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Buenos d=C3=ADas, canalizar informaci=C3=B3n con Oncovida, =&nbsp;<br class=3D"">
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Soluciones Medicas</font>
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<br class=3D"">
<blockquote type=3D"cite" class=3D"">
<div =class=3D"">
El 15-03-2019, a las 22:27, Esperanza Oyarzun &lt;<a =href=3D"mailto:esperanza.oyarzun@gmail.com" =class=3D"">
esperanza.oyarzun@gmail.com</a>
&gt; escribi=C3=B3:</div>
<br =class=3D"Apple-interchange-newline">
<div class=3D"">
<div dir=3D"ltr" =class=3D"">
Estimados, se adjunta informe de visita. Ademas quiera =informar la ausencia sin previo aviso de parte de la empresa convatec en =visita programada (martes-miercoles). Afortunadamente el paciente fue =atendido previamente a mi visita.<div class=3D"">
<br class=3D"">
</div>
<div= class=3D"">
saludos cordiales</div>
<div class=3D"">
Esperanza</div>
<div =class=3D"">
<br class=3D"">
<div class=3D"">
<br class=3D"">
<div =class=3D"gmail_quote">
<div dir=3D"ltr" class=3D"gmail_attr">
---------- =Forwarded message ---------<br class=3D"">
From: <strong =class=3D"gmail_sendername" dir=3D"auto">
Google Forms</strong>
 <span =dir=3D"ltr" class=3D"">
&lt;<a =href=3D"mailto:forms-receipts-noreply@google.com" =class=3D"">
forms-receipts-noreply@google.com</a>
&gt;</span>
<br =class=3D"">
Date: vie., 15 mar. 2019 a las 22:18<br class=3D"">
Subject: =Registro de Atenci=C3=B3n Domiciliaria Oncovida<br class=3D"">
To:  =&lt;<a href=3D"mailto:esperanza.oyarzun@gmail.com" =class=3D"">
esperanza.oyarzun@gmail.com</a>
&gt;<br class=3D"">
</div>
<br =class=3D"">
<br class=3D"">
<div =style=3D"font-family:Roboto,Helvetica,Arial,sans-serif;margin:0;padding:0;=height:100%;width:100%" class=3D"">
<table border=3D"0" cellpadding=3D"0" =cellspacing=3D"0" style=3D"background-color:rgb(38,4,154)" width=3D"100%" =class=3D"">
<tbody class=3D"">
<tr height=3D"64px" class=3D"">
<td =style=3D"padding-left:24px" class=3D"">
<img alt=3D"Google Forms" =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_2=x.png" class=3D"">
</td>
</tr>
</tbody>
</table>
<div =style=3D"padding:24px;background-color:rgb(229,218,254)" class=3D"">
<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" =class=3D"">
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" =style=3D"background-color:#fff" width=3D"100%" class=3D"">
<tbody =class=3D"">
<tr height=3D"24px" class=3D"">
<td class=3D"">
</td>
</tr>
<tr =class=3D"">
<td class=3D"">
<div =style=3D"font-size:13px;line-height:18px;color:#424242;font-weight:700" =class=3D"">
Thanks for filling out <a =href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMw=g1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link" target=3D"_blank" =class=3D"">
Registro de Atenci=C3=B3n Domiciliaria =Oncovida</a>
</div>
</td>
</tr>
<tr height=3D"12px" class=3D"">
</tr>
<tr =class=3D"">
<td class=3D"">
<div =style=3D"font-size:13px;line-height:18px;color:#424242" class=3D"">
Here's =what we got from you:</div>
</td>
</tr>
<tr class=3D"">
<td class=3D"">
<div =class=3D"m_443182973735443373ss-form-container">
<div =class=3D"m_443182973735443373ss-form-heading">
<h1 =class=3D"m_443182973735443373ss-form-title" dir=3D"ltr" =style=3D"margin:.67em 0">
Registro de Atenci=C3=B3n Domiciliaria =Oncovida</h1>
<div class=3D"m_443182973735443373ss-no-ignore-whitespace =m_443182973735443373ss-form-desc" 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_443182973735443373ss-form">
<form method=3D"GET" =id=3D"m_443182973735443373ss-form" target=3D"_blank" class=3D"">
<br =class=3D"">
<div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-text" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373emailAddress">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Email address<label for=3D"m_443182973735443373emailAddress" class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
</label>
<div class=3D"m_443182973735443373ss-printable-text-line =m_443182973735443373ss-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%">
<a =href=3D"mailto:esperanza.oyarzun@gmail.com" target=3D"_blank" =class=3D"">
esperanza.oyarzun@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-embeddable-object-container" style=3D"margin:12px =0;max-width:100%">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<h2 class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
</h2>
<div style=3D"text-align:right" class=3D"">
<img =class=3D"m_443182973735443373ss-image" title=3D"" =src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37=sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" =style=3D"width:78px;outline:none" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-page-break" style=3D"margin:12px 0">
<div =class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<h2 class=3D"m_443182973735443373ss-page-title" =style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del =Prestador</h2>
<div class=3D"m_443182973735443373ss-no-ignore-whitespace =m_443182973735443373ss-page-description" 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 class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-text" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_579114469">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Primer Nombre y Apellido Paterno<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_443182973735443373ss-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%">
Esperanz=a Oyarz=C3=BAn</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-text" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_1276273985">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
RUT<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
RUT con Gui=C3=B3=n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"m_443182973735443373ss-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%">
15550993=-7</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-select" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_133691676">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Tipo<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-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=3D"" =id=3D"m_443182973735443373entry_133691676" class=3D"">
