<div dir=3D"ltr">
<br>
<br>
<div class=3D"gmail_quote">
<div dir=3D"ltr" class==3D"gmail_attr">
---------- Forwarded message ---------<br>
De: <strong class=3D"gmail_sendername" dir=3D"auto">
Formularios de Google</strong>
 <span dir=3D"auto">
&lt;<a href=3D"mailto:forms-receipts-noreply@google.com">
forms-receipts-noreply@google.com</a>
&gt;</span>
<br>
Date: mi=C3=A9., 10 jul. 2019 a las 16:25<br>
Subject: Registro de Atenci=C3=B3n Domiciliaria Oncovida<br>
To:  &lt;<a href=3D"mailto:nicole.mardonesb@gmail.com">
nicole.mardonesb@gmail.com</a>
&gt;<br>
</div>
<br>
<br>
<div style=3D"font-family:Roboto,Helvetica,Arial,sans-serif;margin:0;padding:0;height:100%;width:100%">
<table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:rgb(38,4,154)" width=3D"100%">
<tbody>
<tr height=3D"64px">
<td style=3D"padding-left:24px">
<img alt=3D"Formularios de Google" height=3D"26px" style=3D"display:inline-block;margin:0;vertical-align:middle" width=3D"143px" src=3D"https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png">
</td>
</tr>
</tbody>
</table>
<div style=3D"padding:24px;background-color:rgb(229,218,254)">
<div align=3D"center" style=3D"background-color:#fff;border-bottom:1px solid #e0e0e0;margin:0 auto;max-width:624px;min-width:154px;padding:0 24px">
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:#fff" width=3D"100%">
<tbody>
<tr height=3D"24px">
<td>
</td>
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:#424242;font-weight:700">
Gracias por rellenar <a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link" target=3D"_blank">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</a>
</div>
</td>
</tr>
<tr height=3D"12px">
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:#424242">
Esto es lo que nos has enviado:</div>
</td>
</tr>
<tr>
<td>
<div class=3D"m_7519547229628779965ss-form-container">
<div class=3D"m_7519547229628779965ss-form-heading">
<h1 class=3D"m_7519547229628779965ss-form-title" dir=3D"ltr" style=3D"margin:.67em 0">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"m_7519547229628779965ss-form-desc m_7519547229628779965ss-no-ignore-whitespace" style=3D"font:inherit;width:99%;margin:0 0 1em;white-space:pre-wrap;word-wrap:break-word">
Este es el sistema de registro de atenciones domiciliarias de Oncovida.   Debe ser llenado por el prestador individual, y debe realizarse un registro por cada visita domiciliaria.   Si usted no es prestador de Oncovida por favor no llene este formulario.   A continuaci=C3=B3n indique su correo electr=C3=B3nico.</div>
</div>
<div class=3D"m_7519547229628779965ss-form">
<form method=3D"GET" id=3D"m_7519547229628779965ss-form" target=3D"_blank">
<br>
<div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-text" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965emailAddress">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Direcci=C3==B3n de correo electr=C3=B3nico<label for=3D"m_7519547229628779965emailAddress">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text m_7519547229628779965ss-printable-text-line" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
<a href=3D"mailto:nicole.mardonesb@gmail.com" target=3D"_blank">
nicole.mardonesb@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"m_7519547229628779965ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" style=3D"width:78px;outline:none" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_7519547229628779965ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"m_7519547229628779965ss-page-description m_7519547229628779965ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap;word-wrap:break-word">
Aqu=C3=AD debe ingresar sus datos personales</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-text" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_579114469">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Primer Nombre y Apellido Paterno<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Nicole Mardones</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-text" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_1276273985">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
RUT<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
19030360-8</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-select" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_133691676">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
Si asisten m=C3=A1s de 1 prestador simult=C3=A1neamente, cada uno debe hacer un registro independiente</div>
</label>
<select name=3D"entry.133691676" disabled id=3D"m_7519547229628779965entry_133691676">
<option value=3D"">
</option>
<option value=3D"MEDICO" disabled>
MEDICO</option>
 <option value=3D"ENFERMERA/O" disabled>
ENFERMERA/O</option>
 <option value=3D"TENS" disabled>
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled selected>
KINESIOLOGA/O</option>
 <option value=3D"PSICOLOGO" disabled>
PSICOLOGO</option>
 <option value==3D"NUTRICIONISTA" disabled>
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"m_7519547229628779965ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" style=3D"width:78px;outline:none" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_7519547229628779965ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Paciente</h2>
<div class=3D"m_7519547229628779965ss-page-description m_7519547229628779965ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap;word-wrap:break-word">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-section-header" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_7519547229628779965ss-section-title" style=3D"background-color:#eee;padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"m_7519547229628779965ss-section-description m_7519547229628779965ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-space:pre-wrap;word-wrap:break-word">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-text" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_823811303">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ingrese el Rut del Paciente<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
5681099-4</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-text" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_1959365839">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Jorge Reyes</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-select" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_545002227">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Previsi=C3=B3n<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<select name=3D"entry.545002227" disabled id=3D"m_7519547229628779965entry_545002227">
<option value=3D"">
</option>
<option value=3D"BANMEDICA" disabled>
BANMEDICA</option>
 <option value=3D"CAPREDENA" disabled>
CAPREDENA</option>
 <option value=3D"COLMENA" disabled>
COLMENA</option>
 <option value=3D"CONSALUD" disabled>
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled>
CRUZ BLANCA</option>
 <option value=3D"DIPRECA" disabled>
DIPRECA</option>
 <option value=3D"FONASA" disabled>
FONASA</option>
 <option value=3D"FUNDACION" disabled selected>
FUNDACION</option>
 <option value=3D"ISAPRES DEL COBRE" disabled>
ISAPRES DEL COBRE</option>
 <option value=3D"NUEVA MASVIDA" disabled>
NUEVA MASVIDA</option>
 <option value=3D"VIDATRES" disabled>
VIDATRES</option>
 <option value=3D"PARTICULAR" disabled>
PARTICULAR</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-text" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_1900161356">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ciudad<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Fresia</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-text" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_1298871758">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Comuna<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Fresia</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"m_7519547229628779965ss-image" title=3D"" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" style=3D"width:78px;outline:none" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_7519547229628779965ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Registro de la Atenci=C3=B3n Domiciliaria</h2>
<div class=3D"m_7519547229628779965ss-page-description m_7519547229628779965ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap;word-wrap:break-word">
En esta secci=C3=B3n debe ingresar los datos de la atenci==C3=B3n domiciliaria</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-radio" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_2073233714">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo de Atenci=C3=B3n<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<ul class=3D"m_7519547229628779965ss-choices" style=3D"list-style:none;padding:0;margin:.5em 0 0">
