DR. INFOUpdated 23 September 2026Reviewed by Miguel Romano, MD

DGS norms 2026: Portuguese clinical guidelines in force

In 2026 Portugal's Direção-Geral da Saúde published or updated nine clinical guidance norms. Each norm below links to the official version on the DGS site.

A clinical guidance norm (norma de orientação clínica, NOC) is the document the DGS issues to systematise the approach to a clinical situation in the Portuguese health service. Below are the 2026 norms by clinical area, each with a short synopsis. Always check the official version before applying a norm in practice.

What the nine norms cover

  • Arterial hypertension001/2026
  • Hepatitis C003/2026
  • Breast cancer screening005/2026
  • COVID-19 2026-2027007/2026
  • Influenza 2026-2027006/2026
  • Paediatric RSV 2026-2027004/2026
  • HPV vaccination002/2026
  • Measlesupdated 2026004/2017
  • Pregnancy and puerperiumupdated 2026001/2023

Cardiovascular and metabolic

Abordagem Diagnóstica e Terapêutica da Pessoa com Hipertensão Arterial

Direção-Geral da Saúde, Norma n.º 001/2026·2026

Sets out the systematic approach to hypertension in adults: office blood pressure measurement supplemented by home or ambulatory monitoring, blood pressure classification, cardiovascular risk stratification, screening for target organ damage and investigation of secondary causes where indicated. Treatment combines lifestyle measures with drug therapy, with follow-up and referral criteria. Pregnancy and secondary hypertension are excluded.

View the norm on the DGS site

Infectious diseases

Diagnóstico e Tratamento da Hepatite C em Adultos

Direção-Geral da Saúde, Norma n.º 003/2026·2026

Guides the diagnosis and treatment of hepatitis C in adults, including case identification, assessment before starting therapy and treatment with direct-acting antivirals.

View the norm on the DGS site

Procedimentos perante uma suspeição clínica ou caso possível de sarampo

Direção-Geral da Saúde, Norma n.º 004/2017, atualizada a 24/07/2026·2026

Defines the procedures to follow for a clinical suspicion or possible case of measles under the National Measles Elimination Programme, including notification, laboratory confirmation and control measures.

View the norm on the DGS site

Vaccination and immunisation

Estratégia de Vacinação contra a COVID-19: vacinação primária e campanha sazonal outono-inverno 2026-2027

Direção-Geral da Saúde, Norma n.º 007/2026·2026

Defines the primary COVID-19 vaccination strategy and the seasonal autumn-winter 2026-2027 campaign, with eligible groups and recommended schedules.

View the norm on the DGS site

Campanha de vacinação sazonal contra a gripe: outono-inverno 2026-2027

Direção-Geral da Saúde, Norma n.º 006/2026·2026

Establishes the seasonal influenza vaccination campaign for autumn-winter 2026-2027, with priority groups and how administration is organised.

View the norm on the DGS site

Campanha de Imunização Sazonal contra o Vírus Sincicial Respiratório em Idade Pediátrica: outono-inverno 2026-2027

Direção-Geral da Saúde, Norma n.º 004/2026·2026

Defines the seasonal respiratory syncytial virus immunisation campaign in paediatric age for autumn-winter 2026-2027, including the eligible population and the administration period.

View the norm on the DGS site

Atualização da estratégia de vacinação contra o vírus do papiloma humano no Programa Nacional de Vacinação

Direção-Geral da Saúde, Norma n.º 002/2026·2026

Updates the human papillomavirus vaccination strategy within the National Vaccination Programme, with the cohorts covered and the vaccine schedule.

View the norm on the DGS site

Oncology and screening

Programa de rastreio de cancro da mama em pessoas portadoras de variantes genéticas associadas a risco elevado

Direção-Geral da Saúde, Norma n.º 005/2026·2026

Defines the breast cancer screening programme for people carrying genetic variants associated with high risk, including inclusion criteria, imaging modality and interval.

View the norm on the DGS site

Maternal health

Organização dos Cuidados de Saúde na Preconceção, Gravidez e Puerpério

Direção-Geral da Saúde, Norma n.º 001/2023, atualizada a 23/03/2026·2026

Organises health care in preconception, pregnancy and the puerperium, including the number and content of consultations, the tests to perform in each period and referral criteria.

View the norm on the DGS site

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Frequently asked questions

What is a DGS clinical guidance norm?

A clinical guidance norm, known in Portuguese as a norma de orientação clínica or NOC, is a technical and scientific document issued by Portugal's Direção-Geral da Saúde that systematises the approach to a clinical situation in order to support decisions by health professionals. The norms are the instrument for assuring quality in care across evidence-based decision making, effectiveness, safety and efficiency.

How do I consult the DGS clinical norms?

The norms are published on the Direção-Geral da Saúde site, in the norms and normative circulars section, where each norm has its own page with the full text as a PDF. Every entry in this directory links directly to the official page for that norm.

What is the DGS norm for hypertension?

Norma n.º 001/2026, of 04/03/2026, sets out the diagnostic and therapeutic approach to hypertension in adults. It covers blood pressure measurement, classification, cardiovascular risk stratification, screening for target organ damage and treatment, and excludes pregnancy and secondary hypertension.

Which DGS norms cover vaccination for 2026-2027?

For autumn-winter 2026-2027 the applicable norms are Norma n.º 007/2026 for COVID-19, Norma n.º 006/2026 for seasonal influenza and Norma n.º 004/2026 for respiratory syncytial virus immunisation in paediatric age. Norma n.º 002/2026 updates the HPV vaccination strategy within the National Vaccination Programme.

How do I know whether a DGS norm is still in force?

The DGS states the publication date on the norm's own page and, where applicable, the date of the most recent update. An older norm can remain in force until it is revoked or replaced, so the update date is what to confirm before applying it.

Does DR. INFO search the DGS norms?

Yes. DR. INFO retrieves national guidance including DGS norms, alongside European and international society guidelines such as ESC, NICE, KDIGO and WHO, and answers in Portuguese. Every answer links the document it used, so you can confirm the source rather than trust a summary.

Is this directory complete?

No. It lists the norms published or updated in 2026, by clinical area. Earlier norms can remain in force and are available in the complete listing on the DGS site.

All norms come from the official site of the Direção-Geral da Saúde, the body that issues clinical guidance norms in Portugal.

View the norms on the DGS site

This directory lists clinical guidance norms published or updated in 2026 by the DGS, intended for qualified health professionals, and links to the official DGS site. It does not replace clinical judgement or the full text of the norm.