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<b>
De:</b>
 Katherine Morales Cortes &lt;katherine.mcortes.md@outlook.com&gt;<br>
<b>
Enviado:</b>
 jueves, 27 de junio de 2019 4:26 p. m.<br>
<b>
Para:</b>
 claritamamani@telemed-chile.cl; informeges@telemed-chile.cl; Coordinadora@telemed-chile.cl<br>
<b>
Asunto:</b>
 SONIA ARAOS 26/6/19</font>
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&nbsp;</div>
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<div style=3D"font-family:Calibri,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
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<div style=3D"font-family:Calibri,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)" id=3D"geom_inter_1561653249618_98_3">
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<hr tabindex=3D"-1" style=3D"display:inline-block; width:98%">
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<font face=3D"Calibri, sans-serif" color=3D"#000000" style=3D"font-size:11pt">
<b>
De:</b>
 Formularios de Google &lt;forms-receipts-noreply@google.com&gt;<br>
<b>
Enviado:</b>
 jueves, 27 de junio de 2019 4:21 p. m.<br>
<b>
Para:</b>
 katherine.mcortes.md@outlook.com<br>
<b>
Asunto:</b>
 Registro de Atenci=F3n Domiciliaria Oncovida</font>
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&nbsp;</div>
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<table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"100%" role=3D"presentation" style=3D"background-color:rgb(38,4,154)">
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<img alt=3D"Formularios de Google" height==3D"26px" width=3D"143px" style=3D"display:inline-block; margin:0; vertical-align:middle" src=3D"https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png">
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<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" width=3D"100%" role=3D"presentation" style=3D"background-color:#fff">
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<div style=3D"font-size:13px; line-height:18px; color:#424242; font-weight:700">
Gracias por rellenar<a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link">
Registro de Atenci=F3n Domiciliaria Oncovida</a>
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<div style=3D"font-size:13px; line-height:18px; color:#424242">
Esto es lo que nos has enviado:</div>
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<div class=3D"ss-form-container" style=3D"">
<div class=3D"ss-form-heading" style=3D"">
<h1 class=3D"ss-form-title" dir=3D"ltr" style=3D"margin:.67em 0">
Registro de Atenci=F3n Domiciliaria Oncovida</h1>
<div class=3D"ss-form-desc ss-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=F3n indique su correo electr=F3nico.</div>
</div>
<div class=3D"ss-form" style=3D"">
<form action=3D"" method=3D"GET" id=3D"ss-form" style=3D"">
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"emailAddress" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Direcci=F3n de correo electr=F3nico <label for=3D"emailAddress" aria-label==3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
</label>
<div class=3D"ss-q-text ss-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%">
katherine.mcortes.md@outlook.com</div>
</div>
</div>
</div>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-embeddable-object-container" style==3D"margin:12px 0; max-width:100%">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-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"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ">
</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-page-break" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-page-title" style=3D"padding:0.4em; background-color:#eee">
Identificaci=F3n del Prestador</h2>
<div class=3D"ss-page-description ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap; word-wrap:break-word">
Aqu=ED debe ingresar sus datos personales</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_579114469" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Primer Nombre y Apellido Paterno <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-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%">
KATHERINE MORALES </div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1276273985" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
RUT <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
RUT con Gui=F3n y D=EDgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"ss-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%">
25184204-3</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-select" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_133691676" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Tipo <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
Si asisten m=E1s de 1 prestador simult=E1neamente, cada uno debe hacer un registro independiente</div>
</label>
<select name=3D"entry.133691676" disabled=3D"" id=3D"entry_133691676" aria-label=3D"Tipo Si asisten m=E1s de 1 prestador simult=E1neamente, cada uno debe hacer un registro independiente " style=3D"">
<option value=3D"" style=3D"">
</option>
 <option value=3D"MEDICO" disabled=3D"" selected=3D"" style=3D"">
MEDICO</option>
<option value=3D"ENFERMERA/O" disabled=3D"" style=3D"">
ENFERMERA/O</option>
 <option value=3D"TENS" disabled=3D"" style=3D"">
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled=3D"" style=3D"">
KINESIOLOGA/O</option>
<option value=3D"PSICOLOGO" disabled=3D"" style=3D"">
PSICOLOGO</option>
 <option value=3D"NUTRICIONISTA" disabled=3D"" style=3D"">
NUTRICIONISTA</option>
</select>
 </div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-embeddable-object-container" style==3D"margin:12px 0; max-width:100%">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-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"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA">
</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-page-break" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-page-title" style=3D"padding:0.4em; background-color:#eee">
Identificaci=F3n del Paciente</h2>
<div class=3D"ss-page-description ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap; word-wrap:break-word">
