<div dir=3D"ltr">
Estimada, reenv=C3=ADo atenci=C3=B3n a paciente Jorge Reyes.<br clear=3D"all">
<div>
<div dir=3D"ltr" class=3D"gmail_signature" data-smartmail=3D"gmail_signature">
<div dir=3D"ltr">
<div>
<div dir=3D"ltr">
<div dir=3D"ltr">
<div dir=3D"ltr">
<div dir=3D"ltr">
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<br>
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Saludos cordiales</div>
Katherine Schwerter Sunkel<div>
<br>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<br>
<br>
<div class=3D"gmail_quote">
<div dir=3D"ltr" class=3D"gmail_attr">
---------- Forwarded message ---------<br>
De: <strong class=3D"gmail_sendername" dir=3D"auto">
Formularios de Google</strong>
 <span dir=3D"ltr">
&lt;<a href=3D"mailto:forms-receipts-noreply@google.com">
forms-receipts-noreply@google.com</a>
&gt;</span>
<br>
Date: mar., 2 abr. 2019 a las 16:45<br>
Subject: Registro de Atenci=C3=B3n Domiciliaria Oncovida<br>
To:  &lt;<a href=3D"mailto:kati.schwerter@gmail.com">
kati.schwerter@gmail.com</a>
&gt;<br>
</div>
<br>
<br>
<div style=3D"font-family:Roboto,Helvetica,Arial,sans-serif;margin:0;padding:0;height:100%;width:100%">
<table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:rgb(38,4,154)" width=3D"100%">
<tbody>
<tr height=3D"64px">
<td style=3D"padding-left:24px">
<img alt=3D"Formularios de Google" height=3D"26px" style=3D"display:inline-block;margin:0;vertical-align:middle" width=3D"143px" src=3D"https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png">
</td>
</tr>
</tbody>
</table>
<div style=3D"padding:24px;background-color:rgb(229,218,254)">
<div align=3D"center" style=3D"background-color:#fff;border-bottom:1px solid #e0e0e0;margin:0 auto;max-width:624px;min-width:154px;padding:0 24px">
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:#fff" width=3D"100%">
<tbody>
<tr height=3D"24px">
<td>
</td>
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:#424242;font-weight:700">
Gracias por rellenar <a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link" target=3D"_blank">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</a>
</div>
</td>
</tr>
<tr height=3D"12px">
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:#424242">
Esto es lo que nos has enviado:</div>
</td>
</tr>
<tr>
<td>
<div class=3D"m_4498997453242726896ss-form-container">
<div class=3D"m_4498997453242726896ss-form-heading">
<h1 class=3D"m_4498997453242726896ss-form-title" dir=3D"ltr" style=3D"margin:.67em 0">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"m_4498997453242726896ss-form-desc m_4498997453242726896ss-no-ignore-whitespace" style=3D"font:inherit;width:99%;margin:0 0 1em;white-space:pre-wrap;word-wrap:break-word">
Este es el sistema de registro de atenciones domiciliarias de Oncovida.   Debe ser llenado por el prestador individual, y debe realizarse un registro por cada visita domiciliaria.   Si usted no es prestador de Oncovida por favor no llene este formulario.   A continuaci=C3=B3n indique su correo electr=C3=B3nico.</div>
</div>
<div class=3D"m_4498997453242726896ss-form">
<form method=3D"GET" id=3D"m_4498997453242726896ss-form" target=3D"_blank">
<br>
<div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-text" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896emailAddress">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Direcci=C3==B3n de correo electr=C3=B3nico<label for=3D"m_4498997453242726896emailAddress">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
</label>
<div class=3D"m_4498997453242726896ss-q-text m_4498997453242726896ss-printable-text-line" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
<a href=3D"mailto:kati.schwerter@gmail.com" target=3D"_blank">
kati.schwerter@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"m_4498997453242726896ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" style=3D"width:78px;outline:none" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_4498997453242726896ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"m_4498997453242726896ss-page-description m_4498997453242726896ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap;word-wrap:break-word">
Aqu=C3=AD debe ingresar sus datos personales</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-text" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_579114469">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Primer Nombre y Apellido Paterno<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_4498997453242726896ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Katherine Schwerter</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-text" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_1276273985">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
RUT<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"m_4498997453242726896ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
18238384-8</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-select" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_133691676">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
Si asisten m=C3=A1s de 1 prestador simult=C3=A1neamente, cada uno debe hacer un registro independiente</div>
</label>
<select name=3D"entry.133691676" disabled id=3D"m_4498997453242726896entry_133691676">
<option value=3D"">
</option>
<option value=3D"MEDICO" disabled>
MEDICO</option>
 <option value=3D"ENFERMERA/O" disabled selected>
ENFERMERA/O</option>
 <option value=3D"TENS" disabled>
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled>
KINESIOLOGA/O</option>
 <option value=3D"PSICOLOGO" disabled>
PSICOLOGO</option>
 <option value==3D"NUTRICIONISTA" disabled>
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"m_4498997453242726896ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" style=3D"width:78px;outline:none" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_4498997453242726896ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Paciente</h2>
