{"id":13,"date":"2021-11-27T20:42:07","date_gmt":"2021-11-27T20:42:07","guid":{"rendered":"https:\/\/paginainformativa.webdillmann.com\/?page_id=13"},"modified":"2023-12-13T14:42:53","modified_gmt":"2023-12-13T19:42:53","slug":"inicio","status":"publish","type":"page","link":"https:\/\/ureport.com.mx\/ureport\/","title":{"rendered":"Inicio"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"13\" class=\"elementor elementor-13\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a96aaf6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4a96aaf6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-74fd0fe8\" data-id=\"74fd0fe8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3d903f39 elementor-widget__width-initial dce_masking-none elementor-widget elementor-widget-image\" data-id=\"3d903f39\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"359\" src=\"https:\/\/ureport.com.mx\/ureport\/wp-content\/uploads\/2023\/04\/logo-ureport-1.png\" class=\"attachment-large size-large wp-image-190\" alt=\"\" srcset=\"https:\/\/ureport.com.mx\/ureport\/wp-content\/uploads\/2023\/04\/logo-ureport-1.png 912w, https:\/\/ureport.com.mx\/ureport\/wp-content\/uploads\/2023\/04\/logo-ureport-1-600x269.png 600w, https:\/\/ureport.com.mx\/ureport\/wp-content\/uploads\/2023\/04\/logo-ureport-1-768x344.png 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2449fe5 elementor-widget__width-initial dce_masking-none elementor-widget elementor-widget-image\" data-id=\"2449fe5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.vademecum.es\/\" target=\"_blank\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"627\" height=\"798\" src=\"https:\/\/ureport.com.mx\/ureport\/wp-content\/uploads\/2023\/04\/Vidal.jpg\" class=\"attachment-large size-large wp-image-276\" alt=\"\" srcset=\"https:\/\/ureport.com.mx\/ureport\/wp-content\/uploads\/2023\/04\/Vidal.jpg 627w, https:\/\/ureport.com.mx\/ureport\/wp-content\/uploads\/2023\/04\/Vidal-471x600.jpg 471w\" sizes=\"(max-width: 627px) 100vw, 627px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-10822d0a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"10822d0a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4b4b021b\" data-id=\"4b4b021b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e726274 elementor-widget elementor-widget-heading\" data-id=\"e726274\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Todo lo aqu\u00ed reportado ser\u00e1 notificado a la empresa fabricante y titular del registro sanitario, para su debida notificaci\u00f3n a las autoridades sanitarias correspondientes.\n\u00a1Tu participaci\u00f3n es muy importante!<br><br>InEdufarm solo pretende facilitar y estimular el reporte de EA's\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1098af49 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1098af49\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div data-dce-background-color=\"#F8F8F8\" class=\"elementor-column elementor-col-100 elementor-inner-column 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data-settings=\"{&quot;step_next_label&quot;:&quot;Siguiente&quot;,&quot;step_previous_label&quot;:&quot;Anterior&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;dce_confirm_dialog_enabled&quot;:&quot;no&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;,&quot;label_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;field_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dce-conditions-js-error-notice  elementor-message elementor-message-danger\">A problem was detected in the following Form. Submitting it could result in errors. 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data-field-ids=\"[&quot;field_9023aec&quot;,&quot;field_21d1de5&quot;,&quot;field_74f530a&quot;,&quot;field_be333ba&quot;,&quot;field_4250ac7&quot;,&quot;field_101d97a&quot;,&quot;field_15d70a6&quot;,&quot;field_63fde7b&quot;,&quot;field_a776f69&quot;,&quot;field_0b7806f&quot;,&quot;field_7950bc5&quot;,&quot;name&quot;,&quot;field_c099ae9&quot;,&quot;email&quot;,&quot;field_2048843&quot;,&quot;field_4a60b16&quot;,&quot;field_88cc946&quot;,&quot;field_5844dfd&quot;,&quot;field_ce362bc&quot;,&quot;field_e23bf00&quot;,&quot;field_3b0a6f1&quot;,&quot;field_db5dad3&quot;,&quot;field_938c80f&quot;,&quot;field_ec7d602&quot;,&quot;field_421f4f3&quot;,&quot;field_8e7221a&quot;,&quot;field_636925b&quot;,&quot;field_d0bc2eb&quot;,&quot;field_0e30b34&quot;,&quot;field_1829c11&quot;,&quot;field_bc3382a&quot;,&quot;field_35ad113&quot;,&quot;field_610bb82&quot;,&quot;field_b9c0555&quot;,&quot;field_5d84d56&quot;,&quot;field_f543ed0&quot;,&quot;field_949d840&quot;,&quot;field_1de4ab3&quot;,&quot;field_2d84b79&quot;,&quot;field_96d074d&quot;,&quot;field_f27dfa6&quot;,&quot;field_043436c&quot;,&quot;field_b6f88b7&quot;,&quot;field_61a11e6&quot;,&quot;field_1b731b3&quot;,&quot;field_2ba0672&quot;,&quot;field_e8cf9a6&quot;,&quot;field_a1fbfd9&quot;,&quot;field_f40c573&quot;,&quot;field_b6e26a8&quot;,&quot;field_ed694f6&quot;,&quot;field_7d6364b&quot;,&quot;field_9a61837&quot;,&quot;field_3a4dd6c&quot;,&quot;field_c1c7679&quot;,&quot;field_60acd09&quot;,&quot;field_b201804&quot;,&quot;field_45e9378&quot;,&quot;field_e0c39a8&quot;,&quot;field_cd69354&quot;,&quot;field_3e1a4ee&quot;,&quot;field_35b8d32&quot;,&quot;field_c9a8c4a&quot;,&quot;field_351596d&quot;,&quot;field_338f10c&quot;,&quot;field_6578c62&quot;,&quot;field_0c51319&quot;,&quot;field_301af4a&quot;,&quot;field_fe0ed4b&quot;,&quot;field_231a079&quot;,&quot;field_8b0368b&quot;,&quot;field_8d294ca&quot;,&quot;field_22cf970&quot;,&quot;field_569ec9d&quot;,&quot;field_da4a829&quot;,&quot;field_28dbf21&quot;,&quot;field_099063c&quot;]\" class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_9023aec elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_21d1de5 elementor-col-100\">\n\t\t\t\t\t<H3 style=\"color:#3368C6\">1. Datos de la persona que reporta<H3>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_74f530a elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_74f530a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_74f530a]\" id=\"form-field-field_74f530a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_be333ba elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_be333ba\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfQuieres utilizar tu email o n\u00famero de tel\u00e9fono?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_be333ba]\" id=\"form-field-field_be333ba\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Email\">Email<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tel\u00e9fono\">Tel\u00e9fono<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_4250ac7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4250ac7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_4250ac7]\" id=\"form-field-field_4250ac7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_101d97a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_101d97a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel\u00e9fono \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_101d97a]\" id=\"form-field-field_101d97a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_15d70a6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_15d70a6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEres profesional de la salud?