ࡱ> !` FbjbjXX7f:: s ,'''8't(0XZ,)++++777eYgYgYgYgYgYgY$[hd^YE76777Y" ++ Z<<<7p +Zl+W<7eY<<NP h,T+ ) H 0'd8R0U(Z0XZR_:_`T_T77<77777YY <(777XZ7777000$T'd000T'(  Informe de cribratge de primer 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  mltipleFumadora  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       diesData de l ecografia  FORMTEXT      Edat gestacional el dia de l ecografia  FORMTEXT       setmanes  FORMTEXT       dies ResultatsNivell de -hCG lliure en srum matern  FORMTEXT       ng/ml ( FORMTEXT  RTVX      . 0 2 < > @ B P Ľ𽯦sbNbb&jhhD{2UmHnH u jhhD{2UmHnH uhhD{26B*]phhhD{2mHnH ujhD{2U jhD{2UmHnH uhD{2mHnH ujhD{2UmHnH u hhD{2 hh<hh<56CJ\] hhh<h< hh+h2hD{2jhh+UTVX  @ smd[ $IfgdD{2 $IfgdD{2$If  &$ $Ifckd$$IfFq%% 04 FaFyt< $Ifgd<d8$If^gd< EEFF@ B P x  {uouou$If$If  &$ $Ifvkd$$IfF40% 04 FaFf4P R f h j t v x     h j l n piYjhD{2UmHnHsH u hhD{2hhD{256CJ\] hhhD{2hD{2&jhh+UmHnH uhh+6B*]ph&jhh+UmHnH u hh+jh"U&jJhh+UmHnH uhh+mHnH u jhh+UmHnH u  j ue\\ $IfgdD{2d8$If^gdD{2kd$$IfF4F % C0    4 FaFf4j l | $IfgdD{2 $IfgdD{2 &$ $IfgdD{2`kdV$$IfFq%%04 FaFn   * , . 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L t |  || $IfgdD{2 $IfgdD{2 &$ $IfgdD{2`kd$$IfFq%%04 FaF~       $ 0 2 4 P R T V ÿÌϠvokg`U`JU`j4 hUjhhU hhhS^4h hhD{2h#=CJaJmHnH uh#=mHnH u&jhhD{2UmHnH u jhhD{2UmHnH uhhD{26B*]phh#=hhD{2mHnH ujhD{2UjhD{2UmHnH u jhD{2UmHnH uhD{2mHnH u  2 H uhR &( @@@@@@$Ifgd6t  &$ $Ifkdf$$IfF4F% $ 0    4 FaFf4V d f  " 6 8 : D F rfRrJrjhcl\U&j hhcl\UmHnH uhhcl\mHnH u jhhcl\UmHnH u*hcl\hcl\6B*CJ]mHnH phujl hcl\Uj hcl\U hhcl\jhhcl\Uhcl\CJmHnH uh^CJmHnH uj hU hhjhhUhCJmHnH uF H J P R T h j l v x z ~   (*,İШПyncnXj h#=Uj h#=Uh#=CJmHnH ujJ h#=Ujhh#=Uhcl\h#=CJaJmHnH uh#=mHnH ujh#=U&j hh#=UmHnH uhh#=mHnH u jhh#=UmHnH u hh#=h#= hhhhmHnH u"H J R ^ylylyl  $Ifgd#= $Ifgd#= $Ifgd. &$ f $Ifgd]*Bckd> $$IfF4%%04 FaFf4 ,.46RTVX\^*,.8:<̦}tc}[}jh#=U jh#=UmHnH uh#=mHnH ujh#=UmHnH uh#=mHnHsH ujh#=UmHnHsH uhh#=mHnHujRh#=Uj h#=Uh#=hh#=mHnH uj h#=Ujhh#=Uh#=CJmHnH u hh#=#<2bRI@3  @$Ifgd#= $Ifgd#= $Ifgd#= &$ $Ifgd#=kd$$IfF4\%  $ 04 FaFf4<$&(0246\^`tŴάܡŐάܡtibTKhB1ymHnH ujhB1yUmHnH u hhB1yhB1ymHnHsH ujhB1yUmHnHsH uhh#=mHnH u jrh#=UmHnH uh#=CJmHnH ujh#=U jh#=UmHnH uh#=mHnH ujh#=UmHnH u hh#=h#=h#=6B*]phh#=6B*]phh#=24^BxofY  @$IfgdB1y $Ifgd% $Ifgd#= &$ $Ifgd#=vkd$$IfF40%04 FaFf4tvx$&46>@BDFHZ\^`tɷ±ɦ±͌}ngWLhRQmHnHsH