<div class=3D"m_4498997453242726896ss-page-description m_4498997453242726896ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap;word-wrap:break-word">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-section-header" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_4498997453242726896ss-section-title" style=3D"background-color:#eee;padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"m_4498997453242726896ss-section-description m_4498997453242726896ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-space:pre-wrap;word-wrap:break-word">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-text" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_823811303">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ingrese el Rut del Paciente<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"m_4498997453242726896ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
5681099-4</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-text" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_1959365839">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_4498997453242726896ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Jorge Reyes</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-select" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_545002227">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Previsi=C3=B3n<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<select name=3D"entry.545002227" disabled id=3D"m_4498997453242726896entry_545002227">
<option value=3D"">
</option>
<option value=3D"BANMEDICA" disabled>
BANMEDICA</option>
 <option value=3D"CAPREDENA" disabled>
CAPREDENA</option>
 <option value=3D"COLMENA" disabled>
COLMENA</option>
 <option value=3D"CONSALUD" disabled>
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled>
CRUZ BLANCA</option>
 <option value=3D"DIPRECA" disabled>
DIPRECA</option>
 <option value=3D"FONASA" disabled>
FONASA</option>
 <option value=3D"FUNDACION" disabled selected>
FUNDACION</option>
 <option value=3D"ISAPRES DEL COBRE" disabled>
ISAPRES DEL COBRE</option>
 <option value=3D"NUEVA MASVIDA" disabled>
NUEVA MASVIDA</option>
 <option value=3D"VIDATRES" disabled>
VIDATRES</option>
 <option value=3D"PARTICULAR" disabled>
PARTICULAR</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-text" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_1900161356">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ciudad<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_4498997453242726896ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Fresia</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-text" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_1298871758">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Comuna<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_4498997453242726896ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Fresia</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"m_4498997453242726896ss-image" title=3D"" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" style=3D"width:78px;outline:none" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_4498997453242726896ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Registro de la Atenci=C3=B3n Domiciliaria</h2>
<div class=3D"m_4498997453242726896ss-page-description m_4498997453242726896ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap;word-wrap:break-word">
En esta secci=C3=B3n debe ingresar los datos de la atenci==C3=B3n domiciliaria</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-radio" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_2073233714">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo de Atenci=C3=B3n<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<ul class=3D"m_4498997453242726896ss-choices" style=3D"list-style:none;padding:0;margin:.5em 0 0">
<li class=3D"m_4498997453242726896ss-choice-item" style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
<label>
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<input type==3D"radio" name=3D"entry.1222378237" disabled checked value=3D"Domicilio" id=3D"m_4498997453242726896group_1222378237_1" class=3D"m_4498997453242726896ss-q-radio">
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<span class=3D"m_4498997453242726896ss-choice-label">
Domicilio</span>
</label>
</li>
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<label>
<span class=3D"m_4498997453242726896ss-choice-item-control m_4498997453242726896goog-inline-block" style=3D"display:inline-block">
<input type==3D"radio" name=3D"entry.1222378237" disabled value=3D"Ambulatorio" id=3D"m_4498997453242726896group_1222378237_2" class=3D"m_4498997453242726896ss-q-radio">
</span>
<span class=3D"m_4498997453242726896ss-choice-label">
Ambulatorio</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-date" style=3D"margin:12px 0">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_1705849412">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Fecha de la Atenci=C3=B3n<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_4498997453242726896ss-q-date">
<div class=3D"m_4498997453242726896ss-datetime-box m_4498997453242726896goog-inline-block" style=3D"border:1px solid #dcdcdc;margin-right:2em;min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
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D=C3=ADa</option>
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1</option>
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2</option>
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3</option>
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4</option>
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5</option>
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6</option>
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7</option>
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8</option>
