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<div dir=3D"ltr" class=3D"gmail_signature" data-smartmail=3D"gmail_signature">
<div dir=3D"ltr">
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<div dir==3D"ltr">
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<font size=3D"4">
<img src=3D"https://docs.google.com/uc?export=3Ddownload&amp;id=3D1CZ1y5ajpxZHYVQARdKi0pbNJ5IGsl93s&amp;revid=3D0B3qxlh9GeOnuelMreVgyS2s4Njl2YXJhY245SE9QbXA0SW5VPQ">
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<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: jue., 8 de ago. de 2019 a la(s) 22:50<br>
Subject: Registro de Atenci=C3=B3n Domiciliaria Oncovida<br>
To:  &lt;<a href=3D"mailto:carolinaandrea.vsanchez@gmail.com">
carolinaandrea.vsanchez@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 llenar <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">
Estas son tus respuestas:</div>
</td>
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<tr>
<td>
<div class=3D"m_3542213060889335673ss-form-container">
<div class=3D"m_3542213060889335673ss-form-heading">
<h1 class=3D"m_3542213060889335673ss-form-title" dir=3D"ltr" style=3D"margin:.67em 0">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"m_3542213060889335673ss-form-desc m_3542213060889335673ss-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_3542213060889335673ss-form">
<form method=3D"GET" id=3D"m_3542213060889335673ss-form" target=3D"_blank">
<br>
<div class=3D"m_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-text" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673emailAddress">
<div class=3D"m_3542213060889335673ss-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_3542213060889335673emailAddress">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
</label>
<div class=3D"m_3542213060889335673ss-q-text m_3542213060889335673ss-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:carolinaandrea.vsanchez@gmail.com" target=3D"_blank">
carolinaandrea.vsanchez@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_3542213060889335673ss-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_3542213060889335673ss-image" title=3D"" src=3D"https://lh3.googleusercontent.com/00-FWRRIiJNpjLIXj1QrTLVceHhiPxWpIN-K4cI0enEtAvmFFnvOHRJTMz5Lq8yFpMHz7WvBnNdiNVchE6Snklpxxc7gIx3OoqTfn_sB2_iSp_6sx7Sr2pww-0pD" style=3D"width:78px;outline:none" alt=3D"Imagen sin t=C3=ADtulo">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_3542213060889335673ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"m_3542213060889335673ss-page-description m_3542213060889335673ss-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_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-text" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_579114469">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Primer Nombre y Apellido Paterno<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_3542213060889335673ss-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%">
Carolina Vargas</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-text" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_1276273985">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
RUT<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-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_3542213060889335673ss-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%">
17528747-7</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-select" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_133691676">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-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_3542213060889335673entry_133691676">
<option value=3D"">
</option>
<option value=3D"MEDICO" disabled>
MEDICO</option>
 <option value=3D"ENFERMERA/O" disabled selected>
ENFERMERA/O</option>
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TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled>
KINESIOLOGA/O</option>
 <option value=3D"PSICOLOGO" disabled>
PSICOLOGO</option>
 <option value==3D"NUTRICIONISTA" disabled>
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_3542213060889335673ss-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_3542213060889335673ss-image" title=3D"" src=3D"https://lh3.googleusercontent.com/mRJInQVKRU12r9blREv2jmlzETLT9JfIHWC0FaeXYfPraPFE9ebBRX8P_hmpfiBP6BNpOgjPBYU0zwBxYxgoLvjQ7EjfjoRTJ2_-8flTaiU_wC008XC8LpcEJ_Yp" style=3D"width:78px;outline:none" alt=3D"Imagen sin t=C3=ADtulo">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_3542213060889335673ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Paciente</h2>
<div class=3D"m_3542213060889335673ss-page-description m_3542213060889335673ss-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_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-section-header" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_3542213060889335673ss-section-title" style=3D"background-color:#eee;padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"m_3542213060889335673ss-section-description m_3542213060889335673ss-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_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-text" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_823811303">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ingrese el Rut del Paciente<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-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_3542213060889335673ss-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%">
5467325-6</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-text" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_1959365839">
<div class=3D"m_3542213060889335673ss-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_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_3542213060889335673ss-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%">
Jorgelina Curumilla</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-select" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_545002227">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Previsi=C3=B3n<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-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_3542213060889335673entry_545002227">
<option value=3D"">
</option>
<option value=3D"BANMEDICA" disabled>
BANMEDICA</option>
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CAPREDENA</option>
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COLMENA</option>
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CONSALUD</option>
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CRUZ BLANCA</option>
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DIPRECA</option>
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FONASA</option>
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FUNDACION</option>
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ISAPRES DEL COBRE</option>
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NUEVA MASVIDA</option>
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VIDATRES</option>
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PARTICULAR</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-text" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_1900161356">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ciudad<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_3542213060889335673ss-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%">
Puerto Montt</div>
</div>
</div>
</div>
<br>
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<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-text" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_1298871758">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Comuna<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
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</div>
</label>
<div class=3D"m_3542213060889335673ss-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%">
