<div dir=3D"ltr">
<div>
Estimados/as</div>
<div>
Se adjunta formulario de registro de Atenci=C3=B3n de enfermer=C3=ADa en domicilio, del paciente Mario Barrientos.=C2=A0</div>
<div>
Saludos cordiales.=C2=A0</div>
<br class=3D"gmail-Apple-interchange-newline">
<br>
<table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"100%" style=3D"font-family:Roboto,Helvetica,Arial,sans-serif;background-color:rgb(38,4,154)">
<tbody>
<tr height=3D"64px">
<td style=3D"padding-left:24px">
<br>
<br>
<img alt=3D"Formularios de Google" height=3D"26px" width=3D"143px" src=3D"https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png" class=3D"gmail-CToWUd" style=3D"display: inline-block; margin: 0px; vertical-align: middle;">
</td>
</tr>
</tbody>
</table>
<div style=3D"font-family:Roboto,Helvetica,Arial,sans-serif;padding:24px;background-color:rgb(229,218,254)">
<div align=3D"center" style=3D"background-color:rgb(255,255,255);border-bottom:1px solid rgb(224,224,224);margin:0px auto;max-width:624px;min-width:154px;padding:0px 24px">
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" width=3D"100%">
<tbody>
<tr height=3D"24px">
<td>
</td>
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:rgb(66,66,66);font-weight:700">
Gracias por llenar=C2=A0<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:rgb(66,66,66)">
Estas son tus respuestas:</div>
</td>
</tr>
<tr>
<td>
<div class=3D"gmail-m_-3806308311647593875ss-form-container">
<div class=3D"gmail-m_-3806308311647593875ss-form-heading">
<h1 class=3D"gmail-m_-3806308311647593875ss-form-title" dir=3D"ltr" style=3D"margin:0.67em 0px">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"gmail-m_-3806308311647593875ss-form-desc gmail-m_-3806308311647593875ss-no-ignore-whitespace" style=3D"font:inherit;width:582.9px;margin:0px 0px 1em;white-space:pre-wrap">
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"gmail-m_-3806308311647593875ss-form">
<form method=3D"GET" id=3D"gmail-m_-3806308311647593875ss-form">
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-text" style==3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875emailAddress">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Direcci=C3=B3n de correo electr=C3=B3nico=C2=A0<label for=3D"m_-3806308311647593875emailAddress">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text gmail-m_-3806308311647593875ss-printable-text-line" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
<a href=3D"mailto:rominapamela.soto@gmail.com" target=3D"_blank">
rominapamela.soto@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_-3806308311647593875ss-image gmail-CToWUd" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" alt=3D"Imagen sin t=C3=ADtulo" style=3D"width: 78px; outline: none;">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-page-break" style=3D"margin:12px 0px">
<div class==3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-3806308311647593875ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"gmail-m_-3806308311647593875ss-page-description gmail-m_-3806308311647593875ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
Aqu=C3=AD debe ingresar sus datos personales</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_579114469">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Primer Nombre y Apellido Paterno=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
Romina Soto</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_1276273985">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
RUT=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
17888342-9</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_133691676">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tipo=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
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"gmail-m_-3806308311647593875entry_133691676" style=3D"font-size:13px">
<option value=3D"">
</option>
==C2=A0<option value=3D"MEDICO" disabled>
MEDICO</option>
=C2=A0<option value==3D"ENFERMERA/O" disabled selected>
ENFERMERA/O</option>
=C2=A0<option value==3D"TENS" disabled>
TENS</option>
=C2=A0<option value=3D"KINESIOLOGA/O" disabled>
KINESIOLOGA/O</option>
=C2=A0<option value=3D"PSICOLOGO" disabled>
PSICOLOGO</option>
=C2=A0<option value=3D"NUTRICIONISTA" disabled>
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_-3806308311647593875ss-image gmail-CToWUd" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" alt==3D"Imagen sin t=C3=ADtulo" style=3D"width: 78px; outline: none;">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-3806308311647593875ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Paciente</h2>
<div class==3D"gmail-m_-3806308311647593875ss-page-description gmail-m_-3806308311647593875ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-section-header" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-3806308311647593875ss-section-title" style=3D"background-color:rgb(238,238,238);padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"gmail-m_-3806308311647593875ss-section-description gmail-m_-3806308311647593875ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-space:pre-wrap">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_823811303">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Rut del Paciente=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