En esta secci=F3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-section-header" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-section-title" style=3D"background-color:#eee; padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"ss-section-description ss-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"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_823811303" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Ingrese el Rut del Paciente <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
RUT con Gui=F3n y D=EDgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"ss-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%">
13447818-7</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1959365839" style=3D"">
<div class=3D"ss-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"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-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%">
SONIA ARAOS </div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-select" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_545002227" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Previsi=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<select name=3D"entry.545002227" disabled=3D"" id=3D"entry_545002227" aria-label=3D"Previsi=F3n  " style=3D"">
<option value=3D"" style=3D"">
</option>
 <option value=3D"BANMEDICA" disabled=3D"" style=3D"">
BANMEDICA</option>
 <option value=3D"CAPREDENA" disabled=3D"" style=3D"">
CAPREDENA</option>
 <option value=3D"COLMENA" disabled=3D"" selected=3D"" style=3D"">
COLMENA</option>
 <option value=3D"CONSALUD" disabled=3D"" style=3D"">
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled=3D"" style=3D"">
CRUZ BLANCA</option>
 <option value=3D"DIPRECA" disabled=3D"" style=3D"">
DIPRECA</option>
<option value=3D"FONASA" disabled=3D"" style=3D"">
FONASA</option>
 <option value=3D"FUNDACION" disabled=3D"" style=3D"">
FUNDACION</option>
 <option value=3D"ISAPRES DEL COBRE" disabled=3D"" style==3D"">
ISAPRES DEL COBRE</option>
 <option value=3D"NUEVA MASVIDA" disabled=3D"" style=3D"">
NUEVA MASVIDA</option>
<option value=3D"VIDATRES" disabled=3D"" style=3D"">
VIDATRES</option>
 <option value=3D"PARTICULAR" disabled=3D"" style=3D"">
PARTICULAR</option>
</select>
 </div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1900161356" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Ciudad <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-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%">
ARICA</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1298871758" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Comuna <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-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%">
ARICA</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-embeddable-object-container" style==3D"margin:12px 0; max-width:100%">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-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"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ">
</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-page-break" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-page-title" style=3D"padding:0.4em; background-color:#eee">
Registro de la Atenci=F3n Domiciliaria</h2>
<div class=3D"ss-page-description ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap; word-wrap:break-word">
En esta secci=F3n debe ingresar los datos de la atenci=F3n domiciliaria</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-radio" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_2073233714" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Tipo de Atenci=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<ul class=3D"ss-choices" role=3D"radiogroup" aria-label=3D"Tipo de Atenci==F3n  " style=3D"list-style:none; padding:0; margin:.5em 0 0">
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled=3D"" checked=3D"" value=3D"Domicilio" id=3D"group_1222378237_1" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"Domicilio" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
Domicilio</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled=3D"" value=3D"Ambulatorio" id=3D"group_1222378237_2" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"Ambulatorio" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
Ambulatorio</span>
 </label>
</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-date" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1705849412" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Fecha de la Atenci=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-date" role=3D"group" aria-label=3D"Fecha de la Atenci=F3n  " style=3D"">
<div class=3D"ss-datetime-box goog-inline-block" role=3D"group" style=3D"border:1px solid #dcdcdc; margin-right:2em; min-height:32px; padding-left:3px; vertical-align:middle; margin:4px 3px; display:inline-block">
<select name=3D"entry.1705849412_day" disabled=3D"" class=3D"ss-day-dropdown" id=3D"entry.1705849412_day" aria-label=3D"D=EDa del mes" style=3D"">
<option value=3D"" style=3D"">
D=EDa</option>
 <option value=3D"1" style=3D"">
1</option>
 <option value=3D"2" style=3D"">
2</option>
<option value=3D"3" style=3D"">
3</option>
 <option value=3D"4" style=3D"">
4</option>
 <option value=3D"5" style=3D"">
5</option>
 <option value=3D"6" style=3D"">
6</option>
 <option value=3D"7" style=3D"">
7</option>
<option value=3D"8" style=3D"">
8</option>
 <option value=3D"9" style=3D"">
9</option>
 <option value=3D"10" style=3D"">
10</option>
 <option value=3D"11" style=3D"">
11</option>
 <option value=3D"12" style=3D"">
12</option>
 <option value=3D"13" style=3D"">
13</option>
 <option value=3D"14" style=3D"">
14</option>
<option value=3D"15" style=3D"">
15</option>
 <option value=3D"16" style=3D"">
16</option>
 <option value=3D"17" style=3D"">
17</option>
 <option value=3D"18" style=3D"">
18</option>
 <option value=3D"19" style=3D"">
19</option>
 <option value=3D"20" style=3D"">
20</option>
 <option value=3D"21" style=3D"">
21</option>
<option value=3D"22" style=3D"">
22</option>
 <option value=3D"23" style=3D"">
23</option>
 <option value=3D"24" style=3D"">
24</option>
 <option value=3D"25" style=3D"">
25</option>
 <option value=3D"26" selected=3D"" style=3D"">
26</option>
 <option value=3D"27" style=3D"">
27</option>
 <option value=3D"28" style=3D"">
