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</head>

<body lang="ES-CL" link="blue" vlink="purple">

<div class="WordSection1">

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Estimada<o:p>
</o:p>
</span>
</p>

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Favor proceder con la atención por TENS 3 veces por semana por dos semanas luego se enviara información para continuar
<o:p>
</o:p>
</span>
</p>

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Saludos
<o:p>
</o:p>
</span>
</p>

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Atte:<o:p>
</o:p>
</span>
</p>

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1F497D;mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1F497D">
<img width="451" height="180" id="Imagen_x0020_1" src="cid:image001.jpg@01D5370F.BABF1620">
<o:p>
</o:p>
</span>
</p>

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1F497D;mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<p class="MsoNormal">
<b>
<span lang="ES" style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif">
De:</span>
</b>
<span lang="ES" style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif">
 erica Fuentes [mailto:ericafuentesgarcia@gmail.com]
<br>

<b>
Enviado el:</b>
 lunes, 08 de julio de 2019 20:46<br>

<b>
Para:</b>
 coordinadora@telemed-chile.cl; informeges@telemed-chile.cl; rominabrochon@telemed-chile.cl<br>

<b>
CC:</b>
 Laura Adasme Lobos &lt;laura.adasme@oncovidachile.cl&gt;<br>

<b>
Asunto:</b>
 Fwd: EDUARDO SALINAS, 02 DE JULIO<o:p>
</o:p>
</span>
</p>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<p class="MsoNormal">
Estimados:<o:p>
</o:p>
</p>

<div>

<p class="MsoNormal">
Adjunto aquí las indicaciones médicas, para este nuevo ciclo.<o:p>
</o:p>
</p>

</div>

<div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

</div>

<div>

<p class="MsoNormal">
Que tengan una excelente semana.<o:p>
</o:p>
</p>

<div>

<div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div>

<p class="MsoNormal">
<span style="font-family:&quot;Calibri&quot;,sans-serif;color:black">
<o:p>
&nbsp;</o:p>
</span>
</p>

</div>

<div>

<div>

<p class="MsoNormal">
<span style="font-family:&quot;Calibri&quot;,sans-serif;color:black">
<o:p>
&nbsp;</o:p>
</span>
</p>

</div>

<div class="MsoNormal" align="center" style="text-align:center">

<hr size="2" width="98%" align="center">

</div>

<div id="m_-9214515354290023985divRplyFwdMsg">

<p class="MsoNormal">
<b>
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:black">
De:</span>
</b>
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:black">
 Formularios de Google &lt;</span>
<a href="mailto:forms-receipts-noreply@google.com" target="_blank">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif">
forms-receipts-noreply@google.com</span>
</a>
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:black">
&gt;<br>

<b>
Enviado:</b>
 lunes, 8 de julio de 2019 12:57<br>

<b>
Para:</b>
 </span>
<a href="mailto:reddy_51@outlook.com" target="_blank">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif">
reddy_51@outlook.com</span>
</a>
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:black">
<br>

<b>
Asunto:</b>
 Registro de Atención Domiciliaria Oncovida</span>
 <o:p>
</o:p>
</p>

<div>

<p class="MsoNormal">
&nbsp;<o:p>
</o:p>
</p>

</div>

</div>

<div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;background:#26049A">

<tbody>

<tr>

<td style="padding:0cm 0cm 0cm 18.0pt">

<p class="MsoNormal">
<span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="Imagen_x0020_2" src="cid:~WRD394.jpg" alt="Imagen quitada por el remitente. Formularios de Google">
</span>
<span style="mso-fareast-language:EN-US">
<o:p>
</o:p>
</span>
</p>

</td>

</tr>

</tbody>

</table>

<div>

<div style="border:none;border-bottom:solid #E0E0E0 1.0pt;padding:0cm 0cm 0cm 0cm;max-width:624px;min-width:154px">

<p class="MsoNormal" align="center" style="text-align:center;background:white">
<span style="display:none">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div align="center">

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;background:white">

<tbody>

<tr>

<td style="padding:0cm 0cm 0cm 0cm">
</td>

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<tr>

<td style="padding:0cm 0cm 0cm 0cm">

<div>

<p class="MsoNormal" style="line-height:13.5pt">
<b>
<span style="font-size:10.0pt;color:#424242;mso-fareast-language:EN-US">
Gracias por rellenar
</span>
</b>
<span style="mso-fareast-language:EN-US">
<a href="https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=mail_form_link" target="_blank">
<b>
<span style="font-size:10.0pt">
Registro de Atención Domiciliaria
 Oncovida</span>
</b>
</a>
</span>
<b>
<span style="font-size:10.0pt;color:#424242;mso-fareast-language:EN-US">
<o:p>
</o:p>
</span>
</b>
</p>