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_15d70a6]\" id=\"form-field-field_15d70a6\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_63fde7b elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_63fde7b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOcupaci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_63fde7b]\" id=\"form-field-field_63fde7b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_a776f69 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Acepto la &lt;a href=&quot;https:\/\/edufarm.org.mx\/?page_id=32&quot;&gt;Pol\u00edtica de privacidad&lt;\/a&gt; *\" id=\"form-field-field_a776f69-0\" name=\"form_fields[field_a776f69]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_a776f69-0\">Acepto la <a href=\"https:\/\/edufarm.org.mx\/?page_id=32\">Pol\u00edtica de privacidad<\/a> *<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0b7806f elementor-col-100\">\n\t\t\t\t\t<p style=\"color:#3368C6\">* Campos obligatorios<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_7950bc5 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\" \" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-name elementor-col-100\">\n\t\t\t\t\t<H3 style=\"color:#3368C6\">2. Datos del paciente<H3>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c099ae9 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c099ae9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIniciales del paciente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c099ae9]\" id=\"form-field-field_c099ae9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-email elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSexo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hombre\">Hombre<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mujer \">Mujer <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_2048843 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2048843\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de nacimiento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2048843]\" id=\"form-field-field_2048843\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_4a60b16 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\" \" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_88cc946 elementor-col-100\">\n\t\t\t\t\t<H3 style=\"color:#3368C6\">3. Producto<H3>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5844dfd elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5844dfd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre del medicamento*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5844dfd]\" id=\"form-field-field_5844dfd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ce362bc elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ce362bc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPrincipio activo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ce362bc]\" id=\"form-field-field_ce362bc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e23bf00 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e23bf00\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLaboratorio productor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e23bf00]\" id=\"form-field-field_e23bf00\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3b0a6f1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3b0a6f1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLote\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3b0a6f1]\" id=\"form-field-field_3b0a6f1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_db5dad3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_db5dad3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de caducidad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_db5dad3]\" id=\"form-field-field_db5dad3\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_938c80f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_938c80f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIndicaci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_938c80f]\" id=\"form-field-field_938c80f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ec7d602 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ec7d602\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDosis\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ec7d602]\" id=\"form-field-field_ec7d602\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_421f4f3 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_421f4f3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFrecuencia de administraci\u00f3n \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_421f4f3]\" id=\"form-field-field_421f4f3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_8e7221a elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8e7221a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_8e7221a]\" id=\"form-field-field_8e7221a\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Minutos\">Minutos<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Horas\">Horas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"D\u00edas\">D\u00edas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Semana \">Semana <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mes\">Mes<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_636925b elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_636925b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tV\u00eda de administraci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_636925b]\" id=\"form-field-field_636925b\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Oral\">Oral<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sublingual\">Sublingual<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Intramuscular\">Intramuscular<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Intravenosa\">Intravenosa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Subcut\u00e1nea\">Subcut\u00e1nea<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Oft\u00e1lmica\">Oft\u00e1lmica<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nasal\">Nasal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\u00d3tica\">\u00d3tica<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rectal\">Rectal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Vaginal\">Vaginal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Otra\">Otra<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_d0bc2eb elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d0bc2eb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de inicio del tratamiento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_d0bc2eb]\" id=\"form-field-field_d0bc2eb\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_0e30b34 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0e30b34\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfSe suspendi\u00f3 el medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_0e30b34]\" id=\"form-field-field_0e30b34\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_1829c11 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1829c11\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de suspensi\u00f3n del tratamiento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_1829c11]\" id=\"form-field-field_1829c11\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_bc3382a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bc3382a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEl evento desapareci\u00f3 despu\u00e9s de la suspensi\u00f3n del medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_bc3382a]\" id=\"form-field-field_bc3382a\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_35ad113 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_35ad113\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfSe readministro el medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_35ad113]\" id=\"form-field-field_35ad113\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_610bb82 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_610bb82\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEl evento reapareci\u00f3 despu\u00e9s de la readministraci\u00f3n del medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_610bb82]\" id=\"form-field-field_610bb82\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b9c0555 elementor-col-100\">\n\t\t\t\t\t<p style=\"color:#3368C6\">* Campos obligatorios<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_5d84d56 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f543ed0 elementor-col-100\">\n\t\t\t\t\t<H3 