<div dir=3D"ltr">
<div dir=3D"ltr">
<br>
</div>
<br>
<div class=3D"gmail_quote">
<div dir=3D"ltr" class=3D"gmail_attr">
El mar., 23 de jul. de 2019 a la(s) 00:39, Formularios de Google (<a href=3D"mailto:forms-receipts-noreply@google.com">
forms-receipts-noreply@google.com</a>
) escribi=C3=B3:<br>
</div>
<blockquote class=3D"gmail_quote" style=3D"margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex">
<div style=3D"font-family:Roboto,Helvetica,Arial,sans-serif;margin:0px;padding:0px;height:100%;width:100%">
<table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:rgb(38,4,154)" width=3D"100%">
<tbody>
<tr height=3D"64px">
<td style=3D"padding-left:24px">
<img alt=3D"Formularios de Google" height=3D"26px" style=3D"display: inline-block; margin: 0px; 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:rgb(255,255,255);border-bottom:1px solid rgb(224,224,224);margin:0px auto;max-width:624px;min-width:154px;padding:0px 24px">
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:rgb(255,255,255)" width=3D"100%">
<tbody>
<tr height=3D"24px">
<td>
</td>
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:rgb(66,66,66);font-weight:700">
Gracias por rellenar <a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link" target=3D"_blank">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</a>
</div>
</td>
</tr>
<tr height=3D"12px">
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:rgb(66,66,66)">
Esto es lo que nos has enviado:</div>
</td>
</tr>
<tr>
<td>
<div class=3D"gmail-m_328067071933266071ss-form-container">
<div class=3D"gmail-m_328067071933266071ss-form-heading">
<h1 class=3D"gmail-m_328067071933266071ss-form-title" dir=3D"ltr" style=3D"margin:0.67em 0px">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"gmail-m_328067071933266071ss-form-desc gmail-m_328067071933266071ss-no-ignore-whitespace" style=3D"font:inherit;width:99%;margin:0px 0px 1em;white-space:pre-wrap">
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"gmail-m_328067071933266071ss-form">
<form method=3D"GET" id=3D"gmail-m_328067071933266071ss-form">
<br>
<div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071emailAddress">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Direcci=C3=B3n de correo electr=C3=B3nico<label for=3D"m_328067071933266071emailAddress">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
</label>
<div class=3D"gmail-m_328067071933266071ss-q-text gmail-m_328067071933266071ss-printable-text-line" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
<a href=3D"mailto:nutricionistavale.gd@gmail.com" target=3D"_blank">
nutricionistavale.gd@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_328067071933266071ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" style=3D"width: 78px; outline: none;" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_328067071933266071ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"gmail-m_328067071933266071ss-page-description gmail-m_328067071933266071ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
Aqu=C3=AD debe ingresar sus datos personales</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_579114469">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Primer Nombre y Apellido Paterno<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_328067071933266071ss-q-help gmail-m_328067071933266071ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_328067071933266071ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
Valeska Gallardo </div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_1276273985">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
RUT<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_328067071933266071ss-q-help gmail-m_328067071933266071ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_328067071933266071ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
17964660-9</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_133691676">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tipo<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_328067071933266071ss-q-help gmail-m_328067071933266071ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
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"gmail-m_328067071933266071entry_133691676">
<option value=3D"">
</option>
<option value=3D"MEDICO" disabled>
MEDICO</option>
 <option value=3D"ENFERMERA/O" disabled>
ENFERMERA/O</option>
 <option value=3D"TENS" disabled>
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled>
KINESIOLOGA/O</option>
 <option value=3D"PSICOLOGO" disabled>
PSICOLOGO</option>
 <option value=3D"NUTRICIONISTA" disabled selected>
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_328067071933266071ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" style=3D"width: 78px; outline: none;" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_328067071933266071ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Paciente</h2>
<div class=3D"gmail-m_328067071933266071ss-page-description gmail-m_328067071933266071ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-section-header" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_328067071933266071ss-section-title" style=3D"background-color:rgb(238,238,238);padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"gmail-m_328067071933266071ss-section-description gmail-m_328067071933266071ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-space:pre-wrap">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_823811303">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Rut del Paciente<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_328067071933266071ss-q-help gmail-m_328067071933266071ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_328067071933266071ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
7711010-0</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_1959365839">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_328067071933266071ss-q-help gmail-m_328067071933266071ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_328067071933266071ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
Lissete Dassonvalle</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_545002227">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Previsi=C3=B3n<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_328067071933266071ss-q-help gmail-m_328067071933266071ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<select name=3D"entry.545002227" disabled id=3D"gmail-m_328067071933266071entry_545002227">
<option value=3D"">
</option>
<option value=3D"BANMEDICA" disabled selected>
BANMEDICA</option>
 <option value=3D"CAPREDENA" disabled>
CAPREDENA</option>
 <option value=3D"COLMENA" disabled>
COLMENA</option>
 <option value=3D"CONSALUD" disabled>
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled>
CRUZ BLANCA</option>
 <option value=3D"DIPRECA" disabled>
DIPRECA</option>
 <option value=3D"FONASA" disabled>
FONASA</option>
 <option value=3D"FUNDACION" disabled>
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"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_328067071933266071ss-item gmail-m_328067071933266071ss-item-required gmail-m_328067071933266071ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_1900161356">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ciudad<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_328067071933266071ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
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</div>
</label>
<div class=3D"gmail-m_328067071933266071ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
Vi=C3==B1a del Mar</div>
