2078 lines
100 KiB
PHP
2078 lines
100 KiB
PHP
<html lang="pt-BR">
|
|
<head>
|
|
<meta charset="UTF-8">
|
|
<meta http-equiv="X-UA-Compatible" content="IE=edge">
|
|
<meta name="viewport" content="width=device-width, initial-scale=1.0">
|
|
@verbatim
|
|
<style type="text/css">
|
|
* {
|
|
margin: 0;
|
|
padding: 0;
|
|
box-sizing: border-box;
|
|
font-family: Arial, Helvetica, sans-serif;
|
|
}
|
|
|
|
html, body {
|
|
width: 100%;
|
|
height: 100%;
|
|
margin: 0;
|
|
padding: 0;
|
|
}
|
|
body {
|
|
max-width: 794px;
|
|
width: 100%;
|
|
margin: 0 auto;
|
|
}
|
|
.header {
|
|
display: flex;
|
|
height: 100px;
|
|
justify-content: space-around;
|
|
}
|
|
.h-1 {
|
|
display: flex;
|
|
justify-content: center;
|
|
align-items: center;
|
|
text-align: center;
|
|
width: 25%;
|
|
}
|
|
.h-2 {
|
|
display: flex;
|
|
justify-content: center;
|
|
align-items: center;
|
|
flex-direction: column;
|
|
width: 50%;
|
|
}
|
|
.h-3 {
|
|
display: flex;
|
|
justify-content: center;
|
|
align-items: center;
|
|
width: 25%;
|
|
}
|
|
.text-ms {
|
|
font-weight: bold;
|
|
font-size: 12px;
|
|
}
|
|
.text-sinan {
|
|
font-weight: bold;
|
|
font-size: 14px;
|
|
}
|
|
.text-si {
|
|
font-size: 12px;
|
|
text-align: center;
|
|
}
|
|
.text-fn {
|
|
font-weight: bold;
|
|
font-size: 14px;
|
|
}
|
|
.h-100 {
|
|
display: flex;
|
|
justify-content: center;
|
|
align-items: center;
|
|
flex-direction: column;
|
|
width: 100%;
|
|
}
|
|
.box-gray {
|
|
background-color: rgb(221, 221, 221);
|
|
width: 150px;
|
|
height: 30px;
|
|
border-radius: 8px;
|
|
display: flex;
|
|
justify-content: start;
|
|
align-items:end;
|
|
padding: 5px;
|
|
}
|
|
.text-nr {
|
|
font-size: 12px;
|
|
font-weight: bold;
|
|
}
|
|
.section {
|
|
display: flex;
|
|
width: 100%;
|
|
margin-bottom: 10px;
|
|
}
|
|
.container-secion {
|
|
transform: rotate(180deg);
|
|
writing-mode: vertical-rl;
|
|
border: 1px solid black;
|
|
padding: 0 5px;
|
|
display: flex;
|
|
align-items: center;
|
|
justify-content: center;
|
|
margin-right: 5px;
|
|
height: auto;
|
|
background-color: #f0f0f0;
|
|
box-sizing: border-box;
|
|
width: 30px;
|
|
overflow-wrap: break-word;
|
|
word-break: break-word;
|
|
}
|
|
.title-section {
|
|
font-size: 14px;
|
|
font-family: Arial, sans-serif;
|
|
font-weight: bold;
|
|
text-align: center;
|
|
}
|
|
.container-content {
|
|
width: 100%;
|
|
height: 100%;
|
|
vertical-align: top;
|
|
max-width: 100%;
|
|
}
|
|
|
|
.container {
|
|
display: flex;
|
|
min-height: 20px;
|
|
}
|
|
.container-two-cols {
|
|
height: 100%;
|
|
display: inline-flex;
|
|
}
|
|
.container-compact {
|
|
display: flex;
|
|
}
|
|
.container-two-rows {
|
|
display: flex;
|
|
}
|
|
.container-col {
|
|
display: flex;
|
|
}
|
|
.hg-60 {
|
|
height: 60px;
|
|
}
|
|
.hg-50 {
|
|
height: 50px;
|
|
}
|
|
.hg-40 {
|
|
height: 40px;
|
|
}
|
|
.container-row {
|
|
border-bottom: 1px solid black;
|
|
border-left: 1px solid black;
|
|
border-right: 1px solid black;
|
|
border-radius: 0px 0px 8px 8px;
|
|
margin-bottom: 5px;
|
|
}
|
|
.container-row-two {
|
|
border-bottom: 1px solid black;
|
|
border-left: 1px solid black;
|
|
border-right: 1px solid black;
|
|
border-radius: 0px 0px 8px 8px;
|
|
margin-bottom: 5px;
|
|
}
|
|
.container-row-flex {
|
|
border-bottom: 1px solid black;
|
|
border-left: 1px solid black;
|
|
border-right: 1px solid black;
|
|
border-radius: 0px 0px 8px 8px;
|
|
margin-bottom: 5px;
|
|
display: flex;
|
|
}
|
|
|
|
.container-compact {
|
|
display: block;
|
|
}
|
|
.container-number-row {
|
|
border: 1px solid black;
|
|
display: inline-flex;
|
|
padding: 0px 3px;
|
|
margin-left: 3px;
|
|
height: 15px;
|
|
}
|
|
.container-row-title {
|
|
display: inline-block;
|
|
word-wrap: break-word;
|
|
}
|
|
.check-box {
|
|
float: right;
|
|
margin-right: 3px;
|
|
border: 1px solid black;
|
|
height: 17px;
|
|
width: 17px;
|
|
display: flex;
|
|
justify-content: center;
|
|
align-items: center;
|
|
}
|
|
.check-box-not-flot {
|
|
margin-right: 5px;
|
|
border: 1px solid black;
|
|
height: 17px;
|
|
min-width: 17px;
|
|
margin-top: 15px;
|
|
display: flex;
|
|
align-items: center;
|
|
justify-content: center;
|
|
}
|
|
.fwb {
|
|
font-weight: bold;
|
|
}
|
|
.fs-12 {
|
|
font-size: 12px;
|
|
}
|
|
.fs-11 {
|
|
font-size: 11px;
|
|
}
|
|
.fs-14 {
|
|
font-size: 14px;
|
|
}
|
|
.fs-10 {
|
|
font-size: 10px;
|
|
}
|
|
.fs-16 {
|
|
font-size: 16px;
|
|
}
|
|
.fs-10 {
|
|
font-size: 10px;
|
|
}
|
|
.fs-18 {
|
|
font-size: 18px;
|
|
}
|
|
.rb-r {
|
|
border-right: none;
|
|
}
|
|
.rbr-r {
|
|
border-radius: 0 0 0 8px;
|
|
}
|
|
.rbr-l {
|
|
border-radius: 0 0 8px 0;
|
|
}
|
