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Se solicitó a dr informe en word y pdf nueva más vida para solicitud de nutrición&nbsp;</div>
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Estoy a espera de respuesta .</div>
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<br>
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EU Sandra Maulen Ángel<div>
Coordinadora</div>
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Telemed-Chile</div>
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<br>
<br>
miércoles, 31 de julio de 2019 20:56 -0400 de informeges  &lt;informeges@telemed-chile.cl&gt;:<br>
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Dr. Buenas tardes.&nbsp; Gracias por la informacion y solicitud. </span>
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&nbsp;</span>
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Consulta:&nbsp;&nbsp;&nbsp; Sandra, &nbsp;me puedes decir sobre esta derivación</span>
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&nbsp;</span>
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<span style="mso-fareast-language:EN-US">
Gracias</span>
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&nbsp;</span>
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<span style="mso-fareast-language:EN-US">
csaez</span>
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&nbsp;</span>
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<b>
<span lang="ES">
De:</span>
</b>
<span lang="ES">
 ernesto reyes arriagada &lt;<a href="mailto:ernestoreyes3@hotmail.com">
ernestoreyes3@hotmail.com</a>
&gt; <br>
<b>
Enviado el:</b>
 miércoles, 31 de julio de 2019 12:06<br>
<b>
Para:</b>
 coordinadora@telemed-chile.cl; <a href="mailto:informeges@telemed-chile.cl">
informeges@telemed-chile.cl</a>
<br>
<b>
Asunto:</b>
 Registro de Atención Oncovida Carmen Pozo 23/07/2019</span>
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&nbsp;</p>
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Buenos día, se adjunta atención médica ambulatoria de Carmen Pozo 23/07/2019. Próxima atención 06/08/2019 18:00.</span>
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&nbsp;</span>
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Nota: Favor gestionar derivación domiciliaria de nutricionista.</span>
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<span style="font-size:12.0pt;color:black">
&nbsp;</span>
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<span style="font-size:12.0pt;color:black">
&nbsp;</span>
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<span style="font-size:12.0pt;color:black">
Saludos&nbsp;</span>
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De:</span>
</b>
<span style="color:black">
 Formularios de Google &lt;<a href="mailto:forms-receipts-noreply@google.com" target="_blank" rel=" noopener noreferrer">
forms-receipts-noreply@google.com</a>
&gt;<br>
<b>
Enviado:</b>
 miércoles, 31 de julio de 2019 12:03<br>
<b>
Para:</b>
 <a href="mailto:ernestoreyes3@hotmail.com" target="_blank" rel=" noopener noreferrer">
ernestoreyes3@hotmail.com</a>
 &lt;<a href="mailto:ernestoreyes3@hotmail.com" target="_blank" rel=" noopener noreferrer">
ernestoreyes3@hotmail.com</a>
&gt;<br>
<b>
Asunto:</b>
 Registro de Atención Domiciliaria Oncovida</span>
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&nbsp;</p>
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<span style="color:white">
<img border="0" id="_x0000_i1026_mailru_css_attribute_postfix" src="https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png" alt="Formularios de Google">
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<div style="border:none;border-bottom:solid #E0E0E0 1.0pt;padding:0cm 0cm 0cm 0cm;min-width:154px">
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<span style="display:none">
&nbsp;</span>
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<div align="center">
<table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;background:white">
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<p class="MsoNormal_mailru_css_attribute_postfix" style="line-height:13.5pt">
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<span style="font-size:10.0pt;color:#424242">
Gracias por llenar <a href="https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=mail_form_link" target="_blank" rel=" noopener noreferrer">
Registro de Atención Domiciliaria Oncovida</a>
</span>
</b>
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<td style="padding:0cm 0cm 0cm 0cm">
</td>
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<p class="MsoNormal_mailru_css_attribute_postfix" style="line-height:13.5pt">
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Estas son tus respuestas:</span>
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<h1 style="mso-margin-top-alt:8.05pt;margin-right:0cm;margin-bottom:8.05pt;margin-left:0cm">
<span style="color:black">
Registro de Atención Domiciliaria Oncovida</span>
</h1>
<div style="margin-bottom:12.0pt;white-space:pre-wrap;word-wrap:break-word">
<p class="MsoNormal_mailru_css_attribute_postfix">
<span style="color:black">