ujhRQUmHnHsH u hh+hh+56CJ\]h% h h h+hhB1ymHnHujhB1yUmHnHsH jhhB1yU hB1yCJjhB1yU hhB1yhB1yhhB1ymHnH ujhB1yUjhB1yUmHnH u jhB1yUmHnH uBDFH\ulf$If $Ifgd d8$If^gdPykd$$IfF40%04 FaFf4ytB1y\^@X@@@8Aul_  @$IfgdRQ $IfgdC &$ $IfgdC $IfgdRQ &$ $IfgdRQ`kd$$IfF%%04 FaFtv@@ @ @@@@V@X@Z@ɸҰग़ɉҰ|peZLjhCUmHnH uh_LmHnHsH uhCmHnHsH uhhRQmHnH uhHCJmHnH uU jhRQUmHnH uh.CJmHnH uhRQCJmHnH ujhRQU j,hRQUmHnH uhRQmHnH ujhRQUmHnH u hhRQhRQmHnHsH uh(O^JmHnHsH u     MOM)Nivell de PAPP-A en srum matern  FORMTEXT       Ul/mlMesura de translucidesa nucal fetal  FORMTEXT       mm ( FORMTEXT       MOM)Altres comentaris, si s escau  FORMTEXT      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 240 Z582STS 240 Z582STS Z@n@p@r@|@~@@@@@@@@@@@@@@@@AAAȽul[uSuH=Hh6tCJmHnH uhRQCJmHnH ujhRQU jjhRQUmHnH uhRQmHnH ujhRQUmHnH u hhRQh6tmHnHsH uhRQmHnHsH ujhRQUmHnHsH uhChCmHnHsH hCCJmHnH u hhCjhCUjhCUmHnH u jhCUmHnH uhCmHnH uAAAA A*A,A.A2A6A8A:AtAvAxAAAAAAAAɾvbZOH hhhh{~ThhCJaJjhhU&jhhhUmHnH uhhhmHnH u jhhhUmHnH uhhhRQhhRQmHnHuhhRQmHnH uhRQCJmHnH uhHCJmHnH u hhRQjhRQU jhRQUmHnH uhRQmHnH ujhRQUmHnH u8A:AvAAul_  $Ifgd}R. $Ifgd}R.kd>$$IfF4F "% J  0    4 FaFf4AAA BBBzBy $Ifgd2rY $Ifgd2rY &$ $Ifgd2rYckd$$IfF4%%04 FaFf4AAAAAAAAAAB B BBBPBRBTBhBjBlBvBxBzB|B~BBBúúvbvv[WPW h h2rYh2rY hh2rY&jhh2rYUmHnH u jhh2rYUmHnH uhh2rYmHnH ujh2rYU j&h2rYUmHnH ujh2rYUmHnH uh2rYmHnH uh2rYh2rYCJaJmHnH uh>Rh2rY5h>Rh2rY5mHnHsH u'jh>Rh2rY5UmHnHsH uzB|B~BBBxoo $Ifgd2rYd8$If^gd2rYvkd$$IfF40%04 FaFf4BBBBBBBBBBBBBCCCCXCZC~CCCCCCCCCCCCCDD DLDXDZDnDꮗ}ꮗyh jhh2rYUmHnH uhKjh2rYUjh2rYUh2rYhh2rYmHnH ujh2rYUh2rYCJmHnH ujNh2rYUjhh2rYUh2rYmHnHsH ujh2rYUmHnHsH u hh2rYhh2rY56CJ\]&BBBZCCDxk  $Ifgd2rY $Ifgd2rY  _@$Ifgd2rY &$ $Ifgd2rY`kd$$IfF%%04 FaFD DXDDr  $Ifgd2rY $Ifgd2rYvkd$$IfF40%04 FaFf4nDpDrD|D~DDDDDDDDDDDDE EEEEFEPEVEXEZEzodVoIjhr/h2rYCJUh2rYh2rY6B*]phhK6B*]phh2rY6B*]ph h2rYCJjhr/hr/CJUhr/hr/CJjhr/hr/CJUhr/hh+mHnH uh2rY hh+ hh2rYh{~Th2rYCJaJjh2rYU jhh2rYUmHnH u&jhh2rYUmHnH uDDDDDEl]$  @$Ifgd2rY$ d$Ifa$gd{~T  $Ifgd{~T  $Ifgd{~Tckd$$IfF4%%04 FaFf4ZEnEpE~EEEEEEEEEEEEEEFF*FFFFFFüh+hB1yhhCjhCU h3#dh3#dhh+CJh2rYh+6B*]phjhr/h2rYCJUj*hr/h2rYCJUhr/h2rYCJEEEEEEEEEEEEEEE}gdD{2)gdD{2&rd8P^`rgdhckd$$IfF4%%04 FaFf4EEEEEEEE FFF(F*F,FDFFFHF`FbFdF|F~FFFFgdRQ)gdRQgd%)gd%gd#=)gd#=gd2rY)gd2rYFFFFFFF&rd8P^`rgdh5 0&P :p^. 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