|
.br-8 {
|
|
border-radius: 0 0 8px 8px;
|
|
}
|
|
.ml-2 {
|
|
margin-left: 2px;
|
|
}
|
|
.ml-4 {
|
|
margin-left: 4px;
|
|
}
|
|
.ml-0 {
|
|
margin-left: 0;
|
|
}
|
|
.ml-10 {
|
|
margin-left: 10px;
|
|
}
|
|
.ml-15 {
|
|
margin-left: 15px;
|
|
}
|
|
.ml-20 {
|
|
margin-left: 20px;
|
|
}
|
|
.ml-5 {
|
|
margin-left: 5px;
|
|
}
|
|
.ml-55 {
|
|
margin-left: 55px;
|
|
}
|
|
.mr-2 {
|
|
margin-right: 2px;
|
|
}
|
|
.mr-5 {
|
|
margin-right: 5px;
|
|
}
|
|
.mr-0 {
|
|
margin-right: 0;
|
|
}
|
|
.mr-15 {
|
|
margin-right: 15px;
|
|
}
|
|
.mt-5 {
|
|
margin-top: 5px;
|
|
}
|
|
.mt-10 {
|
|
margin-top: 10px;
|
|
}
|
|
.mt-17 {
|
|
margin-top: 17px;
|
|
}
|
|
.mt-2 {
|
|
margin-top: 2px;
|
|
}
|
|
.mt-6 {
|
|
margin-top: 6px;
|
|
}
|
|
.mt-7 {
|
|
margin-top: 7px;
|
|
}
|
|
.mt-0 {
|
|
margin-top: 0;
|
|
}
|
|
.mt-3 {
|
|
margin-top: 3px;
|
|
}
|
|
.mt-4 {
|
|
margin-top: 4px;
|
|
}
|
|
.mb-0 {
|
|
margin-bottom: 0;
|
|
}
|
|
.wp-70 {
|
|
width: 70%;
|
|
}
|
|
.wp-60 {
|
|
width: 60%;
|
|
}
|
|
.wp-30 {
|
|
width: 30%;
|
|
}
|
|
.wp-25 {
|
|
width: 25%;
|
|
}
|
|
.wp-21 {
|
|
width: 21%;
|
|
}
|
|
.wp-35 {
|
|
width: 35%;
|
|
}
|
|
.wp-38 {
|
|
width: 38%;
|
|
}
|
|
.wp-40 {
|
|
width: 40%;
|
|
}
|
|
.wp-80 {
|
|
width: 80%;
|
|
}
|
|
.wp-20 {
|
|
width: 20%;
|
|
}
|
|
.wp-21 {
|
|
width: 21%;
|
|
}
|
|
.wp-25 {
|
|
width: 25%;
|
|
}
|
|
.wp-50 {
|
|
width: 50%;
|
|
}
|
|
.wp-55 {
|
|
width: 55%;
|
|
}
|
|
.wp-10 {
|
|
width: 10%;
|
|
}
|
|
.wp-12 {
|
|
width: 12%;
|
|
}
|
|
.wp-65 {
|
|
width: 65%;
|
|
}
|
|
.wp-90 {
|
|
width: 90%;
|
|
}
|
|
.wp-15 {
|
|
width: 15%;
|
|
}
|
|
.wp-100 {
|
|
width: 100%;
|
|
}
|
|
.jc-normal {
|
|
justify-content: normal !important;
|
|
}
|
|
.h-100 {
|
|
height: 100%;
|
|
}
|
|
.hp-20 {
|
|
min-height: 20px;
|
|
}
|
|
.hp-40 {
|
|
min-height: 40px;
|
|
}
|
|
.hp-140 {
|
|
height: 140px;
|
|
}
|
|
.center-v {
|
|
align-items: center;
|
|
}
|
|
.df {
|
|
flex-wrap: nowrap;
|
|
}
|
|
.container-digit {
|
|
display: flex;
|
|
margin-left: auto;
|
|
margin-right: auto;
|
|
height: auto;
|
|
justify-content: space-evenly;
|
|
}
|
|
.container-digit-left {
|
|
display: flex;
|
|
height: auto;
|
|
justify-content: space-evenly;
|
|
flex-shrink: 0;
|
|
}
|
|
.digit-container-right {
|
|
border-right: 1px solid black;
|
|
margin-top: 5px;
|
|
height: 15px;
|
|
margin-top: auto;
|
|
}
|
|
.digit-weigth {
|
|
border-right: 2px solid black;
|
|
height: 17px;
|
|
margin-top: auto;
|
|
}
|
|
.bg-gray {
|
|
background-color: #e6e9ed;
|
|
}
|
|
.container-text {
|
|
border-radius: 0 0 8px 8px;
|
|
display: flex;
|
|
align-items: center;
|
|
}
|
|
.container-text-list {
|
|
display: block;
|
|
padding-left: 5px;
|
|
}
|
|
.item-list {
|
|
display: block;
|
|
font-size: 10px;
|
|
}
|
|
.item-list-fs-10 {
|
|
display: block;
|
|
font-size: 10px;
|
|
}
|
|
.nw {
|
|
text-wrap: nowrap;
|
|
}
|
|
.container-center {
|
|
margin-left: auto;
|
|
margin-right: auto;
|
|
width: fit-content;
|
|
height: 20px;
|
|
display: flex;
|
|
justify-content: center;
|
|
}
|
|
.container-number-first-row {
|
|
margin-left: 5px;
|
|
}
|
|
.one-line-first {
|
|
display: inline-flex;
|
|
}
|
|
.lines-texts {
|
|
display: flex;
|
|
flex-direction: column;
|
|
height: 70%;
|
|
align-items: center;
|
|
justify-content: center;
|
|
}
|
|
.line-text {
|
|
margin-top: 10px;
|
|
margin-bottom: 10px;
|
|
display: flex;
|
|
width: 100%;
|
|
justify-content: space-around;
|
|
}
|
|
.UF-footer-border {
|
|
border: 1px solid black;
|
|
border-top: none;
|
|
border-radius: 0 0 4px 4px;
|
|
width: 100px;
|
|
height: 36px;
|
|
padding: 0 2px;
|
|
}
|
|
.divider-uf {
|
|
height: 40px;
|
|
width: 5px;
|
|
border-right: 1px solid black;
|
|
margin-top: 20px;
|
|
}
|
|
.space-1 {
|
|
width: 75px;
|
|
}
|
|
.container-line {
|
|
display: flex;
|
|
flex-direction: column;
|
|
height: 100%;
|
|
justify-content: space-between;
|
|
}
|
|
.bl-none {
|
|
border-left: none;
|
|
}
|
|
.page-break {
|
|
page-break-before: always;
|
|
}
|
|
</style>
|
|
@endverbatim
|
|
</head>
|
|
|
|
<body>
|
|
|
|
@foreach ($impressoes as $params)
|
|
<div class="page-break">
|
|
|
|
<div class="header">
|
|
<div class="h-1">
|
|
<span class="text-ms">
|
|
República Federativa do Brasil<br>Ministério da Saúde
|
|
</span>
|
|
</div>
|
|
<div class="h-2">
|
|
<div class="text-sinan">
|
|
<span>SINAN</span>
|
|
</div>
|
|
<div class="text-si">
|
|
<span>
|
|
SISTEMA DE INFORMAÇÃO DE AGRAVOS DE NOTIFICAÇÃO
|
|
</span>
|
|
</div>
|
|
<div class="text-fn">
|
|
<span>FICHA DE NOTIFICAÇÃO</span>
|
|
</div>
|
|
</div>
|
|
<div class="h-3">
|
|
<div class="box-gray">
|
|
