<div dir=3D"ltr">
colegas, envio copia de infome de atencion domiciliaria de paciente Tomas Campos realizada el dia 21.5.19.<div>
saludos.=C2=A0</div>
<div>
<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">
<div style=3D"text-align:left">
<b>
<font face=3D"times new roman, serif" color=3D"#000000">
EU. Catalina Aravena Bugue=C3=B1o=C2=A0</font>
</b>
</div>
<div style=3D"text-align:left">
<font face=3D"times new roman, serif" color=3D"#000000">
<b>
<a href=3D"mailto:c.alondra.aravena@gmail.com" target=3D"_blank">
c.alondra.aravena@gmail.com</a>
</b>
</font>
</div>
<div style=3D"text-align:left">
<font face=3D"times new roman, serif" color=3D"#000000">
<b>
(56)930732050</b>
</font>
</div>
<div style==3D"text-align:left">
<font face=3D"times new roman, serif" color=3D"#000000">
<b>
<br>
</b>
</font>
</div>
<div style=3D"text-align:left">
<div class=3D"gmail-m_-6206025772772359555ss-form-heading" style=3D"font-family:Roboto,RobotoDraft,Helvetica,Arial,sans-serif">
<h1 class=3D"gmail-m_-6206025772772359555ss-form-title" dir=3D"ltr" style=3D"margin:0.67em 0px">
Registro de Atenci==C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"gmail-m_-6206025772772359555ss-form-desc gmail-m_-6206025772772359555ss-no-ignore-whitespace" style=3D"font:inherit;width:617.75px;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_-6206025772772359555ss-form" style=3D"font-family:Roboto,RobotoDraft,Helvetica,Arial,sans-serif">
<form method=3D"GET" id=3D"gmail-m_-6206025772772359555ss-form">
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555emailAddress">
<div class==3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555emailAddress">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
</label>
<div class=3D"gmail-m_-6206025772772359555ss-q-text gmail-m_-6206025772772359555ss-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:436.797px">
<a href=3D"mailto:c.alondra.aravena@gmail.com" target=3D"_blank">
c.alondra.aravena@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<br>
</div>
</div>
</div>
</div>
<div class=3D"gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"gmail-m_-6206025772772359555ss-page-description gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_579114469">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
Catalina Aravena </div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for==3D"m_-6206025772772359555entry_1276273985">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
RUT=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
18013883-8</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_133691676">
<div class==3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tipo=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555entry_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_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Paciente</h2>
<div class==3D"gmail-m_-6206025772772359555ss-page-description gmail-m_-6206025772772359555ss-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_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-section-header" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-section-title" style=3D"background-color:rgb(238,238,238);padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"gmail-m_-6206025772772359555ss-section-description gmail-m_-6206025772772359555ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-space:pre-wrap">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_823811303">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
5569109-6</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1959365839">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
Tomas Campos</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_545002227">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Previsi=C3=B3n=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555entry_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_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class==3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1900161356">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ciudad=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
Antofagasta</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1298871758">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Comuna=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
Antofagasta</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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_-6206025772772359555ss-page-description gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-radio" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_2073233714">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-choices" style==3D"list-style:none;padding:0px;margin:0.5em 0px 0px">
<li class=3D"gmail-m_-6206025772772359555ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-6206025772772359555ss-choice-item-control gmail-m_-6206025772772359555goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled checked value=3D"Domicilio" id=3D"gmail-m_-6206025772772359555group_1222378237_1" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-6206025772772359555ss-choice-label">
Domicilio</span>
</label>
</li>