28</option>
 <option value=3D"29" style=3D"">
29</option>
 <option value=3D"30" style=3D"">
30</option>
<option value=3D"31" style=3D"">
31</option>
</select>
 <select name=3D"entry.1705849412_month" disabled=3D"" class=3D"ss-month-dropdown" id=3D"entry.1705849412_month" aria-label=3D"Mes" style=3D"">
<option value=3D"" style=3D"">
Mes</option>
 <option value=3D"1" style=3D"">
enero</option>
 <option value=3D"2" style=3D"">
febrero</option>
 <option value=3D"3" style=3D"">
marzo</option>
 <option value=3D"4" style=3D"">
abril</option>
 <option value=3D"5" style=3D"">
mayo</option>
 <option value==3D"6" selected=3D"" style=3D"">
junio</option>
 <option value=3D"7" style=3D"">
julio</option>
 <option value==3D"8" style=3D"">
agosto</option>
 <option value=3D"9" style=3D"">
septiembre</option>
 <option value=3D"10" style=3D"">
octubre</option>
 <option value=3D"11" style=3D"">
noviembre</option>
 <option value=3D"12" style=3D"">
diciembre</option>
</select>
 <select name=3D"entry.1705849412_year" disabled=3D"" id=3D"entry.1705849412_year" aria-label=3D"A=F1o" style=3D"">
<option value=3D"" style=3D"">
A=F1o</option>
 <option value=3D"1896" style=3D"">
1896</option>
 <option value=3D"1897" style=3D"">
1897</option>
 <option value=3D"1898" style=3D"">
1898</option>
 <option value=3D"1899" style=3D"">
1899</option>
 <option value=3D"1900" style=3D"">
1900</option>
 <option value=3D"1901" style=3D"">
1901</option>
 <option value=3D"1902" style=3D"">
1902</option>
 <option value=3D"1903" style=3D"">
1903</option>
 <option value=3D"1904" style=3D"">
1904</option>
 <option value=3D"1905" style=3D"">
1905</option>
 <option value=3D"1906" style=3D"">
1906</option>
 <option value=3D"1907" style=3D"">
1907</option>
 <option value=3D"1908" style=3D"">
1908</option>
 <option value=3D"1909" style=3D"">
1909</option>
 <option value=3D"1910" style=3D"">
1910</option>
 <option value=3D"1911" style=3D"">
1911</option>
 <option value=3D"1912" style=3D"">
1912</option>
 <option value=3D"1913" style=3D"">
1913</option>
 <option value=3D"1914" style=3D"">
1914</option>
 <option value=3D"1915" style=3D"">
1915</option>
 <option value=3D"1916" style=3D"">
1916</option>
 <option value=3D"1917" style=3D"">
1917</option>
 <option value=3D"1918" style=3D"">
1918</option>
 <option value=3D"1919" style=3D"">
1919</option>
 <option value=3D"1920" style=3D"">
1920</option>
 <option value=3D"1921" style=3D"">
1921</option>
 <option value=3D"1922" style=3D"">
1922</option>
 <option value=3D"1923" style=3D"">
1923</option>
 <option value=3D"1924" style=3D"">
1924</option>
 <option value=3D"1925" style=3D"">
1925</option>
 <option value=3D"1926" style=3D"">
1926</option>
 <option value=3D"1927" style=3D"">
1927</option>
 <option value=3D"1928" style=3D"">
1928</option>
 <option value=3D"1929" style=3D"">
1929</option>
 <option value=3D"1930" style=3D"">
1930</option>
 <option value=3D"1931" style=3D"">
1931</option>
 <option value=3D"1932" style=3D"">
1932</option>
 <option value=3D"1933" style=3D"">
1933</option>
 <option value=3D"1934" style=3D"">
1934</option>
 <option value=3D"1935" style=3D"">
1935</option>
 <option value=3D"1936" style=3D"">
1936</option>
 <option value=3D"1937" style=3D"">
1937</option>
 <option value=3D"1938" style=3D"">
1938</option>
 <option value=3D"1939" style=3D"">
1939</option>
 <option value=3D"1940" style=3D"">
1940</option>
 <option value=3D"1941" style=3D"">
1941</option>
 <option value=3D"1942" style=3D"">
1942</option>
 <option value=3D"1943" style=3D"">
1943</option>
 <option value=3D"1944" style=3D"">
1944</option>
 <option value=3D"1945" style=3D"">
1945</option>
 <option value=3D"1946" style=3D"">
1946</option>
 <option value=3D"1947" style=3D"">
1947</option>
 <option value=3D"1948" style=3D"">
1948</option>
 <option value=3D"1949" style=3D"">
1949</option>
 <option value=3D"1950" style=3D"">
1950</option>
 <option value=3D"1951" style=3D"">
1951</option>
 <option value=3D"1952" style=3D"">
1952</option>
 <option value=3D"1953" style=3D"">
1953</option>
 <option value=3D"1954" style=3D"">
1954</option>
 <option value=3D"1955" style=3D"">
1955</option>
 <option value=3D"1956" style=3D"">
1956</option>
 <option value=3D"1957" style=3D"">
1957</option>
 <option value=3D"1958" style=3D"">
1958</option>
 <option value=3D"1959" style=3D"">
1959</option>
 <option value=3D"1960" style=3D"">
1960</option>
 <option value=3D"1961" style=3D"">
1961</option>
 <option value=3D"1962" style=3D"">
1962</option>
 <option value=3D"1963" style=3D"">
1963</option>
 <option value=3D"1964" style=3D"">
1964</option>
 <option value=3D"1965" style=3D"">
1965</option>
 <option value=3D"1966" style=3D"">
1966</option>
 <option value=3D"1967" style=3D"">
1967</option>
 <option value=3D"1968" style=3D"">
1968</option>
 <option value=3D"1969" style=3D"">
1969</option>
 <option value=3D"1970" style=3D"">
1970</option>
 <option value=3D"1971" style=3D"">
1971</option>
 <option value=3D"1972" style=3D"">
1972</option>
 <option value=3D"1973" style=3D"">
1973</option>
 <option value=3D"1974" style=3D"">
1974</option>
 <option value=3D"1975" style=3D"">
1975</option>
 <option value=3D"1976" style=3D"">
1976</option>
 <option value=3D"1977" style=3D"">
1977</option>
 <option value=3D"1978" style=3D"">
1978</option>
 <option value=3D"1979" style=3D"">
1979</option>
 <option value=3D"1980" style=3D"">
1980</option>
 <option value=3D"1981" style=3D"">
1981</option>
 <option value=3D"1982" style=3D"">
1982</option>
 <option value=3D"1983" style=3D"">
1983</option>
 <option value=3D"1984" style=3D"">
1984</option>
 <option value=3D"1985" style=3D"">
1985</option>
 <option value=3D"1986" style=3D"">
1986</option>
 <option value=3D"1987" style=3D"">
1987</option>
 <option value=3D"1988" style=3D"">
1988</option>
 <option value=3D"1989" style=3D"">
1989</option>
 <option value=3D"1990" style=3D"">
1990</option>
 <option value=3D"1991" style=3D"">
1991</option>
 <option value=3D"1992" style=3D"">
1992</option>
 <option value=3D"1993" style=3D"">
1993</option>
 <option value=3D"1994" style=3D"">
1994</option>
 <option value=3D"1995" style=3D"">
1995</option>
 <option value=3D"1996" style=3D"">
1996</option>
 <option value=3D"1997" style=3D"">
1997</option>
 <option value=3D"1998" style=3D"">
1998</option>
