Include P12 V2 - HSPAHF13

HSPAHF13.CH

 #DEFINE STR0001 FWI18NLang("HSPAHF13","STR0001",1)
#DEFINE STR0002 FWI18NLang("HSPAHF13","STR0002",2)
#DEFINE STR0003 FWI18NLang("HSPAHF13","STR0003",3)
#DEFINE STR0004 FWI18NLang("HSPAHF13","STR0004",4)
#DEFINE STR0005 FWI18NLang("HSPAHF13","STR0005",5)
#DEFINE STR0006 FWI18NLang("HSPAHF13","STR0006",6)
#DEFINE STR0007 FWI18NLang("HSPAHF13","STR0007",7)
#DEFINE STR0008 FWI18NLang("HSPAHF13","STR0008",8)
#DEFINE STR0009 FWI18NLang("HSPAHF13","STR0009",9)
#DEFINE STR0010 FWI18NLang("HSPAHF13","STR0010",10)
#DEFINE STR0011 FWI18NLang("HSPAHF13","STR0011",11)
#DEFINE STR0012 FWI18NLang("HSPAHF13","STR0012",12)
#DEFINE STR0013 FWI18NLang("HSPAHF13","STR0013",13)
#DEFINE STR0014 FWI18NLang("HSPAHF13","STR0014",14)
#DEFINE STR0015 FWI18NLang("HSPAHF13","STR0015",15)
#DEFINE STR0016 FWI18NLang("HSPAHF13","STR0016",16)
#DEFINE STR0017 FWI18NLang("HSPAHF13","STR0017",17)
#DEFINE STR0018 FWI18NLang("HSPAHF13","STR0018",18)
#DEFINE STR0019 FWI18NLang("HSPAHF13","STR0019",19)
#DEFINE STR0020 FWI18NLang("HSPAHF13","STR0020",20)
#DEFINE STR0021 FWI18NLang("HSPAHF13","STR0021",21)
#DEFINE STR0022 FWI18NLang("HSPAHF13","STR0022",22)
#DEFINE STR0023 FWI18NLang("HSPAHF13","STR0023",23)
#DEFINE STR0024 FWI18NLang("HSPAHF13","STR0024",24)
#DEFINE STR0025 FWI18NLang("HSPAHF13","STR0025",25)
#DEFINE STR0026 FWI18NLang("HSPAHF13","STR0026",26)
#DEFINE STR0027 FWI18NLang("HSPAHF13","STR0027",27)
#DEFINE STR0028 FWI18NLang("HSPAHF13","STR0028",28)
#DEFINE STR0029 FWI18NLang("HSPAHF13","STR0029",29)
#DEFINE STR0030 FWI18NLang("HSPAHF13","STR0030",30)
#DEFINE STR0031 FWI18NLang("HSPAHF13","STR0031",31)
#DEFINE STR0032 FWI18NLang("HSPAHF13","STR0032",32)
#DEFINE STR0033 FWI18NLang("HSPAHF13","STR0033",33)
 

HSPAHF13_EN.TRES

 0001#STR0001#ALL#Pol.Medical Appointment Form     
0002#STR0002#ALL#I declare I have attended the medical appointment above mentioned
0003#STR0003#ALL#   Resp.Signature                                      Doctor Signature    
0004#STR0004#ALL#Attend. Number: 
0005#STR0005#ALL#Attendance type: 
0006#STR0006#ALL#Emergen.
0007#STR0007#ALL#Appoint.
0008#STR0008#ALL#Exam 
0009#STR0009#ALL#Return 
0010#STR0010#ALL#Proced.
0011#STR0011#ALL#Doctor...: 
0012#STR0012#ALL#Date:
0013#STR0013#ALL#Healthcare Plan: 
0014#STR0014#ALL#Time: 
0015#STR0015#ALL#Patient.: 
0016#STR0016#ALL#Birth Dt: 
0017#STR0017#ALL#Resp.....: 
0018#STR0018#ALL#Age.....: 
0019#STR0019#ALL#Address..: 
0020#STR0020#ALL#Sex..: 
0021#STR0021#ALL#Male
0022#STR0022#ALL#Female  
0023#STR0023#ALL#District:  
0024#STR0024#ALL#Tel.....: 
0025#STR0025#ALL#City/ST:   
0026#STR0026#ALL#Doc.No.:  
0027#STR0027#ALL#Date      Days   Accnt.  Doctor                      ICD      Descript.
0028#STR0028#ALL#Main Complaint  
0029#STR0029#ALL#Physical Ex.
0030#STR0030#ALL#Doctor Prescrip. 
0031#STR0031#ALL#FICHAMB
0032#STR0032#ALL#Plan:  
0033#STR0033#ALL#Attendance Form (s):
 