Puerto Montt</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_3542213060889335673ss-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_3542213060889335673ss-image" title=3D"" src=3D"https://lh6.googleusercontent.com/URytM0QWRGW_JEL0xQxvOLvwPRJIHyqlnKOm6ky9DRBfzvYVPaAngXV35GNHnaVG-dm9Orno4lr8sy8E-KB9tMrmIhFbVQiOPWy3vUclqRKAJ51dvLdhjBKgXdLO" style=3D"width:78px;outline:none" alt=3D"Imagen sin t=C3=ADtulo">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_3542213060889335673ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Registro de la Atenci=C3=B3n Domiciliaria</h2>
<div class=3D"m_3542213060889335673ss-page-description m_3542213060889335673ss-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_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-radio" style=3D"margin:12px 0">
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<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo de Atenci=C3=B3n<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
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<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
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<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
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<span class=3D"m_3542213060889335673ss-choice-label">
Domicilio</span>
</label>
</li>
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<label>
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<input type==3D"radio" name=3D"entry.1222378237" disabled value=3D"Ambulatorio" id=3D"m_3542213060889335673group_1222378237_2" class=3D"m_3542213060889335673ss-q-radio">
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<span class=3D"m_3542213060889335673ss-choice-label">
Ambulatorio</span>
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</li>
</ul>
</div>
</div>
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<br>
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<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
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<div class=3D"m_3542213060889335673ss-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_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_3542213060889335673ss-q-date">
<div class=3D"m_3542213060889335673ss-datetime-box m_3542213060889335673goog-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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Mes</option>
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enero</option>
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febrero</option>
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marzo</option>
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abril</option>
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mayo</option>
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junio</option>
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julio</option>
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agosto</option>
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septiembre</option>
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octubre</option>
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noviembre</option>
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diciembre</option>
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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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A=C3=B1o</option>
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1896</option>
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1897</option>
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1898</option>
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1899</option>
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1900</option>
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1901</option>
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1902</option>
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1903</option>
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1904</option>
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1905</option>
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1906</option>
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1907</option>
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1908</option>
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1909</option>
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1910</option>
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1911</option>
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1912</option>
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1913</option>
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1914</option>
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1915</option>
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1916</option>
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1917</option>
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1918</option>
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1919</option>
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1920</option>
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1921</option>
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1922</option>
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1923</option>
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1924</option>
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1925</option>
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1926</option>
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1927</option>
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1928</option>
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1929</option>
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1930</option>
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1931</option>
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1932</option>
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1933</option>
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1934</option>
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1935</option>
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1936</option>
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1937</option>
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1938</option>
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1939</option>
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1940</option>
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1941</option>
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1942</option>
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1943</option>
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1944</option>
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1945</option>
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1946</option>
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1947</option>
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1948</option>
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1949</option>
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1950</option>
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1951</option>
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1952</option>
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1953</option>
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1954</option>
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1955</option>
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1956</option>
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1957</option>
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1958</option>
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1959</option>
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1960</option>
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1961</option>
