Include P12 V2 - PLSTISS

PLSTISS.CH

 #DEFINE STR0001 FWI18NLang("PLSTISS","STR0001",1)
#DEFINE STR0002 FWI18NLang("PLSTISS","STR0002",2)
#DEFINE STR0003 FWI18NLang("PLSTISS","STR0003",3)
#DEFINE STR0004 FWI18NLang("PLSTISS","STR0004",4)
#DEFINE STR0005 FWI18NLang("PLSTISS","STR0005",5)
#DEFINE STR0006 FWI18NLang("PLSTISS","STR0006",6)
#DEFINE STR0007 FWI18NLang("PLSTISS","STR0007",7)
#DEFINE STR0008 FWI18NLang("PLSTISS","STR0008",8)
#DEFINE STR0009 FWI18NLang("PLSTISS","STR0009",9)
#DEFINE STR0010 FWI18NLang("PLSTISS","STR0010",10)
#DEFINE STR0011 FWI18NLang("PLSTISS","STR0011",11)
#DEFINE STR0012 FWI18NLang("PLSTISS","STR0012",12)
#DEFINE STR0013 FWI18NLang("PLSTISS","STR0013",13)
#DEFINE STR0014 FWI18NLang("PLSTISS","STR0014",14)
#DEFINE STR0015 FWI18NLang("PLSTISS","STR0015",15)
#DEFINE STR0016 FWI18NLang("PLSTISS","STR0016",16)
#DEFINE STR0017 FWI18NLang("PLSTISS","STR0017",17)
#DEFINE STR0018 FWI18NLang("PLSTISS","STR0018",18)
#DEFINE STR0019 FWI18NLang("PLSTISS","STR0019",19)
#DEFINE STR0020 FWI18NLang("PLSTISS","STR0020",20)
#DEFINE STR0021 FWI18NLang("PLSTISS","STR0021",21)
#DEFINE STR0022 FWI18NLang("PLSTISS","STR0022",22)
#DEFINE STR0023 FWI18NLang("PLSTISS","STR0023",23)
#DEFINE STR0024 FWI18NLang("PLSTISS","STR0024",24)
#DEFINE STR0025 FWI18NLang("PLSTISS","STR0025",25)
#DEFINE STR0026 FWI18NLang("PLSTISS","STR0026",26)
#DEFINE STR0027 FWI18NLang("PLSTISS","STR0027",27)
#DEFINE STR0028 FWI18NLang("PLSTISS","STR0028",28)
#DEFINE STR0029 FWI18NLang("PLSTISS","STR0029",29)
#DEFINE STR0030 FWI18NLang("PLSTISS","STR0030",30)
#DEFINE STR0031 FWI18NLang("PLSTISS","STR0031",31)
#DEFINE STR0032 FWI18NLang("PLSTISS","STR0032",32)
#DEFINE STR0033 FWI18NLang("PLSTISS","STR0033",33)
#DEFINE STR0034 FWI18NLang("PLSTISS","STR0034",34)
#DEFINE STR0035 FWI18NLang("PLSTISS","STR0035",35)
#DEFINE STR0036 FWI18NLang("PLSTISS","STR0036",36)
#DEFINE STR0037 FWI18NLang("PLSTISS","STR0037",37)
#DEFINE STR0038 FWI18NLang("PLSTISS","STR0038",38)
#DEFINE STR0039 FWI18NLang("PLSTISS","STR0039",39)
#DEFINE STR0040 FWI18NLang("PLSTISS","STR0040",40)
#DEFINE STR0041 FWI18NLang("PLSTISS","STR0041",41)
#DEFINE STR0042 FWI18NLang("PLSTISS","STR0042",42)
#DEFINE STR0043 FWI18NLang("PLSTISS","STR0043",43)
#DEFINE STR0044 FWI18NLang("PLSTISS","STR0044",44)
#DEFINE STR0045 FWI18NLang("PLSTISS","STR0045",45)
#DEFINE STR0046 FWI18NLang("PLSTISS","STR0046",46)
#DEFINE STR0047 FWI18NLang("PLSTISS","STR0047",47)
#DEFINE STR0048 FWI18NLang("PLSTISS","STR0048",48)
#DEFINE STR0049 FWI18NLang("PLSTISS","STR0049",49)
#DEFINE STR0050 FWI18NLang("PLSTISS","STR0050",50)
#DEFINE STR0051 FWI18NLang("PLSTISS","STR0051",51)
#DEFINE STR0052 FWI18NLang("PLSTISS","STR0052",52)
#DEFINE STR0053 FWI18NLang("PLSTISS","STR0053",53)
#DEFINE STR0054 FWI18NLang("PLSTISS","STR0054",54)
#DEFINE STR0055 FWI18NLang("PLSTISS","STR0055",55)
#DEFINE STR0056 FWI18NLang("PLSTISS","STR0056",56)
#DEFINE STR0057 FWI18NLang("PLSTISS","STR0057",57)
#DEFINE STR0058 FWI18NLang("PLSTISS","STR0058",58)
#DEFINE STR0059 FWI18NLang("PLSTISS","STR0059",59)
#DEFINE STR0060 FWI18NLang("PLSTISS","STR0060",60)
#DEFINE STR0061 FWI18NLang("PLSTISS","STR0061",61)
#DEFINE STR0062 FWI18NLang("PLSTISS","STR0062",62)
#DEFINE STR0063 FWI18NLang("PLSTISS","STR0063",63)
#DEFINE STR0064 FWI18NLang("PLSTISS","STR0064",64)
#DEFINE STR0065 FWI18NLang("PLSTISS","STR0065",65)
#DEFINE STR0066 FWI18NLang("PLSTISS","STR0066",66)
#DEFINE STR0067 FWI18NLang("PLSTISS","STR0067",67)
#DEFINE STR0068 FWI18NLang("PLSTISS","STR0068",68)
#DEFINE STR0069 FWI18NLang("PLSTISS","STR0069",69)
#DEFINE STR0070 FWI18NLang("PLSTISS","STR0070",70)
#DEFINE STR0071 FWI18NLang("PLSTISS","STR0071",71)
#DEFINE STR0072 FWI18NLang("PLSTISS","STR0072",72)
#DEFINE STR0073 FWI18NLang("PLSTISS","STR0073",73)
#DEFINE STR0074 FWI18NLang("PLSTISS","STR0074",74)
#DEFINE STR0075 FWI18NLang("PLSTISS","STR0075",75)
#DEFINE STR0076 FWI18NLang("PLSTISS","STR0076",76)
#DEFINE STR0077 FWI18NLang("PLSTISS","STR0077",77)
#DEFINE STR0078 FWI18NLang("PLSTISS","STR0078",78)
#DEFINE STR0079 FWI18NLang("PLSTISS","STR0079",79)
#DEFINE STR0080 FWI18NLang("PLSTISS","STR0080",80)
#DEFINE STR0081 FWI18NLang("PLSTISS","STR0081",81)
#DEFINE STR0082 FWI18NLang("PLSTISS","STR0082",82)
#DEFINE STR0083 FWI18NLang("PLSTISS","STR0083",83)
#DEFINE STR0084 FWI18NLang("PLSTISS","STR0084",84)
#DEFINE STR0085 FWI18NLang("PLSTISS","STR0085",85)
#DEFINE STR0086 FWI18NLang("PLSTISS","STR0086",86)
#DEFINE STR0087 FWI18NLang("PLSTISS","STR0087",87)
#DEFINE STR0088 FWI18NLang("PLSTISS","STR0088",88)
#DEFINE STR0089 FWI18NLang("PLSTISS","STR0089",89)
#DEFINE STR0090 FWI18NLang("PLSTISS","STR0090",90)
#DEFINE STR0091 FWI18NLang("PLSTISS","STR0091",91)
#DEFINE STR0092 FWI18NLang("PLSTISS","STR0092",92)
#DEFINE STR0093 FWI18NLang("PLSTISS","STR0093",93)
#DEFINE STR0094 FWI18NLang("PLSTISS","STR0094",94)
#DEFINE STR0095 FWI18NLang("PLSTISS","STR0095",95)
#DEFINE STR0096 FWI18NLang("PLSTISS","STR0096",96)
#DEFINE STR0097 FWI18NLang("PLSTISS","STR0097",97)
#DEFINE STR0098 FWI18NLang("PLSTISS","STR0098",98)
#DEFINE STR0099 FWI18NLang("PLSTISS","STR0099",99)
#DEFINE STR0100 FWI18NLang("PLSTISS","STR0100",100)
#DEFINE STR0101 FWI18NLang("PLSTISS","STR0101",101)
#DEFINE STR0102 FWI18NLang("PLSTISS","STR0102",102)
#DEFINE STR0103 FWI18NLang("PLSTISS","STR0103",103)
#DEFINE STR0104 FWI18NLang("PLSTISS","STR0104",104)
#DEFINE STR0105 FWI18NLang("PLSTISS","STR0105",105)
#DEFINE STR0106 FWI18NLang("PLSTISS","STR0106",106)
#DEFINE STR0107 FWI18NLang("PLSTISS","STR0107",107)
#DEFINE STR0108 FWI18NLang("PLSTISS","STR0108",108)
#DEFINE STR0109 FWI18NLang("PLSTISS","STR0109",109)
#DEFINE STR0110 FWI18NLang("PLSTISS","STR0110",110)
#DEFINE STR0111 FWI18NLang("PLSTISS","STR0111",111)
#DEFINE STR0112 FWI18NLang("PLSTISS","STR0112",112)
#DEFINE STR0113 FWI18NLang("PLSTISS","STR0113",113)
#DEFINE STR0114 FWI18NLang("PLSTISS","STR0114",114)
#DEFINE STR0115 FWI18NLang("PLSTISS","STR0115",115)
#DEFINE STR0116 FWI18NLang("PLSTISS","STR0116",116)
#DEFINE STR0117 FWI18NLang("PLSTISS","STR0117",117)
#DEFINE STR0118 FWI18NLang("PLSTISS","STR0118",118)
#DEFINE STR0119 FWI18NLang("PLSTISS","STR0119",119)
#DEFINE STR0120 FWI18NLang("PLSTISS","STR0120",120)
#DEFINE STR0121 FWI18NLang("PLSTISS","STR0121",121)
#DEFINE STR0122 FWI18NLang("PLSTISS","STR0122",122)
#DEFINE STR0123 FWI18NLang("PLSTISS","STR0123",123)
#DEFINE STR0124 FWI18NLang("PLSTISS","STR0124",124)
#DEFINE STR0125 FWI18NLang("PLSTISS","STR0125",125)
#DEFINE STR0126 FWI18NLang("PLSTISS","STR0126",126)
#DEFINE STR0127 FWI18NLang("PLSTISS","STR0127",127)
#DEFINE STR0128 FWI18NLang("PLSTISS","STR0128",128)
#DEFINE STR0129 FWI18NLang("PLSTISS","STR0129",129)
#DEFINE STR0130 FWI18NLang("PLSTISS","STR0130",130)
#DEFINE STR0131 FWI18NLang("PLSTISS","STR0131",131)
#DEFINE STR0132 FWI18NLang("PLSTISS","STR0132",132)
#DEFINE STR0133 FWI18NLang("PLSTISS","STR0133",133)
#DEFINE STR0134 FWI18NLang("PLSTISS","STR0134",134)
#DEFINE STR0135 FWI18NLang("PLSTISS","STR0135",135)
#DEFINE STR0136 FWI18NLang("PLSTISS","STR0136",136)
#DEFINE STR0137 FWI18NLang("PLSTISS","STR0137",137)
#DEFINE STR0138 FWI18NLang("PLSTISS","STR0138",138)
#DEFINE STR0139 FWI18NLang("PLSTISS","STR0139",139)
#DEFINE STR0140 FWI18NLang("PLSTISS","STR0140",140)
#DEFINE STR0141 FWI18NLang("PLSTISS","STR0141",141)
#DEFINE STR0142 FWI18NLang("PLSTISS","STR0142",142)
#DEFINE STR0143 FWI18NLang("PLSTISS","STR0143",143)
#DEFINE STR0144 FWI18NLang("PLSTISS","STR0144",144)
#DEFINE STR0145 FWI18NLang("PLSTISS","STR0145",145)
#DEFINE STR0146 FWI18NLang("PLSTISS","STR0146",146)
#DEFINE STR0147 FWI18NLang("PLSTISS","STR0147",147)
#DEFINE STR0148 FWI18NLang("PLSTISS","STR0148",148)
#DEFINE STR0149 FWI18NLang("PLSTISS","STR0149",149)
#DEFINE STR0150 FWI18NLang("PLSTISS","STR0150",150)
#DEFINE STR0151 FWI18NLang("PLSTISS","STR0151",151)
#DEFINE STR0152 FWI18NLang("PLSTISS","STR0152",152)
#DEFINE STR0153 FWI18NLang("PLSTISS","STR0153",153)
#DEFINE STR0154 FWI18NLang("PLSTISS","STR0154",154)
#DEFINE STR0155 FWI18NLang("PLSTISS","STR0155",155)
#DEFINE STR0156 FWI18NLang("PLSTISS","STR0156",156)
#DEFINE STR0157 FWI18NLang("PLSTISS","STR0157",157)
#DEFINE STR0158 FWI18NLang("PLSTISS","STR0158",158)
#DEFINE STR0159 FWI18NLang("PLSTISS","STR0159",159)
#DEFINE STR0160 FWI18NLang("PLSTISS","STR0160",160)
#DEFINE STR0161 FWI18NLang("PLSTISS","STR0161",161)
#DEFINE STR0162 FWI18NLang("PLSTISS","STR0162",162)
#DEFINE STR0163 FWI18NLang("PLSTISS","STR0163",163)
#DEFINE STR0164 FWI18NLang("PLSTISS","STR0164",164)
#DEFINE STR0165 FWI18NLang("PLSTISS","STR0165",165)
#DEFINE STR0166 FWI18NLang("PLSTISS","STR0166",166)
#DEFINE STR0167 FWI18NLang("PLSTISS","STR0167",167)
#DEFINE STR0168 FWI18NLang("PLSTISS","STR0168",168)
#DEFINE STR0169 FWI18NLang("PLSTISS","STR0169",169)
#DEFINE STR0170 FWI18NLang("PLSTISS","STR0170",170)
#DEFINE STR0171 FWI18NLang("PLSTISS","STR0171",171)
#DEFINE STR0172 FWI18NLang("PLSTISS","STR0172",172)
#DEFINE STR0173 FWI18NLang("PLSTISS","STR0173",173)
#DEFINE STR0174 FWI18NLang("PLSTISS","STR0174",174)
#DEFINE STR0175 FWI18NLang("PLSTISS","STR0175",175)
#DEFINE STR0176 FWI18NLang("PLSTISS","STR0176",176)
#DEFINE STR0177 FWI18NLang("PLSTISS","STR0177",177)
#DEFINE STR0178 FWI18NLang("PLSTISS","STR0178",178)
#DEFINE STR0179 FWI18NLang("PLSTISS","STR0179",179)
#DEFINE STR0180 FWI18NLang("PLSTISS","STR0180",180)
#DEFINE STR0181 FWI18NLang("PLSTISS","STR0181",181)
#DEFINE STR0182 FWI18NLang("PLSTISS","STR0182",182)
#DEFINE STR0183 FWI18NLang("PLSTISS","STR0183",183)
#DEFINE STR0184 FWI18NLang("PLSTISS","STR0184",184)
#DEFINE STR0185 FWI18NLang("PLSTISS","STR0185",185)
#DEFINE STR0186 FWI18NLang("PLSTISS","STR0186",186)
#DEFINE STR0187 FWI18NLang("PLSTISS","STR0187",187)
#DEFINE STR0188 FWI18NLang("PLSTISS","STR0188",188)
#DEFINE STR0189 FWI18NLang("PLSTISS","STR0189",189)
#DEFINE STR0190 FWI18NLang("PLSTISS","STR0190",190)
#DEFINE STR0191 FWI18NLang("PLSTISS","STR0191",191)
#DEFINE STR0192 FWI18NLang("PLSTISS","STR0192",192)
#DEFINE STR0193 FWI18NLang("PLSTISS","STR0193",193)
#DEFINE STR0194 FWI18NLang("PLSTISS","STR0194",194)
#DEFINE STR0195 FWI18NLang("PLSTISS","STR0195",195)
#DEFINE STR0196 FWI18NLang("PLSTISS","STR0196",196)
#DEFINE STR0197 FWI18NLang("PLSTISS","STR0197",197)
#DEFINE STR0198 FWI18NLang("PLSTISS","STR0198",198)
#DEFINE STR0199 FWI18NLang("PLSTISS","STR0199",199)
#DEFINE STR0200 FWI18NLang("PLSTISS","STR0200",200)
#DEFINE STR0201 FWI18NLang("PLSTISS","STR0201",201)
#DEFINE STR0202 FWI18NLang("PLSTISS","STR0202",202)
#DEFINE STR0203 FWI18NLang("PLSTISS","STR0203",203)
#DEFINE STR0204 FWI18NLang("PLSTISS","STR0204",204)
#DEFINE STR0205 FWI18NLang("PLSTISS","STR0205",205)
#DEFINE STR0206 FWI18NLang("PLSTISS","STR0206",206)
#DEFINE STR0207 FWI18NLang("PLSTISS","STR0207",207)
#DEFINE STR0208 FWI18NLang("PLSTISS","STR0208",208)
#DEFINE STR0209 FWI18NLang("PLSTISS","STR0209",209)
#DEFINE STR0210 FWI18NLang("PLSTISS","STR0210",210)
#DEFINE STR0211 FWI18NLang("PLSTISS","STR0211",211)
#DEFINE STR0212 FWI18NLang("PLSTISS","STR0212",212)
#DEFINE STR0213 FWI18NLang("PLSTISS","STR0213",213)
#DEFINE STR0214 FWI18NLang("PLSTISS","STR0214",214)
#DEFINE STR0215 FWI18NLang("PLSTISS","STR0215",215)
#DEFINE STR0216 FWI18NLang("PLSTISS","STR0216",216)
#DEFINE STR0217 FWI18NLang("PLSTISS","STR0217",217)
#DEFINE STR0218 FWI18NLang("PLSTISS","STR0218",218)
#DEFINE STR0219 FWI18NLang("PLSTISS","STR0219",219)
#DEFINE STR0220 FWI18NLang("PLSTISS","STR0220",220)
#DEFINE STR0221 FWI18NLang("PLSTISS","STR0221",221)
#DEFINE STR0222 FWI18NLang("PLSTISS","STR0222",222)
#DEFINE STR0223 FWI18NLang("PLSTISS","STR0223",223)
#DEFINE STR0224 FWI18NLang("PLSTISS","STR0224",224)
#DEFINE STR0225 FWI18NLang("PLSTISS","STR0225",225)
#DEFINE STR0226 FWI18NLang("PLSTISS","STR0226",226)
#DEFINE STR0227 FWI18NLang("PLSTISS","STR0227",227)
#DEFINE STR0228 FWI18NLang("PLSTISS","STR0228",228)
#DEFINE STR0229 FWI18NLang("PLSTISS","STR0229",229)
#DEFINE STR0230 FWI18NLang("PLSTISS","STR0230",230)
#DEFINE STR0231 FWI18NLang("PLSTISS","STR0231",231)
#DEFINE STR0232 FWI18NLang("PLSTISS","STR0232",232)
#DEFINE STR0233 FWI18NLang("PLSTISS","STR0233",233)
#DEFINE STR0234 FWI18NLang("PLSTISS","STR0234",234)
#DEFINE STR0235 FWI18NLang("PLSTISS","STR0235",235)
#DEFINE STR0236 FWI18NLang("PLSTISS","STR0236",236)
#DEFINE STR0237 FWI18NLang("PLSTISS","STR0237",237)
#DEFINE STR0238 FWI18NLang("PLSTISS","STR0238",238)
#DEFINE STR0239 FWI18NLang("PLSTISS","STR0239",239)
#DEFINE STR0240 FWI18NLang("PLSTISS","STR0240",240)
#DEFINE STR0241 FWI18NLang("PLSTISS","STR0241",241)
#DEFINE STR0242 FWI18NLang("PLSTISS","STR0242",242)
#DEFINE STR0243 FWI18NLang("PLSTISS","STR0243",243)
#DEFINE STR0244 FWI18NLang("PLSTISS","STR0244",244)
#DEFINE STR0245 FWI18NLang("PLSTISS","STR0245",245)
#DEFINE STR0246 FWI18NLang("PLSTISS","STR0246",246)
#DEFINE STR0247 FWI18NLang("PLSTISS","STR0247",247)
#DEFINE STR0248 FWI18NLang("PLSTISS","STR0248",248)
#DEFINE STR0249 FWI18NLang("PLSTISS","STR0249",249)
#DEFINE STR0250 FWI18NLang("PLSTISS","STR0250",250)
#DEFINE STR0251 FWI18NLang("PLSTISS","STR0251",251)
#DEFINE STR0252 FWI18NLang("PLSTISS","STR0252",252)
#DEFINE STR0253 FWI18NLang("PLSTISS","STR0253",253)
#DEFINE STR0254 FWI18NLang("PLSTISS","STR0254",254)
#DEFINE STR0255 FWI18NLang("PLSTISS","STR0255",255)
#DEFINE STR0256 FWI18NLang("PLSTISS","STR0256",256)
#DEFINE STR0257 FWI18NLang("PLSTISS","STR0257",257)
