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[null,null,"地域連携診療計画書"]
[]
["バージョンは5.23です。"]
["計画書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同意書",null,null,null,null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,null,"急性期【入力】",null,null,null,"急性期【用紙】",null,null,null,null,"急入院【印刷】",null,null,null,"急退院【印刷】",null,null,null,null,null,null,"急性期【用紙】",null,null,null,null,"急性期【印刷】",null,null,null,null,null,null,"急性期【用紙】",null,null,null,null,null,"全体連携図"]
[null,null,"回復期【入力】",null,null,null,"回復期【用紙】",null,null,null,null,"回復期【印刷】",null,null,null,null,null,null,null,null,null,null,"回復期【用紙】",null,null,null,null,"回復期【印刷】",null,null,null,null,null,null,"回復期【用紙】",null,null,null,null,null,"地域連携"]
[null,null,"生(施)【入力】",null,null,null,"生(施)【用紙】",null,null,null,null,"生(施)【印刷】",null,null,null,null,null,null,null,null,null,null,"生(施)【用紙】",null,null,null,null,"生(施)【印刷】",null,null,null,null,null,null,"生(施)【用紙】"]
[null,null,"生(在)【入力】",null,null,null,"生(在)【用紙】",null,null,null,null,"生(在)【印刷】",null,null,null,null,null,null,null,null,null,null,"生(在)【用紙】",null,null,null,null,"生(在)【印刷】",null,null,null,null,null,null,"生(在)【用紙】"]
[]
[]
[null,null,"地域連携診療計画書入力"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"計画書・同意書印刷構成"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急入院【印刷】",null,null,null,null,"退院予定先",null,null,null,null,"✔","回復期",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(在宅)計画書",null,null,null,null,"＋","急性期同意書"]
[null,"急性期：入院７日以内入力",null,null,null,null,null,null,null,null,null,null,null,"※入力フォーム以外の項目は、\n　　直接計画書の用紙を修正ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,"※入力フォーム以外の項目は、\n　　直接計画書の用紙を修正ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期：施設）退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,"※入力フォーム以外の項目は、\n　　直接計画書の用紙を修正ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期：在宅）初診時入力",null,null,null,null,null,null,null,null,null,null,null,"※入力フォーム以外の項目は、\n　　直接計画書の用紙を修正ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"✔","生活期(施設)",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(施設)計画書",null,null,null,null,"＋","急性期同意書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"✔","生活期(在宅)",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(在宅)計画書",null,null,null,null,"＋","急性期同意書"]
[null,"加賀パスID",null,null,null,null,null,null,null,null,null,null,null,"☜加賀パスIDは、８桁の数字からなり、\n　　最初の３桁が連携パス施設コード\n　　次の２桁が登録年（2015年＝15，2016年＝16）\n　　最後の３桁が各病院での当該年の連番とする。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期施設","施設区分",null,null,null,null,null,false,"回復期リハビリテーション病棟",null,null,null,null,null,null,null,null,false,"地域包括ケア病棟",null,null,null,null,null,null,null,null,null,"生活期施設","施設区分",null,null,null,null,null,false,"医療療養病棟",null,null,null,null,false,"介護療養型病棟",null,null,null,null,false,"介護老人保健施設",null,null,null,null,null,null,"生活場所","区分",null,null,null,null,null,false,"自宅",null,null,null,null,false,"介護老人福祉施設",null,null,null,null,false,"グループホーム",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急退院【印刷】",null,null,null,null,"退院予定先",null,null,null,null,"✔","回復期",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(在宅)計画書"]
[null,"対象者","フリカナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,"一般病棟",null,null,null,false,"医療療養病棟",null,null,null,false,"介護老人保健施設",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,"一般病棟",null,null,null,null,false,"地域包括ケア病棟",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,"軽費老人ホーム",null,null,null,null,false,"高齢者専用賃貸住宅",null,null,null,null,false,"有料老人ホーム",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"✔","生活期(施設)",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(施設)計画書"]
[null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,"サービス付き高齢者向け住宅",null,null,null,null,null,null,null,null,null,null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"✔","生活期(在宅)",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(在宅)計画書"]
[null,null,"性別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設名"]
[null,null,"生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医","名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】",null,null,null,null,"退院予定先",null,null,null,null,"✔","生活期(施設)",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(施設)計画書",null,null,null,null,"＋","回復期同意書"]
[null,null,"住所",null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"✔","生活期(在宅)",null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(在宅)計画書",null,null,null,null,"＋","回復期同意書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL"]
[null,null,"TEL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(施設)計画書",null,null,null,null,"＋","生活期(在宅)計画書",null,null,null,null,"＋","生活期(施設)同意書"]
[null,"急性期医療機関","名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科"]
[null,null,"住所",null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院・入所日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院・入所日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【印刷】",null,null,null,null,null,null,"✔","回復期データの引用",null,null,null,null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(在宅)計画書",null,null,null,null,"＋","生活期(在宅)同意書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"初診日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"✔","生活期（施設）データの引用",null,null,null,null,null,null,"➠","急性期計画書",null,null,null,null,"＋","回復期計画書",null,null,null,null,"＋","生活期(施設)計画書",null,null,null,null,"＋","生活期(在宅)計画書",null,null,null,null,"＋","生活期(在宅)同意書"]
[null,null,"病院長名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所時",null,null,null,"食事",null,false,"点滴",null,null,null,false,"経管栄養",null,null,null,false,"経口摂取",null,null,null,null,null,null,null,null,null,null,"退院・退所時",null,null,null,"食事",null,false,"点滴",null,null,null,false,"経管栄養",null,null,null,false,"経口摂取",null,null,null,null,null,null,null,null,"計画書説明日"]
