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["MINISTERIO DE SALUD Y PROTECCIÓN SOCIAL\nPROGRAMA NACIONAL DE PREVENCIÓN Y CONTROL DE LA TUBERCULOSIS\nTARJETA DE REGISTRO INDIVIDUAL DE ADMINISTRACIÓN DEL TRATAMIENTO DIRECTAMENTE OBSERVADO  (TDO)\nTUBERCULOSIS SENSIBLE \nVersión 002  12/01/2022"]
["1. DATOS SOCIODEMOGRÁFICOS (Marque con una X según corresponda) "]
["1.1 Departamento:",{"$nulls":24},"1.5 Régimen:",null,"Subsidiado _______   Contributivo________   No asegurado______   Excepción______  Especial______",{"$nulls":12},"1.9 Pertenencia Étnica :",null,null,"Indigena: ________                  Afrodescendiente: ______              Rom y Gitano:  _______            Raizal:   _______.       Otro.________                                          "]
["1.2 Municipio / Localidad o comuna:",{"$nulls":24},"1.6 EAPB",{"$nulls":14},"1.10 Grupo poblacional:",null,null,"Habitante de calle: ____     Privado de la libertad: ____        Persona con discapacidad: ____       Trabajador de la Salud:____      Migrante:____        Gestante:_____.    Persona en centro psiquiátrico_____ ,                              \nLGBTIQ+_______    Otro ¿Cúal?__________. "]
["1.3 Tipo de identificación y número:",{"$nulls":24},"1.7 IPS  de Atención Primaria: "]
["1.4 IPS de diagnóstico:",{"$nulls":24},"1.8 IPS de Supervisión del Tratamiento: "]
["2. DATOS IDENTIFICACIÓN",{"$nulls":33},"4. CONDICIÓN DE INGRESO AL PROGRAMA DE TUBERCULOSIS "]
[{"$nulls":34},"4.1 TIPO DE PACIENTE - CONDICIÓN DE INGRESO"]
[{"$nulls":36},"Nuevo",{"$nulls":3},"Reingreso tras recaída",{"$nulls":4},"Reingreso  tras pérdida del seguimiento"]
["2.1 PRIMER APELLIDO",{"$nulls":9}," 2. 2 SEGUNDO APELLIDO",{"$nulls":9},"2.3 NOMBRES",{"$nulls":28},"IPS Y ET de donde fue remitido:"]
[" 2.4 EDAD:",null,null,"UNIDAD DE MEDIDA DE LA EDAD:",{"$nulls":8},"2.5 SEXO:",{"$nulls":9}," 2.6 OCUPACIÓN:",{"$nulls":13}," Fracaso",{"$nulls":3},"Otro previamente tratado"]
[{"$nulls":5},"Años",{"$nulls":3},"Meses",{"$nulls":4},"Masculino",{"$nulls":4},"Femenino"]
[]
["2.7 DIRECCIÓN DE LA VIVIENDA O COMUNIDAD DONDE HABITA",{"$nulls":17},"2.8 BARRIO / VEREDA",{"$nulls":8},"2.9 TELÉFONO:"]
[]
[{"$nulls":34},"4.2 TIPO DE TUBERCULOSIS:",{"$nulls":14},"4.3 LOCALIZACIÓN DE TUBERCULOSIS EXTRAPULMONAR:"]
["2.10 NOMBRE DEL LUGAR DE TRABAJO Y DIRECCIÓN",{"$nulls":17},"2.11 BARRIO / VEREDA",{"$nulls":8},"2.12 TELÉFONO:",{"$nulls":8},"Pulmonar",{"$nulls":5},"Extrapulmonar"]
[]
[{"$nulls":34},"5. CONDICIONES ASOCIADAS A TENER EN CUENTA PARA EL MANEJO O EL SEGUIMIENTO",{"$nulls":14},"6. MODALIDAD DE TRATAMIENTO DIRECTAMENTE OBSERVADO "]
["3. CONFIGURACIÓN DIAGNÓSTICA ",{"$nulls":55},"*Se debe concertar con el paciente el tipo de TDO a utilizar de acuerdo a la pertinencia.\n* Si el TDO es virtual debe contar con consentimiento informado. \n* La EAPB en los casos que se requiere debe garantizar el TDO Domiciliario.  "]