style=\"color:#3368C6\">4. Eventos<H3>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_949d840 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_949d840\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEvento Adverso *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_949d840]\" id=\"form-field-field_949d840\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_1de4ab3 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1de4ab3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de inicio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_1de4ab3]\" id=\"form-field-field_1de4ab3\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_2d84b79 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2d84b79\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de termino\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2d84b79]\" id=\"form-field-field_2d84b79\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_96d074d elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_96d074d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGravedad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_96d074d]\" id=\"form-field-field_96d074d\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grave \">Grave <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No Grave \">No Grave <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f27dfa6 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f27dfa6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfConsidera el evento relacionado al uso del medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_f27dfa6]\" id=\"form-field-field_f27dfa6\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_043436c elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_043436c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tResultado del evento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_043436c]\" id=\"form-field-field_043436c\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fatal \">Fatal <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No recuperado\">No recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado\">Recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado con secuelas\">Recuperado con secuelas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuper\u00e1ndose\">Recuper\u00e1ndose<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Desconocido\">Desconocido<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_b6f88b7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b6f88b7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t \u00bfQuieres reportar otro evento adverso?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_b6f88b7]\" id=\"form-field-field_b6f88b7\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_61a11e6 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_61a11e6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEvento Adverso *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_61a11e6]\" id=\"form-field-field_61a11e6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_1b731b3 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1b731b3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de inicio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_1b731b3]\" id=\"form-field-field_1b731b3\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_2ba0672 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ba0672\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de termino\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2ba0672]\" id=\"form-field-field_2ba0672\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_e8cf9a6 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e8cf9a6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGravedad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_e8cf9a6]\" id=\"form-field-field_e8cf9a6\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grave \">Grave <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No Grave \">No Grave <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_a1fbfd9 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a1fbfd9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfConsidera el evento relacionado al uso del medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_a1fbfd9]\" id=\"form-field-field_a1fbfd9\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f40c573 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f40c573\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tResultado del evento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_f40c573]\" id=\"form-field-field_f40c573\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fatal \">Fatal <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No recuperado\">No recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado\">Recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado con secuelas\">Recuperado con secuelas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuper\u00e1ndose\">Recuper\u00e1ndose<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Desconocido\">Desconocido<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_b6e26a8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b6e26a8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t \u00bfQuieres reportar otro evento adverso?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_b6e26a8]\" id=\"form-field-field_b6e26a8\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ed694f6 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ed694f6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEvento Adverso *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ed694f6]\" id=\"form-field-field_ed694f6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_7d6364b elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7d6364b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de inicio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_7d6364b]\" id=\"form-field-field_7d6364b\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_9a61837 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9a61837\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de termino\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_9a61837]\" id=\"form-field-field_9a61837\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3a4dd6c elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3a4dd6c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGravedad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_3a4dd6c]\" id=\"form-field-field_3a4dd6c\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grave \">Grave <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No Grave \">No Grave <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_c1c7679 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c1c7679\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfConsidera el evento relacionado al uso del medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_c1c7679]\" id=\"form-field-field_c1c7679\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_60acd09 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_60acd09\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tResultado del evento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_60acd09]\" id=\"form-field-field_60acd09\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fatal \">Fatal <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No recuperado\">No recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado\">Recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado con secuelas\">Recuperado con secuelas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuper\u00e1ndose\">Recuper\u00e1ndose<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Desconocido\">Desconocido<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_b201804 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b201804\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t \u00bfQuieres reportar otro evento adverso?