 <option value=3D"1999" style=3D"">
1999</option>
 <option value=3D"2000" style=3D"">
2000</option>
 <option value=3D"2001" style=3D"">
2001</option>
 <option value=3D"2002" style=3D"">
2002</option>
 <option value=3D"2003" style=3D"">
2003</option>
 <option value=3D"2004" style=3D"">
2004</option>
 <option value=3D"2005" style=3D"">
2005</option>
 <option value=3D"2006" style=3D"">
2006</option>
 <option value=3D"2007" style=3D"">
2007</option>
 <option value=3D"2008" style=3D"">
2008</option>
 <option value=3D"2009" style=3D"">
2009</option>
 <option value=3D"2010" style=3D"">
2010</option>
 <option value=3D"2011" style=3D"">
2011</option>
 <option value=3D"2012" style=3D"">
2012</option>
 <option value=3D"2013" style=3D"">
2013</option>
 <option value=3D"2014" style=3D"">
2014</option>
 <option value=3D"2015" style=3D"">
2015</option>
 <option value=3D"2016" style=3D"">
2016</option>
 <option value=3D"2017" style=3D"">
2017</option>
 <option value=3D"2018" style=3D"">
2018</option>
 <option value=3D"2019" selected=3D"" style=3D"">
2019</option>
 <option value=3D"2020" style=3D"">
2020</option>
 <option value=3D"2021" style=3D"">
2021</option>
 <option value=3D"2022" style=3D"">
2022</option>
 <option value=3D"2023" style=3D"">
2023</option>
 <option value=3D"2024" style=3D"">
2024</option>
 <option value=3D"2025" style=3D"">
2025</option>
 <option value=3D"2026" style=3D"">
2026</option>
 <option value=3D"2027" style=3D"">
2027</option>
 <option value=3D"2028" style=3D"">
2028</option>
 <option value=3D"2029" style=3D"">
2029</option>
 <option value=3D"2030" style=3D"">
2030</option>
 <option value=3D"2031" style=3D"">
2031</option>
 <option value=3D"2032" style=3D"">
2032</option>
 <option value=3D"2033" style=3D"">
2033</option>
 <option value=3D"2034" style=3D"">
2034</option>
 <option value=3D"2035" style=3D"">
2035</option>
 <option value=3D"2036" style=3D"">
2036</option>
 <option value=3D"2037" style=3D"">
2037</option>
 <option value=3D"2038" style=3D"">
2038</option>
 <option value=3D"2039" style=3D"">
2039</option>
 <option value=3D"2040" style=3D"">
2040</option>
 <option value=3D"2041" style=3D"">
2041</option>
 <option value=3D"2042" style=3D"">
2042</option>
 <option value=3D"2043" style=3D"">
2043</option>
 <option value=3D"2044" style=3D"">
2044</option>
 <option value=3D"2045" style=3D"">
2045</option>
 <option value=3D"2046" style=3D"">
2046</option>
 <option value=3D"2047" style=3D"">
2047</option>
 <option value=3D"2048" style=3D"">
2048</option>
 <option value=3D"2049" style=3D"">
2049</option>
 <option value=3D"2050" style=3D"">
2050</option>
 <option value=3D"2051" style=3D"">
2051</option>
 <option value=3D"2052" style=3D"">
2052</option>
 <option value=3D"2053" style=3D"">
2053</option>
 <option value=3D"2054" style=3D"">
2054</option>
 <option value=3D"2055" style=3D"">
2055</option>
 <option value=3D"2056" style=3D"">
2056</option>
 <option value=3D"2057" style=3D"">
2057</option>
 <option value=3D"2058" style=3D"">
2058</option>
 <option value=3D"2059" style=3D"">
2059</option>
 <option value=3D"2060" style=3D"">
2060</option>
 <option value=3D"2061" style=3D"">
2061</option>
 <option value=3D"2062" style=3D"">
2062</option>
 <option value=3D"2063" style=3D"">
2063</option>
 <option value=3D"2064" style=3D"">
2064</option>
 <option value=3D"2065" style=3D"">
2065</option>
 <option value=3D"2066" style=3D"">
2066</option>
 <option value=3D"2067" style=3D"">
2067</option>
 <option value=3D"2068" style=3D"">
2068</option>
 <option value=3D"2069" style=3D"">
2069</option>
</select>
 </div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-time" style=3D"margin:12px 0; font:inherit">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_206244955" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Hora de la Atenci=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label==3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-time" style=3D"">
<div class=3D"ss-datetime-box goog-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=3D"" id=3D"entry.206244955_hour" aria-label=3D"Hora" style=3D"">
<option value=3D"" style=3D"">
h</option>
 <option value=3D"00" style=3D"">
00</option>
 <option value=3D"01" style=3D"">
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03</option>
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<option value=3D"11" style=3D"">
11</option>
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13</option>
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14</option>
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17</option>
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18</option>
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20</option>
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23</option>
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<option value=3D"06" style=3D"">
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18</option>
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<option value=3D"29" style=3D"">
29</option>
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30</option>
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31</option>
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32</option>
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33</option>
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34</option>
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35</option>
<option value=3D"36" style=3D"">
36</option>
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37</option>
 <option value=3D"38" style=3D"">
38</option>
 <option value=3D"39" style=3D"">
39</option>
 <option value=3D"40" style=3D"">
40</option>
 <option value=3D"41" style=3D"">
41</option>
 <option value=3D"42" style=3D"">
42</option>
<option value=3D"43" style=3D"">
43</option>
 <option value=3D"44" style=3D"">
44</option>
 <option value=3D"45" style=3D"">
45</option>
 <option value=3D"46" style=3D"">
46</option>
 <option value=3D"47" style=3D"">
47</option>
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48</option>
 <option value=3D"49" style=3D"">
49</option>
<option value=3D"50" style=3D"">
50</option>
 <option value=3D"51" style=3D"">
51</option>
 <option value=3D"52" style=3D"">
52</option>
 <option value=3D"53" style=3D"">