13967779-k</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_1959365839">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
Mario Barrientos </div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_545002227">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Previsi=C3=B3n=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style==3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<select name=3D"entry.545002227" disabled id=3D"gmail-m_-3806308311647593875entry_545002227" style=3D"font-size:13px">
<option value=3D"">
</option>
=C2=A0<option value=3D"BANMEDICA" disabled>
BANMEDICA</option>
=C2=A0<option value==3D"CAPREDENA" disabled>
CAPREDENA</option>
=C2=A0<option value=3D"COLMENA" disabled>
COLMENA</option>
=C2=A0<option value=3D"CONSALUD" disabled selected>
CONSALUD</option>
=C2=A0<option value=3D"CRUZ BLANCA" disabled>
CRUZ BLANCA</option>
=C2=A0<option value=3D"DIPRECA" disabled>
DIPRECA</option>
=C2=A0<option value=3D"FONASA" disabled>
FONASA</option>
=C2=A0<option value=3D"FUNDACION" disabled>
FUNDACION</option>
=C2=A0<option value=3D"ISAPRES DEL COBRE" disabled>
ISAPRES DEL COBRE</option>
=C2=A0<option value=3D"NUEVA MASVIDA" disabled>
NUEVA MASVIDA</option>
=C2=A0<option value=3D"VIDATRES" disabled>
VIDATRES</option>
=C2=A0<option value=3D"PARTICULAR" disabled>
PARTICULAR</option>
</select>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_1900161356">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ciudad=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
Puerto Montt</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_1298871758">
<div class==3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Comuna=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
Puerto Montt</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_-3806308311647593875ss-image gmail-CToWUd" title=3D"" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" alt=3D"Imagen sin t=C3=ADtulo" style=3D"width: 78px; outline: none;">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-3806308311647593875ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Registro de la Atenci=C3=B3n Domiciliaria</h2>
<div class=3D"gmail-m_-3806308311647593875ss-page-description gmail-m_-3806308311647593875ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
En esta secci=C3=B3n debe ingresar los datos de la atenci=C3=B3n domiciliaria</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-radio" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_2073233714">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tipo de Atenci=C3=B3n=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<ul class=3D"gmail-m_-3806308311647593875ss-choices" style=3D"list-style:none;padding:0px;margin:0.5em 0px 0px">
<li class=3D"gmail-m_-3806308311647593875ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-3806308311647593875ss-choice-item-control gmail-m_-3806308311647593875goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled checked value=3D"Domicilio" id=3D"gmail-m_-3806308311647593875group_1222378237_1" class==3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-3806308311647593875ss-choice-label">
Domicilio</span>
</label>
</li>
<li class=3D"gmail-m_-3806308311647593875ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-3806308311647593875ss-choice-item-control gmail-m_-3806308311647593875goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled value=3D"Ambulatorio" id=3D"gmail-m_-3806308311647593875group_1222378237_2" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-3806308311647593875ss-choice-label">
Ambulatorio</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-item-required gmail-m_-3806308311647593875ss-date" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_1705849412">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Fecha de la Atenci=C3=B3n=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-3806308311647593875ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-date">
<div class=3D"gmail-m_-3806308311647593875ss-datetime-box gmail-m_-3806308311647593875goog-inline-block" style=3D"border:1px solid rgb(220,220,220);min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.1705849412_month" disabled class=3D"gmail-m_-3806308311647593875ss-month-dropdown" id=3D"gmail-m_-3806308311647593875entry.1705849412_month" style=3D"font-size:13px">
<option value==3D"">
Mes</option>
=C2=A0<option value=3D"1">
enero</option>
=C2=A0<option value=3D"2">
febrero</option>
=C2=A0<option value=3D"3">
marzo</option>
=C2=A0<option value=3D"4" selected>
abril</option>
=C2=A0<option value=3D"5">
mayo</option>
=C2=A0<option value=3D"6">
junio</option>
=C2=A0<option value=3D"7">
julio</option>
=C2=A0<option value=3D"8">
agosto</option>
=C2=A0<option value=3D"9">
septiembre</option>
=C2=A0<option value=3D"10">
octubre</option>
=C2=A0<option value=3D"11">
noviembre</option>
=C2=A0<option value=3D"12">
diciembre</option>
</select>
=C2=A0<select name=3D"entry.1705849412_day" disabled class=3D"gmail-m_-3806308311647593875ss-day-dropdown" id=3D"gmail-m_-3806308311647593875entry.1705849412_day" style=3D"font-size:13px">
<option value=3D"">
D=C3=ADa</option>
=C2=A0<option value=3D"1">
