<div dir=3D"ltr">
<div class=3D"gmail_quote">
<div dir=3D"ltr">
<div class=3D"gmail_quote">
<div dir=3D"ltr">
<div class=3D"gmail_quote">
<div dir=3D"ltr">
<div class=3D"gmail_quote">
Estimado Equipo:<div>
<br>
</div>
<div>
Adjunto registro de atenci=C3=B3n realizada el Viernes pasado, desde coordinaci=C3=B3n me comentan que no ha sido ingresado en el sistema el registro de la Dra Moraga, lo cual considero extra=C3=B1o porque ella me comento que envi=C3=B3 a correos correspondientes (coordinadora y ges, m=C3=A1s una copia al m=C3==ADo) seg=C3=BAn el instructivo.</div>
<div>
Utilizo mail particular porque puedo ver que se reenv=C3=ADa registro, cosa que en la plataforma del intranet no sale completamente.</div>
<div>
<br>
</div>
<div>
Sin otro particular y esperando acuso de recibo, se despide atte.<br clear=3D"all">
<br class=3D"m_2148751034700256076gmail-Apple-interchange-newline">
</div>
</div>
<div class==3D"gmail_quote">
<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"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_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">
Thanks for filling out <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">
Here&#39;s what we got from you:</div>
</td>
</tr>
<tr>
<td>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-container">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-heading">
<h1 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-title" dir=3D"ltr" style=3D"margin:.67em 0">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-desc m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form">
<form method=3D"GET" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form" target=3D"_blank">
<br>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589emailAddress">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Email address<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589emailAddress">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-text m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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:vivimoragam@gmail.com" target=3D"_blank">
vivimoragam@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" style=3D"width:78px;outline:none" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-description m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_579114469">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Primer Nombre y Apellido Paterno<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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%">
Viviana Moraga</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1276273985">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
RUT<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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%">
18121502-K</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-select" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_133691676">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_133691676">
<option value=3D"">
</option>
<option value=3D"MEDICO" disabled selected>
MEDICO</option>
 <option value=3D"ENFERMERA/O" disabled>
ENFERMERA/O</option>
 <option value=3D"TENS" disabled>
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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" style=3D"width:78px;outline:none" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Identificaci=C3=B3n del Paciente</h2>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-description m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-section-header" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-section-title" style=3D"background-color:#eee;padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-section-description m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_823811303">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ingrese el Rut del Paciente<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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%">
3602556-5</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1959365839">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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%">
Mar=C3=ADa Romero</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-select" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_545002227">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Previsi=C3=B3n<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_545002227">
<option value=3D"">
</option>
<option value=3D"BANMEDICA" disabled>
BANMEDICA</option>
 <option value=3D"CAPREDENA" disabled>
CAPREDENA</option>
 <option value=3D"COLMENA" disabled>
COLMENA</option>
 <option value=3D"CONSALUD" disabled selected>
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled>
CRUZ BLANCA</option>
 <option value=3D"DIPRECA" disabled>
DIPRECA</option>
 <option value=3D"FONASA" disabled>
FONASA</option>
 <option value=3D"FUNDACION" disabled>
FUNDACION</option>
 <option value=3D"ISAPRES DEL COBRE" disabled>
ISAPRES DEL COBRE</option>
 <option value=3D"NUEVA MASVIDA" disabled>
NUEVA MASVIDA</option>
 <option value=3D"VIDATRES" disabled>
VIDATRES</option>
 <option value=3D"PARTICULAR" disabled>
PARTICULAR</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1900161356">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Ciudad<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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%">
Concepci=C3=B3n</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1298871758">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Comuna<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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%">
Concepci=C3=B3n</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-embeddable-object-container" style=3D"margin:12px 0;max-width:100%">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-image" title=3D"" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" style=3D"width:78px;outline:none" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-break" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<h2 class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-title" style=3D"padding:0.4em;background-color:#eee">
Registro de la Atenci=C3=B3n Domiciliaria</h2>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-page-description m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-radio" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_2073233714">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Tipo de Atenci=C3=B3n<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<ul class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-choices" style=3D"list-style:none;padding:0;margin:.5em 0 0">
<li class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-choice-item" style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
<label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-choice-item-control m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589goog-inline-block" style=3D"display:inline-block">
<input type==3D"radio" name=3D"entry.1222378237" disabled checked value=3D"Domicilio" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1222378237_1" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</span>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-choice-label">