53</option>
 <option value=3D"54" style=3D"">
54</option>
 <option value=3D"55" style=3D"">
55</option>
 <option value=3D"56" style=3D"">
56</option>
<option value=3D"57" style=3D"">
57</option>
 <option value=3D"58" style=3D"">
58</option>
 <option value=3D"59" style=3D"">
59</option>
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Performance Status ECOG del Paciente <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
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<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
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3</option>
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Escala Dolor EVA Actual </div>
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4</label>
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5</label>
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7</label>
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8</label>
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9</label>
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10</label>
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<br>
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Escala Dolor EVA M=E1ximo </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
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</td>
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0</label>
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1</label>
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2</label>
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3</label>
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4</label>
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5</label>
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<label class=3D"ss-scalenumber" for=3D"group_1244707512_7" style=3D"display:block; padding:0.5em 0 .5em">
6</label>
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<label class=3D"ss-scalenumber" for=3D"group_1244707512_8" style=3D"display:block; padding:0.5em 0 .5em">
7</label>
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<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_1244707512_9" style=3D"display:block; padding:0.5em 0 .5em">
8</label>
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9</label>
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<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_1244707512_11" style=3D"display:block; padding:0.5em 0 .5em">
10</label>
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<td class=3D"ss-scalenumbers" style=3D"text-align:center">
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<div aria-hidden=3D"true" class=3D"aria-todo" style=3D"">
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</td>
<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
<div class=3D"ss-scalerow-fieldcell" style=3D"">
<input type=3D"radio" name==3D"entry.1244707512" disabled=3D"" checked=3D"" value=3D"10" id=3D"group_1244707512_11" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"10" style==3D"">
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<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Escala Dolor EVA M=EDnimo </div>
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<label class=3D"ss-scalenumber" for=3D"group_853118630_1" style=3D"display:block; padding:0.5em 0 .5em">
0</label>
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<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_853118630_2" style=3D"display:block; padding:0.5em 0 .5em">
1</label>
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<label class=3D"ss-scalenumber" for=3D"group_853118630_3" style=3D"display:block; padding:0.5em 0 .5em">
2</label>
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<label class=3D"ss-scalenumber" for=3D"group_853118630_4" style=3D"display:block; padding:0.5em 0 .5em">
3</label>
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<label class=3D"ss-scalenumber" for=3D"group_853118630_5" style=3D"display:block; padding:0.5em 0 .5em">
4</label>
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<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_853118630_6" style=3D"display:block; padding:0.5em 0 .5em">
5</label>
</td>
<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_853118630_7" style=3D"display:block; padding:0.5em 0 .5em">
6</label>
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<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_853118630_8" style=3D"display:block; padding:0.5em 0 .5em">
7</label>
</td>
<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_853118630_9" style=3D"display:block; padding:0.5em 0 .5em">
8</label>
</td>
<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_853118630_10" style=3D"display:block; padding:0.5em 0 .5em">
9</label>
</td>
<td class=3D"ss-scalenumbers" style=3D"text-align:center">
<label class=3D"ss-scalenumber" for=3D"group_853118630_11" style=3D"display:block; padding:0.5em 0 .5em">
10</label>
</td>
<td class=3D"ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr role=3D"radiogroup" aria-label=3D"Escala Dolor EVA M=EDnimo  Selecciona un valor en el intervalo de 0 a 10 ." style=3D"">
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<div aria-hidden=3D"true" class=3D"aria-todo" style=3D"">
</div>
</td>
<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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</div>
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
<div class=3D"ss-scalerow-fieldcell" style=3D"">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<input type=3D"radio" name==3D"entry.853118630" disabled=3D"" value=3D"2" id=3D"group_853118630_3" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"2" style=3D"">
</div>
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
<div class=3D"ss-scalerow-fieldcell" style=3D"">
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</div>
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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</div>
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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<input type=3D"radio" name==3D"entry.853118630" disabled=3D"" value=3D"6" id=3D"group_853118630_7" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"6" style=3D"">
</div>
</td>