<span class="text-nr">Nº</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Dados Gerais</span>
|
|
</div>
|
|
|
|
<div class="container-content">
|
|
<div class="container-row">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">1</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Tipo de Notificação</span>
|
|
</div>
|
|
<div class="check-box"></div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Negativa</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Individual</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>3 - Surto</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>4 - Inquérito Tracoma</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-80 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">2</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Agravo/doença</span>
|
|
</div>
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['nome_caso_suspeito'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-20 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">3</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data da Notificação</span>
|
|
</div>
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][0] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][1] ?? null }}</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][2] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][3] ?? null }}</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][4] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][5] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][6] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['data_notificacao'][7] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-10 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">4</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">UF</span>
|
|
</div>
|
|
<div class="container-digit bg-gray br-8 hp-20">
|
|
<span class="fs-12 mt-6"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-6"></span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-70 ml-2 rb-r rbr-r">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">5</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Município de Notificação</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['cliente']['municipio'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-20 mr-2 rbr-l">
|
|
<div class="container-row-title">
|
|
<span class="fs-12 ml-4">Código (IBGE)</span>
|
|
</div>
|
|
<div class="container-digit mt-2">
|
|
<span class="fs-12 mt-10">{{ $params['cliente']['codigo_ibge'][0] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['cliente']['codigo_ibge'][1] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['cliente']['codigo_ibge'][2] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['cliente']['codigo_ibge'][3] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['cliente']['codigo_ibge'][4] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['cliente']['codigo_ibge'][5] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-60 rb-r rbr-r">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">6</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12"
|
|
>Unidade de Saúde (ou outra fonte notificadora)</span
|
|
>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"
|
|
>{{ $params['cliente']['nome_unidade'] ?? null }}</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-15 mr-2 rbr-l">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-row-title">
|
|
<span class="fs-12 ml-4">Código</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-25 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">7</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data dos Primeiros Sintomas</span>
|
|
</div>
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Notificação Individual</span>
|
|
</div>
|
|
|
|
<div class="container-content">
|
|
<div class="container">
|
|
<div class="container-row wp-80 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">8</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Nome do Paciente</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{$params['paciente']['nome'] . ($params['paciente']['nome_social']) ?? '' }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-20 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">9</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data de Nascimento</span>
|
|
</div>