</div>

</td>

</tr>

<tr>

<td style="padding:0cm 0cm 0cm 0cm">
</td>

</tr>

<tr>

<td style="padding:0cm 0cm 0cm 0cm">

<div>

<p class="MsoNormal" style="line-height:13.5pt">
<span style="font-size:10.0pt;color:#424242;mso-fareast-language:EN-US">
Esto es lo que nos has enviado:<o:p>
</o:p>
</span>
</p>

</div>

</td>

</tr>

<tr>

<td style="padding:0cm 0cm 0cm 0cm">

<div>

<div>

<h1 style="mso-margin-top-alt:8.05pt;margin-right:0cm;margin-bottom:8.05pt;margin-left:0cm">

<span style="mso-fareast-language:EN-US">
Registro de Atención Domiciliaria Oncovida<o:p>
</o:p>
</span>
</h1>

<div style="margin-bottom:12.0pt;white-space:pre-wrap;word-wrap:break-word">

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
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 continuación indique su correo electrónico.<o:p>
</o:p>
</span>
</p>

</div>

</div>

<div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Dirección de correo electrónico
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="mso-fareast-language:EN-US">
<a href="mailto:reddy_51@outlook.com" target="_blank">
reddy_51@outlook.com</a>
<span style="color:#545454">
<o:p>
</o:p>
</span>
</span>
</p>

</div>

</div>

</div>

</div>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="Imagen_x0020_3" src="cid:~WRD394.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<span style="mso-fareast-language:EN-US">
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="mso-fareast-language:EN-US">
Identificación del Prestador<o:p>
</o:p>
</span>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
Aquí debe ingresar sus datos personales<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Primer Nombre y Apellido Paterno
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
REDDY LLANQUE<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
RUT
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666;mso-fareast-language:EN-US">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)<o:p>
</o:p>
</span>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
24740784-7<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Tipo
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666;mso-fareast-language:EN-US">
Si asisten más de 1 prestador simultáneamente, cada uno debe hacer un registro independiente<o:p>
</o:p>
</span>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
[MEDICO&nbsp;\/]
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="Imagen_x0020_4" src="cid:~WRD394.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<span style="mso-fareast-language:EN-US">
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="mso-fareast-language:EN-US">
Identificación del Paciente<o:p>
</o:p>
</span>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
En esta sección debe ingresar los datos del paciente visitado<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="mso-fareast-language:EN-US">
Datos Personales del Paciente<o:p>
</o:p>
</span>
</h2>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Ingrese el Rut del Paciente
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666;mso-fareast-language:EN-US">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)<o:p>
</o:p>
</span>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
4317631-5<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Ingrese el Primer Nombre y Apellido Paterno del Paciente
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
EDUARDO SALINAS<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Previsión
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
[BANMEDICA&nbsp;\/]
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Ciudad
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
SAN FERNANNO<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Comuna
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
SAN FERNANDO<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="Imagen_x0020_5" src="cid:~WRD394.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<span style="mso-fareast-language:EN-US">
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="mso-fareast-language:EN-US">
Registro de la Atención Domiciliaria<o:p>
</o:p>
</span>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
En esta sección debe ingresar los datos de la atención domiciliaria<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Tipo de Atención
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol;mso-fareast-language:EN-US">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="m-9214515354290023985ss-choice-item-control">
<span style="mso-fareast-language:EN-US">
(X)</span>
</span>
<span style="mso-fareast-language:EN-US">

<span class="m-9214515354290023985ss-choice-label">
Domicilio</span>
 <o:p>
</o:p>
</span>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol;mso-fareast-language:EN-US">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="m-9214515354290023985ss-choice-item-control">
<span style="mso-fareast-language:EN-US">
(&nbsp;)</span>
</span>
<span style="mso-fareast-language:EN-US">

<span class="m-9214515354290023985ss-choice-label">
Ambulatorio</span>
 <o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Fecha de la Atención
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div>

<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
[2&nbsp;\/] [julio&nbsp;\/] [2019&nbsp;\/]
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Hora de la Atención
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div>

<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
[14&nbsp;\/] : [30&nbsp;\/]
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Performance Status ECOG del Paciente
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
[3&nbsp;\/]
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Escala Dolor EVA Actual
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="m_-9214515354290023985entry_1421689035">

<tbody>

<tr>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
0<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
1<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
2<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
3<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
4<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
5<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
6<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
7<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
8<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
9<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
10<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