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9</option>
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10</option>
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11</option>
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12</option>
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13</option>
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14</option>
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15</option>
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16</option>
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17</option>
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18</option>
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19</option>
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20</option>
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21</option>
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22</option>
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23</option>
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24</option>
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25</option>
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26</option>
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27</option>
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28</option>
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29</option>
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30</option>
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31</option>
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Mes</option>
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enero</option>
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febrero</option>
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marzo</option>
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abril</option>
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mayo</option>
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junio</option>
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julio</option>
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agosto</option>
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septiembre</option>
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octubre</option>
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noviembre</option>
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diciembre</option>
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=20<select name=3D"entry.1705849412_year" disabled id=3D"m_4498997453242726896entry.1705849412_year">
<option value=3D"">
A=C3=B1o</option>
<option value=3D"1896">
1896</option>
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1897</option>
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1898</option>
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1899</option>
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1900</option>
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1901</option>
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1902</option>
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1903</option>
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1904</option>
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1905</option>
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1906</option>
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1907</option>
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1908</option>
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1909</option>
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1910</option>
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1911</option>
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1912</option>
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1913</option>
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1914</option>
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1915</option>
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1916</option>
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1917</option>
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1918</option>
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1919</option>
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1920</option>
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1921</option>
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1922</option>
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1923</option>
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1924</option>
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1925</option>
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1926</option>
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1927</option>
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1928</option>
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1929</option>
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1930</option>
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1931</option>
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1932</option>
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1933</option>
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1934</option>
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1935</option>
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1936</option>
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1937</option>
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1938</option>
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1939</option>
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1940</option>
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1941</option>
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1942</option>
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1943</option>
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1944</option>