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][0] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][1] ?? null }}</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][2] ?? null}}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][3] ?? null }}</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][4] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][5] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][6] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['data_nascimento'][7] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row-flex wp-100 mr-2">
|
|
<div class="container-compact wp-60 nw">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">10</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">(ou) Idade</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit-left wp-70 mt-9">
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="check-box-not-flot"></div>
|
|
<div class="container-text-list mt-5">
|
|
<span class="item-list nw fs-11">1 - Hora</span>
|
|
<span class="item-list nw fs-11">2 - Dia</span>
|
|
<span class="item-list nw fs-11">3 - Mês</span>
|
|
<span class="item-list nw fs-11">4 - Ano</span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row-flex wp-100 mr-2">
|
|
<div class="container-compact wp-35">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">11</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Sexo</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-text-list wp-40 mt-5">
|
|
<span class="item-list nw">M - Masculino</span>
|
|
<span class="item-list nw">F - Feminino</span>
|
|
<span class="item-list nw">I - Ignorado</span>
|
|
</div>
|
|
<div class="check-box-not-flot fs-12">{{ $params['paciente']['sexo'] }}</div>
|
|
</div>
|
|
|
|
<div class="container-row-flex wp-100 mr-2">
|
|
<div class="container-compact wp-80">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">12</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Gestante</span>
|
|
</div>
|
|
<div class="container-text-list ml-4 mt-5">
|
|
<span class="item-list nw">
|
|
1-1ºTrimestre
|
|
<span class="ml-5 nw"></span>
|
|
2-2ºTrimestre
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list ml-4">
|
|
<span class="item-list">
|
|
3-3ºTrimestre
|
|
<span class="ml-5 nw"></span>
|
|
4- Idade gestacional Ignorada
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list ml-4">
|
|
<span class="item-list">
|
|
5-Não
|
|
<span class="ml-5 nw"></span>
|
|
6- Não se aplica
|
|
<span class="ml-5 nw"></span>
|
|
9-Ignorado
|
|
</span>
|
|
</div>
|
|
</div>
|
|
<div class="check-box-not-flot ml-20 fs-12"> {{ $params['paciente']['gestante'] }}</div>
|
|
</div>
|
|
|
|
<div class="container-row-flex wp-100 mr-2">
|
|
<div class="container-compact wp-90">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">13</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Raça/Cor</span>
|
|
</div>
|
|
<div class="container-text-list fs-10">
|
|
<span class="item-list">
|
|
1-Branca
|
|
<span class="ml-5"></span>
|
|
2-Preta
|
|
<span class="ml-5"></span>
|
|
3-Amarela
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list fs-10">
|
|
<span class="item-list">
|
|
4-Parda
|
|
<span class="ml-5 mr-5"></span>
|
|
5-Indígena
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list fs-10">
|
|
<span class="item-list">
|
|
9-Ignorado
|
|
</span>
|
|
</div>
|
|
</div>
|
|
<div class="check-box-not-flot fs-12"> {{ $params['paciente']['raca_cor'] ?? null }}</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row-flex wp-100 mr-2">
|
|
<div class="container-compact wp-100">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">14</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Escolaridade</span>
|
|
</div>
|
|
<div class="container-text-list ml-4">
|
|
<span class="item-list">
|
|
0-Analfabeto
|
|
<span class="ml-5"></span>
|
|
1-1ª a 4ª série incompleta do EF (antigo primário ou 1º
|
|
grau)
|
|
<span class="ml-5"></span>
|
|
2-4ª série completa do EF (antigo primário ou 1º grau)
|
|
<span class="ml-5"></span>
|
|
3-5ª à 8ª série incompleta do EF (antigo ginásio ou 1º
|
|
grau)
|
|
<span class="ml-5"></span>
|
|
4-Ensino fundamental completo (antigo ginásio ou 1º
|
|
grau)
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list ml-4">
|
|
<span class="item-list">
|
|
5-Ensino médio incompleto (antigo colegial ou 2º grau)
|
|
<span class="ml-5"></span>
|
|
6-Ensino médio completo (antigo colegial ou 2º grau)
|
|
<span class="ml-5"></span>
|
|
7-Educação superior incompleta
|
|
<span class="ml-5"></span>
|
|
8-Educação superior completa
|
|
<span class="ml-5"></span>
|
|
9-Ignorado
|
|
<span class="ml-5"></span>
|
|
10- Não se aplica
|
|
</span>
|
|
</div>
|
|
</div>
|
|
<div class="check-box-not-flot ml-10 fs-12">{{ $params['paciente']['escolaridade'] ?? null }}</div>
|
|
</div>
|
|
|
|
<div class="container-content">
|
|
<div class="container">
|
|