[null,null,"TEL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,false,"清拭",null,null,null,false,"ｼｬﾜｰ浴",null,null,null,false,"一般浴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,false,"清拭",null,null,null,false,"ｼｬﾜｰ浴",null,null,null,false,"一般浴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","回復期から退院してきた患者に説明する場合、"]
[null,null,"診療科",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,false,"導尿",null,null,null,false,"ﾍﾞｯﾄﾞ上",null,null,null,false,"ﾄｲﾚ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,false,"導尿",null,null,null,false,"ﾍﾞｯﾄﾞ上",null,null,null,false,"ﾄｲﾚ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"「回復期データの引用」にチェックを入れてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"計画書情報引用構成"]
[null,null,"主治医",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所予定先",null,null,null,null,null,false,"生活期（施設）",null,null,null,false,"生活期（在宅）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"計画書説明日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","生活期（施設）から退院してきた患者に説明する場合、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期",null,null,null,"予定期間",null,null,null,null,null,null,null,null,null,"約",null,{"$f":"DATEDIF(FD32,FT32,\"M\")","v":{"$error":"#VALUE!"}},null,null,"ヶ月",null,"で退院の予定です"]
[null,null,"病名",null,null,null,null,false,"脳梗塞",null,null,null,false,"脳出血",null,null,null,false,"くも膜下出血",null,null,null,null,null,null,null,null,null,"計画書説明日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","生活期（施設）の退院時に患者さんに説明する場合、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"「生活期（施設）データの引用」にチェックを入れてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経過",null,"入院日",null,null,null,null,null,null,"～",null,{"$f":"IF(FM30=\"\",\"－\",FM30/2)","v":{"$error":"#VALUE!"}},null,null,"ヶ月",null,"～",null,"退院前",null,null,null,null,"退院日"]
[null,null,"入院日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","回復期の退院時に患者さんに説明する場合、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"必ず「引用する」にチェックを入れてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月日",null,{"$f":"IF(ISBLANK(AJ25),\"－\",AJ25)","v":"－"},null,null,null,null,null,null,"～",null,{"$f":"IF(FD32=\"－\",\"－\",FD32+30*ROUND(FM31,0))","v":"－"},null,null,null,null,"～",null,{"$f":"IF(ISBLANK(AJ26),\"－\",AJ26)","v":"－"}]
[null,null,"入院予定期間",null,null,null,null,null,null,null,null,null,null,"週間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"必ず「引用する」にチェックを入れてください。"]
[null,null,"手術",null,null,null,null,false,"不明",null,null,null,false,"有",null,null,null,false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF(AJ27 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   )  & IF(AO27 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   ) & IF(AT27 =TRUE,\"状態に合わせて通常の食事や治療食を提供します\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"必要に応じて、退院後の生活の指導や訓練、ｽﾀｯﾌによる住宅訪問、自宅への試験外泊などを行います",null,null,null,null,"摂取方法",null,{"$f":"IF(ISBLANK(栄養!DR186),\"－\",栄養!DR186)","v":"－"}]
[null,null,"入院時",null,null,"症状",null,false,"意識障害",null,null,null,false,"言語障害",null,null,null,false,"麻痺",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"IF(ISBLANK(栄養!DR188),\"－\",栄養!DR188)","v":"－"}]
[null,null,null,null,null,"食事",null,false,"点滴",null,null,null,false,"経管栄養",null,null,null,false,"経口摂取",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"IF(ISBLANK(栄養!DR189),\"－\",栄養!DR189)","v":"－"}]
[null,null,null,null,null,"清潔",null,false,"清拭",null,null,null,false,"ｼｬﾜｰ浴",null,null,null,false,"一般浴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"IF(AJ28 =TRUE,\"状態に合わせて清拭や洗髪あるいはｼｬﾜｰ浴や一般浴で行います\" & \" \",\"\"   )  & IF(AO28 =TRUE,\"状態に合わせてｼｬﾜｰ浴あるいは一般浴で行います\" & \" \",\"\"   ) & IF(AT28 =TRUE,\"一般浴を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔方法",null,{"$f":"IF(ISBLANK(看護!DT199),\"－\",看護!DT199)","v":"－"}]
[null,null,null,null,null,"排泄",null,false,"導尿",null,null,null,false,"ﾍﾞｯﾄﾞ上",null,null,null,false,"ﾄｲﾚ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,{"$f":"IF(ISBLANK(看護!DQ199),\"－\",看護!DQ199)","v":"－"}]
[null,null,"退院予定先",null,null,null,null,false,"回復期",null,null,null,false,"生活期（施設）",null,null,null,false,"生活期（在宅）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,null,{"$f":"IF(AJ29 =TRUE,\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\" & \" \",\"\"   )  & IF(AO29 =TRUE,\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\" & \" \",\"\"   ) & IF(AT29 =TRUE,\"ﾄｲﾚで排泄を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",null,{"$f":"IF(ISBLANK(看護!DQ203),\"－\",看護!DQ203)","v":"－"}]
[null,"回復期入院予定期間",null,null,null,null,null,null,null,null,null,null,null,"ヶ月",null,"☜回復期入院予定がない場合は、未記入",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,{"$f":"IF(ISBLANK(看護!DQ202),\"－\",看護!DQ202)","v":"－"}]
[null,"計画書説明日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期",null,null,null,"食事",null,null,{"$f":"IF(AJ27 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   )  & IF(AO27 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   ) & IF(AT27 =TRUE,\"状態に合わせて通常の食事や治療食を提供します\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所時状態",null,"摂取方法",null,null,{"$f":"IF(ISBLANK(栄養!CU316),\"－\",栄養!CU316)","v":"－"}]
[null,"急性期：退院時入力",null,null,null,null,null,null,null,null,null,null,null,"※入力フォーム以外の項目は、\n　　直接計画書の用紙を修正ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,null,{"$f":"IF(ISBLANK(栄養!CU318),\"－\",栄養!CU318)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期データの引用",null,null,null,null,null,null,false,"引用する",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,null,{"$f":"IF(ISBLANK(栄養!CU319),\"－\",栄養!CU319)","v":"－"}]