1</option>
=C2=A0<option value=3D"2">
2</option>
=C2=A0<option value=3D"3">
3</option>
=C2=A0<option value=3D"4">
4</option>
=C2=A0<option value=3D"5">
5</option>
=C2=A0<option value=3D"6" selected>
6</option>
=C2=A0<option value=3D"7">
7</option>
=C2=A0<option value=3D"8">
8</option>
=C2=A0<option value=3D"9">
9</option>
=C2=A0<option value=3D"10">
10</option>
=C2=A0<option value=3D"11">
11</option>
=C2=A0<option value=3D"12">
12</option>
=C2=A0<option value=3D"13">
13</option>
=C2=A0<option value=3D"14">
14</option>
=C2=A0<option value=3D"15">
15</option>
=C2=A0<option value=3D"16">
16</option>
=C2=A0<option value=3D"17">
17</option>
=C2=A0<option value=3D"18">
18</option>
=C2=A0<option value=3D"19">
19</option>
=C2=A0<option value=3D"20">
20</option>
=C2=A0<option value=3D"21">
21</option>
=C2=A0<option value=3D"22">
22</option>
=C2=A0<option value=3D"23">
23</option>
=C2=A0<option value=3D"24">
24</option>
=C2=A0<option value=3D"25">
25</option>
=C2=A0<option value=3D"26">
26</option>
=C2=A0<option value=3D"27">
27</option>
=C2=A0<option value=3D"28">
28</option>
=C2=A0<option value=3D"29">
29</option>
=C2=A0<option value=3D"30">
30</option>
=C2=A0<option value=3D"31">
31</option>
</select>
=C2=A0<select name=3D"entry.1705849412_year" disabled id=3D"gmail-m_-3806308311647593875entry.1705849412_year" style=3D"font-size:13px">
<option value=3D"">
A=C3=B1o</option>
=C2=A0<option value=3D"1896">
1896</option>
=C2=A0<option value=3D"1897">
1897</option>
=C2=A0<option value=3D"1898">
1898</option>
=C2=A0<option value=3D"1899">
1899</option>
=C2=A0<option value=3D"1900">
1900</option>
=C2==A0<option value=3D"1901">
1901</option>
=C2=A0<option value=3D"1902">
1902</option>
=C2=A0<option value=3D"1903">
1903</option>
=C2=A0<option value=3D"1904">
1904</option>
=C2=A0<option value=3D"1905">
1905</option>
=C2=A0<option value=3D"1906">
1906</option>
=C2=A0<option value=3D"1907">
1907</option>
=C2=A0<option value=3D"1908">
1908</option>
=C2=A0<option value=3D"1909">
1909</option>
=C2=A0<option value=3D"1910">
1910</option>
=C2=A0<option value=3D"1911">
1911</option>
=C2=A0<option value=3D"1912">
1912</option>
=C2=A0<option value=3D"1913">
1913</option>
=C2=A0<option value=3D"1914">
1914</option>
=C2=A0<option value=3D"1915">
1915</option>
=C2=A0<option value=3D"1916">
1916</option>
=C2=A0<option value=3D"1917">
1917</option>
=C2=A0<option value=3D"1918">
1918</option>
=C2=A0<option value=3D"1919">
1919</option>
=C2=A0<option value=3D"1920">
1920</option>
=C2=A0<option value=3D"1921">
1921</option>
=C2=A0<option value==3D"1922">
1922</option>
=C2=A0<option value=3D"1923">
1923</option>
=C2=A0<option value=3D"1924">
1924</option>
=C2=A0<option value=3D"1925">
1925</option>
==C2=A0<option value=3D"1926">
1926</option>
=C2=A0<option value=3D"1927">
1927</option>
=C2=A0<option value=3D"1928">
1928</option>
=C2=A0<option value=3D"1929">
1929</option>
=C2=A0<option value=3D"1930">
1930</option>
=C2=A0<option value=3D"1931">
1931</option>
=C2=A0<option value=3D"1932">
1932</option>
=C2=A0<option value=3D"1933">
1933</option>
=C2=A0<option value=3D"1934">
1934</option>
=C2=A0<option value=3D"1935">
1935</option>
=C2=A0<option value=3D"1936">
1936</option>
=C2=A0<option value=3D"1937">
1937</option>
=C2=A0<option value==3D"1938">
1938</option>
=C2=A0<option value=3D"1939">
1939</option>
=C2=A0<option value=3D"1940">
1940</option>
=C2=A0<option value=3D"1941">
1941</option>
==C2=A0<option value=3D"1942">
1942</option>
=C2=A0<option value=3D"1943">
1943</option>
=C2=A0<option value=3D"1944">
1944</option>
=C2=A0<option value=3D"1945">
1945</option>
=C2=A0<option value=3D"1946">
1946</option>
=C2=A0<option value=3D"1947">
1947</option>
=C2=A0<option value=3D"1948">
1948</option>
=C2=A0<option value=3D"1949">
1949</option>
=C2=A0<option value=3D"1950">
1950</option>
=C2=A0<option value=3D"1951">
1951</option>
=C2=A0<option value=3D"1952">
1952</option>
=C2=A0<option value=3D"1953">
1953</option>
=C2=A0<option value==3D"1954">
1954</option>
=C2=A0<option value=3D"1955">
1955</option>
=C2=A0<option value=3D"1956">
1956</option>
=C2=A0<option value=3D"1957">
1957</option>
==C2=A0<option value=3D"1958">
1958</option>
=C2=A0<option value=3D"1959">
1959</option>
=C2=A0<option value=3D"1960">
1960</option>
=C2=A0<option value=3D"1961">
1961</option>
=C2=A0<option value=3D"1962">
1962</option>
=C2=A0<option value=3D"1963">
1963</option>
=C2=A0<option value=3D"1964">
1964</option>
=C2=A0<option value=3D"1965">
1965</option>
=C2=A0<option value=3D"1966">
1966</option>
=C2=A0<option value=3D"1967">
1967</option>
=C2=A0<option value=3D"1968">
1968</option>
=C2=A0<option value=3D"1969">
1969</option>
=C2=A0<option value==3D"1970">
1970</option>
=C2=A0<option value=3D"1971">
1971</option>
=C2=A0<option value=3D"1972">
1972</option>
=C2=A0<option value=3D"1973">
1973</option>
==C2=A0<option value=3D"1974">
1974</option>
=C2=A0<option value=3D"1975">
1975</option>
=C2=A0<option value=3D"1976">
1976</option>
=C2=A0<option value=3D"1977">
1977</option>
=C2=A0<option value=3D"1978">
1978</option>
=C2=A0<option value=3D"1979">
1979</option>
=C2=A0<option value=3D"1980">
1980</option>
=C2=A0<option value=3D"1981">
1981</option>
=C2=A0<option value=3D"1982">
1982</option>