<div class="container-row wp-40 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">15</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Número do Cartão SUS</span>
|
|
</div>
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][0] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][1] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][2] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][3] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][4] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][5] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][6] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][7] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][8] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][9] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][10] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][11] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][12] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][13] ?? null }}</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">{{ $params['paciente']['cartao_sus'][14] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-60 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">16</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Nome da mãe</span>
|
|
</div>
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['paciente']['nome_mae'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Notificação de<br />Surto</span>
|
|
</div>
|
|
|
|
<div class="container-content wp-100">
|
|
<div class="container-two-cols wp-100">
|
|
<div class="wp-35">
|
|
<div class="container">
|
|
<div class="container-row wp-100 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">17</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12"
|
|
>Data dos 1º Sintomas do 1º Caso Suspeito</span
|
|
>
|
|
</div>
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-100 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">18</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12"
|
|
>Nº de Casos Suspeitos/Expostos</span
|
|
>
|
|
</div>
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">0</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-two-rows wp-65">
|
|
<div class="container-row-two wp-100 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">19</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12"
|
|
>Local Inicial de Ocorrência do Surto</span
|
|
>
|
|
</div>
|
|
|
|
<div class="container-col mt-5">
|
|
<div class="col-list">
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
1 - Residência
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
4 - Asilo
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
7 - Eventos
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
10 - Casos Dispersos em mais de um Município
|
|
</span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="col-list">
|
|
<div class="container-text-list ml-2">
|
|
<span class="item-list-fs-10">
|
|
2 - Hospital / Unidade de Saúde
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
5 - Outras Instituições (alojamento,
|
|
trabalho)
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
8 - Casos Dispersos no Bairro
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
11 - Outros
|
|
</span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="col-list">
|
|
<div class="container-text-list ml-2">
|
|
<span class="item-list-fs-10">
|
|
3 - Creche / Escola
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
6- Restaurante/ Padaria
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
9- Casos Dispersos Pelo Município
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list">
|
|
<span class="item-list-fs-10">
|
|
Especificar _____________________
|
|
</span>
|
|
</div>
|
|
</div>
|
|
<div class="check-box-not-flot mr-0 mt-0"></div>
|
|
<div class="check-box-not-flot mt-0 bl-none"></div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Dados de Residência</span>
|
|
</div>
|
|
|
|
<div class="container-content">
|
|
<div class="container">
|
|
<div class="container-row wp-10 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">20</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">UF</span>
|
|
</div>
|
|
<div class="container-digit bg-gray br-8 hp-20">
|
|
<span class="fs-12 mt-6"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-6"></span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-50 ml-2 rb-r rbr-r">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">21</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12 fwb">Município de Residência</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-15 mr-2 rbr-l">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-row-title">