[null,"急性期医療機関退院日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期データの引用",null,null,null,null,null,null,false,"引用する",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期（施設）データの引用",null,null,null,null,null,null,false,"引用する",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期（施設）データの引用",null,null,null,null,null,null,false,"引用する",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"IF(AJ28 =TRUE,\"状態に合わせて清拭や洗髪あるいはｼｬﾜｰ浴や一般浴で行います\" & \" \",\"\"   )  & IF(AO28 =TRUE,\"状態に合わせてｼｬﾜｰ浴あるいは一般浴で行います\" & \" \",\"\"   ) & IF(AT28 =TRUE,\"一般浴を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔方法",null,null,{"$f":"IF(ISBLANK(看護!CW465),\"－\",看護!CW465)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,{"$f":"IF(ISBLANK(看護!CT465),\"－\",看護!CT465)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,null,{"$f":"IF(AJ29 =TRUE,\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\" & \" \",\"\"   )  & IF(AO29 =TRUE,\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\" & \" \",\"\"   ) & IF(AT29 =TRUE,\"ﾄｲﾚで排泄を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",null,null,{"$f":"IF(ISBLANK(看護!CT469),\"－\",看護!CT469)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,{"$f":"IF(ISBLANK(看護!CT468),\"－\",看護!CT468)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期",null,null,null,"居宅事業所",null,null,"事業所名",null,null,null,{"$f":"IF(ISBLANK(福祉!AG230),\"－\",福祉!AG230)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(福祉!AG231),\"－\",福祉!AG231)","v":"－"}]
[null,null,"地域連携診療計画書用紙"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"在宅",null,null,null,"食事",null,null,"状態により各種介護サービスを利用しましょう"]
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[null,"地域連携診療計画書(急性期)\n加賀脳卒中地域連携クリティカルパス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明日",null,{"$f":"IF(ISBLANK(H41),\"－\",H41)","v":"－"},null,null,null,null,null,null,null,"地域連携診療計画書(回復期)\n加賀脳卒中地域連携クリティカルパス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明日",null,{"$f":"IF(ISBLANK(AJ31),\"－\",AJ31)","v":"－"},null,null,null,null,null,null,null,"地域連携診療計画書(生活期)\n加賀脳卒中地域連携クリティカルパス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明日",null,{"$f":"IF(ISBLANK(BL30),\"－\",BL30)","v":"－"},null,null,null,null,null,null,null,"地域連携診療計画書(生活期)\n加賀脳卒中地域連携クリティカルパス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明日",null,{"$f":"IF(ISBLANK(CM27),\"－\",CM27)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明者\n(直筆)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明者\n(直筆)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明者\n(直筆)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明者\n(直筆)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※急性期入院時"]
["フリカナ",null,null,{"$f":"IF(ISBLANK(H17),\"－\",H17)","v":"－"},null,null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(H19),\"－\",H19)","v":"－"},null,"年齢",null,{"$f":"DATEDIF(H20,H41,\"Y\")","v":0},null,"病名",null,{"$f":"IF(H31 =TRUE,I31 & \" \",\"\"   )  & IF(M31 =TRUE,N31 & \" \",\"\"   ) & IF(R31 =TRUE,S31 & \" \",\"\"   )","v":""},null,null,null,null,null,null,"フリカナ",null,null,{"$f":"IF(ISBLANK(D57),\"－\",D57)","v":"－"},null,null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(M57),\"－\",M57)","v":"－"},null,"年齢",null,{"$f":"DATEDIF(H20,AJ31,\"Y\")","v":0},null,"病名",null,{"$f":"IF(ISBLANK(U57),\"－\",U57)","v":""},null,null,null,null,null,null,"フリカナ",null,null,{"$f":"IF(ISBLANK(D57),\"－\",D57)","v":"－"},null,null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(M57),\"－\",M57)","v":"－"},null,"年齢",null,{"$f":"DATEDIF(H20,BL30,\"Y\")","v":0},null,"病名",null,{"$f":"IF(ISBLANK(U57),\"－\",U57)","v":""},null,null,null,null,null,null,"フリカナ",null,null,{"$f":"IF(ISBLANK(D57),\"－\",D57)","v":"－"},null,null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(M57),\"－\",M57)","v":"－"},null,"年齢",null,{"$f":"DATEDIF(H20,CM27,\"Y\")","v":0},null,"病名",null,{"$f":"IF(ISBLANK(U57),\"－\",U57)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,null,"●","訪問系サービス",null,null,null,null,{"$f":"IF(福祉!K244=FALSE,\"□\",IF(福祉!K244=TRUE,\"■\"))","v":"□"},"訪問介護",null,null,null,null,{"$f":"IF(福祉!K246=FALSE,\"□\",IF(福祉!K246=TRUE,\"■\"))","v":"□"},"訪問看護",null,null,null,null,{"$f":"IF(福祉!K248=FALSE,\"□\",IF(福祉!K248=TRUE,\"■\"))","v":"□"},"訪問ﾘﾊﾋﾞﾘﾃｰｼｮﾝ"]
["氏名",null,null,{"$f":"IF(ISBLANK(H18),\"－\",H18)","v":"－"},null,null,null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(H21),\"－\",H21)","v":"－"},null,null,{"$f":"IF(ISBLANK(H22),\"－\",H22)","v":"－"},null,null,null,null,null,null,null,null,null,null,"氏名",null,null,{"$f":"IF(ISBLANK(D58),\"－\",D58)","v":"－"},null,null,null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(N58),\"－\",N58)","v":"－"},null,null,{"$f":"IF(ISBLANK(Q58),\"－\",Q58)","v":"－"},null,null,null,null,null,null,null,null,null,null,"氏名",null,null,{"$f":"IF(ISBLANK(D58),\"－\",D58)","v":"－"},null,null,null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(N58),\"－\",N58)","v":"－"},null,null,{"$f":"IF(ISBLANK(Q58),\"－\",Q58)","v":"－"},null,null,null,null,null,null,null,null,null,null,"氏名",null,null,{"$f":"IF(ISBLANK(D58),\"－\",D58)","v":"－"},null,null,null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(N58),\"－\",N58)","v":"－"},null,null,{"$f":"IF(ISBLANK(Q58),\"－\",Q58)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者・家族\nへの説明"]
[]
["急性期",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●","居宅療養管理指導",null,null,null,null,{"$f":"IF(福祉!K256=FALSE,\"□\",IF(福祉!K256=TRUE,\"■\"))","v":"□"},"医療",null,null,{"$f":"IF(福祉!K258=FALSE,\"□\",IF(福祉!K258=TRUE,\"■\"))","v":"□"},"薬剤",null,null,{"$f":"IF(福祉!K260=FALSE,\"□\",IF(福祉!K260=TRUE,\"■\"))","v":"□"},"歯科",null,null,{"$f":"IF(福祉!K262=FALSE,\"□\",IF(福祉!K262=TRUE,\"■\"))","v":"□"},"栄養"]