Domicilio</span>
</label>
</li>
 <li class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-choice-item" style=3D"margin:0;line-height:1.3em;padding-bottom:.5em">
<label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-choice-item-control m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589goog-inline-block" style=3D"display:inline-block">
<input type==3D"radio" name=3D"entry.1222378237" disabled value=3D"Ambulatorio" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1222378237_2" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</span>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-choice-label">
Ambulatorio</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-date" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1705849412">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-date">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-datetime-box m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589goog-inline-block" style=3D"border:1px solid #dcdcdc;margin-right:2em;min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
 <select name=3D"entry.1705849412_month" disabled class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-month-dropdown" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry.1705849412_month">
<option value=3D"">
Month</option>
<option value=3D"1">
January</option>
 <option value=3D"2">
February</option>
 <option value=3D"3">
March</option>
 <option value=3D"4" selected>
April</option>
 <option value=3D"5">
May</option>
 <option value=3D"6">
June</option>
 <option value=3D"7">
July</option>
 <option value=3D"8">
August</option>
 <option value=3D"9">
September</option>
 <option value=3D"10">
October</option>
 <option value=3D"11">
November</option>
 <option value=3D"12">
December</option>
</select>
   <select name=3D"entry.1705849412_day" disabled class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-day-dropdown" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry.1705849412_day">
<option value=3D"">
Day</option>
<option value=3D"1">
1</option>
 <option value=3D"2">
2</option>
 <option value=3D"3">
3</option>
 <option value=3D"4">
4</option>
 <option value=3D"5" selected>
5</option>
 <option value=3D"6">
6</option>
 <option value=3D"7">
7</option>
 <option value=3D"8">
8</option>
 <option value=3D"9">
9</option>
 <option value=3D"10">
10</option>
 <option value=3D"11">
11</option>
 <option value=3D"12">
12</option>
 <option value=3D"13">
13</option>
 <option value=3D"14">
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>
 <option value=3D"20">
20</option>
 <option value=3D"21">
21</option>
 <option value=3D"22">
22</option>
 <option value=3D"23">
23</option>
 <option value=3D"24">
24</option>
 <option value=3D"25">
25</option>
 <option value=3D"26">
26</option>
 <option value=3D"27">
27</option>
 <option value=3D"28">
28</option>
 <option value=3D"29">
29</option>
 <option value=3D"30">
30</option>
 <option value=3D"31">
31</option>
</select>
=20<select name=3D"entry.1705849412_year" disabled id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry.1705849412_year">
<option value=3D"">
Year</option>
<option value=3D"1896">
1896</option>
 <option value=3D"1897">
1897</option>
 <option value=3D"1898">
1898</option>
 <option value=3D"1899">
1899</option>
 <option value=3D"1900">
1900</option>
 <option value=3D"1901">
1901</option>
 <option value=3D"1902">
1902</option>
 <option value=3D"1903">
1903</option>
 <option value=3D"1904">
1904</option>
 <option value=3D"1905">
1905</option>
 <option value=3D"1906">
1906</option>
 <option value=3D"1907">
1907</option>
 <option value=3D"1908">
1908</option>
 <option value=3D"1909">
1909</option>
 <option value=3D"1910">
1910</option>
 <option value=3D"1911">
1911</option>
 <option value=3D"1912">
1912</option>
 <option value=3D"1913">
1913</option>
 <option value=3D"1914">
1914</option>
 <option value=3D"1915">
1915</option>
 <option value=3D"1916">
1916</option>
 <option value=3D"1917">
1917</option>
 <option value=3D"1918">
1918</option>
 <option value=3D"1919">
1919</option>
 <option value=3D"1920">
1920</option>
 <option value=3D"1921">
1921</option>
 <option value=3D"1922">
1922</option>
 <option value=3D"1923">
1923</option>
 <option value==3D"1924">
1924</option>
 <option value=3D"1925">
1925</option>
 <option value==3D"1926">
1926</option>
 <option value=3D"1927">
1927</option>
 <option value==3D"1928">
1928</option>
 <option value=3D"1929">
1929</option>
 <option value==3D"1930">
1930</option>
 <option value=3D"1931">
1931</option>
 <option value==3D"1932">
1932</option>
 <option value=3D"1933">
1933</option>
 <option value==3D"1934">
1934</option>
 <option value=3D"1935">
1935</option>
 <option value==3D"1936">
1936</option>
 <option value=3D"1937">
1937</option>
 <option value==3D"1938">
1938</option>
 <option value=3D"1939">
1939</option>
 <option value==3D"1940">
1940</option>
 <option value=3D"1941">
1941</option>
 <option value==3D"1942">
1942</option>
 <option value=3D"1943">
1943</option>
 <option value==3D"1944">
1944</option>
 <option value=3D"1945">
1945</option>
 <option value==3D"1946">
1946</option>
 <option value=3D"1947">
1947</option>
 <option value==3D"1948">
1948</option>
 <option value=3D"1949">
1949</option>
 <option value==3D"1950">
1950</option>
 <option value=3D"1951">
1951</option>
 <option value==3D"1952">
1952</option>
 <option value=3D"1953">
1953</option>
 <option value==3D"1954">
1954</option>
 <option value=3D"1955">
1955</option>
 <option value==3D"1956">
1956</option>
 <option value=3D"1957">
1957</option>
 <option value==3D"1958">
1958</option>
 <option value=3D"1959">
1959</option>
 <option value==3D"1960">
1960</option>
 <option value=3D"1961">
1961</option>
 <option value==3D"1962">
1962</option>
 <option value=3D"1963">
1963</option>
 <option value==3D"1964">
1964</option>
 <option value=3D"1965">
1965</option>
 <option value==3D"1966">
1966</option>
 <option value=3D"1967">
1967</option>
 <option value==3D"1968">
1968</option>
 <option value=3D"1969">
1969</option>
 <option value==3D"1970">
1970</option>
 <option value=3D"1971">
1971</option>
 <option value==3D"1972">
1972</option>
 <option value=3D"1973">
1973</option>
 <option value==3D"1974">
1974</option>
 <option value=3D"1975">
1975</option>
 <option value==3D"1976">
1976</option>
 <option value=3D"1977">
1977</option>
 <option value==3D"1978">
1978</option>
 <option value=3D"1979">
1979</option>
 <option value==3D"1980">
1980</option>
 <option value=3D"1981">
1981</option>
 <option value==3D"1982">
1982</option>
 <option value=3D"1983">
1983</option>
 <option value==3D"1984">
1984</option>
 <option value=3D"1985">
1985</option>
 <option value==3D"1986">
1986</option>
 <option value=3D"1987">
1987</option>
 <option value==3D"1988">
1988</option>
 <option value=3D"1989">
1989</option>
 <option value==3D"1990">
1990</option>
 <option value=3D"1991">
1991</option>
 <option value==3D"1992">
1992</option>
 <option value=3D"1993">
1993</option>
 <option value==3D"1994">
1994</option>
 <option value=3D"1995">
1995</option>
 <option value==3D"1996">
1996</option>
 <option value=3D"1997">
1997</option>