=C2=A0<option value=3D"1983">
1983</option>
=C2=A0<option value=3D"1984">
1984</option>
=C2=A0<option value=3D"1985">
1985</option>
=C2=A0<option value==3D"1986">
1986</option>
=C2=A0<option value=3D"1987">
1987</option>
=C2=A0<option value=3D"1988">
1988</option>
=C2=A0<option value=3D"1989">
1989</option>
==C2=A0<option value=3D"1990">
1990</option>
=C2=A0<option value=3D"1991">
1991</option>
=C2=A0<option value=3D"1992">
1992</option>
=C2=A0<option value=3D"1993">
1993</option>
=C2=A0<option value=3D"1994">
1994</option>
=C2=A0<option value=3D"1995">
1995</option>
=C2=A0<option value=3D"1996">
1996</option>
=C2=A0<option value=3D"1997">
1997</option>
=C2=A0<option value=3D"1998">
1998</option>
=C2=A0<option value=3D"1999">
1999</option>
=C2=A0<option value=3D"2000">
2000</option>
=C2=A0<option value=3D"2001">
2001</option>
=C2=A0<option value==3D"2002">
2002</option>
=C2=A0<option value=3D"2003">
2003</option>
=C2=A0<option value=3D"2004">
2004</option>
=C2=A0<option value=3D"2005">
2005</option>
==C2=A0<option value=3D"2006">
2006</option>
=C2=A0<option value=3D"2007">
2007</option>
=C2=A0<option value=3D"2008">
2008</option>
=C2=A0<option value=3D"2009">
2009</option>
=C2=A0<option value=3D"2010">
2010</option>
=C2=A0<option value=3D"2011">
2011</option>
=C2=A0<option value=3D"2012">
2012</option>
=C2=A0<option value=3D"2013">
2013</option>
=C2=A0<option value=3D"2014">
2014</option>
=C2=A0<option value=3D"2015">
2015</option>
=C2=A0<option value=3D"2016">
2016</option>
=C2=A0<option value=3D"2017">
2017</option>
=C2=A0<option value==3D"2018">
2018</option>
=C2=A0<option value=3D"2019" selected>
2019</option>
==C2=A0<option value=3D"2020">
2020</option>
=C2=A0<option value=3D"2021">
2021</option>
=C2=A0<option value=3D"2022">
2022</option>
=C2=A0<option value=3D"2023">
2023</option>
=C2=A0<option value=3D"2024">
2024</option>
=C2=A0<option value=3D"2025">
2025</option>
=C2=A0<option value=3D"2026">
2026</option>
=C2=A0<option value=3D"2027">
2027</option>
=C2=A0<option value=3D"2028">
2028</option>
=C2=A0<option value=3D"2029">
2029</option>
=C2=A0<option value=3D"2030">
2030</option>
=C2=A0<option value=3D"2031">
2031</option>
=C2=A0<option value==3D"2032">
2032</option>
=C2=A0<option value=3D"2033">
2033</option>
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2042</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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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>
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59</option>
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Performance Status ECOG del Paciente=C2=A0<label for==3D"m_-3806308311647593875itemView.getDomIdToLabel()">
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*</span>
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Escala Dolor EVA Actual</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
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0</label>
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1</label>
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3</label>
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<label class==3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1421689035_5" style=3D"display:block;padding:0.5em 0px">
4</label>
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<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1421689035_6" style=3D"display:block;padding:0.5em 0px">
5</label>
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6</label>
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7</label>
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<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1421689035_9" style=3D"display:block;padding:0.5em 0px">
8</label>
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<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1421689035_10" style=3D"display:block;padding:0.5em 0px">
9</label>
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<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1421689035_11" style=3D"display:block;padding:0.5em 0px">
10</label>
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<div class=3D"gmail-m_-3806308311647593875aria-todo">
</div>
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</div>
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<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
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<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
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<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style==3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"5" id=3D"gmail-m_-3806308311647593875group_1421689035_6" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"6" id=3D"gmail-m_-3806308311647593875group_1421689035_7" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"7" id=3D"gmail-m_-3806308311647593875group_1421689035_8" class==3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"8" id=3D"gmail-m_-3806308311647593875group_1421689035_9" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"9" id=3D"gmail-m_-3806308311647593875group_1421689035_10" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value==3D"10" id=3D"gmail-m_-3806308311647593875group_1421689035_11" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow gmail-m_-3806308311647593875ss-rightlabel" style=3D"color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_2064050596">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA M=C3=A1ximo</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_-3806308311647593875entry_1244707512">