<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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</div>
</td>
<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
<div class=3D"ss-scalerow-fieldcell" style=3D"">
<input type=3D"radio" name==3D"entry.853118630" disabled=3D"" value=3D"8" id=3D"group_853118630_9" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"8" style=3D"">
</div>
</td>
<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
<div class=3D"ss-scalerow-fieldcell" style=3D"">
<input type=3D"radio" name==3D"entry.853118630" disabled=3D"" value=3D"9" id=3D"group_853118630_10" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"9" style=3D"">
</div>
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
<div class=3D"ss-scalerow-fieldcell" style=3D"">
<input type=3D"radio" name==3D"entry.853118630" disabled=3D"" value=3D"10" id=3D"group_853118630_11" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"10" style=3D"">
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Anamnesis/Evoluci=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label==3D"(Campo obligatorio)" style=3D"">
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REFIERE HABER PRESENTADO DOLOR, NAUSEAS, VOMITOS Y DIARREAS ASOCIADO A POCA TOLERANCIA GASTRICA LO QUE HA DESENCADENA DISMINUCION DEL APETITO, POR LO ANTERIOR FUE URGENCIA PARA MANEJO. SE HA MANTENIDO USANDO EL PARACETAMOL, 1 CADA 8 HORAS MAS VIADIL, OMEPRAZOL Y TRAMADOL CUYA DOSIS NO PUDO INCREMENTAR PORQUE DESENCADENA NAUSEAS Y VOMITOS. SE OBSERVA DECAIDA CON ANIMO BAJO, CON MAYOR PERDIDA DE PESO. TOS SECA IRRITATIVA SIN OTROS SINTOMAS RESPIRATORIOS DADO SINTOMATOLOGIA DERIVO A URGENCIA PARA MANEJO SOS. RAM: NO REFIERE</div>
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<label class=3D"ss-q-item-label" for=3D"entry_824006088" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Examen F=EDsico <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
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FASCIE:DOLOROSA. SNC: VIGIL ORIENTADA EN TIEMPO ESPACIO Y PERSONA, SIN SIGNOS DE FOCALIZACI=D3N NEUROL=D3GICA. CINCINNATI NEGATIVO. PUPILAS ISOC=D3RICAS Y NORMO REACTIVAS. MUCOSAS: NORMOCOLOREADAS Y H=DAMEDAS. PIEL: PALIDEZ CUTANEA. ACV: RR2TSS, LLENE CAPILAR MENOR A 2 SEG. TA: 125/83 MMHG FC: 87 POR MIN. AR: MP PRESENTE LIGERAMENTE DISMINUIDO EN BASESA PREDOMINIO DERECHO, SIN RUIDOS AGREGADOS, NO USO DE MUSCULATURA ACCESORIA NI CIANOSIS. SAT: 98%. OROFARINGE: FARINGE DE COLORACI=D3N NORMAL SIN EXUDADO, SIN OTRAS ALTERACIONES EVIDENTES. REGI=D3N CERVICAL: NO ADENOPAT=CDAS. ABDOMEN: RHA LIGERAMENTE AUMENTADOS, DOLOR DE MODERADA INTENSIDAD EN FLANCO Y MESOGASTRIO, SE PALPA EMPASTAMIENTO EN ZONAS DESCRITAS. EVA: 4 EEII: NO EDEMA</div>
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<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Diagn=F3stico <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
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CANCER GASTRICO</div>
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PSICOEDUCACI=D3N A PACIENTE Y FAMILIAR. DIETA LIVIANA SIN AZUCARES. ACUDIR A URGENCIA CORRESPONDIENTE AHORA CONTINUAR TRATAMIENTO PATOLOGIAS CRONICAS Y CONTROL CON MEDICO CORRESPONDIENTE. SE SOLICITA CONTROL AMBULATORIO. SE SOLICITA CONTROL SEMANAL CON NUTRICIONISTA.</div>
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<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-paragraph-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1648939075" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Medicamentos Indicados </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-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%">
HIDRATACION: NACL 500ML MAS RANITIDINA 1 AMP EV, METOCLOPRAMIDA 1 AMP EV Y KETOPROFENO 1 AMP EV.</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-date" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_2063615873" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Fecha aproximada del Pr=F3ximo Control con usted </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-date" role=3D"group" aria-label=3D"Fecha aproximada del Pr=F3ximo Control con usted  " style=3D"">
<div class=3D"ss-datetime-box goog-inline-block" role=3D"group" 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.2063615873_day" disabled=3D"" class=3D"ss-day-dropdown" id=3D"entry.2063615873_day" aria-label=3D"D=EDa del mes" style=3D"">
<option value=3D"" style=3D"">
D=EDa</option>
 <option value=3D"1" style=3D"">
1</option>
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2</option>
<option value=3D"3" style=3D"">
3</option>
 <option value=3D"4" style=3D"">
4</option>
 <option value=3D"5" style=3D"">
5</option>
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6</option>
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7</option>
<option value=3D"8" style=3D"">
8</option>
 <option value=3D"9" style=3D"">
9</option>
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10</option>
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11</option>
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12</option>
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13</option>
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14</option>
<option value=3D"15" style=3D"">
15</option>
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16</option>
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17</option>
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18</option>
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19</option>
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20</option>
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21</option>
<option value=3D"22" style=3D"">
22</option>
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23</option>
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24</option>
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25</option>
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26</option>
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27</option>
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28</option>
 <option value=3D"29" style=3D"">
29</option>
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30</option>
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31</option>