 <option value==3D"1998">
1998</option>
 <option value=3D"1999">
1999</option>
 <option value==3D"2000">
2000</option>
 <option value=3D"2001">
2001</option>
 <option value==3D"2002">
2002</option>
 <option value=3D"2003">
2003</option>
 <option value==3D"2004">
2004</option>
 <option value=3D"2005">
2005</option>
 <option value==3D"2006">
2006</option>
 <option value=3D"2007">
2007</option>
 <option value==3D"2008">
2008</option>
 <option value=3D"2009">
2009</option>
 <option value==3D"2010">
2010</option>
 <option value=3D"2011">
2011</option>
 <option value==3D"2012">
2012</option>
 <option value=3D"2013">
2013</option>
 <option value==3D"2014">
2014</option>
 <option value=3D"2015">
2015</option>
 <option value==3D"2016">
2016</option>
 <option value=3D"2017">
2017</option>
 <option value==3D"2018">
2018</option>
 <option value=3D"2019" selected>
2019</option>
 <option value=3D"2020">
2020</option>
 <option value=3D"2021">
2021</option>
 <option value=3D"2022">
2022</option>
 <option value=3D"2023">
2023</option>
 <option value=3D"2024">
2024</option>
 <option value=3D"2025">
2025</option>
 <option value=3D"2026">
2026</option>
 <option value=3D"2027">
2027</option>
 <option value=3D"2028">
2028</option>
 <option value=3D"2029">
2029</option>
 <option value=3D"2030">
2030</option>
 <option value=3D"2031">
2031</option>
 <option value=3D"2032">
2032</option>
 <option value=3D"2033">
2033</option>
 <option value=3D"2034">
2034</option>
 <option value=3D"2035">
2035</option>
 <option value=3D"2036">
2036</option>
 <option value=3D"2037">
2037</option>
 <option value==3D"2038">
2038</option>
 <option value=3D"2039">
2039</option>
 <option value==3D"2040">
2040</option>
 <option value=3D"2041">
2041</option>
 <option value==3D"2042">
2042</option>
 <option value=3D"2043">
2043</option>
 <option value==3D"2044">
2044</option>
 <option value=3D"2045">
2045</option>
 <option value==3D"2046">
2046</option>
 <option value=3D"2047">
2047</option>
 <option value==3D"2048">
2048</option>
 <option value=3D"2049">
2049</option>
 <option value==3D"2050">
2050</option>
 <option value=3D"2051">
2051</option>
 <option value==3D"2052">
2052</option>
 <option value=3D"2053">
2053</option>
 <option value==3D"2054">
2054</option>
 <option value=3D"2055">
2055</option>
 <option value==3D"2056">
2056</option>
 <option value=3D"2057">
2057</option>
 <option value==3D"2058">
2058</option>
 <option value=3D"2059">
2059</option>
 <option value==3D"2060">
2060</option>
 <option value=3D"2061">
2061</option>
 <option value==3D"2062">
2062</option>
 <option value=3D"2063">
2063</option>
 <option value==3D"2064">
2064</option>
 <option value=3D"2065">
2065</option>
 <option value==3D"2066">
2066</option>
 <option value=3D"2067">
2067</option>
 <option value==3D"2068">
2068</option>
 <option value=3D"2069">
2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-time" style=3D"margin:12px 0;font:inherit">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_206244955">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-time">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-datetime-box m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589goog-inline-block" dir=3D"ltr" style=3D"border:1px solid #dcdcdc;margin-right:2em;min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.206244955_hour" disabled id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry.206244955_hour">
<option value=3D"">
Hr</option>
<option value=3D"01">
01</option>
 <option value=3D"02" selected>
02</option>
 <option value=3D"03">
03</option>
 <option value=3D"04">
04</option>
 <option value=3D"05">
05</option>
 <option value=3D"06">
06</option>
 <option value=3D"07">
07</option>
 <option value=3D"08">
08</option>
 <option value=3D"09">
09</option>
 <option value=3D"10">
10</option>
 <option value=3D"11">
11</option>
 <option value=3D"12">
12</option>
</select>
:<select name=3D"entry.206244955_minute" disabled id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry.206244955_minute">
<option value=3D"">
Min</option>
<option value=3D"00" selected>
00</option>
 <option value=3D"01">
01</option>
 <option value=3D"02">
02</option>
 <option value=3D"03">
03</option>
 <option value=3D"04">
04</option>
 <option value=3D"05">
05</option>
 <option value=3D"06">
06</option>
 <option value=3D"07">
07</option>
 <option value=3D"08">
08</option>
 <option value=3D"09">
09</option>
 <option value=3D"10">
10</option>
 <option value=3D"11">
11</option>
 <option value=3D"12">
12</option>
 <option value=3D"13">
13</option>
 <option value=3D"14">
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>
 <option value=3D"20">
20</option>
 <option value=3D"21">
21</option>
 <option value==3D"22">
22</option>
 <option value=3D"23">
23</option>
 <option value=3D"24">
24</option>
 <option value=3D"25">
25</option>
 <option value=3D"26">
26</option>
 <option value=3D"27">
27</option>
 <option value=3D"28">
28</option>
 <option value=3D"29">
29</option>
 <option value=3D"30">
30</option>
 <option value=3D"31">
31</option>
 <option value=3D"32">
32</option>
 <option value=3D"33">
33</option>
 <option value=3D"34">
34</option>
 <option value=3D"35">
35</option>
 <option value=3D"36">
36</option>
 <option value=3D"37">
37</option>
 <option value=3D"38">
38</option>
 <option value=3D"39">
39</option>
 <option value=3D"40">
40</option>
 <option value=3D"41">
41</option>
 <option value=3D"42">
42</option>
 <option value=3D"43">
43</option>
 <option value=3D"44">
44</option>
 <option value=3D"45">
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>
<select name=3D"entry.206244955_ampm" disabled>
<option value=3D"AM">
AM</option>
<option value=3D"PM" selected>
PM</option>
</select>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-datetime-box-spacer m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589goog-inline-block" style=3D"height:32px;vertical-align:middle;display:inline-block">
</div>
</div>
</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-select" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1747608258">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Performance Status ECOG del Paciente<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1747608258">
<option value=3D"">
</option>
<option value=3D"0" disabled>
0</option>
 <option value=3D"1" disabled>
1</option>
 <option value=3D"2" disabled>
2</option>
 <option value=3D"3" disabled selected>
3</option>
 <option value=3D"4" disabled>
4</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scale" style=3D"margin:12px 0;overflow-x:auto">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1716090865">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Escala Dolor EVA Actual</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1421689035">
<tbody>
<tr>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_9" style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589aria-todo">