["MARQUE CON X SI EL CRITERIO FUE POSITIVO, NEGATIVO \nO NO REALIZADO",{"$nulls":16},"3.3 RESULTADO BK SERIADO ",{"$nulls":7},"3.4 FECHA DE INICIO DE SINTOMAS",{"$nulls":10},"Desnutrición",{"$nulls":3},"EPOC",null,null,"Embarazo ",null,null,"Consumo SPA",{"$nulls":4},"6.1 TDO en IPS",null,null,"6.5 TDO virtual. "]
[{"$nulls":4},"3.1 CRITERIOS DIAGNÓSTICOS",{"$nulls":8},"+","-","NR",null,"1a BK",null,null,"2a BK",null,null,"3a BK"]
[{"$nulls":25},"dd",null,"mm",null,"aa",{"$nulls":6},"VIH/SIDA ",{"$nulls":3},"Enfermedad Renal Crónica",null,null,"Hipertensión ",null,null,"Cáncer ",{"$nulls":4},"6.2 TDO Domiciliario "]
[{"$nulls":4},1,"Pruebas moleculares"]
[{"$nulls":36},"COVID-19",{"$nulls":3},"Enfermedad hepática",null,null,"Tabaquismo ",null,null,"Alcoholismo",{"$nulls":4},"6.3 TDO Comunitario "]
[{"$nulls":4},2,"Cultivo líquido",{"$nulls":11},"3.5 FECHA RESULTADO CULTIVO",{"$nulls":7},"3.6 FECHA DE DIAGNÓSTICO TB SENSIBLE"]
[{"$nulls":17},"dd",null,"mm",null,"aa",{"$nulls":3},"dd",null,"mm",null,"aa",{"$nulls":6},"Diabetes Mellitus",{"$nulls":3},"Tratamiento Inmunosupresor ",null,null,"Silicosis",null,null,"Otra:_____________________",{"$nulls":4},"6.4 TDO Hospitalario "]
[{"$nulls":4},3,"Baciloscopia"]
[{"$nulls":17},"3.7 COINFECCIÓN\nTB/VIH",null,null,"3.7.1 SE REALIZA PRUEBA DE VIH",{"$nulls":8},"3.7.2 FECHA DE DIAGNÓSTICO PREVIO DEL VIH ",{"$nulls":8},"3.7.4 RESULTADO Y FECHA DE PRUEBA CONFIRMATORIA DE VIH "]
[{"$nulls":4},4,"Histopatología",{"$nulls":33},"POS",{"$nulls":3},"NEG",{"$nulls":3},"dd",null,null,"mm",null,"aaaa"]
[{"$nulls":21},"SI",{"$nulls":3},"NO",{"$nulls":3},"dd",null,"mm",null,"aaaa"]
[{"$nulls":4},5,"Cuadro Clínico"]
[{"$nulls":20},"3.7.3 RESULTADO Y FECHA DE PRUEBA PRESUNTIVA DEL VIH ",{"$nulls":19},"3.7.5 RECIBE TRATAMIENTO ANTIRETROVIRAL ",{"$nulls":4},"3.7.6 FECHA DE INICIO ANTIRRETROVIRALES",{"$nulls":9},"3.7.7 RECIBE TRIMETOPRIM SULFAMETOXAZOL"]
[{"$nulls":4},6,"Epidemiológico",{"$nulls":15},"POS",{"$nulls":3},"NEG",{"$nulls":3},"PACIENTE NO ACEPTA",{"$nulls":15},"dd",null,"mm",null,null,"aaaa"]
[{"$nulls":21},"dd",null,"mm",null,"aa",{"$nulls":12},"SI",null,"NO",null,"SD",{"$nulls":12},"SI",null,"NO",null,"SD"]
[{"$nulls":4},7,"Radiológico"]
[{"$nulls":17},"7. ESQUEMA DE TRATAMIENTO INSTAURADO Y AJUSTES"]
[{"$nulls":4},8,"Tuberculínico",{"$nulls":11},"7.1 PESO INICIAL",{"$nulls":6},"7.2 FASE INTENSIVA",{"$nulls":11},"7.3 FASE DE CONTINUACIÓN"]
[{"$nulls":17},"_______kg ",{"$nulls":6},"7.2.1 Dosis inicial",{"$nulls":3},"7.2.2 Ajuste de dosis",{"$nulls":3},"Ajuste de dosis",{"$nulls":3},"7.3.1 Dosis inicial",{"$nulls":3},"7.3.2 Ajuste de dosis",{"$nulls":3},"Ajuste de dosis",{"$nulls":4},"Ajuste de dosis",{"$nulls":3},"Ajuste de dosis",{"$nulls":3},"Ajuste de dosis"]
[{"$nulls":4},"3.2 OTRAS AYUDAS DIAGNÓSTICAS",{"$nulls":19},"dd/mm/aa",{"$nulls":3},"dd/mm/aa",{"$nulls":3},"dd/mm/aa",{"$nulls":3},"dd/mm/aa",{"$nulls":3},"dd/mm/aa",{"$nulls":3},"dd/mm/aa",{"$nulls":4},"dd/mm/aa",{"$nulls":3},"dd/mm/aa",{"$nulls":3},"dd/mm/aa"]