<tbody>
<tr>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style==3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
<td class==3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_1244707512_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow gmail-m_-3806308311647593875ss-leftlabel" style=3D"text-align:right;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em 0.5em 0px">
<div class=3D"gmail-m_-3806308311647593875aria-todo">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"0" id=3D"gmail-m_-3806308311647593875group_1244707512_1" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"1" id=3D"gmail-m_-3806308311647593875group_1244707512_2" class==3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"2" id=3D"gmail-m_-3806308311647593875group_1244707512_3" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"3" id=3D"gmail-m_-3806308311647593875group_1244707512_4" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"4" id=3D"gmail-m_-3806308311647593875group_1244707512_5" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"5" id=3D"gmail-m_-3806308311647593875group_1244707512_6" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled checked value=3D"6" id=3D"gmail-m_-3806308311647593875group_1244707512_7" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"7" id=3D"gmail-m_-3806308311647593875group_1244707512_8" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class==3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class==3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"8" id=3D"gmail-m_-3806308311647593875group_1244707512_9" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"9" id=3D"gmail-m_-3806308311647593875group_1244707512_10" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-3806308311647593875ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"10" id=3D"gmail-m_-3806308311647593875group_1244707512_11" class=3D"gmail-m_-3806308311647593875ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalerow gmail-m_-3806308311647593875ss-rightlabel" style=3D"color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
<div class==3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_2000523015">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA M=C3=ADnimo</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_-3806308311647593875entry_853118630">
<tbody>
<tr>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_853118630_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_853118630_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_853118630_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-3806308311647593875ss-scalenumber" for=3D"m_-3806308311647593875group_853118630_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class=3D"gmail-m_-3806308311647593875ss-scalenumbers" style=3D"text-align:center">
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Se realiza visita domiciliaria en conjunto con m==C3=A9dico Dr. Gonzalez.Antecedentes: Cancer de cerebral (Glioblastoma multiforme grado IV) Diciembre 2016 con abordaje quir=C3=BArgico y ciclos de quimioterapia.Sin otro antecedente m=C3=B3rbido.=20Medicamentos que utiliza:=20Carbamazepina 200 mg 1 comprimido al diaParacetamol 500 mg en caso de dolor.Ketorolaco 30 mg en caso de dolor.Omeprazol 20 mg al dia.=20A la llega al domicilio, paciente nos recibe junto a su esposa e hijos, se encuentra en buenas condiciones generales, cooperador, orientado en tiempo- espacio y persona, glasgow 15 ptos,  ECOG 0.Este a=C3=B1o inicia actividades acad=C3=A9micas las cuales realiza de lunes a viernes en la jornada de la ma=C3=B1ana, se ha integrado con facilidad a su entorno estudiantil, y hasta el momento ha logrado controlar de forma eficaz aquellas situaciones que le provocan estr=C3=A9s en el =C3=A1mbito educacional.=20Se mantiene en controles con neurocirujano Dr. Carmona en Cl=C3=ADnica Universitaria Puerto Montt, ultimo en enero 2019, pr=C3=B3ximo control en junio 2019.En relaci=C3=B3n a las actividades de la vida diaria, paciente autovalente, pudiendo realizarlas sin mayores complicaciones.Refiere no presentar con frecuencia episodios de cefalea, por lo general siempre hay factores desencadenantes. Actualmente sin dolor, aunque cuando se presenta es moderado, EVA  +/-6/10 y se maneja con paracetamol y ketorolaco con buena respuesta la mayor=C3=ADa del tiempo.=20Emocionalmente estable, especialmente en la actualidad, dado a que ha obtenido buenas calificaciones en la universidad.Alimentaci=C3=B3n variada, la cual es bien tolerada por boca. No posee pauta de alimentaci=C3=B3n personalizada. el 16 de marzo de realiz=C3=B3 control de peso, 94 kilos para ese entonces, actualmente 90 kilos.=20Eliminaci=C3=B3n sin inconvenientes.Patr=C3=B3n del sue=C3=B1o normal.=20Movilidad conservada, no realiza ning=C3=BAn tipo de actividad f=C3=ADsica.El d=C3=ADa viernes 05.04.19 paciente y familia se vacunaron contra la influenza, sin complicaciones a las 24 hrs post vacunaci=C3=B3n.=20Tiene en su poder ex=C3=A1menes generales del 27.03.19 solicitados por Dr. Gonzalez, que se encuentran normales, sin hallazgos relevantes.=20Al control de signos vitales: Normotenso, Eucardico, Saturaci=C3=B3n de oxigeno dentro de rangos normales-=20PA: 130/93Pulso: 79Sat: 98%</div>