</div>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled checked value=3D"0" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_1" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value==3D"1" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_2" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"2" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_3" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"3" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_4" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"4" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_5" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"5" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_6" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"6" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_7" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"7" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_8" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"8" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_9" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"9" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_10" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class==3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name==3D"entry.1421689035" disabled value=3D"10" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1421689035_11" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scale" style=3D"margin:12px 0;overflow-x:auto">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_2064050596">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_1244707512">
<tbody>
<tr>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_9" style=3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589aria-todo">
</div>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"0" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_1" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"1" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_2" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"2" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_3" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"3" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_4" class==3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"4" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_5" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"5" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_6" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"6" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_7" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled checked value=3D"7" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_8" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"8" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_9" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"9" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_10" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class==3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name==3D"entry.1244707512" disabled value=3D"10" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_1244707512_11" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scale" style=3D"margin:12px 0;overflow-x:auto">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_2000523015">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Escala Dolor EVA M=C3=ADnimo</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_853118630">
<tbody>
<tr>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_1" style=3D"display:block;padding:0.5em 0 .5em">
0</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for==3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_2" style=3D"display:block;padding:0.5em 0 .5em">
1</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_3" style=3D"display:block;padding:0.5em 0 .5em">
2</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_4" style=3D"display:block;padding:0.5em 0 .5em">
3</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class==3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_5" style=3D"display:block;padding:0.5em 0 .5em">
4</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_6" style=3D"display:block;padding:0.5em 0 .5em">
5</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_7" style=3D"display:block;padding:0.5em 0 .5em">
6</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_8" style=3D"display:block;padding:0.5em 0 .5em">
7</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_9" style==3D"display:block;padding:0.5em 0 .5em">
8</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_10" style=3D"display:block;padding:0.5em 0 .5em">
9</label>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumber" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_11" style=3D"display:block;padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589aria-todo">
</div>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled checked value=3D"0" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_1" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"1" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_2" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"2" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_3" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"3" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_4" class==3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"4" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_5" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"5" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_6" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"6" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_7" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"7" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_8" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"8" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_9" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"9" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_10" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
 <td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow" style=3D"text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"10" id=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589group_853118630_11" class==3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-radio">
</div>
</td>
<td class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-scalerow m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
<div dir=3D"auto" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-item-required m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-paragraph-text" style=3D"margin:12px 0">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%">
<label class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-item-label" for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589entry_2140974612">
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-title" style=3D"display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em">
Anamnesis/Evoluci=C3=B3n<label for=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589itemView.getDomIdToLabel()">
</label>
<span class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-required-asterisk" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-q-help m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:.1em 0 .25em 0;color:#666">
</div>
</label>
<div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-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%">