|
|
<span class="fs-12 ml-4 fwb">Código (IBGE)</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-30 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">22</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Distrito</span>
|
|
</div>
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['paciente']['endereco']['distrito'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-30">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">23</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Bairro</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-55 ml-2 rb-r rbr-r">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">24</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Logradouro (rua, avenida,...)</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-15 mr-2 rbr-l">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-row-title">
|
|
<span class="fs-12 ml-4">Código</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit mt-7">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-25 mr-2 hp-40">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">25</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Número</span>
|
|
</div>
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-50 rb-r rbr-r">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">26</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Complemento (apto., casa, ...)</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-15 mr-2 rbr-l">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-row-title">
|
|
<span class="fs-12 ml-4">Código (IBGE)</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-30 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">27</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Geo campo 1</span>
|
|
</div>
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-30 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">28</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Geo campo 2</span>
|
|
</div>
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-50 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">29</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Ponto de Referência</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-20 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">30</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">CEP</span>
|
|
</div>
|
|
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10">-</span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-40 mr-2">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">31</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">(DDD) Telefone</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row-flex wp-25 mr-2">
|
|
<div class="container-compact wp-90">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">32</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Zona</span>
|
|
</div>
|
|
<div class="container-text-list ml-4 mt-5">
|
|
<span class="item-list-fs-10">
|
|
1 - Urbana
|
|
<span class="ml-5"></span>
|
|
2 - Rural
|
|
<span class="ml-5"></span>
|
|
</span>
|
|
</div>
|
|
<div class="container-text-list ml-4">
|
|
<span class="item-list-fs-10">
|
|
3 - Periurbana
|
|
<span class="ml-5 mr-5"></span>
|
|
9 - Ignorado
|
|
<span class="ml-5 mr-5"></span>
|
|
</span>
|
|
</div>
|
|
</div>
|
|
<div class="check-box-not-flot"></div>
|
|
</div>
|
|
|
|
<div class="container-row wp-40 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">33</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12"
|
|
>País (se residente fora do Brasil)</span
|
|
>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['paciente']['endereco']['pais'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Notificante</span>
|
|
</div>
|
|
|
|
<div class="container-content">
|
|
<div class="container">
|
|
<div class="container-row wp-100 mr-2">
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Município/Unidade de Saúde</span>
|
|
</div>
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['notificante']['municipio_unidade'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-40">
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Nome</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['notificante']['nome'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-40 ml-2">
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Função</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12">{{ $params['notificante']['funcao'] ?? null }}</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-20 ml-2">
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Assinatura</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="page-break"></div>