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 continuación indique su correo electrónico.</span>
</p>
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</div>
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&nbsp;</p>
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<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Dirección de correo electrónico </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
<a href="mailto:ernestoreyes3@hotmail.com" target="_blank" rel=" noopener noreferrer">
ernestoreyes3@hotmail.com</a>
</span>
</p>
</div>
</div>
</div>
</div>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style="margin-bottom:18.0pt;max-width:100%">
<p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
<span style="color:black">
<img border="0" id="_x0000_i1027_mailru_css_attribute_postfix" src="https://lh3.googleusercontent.com/00-FWRRIiJNpjLIXj1QrTLVceHhiPxWpIN-K4cI0enEtAvmFFnvOHRJTMz5Lq8yFpMHz7WvBnNdiNVchE6Snklpxxc7gIx3OoqTfn_sB2_iSp_6sx7Sr2pww-0pD" alt="Imagen sin título">
</span>
</p>
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</div>
</div>
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&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="color:black">
Identificación del Prestador</span>
</h2>
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
Aquí debe ingresar sus datos personales</span>
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</div>
</div>
</div>
</div>
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&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Primer Nombre y Apellido Paterno </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Ernesto Reyes</span>
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</div>
</div>
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&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
RUT </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="margin-top:1.2pt;margin-bottom:3.0pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)</span>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
16839527-2</span>
</p>
</div>
</div>
</div>
</div>
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&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Tipo </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="margin-top:1.2pt;margin-bottom:3.0pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
Si asisten más de 1 prestador simultáneamente, cada uno debe hacer un registro independiente</span>
</p>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
[MEDICO&nbsp;\/] </span>
</p>
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</div>
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&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style="margin-bottom:18.0pt;max-width:100%">
<p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
<span style="color:black">
<img border="0" id="_x0000_i1028_mailru_css_attribute_postfix" src="https://lh3.googleusercontent.com/mRJInQVKRU12r9blREv2jmlzETLT9JfIHWC0FaeXYfPraPFE9ebBRX8P_hmpfiBP6BNpOgjPBYU0zwBxYxgoLvjQ7EjfjoRTJ2_-8flTaiU_wC008XC8LpcEJ_Yp" alt="Imagen sin título">
</span>
</p>
</div>
</div>
</div>
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&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="color:black">
Identificación del Paciente</span>
</h2>
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
En esta sección debe ingresar los datos del paciente visitado</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="color:black">
Datos Personales del Paciente</span>
</h2>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Ingrese el Rut del Paciente </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="margin-top:1.2pt;margin-bottom:3.0pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)</span>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
<span class="js-phone-number">
8085247-9</span>
</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Ingrese el Primer Nombre y Apellido Paterno del Paciente </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Carmen Pozo</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Previsión </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
[NUEVA MASVIDA&nbsp;\/] </span>
</p>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Ciudad </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Viña del Mar</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Comuna </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Viña del Mar</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style="margin-bottom:18.0pt;max-width:100%">
<p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
<span style="color:black">
<img border="0" id="_x0000_i1029_mailru_css_attribute_postfix" src="https://lh6.googleusercontent.com/URytM0QWRGW_JEL0xQxvOLvwPRJIHyqlnKOm6ky9DRBfzvYVPaAngXV35GNHnaVG-dm9Orno4lr8sy8E-KB9tMrmIhFbVQiOPWy3vUclqRKAJ51dvLdhjBKgXdLO" alt="Imagen sin título">
</span>
</p>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<h2 style="background:#EEEEEE;vertical-align:middle">
<span style="color:black">
Registro de la Atención Domiciliaria</span>
</h2>
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
