Include P12 V2 - HSPAHF06

HSPAHF06.CH

 #DEFINE STR0001 FWI18NLang("HSPAHF06","STR0001",1)
#DEFINE STR0002 FWI18NLang("HSPAHF06","STR0002",2)
#DEFINE STR0003 FWI18NLang("HSPAHF06","STR0003",3)
#DEFINE STR0004 FWI18NLang("HSPAHF06","STR0004",4)
#DEFINE STR0005 FWI18NLang("HSPAHF06","STR0005",5)
#DEFINE STR0006 FWI18NLang("HSPAHF06","STR0006",6)
#DEFINE STR0007 FWI18NLang("HSPAHF06","STR0007",7)
#DEFINE STR0008 FWI18NLang("HSPAHF06","STR0008",8)
#DEFINE STR0009 FWI18NLang("HSPAHF06","STR0009",9)
#DEFINE STR0010 FWI18NLang("HSPAHF06","STR0010",10)
#DEFINE STR0011 FWI18NLang("HSPAHF06","STR0011",11)
#DEFINE STR0012 FWI18NLang("HSPAHF06","STR0012",12)
#DEFINE STR0013 FWI18NLang("HSPAHF06","STR0013",13)
#DEFINE STR0014 FWI18NLang("HSPAHF06","STR0014",14)
#DEFINE STR0015 FWI18NLang("HSPAHF06","STR0015",15)
#DEFINE STR0016 FWI18NLang("HSPAHF06","STR0016",16)
#DEFINE STR0017 FWI18NLang("HSPAHF06","STR0017",17)
#DEFINE STR0018 FWI18NLang("HSPAHF06","STR0018",18)
#DEFINE STR0019 FWI18NLang("HSPAHF06","STR0019",19)
#DEFINE STR0020 FWI18NLang("HSPAHF06","STR0020",20)
#DEFINE STR0021 FWI18NLang("HSPAHF06","STR0021",21)
#DEFINE STR0022 FWI18NLang("HSPAHF06","STR0022",22)
#DEFINE STR0023 FWI18NLang("HSPAHF06","STR0023",23)
#DEFINE STR0024 FWI18NLang("HSPAHF06","STR0024",24)
#DEFINE STR0025 FWI18NLang("HSPAHF06","STR0025",25)
#DEFINE STR0026 FWI18NLang("HSPAHF06","STR0026",26)
#DEFINE STR0027 FWI18NLang("HSPAHF06","STR0027",27)
#DEFINE STR0028 FWI18NLang("HSPAHF06","STR0028",28)
#DEFINE STR0029 FWI18NLang("HSPAHF06","STR0029",29)
#DEFINE STR0030 FWI18NLang("HSPAHF06","STR0030",30)
#DEFINE STR0031 FWI18NLang("HSPAHF06","STR0031",31)
#DEFINE STR0032 FWI18NLang("HSPAHF06","STR0032",32)
#DEFINE STR0033 FWI18NLang("HSPAHF06","STR0033",33)
#DEFINE STR0034 FWI18NLang("HSPAHF06","STR0034",34)
#DEFINE STR0035 FWI18NLang("HSPAHF06","STR0035",35)
#DEFINE STR0036 FWI18NLang("HSPAHF06","STR0036",36)
#DEFINE STR0037 FWI18NLang("HSPAHF06","STR0037",37)
#DEFINE STR0038 FWI18NLang("HSPAHF06","STR0038",38)
#DEFINE STR0039 FWI18NLang("HSPAHF06","STR0039",39)
#DEFINE STR0040 FWI18NLang("HSPAHF06","STR0040",40)
#DEFINE STR0041 FWI18NLang("HSPAHF06","STR0041",41)
 

