place that allow a
p.(None): Transplant;
p.(None): XIV Transplant Program: The set of services authorized to a Health Facility for
p.(None): provide comprehensively to patients who require a Transplant of an Organ, Tissue or
p.(None): cell, coordinated by the Internal Transplant Committee;
p.(None): XV. Candidate Recipient: The patient who has been accepted by the Internal Transplant Committee to be a Recipient of
p.(None): an Organ, Tissue or cell and that has been registered in the National Transplant Registry, until before it
p.(None): perform the transplant;
p.(None): XVI. Secretariat: The Ministry of Health, and
p.(None): XVII Transplant Urgency or Code 0: The imminent risk of death of a patient, that due to his condition of
p.(None): gravity, its only life alternative is Organ Transplantation.
p.(None): Article 3. The interpretation for administrative purposes of this Regulation corresponds to the
p.(None): Secretary.
p.(None): Article 4. It corresponds to the Secretariat through CENATRA:
p.(None): I. Establish programs and campaigns aimed at disseminating among health officials and health professionals.
p.(None): health, sanitary requirements that must be met in the Provision of Organs, Tissues and cells for purposes
p.(None): of transplants;
p.(None): II. Encourage in coordination with the dependencies and entities of the Federal Public Administration and
p.(None): the governments of the federal entities, actions to promote the donation of Organs, Tissues and
p.(None): cells, both in life and after the loss of it, for transplant purposes;
p.(None): 2 of 24
p.(None): REGULATIONS OF THE GENERAL LAW OF HEALTH IN TRANSPLANTATION
p.(None): CHAMBER OF DEPUTIES OF THE H. CONGRESS OF THE UNION
p.(None): General Secretary
p.(None): Secretariat of Parliamentary Services
p.(None): New Regulation DOF 03-26-2014
p.(None): III. Encourage the development of study and research programs related to Organ Disposition,
p.(None): Tissues and cells, in regards to Transplants;
p.(None): IV. Inform and guide the population about the donation of Organs, Tissues and cells for Transplant purposes, as well
p.(None): as, to promote the participation of the media in the dissemination of information related to the actions that
p.(None): involve activities in favor of the culture of donation of organs, tissues and cells;
p.(None): V. Coordinate the National Donation and Transplant Subsystem;
p.(None): SAW. Coordinate the Distribution and Assignment of Organs, Tissues and Donor Cells with loss of life to
p.(None): Transplant, and
p.(None): VII. Operate the National Transplant Registry. ...

Appendix

Indicator List

Indicator	Vulnerability
access	Access to Social Goods
age	Age
authority	Relationship to Authority
crime	Illegal Activity
criminal	criminal
educational	education
emergencies	patients in emergency situations
emergency	Public Emergency
family	Motherhood/Family
hospitalized	hospitalized patients
language	Linguistic Proficiency
marital status	Marital Status
occupation	Occupation
officer	Police Officer
opinion	philosophical differences/differences of opinion
parents	parents
party	political affiliation
political	political affiliation
pregnant	Pregnant
single	Marital Status
stem cells	stem cells
student	Student
women	Women

Indicator Peers (Indicators in Same Vulnerability)

Indicator	Peers
marital status	['single']
party	['political']
political	['party']
single	['maritalXstatus']

Trigger Words

coercion

consent

ethics

protection

risk

Applicable Type / Vulnerability / Indicator Overlay for this Input

Vulnerability Type	Vulnerability	Indicator	# Matches
Political	Illegal Activity	crime	3
Political	criminal	criminal	1
Political	political affiliation	party	2
Political	political affiliation	political	1
Health	Motherhood/Family	family	5
Health	Pregnant	pregnant	1
Health	hospitalized patients	hospitalized	1
Health	patients in emergency situations	emergencies	2
Health	stem cells	stem cells	1
Social	Access to Social Goods	access	3
Social	Age	age	8
Social	Linguistic Proficiency	language	2
Social	Marital Status	marital status	3
Social	Marital Status	single	12
Social	Occupation	occupation	3
Social	Police Officer	officer	9
Social	Student	student	1
Social	Women	women	1
Social	education	educational	1
Social	parents	parents	1
Social	philosophical differences/differences of opinion	opinion	2
General/Other	Public Emergency	emergency	5
General/Other	Relationship to Authority	authority	16

Regulation of the General Law of Health in Matter of Transplants

Applicable Type / Vulnerability / Indicator Overlay for this Input

Political / Illegal Activity

Political / criminal

Political / political affiliation

Health / Motherhood/Family

Health / Pregnant

Health / hospitalized patients

Health / patients in emergency situations

Health / stem cells

Social / Access to Social Goods

Social / Age

Social / Linguistic Proficiency

Social / Marital Status

Social / Occupation

Social / Police Officer

Social / Student

Social / Women

Social / education

Social / parents

Social / philosophical differences/differences of opinion

General/Other / Public Emergency

General/Other / Relationship to Authority

Orphaned Trigger Words

Appendix

Indicator List

Indicator Peers (Indicators in Same Vulnerability)

Trigger Words

Applicable Type / Vulnerability / Indicator Overlay for this Input