#DEFINE STR0258 FWI18NLang("PLSTISS","STR0258",258)
#DEFINE STR0259 FWI18NLang("PLSTISS","STR0259",259)
#DEFINE STR0260 FWI18NLang("PLSTISS","STR0260",260)
#DEFINE STR0261 FWI18NLang("PLSTISS","STR0261",261)
#DEFINE STR0262 FWI18NLang("PLSTISS","STR0262",262)
#DEFINE STR0263 FWI18NLang("PLSTISS","STR0263",263)
#DEFINE STR0264 FWI18NLang("PLSTISS","STR0264",264)
#DEFINE STR0265 FWI18NLang("PLSTISS","STR0265",265)
#DEFINE STR0266 FWI18NLang("PLSTISS","STR0266",266)
#DEFINE STR0267 FWI18NLang("PLSTISS","STR0267",267)
#DEFINE STR0268 FWI18NLang("PLSTISS","STR0268",268)
#DEFINE STR0269 FWI18NLang("PLSTISS","STR0269",269)
#DEFINE STR0270 FWI18NLang("PLSTISS","STR0270",270)
#DEFINE STR0271 FWI18NLang("PLSTISS","STR0271",271)
#DEFINE STR0272 FWI18NLang("PLSTISS","STR0272",272)
#DEFINE STR0273 FWI18NLang("PLSTISS","STR0273",273)
#DEFINE STR0274 FWI18NLang("PLSTISS","STR0274",274)
#DEFINE STR0275 FWI18NLang("PLSTISS","STR0275",275)
#DEFINE STR0276 FWI18NLang("PLSTISS","STR0276",276)
#DEFINE STR0277 FWI18NLang("PLSTISS","STR0277",277)
#DEFINE STR0278 FWI18NLang("PLSTISS","STR0278",278)
#DEFINE STR0279 FWI18NLang("PLSTISS","STR0279",279)
#DEFINE STR0280 FWI18NLang("PLSTISS","STR0280",280)
#DEFINE STR0281 FWI18NLang("PLSTISS","STR0281",281)
#DEFINE STR0282 FWI18NLang("PLSTISS","STR0282",282)
#DEFINE STR0283 FWI18NLang("PLSTISS","STR0283",283)
#DEFINE STR0284 FWI18NLang("PLSTISS","STR0284",284)
#DEFINE STR0285 FWI18NLang("PLSTISS","STR0285",285)
#DEFINE STR0286 FWI18NLang("PLSTISS","STR0286",286)
#DEFINE STR0287 FWI18NLang("PLSTISS","STR0287",287)
#DEFINE STR0288 FWI18NLang("PLSTISS","STR0288",288)
#DEFINE STR0289 FWI18NLang("PLSTISS","STR0289",289)
#DEFINE STR0290 FWI18NLang("PLSTISS","STR0290",290)
#DEFINE STR0291 FWI18NLang("PLSTISS","STR0291",291)
#DEFINE STR0292 FWI18NLang("PLSTISS","STR0292",292)
#DEFINE STR0293 FWI18NLang("PLSTISS","STR0293",293)
#DEFINE STR0294 FWI18NLang("PLSTISS","STR0294",294)
#DEFINE STR0295 FWI18NLang("PLSTISS","STR0295",295)
#DEFINE STR0296 FWI18NLang("PLSTISS","STR0296",296)
#DEFINE STR0297 FWI18NLang("PLSTISS","STR0297",297)
#DEFINE STR0298 FWI18NLang("PLSTISS","STR0298",298)
#DEFINE STR0299 FWI18NLang("PLSTISS","STR0299",299)
#DEFINE STR0300 FWI18NLang("PLSTISS","STR0300",300)
#DEFINE STR0301 FWI18NLang("PLSTISS","STR0301",301)
#DEFINE STR0302 FWI18NLang("PLSTISS","STR0302",302)
#DEFINE STR0303 FWI18NLang("PLSTISS","STR0303",303)
#DEFINE STR0304 FWI18NLang("PLSTISS","STR0304",304)
#DEFINE STR0305 FWI18NLang("PLSTISS","STR0305",305)
#DEFINE STR0306 FWI18NLang("PLSTISS","STR0306",306)
#DEFINE STR0307 FWI18NLang("PLSTISS","STR0307",307)
#DEFINE STR0308 FWI18NLang("PLSTISS","STR0308",308)
#DEFINE STR0309 FWI18NLang("PLSTISS","STR0309",309)
#DEFINE STR0310 FWI18NLang("PLSTISS","STR0310",310)
#DEFINE STR0311 FWI18NLang("PLSTISS","STR0311",311)
#DEFINE STR0312 FWI18NLang("PLSTISS","STR0312",312)
#DEFINE STR0313 FWI18NLang("PLSTISS","STR0313",313)
#DEFINE STR0314 FWI18NLang("PLSTISS","STR0314",314)
#DEFINE STR0315 FWI18NLang("PLSTISS","STR0315",315)
#DEFINE STR0316 FWI18NLang("PLSTISS","STR0316",316)
#DEFINE STR0317 FWI18NLang("PLSTISS","STR0317",317)
#DEFINE STR0318 FWI18NLang("PLSTISS","STR0318",318)
#DEFINE STR0319 FWI18NLang("PLSTISS","STR0319",319)
#DEFINE STR0320 FWI18NLang("PLSTISS","STR0320",320)
#DEFINE STR0321 FWI18NLang("PLSTISS","STR0321",321)
#DEFINE STR0322 FWI18NLang("PLSTISS","STR0322",322)
#DEFINE STR0323 FWI18NLang("PLSTISS","STR0323",323)
#DEFINE STR0324 FWI18NLang("PLSTISS","STR0324",324)
#DEFINE STR0325 FWI18NLang("PLSTISS","STR0325",325)
#DEFINE STR0326 FWI18NLang("PLSTISS","STR0326",326)
#DEFINE STR0327 FWI18NLang("PLSTISS","STR0327",327)
#DEFINE STR0328 FWI18NLang("PLSTISS","STR0328",328)
#DEFINE STR0329 FWI18NLang("PLSTISS","STR0329",329)
#DEFINE STR0330 FWI18NLang("PLSTISS","STR0330",330)
#DEFINE STR0331 FWI18NLang("PLSTISS","STR0331",331)
#DEFINE STR0332 FWI18NLang("PLSTISS","STR0332",332)
#DEFINE STR0333 FWI18NLang("PLSTISS","STR0333",333)
#DEFINE STR0334 FWI18NLang("PLSTISS","STR0334",334)
#DEFINE STR0335 FWI18NLang("PLSTISS","STR0335",335)
#DEFINE STR0336 FWI18NLang("PLSTISS","STR0336",336)
#DEFINE STR0337 FWI18NLang("PLSTISS","STR0337",337)
#DEFINE STR0338 FWI18NLang("PLSTISS","STR0338",338)
#DEFINE STR0339 FWI18NLang("PLSTISS","STR0339",339)
#DEFINE STR0340 FWI18NLang("PLSTISS","STR0340",340)
#DEFINE STR0341 FWI18NLang("PLSTISS","STR0341",341)
#DEFINE STR0342 FWI18NLang("PLSTISS","STR0342",342)
#DEFINE STR0343 FWI18NLang("PLSTISS","STR0343",343)
#DEFINE STR0344 FWI18NLang("PLSTISS","STR0344",344)
#DEFINE STR0345 FWI18NLang("PLSTISS","STR0345",345)
#DEFINE STR0346 FWI18NLang("PLSTISS","STR0346",346)
#DEFINE STR0347 FWI18NLang("PLSTISS","STR0347",347)
#DEFINE STR0348 FWI18NLang("PLSTISS","STR0348",348)
#DEFINE STR0349 FWI18NLang("PLSTISS","STR0349",349)
#DEFINE STR0350 FWI18NLang("PLSTISS","STR0350",350)
#DEFINE STR0351 FWI18NLang("PLSTISS","STR0351",351)
#DEFINE STR0352 FWI18NLang("PLSTISS","STR0352",352)
#DEFINE STR0353 FWI18NLang("PLSTISS","STR0353",353)
#DEFINE STR0354 FWI18NLang("PLSTISS","STR0354",354)
#DEFINE STR0355 FWI18NLang("PLSTISS","STR0355",355)
#DEFINE STR0356 FWI18NLang("PLSTISS","STR0356",356)
#DEFINE STR0357 FWI18NLang("PLSTISS","STR0357",357)
#DEFINE STR0358 FWI18NLang("PLSTISS","STR0358",358)
#DEFINE STR0359 FWI18NLang("PLSTISS","STR0359",359)
#DEFINE STR0360 FWI18NLang("PLSTISS","STR0360",360)
#DEFINE STR0361 FWI18NLang("PLSTISS","STR0361",361)
#DEFINE STR0362 FWI18NLang("PLSTISS","STR0362",362)
#DEFINE STR0363 FWI18NLang("PLSTISS","STR0363",363)
#DEFINE STR0364 FWI18NLang("PLSTISS","STR0364",364)
#DEFINE STR0365 FWI18NLang("PLSTISS","STR0365",365)
#DEFINE STR0366 FWI18NLang("PLSTISS","STR0366",366)
#DEFINE STR0367 FWI18NLang("PLSTISS","STR0367",367)
#DEFINE STR0368 FWI18NLang("PLSTISS","STR0368",368)
#DEFINE STR0369 FWI18NLang("PLSTISS","STR0369",369)
#DEFINE STR0370 FWI18NLang("PLSTISS","STR0370",370)
#DEFINE STR0371 FWI18NLang("PLSTISS","STR0371",371)
#DEFINE STR0372 FWI18NLang("PLSTISS","STR0372",372)
#DEFINE STR0373 FWI18NLang("PLSTISS","STR0373",373)
#DEFINE STR0374 FWI18NLang("PLSTISS","STR0374",374)
#DEFINE STR0375 FWI18NLang("PLSTISS","STR0375",375)
#DEFINE STR0376 FWI18NLang("PLSTISS","STR0376",376)
#DEFINE STR0377 FWI18NLang("PLSTISS","STR0377",377)
#DEFINE STR0378 FWI18NLang("PLSTISS","STR0378",378)
#DEFINE STR0379 FWI18NLang("PLSTISS","STR0379",379)
#DEFINE STR0380 FWI18NLang("PLSTISS","STR0380",380)
#DEFINE STR0381 FWI18NLang("PLSTISS","STR0381",381)
#DEFINE STR0382 FWI18NLang("PLSTISS","STR0382",382)
#DEFINE STR0383 FWI18NLang("PLSTISS","STR0383",383)
#DEFINE STR0384 FWI18NLang("PLSTISS","STR0384",384)
#DEFINE STR0385 FWI18NLang("PLSTISS","STR0385",385)
#DEFINE STR0386 FWI18NLang("PLSTISS","STR0386",386)
#DEFINE STR0387 FWI18NLang("PLSTISS","STR0387",387)
#DEFINE STR0388 FWI18NLang("PLSTISS","STR0388",388)
#DEFINE STR0389 FWI18NLang("PLSTISS","STR0389",389)
#DEFINE STR0390 FWI18NLang("PLSTISS","STR0390",390)
#DEFINE STR0391 FWI18NLang("PLSTISS","STR0391",391)
#DEFINE STR0392 FWI18NLang("PLSTISS","STR0392",392)
#DEFINE STR0393 FWI18NLang("PLSTISS","STR0393",393)
#DEFINE STR0394 FWI18NLang("PLSTISS","STR0394",394)
#DEFINE STR0395 FWI18NLang("PLSTISS","STR0395",395)
#DEFINE STR0396 FWI18NLang("PLSTISS","STR0396",396)
#DEFINE STR0397 FWI18NLang("PLSTISS","STR0397",397)
#DEFINE STR0398 FWI18NLang("PLSTISS","STR0398",398)
#DEFINE STR0399 FWI18NLang("PLSTISS","STR0399",399)
#DEFINE STR0400 FWI18NLang("PLSTISS","STR0400",400)
#DEFINE STR0401 FWI18NLang("PLSTISS","STR0401",401)
#DEFINE STR0402 FWI18NLang("PLSTISS","STR0402",402)
#DEFINE STR0403 FWI18NLang("PLSTISS","STR0403",403)
#DEFINE STR0404 FWI18NLang("PLSTISS","STR0404",404)
#DEFINE STR0405 FWI18NLang("PLSTISS","STR0405",405)
#DEFINE STR0406 FWI18NLang("PLSTISS","STR0406",406)
#DEFINE STR0407 FWI18NLang("PLSTISS","STR0407",407)
#DEFINE STR0408 FWI18NLang("PLSTISS","STR0408",408)
#DEFINE STR0409 FWI18NLang("PLSTISS","STR0409",409)
#DEFINE STR0410 FWI18NLang("PLSTISS","STR0410",410)
#DEFINE STR0411 FWI18NLang("PLSTISS","STR0411",411)
#DEFINE STR0412 FWI18NLang("PLSTISS","STR0412",412)
#DEFINE STR0413 FWI18NLang("PLSTISS","STR0413",413)
#DEFINE STR0414 FWI18NLang("PLSTISS","STR0414",414)
#DEFINE STR0415 FWI18NLang("PLSTISS","STR0415",415)
#DEFINE STR0416 FWI18NLang("PLSTISS","STR0416",416)
#DEFINE STR0417 FWI18NLang("PLSTISS","STR0417",417)
#DEFINE STR0418 FWI18NLang("PLSTISS","STR0418",418)
#DEFINE STR0419 FWI18NLang("PLSTISS","STR0419",419)
#DEFINE STR0420 FWI18NLang("PLSTISS","STR0420",420)
#DEFINE STR0421 FWI18NLang("PLSTISS","STR0421",421)
#DEFINE STR0422 FWI18NLang("PLSTISS","STR0422",422)
#DEFINE STR0423 FWI18NLang("PLSTISS","STR0423",423)
#DEFINE STR0424 FWI18NLang("PLSTISS","STR0424",424)
#DEFINE STR0425 FWI18NLang("PLSTISS","STR0425",425)
#DEFINE STR0426 FWI18NLang("PLSTISS","STR0426",426)
#DEFINE STR0427 FWI18NLang("PLSTISS","STR0427",427)
#DEFINE STR0428 FWI18NLang("PLSTISS","STR0428",428)
#DEFINE STR0429 FWI18NLang("PLSTISS","STR0429",429)
#DEFINE STR0450 FWI18NLang("PLSTISS","STR0450",430)
#DEFINE STR0451 FWI18NLang("PLSTISS","STR0451",431)
#DEFINE STR0452 FWI18NLang("PLSTISS","STR0452",432)
#DEFINE STR0453 FWI18NLang("PLSTISS","STR0453",433)
#DEFINE STR0454 FWI18NLang("PLSTISS","STR0454",434)
#DEFINE STR0455 FWI18NLang("PLSTISS","STR0455",435)
#DEFINE STR0456 FWI18NLang("PLSTISS","STR0456",436)
#DEFINE STR0457 FWI18NLang("PLSTISS","STR0457",437)
#DEFINE STR0458 FWI18NLang("PLSTISS","STR0458",438)
#DEFINE STR0459 FWI18NLang("PLSTISS","STR0459",439)
#DEFINE STR0460 FWI18NLang("PLSTISS","STR0460",440)
#DEFINE STR0461 FWI18NLang("PLSTISS","STR0461",441)
#DEFINE STR0462 FWI18NLang("PLSTISS","STR0462",442)
#DEFINE STR0463 FWI18NLang("PLSTISS","STR0463",443)
#DEFINE STR0464 FWI18NLang("PLSTISS","STR0464",444)
#DEFINE STR0465 FWI18NLang("PLSTISS","STR0465",445)
#DEFINE STR0466 FWI18NLang("PLSTISS","STR0466",446)
#DEFINE STR0467 FWI18NLang("PLSTISS","STR0467",447)
#DEFINE STR0468 FWI18NLang("PLSTISS","STR0468",448)
#DEFINE STR0469 FWI18NLang("PLSTISS","STR0469",449)
#DEFINE STR0470 FWI18NLang("PLSTISS","STR0470",450)
#DEFINE STR0471 FWI18NLang("PLSTISS","STR0471",451)
#DEFINE STR0472 FWI18NLang("PLSTISS","STR0472",452)
#DEFINE STR0473 FWI18NLang("PLSTISS","STR0473",453)
#DEFINE STR0474 FWI18NLang("PLSTISS","STR0474",454)
#DEFINE STR0475 FWI18NLang("PLSTISS","STR0475",455)
#DEFINE STR0476 FWI18NLang("PLSTISS","STR0476",456)
#DEFINE STR0477 FWI18NLang("PLSTISS","STR0477",457)
#DEFINE STR0478 FWI18NLang("PLSTISS","STR0478",458)
#DEFINE STR0479 FWI18NLang("PLSTISS","STR0479",459)
#DEFINE STR0480 FWI18NLang("PLSTISS","STR0480",460)
#DEFINE STR0481 FWI18NLang("PLSTISS","STR0481",461)
 

PLSTISS_EN.TRES

 0001#STR0001#ALL#APPOINTMENT FORM
0002#STR0002#ALL#No.
0003#STR0003#ALL#ANS Record
0004#STR0004#ALL#Form Generation Date
0005#STR0005#ALL#Beneficiary Data
0006#STR0006#ALL#Card Number
0007#STR0007#ALL#Plan
0008#STR0008#ALL#Portfolio Maturity
0009#STR0009#ALL#Name
0010#STR0010#ALL#Number of the Health National Card
0011#STR0011#ALL#Data of contracted person
0012#STR0012#ALL#Code in Operator / CNPJ / CPF
0013#STR0013#ALL#Name of the contracted person
0014#STR0014#ALL#CNES Code
0015#STR0015#ALL#T.L.
0016#STR0016#ALL#Address ID - Number - Complement
0017#STR0017#ALL#City
0018#STR0018#ALL#UF
0019#STR0019#ALL#IBGE Code
0020#STR0020#ALL#ZIP CODE
0021#STR0021#ALL#Name of the Professional Performer
0022#STR0022#ALL#Professional Council
0023#STR0023#ALL#Council Number
0024#STR0024#ALL#CBO S Code
0025#STR0025#ALL#Diagnostic Hypothesis
0026#STR0026#ALL#Type of Disease
0027#STR0027#ALL#A-Sharp
0028#STR0028#ALL#C-Chronic
0029#STR0029#ALL#Disease Age
0030#STR0030#ALL#A-Years
0031#STR0031#ALL#M-Months
0032#STR0032#ALL#D-Days
0033#STR0033#ALL#Accident Indication
0034#STR0034#ALL#Work-related accident or disease
0035#STR0035#ALL#Traffic
0036#STR0036#ALL#Others
0037#STR0037#ALL#Main ICD
0038#STR0038#ALL#ICD (2)
0039#STR0039#ALL#ICD (3)
0040#STR0040#ALL#ICD(4)
0041#STR0041#ALL#Attendance Data
0042#STR0042#ALL#Procedure Performed
0043#STR0043#ALL#Attendance Date
0044#STR0044#ALL#Table Code
0045#STR0045#ALL#Procedure Code
0046#STR0046#ALL#Appointment Type
0047#STR0047#ALL#First
0048#STR0048#ALL#Follow-up
0049#STR0049#ALL#Pre-Birth
0050#STR0050#ALL#Type of exit
0051#STR0051#ALL#Return
0052#STR0052#ALL#SADT Return
0053#STR0053#ALL#Reference
0054#STR0054#ALL#Hospitalization
0055#STR0055#ALL#Discharge
0056#STR0056#ALL#Notes
0057#STR0057#ALL#Professional Signature and Date
0058#STR0058#ALL#Date and Signature of Beneficiary or Person Responsible
0059#STR0059#ALL#PROFESSIONAL SERVICE FORM
0060#STR0060#ALL#PROFESSIONAL SERVICE FORM / AUXILIARY SERVICE FOR DIAGNOSYS AND THERAPY - SP/SADT
0061#STR0061#ALL#Main Form No.
0062#STR0062#ALL#Authorization Date
0063#STR0063#ALL#Password
0064#STR0064#ALL#Password expiry date
0065#STR0065#ALL#Requesting contracted party information
0066#STR0066#ALL#Requesting professional name
0067#STR0067#ALL#Request information / Requested procedures and exams
0068#STR0068#ALL#Request date/time
0069#STR0069#ALL#Request reason
0070#STR0070#ALL#E-Elective
0071#STR0071#ALL#U-Urgency/Emergency
0072#STR0072#ALL#ICD 10
0073#STR0073#ALL#Clinical Indication (required in case of small surgery, therapy, referenced appointment and high cost)
0074#STR0074#ALL#Table
0075#STR0075#ALL#Procedure Code
0076#STR0076#ALL#Description
0077#STR0077#ALL#Qty. req.