<li class=3D"m_7519547229628779965ss-choice-item" style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
<label>
<span class=3D"m_7519547229628779965ss-choice-item-control m_7519547229628779965goog-inline-block" style=3D"display:inline-block">
<input type==3D"radio" name=3D"entry.1222378237" disabled checked value=3D"Domicilio" id=3D"m_7519547229628779965group_1222378237_1" class=3D"m_7519547229628779965ss-q-radio">
</span>
<span class=3D"m_7519547229628779965ss-choice-label">
Domicilio</span>
</label>
</li>
 <li class=3D"m_7519547229628779965ss-choice-item" style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
<label>
<span class=3D"m_7519547229628779965ss-choice-item-control m_7519547229628779965goog-inline-block" style=3D"display:inline-block">
<input type==3D"radio" name=3D"entry.1222378237" disabled value=3D"Ambulatorio" id=3D"m_7519547229628779965group_1222378237_2" class=3D"m_7519547229628779965ss-q-radio">
</span>
<span class=3D"m_7519547229628779965ss-choice-label">
Ambulatorio</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-date" style=3D"margin:12px 0">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_1705849412">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Fecha de la Atenci=C3=B3n<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_7519547229628779965ss-q-date">
<div class=3D"m_7519547229628779965ss-datetime-box m_7519547229628779965goog-inline-block" style=3D"border:1px solid #dcdcdc;margin-right:2em;min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
 <select name=3D"entry.1705849412_day" disabled class=3D"m_7519547229628779965ss-day-dropdown" id=3D"m_7519547229628779965entry.1705849412_day">
<option value=3D"">
D=C3=ADa</option>
<option value=3D"1">
1</option>
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2</option>
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3</option>
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4</option>
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5</option>
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6</option>
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7</option>
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8</option>
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9</option>
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10</option>
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11</option>
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12</option>
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13</option>
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14</option>
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15</option>
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16</option>
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17</option>
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18</option>
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19</option>
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20</option>
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21</option>
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22</option>
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23</option>
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24</option>
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25</option>
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26</option>
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27</option>
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28</option>
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29</option>
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30</option>
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31</option>
</select>
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<option value=3D"">
Mes</option>
<option value=3D"1">
enero</option>
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febrero</option>
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marzo</option>
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abril</option>
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mayo</option>
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junio</option>
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julio</option>
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agosto</option>
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septiembre</option>
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octubre</option>
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noviembre</option>
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diciembre</option>
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=20<select name=3D"entry.1705849412_year" disabled id=3D"m_7519547229628779965entry.1705849412_year">
<option value=3D"">
A=C3=B1o</option>
<option value=3D"1896">
1896</option>
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1897</option>
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1898</option>
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1899</option>
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1900</option>
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1901</option>
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1902</option>
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1903</option>
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1904</option>
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1905</option>
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1906</option>
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1907</option>
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1908</option>
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1909</option>
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1910</option>
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1911</option>
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1912</option>
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1913</option>
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1914</option>
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1915</option>
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1916</option>
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1917</option>
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1918</option>
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1919</option>
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1920</option>
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1921</option>
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1922</option>
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1923</option>
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1924</option>
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1925</option>
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1926</option>
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1927</option>
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1928</option>
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1929</option>
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1930</option>
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1931</option>
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1932</option>
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1933</option>
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1934</option>
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1935</option>
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1936</option>
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1937</option>
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1938</option>
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1939</option>
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1940</option>
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1941</option>
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1942</option>
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1943</option>
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1944</option>
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1945</option>
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1946</option>
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1947</option>
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1948</option>
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1949</option>
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1950</option>
