{"id":11283,"date":"2022-11-30T14:24:19","date_gmt":"2022-11-30T19:24:19","guid":{"rendered":"https:\/\/starmed.care\/registro-de-pacientes\/"},"modified":"2023-01-25T10:17:48","modified_gmt":"2023-01-25T15:17:48","slug":"registro-de-pacientes","status":"publish","type":"page","link":"https:\/\/starmed.care\/es\/registro-de-pacientes\/","title":{"rendered":"Registro de pacientes"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11283\" class=\"elementor elementor-11283\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-37c8744 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"37c8744\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ef570ed\" data-id=\"ef570ed\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e2a19a7 elementor-widget elementor-widget-heading\" data-id=\"e2a19a7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">REGISTRO DE PACIENTES<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3368c4e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3368c4e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f3ce840\" data-id=\"f3ce840\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3df4dbf elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"3df4dbf\" data-element_type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;25&quot;,&quot;step_next_label&quot;:&quot;pr\\u00f3ximo&quot;,&quot;step_previous_label&quot;:&quot;Anterior&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Formulario del paciente\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"11283\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"3df4dbf\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"StarMed Healthcare\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6a84962 elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6a84962\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de servicio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6a84962]\" id=\"form-field-field_6a84962\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"MM\/DD\/AA\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_002584a elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_002584a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApellido\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_002584a]\" id=\"form-field-field_002584a\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"\u00faltimo\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_349896b elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_349896b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_349896b]\" id=\"form-field-field_349896b\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Primero\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0cf4d4a elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0cf4d4a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDob\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0cf4d4a]\" id=\"form-field-field_0cf4d4a\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"MM\/DD\/AA\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_f0ad6eb elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f0ad6eb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJefe de la queja\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Posible exposici\u00f3n al nuevo coronavirus (COVID-19)\" id=\"form-field-field_f0ad6eb-0\" name=\"form_fields[field_f0ad6eb]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_f0ad6eb-0\">Posible exposici\u00f3n al nuevo coronavirus (COVID-19)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Exposici\u00f3n confirmada al nuevo coronavirus (COVID-19)\" id=\"form-field-field_f0ad6eb-1\" name=\"form_fields[field_f0ad6eb]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_f0ad6eb-1\">Exposici\u00f3n confirmada al nuevo coronavirus (COVID-19)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Diagn\u00f3stico confirmado de infecci\u00f3n por COVID-19\" id=\"form-field-field_f0ad6eb-2\" name=\"form_fields[field_f0ad6eb]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_f0ad6eb-2\">Diagn\u00f3stico confirmado de infecci\u00f3n por COVID-19<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Otros\" id=\"form-field-field_f0ad6eb-3\" name=\"form_fields[field_f0ad6eb]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_f0ad6eb-3\">Otros<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_2e736d0 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2e736d0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi es otro, los detalles aqu\u00ed:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_2e736d0]\" id=\"form-field-field_2e736d0\" rows=\"4\" placeholder=\"respuesta\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8ea99f1 elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_3036c01 elementor-col-100\">\n\t\t\t\t\t<big><b>HISTORIA DE LA ENFERMEDAD ACTUAL \/ REVISI\u00d3N DE LOS SISTEMAS<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_44b5712 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_44b5712\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEs posible que haya estado expuesto a COVID-19?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_44b5712-0\" name=\"form_fields[field_44b5712]\"> <label for=\"form-field-field_44b5712-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_44b5712-1\" name=\"form_fields[field_44b5712]\"> <label for=\"form-field-field_44b5712-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_28f09ed elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_28f09ed\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi es posible, indique el contexto: \u00bfcu\u00e1ndo, d\u00f3nde, etc.?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_28f09ed]\" id=\"form-field-field_28f09ed\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_1dc8502 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1dc8502\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfSe ha hecho la prueba antes?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_1dc8502-0\" name=\"form_fields[field_1dc8502]\"> <label for=\"form-field-field_1dc8502-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_1dc8502-1\" name=\"form_fields[field_1dc8502]\"> <label for=\"form-field-field_1dc8502-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_a2e7a4e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a2e7a4e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEn caso de respuesta afirmativa a la pregunta anterior, indique cu\u00e1ndo fue la \u00faltima prueba, los resultados y cualquier otro detalle pertinente:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_a2e7a4e]\" id=\"form-field-field_a2e7a4e\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_593242d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_593242d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfUsa usted una mascarilla y cree que contribuye a limitar la propagaci\u00f3n comunitaria de las infecciones por COVID-19?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Lleva una m\u00e1scara, siente que le ayuda.\" id=\"form-field-field_593242d-0\" name=\"form_fields[field_593242d]\"> <label for=\"form-field-field_593242d-0\">Lleva una m\u00e1scara, siente que le ayuda.<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Lleva una m\u00e1scara, no cree que le ayude.\" id=\"form-field-field_593242d-1\" name=\"form_fields[field_593242d]\"> <label for=\"form-field-field_593242d-1\">Lleva una m\u00e1scara, no cree que le ayude.<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No lleva mascarilla, pero cree que el uso de mascarillas ayuda.\" id=\"form-field-field_593242d-2\" name=\"form_fields[field_593242d]\"> <label for=\"form-field-field_593242d-2\">No lleva mascarilla, pero cree que el uso de mascarillas ayuda.<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No lleva mascarilla, no cree que le ayude.\" id=\"form-field-field_593242d-3\" name=\"form_fields[field_593242d]\"> <label for=\"form-field-field_593242d-3\">No lleva mascarilla, no cree que le ayude.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_1a2a76b elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1a2a76b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfHa viajado recientemente?