[null,null,null,"基準",null,"脳梗塞、脳出血またはくも膜下出血を発症し、治療を実施している方",null,null,null,null,null,null,null,null,null,null,null,"退院\n予定先",null,{"$f":"IF(H39=FALSE,\"□\",IF(H39=TRUE,\"■\"))","v":"□"},"回復期",null,null,{"$f":"IF(M39=FALSE,\"□\",IF(M39=TRUE,\"■\"))","v":"□"},"生活期(施設)",null,null,null,null,null,"基準",null,"●","日常生活に困難がある。または神経症状を有している。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自宅",null,"基準",null,"●","自宅での生活が可能な身体・認知能力である",null,null,null,null,null,null,null,null,"●","在宅でのリハビリ・ケアを理解し同意している",null,null,null,null,null,null,null,null,null,null,null,"自宅",null,"基準",null,"●","自宅での生活が可能な身体・認知能力である",null,null,null,null,null,null,null,null,"●","在宅でのリハビリ・ケアを理解し同意している"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(R39=FALSE,\"□\",IF(R39=TRUE,\"■\"))","v":"□"},"生活期(在宅)",null,null,null,null,null,null,null,null,null,null,null,"●","病院でリハビリを継続する必要がある。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設",null,null,"施設",null,"基準",null,"●","現状では在宅での生活は困難である",null,null,null,null,null,null,null,null,"●","施設でリハビリやケアを行う必要がある",null,null,null,null,null,null,null,null,"在宅",null,null,"施設",null,"基準",null,"●","現状では在宅での生活は困難である",null,null,null,null,null,null,null,null,"●","施設でリハビリやケアを行う必要がある"]
["医療機関名",null,null,{"$f":"IF(ISBLANK(H24),\"－\",H24)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(H30),\"－\",H30)","v":"－"},null,null,null,null,null,null,null,"施設名",null,null,{"$f":"IF(ISBLANK(AJ18),\"－\",AJ18)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(AJ24),\"－\",AJ24)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病院",null,"基準",null,"●","現状では在宅での生活は困難である",null,null,null,null,null,null,null,null,"●","病院でリハビリや医学的管理を行う必要がある",null,null,null,null,null,null,null,null,null,null,null,"病院",null,"基準",null,"●","現状では在宅での生活は困難である",null,null,null,null,null,null,null,null,"●","病院でリハビリや医学的管理を行う必要がある"]
["医療機関住所",null,null,"〒",{"$f":"IF(ISBLANK(H25),\"－\",H25)","v":"－"},null,null,{"$f":"IF(ISBLANK(H26),\"－\",H26)","v":"－"},null,null,null,null,null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(H28),\"－\",H28)","v":"－"},null,null,null,null,null,null,null,"施設住所",null,null,"〒",{"$f":"IF(ISBLANK(AJ19),\"－\",AJ19)","v":"－"},null,null,{"$f":"IF(ISBLANK(AJ20),\"－\",AJ20)","v":"－"},null,null,null,null,null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(AJ22),\"－\",AJ22)","v":"－"},null,null,null,null,null,null,null,"施設名",null,null,{"$f":"IF(ISBLANK(BL18),\"－\",BL18)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(BL24),\"－\",BL24)","v":"－"},null,null,null,null,null,null,null,"生活場所",null,null,"区分",null,null,null,{"$f":"IF(CM16 =TRUE,CN16 & \" \",\"\"   )  & IF(CS16 =TRUE,CT16 & \" \",\"\"   ) & IF(CY16 =TRUE,CZ16 & \" \",\"\"   ) & IF(CM17 =TRUE,CN17 & \" \",\"\"   ) & IF(CS17 =TRUE,CT17 & \" \",\"\"   ) & IF(CY17 =TRUE,CZ17 & \" \",\"\"   ) & IF(CM18 =TRUE,CN18 & \" \",\"\"   )& IF(CY18 =TRUE,CZ18 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,"施設名",null,null,null,{"$f":"IF(ISBLANK(CM19),\"－\",CM19)","v":"－"}]
["予定期間",null,null,"全身状態がよければ",null,null,null,null,null,null,"約",null,{"$f":"IF(ISBLANK(H33),\"－\",H33)","v":"－"},null,"週間",null,"で退院の予定です",null,null,null,null,null,null,null,null,null,null,"予定期間",null,null,null,null,null,null,null,null,null,"約",null,{"$f":"IF( AJ45=TRUE,  FM30,  IF(ISBLANK(H40),\"－\",H40)  )","v":"－"},null,null,"ヶ月",null,"で退院の予定です",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ\n医療機関",null,null,"医療機関名",null,null,null,{"$f":"IF(ISBLANK(CM20),\"－\",CM20)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(CM25),\"－\",CM25)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期",null,null,null,"食事",null,null,{"$f":"IF(BL27 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   )  & IF(BQ27 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   ) & IF(BV27 =TRUE,\"状態に合わせて通常の食事や治療食を提供します\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所時状態",null,"摂取方法",null,null,{"$f":"IF(ISBLANK(栄養!CU340),\"－\",栄養!CU340)","v":"－"}]
[null,"経過",null,"入院日",null,null,null,null,null,"～",{"$f":"IF(H33=\"\",\"－\",H33/4)","v":"－"},null,"週目",null,"～",{"$f":"IF(H33=\"\",\"－\",H33/2)","v":"－"},null,"週目",null,"～","退院前",null,null,null,"退院日",null,null,null,"経過",null,"入院日",null,null,null,null,null,null,"～",null,{"$f":"IF( AJ45=TRUE,  FM31, IF(H40=\"\",\"－\",H40/2)  )","v":"－"},null,null,"ヶ月",null,"～",null,"退院前",null,null,null,null,"退院日",null,null,"施設住所",null,null,"〒",{"$f":"IF(ISBLANK(BL19),\"－\",BL19)","v":"－"},null,null,{"$f":"IF(ISBLANK(BL20),\"－\",BL20)","v":"－"},null,null,null,null,null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(BL22),\"－\",BL22)","v":"－"},null,null,null,null,null,null,null,null,null,null,"医療機関住所",null,null,null,"〒",{"$f":"IF(ISBLANK(CM21),\"－\",CM21)","v":"－"},null,null,{"$f":"IF(ISBLANK(CM22),\"－\",CM22)","v":"－"},null,null,null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(CM23),\"－\",CM23)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,null,{"$f":"IF(ISBLANK(栄養!CU342),\"－\",栄養!CU342)","v":"－"}]
[null,"月日",null,{"$f":"IF(ISBLANK(H32),\"－\",H32)","v":"－"},null,null,null,null,null,"～",{"$f":"IF(D68=\"－\",\"－\",D68+7*ROUND(K67,0))","v":"－"},null,null,null,"～",{"$f":"IF(D68=\"－\",\"－\",D68+7*ROUND(P67,0))","v":"－"},null,null,null,"～",{"$f":"IF(D68=\"－\",\"－\",D68+7*M66)","v":"－"},null,null,null,null,null,null,null,"月日",null,{"$f":"IF( AJ45=TRUE,  FD32, IF(AN66=\"－\",\"－\",U68)  )","v":"－"},null,null,null,null,null,null,"～",null,null,null,null,null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",null,null,"事業所名",null,null,null,{"$f":"IF( AJ45=TRUE, FH74, IF(ISBLANK(福祉!AK42),\"－\",福祉!AK42)   )","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF( AJ45=TRUE, FV74, IF(ISBLANK(福祉!AK43),\"－\",福祉!AK43) )","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,null,{"$f":"IF(ISBLANK(栄養!CU343),\"－\",栄養!CU343)","v":"－"}]
