ࡱ> !` DbjbjXX7d:: Y ,h'h'h'8'$(W(++++555WWWWWWW$Yh\kWE55555IW" ++ W:::5 +Zl+/U:5W::NN h,Q+( @=h'6n{P0SSW0WP\9~\`Q\Q55:55555IW)W :(555W5555D&d&(  Informe de cribratge de segon trimestre Identificaci del laboratoriNom del centre (hospital, CAP, etc.)  FORMTEXT      Telfon  FORMTEXT      Adrea  FORMTEXT      Municipi/localitat  FORMTEXT      Codi postal  FORMTEXT       Dades del metge/essa o llevador/a sollicitantCognoms i nom  FORMTEXT      Centre de treball  FORMTEXT       Dades de la gestantCognoms i nom  FORMTEXT      CIP  FORMTEXT      Edat en la data prevista del part  FORMTEXT       anysRaa/tnia  FORMCHECKBOX  blanca  FORMCHECKBOX  negra  FORMCHECKBOX  asitica  FORMCHECKBOX  altra (especifiqueu-la):  FORMTEXT      Pes  FORMTEXT       kgGestaci  FORMCHECKBOX  nica  FORMCHECKBOX  doble, monocorial  FORMCHECKBOX  doble, bicorialFumadora  FORMCHECKBOX  no  FORMCHECKBOX  sDiabetis insulinodependent  FORMCHECKBOX  no  FORMCHECKBOX  sData de l extracci  FORMTEXT      Edat gestacional el dia de l extracci (calculada a partir de l LCC)  FORMTEXT       setmanes  FORMTEXT       dies ResultatsNivell de -hCG lliure en srum matern  FORMTEXT       ng/ml ( FORMTEXT       MOM)Nivell d alfafetoprotena en srum matern  FORMTEXT       UI/ml ( FORMTEXT  2<PRTV      , . 0 : < > Ľ𽯦sbNbb&jhhD{2UmHnH u jhhD{2UmHnH uhhD{26B*]phhhD{2mHnH ujhD{2U jhD{2UmHnH uhD{2mHnH ujhD{2UmHnH u hhD{2 hhlhhl56CJ\] hhhl hh+hlh2hD{2jhh+URTV  > smd[ $IfgdD{2 $IfgdD{2$If  &$ $Ifckd$$IfFq%% 04 FaFytl $Ifgdld8$If^gdl CCDD> @ N v  xrlrlr$If$If  &$ $Ifykd$$IfF40%  04 FaFf4ytl> @ N P d f h r t v     f h j l եՃxiYjhD{2UmHnHsH uhhD{256CJ\] hhhD{2hD{2&j$hh+UmHnH uhh+6B*]ph&jhh+UmHnH ujh"U&jPhh+UmHnH uhh+mHnH u jhh+UmHnH u hh+ hhD{2!   h ue\\ $IfgdD{2d8$If^gdD{2kd$$IfF4F % C0    4 FaFf4h j | $IfgdD{2 $IfgdD{2 &$ $IfgdD{2`kd\$$IfFq%%04 FaFl  ( * , H J L ` b d n p r x z | ߽߱휱r휱^&j.hhD{2UmHnH uhhD{256CJ\] hhhD{2&jbhhD{2UmHnH u jhhD{2UmHnH uhD{2hhD{2mHnH ujhD{2U jhD{2UmHnH uhD{2mHnH ujhD{2UmHnH u hhD{2hD{2mHnHsH u$  * xoo $IfgdD{2d8$If^gdD{2vkd$$IfF40%04 FaFf4* , J r z  || $IfgdD{2 $IfgdD{2 &$ $IfgdD{2`kd$$IfFq%%04 FaF|     " . 