HSPAHF06_EN.TRES

 0001#STR0001#ALL#F O R M    F O R    O B S T E T R I C   R E P O R T  
0002#STR0002#ALL#OBSTETRIC REPORT
0003#STR0003#ALL#S U S  -  S i n g l e   H e a l t h   S y s t e m
0004#STR0004#ALL#Health Ministry
0005#STR0005#ALL#STATE GOVERNMENT 
0006#STR0006#ALL#Special Department for Social Protection - Single Health System
0007#STR0007#ALL#MEDICAL REPORT FOR ISSUE OF AIH
0008#STR0008#ALL#Dossier:_____________   Hospital: 
0009#STR0009#ALL#1-Authorization Code:_______________
0010#STR0010#ALL#2-Unit of origin:_________________________________  3-CNPJ:__________________
0011#STR0011#ALL#4-Destination Unit:________________________________  5-CNPJ:__________________
0012#STR0012#ALL#6-Patient Name: 
0013#STR0013#ALL#7-Age:   
0014#STR0014#ALL#8-Dt. Birth: 
0015#STR0015#ALL#9-Gender 
0016#STR0016#ALL#10-Address..: 
0017#STR0017#ALL#11-Distr.: 
0018#STR0018#ALL#12-ZIP: 
0019#STR0019#ALL#13-City:
0020#STR0020#ALL#14-State
0021#STR0021#ALL#15-DOC Type:__________     16-Doc.Number: 
0022#STR0022#ALL#17-Name of Responsible: 
0023#STR0023#ALL#18-Reqs.Doc.:______________________________ 19-CPF Clinic Dir:________________
0024#STR0024#ALL#20-Nbr. of Bed: 
0025#STR0025#ALL#     21-Infirmary No.: _______
0026#STR0026#ALL#22-Nature of Admission:______________     23-Date of Admission: 
0027#STR0027#ALL#Complete in case of traffic accident
0028#STR0028#ALL#24-External cause: ________________________ 25-CNPJ of Insur.:__________________
0029#STR0029#ALL#26-Ticket Nbr.:________________________ 27-Series:___________________________
0030#STR0030#ALL#Complete in case of workplace accident
0031#STR0031#ALL#28-Communication work accident_________________________________________________
0032#STR0032#ALL#29-CNPJ of Employeer:__________________________________
0033#STR0033#ALL#Male     
0034#STR0034#ALL#Female  
0035#STR0035#ALL#  Admission         Disch       New Procedure      Days ICU Aut   AC    Delivery 
0036#STR0036#ALL#  MO      Material/Medicine            ICD            ICD II              ALA   
0037#STR0037#ALL#|TYPE|  CRM   |DAY/PROCD|TYPE|  CRM   |TYPE|  CRM   |TYPE|  CRM   |TYPE|  CRM  |
0038#STR0038#ALL#                                                            SUM TYPES  |       |
0039#STR0039#ALL#     ORTHESIS AND PROTHESIS                          EXAMS                      
0040#STR0040#ALL#|SADT|PROCEDUR| QTY|Invoice  |  COD  QTY  SADT   COD  QTY  SADT   COD  QTY  SADT
0041#STR0041#ALL#Sum  SADT:       Sum  Qty:        Sum Cod:         Sum Qty:       Sum SADT:      
 