</tr>

<tr>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Escala Dolor EVA Máximo
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="m_-9214515354290023985entry_1244707512">

<tbody>

<tr>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
0<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
1<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
2<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
3<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
4<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
5<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
6<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
7<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
8<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
9<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
10<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

</tr>

<tr>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Escala Dolor EVA Mínimo
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="m_-9214515354290023985entry_853118630">

<tbody>

<tr>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
0<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
1<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
2<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
3<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
4<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
5<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
6<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
7<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
8<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
9<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
<span style="mso-fareast-language:EN-US">
10<o:p>
</o:p>
</span>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

</tr>

<tr>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666;mso-fareast-language:EN-US">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Anamnesis/Evolución
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
Paciente con evolución desfavorable, se evidencia aumento de volumen en región cervical, por compromiso ganglionar, al momento con 02
 al 3 lts x minuto por bigotera saturando 96, ademas se evidencia deterioro cognitivo, y alto grado de dependencia<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Examen Físico
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
Aumento de volumen en región ganglionar cervical, quiste sebaceo en tratamiento con notable mejoria<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Diagnóstico
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
Cáncer pulmonar en estadificacion<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Plan de Tratamiento e Indicaciones
<span class="m-9214515354290023985ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
CONTROL MEDICO SEMANAL O SOS CONTROL CON ENFERMERA SEMANAL O SOS KINESIOLOGO 2 VECES POR SEMANA NUTRICIONISTA CADA 15 DÍAS PSICÓLOGO
 2 VECES POR SEMANA TENS ASEO Y CONFORT 3 VECES POR SEMANA O2 DOMICILIARIO CURACIONES 3 VECES POR SEMANA POR ENFERMERA<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Medicamentos Indicados
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454;mso-fareast-language:EN-US">
XUMADOL 1 GR CADA 12 HRS TRAMADOL COMP. 50 MG CADA 12 HRS TRAMADOL GOTAS, 15 GOTAS SOS<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Fecha aproximada del Próximo Control con usted
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div>

<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">

<p class="MsoNormal" style="vertical-align:middle">
<span style="mso-fareast-language:EN-US">
[9&nbsp;\/] [julio&nbsp;\/] [2019&nbsp;\/]
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Tratamiento Realizado (si corresponde)
<o:p>
</o:p>
</span>
</b>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
<span style="mso-fareast-language:EN-US">
Derivación a otro Prestador Domiciliario
<o:p>
</o:p>
</span>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666;mso-fareast-language:EN-US">
Sólo llene esta sección si es médico y solicita la visita de otro prestador del equipo<o:p>
</o:p>
</span>
</p>

</div>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo4;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol;mso-fareast-language:EN-US">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="m-9214515354290023985ss-choice-item-control">
<span style="mso-fareast-language:EN-US">
[X]</span>
</span>
<span style="mso-fareast-language:EN-US">

<span class="m-9214515354290023985ss-choice-label">
ENFERMERA</span>
 <o:p>
</o:p>
</span>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo4;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol;mso-fareast-language:EN-US">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="m-9214515354290023985ss-choice-item-control">
<span style="mso-fareast-language:EN-US">
[X]</span>
</span>
<span style="mso-fareast-language:EN-US">

<span class="m-9214515354290023985ss-choice-label">
TENS</span>
 <o:p>
</o:p>
</span>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo4;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol;mso-fareast-language:EN-US">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="m-9214515354290023985ss-choice-item-control">
<span style="mso-fareast-language:EN-US">
[X]</span>
</span>
<span style="mso-fareast-language:EN-US">

<span class="m-9214515354290023985ss-choice-label">
NUTRICIONISTA</span>
 <o:p>
</o:p>
</span>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo4;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol;mso-fareast-language:EN-US">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="m-9214515354290023985ss-choice-item-control">
<span style="mso-fareast-language:EN-US">
[X]</span>
</span>
<span style="mso-fareast-language:EN-US">

<span class="m-9214515354290023985ss-choice-label">
KINESIOLOGO</span>
 <o:p>
</o:p>
</span>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo4;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol;mso-fareast-language:EN-US">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="m-9214515354290023985ss-choice-item-control">
<span style="mso-fareast-language:EN-US">
[X]</span>
</span>
<span style="mso-fareast-language:EN-US">

<span class="m-9214515354290023985ss-choice-label">
PSICOLOGO</span>
 <o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<o:p>
&nbsp;</o:p>
</span>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="Imagen_x0020_6" src="cid:~WRD394.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<span style="mso-fareast-language:EN-US">
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