0078#STR0078#ALL#Qty. author.
0079#STR0079#ALL#Executing contracted party information
0080#STR0080#ALL#IBGE Code
0081#STR0081#ALL#Operator code/CPF of supplement. exec.
0082#STR0082#ALL#Name of executing professional/Supplementary
0083#STR0083#ALL#Participation degree
0084#STR0084#ALL#Attendance Type
0085#STR0085#ALL#Removal
0086#STR0086#ALL#Small surgery
0087#STR0087#ALL#Therapies
0088#STR0088#ALL#Appointment
0089#STR0089#ALL#Test
0090#STR0090#ALL#Home care
0091#STR0091#ALL#Hospitalized SADT
0092#STR0092#ALL#Chemotherapy
0093#STR0093#ALL#Radiotherapy
0094#STR0094#ALL#Substitutive Kidney Therapy
0095#STR0095#ALL#Death
0096#STR0096#ALL#Reference Appointment
0097#STR0097#ALL#Procedures and tests performed
0098#STR0098#ALL#Date
0099#STR0099#ALL#Start time
0100#STR0100#ALL#Final time
0101#STR0101#ALL#Qty.
0102#STR0102#ALL#Via
0103#STR0103#ALL#Tec.
0104#STR0104#ALL#% Red./Incr.
0105#STR0105#ALL#Unit value - R$
0106#STR0106#ALL#Total amount - R$
0107#STR0107#ALL#Date and Signature of Series Procedures
0108#STR0108#ALL#Total Procedures R$
0109#STR0109#ALL#Total Rates and Rents R$
0110#STR0110#ALL#Total Materials R$
0111#STR0111#ALL#Total Medications R$
0112#STR0112#ALL#Total Daily rates R$
0113#STR0113#ALL#Total Medical Gases R$
0114#STR0114#ALL#General Total of the Form R$
0115#STR0115#ALL#Date and Signature of the Requestor
0116#STR0116#ALL#Date and Signature of the Responsible for the Authorization
0117#STR0117#ALL#Date and Signature of the Performer Provider
0118#STR0118#ALL#Required OPM
0119#STR0119#ALL#OPM Code
0120#STR0120#ALL#OPM Description
0121#STR0121#ALL#Manufacturer
0122#STR0122#ALL#OPM Used
0123#STR0123#ALL#Barcode
0124#STR0124#ALL#Total OPM R$
0125#STR0125#ALL#HOSPITALIZATION REQUISITION FORM
0126#STR0126#ALL#REQUISITION FORM
0127#STR0127#ALL#OF HOSPITALIZATION
0128#STR0128#ALL#Data of Requestor Hired / Hospitalization Data
0129#STR0129#ALL#Code in Operator / CNPJ
0130#STR0130#ALL#Provider Name
0131#STR0131#ALL#Hospitalization Reason
0132#STR0132#ALL#E - Election
0133#STR0133#ALL#U - Urgency/Emergency
0134#STR0134#ALL#Hospitalization Type
0135#STR0135#ALL#Clinic
0136#STR0136#ALL#Surgical
0137#STR0137#ALL#Obstetrics
0138#STR0138#ALL#Pediatrics
0139#STR0139#ALL#Psychiatrist
0140#STR0140#ALL#Hospitalization Process
0141#STR0141#ALL#Hospital
0142#STR0142#ALL#Hospital-day
0143#STR0143#ALL#Home
0144#STR0144#ALL#Amnt. of Daily rates required
0145#STR0145#ALL#Clinic Indication
0146#STR0146#ALL#Disease Type
0147#STR0147#ALL#Disease Age referred by the Patient
0148#STR0148#ALL#Work-related accident or disease
0149#STR0149#ALL#Main CID 10
0150#STR0150#ALL#CID 10 (2)
0151#STR0151#ALL#CID 10 (3)
0152#STR0152#ALL#CID 10 (4)
0153#STR0153#ALL#Procedures required
0154#STR0154#ALL#Amnt. Req.
0155#STR0155#ALL#Amnt. Auth.
0156#STR0156#ALL#Authorization Data
0157#STR0157#ALL#Probable Date of Hospital Admission
0158#STR0158#ALL#Amnt. Daily Rates Authorized
0159#STR0159#ALL#Type of accommodation allowed
0160#STR0160#ALL#Name of Provider Allowed
0161#STR0161#ALL#Professional Requesting Signature and Date
0162#STR0162#ALL#Extensions
0163#STR0163#ALL#Responsible for Authorization
0164#STR0164#ALL#Accom. Type
0165#STR0165#ALL#Accommodation
0166#STR0166#ALL#Amnt. Authorized
0167#STR0167#ALL#Amnt. Req.
0168#STR0168#ALL#HOSPITALIZATION SUMMARY FORM
0169#STR0169#ALL#HOSPITALIZATION SUMMARY FORM
0170#STR0170#ALL#No. of Requisition Form
0171#STR0171#ALL#IBGE Code
0172#STR0172#ALL#Hospitalization Data
0173#STR0173#ALL#Type of Accommodation Allowed
0174#STR0174#ALL#Date/Time of Hospitalization
0175#STR0175#ALL#Date/Time Hospitalization Discharge
0176#STR0176#ALL#Hospitalization Type
0177#STR0177#ALL#Obstetrics Hospitalization - (if necessary, select more than one with "X")
0178#STR0178#ALL#Pregnant
0179#STR0179#ALL#Abortion
0180#STR0180#ALL#Maternal upset relating to pregnancy
0181#STR0181#ALL#Post delivery complication
0182#STR0182#ALL#Attend. to NB in delivery room
0183#STR0183#ALL#Newborn complication
0184#STR0184#ALL#Bx. weight < 2,5 Kg
0185#STR0185#ALL#Caesarian Delivery
0186#STR0186#ALL#Episiotomy delivery
0187#STR0187#ALL#Women death
0188#STR0188#ALL#Pregnant
0189#STR0189#ALL#up to 42 days after the end of pregnancy
0190#STR0190#ALL#from 43 days to 12 months after the end of pregnancy
0191#STR0191#ALL#If newborn death
0192#STR0192#ALL#Amnt. precocious stillborn
0193#STR0193#ALL#Amnt. late stillborn
0194#STR0194#ALL#No. Decl. Liveborn
0195#STR0195#ALL#Amnt. Liveborn
0196#STR0196#ALL#Amnt. Stillborn
0197#STR0197#ALL#Amnt. premature liveborn
0198#STR0198#ALL#Data of Hospitalization Discharge
0199#STR0199#ALL#Accident Indicator
0200#STR0200#ALL#Discharge Reason
0201#STR0201#ALL#CID 10 Death
0202#STR0202#ALL#No. Death Declaration
0203#STR0203#ALL#Staff identification
0204#STR0204#ALL#Seq.Ref
0205#STR0205#ALL#Gr.Part.
0206#STR0206#ALL#Code in Operator/CPF
0207#STR0207#ALL#Professional name
0208#STR0208#ALL#Prof. Board
0209#STR0209#ALL#Board Number
0210#STR0210#ALL#CPF
0211#STR0211#ALL#Invoicing Type R$
0212#STR0212#ALL#Total
0213#STR0213#ALL#Partial
0214#STR0214#ALL#General Total R$
0215#STR0215#ALL#Date and Signature of Provider
0216#STR0216#ALL#Date and Signature of the Company Auditor(s)
0217#STR0217#ALL#Procedures and Exams Performed (Continuing)
0218#STR0218#ALL#Staff Identification (Continuing)
0219#STR0219#ALL#INDIVIDUAL FEE FORM
0220#STR0220#ALL#INDIVIDUAL FEE FORM
0221#STR0221#ALL#No. of Requisition/Password form
0222#STR0222#ALL#Form Generation Date
0223#STR0223#ALL#Data of Provider (where the procedure was performed)
0224#STR0224#ALL#Name of the current Provider
0225#STR0225#ALL#Part. Level
0226#STR0226#ALL#CPF Number
0227#STR0227#ALL#Procedures performed
0228#STR0228#ALL#General Total of Fees R$
0229#STR0229#ALL#Provider Date and Signature
0230#STR0230#ALL#Date/Time and Signature of the Beneficiary or Responsible
0231#STR0231#ALL#FORM OF OTHER EXPENSES
0232#STR0232#ALL#No. of Reference Form
0233#STR0233#ALL#Code of Expenses
0234#STR0234#ALL#CD = 
0235#STR0235#ALL#Medical Gases
0236#STR0236#ALL#Medications
0237#STR0237#ALL#Materials
0238#STR0238#ALL#Other rates
0239#STR0239#ALL#Daily rates
0240#STR0240#ALL#Rent
0241#STR0241#ALL#CD
0242#STR0242#ALL#Item Code
0243#STR0243#ALL#Total of Other Rates R$
0244#STR0244#ALL#Total Rent R$
0245#STR0245#ALL#STATEMENT OF MEDICAL ACCOUNT ANALYSIS
0246#STR0246#ALL#MEDICAL ACCOUNT STATEMENT ANALISIS
0247#STR0247#ALL#Company name
0248#STR0248#ALL#Company CNPJ
0249#STR0249#ALL#Statement number
0250#STR0250#ALL#Statement Generation Date
0251#STR0251#ALL#Provider Data
0252#STR0252#ALL#Provider Code / CNPJ / CPF
0253#STR0253#ALL#Account Data
0254#STR0254#ALL#Invoice Number
0255#STR0255#ALL#Lot Number
0256#STR0256#ALL#Date when Lot was Sent
0257#STR0257#ALL#Protocol Number
0258#STR0258#ALL#Protocol amount (R$)
0259#STR0259#ALL#Protocol Disallowance Amount (R$)
0260#STR0260#ALL#Protocol Disallowance Code
0261#STR0261#ALL#Form/Password Number
0262#STR0262#ALL#Beneficiary Number
0263#STR0263#ALL#Beneficiary Code
0264#STR0264#ALL#Event Date
0265#STR0265#ALL#Service description
0266#STR0266#ALL#Service code
0267#STR0267#ALL#Exec. Amnt.
0268#STR0268#ALL#Amount processed (R$)
0269#STR0269#ALL#Amount Released (R$)
0270#STR0270#ALL#Disallowance Amount (R$)
0271#STR0271#ALL#Disallowance Code
0272#STR0272#ALL#Total Form
0273#STR0273#ALL#Amount processed of Form (R$)
0274#STR0274#ALL#Amount released of Form (R$)
0275#STR0275#ALL#Disallowance Amount of Form (R$)
0276#STR0276#ALL#Disallowance code of Form
0277#STR0277#ALL#Total Invoice
0278#STR0278#ALL#Amount processed of Invoice (R$)
0279#STR0279#ALL#Amount released of Invoice (R$)
0280#STR0280#ALL#Disallowance Amount of Invoice (R$)
0281#STR0281#ALL#General Total
0282#STR0282#ALL#General Amount Processed (R$)
0283#STR0283#ALL#General Amount Released (R$)
0284#STR0284#ALL#General Disallowance Amount (R$)
0285#STR0285#ALL#PAYMENT STATEMENT
0286#STR0286#ALL#Payment Data
0287#STR0287#ALL#Payment Date
0288#STR0288#ALL#Payment Mode
0289#STR0289#ALL#Credit in Account
0290#STR0290#ALL#Portfolio
0291#STR0291#ALL#Payment slip
0292#STR0292#ALL#Bank
0293#STR0293#ALL#Bank office
0294#STR0294#ALL#Account/Check number
0295#STR0295#ALL#Summary Data
0296#STR0296#ALL#Amount informed (R$)
0297#STR0297#ALL#Disallowance amount (R$)
0298#STR0298#ALL#General Total of Amount Informed (R$)
0299#STR0299#ALL#General Total of Amount Processed (R$)
0300#STR0300#ALL#General Total of Amount Released (R$)
0301#STR0301#ALL#General Total of Disallowance (R$)
0302#STR0302#ALL#Total Amount
0303#STR0303#ALL#Other Deductions or Credits
0304#STR0304#ALL#Total Amount Released
0305#STR0305#ALL#ODONTHOLOGICAL FORM - COLLECTION
0306#STR0306#ALL#ODONTHOLOGICAL TREATMENT FORM - COLLECTION
0307#STR0307#ALL#Form Generation Date
0308#STR0308#ALL#Number of the Main Form
0309#STR0309#ALL#Company
0310#STR0310#ALL#Portfolio Maturity Date
0311#STR0311#ALL#Telephone
0312#STR0312#ALL#Name of the Health Care Plan Holder
0313#STR0313#ALL#CRO Number
0314#STR0314#ALL#Procedures Performed
0315#STR0315#ALL#Tooth/Area
0316#STR0316#ALL#Face
0317#STR0317#ALL#Amnt
0318#STR0318#ALL#US Amount
0319#STR0319#ALL#Value
0320#STR0320#ALL#Franchise/Co-participation R$
0321#STR0321#ALL#Signature
0322#STR0322#ALL#Treatment End date
0323#STR0323#ALL#Attendance Type
0324#STR0324#ALL#Odonthological Treatment
0325#STR0325#ALL#Radiologic exam
0326#STR0326#ALL#Orthodontia
0327#STR0327#ALL#Urgency/Emergence
0328#STR0328#ALL#Invoicing Type
0329#STR0329#ALL#Partial 
0330#STR0330#ALL#Total US Amount
0331#STR0331#ALL#Total Amount R$
0332#STR0332#ALL#Total Franchise / Co-Participation R$
0333#STR0333#ALL#I agree with the treatment described above and I am satisfied with that. I allow the Company to pay in my behalf and
0334#STR0334#ALL#account, to the professional contracted that signs such document, the amounts referring to the treatment performed, and I am responsible for paying my costs
0335#STR0335#ALL#Date, Location and Signature of the Dentist
0336#STR0336#ALL#Date, Location and Signature of Beneficiary/Responsible person
0337#STR0337#ALL#Date, Location and Company Stamp
0338#STR0338#ALL#ODONTHOLOGICAL - REQUISITION
0339#STR0339#ALL#ODONTHOLOGICAL TREATMENT FORM - REQUISITION
0340#STR0340#ALL#Initial Situation
0341#STR0341#ALL#Permanent
0342#STR0342#ALL#Regressive
0343#STR0343#ALL#Clinical signs of periodontic disease?
0344#STR0344#ALL#Yes
0345#STR0345#ALL#No
0346#STR0346#ALL#Change of Soft Tissues?
0347#STR0347#ALL#CAPTION AND OBSERVATION ON THE INITIAL SITUATION
0348#STR0348#ALL#A - Absent
0349#STR0349#ALL#E - Extraction Indicated
0350#STR0350#ALL#H - Health
0351#STR0351#ALL#C - With caries
0352#STR0352#ALL#R - Restored
0353#STR0353#ALL#Observations
0354#STR0354#ALL#Treatment Plan / Procedures Required
0355#STR0355#ALL#Aut
0356#STR0356#ALL#After being aware on the purposes, risks, costs and alternative for treatments,
0357#STR0357#ALL#according to presented above, I agree and allow the treatment, being engaged to accomplish instructions 
0358#STR0358#ALL#of the professional, paying the costs set in the contract
0359#STR0359#ALL#ODONTOLOGICAL FORM - PAYMENT STATEMENT
0360#STR0360#ALL#ODONTOLOGICAL TREATMENT FORM - PAYMENT STATEMENT
0361#STR0361#ALL#Processing Period
0362#STR0362#ALL# to 
0363#STR0363#ALL#Operator Code
0364#STR0364#ALL#CPF/ CNPJ Contracted
0365#STR0365#ALL#Form Number
0366#STR0366#ALL#Event Date
0367#STR0367#ALL#Amount Processed (R$)
0368#STR0368#ALL#Disallowance/Reversal Amount(R$)
0369#STR0369#ALL#Amount Released(R$)
0370#STR0370#ALL#Disallowance Reason
0371#STR0371#ALL#Total Amount of Form Processed(R$)
0372#STR0372#ALL#Total Amount of Disallowance Form(R$)
0373#STR0373#ALL#Total Amount Released Form (R$)
0374#STR0374#ALL#Total Amount Processed Form (R$)
0375#STR0375#ALL#Total Amount of Disallowance Lot(R$)
0376#STR0376#ALL#Total Amount of Released Lot (R$)
0377#STR0377#ALL#Other Discounts
0378#STR0378#ALL#Dicount Value(R$)
0379#STR0379#ALL#General Amount Processed(R$)
0380#STR0380#ALL#General Disallowance Amount(R$)
0381#STR0381#ALL#General Amount Released(R$)
0382#STR0382#ALL#Form from Hospitalization. To print it, go to Hospitalization Routine.
0383#STR0383#ALL#Attendance to Newly Born
0384#STR0384#ALL#ODONTOLOGICAL TREATMENT FORM
0385#STR0385#ALL#Data of Contracted Person Responsible for the Treatment
0386#STR0386#ALL#I declare that, after purposes, risks, costs and treatment options have been clarified, as presented above, I accept and authorize the treatment, pledging myself to obey orientations of assistant professional and pay 
0387#STR0387#ALL#costs predicted in contract. Also, I declare that the procedure(s) described above, and agreed by me, were accomplished with my assent and satisfactorily. I authorize the Operator to pay, on my behalf and on my account, the professional contracted that 
0388#STR0388#ALL#signs this document, values referring to treatment accomplished. Moreover, I pledge myself to pay for costs as predicted in contract.
0389#STR0389#ALL#Date, location and signature of Requestor Dental Surgeon
0390#STR0390#ALL#Data of contractor
0391#STR0391#ALL#ODONTOLOGICAL TREATMENT FORM - INITIAL SITUATION
0392#STR0392#ALL#Grand Value Processed (R$)
0393#STR0393#ALL#Disallowance Grand Value (R$)
0394#STR0394#ALL#Released Grand Value (R$)
0395#STR0395#ALL#Other Debits / Credits
0396#STR0396#ALL#Value (R$)
0397#STR0397#ALL#Other debits / credits non-taxable
0398#STR0398#ALL#Taxes
0399#STR0399#ALL#Totals
0400#STR0400#ALL#Taxable Grand Total Value  - R$ -
0401#STR0401#ALL#Retained-Tax Grand Total  - R$ -
0402#STR0402#ALL#Non-Taxable Grand Total Value  - R$ -
0403#STR0403#ALL#Receivable Final Value (R$)
0404#STR0404#ALL#Item already associate with TISS, do you want to change this association?
0405#STR0405#ALL#Domain Table not found.
0406#STR0406#ALL#Terminology Code
0407#STR0407#ALL#Terminology Item Description
0408#STR0408#ALL#Item not associated with TISS
0409#STR0409#ALL#Code
0410#STR0410#ALL#Description
0411#STR0411#ALL#No item with filter was found. Or there is no current table for Terminology.
0412#STR0412#ALL#Do you want to delete this item association with TISS?
0413#STR0413#ALL#Association successfully added.
0414#STR0414#ALL#Association successfully changed.
0415#STR0415#ALL#Association successfully deleted.
0416#STR0416#ALL#Terminology Selection
0417#STR0417#ALL#TISS Version not found or smaller than 3
0418#STR0418#ALL#Invalid Character
0419#STR0419#ALL#There are invalid characters in your search.
0420#STR0420#ALL#OK
0421#STR0421#ALL#Association not found.
0422#STR0422#ALL#For this functionality, run the procedures related to call: THQGIW
0423#STR0423#ALL#Attendance to RN
0424#STR0424#ALL#Code of Negative
0425#STR0425#ALL#Requester Dentist Signature Date
0426#STR0426#ALL#Requester Dentist Signature
0427#STR0427#ALL#Dentist Signature Date
0428#STR0428#ALL#Dentist Signature
0429#STR0429#ALL#Signature date of Beneficiary or Responsible Party
0430#STR0450#ALL#Signature of Beneficiary or Responsible Party
0431#STR0451#ALL#Stamp Date of Company
0432#STR0452#ALL#Form number attributed by provider
0433#STR0453#ALL#I declare that, after being properly clarified regarding intents, risks, costs and treatment alternatives, according to previously presented, I accept and authorize the treatment execution, pledging myself to follow the orientations of the assistant professional
0434#STR0454#ALL#and bear the costs stipulated in contract. I declare, yet, that the procedures above described, and signed by myself, were performed with my awareness and satisfactorily. I authorize the Operator to pay in my name and on my account, 
0435#STR0455#ALL#to the professional hired that signs this document, the values regarding the treatment performed, 
0436#STR0456#ALL#Data not found for the parameters entered!
0437#STR0457#ALL#Information on Births
0438#STR0458#ALL#Protocol:
0439#STR0459#ALL#Date and Time:
0440#STR0460#ALL#Regarding the year:
0441#STR0461#ALL#Description
0442#STR0462#ALL#Regular Births
0443#STR0463#ALL#C-section Surgery
0444#STR0464#ALL#Operator:
0445#STR0465#ALL#Hospital:
0446#STR0466#ALL#Doctor:
0447#STR0467#ALL#The information only refers to data linked to births performed by the Health Care Cooperative above.
