diff --git a/.env.example b/.env.example
index df56270..a3fdcd6 100644
--- a/.env.example
+++ b/.env.example
@@ -49,6 +49,10 @@ MPI_URL=https://bus-test.msal.gob.ar/masterfile-federacion-service/fhir/Patient
 # URL del Document Registry si difiere del Bus principal
 DOCUMENT_REGISTRY_URL=https://bus-test.msal.gob.ar/fhir/DocumentReference
 
+# ITI-67: si es true, no se envía el parámetro `type` en el GET /DocumentReference
+# al índice de documentos; se pide todo por subject y se filtra por type localmente.
+DOCUMENT_REGISTRY_FILTER_TYPE_LOCALLY=false
+
 # Habilita logs detallados de requests/responses salientes al Bus (true | false)
 BUS_DEBUG=false
 
diff --git a/bus-gateway/.env.example b/bus-gateway/.env.example
index e8402af..50909d5 100644
--- a/bus-gateway/.env.example
+++ b/bus-gateway/.env.example
@@ -13,6 +13,10 @@ DOCUMENT_REGISTRY_URL=http://document-registry-host:8080
 MPI_SCOPE=Patient/*.read,Patient/*.write
 DOCUMENT_REGISTRY_SCOPE=DocumentReference/*.read,DocumentReference/*.write
 
+# ITI-67: si es true, no se envía el parámetro `type` en el GET /DocumentReference
+# al índice de documentos; se pide todo por subject y se filtra por type localmente.
+DOCUMENT_REGISTRY_FILTER_TYPE_LOCALLY=false
+
 # HAPI FHIR Server
 FHIR_URL=http://hapi-fhir-host:8080/fhir
 
diff --git a/bus-gateway/config/index.js b/bus-gateway/config/index.js
index fc48736..43b8440 100644
--- a/bus-gateway/config/index.js
+++ b/bus-gateway/config/index.js
@@ -9,6 +9,9 @@ const config = {
         issuer: process.env.BUS_ISSUER,
         mpiScope: process.env.MPI_SCOPE,
         documentRegistryScope: process.env.DOCUMENT_REGISTRY_SCOPE,
+        // Si es true, ITI-67 no envía el parámetro `type` al índice de documentos:
+        // pide todos los DocumentReference del subject y filtra por type localmente.
+        filterDocumentTypeLocally: process.env.DOCUMENT_REGISTRY_FILTER_TYPE_LOCALLY === 'true',
     },
     fhir: {
         url: process.env.FHIR_URL,
diff --git a/bus-gateway/services/documentReference.js b/bus-gateway/services/documentReference.js
index d9b2988..f59eefc 100644
--- a/bus-gateway/services/documentReference.js
+++ b/bus-gateway/services/documentReference.js
@@ -68,10 +68,67 @@ async function findDocumentReferenceBySubject(token, subjectSystem, subjectValue
     return response.data;
 }
 
+/**
+ * Parses a FHIR token search value (`system|code`, `|code` o `code`) into its parts.
+ * `system === null` indica la forma `|code` (exige coding sin system).
+ * `system === undefined` indica la forma `code` (sin restricción de system).
+ * @param {string} token
+ * @returns {{ system: string|null|undefined, code: string }}
+ */
+function parseTypeToken(token) {
+    const pipeIndex = token.indexOf('|');
+    if (pipeIndex === -1) {
+        return { system: undefined, code: token };
+    }
+    const system = token.slice(0, pipeIndex);
+    return { system: system === '' ? null : system, code: token.slice(pipeIndex + 1) };
+}
+
+/**
+ * Indica si el CodeableConcept `type` de un DocumentReference matchea el token FHIR dado,
+ * replicando la semántica estándar de búsqueda por token (`system|code`, `|code` o `code`)
+ * que el índice de documentos aplicaría del lado del servidor.
+ * @param {object} resource - DocumentReference resource.
+ * @param {string} token - Token FHIR de DocumentReference.type.
+ * @returns {boolean}
+ */
+function matchesTypeToken(resource, token) {
+    const { system, code } = parseTypeToken(token);
+    const codings = resource?.type?.coding ?? [];
+    return codings.some(coding => {
+        if (system === null) {
+            return !coding.system && coding.code === code;
+        }
+        if (system !== undefined) {
+            return coding.system === system && coding.code === code;
+        }
+        return coding.code === code;
+    });
+}
+
+/**
+ * Filtra las entries de un Bundle searchset de DocumentReference por type,
+ * ajustando `total` a la cantidad de entries resultantes.
+ * @param {object} bundle - FHIR Bundle (searchset).
+ * @param {string} type - Token FHIR de DocumentReference.type.
+ * @returns {object} Bundle filtrado.
+ */
+function filterBundleByType(bundle, type) {
+    if (!bundle || !Array.isArray(bundle.entry)) {
+        return bundle;
+    }
+    const entry = bundle.entry.filter(e => matchesTypeToken(e.resource, type));
+    return { ...bundle, entry, total: entry.length };
+}
+
 /**
  * Searches DocumentReferences in the document registry by patient internal ID,
  * opcionalmente filtrando por tipo de documento
  * (GET /fhir/DocumentReference?patient=value[&type=system|code]).
+ *
+ * Si `config.bus.filterDocumentTypeLocally` está activo y se pidió `type`, el parámetro
+ * `type` no se envía al índice de documentos: se piden todos los DocumentReference del
+ * subject y el filtrado por tipo se hace localmente sobre el Bundle resultante.
  * @param {string} documentRegistryUrl - Base URL of the document registry service.
  * @param {string} token - Bearer access token.
  * @param {string} patientId - Internal patient ID in the document registry.
@@ -80,15 +137,16 @@ async function findDocumentReferenceBySubject(token, subjectSystem, subjectValue
  */
 async function findDocumentReferenceByPatient(token, patientId, type) {
     const request = createBusRequest(token);
+    const filterLocally = Boolean(type) && config.bus.filterDocumentTypeLocally;
     const params = { subject: patientId };
-    if (type) {
+    if (type && !filterLocally) {
         params.type = type;
     }
     const response = await request.get(
         URL.parse(INDICE_ATENCION_URL),
         { params }
     );
-    return response.data;
+    return filterLocally ? filterBundleByType(response.data, type) : response.data;
 }
 