[{"$nulls":4},9,"ADA (Prueba de Adenosin deaminasa)"]
[{"$nulls":17},"ESQUEMA DOSIS FIJA COMBINADA ",{"$nulls":6},"Dosis en mg según peso a recibir",{"$nulls":3},"Dosis mg",{"$nulls":3},"Dosis mg",{"$nulls":3},"Dosis mg",{"$nulls":3},"Dosis mg",{"$nulls":3},"Dosis mg",{"$nulls":4},"Dosis mg",{"$nulls":3},"Dosis mg",{"$nulls":3},"Dosis mg"]
[{"$nulls":4},10,"Test en Orina (Lipoarabinomanano)",{"$nulls":11},"ADULTOS Mayores de 25kg  ",null,null,"Isoniacida 75mg"]
[{"$nulls":20},"Rifampicina 150mg"]
[{"$nulls":20},"Etambutol 275mg"]
[{"$nulls":20},"Pirazinamida 400mg "]
[]
[]
[{"$nulls":17},"NIÑOS Menores de 25 kg ",null,null,"Isoniacida 50 mg"]
[{"$nulls":20},"Rifampicina 75mg "]
[{"$nulls":20},"Pirazinamida 150mg"]
[{"$nulls":20},"Etambutol 100mg "]
[]
[{"$nulls":17},"7.4 NÚMERO TOTAL DE TABLETAS "]
["8. ESTUDIO DE CONTACTOS ",{"$nulls":16},"8.1 NOMBRE Y APELLIDOS ",{"$nulls":14},"8.2 PARENTESCO ",{"$nulls":3},"8.3 EDAD ",null,"8.4 DOCUMENTO DE IDENTIFICACIÓN",{"$nulls":3},"8.5 EAPB",null,null,"8.6 ¿Es Sintomático Respiratorio- SR ?",null,null,"8.7 ¿Se deriva a atención en salud?",null,null,"8.8 ¿El contacto fue valorado clinicamente?",null,null,"8.9 Si es SR ¿se tomó prueba molecular y sensibilidad a fármacos?",null,null,"8.10 OBSERVACIONES"]
{"$rows_empty":11}
["9. ADMINISTRACIÓN DEL TRATAMIENTO DIRECTAMENTE OBSERVADO ","9.1 FASE INTENSIVA: \n Escribir el número consecutivo de dosis iniciando con el dia que inicia el tratamiento por ejemplo: el 01/03/2022 registra dosis 1,  el 02/03/2022 dosis 2 , etc. El dia que no se administra se registra (NR).",{"$nulls":3},"MES-AÑO               DÍA          ",{"$nulls":4},1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,"PESO en Kg",null,"10. CONTROLES BACTERIOLÓGICOS \nFase intensiva: BK y Cultivo bimestral\nFase de continuacion: BK y Cultivo bimestral                hasta finalizar el tratamiento.\n\n",{"$nulls":4},"Nº Mes","10.1 Resultado de Baciloscopia de control al tratamiento  ",null,null,"(dd/mm/aa)","mm","aaaa","10.2 Resultado Cultivo Líquido ",null,null,"(dd/mm/aa) ","mm","aaaa"]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},1]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},2]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},3]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},4]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},5]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},6]
[null,"9.2 FASE DE CONTINUACIÓN:\nEscribir el número consecutivo de dosis iniciando con el dia que inicia el tratamiento por ejemplo: el 01/03/2022 registra dosis 1,  el 02/03/2022 dosis 2 , etc. El dia que no se administra se registra (NR).",{"$nulls":3},"MES-AÑO             DÍA",{"$nulls":4},1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,"PESO en Kg",{"$nulls":6},7]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},8]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":42},9]