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1962</option>
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1963</option>
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1964</option>
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1965</option>
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1966</option>
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1967</option>
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1968</option>
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1969</option>
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1970</option>
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1971</option>
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1972</option>
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1973</option>
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1974</option>
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1975</option>
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1976</option>
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1977</option>
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1978</option>
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1979</option>
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1980</option>
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1981</option>
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1982</option>
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1983</option>
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1984</option>
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1985</option>
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1986</option>
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1987</option>
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1988</option>
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1989</option>
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1990</option>
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1991</option>
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1992</option>
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1993</option>
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1994</option>
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1995</option>
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1996</option>
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1997</option>
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1998</option>
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1999</option>
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2000</option>
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2001</option>
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2002</option>
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2003</option>
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2004</option>
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2005</option>
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2006</option>
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2007</option>
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2008</option>
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2009</option>
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2010</option>
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2011</option>
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2012</option>
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2013</option>
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2014</option>
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2015</option>
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2016</option>
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2017</option>
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2018</option>
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2019</option>
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2020</option>
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2021</option>
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2022</option>
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2023</option>
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2024</option>
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2025</option>
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2026</option>
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2027</option>
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2028</option>
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2029</option>
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2030</option>
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2031</option>
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2032</option>
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2033</option>
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2034</option>
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2035</option>
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2036</option>
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2037</option>
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2038</option>
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2039</option>
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2040</option>
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2041</option>
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2042</option>
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2043</option>
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2044</option>
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2045</option>
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2046</option>
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2047</option>
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2048</option>
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2049</option>
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2050</option>
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2051</option>
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2052</option>
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2053</option>
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2054</option>
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2055</option>
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2056</option>
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2057</option>
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2058</option>
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2059</option>
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2060</option>
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2061</option>
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2062</option>
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2063</option>
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2064</option>
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2065</option>
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2066</option>
 <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_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-time" style=3D"margin:12px 0;font:inherit">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
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<div class=3D"m_3542213060889335673ss-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_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_3542213060889335673ss-q-time">
<div class=3D"m_3542213060889335673ss-datetime-box m_3542213060889335673goog-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">
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h</option>
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00</option>
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01</option>
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02</option>