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_b201804]\" id=\"form-field-field_b201804\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_45e9378 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_45e9378\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEvento Adverso *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_45e9378]\" id=\"form-field-field_45e9378\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_e0c39a8 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e0c39a8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de inicio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_e0c39a8]\" id=\"form-field-field_e0c39a8\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_cd69354 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cd69354\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de termino\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_cd69354]\" id=\"form-field-field_cd69354\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3e1a4ee elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3e1a4ee\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGravedad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_3e1a4ee]\" id=\"form-field-field_3e1a4ee\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grave \">Grave <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No Grave \">No Grave <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_35b8d32 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_35b8d32\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfConsidera el evento relacionado al uso del medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_35b8d32]\" id=\"form-field-field_35b8d32\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_c9a8c4a elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c9a8c4a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tResultado del evento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_c9a8c4a]\" id=\"form-field-field_c9a8c4a\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fatal \">Fatal <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No recuperado\">No recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado\">Recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado con secuelas\">Recuperado con secuelas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuper\u00e1ndose\">Recuper\u00e1ndose<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Desconocido\">Desconocido<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_351596d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_351596d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t \u00bfQuieres reportar otro evento adverso?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_351596d]\" id=\"form-field-field_351596d\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_338f10c elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_338f10c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEvento Adverso *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_338f10c]\" id=\"form-field-field_338f10c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_6578c62 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6578c62\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de inicio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_6578c62]\" id=\"form-field-field_6578c62\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_0c51319 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0c51319\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de termino\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_0c51319]\" id=\"form-field-field_0c51319\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_301af4a elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_301af4a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGravedad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_301af4a]\" id=\"form-field-field_301af4a\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grave \">Grave <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No Grave \">No Grave <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_fe0ed4b elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fe0ed4b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfConsidera el evento relacionado al uso del medicamento?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_fe0ed4b]\" id=\"form-field-field_fe0ed4b\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Si\">Si<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_231a079 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_231a079\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tResultado del evento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_231a079]\" id=\"form-field-field_231a079\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fatal \">Fatal <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No recuperado\">No recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado\">Recuperado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuperado con secuelas\">Recuperado con secuelas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Recuper\u00e1ndose\">Recuper\u00e1ndose<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Desconocido\">Desconocido<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8b0368b elementor-col-100\">\n\t\t\t\t\t<p style=\"color:#3368C6\">* Campos obligatorios<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8d294ca elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\" \" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_22cf970 elementor-col-100\">\n\t\t\t\t\t<H3 style=\"color:#3368C6\">5.  Describa lo sucedido<H3>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_569ec9d elementor-col-100\">\n\t\t\t\t\t<p style=\"color:#3368C6\"> Ej. Narrativa o informaci\u00f3n adicional del evento (el d\u00eda de hoy present\u00e9 n\u00e1useas al estar tomando naproxeno), fotos de recetas, resultados de laboratorio o fotos del\u00a0medicamento.<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_da4a829 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_da4a829\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMensaje\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_da4a829]\" id=\"form-field-field_da4a829\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_28dbf21 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_28dbf21\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t Los formatos validos para subir son: .pdf, .png, .jpg\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_28dbf21][]\" id=\"form-field-field_28dbf21\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" multiple=\"multiple\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_099063c elementor-col-100\">\n\t\t\t\t\t<p style=\"color:#3368C6\">* Campos obligatorios<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-sm\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Todo lo aqu\u00ed reportado ser\u00e1 notificado a la empresa fabricante y titular del registro sanitario, para su debida notificaci\u00f3n a las autoridades sanitarias correspondientes. \u00a1Tu participaci\u00f3n es muy importante! InEdufarm solo pretende facilitar y estimular el reporte de EA&#8217;s<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","_joinchat":[],"footnotes":""},"class_list":["post-13","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/pages\/13","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/comments?post=13"}],"version-history":[{"count":195,"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/pages\/13\/revisions"}],"predecessor-version":[{"id":403,"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/pages\/13\/revisions\/403"}],"wp:attachment":[{"href":"https:\/\/ureport.com.mx\/ureport\/wp-json\/wp\/v2\/media?parent=13"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}