instructivoHDCEHOJA DIARIA DE CONSULTA EXTERNANOMBRE DE LA UNIDADCLUESSERVICIONOMBRE DEL MEDICO RESP.TIPO.: MED X ENF___ TAP'S___ TE.T_____DATOS GENERALESDATOS DE LA ATENCINCONTROL PRENATALESTADO NUTRICIO > 5 AOS Y DE 5 A 9EXPLORACION DE OJOS EN < DE 5 AOSI.R.A. >5 Tx.E.D.A EN >5MADRE INFORMADA EN ACCIDENTESPLANIFICACION FAMILIARDERECHO HABIENCIADETECCIONES1A VEZSUBSECUENTENUM DE ASISTENCIA EN EL AOREFERIDOCONTRARREFERIDOPROGRAMADIAGNOSTICOMETODOATENCIONseguro popularoportunidadesindigenadiscapacidadcondones prev itsatencin peri y post menopausiaterapia hormonal de reemplazoatencin integrada de linea de vidaNo. De personas que presentan cartillaatencin de migrantesincontinencia urinaria de 60 y masdiabetes mellitushipertensin arterialobesidaddislipidemiassind metabolicodepresionconductas alimentarios de riesgo de 10 a 19total VIHVIH en embarazadasviolenciaalteracion de memoriasintomatico respiratorio de tbTOTAL sifilissifilis en embarazadashiperplasia protaticaadicciones alcoholadicc tabaquismoadicc farmacosembarazadas sanastotal de tiras a poblaciontotal de tiras controlNO MEDICAFECHANO.NOMBRE DEL PACIENTEEXPEDIENTECOLONIA / LOCALIDADEDADDIASMESESAOSSEXOENF TRANSMISIBLESCRONICO DEGOTRAS ENFERMEDADESSANOSPLANIF. FAMPRIMER TRIMSEGUNDO TRIMTERCER TRIMANALISIS CLINICOSALTO RIESGOCONSULTA A PUERPERAobs / sobre pesonormallevemoderadagravesintomaticoantibioticoplan a Num de sobres entregadosplan b Num de sobres entregadosplan crecuperadossobres en promocionoraliny mensualiny bimensualimplante subdermicodiuquirurgicoPRESERVATIVO FEMENINOpreservativodiu medicadoparche dermicoanticoncep de emergenciaotroninguno1a vezsubsecimssisssteSMNGotrastransmisin sexual1/1/01ANOTE EL NOMBRE DEL PACIENTEAnote los datos del expediente familiar: num, apellidos de la familiaregistre la colonia o localidad donde viva la familia.1Xhxx1XxxxxxAnote el diagnostico de la consulta, sea preciso: embarazo, hipertensin, desnutricin, etc.XXXXXXxxxxxXX311x1,2,5X1110101121012XXXXxxxxxXX5,4,xxXPPPPPPPPPPPPPPPPPPP112XX1/2/0111x1/3/0125x1/4/011/5/011/6/018/10/131/8/011/9/011/10/011/11/011/12/011/13/0112/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/9912/31/99

Anotar los datos de identificacin: CAISES ALLENDE, GTSSA000322CONSULTA EXTERNANOMBRE DEL PERSONAL QUE OTORGA LA ATENCIN.Registre el estado nutrico en que se encuentra el menor de 10 aos, independientemente de su motivo de atencinColocar la fecha en el primer rengln, la fecha se copiar automaticamente a toda la columna, cuando cambie el da unicamente deber anotar el da en el rengln que sigue y la fecha se actualizar en el resto de la columnaRegistre nmeros enteros, no importa si la edad sean aos, meses o das.registre "M" para mujer y "H" para hombrenumero de sobres que se entregaron por plan.Anote el la cantidad de mtodo que esta entregando.diu,implante, se anota 1 en caso de insercion, 0 en caso de revisin. Qx, 1, si se realizo la intervencin, 0 si es revisin."P" = positivo;"N" = negativoanote el numero de tiras realizadas segun el tipo de paciente.

HDCEHOJA DIARIA DE CONSULTA EXTERNAxHPNOMBRE DE LA UNIDADMNCLUESSERVICIONOMBRE DEL MEDICO RESP.TIPO.: MED X ENF___ TAP'S___ TE.T_____PLANIFICACION FAMILIAR subs.000000000000congruencia00000000000000000DATOS GENERALESDATOS DE LA ATENCINCONTROL PRENATALESTADO NUTRICIO