["目標",null,null,"診断の確定をします\n治療方針の決定後、症状を最小限にくいとめる",null,null,null,null,null,"症状改善を目指します\n再発防止を目指します",null,null,null,null,null,null,null,null,null,"病状に応じた今後の方向性を決定します\n再発防止を目指します",null,null,null,null,null,null,null,"目標",null,null,"病状に応じたﾘﾊﾋﾞﾘﾃｰｼｮﾝ計画を決定します\n退院先と入院期間を決定します\n再発防止を目指します",null,null,null,null,null,null,"機能障害の改善、日常生活の動作や活動の拡大を目指します\n再発防止を目指します",null,null,null,null,null,null,"退院後の生活に向けた支援をします\n再発防止を目指します",null,null,null,null,null,null,null,null,null,"目標",null,null,"再発予防と健康生活の維持・向上",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目標",null,null,"再発予防と健康生活の維持・向上",null,null,null,null,null,"到達目標\nステージ",null,null,null,{"$f":"IF(ISBLANK(リハ!AI26),\"－\",リハ!AI26)","v":"－"},null,{"$f":"IF(CQ69=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(CQ69=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(CQ69=3,\"病院施設内で身辺動作が自立している\",IF(CQ69=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(CQ69=5,\"自宅で身辺動作が自立している\",IF(CQ69=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"IF(BL28 =TRUE,\"状態に合わせて清拭や洗髪あるいはｼｬﾜｰ浴や一般浴で行います\" & \" \",\"\"   )  & IF(BQ28 =TRUE,\"状態に合わせてｼｬﾜｰ浴あるいは一般浴で行います\" & \" \",\"\"   ) & IF(BV28 =TRUE,\"一般浴を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔方法",null,null,{"$f":"IF(ISBLANK(看護!CW489),\"－\",看護!CW489)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,{"$f":"IF(ISBLANK(看護!CT489),\"－\",看護!CT489)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,null,{"$f":"IF(BL29 =TRUE,\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\" & \" \",\"\"   )  & IF(BQ29 =TRUE,\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\" & \" \",\"\"   ) & IF(BV29 =TRUE,\"ﾄｲﾚで排泄を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",null,null,{"$f":"IF(ISBLANK(看護!CT493),\"－\",看護!CT493)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,{"$f":"IF(ISBLANK(看護!CT492),\"－\",看護!CT492)","v":"－"}]
["治療\n\n薬剤\n\n処置",null,null,"病状に応じた治療を開始します\n常用薬や中止薬の確認を行います",null,null,null,null,null,"病状に応じた治療やﾘﾊﾋﾞﾘﾃｰｼｮﾝなどを進めます\n点滴･内服などを行います",null,null,null,null,null,null,null,null,null,"再発予防のために内服を継続します",null,null,null,null,null,null,null,"治療\n\n薬剤\n\n処置",null,null,"病状に応じた治療やﾘﾊﾋﾞﾘﾃｰｼｮﾝなどを進めます\n再発予防のために内服を継続します\n社会保障制度活用の準備を行います",null,null,null,null,null,null,null,null,null,null,null,null,null,"再発予防のために内服を継続します",null,null,null,null,null,null,null,null,null,"治療\n\n薬剤\n\n処置",null,null,"転倒予防と健康生活の維持を図ります\n再発予防のために内服を継続します",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療\n\n薬剤\n\n処置",null,null,"転倒予防と健康生活の維持を図ります\n再発予防のために内服を継続します"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期",null,null,null,"居宅事業所",null,null,"事業所名",null,null,null,{"$f":"IF(ISBLANK(福祉!AG380),\"－\",福祉!AG380)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(福祉!AG381),\"－\",福祉!AG381)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"在宅",null,null,null,"食事",null,null,"状態により各種介護サービスを利用しましょう"]
[null,null,null,"手術",null,null,{"$f":"IF(H34 =TRUE,I34 & \" \",\"\"   )  & IF(M34 =TRUE,N34 & \" \",\"\"   ) & IF(R34 =TRUE,S34 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●","通所系サービス",null,null,null,null,{"$f":"IF(福祉!K400=FALSE,\"□\",IF(福祉!K400=TRUE,\"■\"))","v":"□"},"通所介護",null,null,null,null,{"$f":"IF(福祉!K402=FALSE,\"□\",IF(福祉!K402=TRUE,\"■\"))","v":"□"},"通所ﾘﾊﾋﾞﾘﾃｰｼｮﾝ",null,null,null,null,{"$f":"IF(福祉!K404=FALSE,\"□\",IF(福祉!K404=TRUE,\"■\"))","v":"□"},"ショートスティ"]
["検査",null,null,"必要に応じてCT，MRI，ﾚﾝﾄｹﾞﾝ，心電図，血液検査などの検査を行います",null,null,null,null,null,null,null,null,"必要に応じて頭部血管造影検査，心ｴｺｰ，頸動脈ｴｺｰなどの検査を行います",null,null,null,null,null,null,"必要に応じて検査を行います",null,null,null,null,null,null,null,"検査",null,null,"必要に応じて検査を行います",null,null,null,null,null,null,"必要に応じて検査を行います",null,null,null,null,null,null,"必要に応じて検査を行います",null,null,null,null,null,null,null,null,null,"検査",null,null,"定期的診察・検査を受けましょう",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査",null,null,"かかりつけ医などで定期的診察・検査を受けましょう"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔"]
[]
["安静度\n\nﾘﾊﾋﾞﾘ\nﾃｰｼｮﾝ",null,null,"主治医の許可があるまで、ベッド上安静でお過ごしください",null,null,null,null,null,"早期離床や機能障害の改善、廃用症候群の予防、日常生活の動作や活動の拡大に向けたﾘﾊﾋﾞﾘﾃｰｼｮﾝを行います",null,null,null,null,null,null,null,null,null,"必要に応じて退院後の生活の指導や訓練を行います",null,null,null,null,null,null,null,"安静度\n\nﾘﾊﾋﾞﾘ\nﾃｰｼｮﾝ",null,null,"機能障害の改善や廃用症候群の予防、日常生活の動作や活動の拡大に向けたﾘﾊﾋﾞﾘﾃｰｼｮﾝを行います",null,null,null,null,null,null,null,null,null,null,null,null,null,"必要に応じて、退院後の生活の指導や訓練、ｽﾀｯﾌによる住宅訪問、自宅への試験外泊などを行います",null,null,null,null,null,null,null,null,null,"安静度\n\nﾘﾊﾋﾞﾘ\nﾃｰｼｮﾝ",null,null,"新に病気になったり、再発しないように適度な運動をしましょう\n現在できる身の回り動作を続け、さらにできる事を増やし、生活を豊かにしましょう\n閉じこもりを避け、余暇活動にも積極的に参加しましょう\n装具を使用されている方は、時々装具のチェックをしてもらいましょう",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安静度\n\nﾘﾊﾋﾞﾘ\nﾃｰｼｮﾝ",null,null,"新に病気になったり、再発しないように適度な運動をしましょう\n現在できる身の回り動作を続け、さらにできる事を増やし、生活を豊かにしましょう\n閉じこもりを避け、余暇活動にも積極的に参加しましょう\n装具を使用されている方は、時々装具のチェックをしてもらいましょう",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,null,"●","訪問系サービス",null,null,null,null,{"$f":"IF(福祉!K394=FALSE,\"□\",IF(福祉!K394=TRUE,\"■\"))","v":"□"},"訪問介護",null,null,null,null,{"$f":"IF(福祉!K396=FALSE,\"□\",IF(福祉!K396=TRUE,\"■\"))","v":"□"},"訪問看護",null,null,null,null,{"$f":"IF(福祉!K398=FALSE,\"□\",IF(福祉!K398=TRUE,\"■\"))","v":"□"},"訪問ﾘﾊﾋﾞﾘﾃｰｼｮﾝ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者・家族\nへの説明"]
[]
["食事",null,null,"嚥下状態の検査をします\n嚥下状態に応じた食事を提供します",null,null,null,null,null,{"$f":"IF(H36 =TRUE,\"点滴を行います\" & \" \",\"\"   )  & IF(M36 =TRUE,\"経管栄養を行います\" & \" \",\"\"   ) & IF(R36 =TRUE,\"経口摂取を行います\" & \" \",\"\"   )","v":""},null,null,null,null,{"$f":"IF(H36 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   )  & IF(M36 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   ) & IF(R36 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,"摂取方法",null,{"$f":"IF(ISBLANK(栄養!AI32),\"－\",栄養!AI32)","v":""},null,null,"食事",null,null,{"$f":"IF( AJ45=TRUE,  FD34, IF(H36 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   )  & IF(M36 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   ) & IF(R36 =TRUE,\"状態に合わせて通常の食事や治療食を提  ) )供します\" & \" \",\"\"   ))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"必要に応じて、退院後の生活の指導や訓練、ｽﾀｯﾌによる住宅訪問、自宅への試験外泊などを行います",null,null,null,null,"摂取方法",null,{"$f":"IF(ISBLANK(栄養!AG222),\"－\",栄養!AG222)","v":""},null,null,"食事",null,null,{"$f":"IF(BL45=TRUE, FD66, IF( AJ45=TRUE, FD42, IF(H36 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   )  & IF(M36 =TRUE,\"状態に合わせて経管栄養あるいは通常食や治療食を提供します\" & \" \",\"\"   ) & IF(R36 =TRUE,\"状態に合わせて通常の食事や治療食を提供します\" & \" \",\"\"   ) ) )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所時状態",null,"摂取方法",null,null,{"$f":"IF(ISBLANK(栄養!AG372),\"－\",栄養!AG372)","v":""},null,null,null,null,"食事",null,null,"状態により各種介護サービスを利用しましょう",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●","居宅療養管理指導",null,null,null,null,{"$f":"IF(福祉!K406=FALSE,\"□\",IF(福祉!K406=TRUE,\"■\"))","v":"□"},"医療",null,null,{"$f":"IF(福祉!K408=FALSE,\"□\",IF(福祉!K408=TRUE,\"■\"))","v":"□"},"薬剤",null,null,{"$f":"IF(福祉!K410=FALSE,\"□\",IF(福祉!K410=TRUE,\"■\"))","v":"□"},"歯科",null,null,{"$f":"IF(福祉!K412=FALSE,\"□\",IF(福祉!K412=TRUE,\"■\"))","v":"□"},"栄養"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"IF(ISBLANK(栄養!AI34),\"－\",栄養!AI34)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"IF(ISBLANK(栄養!AG224),\"－\",栄養!AG224)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,null,{"$f":"IF(ISBLANK(栄養!AG374),\"－\",栄養!AG374)","v":""},null,null,null,null,null,null,null,"●","通所系サービス",null,null,null,null,{"$f":"IF( CM45=TRUE, FJ77, IF( CM44=TRUE, FV53, IF( AJ45=TRUE, FJ77, IF( AJ45=TRUE, FJ53, IF(福祉!K88=FALSE,\"□\",IF(福祉!K88=TRUE,\"■\"))) )  ) )","v":"□"},"通所介護",null,null,null,null,{"$f":"IF( CM45=TRUE, FP77, IF( CM44=TRUE, FP53, IF( BL45=TRUE, FP77, IF( AJ45=TRUE, FP53, IF(福祉!K90=FALSE,\"□\",IF(福祉!K90=TRUE,\"■\"))) ) ))","v":"□"},"通所ﾘﾊﾋﾞﾘﾃｰｼｮﾝ",null,null,null,null,{"$f":"IF( CM45=TRUE, FV77, IF( CM44=TRUE, FV53, IF( BL45=TRUE, FV77, IF( AJ45=TRUE, FV53, IF(福祉!K92=FALSE,\"□\",IF(福祉!K92=TRUE,\"■\"))) ) ))","v":"□"},"ショートスティ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"IF(ISBLANK(栄養!AI35),\"－\",栄養!AI35)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"IF(ISBLANK(栄養!AG225),\"－\",栄養!AG225)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,null,{"$f":"IF(ISBLANK(栄養!AG375),\"－\",栄養!AG375)","v":""}]
["清潔",null,null,{"$f":"IF(H37 =TRUE,\"清拭や洗髪を行います\" & \" \",\"\"   )  & IF(M37 =TRUE,\"ｼｬﾜｰ浴を行います\" & \" \",\"\"   ) & IF(R37 =TRUE,\"一般浴を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,{"$f":"IF(H37 =TRUE,\"状態に合わせて清拭や洗髪あるいはｼｬﾜｰ浴や一般浴で行います\" & \" \",\"\"   )  & IF(M37 =TRUE,\"状態に合わせてｼｬﾜｰ浴あるいは一般浴で行います\" & \" \",\"\"   ) & IF(R37 =TRUE,\"一般浴を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,"清潔方法",null,{"$f":"IF(ISBLANK(看護!AJ48),\"－\",看護!AJ48)","v":""},null,null,"清潔",null,null,{"$f":"IF( AJ45=TRUE,  FD37, IF(H37 =TRUE,\"状態に合わせて清拭や洗髪あるいはｼｬﾜｰ浴や一般浴で行います\" & \" \",\"\"   )  & IF(M37 =TRUE,\"状態に合わせてｼｬﾜｰ浴あるいは一般浴で行います\" & \" \",\"\"   ) & IF(R37 =TRUE,\"一般浴を行います\" & \" \",\"\"   ) )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔方法",null,{"$f":"IF(ISBLANK(看護!AI235),\"－\",看護!AI235)","v":""},null,null,"清潔",null,null,{"$f":"IF(BL45=TRUE, FD69, IF( AJ45=TRUE, FD45, IF(H37 =TRUE,\"状態に合わせて清拭や洗髪あるいはｼｬﾜｰ浴や一般浴で行います\" & \" \",\"\"   )  & IF(M37 =TRUE,\"状態に合わせてｼｬﾜｰ浴あるいは一般浴で行います\" & \" \",\"\"   ) & IF(R37 =TRUE,\"一般浴を行います\" & \" \",\"\"   ) ) )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔方法",null,null,{"$f":"IF(ISBLANK(看護!AI521),\"－\",看護!AI521)","v":""},null,null,null,null,"清潔"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,{"$f":"IF(ISBLANK(看護!AH48),\"－\",看護!AH48)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,{"$f":"IF(ISBLANK(看護!AF235),\"－\",看護!AF235)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,{"$f":"IF(ISBLANK(看護!AF521),\"－\",看護!AF521)","v":""}]
["排泄",null,null,{"$f":"IF(H38 =TRUE,\"持続又は間欠的導尿を行います\" & \" \",\"\"   )  & IF(M38 =TRUE,\"ﾍﾞｯﾄﾞ上で排泄を行います\" & \" \",\"\"   ) & IF(R38 =TRUE,\"ﾄｲﾚで排泄を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,{"$f":"IF(H38 =TRUE,\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\" & \" \",\"\"   )  & IF(M38 =TRUE,\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\" & \" \",\"\"   ) & IF(R38 =TRUE,\"ﾄｲﾚで排泄を行います\" & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",null,{"$f":"IF(ISBLANK(看護!AH52),\"－\",看護!AH52)","v":""},null,null,"排泄",null,null,{"$f":"IF( AJ45=TRUE,  FD39, IF(H38 =TRUE,\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\" & \" \",\"\"   )  & IF(M38 =TRUE,\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\" & \" \",\"\"   ) & IF(R38 =TRUE,\"ﾄｲﾚで排泄を行います\" & \" \",\"\"   ))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",null,{"$f":"IF(ISBLANK(看護!AF239),\"－\",看護!AF239)","v":""},null,null,"排泄",null,null,{"$f":"IF(BL45=TRUE, FD71, IF( AJ45=TRUE, FD47,IF(H38 =TRUE,\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\" & \" \",\"\"   )  & IF(M38 =TRUE,\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\" & \" \",\"\"   ) & IF(R38 =TRUE,\"ﾄｲﾚで排泄を行います\" & \" \",\"\"   ) ))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",null,null,{"$f":"IF(ISBLANK(看護!AF525),\"－\",看護!AF525)","v":""},null,null,null,null,"排泄",null,null,"●","訪問系サービス",null,null,null,null,{"$f":"IF( CM45=TRUE, FJ81, IF( CM44=TRUE, FJ57, IF( BL45=TRUE, FJ81, IF( AJ45=TRUE, FJ57,IF(福祉!K82=FALSE,\"□\",IF(福祉!K82=TRUE,\"■\"))))) )","v":"□"},"訪問介護",null,null,null,null,{"$f":"IF( CM45=TRUE, FP81,  IF( CM44=TRUE, FP57, IF( BL45=TRUE, FP81, IF( AJ45=TRUE, FP57, IF(福祉!K84=FALSE,\"□\",IF(福祉!K84=TRUE,\"■\")) ))) )","v":"□"},"訪問看護",null,null,null,null,{"$f":"IF( CM45=TRUE, FV81,  IF( CM44=TRUE, FV57, IF( BL45=TRUE, FV81, IF( AJ45=TRUE, FV57, IF(福祉!K86=FALSE,\"□\",IF(福祉!K86=TRUE,\"■\"))) ) ) )","v":"□"},"訪問ﾘﾊﾋﾞﾘﾃｰｼｮﾝ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,{"$f":"IF(ISBLANK(看護!AH51),\"－\",看護!AH51)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,{"$f":"IF(ISBLANK(看護!AF238),\"－\",看護!AF238)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,{"$f":"IF(ISBLANK(看護!AF524),\"－\",看護!AF524)","v":""}]