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03</option>
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04</option>
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05</option>
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06</option>
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07</option>
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08</option>
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09</option>
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10</option>
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11</option>
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12</option>
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13</option>
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14</option>
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15</option>
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16</option>
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17</option>
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18</option>
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19</option>
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20</option>
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21</option>
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22</option>
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23</option>
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.<select name=3D"entry.206244955_minute" disabled id=3D"m_3542213060889335673entry.206244955_minute">
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min</option>
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00</option>
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01</option>
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02</option>
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03</option>
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04</option>
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05</option>
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06</option>
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07</option>
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08</option>
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09</option>
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10</option>
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11</option>
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12</option>
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13</option>
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14</option>
 <option value=3D"15">
15</option>
 <option value=3D"16">
16</option>
 <option value=3D"17">
17</option>
 <option value=3D"18">
18</option>
 <option value=3D"19">
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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24</option>
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25</option>
 <option value=3D"26">
26</option>
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27</option>
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28</option>
 <option value=3D"29">
29</option>
 <option value=3D"30" selected>
30</option>
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31</option>
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32</option>
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33</option>
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34</option>
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35</option>
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36</option>
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37</option>
 <option value=3D"38">
38</option>
 <option value=3D"39">
39</option>
 <option value=3D"40">
40</option>
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41</option>
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42</option>
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43</option>
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44</option>
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45</option>
 <option value=3D"46">
46</option>
 <option value=3D"47">
47</option>
 <option value=3D"48">
48</option>
 <option value=3D"49">
49</option>
 <option value=3D"50">
50</option>
 <option value=3D"51">
51</option>
 <option value=3D"52">
52</option>
 <option value=3D"53">
53</option>
 <option value=3D"54">
54</option>
 <option value=3D"55">
55</option>
 <option value=3D"56">
56</option>
 <option value=3D"57">
57</option>
 <option value=3D"58">
58</option>
 <option value=3D"59">
59</option>
</select>
<div class=3D"m_3542213060889335673ss-datetime-box-spacer m_3542213060889335673goog-inline-block" style=3D"height:32px;vertical-align:middle;display:inline-block">
</div>
</div>
</div>
</div>
</div>
</div>
<br>
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<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-item-required m_3542213060889335673ss-select" style=3D"margin:12px 0">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_1747608258">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Performance Status ECOG del Paciente<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
</label>
<span class=3D"m_3542213060889335673ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<select name=3D"entry.1747608258" disabled id=3D"m_3542213060889335673entry_1747608258">
<option value=3D"">
</option>
<option value=3D"0" disabled>
0</option>
 <option value=3D"1" disabled>
1</option>
 <option value=3D"2" disabled selected>
2</option>
 <option value=3D"3" disabled>
3</option>
 <option value=3D"4" disabled>
4</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-scale" style=3D"margin:12px 0;overflow-x:auto">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_1716090865">
<div class=3D"m_3542213060889335673ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Escala Dolor EVA Actual</div>
<div class=3D"m_3542213060889335673ss-q-help m_3542213060889335673ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
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<tbody>
<tr>
<td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
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<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
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<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
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<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_9" style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1421689035_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"m_3542213060889335673ss-scalerow m_3542213060889335673ss-leftlabel" style=3D"text-align:right;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;padding-left:0">
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</td>
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</div>
</td>
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</div>
</td>
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</div>
</td>
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</div>
</td>
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</div>
</td>
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</td>
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</div>
</td>
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</div>
</td>
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</div>
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<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"9" id=3D"m_3542213060889335673group_1421689035_10" class=3D"m_3542213060889335673ss-q-radio">
</div>
</td>
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<input type=3D"radio" name==3D"entry.1421689035" disabled value=3D"10" id=3D"m_3542213060889335673group_1421689035_11" class=3D"m_3542213060889335673ss-q-radio">
</div>
</td>
<td class=3D"m_3542213060889335673ss-scalerow m_3542213060889335673ss-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_3542213060889335673ss-form-question m_3542213060889335673errorbox-good">