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Comuna<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
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Vi=C3==B1a del Mar</div>
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<h2 class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
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<div style=3D"text-align:right">
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<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_328067071933266071ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Registro de la Atenci=C3=B3n Domiciliaria</h2>
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En esta secci=C3=B3n debe ingresar los datos de la atenci=C3=B3n domiciliaria</div>
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*</span>
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Domicilio</span>
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Ambulatorio</span>
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Fecha de la Atenci=C3=B3n<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
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*</span>
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<div class=3D"gmail-m_328067071933266071ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
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Escala Dolor EVA Actual</div>
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Escala Dolor EVA M=C3=A1ximo</div>
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<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_6" style==3D"display:block;padding:0.5em 0px">
5</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class==3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
 <td class==3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_1244707512_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
</td>
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<div class=3D"gmail-m_328067071933266071aria-todo">
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</div>
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<div class=3D"gmail-m_328067071933266071ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"1" id=3D"gmail-m_328067071933266071group_1244707512_2" class=3D"gmail-m_328067071933266071ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
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<input type=3D"radio" name=3D"entry.1244707512" disabled value==3D"2" id=3D"gmail-m_328067071933266071group_1244707512_3" class=3D"gmail-m_328067071933266071ss-q-radio">
</div>
</td>
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</div>
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</div>
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</div>
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</div>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
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</div>
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</div>
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</div>
</td>
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</div>
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</td>
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</tbody>
</table>
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<br>
 <div class=3D"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
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<label class=3D"gmail-m_328067071933266071ss-q-item-label" for=3D"m_328067071933266071entry_2000523015">
<div class=3D"gmail-m_328067071933266071ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA M=C3=ADnimo</div>
<div class=3D"gmail-m_328067071933266071ss-q-help gmail-m_328067071933266071ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
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<tr>
<td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
 <td class==3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
<label class==3D"gmail-m_328067071933266071ss-scalenumber" for=3D"m_328067071933266071group_853118630_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_328067071933266071ss-scalenumbers" style=3D"text-align:center">
</td>
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<tr>
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<div class=3D"gmail-m_328067071933266071aria-todo">
</div>
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<td class=3D"gmail-m_328067071933266071ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
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</div>
</td>
 <td class=3D"gmail-m_328067071933266071ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
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</div>
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Anamnesis/Evoluci=C3=B3n<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
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Paciente de 61 a=C3=B1os con antecedentes de cancer de pulmonar, hipertensa controlada, se realizo pesaje y seguimiento nutricional. Paciente se encuentra estable, Esta con tratamiento de quimioterapia administrada en pastillas, sus deposiciones normales, paciente se encuentra con una ITU en tratamiento, presenta problemas dermatologicos localizado en sus manos debido a la quimioterapia, en la visita se pudo observar una mejor=C3=ADa notoria en la cicatrizaci=C3=B3n de las heridas que presentaba en sus manos, con buen animo y apetito aumentado.</div>
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Examen F=C3=ADsico<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
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Peso: 55.2 IMC: 23.9 %grasa corporal: 31.7 %masa muscular: 29.2 visceral: 7 </div>
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Diagn=C3=B3stico<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
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Normo peso seg=C3=BAn IMC, con aumento del compartimento graso </div>
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Plan de Tratamiento e Indicaciones<label for=3D"m_328067071933266071itemView.getDomIdToLabel()">
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Regimen normocalorico, huperproteico, normoglucidico, normolipidico preparaciones con temperatura tibia para mejor tolerancia hiposodico</div>
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Medicamentos Indicados</div>
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Fecha aproximada del Pr=C3=B3ximo Control con usted</div>
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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"gmail-m_328067071933266071ss-form-question gmail-m_328067071933266071errorbox-good">
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Derivaci=C3=B3n a otro Prestador Domiciliario</div>
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</td>
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</table>
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<a href=3D"https://docs.google.com/forms?usp=3Dmail_form_link" style=3D"color:rgb(66,66,66);font-size:13px" target=3D"_blank">
Crea tu propio formulario de Google</a>
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</table>
</div>
</div>
</blockquote>
</div>
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<div id=3D"DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2">
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Libre de virus. <a href=3D"http://www.avg.com/email-signature?utm_medium=3Demail&amp;utm_source=3Dlink&amp;utm_campaign=3Dsig-email&amp;utm_content=3Dwebmail" target=3D"_blank" style=3D"color:#4453ea">
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