<li class=3D"gmail-m_-6206025772772359555ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-6206025772772359555ss-choice-item-control gmail-m_-6206025772772359555goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled value=3D"Ambulatorio" id=3D"gmail-m_-6206025772772359555group_1222378237_2" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-6206025772772359555ss-choice-label">
Ambulatorio</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-date" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1705849412">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-date">
<div class=3D"gmail-m_-6206025772772359555ss-datetime-box gmail-m_-6206025772772359555goog-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_day" disabled class=3D"gmail-m_-6206025772772359555ss-day-dropdown" id=3D"gmail-m_-6206025772772359555entry.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">
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" selected>
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_month" disabled class==3D"gmail-m_-6206025772772359555ss-month-dropdown" id=3D"gmail-m_-6206025772772359555entry.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">
abril</option>
=C2=A0<option value=3D"5" selected>
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_year" disabled id=3D"gmail-m_-6206025772772359555entry.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>
=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>
</div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-time" style=3D"margin:12px 0px;font:inherit">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_206244955">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Hora de la Atenci=C3=B3n=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-time">
<div class==3D"gmail-m_-6206025772772359555ss-datetime-box gmail-m_-6206025772772359555goog-inline-block" dir=3D"ltr" 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.206244955_hour" disabled id=3D"gmail-m_-6206025772772359555entry.206244955_hour" style=3D"font-size:13px">
<option value=3D"">
h</option>
=C2=A0<option value=3D"00">
00</option>
=C2=A0<option value=3D"01">
01</option>
=C2=A0<option value=3D"02">
02</option>
=C2=A0<option value=3D"03">
03</option>
=C2=A0<option value=3D"04">
04</option>
=C2=A0<option value=3D"05">
05</option>
=C2=A0<option value=3D"06">
06</option>
=C2=A0<option value=3D"07">
07</option>
=C2=A0<option value=3D"08">
08</option>
=C2=A0<option value=3D"09">
09</option>
=C2=A0<option value=3D"10">
10</option>
=C2=A0<option value=3D"11" selected>
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>
</select>
=C2=A0:=C2=A0<select name=3D"entry.206244955_minute" disabled id=3D"gmail-m_-6206025772772359555entry.206244955_minute" style=3D"font-size:13px">
<option value=3D"">
min</option>
=C2=A0<option value=3D"00" selected>
00</option>
=C2=A0<option value=3D"01">
01</option>
=C2=A0<option value=3D"02">
02</option>
=C2=A0<option value=3D"03">
03</option>
=C2=A0<option value=3D"04">
04</option>
=C2=A0<option value==3D"05">
05</option>
=C2=A0<option value=3D"06">
06</option>
=C2=A0<option value=3D"07">
07</option>
=C2=A0<option value=3D"08">
08</option>
=C2=A0<option value=3D"09">
09</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>
=C2=A0<option value=3D"32">
32</option>
=C2==A0<option value=3D"33">
33</option>
=C2=A0<option value=3D"34">
34</option>
==C2=A0<option value=3D"35">
35</option>
=C2=A0<option value=3D"36">
36</option>
=C2=A0<option value=3D"37">
37</option>
=C2=A0<option value=3D"38">
38</option>
=C2=A0<option value=3D"39">
39</option>
=C2=A0<option value=3D"40">
40</option>
=C2=A0<option value=3D"41">
41</option>
=C2=A0<option value=3D"42">
42</option>
=C2=A0<option value=3D"43">
43</option>
=C2=A0<option value=3D"44">
44</option>
=C2=A0<option value=3D"45">
45</option>
=C2=A0<option value=3D"46">
46</option>
=C2=A0<option value=3D"47">
47</option>
=C2=A0<option value=3D"48">
48</option>
=C2=A0<option value=3D"49">
49</option>
=C2=A0<option value=3D"50">
50</option>
=C2=A0<option value=3D"51">
51</option>
=C2=A0<option value=3D"52">
52</option>
=C2=A0<option value=3D"53">
53</option>
=C2=A0<option value=3D"54">
54</option>
=C2=A0<option value=3D"55">
55</option>
=C2=A0<option value=3D"56">
56</option>
=C2=A0<option value=3D"57">
57</option>
=C2=A0<option value=3D"58">
58</option>
=C2=A0<option value=3D"59">
59</option>
</select>
=C2=A0<div class=3D"gmail-m_-6206025772772359555ss-datetime-box-spacer gmail-m_-6206025772772359555goog-inline-block" style=3D"height:32px;vertical-align:middle;display:inline-block">
</div>
</div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1747608258">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Performance Status ECOG del Paciente=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style==3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<select name=3D"entry.1747608258" disabled id=3D"gmail-m_-6206025772772359555entry_1747608258" style=3D"font-size:13px">
<option value=3D"">
</option>
=C2==A0<option value=3D"0" disabled>
0</option>
=C2=A0<option value=3D"1" disabled>
1</option>
=C2=A0<option value=3D"2" disabled>
2</option>
=C2=A0<option value=3D"3" disabled selected>
3</option>
=C2=A0<option value=3D"4" disabled>
4</option>
