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<div id=3D"AppleMailSignature" dir=3D="ltr">
EU Sandra Maulen Angel<div>
Coordinadora</div>
<div>
Telemed-Chile</div>
<=/div>
<div dir=3D"ltr">
<br>
Inicio del mensaje reenviado:<br>
<br>
</div>
<blockq=uote type=3D"cite">
<div dir=3D"ltr">
<b>
De:</b>
 Daniela Dinamarca &lt;<a href==3D"mailto:enf.danieladinamarca84@gmail.com">
enf.danieladinamarca84@gmail.co=m</a>
&gt;<br>
<b>
Fecha:</b>
 20 de junio de 2019, 23:44:49 CLT<br>
<b>
Para:</b>
= <a href=3D"mailto:coordinadora@telemed-chile.cl">
coordinadora@telemed-chile=.cl</a>
<br>
<b>
Asunto:</b>
 <b>
visita Maria Mendez</b>
<br>
<br>
</div>
</blockquo=te>
<blockquote type=3D"cite">
<div dir=3D"ltr">
<div dir=3D"ltr">
<div dir=3D"l=tr">
<div class=3D"gmail_default" style=3D"font-family:georgia,serif;font-siz=e:small;color:#351c75">
Junto saludar env=C3=ADo el registro de visita de Mar=ia Mndez.</div>
<div class=3D"gmail_default" style=3D"font-family:georgia,ser=if;font-size:small;color:#351c75">
Quedando atenta&nbsp; a comentario me desp=ido.</div>
<div class=3D"gmail_default" style=3D"font-family:georgia,serif;fo=nt-size:small;color:#351c75">
Saludos</div>
</div>
<br>
<div class=3D"gmail_quot=e">
<div dir=3D"ltr" class=3D"gmail_attr">
&nbsp;<br>
</div>
<blockquote class=3D="gmail_quote" style=3D"margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(20=4,204,204);padding-left:1ex">
<div style=3D"font-family:Roboto,Helvetica,Aria=l,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(38,4,1=54)" width=3D"100%">
<tbody>
<tr height=3D"64px">
<td style=3D"padding-left:24p=x">
<img alt=3D"Formularios de Google" height=3D"26px" style=3D"display: inli=ne-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(229,218,2=54)">
<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" cellspaci=ng=3D"0" style=3D"background-color:rgb(255,255,255)" width=3D"100%">
<tbody>
<=tr height=3D"24px">
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</td>
</tr>
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<div style=3D"font-size:13px;line-h=eight:18px;color:rgb(66,66,66);font-weight:700">
Gracias por rellenar <a href==3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFI=AImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link" target=3D"_blank">
Registro= de Atenci=C3=B3n Domiciliaria Oncovida</a>
</div>
</td>
</tr>
<tr height=3D"12p=x">
</tr>
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<div style=3D"font-size:13px;line-height:18px;color:rgb(66,6=6,66)">
Esto es lo que nos has enviado:</div>
</td>
</tr>
<tr>
<td>
<div class=3D"=gmail-m_-8859202692489551455ss-form-container">
<div class=3D"gmail-m_-885920=2692489551455ss-form-heading">
<h1 class=3D"gmail-m_-8859202692489551455ss-fo=rm-title" dir=3D"ltr" style=3D"margin:0.67em 0px">
Registro de Atenci=C3=B3n D=omiciliaria Oncovida</h1>
<div class=3D"gmail-m_-8859202692489551455ss-form-desc gmail-m_-885920269248=9551455ss-no-ignore-whitespace" style=3D"font:inherit;width:99%;margin:0px 0=px 1em;white-space:pre-wrap">
Este es el sistema de registro de atenciones do=miciliarias de Oncovida.   Debe ser llenado por el prestador individual, y d=ebe realizarse un registro por cada visita domiciliaria.   Si usted no es pr=estador de Oncovida por favor no llene este formulario.   A continuaci=C3=B3=n indique su correo electr=C3=B3nico.</div>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-form">
<form method=3D"GET" id=3D="gmail-m_-8859202692489551455ss-form">
<br>
<div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-88592026=92489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-text" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-l=abel" for=3D"m_-8859202692489551455emailAddress">
<div class=3D"gmail-m_-8859=202692489551455ss-q-title" style=3D"display:block;font-weight:bold;margin-to=p:0.83em;margin-bottom:0.83em">
Direcci=C3=B3n de correo electr=C3=B3nico<label for=3D"m_-8859202692489551455emailAddress">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
</label>
<div class=3D"gmail-m_-8859202692489551455ss-q-text gmail-m_-885920269248955=1455ss-printable-text-line" dir=3D"auto" style=3D"background-color:rgb(238,2=38,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-sp=ace:pre-wrap;color:rgb(84,84,84);width:70%">
<a href=3D"mailto:enf.danieladin=amarca84@gmail.com" target=3D"_blank">
enf.danieladinamarca84@gmail.com</a>
</=div>
</div>
</div>
</div>
<div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-embeddable-object-container" style=3D"margin:12px 0px;max-=width:100%">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" style=3D="margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;ma=x-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss=-image" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzN=b0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" style=3D"width: 7=8px; outline: none;" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-=m_-8859202692489551455ss-form-entry" style=3D"margin-bottom:1.5em;vertical-a=lign:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-page-title" style=3D"padding:0.4=em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Prestador</h2>
=<div class=3D"gmail-m_-8859202692489551455ss-page-description gmail-m_-88592=02692489551455ss-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_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-text" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_579114469">
<div class=3D"gmail-m_-8859202692489551455ss-=q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bo=ttom:0.83em">
Primer Nombre y Apellido Paterno<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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_-8859202692489551455ss-q-text" dir=3D"auto" style=3D"b=ackground-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%">
DANIELA= DINAMARCA</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-text" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_1276273985">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
RUT<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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, s=in puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_-8859202692489551455ss-q-text" dir=3D"auto" style=3D"b=ackground-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%">
1569863=7-2</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-select" style==3D"margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_133691676">
<div class=3D"gmail-m_-8859202692489551455ss-=q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bo=ttom:0.83em">
Tipo<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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=A1=neamente, cada uno debe hacer un registro independiente</div>