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1951</option>
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1952</option>
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1953</option>
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1954</option>
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1955</option>
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1956</option>
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1957</option>
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1958</option>
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1959</option>
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1960</option>
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1961</option>
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1962</option>
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1963</option>
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1964</option>
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1965</option>
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1966</option>
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1967</option>
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1968</option>
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1969</option>
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1970</option>
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1971</option>
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1972</option>
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1973</option>
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1974</option>
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1975</option>
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1976</option>
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1977</option>
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1978</option>
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1979</option>
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1980</option>
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1981</option>
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1982</option>
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1983</option>
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1984</option>
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1985</option>
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1986</option>
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1987</option>
 <option value==3D"1988">
1988</option>
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1989</option>
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1990</option>
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1991</option>
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1992</option>
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1993</option>
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1994</option>
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1995</option>
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1996</option>
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1997</option>
 <option value==3D"1998">
1998</option>
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1999</option>
 <option value==3D"2000">
2000</option>
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2001</option>
 <option value==3D"2002">
2002</option>
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2003</option>
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2004</option>
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2005</option>
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2006</option>
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2007</option>
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2008</option>
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2009</option>
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2010</option>
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2011</option>
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2012</option>
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2013</option>
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2014</option>
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2015</option>
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2016</option>
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2017</option>
 <option value==3D"2018">
2018</option>
 <option value=3D"2019" selected>
2019</option>
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2020</option>
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2021</option>
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2022</option>
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2023</option>
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2024</option>
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2025</option>
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2026</option>
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2027</option>
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2028</option>
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2029</option>
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2030</option>
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2031</option>
 <option value=3D"2032">
2032</option>
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2033</option>
 <option value=3D"2034">
2034</option>
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2035</option>
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2036</option>
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2037</option>
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2038</option>
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2039</option>
 <option value==3D"2040">
2040</option>
 <option value=3D"2041">
2041</option>
 <option value==3D"2042">
2042</option>
 <option value=3D"2043">
2043</option>
 <option value==3D"2044">
2044</option>
 <option value=3D"2045">
2045</option>
 <option value==3D"2046">
2046</option>
 <option value=3D"2047">
2047</option>
 <option value==3D"2048">
2048</option>
 <option value=3D"2049">
2049</option>
 <option value==3D"2050">
2050</option>
 <option value=3D"2051">
2051</option>
 <option value==3D"2052">
2052</option>
 <option value=3D"2053">
2053</option>
 <option value==3D"2054">
2054</option>
 <option value=3D"2055">
2055</option>
 <option value==3D"2056">
2056</option>
 <option value=3D"2057">
2057</option>
 <option value==3D"2058">
2058</option>
 <option value=3D"2059">
2059</option>
 <option value==3D"2060">
2060</option>
 <option value=3D"2061">
2061</option>
 <option value==3D"2062">
2062</option>
 <option value=3D"2063">
2063</option>
 <option value==3D"2064">
2064</option>
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2065</option>
 <option value==3D"2066">
2066</option>
 <option value=3D"2067">
2067</option>
 <option value==3D"2068">
2068</option>
 <option value=3D"2069">
2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-item-required m_7519547229628779965ss-time" style=3D"margin:12px 0;font:inherit">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_206244955">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Hora de la Atenci=C3=B3n<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_7519547229628779965ss-q-time">
<div class=3D"m_7519547229628779965ss-datetime-box m_7519547229628779965goog-inline-block" dir=3D"ltr" style=3D"border:1px solid #dcdcdc;margin-right:2em;min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.206244955_hour" disabled id=3D"m_7519547229628779965entry.206244955_hour">
<option value=3D"">
h</option>
<option value=3D"00">
00</option>
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01</option>
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02</option>
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03</option>
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04</option>
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05</option>
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06</option>
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07</option>
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08</option>
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09</option>
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10</option>
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11</option>
 <option value=3D"12">
12</option>
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13</option>
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14</option>
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15</option>