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1945</option>
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1946</option>
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1947</option>
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1948</option>
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1949</option>
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1950</option>
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1951</option>
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1952</option>
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1953</option>
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1954</option>
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1955</option>
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1956</option>
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1957</option>
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1958</option>
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1959</option>
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1960</option>
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1961</option>
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1962</option>
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1963</option>
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1964</option>
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1965</option>
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1966</option>
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1967</option>
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1968</option>
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1969</option>
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1970</option>
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1971</option>
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1972</option>
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1973</option>
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1974</option>
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1975</option>
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1976</option>
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1977</option>
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1978</option>
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1979</option>
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1980</option>
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1981</option>
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1982</option>
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1983</option>
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1984</option>
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1985</option>
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1986</option>
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1987</option>
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1988</option>
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1989</option>
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1990</option>
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1991</option>
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1992</option>
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1993</option>
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1994</option>
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1995</option>
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1996</option>
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1997</option>
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1998</option>
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1999</option>
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2000</option>
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2001</option>
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2002</option>
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2003</option>
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2004</option>
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2005</option>
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2006</option>
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2007</option>
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2008</option>
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2009</option>
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2010</option>
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2011</option>
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2012</option>
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2013</option>
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2014</option>
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2015</option>
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2016</option>
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2017</option>
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2018</option>
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2019</option>
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2020</option>
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2021</option>
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2022</option>
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2023</option>
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2024</option>
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2025</option>
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2026</option>
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2027</option>
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2028</option>
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2029</option>
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2030</option>
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2031</option>