</label>
<select name=3D"entry.133691676" disabled=3D"" id=3D"gmail-m_-88592026924895=51455entry_133691676">
<option value=3D"">
</option>
<option value=3D"MEDICO" disabled=3D"">
MEDICO</option>
 <option value=3D"ENFE=RMERA/O" disabled=3D"" selected=3D"">
ENFERMERA/O</option>
 <option value=3D"T=ENS" disabled=3D"">
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled=3D="">
KINESIOLOGA/O</option>
 <option value=3D"PSICOLOGO" disabled=3D"">
PSICOLOG=O</option>
 <option value=3D"NUTRICIONISTA" disabled=3D"">
NUTRICIONISTA</opti=on>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-embeddable-object-container" style=3D"margin:12px 0px;max-=width:100%">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" style=3D="margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;ma=x-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss=-image" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhN=rv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" style=3D"width: 7=8px; outline: none;" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-=m_-8859202692489551455ss-form-entry" style=3D"margin-bottom:1.5em;vertical-a=lign:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-page-title" style=3D"padding:0.4=em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Paciente</h2>
<div class=3D"gmail-m_-8859202692489551455ss-page-description gmail-m_-88592=02692489551455ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre=-wrap">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado</d=iv>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-section-header" style=3D"margin:12px 0px">
<div class=3D"gm=ail-m_-8859202692489551455ss-form-entry" style=3D"margin-bottom:1.5em;vertic=al-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-section-title" style=3D"backgrou=nd-color:rgb(238,238,238);padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"gmail-m_-8859202692489551455ss-section-description gmail-m_-88=59202692489551455ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-sp=ace:pre-wrap">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-text" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_823811303">
<div class=3D"gmail-m_-8859202692489551455ss-=q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bo=ttom:0.83em">
Ingrese el Rut del Paciente<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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, s=in puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_-8859202692489551455ss-q-text" dir=3D"auto" style=3D"b=ackground-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%">
5698376=-7</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-text" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_1959365839">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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_-8859202692489551455ss-q-text" dir=3D"auto" style=3D"b=ackground-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%">
MARIA M=ENDEZ</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
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<div class=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_545002227">
<div class=3D"gmail-m_-8859202692489551455ss-=q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bo=ttom:0.83em">
Previsi=C3=B3n<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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=3D"" id=3D"gmail-m_-88592026924895=51455entry_545002227">
<option value=3D"">
</option>
<option value=3D"BANMEDICA" disabled=3D"" selected=3D"">
BANMEDICA</option>
 <=option value=3D"CAPREDENA" disabled=3D"">
CAPREDENA</option>
 <option value=3D="COLMENA" disabled=3D"">
COLMENA</option>
 <option value=3D"CONSALUD" disabled==3D"">
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled=3D"">
CRUZ BLA=NCA</option>
 <option value=3D"DIPRECA" disabled=3D"">
DIPRECA</option>
 <optio=n value=3D"FONASA" disabled=3D"">
FONASA</option>
 <option value=3D"FUNDACION"= disabled=3D"">
FUNDACION</option>
 <option value=3D"ISAPRES DEL COBRE" disabl=ed=3D"">
ISAPRES DEL COBRE</option>
 <option value=3D"NUEVA MASVIDA" disabled=3D="">
NUEVA MASVIDA</option>
 <option value=3D"VIDATRES" disabled=3D"">
VIDATRES<=/option>
 <option value=3D"PARTICULAR" disabled=3D"">
PARTICULAR</option>
</sel=ect>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-text" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_1900161356">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Ciudad<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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_-8859202692489551455ss-q-text" dir=3D"auto" style=3D"b=ackground-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%">
SAN FER=NANDO</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-text" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_1298871758">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Comuna<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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_-8859202692489551455ss-q-text" dir=3D"auto" style=3D"b=ackground-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%">
SAN FER=NANDO</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-embeddable-object-container" style=3D"margin:12px 0px;max-=width:100%">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" style=3D="margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;ma=x-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss=-image" title=3D"" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywE=y9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" style=3D"width: 7=8px; outline: none;" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-=m_-8859202692489551455ss-form-entry" style=3D"margin-bottom:1.5em;vertical-a=lign:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-page-title" style=3D"padding:0.4=em;background-color:rgb(238,238,238)">
Registro de la Atenci=C3=B3n Domicilia=ria</h2>
<div class=3D"gmail-m_-8859202692489551455ss-page-description gmail-m_-88592=02692489551455ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre=-wrap">
En esta secci=C3=B3n debe ingresar los datos de la atenci=C3=B3n domi=ciliaria</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-radio" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_2073233714">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Tipo de Atenci=C3=B3n<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0=.25em;color:rgb(102,102,102)">
</div>
</label>
<ul class=3D"gmail-m_-8859202692489551455ss-choices" style=3D"list-style:non=e;padding:0px;margin:0.5em 0px 0px">
<li class=3D"gmail-m_-885920269248955145=5ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em"=>
<label>