<option value=3D"" =class=3D"">
</option>
<option value=3D"MEDICO" disabled=3D"" class=3D"">
MEDICO</option>
 =<option value=3D"ENFERMERA/O" disabled=3D"" selected=3D"" =class=3D"">
ENFERMERA/O</option>
 <option value=3D"TENS" disabled=3D"" =class=3D"">
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled=3D"" =class=3D"">
KINESIOLOGA/O</option>
 <option value=3D"PSICOLOGO" =disabled=3D"" class=3D"">
PSICOLOGO</option>
 <option =value=3D"NUTRICIONISTA" disabled=3D"" =class=3D"">
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-embeddable-object-container" style=3D"margin:12px =0;max-width:100%">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<h2 class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
</h2>
<div style=3D"text-align:right" class=3D"">
<img =class=3D"m_443182973735443373ss-image" title=3D"" =src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5m=hSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" =style=3D"width:78px;outline:none" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-page-break" style=3D"margin:12px 0">
<div =class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<h2 class=3D"m_443182973735443373ss-page-title" =style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del =Paciente</h2>
<div class=3D"m_443182973735443373ss-no-ignore-whitespace =m_443182973735443373ss-page-description" 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 class=3D"">
 <div class=3D"m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-section-header" style=3D"margin:12px 0">
<div =class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<h2 class=3D"m_443182973735443373ss-section-title" =style=3D"background-color:#eee;padding:0.4em">
Datos Personales del =Paciente</h2>
<div class=3D"m_443182973735443373ss-no-ignore-whitespace =m_443182973735443373ss-section-description" =style=3D"margin-top:0.5em;white-space:pre-wrap;word-wrap:break-word">
</div=>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-text" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_823811303">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Ingrese el Rut del Paciente<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
RUT con Gui=C3=B3=n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"m_443182973735443373ss-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%">
14744406=-0</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-text" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_1959365839">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_443182973735443373ss-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%">
GAIL =IRA STEIN</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-select" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_545002227">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Previsi=C3=B3n<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<select name=3D"entry.545002227" disabled=3D"" =id=3D"m_443182973735443373entry_545002227" class=3D"">
<option value=3D"" =class=3D"">
</option>
<option value=3D"BANMEDICA" disabled=3D"" class=3D"">
BANMEDICA</option>
 =<option value=3D"CAPREDENA" disabled=3D"" class=3D"">
CAPREDENA</option>
 =<option value=3D"COLMENA" disabled=3D"" selected=3D"" =class=3D"">
COLMENA</option>
 <option value=3D"CONSALUD" disabled=3D"" =class=3D"">
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled=3D"" =class=3D"">
CRUZ BLANCA</option>
 <option value=3D"DIPRECA" disabled=3D"" =class=3D"">
DIPRECA</option>
 <option value=3D"FONASA" disabled=3D"" =class=3D"">
FONASA</option>
 <option value=3D"FUNDACION" disabled=3D"" =class=3D"">
FUNDACION</option>
 <option value=3D"ISAPRES DEL COBRE" =disabled=3D"" class=3D"">
ISAPRES DEL COBRE</option>
 <option value=3D"NUEVA= MASVIDA" disabled=3D"" class=3D"">
NUEVA MASVIDA</option>
 <option =value=3D"VIDATRES" disabled=3D"" class=3D"">
VIDATRES</option>
 <option =value=3D"PARTICULAR" disabled=3D"" class=3D"">
PARTICULAR</option>
</select>
=</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-text" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_1900161356">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Ciudad<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_443182973735443373ss-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 class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-text" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_1298871758">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Comuna<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_443182973735443373ss-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 class=3D"">
 <div class=3D"m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-embeddable-object-container" style=3D"margin:12px =0;max-width:100%">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<h2 class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
</h2>
<div style=3D"text-align:right" class=3D"">
<img =class=3D"m_443182973735443373ss-image" title=3D"" =src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofz=ul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" =style=3D"width:78px;outline:none" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-page-break" style=3D"margin:12px 0">
<div =class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<h2 class=3D"m_443182973735443373ss-page-title" =style=3D"padding:0.4em;background-color:#eee">
Registro de la Atenci=C3=B3n= Domiciliaria</h2>
<div class=3D"m_443182973735443373ss-no-ignore-whitespace =m_443182973735443373ss-page-description" 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 class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-radio" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_2073233714">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Tipo de Atenci=C3=B3n<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<ul class=3D"m_443182973735443373ss-choices" =style=3D"list-style:none;padding:0;margin:.5em 0 0">
<li =class=3D"m_443182973735443373ss-choice-item" =style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