 /**
diff --git a/bus-gateway/tests/services/documentReference.test.js b/bus-gateway/tests/services/documentReference.test.js
index 8e97ff2..cac4782 100644
--- a/bus-gateway/tests/services/documentReference.test.js
+++ b/bus-gateway/tests/services/documentReference.test.js
@@ -1,5 +1,6 @@
 require('dotenv').config();
 const axios = require('axios');
+const config = require('../../config');
 const { getBusToken } = require('../../utils/busAuth');
 const {
     createDocumentReference,
@@ -76,6 +77,10 @@ describe('findDocumentReferenceBySubject', () => {
 });
 
 describe('findDocumentReferenceByPatient', () => {
+    afterEach(() => {
+        config.bus.filterDocumentTypeLocally = false;
+    });
+
     it('GETs /fhir/DocumentReference with patient ID as subject param', async () => {
         const token = await acquireToken();
         const bundle = { resourceType: 'Bundle', entry: [] };
@@ -89,6 +94,55 @@ describe('findDocumentReferenceByPatient', () => {
         );
         expect(result).toEqual(bundle);
     });
+
+    it('sends the type param when filterDocumentTypeLocally is disabled', async () => {
+        config.bus.filterDocumentTypeLocally = false;
+        const token = await acquireToken();
+        const bundle = { resourceType: 'Bundle', entry: [] };
+        mockRequest.get.mockResolvedValue({ data: bundle });
+
+        await findDocumentReferenceByPatient(token, 'http://mpi/fhir/Patient/123', 'http://loinc.org|60591-5');
+
+        expect(mockRequest.get).toHaveBeenCalledWith(
+            expect.anything(),
+            { params: { subject: 'http://mpi/fhir/Patient/123', type: 'http://loinc.org|60591-5' } }
+        );
+    });
+
+    it('omits the type param and filters the bundle locally when filterDocumentTypeLocally is enabled', async () => {
+        config.bus.filterDocumentTypeLocally = true;
+        const token = await acquireToken();
+        const ipsEntry = {
+            resource: { resourceType: 'DocumentReference', type: { coding: [{ system: 'http://loinc.org', code: '60591-5' }] } },
+        };
+        const meowEntry = {
+            resource: { resourceType: 'DocumentReference', type: { coding: [{ system: 'http://loinc.org', code: '56445-0' }] } },
+        };
+        const bundle = { resourceType: 'Bundle', total: 2, entry: [ipsEntry, meowEntry] };
+        mockRequest.get.mockResolvedValue({ data: bundle });
+
+        const result = await findDocumentReferenceByPatient(token, 'http://mpi/fhir/Patient/123', 'http://loinc.org|60591-5');
+
+        expect(mockRequest.get).toHaveBeenCalledWith(
+            expect.anything(),
+            { params: { subject: 'http://mpi/fhir/Patient/123' } }
+        );
+        expect(result).toEqual({ resourceType: 'Bundle', total: 1, entry: [ipsEntry] });
+    });
+
+    it('matches the bare `code` token form regardless of coding system', async () => {
+        config.bus.filterDocumentTypeLocally = true;
+        const token = await acquireToken();
+        const matching = {
+            resource: { resourceType: 'DocumentReference', type: { coding: [{ system: 'http://other-system.org', code: '60591-5' }] } },
+        };
+        const bundle = { resourceType: 'Bundle', total: 1, entry: [matching] };
+        mockRequest.get.mockResolvedValue({ data: bundle });
+
+        const result = await findDocumentReferenceByPatient(token, 'http://mpi/fhir/Patient/123', '60591-5');
+
+        expect(result.entry).toEqual([matching]);
+    });
 });
 
 describe('searchDocumentReference', () => {
diff --git a/docker-compose.yml b/docker-compose.yml
index 69e3916..7ee89c6 100644
--- a/docker-compose.yml
+++ b/docker-compose.yml
@@ -55,6 +55,7 @@ services:
       DOCUMENT_REGISTRY_URL: ${DOCUMENT_REGISTRY_URL}
       MPI_SCOPE: ${MPI_SCOPE}
       DOCUMENT_REGISTRY_SCOPE: ${DOCUMENT_REGISTRY_SCOPE}
+      DOCUMENT_REGISTRY_FILTER_TYPE_LOCALLY: ${DOCUMENT_REGISTRY_FILTER_TYPE_LOCALLY:-false}
       FHIR_URL: http://hapi-fhir:8080/fhir
       BUNDLE_SIGNER_URL: ${BUNDLE_SIGNER_URL}
       BUS_DEBUG: ${BUS_DEBUG}