<span class=3D"gmail-m_-8859202692489551455ss-choice-item-control gma=il-m_-8859202692489551455goog-inline-block" style=3D"display:inline-block">
<=input type=3D"radio" name=3D"entry.1222378237" disabled=3D"" checked=3D"" va=lue=3D"Domicilio" id=3D"gmail-m_-8859202692489551455group_1222378237_1" clas=s=3D"gmail-m_-8859202692489551455ss-q-radio">
</span>
<span class=3D"gmail-m_-8859202692489551455ss-choice-label">
Domicilio</span>
=</label>
</li>
 <li class=3D"gmail-m_-8859202692489551455ss-choice-item" style==3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-8859202692489551455ss-choice-item-control gma=il-m_-8859202692489551455goog-inline-block" style=3D"display:inline-block">
<=input type=3D"radio" name=3D"entry.1222378237" disabled=3D"" value=3D"Ambula=torio" id=3D"gmail-m_-8859202692489551455group_1222378237_2" class=3D"gmail-=m_-8859202692489551455ss-q-radio">
</span>
<span class=3D"gmail-m_-8859202692489551455ss-choice-label">
Ambulatorio</spa=n>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-item-required gmail-m_-8859202692489551455ss-date" style=3D="margin:12px 0px">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" s=tyle=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top=:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_1705849412">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Fecha de la Atenci=C3=B3n<label for=3D"m_-8859202692489551455itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-8859202692489551455ss-required-asterisk" style=3D"co=lor:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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_-8859202692489551455ss-q-date">
<div class=3D"gmail-m_-=8859202692489551455ss-datetime-box gmail-m_-8859202692489551455goog-inline-b=lock" style=3D"border:1px solid rgb(220,220,220);min-height:32px;padding-lef=t:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
 <select na=me=3D"entry.1705849412_day" disabled=3D"" class=3D"gmail-m_-8859202692489551=455ss-day-dropdown" id=3D"gmail-m_-8859202692489551455entry.1705849412_day">
=<option value=3D"">
D=C3=ADa</option>
<option value=3D"1">
1</option>
 <option value=3D"2">
2</option>
 <option value=3D="3">
3</option>
 <option value=3D"4">
4</option>
 <option value=3D"5">
5</option>
= <option value=3D"6">
6</option>
 <option value=3D"7">
7</option>
 <option value==3D"8">
8</option>
 <option value=3D"9">
9</option>
 <option value=3D"10">
10</op=tion>
 <option value=3D"11">
11</option>
 <option value=3D"12">
12</option>
 <opt=ion value=3D"13">
13</option>
 <option value=3D"14">
14</option>
 <option value=3D="15">
15</option>
 <option value=3D"16">
16</option>
 <option value=3D"17">
17</o=ption>
 <option value=3D"18">
18</option>
 <option value=3D"19">
19</option>
 <op=tion value=3D"20" selected=3D"">
20</option>
 <option value=3D"21">
21</option>
= <option value=3D"22">
22</option>
 <option value=3D"23">
23</option>
 <option v=alue=3D"24">
24</option>
 <option value=3D"25">
25</option>
 <option value=3D"26=">
26</option>
 <option value=3D"27">
27</option>
 <option value=3D"28">
28</opti=on>
 <option value=3D"29">
29</option>
 <option value=3D"30">
30</option>
 <optio=n value=3D"31">
31</option>
</select>
   <select name=3D"entry.1705849412_month=" disabled=3D"" class=3D"gmail-m_-8859202692489551455ss-month-dropdown" id=3D="gmail-m_-8859202692489551455entry.1705849412_month">
<option value=3D"">
Mes<=/option>
<option value=3D"1">
enero</option>
 <option value=3D"2">
febrero</option>
 <opt=ion value=3D"3">
marzo</option>
 <option value=3D"4">
abril</option>
 <option va=lue=3D"5">
mayo</option>
 <option value=3D"6" selected=3D"">
junio</option>
 <op=tion value=3D"7">
julio</option>
 <option value=3D"8">
agosto</option>
 <option v=alue=3D"9">
septiembre</option>
 <option value=3D"10">
octubre</option>
 <option= value=3D"11">
noviembre</option>
 <option value=3D"12">
diciembre</option>
</se=lect>
=20<select name=3D"entry.1705849412_year" disabled=3D"" id=3D"gmail-m_-88592026=92489551455entry.1705849412_year">
<option value=3D"">
A=C3=B1o</option>
<option value=3D"1896">
1896</option>
 <option value=3D"1897">
1897</option>
 <o=ption value=3D"1898">
1898</option>
 <option value=3D"1899">
1899</option>
 <opt=ion value=3D"1900">
1900</option>
 <option value=3D"1901">
1901</option>
 <optio=n value=3D"1902">
1902</option>
 <option value=3D"1903">
1903</option>
 <option v=alue=3D"1904">
1904</option>
 <option value=3D"1905">
1905</option>
 <option val=ue=3D"1906">
1906</option>
 <option value=3D"1907">
1907</option>
 <option value==3D"1908">
1908</option>
 <option value=3D"1909">
1909</option>
 <option value=3D="1910">
1910</option>
 <option value=3D"1911">
1911</option>
 <option value=3D"1=912">
1912</option>
 <option value=3D"1913">
1913</option>
 <option value=3D"191=4">
1914</option>
 <option value=3D"1915">
1915</option>
 <option value=3D"1916"=>
1916</option>
 <option value=3D"1917">
1917</option>
 <option value=3D"1918">
1=918</option>
 <option value=3D"1919">
1919</option>
 <option value=3D"1920">
192=0</option>
 <option value=3D"1921">
1921</option>
 <option value=3D"1922">
1922<=/option>
 <option value=3D"1923">
1923</option>
 <option value=3D"1924">
1924</o=ption>
 <option value=3D"1925">
1925</option>
 <option value=3D"1926">
1926</opt=ion>
 <option value=3D"1927">
1927</option>
 <option value=3D"1928">
1928</optio=n>
 <option value=3D"1929">
1929</option>
 <option value=3D"1930">
1930</option>
= <option value=3D"1931">
1931</option>
 <option value=3D"1932">
1932</option>
 <=option value=3D"1933">
1933</option>
 <option value=3D"1934">
1934</option>
 <op=tion value=3D"1935">
1935</option>
 <option value=3D"1936">
1936</option>
 <opti=on value=3D"1937">
1937</option>
 <option value=3D"1938">
1938</option>
 <option= value=3D"1939">
1939</option>
 <option value=3D"1940">
1940</option>
 <option v=alue=3D"1941">
1941</option>
 <option value=3D"1942">
1942</option>
 <option val=ue=3D"1943">
1943</option>
 <option value=3D"1944">
1944</option>
 <option value==3D"1945">
1945</option>
 <option value=3D"1946">
1946</option>
 <option value=3D="1947">
1947</option>
 <option value=3D"1948">
1948</option>
 <option value=3D"1=949">
1949</option>
 <option value=3D"1950">
1950</option>
 <option value=3D"195=1">
1951</option>
 <option value=3D"1952">
1952</option>
 <option value=3D"1953"=>
1953</option>
 <option value=3D"1954">
1954</option>
 <option value=3D"1955">
1=955</option>
 <option value=3D"1956">
1956</option>
 <option value=3D"1957">
195=7</option>
 <option value=3D"1958">
1958</option>
 <option value=3D"1959">
1959<=/option>
 <option value=3D"1960">
1960</option>
 <option value=3D"1961">
1961</o=ption>
 <option value=3D"1962">
1962</option>
 <option value=3D"1963">
1963</opt=ion>