<div dir=3D"auto" class=3D"m_3542213060889335673ss-item m_3542213060889335673ss-scale" style=3D"margin:12px 0;overflow-x:auto">
<div class=3D"m_3542213060889335673ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_3542213060889335673ss-q-item-label" for=3D"m_3542213060889335673entry_2064050596">
<div class=3D"m_3542213060889335673ss-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_3542213060889335673ss-q-help m_3542213060889335673ss-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_3542213060889335673entry_1244707512">
<tbody>
<tr>
<td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_9" style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_1244707512_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_3542213060889335673ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"m_3542213060889335673ss-scalerow m_3542213060889335673ss-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_3542213060889335673aria-todo">
</div>
</td>
<td class=3D"m_3542213060889335673ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
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</div>
</td>
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</div>
</td>
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</div>
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Escala Dolor EVA M=C3=ADnimo</div>
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0</label>
</td>
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<label class=3D"m_3542213060889335673ss-scalenumber" for==3D"m_3542213060889335673group_853118630_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
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2</label>
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3</label>
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4</label>
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<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_853118630_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
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<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_853118630_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
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7</label>
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8</label>
</td>
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<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_853118630_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
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<label class=3D"m_3542213060889335673ss-scalenumber" for=3D"m_3542213060889335673group_853118630_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
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</td>
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Anamnesis/Evoluci=C3=B3n<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
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Usuaria en regulares condiciones generales, orientada en tiempo y espacio, refiere dolor EVA 3/10 mantenido en extremidad inferior izquierda, evaluada por Dr. Riquelme dtgo: fractura lineal isquiopubica cadera izquierda, indica reposo relativo para consolidar.=20Sin analgesia, utilizar ayudas t=C3=A9cnicas para deambular, refiere disminuci=C3=B3n del dolor al apoyar la extremidad y levantarse, sigue con limitaciones en sus actividades de la vida diaria.Mantuvo cuadro diarreico por consumir alimentos con grasas, cuadro de alrededor de 3 d=C3=ADas que manejo con loperamida.=20Alimentaci=C3=B3n: Inapetente debido aburrimiento con los alimentos que debe consumir por la quimioterapia, no consume l=C3=A1cteos, ni l=C3=ADquidos, no ha presentado nauseas ni v=C3=B3mitos. Se calcula que ha bajado alrededor de 10 kilos en poco tiempo.Eliminaci=C3=B3n: diuresis (+) deposiciones (+) sin complicaciones, en ba==C3=B1o. Hoy no ha presentado deposiciones liquidas.=20Patr=C3=B3n del sue=C3=B1o: logra conciliar y mantener el sue=C3=B1o, no requiere ayuda farmacol=C3=B3gica.Actividad de la vida diaria limitada por el dolor en la extremidad.=20Control con examenes:Creatinina 0,8 mg/dlGlicemia 142 mg/dlHematocrito 29,9%Hemoglobina 10,1 g/dl</div>
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Examen F=C3=ADsico<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
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*</span>
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Piel y mucosas palidas.llene capilar mayor a 2Refiere hormigueo en extremidades inferiores y superiores.sequedad de la mucosas oral.Dolor al movilizarse en extremidad inferior izquierda con apoyoAbdomen blando depresible indoloro.TU inguinal izquierda que no se visualiza ya que usuaria niega la posibilidad, refiere que hace curaciones 3 veces al d=C3=ADa con Suero Fisiol=C3=B3gico 0,9%, utiliza hidrogel y cubre con gasa. Menciona que se mantiene en las mismas condiciones, exudado seroso.=20Extremidades inferiores y superiores sin alteracion.Signos vitales: 108/42 Pulso 75x=C2=B4 </div>
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Diagn=C3=B3stico<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
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Cancer endometrial con metastasis ganglio ingle izquierdo</div>
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Plan de Tratamiento e Indicaciones<label for=3D"m_3542213060889335673itemView.getDomIdToLabel()">
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Evaluaci=C3=B3n del dolor caracter=C3==ADsticas.Realizar reposo relativo seg=C3=BAn indicaci=C3=B3n m=C3=A9dica.Evaluaci=C3=B3n del dolor y caracter=C3=ADsticas.=20Prevenci=C3=B3n de ca=C3=ADdas.Mantener curaci=C3=B3n simple de lesion cancerigena.=20Caminar con apoyo de ayuda tecnica.Observar caracteristicas de la ulcera cancerigena y el exudado.En caso de sintomas  de cuadro agudo avisar.=20Mejorar el consumo de alimentos y liquidos. </div>
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Medicamentos Indicados</div>
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2034</option>
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2036</option>
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2051</option>
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2055</option>
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2056</option>
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2059</option>
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2060</option>
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2062</option>
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2063</option>
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2064</option>
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Tratamiento Realizado (si corresponde)</div>
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Derivaci=C3=B3n a otro Prestador Domiciliario</div>
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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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ENFERMERA</span>
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TENS</span>
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NUTRICIONISTA</span>
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KINESIOLOGO</span>
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</div>
</div>
<br>
</form>
</div>
</div>
</td>
</tr>
<tr height=3D"24px">
</tr>
</tbody>
</table>
</div>
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" style=3D"max-width:672px;min-width:154px" width=3D"100%">
<tbody>
<tr height=3D"24px">
<td>
</td>
</tr>
<tr>
<td>
<a href=3D"https://docs.google.com/forms?usp=3Dmail_form_link" style=3D"color:#424242;font-size:13px" target=3D"_blank">
Crear tu propio Formulario de Google</a>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
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