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["A. DATOS DEL ESTABLECIMIENTO Y USUARIO / PACIENTE"]
["INSTITUCIÓN DEL SISTEMA",null,null,null,null,null,null,null,null,null,null,null,null,"UNICÓDIGO",null,null,null,null,null,"ESTABLECIMIENTO DE SALUD",null,null,null,null,null,null,null,null,null,null,null,null,null,"NÚMERO DE HISTORIA CLÍNICA ÚNICA",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NÚMERO DE ARCHIVO",null,null,null,null,null,null,null,null,null,null,null,"No. HOJA"]
[]
["PRIMER APELLIDO",null,null,null,null,null,null,null,null,null,null,null,null,null,"SEGUNDO APELLIDO",null,null,null,null,null,null,null,null,null,null,null,null,null,"PRIMER NOMBRE",null,null,null,null,null,null,null,null,null,null,null,null,null,"SEGUNDO NOMBRE",null,null,null,null,null,null,null,null,null,null,null,"SEXO",null,null,null,"EDAD",null,null,"CONDICIÓN EDAD \n(MARCAR)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"H",null,"D",null,"M",null,"A"]
[]
[]
["B. CONSTANTES VITALES"]
["FECHA"]
["DIA DE INTERNACIÓN   "]
["DIA POST QUIRÚRGICO"]
["PULSO",null,"TEMP",null,null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS"]
[null,null,null,null,"HORA"]
["O"]
[]
[]
[]
[]
[]
[140]
[]
[]
[]
[]
[130]
[]
[]
[]
[]
[120,null,42]
[]
[]
[]
[]
[110,null,41]
[]
[]
[]
[]
[100,null,40]
[]
[]
[]
[]
[90,null,39]
[]
[]
[]
[]
[80,null,38]
[]
[]
[]
[]
[70,null,37]
[]
[]
[]
[]
[60,null,36]
[]
[]
[]
[]
[50,null,35]
[]
[]
[]
[]
[40]
[]
[]
[]
["F. RESPIRATORIA X min"]
["PULSIOXIMETRIA %"]
["PRESIÓN SISTÓLICA"]
["PRESIÓN DIASTÓLICA"]
["RESPONSABLE"]
[]
[]
["C. MEDIDAS ANTROPOMÉTRICAS"]
["PESO  (kg)"]
["TALLA (cm)"]
["PERÍMETRO CEFÁLICO (cm)"]
["PERÍMETRO ABDOMINAL (cm)"]
["OTROS ESPECIFIQUE"]
[]
["D. INGESTA - ELIMINACIÓN / BALANCE HÍDRICO"]
["INGRESOS    \nML","ENTERAL"]
[null,"PARENTERAL"]
[null,"VÍA ORAL"]
[null,"TOTAL"]
["ELIMINACIONES    \nML","ORINA"]
[null,"DRENAJE"]
[null,"VÓMITO"]
[null,"DIARREAS"]
[null,"OTROS\nESPECIFIQUE"]
[null,"TOTAL"]
["BALANCE HÍDRICO TOTAL"]
["DIETA PRESCRITA"]
["NÚMERO DE COMIDAS"]
["NÚMERO DE MICCIONES"]
["NÚMERO DE DEPOSICIONES"]
[]
["E. CUIDADOS GENERALES"]
["ASEO"]
["BAÑO"]
["REPOSO ESPECIFIQUE"]
["POSICIÓN ESPECIFIQUE"]
["OTROS ESPECIFIQUE"]
[]
["F. FECHA DE COLOCACIÓN DE DISPOSITIVOS MÉDICOS (aaaa-mm-dd)"]
["VÍA CENTRAL"]
["VÍA PERIFÉRICA"]
["SONDA NASOGÁSTRICA"]
["SONDA VESICAL"]
["OTROS ESPECIFIQUE"]
["RESPONSABLE"]
[]
["SNS-MSP/HCU-form.020/2021",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CONSTANTES VITALES / BALANCE HÍDRICO (1)"]

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["A. DATOS DEL USUARIO / PACIENTE"]
["PRIMER APELLIDO",null,null,null,null,null,null,null,null,null,null,null,null,null,"PRIMER NOMBRE",null,null,null,null,null,null,null,null,null,null,null,null,null,"NÚMERO DE HISTORIA CLÍNICA ÚNICA",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NÚMERO DE ARCHIVO",null,null,null,null,null,null,null,null,null,null,"EDAD",null,null,null,null,"CONDICIÓN EDAD\n(MARCAR)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"H",null,"D",null,"M",null,"A"]
[]
[]
["B. CONSTANTES VITALES"]
["FECHA"]
["DIA DE INTERNACIÓN   "]
["DIA POST QUIRÚRGICO"]
["PULSO",null,"TEMP",null,null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS",null,null,"AM",null,null,"PM",null,null,"HS"]
[null,null,null,null,"HORA"]
["O"]
[]
[]
[]
[]
[]
[140]
[]
[]
[]
[]
[130]
[]
[]
[]
[]
[120,null,42]
[]
[]
[]
[]
[110,null,41]
[]
[]
[]
[]
[100,null,40]
[]
[]
[]
[]
[90,null,39]
[]
[]
[]
[]
[80,null,38]
[]
[]
[]
[]
[70,null,37]
[]
[]
[]
[]
[60,null,36]
[]
[]
[]
[]
[50,null,35]
[]
[]
[]
[]
[40]
[]
[]
[]
["F. RESPIRATORIA X min"]
["PULSIOXIMETRIA %"]
["PRESIÓN SISTÓLICA"]
["PRESIÓN DIASTÓLICA"]
["RESPONSABLE"]
[]
[]
["C. MEDIDAS ANTROPOMÉTRICAS"]
["PESO  (kg)"]
["TALLA (cm)"]
["PERÍMETRO CEFÁLICO (cm)"]
["PERÍMETRO ABDOMINAL (cm)"]
["OTROS ESPECIFIQUE"]
[]
["D. INGESTA - ELIMINACIÓN / BALANCE HÍDRICO"]
["INGRESOS    \nML","ENTERAL"]
[null,"PARENTERAL"]
[null,"VÍA ORAL"]
[null,"TOTAL"]
["ELIMINACIONES    \nML","ORINA"]
[null,"DRENAJE"]
[null,"VÓMITO"]
[null,"DIARREAS"]
[null,"OTROS\nESPECIFIQUE"]
[null,"TOTAL"]
["TOTAL BALANCE HÍDRICO"]
["DIETA PRESCRITA"]
["NÚMERO DE COMIDAS"]
["NÚMERO DE MICCIONES"]
["NÚMERO DE DEPOSICIONES"]
[]
["E. CUIDADOS GENERALES"]
["ASEO"]
["BAÑO"]
["REPOSO ESPECIFIQUE"]
["POSICIÓN ESPECIFIQUE"]
["OTROS ESPECIFIQUE"]
[]
["F. FECHA DE COLOCACIÓN DE DISPOSITIVOS MÉDICOS (aaaa-mm-dd)"]
["VÍA CENTRAL"]
["VÍA PERIFÉRICA"]
["SONDA NASOGÁSTRICA"]
["SONDA VESICAL"]
["OTROS ESPECIFIQUE"]
["RESPONSABLE"]
[]
["SNS-MSP/HCU-form.020/2021",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CONSTANTES VITALES / BALANCE HÍDRICO (2)"]