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[null,"DIRECCIÓN DE PROVISIÓN DE SERVICIOS DE SALUD\nSISTEMA INTEGRADO DE GESTIÓN\n CONTROL DOCUMENTAL\nINSTRUMENTO DE ADHERENCIA A LOS LINEAMIENTOS PARA LA ATENCIÓN PARA EL CUIDADO PRENATAL POR MEDICINA Y ENFERMERÍA\nCONTROL DOCUMENTAL  \nCódigo: SDS-PSS- FT-009 V.4",null,null,null,"Elaborado por: Andrea Villamizar, Diego Becerra, Alvinzy Velásquez, Nydia Suárez, Marlene Soto, Dayan Mateus,  Claudia Sarmiento\nRevisado por: Beatriz Helena Guerrero Africani, Diana Milena Mendivelso Diaz y Tamara Vanin \nAprobado por: Martha Yolanda Ruíz Valdés\n"]
[]
[]
["IPS"]
["PERIODO EVALUADO:"]
["FECHA:"]
["# HIS. CLÍNICA:"]
[]
["ÍTEMS A EVALUAR",null,"EVALUAR",null,"PUNTAJE PONDERADO","CLASIFICACIÓN","PUNTAJE TOTAL","% DE CUMPLIMIENTO \nSEMAFORIZADO"]
["1. SE DILIGENCIA EN LA HISTORIA CLÍNICA IDENTIFICACIÓN","Se registra nombre completo de la persona atendida","CUMPLE",{"$f":"IF(C10=\"NO CUMPLE\",0,1)","v":1},7.0,{"$f":"IF(C17=7,\"CUMPLE\",IF(C17=\"N/A\",7,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F10 = \"CUMPLE\",E10,IF(F10=\"N/A\",E10,0))","v":7},null,"CUMPLE"]
[null,"Se registra Edad","CUMPLE",1,null,null,null,null,"NO CUMPLE"]
[null,"Se registra dirección y teléfono","CUMPLE",1,null,null,null,null,"N/A"]
[null,"Se registra ocupación","CUMPLE",1]
[null,"Se registra Escolaridad","CUMPLE",1]
[null,"Se registra acompañante","CUMPLE",1]
[null,"Identifica y registra variables de enfoque diferencial","CUMPLE",1]
["SUB TOTAL HC IDENTIFICACIÓN ",null,{"$f":"SUM(D10:D16)","v":7},null,{"$f":"+E10","v":7},null,{"$f":"G10","v":7},{"$f":"G17/E17","v":1}]
["2. SE DILIGENCIAN ANTECEDENTES RELEVANTES PARA EL CUIDADO PRENATAL EN LA HISTORIA CLÍNICA ","Personales","CUMPLE",{"$f":"IF(C18=\"NO CUMPLE\",0,1)","v":1},5.0,{"$f":"IF(C21=3,\"CUMPLE\",IF(C21=\"N/A\",3,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F18 = \"CUMPLE\",E18,IF(F18=\"N/A\",E18,0))","v":5}]
[null,"Familiares","CUMPLE",1]
[null,"Ginecológicos","CUMPLE",1]
[null,"SUB TOTAL HC ANTECEDENTES GENERALES",{"$f":"SUM(D18:D20)","v":3},null,{"$f":"+E18","v":5},null,{"$f":"+G18","v":5},{"$f":"G21/E21","v":1}]
["3. SE DILIGENCIA EN LA HISTORIA CLÍNICA ANTECEDENTES OBSTÉTRICOS","Registra si la fecha de última menstruación es confiable y se la emplea para estimar edad gestacional y fecha probable de parto","CUMPLE",{"$f":"IF(C22=\"NO CUMPLE\",0,1)","v":1},7.0,{"$f":"IF(C28=6,\"CUMPLE\",IF(C28=\"N/A\",6,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F22 = \"CUMPLE\",E22,IF(F22=\"N/A\",E22,0))","v":7}]
[null,"Infecciones de transmisión sexual previa","CUMPLE",1]
[null,"Formula obstétrica detallada ","CUMPLE",1]
[null,"Historia de descenlace obstétrico","CUMPLE",1]
[null,"Identifica si hubo falla de anticoncepción previa","CUMPLE",1]
[null,"Tamización cáncer de cuello uterino","CUMPLE",1]
["SUB TOTAL HC ANTECEDENTES OBSTÉTRICOS",null,{"$f":"SUM(D22:D27)","v":6},null,{"$f":"+E22","v":7},null,{"$f":"G22","v":7},{"$f":"G28/E28","v":1}]