HSPAHF06_ES.TRES

 0001#STR0001#ALL#F O R M U L A R I O     P A R A     L A U D O      O B S T E T R I C O 
0002#STR0002#ALL#LAUDO OBSTETRICIO
0003#STR0003#ALL#S U S  -  S i s t e m a   U n i c o   d e   S a l u d
0004#STR0004#ALL#Ministerio de Salud
0005#STR0005#ALL#GOBIERNO DEL ESTADO
0006#STR0006#ALL#Secretaria Especial de Proteccion Social-Secretaria Ejecutiva de Salud
0007#STR0007#ALL#LAUDO MEDICO PARA EMISION DE AIH
0008#STR0008#ALL#Ficha:__________________   Hospital: 
0009#STR0009#ALL#1-Codigo de Autorizacion:______________
0010#STR0010#ALL#2-Unidad de Origen :_________________________________  3-CNPJ:__________________
0011#STR0011#ALL#4-Unidad de Destino :________________________________  5-CNPJ:__________________
0012#STR0012#ALL#6-Nombre del Paciente
0013#STR0013#ALL#7-Edad: 
0014#STR0014#ALL#8-Fecha Nac.: 
0015#STR0015#ALL#9-Sexo.: 
0016#STR0016#ALL#10-Direccion.: 
0017#STR0017#ALL#11-Barrio: 
0018#STR0018#ALL#12-CP: 
0019#STR0019#ALL#13-Municipio:
0020#STR0020#ALL#14-EST.:
0021#STR0021#ALL#15-Tipo DOC.:__________     16-Numero Doc.: 
0022#STR0022#ALL#17-Nombre del Responsable: 
0023#STR0023#ALL#18-Med.Solic.:______________________________ 19-CPF Dir.Clinico:________________
0024#STR0024#ALL#20-Nro. de Cama: 
0025#STR0025#ALL#     21-Enfermeria No.: _______
0026#STR0026#ALL#22-Caracter de Internacion:______________     23-Fecha de Internacion: 
0027#STR0027#ALL#Rellenar en caso de Accidente de Transito
0028#STR0028#ALL#24-Causa Externa:__________________________ 25-CNPJ de la Segur.:__________________
0029#STR0029#ALL#26-Nro. do Billete:________________________ 27-Serie:___________________________
0030#STR0030#ALL#Rellenar en caso de Accidente de Trabajo
0031#STR0031#ALL#28-Comunicado Accidente Trabajo_________________________________________________
0032#STR0032#ALL#29-CNPJ del Empleador:__________________________________
0033#STR0033#ALL#Masculino
0034#STR0034#ALL#Femenino
0035#STR0035#ALL#  Internacion        Alta       Nuevo Procedim.    Dias UTI Aut   AC    Parto   
0036#STR0036#ALL#  MO      Material/Medicamento         CID            CID II              ALA   
0037#STR0037#ALL#|TIPO|  CRM   |DIA/PROCD|TIPO|  CRM   |TIPO|  CRM   |TIPO|  CRM   |TIPO|  CRM  |
0038#STR0038#ALL#                                                            SUMA TIPOS |       |
0039#STR0039#ALL#      ORTESE E PROTESE                               EXAMENES                   
0040#STR0040#ALL#|SADT|PROCEDIM| CTD|N. Fiscal|  COD  CTD. SADT   COD  CTD. SADT   COD  CTD. SADT
0041#STR0041#ALL#Suma SADT:       Suma Ctd:       Suma Cod:        Suma Ctd:     Suma SADT:     
 

HSPAHF06_PT-BR.TRES

 0001#STR0001#ALL#F O R M U L A R I O     P A R A     L A U D O      O B S T E T R I C O 
0002#STR0002#ALL#LAUDO OBSTETRICO
0003#STR0003#ALL#S U S  -  S i s t e m a   U n i c o   d e   S a u d e
0004#STR0004#ALL#Ministerio da Saude
0005#STR0005#ALL#GOVERNO DO ESTADO 
0006#STR0006#ALL#Secretaria Especial de Protecao Social - Secretaria Executiva de Saude
0007#STR0007#ALL#LAUDO MEDICO PARA EMISSAO DE AIH
0008#STR0008#ALL#Prontuario:_____________   Hospital: 
0009#STR0009#ALL#1-Codigo de Autorizacao:_______________
0010#STR0010#ALL#2-Unidade de Origem:_________________________________  3-CNPJ:__________________
0011#STR0011#ALL#4-Unidade de Destino:________________________________  5-CNPJ:__________________
0012#STR0012#ALL#6-Nome do Paciente: 
0013#STR0013#ALL#7-Idade: 
0014#STR0014#ALL#8-Data Nasc.: 
0015#STR0015#ALL#9-Sexo.: 
0016#STR0016#ALL#10-Endereco.: 
0017#STR0017#ALL#11-Bairro: 
0018#STR0018#ALL#12-CEP: 
0019#STR0019#ALL#13-Municipio:
0020#STR0020#ALL#14-U.F.:
0021#STR0021#ALL#15-Tipo DOC.:__________     16-Numero Doc.: 
0022#STR0022#ALL#17-Nome do Responsavel: 
0023#STR0023#ALL#18-Med.Solic.:______________________________ 19-CPF Dir.Clinico:________________
0024#STR0024#ALL#20-Nro. do Leito: 
0025#STR0025#ALL#     21-Enfermaria No.: _______
0026#STR0026#ALL#22-Carater da Internacao:______________     23-Data da Internacao: 
0027#STR0027#ALL#Preencher em caso de Acidente de Transito
0028#STR0028#ALL#24-Causa Externa:__________________________ 25-CNPJ da Segur.:__________________
0029#STR0029#ALL#26-Nro. do Bilhete:________________________ 27-Serie:___________________________
0030#STR0030#ALL#Preencher em caso de Acidente de Trabalho
0031#STR0031#ALL#28-Comunicado Acidente Trabalho_________________________________________________
0032#STR0032#ALL#29-CNPJ do Empregador:__________________________________
0033#STR0033#ALL#Masculino
0034#STR0034#ALL#Feminino
0035#STR0035#ALL#  Internacao         Alta       Novo Procedimento  Dias UTI Aut   AC    Parto   
0036#STR0036#ALL#  MO      Material/Medicamento         CID            CID II              ALA   
0037#STR0037#ALL#|TIPO|  CRM   |DIA/PROCD|TIPO|  CRM   |TIPO|  CRM   |TIPO|  CRM   |TIPO|  CRM  |
0038#STR0038#ALL#                                                            SOMA TIPOS |       |
0039#STR0039#ALL#      ORTESE E PROTESE                               EXAMES                     
0040#STR0040#ALL#|SADT|PROCEDIM| QTD|N. Fiscal|  COD  QTDE SADT   COD  QTDE SADT   COD  QTDE SADT
0041#STR0041#ALL#Soma SADT:       Soma Qtde:       Soma Cod:        Soma Qtde:     Soma SADT:     
 