0448#STR0468#ALL#Births Statistics
0449#STR0469#ALL#Operator:
0450#STR0470#ALL#Hospitals:
0451#STR0471#ALL#Doctor:
0452#STR0472#ALL#Number of Dental Care Main Form
0453#STR0473#ALL#Form Number Attributed by Cooperative
0454#STR0474#ALL#Note / Justification
0455#STR0475#ALL#Location and Date
0456#STR0476#ALL#Signature of Beneficiary / Responsible Party
0457#STR0477#ALL#Location, Date and Company Stamp
0458#STR0478#ALL#The following fields compose the key to the link and are not filled out in the record selected:
0459#STR0479#ALL#Adjust the register to continue
0460#STR0480#ALL#The following field is used as key to the link and is not filled out in the record selected:
0461#STR0481#ALL#Key Not Valid
 

PLSTISS_ES.TRES

 0001#STR0001#ALL#FORM DE CONSULTA
0002#STR0002#ALL#N�
0003#STR0003#ALL#Registro ANS
0004#STR0004#ALL#Fch. de Emis. del Form.
0005#STR0005#ALL#Datos Beneficiario
0006#STR0006#ALL#Numero de Tarjeta
0007#STR0007#ALL#Plan
0008#STR0008#ALL#Vigencia de Tarjeta
0009#STR0009#ALL#Nomb
0010#STR0010#ALL#Numero de la Tarjeta Nacional de Salud
0011#STR0011#ALL#Datos del Contratado
0012#STR0012#ALL#Codigo en la Operadora / CNPJ / CPF
0013#STR0013#ALL#Nombre del Contratado
0014#STR0014#ALL#Codigo CNES
0015#STR0015#ALL#T.L.
0016#STR0016#ALL#Direccion - Numero - Complemento
0017#STR0017#ALL#Municipio
0018#STR0018#ALL#UF
0019#STR0019#ALL#Codigo IBGE
0020#STR0020#ALL#C.P.
0021#STR0021#ALL#Nombre del Profesional Ejecutante
0022#STR0022#ALL#Consejo Profesional
0023#STR0023#ALL#Numero en el Consejo
0024#STR0024#ALL#Codigo CBO S
0025#STR0025#ALL#Hipotesis Diagnosticas
0026#STR0026#ALL#Tipo de Enfermedad
0027#STR0027#ALL#A-Aguda
0028#STR0028#ALL#C-Cronica
0029#STR0029#ALL#Tiempo de Enfermedad
0030#STR0030#ALL#A-Anos
0031#STR0031#ALL#M-Meses
0032#STR0032#ALL#D-Dias
0033#STR0033#ALL#Indicacion de Accidente
0034#STR0034#ALL#Accidente o enfermedad relacionada con el trabajo
0035#STR0035#ALL#Transito
0036#STR0036#ALL#Otros
0037#STR0037#ALL#CID Principal
0038#STR0038#ALL#CID (2)
0039#STR0039#ALL#CID (3)
0040#STR0040#ALL#CID (4)
0041#STR0041#ALL#Datos de la Atencion
0042#STR0042#ALL#Procedimiento Realizado
0043#STR0043#ALL#Fecha de la Atencion
0044#STR0044#ALL#Codigo Tabla
0045#STR0045#ALL#Codigo Procedimiento
0046#STR0046#ALL#Tipo de Consulta
0047#STR0047#ALL#Primera
0048#STR0048#ALL#Seguimiento
0049#STR0049#ALL#Prenatal
0050#STR0050#ALL#Tipo de Salida
0051#STR0051#ALL#Retorno
0052#STR0052#ALL#Retorno SADT
0053#STR0053#ALL#Referencia
0054#STR0054#ALL#Internacion
0055#STR0055#ALL#Alta
0056#STR0056#ALL#Observacion
0057#STR0057#ALL#Fecha y firma del profesional
0058#STR0058#ALL#Fecha y Firma del Beneficiario o Responsable
0059#STR0059#ALL#FORM. DE SERVIC. PROFESIONAL
0060#STR0060#ALL#FORM. DE SERV. PROFESIONAL / SERV. AUXILIAR DE DIAGNOSTICO Y TERAPIA - SP/SADT
0061#STR0061#ALL#N� Form Principal
0062#STR0062#ALL#Fecha de Autorizacion
0063#STR0063#ALL#Contrasena
0064#STR0064#ALL#Fecha Validez de Contrasena
0065#STR0065#ALL#Datos del Contratado Solicitante
0066#STR0066#ALL#Nombre del Profesional Solicitante
0067#STR0067#ALL#Datos de la Solicitud / Procedimientos y Examenes Solicitados
0068#STR0068#ALL#Fecha/Hora de la Solicitud
0069#STR0069#ALL#Caracter de la Solicitud
0070#STR0070#ALL#E-Electiva
0071#STR0071#ALL#U-Urgencia/Emergencia
0072#STR0072#ALL#CID 10
0073#STR0073#ALL#Indicacion Clinica (obligatorio si pequena cirugia, terapia, consulta referenciada y alto costo)
0074#STR0074#ALL#Tabla
0075#STR0075#ALL#Codigo del Procedimiento
0076#STR0076#ALL#Descripcion
0077#STR0077#ALL#Cant.Solic.
0078#STR0078#ALL#Cant.Autoriz.
0079#STR0079#ALL#Datos del Contratado Ejecutante
0080#STR0080#ALL#Cod.IBGE
0081#STR0081#ALL#Codigo en la Operadora / CPF del ejec. complementario
0082#STR0082#ALL#Nombre del Profesional Ejecutante/Complementario
0083#STR0083#ALL#Grado de Participacion
0084#STR0084#ALL#Tipo Atencion
0085#STR0085#ALL#Remocion
0086#STR0086#ALL#Pequena Cirugia
0087#STR0087#ALL#Terapias
0088#STR0088#ALL#Consulta
0089#STR0089#ALL#Examen
0090#STR0090#ALL#Atencion Domiciliaria
0091#STR0091#ALL#SADT Internado
0092#STR0092#ALL#Quimioterapia
0093#STR0093#ALL#Radioterapia
0094#STR0094#ALL#TRS-Terapia Renal Sustitutiva
0095#STR0095#ALL#Obito
0096#STR0096#ALL#Consulta Referencia
0097#STR0097#ALL#Procedimientos y Examenes realizados
0098#STR0098#ALL#Fecha
0099#STR0099#ALL#Hora Inicial
0100#STR0100#ALL#Hora Final
0101#STR0101#ALL#Cant.
0102#STR0102#ALL#Copia
0103#STR0103#ALL#Tec.
0104#STR0104#ALL#% Red./Aumento
0105#STR0105#ALL#Valor Unitario - R$
0106#STR0106#ALL#Valor Total - R$
0107#STR0107#ALL#Fecha y Firma de Procedimientos en Serie
0108#STR0108#ALL#Total Procedimientos R$
0109#STR0109#ALL#Total Tasas y Alquileres R$
0110#STR0110#ALL#Total Materiales R$
0111#STR0111#ALL#Total Medicamentos R$
0112#STR0112#ALL#Total Diarias R$
0113#STR0113#ALL#Total Gases Medicinales R$
0114#STR0114#ALL#Total General del Formulario R$
0115#STR0115#ALL#Fecha y Firma del Solicitante
0116#STR0116#ALL#Fecha y Firma del Responsable por la Autorizacion
0117#STR0117#ALL#Fecha y Firma del Prestador Ejecutante
0118#STR0118#ALL#OPM Solicitados
0119#STR0119#ALL#Codigo del OPM
0120#STR0120#ALL#Descripcion OPM
0121#STR0121#ALL#Fabricante
0122#STR0122#ALL#OPM Utilizados
0123#STR0123#ALL#Codigo de Barras
0124#STR0124#ALL#Total OPM R$
0125#STR0125#ALL#FORMULARIO DE SOLICITUD DE INTERNACION
0126#STR0126#ALL#FORMULARIO DE SOLICITUD
0127#STR0127#ALL#DE INTERNACION
0128#STR0128#ALL#Datos del Contratado Solicitante / Datos de la Internacion
0129#STR0129#ALL#Codigo en la Operadora / CNPJ
0130#STR0130#ALL#Nombre del Prestador
0131#STR0131#ALL#Caracter de la Internacion
0132#STR0132#ALL#E - Electiva
0133#STR0133#ALL#U - Urgencia/Emergencia
0134#STR0134#ALL#Tipo de Internacion
0135#STR0135#ALL#Clinica
0136#STR0136#ALL#Cirugia
0137#STR0137#ALL#Obstetrica
0138#STR0138#ALL#Pediatrica
0139#STR0139#ALL#Psiquiatrica
0140#STR0140#ALL#Regimen de Internacion
0141#STR0141#ALL#Hospitalario
0142#STR0142#ALL#Hospital-dia
0143#STR0143#ALL#Domiciliario
0144#STR0144#ALL#Cant. Diarias Solicitadas
0145#STR0145#ALL#Indicacion Clinica
0146#STR0146#ALL#Tipo Enfermedad
0147#STR0147#ALL#Tiempo de Enfermedad Referida por el Paciente
0148#STR0148#ALL#Accidente o enfermedad relacionada con el Trabajo
0149#STR0149#ALL#CID 10 Principal
0150#STR0150#ALL#CID 10 (2)
0151#STR0151#ALL#CID 10 (3)
0152#STR0152#ALL#CID 10 (4)
0153#STR0153#ALL#Procedimientos Solicitados
0154#STR0154#ALL#Cant. Solicit
0155#STR0155#ALL#Cant. Aut
0156#STR0156#ALL#Datos de la Autorizacion
0157#STR0157#ALL#Fecha Probable de Ingreso Hospitalario
0158#STR0158#ALL#Cant. Diarias Autorizadas
0159#STR0159#ALL#Tipo de Acomodacion Autorizada
0160#STR0160#ALL#Nombre del Prestador Autorizado
0161#STR0161#ALL#Fecha y firma del profesional solicitante
0162#STR0162#ALL#Prorrogaciones
0163#STR0163#ALL#Responsable por la Autorizacion
0164#STR0164#ALL#Tipo Acomodacion
0165#STR0165#ALL#Acomodacion
0166#STR0166#ALL#Cant. Autorizada
0167#STR0167#ALL#Cant. Solic
0168#STR0168#ALL#FORM. DE RESUMEN DE INTERNAC.
0169#STR0169#ALL#FORM. DE RESUMEN DE INTERNACION
0170#STR0170#ALL#N� Form. de Solicitud
0171#STR0171#ALL#Cod. IBGE
0172#STR0172#ALL#Datos de la Internacion
0173#STR0173#ALL#Tipo Acomodacion Autorizada
0174#STR0174#ALL#Fecha/Hora de la Internacion
0175#STR0175#ALL#Fecha/Hora de Salida Internacion
0176#STR0176#ALL#Tipo Internacion
0177#STR0177#ALL#Internacion Obstetrica - (seleccione mas de uno si fuera necesario con "X")
0178#STR0178#ALL#En gestacion
0179#STR0179#ALL#Aborto
0180#STR0180#ALL#Transtorno materno relacionado con el embarazo
0181#STR0181#ALL#Complic. Puerperio
0182#STR0182#ALL#Atenc. al RN en la sala de parto
0183#STR0183#ALL#Complicacion Neonatal
0184#STR0184#ALL#Bj. Peso < 2,5 Kg
0185#STR0185#ALL#Parto Cesarea
0186#STR0186#ALL#Parto Normal
0187#STR0187#ALL#Si obito en mujer
0188#STR0188#ALL#Embarazada
0189#STR0189#ALL#hasta 42 dias despues del termino de la gestacion
0190#STR0190#ALL#de 43 dias a 12 meses despues del termino de la gestacion
0191#STR0191#ALL#Si obito neonatal
0192#STR0192#ALL#Cant. obito neonatal precoz
0193#STR0193#ALL#Cant. obito neonatal tardio
0194#STR0194#ALL#N� Decl. Nac. Vivos
0195#STR0195#ALL#Cant. Nac. Vivos a Termino
0196#STR0196#ALL#Cant. Nac. Muertos
0197#STR0197#ALL#Cant. Nac. Vivos Prematuro
0198#STR0198#ALL#Datos de la Salida de la Internacion
0199#STR0199#ALL#Indicador de Accidente
0200#STR0200#ALL#Motivo Salida
0201#STR0201#ALL#CID 10 Obito
0202#STR0202#ALL#N� Declaracion del Obito
0203#STR0203#ALL#Identificacion del Equipo
0204#STR0204#ALL#Sec. Ref
0205#STR0205#ALL#Gr.Part.
0206#STR0206#ALL#Codigo en la Operadora/CPF
0207#STR0207#ALL#Nombre del Profesional
0208#STR0208#ALL#Consejo Prof.
0209#STR0209#ALL#Numero Consejo
0210#STR0210#ALL#CPF
0211#STR0211#ALL#Tipo Facturacion R$
0212#STR0212#ALL#Total
0213#STR0213#ALL#Parcial
0214#STR0214#ALL#Total General R$
0215#STR0215#ALL#Fecha y Firma del Contratado
0216#STR0216#ALL#Fecha y Firma de el/los Auditor(es) de la Operadora
0217#STR0217#ALL#Procedimientos y Examenes Realizados (Continuacion)
0218#STR0218#ALL#Identificacion del Equipo (Continuacion)
0219#STR0219#ALL#FORM. DE HONORARIO INDIVIDUAL
0220#STR0220#ALL#FORM. DE HONORARIO INDIVIDUAL
0221#STR0221#ALL#N� Form. de Solicitud/Contrasena
0222#STR0222#ALL#Fecha de Emision del Form.
0223#STR0223#ALL#Datos del Contratado (donde se realizo el procedimiento)
0224#STR0224#ALL#Nombre del Contratado Ejecutante
0225#STR0225#ALL#Grado Part.
0226#STR0226#ALL#Numero en el CPF
0227#STR0227#ALL#Procedimientos Realizados
0228#STR0228#ALL#Total General Honorarios R$
0229#STR0229#ALL#Fecha y Firma del Prestador
0230#STR0230#ALL#Fecha/Hora y Firma del Beneficiario o Responsable
0231#STR0231#ALL#FORMULARIO DE OTROS GASTOS
0232#STR0232#ALL#N� Formulario Referenciada
0233#STR0233#ALL#Codigo de Gastos Realizados
0234#STR0234#ALL#CD = 
0235#STR0235#ALL#Gases Medicinales
0236#STR0236#ALL#Medicamentos
0237#STR0237#ALL#Materiales
0238#STR0238#ALL#Tasas Diversas
0239#STR0239#ALL#Diarias
0240#STR0240#ALL#Alquileres
0241#STR0241#ALL#CD
0242#STR0242#ALL#Codigo del Item
0243#STR0243#ALL#Total Tasas Diversas R$
0244#STR0244#ALL#Total Alquileres R$
0245#STR0245#ALL#ESTADO DE ANALISIS DE LA CUENTA MEDICA
0246#STR0246#ALL#DEMOSTRATIVO DE ANALISIS DE LA CUENTA MEDICA
0247#STR0247#ALL#Nombre de la Operadora
0248#STR0248#ALL#CNPJ Operadora
0249#STR0249#ALL#Numero del Estado
0250#STR0250#ALL#Fecha Emision del Estado
0251#STR0251#ALL#Datos del Prestador
0252#STR0252#ALL#Codigo Prestador / CNPJ / CPF
0253#STR0253#ALL#Datos de la Cuenta
0254#STR0254#ALL#Numero de la Factura
0255#STR0255#ALL#Numero del Lote
0256#STR0256#ALL#Fecha de Envio del Lote
0257#STR0257#ALL#Numero del Protocolo
0258#STR0258#ALL#Valor Protocolo (R$)
0259#STR0259#ALL#Valor Glosa Comprobante (R$)
0260#STR0260#ALL#Codigo Glosa Comprobante
0261#STR0261#ALL#Numero del Formulario/Contrasena
0262#STR0262#ALL#Nombre del Beneficiario
0263#STR0263#ALL#Codigo del Beneficiario
0264#STR0264#ALL#Fecha Realizacion
0265#STR0265#ALL#Descripcion del Servicio
0266#STR0266#ALL#Codigo Servicio
0267#STR0267#ALL#Cant. Ejec.
0268#STR0268#ALL#Valor Procesado (R$)
0269#STR0269#ALL#Valor Liberado (R$)
0270#STR0270#ALL#Valor Glosa (R$)
0271#STR0271#ALL#Codigo Glosa
0272#STR0272#ALL#Total Formulario
0273#STR0273#ALL#Valor Procesado Formulario (R$)
0274#STR0274#ALL#Valor Liberado Formulario (R$)
0275#STR0275#ALL#Valor Glosa Formulario (R$)
0276#STR0276#ALL#Codigo Glosa Formulario
0277#STR0277#ALL#Total Factura
0278#STR0278#ALL#Valor Procesado Factura (R$)
0279#STR0279#ALL#Valor Liberado Factura (R$)
0280#STR0280#ALL#Valor Glosa Factura (R$)
0281#STR0281#ALL#Total General
0282#STR0282#ALL#Valor Procesado General (R$)
0283#STR0283#ALL#Valor Liberado General (R$)
0284#STR0284#ALL#Valor Glosa General (R$)
0285#STR0285#ALL#ESTADO DE PAGO
0286#STR0286#ALL#Datos do Pago
0287#STR0287#ALL#Fecha del Pago
0288#STR0288#ALL#Forma de Pago
0289#STR0289#ALL#Credito en Cuenta
0290#STR0290#ALL#Cartera
0291#STR0291#ALL#Boleta Bancaria
0292#STR0292#ALL#Banco
0293#STR0293#ALL#Agencia
0294#STR0294#ALL#Numero de la cuenta/Cheque
0295#STR0295#ALL#Datos del Resumen
0296#STR0296#ALL#Valor Informado (R$)
0297#STR0297#ALL#Valor de la Glosa (R$)
0298#STR0298#ALL#Total General Valor Informado (R$)
0299#STR0299#ALL#Total General Valor Procesado (R$)
0300#STR0300#ALL#Total General Valor Liberado (R$)
0301#STR0301#ALL#Total General Glosa (R$)
0302#STR0302#ALL#Total Valor
0303#STR0303#ALL#Otros Descuentos o Creditos
0304#STR0304#ALL#Total Valor Liberado
0305#STR0305#ALL#FORM. ODONTOLOGICA - COBRANZA
0306#STR0306#ALL#FORM. TRATAMIENTO ODONTOLOGICO - COBRANZA
0307#STR0307#ALL#Fecha Emision Formulario
0308#STR0308#ALL#Numero del Formulario Principal
0309#STR0309#ALL#Empresa
0310#STR0310#ALL#Fecha Vigencia de la Tarjeta
0311#STR0311#ALL#Telefono
0312#STR0312#ALL#Nombre del Titular del Plan
0313#STR0313#ALL#Numero en el CRO
0314#STR0314#ALL#Procedimientos Ejecutados
0315#STR0315#ALL#Diente/Region
0316#STR0316#ALL#Cara
0317#STR0317#ALL#Cant.
0318#STR0318#ALL#Cantidad US
0319#STR0319#ALL#Valor
0320#STR0320#ALL#Franquicia/Coparticipacion R$
0321#STR0321#ALL#Firma
0322#STR0322#ALL#Fecha de termino del tratamiento
0323#STR0323#ALL#Tipo de Atencion
0324#STR0324#ALL#Tratamiento Odontologico
0325#STR0325#ALL#Examen Radiologico
0326#STR0326#ALL#Ortodoncia
0327#STR0327#ALL#Urgencia/Emergencia 
0328#STR0328#ALL#Tipo de Facturacion
0329#STR0329#ALL#Parcial 
0330#STR0330#ALL#Total Cantidad US
0331#STR0331#ALL#Valor Total R$
0332#STR0332#ALL#Total Franquicia / Coparticipacion R$
0333#STR0333#ALL#Declaro, que el tratamiento descrito anteriormente se realizo bajo mi autorizacion y de forma satisfactoria. Autorizo a la Operadora a pagar en mi nombre y mi
0334#STR0334#ALL#cuenta, al profesional contratado que firma este documento, los valores referentes al tratamiento realizado, comprometiendome a asumir los costos de acuerdo 
0335#STR0335#ALL#Fecha, Lugar y Firma del Cirujano Dentista
0336#STR0336#ALL#Fecha, Local y Firma del Beneficiario/ Responsable
0337#STR0337#ALL#Fecha, Lugar y Sello de la Empresa
0338#STR0338#ALL#FORMULARIO ODONTOLOGICO - SOLICITUD
0339#STR0339#ALL#FORMULARIO TRATAMIENTO ODONTOLOGICO - SOLICITUD
0340#STR0340#ALL#Situacion Inicial
0341#STR0341#ALL#Permanentes
0342#STR0342#ALL#Deciduos
0343#STR0343#ALL#Signos Clinicos de enfermedad periodontal 
0344#STR0344#ALL#Si
0345#STR0345#ALL#No
0346#STR0346#ALL#�Modificacion de los Tejidos Blandos?
