2- N

º

2

GU

IA D

E R

ESU

MO

DE

INTE

RN

AÇ

ÃO

24 -

Car

áter

da

Inte

rnaç

ão

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| E

- E

letiv

a U

- U

rgên

cia/

Em

ergê

ncia

28 -

Tipo

Inte

rnaç

ão

|___

| 1-C

línic

a 2

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rgic

a 3

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tétri

ca

4-P

ediá

trica

5-

Psi

quiá

trica

Dad

os d

a Sa

ída

da In

tern

ação

37-C

ID 1

0 Pr

inci

pal

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41 -

Indi

cado

r de

Aci

dent

e

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| 0

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dent

e ou

doe

nça

rela

cion

ado

ao tr

abal

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1-T

râns

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s

38 -

CID

10

(2)

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40 -

CID

10

(4)

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39 -

CID

10

(3)

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|

25 -

Tipo

Aco

mod

ação

Aut

oriz

ada

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|

Dad

os d

a In

tern

ação

42 -

Mot

ivo

Saíd

a

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26 -

Dat

a/H

ora

da In

tern

ação

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27 -

Dat

a/H

ora

da S

aída

Inte

rnaç

ão

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30 -

Inte

rnaç

ão O

bsté

tric

a - (

sele

cion

e m

ais

de u

m s

e ne

cess

ário

com

"X"

)

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ges

taçã

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rans

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grav

idez

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ompl

ic. P

uerp

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tend

. ao

RN

na

sala

de

parto

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ompl

icaç

ão N

eona

tal

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Pes

o <2

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g.

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to C

esár

eo

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arto

Nor

mal

34 -

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e. N

asc.

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os a

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mo

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35 -

Qtd

e. N

asc.

Mor

tos

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36 -

Qtd

e. N

asc.

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os P

rem

atur

o

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31 -

Se ó

bito

em

mul

her

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| 1-

Grá

vida

2

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é 42

dia

s ap

ós té

rmin

o ge

staç

ão

3 -

de 4

3 di

as a

12

mes

es a

pós

térm

ino

gest

ação

32 -

Se ó

bito

neo

nata

l

|_

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Qtd

e. ó

bito

neo

nata

l pre

coce

|_

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Qtd

e. ó

bito

neo

nata

l tar

dio

43 -

CID

10

Óbi

to

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44 -

Nº D

ecla

raçã

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74 -

Tota

l Pro

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men

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73 -

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otal

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cial

75 -

Tota

l Diá

rias

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76 -

Tota

l Tax

as e

Alu

guéi

s R

$

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77 -

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l Mat

eria

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78 -

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l Med

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s R

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79- T

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80 -

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l Ger

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3 - N

º Gui

a de

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icita

ção

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1 - R

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tro

AN

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9

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14 -

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e

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lano

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lidad

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12 -

Núm

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acio

nal d

e Sa

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29 -

Reg

ime

de In

tern

ação

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- Hos

pita

lar

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ospi

tal-d

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iliar

33 -

Nº D

ecl.

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c. V

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es R

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tific

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pe

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nha

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ata

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ade

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ata

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8 - N

úmer

o da

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teira

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83-

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a e

Ass

inat

ura

do(s

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itor(

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a O

pera

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ssin

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57-S

eq.R

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fissi

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onse

lho

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62-

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ero

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selh

o

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TRIB

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PR

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: 26.

107.

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