<label class=3D"">
<span class=3D"m_443182973735443373goog-inline-block =m_443182973735443373ss-choice-item-control" =style=3D"display:inline-block">
<input type=3D"radio" =name=3D"entry.1222378237" disabled=3D"" checked=3D"" value=3D"Domicilio" =id=3D"m_443182973735443373group_1222378237_1" =class=3D"m_443182973735443373ss-q-radio">
</span>
<span class=3D"m_443182973735443373ss-choice-label">
Domicilio</span>
</label>
</li>
 <li class=3D"m_443182973735443373ss-choice-item" =style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
<label class=3D"">
<span class=3D"m_443182973735443373goog-inline-block =m_443182973735443373ss-choice-item-control" =style=3D"display:inline-block">
<input type=3D"radio" =name=3D"entry.1222378237" disabled=3D"" value=3D"Ambulatorio" =id=3D"m_443182973735443373group_1222378237_2" =class=3D"m_443182973735443373ss-q-radio">
</span>
<span class=3D"m_443182973735443373ss-choice-label">
Ambulatorio</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-item-required m_443182973735443373ss-date" =style=3D"margin:12px 0">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_1705849412">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Fecha de la Atenci=C3=B3n<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
</label>
<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
</div>
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53</option>
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54</option>
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55</option>
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56</option>
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57</option>
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58</option>
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59</option>
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PM</option>
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</d=iv>
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</div>
</div>
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<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_1747608258">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Performance Status ECOG del Paciente<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
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<span class=3D"m_443182973735443373ss-required-asterisk" =style=3D"color:#c43b1d">
*</span>
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0</option>
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2</option>
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3</option>
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4</option>
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</div>
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<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-scale" style=3D"margin:12px =0;overflow-x:auto">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_1716090865">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Escala Dolor EVA Actual</div>
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</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" =id=3D"m_443182973735443373entry_1421689035" class=3D"">
<tbody =class=3D"">
<tr class=3D"">
<td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
</td>
<td class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_1" =style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_2" =style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_3" =style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_4" =style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_5" =style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_6" =style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_7" =style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_8" =style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_9" =style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1421689035_10" =style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
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10</label>
</td>
<td class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
</td>
</tr>
<tr class=3D"">
<td class=3D"m_443182973735443373ss-leftlabel =m_443182973735443373ss-scalerow" =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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</div>
</td>
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</td>
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</td>
<td class=3D"m_443182973735443373ss-rightlabel =m_443182973735443373ss-scalerow" =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 class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-scale" style=3D"margin:12px =0;overflow-x:auto">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_2064050596">
<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Escala Dolor EVA M=C3=A1ximo</div>
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</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" =id=3D"m_443182973735443373entry_1244707512" class=3D"">
<tbody =class=3D"">
<tr class=3D"">
<td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
</td>
<td class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_1" =style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_2" =style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_3" =style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_4" =style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_5" =style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_6" =style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_7" =style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_8" =style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_9" =style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_10" =style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_1244707512_11" =style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
</td>
</tr>
<tr class=3D"">
<td class=3D"m_443182973735443373ss-leftlabel =m_443182973735443373ss-scalerow" =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_443182973735443373aria-todo">
</div>