0347#STR0347#ALL#LEYENDA Y OBSERVACIONES SOBRE LA SITUACION INICIAL
0348#STR0348#ALL#A - Ausente
0349#STR0349#ALL#E - Extraccion Indicada
0350#STR0350#ALL#H - Salud
0351#STR0351#ALL#C - Careado
0352#STR0352#ALL#R - Restaurado
0353#STR0353#ALL#Observaciones
0354#STR0354#ALL#Plan de Capacitacion / Procedimientos Solicitados
0355#STR0355#ALL#Aut
0356#STR0356#ALL#Declaro, que despues de haber sido debidamente informado sobre los propositos, riesgos, costos y alternativas de tratamiento,
0357#STR0357#ALL#de acuerdo con lo que se mostro anteriormente, acepto y autorizo la realizacion del tratamiento, comprometiendome a seguir las orientaciones 
0358#STR0358#ALL#del profesional auxiliar y correr con los costos previstos en el contrato 
0359#STR0359#ALL#FORMULARIO ODONTOLOGICA - ESTADO DE PAGO
0360#STR0360#ALL#FORMULARIO TRATAMIENTO ODONTOLOGICO - ESTADO DE PAGO
0361#STR0361#ALL#Periodo de Procesamiento
0362#STR0362#ALL# a la 
0363#STR0363#ALL#Codigo en la Operadora
0364#STR0364#ALL#CPF/ CNPJ Contratado
0365#STR0365#ALL#Numero del Formulario
0366#STR0366#ALL#Fecha de Realizacion
0367#STR0367#ALL#Valor Procesado (R$)
0368#STR0368#ALL#Valor Glosa/Reversion(R$)
0369#STR0369#ALL#Valor Liberado(R$)
0370#STR0370#ALL#Motivo de la Glosa
0371#STR0371#ALL#Valor Total Procesado Formulario(R$)
0372#STR0372#ALL#Valor Total Glosa Formulario(R$)
0373#STR0373#ALL#Valor Total Liberado Formulario (R$)
0374#STR0374#ALL#Valor Total Procesado Lote(R$)
0375#STR0375#ALL#Valor Total Glosa Lote(R$)
0376#STR0376#ALL#Valor Total Liberado Lote (R$)
0377#STR0377#ALL#Demas Descuentos
0378#STR0378#ALL#Valor Descuento(R$)
0379#STR0379#ALL#Valor General Procesado(R$)
0380#STR0380#ALL#Valor General Glosa(R$)
0381#STR0381#ALL#Valor General Liberado(R$)
0382#STR0382#ALL#Formulario Originado de la Internacion, para que la impresion vaya a la Rutina de Internacion.
0383#STR0383#ALL#Atencion Recien Nacido
0384#STR0384#ALL#FORMULARIO TRATAMIENTO ODONTOLOGICO
0385#STR0385#ALL#Datos del Contratado Responsable por el Tratamiento
0386#STR0386#ALL#Declaro, que despues de haberse aclarado debidamente sobre los propositos, riesgos, costos y alternativas de tratamiento, conforme se presento anteriormente, acepto y autorizo la ejecucion del tratamiento, comprometiendome a cumplir las orientaciones del profesional asistente y asumir los 
0387#STR0387#ALL#costos previstos en contrato. Declaro tambien, que el(los) procedimiento(s) descrito(s) anteriormente y por mi firmado(s), se realizaron con mi consentimiento y de forma satisfactoria. Autorizo a la Operadora a pagar en mi nombre y por mi cuenta, al profesional  contratado que 
0388#STR0388#ALL#firma este documento, los valores referentes al tratamiento realizado, comprometiendome a asumir los costos conforme esta previsto en el contrato.
0389#STR0389#ALL#Fecha, lugar y Firma del Cirujano Dentista Solicitante
0390#STR0390#ALL#Datos del contratado
0391#STR0391#ALL#FORMULARIO TRATAMIENTO ODONTOLOGICO - SITUACION INICIAL
0392#STR0392#ALL#Valor General Procesado (R$)
0393#STR0393#ALL#Valor General Glosa (R$)
0394#STR0394#ALL#Valor General Liberado (R$)
0395#STR0395#ALL#Otros debitos / Creditos
0396#STR0396#ALL#Valor (R$)
0397#STR0397#ALL#Demas debitos / creditos no tributables
0398#STR0398#ALL#Impuestos
0399#STR0399#ALL#Totales
0400#STR0400#ALL#Valor Total Tributable (R$)
0401#STR0401#ALL#Valor Total Impuestos Retenidos (R$)
0402#STR0402#ALL#Valor Total No Tributable (R$)
0403#STR0403#ALL#Valor Final por Cobrar (R$)
0404#STR0404#ALL#El item ya tiene vinculo con la TISS, �desea modificar este vinculo?
0405#STR0405#ALL#Tabla de Domino no encontrada.
0406#STR0406#ALL#Codigo Terminologia
0407#STR0407#ALL#Descripcion Item Terminologia
0408#STR0408#ALL#El item no tiene vinculo con la TISS
0409#STR0409#ALL#Codigo
0410#STR0410#ALL#Descripcion
0411#STR0411#ALL#No se encontro ningun item con el filtro o no existe tabla vigente para la Terminologia.
0412#STR0412#ALL#�Desea realmente eliminar el vinculo con la TISS de este item?
0413#STR0413#ALL#Vinculo incluido con exito.
0414#STR0414#ALL#V�nculo modificado con exito.
0415#STR0415#ALL#Vinculo borrado con exito.
0416#STR0416#ALL#Seleccion de Terminologia
0417#STR0417#ALL#Version TISS no encontrada o inferior a 3
0418#STR0418#ALL#Caracter Invalido
0419#STR0419#ALL#Existen caracteres invalidos en su busqueda.
0420#STR0420#ALL#Ok
0421#STR0421#ALL#Vinculo no encontrado
0422#STR0422#ALL#Para esta funcionalidad es necesario ejecutar los procedimientos referentes al llamado: THQGIW
0423#STR0423#ALL#Atencion a RN
0424#STR0424#ALL#Cod. Negativa
0425#STR0425#ALL#Fecha de la firma del Cirujano dentista solicitante
0426#STR0426#ALL#Firma del Cirujano dentista solicitante
0427#STR0427#ALL#Fecha de la firma del Cirujano dentista
0428#STR0428#ALL#Firma del Cirujano dentista
0429#STR0429#ALL#Fecha de la firma del Beneficiario o Responsable
0430#STR0450#ALL#Firma del Beneficiario o Responsable
0431#STR0451#ALL#Fecha del sello de la empresa
0432#STR0452#ALL#Numero del formulario atribuido por la operadora
0433#STR0453#ALL#Declaro, que tras haber sido debidamente informado sobre los prop�sitos, riesgos, costos y alternativas de tratamiento, seg�n antes presentados, acepto y autorizo la ejecuci�n del tratamiento, comprometi�ndome a cumplir las orientaciones del profesional asistente
0434#STR0454#ALL#y pagar los costos previstos en contrato. Declaro, tambi�n, que el(los) procedimiento(s) antes descrito(s), y por m� firmado(s), fue/fueron realizado(s) con mi consentimiento y de forma satisfactoria. Autorizo a la Operadora a pagar en mi nombre y por mi cuenta, 
0435#STR0455#ALL#al profesional contratado que firma este documento, los valores referentes al tratamiento realizado, 
0436#STR0456#ALL#�No se encontraron datos para los par�metros informados!
0437#STR0457#ALL#Informaci�n sobre Partos
0438#STR0458#ALL#Protocolo:
0439#STR0459#ALL#Fecha y hora:
0440#STR0460#ALL#Referente al a�o:
0441#STR0461#ALL#Descripci�n
0442#STR0462#ALL#Partos Normales
0443#STR0463#ALL#Cirug�as Ces�reas
0444#STR0464#ALL#Operadora:
0445#STR0465#ALL#Hospital:
0446#STR0466#ALL#Medico:
0447#STR0467#ALL#Las informaciones se refieren a los datos vinculados solamente a los partos efectuados por dicha operadora.
0448#STR0468#ALL#Estad�stica de partos
0449#STR0469#ALL#Operadora:
0450#STR0470#ALL#Hospitales:
0451#STR0471#ALL#M�dico:
0452#STR0472#ALL#N�mero de formulario principal de tratamiento odontol�gico
0453#STR0473#ALL#N�mero del formulario atribuido por la operadora
0454#STR0474#ALL#Observaci�n/Justificaci�n
0455#STR0475#ALL#Lugar y fecha
0456#STR0476#ALL#Firma del beneficiario o responsable
0457#STR0477#ALL#Fecha, Lugar y Sello de la empresa
0458#STR0478#ALL#Los siguientes campos forman la clave para el v�nculo y no est�n completados en el registro seleccionado:
0459#STR0479#ALL#Ajuste el archivo para dar continuidad
0460#STR0480#ALL#El siguiente campo se utiliza como clave para el v�nculo y no est� completado en el registro seleccionado:
0461#STR0481#ALL#Clave invalida
 

PLSTISS_PT-BR.TRES

 0001#STR0001#ALL#GUIA DE CONSULTA
0002#STR0002#ALL#N�
0003#STR0003#ALL#Registro ANS
0004#STR0004#ALL#Data de Emiss�o da Guia
0005#STR0005#ALL#Dados do Benefici�rio
0006#STR0006#ALL#N�mero da Carteira
0007#STR0007#ALL#Plano
0008#STR0008#ALL#Validade da Carteira
0009#STR0009#ALL#Nome
0010#STR0010#ALL#N�mero do Cart�o Nacional de Sa�de
0011#STR0011#ALL#Dados do Contratado
0012#STR0012#ALL#C�digo na Operadora / CNPJ / CPF
0013#STR0013#ALL#Nome do Contratado
0014#STR0014#ALL#C�digo CNES
0015#STR0015#ALL#T.L.
0016#STR0016#ALL#Logradouro - N�mero - Complemento
0017#STR0017#ALL#Munic�pio
0018#STR0018#ALL#UF
0019#STR0019#ALL#C�digo IBGE
0020#STR0020#ALL#CEP
0021#STR0021#ALL#Nome do Profissional Executante
0022#STR0022#ALL#Conselho Profissional
0023#STR0023#ALL#N�mero no Conselho
0024#STR0024#ALL#C�digo CBO S
0025#STR0025#ALL#Hip�teses Diagn�sticas
0026#STR0026#ALL#Tipo de Doen�a
0027#STR0027#ALL#A-Aguda
0028#STR0028#ALL#C-Cr�nica
0029#STR0029#ALL#Tempo de Doen�a
0030#STR0030#ALL#A-Anos
0031#STR0031#ALL#M-Meses
0032#STR0032#ALL#D-Dias
0033#STR0033#ALL#Indica��o de Acidente
0034#STR0034#ALL#Acidente ou doen�a relacionado ao trabalho
0035#STR0035#ALL#Tr�nsito
0036#STR0036#ALL#Outros
0037#STR0037#ALL#CID Principal
0038#STR0038#ALL#CID (2)
0039#STR0039#ALL#CID (3)
0040#STR0040#ALL#CID (4)
0041#STR0041#ALL#Dados do Atendimento
0042#STR0042#ALL#Procedimento Realizado
0043#STR0043#ALL#Data do Atendimento
0044#STR0044#ALL#C�digo Tabela
0045#STR0045#ALL#C�digo Procedimento
0046#STR0046#ALL#Tipo de Consulta
0047#STR0047#ALL#Primeira
0048#STR0048#ALL#Seguimento
0049#STR0049#ALL#Pr�-Natal
0050#STR0050#ALL#Tipo de Sa�da
0051#STR0051#ALL#Retorno
0052#STR0052#ALL#Retorno SADT
0053#STR0053#ALL#Refer�ncia
0054#STR0054#ALL#Interna��o
0055#STR0055#ALL#Alta
0056#STR0056#ALL#Observa��o
0057#STR0057#ALL#Data e Assinatura do Profissional
0058#STR0058#ALL#Data e Assinatura do Benefici�rio ou Respons�vel
0059#STR0059#ALL#GUIA DE SERVICO PROFISSIONAL
0060#STR0060#ALL#GUIA DE SERVI�O PROFISSIONAL / SERVI�O AUXILIAR DE DIAGN�STICO E TERAPIA - SP/SADT
0061#STR0061#ALL#N� Guia Principal
0062#STR0062#ALL#Data da Autoriza��o
0063#STR0063#ALL#Senha
0064#STR0064#ALL#Data Validade da Senha
0065#STR0065#ALL#Dados do Contratado Solicitante
0066#STR0066#ALL#Nome do Profissional Solicitante
0067#STR0067#ALL#Dados da Solicita��o / Procedimentos e Exames Solicitados
0068#STR0068#ALL#Data/Hora da Solicita��o
0069#STR0069#ALL#Car�ter da Solicita��o
0070#STR0070#ALL#E-Eletiva
0071#STR0071#ALL#U-Urg�ncia/Emerg�ncia
0072#STR0072#ALL#CID 10
0073#STR0073#ALL#Indica��o Cl�nica (obrigat�rio se pequena cirurgia, terapia, consulta referenciada e alto custo)
0074#STR0074#ALL#Tabela
0075#STR0075#ALL#C�digo do Procedimento
0076#STR0076#ALL#Descri��o
0077#STR0077#ALL#Qt.Solic.
0078#STR0078#ALL#Qt.Autoriz.
0079#STR0079#ALL#Dados do Contratado Executante
0080#STR0080#ALL#C�d.IBGE
0081#STR0081#ALL#C�digo na Operadora / CPF do exec. complementar
0082#STR0082#ALL#Nome do Profissional Executante/Complementar
0083#STR0083#ALL#Grau de Participa��o
0084#STR0084#ALL#Tipo Atendimento
0085#STR0085#ALL#Remo��o
0086#STR0086#ALL#Pequena Cirurgia
0087#STR0087#ALL#Terapias
0088#STR0088#ALL#Consulta
0089#STR0089#ALL#Exame
0090#STR0090#ALL#Atendimento Domiciliar
0091#STR0091#ALL#SADT Internado
0092#STR0092#ALL#Quimioterapia
0093#STR0093#ALL#Radioterapia
0094#STR0094#ALL#TRS-Terapia Renal Substitutiva
0095#STR0095#ALL#�bito
0096#STR0096#ALL#Consulta Refer�ncia
0097#STR0097#ALL#Procedimentos e Exames realizados
0098#STR0098#ALL#Data
0099#STR0099#ALL#Hora Inicial
0100#STR0100#ALL#Hora Final
0101#STR0101#ALL#Qtde.
0102#STR0102#ALL#Via
0103#STR0103#ALL#Tec.
0104#STR0104#ALL#% Red./Acresc.
0105#STR0105#ALL#Valor Unit�rio - R$
0106#STR0106#ALL#Valor Total - R$
0107#STR0107#ALL#Data e Assinatura de Procedimentos em S�rie
0108#STR0108#ALL#Total Procedimentos R$
0109#STR0109#ALL#Total Taxas e Alugu�is R$
0110#STR0110#ALL#Total Materiais R$
0111#STR0111#ALL#Total Medicamentos R$
0112#STR0112#ALL#Total Di�rias R$
0113#STR0113#ALL#Total Gases Medicinais R$
0114#STR0114#ALL#Total Geral da Guia R$
0115#STR0115#ALL#Data e Assinatura do Solicitante
0116#STR0116#ALL#Data e Assinatura do Respons�vel pela Autoriza��o
0117#STR0117#ALL#Data e Assinatura do Prestador Executante
0118#STR0118#ALL#OPM Solicitados
0119#STR0119#ALL#C�digo do OPM
0120#STR0120#ALL#Descri��o OPM
0121#STR0121#ALL#Fabricante
0122#STR0122#ALL#OPM Utilizados
0123#STR0123#ALL#C�digo de Barras
0124#STR0124#ALL#Total OPM R$
0125#STR0125#ALL#GUIA DE SOLICITACAO DE INTERNACAO
0126#STR0126#ALL#GUIA DE SOLICITA��O
0127#STR0127#ALL#DE INTERNA��O
0128#STR0128#ALL#Dados do Contratado Solicitante / Dados da Interna��o
0129#STR0129#ALL#C�digo na Operadora / CNPJ
0130#STR0130#ALL#Nome do Prestador
0131#STR0131#ALL#Car�ter da Interna��o
0132#STR0132#ALL#E - Eletiva
0133#STR0133#ALL#U - Urg�ncia/Emerg�ncia
0134#STR0134#ALL#Tipo de Interna��o
0135#STR0135#ALL#Cl�nica
0136#STR0136#ALL#Cir�rgica
0137#STR0137#ALL#Obst�trica
0138#STR0138#ALL#Pedi�trica
0139#STR0139#ALL#Psiqui�trica
0140#STR0140#ALL#Regime de Interna��o
0141#STR0141#ALL#Hospitalar
0142#STR0142#ALL#Hospital-dia
0143#STR0143#ALL#Domiciliar
0144#STR0144#ALL#Qtde. Di�rias Solicitadas
0145#STR0145#ALL#Indica��o Cl�nica
0146#STR0146#ALL#Tipo Doen�a
0147#STR0147#ALL#Tempo de Doen�a Referida pelo Paciente
0148#STR0148#ALL#Acidente ou doen�a relacionada ao Trabalho
0149#STR0149#ALL#CID 10 Principal
0150#STR0150#ALL#CID 10 (2)
0151#STR0151#ALL#CID 10 (3)
0152#STR0152#ALL#CID 10 (4)
0153#STR0153#ALL#Procedimentos Solicitados
0154#STR0154#ALL#Qtde.Solict
0155#STR0155#ALL#Qtde.Aut
0156#STR0156#ALL#Dados da Autoriza��o
0157#STR0157#ALL#Data Prov�vel da Admiss�o Hospitalar
0158#STR0158#ALL#Qtde.Di�rias Autorizadas
0159#STR0159#ALL#Tipo da Acomoda��o Autorizada
0160#STR0160#ALL#Nome do Prestador Autorizado
0161#STR0161#ALL#Data e Assinatura do Profissional Solicitante
0162#STR0162#ALL#Prorroga��es
0163#STR0163#ALL#Respons�vel pela Autoriza��o
0164#STR0164#ALL#Tipo Acomod
0165#STR0165#ALL#Acomoda��o
0166#STR0166#ALL#Qtde.Autorizada
0167#STR0167#ALL#Qtde.Solic
0168#STR0168#ALL#GUIA DE RESUMO DE INTERNACAO
0169#STR0169#ALL#GUIA DE RESUMO DE INTERNA��O
0170#STR0170#ALL#N� Guia de Solicita��o
0171#STR0171#ALL#C�d. IBGE
0172#STR0172#ALL#Dados da Interna��o
0173#STR0173#ALL#Tipo Acomoda��o Autorizada
0174#STR0174#ALL#Data/Hora da Interna��o
0175#STR0175#ALL#Data/Hora da Sa�da Interna��o
0176#STR0176#ALL#Tipo Interna��o
0177#STR0177#ALL#Interna��o Obst�trica - (selecione mais de um se necess�rio com "X")
0178#STR0178#ALL#Em gesta��o
0179#STR0179#ALL#Aborto
0180#STR0180#ALL#Transtorno materno relacionado a gravidez
0181#STR0181#ALL#Complic. Puerp�rio
0182#STR0182#ALL#Atend. ao RN na sala de parto
0183#STR0183#ALL#Complica��o Neonatal
0184#STR0184#ALL#Bx. Peso < 2,5 Kg
0185#STR0185#ALL#Parto Ces�reo
0186#STR0186#ALL#Parto Normal
0187#STR0187#ALL#Se �bito em mulher
0188#STR0188#ALL#Gr�vida
0189#STR0189#ALL#at� 42 dias ap�s t�rmino gesta��o
0190#STR0190#ALL#de 43 dias a 12 meses ap�s t�rmino gesta��o
0191#STR0191#ALL#Se �bito neonatal
0192#STR0192#ALL#Qtde. �bito neonatal precoce
0193#STR0193#ALL#Qtde. �bito neonatal tardio
0194#STR0194#ALL#N� Decl.Nasc.Vivos
0195#STR0195#ALL#Qtde.Nasc.Vivos a Termo
0196#STR0196#ALL#Qtde.Nasc.Mortos
0197#STR0197#ALL#Qtde.Nasc.Vivos Prematuro
0198#STR0198#ALL#Dados da Sa�da da Interna��o
0199#STR0199#ALL#Indicador de Acidente
0200#STR0200#ALL#Motivo Sa�da
0201#STR0201#ALL#CID 10 �bito
0202#STR0202#ALL#N� Declara��o do �bito
0203#STR0203#ALL#Identifica��o da Equipe
0204#STR0204#ALL#Seq.Ref
0205#STR0205#ALL#Gr.Part.