</select>
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<option value=3D"" style=3D"">
Mes</option>
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enero</option>
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febrero</option>
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marzo</option>
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abril</option>
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mayo</option>
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junio</option>
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julio</option>
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agosto</option>
 <option value=3D"9" style=3D"">
septiembre</option>
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octubre</option>
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noviembre</option>
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diciembre</option>
</select>
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<option value=3D"" style=3D"">
A=F1o</option>
 <option value=3D"1896" style=3D"">
1896</option>
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1897</option>
 <option value=3D"1898" style=3D"">
1898</option>
 <option value=3D"1899" style=3D"">
1899</option>
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1900</option>
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1901</option>
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1902</option>
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1903</option>
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1904</option>
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1905</option>
 <option value=3D"1906" style=3D"">
1906</option>
 <option value=3D"1907" style=3D"">
1907</option>
 <option value=3D"1908" style=3D"">
1908</option>
 <option value=3D"1909" style=3D"">
1909</option>
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1910</option>
 <option value=3D"1911" style=3D"">
1911</option>
 <option value=3D"1912" style=3D"">
1912</option>
 <option value=3D"1913" style=3D"">
1913</option>
 <option value=3D"1914" style=3D"">
1914</option>
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1915</option>
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1916</option>
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1917</option>
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1918</option>
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1919</option>
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1920</option>
 <option value=3D"1921" style=3D"">
1921</option>
 <option value=3D"1922" style=3D"">
1922</option>
 <option value=3D"1923" style=3D"">
1923</option>
 <option value=3D"1924" style=3D"">
1924</option>
 <option value=3D"1925" style=3D"">
1925</option>
 <option value=3D"1926" style=3D"">
1926</option>
 <option value=3D"1927" style=3D"">
1927</option>
 <option value=3D"1928" style=3D"">
1928</option>
 <option value=3D"1929" style=3D"">
1929</option>
 <option value=3D"1930" style=3D"">
1930</option>
 <option value=3D"1931" style=3D"">
1931</option>
 <option value=3D"1932" style=3D"">
1932</option>
 <option value=3D"1933" style=3D"">
1933</option>
 <option value=3D"1934" style=3D"">
1934</option>
 <option value=3D"1935" style=3D"">
1935</option>
 <option value=3D"1936" style=3D"">
1936</option>
 <option value=3D"1937" style=3D"">
1937</option>
 <option value=3D"1938" style=3D"">
1938</option>
 <option value=3D"1939" style=3D"">
1939</option>
 <option value=3D"1940" style=3D"">
1940</option>
 <option value=3D"1941" style=3D"">
1941</option>
 <option value=3D"1942" style=3D"">
1942</option>
 <option value=3D"1943" style=3D"">
1943</option>
 <option value=3D"1944" style=3D"">
1944</option>
 <option value=3D"1945" style=3D"">
1945</option>
 <option value=3D"1946" style=3D"">
1946</option>
 <option value=3D"1947" style=3D"">
1947</option>
 <option value=3D"1948" style=3D"">
1948</option>
 <option value=3D"1949" style=3D"">
1949</option>
 <option value=3D"1950" style=3D"">
1950</option>
 <option value=3D"1951" style=3D"">
1951</option>
 <option value=3D"1952" style=3D"">
1952</option>
 <option value=3D"1953" style=3D"">
1953</option>
 <option value=3D"1954" style=3D"">
1954</option>
 <option value=3D"1955" style=3D"">
1955</option>
 <option value=3D"1956" style=3D"">
1956</option>
 <option value=3D"1957" style=3D"">
1957</option>
 <option value=3D"1958" style=3D"">
1958</option>
 <option value=3D"1959" style=3D"">
1959</option>
 <option value=3D"1960" style=3D"">
1960</option>
 <option value=3D"1961" style=3D"">
1961</option>
 <option value=3D"1962" style=3D"">
1962</option>
 <option value=3D"1963" style=3D"">
1963</option>
 <option value=3D"1964" style=3D"">
1964</option>
 <option value=3D"1965" style=3D"">
1965</option>
 <option value=3D"1966" style=3D"">
1966</option>
 <option value=3D"1967" style=3D"">
1967</option>
 <option value=3D"1968" style=3D"">
1968</option>
 <option value=3D"1969" style=3D"">
1969</option>
 <option value=3D"1970" style=3D"">
1970</option>
 <option value=3D"1971" style=3D"">
1971</option>
 <option value=3D"1972" style=3D"">
1972</option>
 <option value=3D"1973" style=3D"">
1973</option>
 <option value=3D"1974" style=3D"">
1974</option>
 <option value=3D"1975" style=3D"">
1975</option>
 <option value=3D"1976" style=3D"">
1976</option>
 <option value=3D"1977" style=3D"">
1977</option>
 <option value=3D"1978" style=3D"">
1978</option>
 <option value=3D"1979" style=3D"">
1979</option>
 <option value=3D"1980" style=3D"">
1980</option>
 <option value=3D"1981" style=3D"">
1981</option>
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1982</option>
 <option value=3D"1983" style=3D"">
1983</option>
 <option value=3D"1984" style=3D"">
1984</option>
 <option value=3D"1985" style=3D"">
1985</option>
 <option value=3D"1986" style=3D"">
1986</option>
 <option value=3D"1987" style=3D"">
1987</option>
 <option value=3D"1988" style=3D"">
1988</option>
 <option value=3D"1989" style=3D"">
1989</option>
 <option value=3D"1990" style=3D"">
1990</option>
 <option value=3D"1991" style=3D"">
1991</option>
 <option value=3D"1992" style=3D"">
1992</option>
 <option value=3D"1993" style=3D"">
1993</option>
 <option value=3D"1994" style=3D"">
1994</option>
 <option value=3D"1995" style=3D"">