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Cicatriz zona parietal izquierda sana.==20Zona punci=C3=B3n vacuna influenza sin signos de complicaciones.=20Resto, sin hallazgos relevantes. </div>
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Cancer de cerebral (Glioblastoma multiforme grado IV) tratado</div>
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Plan de Tratamiento e Indicaciones=C2=A0<label for=3D"m_-3806308311647593875itemView.getDomIdToLabel()">
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Evitar y controlar factores desencadenantes de cefaleaManejo del estr=C3=A9sEducaci=C3=B3n sobre h=C3=A1bitos saludablesEducaci=C3=B3n sobre cuidados post administraci=C3=B3n de vacuna contra la influenzaMantener apoyo al paciente por parte de la red familiar </div>
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Medicamentos Indicados</div>
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</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
Dr. solo refuerza indicaciones de tratamiento neuroprotector y manejo del dolor</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-date" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_2063615873">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style==3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Fecha aproximada del Pr=C3=B3ximo Control con usted</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-date">
<div class=3D"gmail-m_-3806308311647593875ss-datetime-box gmail-m_-3806308311647593875goog-inline-block" style=3D"border:1px solid rgb(220,220,220);min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.2063615873_month" disabled class=3D"gmail-m_-3806308311647593875ss-month-dropdown" id=3D"gmail-m_-3806308311647593875entry.2063615873_month" style=3D"font-size:13px">
<option value=3D"">
Mes</option>
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enero</option>
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febrero</option>
=C2==A0<option value=3D"3">
marzo</option>
=C2=A0<option value=3D"4" selected>
abril</option>
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mayo</option>
=C2=A0<option value=3D"6">
junio</option>
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julio</option>
=C2=A0<option value==3D"8">
agosto</option>
=C2=A0<option value=3D"9">
septiembre</option>
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octubre</option>
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noviembre</option>
=C2=A0<option value=3D"12">
diciembre</option>
</select>
=C2=A0<select name=3D"entry.2063615873_day" disabled class=3D"gmail-m_-3806308311647593875ss-day-dropdown" id=3D"gmail-m_-3806308311647593875entry.2063615873_day" style=3D"font-size:13px">
<option value=3D"">
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>
=C2=A0<option value=3D"12">
12</option>
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13</option>
=C2=A0<option value=3D"14">
14</option>
=C2=A0<option value=3D"15">
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>
=C2=A0<option value=3D"24">
24</option>
=C2=A0<option value=3D"25">
25</option>
=C2=A0<option value=3D"26">
26</option>
=C2=A0<option value=3D"27">
27</option>
=C2=A0<option value=3D"28">
28</option>
=C2=A0<option value=3D"29">
29</option>
=C2=A0<option value=3D"30">
30</option>
=C2=A0<option value=3D"31">
31</option>
</select>
=C2=A0<select name=3D"entry.2063615873_year" disabled id=3D"gmail-m_-3806308311647593875entry.2063615873_year" style=3D"font-size:13px">
<option value=3D"">
A=C3=B1o</option>
=C2=A0<option value=3D"1896">
1896</option>
=C2=A0<option value=3D"1897">
1897</option>
=C2=A0<option value=3D"1898">
1898</option>
=C2=A0<option value=3D"1899">
1899</option>
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1900</option>
=C2=A0<option value=3D"1901">
1901</option>
=C2=A0<option value=3D"1902">
1902</option>
=C2=A0<option value=3D"1903">
1903</option>
=C2=A0<option value=3D"1904">
1904</option>
=C2=A0<option value=3D"1905">
1905</option>
=C2=A0<option value=3D"1906">
1906</option>
=C2==A0<option value=3D"1907">
1907</option>
=C2=A0<option value=3D"1908">
1908</option>
=C2=A0<option value=3D"1909">
1909</option>
=C2=A0<option value=3D"1910">
1910</option>
=C2=A0<option value=3D"1911">
1911</option>
=C2=A0<option value=3D"1912">
1912</option>
=C2=A0<option value=3D"1913">
1913</option>
=C2=A0<option value=3D"1914">
1914</option>
=C2=A0<option value=3D"1915">
1915</option>
=C2=A0<option value=3D"1916">
1916</option>
=C2=A0<option value=3D"1917">
1917</option>
=C2=A0<option value=3D"1918">
1918</option>
=C2=A0<option value=3D"1919">
1919</option>
=C2=A0<option value=3D"1920">
1920</option>
=C2=A0<option value=3D"1921">
1921</option>
=C2=A0<option value=3D"1922">
1922</option>
=C2=A0<option value=3D"1923">
1923</option>
=C2=A0<option value=3D"1924">
1924</option>
=C2=A0<option value=3D"1925">