 <option value=3D"1964">
1964</option>
 <option value=3D"1965">
1965</optio=n>
 <option value=3D"1966">
1966</option>
 <option value=3D"1967">
1967</option>
= <option value=3D"1968">
1968</option>
 <option value=3D"1969">
1969</option>
 <=option value=3D"1970">
1970</option>
 <option value=3D"1971">
1971</option>
 <op=tion value=3D"1972">
1972</option>
 <option value=3D"1973">
1973</option>
 <opti=on value=3D"1974">
1974</option>
 <option value=3D"1975">
1975</option>
 <option= value=3D"1976">
1976</option>
 <option value=3D"1977">
1977</option>
 <option v=alue=3D"1978">
1978</option>
 <option value=3D"1979">
1979</option>
 <option val=ue=3D"1980">
1980</option>
 <option value=3D"1981">
1981</option>
 <option value==3D"1982">
1982</option>
 <option value=3D"1983">
1983</option>
 <option value=3D="1984">
1984</option>
 <option value=3D"1985">
1985</option>
 <option value=3D"1=986">
1986</option>
 <option value=3D"1987">
1987</option>
 <option value=3D"198=8">
1988</option>
 <option value=3D"1989">
1989</option>
 <option value=3D"1990"=>
1990</option>
 <option value=3D"1991">
1991</option>
 <option value=3D"1992">
1=992</option>
 <option value=3D"1993">
1993</option>
 <option value=3D"1994">
199=4</option>
 <option value=3D"1995">
1995</option>
 <option value=3D"1996">
1996<=/option>
 <option value=3D"1997">
1997</option>
 <option value=3D"1998">
1998</o=ption>
 <option value=3D"1999">
1999</option>
 <option value=3D"2000">
2000</opt=ion>
 <option value=3D"2001">
2001</option>
 <option value=3D"2002">
2002</optio=n>
 <option value=3D"2003">
2003</option>
 <option value=3D"2004">
2004</option>
= <option value=3D"2005">
2005</option>
 <option value=3D"2006">
2006</option>
 <=option value=3D"2007">
2007</option>
 <option value=3D"2008">
2008</option>
 <op=tion value=3D"2009">
2009</option>
 <option value=3D"2010">
2010</option>
 <opti=on value=3D"2011">
2011</option>
 <option value=3D"2012">
2012</option>
 <option= value=3D"2013">
2013</option>
 <option value=3D"2014">
2014</option>
 <option v=alue=3D"2015">
2015</option>
 <option value=3D"2016">
2016</option>
 <option val=ue=3D"2017">
2017</option>
 <option value=3D"2018">
2018</option>
 <option value==3D"2019" selected=3D"">
2019</option>
 <option value=3D"2020">
2020</option>
 <=option value=3D"2021">
2021</option>
 <option value=3D"2022">
2022</option>
 <op=tion value=3D"2023">
2023</option>
 <option value=3D"2024">
2024</option>
 <opti=on value=3D"2025">
2025</option>
 <option value=3D"2026">
2026</option>
 <option= value=3D"2027">
2027</option>
 <option value=3D"2028">
2028</option>
 <option v=alue=3D"2029">
2029</option>
 <option value=3D"2030">
2030</option>
 <option val=ue=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"2=037">
2037</option>
 <option value=3D"2038">
2038</option>
 <option value=3D"203=9">
2039</option>
 <option value=3D"2040">
2040</option>
 <option value=3D"2041"=>
2041</option>
 <option value=3D"2042">
2042</option>
 <option value=3D"2043">
2=043</option>
 <option value=3D"2044">
2044</option>
 <option value=3D"2045">
204=5</option>
 <option value=3D"2046">
2046</option>
 <option value=3D"2047">
2047<=/option>
 <option value=3D"2048">
2048</option>
 <option value=3D"2049">
2049</o=ption>
 <option value=3D"2050">
2050</option>
 <option value=3D"2051">
2051</opt=ion>
 <option value=3D"2052">
2052</option>
 <option value=3D"2053">
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1</label>
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</td>
 <td class=3D"gmail-m_-8859202692489551455ss-s=calerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0=px;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;bor=der-left-color:initial;border-right-style:initial;border-right-color:initial=;padding:0.5em 0.25em">
<div class=3D"gmail-m_-8859202692489551455ss-scalerow=-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled=3D"" va=lue=3D"9" id=3D"gmail-m_-8859202692489551455group_1421689035_10" class=3D"gm=ail-m_-8859202692489551455ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_-8859=202692489551455ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102=);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;bord=er-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-le=ft-style:initial;border-left-color:initial;border-right-style:initial;border=-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-8859202692=489551455ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.14216890=35" disabled=3D"" value=3D"10" id=3D"gmail-m_-8859202692489551455group_14216=89035_11" class=3D"gmail-m_-8859202692489551455ss-q-radio">
</div>
</td>
<td class=3D"gmail-m_-8859202692489551455ss-scalerow gmail-m_-88592026924895=51455ss-rightlabel" style=3D"text-align:left;color:rgb(102,102,102);border-w=idth:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-col=or:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:i=nitial;border-left-color:initial;border-right-style:initial;border-right-col=or:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div clas=s=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_2064050596">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Escala Dolor EVA M=C3=A1ximo</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0=.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_-88592=02692489551455entry_1244707512">
<tbody>
<tr>
<td class=3D"gmail-m_-88592026924=89551455ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-alig=n:center">
<label class=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D="m_-8859202692489551455group_1244707512_1" style=3D"display:block;padding:0.=5em 0px">
0</label>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenum=bers" style=3D"text-align:center">
<label class=3D"gmail-m_-88592026924895514=55ss-scalenumber" for=3D"m_-8859202692489551455group_1244707512_2" style=3D"=display:block;padding:0.5em 0px">
1</label>
</td>
 <td class=3D"gmail-m_-885920=2692489551455ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gm=ail-m_-8859202692489551455ss-scalenumber" for=3D"m_-8859202692489551455group=_1244707512_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
 <td c=lass=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-align:cen=ter">
<label class=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D"m_-8=859202692489551455group_1244707512_4" style=3D"display:block;padding:0.5em 0=px">
3</label>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenumbers"= style=3D"text-align:center">
<label class=3D"gmail-m_-8859202692489551455ss-=scalenumber" for=3D"m_-8859202692489551455group_1244707512_5" style=3D"displ=ay:block;padding:0.5em 0px">
4</label>
</td>