HSPAHF13_ES.TRES

 0001#STR0001#ALL#Ficha de Atencion Ambulatoria
0002#STR0002#ALL#Declaro para los debidos fines que realice la consulta medica
0003#STR0003#ALL#   Firma del Responsable                           Firma del Medico
0004#STR0004#ALL#N� Atenc.: 
0005#STR0005#ALL#Tp Atencion: 
0006#STR0006#ALL#Urgencia
0007#STR0007#ALL#Consulta
0008#STR0008#ALL#Exam.
0009#STR0009#ALL#Retorno
0010#STR0010#ALL#Procedi
0011#STR0011#ALL#Medico...: 
0012#STR0012#ALL#Fecha
0013#STR0013#ALL#Convenio.: 
0014#STR0014#ALL#Hora: 
0015#STR0015#ALL#Paciente.: 
0016#STR0016#ALL#Fch.Nac.: 
0017#STR0017#ALL#Resp.....: 
0018#STR0018#ALL#Edad...: 
0019#STR0019#ALL#Direccion: 
0020#STR0020#ALL#Sexo....: 
0021#STR0021#ALL#Masculino
0022#STR0022#ALL#Femenino
0023#STR0023#ALL#Barrio...: 
0024#STR0024#ALL#Tel.....: 
0025#STR0025#ALL#Ciudad/Est.: 
0026#STR0026#ALL#No. Dcto.: 
0027#STR0027#ALL#Fech   Dias   Cuent   Medico                      CID      Descripc.
0028#STR0028#ALL#Reclam Principal
0029#STR0029#ALL#Exam.Fisico
0030#STR0030#ALL#Prescrip. Medica
0031#STR0031#ALL#FICHAMB
0032#STR0032#ALL#Plan:  
0033#STR0033#ALL#Formulario (s) de Atencion:
 

HSPAHF13_PT-BR.TRES

 0001#STR0001#ALL#Ficha de Atendimento Ambulatorial
0002#STR0002#ALL#Declaro para os devidos fins que realizei a consulta medica acima
0003#STR0003#ALL#   Assinatura do Responsavel                           Assinatura do Medico
0004#STR0004#ALL#No.Atend.: 
0005#STR0005#ALL#Tp Atendimento: 
0006#STR0006#ALL#Urgencia
0007#STR0007#ALL#Consulta
0008#STR0008#ALL#Exame
0009#STR0009#ALL#Retorno
0010#STR0010#ALL#Procedi
0011#STR0011#ALL#Medico...: 
0012#STR0012#ALL#Data:
0013#STR0013#ALL#Convenio.: 
0014#STR0014#ALL#Hora: 
0015#STR0015#ALL#Paciente.: 
0016#STR0016#ALL#Dt.Nasc.: 
0017#STR0017#ALL#Resp.....: 
0018#STR0018#ALL#Idade...: 
0019#STR0019#ALL#Endereco.: 
0020#STR0020#ALL#Sexo....: 
0021#STR0021#ALL#Masculino
0022#STR0022#ALL#Feminino
0023#STR0023#ALL#Bairro...: 
0024#STR0024#ALL#Tel.....: 
0025#STR0025#ALL#Cidade/UF: 
0026#STR0026#ALL#No. Doc.: 
0027#STR0027#ALL#Data      Dias   Conta   Medico                      CID      Descricao
0028#STR0028#ALL#Queixa Principal
0029#STR0029#ALL#Exame Fisico
0030#STR0030#ALL#Prescricao Medica
0031#STR0031#ALL#FICHAMB
0032#STR0032#ALL#Plano:  
0033#STR0033#ALL#Guia (s) de Atendimento:
 

HSPAHF13_PT-PT.TRES

 0001#STR0001#ALL#Ficha De Atendimento Ambulatorial
0002#STR0002#ALL#Declaro para os devidos efeitos que realizei a consulta m�dica acima
0003#STR0003#ALL#   Assinatura Do Respons�vel                           Assinatura Do M�dico
0004#STR0004#ALL#No.atend.: 
0005#STR0005#ALL#Tp atendimento: 
0006#STR0006#ALL#Urg�ncia
0011#STR0011#ALL#M�dico...: 
0013#STR0013#ALL#Acordo.: 
0016#STR0016#ALL#Dt.nasc.: 
0019#STR0019#ALL#Morada.: 
0023#STR0023#ALL#Localidade...: 
0025#STR0025#ALL#Concelho/distrito: 
0026#STR0026#ALL#Nr. doc.: 
0027#STR0027#ALL#Data      Dias   Conta   M�dico                      Concelho      Descri��o
0029#STR0029#ALL#Exame F�sico
0030#STR0030#ALL#Prescri��o M�dica
0031#STR0031#ALL#Fichamb
0033#STR0033#ALL#Guia (s) De Atendimento:
 

HSPAHF13_RU.TRES

 0001#STR0001#ALL#Pol.Medical Appointment Form     
0002#STR0002#ALL#I declare I have attended the medical appointment above mentioned
0003#STR0003#ALL#   Resp.Signature                                      Doctor Signature    
0004#STR0004#ALL#Attend.Nbr:
0005#STR0005#ALL#Attendance type:
0006#STR0006#ALL#Emergen.
0007#STR0007#ALL#Appoint.
0008#STR0008#ALL#Exam 
0009#STR0009#ALL#�����.
0010#STR0010#ALL#Proced.
0011#STR0011#ALL#Doctor...: 
0012#STR0012#ALL#����:
0013#STR0013#ALL#Healthcare:
0014#STR0014#ALL#�-��:
0015#STR0015#ALL#Patient.: 
0016#STR0016#ALL#Birth Dt: 
0017#STR0017#ALL#Resp.....: 
0018#STR0018#ALL#Age.....: 
0019#STR0019#ALL#Address..: 
0020#STR0020#ALL#Sex..: 
0021#STR0021#ALL#���.
0022#STR0022#ALL#���.  
0023#STR0023#ALL#�����:   
0024#STR0024#ALL#Tel.....: 
0025#STR0025#ALL#City/ST:   
0026#STR0026#ALL#Doc.No.:  
0027#STR0027#ALL#Date      Days   Accnt.  Doctor                      ICD      Descript.
0028#STR0028#ALL#Main Complaint  
0029#STR0029#ALL#Physical Ex.
0030#STR0030#ALL#Doctor Prescrip. 
0031#STR0031#ALL#FICHAMB
0032#STR0032#ALL#Plan:  
0033#STR0033#ALL#Attendance Form (s):