0 2 N P R T ÿÌϠvokg`U`JU`j: hUjhhU hhhS^4h hhD{2h#=CJaJmHnH uh#=mHnH u&jhhD{2UmHnH u jhhD{2UmHnH uhhD{26B*]phh#=hhD{2mHnH ujhD{2UjhD{2UmHnH u jhD{2UmHnH uhD{2mHnH u  0 F uhR &( @@@@@@$Ifgd6t  &$ $Ifkdl$$IfF4F% $ 0    4 FaFf4T b d   4 6 8 B D rfRrJrjhcl\U&j hhcl\UmHnH uhhcl\mHnH u jhhcl\UmHnH u*hcl\hcl\6B*CJ]mHnH phujr hcl\Uj hcl\U hhcl\jhhcl\Uhcl\CJmHnH uh^CJmHnH uj hU hhjhhUhCJmHnH uD F H N P R f h j t v x | ~ İШПyncXMXhZCJmHnH uhlCJmHnH uj h#=Uh#=CJmHnH ujP h#=Ujhh#=Uhcl\h#=CJaJmHnH uh#=mHnH ujh#=U&j hh#=UmHnH uhh#=mHnH u jhh#=UmHnH u hh#=h#= hhhhmHnH uF H P ~ L^<yiy\yO  $Ifgd#=   $Ifgdl ([ $Ifgdl $Ifgd#= $Ifgd. &$ f $Ifgd]*BckdD $$IfF4%%04 FaFf4  &(*,68JL\^`|~  0246:<ת~sjh#=UjXh#=Uj h#=Uh#=CJmHnH uj h#=Ujhh#=U hh#=h#=hh#=mHnH uhZCJmHnH uhlCJmHnH uj hlU hhljhhlU(<>h_OF=0  @$Ifgd4a $Ifgd#= $Ifgd#= &$ $Ifgd#=kd($$IfF4\n&%n$ 04 FaFf4ytl<>@fhj~024>@BTVjlnxzúáÕxúgá\úKá jh#=UmHnH uh#=CJmHnH u j|h#=UmHnH uh#=h#=6B*]phh#=6B*]phh#=hh#=mHnH ujh#=U jh#=UmHnH uh#=mHnH ujh#=UmHnH u hh#=h#=mHnHsH ujh#=UmHnHsH uhh#=mHnHuz|  "$(*>Ľwf^SHSwh.CJmHnH uhRQCJmHnH ujhRQU jhRQUmHnH uhRQmHnH ujhRQUmHnH u hhRQh(O^JmHnHsH uhRQmHnHsH ujhRQUmHnHsH u hh+hh+56CJ\]h% h h h+hh#=mHnH uh#=CJmHnH u hh#=xoi$If $Ifgd d8$If^gdPvkdP$$IfF40%04 FaFf4Z>Z>>|oo  @$IfgdRQ $IfgdRQ $IfgdRQ &$ $IfgdRQ`kd$$IfF%%04 FaF>@BLNPTXZh>> > >>>>>Ǽ៎ҼrpǼ`jhRQUmHnHsH uU jhRQUmHnH uh.CJmHnH u jxhRQUmHnH uhRQmHnH uh`YhRQhhRQmHnH uhRQCJmHnH uh`YCJmHnH u hhRQjhRQUjhRQUmHnH u jhRQUmHnH u#     MOM)Nivell d estriol en srum matern  FORMTEXT       Ul/ml ( FORMTEXT       MOM)Si s ha efectuat correcci, especifiqueu el motiu:  FORMTEXT      Nivell d inhibina en srum matern  FORMTEXT       UI/ml ( FORMTEXT       MOM)Risc de sndrome de Down 1 entre  FORMTEXT      Risc de sndrome d Edwards 1 entre  FORMTEXT       ComentarisSndrome de Down  FORMCHECKBOX  baix risc  FORMCHECKBOX  es recomanen estudis addicionalsSndrome d Edwards  FORMCHECKBOX  baix risc  FORMCHECKBOX  es recomanen estudis addicionalsAltres comentaris, si escau  FORMTEXT      Signatura de la persona responsable Data de l informe  FORMTEXT       (Data de la cpia, si escau):  FORMTEXT           240 Z582STS 240 Z582STS 240 Z582STS 240 Z582STS 240 Z582STS 240 Z582STS >X>Z>\>p>r>t>~>>>>>>>>>>>>>>>>>*?,?@?