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16</option>
 <option value=3D"17">
17</option>
 <option value=3D"18" selected>
18</option>
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19</option>
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20</option>
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21</option>
 <option value==3D"22">
22</option>
 <option value=3D"23">
23</option>
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17</option>
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18</option>
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28</option>
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38</option>
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39</option>
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59</option>
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</div>
</div>
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</div>
</div>
</div>
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<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Performance Status ECOG del Paciente<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
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<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
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0</option>
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1</option>
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2</option>
 <option value=3D"3" disabled selected>
3</option>
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4</option>
</select>
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</div>
</div>
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 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-scale" style=3D"margin:12px 0;overflow-x:auto">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_1716090865">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Escala Dolor EVA Actual</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
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<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"m_7519547229628779965entry_1421689035">
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<tr>
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</td>
<td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_9" style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1421689035_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
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<div class=3D"m_7519547229628779965aria-todo">
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<div class=3D"m_7519547229628779965ss-scalerow-fieldcell">
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</div>
</td>
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</div>
</td>
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<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"9" id=3D"m_7519547229628779965group_1421689035_10" class=3D"m_7519547229628779965ss-q-radio">
</div>
</td>
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<div class==3D"m_7519547229628779965ss-scalerow-fieldcell">
<input type=3D"radio" name==3D"entry.1421689035" disabled value=3D"10" id=3D"m_7519547229628779965group_1421689035_11" class=3D"m_7519547229628779965ss-q-radio">
</div>
</td>
<td class=3D"m_7519547229628779965ss-scalerow m_7519547229628779965ss-rightlabel" style=3D"text-align:left;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;padding-right:0">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
 <div class=3D"m_7519547229628779965ss-form-question m_7519547229628779965errorbox-good">
<div dir=3D"auto" class=3D"m_7519547229628779965ss-item m_7519547229628779965ss-scale" style=3D"margin:12px 0;overflow-x:auto">
<div class=3D"m_7519547229628779965ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_2064050596">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Escala Dolor EVA M=C3=A1ximo</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"m_7519547229628779965entry_1244707512">
<tbody>
<tr>
<td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_9" style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_1244707512_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"m_7519547229628779965ss-scalerow m_7519547229628779965ss-leftlabel" style=3D"text-align:right;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;padding-left:0">
<div class=3D"m_7519547229628779965aria-todo">
</div>
</td>
<td class=3D"m_7519547229628779965ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_7519547229628779965ss-scalerow-fieldcell">
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Escala Dolor EVA M=C3=ADnimo</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for==3D"m_7519547229628779965group_853118630_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
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<label class==3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_9" style==3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
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<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_7519547229628779965ss-scalenumber" for=3D"m_7519547229628779965group_853118630_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_7519547229628779965ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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Anamnesis/Evoluci=C3=B3n<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
</label>
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*</span>
</div>
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</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
El paciente menciona sentirse mejor desde el lunes en la tarde. Se le han administrado dosis de morfina subcut=C3=A1nea y ha tenido buenos resultados, manteniendo sus dolores de forma tolerable.Ha recuperado el apetito, pero debe procurar controlar la glicemia ya que despues de comer llega hasta los 500mg/dL.Duerme muy mal por las noches pero no por dolor, si no que menciona que tiene &quot;miedo de morir&quot; en el sue=C3=B1o y que su hija no se d=C3=A9 cuenta. prefiere dormir durante el d=C3=ADa y a ratos.</div>
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Examen F=C3=ADsico<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
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</div>
</label>
<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Paciente se encuentra en supino, en mejores condiciones generales. Vigil, cooperador, conectado en tiempo, espacio y persona. Presenta dolor EVA 7 en zona lumbar alta y baja y se irradia hacia extremidad inferior izquierda.Sin signos de dificultad respiratoria. Sin uso de musculatura accesoria, ni cianosis, ni tirajes. Tampoco presenta fr=C3=A9mitos. No refiere disnea.SatO2 99% Fc 110 lpmMP(+) disminuido de forma global especialmente por posterior. SRA.Pasa de supino a dec=C3=BAbito lateral derecho con leve dificultad para movilizar pierna izquierda. Tambi=C3=A9n pasa a sedente al borde de la cama con gran dificultad para bajar EII=C2=B0 de la cama. Lo logra sin ayuda. Es capaz de mantener la posici=C3=B3n sin asistecia.</div>
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Diagn=C3=B3stico<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
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<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
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C=C3=A1ncer de colon. </div>
</div>
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<label class=3D"m_7519547229628779965ss-q-item-label" for=3D"m_7519547229628779965entry_1255665248">
<div class=3D"m_7519547229628779965ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Plan de Tratamiento e Indicaciones<label for=3D"m_7519547229628779965itemView.getDomIdToLabel()">
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<span class=3D"m_7519547229628779965ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
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<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
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<div class=3D"m_7519547229628779965ss-q-text" dir=3D"auto" style=3D"background-color:#eee;max-width:90%;border:1px solid #c0c0c0;padding:5px;white-space:pre-wrap;color:#545454;width:70%">