HSPAHF06_PT-PT.TRES

 0001#STR0001#ALL#F o r m u l � r i o     p a r a     r e l a t � r i o      o b s t � t r i c o 
0002#STR0002#ALL#Relat�rio Obst�trico
0003#STR0003#ALL#S u s  -  s i s t e m a   � n i c o   d e   s a � d e
0004#STR0004#ALL#Minist�rio Da Sa�de
0005#STR0005#ALL#Governo do distrito 
0006#STR0006#ALL#Secretaria Especial De Protec��o Social - Secretaria Executiva De Sa�de
0007#STR0007#ALL#Relat�rio M�dico Para Emiss�o De Aih
0008#STR0008#ALL#Prontu�rio:_____________   hospital: 
0009#STR0009#ALL#1-c�digo De Autoriza��o:_______________
0010#STR0010#ALL#2-unidade de origem:_________________________________  3-nr contribuinte:__________________
0011#STR0011#ALL#4-unidade de destino:________________________________  5-nr contribuinte:__________________
0012#STR0012#ALL#6-nome do paciente: 
0013#STR0013#ALL#7-idade: 
0014#STR0014#ALL#8-data nasc.: 
0015#STR0015#ALL#9-sexo.: 
0016#STR0016#ALL#10-morada.: 
0017#STR0017#ALL#11-localidade: 
0018#STR0018#ALL#12-c�digo postal: 
0019#STR0019#ALL#13-concelho:
0020#STR0020#ALL#14-distrito:
0021#STR0021#ALL#15-tipo doc.:__________     16-n�mero doc.: 
0022#STR0022#ALL#17-nome do respons�vel: 
0023#STR0023#ALL#18-m�d.solic.:______________________________ 19-nr Contribuinte Dir.cl�nico:________________
0024#STR0024#ALL#20-nr. da cama: 
0025#STR0025#ALL#     21-enfermaria nr.: _______
0026#STR0026#ALL#22-car�cter do internamento:______________     23-data do internamento: 
0027#STR0027#ALL#Preencher Em Caso De Acidente De Tr�nsito
0028#STR0028#ALL#24-causa Externa:__________________________ 25-nr Contribuinte Da Segur.:__________________
0029#STR0029#ALL#26-nr. do bilhete:________________________ 27-s�rie:___________________________
0030#STR0030#ALL#Preencher Em Caso De Acidente De Trabalho
0031#STR0031#ALL#28-comunicado Acidente Trabalho_________________________________________________
0032#STR0032#ALL#29-nr Contribuinte Do Empregador:__________________________________
0035#STR0035#ALL#  internamento         alta       novo procedimento  dias uti aut   ac    parto   
0036#STR0036#ALL#  mo      material/medicamento         cid            cid ii              ala   
0037#STR0037#ALL#|tipo|  nr reg ordem m�dicos   |dia/procd|tipo|  nr reg ordem m�dicos   |tipo|  nr reg ordem m�dicos   |tipo|  nr reg ordem m�dicos   |tipo|  nr registo ordem m�dicos  |
0038#STR0038#ALL#                                                            soma tipos |       |
0039#STR0039#ALL#      ortese e pr�tese                               exames                     
0040#STR0040#ALL#|sadt|procedim| Qtd|n. Fiscal|  C�d  Qtde Sadt   C�d  Qtde Sadt   C�d  Qtde Sadt
0041#STR0041#ALL#Soma sadt:       soma qtde:       soma c�d:        soma qtde:     soma sadt:     
 