 <td class=3D"gmail-m_-88592026924=89551455ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m=_-8859202692489551455ss-scalenumber" for=3D"m_-8859202692489551455group_1244=707512_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
 <td class==3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-align:center"=>
<label class=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D"m_-88592=02692489551455group_1244707512_7" style=3D"display:block;padding:0.5em 0px">
=6</label>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" sty=le=3D"text-align:center">
<label class=3D"gmail-m_-8859202692489551455ss-scal=enumber" for=3D"m_-8859202692489551455group_1244707512_8" style=3D"display:b=lock;padding:0.5em 0px">
7</label>
</td>
 <td class=3D"gmail-m_-885920269248955=1455ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-88=59202692489551455ss-scalenumber" for=3D"m_-8859202692489551455group_12447075=12_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
 <td class=3D"=gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-align:center">
<la=bel class=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D"m_-885920269=2489551455group_1244707512_10" style=3D"display:block;padding:0.5em 0px">
9</=label>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D="text-align:center">
<label class=3D"gmail-m_-8859202692489551455ss-scalenumb=er" for=3D"m_-8859202692489551455group_1244707512_11" style=3D"display:block=;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-alig=n:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-8859202692489551455ss-scalerow gmail-m_-8859202692=489551455ss-leftlabel" style=3D"text-align:right;color:rgb(102,102,102);bord=er-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-sty=le:initial;border-left-color:initial;border-right-style:initial;border-right=-color:initial;padding:0.5em 0.25em 0.5em 0px">
<div class=3D"gmail-m_-885920=2692489551455aria-todo">
</div>
</td>
<td class=3D"gmail-m_-8859202692489551455ss-scalerow" style=3D"text-align:ce=nter;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;bord=er-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">
<div cl=ass=3D"gmail-m_-8859202692489551455ss-scalerow-fieldcell">
<input type=3D"rad=io" name=3D"entry.1244707512" disabled=3D"" value=3D"0" id=3D"gmail-m_-88592=02692489551455group_1244707512_1" class=3D"gmail-m_-8859202692489551455ss-q-=radio">
</div>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalerow" sty=le=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-t=op-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);b=order-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-co=lor:initial;border-right-style:initial;border-right-color:initial;padding:0.=5em 0.25em">
<div class=3D"gmail-m_-8859202692489551455ss-scalerow-fieldcell"=>
<input type=3D"radio" name=3D"entry.1244707512" disabled=3D"" value=3D"1" i=d=3D"gmail-m_-8859202692489551455group_1244707512_2" class=3D"gmail-m_-88592=02692489551455ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_-8859202692489551=455ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-wid=th: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:ini=tial;border-left-color:initial;border-right-style:initial;border-right-color=:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-8859202692489551455ss-=scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled==3D"" value=3D"2" id=3D"gmail-m_-8859202692489551455group_1244707512_3" clas=s=3D"gmail-m_-8859202692489551455ss-q-radio">
</div>
</td>
 <td class=3D"gmail-=m_-8859202692489551455ss-scalerow" style=3D"text-align:center;color:rgb(102,=102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:sol=id;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);bo=rder-left-style:initial;border-left-color:initial;border-right-style:initial=;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-885=9202692489551455ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1=244707512" disabled=3D"" value=3D"3" id=3D"gmail-m_-8859202692489551455group=_1244707512_4" class=3D"gmail-m_-8859202692489551455ss-q-radio">
</div>
</td>
 <=td class=3D"gmail-m_-8859202692489551455ss-scalerow" style=3D"text-align:cen=ter;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;borde=r-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:r=gb(211,216,211);border-left-style:initial;border-left-color:initial;border-r=ight-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div cla=ss=3D"gmail-m_-8859202692489551455ss-scalerow-fieldcell">
<input type=3D"radi=o" name=3D"entry.1244707512" disabled=3D"" value=3D"4" id=3D"gmail-m_-885920=2692489551455group_1244707512_5" class=3D"gmail-m_-8859202692489551455ss-q-r=adio">
</div>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalerow" styl=e=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-to=p-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);bo=rder-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-col=or:initial;border-right-style:initial;border-right-color:initial;padding:0.5=em 0.25em">
<div class=3D"gmail-m_-8859202692489551455ss-scalerow-fieldcell">
=<input type=3D"radio" name=3D"entry.1244707512" disabled=3D"" value=3D"5" id==3D"gmail-m_-8859202692489551455group_1244707512_6" class=3D"gmail-m_-885920=2692489551455ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_-88592026924895514=55ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-widt=h: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:init=ial;border-left-color:initial;border-right-style:initial;border-right-color:=initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-8859202692489551455ss-s=calerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled=3D="" value=3D"6" id=3D"gmail-m_-8859202692489551455group_1244707512_7" class=3D="gmail-m_-8859202692489551455ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_-8=859202692489551455ss-scalerow" style=3D"text-align:center;color:rgb(102,102,=102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;b=order-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;bor=der-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-8859202=692489551455ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.12447=07512" disabled=3D"" checked=3D"" value=3D"7" id=3D"gmail-m_-885920269248955=1455group_1244707512_8" class=3D"gmail-m_-8859202692489551455ss-q-radio">
</d=iv>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalerow" style=3D"text=-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:s=olid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bott=om-color:rgb(211,216,211);border-left-style:initial;border-left-color:initia=l;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em=">
<div class=3D"gmail-m_-8859202692489551455ss-scalerow-fieldcell">