En esta sección debe ingresar los datos de la atención domiciliaria</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Tipo de Atención </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<p class="ss-choice-item_mailru_css_attribute_postfix" style="margin:0cm;margin-bottom:.0001pt;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="ss-choice-item-control_mailru_css_attribute_postfix">
<span style="color:black">
(&nbsp;)</span>
</span>
<span style="color:black">
 <span class="ss-choice-label_mailru_css_attribute_postfix">
Domicilio</span>
 </span>
</p>
<p class="ss-choice-item_mailru_css_attribute_postfix" style="margin:0cm;margin-bottom:.0001pt;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="ss-choice-item-control_mailru_css_attribute_postfix">
<span style="color:black">
(X)</span>
</span>
<span style="color:black">
 <span class="ss-choice-label_mailru_css_attribute_postfix">
Ambulatorio</span>
 </span>
</p>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Fecha de la Atención </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div>
<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
[julio&nbsp;\/] [23&nbsp;\/] [2019&nbsp;\/] </span>
</p>
</div>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Hora de la Atención </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div>
<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
[18&nbsp;\/] . [00&nbsp;\/] </span>
</p>
</div>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Performance Status ECOG del Paciente </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
[1&nbsp;\/] </span>
</p>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Escala Dolor EVA Actual </span>
</b>
<b>
</b>
</p>
</div>
<table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" id="entry_1421689035_mailru_css_attribute_postfix">
<tbody>
<tr>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
0</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
1</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
2</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
3</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
4</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
5</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
6</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
7</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
8</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
9</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
10</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
</tr>
<tr>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(X)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Escala Dolor EVA Máximo </span>
</b>
<b>
</b>
</p>
</div>
<table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" id="entry_1244707512_mailru_css_attribute_postfix">
<tbody>
<tr>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
0</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
1</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
2</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
3</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
4</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
5</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
6</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
7</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
8</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
9</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
10</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
</tr>
<tr>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(X)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Escala Dolor EVA Mínimo </span>
</b>
<b>
</b>
</p>
</div>
<table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" id="entry_853118630_mailru_css_attribute_postfix">
<tbody>
<tr>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
0</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
1</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
2</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
3</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
4</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
5</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
6</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
7</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
8</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
9</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
10</p>
</td>
<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
</tr>
<tr>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(X)</span>
</p>
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<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
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<span style="color:#666666">
(&nbsp;)</span>
</p>
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<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
</div>
</td>