1995</option>
 <option value=3D"1996" style=3D"">
1996</option>
 <option value=3D"1997" style=3D"">
1997</option>
 <option value=3D"1998" style=3D"">
1998</option>
 <option value=3D"1999" style=3D"">
1999</option>
 <option value=3D"2000" style=3D"">
2000</option>
 <option value=3D"2001" style=3D"">
2001</option>
 <option value=3D"2002" style=3D"">
2002</option>
 <option value=3D"2003" style=3D"">
2003</option>
 <option value=3D"2004" style=3D"">
2004</option>
 <option value=3D"2005" style=3D"">
2005</option>
 <option value=3D"2006" style=3D"">
2006</option>
 <option value=3D"2007" style=3D"">
2007</option>
 <option value=3D"2008" style=3D"">
2008</option>
 <option value=3D"2009" style=3D"">
2009</option>
 <option value=3D"2010" style=3D"">
2010</option>
 <option value=3D"2011" style=3D"">
2011</option>
 <option value=3D"2012" style=3D"">
2012</option>
 <option value=3D"2013" style=3D"">
2013</option>
 <option value=3D"2014" style=3D"">
2014</option>
 <option value=3D"2015" style=3D"">
2015</option>
 <option value=3D"2016" style=3D"">
2016</option>
 <option value=3D"2017" style=3D"">
2017</option>
 <option value=3D"2018" style=3D"">
2018</option>
 <option value=3D"2019" selected=3D"" style=3D"">
2019</option>
 <option value=3D"2020" style=3D"">
2020</option>
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2021</option>
 <option value=3D"2022" style=3D"">
2022</option>
 <option value=3D"2023" style=3D"">
2023</option>
 <option value=3D"2024" style=3D"">
2024</option>
 <option value=3D"2025" style=3D"">
2025</option>
 <option value=3D"2026" style=3D"">
2026</option>
 <option value=3D"2027" style=3D"">
2027</option>
 <option value=3D"2028" style=3D"">
2028</option>
 <option value=3D"2029" style=3D"">
2029</option>
 <option value=3D"2030" style=3D"">
2030</option>
 <option value=3D"2031" style=3D"">
2031</option>
 <option value=3D"2032" style=3D"">
2032</option>
 <option value=3D"2033" style=3D"">
2033</option>
 <option value=3D"2034" style=3D"">
2034</option>
 <option value=3D"2035" style=3D"">
2035</option>
 <option value=3D"2036" style=3D"">
2036</option>
 <option value=3D"2037" style=3D"">
2037</option>
 <option value=3D"2038" style=3D"">
2038</option>
 <option value=3D"2039" style=3D"">
2039</option>
 <option value=3D"2040" style=3D"">
2040</option>
 <option value=3D"2041" style=3D"">
2041</option>
 <option value=3D"2042" style=3D"">
2042</option>
 <option value=3D"2043" style=3D"">
2043</option>
 <option value=3D"2044" style=3D"">
2044</option>
 <option value=3D"2045" style=3D"">
2045</option>
 <option value=3D"2046" style=3D"">
2046</option>
 <option value=3D"2047" style=3D"">
2047</option>
 <option value=3D"2048" style=3D"">
2048</option>
 <option value=3D"2049" style=3D"">
2049</option>
 <option value=3D"2050" style=3D"">
2050</option>
 <option value=3D"2051" style=3D"">
2051</option>
 <option value=3D"2052" style=3D"">
2052</option>
 <option value=3D"2053" style=3D"">
2053</option>
 <option value=3D"2054" style=3D"">
2054</option>
 <option value=3D"2055" style=3D"">
2055</option>
 <option value=3D"2056" style=3D"">
2056</option>
 <option value=3D"2057" style=3D"">
2057</option>
 <option value=3D"2058" style=3D"">
2058</option>
 <option value=3D"2059" style=3D"">
2059</option>
 <option value=3D"2060" style=3D"">
2060</option>
 <option value=3D"2061" style=3D"">
2061</option>
 <option value=3D"2062" style=3D"">
2062</option>
 <option value=3D"2063" style=3D"">
2063</option>
 <option value=3D"2064" style=3D"">
2064</option>
 <option value=3D"2065" style=3D"">
2065</option>
 <option value=3D"2066" style=3D"">
2066</option>
 <option value=3D"2067" style=3D"">
2067</option>
 <option value=3D"2068" style=3D"">
2068</option>
 <option value=3D"2069" style=3D"">
2069</option>
</select>
 </div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_74766472" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Tratamiento Realizado (si corresponde) </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-checkbox" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1219705969" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Derivaci=F3n a otro Prestador Domiciliario </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
S=F3lo llene esta secci=F3n si es m=E9dico y solicita la visita de otro prestador del equipo</div>
</label>
<ul class=3D"ss-choices" role=3D"group" aria-label=3D"Derivaci=F3n a otro Prestador Domiciliario S=F3lo llene esta secci=F3n si es m=E9dico y solicita la visita de otro prestador del equipo " style=3D"list-style:none; padding:0; margin:.5em 0 0">
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"ENFERMERA" id=3D"group_503039759_1" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
ENFERMERA</span>
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</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"TENS" id=3D"group_503039759_2" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
TENS</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" checked=3D"" value=3D"NUTRICIONISTA" id=3D"group_503039759_3" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
NUTRICIONISTA</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"KINESIOLOGO" id=3D"group_503039759_4" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
KINESIOLOGO</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"PSICOLOGO" id=3D"group_503039759_5" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
PSICOLOGO</span>
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</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
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<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
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<div style=3D"text-align:right">
<img class=3D"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh6.googleusercontent.com/ho5-aEhqapElKPfY3C043hrFRDZHbYmYQL4MdTOUr9VmGAzMIk1T6XQ9jJN3CuGBWoqcxaMG3A">
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<br>
</form>
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<td>
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<tr>
<td>
<a href=3D"https://docs.google.com/forms?usp=3Dmail_form_link" style=3D"color:#424242; font-size:13px">
Crea tu propio formulario de Google</a>
</td>
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