0206#STR0206#ALL#C�digo na Operadora/CPF
0207#STR0207#ALL#Nome do Profissional
0208#STR0208#ALL#Conselho Prof.
0209#STR0209#ALL#N�mero Conselho
0210#STR0210#ALL#CPF
0211#STR0211#ALL#Tipo Faturamento R$
0212#STR0212#ALL#Total
0213#STR0213#ALL#Parcial
0214#STR0214#ALL#Total Geral R$
0215#STR0215#ALL#Data e Assinatura do Contratado
0216#STR0216#ALL#Data e Assinatura do(s) Auditor(es) da Operadora
0217#STR0217#ALL#Procedimentos e Exames Realizados (Continua��o)
0218#STR0218#ALL#Identifica��o da Equipe (Continua��o)
0219#STR0219#ALL#GUIA DE HONORARIO INDIVIDUAL
0220#STR0220#ALL#GUIA DE HONOR�RIO INDIVIDUAL
0221#STR0221#ALL#N� Guia de Solicita��o/Senha
0222#STR0222#ALL#Data de Emissao da Guia
0223#STR0223#ALL#Dados do Contratado (onde foi executado o procedimento)
0224#STR0224#ALL#Nome do Contratado Executante
0225#STR0225#ALL#Grau Part.
0226#STR0226#ALL#N�mero no CPF
0227#STR0227#ALL#Procedimentos Realizados
0228#STR0228#ALL#Total Geral Honor�rios R$
0229#STR0229#ALL#Data e Assinatura do Prestador
0230#STR0230#ALL#Data/Hora e Assinatura do Benefici�rio ou Respons�vel
0231#STR0231#ALL#GUIA DE OUTRAS DESPESAS
0232#STR0232#ALL#N� Guia Referenciada
0233#STR0233#ALL#C�digo de Despesas Realizadas
0234#STR0234#ALL#CD = 
0235#STR0235#ALL#Gases Medicinais
0236#STR0236#ALL#Medicamentos
0237#STR0237#ALL#Materiais
0238#STR0238#ALL#Taxas Diversas
0239#STR0239#ALL#Di�rias
0240#STR0240#ALL#Alugu�is
0241#STR0241#ALL#CD
0242#STR0242#ALL#C�digo do Item
0243#STR0243#ALL#Total Taxas Diversas R$
0244#STR0244#ALL#Total Alugu�is R$
0245#STR0245#ALL#DEMONSTRATIVO DE ANALISE DA CONTA MEDICA
0246#STR0246#ALL#DEMONSTRATIVO DE AN�LISE DA CONTA M�DICA
0247#STR0247#ALL#Nome da Operadora
0248#STR0248#ALL#CNPJ Operadora
0249#STR0249#ALL#N�mero do Demonstrativo
0250#STR0250#ALL#Data Emiss�o do Demonstrativo
0251#STR0251#ALL#Dados do Prestador
0252#STR0252#ALL#C�digo Prestador / CNPJ / CPF
0253#STR0253#ALL#Dados da Conta
0254#STR0254#ALL#N�mero da Fatura
0255#STR0255#ALL#N�mero do Lote
0256#STR0256#ALL#Data de Envio do Lote
0257#STR0257#ALL#N�mero do Protocolo
0258#STR0258#ALL#Valor Protocolo (R$)
0259#STR0259#ALL#Valor Glosa Protocolo (R$)
0260#STR0260#ALL#C�digo Glosa Protocolo
0261#STR0261#ALL#N�mero da Guia/Senha
0262#STR0262#ALL#Nome do Benefici�rio
0263#STR0263#ALL#C�digo do Benefici�rio
0264#STR0264#ALL#Data Realiza��o
0265#STR0265#ALL#Descri��o do Servi�o
0266#STR0266#ALL#C�digo Servi�o
0267#STR0267#ALL#Qtde Exec.
0268#STR0268#ALL#Valor Processado (R$)
0269#STR0269#ALL#Valor Liberado (R$)
0270#STR0270#ALL#Valor Glosa (R$)
0271#STR0271#ALL#C�digo Glosa
0272#STR0272#ALL#Total Guia
0273#STR0273#ALL#Valor Processado Guia (R$)
0274#STR0274#ALL#Valor Liberado Guia (R$)
0275#STR0275#ALL#Valor Glosa Guia (R$)
0276#STR0276#ALL#C�digo Glosa Guia
0277#STR0277#ALL#Total Fatura
0278#STR0278#ALL#Valor Processado Fatura (R$)
0279#STR0279#ALL#Valor Liberado Fatura (R$)
0280#STR0280#ALL#Valor Glosa Fatura (R$)
0281#STR0281#ALL#Total Geral
0282#STR0282#ALL#Valor Processado Geral (R$)
0283#STR0283#ALL#Valor Liberado Geral (R$)
0284#STR0284#ALL#Valor Glosa Geral (R$)
0285#STR0285#ALL#DEMONSTRATIVO DE PAGAMENTO
0286#STR0286#ALL#Dados do Pagamento
0287#STR0287#ALL#Data do Pagamento
0288#STR0288#ALL#Forma de Pagamento
0289#STR0289#ALL#Cr�dito em Conta
0290#STR0290#ALL#Carteira
0291#STR0291#ALL#Boleto Banc�rio
0292#STR0292#ALL#Banco
0293#STR0293#ALL#Ag�ncia
0294#STR0294#ALL#N�mero da conta/Cheque
0295#STR0295#ALL#Dados do Resumo
0296#STR0296#ALL#Valor Informado (R$)
0297#STR0297#ALL#Valor da Glosa (R$)
0298#STR0298#ALL#Total Geral Valor Informado (R$)
0299#STR0299#ALL#Total Geral Valor Processado (R$)
0300#STR0300#ALL#Total Geral Valor Liberado (R$)
0301#STR0301#ALL#Total Geral Glosa (R$)
0302#STR0302#ALL#Total Valor
0303#STR0303#ALL#Demais Descontos ou Cr�ditos
0304#STR0304#ALL#Total Valor Liberado
0305#STR0305#ALL#GUIA ODONTOL�GICA - COBRAN�A
0306#STR0306#ALL#GUIA TRATAMENTO ODONTOL�GICO - COBRAN�A
0307#STR0307#ALL#Data Emiss�o Guia
0308#STR0308#ALL#N�mero da Guia Principal
0309#STR0309#ALL#Empresa
0310#STR0310#ALL#Data Validade da Carteira
0311#STR0311#ALL#Telefone
0312#STR0312#ALL#Nome do Titular do Plano
0313#STR0313#ALL#N�mero no CRO
0314#STR0314#ALL#Procedimentos Executados
0315#STR0315#ALL#Dente/Regi�o
0316#STR0316#ALL#Face
0317#STR0317#ALL#Qtd
0318#STR0318#ALL#Quantidade US
0319#STR0319#ALL#Valor
0320#STR0320#ALL#Franquia/Co-participa��o R$
0321#STR0321#ALL#Assinatura
0322#STR0322#ALL#Data de T�rmino do Tratamento
0323#STR0323#ALL#Tipo de Atendimento
0324#STR0324#ALL#Tratamento Odontol�gico
0325#STR0325#ALL#Exame Radiol�gico
0326#STR0326#ALL#Ortodontia
0327#STR0327#ALL#Urg�ncia/Emerg�ncia 
0328#STR0328#ALL#Tipo de Faturamento
0329#STR0329#ALL#Parcial 
0330#STR0330#ALL#Total Quantidade US
0331#STR0331#ALL#Valor Total R$
0332#STR0332#ALL#Total Franquia / Co-Participa��o R$
0333#STR0333#ALL#Declaro, que o tratamento descrito acima foi realizado com o meu consentimento e de forma satisfat�ria. Autorizo a Operadora a pagar em meu nome e por minha
0334#STR0334#ALL#conta, ao profissional contratado que assina esse documento, os valores referentes ao tratamento realizado, comprometendo-me a arcar com os custos conforme 
0335#STR0335#ALL#Data, Local e Assinatura do Cirurgi�o Dentista
0336#STR0336#ALL#Data, Local e Assinatura do Benefici�rio/ Respons�vel
0337#STR0337#ALL#Data, Local e Carimbo da Empresa
0338#STR0338#ALL#GUIA ODONTOL�GICA - SOLICITA��O
0339#STR0339#ALL#GUIA TRATAMENTO ODONTOL�GICO - SOLICITA��O
0340#STR0340#ALL#Situa��o Inicial
0341#STR0341#ALL#Permanentes
0342#STR0342#ALL#Dec�duos
0343#STR0343#ALL#Sinais Cl�nicos de doen�a periodontal ?
0344#STR0344#ALL#Sim
0345#STR0345#ALL#N�o
0346#STR0346#ALL#Altera��o dos Tecidos Moles ?
0347#STR0347#ALL#LEGENDA E OBSERVA��ES SOBRE A SITUA��O INICIAL
0348#STR0348#ALL#A - Ausente
0349#STR0349#ALL#E - Extra��o Indicada
0350#STR0350#ALL#H - H�gido
0351#STR0351#ALL#C - Cariado
0352#STR0352#ALL#R - Restaurado
0353#STR0353#ALL#Observa��es
0354#STR0354#ALL#Plano de Tratamento / Procedimentos Solicitados
0355#STR0355#ALL#Aut
0356#STR0356#ALL#Declaro, que ap�s ter sido devidamente esclarecido sobre os prop�sitos, riscos, custos e alternativas de tratamento,
0357#STR0357#ALL#conforme acima apresentados, aceito e autorizo a execu��o do tratamento, comprometendo-me a cumprir as orienta��es 
0358#STR0358#ALL#do profissional assistente e arcar com os custos previsto em contrato 
0359#STR0359#ALL#GUIA ODONTOL�GICA - DEMONSTRATIVO PAGAMENTO
0360#STR0360#ALL#GUIA TRATAMENTO ODONTOL�GICO - DEMONSTRATIVO DE PAGAMENTO
0361#STR0361#ALL#Per�odo de Processamento
0362#STR0362#ALL# � 
0363#STR0363#ALL#C�digo na Operadora
0364#STR0364#ALL#CPF/ CNPJ Contratado
0365#STR0365#ALL#N�mero da Guia
0366#STR0366#ALL#Data de Realiza��o
0367#STR0367#ALL#Valor Processado(R$)
0368#STR0368#ALL#Valor Glosa/Estorno(R$)
0369#STR0369#ALL#Valor Liberado(R$)
0370#STR0370#ALL#Motivo da Glosa
0371#STR0371#ALL#Valor Total Processado Guia(R$)
0372#STR0372#ALL#Valor Total Glosa Guia(R$)
0373#STR0373#ALL#Valor Total Liberado Guia (R$)
0374#STR0374#ALL#Valor Total Processado Lote(R$)
0375#STR0375#ALL#Valor Total Glosa Lote(R$)
0376#STR0376#ALL#Valor Total Liberado Lote (R$)
0377#STR0377#ALL#Demais Descontos
0378#STR0378#ALL#Valor Desconto(R$)
0379#STR0379#ALL#Valor Geral Processado(R$)
0380#STR0380#ALL#Valor Geral Glosa(R$)
0381#STR0381#ALL#Valor Geral Liberado(R$)
0382#STR0382#ALL#Guia Originada da Interna��o, para Impress�o ir a Rotina de Interna��o.
0383#STR0383#ALL#Atendimento Rec�m Nascido
0384#STR0384#ALL#GUIA TRATAMENTO ODONTOL�GICO
0385#STR0385#ALL#Dados do Contratado Respons�vel pelo Tratamento
0386#STR0386#ALL#Declaro, que ap�s ter sido devidamente esclarecido sobre os prop�sitos, riscos, custos e alternativas de tratamento, conforme acima apresentados, aceito e autorizo a execu��o do tratamento, comprometendo-me a cumprir as orienta��es do profissional assistente e arcar com os 
0387#STR0387#ALL#custos previstos em contrato. Declaro, ainda, que o(s) procedimento(s) descrito(s) acima, e por mim assinado(s), foi/foram realizado(s) com meu consentimento e de forma satisfat�ria. Autorizo a Operadora a pagar em meu nome e por minha conta, ao profissional  contratado que 
0388#STR0388#ALL#assina esse documento, os valores referentes ao tratamento realizado, comprometendo-me a arcar com os custos conforme previsto em contrato.
0389#STR0389#ALL#Data, local e Assinatura do Cirurgi�o Dentista Solicitante
0390#STR0390#ALL#Dados do contratado
0391#STR0391#ALL#GUIA TRATAMENTO ODONTOL�GICO - SITUA��O INICIAL
0392#STR0392#ALL#Valor Geral Processado (R$)
0393#STR0393#ALL#Valor Geral Glosa (R$)
0394#STR0394#ALL#Valor Geral Liberado (R$)
0395#STR0395#ALL#Demais d�bitos / Cr�ditos
0396#STR0396#ALL#Valor (R$)
0397#STR0397#ALL#Demais d�bitos / cr�ditos n�o tribut�veis
0398#STR0398#ALL#Impostos
0399#STR0399#ALL#Totais
0400#STR0400#ALL#Valor Total Tribut�vel (R$)
0401#STR0401#ALL#Valor Total Impostos Retidos (R$)
0402#STR0402#ALL#Valor Total N�o Tribut�vel (R$)
0403#STR0403#ALL#Valor Final a Receber (R$)
0404#STR0404#ALL#Item j� tem vinculo com a TISS, deseja alterar este v�nculo?
0405#STR0405#ALL#Tabela de Dom�nio n�o encontrada.
0406#STR0406#ALL#C�digo Terminologia
0407#STR0407#ALL#Descri��o Item Terminologia
0408#STR0408#ALL#Item n�o tem v�nculo com a TISS
0409#STR0409#ALL#C�digo
0410#STR0410#ALL#Descri��o
0411#STR0411#ALL#Nenhum item encontrado com o filtro ou n�o existe tabela vigente para a Terminologia.
0412#STR0412#ALL#Deseja reamente excluir o v�nculo com a TISS deste item?
0413#STR0413#ALL#V�nculo incluido com sucesso.
0414#STR0414#ALL#V�nculo alterado com sucesso.
0415#STR0415#ALL#V�nculo excluido com sucesso.
0416#STR0416#ALL#Sele��o de Terminologia
0417#STR0417#ALL#Vers�o TISS n�o encontrada ou inferior a 3
0418#STR0418#ALL#Caracter Invalido
0419#STR0419#ALL#Existem caracteres invalidos em sua pesquisa.
0420#STR0420#ALL#Ok
0421#STR0421#ALL#V�nculo n�o encontrado
0422#STR0422#ALL#Para esta funcionalidade � necess�rio executar os procedimentos referente ao chamado: THQGIW
0423#STR0423#ALL#Atendimento a RN
0424#STR0424#ALL#Cod. Negativa
0425#STR0425#ALL#Data da Assinatura do Cirurgi�o-Dentista Solicitante
0426#STR0426#ALL#Assinatura do Cirurgi�o-Dentista Solicitante
0427#STR0427#ALL#Data da Assinatura do Cirurgi�o-Dentista
0428#STR0428#ALL#Assinatura do Cirurgi�o-Dentista
0429#STR0429#ALL#Data da assinatura do Benefici�rio ou Respons�vel
0430#STR0450#ALL#Assinatura do Benefici�rio ou Respons�vel
0431#STR0451#ALL#Data do Carimbo Da Empresa
0432#STR0452#ALL#N�mero da guia atribu�do pela operadora
0433#STR0453#ALL#Declaro, que ap�s ter sido devidamente esclarecido sobre os prop�sitos, riscos, custos e alternativas de tratamento, conforme acima apresentados, aceito e autorizo a execu��o do tratamento, comprometendo-me a cumprir as orienta��es do profissional assistente
0434#STR0454#ALL#e arcar com os custos previstos em contrato. Declaro, ainda, que o(s) procedimento(s) descrito(s) acima, e por mim assinado(s), foi/foram realizado(s) com meu consentimento e de forma satisfat�ria. Autorizo a Operadora a pagar em meu nome e por minha conta, 
0435#STR0455#ALL#ao profissional contratado que assina esse documento, os valores referentes ao tratamento realizado, 
0436#STR0456#ALL#N�o foram encontrados dados para os parametros informados!
0437#STR0457#ALL#Informa��o sobre Partos
0438#STR0458#ALL#Protocolo:
0439#STR0459#ALL#Data e Hora:
0440#STR0460#ALL#Referente ao ano:
0441#STR0461#ALL#Descri��o
0442#STR0462#ALL#Partos Normais
0443#STR0463#ALL#Cirurgias Ces�reas
0444#STR0464#ALL#Operadora:
0445#STR0465#ALL#Hospital:
0446#STR0466#ALL#M�dico:
0447#STR0467#ALL#Informa��es referem-se ao dados vinculados apenas aos partos efetuados pela Operadora acima.
0448#STR0468#ALL#Estat�stica de Partos
0449#STR0469#ALL#Operadora:
0450#STR0470#ALL#Hospitals:
0451#STR0471#ALL#M�dico:
0452#STR0472#ALL#N�mero da Guia Principal de Tratamento Odontol�gico
0453#STR0473#ALL#N�mero da Guia Atribu�do pela Operadora
0454#STR0474#ALL#Observa��o / Justificativa
0455#STR0475#ALL#Local e Data
0456#STR0476#ALL#Assinatura do Benefici�rio / Respons�vel
0457#STR0477#ALL#Local, Data e Carimbo da Empresa
0458#STR0478#ALL#Os campos a seguir comp�em a chave para o vinculo e n�o est�o preenchidos no registro selecionado:
0459#STR0479#ALL#Ajuste o cadastro para dar continuidade
0460#STR0480#ALL#O campo a seguir � utilizado como chave para o vinculo e n�o est� preenchido no registro selecionado:
0461#STR0481#ALL#Chave inv�lida
 

PLSTISS_PT-PT.TRES

 0001#STR0001#ALL#Guia De Consulta
0003#STR0003#ALL#Registo Ans
0004#STR0004#ALL#Data De Emiss�o Da Guia
0005#STR0005#ALL#Dados Do Benefici�rio
0006#STR0006#ALL#N�mero Da Carteira
0008#STR0008#ALL#Validade Da Carteira
0010#STR0010#ALL#N�mero Do Cart�o Nacional De Sa�de
0011#STR0011#ALL#Dados Do Contratado
0012#STR0012#ALL#C�digo Na Operadora / Cnpj / Cpf
0013#STR0013#ALL#Nome Do Contratado
0014#STR0014#ALL#C�digo Cnes
0015#STR0015#ALL#T.l.
0017#STR0017#ALL#Concelho
0018#STR0018#ALL#Uf
0019#STR0019#ALL#C�digo Ibge
0020#STR0020#ALL#C�digo postal
0021#STR0021#ALL#Nome Do Profissional Executante
0023#STR0023#ALL#N�mero No Conselho
0024#STR0024#ALL#C�digo Cbo S
0025#STR0025#ALL#Hip�teses Diagnosticadas
0026#STR0026#ALL#Tipo De Doen�a
0027#STR0027#ALL#A-aguda
0028#STR0028#ALL#C-cr�nica
0029#STR0029#ALL#Tempo De Doen�a
0030#STR0030#ALL#A-anos
0031#STR0031#ALL#M-meses
0032#STR0032#ALL#D-dias
0033#STR0033#ALL#Indica��o De Acidente
0034#STR0034#ALL#Acidente ou doen�a relacionada com o trabalho
0037#STR0037#ALL#Cid Principal
0038#STR0038#ALL#Cid (2)
0039#STR0039#ALL#Cid (3)
0040#STR0040#ALL#Cid (4)
0041#STR0041#ALL#Dados Do Atendimento
0043#STR0043#ALL#Data Do Atendimento
0044#STR0044#ALL#C�digo da tabela
0046#STR0046#ALL#Tipo De Consulta
0049#STR0049#ALL#Pr�-natal
0050#STR0050#ALL#Tipo De Sa�da
0052#STR0052#ALL#Retorno Sadt
0054#STR0054#ALL#Internamento
0057#STR0057#ALL#Data e assinatura do profissional
0058#STR0058#ALL#Data E Assinatura Do Benefici�rio Ou Respons�vel
0059#STR0059#ALL#Guia De Servi�o Profissional
0060#STR0060#ALL#Guia De Servi�o Profissional / Servi�o Auxiliar De Diagn�stico E Terapia - Sp/sadt
0061#STR0061#ALL#N�m Da Guia Principal
0062#STR0062#ALL#Data Da Autoriza��o
0063#STR0063#ALL#Palavra-passe
0064#STR0064#ALL#Data De Validade Da Palavra-passe
0065#STR0065#ALL#Dados Do Contratado Solicitante
0066#STR0066#ALL#Nome Do Profissional Solicitante
0067#STR0067#ALL#Dados Da Solicita��o / Procedimentos E Exames Solicitados
0068#STR0068#ALL#Data/hora Da Solicita��o
0069#STR0069#ALL#Car�cter Da Solicita��o
0070#STR0070#ALL#E-electiva
0071#STR0071#ALL#U-urg�ncia/emerg�ncia
0072#STR0072#ALL#Cid 10
0073#STR0073#ALL#Indica��o cl�nica (obrigat�rio no caso de pequena cirurgia, terapia, consulta referenciada e alto custo)
0075#STR0075#ALL#C�digo Do Procedimento
0077#STR0077#ALL#Qt.solic.