1925</option>
=C2=A0<option value=3D"1926">
1926</option>
=C2=A0<option value=3D"1927">
1927</option>
=C2=A0<option value==3D"1928">
1928</option>
=C2=A0<option value=3D"1929">
1929</option>
=C2=A0<option value=3D"1930">
1930</option>
=C2=A0<option value=3D"1931">
1931</option>
==C2=A0<option value=3D"1932">
1932</option>
=C2=A0<option value=3D"1933">
1933</option>
=C2=A0<option value=3D"1934">
1934</option>
=C2=A0<option value=3D"1935">
1935</option>
=C2=A0<option value=3D"1936">
1936</option>
=C2=A0<option value=3D"1937">
1937</option>
=C2=A0<option value=3D"1938">
1938</option>
=C2=A0<option value=3D"1939">
1939</option>
=C2=A0<option value=3D"1940">
1940</option>
=C2=A0<option value=3D"1941">
1941</option>
=C2=A0<option value=3D"1942">
1942</option>
=C2=A0<option value=3D"1943">
1943</option>
=C2=A0<option value==3D"1944">
1944</option>
=C2=A0<option value=3D"1945">
1945</option>
=C2=A0<option value=3D"1946">
1946</option>
=C2=A0<option value=3D"1947">
1947</option>
==C2=A0<option value=3D"1948">
1948</option>
=C2=A0<option value=3D"1949">
1949</option>
=C2=A0<option value=3D"1950">
1950</option>
=C2=A0<option value=3D"1951">
1951</option>
=C2=A0<option value=3D"1952">
1952</option>
=C2=A0<option value=3D"1953">
1953</option>
=C2=A0<option value=3D"1954">
1954</option>
=C2=A0<option value=3D"1955">
1955</option>
=C2=A0<option value=3D"1956">
1956</option>
=C2=A0<option value=3D"1957">
1957</option>
=C2=A0<option value=3D"1958">
1958</option>
=C2=A0<option value=3D"1959">
1959</option>
=C2=A0<option value==3D"1960">
1960</option>
=C2=A0<option value=3D"1961">
1961</option>
=C2=A0<option value=3D"1962">
1962</option>
=C2=A0<option value=3D"1963">
1963</option>
==C2=A0<option value=3D"1964">
1964</option>
=C2=A0<option value=3D"1965">
1965</option>
=C2=A0<option value=3D"1966">
1966</option>
=C2=A0<option value=3D"1967">
1967</option>
=C2=A0<option value=3D"1968">
1968</option>
=C2=A0<option value=3D"1969">
1969</option>
=C2=A0<option value=3D"1970">
1970</option>
=C2=A0<option value=3D"1971">
1971</option>
=C2=A0<option value=3D"1972">
1972</option>
=C2=A0<option value=3D"1973">
1973</option>
=C2=A0<option value=3D"1974">
1974</option>
=C2=A0<option value=3D"1975">
1975</option>
=C2=A0<option value==3D"1976">
1976</option>
=C2=A0<option value=3D"1977">
1977</option>
=C2=A0<option value=3D"1978">
1978</option>
=C2=A0<option value=3D"1979">
1979</option>
==C2=A0<option value=3D"1980">
1980</option>
=C2=A0<option value=3D"1981">
1981</option>
=C2=A0<option value=3D"1982">
1982</option>
=C2=A0<option value=3D"1983">
1983</option>
=C2=A0<option value=3D"1984">
1984</option>
=C2=A0<option value=3D"1985">
1985</option>
=C2=A0<option value=3D"1986">
1986</option>
=C2=A0<option value=3D"1987">
1987</option>
=C2=A0<option value=3D"1988">
1988</option>
=C2=A0<option value=3D"1989">
1989</option>
=C2=A0<option value=3D"1990">
1990</option>
=C2=A0<option value=3D"1991">
1991</option>
=C2=A0<option value==3D"1992">
1992</option>
=C2=A0<option value=3D"1993">
1993</option>
=C2=A0<option value=3D"1994">
1994</option>
=C2=A0<option value=3D"1995">
1995</option>
==C2=A0<option value=3D"1996">
1996</option>
=C2=A0<option value=3D"1997">
1997</option>
=C2=A0<option value=3D"1998">
1998</option>
=C2=A0<option value=3D"1999">
1999</option>
=C2=A0<option value=3D"2000">
2000</option>
=C2=A0<option value=3D"2001">
2001</option>
=C2=A0<option value=3D"2002">
2002</option>
=C2=A0<option value=3D"2003">
2003</option>
=C2=A0<option value=3D"2004">
2004</option>
=C2=A0<option value=3D"2005">
2005</option>
=C2=A0<option value=3D"2006">
2006</option>
=C2=A0<option value=3D"2007">
2007</option>
=C2=A0<option value==3D"2008">
2008</option>
=C2=A0<option value=3D"2009">
2009</option>
=C2=A0<option value=3D"2010">
2010</option>
=C2=A0<option value=3D"2011">
2011</option>
==C2=A0<option value=3D"2012">
2012</option>
=C2=A0<option value=3D"2013">
2013</option>
=C2=A0<option value=3D"2014">
2014</option>
=C2=A0<option value=3D"2015">
2015</option>
=C2=A0<option value=3D"2016">
2016</option>
=C2=A0<option value=3D"2017">
2017</option>
=C2=A0<option value=3D"2018">
2018</option>
=C2=A0<option value=3D"2019" selected>
2019</option>
=C2=A0<option value=3D"2020">
2020</option>
=C2=A0<option value=3D"2021">
2021</option>
=C2=A0<option value==3D"2022">
2022</option>
=C2=A0<option value=3D"2023">
2023</option>
=C2=A0<option value=3D"2024">
2024</option>
=C2=A0<option value=3D"2025">
2025</option>
==C2=A0<option value=3D"2026">
2026</option>
=C2=A0<option value=3D"2027">
2027</option>
=C2=A0<option value=3D"2028">
2028</option>
=C2=A0<option value=3D"2029">
2029</option>
=C2=A0<option value=3D"2030">
2030</option>
=C2=A0<option value=3D"2031">
2031</option>
=C2=A0<option value=3D"2032">
2032</option>
=C2=A0<option value=3D"2033">
2033</option>
=C2=A0<option value=3D"2034">
2034</option>
=C2=A0<option value=3D"2035">
2035</option>
=C2=A0<option value=3D"2036">
2036</option>
=C2=A0<option value=3D"2037">
2037</option>
=C2=A0<option value==3D"2038">
2038</option>
=C2=A0<option value=3D"2039">
2039</option>
=C2=A0<option value=3D"2040">
2040</option>
=C2=A0<option value=3D"2041">
2041</option>
==C2=A0<option value=3D"2042">
2042</option>
=C2=A0<option value=3D"2043">
2043</option>