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_1a2a76b-0\" name=\"form_fields[field_1a2a76b]\"> <label for=\"form-field-field_1a2a76b-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_1a2a76b-1\" name=\"form_fields[field_1a2a76b]\"> <label for=\"form-field-field_1a2a76b-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_b4ebca3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b4ebca3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEn caso de respuesta afirmativa a la pregunta anterior:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_b4ebca3]\" id=\"form-field-field_b4ebca3\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e9b291d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e9b291d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfHa tenido que poner en cuarentena o ha estado en cuarentena?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_e9b291d-0\" name=\"form_fields[field_e9b291d]\"> <label for=\"form-field-field_e9b291d-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_e9b291d-1\" name=\"form_fields[field_e9b291d]\"> <label for=\"form-field-field_e9b291d-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_05a29be elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_05a29be\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfAlg\u00fan s\u00edntoma?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_05a29be-0\" name=\"form_fields[field_05a29be]\"> <label for=\"form-field-field_05a29be-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_05a29be-1\" name=\"form_fields[field_05a29be]\"> <label for=\"form-field-field_05a29be-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_3ba78bb elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3ba78bb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi la respuesta es NO a la pregunta anterior, \u00bfc\u00f3mo se siente hoy?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_3ba78bb]\" id=\"form-field-field_3ba78bb\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2bd4e1c elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_453febc elementor-col-100\">\n\t\t\t\t\t<big><b>SINTOMAS: MARQUE UNO PARA CADA POSIBLE S\u00cdNTOMA A CONTINUACI\u00d3N<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_df4d0f1 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_df4d0f1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFiebre\/Colinas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_df4d0f1-0\" name=\"form_fields[field_df4d0f1]\"> <label for=\"form-field-field_df4d0f1-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_df4d0f1-1\" name=\"form_fields[field_df4d0f1]\"> <label for=\"form-field-field_df4d0f1-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_df4d0f1-2\" name=\"form_fields[field_df4d0f1]\"> <label for=\"form-field-field_df4d0f1-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3f1e6a2 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3f1e6a2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFatiga\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_3f1e6a2-0\" name=\"form_fields[field_3f1e6a2]\"> <label for=\"form-field-field_3f1e6a2-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_3f1e6a2-1\" name=\"form_fields[field_3f1e6a2]\"> <label for=\"form-field-field_3f1e6a2-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_3f1e6a2-2\" name=\"form_fields[field_3f1e6a2]\"> <label for=\"form-field-field_3f1e6a2-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_c493e24 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c493e24\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_c493e24-0\" name=\"form_fields[field_c493e24]\"> <label for=\"form-field-field_c493e24-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_c493e24-1\" name=\"form_fields[field_c493e24]\"> <label for=\"form-field-field_c493e24-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_c493e24-2\" name=\"form_fields[field_c493e24]\"> <label for=\"form-field-field_c493e24-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_6b59c52 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6b59c52\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDificultad para respirar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_6b59c52-0\" name=\"form_fields[field_6b59c52]\"> <label for=\"form-field-field_6b59c52-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_6b59c52-1\" name=\"form_fields[field_6b59c52]\"> <label for=\"form-field-field_6b59c52-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_6b59c52-2\" name=\"form_fields[field_6b59c52]\"> <label for=\"form-field-field_6b59c52-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_be922a2 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_be922a2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNariz congestionada\/contra\u00edda\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_be922a2-0\" name=\"form_fields[field_be922a2]\"> <label for=\"form-field-field_be922a2-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_be922a2-1\" name=\"form_fields[field_be922a2]\"> <label for=\"form-field-field_be922a2-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_be922a2-2\" name=\"form_fields[field_be922a2]\"> <label for=\"form-field-field_be922a2-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_80268cb elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_b936d8d elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b936d8d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGarganta dolorida\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_b936d8d-0\" name=\"form_fields[field_b936d8d]\"> <label for=\"form-field-field_b936d8d-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_b936d8d-1\" name=\"form_fields[field_b936d8d]\"> <label for=\"form-field-field_b936d8d-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_b936d8d-2\" name=\"form_fields[field_b936d8d]\"> <label for=\"form-field-field_b936d8d-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_349a2c6 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_349a2c6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tjaqueca\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_349a2c6-0\" name=\"form_fields[field_349a2c6]\"> <label for=\"form-field-field_349a2c6-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_349a2c6-1\" name=\"form_fields[field_349a2c6]\"> <label for=\"form-field-field_349a2c6-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_349a2c6-2\" name=\"form_fields[field_349a2c6]\"> <label for=\"form-field-field_349a2c6-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_de636ea elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_de636ea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBody Aches\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_de636ea-0\" name=\"form_fields[field_de636ea]\"> <label for=\"form-field-field_de636ea-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_de636ea-1\" name=\"form_fields[field_de636ea]\"> <label for=\"form-field-field_de636ea-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_de636ea-2\" name=\"form_fields[field_de636ea]\"> <label for=\"form-field-field_de636ea-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_48e1394 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_48e1394\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00e1useas\/V\u00f3mitos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_48e1394-0\" name=\"form_fields[field_48e1394]\"> <label for=\"form-field-field_48e1394-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_48e1394-1\" name=\"form_fields[field_48e1394]\"> <label for=\"form-field-field_48e1394-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_48e1394-2\" name=\"form_fields[field_48e1394]\"> <label for=\"form-field-field_48e1394-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_53077d5 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_53077d5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiarrea\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_53077d5-0\" name=\"form_fields[field_53077d5]\"> <label for=\"form-field-field_53077d5-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_53077d5-1\" name=\"form_fields[field_53077d5]\"> <label for=\"form-field-field_53077d5-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_53077d5-2\" name=\"form_fields[field_53077d5]\"> <label for=\"form-field-field_53077d5-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_98e4798 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e83c8b3 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e83c8b3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tP\u00e9rdida de sabor y olor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_e83c8b3-0\" name=\"form_fields[field_e83c8b3]\"> <label for=\"form-field-field_e83c8b3-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_e83c8b3-1\" name=\"form_fields[field_e83c8b3]\"> <label for=\"form-field-field_e83c8b3-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_e83c8b3-2\" name=\"form_fields[field_e83c8b3]\"> <label