0078#STR0078#ALL#Qt.autoriz.
0079#STR0079#ALL#Dados Do Contratado Executante
0080#STR0080#ALL#C�d.ibge
0081#STR0081#ALL#C�digo na operadora / cpf do exec. complementar
0082#STR0082#ALL#Nome Do Profissional Executante/complementar
0083#STR0083#ALL#Grau De Participa��o
0084#STR0084#ALL#Tipo De Atendimento
0090#STR0090#ALL#Atendimento Ao Domic�lio
0091#STR0091#ALL#Sadt Internado
0094#STR0094#ALL#Trs-terapia Renal Substitutiva
0095#STR0095#ALL#�bito
0097#STR0097#ALL#Procedimentos e exames realizados
0104#STR0104#ALL#% Red./acresc.
0105#STR0105#ALL#Valor Unit�rio - �
0106#STR0106#ALL#Valor Total - �
0107#STR0107#ALL#Data E Assinatura De Procedimentos Em S�rie
0108#STR0108#ALL#Total De Procedimentos �
0109#STR0109#ALL#Totalde  Taxas E Alugueres �
0110#STR0110#ALL#Total De Materiais �
0111#STR0111#ALL#Total De Medicamentos �
0112#STR0112#ALL#Total De Di�rias �
0113#STR0113#ALL#Total De Gases Medicinais �
0114#STR0114#ALL#Total Crial Da Guia �
0115#STR0115#ALL#Data E Assinatura Do Requerente
0116#STR0116#ALL#Data E Assinatura Do Respons�vel Pela Autoriza��o
0117#STR0117#ALL#Data E Assinatura Do Fornecedor Executante
0118#STR0118#ALL#Opm Requisitados
0119#STR0119#ALL#C�digo Do Opm
0120#STR0120#ALL#Descri��o Opm
0122#STR0122#ALL#Opm Utilizados
0123#STR0123#ALL#C�digo De Barras
0124#STR0124#ALL#Total Opm �
0125#STR0125#ALL#Guia De Pedido De Internamento
0126#STR0126#ALL#Guia De Pedido
0127#STR0127#ALL#De Internamento
0128#STR0128#ALL#Dados Do Contratado Requerente / Dados Do Internamento
0129#STR0129#ALL#C�digo Na Operadora / Nr.de Contribuinte
0130#STR0130#ALL#Nome Do Fornecedor
0131#STR0131#ALL#Car�cter Do Internamento
0132#STR0132#ALL#E - Escolhida
0133#STR0133#ALL#U - Urg�ncia/emerg�ncia
0134#STR0134#ALL#Tipo De Internamento
0140#STR0140#ALL#Regime De Internamento
0143#STR0143#ALL#Ao domic�lio
0144#STR0144#ALL#Qtde. De Di�rias Pedidas
0146#STR0146#ALL#Tipo De Doen�a
0147#STR0147#ALL#Tempo De Doen�a Referida Pelo Paciente
0148#STR0148#ALL#Acidente Ou Doen�a Relacionada Com O Trabalho
0149#STR0149#ALL#Cid 10 Principal
0150#STR0150#ALL#Cid 10 (2)
0151#STR0151#ALL#Cid 10 (3)
0152#STR0152#ALL#Cid 10 (4)
0153#STR0153#ALL#Procedimentos Pedidos
0154#STR0154#ALL#Qtde.solict
0155#STR0155#ALL#Qtde.aut
0156#STR0156#ALL#Dados Da Autoriza��o
0157#STR0157#ALL#Data Prov�vel Da Admiss�o Hospitalar
0158#STR0158#ALL#Qtdes.di�rias Autorizadas
0159#STR0159#ALL#Tipo De Acomoda��o Autorizada
0160#STR0160#ALL#Nome Do Prestador Autorizado
0161#STR0161#ALL#Data e assinatura do profissional solicitante
0162#STR0162#ALL#Adiamentos
0163#STR0163#ALL#Respons�vel Pela Autorizac��o
0164#STR0164#ALL#Tipo De Acomoda��o
0165#STR0165#ALL#Instala��o
0166#STR0166#ALL#Qtde.autorizada
0167#STR0167#ALL#Qtde.pedi.
0168#STR0168#ALL#Guia De Resumo De Internamento
0169#STR0169#ALL#Guia De Resumo De Internamento
0170#STR0170#ALL#N�m. De Guia De Solicita��o
0171#STR0171#ALL#Cod. Ibge
0172#STR0172#ALL#Dados Do Internamento
0173#STR0173#ALL#Tipo De Acomoda��o Autorizada
0174#STR0174#ALL#Data/hora De Internamento
0175#STR0175#ALL#Data/hora Da Sa�da De Internamento
0176#STR0176#ALL#Tipo De Internamento
0177#STR0177#ALL#iNterna��o  obstetrica - (seleccionar mais de um se necess�rio com "x")
0180#STR0180#ALL#Complica��o materna relacionada com a gravidez
0181#STR0181#ALL#Complic. Durante O Recobro
0182#STR0182#ALL#Atend. ao rn na sala de parto
0185#STR0185#ALL#Parto Cesariana
0187#STR0187#ALL#Em caso de �bito da mulher
0189#STR0189#ALL#At� 42 dias ap�s o fim da gesta��o
0190#STR0190#ALL#De 43 dias a 12 meses ap�s fim da gesta��o
0191#STR0191#ALL#No caso de �bito neonatal
0192#STR0192#ALL#Qtde. de �bito neonatal precoce
0193#STR0193#ALL#Qtde. de �bito neonatal tardio
0194#STR0194#ALL#N�m. Decl.nasc.vivos
0195#STR0195#ALL#Qtde De .nasc.vivos A Termo
0196#STR0196#ALL#Qtde. de nasc.mortos
0197#STR0197#ALL#Qtde. De Nasc.vivos Prematuro
0198#STR0198#ALL#Dados Da Sa�da De Internamento
0199#STR0199#ALL#Indicador De Acidente
0200#STR0200#ALL#Motivo De Sa�da
0201#STR0201#ALL#Cid 10 �bito
0202#STR0202#ALL#N�m. de declara��o de �bito
0203#STR0203#ALL#Identifica��o Da Equipa
0204#STR0204#ALL#Seq.ref
0205#STR0205#ALL#Gr.part.
0206#STR0206#ALL#C�digo Na Operadora/cpf
0207#STR0207#ALL#Nome Do Profissional
0209#STR0209#ALL#N�mero De Conselho
0210#STR0210#ALL#Cpf
0211#STR0211#ALL#Tipo De Factura��o �
0214#STR0214#ALL#Total Geral �
0215#STR0215#ALL#Data E Assinatura Do Contratado
0216#STR0216#ALL#Data E Assinatura Do(s) Auditor(es) Da Operadora
0217#STR0217#ALL#Procedimentos e exames realizados (continua��o)
0218#STR0218#ALL#Identifica��o da equipa (continua��o)
0219#STR0219#ALL#Guia De Honor�rio Individual
0220#STR0220#ALL#Guia De Honor�rio Individual
0221#STR0221#ALL#N�m Da Guia De Solicita��o/palavra-passe
0222#STR0222#ALL#Data De Emiss�o Da Guia
0223#STR0223#ALL#Dados do contratado (onde foi executado o procedimento)
0224#STR0224#ALL#Nome Do Contratado Executante
0226#STR0226#ALL#N�mero No Cpf
0228#STR0228#ALL#Total Geral De Honor�rios �
0229#STR0229#ALL#Data E Assinatura Do Prestador
0230#STR0230#ALL#Data/hora E Assinatura Do Benefici�rio Ou Respons�vel
0231#STR0231#ALL#Guia De Outras Despesas
0232#STR0232#ALL#N�m. De Guia Referenciada
0233#STR0233#ALL#C�digo De Despesas Realizadas
0234#STR0234#ALL#Cd = 
0240#STR0240#ALL#Alugueres
0241#STR0241#ALL#Cd
0242#STR0242#ALL#C�digo do artigo
0243#STR0243#ALL#Total De Taxas Diversas �
0244#STR0244#ALL#Total De Alugueres �
0245#STR0245#ALL#Comprovativo De An�lise Da Conta M�dica
0247#STR0247#ALL#Nome Da Operadora
0248#STR0248#ALL#Cnpj Operadora
0249#STR0249#ALL#N�mero Do Comprovativo
0250#STR0250#ALL#Data De Emiss�o Do Comprovativo
0251#STR0251#ALL#Dados Do Prestador
0252#STR0252#ALL#C�digo Do Prestador / Cnpj / Cpf
0253#STR0253#ALL#Dados Da Conta
0254#STR0254#ALL#N�mero Da Factura
0255#STR0255#ALL#N�mero Do Lote
0256#STR0256#ALL#Data De Envio Do Lote
0257#STR0257#ALL#N�mero Do Protocolo
0258#STR0258#ALL#Valor do protocolo (�)
0259#STR0259#ALL#Valor da nota do protocolo (�)
0260#STR0260#ALL#C�digo Da Nota Do Protocolo
0261#STR0261#ALL#N�mero Da Guia/palavra-passe
0262#STR0262#ALL#Nome Do Benefici�rio
0263#STR0263#ALL#C�digo Do Benefici�rio
0264#STR0264#ALL#Data De Realiza��o
0265#STR0265#ALL#Descri��o Do Servi�o
0266#STR0266#ALL#C�digo Do Servi�o
0268#STR0268#ALL#Valor processado (�)
0269#STR0269#ALL#Valor libertado (�)
0270#STR0270#ALL#Valor da nota (�)
0271#STR0271#ALL#C�digo Da Nota
0272#STR0272#ALL#Total Da Guia
0273#STR0273#ALL#Valor processado da guia (�)
0274#STR0274#ALL#Valor libertado da guia (�)
0275#STR0275#ALL#Valor da rejei��o das contas da guia (�)
0276#STR0276#ALL#C�digo Da Rejei��o Das Contas Da Guia
0277#STR0277#ALL#Total Da Factura
0278#STR0278#ALL#Valor processado da factura (�)
0279#STR0279#ALL#Valor libertado da factura (�)
0280#STR0280#ALL#Valor da nota da factura (�)
0281#STR0281#ALL#Total Crial
0282#STR0282#ALL#Valor processado geral (�)
0283#STR0283#ALL#Valor libertado geral (�)
0284#STR0284#ALL#Valor da nota geral (�)
0285#STR0285#ALL#Comprovativo De Pagamento
0286#STR0286#ALL#Dados Do Pagamento
0287#STR0287#ALL#Data Do Pagamento
0288#STR0288#ALL#Forma De Pagamento
0289#STR0289#ALL#Cr�dito Em Conta
0291#STR0291#ALL#T�tulo de pagamento banc�rio
0294#STR0294#ALL#N�mero da conta/cheque
0295#STR0295#ALL#Dados Do Resumo
0296#STR0296#ALL#Valor indicado (�)
0297#STR0297#ALL#Valor da rejei��o das contas (�)
0298#STR0298#ALL#Total geral do valor indicado (�)
0299#STR0299#ALL#Total geral do valor processado (�)
0300#STR0300#ALL#Total geral do valor libertado (�)
0301#STR0301#ALL#Total geral da rejei��o das contas (�)
0302#STR0302#ALL#Total Do Valor
0303#STR0303#ALL#Demais Descontos Ou Cr�ditos
0304#STR0304#ALL#Total Do Valor Libertado
0305#STR0305#ALL#Guia Odontol�gica - Cobran�a
0306#STR0306#ALL#Guia De Tratamento Odontol�gico - Cobran�a
0307#STR0307#ALL#Data De Emiss�o Da Guia
0308#STR0308#ALL#N�mero Da Guia Principal
0310#STR0310#ALL#Data De Validade Da Carteira
0312#STR0312#ALL#Nome Do Titular Do Plano
0313#STR0313#ALL#N�mero No Cro
0315#STR0315#ALL#Dente/regi�o
0318#STR0318#ALL#Quantidade Us
0320#STR0320#ALL#Franquia/co-participa��o �
0323#STR0323#ALL#Tipo De Atendimento
0326#STR0326#ALL#Ortodontologia
0327#STR0327#ALL#Urg�ncia/emerg�ncia 
0328#STR0328#ALL#Tipo De Factura��o
0330#STR0330#ALL#Total De Quantidade Us
0331#STR0331#ALL#Valor Total �
0332#STR0332#ALL#Total Franquia / Co-participa��o �
0333#STR0333#ALL#Declaro, que o tratamento descrito acima foi realizado com o meu consentimento e de forma satisfat�ria. autorizo a operadora a pagar em meu nome e por minha
0334#STR0334#ALL#Conta, ao profissional contratado que assina este documento, os valores referentes ao tratamento realizado, comprometendo-me a suportar os custos conforme 
0335#STR0335#ALL#Data, Local E Assinatura Do Cirurgi�o Dentista
0336#STR0336#ALL#Data, local e assinatura do Benefici�rio/ Respons�vel
0337#STR0337#ALL#Data, Local E Carimbo Da Empresa
0338#STR0338#ALL#Guia Odontol�gica - Solicita��o
0339#STR0339#ALL#Guia De Tratamento Odontol�gico - Solicita��o
0342#STR0342#ALL#Deciduos
0343#STR0343#ALL#Sinais cl�nicos de doen�a periodontal ?
0346#STR0346#ALL#Altera��o dos tecidos moles ?
0347#STR0347#ALL#Legenda E Observa��es Da Situa��o Inicial
0349#STR0349#ALL#E - Extrac��o Indicada
0350#STR0350#ALL#H - Higido
0351#STR0351#ALL#C � Com C�rie
0354#STR0354#ALL#Plano De Tratamento / Procedimentos Solicitados
0357#STR0357#ALL#Tal como acima apresentados, aceito e autorizo a execu��o do tratamento, comprometendo-me a cumprir as orienta��es 
0358#STR0358#ALL#Do profissional assistente e suportar os custos previstos em contrato 
0359#STR0359#ALL#Guia Odontol�gica � Comprovativo De Pagamento
0360#STR0360#ALL#Guia De Tratamento Odontol�gico - Comprovativo De Pagamento
0361#STR0361#ALL#Per�odo De Processamento
0362#STR0362#ALL# o 
0363#STR0363#ALL#C�digo Na Operadora
0364#STR0364#ALL#Cpf/ Cnpj Contratado
0365#STR0365#ALL#N�mero Da Guia
0366#STR0366#ALL#Data De Realiza��o
0367#STR0367#ALL#Valor Processado(�)
0368#STR0368#ALL#Valor Rejei��o Das Contas/devolu��o(�)
0369#STR0369#ALL#Valor Libertado(�)
0370#STR0370#ALL#Motivo Da Rejei��o Das Contas
0371#STR0371#ALL#Valor Total Processado Na Guia(�)
0372#STR0372#ALL#Valor Total Da Rejei��o Das Contas Da Guia(�)
0373#STR0373#ALL#Valor total libertado na guia (�)
0374#STR0374#ALL#Valor Total Processado No Lote(�)
0375#STR0375#ALL#Valor Total Da Rejei��o Das Contas Do Lote(�)
0376#STR0376#ALL#Valor total libertado no lote (�)
0378#STR0378#ALL#Valor Do Desconto(�)
0379#STR0379#ALL#Valor Geral Processado(�)
0380#STR0380#ALL#Valor Geral Da Rejei��o Das Contas(�)
0381#STR0381#ALL#Valor Geral Libertado(�)
0382#STR0382#ALL#Guia Originada Do Internamento, Para Impress�o Ir O Procedimento De Internamento.
0383#STR0383#ALL#Atendimento De Rec�m-nascido
0384#STR0384#ALL#GUIA DE TRATAMENTO ODONTOL�GICO
0390#STR0390#ALL#Dados do CONTRATADO
0391#STR0391#ALL#GUIA de TRATAMENTO ODONTOL�GICO - SITUA��O INICIAL
0392#STR0392#ALL#Valor Crilal Processado (R$)
0393#STR0393#ALL#Valor Crial de Rejei��o (R$)
0394#STR0394#ALL#Valor Crial Autorizado (R$)
0395#STR0395#ALL#Demais D�bitos / Cr�ditos
0397#STR0397#ALL#Demais d�bitos / cr�ditos n�o tribut�veis.
 

PLSTISS_RU.TRES

 0001#STR0001#ALL#APPOINTMENT FORM
0002#STR0002#ALL#�  
0003#STR0003#ALL#ANS Record
0004#STR0004#ALL#Form Generation Date
0005#STR0005#ALL#Beneficiary Data
0006#STR0006#ALL#����� �����
0007#STR0007#ALL#����
0008#STR0008#ALL#Portfolio Maturity
0009#STR0009#ALL#��� 
0010#STR0010#ALL#Number of the Health National Card
0011#STR0011#ALL#Data of contracted person
0012#STR0012#ALL#Code in Operator / CNPJ / CPF
0013#STR0013#ALL#Name of the contracted person
0014#STR0014#ALL#CNES Code
0015#STR0015#ALL#T.L.
0016#STR0016#ALL#Address ID - Number - Complement
0017#STR0017#ALL#���.
0018#STR0018#ALL#UF
0019#STR0019#ALL#IBGE Code
0020#STR0020#ALL#ZIP CODE
0021#STR0021#ALL#Name of the Professional Performer
0022#STR0022#ALL#Professional Council
0023#STR0023#ALL#Council Number
0024#STR0024#ALL#CBO S Code
0025#STR0025#ALL#Diagnostic Hypothesis
0026#STR0026#ALL#Type of Disease
0027#STR0027#ALL#A-Sharp
0028#STR0028#ALL#C-Chronic
0029#STR0029#ALL#Disease Age
0030#STR0030#ALL#A-Years
0031#STR0031#ALL#M-Months
0032#STR0032#ALL#D-Days
0033#STR0033#ALL#Accident Indication
0034#STR0034#ALL#Work-related accident or disease
0035#STR0035#ALL#Traffic
0036#STR0036#ALL#������
0037#STR0037#ALL#Main ICD
0038#STR0038#ALL#ICD (2)
0039#STR0039#ALL#ICD (3)
0040#STR0040#ALL#ICD(4)
0041#STR0041#ALL#Attendance Data
0042#STR0042#ALL#Procedure Performed
0043#STR0043#ALL#Attendance Date
0044#STR0044#ALL#Table Code
0045#STR0045#ALL#Procedure Code
0046#STR0046#ALL#Appointment Type
0047#STR0047#ALL#����.
0048#STR0048#ALL#Follow-up
0049#STR0049#ALL#Pre-Birth
0050#STR0050#ALL#Type of exit
0051#STR0051#ALL#�����.
0052#STR0052#ALL#SADT Return
0053#STR0053#ALL#������   
0054#STR0054#ALL#Hospitalization
0055#STR0055#ALL#Discharge
0056#STR0056#ALL#����.
0057#STR0057#ALL#Professional Signature and Date
0058#STR0058#ALL#Date and Signature of Beneficiary or Person Responsible
0059#STR0059#ALL#PROFESSIONAL SERVICE FORM
0060#STR0060#ALL#PROFESSIONAL SERVICE FORM / AUXILIARY SERVICE FOR DIAGNOSYS AND THERAPY - SP/SADT
0061#STR0061#ALL#Main Form No.
0062#STR0062#ALL#���� �������.     
0063#STR0063#ALL#������  
0064#STR0064#ALL#Password expiry date
0065#STR0065#ALL#Requesting contracted party information
0066#STR0066#ALL#Requesting professional name
0067#STR0067#ALL#Request information / Requested procedures and exams
0068#STR0068#ALL#Request date/time
0069#STR0069#ALL#Request reason
0070#STR0070#ALL#E-Elective
0071#STR0071#ALL#U-Urgency/Emergency
0072#STR0072#ALL#ICD 10
0073#STR0073#ALL#Clinical Indication (required in case of small surgery, therapy, referenced appointment and high cost)
0074#STR0074#ALL#����.
0075#STR0075#ALL#Procedure Code
0076#STR0076#ALL#��������   
0077#STR0077#ALL#Qty. req.
0078#STR0078#ALL#Qty. author.
0079#STR0079#ALL#Executing contracted party information
0080#STR0080#ALL#IBGE Code
0081#STR0081#ALL#Operator code/CPF of supplement. exec.
0082#STR0082#ALL#Name of executing professional/Supplementary
0083#STR0083#ALL#Participation degree
0084#STR0084#ALL#Attendance Type
0085#STR0085#ALL#Removal
0086#STR0086#ALL#Small surgery
0087#STR0087#ALL#Therapies
0088#STR0088#ALL#Appointment
0089#STR0089#ALL#����
0090#STR0090#ALL#Home care
0091#STR0091#ALL#Hospitalized SADT
0092#STR0092#ALL#Chemotherapy
0093#STR0093#ALL#Radiotherapy
0094#STR0094#ALL#Substitutive Kidney Therapy
0095#STR0095#ALL#Death
0096#STR0096#ALL#Reference Appointment
0097#STR0097#ALL#Procedures and tests performed
0098#STR0098#ALL#����
0099#STR0099#ALL#����� ���.