["患者\n家族\nへの説明",null,null,"治療方針や検査結果などを説明します\n今後、地域で連携して行う診療計画を説明します",null,null,null,null,null,"ﾘﾊﾋﾞﾘﾃｰｼｮﾝ計画を説明します\n必要に応じて服薬指導や栄養指導などを行います\n今後の方向性などｽﾀｯﾌと相談し決定します",null,null,null,null,null,null,null,null,null,"退院後、地域で連携して行う診療計画を説明します\n服薬指導を行います",null,null,null,null,null,null,null,"患者・家族\nへの説明",null,null,"ﾘﾊﾋﾞﾘﾃｰｼｮﾝ計画や入院期間を説明します\n必要に応じて服薬指導や栄養指導などを行います\n今後の方向性などをｽﾀｯﾌと相談し決定します\n社会保障制度の活用を説明します",null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後、地域で連携して行う診療計画を説明します",null,null,null,null,null,null,null,null,null,"患者・家族\nへの説明",null,null,"必要に応じて服薬指導や栄養指導などを行います\n今後の方向性などをｽﾀｯﾌと相談し決定します\n社会保障制度の活用を説明します",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者・家族\nへの説明"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●","居宅療養管理指導",null,null,null,null,{"$f":"IF( CM45=TRUE, FJ85,IF( CM44=TRUE, FJ61, IF( BL45=TRUE, FJ85,IF( AJ45=TRUE, FJ61, IF(福祉!K94=FALSE,\"□\",IF(福祉!K94=TRUE,\"■\")) ) ) ))","v":"□"},"医療",null,null,{"$f":"IF( CM45=TRUE, FN85,IF( CM44=TRUE, FN85, IF( BL45=TRUE, FN85, IF( AJ45=TRUE, FN61, IF(福祉!K96=FALSE,\"□\",IF(福祉!K96=TRUE,\"■\"))) ) ))","v":"□"},"薬剤",null,null,{"$f":"IF( CM45=TRUE, FR85, IF( CM44=TRUE, FR61, IF( BL45=TRUE, FN85,IF( AJ45=TRUE, FR61, IF(福祉!K98=FALSE,\"□\",IF(福祉!K98=TRUE,\"■\")) )) ) )","v":"□"},"歯科",null,null,{"$f":"IF( CM45=TRUE, FV85, IF( CM44=TRUE, FV61, IF( BL45=TRUE, FV85, IF( AJ45=TRUE, FV61, IF(福祉!K98=FALSE,\"□\",IF(福祉!K98=TRUE,\"■\")) ) ) ))","v":"□"},"栄養"]
[]
["状態",null,null,"入院時症状",null,null,null,null,null,"退院時状態",null,null,null,null,null,"退院日",null,null,null,{"$f":"IF(ISBLANK(H45),\"－\",H45)","v":"－"},null,null,null,null,null,null,null,"状態",null,null,"退院・退所時状態",null,null,null,null,null,null,null,"退院・退所日",null,null,null,null,null,{"$f":"IF(ISBLANK(AJ26),\"－\",AJ26)","v":"－"},null,null,null,null,null,null,null,null,null,"状態",null,null,"退院・退所時状態",null,null,null,null,null,null,null,"退院・退所日",null,null,null,null,null,{"$f":"IF(ISBLANK(BL26),\"－\",BL26)","v":"－"},null,null,null,null,null,null,null,null,null,"状態",null,null,"初診時状態",null,null,null,null,null,null,null,"初診日",null,null,null,null,null,{"$f":"IF(ISBLANK(CM26),\"－\",CM26)","v":"－"}]
[null,null,null,{"$f":"IF(H35=FALSE,\"□\",IF(H35=TRUE,\"■\"))","v":"□"},"意識障害",null,null,null,null,"判定ステージ",null,null,null,{"$f":"IF(ISBLANK(リハ!AM26),\"－\",リハ!AM26)","v":"－"},null,{"$f":"IF(N97=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(N97=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(N97=3,\"病院施設内で身辺動作が自立している\",IF(N97=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(N97=5,\"自宅で身辺動作が自立している\",IF(N97=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"判定ステージ",null,null,null,{"$f":"IF(ISBLANK(リハ!AM216),\"－\",リハ!AM216)","v":"－"},null,null,null,{"$f":"IF(AI97=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(AI97=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(AI97=3,\"病院施設内で身辺動作が自立している\",IF(AI97=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(AI97=5,\"自宅で身辺動作が自立している\",IF(AI97=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"判定ステージ",null,null,null,{"$f":"IF(ISBLANK(リハ!AM406),\"－\",リハ!AM406)","v":"－"},null,null,null,{"$f":"IF(BJ97=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(BJ97=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(BJ97=3,\"病院施設内で身辺動作が自立している\",IF(BJ97=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(BJ97=5,\"自宅で身辺動作が自立している\",IF(BJ97=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"判定ステージ",null,null,null,{"$f":"IF(ISBLANK(診療!I618),\"－\",診療!I618)","v":"－"},null,null,null,{"$f":"IF(CK97=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(CK97=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(CK97=3,\"病院施設内で身辺動作が自立している\",IF(CK97=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(CK97=5,\"自宅で身辺動作が自立している\",IF(CK97=6,\"一人で外出できる\",\"―\"))))))","v":"―"}]
[null,null,null,{"$f":"IF(M35=FALSE,\"□\",IF(M35=TRUE,\"■\"))","v":"□"},"言語障害"]
[null,null,null,{"$f":"IF(R35=FALSE,\"□\",IF(R35=TRUE,\"■\"))","v":"□"},"麻痺",null,null,null,null,"移動",null,null,null,{"$f":"IF(ISBLANK(看護!AH56),\"－\",看護!AH56)","v":""},null,null,null,null,null,"日常生活\n機能評価",null,null,null,{"$f":"IF(ISBLANK(看護!AH43),\"－\",看護!AH43)","v":0},null,"/19点",null,null,null,null,"移動",null,null,null,{"$f":"IF(ISBLANK(看護!AF243),\"－\",看護!AF243)","v":""},null,null,null,null,null,null,null,null,null,"日常生活\n機能評価",null,null,null,{"$f":"IF(ISBLANK(看護!AF231),\"－\",看護!AF231)","v":0},null,null,null,"/19点",null,null,null,null,"移動",null,null,null,{"$f":"IF(ISBLANK(看護!AF379),\"－\",看護!AF379)","v":""},null,null,null,null,null,null,null,null,null,"日常生活\n機能評価",null,null,null,{"$f":"IF(ISBLANK(診療!I476),\"－\",診療!I476)","v":"－"},null,null,null,"/19点",null,null,null,null,"移動",null,null,null,{"$f":"IF(ISBLANK(看護!AF529),\"－\",看護!AF529)","v":""},null,null,null,null,null,null,null,null,null,"日常生活\n機能評価",null,null,null,{"$f":"IF(ISBLANK(診療!I617),\"－\",診療!I617)","v":"－"},null,null,null,"/19点"]
[null,null,null,null,null,null,null,null,null,null,null,"手段",null,{"$f":"IF(ISBLANK(看護!AK56),\"－\",看護!AK56)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手段",null,{"$f":"IF(ISBLANK(看護!AI243),\"－\",看護!AI243)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手段",null,{"$f":"IF(ISBLANK(看護!AI379),\"－\",看護!AI379)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手段",null,{"$f":"IF(ISBLANK(看護!AI529),\"－\",看護!AI529)","v":""}]
["※上記の内容は、あくまでも計画であり、患者さんの状態などにより変更がありますので、ご了承下さい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※上記の内容は、あくまでも計画であり、患者さんの状態などにより変更がありますので、ご了承下さい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※上記の内容は、あくまでも計画であり、患者さんの状態などにより変更がありますので、ご了承下さい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※上記の内容は、あくまでも計画であり、患者さんの状態などにより変更がありますので、ご了承下さい"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"同意書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名：",null,null,null,null,{"$f":"H18","v":0},null,null,null,null,null,null,"様",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名：",null,null,null,null,{"$f":"H18","v":0},null,null,null,null,null,null,"様",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名：",null,null,null,null,{"$f":"H18","v":0},null,null,null,null,null,null,"様",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名：",null,null,null,null,{"$f":"H18","v":0},null,null,null,null,null,null,"様"]