for=\"form-field-field_e83c8b3-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_81ca3a7 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_81ca3a7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProblemas para respirar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_81ca3a7-0\" name=\"form_fields[field_81ca3a7]\"> <label for=\"form-field-field_81ca3a7-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_81ca3a7-1\" name=\"form_fields[field_81ca3a7]\"> <label for=\"form-field-field_81ca3a7-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_81ca3a7-2\" name=\"form_fields[field_81ca3a7]\"> <label for=\"form-field-field_81ca3a7-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_29ade48 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_29ade48\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDolor\/Presi\u00f3n en el pecho\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_29ade48-0\" name=\"form_fields[field_29ade48]\"> <label for=\"form-field-field_29ade48-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_29ade48-1\" name=\"form_fields[field_29ade48]\"> <label for=\"form-field-field_29ade48-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_29ade48-2\" name=\"form_fields[field_29ade48]\"> <label for=\"form-field-field_29ade48-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_f3d7392 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f3d7392\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNueva confusi\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_f3d7392-0\" name=\"form_fields[field_f3d7392]\"> <label for=\"form-field-field_f3d7392-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_f3d7392-1\" name=\"form_fields[field_f3d7392]\"> <label for=\"form-field-field_f3d7392-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_f3d7392-2\" name=\"form_fields[field_f3d7392]\"> <label for=\"form-field-field_f3d7392-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_bede140 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bede140\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIncapacidad para despertar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_bede140-0\" name=\"form_fields[field_bede140]\"> <label for=\"form-field-field_bede140-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_bede140-1\" name=\"form_fields[field_bede140]\"> <label for=\"form-field-field_bede140-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_bede140-2\" name=\"form_fields[field_bede140]\"> <label for=\"form-field-field_bede140-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8187033 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_bd22b5e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bd22b5e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLabios o cara azulados\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_bd22b5e-0\" name=\"form_fields[field_bd22b5e]\"> <label for=\"form-field-field_bd22b5e-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_bd22b5e-1\" name=\"form_fields[field_bd22b5e]\"> <label for=\"form-field-field_bd22b5e-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_bd22b5e-2\" name=\"form_fields[field_bd22b5e]\"> <label for=\"form-field-field_bd22b5e-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_1acd55c elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1acd55c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOtras notas de HPI y ROS:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_1acd55c]\" id=\"form-field-field_1acd55c\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1cd7f96 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_114072e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_114072e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfC\u00f3mo se evalu\u00f3 a este paciente durante este encuentro cl\u00ednico?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"TELESALUD (V\u00cdDEO + AUDIO para la mayor\u00eda\/todos los encuentros)\" id=\"form-field-field_114072e-0\" name=\"form_fields[field_114072e]\"> <label for=\"form-field-field_114072e-0\">TELESALUD (V\u00cdDEO + AUDIO para la mayor\u00eda\/todos los encuentros)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"TEL\u00c9FONO (AUDIO SOLO para la mayor\u00eda\/todos los encuentros)\" id=\"form-field-field_114072e-1\" name=\"form_fields[field_114072e]\"> <label for=\"form-field-field_114072e-1\">TEL\u00c9FONO (AUDIO SOLO para la mayor\u00eda\/todos los encuentros)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"EN PERSONA (cara a cara)\" id=\"form-field-field_114072e-2\" name=\"form_fields[field_114072e]\"> <label for=\"form-field-field_114072e-2\">EN PERSONA (cara a cara)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_00ce8df elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_00ce8df\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEl paciente consiente la visita por v\u00eddeo seg\u00fan las directrices de los CDC durante la pandemia de COVID-19.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_00ce8df-0\" name=\"form_fields[field_00ce8df]\"> <label for=\"form-field-field_00ce8df-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_00ce8df-1\" name=\"form_fields[field_00ce8df]\"> <label for=\"form-field-field_00ce8df-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c2e80da elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_222fe28 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_222fe28\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tROS: Se realiz\u00f3 un ROS completo y fue negativo, salvo lo indicado anteriormente.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_222fe28-0\" name=\"form_fields[field_222fe28]\"> <label for=\"form-field-field_222fe28-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_222fe28-1\" name=\"form_fields[field_222fe28]\"> <label for=\"form-field-field_222fe28-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_18d5842 elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_53d782f elementor-col-100\">\n\t\t\t\t\t<big><b>HISTORIAL M\u00c9DICO \/ SOCIAL \/ FAMILIAR<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_0532009 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0532009\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAsma\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_0532009-0\" name=\"form_fields[field_0532009]\"> <label for=\"form-field-field_0532009-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_0532009-1\" name=\"form_fields[field_0532009]\"> <label for=\"form-field-field_0532009-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_0532009-2\" name=\"form_fields[field_0532009]\"> <label for=\"form-field-field_0532009-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_0d019eb elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0d019eb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiabetes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_0d019eb-0\" name=\"form_fields[field_0d019eb]\"> <label for=\"form-field-field_0d019eb-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_0d019eb-1\" name=\"form_fields[field_0d019eb]\"> <label for=\"form-field-field_0d019eb-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_0d019eb-2\" name=\"form_fields[field_0d019eb]\"> <label for=\"form-field-field_0d019eb-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e35bb1d elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e35bb1d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHipertensi\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_e35bb1d-0\" name=\"form_fields[field_e35bb1d]\"> <label for=\"form-field-field_e35bb1d-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_e35bb1d-1\" name=\"form_fields[field_e35bb1d]\"> <label for=\"form-field-field_e35bb1d-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_e35bb1d-2\" name=\"form_fields[field_e35bb1d]\"> <label for=\"form-field-field_e35bb1d-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_71ca2f3 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_71ca2f3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnfermedad card\u00edaca\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_71ca2f3-0\" name=\"form_fields[field_71ca2f3]\"> <label for=\"form-field-field_71ca2f3-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_71ca2f3-1\" name=\"form_fields[field_71ca2f3]\"> <label for=\"form-field-field_71ca2f3-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_71ca2f3-2\" name=\"form_fields[field_71ca2f3]\"> <label for=\"form-field-field_71ca2f3-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_44f121a elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_44f121a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnfermedades del h\u00edgado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_44f121a-0\" name=\"form_fields[field_44f121a]\"> <label for=\"form-field-field_44f121a-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_44f121a-1\" name=\"form_fields[field_44f121a]\"> <label for=\"form-field-field_44f121a-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_44f121a-2\" name=\"form_fields[field_44f121a]\"> <label for=\"form-field-field_44f121a-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8a77a35 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_678136a elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_678136a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tInmunocomprometidos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_678136a-0\" name=\"form_fields[field_678136a]\"> <label for=\"form-field-field_678136a-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_678136a-1\" name=\"form_fields[field_678136a]\"> <label for=\"form-field-field_678136a-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_678136a-2\" name=\"form_fields[field_678136a]\"> <label for=\"form-field-field_678136a-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_421f9ec elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_421f9ec\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHipercolesterolemia\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_421f9ec-0\" name=\"form_fields[field_421f9ec]\"> <label for=\"form-field-field_421f9ec-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_421f9ec-1\" name=\"form_fields[field_421f9ec]\"> <label for=\"form-field-field_421f9ec-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_421f9ec-2\" name=\"form_fields[field_421f9ec]\"> <label for=\"form-field-field_421f9ec-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_f3e71da elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f3e71da\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnfermedad pulmonar cr\u00f3nica\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_f3e71da-0\" name=\"form_fields[field_f3e71da]\"> <label for=\"form-field-field_f3e71da-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_f3e71da-1\" name=\"form_fields[field_f3e71da]\"> <label for=\"form-field-field_f3e71da-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_f3e71da-2\" name=\"form_fields[field_f3e71da]\"> <label for=\"form-field-field_f3e71da-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d463acc elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d463acc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDz renal cr\u00f3nica con di\u00e1lisis\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ADMITE\" id=\"form-field-field_d463acc-0\" name=\"form_fields[field_d463acc]\"> <label for=\"form-field-field_d463acc-0\">ADMITE<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NIEGA\" id=\"form-field-field_d463acc-1\" name=\"form_fields[field_d463acc]\"> <label for=\"form-field-field_d463acc-1\">NIEGA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_d463acc-2\" name=\"form_fields[field_d463acc]\"> <label for=\"form-field-field_d463acc-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_109c262 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_109c262\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOtros:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_109c262]\" id=\"form-field-field_109c262\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6b5d8c6 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a5ab6c8 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a5ab6c8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMedicamentos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a5ab6c8]\" id=\"form-field-field_a5ab6c8\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1b1dd9a elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1b1dd9a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAlergias\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1b1dd9a]\" id=\"form-field-field_1b1dd9a\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_619a23b elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_619a23b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCirug\u00edas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_619a23b]\" id=\"form-field-field_619a23b\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ca8f876 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ca8f876\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFumar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ca8f876]\" id=\"form-field-field_ca8f876\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5bc711e elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5bc711e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAlcohol\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5bc711e]\" id=\"form-field-field_5bc711e\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a762506 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a762506\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHx familiar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a762506]\" id=\"form-field-field_a762506\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_bba9668 elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_942be91 elementor-col-100\">\n\t\t\t\t\t<big><b>EXAMEN F\u00cdSICO<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_9081337 elementor-col-100\">\n\t\t\t\t\t<small>Debido a la pandemia de COVID, si existe la sospecha de exposici\u00f3n, los proveedores deben iniciar el contacto durante el examen f\u00edsico s\u00f3lo si es absolutamente necesario desde el punto de vista m\u00e9dico. Por favor, realice el examen f\u00edsico que se indica a continuaci\u00f3n e incluya los comentarios en la secci\u00f3n siguiente. Cuando sea posible, registre las constantes vitales.<\/small>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_b3e8436 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b3e8436\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltura (pulg.)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_b3e8436]\" id=\"form-field-field_b3e8436\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"altura\" min=\"0\" max=\"108\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_f2387ba elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f2387ba\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPeso (lbs.)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_f2387ba]\" id=\"form-field-field_f2387ba\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"peso\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4e38101 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4e38101\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTemperatura (\u00b0F)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4e38101]\" id=\"form-field-field_4e38101\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"temperatura\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_1f907db elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1f907db\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLas constantes vitales son las informadas por el paciente mediante dispositivos dise\u00f1ados para uso dom\u00e9stico\/personal.