<input ty=pe=3D"radio" name=3D"entry.1244707512" disabled=3D"" value=3D"8" id=3D"gmail=-m_-8859202692489551455group_1244707512_9" class=3D"gmail-m_-885920269248955=1455ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scal=erow" 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(211,2=16,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;borde=r-left-color:initial;border-right-style:initial;border-right-color:initial;p=adding:0.5em 0.25em">
<div class=3D"gmail-m_-8859202692489551455ss-scalerow-f=ieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled=3D"" valu=e=3D"9" id=3D"gmail-m_-8859202692489551455group_1244707512_10" class=3D"gmai=l-m_-8859202692489551455ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_-885920=2692489551455ss-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-r=ight-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-885920269248=9551455ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512=" disabled=3D"" value=3D"10" id=3D"gmail-m_-8859202692489551455group_1244707=512_11" class=3D"gmail-m_-8859202692489551455ss-q-radio">
</div>
</td>
<td class=3D"gmail-m_-8859202692489551455ss-scalerow gmail-m_-88592026924895=51455ss-rightlabel" style=3D"text-align:left;color:rgb(102,102,102);border-w=idth:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-col=or:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:i=nitial;border-left-color:initial;border-right-style:initial;border-right-col=or:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div clas=s=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_2000523015">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Escala Dolor EVA M=C3=ADnimo</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0=.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_-88592=02692489551455entry_853118630">
<tbody>
<tr>
<td class=3D"gmail-m_-885920269248=9551455ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-alig=n:center">
<label class=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D="m_-8859202692489551455group_853118630_1" style=3D"display:block;padding:0.5=em 0px">
0</label>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenumb=ers" style=3D"text-align:center">
<label class=3D"gmail-m_-885920269248955145=5ss-scalenumber" for=3D"m_-8859202692489551455group_853118630_2" style=3D"di=splay:block;padding:0.5em 0px">
1</label>
</td>
 <td class=3D"gmail-m_-88592026=92489551455ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmai=l-m_-8859202692489551455ss-scalenumber" for=3D"m_-8859202692489551455group_8=53118630_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
 <td cla=ss=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-align:cente=r">
<label class=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D"m_-885=9202692489551455group_853118630_4" style=3D"display:block;padding:0.5em 0px"=>
3</label>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" st=yle=3D"text-align:center">
<label class=3D"gmail-m_-8859202692489551455ss-sca=lenumber" for=3D"m_-8859202692489551455group_853118630_5" style=3D"display:b=lock;padding:0.5em 0px">
4</label>
</td>
 <td class=3D"gmail-m_-885920269248955=1455ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-88=59202692489551455ss-scalenumber" for=3D"m_-8859202692489551455group_85311863=0_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
 <td class=3D"g=mail-m_-8859202692489551455ss-scalenumbers" style=3D"text-align:center">
<lab=el class=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D"m_-8859202692=489551455group_853118630_7" style=3D"display:block;padding:0.5em 0px">
6</lab=el>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"=text-align:center">
<label class=3D"gmail-m_-8859202692489551455ss-scalenumbe=r" for=3D"m_-8859202692489551455group_853118630_8" style=3D"display:block;pa=dding:0.5em 0px">
7</label>
</td>
 <td class=3D"gmail-m_-8859202692489551455ss-=scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-885920269=2489551455ss-scalenumber" for=3D"m_-8859202692489551455group_853118630_9" st=yle=3D"display:block;padding:0.5em 0px">
8</label>
</td>
 <td class=3D"gmail-m_=-8859202692489551455ss-scalenumbers" style=3D"text-align:center">
<label clas=s=3D"gmail-m_-8859202692489551455ss-scalenumber" for=3D"m_-88592026924895514=55group_853118630_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</t=d>
 <td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-a=lign:center">
<label class=3D"gmail-m_-8859202692489551455ss-scalenumber" for==3D"m_-8859202692489551455group_853118630_11" style=3D"display:block;padding=:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-8859202692489551455ss-scalenumbers" style=3D"text-alig=n:center">
</td>
</tr>
<tr>
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<div class=3D"gmail-m_-885920=2692489551455aria-todo">
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<br>
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PACIENT=E SOMNOLIENTA, DECA=C3=8DDA, INAPETENTE, PRESENTA PERDIDA DEL CONTROL DE ESF=C3==8DNTER, EN ESTADO DE ENFLAQUECIDA CON SIGNOS VITALES NORMALES  P/A 112/79  = FC 88x=C2=B4    SAT 92%    TEMPERATURA 36,8 GRADOS</div>
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PIEL DE=SCAMADA, RESECA, PRESENTA UPP DE ZONA SACRA DE 4x4 CM. CAVITADA CON TEJIDO E=SFACELADO EN SU 100% CON BORDES SANOS . EQUIMOSIS EN CRESTAS IL=C3=8DACAS , M=ALEOLOS Y TALONES.</div>
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CANCER C=OLORECTAL CON METAS OSEAS PULMONARES Y HEPATICA</div>
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CAMBIO D=E POSICION CADA 2 HORASHIDRATACION DE LA PIEL SANAMANEJO DE HERIDA CONTAMINADA CON ORINA O EXCREMENTOHIDRATACION A TOLERANCIAALIMENTACION A TOLERANCIA</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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agosto</option>
 <option v=alue=3D"9">
septiembre</option>
 <option value=3D"10">
octubre</option>
 <option= value=3D"11">
noviembre</option>
 <option value=3D"12">
diciembre</option>
</se=lect>
=20<select name=3D"entry.2063615873_year" disabled=3D"" id=3D"gmail-m_-88592026=92489551455entry.2063615873_year">
<option value=3D"">
A=C3=B1o</option>
<option value=3D"1896">
1896</option>
 <option value=3D"1897">
1897</option>
 <o=ption value=3D"1898">
1898</option>
 <option value=3D"1899">
1899</option>
 <opt=ion value=3D"1900">
1900</option>
 <option value=3D"1901">
1901</option>
 <optio=n value=3D"1902">
1902</option>
 <option value=3D"1903">
1903</option>
 <option v=alue=3D"1904">
1904</option>
 <option value=3D"1905">
1905</option>
 <option val=ue=3D"1906">
1906</option>
 <option value=3D"1907">
1907</option>
 <option value==3D"1908">
1908</option>
 <option value=3D"1909">
1909</option>
 <option value=3D="1910">
1910</option>
 <option value=3D"1911">
1911</option>
 <option value=3D"1=912">
1912</option>
 <option value=3D"1913">
1913</option>