</select>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1716090865">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA Actual</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555entry_1421689035">
<tbody>
<tr>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class==3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_9" style==3D"display:block;padding:0.5em 0px">
8</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class==3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1421689035_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-6206025772772359555ss-scalerow gmail-m_-6206025772772359555ss-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_-6206025772772359555aria-todo">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"0" id=3D"gmail-m_-6206025772772359555group_1421689035_1" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class==3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled checked value=3D"1" id=3D"gmail-m_-6206025772772359555group_1421689035_2" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"2" id=3D"gmail-m_-6206025772772359555group_1421689035_3" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"3" id=3D"gmail-m_-6206025772772359555group_1421689035_4" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"4" id=3D"gmail-m_-6206025772772359555group_1421689035_5" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"5" id=3D"gmail-m_-6206025772772359555group_1421689035_6" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"6" id=3D"gmail-m_-6206025772772359555group_1421689035_7" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"7" id=3D"gmail-m_-6206025772772359555group_1421689035_8" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"8" id=3D"gmail-m_-6206025772772359555group_1421689035_9" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"9" id=3D"gmail-m_-6206025772772359555group_1421689035_10" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"10" id=3D"gmail-m_-6206025772772359555group_1421689035_11" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalerow gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_2064050596">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555entry_1244707512">
<tbody>
<tr>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_1" style==3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class==3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_1244707512_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-6206025772772359555ss-scalerow gmail-m_-6206025772772359555ss-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_-6206025772772359555aria-todo">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"0" id=3D"gmail-m_-6206025772772359555group_1244707512_1" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"1" id=3D"gmail-m_-6206025772772359555group_1244707512_2" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"2" id=3D"gmail-m_-6206025772772359555group_1244707512_3" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class==3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"3" id=3D"gmail-m_-6206025772772359555group_1244707512_4" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"4" id=3D"gmail-m_-6206025772772359555group_1244707512_5" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"5" id=3D"gmail-m_-6206025772772359555group_1244707512_6" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled checked value=3D"6" id=3D"gmail-m_-6206025772772359555group_1244707512_7" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"7" id=3D"gmail-m_-6206025772772359555group_1244707512_8" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"8" id=3D"gmail-m_-6206025772772359555group_1244707512_9" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"9" id=3D"gmail-m_-6206025772772359555group_1244707512_10" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value==3D"10" id=3D"gmail-m_-6206025772772359555group_1244707512_11" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalerow gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_2000523015">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555entry_853118630">
<tbody>
<tr>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-6206025772772359555ss-scalenumber" for=3D"m_-6206025772772359555group_853118630_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-6206025772772359555ss-scalerow gmail-m_-6206025772772359555ss-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_-6206025772772359555aria-todo">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled checked value=3D"0" id=3D"gmail-m_-6206025772772359555group_853118630_1" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value==3D"1" id=3D"gmail-m_-6206025772772359555group_853118630_2" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"2" id=3D"gmail-m_-6206025772772359555group_853118630_3" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"3" id=3D"gmail-m_-6206025772772359555group_853118630_4" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"4" id=3D"gmail-m_-6206025772772359555group_853118630_5" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"5" id=3D"gmail-m_-6206025772772359555group_853118630_6" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"6" id=3D"gmail-m_-6206025772772359555group_853118630_7" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class==3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"7" id=3D"gmail-m_-6206025772772359555group_853118630_8" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"8" id=3D"gmail-m_-6206025772772359555group_853118630_9" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"9" id=3D"gmail-m_-6206025772772359555group_853118630_10" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"10" id=3D"gmail-m_-6206025772772359555group_853118630_11" class=3D"gmail-m_-6206025772772359555ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-6206025772772359555ss-scalerow gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_2140974612">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Anamnesis/Evoluci=C3=B3n=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
visita de seguimiento, paciente en regulares condiciones se observa deca=C3=ADdo levemente desorientado en espacio/tiempo, reactivo durante la visita.=20durante visita familiar refiere buen control del dolor con tto, niega alteraci=C3=B3n del sue=C3=B1o.</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_824006088">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Examen F=C3=ADsico=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
al momento del examen paciente se encuentra levemente desorientado en tiempo-espacio, reactivo durante el examen glasgow 15, normotenso, mucosas con deshidratacion leve, en regulares condiciones generales, se observa movimientos involuntarios de extremidades superiores, dificultad para realizar actividades que requieran motricidad fina, ABD  indoloro a la palpacion, se observa leve distencion, sin presencia de globo vesical, no presenta LPP , ap=C3=B3sito de sitio de inserci=C3=B3n de cat=C3=A9ter de drenaje con exudado moderado de tipo sero/purulento, piel circundante enrojecida,  se observa dificultad al flexionar EEID con aumento de dolor EVA 3/10 al movilizar extremidad el cual cede al reposo, pulsos presentes, sin edema, no presenta LPP.durante visita niega v=C3=B3mitos, nauseas o mareos. refiere inapetencia , patr=C3=B3n de eliminaci=C3=B3n normal, orina clara, sin olor.contenido de sistema de drenado tipo seropurulento, escasa cantidad.=20par=C3=A1metros vitales:- PA : 131/93- FC:  80 lpm- FR: 16 rpm- Sato2:  98% .- t=C2=B0: 37,3 =C2=B0C- glice: 98 mg/DL- EVA 1/10.</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir==3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1690694733">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Diagn=C3=B3stico=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
Ca prostata</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-item-required gmail-m_-6206025772772359555ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1255665248">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Plan de Tratamiento e Indicaciones=C2=A0<label for=3D"m_-6206025772772359555itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-6206025772772359555ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class==3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
se realiza  refuerzo de tecnicas de cuidado para aposito y sistema de drenado.</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_1648939075">
<div class=3D"gmail-m_-6206025772772359555ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Medicamentos Indicados</div>
<div class=3D"gmail-m_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-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:436.797px">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-6206025772772359555ss-form-question gmail-m_-6206025772772359555errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-6206025772772359555ss-item gmail-m_-6206025772772359555ss-date" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-item-label" for=3D"m_-6206025772772359555entry_2063615873">
<div class=3D"gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-help gmail-m_-6206025772772359555ss-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_-6206025772772359555ss-q-date">
<div class=3D"gmail-m_-6206025772772359555ss-datetime-box gmail-m_-6206025772772359555goog-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_day" disabled class=3D"gmail-m_-6206025772772359555ss-day-dropdown" id=3D"gmail-m_-6206025772772359555entry.2063615873_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">
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" selected>
30</option>
=C2=A0<option value=3D"31">
31</option>
</select>
=C2=A0<select name=3D"entry.2063615873_month" disabled class=3D"gmail-m_-6206025772772359555ss-month-dropdown" id=3D"gmail-m_-6206025772772359555entry.2063615873_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">
abril</option>
=C2=A0<option value=3D"5" selected>
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.2063615873_year" disabled id=3D"gmail-m_-6206025772772359555entry.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>
=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>
=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>
</div>
</div>
</div>
</div>
</div>
</form>
</div>
<br class=3D"gmail-Apple-interchange-newline">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
--000000000000d589b005896c0098--