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_1f907db-0\" name=\"form_fields[field_1f907db]\"> <label for=\"form-field-field_1f907db-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_1f907db-1\" name=\"form_fields[field_1f907db]\"> <label for=\"form-field-field_1f907db-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_3bcf2a2 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3bcf2a2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi la respuesta es NO a la afirmaci\u00f3n anterior:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_3bcf2a2]\" id=\"form-field-field_3bcf2a2\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_a0df4e3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a0df4e3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGen: parece estar bien, no tiene problemas agudos y no parece estar enfermo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_a0df4e3-0\" name=\"form_fields[field_a0df4e3]\"> <label for=\"form-field-field_a0df4e3-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_a0df4e3-1\" name=\"form_fields[field_a0df4e3]\"> <label for=\"form-field-field_a0df4e3-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_a0df4e3-2\" name=\"form_fields[field_a0df4e3]\"> <label for=\"form-field-field_a0df4e3-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_cb969d7 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cb969d7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_cb969d7]\" id=\"form-field-field_cb969d7\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_57bdd86 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_57bdd86\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOjos: sin secreci\u00f3n, inyecci\u00f3n; pupilas iguales y redondas; no ict\u00e9ricas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_57bdd86-0\" name=\"form_fields[field_57bdd86]\"> <label for=\"form-field-field_57bdd86-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_57bdd86-1\" name=\"form_fields[field_57bdd86]\"> <label for=\"form-field-field_57bdd86-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_57bdd86-2\" name=\"form_fields[field_57bdd86]\"> <label for=\"form-field-field_57bdd86-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_56e074b elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_56e074b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_56e074b]\" id=\"form-field-field_56e074b\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8ca0b23 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8ca0b23\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tO\u00eddos: No se observan lesiones externas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_8ca0b23-0\" name=\"form_fields[field_8ca0b23]\"> <label for=\"form-field-field_8ca0b23-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_8ca0b23-1\" name=\"form_fields[field_8ca0b23]\"> <label for=\"form-field-field_8ca0b23-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_8ca0b23-2\" name=\"form_fields[field_8ca0b23]\"> <label for=\"form-field-field_8ca0b23-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_dcc6ccb elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dcc6ccb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_dcc6ccb]\" id=\"form-field-field_dcc6ccb\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_67fcab7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_67fcab7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNariz: No se observan lesiones externas ni secreciones\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_67fcab7-0\" name=\"form_fields[field_67fcab7]\"> <label for=\"form-field-field_67fcab7-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_67fcab7-1\" name=\"form_fields[field_67fcab7]\"> <label for=\"form-field-field_67fcab7-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_67fcab7-2\" name=\"form_fields[field_67fcab7]\"> <label for=\"form-field-field_67fcab7-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_045f283 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_045f283\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_045f283]\" id=\"form-field-field_045f283\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8791a6d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8791a6d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRespiratorio: No hay disnea conversacional, ni cianosis central\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_8791a6d-0\" name=\"form_fields[field_8791a6d]\"> <label for=\"form-field-field_8791a6d-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_8791a6d-1\" name=\"form_fields[field_8791a6d]\"> <label for=\"form-field-field_8791a6d-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_8791a6d-2\" name=\"form_fields[field_8791a6d]\"> <label for=\"form-field-field_8791a6d-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_a9e01a6 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a9e01a6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_a9e01a6]\" id=\"form-field-field_a9e01a6\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e299c20 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e299c20\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLa espalda: Buena postura y estaci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_e299c20-0\" name=\"form_fields[field_e299c20]\"> <label for=\"form-field-field_e299c20-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_e299c20-1\" name=\"form_fields[field_e299c20]\"> <label for=\"form-field-field_e299c20-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_e299c20-2\" name=\"form_fields[field_e299c20]\"> <label for=\"form-field-field_e299c20-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_b066855 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b066855\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_b066855]\" id=\"form-field-field_b066855\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_a141c38 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a141c38\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMSK: fuerza motora y tono groseramente normal; movimiento grueso de las extremidades WNL\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_a141c38-0\" name=\"form_fields[field_a141c38]\"> <label for=\"form-field-field_a141c38-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_a141c38-1\" name=\"form_fields[field_a141c38]\"> <label for=\"form-field-field_a141c38-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_a141c38-2\" name=\"form_fields[field_a141c38]\"> <label for=\"form-field-field_a141c38-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_24e132b elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_24e132b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_24e132b]\" id=\"form-field-field_24e132b\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_55cfe02 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_55cfe02\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNeuro: A&amp;O x 3, CN groseramente intacto, examen cognitivo groseramente normal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_55cfe02-0\" name=\"form_fields[field_55cfe02]\"> <label for=\"form-field-field_55cfe02-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_55cfe02-1\" name=\"form_fields[field_55cfe02]\"> <label for=\"form-field-field_55cfe02-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_55cfe02-2\" name=\"form_fields[field_55cfe02]\"> <label for=\"form-field-field_55cfe02-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_62f7efa elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_62f7efa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_62f7efa]\" id=\"form-field-field_62f7efa\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_17f4cdc elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_17f4cdc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPs\u00edquico: Juicio\/visi\u00f3n buena, estado de \u00e1nimo\/afecto completo\/agradable, memoria reciente\/remota normal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"CONFIRMADO\" id=\"form-field-field_17f4cdc-0\" name=\"form_fields[field_17f4cdc]\"> <label for=\"form-field-field_17f4cdc-0\">CONFIRMADO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ABNORMAL\" id=\"form-field-field_17f4cdc-1\" name=\"form_fields[field_17f4cdc]\"> <label for=\"form-field-field_17f4cdc-1\">ABNORMAL<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO REVISADO\" id=\"form-field-field_17f4cdc-2\" name=\"form_fields[field_17f4cdc]\"> <label for=\"form-field-field_17f4cdc-2\">NO REVISADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_fbb89e7 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fbb89e7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi lo anterior es ABNORMAL:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_fbb89e7]\" id=\"form-field-field_fbb89e7\" rows=\"4\" placeholder=\"detalles aqu\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_93800d7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_93800d7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOtras notas adicionales:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_93800d7]\" id=\"form-field-field_93800d7\" rows=\"4\" placeholder=\"notas adicionales\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_ee7b5ac elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ee7b5ac\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDECLARACI\u00d3N EMITIDA\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"&lt;small&gt;Debido a la pandemia de COVID, si existe la sospecha de exposici\u00f3n, los proveedores deben iniciar el contacto durante el examen f\u00edsico s\u00f3lo si es absolutamente necesario desde el punto de vista m\u00e9dico. Por favor, realice el examen f\u00edsico que se indica a continuaci\u00f3n e incluya los comentarios en la secci\u00f3n siguiente. Cuando sea posible, registre las constantes vitales.&lt;\/small&gt;\" id=\"form-field-field_ee7b5ac-0\" name=\"form_fields[field_ee7b5ac]\"> <label for=\"form-field-field_ee7b5ac-0\"><small>Debido a la pandemia de COVID, si existe la sospecha de exposici\u00f3n, los proveedores deben iniciar el contacto durante el examen f\u00edsico s\u00f3lo si es absolutamente necesario desde el punto de vista m\u00e9dico. Por favor, realice el examen f\u00edsico que se indica a continuaci\u00f3n e incluya los comentarios en la secci\u00f3n siguiente. Cuando sea posible, registre las constantes vitales.<\/small><\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7285346 elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a4fe8b8 elementor-col-100\">\n\t\t\t\t\t<big><b>REVISADO CON EL PACIENTE<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_2dfa9c3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2dfa9c3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEl paciente da su consentimiento para la visita de telesalud como sustituto de una visita en la cl\u00ednica debido a la posible exposici\u00f3n al COVID-19 durante la pandemia seg\u00fan las recomendaciones de los CDC. El paciente fue atendido por Telesalud y evaluado a distancia en la medida de las posibilidades de este proveedor.  \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_2dfa9c3-0\" name=\"form_fields[field_2dfa9c3]\"> <label for=\"form-field-field_2dfa9c3-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_7ab48c4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7ab48c4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSe aconsej\u00f3 al paciente que acudiera a urgencias o llamara al 911 en caso de dolor tor\u00e1cico intenso, falta de aire o emergencia que no se aliviara con la medicaci\u00f3n casera. Se aconsej\u00f3 a la paciente que permaneciera en casa y evitara contactos innecesarios, que optimizara la nutrici\u00f3n, la hidrataci\u00f3n y el descanso. Mantenga la calma y trate los s\u00edntomas manejables en casa. P\u00f3ngase en contacto con Telesalud si tiene m\u00e1s dudas.  \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_7ab48c4-0\" name=\"form_fields[field_7ab48c4]\"> <label for=\"form-field-field_7ab48c4-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_dd44eff elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dd44eff\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSe discutieron las directrices de los CDC (seg\u00fan la actualizaci\u00f3n del 20 de julio de 2020) para la interrupci\u00f3n del aislamiento:  <br>- Ya no se recomienda una estrategia basada en pruebas para determinar cu\u00e1ndo se debe suspender el aislamiento domiciliario, excepto en determinadas circunstancias.<br>- En el caso de la enfermedad asintom\u00e1tica, puede suspender el aislamiento despu\u00e9s de que hayan transcurrido al menos 10 d\u00edas desde el primer d\u00eda de la prueba RT-PCR positiva para el ARN del SRAS-CoV-2.<br>- En el caso de una enfermedad leve o moderada, se puede suspender el aislamiento despu\u00e9s de que hayan pasado al menos 10 d\u00edas desde el inicio de los s\u00edntomas Y al menos 24 horas afebril (sin uso de medicaci\u00f3n antifebril) Y otros s\u00edntomas mejorados.<br>- En el caso de enfermedades graves o cr\u00edticas o de pacientes inmunocomprometidos, se puede interrumpir el aislamiento despu\u00e9s de que hayan transcurrido al menos 20 d\u00edas desde la aparici\u00f3n de los s\u00edntomas Y al menos 24 horas de afebrilidad (sin uso de medicaci\u00f3n antifebril) Y la mejora de otros s\u00edntomas.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_dd44eff-0\" name=\"form_fields[field_dd44eff]\"> <label for=\"form-field-field_dd44eff-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_6ac556a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6ac556a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSe advierte al paciente que ni la prueba de anticuerpos (IgM e IgG) ni la prueba de ant\u00edgenos est\u00e1n aprobadas por la FDA, pero ambas recibieron la Autorizaci\u00f3n de Uso de Emergencia (EUA) de la FDA en virtud de su Pol\u00edtica para Pruebas de Enfermedad por Coronavirus-2019 durante la Emergencia de Salud P\u00fablica, publicada el 11 de mayo de 2020, tras la declaraci\u00f3n federal de la Emergencia de Salud P\u00fablica (PHE) declarada el 13 de marzo de 2020. Todas las preguntas contestadas. Se aconseja al paciente que si se realiza la prueba de anticuerpos y es positiva, se le recomendar\u00e1 la prueba de PCR con hisopo de COVID-19. Tambi\u00e9n se aconseja al paciente que, si se realiza la prueba de ant\u00edgeno y es negativa, se le recomendar\u00e1 la prueba de PCR con hisopo de COVID-19. Si se realiza la prueba de PCR con hisopo, se recomienda la cuarentena hasta que se reciban los resultados.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_6ac556a-0\" name=\"form_fields[field_6ac556a]\"> <label for=\"form-field-field_6ac556a-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8e6f6df elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_29d17ac elementor-col-100\">\n\t\t\t\t\t<big><b>CODIFICACI\u00d3N DE PROVEEDORES<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_6183bd0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6183bd0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccione uno de los siguientes:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Z20.828 Sospecha\/confirmaci\u00f3n de exposici\u00f3n a Covid\" id=\"form-field-field_6183bd0-0\" name=\"form_fields[field_6183bd0]\"> <label for=\"form-field-field_6183bd0-0\">Z20.828 Sospecha\/confirmaci\u00f3n de exposici\u00f3n a Covid<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Z20.828 Sospecha de gripe\" id=\"form-field-field_6183bd0-1\" name=\"form_fields[field_6183bd0]\"> <label for=\"form-field-field_6183bd0-1\">Z20.828 Sospecha de gripe<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"U07.1 COVID POSITIVO\" id=\"form-field-field_6183bd0-2\" name=\"form_fields[field_6183bd0]\"> <label for=\"form-field-field_6183bd0-2\">U07.1 COVID POSITIVO<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ninguno de ellos\" id=\"form-field-field_6183bd0-3\" name=\"form_fields[field_6183bd0]\"> <label for=\"form-field-field_6183bd0-3\">Ninguno de ellos<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b3d9c70 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_5cb4cca elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5cb4cca\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tZ71.89 Otro asesoramiento especificado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_5cb4cca-0\" name=\"form_fields[field_5cb4cca]\"> <label for=\"form-field-field_5cb4cca-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_485d7b0 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_8f74403 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8f74403\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR51 Dolor de cabeza\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_8f74403-0\" name=\"form_fields[field_8f74403]\"> <label for=\"form-field-field_8f74403-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_109f6b5 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_109f6b5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR50.9 Fiebre, sin especificar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_109f6b5-0\" name=\"form_fields[field_109f6b5]\"> <label for=\"form-field-field_109f6b5-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_ef9eaf7 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ef9eaf7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR68.83 Escalofr\u00edos (sin fiebre)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_ef9eaf7-0\" name=\"form_fields[field_ef9eaf7]\"> <label for=\"form-field-field_ef9eaf7-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_5855ee9 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5855ee9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR52 Dolores corporales\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_5855ee9-0\" name=\"form_fields[field_5855ee9]\"> <label for=\"form-field-field_5855ee9-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_7729ade elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7729ade\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR53.1 Debilidad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_7729ade-0\" name=\"form_fields[field_7729ade]\"> <label for=\"form-field-field_7729ade-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_9b63da3 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9b63da3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR53.83 