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2032</option>
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2033</option>
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2034</option>
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2035</option>
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2036</option>
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2037</option>
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2038</option>
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2039</option>
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2040</option>
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2041</option>
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2042</option>
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2043</option>
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2044</option>
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2045</option>
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2046</option>
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2047</option>
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2048</option>
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2049</option>
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2050</option>
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2051</option>
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2052</option>
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2053</option>
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2054</option>
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2055</option>
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2056</option>
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2057</option>
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2058</option>
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2059</option>
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2060</option>
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2061</option>
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2062</option>
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2063</option>
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2064</option>
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2065</option>
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2066</option>
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2067</option>
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2068</option>
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2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
<div dir=3D"auto" class=3D"m_4498997453242726896ss-item m_4498997453242726896ss-item-required m_4498997453242726896ss-time" style=3D"margin:12px 0;font:inherit">
<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_4498997453242726896ss-q-item-label" for=3D"m_4498997453242726896entry_206244955">
<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Hora de la Atenci=C3=B3n<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
</label>
<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_4498997453242726896ss-q-time">
<div class=3D"m_4498997453242726896ss-datetime-box m_4498997453242726896goog-inline-block" dir=3D"ltr" style=3D"border:1px solid #dcdcdc;margin-right:2em;min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.206244955_hour" disabled id=3D"m_4498997453242726896entry.206244955_hour">
<option value=3D"">
h</option>
<option value=3D"00">
00</option>
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01</option>
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02</option>
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03</option>
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04</option>
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05</option>
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06</option>
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07</option>
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08</option>
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09</option>
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10</option>
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11</option>
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12</option>
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13</option>
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14</option>
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15</option>
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16</option>
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17</option>
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18</option>
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19</option>
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20</option>
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21</option>
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22</option>
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23</option>
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 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
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<div class=3D"m_4498997453242726896ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
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<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Escala Dolor EVA Actual</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
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0</label>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1421689035_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
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2</label>
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3</label>
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4</label>
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5</label>