</div>

</td>

</tr>

<tr>

<td style="padding:0cm 0cm 0cm 0cm">
</td>

</tr>

</tbody>

</table>

</div>

</div>

<div align="center">

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">

<tbody>

<tr>

<td style="padding:0cm 0cm 0cm 0cm">
</td>

</tr>

<tr>

<td style="padding:0cm 0cm 0cm 0cm">

<p class="MsoNormal">
<span style="mso-fareast-language:EN-US">
<a href="https://docs.google.com/forms?usp=mail_form_link" target="_blank">
<span style="font-size:10.0pt;color:#424242">
Crea tu propio formulario de Google</span>
</a>
<o:p>
</o:p>
</span>
</p>

</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

</div>

<div id="m_-9214515354290023985DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2">

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<table class="MsoNormalTable" border="1" cellpadding="0" style="border:none;border-top:solid #D3D4DE 1.0pt">

<tbody>

<tr>

<td width="58" style="width:41.25pt;border:none;padding:13.5pt .75pt .75pt .75pt">

<p class="MsoNormal">
<a href="https://www.avast.com/sig-email?utm_medium=email&amp;utm_source=link&amp;utm_campaign=sig-email&amp;utm_content=webmail" target="_blank">
<span style="border:solid windowtext 1.0pt;padding:0cm;text-decoration:none">
<img border="0" width="46" height="29" id="Imagen_x0020_9" src="cid:image002.jpg@01D5370F.BABF1620" alt="Imagen quitada por el remitente.">
</span>
</a>
<span style="mso-fareast-language:EN-US">
<o:p>
</o:p>
</span>
</p>

</td>

<td width="473" style="width:352.5pt;border:none;padding:12.75pt .75pt .75pt .75pt">

<p class="MsoNormal" style="line-height:13.5pt">
<span style="font-size:10.0pt;font-family:&quot;Arial&quot;,sans-serif;color:#41424E;mso-fareast-language:EN-US">
Libre de virus.
</span>
<span style="mso-fareast-language:EN-US">
<a href="https://www.avast.com/sig-email?utm_medium=email&amp;utm_source=link&amp;utm_campaign=sig-email&amp;utm_content=webmail" target="_blank">
<span style="font-size:10.0pt;font-family:&quot;Arial&quot;,sans-serif;color:#4453EA">
www.avast.com</span>
</a>
</span>
<span style="font-size:10.0pt;font-family:&quot;Arial&quot;,sans-serif;color:#41424E;mso-fareast-language:EN-US">

<o:p>
</o:p>
</span>
</p>

</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

<p class="MsoNormal">
<br clear="all">

<o:p>
</o:p>
</p>

<div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

</div>

<p class="MsoNormal">
-- <o:p>
</o:p>
</p>

<div>

<div>

<div>

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<o:p>
&nbsp;</o:p>
</p>

<p class="MsoNormal" align="center" style="text-align:center">
<b>
<span style="font-size:9.5pt;background:white">
Erica Fuentes García.</span>
</b>
<o:p>
</o:p>
</p>

<p class="MsoNormal" align="center" style="text-align:center">
<b>
<span style="background:white">
Enfermera Universitaria.</span>
</b>
<o:p>
</o:p>
</p>

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<b>
<span style="font-size:9.5pt;background:white">
Licenciada en Enfermería.</span>
</b>
<o:p>
</o:p>
</p>

<p class="MsoNormal" align="center" style="text-align:center">
<o:p>
&nbsp;</o:p>
</p>

<div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

</div>

</div>

</div>

</div>

&nbsp;<br>

<br>

<div style="background-color:#D5EAFF; border:1px dotted #003333; padding:.8em; ">

<p style="font-size:10pt; line-height:10pt; font-family: 'Cambria','times roman',serif;">

La información recibida es meramente informativa y no necesariamente implicará una oferta o aceptación de compra o venta de ningún tipo de bien o servicio, o una confirmación formal de cualquier transacción. Asimismo, la información contenida en este correo
 electrónico y/o archivo adjunto es de carácter confidencial y exclusivo para el individuo o entidad a la que van dirigidas y no necesariamente reflejan las declaraciones o comentarios emitidos por la empresa. De manera que si usted no es el destinario individualizado
 y por error recibiera este correo electrónico, le agradeceremos notificar al remitente y borrarlo. Finalmente, informamos que, aun cuando se hayan tomado las medidas razonables para que los correos electrónicos y sus archivos adjuntos se encuentren libres
 de virus o cualquier otro defecto que pueda afectar el sistema computacional de quien lo recibe o abre, es responsabilidad del destinatario asegurarse de esta condición y acepta que no es responsabilidad de su remitente.</p>

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