Fatiga, tipo no especificado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_9b63da3-0\" name=\"form_fields[field_9b63da3]\"> <label for=\"form-field-field_9b63da3-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_fa72bac elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_41119c0 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_41119c0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ01.90 Sinusitis aguda, sin especificar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_41119c0-0\" name=\"form_fields[field_41119c0]\"> <label for=\"form-field-field_41119c0-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_b826535 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b826535\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR09.81 Congesti\u00f3n de los senos nasales\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_b826535-0\" name=\"form_fields[field_b826535]\"> <label for=\"form-field-field_b826535-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_40a39c6 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_40a39c6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR09.82 Goteo post-nasal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_40a39c6-0\" name=\"form_fields[field_40a39c6]\"> <label for=\"form-field-field_40a39c6-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_0aa2570 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0aa2570\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ00 Rinorrea\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_0aa2570-0\" name=\"form_fields[field_0aa2570]\"> <label for=\"form-field-field_0aa2570-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_1bada88 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1bada88\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR06.7 Estornudos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_1bada88-0\" name=\"form_fields[field_1bada88]\"> <label for=\"form-field-field_1bada88-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6fba4ad elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_9497345 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9497345\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR43.0 P\u00e9rdida de olfato\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_9497345-0\" name=\"form_fields[field_9497345]\"> <label for=\"form-field-field_9497345-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_864d40d elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_864d40d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR43.2 P\u00e9rdida del gusto\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_864d40d-0\" name=\"form_fields[field_864d40d]\"> <label for=\"form-field-field_864d40d-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_fe70910 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fe70910\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR43.9 Alteraci\u00f3n de la sensaci\u00f3n olfativa o gustativa\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_fe70910-0\" name=\"form_fields[field_fe70910]\"> <label for=\"form-field-field_fe70910-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1dadd17 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_a91d6cd elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a91d6cd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR05 Tos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_a91d6cd-0\" name=\"form_fields[field_a91d6cd]\"> <label for=\"form-field-field_a91d6cd-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_b6a8bc6 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b6a8bc6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ02.9 Faringitis aguda, sin especificar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_b6a8bc6-0\" name=\"form_fields[field_b6a8bc6]\"> <label for=\"form-field-field_b6a8bc6-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_11369ee elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_11369ee\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ39.2 Garganta irritada\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_11369ee-0\" name=\"form_fields[field_11369ee]\"> <label for=\"form-field-field_11369ee-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_c60c333 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c60c333\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR07.0 Dolor de garganta\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_c60c333-0\" name=\"form_fields[field_c60c333]\"> <label for=\"form-field-field_c60c333-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_91a5870 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_91a5870\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR09.89 Flema en la garganta\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_91a5870-0\" name=\"form_fields[field_91a5870]\"> <label for=\"form-field-field_91a5870-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_5e722c7 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5e722c7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ37.0 Congesti\u00f3n de la laringe\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_5e722c7-0\" name=\"form_fields[field_5e722c7]\"> <label for=\"form-field-field_5e722c7-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_18e8067 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_18e8067\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ98.8 Congesti\u00f3n de las v\u00edas respiratorias\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_18e8067-0\" name=\"form_fields[field_18e8067]\"> <label for=\"form-field-field_18e8067-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_11985dd elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_6f7690e elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6f7690e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR06.02 Falta de aire\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_6f7690e-0\" name=\"form_fields[field_6f7690e]\"> <label for=\"form-field-field_6f7690e-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_9c6ee73 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9c6ee73\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR06.2 Sibilancias\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_9c6ee73-0\" name=\"form_fields[field_9c6ee73]\"> <label for=\"form-field-field_9c6ee73-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_b4daa95 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b4daa95\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR06.4 Respiraci\u00f3n dificultosa\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_b4daa95-0\" name=\"form_fields[field_b4daa95]\"> <label for=\"form-field-field_b4daa95-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_ddcb546 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ddcb546\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR06.03 Dificultad respiratoria\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_ddcb546-0\" name=\"form_fields[field_ddcb546]\"> <label for=\"form-field-field_ddcb546-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_a7d49f0 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a7d49f0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR06.89 Otras anomal\u00edas de la respiraci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_a7d49f0-0\" name=\"form_fields[field_a7d49f0]\"> <label for=\"form-field-field_a7d49f0-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_4cdd5c3 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4cdd5c3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR07.89 Opresi\u00f3n en el pecho\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_4cdd5c3-0\" name=\"form_fields[field_4cdd5c3]\"> <label for=\"form-field-field_4cdd5c3-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_9a1fd08 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9a1fd08\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR07.1 Dolor tor\u00e1cico al respirar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_9a1fd08-0\" name=\"form_fields[field_9a1fd08]\"> <label for=\"form-field-field_9a1fd08-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_6e99106 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6e99106\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR07.9 Dolor tor\u00e1cico, tipo no especificado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_6e99106-0\" name=\"form_fields[field_6e99106]\"> <label for=\"form-field-field_6e99106-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0e22391 