 <option value=3D"191=4">
1914</option>
 <option value=3D"1915">
1915</option>
 <option value=3D"1916"=>
1916</option>
 <option value=3D"1917">
1917</option>
 <option value=3D"1918">
1=918</option>
 <option value=3D"1919">
1919</option>
 <option value=3D"1920">
192=0</option>
 <option value=3D"1921">
1921</option>
 <option value=3D"1922">
1922<=/option>
 <option value=3D"1923">
1923</option>
 <option value=3D"1924">
1924</o=ption>
 <option value=3D"1925">
1925</option>
 <option value=3D"1926">
1926</opt=ion>
 <option value=3D"1927">
1927</option>
 <option value=3D"1928">
1928</optio=n>
 <option value=3D"1929">
1929</option>
 <option value=3D"1930">
1930</option>
= <option value=3D"1931">
1931</option>
 <option value=3D"1932">
1932</option>
 <=option value=3D"1933">
1933</option>
 <option value=3D"1934">
1934</option>
 <op=tion value=3D"1935">
1935</option>
 <option value=3D"1936">
1936</option>
 <opti=on value=3D"1937">
1937</option>
 <option value=3D"1938">
1938</option>
 <option= value=3D"1939">
1939</option>
 <option value=3D"1940">
1940</option>
 <option v=alue=3D"1941">
1941</option>
 <option value=3D"1942">
1942</option>
 <option val=ue=3D"1943">
1943</option>
 <option value=3D"1944">
1944</option>
 <option value==3D"1945">
1945</option>
 <option value=3D"1946">
1946</option>
 <option value=3D="1947">
1947</option>
 <option value=3D"1948">
1948</option>
 <option value=3D"1=949">
1949</option>
 <option value=3D"1950">
1950</option>
 <option value=3D"195=1">
1951</option>
 <option value=3D"1952">
1952</option>
 <option value=3D"1953"=>
1953</option>
 <option value=3D"1954">
1954</option>
 <option value=3D"1955">
1=955</option>
 <option value=3D"1956">
1956</option>
 <option value=3D"1957">
195=7</option>
 <option value=3D"1958">
1958</option>
 <option value=3D"1959">
1959<=/option>
 <option value=3D"1960">
1960</option>
 <option value=3D"1961">
1961</o=ption>
 <option value=3D"1962">
1962</option>
 <option value=3D"1963">
1963</opt=ion>
 <option value=3D"1964">
1964</option>
 <option value=3D"1965">
1965</optio=n>
 <option value=3D"1966">
1966</option>
 <option value=3D"1967">
1967</option>
= <option value=3D"1968">
1968</option>
 <option value=3D"1969">
1969</option>
 <=option value=3D"1970">
1970</option>
 <option value=3D"1971">
1971</option>
 <op=tion value=3D"1972">
1972</option>
 <option value=3D"1973">
1973</option>
 <opti=on value=3D"1974">
1974</option>
 <option value=3D"1975">
1975</option>
 <option= value=3D"1976">
1976</option>
 <option value=3D"1977">
1977</option>
 <option v=alue=3D"1978">
1978</option>
 <option value=3D"1979">
1979</option>
 <option val=ue=3D"1980">
1980</option>
 <option value=3D"1981">
1981</option>
 <option value==3D"1982">
1982</option>
 <option value=3D"1983">
1983</option>
 <option value=3D="1984">
1984</option>
 <option value=3D"1985">
1985</option>
 <option value=3D"1=986">
1986</option>
 <option value=3D"1987">
1987</option>
 <option value=3D"198=8">
1988</option>
 <option value=3D"1989">
1989</option>
 <option value=3D"1990"=>
1990</option>
 <option value=3D"1991">
1991</option>
 <option value=3D"1992">
1=992</option>
 <option value=3D"1993">
1993</option>
 <option value=3D"1994">
199=4</option>
 <option value=3D"1995">
1995</option>
 <option value=3D"1996">
1996<=/option>
 <option value=3D"1997">
1997</option>
 <option value=3D"1998">
1998</o=ption>
 <option value=3D"1999">
1999</option>
 <option value=3D"2000">
2000</opt=ion>
 <option value=3D"2001">
2001</option>
 <option value=3D"2002">
2002</optio=n>
 <option value=3D"2003">
2003</option>
 <option value=3D"2004">
2004</option>
= <option value=3D"2005">
2005</option>
 <option value=3D"2006">
2006</option>
 <=option value=3D"2007">
2007</option>
 <option value=3D"2008">
2008</option>
 <op=tion value=3D"2009">
2009</option>
 <option value=3D"2010">
2010</option>
 <opti=on value=3D"2011">
2011</option>
 <option value=3D"2012">
2012</option>
 <option= value=3D"2013">
2013</option>
 <option value=3D"2014">
2014</option>
 <option v=alue=3D"2015">
2015</option>
 <option value=3D"2016">
2016</option>
 <option val=ue=3D"2017">
2017</option>
 <option value=3D"2018">
2018</option>
 <option value==3D"2019" selected=3D"">
2019</option>
 <option value=3D"2020">
2020</option>
 <=option value=3D"2021">
2021</option>
 <option value=3D"2022">
2022</option>
 <op=tion value=3D"2023">
2023</option>
 <option value=3D"2024">
2024</option>
 <opti=on value=3D"2025">
2025</option>
 <option value=3D"2026">
2026</option>
 <option= value=3D"2027">
2027</option>
 <option value=3D"2028">
2028</option>
 <option v=alue=3D"2029">
2029</option>
 <option value=3D"2030">
2030</option>
 <option val=ue=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"2=037">
2037</option>
 <option value=3D"2038">
2038</option>
 <option value=3D"203=9">
2039</option>
 <option value=3D"2040">
2040</option>
 <option value=3D"2041"=>
2041</option>
 <option value=3D"2042">
2042</option>
 <option value=3D"2043">
2=043</option>
 <option value=3D"2044">
2044</option>
 <option value=3D"2045">
204=5</option>
 <option value=3D"2046">
2046</option>
 <option value=3D"2047">
2047<=/option>
 <option value=3D"2048">
2048</option>
 <option value=3D"2049">
2049</o=ption>
 <option value=3D"2050">
2050</option>
 <option value=3D"2051">
2051</opt=ion>
 <option value=3D"2052">
2052</option>
 <option value=3D"2053">
2053</optio=n>
 <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>
 <op=tion value=3D"2060">
2060</option>
 <option value=3D"2061">
2061</option>
 <opti=on value=3D"2062">
2062</option>
 <option value=3D"2063">
2063</option>
 <option= value=3D"2064">
2064</option>
 <option value=3D"2065">
2065</option>
 <option v=alue=3D"2066">
2066</option>
 <option value=3D"2067">
2067</option>
 <option val=ue=3D"2068">
2068</option>
 <option value=3D"2069">
2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-885=9202692489551455ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:m=iddle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_74766472">
<div class=3D"gmail-m_-8859202692489551455ss-q=-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bot=tom:0.83em">
Tratamiento Realizado (si corresponde)</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-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_-8859202692489551455ss-q-text" dir=3D"auto" style=3D"b=ackground-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%">
CURACI=C3==93N UPP SACRA</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455ss-form-question gmail-m_-885=9202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-checkbox" style=3D"margin:12px 0px">
<div class=3D"gmail-m_=-8859202692489551455ss-form-entry" style=3D"margin-bottom:1.5em;vertical-ali=gn:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-8859202692489551455ss-q-item-label" for=3D"m_-88592=02692489551455entry_1219705969">