<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Anamnesis/Evolución </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Acude acompañada por esposo. Refiere haber presentado constipación desde hace varios días, describiendo dolor a la defecación, debiendo ingerir vaselina en cápsulas. </span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Examen Físico </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Sin lesiones orales actuales, Abdomen Blando depresible, no doloroso a tacto, no palpando masas. </span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Diagnóstico </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Ca. Colon metastásico pulmonar, Mucositis oral, Constipación</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Plan de Tratamiento e Indicaciones </span>
</b>
<span class="ss-required-asterisk_mailru_css_attribute_postfix">
<b>
<span style="color:#C43B1D">
*</span>
</b>
</span>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Se añade laxante, se mantiene mulcatel. </span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Medicamentos Indicados </span>
</b>
<b>
</b>
</p>
</div>
<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Se prescribe Palexis retard 100mg 1-0-1 x 1 mes = 6 cajas (F-18402) Clonazepam 2mg 0-0-1/2 = 1 caja Citoneuron capsulas 1-0-1 = 2 cajas LACTULOSA 65% SOL. FCO. 200 ML (bioequivalente, GES 4) 20 cc x noche = 1 frasco Plenitex 150mg comprimido (pregabalina 150mg) (bioequivalente, GES 4) 1 comprimido por noche = 1 caja Omeprazol 20mg cápsula (bioequivalente, GES 4) 1 cápsula diaria = 1 caja Mulcatel (Sucralfato) 5ml, 4 veces al día, administrar 1 hora antes de comer y 30 minutos antes o después de uso de omeprazol = 1 frasco Aspirina 100mg comprimido 1-0-0 = 1 caja Reposil 10mg comprimido 2-0-0 = 1 caja Ferranim cápsula 2-0-0 = 2 cajas</span>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Fecha aproximada del Próximo Control con usted </span>
</b>
<b>
</b>
</p>
</div>
<div>
<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:black">
[agosto&nbsp;\/] [6&nbsp;\/] [2019&nbsp;\/] </span>
</p>
</div>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Tratamiento Realizado (si corresponde) </span>
</b>
<b>
</b>
</p>
</div>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt">
<div style="margin-bottom:18.0pt;max-width:100%">
<div style="margin-top:9.95pt;margin-bottom:9.95pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
<span style="color:black">
Derivación a otro Prestador Domiciliario </span>
</b>
<b>
</b>
</p>
</div>
<div style="margin-top:1.2pt;margin-bottom:3.0pt">
<p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
Sólo llene esta sección si es médico y solicita la visita de otro prestador del equipo</span>
</p>
</div>
<p class="ss-choice-item_mailru_css_attribute_postfix" style="margin:0cm;margin-bottom:.0001pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="ss-choice-item-control_mailru_css_attribute_postfix">
<span style="color:black">
[&nbsp;]</span>
</span>
<span style="color:black">
 <span class="ss-choice-label_mailru_css_attribute_postfix">
ENFERMERA</span>
 </span>
</p>
<p class="ss-choice-item_mailru_css_attribute_postfix" style="margin:0cm;margin-bottom:.0001pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="ss-choice-item-control_mailru_css_attribute_postfix">
<span style="color:black">
[&nbsp;]</span>
</span>
<span style="color:black">
 <span class="ss-choice-label_mailru_css_attribute_postfix">
TENS</span>
 </span>
</p>
<p class="ss-choice-item_mailru_css_attribute_postfix" style="margin:0cm;margin-bottom:.0001pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="ss-choice-item-control_mailru_css_attribute_postfix">
<span style="color:black">
[X]</span>
</span>
<span style="color:black">
 <span class="ss-choice-label_mailru_css_attribute_postfix">
NUTRICIONISTA</span>
 </span>
</p>
<p class="ss-choice-item_mailru_css_attribute_postfix" style="margin:0cm;margin-bottom:.0001pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="ss-choice-item-control_mailru_css_attribute_postfix">
<span style="color:black">
[&nbsp;]</span>
</span>
<span style="color:black">
 <span class="ss-choice-label_mailru_css_attribute_postfix">
KINESIOLOGO</span>
 </span>
</p>
<p class="ss-choice-item_mailru_css_attribute_postfix" style="margin:0cm;margin-bottom:.0001pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="ss-choice-item-control_mailru_css_attribute_postfix">
<span style="color:black">
[&nbsp;]</span>
</span>
<span style="color:black">
 <span class="ss-choice-label_mailru_css_attribute_postfix">
PSICOLOGO</span>
 </span>
</p>
</div>
</div>
</div>
<p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
<div>
<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style="margin-bottom:18.0pt;max-width:100%">
<p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
<span style="color:black">
<img border="0" id="_x0000_i1030_mailru_css_attribute_postfix" src="https://lh5.googleusercontent.com/Bpur5zPteyG-bXtM-WNRuiLwTi8myvetX7lBkdjzbnQyqUlGcuv84zmWyU3x0Ua2-_WXX9PiJ2cMBOO0zhG2nHX7tXXPHH6_X8UTG8MZzIBwxETkF0a8JyZtuxSL" alt="Imagen sin título">
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<a href="https://docs.google.com/forms?usp=mail_form_link" target="_blank" rel=" noopener noreferrer">
<span style="font-size:10.0pt;color:#424242">
Crear tu propio Formulario de Google</span>
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