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_2ec6837 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ec6837\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR11.0 S\u00f3lo n\u00e1useas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_2ec6837-0\" name=\"form_fields[field_2ec6837]\"> <label for=\"form-field-field_2ec6837-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_f1c5b7e elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f1c5b7e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR11.2 N\u00e1useas con v\u00f3mitos, sin especificar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_f1c5b7e-0\" name=\"form_fields[field_f1c5b7e]\"> <label for=\"form-field-field_f1c5b7e-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_f12c343 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f12c343\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR11.10 V\u00f3mitos, sin especificar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_f12c343-0\" name=\"form_fields[field_f12c343]\"> <label for=\"form-field-field_f12c343-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_e469688 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e469688\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR10.9 Dolor abdominal, localizaci\u00f3n abdominal no especificada\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_e469688-0\" name=\"form_fields[field_e469688]\"> <label for=\"form-field-field_e469688-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_8767330 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8767330\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR19.7 Diarrea de tipo no especificado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_8767330-0\" name=\"form_fields[field_8767330]\"> <label for=\"form-field-field_8767330-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_47d4fe9 elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_805492d elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_805492d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ22 Infecci\u00f3n respiratoria aguda\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_805492d-0\" name=\"form_fields[field_805492d]\"> <label for=\"form-field-field_805492d-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_95f2a15 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_95f2a15\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB34.9 Enfermedad v\u00edrica\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_95f2a15-0\" name=\"form_fields[field_95f2a15]\"> <label for=\"form-field-field_95f2a15-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_3c1b4a9 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3c1b4a9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJ10 Gripe debida a otro virus de la gripe identificado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_3c1b4a9-0\" name=\"form_fields[field_3c1b4a9]\"> <label for=\"form-field-field_3c1b4a9-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_b299d35 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b299d35\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOtros Dx:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_b299d35]\" id=\"form-field-field_b299d35\" rows=\"4\" placeholder=\"otros\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_45b2f96 elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7db7c91 elementor-col-100\">\n\t\t\t\t\t<big><b>\u00d3RDENES DE TRABAJO<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_5c9a52e elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5c9a52e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCOVID-19 PCR (U0003)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_5c9a52e-0\" name=\"form_fields[field_5c9a52e]\"> <label for=\"form-field-field_5c9a52e-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_787e01b elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_787e01b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAnt\u00edgeno COVID-19, POC r\u00e1pido (87811)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_787e01b-0\" name=\"form_fields[field_787e01b]\"> <label for=\"form-field-field_787e01b-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_756ab6b elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_756ab6b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAnticuerpo COVID-19, POC r\u00e1pido (86328)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_756ab6b-0\" name=\"form_fields[field_756ab6b]\"> <label for=\"form-field-field_756ab6b-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_c579e55 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c579e55\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tInfluenza A\/B, Rapid POC (87804 x2)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_c579e55-0\" name=\"form_fields[field_c579e55]\"> <label for=\"form-field-field_c579e55-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_207e458 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_207e458\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEstreptococo A, POC r\u00e1pido (87880)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CONFIRMADO\" id=\"form-field-field_207e458-0\" name=\"form_fields[field_207e458]\"> <label for=\"form-field-field_207e458-0\">CONFIRMADO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_679b39a elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_706e77b elementor-col-100\">\n\t\t\t\t\t<big><b>NIVEL E Y M<\/b><\/big>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_9298b91 elementor-col-20\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99201\" id=\"form-field-field_9298b91-0\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-0\">99201<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99202\" id=\"form-field-field_9298b91-1\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-1\">99202<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99203\" id=\"form-field-field_9298b91-2\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-2\">99203<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99204\" id=\"form-field-field_9298b91-3\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-3\">99204<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99211\" id=\"form-field-field_9298b91-4\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-4\">99211<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99212\" id=\"form-field-field_9298b91-5\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-5\">99212<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99213\" id=\"form-field-field_9298b91-6\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-6\">99213<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"99214\" id=\"form-field-field_9298b91-7\" name=\"form_fields[field_9298b91]\"> <label for=\"form-field-field_9298b91-7\">99214<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_02655cf elementor-col-100\">\n\t\t\t\t\t<br><hr><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_9155089 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9155089\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFIRMA DEL PROVEEDOR:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[field_9155089]\" id=\"form-field-field_9155089\" rows=\"4\" placeholder=\"escriba el nombre completo y las credenciales (por ejemplo, Jane Doe, FNP-C)\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-25 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-lg\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-upload\"><\/i>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">ENVIAR<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e131c4b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e131c4b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d573e33\" data-id=\"d573e33\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f8adeb9 elementor-widget elementor-widget-spacer\" data-id=\"f8adeb9\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>REGISTRO DE PACIENTES<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"folder":[],"class_list":["post-11283","page","type-page","status-publish","hentry","clearfix"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Registro de pacientes - StarMed Healthcare<\/title>\n<meta name=\"description\" content=\"StarMed Family &amp;Urgent Care ofrece servicios de medicina ocupacional a los empleadores para mantener los costos bajos sin comprometer la atenci\u00f3n al paciente\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/starmed.care\/record\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta 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