<div class=3D"gmail-m_-8859202692489551455ss=-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-b=ottom:0.83em">
Derivaci=C3=B3n a otro Prestador Domiciliario</div>
<div class=3D"gmail-m_-8859202692489551455ss-q-help gmail-m_-885920269248955=1455ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0=.25em;color:rgb(102,102,102)">
S=C3=B3lo llene esta secci=C3=B3n si es m=C3=A9=dico y solicita la visita de otro prestador del equipo</div>
</label>
<ul class=3D"gmail-m_-8859202692489551455ss-choices" style=3D"list-style:non=e;padding:0px;margin:0.5em 0px 0px">
<li class=3D"gmail-m_-885920269248955145=5ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em"=>
<label>
<span class=3D"gmail-m_-8859202692489551455ss-choice-item-control gma=il-m_-8859202692489551455goog-inline-block" style=3D"display:inline-block">
<=input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"ENFE=RMERA" id=3D"gmail-m_-8859202692489551455group_503039759_1" class=3D"gmail-m=_-8859202692489551455ss-q-checkbox">
</span>
<span class=3D"gmail-m_-8859202692489551455ss-choice-label">
ENFERMERA</span>
=</label>
</li>
 <li class=3D"gmail-m_-8859202692489551455ss-choice-item" style==3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-8859202692489551455ss-choice-item-control gma=il-m_-8859202692489551455goog-inline-block" style=3D"display:inline-block">
<=input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"TENS=" id=3D"gmail-m_-8859202692489551455group_503039759_2" class=3D"gmail-m_-885=9202692489551455ss-q-checkbox">
</span>
<span class=3D"gmail-m_-8859202692489551455ss-choice-label">
TENS</span>
</label>
</li>
 <li class=3D"gmail-m_-8859202692489551455ss-choice-item" style==3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-8859202692489551455ss-choice-item-control gma=il-m_-8859202692489551455goog-inline-block" style=3D"display:inline-block">
<=input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"NUTR=ICIONISTA" id=3D"gmail-m_-8859202692489551455group_503039759_3" class=3D"gma=il-m_-8859202692489551455ss-q-checkbox">
</span>
<span class=3D"gmail-m_-8859202692489551455ss-choice-label">
NUTRICIONISTA</s=pan>
</label>
</li>
 <li class=3D"gmail-m_-8859202692489551455ss-choice-item" style==3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-8859202692489551455ss-choice-item-control gma=il-m_-8859202692489551455goog-inline-block" style=3D"display:inline-block">
<=input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"KINE=SIOLOGO" id=3D"gmail-m_-8859202692489551455group_503039759_4" class=3D"gmail=-m_-8859202692489551455ss-q-checkbox">
</span>
<span class=3D"gmail-m_-8859202692489551455ss-choice-label">
KINESIOLOGO</spa=n>
</label>
</li>
 <li class=3D"gmail-m_-8859202692489551455ss-choice-item" style==3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-8859202692489551455ss-choice-item-control gma=il-m_-8859202692489551455goog-inline-block" style=3D"display:inline-block">
<=input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"PSIC=OLOGO" id=3D"gmail-m_-8859202692489551455group_503039759_5" class=3D"gmail-m=_-8859202692489551455ss-q-checkbox">
</span>
<span class=3D"gmail-m_-8859202692489551455ss-choice-label">
PSICOLOGO</span>
=</label>
</li>
</ul>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_-8859202692489551455errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-8859202692489551455ss-item gmail-m_-8859=202692489551455ss-embeddable-object-container" style=3D"margin:12px 0px;max-=width:100%">
<div class=3D"gmail-m_-8859202692489551455ss-form-entry" style=3D="margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;ma=x-width:100%">
<h2 class=3D"gmail-m_-8859202692489551455ss-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_-8859202692489551455ss=-image" title=3D"" src=3D"https://lh6.googleusercontent.com/ho5-aEhqapElKPfY=3C043hrFRDZHbYmYQL4MdTOUr9VmGAzMIk1T6XQ9jJN3CuGBWoqcxaMG3A" style=3D"width: 7=8px; outline: none;" alt=3D"Imagen sin leyenda">
</div>
</div>
</div>
</div>
<br>
</form>
</div>
</div>
</td>
</tr>
<tr height=3D"24px">
</tr>
</tbody>
</table>
</=div>
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" style=3D"max=-width:672px;min-width:154px" width=3D"100%">
<tbody>
<tr height=3D"24px">
<td>
=</td>
</tr>
<tr>
<td>
<a href=3D"https://docs.google.com/forms?usp=3Dmail_form_l=ink" style=3D"color:rgb(66,66,66);font-size:13px" target=3D"_blank">
Crea tu p=ropio formulario de Google</a>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</blockq=uote>
</div>
<br clear=3D"all">
<div>
<br>
</div>
-- <br>
<div dir=3D"ltr" class=3D="gmail_signature">
<div dir=3D"ltr">
<div>
<div dir=3D"ltr">
<div dir=3D"ltr">
<d=iv dir=3D"ltr">
<div dir=3D"ltr">
<div dir=3D"ltr">
<br>
<div>
<br>
</div>
<div sty=le=3D"text-align:left">
<i>
<font face=3D"times new roman, serif" color=3D"#20=124d">
<b>
E.U. Daniela Dinamarca C=C3=A1ceres</b>
</font>
</i>
</div>
<div style=3D="text-align:left">
<font face=3D"garamond, serif" color=3D"#351c75">
<i>
Diplom=ado en cuidados paliativos y alivio del dolor en personas con enfermedad ter=minal</i>
</font>
</div>
<div style=3D"text-align:left">
<font color=3D"#351c75"= face=3D"garamond, serif">
<i>
Encarga del programa&nbsp;Alivio del dolor&nbsp=;</i>
</font>
</div>
<div style=3D"text-align:left">
<i>
<font face=3D"garamond, s=erif" color=3D"#351c75">
Departamento de Salud Chimbarongo</font>
</i>
</div>
</=div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id=3D"DAB4FAD8-2DD7=-40BB-A1B8-4E2AA1F9FDF2">
<br>
 <table style=3D"border-top:1px solid #d3d4de">
=	<tbody>
<tr>
      <td style=3D"width:55px;padding-top:18px">
<a href=3D"https://www.avast=.com/sig-email?utm_medium=3Demail&amp;utm_source=3Dlink&amp;utm_campaign=3Ds=ig-email&amp;utm_content=3Dwebmail" target=3D"_blank">
<img src=3D"https://ip=mcdn.avast.com/images/icons/icon-envelope-tick-round-orange-animated-no-repe=at-v1.gif" alt=3D"" width=3D"46" height=3D"29" style=3D"width: 46px; height:= 29px;">
</a>
</td>
		<td style=3D"width:470px;padding-top:17px;color:#41424e;fon=t-size:13px;font-family:Arial,Helvetica,sans-serif;line-height:18px">
Libre d=e virus. <a href=3D"https://www.avast.com/sig-email?utm_medium=3Demail&amp;u=tm_source=3Dlink&amp;utm_campaign=3Dsig-email&amp;utm_content=3Dwebmail" tar=get=3D"_blank" style=3D"color:#4453ea">
www.avast.com</a>
 		</t=d>
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</tbody>
</table>
<a href=3D"#DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2" width=3D"1" height=3D"1">
<=/a>
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</blockquote>
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=--Apple-Mail-1622EF5F-F9C8-4F40-8919-0B2CA8922FD6--