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6</label>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1421689035_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
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8</label>
</td>
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9</label>
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10</label>
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<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
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<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Escala Dolor EVA M=C3=A1ximo</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
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</td>
<td class=3D"m_4498997453242726896ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_4498997453242726896ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
 <td class=3D"m_4498997453242726896ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_9" style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
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<label class=3D"m_4498997453242726896ss-scalenumber" for=3D"m_4498997453242726896group_1244707512_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_4498997453242726896ss-scalenumbers" style=3D"text-align:center">
</td>
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<tr>
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Escala Dolor EVA M=C3=ADnimo</div>
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0</label>
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1</label>
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2</label>
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3</label>
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4</label>
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5</label>
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6</label>
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7</label>
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8</label>
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9</label>
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10</label>
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</td>
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Paciente de 69 a=C3=B1os, con antecedentes m=C3=B3rbidos de DM2 IR y Ca de colon metast=C3=A1sico a h=C3=ADgado, pulm=C3=B3n y columna lumbar. Como antecedentes quir=C3=BArgicos present=C3=B3 resecci=C3=B3n de colon de 15cm aproximadamente a fines del a=C3=B1o 2015, previo al comienzo del tratamiento con QT.Tratamiento farmacol=C3=B3gico actual:=E2=80=A2	Insulina NPH 42 UI am =E2=80=93 14 UI pm=E2=80=A2	Insulina cristalina de refuerzo=E2=80=A2	Transtec 35mcg/h 2 parches cada 3 d=C3=ADas (cambio lunes en la ma=C3=B1ana y jueves en la tarde)=E2=80=A2	Oxicodona 10mg al d=C3=ADa VO=E2=80=A2	Oramorph 20mg/20 ml, 20 gotas SOS en caso de dolor=E2=80=A2	Paracetamol 1gr EV SOS en caso de dolor=E2=80=A2	Ketorolaco 30mg EV SOS en caso de dolor=E2=80=A2	Dacam rapi-lento 1 ampolla IM SOS en caso de dolor=E2=80=A2	Ondansentron 4mg EV SOS en caso de nauseas o v=C3=B3mitos=20=E2=80=A2	Lactulosa 20cc SOS en caso de estre=C3=B1imiento=E2=80=A2	Pamidronato 90mg EV mensual por 6 mesesUltimas atenciones m=C3=A9dicas:=20=E2=80=A2	Noviembre de 2018: cursa con cuadro de NAC que requiri=C3=B3 hospitalizaci=C3=B3n por 3 d=C3=ADas en Cl=C3=ADnica Puerto Varas.=20=E2=80=A2	17 diciembre de 2018: paciente presenta descompensaci=C3=B3n asociada a permanencia de Transtec por 7 d=C3=ADas, con aumento de las RAM asociadas al tratamiento, ingresando en malas condiciones generales, somnoliento, hipotenso, subfebril y dolor EVA 10/10, requiriendo atenci=C3=B3n en servicio de urgencia de Cl=C3=ADnica Puerto Varas para manejo del dolor y hospitalizaci=C3=B3n por 3 d=C3=ADas para compensaci=C3=B3n.=20=E2=80=A2	26 de diciembre: paciente presenta episodio de dolor lumbar irradiado a extremidades inferiores de dif=C3=ADcil manejo con analg=C3=A9sicos en domicilio por lo que consulta en servicio de urgencia donde requiri=C3==B3 administraci=C3=B3n de morfina 10mg EV para manejo del dolor, con regular respuesta. En esta oportunidad de realiza scanner donde se evidencia compromiso metast=C3=A1sico pulmonar bilateral y hep=C3=A1tico en l=C3=B3bulo derecho, adem=C3=A1s de compromiso en columna lumbar.=20=C3=9Altimo scanner realizado en Cl=C3=ADnica Puerto Varas muestra aumento de los n=C3=B3dulos pulmonares y hep=C3=A1ticos, sin cambios en met=C3=A1stasis de columna lumbar. Es por esto que equipo de oncolog=C3=ADa decide reinicio de QT, por lo que el 29 de enero de 2019 se inicia nuevo esquema de 4 ciclos, el primero muy mal tolerado, cursa con rechazo alimentario por 3 d=C3=ADas, diarrea, fiebre y dolor EVA 10/10. Por esta situaci=C3=B3n paciente decide no continuar con el tratamiento, sin embargo luego de conversaci==C3=B3n con onc=C3=B3loga decide continuar. Actualmente pendiente el cuarto y =C3=BAltimo ciclo. Refiere que las mayores molestias post QT son decaimiento, dolor =C3=B3seo generalizado y p=C3=A9rdida del apetito.Condici=C3=B3n actual:=20Paciente con buena recepci=C3=B3n a la visita de enfermer=C3=ADa, colaborador y comunicativo, accesible durante la entrevista, de buen =C3=A1nimo. Se encuentra estable, en regulares condiciones generales ya que refiere dolor durante todo el d=C3=ADa, el que var=C3=ADa entre EVA 5 a 8 (refiere que le es dif=C3=ADcil clasificar el dolor porque es muy fluctuante). Refiere y se objetiva visualmente dificultad para deambular por dolor generalizado, requiriendo ayuda para realizar algunas actividades de la vida diaria. Permanece sentado o acostado gran parte del d=C3=ADa. En cuanto a la administraci=C3=B3n del tratamiento farmacol=C3=B3gico es el mismo paciente quien lo realiza y se evidencia buen manejo de la terapia. Refiere manejo del dolor aceptable pero con necesidad de administraci=C3=B3n de indicaciones SOS 1 o 2 veces por semana, requiriendo atenciones por t=C3=A9cnico en enfermer=C3==ADa (gestionadas por el mismo) en vista de no contar con atenci=C3=B3n de enfermer=C3=ADa durante las =C3=BAltimas semanas.