=C2=A0<option value=3D"2044">
2044</option>
=C2=A0<option value=3D"2045">
2045</option>
=C2=A0<option value=3D"2046">
2046</option>
=C2=A0<option value=3D"2047">
2047</option>
=C2=A0<option value=3D"2048">
2048</option>
=C2=A0<option value=3D"2049">
2049</option>
=C2=A0<option value=3D"2050">
2050</option>
=C2=A0<option value=3D"2051">
2051</option>
=C2=A0<option value=3D"2052">
2052</option>
=C2=A0<option value=3D"2053">
2053</option>
=C2=A0<option value==3D"2054">
2054</option>
=C2=A0<option value=3D"2055">
2055</option>
=C2=A0<option value=3D"2056">
2056</option>
=C2=A0<option value=3D"2057">
2057</option>
==C2=A0<option value=3D"2058">
2058</option>
=C2=A0<option value=3D"2059">
2059</option>
=C2=A0<option value=3D"2060">
2060</option>
=C2=A0<option value=3D"2061">
2061</option>
=C2=A0<option value=3D"2062">
2062</option>
=C2=A0<option value=3D"2063">
2063</option>
=C2=A0<option value=3D"2064">
2064</option>
=C2=A0<option value=3D"2065">
2065</option>
=C2=A0<option value=3D"2066">
2066</option>
=C2=A0<option value=3D"2067">
2067</option>
=C2=A0<option value=3D"2068">
2068</option>
=C2=A0<option value=3D"2069">
2069</option>
</select>
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</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_74766472">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tratamiento Realizado (si corresponde)</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-3806308311647593875ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:412.15px">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-3806308311647593875ss-form-question gmail-m_-3806308311647593875errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-3806308311647593875ss-item gmail-m_-3806308311647593875ss-checkbox" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-3806308311647593875ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-3806308311647593875ss-q-item-label" for=3D"m_-3806308311647593875entry_1219705969">
<div class=3D"gmail-m_-3806308311647593875ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Derivaci=C3=B3n a otro Prestador Domiciliario</div>
<div class=3D"gmail-m_-3806308311647593875ss-q-help gmail-m_-3806308311647593875ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
S==C3=B3lo llene esta secci=C3=B3n si es m=C3=A9dico y solicita la visita de otro prestador del equipo</div>
</label>
<ul class=3D"gmail-m_-3806308311647593875ss-choices" style=3D"list-style:none;padding:0px;margin:0.5em 0px 0px">
<li class=3D"gmail-m_-3806308311647593875ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-3806308311647593875ss-choice-item-control gmail-m_-3806308311647593875goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name==3D"entry.503039759" disabled value=3D"ENFERMERA" id=3D"gmail-m_-3806308311647593875group_503039759_1" class=3D"gmail-m_-3806308311647593875ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-3806308311647593875ss-choice-label">
ENFERMERA</span>
</label>
</li>
<li class=3D"gmail-m_-3806308311647593875ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-3806308311647593875ss-choice-item-control gmail-m_-3806308311647593875goog-inline-block" style==3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"TENS" id=3D"gmail-m_-3806308311647593875group_503039759_2" class=3D"gmail-m_-3806308311647593875ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-3806308311647593875ss-choice-label">
TENS</span>
</label>
</li>
<li class=3D"gmail-m_-3806308311647593875ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-3806308311647593875ss-choice-item-control gmail-m_-3806308311647593875goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"NUTRICIONISTA" id=3D"gmail-m_-3806308311647593875group_503039759_3" class=3D"gmail-m_-3806308311647593875ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-3806308311647593875ss-choice-label">
NUTRICIONISTA</span>
</label>
</li>
<li class=3D"gmail-m_-3806308311647593875ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class==3D"gmail-m_-3806308311647593875ss-choice-item-control gmail-m_-3806308311647593875goog-inline-block" style=3D"display:inline-block">
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<label>
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<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"PSICOLOGO" id=3D"gmail-m_-3806308311647593875group_503039759_5" class=3D"gmail-m_-3806308311647593875ss-q-checkbox" style=3D"font-size:13px">
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<div class=3D"gmail-m_-3806308311647593875errorbox-good">
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<td>
<a href=3D"https://docs.google.com/forms?usp=3Dmail_form_link" target==3D"_blank" style=3D"color:rgb(66,66,66);font-size:13px">
Crear tu propio Formulario de Google</a>
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<div style=3D"text-align:center">
<span style=3D"font-size:12.8px">
<b>
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Romina Soto Q.</font>
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<b>
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Enfermera Universitaria</font>
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Contacto: +56954518976</font>
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