["4. SE DILIGENCIA EN LA HISTORIA CLÍNICA REVISIÓN POR SISTEMAS","Sangrado","CUMPLE",{"$f":"IF(C29=\"NO CUMPLE\",0,1)","v":1},8.0,{"$f":"IF(C36=7,\"CUMPLE\",IF(C36=\"N/A\",7,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F29 = \"CUMPLE\",E29,IF(F29=\"N/A\",E29,0))","v":8}]
[null,"Características anormales de flujo vaginal","CUMPLE",1]
[null,"Síntomas urinarios","CUMPLE",1]
[null,"Movimientos fetales (*)","CUMPLE",1]
[null,"Síntomas premonitorios de preeclampsia (*)","CUMPLE",1]
[null,"Cardiopulmonar","CUMPLE",1]
[null,"Coagulopatías (**)","CUMPLE",1]
["SUB TOTAL HC REVISIÓN POR SISTEMAS",null,{"$f":"SUM(D29:D35)","v":7},null,{"$f":"+E29","v":8},null,{"$f":"G29","v":8},{"$f":"G36/E36","v":1}]
["5. SE HACE EXAMEN FÍSICO","Estado General","CUMPLE",{"$f":"IF(C37=\"NO CUMPLE\",0,1)","v":1},15.0,{"$f":"IF(C49=12,\"CUMPLE\",IF(C49=\"N/A\",12,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F37 = \"CUMPLE\",E37,IF(F37=\"N/A\",E37,0))","v":15}]
[null,"Signos vitales","CUMPLE",1]
[null,"Peso","CUMPLE",1]
[null,"Talla (***)","CUMPLE",1]
[null,"Cabeza y cuello","CUMPLE",1]
[null,"Cardiopulmonar","CUMPLE",1]
[null,"Abdomen","CUMPLE",1]
[null,"Genitourinario ","CUMPLE",1]
[null,"Neurológico","CUMPLE",1]
[null,"Fetocardia (****)","CUMPLE",1]
[null,"Altura uterina (****)","CUMPLE",1]
[null,"Extremidades","CUMPLE",1]
["SUB TOTAL  EXAMEN FÍSICO",null,{"$f":"SUM(D37:D48)","v":12},null,{"$f":"E37","v":15},null,{"$f":"G37","v":15},{"$f":"G49/E49","v":1}]
["6. CURVA DE PESO Y ALTURA UTERINA","Curva peso","CUMPLE",{"$f":"IF(C50=\"NO CUMPLE\",0,1)","v":1},5.0,{"$f":"IF(C52=2,\"CUMPLE\",IF(C52=\"N/A\",2,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F50 = \"CUMPLE\",E50,IF(F50=\"NO APLICA\",E50,0))","v":5}]
[null,"Curva altura uterina","CUMPLE",1]
["SUB TOTAL CURVA DE PESO Y ALTURA UTERINA",null,{"$f":"SUM(D50:D51)","v":2},null,{"$f":"E50","v":5},null,{"$f":"G50","v":5},{"$f":"G52/E52","v":1}]
["7. SE CLASIFICA RIESGO ","Psicosocial","CUMPLE",{"$f":"IF(C53=\"NO CUMPLE\",0,1)","v":1},15.0,{"$f":"IF(C58=5,\"CUMPLE\",IF(C58=\"N/A\",5,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F53 = \"CUMPLE\",E53,IF(F53=\"NO APLICA\",E53,0))","v":15}]
[null,"Biológico-obstétrico","CUMPLE",1]
[null,"Clasificación de riesgo tromboembólico","CUMPLE",1]
[null,"Indaga sobre exposición a violencia ","CUMPLE",1]
[null,"Identifica riesgo de depresión posparto (semana 28)","CUMPLE",1]
["SUB TOTAL CLASIFICA RIESGO ",null,{"$f":"SUM(D53:D57)","v":5},null,{"$f":"+E53","v":15},null,{"$f":"G53","v":15},{"$f":"G58/E58","v":1}]
["8. ANÁLISIS, DIAGNÓSTICO Y PLAN DE MANEJO","Análisis","CUMPLE",{"$f":"IF(C59=\"NO CUMPLE\",0,1)","v":1},15.0,{"$f":"IF(C62=3,\"CUMPLE\",IF(C62=\"N/A\",3,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F59 = \"CUMPLE\",E59,IF(F59=\"NO APLICA\",E59,0))","v":15}]
[null,"Diagnóstico","CUMPLE",1]
[null,"Plan de cuidado","CUMPLE",1]
["SUB TOTAL ANÁLISIS, DIAGNÓSTICO Y PLAN DE MANEJO",null,{"$f":"+SUM(D59:D61)","v":3},null,{"$f":"E59","v":15},null,{"$f":"G59","v":15},{"$f":"G62/E62","v":1}]