߽֋߽퀜thdSGhhb mHnH u jhhb UmHnH uhb hhRQmHnHuhhRQmHnH uh`YCJmHnH u jhRQUmHnH uhRQCJmHnH uh6tCJmHnH uh7JCJmHnH ujhRQU jLhRQUmHnH uhRQmHnH ujhRQUmHnH u hhRQh7JmHnHsH u>>*?R???ulclV  @$Ifgdb $Ifgdb $Ifgdb kd $$IfF4F "% J  0    4 FaFf4@?B?D?N?P?R????????????????????@@2@üӮxӮlXHh>Rh2rY5mHnHsH u'jh>Rh2rY5UmHnHsH uhhb mHnHu jhb UmHnH uhb CJmHnH u jfhb UmHnH uhb mHnH ujhb UmHnH u hhb hb hhb mHnH ujhb U jhhb UmHnH u&jhhb UmHnH u?@4@l@@@ulcl $Ifgd2rY $Ifgd2rY &$ $Ifgd2rYykd:$$IfF40"%" 04 FaFf4ytb 2@4@B@D@F@Z@\@^@h@j@l@@@@@@@@@@@@@@@@@@A޿зЫޚ{t{eUJh2rYmHnHsH ujh2rYUmHnHsH uhh2rY56CJ\] h h2rYh2rY hh2rY&jphh2rYUmHnH u jhh2rYUmHnH uhh2rYmHnH ujh2rYU jh2rYUmHnH ujh2rYUmHnH uh2rYmHnH uh2rYh2rYCJaJmHnH uh>Rh2rY5@@@@@xoo $Ifgd2rYd8$If^gd2rYvkd$$IfF40%04 FaFf4@@AAA~Bxk  $Ifgd2rY $Ifgd2rY  _@$Ifgd2rY &$ $Ifgd2rY`kd$$IfF%%04 FaFAAA:AA@ATAVArAtAvAxAAAAAAABBBBB6B8B:BOr> SCS$da$ CJOJQJ:O: F/ttol 5CJJ'J Referncia de comentariCJ\O\ F/ttol apartat &d8@&^5NON F/pregunta &d8^CJVOV F/resposta &d^ mHnHu^O^ F/espai preapartat &dp^CJNON F/espai precasella dCJ\O\ F/resposta casella fudCJ>> Text de comentari TT Text de nota a peu de pgina!`&!` "Referncia de nota a peu de pginaH*ROBR F/espai signatura# f(OB( F/data$:OQ: F/data numricaCJTObT F/notes& fu yU"6B*]phRP@rR Text independent 2 'xx 5\aJDOD F/ttol subapartat(CJ6O6 F/codi )dCJ :@: Capalera * C"NON Helv_12+$da$CJKHOJQJtH +,-;IW^ !+,-;IW[^^ d 6^)*+HIo45DXj~  &/Yt CDEFPQy -ab6Qmnop{|?@\pq (,8:FHT_%$c%c%c%H__x x HHL L c%c%c%HHHc%c%c%HHHk k c%c%,,PPc%c%c%HL L   A A A A HHc%c%c%HHHc%c%c%c%c%v:c%-%$$$$$$$$$$$$)*+HIo45DXj~  &/Yt CDEFPQy -ab6Qmnop{|?@\pq   ()*+,89:FGHTUVWXYZ[\_0000 0 00 00 0 0000000 000 0 00 00 0 0000 00 00 00 0 00 0 00 00 00 00 0 00000T 000 0 00 00 00 0 00 00 0 00 00 0 000 0 00 00 0 00 0 000$0 0 &0000000000)0000)000)00000)000)000)000000000HIab_00: {X0" 00 h08H 00=:08H 00T000 00000" > l | T D <z>>@?2@ABCD #%'*-/>  h *  F <>?@@~BBCDDD $&()+,.01D o{DPVjv|(1AIYdt/?DTt *6<y-9?HTZ".4Yek \hn^FFFTFFFF4FTFFG$G$G$G$FTF4G$G$G$G$G$G$G$FFFFFFFFFFFFFF4G$G$G$G$FFTFT  7%_"$"!ASrn%2$2g~s"$C,H %"$|EnʖhW8""$I1TFXͷSwے% p0e0e    3  8c8c     ?1 d0u0@Ty2 NP'p<'pA)BCD|E@H 0( 02 $ ( ? tB  6 D?"  # l 3?"   # l 3?"   # l 3?"   # l 3?"    # l  3?"  ! 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