|
|
|
|
<div class="header">
|
|
<div class="h-100">
|
|
<div class="text-sinan">
|
|
<span>DADOS COMPLEMENTARES</span>
|
|
</div>
|
|
<div class="text-si">
|
|
<span>
|
|
(ANOTAR TODOS OS DADOS DISPONÍVEIS NO MOMENTO DA NOTIFICAÇÃO )
|
|
</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Notificação Individual</span>
|
|
</div>
|
|
|
|
<div class="container-content">
|
|
<div class="container">
|
|
<div class="container-row wp-35 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">01</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data da coleta da 1ªamostra da sorologia</span>
|
|
</div>
|
|
<div class="container-digit hp-20">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-38 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">02</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data da coleta da 1ªamostra de outra amostra</span>
|
|
</div>
|
|
<div class="container-digit hp-20">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-30 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">03</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Especificar tipo de exame :</span>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-50">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">04</span>
|
|
</div>
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Óbito ?</span>
|
|
</div>
|
|
<div class="check-box fs-12">{{ $params['dados_complementares']['obito'] ?? null }}</div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Sim</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Não</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>9 - Ignorado</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-50 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">05</span>
|
|
</div>
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Contato com caso semelhante ?</span>
|
|
</div>
|
|
<div class="check-box"></div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Sim</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Não</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>9 - Ignorado</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-35">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">06</span>
|
|
</div>
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Presença de exantema ?</span>
|
|
</div>
|
|
<div class="check-box"></div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Sim</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Não</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>9 - Ignorado</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-30 ml-2">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">07</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data do início do exatema</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-50 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">08</span>
|
|
</div>
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Presença de petéquias ou sufusõeshemorrágicas ?</span>
|
|
</div>
|
|
<div class="check-box"></div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Sim</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Não</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>9 - Ignorado</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-35">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">09</span>
|
|
</div>
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Foi realizado líquor ?</span>
|
|
</div>
|
|
<div class="check-box"></div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Sim</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Não</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>9 - Ignorado</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-70 ml-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">10</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Resultado da bacterioscopia :</span>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-30">
|
|
<div class="one-line-first">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">11</span>
|
|
</div>
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">O paciente tomou vacina contra agravo notificado neste impresso?</span>
|
|
</div>
|
|
</div>
|
|
<div class="check-box"></div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Sim</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Não</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>9 - Ignorado</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-25 ml-2">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">12</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data da última dose tomada</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-25 ml-2">