=20=E2=80=A2	Movilidad: paciente autovalente que deambula y realiza sus actividades con dificultad a causa del dolor.=E2=80=A2	Reposo y sue=C3=B1o: paciente refiere dormir aproximadamente 6-7 horas diarias, despertando algunas veces durante la noche para orinar.=E2=80=A2	Alimentaci=C3=B3n: paciente refiere buena tolerancia oral, comiendo fraccionado durante el d=C3=ADa.=E2=80=A2	Eliminaci=C3=B3n: Diuresis espontanea de aspecto normal sin molestias; deposiciones d=C3=ADa por medio de aspecto y consistencia normal (sin estre=C3=B1imiento, no ha sido necesaria la administraci=C3=B3n de Lactulosa).=E2=80=A2	Redes de apoyo: paciente vive solo y refiere que disfruta de la soledad. Es separado, tiene 2 hijas, Claudia y Lorena. Claudia reside en la ciudad de Frutillar y es quien se hace cargo de acompa=C3=B1arlo. Lorena reside en Santiago, a quien ve espor=C3=A1dicamente. Refiere tener pocos amigos y que prefiere mantenerse as=C3=AD.=20=E2=80=A2	Estado de =C3=A1nimo: sin labilidad emocional al momento de la entrevista</div>
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Examen F=C3=ADsico<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
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<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
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</div>
</label>
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Examen f=C3=ADsico general:=E2=80=A2	Posici=C3=B3n y dec=C3=BAbito: sedestaci=C3=B3n durante la entrevista=E2=80=A2	Marcha y deambulaci=C3=B3n: deambula pero se observa con dolor al movilizarse=E2=80=A2	Fascie: no caracter=C3=ADstica=20=E2=80=A2	Examen mental:=E2=80=A2	Conciencia: consciente, lucido, orientado en tiempo, espacio y persona. Escala de Glasgow 15 puntos=E2=80=A2	Lenguaje: sin alteraci=C3=B3n=E2=80=A2	Memoria: sin alteraci=C3=B3n=20=E2=80=A2	Constituci=C3=B3n y estado nutritivo: ectomorfo, IMC 22,8 (normopeso). Refiere que desde el a=C3=B1o 2016 ha bajado 45 kilos.=E2=80=A2	Piel y anexos:=E2=80=A2	Color: rosada. Anicterico=E2=80=A2	Humedad: hidratada=E2=80=A2	Turgor y elasticidad: disminuida=E2=80=A2	Temperatura: tibia al tacto=E2=80=A2	Lesiones: (-)=E2=80=A2	Pelo y u=C3=B1as: sin alteraciones=E2=80=A2	Sistema linf=C3=A1tico: no se palpan adenopat=C3=ADas=20Control de signos vitales:=E2=80=A2	PA: 147/97 mmHg=E2=80=A2	FC: 99x`=E2=80=A2	FR: 18x`=E2=80=A2	SatO2: 97%=E2=80=A2	T=C2=BA: 37.2=C2=BAC=20Examen f=C3=ADsico segmentario:=20Paciente bien hidratado y perfundido, mucosas rosadas e hidratadas, anticterico, llene capilar &lt;2 segundos. Piel tibia, sin lesiones ni ulceras por presi=C3=B3n. Normo cr=C3=A1neo, yugulares planas, sin adenopat=C3=ADas palpables, t=C3=B3rax sim=C3=A9trico, sin uso de musculatura accesoria, a la auscultaci=C3=B3n MP (+), sin ruidos agregados. Abdomen blando, depresible e indoloro a la palpaci=C3=B3n, con ruidos hidroa=C3=A9reos (+) sin masa ni viceromegalias palpables, sin lesiones. Mantiene leve dolor a la palpaci==C3=B3n en musculatura paravertebral. Extremidades superiores indemnes, sin lesiones, con movilidad reducida por dolor. Extremidades inferiores indemnes, sin lesiones, sin edema, sin signos de TVP. Movilidad reducida por dolor. Paciente no permite examen genital.=20</div>
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<div class=3D"m_4498997453242726896ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Diagn=C3=B3stico<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
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<span class=3D"m_4498997453242726896ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
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Ca de colon metast=C3=A1sico a h=C3=ADgado, pulm=C3=B3n y columna lumbar</div>
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Plan de Tratamiento e Indicaciones<label for=3D"m_4498997453242726896itemView.getDomIdToLabel()">
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*</span>
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Mantener visitas semanales para evaluar la adherencia al tratamiento farmacol=C3=B3gico y respuesta ante la terapia, necesidad de aumentar dosis de analg=C3=A9sicos o uso frecuente de medicamentos SOS, evaluar capacidad de realizar actividades de la vida diaria o mayor dependencia, evaluar estado de animo, evaluar ingesta oral, evaluar eliminaci=C3=B3n, evaluar estado de la piel, evaluar estado de =C3=A1nimo redes de apoyo.Paciente refiere que ha requerido atenci=C3=B3n por t=C3=A9cnico en enfermer=C3=ADa para administraci=C3=B3n de medicamentos SOS inyectables por diferentes v=C3=ADas, ante esto se solicita la posibilidad de aumentar el numero de visitas mensuales para que adem=C3=A1s de la visita semanal se pueda asistir al paciente con este procedimiento ante la necesidad del paciente. </div>
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Medicamentos Indicados</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
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=E2=80=A2	Insulina NPH 42 UI am =E2=80=93 14 UI pm=E2=80=A2	Insulina cristalina de refuerzo=E2=80=A2	Transtec 35mcg/h 2 parches cada 3 d=C3=ADas (cambio lunes en la ma=C3=B1ana y jueves en la tarde)=E2=80=A2	Oxicodona 10mg al d=C3=ADa VO=E2=80=A2	Oramorph 20mg/20 ml, 20 gotas SOS en caso de dolor=E2=80=A2	Paracetamol 1gr EV SOS en caso de dolor=E2=80=A2	Ketorolaco 30mg EV SOS en caso de dolor=E2=80=A2	Dacam rapi-lento 1 ampolla IM SOS en caso de dolor=E2=80=A2	Ondansentron 4mg EV SOS en caso de nauseas o v=C3=B3mitos=20=E2=80=A2	Lactulosa 20cc SOS en caso de estre=C3=B1imiento=E2=80=A2	Pamidronato 90mg EV mensual por 6 meses</div>