[{"$nulls":5},"Mes:                           Año:"]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":38},"11. RECOMENDACIONES PARA CONTROLES DE TRATAMIENTO "]
[{"$nulls":5},"Mes:                           Año:",{"$nulls":38},"* Cuando el diagnóstico sea por Prueba Molecular el control se realiza con Baciloscopía. \n* Cuando el diagnóstico se haga por Cultivo líquido los controles deben realizarse por Cultivo líquido. \n* Cuando el diagnóstico es de tuberculosis extrapulmonar no requiere controles bacteriológicos,  el seguimiento es clínico y/o radiológico según médico tratante. \n* Para los controles bacteriológicos se debe procesar UNA sola muestra para la Baciloscopia. \n* Si la baciloscopia de control al finalizar la primera fase sale positiva, debe prolongar la fase intensiva y solicitar prueba molecular y cultivo líquido para descartar resistencia.  Si es sensible se cambia a fase de continuación, pero si se detecta resistencia debe ajustarse a tratamiento acorde a los lineamientos nacionales.  "]
[{"$nulls":5},"Mes:                           Año:"]
[{"$nulls":5},"Mes:                           Año:"]
[{"$nulls":5},"Mes:                           Año:"]
[{"$nulls":5},"Mes:                           Año:"]
["12. REGISTRO DE  CONTROLES AL SEGUIMIENTO EN EL TRATAMIENTO (Diligencie SI, NO o SD)",{"$nulls":40},"13. REACCIONES ADVERSAS  (Diligencie SI, NO o SD)",{"$nulls":10},"15. OBSERVACIONES EN EL SEGUIMIENTO AL TRATAMIENTO"]
["Mes ","                                             12.1 Médico general\n",null,null,"12.2 Profesional de Enfermería",null,null,"12.3 Médico especialista",null,null,"12.4 Radiografía PA y lateral",null,null,"12.5 Psicología",null,null,"12.6 Nutrición ",null,null,"12.7 Trabajo Social ",null,null,"12.8 Test Psicológico ",null,null,"12.9 Recibe ARV si tiene VIH",null,null,"12.10 Recibe TMSX si tiene VIH",null,"12.11 Pruebas de funcion renal ",null,"12.12 Pruebas de función hepática ",null,null,"12.13 Hemográma y electrolitos ",null,null,"12.14 Acceso a programa de protección social",null,null,"Fecha","13.1 Ictericia","13.2 Prurito","13.3 Rash cutáneo","13.4 Hipoacusia","13.5 Dispepsia ","13.6 Neuritis periférica","13.7 Alteración neurológica","13.8 Falla hepática","13.9 Falla Renal"]
[0]
[1]
[2]
[3]
[4]
[5]
[6]
[7,{"$nulls":51},"* Cuando el caso sea transferido a otra Entidad Territorial, se debe enviar (Ficha de notificación SIVIGILA, Copia de historia clínica, Formula médica, tarjeta de tratamiento diligenciada, a la entidad territorial de destino. Se entrega para autoadministración de máximo  (15 dosis de tratamiento) para supervisión virtual mientras se da ubicación por la entidad receptora. \n* Cuando el caso sea transferido a otro país debe enviarse al Centro Nacional de Enlace, con la misma documentación indicada y entregar 30 días de tratamiento, previa firma de compromiso del usuario para supervisión virtual.\n*  Los casos descartados deberán ser excluidos en el análisis de la cohorte."]
[8]
[9]
[10]
[11]
[12]
["14. CONDICIÓN DE EGRESO"]
[1,"14.1 CURADO",null,null,2,"14.2 TRATAMIENTO TERMINADO",{"$nulls":6},3,"14.3 FRACASO",null,null,4,"14.4 PÉRDIDA DE SEGUIMIENTO",{"$nulls":6},"Causa:",{"$nulls":9},5,"14.5 FALLECIDO",null,null,"Causa:",{"$nulls":4},6,"14.6 NO EVALUADO",null,"Causa:",{"$nulls":3},7,"14.7 DESCARTADO",null,"Causa: "]
[]
[{"$nulls":4},"dd",null,"mm",null,"aaaa"]
["14.8 Fecha de egreso",{"$nulls":10},"14.9 IPS de egreso. ",{"$nulls":12},"14.10 Nombre del profesional que certifica egreso:",{"$nulls":18},"14.11 Teléfono:",{"$nulls":7},"14.11 Correo electrónico: "]
[]
["Versión 002 Ministerio de Salud y Protección Social 12/01/2022"]
[]
[]
[{"$nulls":6},"SI",{"$nulls":43},"(1 a 9 colonias)"]
[{"$nulls":6},"NO",{"$nulls":43},"(+)"]
[{"$nulls":6},"SD",{"$nulls":43},"(++)"]
[{"$nulls":50},"(+++)"]
[{"$nulls":50},"Negativo"]
[{"$nulls":50},"Sin dato "]
[{"$nulls":50},"No realizado"]
[]
[]
[]
[]
[]
[]
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[{"$nulls":10},403]
[{"$nulls":10},404]
[{"$nulls":10},405]
[{"$nulls":10},406]
[{"$nulls":10},407]
[{"$nulls":10},408]
[{"$nulls":10},409]
[{"$nulls":10},410]
[{"$nulls":10},411]
[{"$nulls":10},412]
[{"$nulls":10},413]
[{"$nulls":10},414]
[{"$nulls":10},415]
[{"$nulls":10},416]
[{"$nulls":10},417]
[{"$nulls":10},418]
[{"$nulls":10},419]
[{"$nulls":10},420]
[{"$nulls":10},421]
[{"$nulls":10},422]
[{"$nulls":10},423]
[{"$nulls":10},424]
[{"$nulls":10},425]
[{"$nulls":10},426]
[{"$nulls":10},427]
[{"$nulls":10},428]
[{"$nulls":10},429]
[{"$nulls":10},430]
[{"$nulls":10},431]
[{"$nulls":10},432]
[{"$nulls":10},433]
[{"$nulls":10},434]
[{"$nulls":10},435]
[{"$nulls":10},436]
[{"$nulls":10},437]
[{"$nulls":10},438]
[{"$nulls":10},439]
[{"$nulls":10},440]
[{"$nulls":10},441]
[{"$nulls":10},442]
[{"$nulls":10},443]
[{"$nulls":10},444]
[{"$nulls":10},445]
[{"$nulls":10},446]
[{"$nulls":10},447]
[{"$nulls":10},448]
[{"$nulls":10},449]
[{"$nulls":10},450]
[{"$nulls":10},451]
[{"$nulls":10},452]
[{"$nulls":10},453]
[{"$nulls":10},454]
[{"$nulls":10},455]
[{"$nulls":10},456]
[{"$nulls":10},457]
[{"$nulls":10},458]
[{"$nulls":10},459]
[{"$nulls":10},460]
[{"$nulls":10},461]
[{"$nulls":10},462]
[{"$nulls":10},463]
[{"$nulls":10},464]
[{"$nulls":10},465]
[{"$nulls":10},466]
[{"$nulls":10},467]
[{"$nulls":10},468]
[{"$nulls":10},469]
[{"$nulls":10},470]
[{"$nulls":10},471]
[{"$nulls":10},472]
[{"$nulls":10},473]
[{"$nulls":10},474]
[{"$nulls":10},475]
[{"$nulls":10},476]
[{"$nulls":10},477]
[{"$nulls":10},478]
[{"$nulls":10},479]
[{"$nulls":10},480]
[{"$nulls":10},481]
[{"$nulls":10},482]
[{"$nulls":10},483]
[{"$nulls":10},484]
[{"$nulls":10},485]
[{"$nulls":10},486]
[{"$nulls":10},487]
[{"$nulls":10},488]
[{"$nulls":10},489]
[{"$nulls":10},490]
[{"$nulls":10},491]
[{"$nulls":10},492]
[{"$nulls":10},493]
[{"$nulls":10},494]
[{"$nulls":10},495]
[{"$nulls":10},496]
[{"$nulls":10},497]
[{"$nulls":10},498]
[{"$nulls":10},499]
[{"$nulls":10},500]
[{"$nulls":10},501]
[]
[]
[]
[{"$nulls":10},"M.TB  Positivo"]
[{"$nulls":10},"M.TB Negativo"]
[{"$nulls":10},"Contaminado"]
[{"$nulls":10},"Micobacteria No tuberculosa"]
[{"$nulls":10},"No realizado "]