["9. SE BRINDA INFORMACIÓN","Asesoría formal anticoncepción","CUMPLE",{"$f":"IF(C63=\"NO CUMPLE\",0,1)","v":1},8.0,{"$f":"IF(C68=5,\"CUMPLE\",IF(C68=\"N/A\",5,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F63 = \"CUMPLE\",E63,IF(F63=\"N/A\",E63,0))","v":8}]
[null,"Información en Sentencia C 355 de 2006 (Interrupción Voluntaria del Embarazo)","CUMPLE",1]
[null,"Lactancia materna","CUMPLE",1]
[null,"Vacunación","CUMPLE",1]
[null,"Signos de alarma","CUMPLE",1]
["SUB TOTAL BRINDA INFORMACIÓN",null,{"$f":"SUM(D63:D67)","v":5},null,{"$f":"E63","v":8},null,{"$f":"G63","v":8},{"$f":"G68/E68","v":1}]
["10. SE REVISAN LABORATORIOS","Cuadro hemático","CUMPLE",{"$f":"IF(C69=\"NO CUMPLE\",0,1)","v":1},10.0,{"$f":"IF(C82=13,\"CUMPLE\",IF(C82=\"N/A\",13,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F69 = \"CUMPLE\",E69,IF(F69=\"N/A\",E69,0))","v":10}]
[null,"Urocultivo","CUMPLE",1]
[null,"Hemoclasificación","CUMPLE",1]
[null,"Prueba rápida de VIH","CUMPLE",1]
[null,"Prueba treponémica rápida","CUMPLE",1]
[null,"Antígeno de superficie Hepatitis B","CUMPLE",1]
[null,"Prueba serológica para toxoplasma IgG e IgM ","CUMPLE",1]
[null,"Ecografía obstétrica","CUMPLE",1]
[null,"Glicemia","CUMPLE",1]
[null,"Prueba de tolerancia oral a la glucosa 75 gr ( sem 24-28)","CUMPLE",1]
[null,"Tamizaje para Chagas si gestante con factores de riesgo","CUMPLE",1]
[null,"Cultivo vaginorectal de estreptococo B (semana 35-37)","CUMPLE",1]
[null,"Gota gruesa si gestante con factores de riesgo","CUMPLE",1]
["SUB TOTAL LABORATORIOS",null,{"$f":"SUM(D69:D81)","v":13},null,{"$f":"E69","v":10},null,{"$f":"G69","v":10},{"$f":"G82/E82","v":1}]
["11. SE REALIZAN VALORACIONES ADICIONALES","Odontología","CUMPLE",{"$f":"IF(C83=\"NO CUMPLE\",0,1)","v":1},5.0,{"$f":"IF(C88=5,\"CUMPLE\",IF(C88=\"N/A\",5,\"NO CUMPLE\"))","v":"CUMPLE"},{"$f":"IF(F83 = \"CUMPLE\",E83,IF(F83=\"NO APLICA\",E83,0))","v":5}]
[null,"Nutrición","CUMPLE",1]
[null,"Trabajo social","CUMPLE",1]
[null,"Psicología","CUMPLE",1]
[null,"Vacunación","CUMPLE",1]
["SUB TOTAL VALORACIONES ADICIONALES",null,{"$f":"+SUM(D83:D87)","v":5},null,{"$f":"+E83","v":5},0.0,{"$f":"+G83","v":5},{"$f":"G88/E88","v":1}]
[" TOTAL CALIFICACIÓN TOTAL DEL INSTRUMENTO",null,null,null,{"$f":"+E88+E82+E68+E62+E58+E52+E49+E36+E28+E21+E17","v":100},null,{"$f":"+G88+G82+G68+G62+G58+G52+G49+G36+G28+G21+G17","v":100},1]
["SATISFACTORIO DE 90% A 100%","Institución que cumple y requiere mantenimiento en la calidad del programa"]
["ACEPTABLE DE 81% A 89%","La institución requiere intensificar el  mejoramiento de los aspectos deficientes identificados en el programa"]
["CRÍTICO  IGUAL O MENOS  DE 80%","La institución no cumple y requiere de manera urgente estructurar acciones de mejora para adherirse a la guía de atención del parto, requiere asesoría técnica."]
["Menú"]

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["IPS","# His Clic","Puntaje Ponderado","Puntaje Total","% Cumplimiento"]
[null,null,100.0,100.0,1.0]