Realiza ejercicios activos de dorsi-plantiflexi=C3=B3n. Triple flexi=C3=B3n activa en EID=C2=B0 y activo-asistido en EII=C2=B0. Ejercicios isom=C3=A9tricos de cuadriceps. Ejercicios isom==C3=A9tricos de CORE.Luego pasa a sedente al borde de la cama, donde se realizan ejercicios funcionales con ambas EESS, donde logra mantener un buen control de tronco sin asistencia ni reacciones protectoras. Presenta reacciones de equilibrio y enderezamiento en esta posici=C3=B3n.Ejercicios conc=C3=A9ntricos y exc=C3=A9ntricos de cu=C3=A1driceps en esta posici=C3=B3n.Luego vuelve a supino y despues a dec=C3=BAbito lateral derecho, donde se realiza masoterapia en zona lumbar baja, alta y dorsal. El paciente logra conciliar el sue=C3=B1o luego de esto.</div>
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Medicamentos Indicados</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
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Fecha aproximada del Pr=C3=B3ximo Control con usted</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
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<div class=3D"m_7519547229628779965ss-datetime-box m_7519547229628779965goog-inline-block" style=3D"border:1px solid #dcdcdc;margin-right:2em;min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
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<option value=3D"">
D=C3=ADa</option>
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1</option>
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2</option>
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3</option>
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4</option>
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5</option>
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6</option>
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7</option>
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8</option>
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9</option>
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10</option>
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11</option>
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12</option>
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13</option>
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14</option>
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15</option>
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16</option>
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17</option>
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18</option>
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19</option>
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20</option>
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21</option>
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22</option>
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23</option>
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24</option>
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25</option>
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26</option>
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27</option>
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28</option>
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29</option>
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30</option>
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31</option>
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<option value=3D"">
Mes</option>
<option value=3D"1">
enero</option>
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febrero</option>
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marzo</option>
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abril</option>
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mayo</option>
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junio</option>
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julio</option>
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agosto</option>
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septiembre</option>
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octubre</option>
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noviembre</option>
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diciembre</option>
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A=C3=B1o</option>
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1896</option>
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1899</option>
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1900</option>
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1901</option>
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1902</option>
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1903</option>
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1905</option>
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1906</option>
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1907</option>
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1908</option>
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1909</option>
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1910</option>
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1911</option>
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1912</option>
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1913</option>
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1914</option>
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1915</option>
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1918</option>
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1919</option>
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1920</option>
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1921</option>
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1922</option>
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1923</option>
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1924</option>
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1925</option>
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1926</option>
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1927</option>
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1928</option>
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1929</option>
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1930</option>
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1931</option>
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1932</option>
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1933</option>
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1934</option>
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1935</option>
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1936</option>
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1937</option>
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1938</option>
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1939</option>
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1940</option>
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1941</option>
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1942</option>
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1943</option>
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1944</option>
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1945</option>
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1946</option>
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1947</option>
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1949</option>
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1950</option>
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1951</option>
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1952</option>
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1953</option>
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1954</option>
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1955</option>
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1956</option>
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1957</option>
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1958</option>
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1959</option>
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1960</option>
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1961</option>
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1962</option>
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1963</option>
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1964</option>
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1965</option>
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1966</option>
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1967</option>
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1968</option>
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1969</option>