0100#STR0100#ALL#���. ��.  
0101#STR0101#ALL#�-��
0102#STR0102#ALL#Via
0103#STR0103#ALL#Tec.
0104#STR0104#ALL#% Red./Incr.
0105#STR0105#ALL#Unit value - R$
0106#STR0106#ALL#Total amount - R$
0107#STR0107#ALL#Date and Signature of Series Procedures
0108#STR0108#ALL#Total Procedures R$
0109#STR0109#ALL#Total Rates and Rents R$
0110#STR0110#ALL#Total Materials R$
0111#STR0111#ALL#Total Medications R$
0112#STR0112#ALL#Total Daily rates R$
0113#STR0113#ALL#Total Medical Gases R$
0114#STR0114#ALL#General Total of the Form R$
0115#STR0115#ALL#Date and Signature of the Requestor
0116#STR0116#ALL#Date and Signature of the Responsible for the Authorization
0117#STR0117#ALL#Date and Signature of the Performer Provider
0118#STR0118#ALL#Required OPM
0119#STR0119#ALL#OPM Code
0120#STR0120#ALL#OPM Description
0121#STR0121#ALL#������-��   
0122#STR0122#ALL#OPM Used
0123#STR0123#ALL#���-���
0124#STR0124#ALL#Total OPM R$
0125#STR0125#ALL#HOSPITALIZATION REQUISITION FORM
0126#STR0126#ALL#REQUISITION FORM
0127#STR0127#ALL#OF HOSPITALIZATION
0128#STR0128#ALL#Data of Requestor Hired / Hospitalization Data
0129#STR0129#ALL#Code in Operator / CNPJ
0130#STR0130#ALL#Provider Name
0131#STR0131#ALL#Hospitalization Reason
0132#STR0132#ALL#E - Election
0133#STR0133#ALL#U - Urgency/Emergency
0134#STR0134#ALL#Hospitalization Type
0135#STR0135#ALL#Clinic
0136#STR0136#ALL#Surgical
0137#STR0137#ALL#Obstetrics
0138#STR0138#ALL#Pediatrics
0139#STR0139#ALL#Psychiatrist
0140#STR0140#ALL#Hospitalization Process
0141#STR0141#ALL#Hospital
0142#STR0142#ALL#Hospital-day
0143#STR0143#ALL#Home
0144#STR0144#ALL#Amnt. of Daily rates required
0145#STR0145#ALL#Clinic Indication
0146#STR0146#ALL#Disease Type
0147#STR0147#ALL#Disease Age referred by the Patient
0148#STR0148#ALL#Work-related accident or disease
0149#STR0149#ALL#Main CID 10
0150#STR0150#ALL#CID 10 (2)
0151#STR0151#ALL#CID 10 (3)
0152#STR0152#ALL#CID 10 (4)
0153#STR0153#ALL#Procedures required
0154#STR0154#ALL#Amnt. Req.
0155#STR0155#ALL#Amnt. Auth.
0156#STR0156#ALL#Authorization Data
0157#STR0157#ALL#Probable Date of Hospital Admission
0158#STR0158#ALL#Amnt. Daily Rates Authorized
0159#STR0159#ALL#Type of accommodation allowed
0160#STR0160#ALL#Name of Provider Allowed
0161#STR0161#ALL#Professional Requesting Signature and Date
0162#STR0162#ALL#Extensions
0163#STR0163#ALL#Responsible for Authorization
0164#STR0164#ALL#Accom. Type
0165#STR0165#ALL#Accommodation
0166#STR0166#ALL#Amnt. Authorized
0167#STR0167#ALL#Amnt. Req.
0168#STR0168#ALL#HOSPITALIZATION SUMMARY FORM
0169#STR0169#ALL#HOSPITALIZATION SUMMARY FORM
0170#STR0170#ALL#No. of Requisition Form
0171#STR0171#ALL#IBGE Code
0172#STR0172#ALL#Hospitalization Data
0173#STR0173#ALL#Type of Accommodation Allowed
0174#STR0174#ALL#Date/Time of Hospitalization
0175#STR0175#ALL#Date/Time Hospitalization Discharge
0176#STR0176#ALL#Hospitalization Type
0177#STR0177#ALL#Obstetrics Hospitalization - (if necessary, select more than one with "X")
0178#STR0178#ALL#Pregnant
0179#STR0179#ALL#Abortion
0180#STR0180#ALL#Maternal upset relating to pregnancy
0181#STR0181#ALL#Post delivery complication
0182#STR0182#ALL#Attend. to NB in delivery room
0183#STR0183#ALL#Newborn complication
0184#STR0184#ALL#Bx. weight < 2,5 Kg
0185#STR0185#ALL#Caesarian Delivery
0186#STR0186#ALL#Episiotomy delivery
0187#STR0187#ALL#Women death
0188#STR0188#ALL#Pregnant
0189#STR0189#ALL#up to 42 days after the end of pregnancy
0190#STR0190#ALL#from 43 days to 12 months after the end of pregnancy
0191#STR0191#ALL#If newborn death
0192#STR0192#ALL#Amnt. precocious stillborn
0193#STR0193#ALL#Amnt. late stillborn
0194#STR0194#ALL#No. Decl. Liveborn
0195#STR0195#ALL#Amnt. Liveborn
0196#STR0196#ALL#Amnt. Stillborn
0197#STR0197#ALL#Amnt. premature liveborn
0198#STR0198#ALL#Data of Hospitalization Discharge
0199#STR0199#ALL#Accident Indicator
0200#STR0200#ALL#Discharge Reason
0201#STR0201#ALL#CID 10 Death
0202#STR0202#ALL#No. Death Declaration
0203#STR0203#ALL#Staff identification
0204#STR0204#ALL#Seq.Ref
0205#STR0205#ALL#Gr.Part.
0206#STR0206#ALL#Code in Operator/CPF
0207#STR0207#ALL#Professional name
0208#STR0208#ALL#Prof. Board
0209#STR0209#ALL#Board Number
0210#STR0210#ALL#CPF
0211#STR0211#ALL#Invoicing Type R$
0212#STR0212#ALL#���� 
0213#STR0213#ALL#������.
0214#STR0214#ALL#General Total R$
0215#STR0215#ALL#Date and Signature of Provider
0216#STR0216#ALL#Date and Signature of the Company Auditor(s)
0217#STR0217#ALL#Procedures and Exams Performed (Continuing)
0218#STR0218#ALL#Staff Identification (Continuing)
0219#STR0219#ALL#INDIVIDUAL FEE FORM
0220#STR0220#ALL#INDIVIDUAL FEE FORM
0221#STR0221#ALL#No. of Requisition/Password form
0222#STR0222#ALL#Form Generation Date
0223#STR0223#ALL#Data of Provider (where the procedure was performed)
0224#STR0224#ALL#Name of the current Provider
0225#STR0225#ALL#Part. Level
0226#STR0226#ALL#CPF Number
0227#STR0227#ALL#Procedures performed
0228#STR0228#ALL#General Total of Fees R$
0229#STR0229#ALL#Provider Date and Signature
0230#STR0230#ALL#Date/Time and Signature of the Beneficiary or Responsible
0231#STR0231#ALL#FORM OF OTHER EXPENSES
0232#STR0232#ALL#No. of Reference Form
0233#STR0233#ALL#Code of Expenses
0234#STR0234#ALL#CD = 
0235#STR0235#ALL#Medical Gases
0236#STR0236#ALL#Medications
0237#STR0237#ALL#���������
0238#STR0238#ALL#Other rates
0239#STR0239#ALL#Daily rates
0240#STR0240#ALL#Rent
0241#STR0241#ALL#CD
0242#STR0242#ALL#Item Code
0243#STR0243#ALL#Total of Other Rates R$
0244#STR0244#ALL#Total Rent R$
0245#STR0245#ALL#STATEMENT OF MEDICAL ACCOUNT ANALYSIS
0246#STR0246#ALL#MEDICAL ACCOUNT STATEMENT ANALISIS
0247#STR0247#ALL#Company name
0248#STR0248#ALL#Company CNPJ
0249#STR0249#ALL#Statement number
0250#STR0250#ALL#Statement Generation Date
0251#STR0251#ALL#Provider Data
0252#STR0252#ALL#Provider Code / CNPJ / CPF
0253#STR0253#ALL#Account Data
0254#STR0254#ALL#Invoice Number
0255#STR0255#ALL#Lot Number
0256#STR0256#ALL#Date when Lot was Sent
0257#STR0257#ALL#Protocol Number
0258#STR0258#ALL#Protocol amount (R$)
0259#STR0259#ALL#Protocol Disallowance Amount (R$)
0260#STR0260#ALL#Protocol Disallowance Code
0261#STR0261#ALL#Form/Password Number
0262#STR0262#ALL#Beneficiary Number
0263#STR0263#ALL#Beneficiary Code
0264#STR0264#ALL#Event Date
0265#STR0265#ALL#Service description
0266#STR0266#ALL#Service code
0267#STR0267#ALL#Exec. Amnt.
0268#STR0268#ALL#Amount processed (R$)
0269#STR0269#ALL#Amount Released (R$)
0270#STR0270#ALL#Disallowance Amount (R$)
0271#STR0271#ALL#Disallowance Code
0272#STR0272#ALL#Total Form
0273#STR0273#ALL#Amount processed of Form (R$)
0274#STR0274#ALL#Amount released of Form (R$)
0275#STR0275#ALL#Disallowance Amount of Form (R$)
0276#STR0276#ALL#Disallowance code of Form
0277#STR0277#ALL#Total Invoice
0278#STR0278#ALL#Amount processed of Invoice (R$)
0279#STR0279#ALL#Amount released of Invoice (R$)
0280#STR0280#ALL#Disallowance Amount of Invoice (R$)
0281#STR0281#ALL#General Total
0282#STR0282#ALL#General Amount Processed (R$)
0283#STR0283#ALL#General Amount Released (R$)
0284#STR0284#ALL#General Disallowance Amount (R$)
0285#STR0285#ALL#PAYMENT STATEMENT
0286#STR0286#ALL#Payment Data
0287#STR0287#ALL#Payment Date
0288#STR0288#ALL#����� �������
0289#STR0289#ALL#Credit in Account
0290#STR0290#ALL#�������� 
0291#STR0291#ALL#Payment slip
0292#STR0292#ALL#����
0293#STR0293#ALL#Bank office
0294#STR0294#ALL#Account/Check number
0295#STR0295#ALL#Summary Data
0296#STR0296#ALL#Amount informed (R$)
0297#STR0297#ALL#Disallowance amount (R$)
0298#STR0298#ALL#General Total of Amount Informed (R$)
0299#STR0299#ALL#General Total of Amount Processed (R$)
0300#STR0300#ALL#General Total of Amount Released (R$)
0301#STR0301#ALL#General Total of Disallowance (R$)
0302#STR0302#ALL#����. ����� 
0303#STR0303#ALL#Other Deductions or Credits
0304#STR0304#ALL#Total Amount Released
0305#STR0305#ALL#ODONTHOLOGICAL FORM - COLLECTION
0306#STR0306#ALL#ODONTHOLOGICAL TREATMENT FORM - COLLECTION
0307#STR0307#ALL#Form Generation Date
0308#STR0308#ALL#Number of the Main Form
0309#STR0309#ALL#����-� 
0310#STR0310#ALL#Portfolio Maturity Date
0311#STR0311#ALL#�������  
0312#STR0312#ALL#Name of the Health Care Plan Holder
0313#STR0313#ALL#CRO Number
0314#STR0314#ALL#Procedures Performed
0315#STR0315#ALL#Tooth/Area
0316#STR0316#ALL#Face
0317#STR0317#ALL#Amnt
0318#STR0318#ALL#US Amount
0319#STR0319#ALL#����.
0320#STR0320#ALL#Franchise/Co-participation R$
0321#STR0321#ALL#�������  
0322#STR0322#ALL#Treatment End date
0323#STR0323#ALL#Attendance Type
0324#STR0324#ALL#Odonthological Treatment
0325#STR0325#ALL#Radiologic exam
0326#STR0326#ALL#Orthodontia
0327#STR0327#ALL#Urgency/Emergence
0328#STR0328#ALL#Invoicing Type
0329#STR0329#ALL#������.
0330#STR0330#ALL#Total US Amount
0331#STR0331#ALL#Total Amount R$
0332#STR0332#ALL#Total Franchise / Co-Participation R$
0333#STR0333#ALL#I agree with the treatment described above and I am satisfied with that. I allow the Company to pay in my behalf and
0334#STR0334#ALL#account, to the professional contracted that signs such document, the amounts referring to the treatment performed, and I am responsible for paying my costs
0335#STR0335#ALL#Date, Location and Signature of the Dentist
0336#STR0336#ALL#Date, Location and Signature of Beneficiary/Responsible person
0337#STR0337#ALL#Date, Location and Company Stamp
0338#STR0338#ALL#ODONTHOLOGICAL - REQUISITION
0339#STR0339#ALL#ODONTHOLOGICAL TREATMENT FORM - REQUISITION
0340#STR0340#ALL#Initial Situation
0341#STR0341#ALL#��������.
0342#STR0342#ALL#Regressive
0343#STR0343#ALL#Clinical signs of periodontic disease?
0344#STR0344#ALL#�� 
0345#STR0345#ALL#��
0346#STR0346#ALL#Change of Soft Tissues?
0347#STR0347#ALL#CAPTION AND OBSERVATION ON THE INITIAL SITUATION
0348#STR0348#ALL#A - Absent
0349#STR0349#ALL#E - Extraction Indicated
0350#STR0350#ALL#H - Health
0351#STR0351#ALL#C - With caries
0352#STR0352#ALL#R - Restored
0353#STR0353#ALL#Observations
0354#STR0354#ALL#Treatment Plan / Procedures Required
0355#STR0355#ALL#Aut
0356#STR0356#ALL#After being aware on the purposes, risks, costs and alternative for treatments,
0357#STR0357#ALL#according to presented above, I agree and allow the treatment, being engaged to accomplish instructions 
0358#STR0358#ALL#of the professional, paying the costs set in the contract
0359#STR0359#ALL#ODONTOLOGICAL FORM - PAYMENT STATEMENT
0360#STR0360#ALL#ODONTOLOGICAL TREATMENT FORM - PAYMENT STATEMENT
0361#STR0361#ALL#Processing Period
0362#STR0362#ALL# � 
0363#STR0363#ALL#Operator Code
0364#STR0364#ALL#CPF/ CNPJ Contracted
0365#STR0365#ALL#Form Number
0366#STR0366#ALL#Event Date
0367#STR0367#ALL#Amount Processed (R$)
0368#STR0368#ALL#Disallowance/Reversal Amount(R$)
0369#STR0369#ALL#Amount Released(R$)
0370#STR0370#ALL#������� ������     
0371#STR0371#ALL#Total Amount of Form Processed(R$)
0372#STR0372#ALL#Total Amount of Disallowance Form(R$)
0373#STR0373#ALL#Total Amount Released Form (R$)
0374#STR0374#ALL#Total Amount Processed Form (R$)
0375#STR0375#ALL#Total Amount of Disallowance Lot(R$)
0376#STR0376#ALL#Total Amount of Released Lot (R$)
0377#STR0377#ALL#Other Discounts
0378#STR0378#ALL#Dicount Value(R$)
0379#STR0379#ALL#General Amount Processed(R$)
0380#STR0380#ALL#General Disallowance Amount(R$)
0381#STR0381#ALL#General Amount Released(R$)
0382#STR0382#ALL#Form from Hospitalization. To print it, go to Hospitalization Routine.
0383#STR0383#ALL#Attendance to Newly Born
0384#STR0384#ALL#ODONTOLOGICAL TREATMENT FORM
0385#STR0385#ALL#Data of Contracted Person Responsible for the Treatment
0386#STR0386#ALL#I declare that, after purposes, risks, costs and treatment options have been clarified, as presented above, I accept and authorize the treatment, pledging myself to obey orientations of assistant professional and pay 
0387#STR0387#ALL#costs predicted in contract. Also, I declare that the procedure(s) described above, and agreed by me, were accomplished with my assent and satisfactorily. I authorize the Operator to pay, on my behalf and on my account, the professional contracted thcos
0388#STR0388#ALL#signs this document, values referring to treatment accomplished. Moreover, I pledge myself to pay for costs as predicted in contract.
0389#STR0389#ALL#Date, location and signature of Requestor Dental Surgeon
0390#STR0390#ALL#Data of contractor
0391#STR0391#ALL#ODONTOLOGICAL TREATMENT FORM - INITIAL SITUATION
0392#STR0392#ALL#Grand Value Processed (R$)
0393#STR0393#ALL#Disallowance Grand Value (R$)
0394#STR0394#ALL#Released Grand Value (R$)
0395#STR0395#ALL#Other Debits / Credits
0396#STR0396#ALL#Value (R$)
0397#STR0397#ALL#Other debits / credits non-taxable
0398#STR0398#ALL#���. 
0399#STR0399#ALL#����� 
0400#STR0400#ALL#Taxable Grand Total Value  - R$ -
0401#STR0401#ALL#Retained-Tax Grand Total  - R$ -
0402#STR0402#ALL#Non-Taxable Grand Total Value  - R$ -
0403#STR0403#ALL#Receivable Final Value (R$)
0404#STR0404#ALL#Item already associate with TISS, do you want to change this association?
0405#STR0405#ALL#Domain Table not found.
0406#STR0406#ALL#Terminology Code
0407#STR0407#ALL#Terminology Item Description
0408#STR0408#ALL#Item not associated with TISS
0409#STR0409#ALL#��� 
0410#STR0410#ALL#��������   
0411#STR0411#ALL#No item with filter was found. Or there is no current table for Terminology.
0412#STR0412#ALL#Do you want to delete this item association with TISS?
0413#STR0413#ALL#Association successfully added.
0414#STR0414#ALL#Association successfully changed.
0415#STR0415#ALL#Association successfully deleted.
0416#STR0416#ALL#Terminology Selection
0417#STR0417#ALL#TISS Version not found or smaller than 3
0418#STR0418#ALL#������ �� ������.
0419#STR0419#ALL#There are invalid characters in your search.
0420#STR0420#ALL#��
0421#STR0421#ALL#Association not found.
0422#STR0422#ALL#For this functionality, run the procedures related to call: THQGIW
0423#STR0423#ALL#Attendance to RN
0424#STR0424#ALL#Code of Negative
0425#STR0425#ALL#Requester Dentist Signature Date
0426#STR0426#ALL#Requester Dentist Signature
0427#STR0427#ALL#Dentist Signature Date
0428#STR0428#ALL#Dentist Signature
0429#STR0429#ALL#Signature date of Beneficiary or Responsible Party
0430#STR0450#ALL#Signature of Beneficiary or Responsible Party
0431#STR0451#ALL#Stamp Date of Company
0432#STR0452#ALL#Form number attributed by provider
0433#STR0453#ALL#I declare that, after being properly clarified regarding intents, risks, costs and treatment alternatives, according to previously presented, I accept and authorize the treatment execution, pledging myself to follow the orientations of the assistant I declare th
0434#STR0454#ALL#and bear the costs stipulated in contract. I declare, yet, that the procedures above described, and signed by myself, were performed with my awareness and satisfactorily. I authorize the Operator to pay in my name and on my account, 
0435#STR0455#ALL#to the professional hired that signs this document, the values regarding the treatment performed, 
0436#STR0456#ALL#Data not found for the parameters entered!
0437#STR0457#ALL#Information on Births
0438#STR0458#ALL#Protocol:
0439#STR0459#ALL#Date and Time:
0440#STR0460#ALL#Regarding the year:
0441#STR0461#ALL#Description
0442#STR0462#ALL#Regular Births
0443#STR0463#ALL#C-section Surgery
0444#STR0464#ALL#Operator:
0445#STR0465#ALL#Hospital:
0446#STR0466#ALL#Doctor:
0447#STR0467#ALL#The information only refers to data linked to births performed by the Health Care Cooperative above.
0448#STR0468#ALL#Births Statistics
0449#STR0469#ALL#Operator:
0450#STR0470#ALL#Hospitals:
0451#STR0471#ALL#Doctor:
0452#STR0472#ALL#Number of Dental Care Main Form
0453#STR0473#ALL#Form Number Attributed by Cooperative
0454#STR0474#ALL#Note / Justification
0455#STR0475#ALL#Location and Date
0456#STR0476#ALL#Signature of Beneficiary / Responsible Party
0457#STR0477#ALL#Location, Date and Company Stamp
0458#STR0478#ALL#The following fields compose the key to the link and are not filled out in the record selected:
0459#STR0479#ALL#Adjust the register to continue
0460#STR0480#ALL#The following field is used as key to the link and is not filled out in the record selected:
0461#STR0481#ALL#Key Not Valid