</td>
<td class=3D"m_443182973735443373ss-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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</td>
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</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-scale" style=3D"margin:12px =0;overflow-x:auto">
<div class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
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Escala Dolor EVA M=C3=ADnimo</div>
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</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" =id=3D"m_443182973735443373entry_853118630" class=3D"">
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<tr class=3D"">
<td =class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
</td>
<td class=3D"m_443182973735443373ss-scalenumbers" =style=3D"text-align:center">
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0</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_853118630_2" =style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
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<label =class=3D"m_443182973735443373ss-scalenumber" =for=3D"m_443182973735443373group_853118630_3" =style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
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3</label>
</td>
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4</label>
</td>
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5</label>
</td>
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6</label>
</td>
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7</label>
</td>
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8</label>
</td>
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9</label>
</td>
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10</label>
</td>
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</td>
</tr>
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</div>
</td>
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</td>
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</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br class=3D"">
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<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_2140974612">
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Anamnesis/Evoluci=C3=B3n<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
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</div>
</label>
<div class=3D"m_443182973735443373ss-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= en BCG, sin dolor oncol=C3=B3gico pero si por UPP, aliment=C3=A1ndose =con porciones peque=C3=B1as y colaciones entre comidas (como ensure), =cada vez requiere de menos asistencia para deambular, solo vigilancia. =Utiliza ox=C3=ADgeno intermitentemente y por corto tiempo, puede ir al =ba=C3=B1o para defecar. Realizando cambios de posici=C3=B3n en cama.=20</div>
</div>
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</div>
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<label class=3D"m_443182973735443373ss-q-item-label" =for=3D"m_443182973735443373entry_824006088">
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Examen F=C3=ADsico<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
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</div>
</label>
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Enflaque=cido, piel y mucosas hidratadas, , MP (+), ulcera en sacro en regresi=C3=B3n (dolorosa) de menor tama=C3=B1o con parche espuma. deposiciones bien, =orina transparente y amarilla oscura.   Hipotenso asintom=C3=A1tico P/A =88/74 FC 86lpm</div>
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</div>
</label>
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Plan de Tratamiento e Indicaciones<label for=3D"m_443182973735443373itemView.getDomIdToLabel()" =class=3D"">
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mantener= ap=C3=B3sitos limpios de deposicionescambios de posici=C3=B3n cada 2 hrsAlternar cama y sillonmasaje e humectaci=C3=B3n de piel=20prevencion de caidasAumentar ingesta de l=C3=ADquidosSe propondr=C3=A1 visita de nutricionista a Medico a cargo</div>
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Medicamentos Indicados</div>
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Fecha aproximada del Pr=C3=B3ximo Control con usted</div>
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<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-text" style=3D"margin:12px 0">
<div =class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
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<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Tratamiento Realizado (si corresponde)</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-secondary-text" dir=3D"auto" =style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_443182973735443373ss-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%">
</div>
</div>
</div>
</div>
<br class=3D"">
 <div class=3D"m_443182973735443373ss-form-question =m_443182973735443373errorbox-good">
<div dir=3D"auto" class=3D"m_443182973735443373ss-item =m_443182973735443373ss-checkbox" style=3D"margin:12px 0">
<div =class=3D"m_443182973735443373ss-form-entry" =style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-to=p:0;max-width:100%">
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<div =class=3D"m_443182973735443373ss-q-title" =style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83=em">
Derivaci=C3=B3n a otro Prestador Domiciliario</div>
<div class=3D"m_443182973735443373ss-q-help =m_443182973735443373ss-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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ENFERMERA</span>
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TENS</span>
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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" class=3D"">
Create= your own Google Form</a>
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M=C2=AA =Esperanza Oyarz=C3=BAn S.<br class=3D"">
Cel: 78879565<br =class=3D"">
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