|
|
<dv class="one-line-first">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">13</span>
|
|
</div>
|
|
<div class="container-row-title ml-5">
|
|
<span class="fs-12">Ocorreu hospitalização ?</span>
|
|
</div>
|
|
</dv>
|
|
<div class="check-box"></div>
|
|
<div class="container-center">
|
|
<div class="container-text center-v">
|
|
<span class="fs-12 container-number-first-row"
|
|
>1 - Sim</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>2 - Não</span
|
|
>
|
|
<span class="fs-12 container-number-first-row"
|
|
>9 - Ignorado</span
|
|
>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-21 ml-2">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">14</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Data da hospitalização</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-weigth"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container">
|
|
<div class="container-row wp-10 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">15</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">UF</span>
|
|
</div>
|
|
<div class="container-digit bg-gray br-8 hp-20">
|
|
<span class="fs-12 mt-6"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-6"></span>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-30 ml-2 rb-r rbr-r">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">16</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Munícipio do hospital</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-15 mr-2 rbr-l">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-row-title">
|
|
<span class="fs-12 ml-4">Código (IBGE)</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-30 ml-2 rb-r rbr-r">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">17</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12">Nome do hospital</span>
|
|
</div>
|
|
<div class="container-text">
|
|
<div class="container-text ml-10 mt-5">
|
|
<span class="fs-12"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="container-row wp-15 mr-2 rbr-l">
|
|
<div class="container-line">
|
|
<div class="conatiner-row-top">
|
|
<div class="container-row-title">
|
|
<span class="fs-12 ml-4">Código</span>
|
|
</div>
|
|
</div>
|
|
<div class="container-row-bottom">
|
|
<div class="container-digit">
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
<div class="digit-container-right"></div>
|
|
<span class="fs-12 mt-10"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Notificação Surto</span>
|
|
</div>
|
|
|
|
<div class="container-two-rows wp-100">
|
|
<div class="container-row-two wp-100 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">18</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12"
|
|
>Hipóteses diagnósticas no momento da notificação</span
|
|
>
|
|
</div>
|
|
|
|
<div class="lines-texts">
|
|
<div class="line-text jc-normal ml-20">
|
|
<span class="fs-14">1ª Hipótese Diagnóstica - CID 10: {{ $params['dados_complementares']['cid_10'] ?? "_______________________________________________________" }}</span>
|
|
</div>
|
|
<div class="line-text jc-normal ml-20">
|
|
<span class="fs-14">2ª Hipótese Diagnóstica - CID 10: _______________________________________________________</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="section">
|
|
<div class="container-secion">
|
|
<span class="title-section">Local prov. infecção</span>
|
|
</div>
|
|
|
|
<div class="container-two-cols wp-100 hp-140">
|
|
<div class="container-row-two wp-100 mr-2">
|
|
<div class="container-number-row">
|
|
<span class="fwb fs-12">19</span>
|
|
</div>
|
|
<div class="container-row-title">
|
|
<span class="fs-12"
|
|
>Local provável de infecção (classificação provisória)</span
|
|
>
|
|
</div>
|
|
|
|
<div class="lines-texts">
|
|
<div class="line-text">
|
|
<span class="fs-14">País:____________________________</span>
|
|
<span class="fs-14">UF
|
|
<span class="UF-footer-border w-20">
|
|
|
|
<span class="divider-uf ml-15 mr-15"></span>
|
|
|
|
</span>
|
|
</span>
|
|
<span class="fs-14">Município:____________________________</span>
|
|
</div>
|
|
<div class="line-text">
|
|
<span class="fs-14">Distrito :__________________________</span>
|
|
<span class="space-1"></span>
|
|
<span class="fs-14">Bairro:_______________________________</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
@endforeach
|
|
</body>
|
|
<script>
|
|
document.addEventListener("DOMContentLoaded", function () {
|
|
requestAnimationFrame(() => {
|
|
requestAnimationFrame(() => {
|
|
window.print();
|
|
});
|
|
});
|
|
});
|
|
</script>
|
|
</html> |