HSPAHF06_RU.TRES

 0001#STR0001#ALL#F O R M    F O R    O B S T E T R I C   R E P O R T  
0002#STR0002#ALL#OBSTETRIC REPORT
0003#STR0003#ALL#S U S  -  S i n g l e   H e a l t h   S y s t e m
0004#STR0004#ALL#Health Ministry
0005#STR0005#ALL#STATE GOVERNMENT 
0006#STR0006#ALL#Special Department for Social Protection - Single Health System
0007#STR0007#ALL#MEDICAL REPORT FOR ISSUE OF AIH
0008#STR0008#ALL#Dossier:_____________   Hospital: 
0009#STR0009#ALL#1-Authorization Code:_______________
0010#STR0010#ALL#2-Unit of origin:_________________________________  3-CNPJ:__________________
0011#STR0011#ALL#4-Destination Unit:________________________________  5-CNPJ:__________________
0012#STR0012#ALL#6-Patient Name: 
0013#STR0013#ALL#7-Age:   
0014#STR0014#ALL#8-Dt. Birth: 
0015#STR0015#ALL#9-Gender 
0016#STR0016#ALL#10-Address..: 
0017#STR0017#ALL#11-Distr.: 
0018#STR0018#ALL#12-ZIP: 
0019#STR0019#ALL#13-City:
0020#STR0020#ALL#14-State
0021#STR0021#ALL#15-DOC Type:__________     16-Doc.Number: 
0022#STR0022#ALL#17-Name of Responsible: 
0023#STR0023#ALL#18-Reqs.Doc.:______________________________ 19-CPF Clinic Dir:________________
0024#STR0024#ALL#20-Nbr. of Bed: 
0025#STR0025#ALL#     21-Infirmary No.: _______
0026#STR0026#ALL#22-Nature of Admission:______________     23-Date of Admission: 
0027#STR0027#ALL#Complete in case of traffic accident
0028#STR0028#ALL#24-External cause: ________________________ 25-CNPJ of Insur.:__________________
0029#STR0029#ALL#26-Ticket Nbr.:________________________ 27-Series:___________________________
0030#STR0030#ALL#Complete in case of workplace accident
0031#STR0031#ALL#28-Communication work accident_________________________________________________
0032#STR0032#ALL#29-CNPJ of Employeer:__________________________________
0033#STR0033#ALL#���.
0034#STR0034#ALL#���.  
0035#STR0035#ALL#  Admission         Disch       New Procedure      Days ICU Aut   AC    Delivery
0036#STR0036#ALL#  MO      Material/Medicine            ICD            ICD II              ALA   
0037#STR0037#ALL#|TYPE|  CRM   |DAY/PROCD|TYPE|  CRM   |TYPE|  CRM   |TYPE|  CRM   |TYPE|  CRM  |
0038#STR0038#ALL#                                                            SUM TYPES  |       |
0039#STR0039#ALL#     ORTHESIS AND PROTHESIS                          EXAMS                      
0040#STR0040#ALL#|SADT|PROCEDUR| QTY|Invoice  |  COD  QTY  SADT   COD  QTY  SADT   COD  QTY  SADT
0041#STR0041#ALL#Sum  SADT:       Sum  Qty:        Sum Cod:         Sum Qty:       Sum SADT: