[RTF]
{\rtf1\ansi\deff0{\fonttbl{\f0\froman Tms Rmn;}{\f1\fswiss Arial;}}{\colortbl\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue127;\red0\green127\blue127;\red0\green127\blue0;\red127\green0\blue127;\red127\green0\blue0;\red127\green127\blue0;\red127\green127\blue127;\red192\green192\blue192}{\info{\title DICHIARAZIONE DI VOLONTA’ ALLA DONAZIONE }{\operator Sergio Luzzi Galeazzi}{\author Sergio Luzzi Galeazzi}{\creatim\yr1996\mo9\dy19\hr9\min2\sec17}{\revtim\yr1996\mo12\dy7\hr3\min33\sec58}{\printim\yr1997\mo1\dy2\hr3\min43\sec40}{\version1}{\vern262367}}\paperw11903\paperh16835\margl642\margr0\margt642\margb0\deftab850\pard\ql\li141\fi0\ri489{\field{\*\fldinst{\b\i\f1\fs28\cf0\up0\dn0 USER_NOME}}{\fldrslt{\b\i\f1\fs28\cf0\up0\dn0 Utente: Nome e cognome}}}{\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Medico Chirurgo}{\par}\pard\ql\li141\fi0\ri489{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_IND}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: Indirizzo}}}{\par}\pard\ql\li141\fi0\ri489{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_CAP}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: CAP}}}{\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_CITTA}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: Citta}}}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Tel}{\b\f1\fs20\cf0\up0\dn0 .}{\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_TEL}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: Telefono}}}{\par}\pard\ql\li141\fi0\tx6803\ri489{\f1\fs20\cf0\up0\dn0\tab}{\field{\*\fldinst{\f1\fs18\cf0\up0\dn0 USER_CITTA}}{\fldrslt{\f1\fs18\cf0\up0\dn0 Utente: Citta}}}{\f1\fs18\cf0\up0\dn0  li }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XVI_DATA}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 GG.MM.AA}}}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\qc\li141\fi0\ri489{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_SIG}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Il Sig.}}}{\b\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_NOME}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 ASSIRELLI MARIA}}}{\par}\pard\qc\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0 nat}{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_MF}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 ?}}}{\b\f1\fs20\cf0\up0\dn0  a }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_LNASC}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Luogo nascita}}}{\b\f1\fs20\cf0\up0\dn0  (}{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_PNASC}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 PN}}}{\b\f1\fs20\cf0\up0\dn0 ) il }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_DNASC}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 D Nascit}}}{\par}\pard\qc\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0 residente in }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_IND}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Paziente: Indirizzo}}}{\par}\pard\qc\li141\fi0\ri489{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_CAP}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 C A P}}}{\b\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_CIT}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Paziente: Città}}}{\par}\pard\qc\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0\par}\pard\qc\li141\fi0\ri489{\b\f1\fs28\cf0\up0\dn0 SI CERTIFICA CHE}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 In base alla visita da me effettuata, è affetto da:   }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 APROBL1}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Problema 1}}}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Prognosi clinica a tutto il }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XCE_SCAD}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 GG.MM.AA}}}{\f1\fs20\cf0\up0\dn0  compreso}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Il Paziente riferisce di essere ammalato dal: }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 XCE_INIMAL}}{\fldrslt{\f1\fs20\cf0\up0\dn0 D In.Mal}}}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Inizio                Continuazione              Ricaduta}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Reperibilità durante la malattia:........................................................}{\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Dati relativi all'Azienda:...................................................................}{\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Settore di appartenenza:.................................................................}{\par}\pard\ql\li141\fi0\tx6236\ri489{\f1\fs20\cf0\up0\dn0\tab}{\field{\*\fldinst{\i\f1\fs20\cf0\up0\dn0 USER_NOME}}{\fldrslt{\i\f1\fs20\cf0\up0\dn0 Utente: Nome e cognome}}}{\par}\pard\ql\li141\fi0\tx6236\ri489{\i\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\tx6236\ri489{\b\f1\fs20\cf0\up0\dn0 Copia per l'INPS o per l'Istituto Assicurativo}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0  ====================================================}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\field{\*\fldinst{\b\i\f1\fs28\cf0\up0\dn0 USER_NOME}}{\fldrslt{\b\i\f1\fs28\cf0\up0\dn0 Utente: Nome e cognome}}}{\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Medico Chirurgo}{\par}\pard\ql\li141\fi0\ri489{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_IND}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: Indirizzo}}}{\par}\pard\ql\li141\fi0\ri489{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_CAP}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: CAP}}}{\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_CITTA}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: Citta}}}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Tel: }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_TEL}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: Telefono}}}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li6803\fi0\ri489{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 USER_CITTA}}{\fldrslt{\f1\fs20\cf0\up0\dn0 Utente: Citta}}}{\f1\fs20\cf0\up0\dn0  li }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 XVI_DATA}}{\fldrslt{\f1\fs20\cf0\up0\dn0 GG.MM.AA}}}{\par}\pard\ql\li6803\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\qc\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0 Il Sig}{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_SIG}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Il Sig.}}}{\b\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_NOME}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 ASSIRELLI MARIA}}}{\par}\pard\qc\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0 nat}{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_MF}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 ?}}}{\b\f1\fs20\cf0\up0\dn0  a }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_LNASC}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Luogo nascita}}}{\b\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_PNASC}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 PN}}}{\b\f1\fs20\cf0\up0\dn0  il }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_DNASC}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 D Nascit}}}{\b\f1\fs20\cf0\up0\dn0  }{\par}\pard\qc\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0 residente in }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_IND}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Paziente: Indirizzo}}}{\b\f1\fs20\cf0\up0\dn0  }{\par}\pard\qc\li141\fi0\ri489{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_CAP}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 C A P}}}{\b\f1\fs20\cf0\up0\dn0  }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XPA_CIT}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 Paziente: Città}}}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\qc\li141\fi0\ri489{\b\f1\fs28\cf0\up0\dn0 SI CERTIFICA CHE}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 in base alla visita da me effettuata è affetto da malattia.}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Prognosi clinica a tutto il }{\field{\*\fldinst{\b\f1\fs20\cf0\up0\dn0 XCE_SCAD}}{\fldrslt{\b\f1\fs20\cf0\up0\dn0 GG.MM.AA}}}{\f1\fs20\cf0\up0\dn0  compreso.}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Il Paziente riferisce di essere ammalato dal: }{\field{\*\fldinst{\f1\fs20\cf0\up0\dn0 XCE_INIMAL}}{\fldrslt{\f1\fs20\cf0\up0\dn0 D In.Mal}}}{\f1\fs20\cf0\up0\dn0 .}{\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\f1\fs20\cf0\up0\dn0 Inizio          Continuazione                Ricaduta}{\par}\pard\ql\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Reperibilità durante la malattia :......................................................}{\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Dati relativi all'azienda:...................................................................}{\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\i\f1\fs20\cf0\up0\dn0 Settore di appartenenza:................................................................}{\par}\pard\ql\li6236\fi0\ri489{\field{\*\fldinst{\i\f1\fs20\cf0\up0\dn0 USER_NOME}}{\fldrslt{\i\f1\fs20\cf0\up0\dn0 Utente: Nome e cognome}}}{\par}\pard\ql\li6236\fi0\ri489{\i\f1\fs20\cf0\up0\dn0\par}\pard\ql\li141\fi0\ri489{\b\f1\fs20\cf0\up0\dn0 Copia per il Datore di Lavoro}}
[CUSTOM1]
nA := Year( CtoD( Ricetta.XCE_INIMAL ) )

c := IIF(nA<1000, "Stesso giorno inizio", Ricetta.XCE_INIMAL ) 
Return c
[D_CUSTOM1]
DescrizioneData inizio malattia
[Opzioni]