Se acude a Home Care ubicado en calle Sanhueza #104, Pedro de Valdivia, Concepci=C3=B3n el d=C3=ADa viernes 5 de abril 2019 en compa=C3=B1=C3=ADa de EU Nicol=C3=A1s Rodr=C3=ADguez.Al momento de la visita se encuentran presentes la paciente Mar=C3=ADa Ang==C3=A9lica Romero Pino, su hijo (familiar responsable) Rodolfo Lindl Romero y la EU encargada del centro. La informaci=C3=B3n recopilada es recogida del relato de su hijo Rodrigo y los informes m=C3=A9dicos facilitados.=E2=80=A2	Datos de la paciente:=20Mar=C3=ADa Ang=C3=A9lica Romero Pino, 81 a=C3=B1os de edad, RUT 3.602.556-5, profesora de franc=C3=A9s de profesi=C3=B3n con estudios universitarios completos, actualmente viuda, religi=C3=B3n cat=C3=B3lica. Sin noci=C3=B3n ni conciencia de enfermedad, familiar responsable informa que prefieren no informarle en detalle respecto a diagn=C3=B3stico de probable c=C3=A1ncer renal (no tiene confirmaci=C3=B3n por biopsia).=E2=80=A2	N=C3=BAcleo familiar compuesto por hijos Rodolfo (52 a=C3=B1os, San Pedro de la Paz) y Rodrigo (51 a=C3=B1os, Santiago).Breve historia cl=C3=ADnica:Paciente con antecedentes de hipertensi=C3=B3n arterial, fibrilaci=C3=B3n auricular, usuaria de marcapaso bicameral, hipoacusia derecha, usuaria de aud=C3=ADfono derecho, inicia en enero 2019 con compromiso del estado general, dolor lumbar derecho y edema de extremidades inferiores. Inicia estudio con ecograf=C3=ADa doppler EEII (27/02/19): edema subcut=C3=A1neo inespec=C3=ADfico, sin signos de TVP. Posteriormente TAC TAP c/c (28/02/19): derrame pleural bilateral, pulmones sanos. Cardiomegalia. Quiste hep=C3=A1tico simple l=C3=B3bulo izquierdo. A nivel renal derecho masa s=C3=B3lido qu=C3=ADstica exof=C3=ADtica de 20x10x10 cm con infiltraci=C3=B3n hacia pared abdominal posterior. L=C3=ADquido libre en cavidad abdominal.=20Se hospitaliza en Cl=C3=ADnica Sanatorio Alem=C3=A1n desde el 01/03/19 hasta el 07/01/19 para eventual resoluci=C3=B3n quir=C3=BArgica, pero familia en conjunto con equipo m=C3=A9dico, dadas caracter=C3=ADsticas de la paciente, deciden manejo conservador e ingreso a GES Cuidados Paliativos (no se realiza biopsia de lesi=C3=B3n, por tanto el diagn=C3=B3stico de c=C3=A1ncer renal es s=C3=B3lo una hip=C3=B3tesis).Se decide su ingreso a centro Home Care donde actualmente reside el 11/03/19, donde es visitada por equipo asignado de Cuidados Paliativos. Durante dichas evaluaciones, se constata paciente en regular estado general, deca=C3==ADda, con =C3=A1nimo bajo, tendencia al sue=C3=B1o y a la hipotensi=C3=B3n, con dolor lumbar intenso EVA 7/10 y orina de mal olor. Inicialmente se indica tratamiento antibi=C3=B3tico endovenoso en el mismo centro. TAC AP c/c (27/03/19): extensa colecci=C3=B3n perirrenal derecha que desplaza al ri==C3=B1=C3=B3n hacia anterior, con compromiso del psoas, de 380 cc aprox, y que fistuliza a trav=C3=A9s de musculatura de pared lumbar posterior hacia subcut=C3=A1neo, con colecci=C3=B3n a ese nivel de 1,1 litros aprox. Ecocardiograma doppler color (28/03/19): disfunci=C3=B3n leve VI por hipokinesia global, dilataci=C3=B3n severa de AI, insuficiencia mitral severa, enfermedad valvular a=C3=B3rtica, insuficiencia tricusp=C3=ADdea severa, elevaci=C3=B3n severa de presi=C3=B3n venosa central, derrame peric=C3=A1rdico leve, derrame pleural bilateral, ascitis. Re ingresa a Cl=C3=ADnica Sanatorio Alem=C3=A1n el d=C3=ADa 29/03/19, ingresando a pabell=C3=B3n el mismo d=C3=ADa para aseo quir=C3=BArgico, con cultivo de secreci=C3=B3n del absceso positivo para E coli multisusceptible. Evoluciona sin incidentes, por lo que se da de alta el 02/04/19 con indicaci=C3=B3n de ciprofloxacino 500mg/12hrs x5 d=C3=ADas. No se consigna en epicrisis, pero seg=C3=BAn familiar requiri==C3=B3 transfusi=C3=B3n de 2U gl=C3=B3bulos rojos y 5U plaquetas.=20=C3=9Altimos ex=C3=A1menes durante la hospitalizaci=C3=B3n (02/04/19), destacan: Hb 7,9, plaquetas 49.000, leucocitos 4.200, sodio 132, potasio 3,2, cloro 95, calcio no corregido 8.0, f=C3=B3sforo 3,6, crea 0,6, VFG &gt;60. Alb=C3=BAmina 2,2 del 27/03/19Evaluaci=C3=B3n viernes 5 abril 2019Paciente en cama con colch=C3=B3n antiescaras, que requiere asistencia para movilizarse, sin ayudas t=C3=A9cnicas. Sin dolor durante la evaluaci=C3=B3n. Refiere constipaci=C3=B3n y =C3=A1nimo bajo. Apetito conservado, aliment=C3=A1ndose sin dificultad, sin s=C3=ADntomas urinarios ni de otros sistemas.</div>
</div>
</div>
</div>
<br>
 <div class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589ss-form-question m_2148751034700256076m_8757770812261355547m_-2829965247739385216m_642361819267591791m_-2746508302652737408m_-3134487779013076660m_1657169815219765719m_-2812371870418804589errorbox-good">
</div>
</form>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<br clear=3D"all">
<div>
<br>
</div>
-- <br>
<div dir=3D"ltr" class=3D"m_2148751034700256076m_8757770812261355547m_-2829965247739385216gmail_signature" data-smartmail=3D"gmail_signature">
<div dir=3D"ltr">
<div>
<div dir=3D"ltr">
<div>
<div dir=3D"ltr">
Nicol=C3=A1s Rodr=C3=ADguez Alvarez<div>
Enfermero</div>
<div>
<br>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
--00000000000065ae0005861ca04a----00000000000065ae0205861ca04cContent-Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document; 	name="=?UTF-8?Q?Indicaci=C3=B3n_kinesiterapia_motora=2Edocx?="Content-Disposition: attachment; 	filename="=?UTF-8?Q?Indicaci=C3=B3n_kinesiterapia_motora=2Edocx?="Content-Transfer-Encoding: base64Content-ID: <f_jua30ug10>
X-Attachment-Id: f_jua30ug10UEsDBBQABgAIAAAAIQAJJIeCgQEAAI4FAAATAAgCW0NvbnRlbnRfVHlwZXNdLnhtbCCiBAIooAACAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAC0lE1Pg0AQhu8m/geyVwPbejDGlPag9ahNrPG8LkPZyH5kZ/v17x1KS6qhpVq9kMAy7/vMCzOD0UqX0QI8KmtS1k96LAIjbabMLGWv08f4lkUYhMlEaQ2kbA3IRsPLi8F07QAjqjaYsiIEd8c5ygK0wMQ6MHSSW69FoFs/407IDzEDft3r3XBpTQAT4lBpsOHgAXIxL0M0XtHjmsRDiSy6r1+svFImnCuVFIFI+cJk31zirUNClZt3sFAOrwiD8VaH6uSwwbbumaLxKoNoInx4Epow+NL6jGdWzjX1kByXaeG0ea4kNPWVmvNWAiJlrsukOdFCmR3/QQ4M6xLw7ylq3RPt31QoxnkOkj52dx4a46rppLbYq+12gxAopFNMvv6CcVfouFXuRFjC+8u/UeyJd4LkNBpT8V7CCYn/MIxGuhMi0LwD31z7Z3NsZI5Z0mRMvHVI+8P/ou3dgqiqYxo5Bz4oaFZE24g1jrR7zu4Pqu2WQdbizTfbdPgJAAD//wMAUEsDBBQABgAIAAAAIQAekRq38wAAAE4CAAALAAgCX3JlbHMvLnJlbHMgogQCKKAAAgAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAjJLbSgNBDIbvBd9hyH032woi0tneSKF3IusDhJnsAXcOzKTavr2jILpQ217m9OfLT9abg5vUO6c8Bq9hWdWg2JtgR99reG23iwdQWchbmoJnDUfOsGlub9YvPJGUoTyMMaui4rOGQSQ+ImYzsKNchci+VLqQHEkJU4+RzBv1jKu6vsf0VwOamabaWQ1pZ+9AtcdYNl/WDl03Gn4KZu/Yy4kVyAdhb9kuYipsScZyjWop9SwabDDPJZ2RYqwKNuBpotX1RP9fi46FLAmhCYnP83x1nANaXg902aJ5x687HyFZLBZ9e/tDg7MvaD4BAAD//wMAUEsDBBQABgAIAAAAIQB8O5c5IgEAALkDAAAcAAgBd29yZC9fcmVscy9kb2N1bWVudC54bWwucmVscyCiBAEooAABAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAKyTTU+EMBCG7yb+B9K7FFZdjdmyFzXZq67x3C1TaISWdMYP/r0VswrKogcuTWaavs/TSbtav9VV9AIejbOCpXHCIrDK5cYWgj1sb08uWYQkbS4rZ0GwFpCts+Oj1R1UksIhLE2DUUixKFhJ1FxxjqqEWmLsGrBhRztfSwqlL3gj1ZMsgC+SZMl9P4Nlg8xokwvmN/kpi7ZtE8h/ZzutjYJrp55rsDSC4AhE4WYYMqUvgATbd+Lgyfi4wuKAQm2Ud+g0xcrV/JP+Qb0YXowjtRXgo6HyRmtQ1Mf/3JrySA94jIz5H6PoyL1BdPUUfjknnsILgW96V/JuTacczud00M7SVu6qnsdXa0ribE6JV9jd/3qVveZehA8+XPYOAAD//wMAUEsDBBQABgAIAAAAIQCP6/I6GRoAAMyZAAARAAAAd29yZC9kb2N1bWVudC54bWzsnUtvG9lyx/cB8h0OFCSQEJkiqYdlZawLWZI9wtiWriR7GzSbTartZnffflCP1WzvIqvsgmQx2XlhIIF3A2Rz+U3mk+RX53STbKolkRIlccYCBmOR7D59HnWq/vWvqtM//Oms46muE8Vu4L+cq1Wqc8rx7aDp+u2Xcx+OXz9bn1NxYvlNywt85+XcuRPP/Wnz7//uh9ONZmCnHcdPFE348cZpaL+cO0mScGNpKbZPnI4VVzquHQVx0EoqdtBZClot13aWToOouVSv1qr6rzAKbCeOed625XeteC5rrnO5tSB0fJ7VCqKOlcSVIGovdazocxo+o/XQStyG67nJOW1X1/JmgpdzaeRvZB161u+Q3LJhOpT9k98RXRpFyXPNnTvZDOgnLkWORx8CPz5xw8EwbtsaQzzJu9S9bhDdjpdfdxrWVi49rz/kcdZgJ7JOWYpBg5eaK5mMprmp45l5kPUdrOpoi7XqdYPJVkSa6PdhnC4Un5n3pGO5fr+Z203N8OSyI+4i32+iIA373Qndu7W253/utyUbc4KeVdf0zhseWjxRA5e27tGJFTpzqmNv7LX9ILIaHj06ra0okci5TZRFI2iey7+hOt1A2TQPX85Vq6svVl+tb8/lXx2w9di6r1devFrpf7njtKzUSy5ffjD0lW75IJJ/Ptk017W8l3M2usmJ5pbk28j82NAf4ov8knrV/BxfbMfF75aye/g3NPdGpd28U+OnG8nm3vvX+4fvdtW73l939rb31dbx7vvtvd6/v1c7++/2tvfe7m0d7m2p4923u+92d5b232/vf9zb2fqBjiWb8n9GLZ3UU5B3Uabm9e5KdWu3P4/f4+SKKdmIQ8tGGsPIiZ2o68xtqqP9t0zs8YcddXC4e3S8Zab7p733u0d7+2/33/T+bUu92z/ePxxjlktFeHl9Za32qj/1txfhRoARGBbg24huqXTcvd/ZPtVyZ3aI6zcRwJYbxclbV3TS8+q66f1gU05lRAh9LulGrLMJH9qMk0wUO6lcUt45TddCiSjHU7HbTl3RKMr1BYE4i8p2osQF0gTqL6mjPEshaeaSwu4co7eT6yXZ/e+sqPfVUlt+u/fFc21LHQYdJwrUgesHi+rww7FarqxV65XV1bVnq5N2aSoTuKjYdW5TT5vjqx/pnxrpCEghaO1GsqDJeYjQxKHjeUeJFSWZ5E95qTe3rcgZqxO7fvN+ulAubcq2PM9RR5Z/kjoXlvqHWnVlUR04TZa06aiPltd0u661qLYD33ZC2+198xHClNm1lB34ozPbCILPgo/1XDKJbhOzIErJtzrM87++CV5Z9ueHHCG7qe33vsWJ7BmGlKSdIEJEfMvjY+TYJ4FqpU5k8clTlmdbDJTN5Ua9X6M2Ny0qsDW7zvFjGb1CSJzItTz9fZC4UeA23bjDdSMLnM8FS9qfCaNXpyxd5UvbchuR66EddKfTyLVTz4pMry07jV0ZsYyf1W06uDlsGZsvOwFfW02+ZZEjRwUJ7tSiOldOnKTdQJ0EcegmludecBHXoJK4LlBh5HatZpDd5QWxaqIpYlV/QfMKobgIaKQuHyzpmfyBR/ZChayH1YjxyGiEqY2KiyNS1up95eFouxPGIzovcprc0ww6rqxjGMSyJrRzjlB6jm0GHacNO016v/gOg+mwVPReHsY62ym3xShZX8syq2/ZCd+Jb+nQRif0HPFAA5VEVmJ1RMUGCr2Mv9f7pmVJHsXg04gu4aYyXNdCLmKZktDlGYyv6TK96iLwrUpROkrt49UotPiLRqGPaApLO/9k3A0yNrAk2TxGZJB0G6nTu8JTb3aPRCa2U7fJN7E6YA/hvHdld5VI5zka5aMoX1/MbTNyLPUON6ct/yCk3CTWtrZeqdVrldVq/dlPiwD6L4icpbbdKP0kN/I8jF0LgyhaAEuYC3yACtR7WGTcQrmZLdPJGuBO9pYNt0Ev2He9X73E7ej2sJQIeXa3aAAkXSDBqjyssLMrBYVYKjVFwT4cQq3FX2ZS5Heq9a3XcFWALfEuC7Aw/3JoRMXLH3tEYyDECeHY5pZoxMT109zoND+lojbtINTGBqFpu7HYCpGUvszxAQnrujFWRZUI4Ma9i9E1roJb6r0jy9q7F5nOPPUhP+D6ewRF//bzfxYGNbQY4kYXJSUTrCGFnzELNz6nHBgciVpKZQnuCI6n2dW7IORp9qN8ylTaQK2iKQXuTI6Y+zqy6zqRQIUhXakhkDQrdHLvf0WTsjS7H9R7sKfX+yXGw2ric7XB5xW15WEqBKToPTTYNsNQBvghvIPYiIKDeL3rFqfg3E+Bmm+BdjBMgpHjEGZZiLUF6UQAC15EMUj/2J7UNBdpE1e/6Y3soPKuXPanptmRK6Ql84nPZfpZSYyrFbUFLYuLYeByRb21Mq8+05ZAcfSkp0G12Fc7aAMU9C2a5dcrnq+SyITbFkAtQDtjB+JMe/JNi0aJSwjOuBvyLKqiK4zWNPRnbjALnOEkSrV8LX77+b/VjpWIN1KgSzbU9dthvabYjeY2B7x2idtYzIAVkEyabkX4jb0v+jFDiEtcBPGbmi5Npb6ro17wDPIx8zIE/g07H103FeeLNXfbGrXZVtL7JlxLRR25vvIDA9V8V8ytkD/iEtEFx285cES6s2WbOBc3zRyhIlooIxSPH+Q/RDABfNHE8xFSQPa/Y6NpaH3EiWaEDdELysa7gpLiWvHD5mkr0biXnsHJdTLRFqer4QYhPufCkzi+7/1qew6sQ65oRRBSpMR4p6KFtdLX+nZ+tW4EcVFImgEzg2Y5sC4WUAC5KphfzURWX5mwYsF3PtmvIqfrYNWYWRxzZXu9rz7baKNoxCb0S37vCvGAPSnYQJSHEBqO7UD8CFZAhVzFdF3FJaVxKpyH3ArBY1uhBYcjUAlOOGfIRrmmoXusFM+xFaA1DBOFr+myQjSIGsJ9xlPQ8Ei6KpskwiflAWJF2S6Cx9pylTwJdIKS8dJOA+SStcbmYGyZ13oGl9URz5uRYi81XeRgHPeyBxolrWdFTG9kwTlZRUmZBO7c2oxtNoMQ8im6Jbq59XPLzafa3d3bU/P150vV+lLtxcJGNqMDak2shzYUrKRmS0mrkMCFb2zn8ceDijrI+TlDrxH9UsdbB8pesml6vd80yxYhOYrhw6p5CBLJDWZ5w9TraJIttmi4ouDTMakdpy0cSkX9OWWTI75O2PtFk3OxKwye8nrfGqlHFy8gdJ2oGYCglVhhL7NYuaSQOGKpWMwsQvWXVOhGpPgxlt85C5A8efqMSAB7u149q8l/yu7oDcL+cT2IUQNEbuBkQbq9r0w/E+tBSWuIYVtd2YoDChdow/INmGVRANuZvhbDB4IDM+H+OB0QBxs8plusYrW2VF1GMCGGUQj6G0S1Jt9AEvNFF90mXC9gJvBS0+EBuQ/OgnHum2J5KromZy3QQVwaBjmsRsuAzgFutGwjmJmUjEJLLnNsCUChE30Hl4omJQyMvoJ7Zru0pTOgKiEES9hADaNw6DKKLUdOtKo8Q+TRa5qCnwYyMAmj6KwIytB3ItgB8BP+3A2hr2klBhsw5aanCrdi0K0RuRsJe05OQ0AXJocSXoC0P7DaDmbZ+qxplStCoFlAYRqRu8l7m9yFiZi29m0GTFvBO0B0EC1Z9Vom+mL75CrW2XBoOI06ymFk1xJdLKaSS0qEraJ20LWCByCO2UTsGMsTAk+07aKESER6E2Igg0gzkg2TJ9Gky2bYsa3eV/FfxGazVd0OgMD6hGWH72NPiHFnO8apg3eFgbbER0YqA36Oxd0xdxbMuUv3fHbM7sct9XwJNXSu0AaG3e7QmJj+3JBnERz6DUUgKvzK+A3dCdAOpApqtAGxIlG8vnsuRqpvo9ApomXE/J1JXyT22Q8zjeyXch5CB0RL4563EdFBmGysh18mQaYuqCaSqF1LlHPoWQSTRe26UFpEHoyNEDmTMJ1Z4xFEF8aBhcQhpsvrWBr7MYyvxeKdzcaUSsRVUjzG6s10pasFmEolvjvWs+9fuPQm7mbkSieNJZCdoLVEVkwoOMP9gziwkbchlJqLXH/Xgg1QEgYL0k5tsQY8kVC30kJQUbt2gKEHZeIL4EOMNRfTXYfZ8gTQeIAOjdczXUjaQyvNAoeeuNof97TleYSpEgvyWRwRd1aEtu1BkYljKk5MhpRjJsmI7daeuLpxisuUEXgdhE8Mo75Eci9yMk9hkLva2Fq9byR/2RjX4q2PMN+JpJPEIabemZUJ788conhpvkPBTWKItMXHfOMWGN4g9zkxTOBm9ruNn8IiiCW60h21YttNXPzQwxzPY+2uc1gEpQufUH9hkIQsobgBOsVEoFWDsLr0jwsNDtGXax/GiiELBz4LUEqwFUpQJ7Sgu2LHJlygh6dzmPJcmoCIqs55EU9o9zE0GDrDHUs679+IjNWN6ervjixRjL1yQvKGvLslAN4CJpZTOli2rnaFyUqCqPGRRO2t4hUavxJXUYAH1lGHn4BxmWddX6quiGct4mfQdS50jyJbLmCt5QVnbHY/GGt571/KVqvVTnupVj+JYnVGlJc9j5Z4H+SOlPhi4m6M1d3pSqMTUhhFkkU81rPvfaoy5iV22r1fSfDLYyGRUC54Dd/EcfPBF0Zto+XqH1Q74/MIjwYSJDlXqx9gCy3ENZF57v2HZCnxg3PW+wWuEZe4mXm34mUO6CUjt/NwmlqiF0TZx1hpyx8JDjwM5ftjYzbWRD1ffMG65BOqVl5UqtUqCWBOChh2JYq6UqnLNzHVeoGqLddFZTD3fFhe5IMNRgzUi1X+IpWWb+H27YCMTmLZgVqvcGuLZFyS2eWGNS6DDFJV+evj6zfqn9rJv6xVJc2h0ftVcjtVfVEyRj0lDLQm+goz9Z3FbnYzbkYDmX4qicm504GSmyenGL4qphblIfhJc9ZmOPzfj3YJsytunIZOgWefyBwWputhtjoUiOvEwiA/uB7eXNR2XWtY6BrFriVoohk5jTM7QZeckQsrigG/AgysczIRYpX0vtgSN0XBHvGtoeaG9GrOGDKjAoh1WoHMMyGUMAPi58NUINs7dBK0ib7IEOOkQHiuRIegDMlZAX3Ik6TQBQwl2RfyOSZ+mwSEalQq9J9OoiALAtugc9S5hvHw8xh5p3/YbbC5e0YIzWTM48oUJLxUW/5hZ6Ic/R5sqdpKdWmNKpfX2+r5Ov8cqtpzBExTSpIN/WL1H7WaCM7IuoMgVlanISFz8eaX1/72P9vKOsOpj3QCd9O5EAHUCf/nqoOdjIXF1Nunyc2UiAsGxMPzcPI8wdjSGJR3UwoLQNjnj6GGIJChbpoE4QoScpUOfAA0eLhXPza7PAglp43cAPGZCghuSNOQ636g/lmvk6jTmDvGGsl0MbUd9b5QDBM8uC4vF+7HmIKG2yB2zkKNNf0PIEi6LEjMPV7q4Y9bQ0aGvYfbKjQmHMpY3Z2utFBlJTTUIzABmH5tUDWFq0NuhKbdoJFx6I5H+E0qQkjig3rUOTNkUPS+CM2nI4eEvcrSZ8yG7Sd7QJ93GrBORCIlsAavhYeOmrHE5AP7xeazMlIPVUzVyeKFWovCifERtQsjJ+ac3WXB04tDoROXDP0FSMAJkYi+qb3ScUqpPdB5BcJfaLdDMphRw5BzRAyFbOU21DW+5bmkNpIoq2MdBAG/b9SwM5TgGY9RcPGdoYbjy0Wjj6JBgsaMqNmRxF/Jsv6xtEpWyU97hUiHRNXARMTmBbmTxs7+7Mc45PLXpZWrojnQ6egYuHRJuHakdJN8AqPbiNfv64e98gK2vzgXuohTqy8dwZMEFCnHlEd8uCFxkQALeE/SJniqqV3FwV7X4S20pmQWECrQ/CkeiU46Mw0/gll5hVpL5IicmYl9zZP31GF2zlG0YhH6/TO62yfnlCwW8r+MKi7QfBziJAXIumpS19KKpicSC8UEn7egVw9RCyyvkcIQ6efIim75wBBSUNX8NXGb/k/D0Z5HWDIdYMqCSGM9/gFwkzH7Vxj6wbyTiidIABb7MSCUjvOCNunAbMybjhXGA6k0hfVDmat5uvOlXGd9z05J4b3+AZUJRaLhjS7TxVEU/Sdhy36pfWEGSp37kUNhClk/JWzfq9e1nTV9XIMUtM5ysc/mgYeOGTWG/VRFqfG6bux3ryvSiZxiBjIACl5tWVLwQs3eN46NsMZBUVlM73e9Eld4oqKSt40FhikBb5cfomDCiJjZnE+8FKSRht6ZPFqJAxj2Ub7cJ6jaEbpSpaTwYUkK2+EqJmO6Hh3Ha5AphYMy1rPvXYlLNhQl1Plsadd3QMLKpB2lIcpTyCwTAhMnOQ/gUMnmEafU8bj+uvCVjv8yvyQJ58cAlK7SyBwUNuPUotemXCNSJtknIZ1Gass5PkHq8MzwSbnWZxQJSORgFxIR70CxiSa5Rec3UdO4lp0iAXuVUF4WjFs+9orNmOXMkXc5skb452MehHTLDm3yhNDltE1zdNBYj7/v2aAqiBiz1CJI1BKqAjSqgX0M2yDcQ66LVtgN8s041EDRdN4YVytePsOWduLk/T2ddm2s4oaqUTnukJYp5JKcVNqFeSNlrENVDopbtM8gClVRda7ufWlLIEjcNxID5LgiTZQbdaVVlNVIoZQkZX15gUIgyHmt/nkKjpCE9ajUt9Tys5XbS3sBKE0CFjZJ/LilkN/6meWbvoKPK07wdxnqLJ8StYK8kA9ipAT3PStdHOYjdeWEyb3URmSVWzLSQaQ1P54EHZJdFJgyngOB57VMYSDjEByQjnbAobISqlRrC6RdmcoKEVF5jJ8KvYpbCwUpNipEfqVQhxN+ni+oI1LnxG++xtJFzomFp0GZvxmRpD9fynIZkca7WmWY5GmpzOsAegkkLl4+wyqT81WHdOAt3ILiSG+0JUUv4h4nZhJFWL4DMQcj8jgZArluZibp3earlFAMpwa32Jxj9agclEyrP+WzpZZX0/ai+tv/CbDldPPMsC1meYViLg+kFJHktw6kqMk9XJfUw7GGVOYKCcyb1qA2u3dBv9PqxVVTOyuSeCzcNF7tWEv2KFJIwV1bcvyepCo79evKs3vV0f6RgIyx1vLet98rzkpAvXozLVuL9VUSpjVcmo1Zm2WlBRidjUnap8yWaItk643VoUfRWyuSiv8kWVTaExvIjgy8ouJe3JOxFvLeldZbp6vPVD6baWBWB5g9iZaUs98sWvNQyBA6RHE5mwyudjbk7OS2B+xMEyFfgU2F25I0JaIdaNnzlNjSOdzCrEzcbQmuB5252ZgsTigKI+tihhHYgnBNszFZ29Mo6HsAIRuu8ZuNmZtlzGoOZsqSsSBCc/Ji/iQ4NzTp8hK4dn1WpHB/5rcsx3H1a0yf5O8mZGvkj0CxlBP2cwWkDCt/kwP1janDWbpUapNER4qYejErwrgr5wzwFkSMyAw7Wk8e/Jx5qdvNYLhWnRXR+jM10y7JE7PMf9fqiyJbnHgM+f2k6m5SdTXCK69TjjAiPZII+BP/8XL8fUks5SOqVtecby/OjLcluGkswX8Uhs3hjKIu5Xfkk1FOjLsqUe+xunvvPNIsQ+IaeSuzMUvbkk+cdsbqzKNI2Fg9u3dhil2Pg7vG6sujzNKscEMzra2e+Nrx+NrazAQw394xu/oBuKBP5F80OC6jVn22XLXtpbVnkn+BR8nJN5JXKodUmLTk+rNl6FyTpKhLVsdSJ/ev2sCK+uX2nPQxVo8eRcHl2GKek0GcZkqVl36xjlDkWUkMyd7maGSpCFxQtZkJlR55wensTuxPT0h3nCDWks6qOmMHg3Ble2vCqCb2zhz2dumnGQF4vwOLbAg6ScTThw+R5PaJHPyxtsy9a8eJvYiJkhB/+/m/CsMsLeErZnfe8IbM7CWs0ovsvYTXnM01yesdpWvyosPSLpa++vXqfhcvvyJflQIkcoAnfK97Q79V4DbjGnoBo8nDz9IPh9ZzkmavzBDbklK47Chrr/+ePo4l0a93V/O8noZqcn1GBa+MyE7ZNFXolF9xgAX16/l7jC45kf3c7qtKCSafH3lZpXkPhbznxdQ7Sv465vbqCqyRvHRT9B00PkE48gZmbu1IiRZkfL88K6+W4gAlfbq3vMJHUXqiVuTA/f7JI5wSNpifYmUREfI82V4nw5uHDg4JkAavS1wHYZgkhUmKfoqSnCVqjySuDh2mV7xcC3721f1t2IcS7COA2Zm8+415BpWRXR1rVkiKJohgyPQXdN1QvwSmb+2uvF55NZen/U9pD27mr0HkBeOpvEHmIq/94GxbvZekn4PyiUigesJvuthx72jr4HBXzW/vvz/aevthZ6FSGEGpKrxuHPnghiSiePnDSMTvtd9DEjMt8TjiUEE5OlAvuxw1iE7CwyDrJpSXrMgriqGERY4XH2LpM2kYUgZxiMD6bSTHahHCZKeID3+68RBWvSibNyq34uValJ/G83KuESQnZs2yDMxJYESOuu5B9PM3yxdeKf+HFvJ7mMR3vS8CidS2G6WfKBR+mj80FVWOedztdCO+2I6L3yHTeS7y5ofshbjZUUAUWpYWit+TxXo09XQPklhbr9Tqtcpqtf7spycpLErcTVJ4uP1uQ60sc77Xs7Wb564I4m80i8XLnxDesHrIVUFu5u5pn9+7j3VP/b6snwawj1PzTpJZxBVDOnxRcj1B0Zyzof0/OaH+5v01whsVoD77Wg6mKiHBhjDztCcpX13espMc9CkWcVqv66ruUPvogi6fvpyr1esr+lytE/5eXedvDePDNi+h5wpO7+P7ldpz7QDL0vLxebUmHwGQnDA4+NlzWkO/njgwIvgFz6vrcnEr4CDXwcd2mgx7DRwGIcZYnArH3KJ70QzsN5ErdJvHeXoHbmLTy2XOAeNXBm/Grf9sBM1z/Qe3pOIXbf6/AAAAAP//AwBQSwMEFAAGAAgAAAAhAMNzehmsBgAAphsAABUAAAB3b3JkL3RoZW1lL3RoZW1lMS54bWzsWU1vG0UYviPxH0Z7b2MndhpHdarYsRtI00axW9TjeHe8O83szmpmnNQ31B6RkBAFcaASNw4IqNRKXMqvCRRBkfoXeGdmd70Tr0nSRlBBc2i9s8/7/THvzF69dj9m6JAISXnS9uqXax4iic8DmoRt7/awf2nNQ1LhJMCMJ6TtTYn0rm28/95VvK4iEhME9Ilcx20vUipdX1qSPixjeZmnJIF3Yy5irOBRhEuBwEfAN2ZLy7Xa6lKMaeKhBMfAdgg0KCDo1nhMfeJt5Ox7DGQkSuoFn4mBZk4ymhI2OKhrhJzKLhPoELO2B5ICfjQk95WHGJYKXrS9mvnzljauLuH1jIipBbQlur75y+gyguBg2cgU4agQWu83Wle2Cv4GwNQ8rtfrdXv1gp8BYN8HS60uZZ6N/lq9k/MsgezPed7dWrPWcPEl/itzOrc6nU6zlelimRqQ/dmYw6/VVhubyw7egCy+OYdvdDa73VUHb0AWvzqH719prTZcvAFFjCYHc2gd0H4/415AxpxtV8LXAL5Wy+AzFGRDkV1axJgnalGuxfgeF30AaCDDiiZITVMyxj7kcRfHI0GxFoDXCS69sUu+nFvSspD0BU1V2/swxVATM36vnn//6vlTdPzg2fGDn44fPjx+8KNl5FBt4yQsU7389rM/H3+M/nj6zctHX1TjZRn/6w+f/PLz59VAKJ+ZOi++fPLbsycvvvr09+8eVcA3BR6V4UMaE4lukiO0z2MwzHjF1ZyMxPkohhGmZYrNJJQ4wVpKBf+eihz0zSlmWXQcPTrE9eAdAe2jCnh9cs9ReBCJiaIVknei2AHucs46XFR6YUfLKrl5OEnCauFiUsbtY3xYJbuLEye+vUkKfTNPS8fwbkQcNfcYThQOSUIU0u/4ASEV1t2l1PHrLvUFl3ys0F2KOphWumRIR042zYi2aQxxmVbZDPF2fLN7B3U4q7J6ixy6SKgKzCqUHxLmuPE6nigcV7Ec4piVHX4Dq6hKycFU+GVcTyqIdEgYR72ASFlFc0uAvaWg72DoWJVh32XT2EUKRQ+qeN7AnJeRW/ygG+E4rcIOaBKVsR/IA0hRjPa4qoLvcrdC9DPEAScLw32HEifcp3eD2zR0VJoliH4zERWxvE64k7+DKRtjYloNNHWnV8c0+bvGzSh0bivh4ho3tMoXXz+u0PttbdmbsHtV1cz2iUa9CHeyPXe5COjb35238CTZI1AQ81vUu+b8rjl7//nmvKieL74lz7owNGg9i9hB24zd8cKpe0wZG6gpIzekGbwl7D1BHxY1nTlzkuIUlkbwU1cyCHBwocCGBgmuPqIqGkQ4haG97mkmocxYhxKlXMJh0SxX8tZ4GPyVPWo29SHEdg6J1S4P7PKKXs7PGgUbo1VoDrS5oBXN4KzCVq5kTMG21xFW10qdWVrdqGaaoiOtMFm72BzKweWFabBYeBOGGgSjEHh5FU79WjQcdjAjgfa7jVEeFhOFiwyRjDDcKZjrgKa2ez5GdROkPFfmDNF22GTQB8dTvFaS1tJs30DaWYJUFtdYIC6P3ptEKc/gWZSA28lyZEm5OFmCjtpeq7nc9JCP07Y3hnMy/IxTiLrUcyRmIVw3+UrYtD+1mE2Vz6LZyg1zi6AOVx/W73MGO30gFVJtYRnZ1DCvshRgiZZk9V9uglsvyoCKbnQ2LVbWIBn+NS3Aj25oyXhMfFUOdmlF+84+Zq2UTxQRgyg4QiM2EfsYwq9TFewJqITrDtMR9APczWlvm1duc86KrnwjZnB2HbM0wlm71SWaV7KFm4ZU6GCeSuqBbZW6G+POb4op+QsypZzG/zNT9H4Ctw8rgY6AD5fDAiNdKW2PCxVx6EJpRP2+gMHB9A7IFrjfhdeQVHBFbf4X5FD/b2vO8jBlDYdItU9DJCjsRyoShOxBWzLZdwqzerZ3WZYsY2QyqqSuTK3aI3JI2FD3wFW9t3soglQ33SRrAwZ3Mv/c56yCRqEecsr15nSyYu+1NfBPTz62mMEotw+bgSb3f6FiMR7MdlVLb8jzvbdsiH4xG7MaeVWAsNJW0MrK/jVVOOdWazvWnMXLzVw5iOK8xbBYDEQp3CEh/Q/sf1T4zH7t0BvqkO9Db0Xw8UIzg7SBrL5kBw+kG6RdHMHgZBdtMmlW1rXZ6KS9lm/WFzzpFnJPOFtrdpZ4n9PZxXDminNq8SKdnXnY8bVdW+hqiOzJEoWlcX6QMYExH8rKX7L46B4Eegu+GUyYkiaZ4DuVwDBDD0wdQPFbiYZ04y8AAAD//wMAUEsDBBQABgAIAAAAIQCOCQJvxwMAAIcJAAARAAAAd29yZC9zZXR0aW5ncy54bWy0Vltv2zYUfi+w/2DoeY4kR3YSrU4RX9SmiNdhyl72Rkm0TYQ3kJQV99fvkBSjenGDYsWeTJ3Ld+7n+P2HZ0ZHB6w0EXwepRdJNMK8Fg3hu3n012Mxvo5G2iDeICo4nkdHrKMPt7+8e9/lGhsDYnoEEFznrJ5He2NkHse63mOG9IWQmANzKxRDBj7VLmZIPbVyXAsmkSEVocQc40mSzKIeRsyjVvG8hxgzUiuhxdZYlVxst6TG/U/QUD9i12uuRN0yzI2zGCtMwQfB9Z5IHdDYf0WDEPcB5PBWEAdGg1yXJm9J9uF2QjUvGj/inlWQStRYaygQoz5chgh/gUmzV0Avqb6AVMfedmyhQD1N3GvwXNNX+meq7av4QCqFlC8zNID1gtX5/Y4LhSoKTdWlWXQLHfVVCDbqcolVDUWCdkySKLYMCEZsS4MMBraWmFLXnzXFCMC6fKcQg86aR57idBq8RS01j6gqjZAgdEDg81Vy7SH3R7nH3NX/b+jswM8mU8+v90ih2mBVSlSDtaXgRgka5BrxuzBL6GIFSe41XE9bd313l34+QIMjBlF6at/zG9Fg63mryKtEfrcQVsFFAflyMZ43JGCeFWkwhE5xaY4UF+B8Sb7iO958brUhMEUu8p/w4C0HIK9g+QtM/+NR4gIj00Ka/idjrhIFJXJDlBLqnjfQOz9rLA5FtOWE5djo8PhTCBPKkCTTm+nieulzYcUGzuV1NksX5zjf15kV2c2iL+0p2s0sXSWX59Du1lmRnbWzKNLVrB+gU7RVMrkr+jn4F2edLq6uztlZ30yLq/U5TrHOkjvHgaxZOMgVy+06/EOFl23AEfPNu0SsUgSNNnZhQhuzvFJPC8IDv8JwMPC3nLKtAnM89gzNEKUFTGhguEBZ3hAtV3jrYOkGqd2A20uos1TYFp9fsOz2weqjEq301jqFpG+sYC7Nsh6PcPNAWKDrtiqDFoel9w2r5c2Xg7KA8ZCeLjdwK92APiC+C/2D9Xj5YEWhD6kq7T3FGyQlLCIQqXbpPKJktzepHSoDXw3cVfdR7SY9b+J48GV57gPVNjKQ7h9WwD9Bqn8MtMtAuxxocDW8XDbQpoE2HWizQIO73uWwa7GClf0Eqy48LX0rKBUdbj4F4jx6RfJJ0HskMdTVbnRoL5E7Qr/i9eiQ42e4F7ghBv6uSNIw9GzPx2Rm1Xtpio6iNSeylmeF5Ql11CCDQN2V6kQZSgf359SXLm9wTaAdyyOrhgPxq3ecEm1KLOGWGKEgZLe+f3PIwz+o238AAAD//wMAUEsDBBQABgAIAAAAIQAXoBZOAgEAAKwBAAAUAAAAd29yZC93ZWJTZXR0aW5ncy54bWyM0MFKAzEQBuC74DssubfZlSKydLcgUvEigvoAaXZ2G8xkwkxqrE9v2qogXnrLJJmPmX+5+kBfvQOLo9CpZl6rCoKlwYWpU68v69mNqiSZMBhPATq1B1Gr/vJimdsMm2dIqfyUqihBWrSd2qYUW63FbgGNzClCKI8jMZpUSp40Gn7bxZkljCa5jfMu7fVVXV+rb4bPUWgcnYU7sjuEkI79msEXkYJsXZQfLZ+jZeIhMlkQKfugP3loXPhlmsU/CJ1lEhrTvCyjTxPpA1Xam/p4Qq8qtO3DFIjNxpcEc7NQfYmPYnLoPmFNfMuUBVgfro33lJ8e70uh/2TcfwEAAP//AwBQSwMEFAAGAAgAAAAhALlOPTczCAAASz4AABoAAAB3b3JkL3N0eWxlc1dpdGhFZmZlY3RzLnhtbLRbbVPbOBD+fjP3Hzz+TvMCJQfTtEOhXJmhLW1g7rNiK0SDbfn8QuB+/a0kWzF2HO/G7qfEsrTPrnb3WRG0Hz69hIHzzJNUyGjuTt6NXYdHnvRF9Dh3H+6vj/5ynTRjkc8CGfG5+8pT99PHP//4sDlPs9eApw4IiNLzTezN3XWWxeejUeqtecjSd6HwEpnKVfbOk+FIrlbC46ONTPzRdDwZ629xIj2epoB2yaJnlrqFuLApTcY8AqyVTEKWpe9k8jgKWfKUx0cgPWaZWIpAZK8ge3xaipFzN0+i80KhI6uQWnJuFCo+yhVJw4oduGbllfTykEeZRhwlPAAdZJSuRbw141BpYOK6VOl5nxHPYVDO28STkwaeNRnjg6uEbcAVW4ENcTs2wzeLwsDsg/Lv1qt1iZPxPmMKjygRVgeMCm8xS01CJiIr5rCtqW4u5EOf+P47kXls1YlFP2k30ZOVpdKSoNn4VGde1bSUJKCRuos1i7nrhN75zWMkE7YMQKPN5MRREel+BKrwpXfFVywPslQ9JndJ8Vg86Y9rGWWpszlnqSfEPVAISAkFCPx6EaXChTecpdlFKtjOl2s1a+cbL80q0j4LX7gjhZj+BzKfWTB3p9Ny5FJp8GYsYNFjOcbTo8vbqiZzl0dHDws1tAS5c5clR4sLJWykzSw/K+bGb4yHJ61KzDzIPBDDVhkHEgIWU0IDobw7nQGjmYdfudpclmeyANECAKwqFh5rOw7cBEy1MIwNb/nqVnpP3F9k8GLuaiwYfLi5S4RMgEbn7tmZwoTBBQ/FV+H7XBWIYuwhWguf/7Pm0UPK/e34z2tNz4VET+ZRBuqfznQUBKn/5cXjsaJJEB0x5eHvagFwGLijgqMVysVWGzNQQ9WD/5aQE+PDnShrzlRJc7T+e4G01XlvoKmyqGqAlkvS9bi/iJP+It73F6GDt99ezPprAQeZvh4xsVGJSrxTM+mZ4Kvuw/HZnpBVKxpR1LmiETSdKxox0rmiERKdKxoR0Lmi4fDOFQ3/dq5ouHPvCo9p4qpH0bHeDVRi34ssgDrZwXSTnlRXlBrnjiXsMWHx2lGFta72PrJc5MsMp6qm08PJcpElUh03O3YEqrNK3YM5+UsYr1kq4FTeBdRz6+/V0cf5OxFwfH3LNe/3ZfpdwDy+loHPE+eevxhfNazVR5adxe27dBbm/NBpYU+H3YrHdebAeU8V006w05btbLfEyL8Vqd6DvXX6tMWULuGld/YLb4m4duHfuC/ysNwaxDnj1DA1wc01CK3ifitOdBjSIZQDMCaYQnCgfIT+pmzQ5SsfY/Q3ReZA+Qj9TUk6UL6Oj/3+NQWMIP8KfjBxUOk1I+fupQxkssqDMgc66WFGzmALgTOBnMRWPookZuQMfkOfzoXnwd9kmDgl+2LLowQUsjsMik42vC1kp9Rob0KwiOygGtaUgNWPawlAZNL9xZ+F+nmXWgx0FbCnyM50Pm7ZATgJoU7HP3OZdZ+Opy2ch0W5ieCHkJQ7OLTjlszDohXxpHeSEkz9Ch8hmPpVQAJQv1JIAGqJj/aTm62JeJD+xZGARaZlW8V02KGZeUZmZgtEKwED1U3E+asle9tjoVk3EShkBzXrJgKF7J1aLbN1E4E1WN1EYLVUjXYfVTmVYhS5blaBLHkjLBqGvBFAw5A3AmgY8kYA9SfvbpDhyBuBReYGy6lV8kYA6SnNn8ja08gCVckbAUTmBsN2xW9GZd3TUvb/cTsAeSNQyA5qkjcCheydNvJGYOkplEioYVmqQ2ANQ94IoGHIGwE0DHkjgIYhbwTQMOSNAOpP3t0gw5E3AovMDZZTq+SNACLTgwWqkjcCSE+hcMNO8tZZ/9vJG4FCdlCTvBEoZO/UCNUeUhFYZAfVsCx5I7D0FEowFFg6uClGDUPeCIuGIW8E0DDkjQAahrwRQP3JuxtkOPJGYJG5wXJqlbwRQGR6sEBV8kYAkblhJ3nrZPzt5I1AITuoSd4IFLJ3aoRqeQ6BRXZQDcuSNwJLx0tv8kYA6SmHAlEsGoa8ERYNQ94IoGHIGwHUn7y7QYYjbwQWmRssp1bJGwFEpgcLVCVvBBCZG3aSt86R307eCBSyg5rkjUAhe6dGqJa8EVhkB9WwLNUhsIYhbwSQDsze5I0A0lMOANJZRHHTMOSNsGgY8kYA9SfvbpDhyBuBReYGy6lV8kYAkenBAlXJGwFE5gZ1gxZugqIvnk5aggB7z6C81YAGnLY4CQtYGPiLr3gC/YK8+3ZIT8DSQgJiS3hgTfws5ZODu7J93BIgaCixDITUl7Vf9S2dSovB8WxPj8D9j0vnq2ltaazTIfX25g30BVUbgXTjkWoJAj2z1xiaceLyzriSBq0/qmOraO7R3Z430OpTNOyoxaqDBybqdqliWP/DqUDV36Gz1C/njMdnp5Or8XHRuqRFNpXw1qCFB11Qe5S4zuHqHPd5nCRsJeMEvqoFdaVa7sJrxbaNGKV6xZ347fnKzHtzvxKGYBdbNM/U/e89Wqv74Qwa2lTDU11Vs3+OvkJuPN5UEFqytEpdGoI7l4FpLIMvN5FywKboyTKO9l+YEQXvL3kQfGO6DS2TcfvUgK8y83Yy1tWxJmops0yG7esTfXlca7JLAGxrVRnzqIxo3+8oD5c8Ka6it4TrQkQBXGdmOzbc3IRtCQbsXrdr9yaZbPrc6Yj1+W6ldAXc3rnTui0ZtNj9UB1zjURrhgjcwtOL2lPw9Prk7HMxq+g+FDpClH/n7mw6NhI86BqBZoScBUVzAcgFY8t+wyIFSvPTj/8DAAD//wMAUEsDBBQABgAIAAAAIQArCYnpSgEAAHECAAARAAgBZG9jUHJvcHMvY29yZS54bWwgogQBKKAAAQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAACMklFLwzAUhd8F/0PJe5t0lTFL24HK8MHBwIriW0jutmCThiSu2783aWft0Acfb+65X865SbE8yiY6gLGiVSVKE4IiUKzlQu1K9FKv4gWKrKOK06ZVUKITWLSsrq8KpnPWGtiYVoNxAmzkScrmTJdo75zOMbZsD5LaxCuUb25bI6nzpdlhTdkH3QGeETLHEhzl1FEcgLEeieiM5GxE6k/T9ADOMDQgQTmL0yTFP1oHRto/B/rORCmFO2mf6Wx3yuZsaI7qoxWjsOu6pMt6G95/it/WT8991FiosCsGqCo4y5kB6lpTPW4KPCnD6hpq3dpveSuA3516xe/TIDRwEOFtqqzA09Lz+zjDJcAjbzAf4nx3XrP7h3qFqhlJb2NyE5N5TdJ8luWEvAdDF/PB8HAgz7b+Q1zUJOAuid+Aqnd8+UmqLwAAAP//AwBQSwMEFAAGAAgAAAAhABxwyCWxBwAAWjsAAA8AAAB3b3JkL3N0eWxlcy54bWy0W9ty2zgMfd+Z/QeN3lPf0niTqdtJk2abmbRN62T2mZbomFNJ1OrSJPv1C0KXKJIlAZb6FIsicQACOKAd4t2HJ9+zfskoVjpY2bM3U9uSgaNdFTys7Pu7q6O/bCtOROAKTwdyZT/L2P7w/s8/3j2excmzJ2MLBATxme+s7F2ShGeTSezspC/iNzqUAbzc6sgXCTxGDxNfRD/T8MjRfigStVGeSp4n8+n0xM7FRBQpertVjrzUTurLIMH1k0h6IFEH8U6FcSHtkSLtUUduGGlHxjEY7XuZPF+ooBQzO24I8pUT6VhvkzdgzCTTaGJEwfLZFD/5nm35ztn1Q6AjsfFg8x5nx/Z72DlXO5dyK1Ivic1jdBvlj/kT/rnSQRJbj2cidpS6gy0FAb4CWZ/Pg1jZ8EaKODmPldj7cmdm7X3jxElF2kflKntiEOP/QOYv4a3s+bwYuTAavBrzRPBQjMn46OKmqsnKlsHR/doMbUDuyhbR0frcCJugmcXfirnhK+PhCVUJhQPOADFim0gICogRI9RTJgbnS4iX7OFHavZVpInOQVAAgFXFwmNtxyFWIHLWWQDDW7m90c5P6a4TeLGyEQsG769vI6UjCNKVfXpqMGFwLX31WbmuNPmSj90HO+XKf3YyuI+l+zL+/QqDP5fo6DRIQP2TJUaBF7ufnhwZmrAF0YEwHv5qFkDggDsqOKhQql60yQZqqDj4bwE5y3y4F2UnhclwC/XvBEKr08FAc2NR1QCUy9J1MVzE8XARb4eLwOAdthfL4VoArw/1SBYblaikOzXRThZ81X1YnHaErFnRiKLeFY2g6V3RiJHeFY2Q6F3RiIDeFQ2H965o+Ld3RcOdnSscgcRVj6IF7gYpse9U4kmzvpOAZgOpLi811q2IxEMkwp1lCmtd7S6yXKebhKYq0unhZLlOIh089O4IVGeTugdz8ic/3IlYwSmpZ+vnA7f+zpx6rL8j5da3+21Xpt96wpE77bkysu7kU+arhrV4ZNlb3L5qa52dH3otHOiwG/WwS6z1DotpL9hJy3a2W5LJv1Ex7kFnmpy0mNInvPBOt/CWiGsX/kW6KvWLrSGcM04ypma4uQaBKnZbcYxhyIcwDqCYkBWCA+UT9M/KBl++8TFF/6zIHCifoH9Wkg6Uj/HR7d+sgDHkX8LXUYuUXkt27l5oT0fb1CtyoJceluwMLiFoJrCTuJRPIoklO4Nf0ad17jjwnYwSp2xfvPAoA4XtjgwFk41uC9spNdqbMSxiO6iGNWdgDeNaBhCbdH/IX8r82sUtBlgFylNkbzovWnYADl2k0/H3VCf9p+N5C+dRUa4D+CEklhYNbdGSeVS0PJ5wJznBNKzwMYJpWAVkAA0rhQyglvhoP7mVNZEOMrw4MrDYtFxWMQw7MjMv2cxcAvFKwEh1k3D+asne9lho1k0CCttBzbpJQGF7p1bLyrpJwBqtbhKwWqpGu4+qnMoxil03q0AleRMsGoe8CUDjkDcBaBzyJgANJ+9+kPHIm4DF5oaSU6vkTQDCKc2fyNrTqASqkjcBiM0NGdvlvxkVdQ+ldH+5HYG8CShsBzXJm4DC9k4beROwcAonEmpYJdURsMYhbwLQOORNABqHvAlA45A3AWgc8iYADSfvfpDxyJuAxeaGklOr5E0AYtNDCVQlbwIQTuFww17yxqz/7eRNQGE7qEneBBS2d2qEWh5SCVhsB9WwSvImYOEUTjDkWBjcHKPGIW+CReOQNwFoHPImAI1D3gSg4eTdDzIeeROw2NxQcmqVvAlAbHoogarkTQBic8Ne8sZk/O3kTUBhO6hJ3gQUtndqhFryHAGL7aAaVkneBCyMl8HkTQDCKYcCcSwah7wJFo1D3gSgccibADScvPtBxiNvAhabG0pOrZI3AYhNDyVQlbwJQGxu2EvemCO/nbwJKGwHNcmbgML2To1QS/ImYLEdVMMqqY6ANQ55E4AwMAeTNwEIpxwAhFnEcdM45E2waBzyJgANJ+9+kPHIm4DF5oaSU6vkTQBi00MJVCVvAhCbG8wNWrgJSr54OmsJAuo9g+JWAxlw3uIkKmBu4A+5lRG0T8n+2yEDAQsLGYgt4UE18aPWPy3ale1FS4CQodTGUxovaz/jLZ1Ki8Fi2dEjcPftwvqctbY01mFIvb55A31B1UYgbDwyLUGgZ/IcQjNOWNwZN9Kg9cd0bOXNPdj8dg2tPnnDjllsOnhgIrZL5cP4D6ccFT9Do51bzJlOT09ml9NF3rqEIptKODvQwoEuqA4lrlK4OiddGUaR2Oowgo9mQV2plrvwqNhLI0ahXn4n/uV8lc17db8ShmAXWzRPzP3vDq3N/XABDW2m4amuarZ/Fl4hzzzeVBBaslClPg3BnRsvayyDD9eBcQC0BuJ/1DJHu08iEwXvL6TnfRHYhpbosH2qJ7dJ9nY2xepYE7XRSaL99vURXh5HTfYJgG2tKpM9GiPa9ztI/Y2MoK+rY8/XKvDgOrPYs+HZTdiWYKDudbt2r5KpTJ9bjFhX7lcKK+DLnTvUbSOgxe6b6ZhrJFozROAWHi5qT8GTq+PTj/msvPtQYYQY/67sJTRBoAQHukagGSEVXt5cAKNgbNFvmKdAYX78/n8AAAD//wMAUEsDBBQABgAIAAAAIQAwcGhPwAEAAKIEAAASAAAAd29yZC9mb250VGFibGUueG1svJNNbtswEIX3BXoHgfuYlCw7iRA5aNMY6KaLIj0ATVMWEf4IHNqqb98hKRtFg7RxF6EAQnrDeRh+eLq7/2l0cZAelLMtKWeMFNIKt1V215IfT+urG1JA4HbLtbOyJUcJ5H718cPd2HTOBiiw30JjREv6EIaGUhC9NBxmbpAWi53zhgf89DtquH/eD1fCmYEHtVFahSOtGFuSyca/xcV1nRLyixN7I21I/dRLjY7OQq8GOLmNb3Ebnd8O3gkJgHc2OvsZruzZpqxfGBklvAPXhRlehuaJaLTC9pKlN6NJYUTzdWed5xuN7MayJqsJXDE2lhsUH7hWG69SYeDWgSyxduC6Jaxia7bAPT41m8ed0Oggeu5BhvNBluWOG6WPJxVGBZALgwqiP+kH7lUcKJdA7bCwhw1rySNjrPq0XpOslDhdVOrrz5NS4VB53U7K/KxgcnCw5JOOlNkHFfSZutKcNEfnBYknZSQU3+RYfHeG21eIVGyJJBbII5KZX0TEJ99E8BIij38Sub5ZvAuRB24wGvwVEpFAJhGJXJaN/yPBlr+TqPHPreqzErOBSlz/zsZtythfsjGFBFa/AAAA//8DAFBLAwQUAAYACAAAACEAuqQIyfABAADiAwAAEAAIAWRvY1Byb3BzL2FwcC54bWwgogQBKKAAAQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAACcU8tu2zAQvBfoPwi6x7Qd106MNYPCQeFD2xiwkpxZamUTpUiCpI24/9Sv6I91KcWy3OYUnWYfGg5nl3D3UuvsgD4oaxb5aDDMMzTSlspsF/lj8eXqJs9CFKYU2hpc5EcM+R3/+AHW3jr0UWHIiMKERb6L0c0ZC3KHtQgDKhuqVNbXIlLot8xWlZJ4b+W+RhPZeDicMnyJaEosr1xHmLeM80N8L2lpZdIXnoqjI8EcCqydFhH59yRHA+sSUNgodKFq5NPZLRW6ENZii4FfA2sBPFtfBj66Ho+BtRiWO+GFjOQfn41nE2C9BHx2TispIlnLvynpbbBVzB4aE7JEAKzfAmTMBuXeq3jkQ2D9EL4qQ1qmlG4RifNi64XbkaJZktiFsJFC45LuzyuhAwI7J2CFIs12LRRJhkOcH1BG67OgftF0x3n2QwRMri3yg/BKmEjupbY2aLB2IXpe/Pkd99oCo2qbaWC/sY/VhI+aBgKXjYmgVUGFS32FihrDQ0W3i2/IHfXlNhpasT05Pdid8Q/r0tZOmCNfrWl8rzj5/TM8usLep6159fEy2Rv+s4q7jROSRnTzKW3ReQ16JdjQtmBJcz0RnhOwIs+9TqfSv2aL5ann/0JarKf2yfLRZDCkr9mkU462oXtL/C8AAAD//wMAUEsBAi0AFAAGAAgAAAAhAAkkh4KBAQAAjgUAABMAAAAAAAAAAAAAAAAAAAAAAFtDb250ZW50X1R5cGVzXS54bWxQSwECLQAUAAYACAAAACEAHpEat/MAAABOAgAACwAAAAAAAAAAAAAAAAC6AwAAX3JlbHMvLnJlbHNQSwECLQAUAAYACAAAACEAfDuXOSIBAAC5AwAAHAAAAAAAAAAAAAAAAADeBgAAd29yZC9fcmVscy9kb2N1bWVudC54bWwucmVsc1BLAQItABQABgAIAAAAIQCP6/I6GRoAAMyZAAARAAAAAAAAAAAAAAAAAEIJAAB3b3JkL2RvY3VtZW50LnhtbFBLAQItABQABgAIAAAAIQDDc3oZrAYAAKYbAAAVAAAAAAAAAAAAAAAAAIojAAB3b3JkL3RoZW1lL3RoZW1lMS54bWxQSwECLQAUAAYACAAAACEAjgkCb8cDAACHCQAAEQAAAAAAAAAAAAAAAABpKgAAd29yZC9zZXR0aW5ncy54bWxQSwECLQAUAAYACAAAACEAF6AWTgIBAACsAQAAFAAAAAAAAAAAAAAAAABfLgAAd29yZC93ZWJTZXR0aW5ncy54bWxQSwECLQAUAAYACAAAACEAuU49NzMIAABLPgAAGgAAAAAAAAAAAAAAAACTLwAAd29yZC9zdHlsZXNXaXRoRWZmZWN0cy54bWxQSwECLQAUAAYACAAAACEAKwmJ6UoBAABxAgAAEQAAAAAAAAAAAAAAAAD+NwAAZG9jUHJvcHMvY29yZS54bWxQSwECLQAUAAYACAAAACEAHHDIJbEHAABaOwAADwAAAAAAAAAAAAAAAAB/OgAAd29yZC9zdHlsZXMueG1sUEsBAi0AFAAGAAgAAAAhADBwaE/AAQAAogQAABIAAAAAAAAAAAAAAAAAXUIAAHdvcmQvZm9udFRhYmxlLnhtbFBLAQItABQABgAIAAAAIQC6pAjJ8AEAAOIDAAAQAAAAAAAAAAAAAAAAAE1EAABkb2NQcm9wcy9hcHAueG1sUEsFBgAAAAAMAAwACQMAAHNHAAAAAA==--00000000000065ae0205861ca04c--