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Fecha aproximada del Pr=C3=B3ximo Control con usted</div>
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1954</option>
 <option value=3D"1955">
1955</option>
 <option value==3D"1956">
1956</option>
 <option value=3D"1957">
1957</option>
 <option value==3D"1958">
1958</option>
 <option value=3D"1959">
1959</option>
 <option value==3D"1960">
1960</option>
 <option value=3D"1961">
1961</option>
 <option value==3D"1962">
1962</option>
 <option value=3D"1963">
1963</option>
 <option value==3D"1964">
1964</option>
 <option value=3D"1965">
1965</option>
 <option value==3D"1966">
1966</option>
 <option value=3D"1967">
1967</option>
 <option value==3D"1968">
1968</option>
 <option value=3D"1969">
1969</option>
 <option value==3D"1970">
1970</option>
 <option value=3D"1971">
1971</option>
 <option value==3D"1972">
1972</option>
 <option value=3D"1973">
1973</option>
 <option value==3D"1974">
1974</option>
 <option value=3D"1975">
1975</option>
 <option value==3D"1976">
1976</option>
 <option value=3D"1977">
1977</option>
 <option value==3D"1978">
1978</option>
 <option value=3D"1979">
1979</option>
 <option value==3D"1980">
1980</option>
 <option value=3D"1981">
1981</option>
 <option value==3D"1982">
1982</option>
 <option value=3D"1983">
1983</option>
 <option value==3D"1984">
1984</option>
 <option value=3D"1985">
1985</option>
 <option value==3D"1986">
1986</option>
 <option value=3D"1987">
1987</option>
 <option value==3D"1988">
1988</option>
 <option value=3D"1989">
1989</option>
 <option value==3D"1990">
1990</option>
 <option value=3D"1991">
1991</option>
 <option value==3D"1992">
1992</option>
 <option value=3D"1993">
1993</option>
 <option value==3D"1994">
1994</option>
 <option value=3D"1995">
1995</option>
 <option value==3D"1996">
1996</option>
 <option value=3D"1997">
1997</option>
 <option value==3D"1998">
1998</option>
 <option value=3D"1999">
1999</option>
 <option value==3D"2000">
2000</option>
 <option value=3D"2001">
2001</option>
 <option value==3D"2002">
2002</option>
 <option value=3D"2003">
2003</option>
 <option value==3D"2004">
2004</option>
 <option value=3D"2005">
2005</option>
 <option value==3D"2006">
2006</option>
 <option value=3D"2007">
2007</option>
 <option value==3D"2008">
2008</option>
 <option value=3D"2009">
2009</option>
 <option value==3D"2010">
2010</option>
 <option value=3D"2011">
2011</option>
 <option value==3D"2012">
2012</option>
 <option value=3D"2013">
2013</option>
 <option value==3D"2014">
2014</option>
 <option value=3D"2015">
2015</option>
 <option value==3D"2016">
2016</option>
 <option value=3D"2017">
2017</option>
 <option value==3D"2018">
2018</option>
 <option value=3D"2019" selected>
2019</option>
 <option value=3D"2020">
2020</option>
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2021</option>
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2022</option>
 <option value=3D"2023">
2023</option>
 <option value=3D"2024">
2024</option>
 <option value=3D"2025">
2025</option>
 <option value=3D"2026">
2026</option>
 <option value=3D"2027">
2027</option>
 <option value=3D"2028">
2028</option>
 <option value=3D"2029">
2029</option>
 <option value=3D"2030">
2030</option>
 <option value=3D"2031">
2031</option>
 <option value=3D"2032">
2032</option>
 <option value=3D"2033">
2033</option>
 <option value=3D"2034">
2034</option>
 <option value=3D"2035">
2035</option>
 <option value=3D"2036">
2036</option>
 <option value=3D"2037">
2037</option>
 <option value==3D"2038">
2038</option>
 <option value=3D"2039">
2039</option>
 <option value==3D"2040">
2040</option>
 <option value=3D"2041">
2041</option>
 <option value==3D"2042">
2042</option>
 <option value=3D"2043">
2043</option>
 <option value==3D"2044">
2044</option>
 <option value=3D"2045">
2045</option>
 <option value==3D"2046">
2046</option>
 <option value=3D"2047">
2047</option>
 <option value==3D"2048">
2048</option>
 <option value=3D"2049">
2049</option>
 <option value==3D"2050">
2050</option>
 <option value=3D"2051">
2051</option>
 <option value==3D"2052">
2052</option>
 <option value=3D"2053">
2053</option>
 <option value==3D"2054">
2054</option>
 <option value=3D"2055">
2055</option>
 <option value==3D"2056">
2056</option>
 <option value=3D"2057">
2057</option>
 <option value==3D"2058">
2058</option>
 <option value=3D"2059">
2059</option>
 <option value==3D"2060">
2060</option>
 <option value=3D"2061">
2061</option>
 <option value==3D"2062">
2062</option>
 <option value=3D"2063">
2063</option>
 <option value==3D"2064">
2064</option>
 <option value=3D"2065">
2065</option>
 <option value==3D"2066">
2066</option>
 <option value=3D"2067">
2067</option>
 <option value==3D"2068">
2068</option>
 <option value=3D"2069">
2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_4498997453242726896ss-form-question m_4498997453242726896errorbox-good">
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Tratamiento Realizado (si corresponde)</div>
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Ninguno</div>
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Derivaci=C3=B3n a otro Prestador Domiciliario</div>
<div class=3D"m_4498997453242726896ss-q-help m_4498997453242726896ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
S=C3=B3lo llene esta secci=C3=B3n si es m=C3=A9dico y solicita la visita de otro prestador del equipo</div>
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<ul class=3D"m_4498997453242726896ss-choices" style=3D"list-style:none;padding:0;margin:.5em 0 0">
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TENS</span>
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NUTRICIONISTA</span>
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KINESIOLOGO</span>
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PSICOLOGO</span>
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