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1970</option>
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1971</option>
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1972</option>
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1973</option>
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1974</option>
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1976</option>
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1977</option>
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1978</option>
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1979</option>
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1980</option>
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1981</option>
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1982</option>
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1983</option>
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1984</option>
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1985</option>
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1986</option>
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1987</option>
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1988</option>
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1989</option>
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1990</option>
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1991</option>
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1992</option>
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1993</option>
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1994</option>
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1995</option>
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1996</option>
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1997</option>
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1998</option>
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1999</option>
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2000</option>
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2001</option>
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2002</option>
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2003</option>
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2004</option>
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2005</option>
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2006</option>
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2007</option>
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2008</option>
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2009</option>
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2010</option>
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2011</option>
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2012</option>
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2013</option>
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2014</option>
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2015</option>
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2016</option>
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2017</option>
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2018</option>
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2019</option>
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2020</option>
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2021</option>
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2022</option>
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2023</option>
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2024</option>
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2025</option>
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2026</option>
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2027</option>
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2028</option>
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2029</option>
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2030</option>
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2031</option>
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2032</option>
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2033</option>
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2034</option>
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2035</option>
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2036</option>
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2037</option>
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2038</option>
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2039</option>
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2040</option>
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2041</option>
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2042</option>
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2043</option>
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2044</option>
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2045</option>
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2046</option>
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2047</option>
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2048</option>
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2049</option>
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2050</option>
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2051</option>
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2052</option>
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2053</option>
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2054</option>
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2055</option>
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2056</option>
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2057</option>
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2058</option>
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2059</option>
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2060</option>
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2061</option>
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2062</option>
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2063</option>
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2064</option>
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2065</option>
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2066</option>
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2067</option>
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2068</option>
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2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
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Tratamiento Realizado (si corresponde)</div>
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Derivaci=C3=B3n a otro Prestador Domiciliario</div>
<div class=3D"m_7519547229628779965ss-q-help m_7519547229628779965ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
S=C3=B3lo llene esta secci=C3=B3n si es m=C3=A9dico y solicita la visita de otro prestador del equipo</div>
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<ul class=3D"m_7519547229628779965ss-choices" style=3D"list-style:none;padding:0;margin:.5em 0 0">
<li class=3D"m_7519547229628779965ss-choice-item" style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
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<input type==3D"checkbox" name=3D"entry.503039759" disabled value=3D"ENFERMERA" id=3D"m_7519547229628779965group_503039759_1" class=3D"m_7519547229628779965ss-q-checkbox">
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ENFERMERA</span>
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</li>
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<label>
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<input type==3D"checkbox" name=3D"entry.503039759" disabled value=3D"TENS" id=3D"m_7519547229628779965group_503039759_2" class=3D"m_7519547229628779965ss-q-checkbox">
</span>
<span class=3D"m_7519547229628779965ss-choice-label">
TENS</span>
</label>
</li>
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<a href=3D"https://docs.google.com/forms?usp=3Dmail_form_link" style=3D"color:#424242;font-size:13px" target=3D"_blank">
Crea tu propio formulario de Google</a>
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Nicole Mardones Barrientos</b>
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Kinesi=C3=B3loga</b>
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+569-54412471</b>
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