[null,null,"加賀脳卒中地域連携パスの利用について（同意書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パスの利用について（同意書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パスの利用について（同意書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パスの利用について（同意書）"]
[]
[null,null,"　この文書は、脳卒中を発症された患者さんに対し、地域の医療機関や介護サービス事業者が連携して治療や福祉サービスの提供に取り組むことを目的とした診療計画表（脳卒中地域連携パス）の利用についてのご案内です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　この文書は、脳卒中を発症された患者さんに対し、地域の医療機関や介護サービス事業者が連携して治療や福祉サービスの提供に取り組むことを目的とした診療計画表（脳卒中地域連携パス）の利用についてのご案内です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　この文書は、脳卒中を発症された患者さんに対し、地域の医療機関や介護サービス事業者が連携して治療や福祉サービスの提供に取り組むことを目的とした診療計画表（脳卒中地域連携パス）の利用についてのご案内です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　この文書は、脳卒中を発症された患者さんに対し、地域の医療機関や介護サービス事業者が連携して治療や福祉サービスの提供に取り組むことを目的とした診療計画表（脳卒中地域連携パス）の利用についてのご案内です。"]
[]
[]
[null,"　はじめに",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　はじめに",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　はじめに",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　はじめに"]
[null,null,"　脳卒中地域連携パスとは、良質な医療を効率的、かつ安全、適正に提供するための手段として開発された地域で統一された診療計画表のことです。平成２０年度より厚生労働省で制度化されております。当院でも、より質の高い医療を提供するため、加賀脳卒中地域連携パスを導入しており、あなたの医療情報を連携する施設と情報共有することで治療や福祉サービスの提供を円滑に行うことが目的です。また、同意された方の情報を登録し、集計・分析することで、加賀地域の脳卒中の治療や福祉サービスの向上に寄与したいと考えておりますので情報の利用につきましてもご理解とご協力をお願いいたします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　脳卒中地域連携パスとは、良質な医療を効率的、かつ安全、適正に提供するための手段として開発された地域で統一された診療計画表のことです。平成２０年度より厚生労働省で制度化されております。当院でも、より質の高い医療を提供するため、加賀脳卒中地域連携パスを導入しており、あなたの医療情報を連携する施設と情報共有することで治療や福祉サービスの提供を円滑に行うことが目的です。また、同意された方の情報を登録し、集計・分析することで、加賀地域の脳卒中の治療や福祉サービスの向上に寄与したいと考えておりますので情報の利用につきましてもご理解とご協力をお願いいたします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　脳卒中地域連携パスとは、良質な医療を効率的、かつ安全、適正に提供するための手段として開発された地域で統一された診療計画表のことです。平成２０年度より厚生労働省で制度化されております。当院でも、より質の高い医療を提供するため、加賀脳卒中地域連携パスを導入しており、あなたの医療情報を連携する施設と情報共有することで治療や福祉サービスの提供を円滑に行うことが目的です。また、同意された方の情報を登録し、集計・分析することで、加賀地域の脳卒中の治療や福祉サービスの向上に寄与したいと考えておりますので情報の利用につきましてもご理解とご協力をお願いいたします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　脳卒中地域連携パスとは、良質な医療を効率的、かつ安全、適正に提供するための手段として開発された地域で統一された診療計画表のことです。平成２０年度より厚生労働省で制度化されております。当院でも、より質の高い医療を提供するため、加賀脳卒中地域連携パスを導入しており、あなたの医療情報を連携する施設と情報共有することで治療や福祉サービスの提供を円滑に行うことが目的です。また、同意された方の情報を登録し、集計・分析することで、加賀地域の脳卒中の治療や福祉サービスの向上に寄与したいと考えておりますので情報の利用につきましてもご理解とご協力をお願いいたします。"]
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[]
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[null,"　１．  他の医療機関や介護サービス事業者との診療情報の共有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　１．  他の医療機関や介護サービス事業者との診療情報の共有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　１．  他の医療機関や介護サービス事業者との診療情報の共有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　１．  他の医療機関や介護サービス事業者との診療情報の共有"]
[null,null,"　あなたが加賀地域の連携する医療機関や介護サービス事業者を利用する際は、施設間で脳卒中地域連携パスを用いてあなたの情報が共有されます。なお、共有される情報には、病名、治療内容、治療期間、リハビリ経過等が含まれます。また、連携する医療機関や介護サービス事業者以外を利用する際も、加賀脳卒中地域連携パスと同等の内容である情報提供で対応させて頂きます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　あなたが加賀地域の連携する医療機関や介護サービス事業者を利用する際は、施設間で脳卒中地域連携パスを用いてあなたの情報が共有されます。なお、共有される情報には、病名、治療内容、治療期間、リハビリ経過等が含まれます。また、連携する医療機関や介護サービス事業者以外を利用する際も、加賀脳卒中地域連携パスと同等の内容である情報提供で対応させて頂きます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　あなたが加賀地域の連携する医療機関や介護サービス事業者を利用する際は、施設間で脳卒中地域連携パスを用いてあなたの情報が共有されます。なお、共有される情報には、病名、治療内容、治療期間、リハビリ経過等が含まれます。また、連携する医療機関や介護サービス事業者以外を利用する際も、加賀脳卒中地域連携パスと同等の内容である情報提供で対応させて頂きます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　あなたが加賀地域の連携する医療機関や介護サービス事業者を利用する際は、施設間で脳卒中地域連携パスを用いてあなたの情報が共有されます。なお、共有される情報には、病名、治療内容、治療期間、リハビリ経過等が含まれます。また、連携する医療機関や介護サービス事業者以外を利用する際も、加賀脳卒中地域連携パスと同等の内容である情報提供で対応させて頂きます。"]
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[null,"　２．　いしかわ診療情報共有ネットワークを活用した情報の共有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　２．　いしかわ診療情報共有ネットワークを活用した情報の共有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　２．　いしかわ診療情報共有ネットワークを活用した情報の共有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　２．　いしかわ診療情報共有ネットワークを活用した情報の共有"]
[null,null,"　いしかわ診療情報共有ネットワークとは、病院や診療所（医院・クリニック）などの施設間で患\n者さんの診療情報を共有する仕組みで、セキュリティー面でも安全性の高いものです。施設間で脳卒中地域連携パスの情報を共有する際に、いしかわ診療情報共有ネットワークを活用させて頂く場合があります。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　いしかわ診療情報共有ネットワークとは、病院や診療所（医院・クリニック）などの施設間で患\n者さんの診療情報を共有する仕組みで、セキュリティー面でも安全性の高いものです。施設間で脳卒中地域連携パスの情報を共有する際に、いしかわ診療情報共有ネットワークを活用させて頂く場合があります。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　いしかわ診療情報共有ネットワークとは、病院や診療所（医院・クリニック）などの施設間で患\n者さんの診療情報を共有する仕組みで、セキュリティー面でも安全性の高いものです。施設間で脳卒中地域連携パスの情報を共有する際に、いしかわ診療情報共有ネットワークを活用させて頂く場合があります。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　いしかわ診療情報共有ネットワークとは、病院や診療所（医院・クリニック）などの施設間で患\n者さんの診療情報を共有する仕組みで、セキュリティー面でも安全性の高いものです。施設間で脳卒中地域連携パスの情報を共有する際に、いしかわ診療情報共有ネットワークを活用させて頂く場合があります。"]
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[null,"　３．  同意書の取り扱い",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　３．  同意書の取り扱い",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　３．  同意書の取り扱い",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　３．  同意書の取り扱い"]
[null,null,"　当院で、加賀脳卒中地域連携パスの利用並びに登録、集計にご同意いただいた場合には、これから利用される医療機関や介護サービス事業者においても同意されたものとし、加賀脳卒中地域連携パスを利用した治療や福祉サービスが継続される予定です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　当院で、加賀脳卒中地域連携パスの利用並びに登録、集計にご同意いただいた場合には、これから利用される医療機関や介護サービス事業者においても同意されたものとし、加賀脳卒中地域連携パスを利用した治療や福祉サービスが継続される予定です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　当院で、加賀脳卒中地域連携パスの利用並びに登録、集計にご同意いただいた場合には、これから利用される医療機関や介護サービス事業者においても同意されたものとし、加賀脳卒中地域連携パスを利用した治療や福祉サービスが継続される予定です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　当院で、加賀脳卒中地域連携パスの利用並びに登録、集計にご同意いただいた場合には、これから利用される医療機関や介護サービス事業者においても同意されたものとし、加賀脳卒中地域連携パスを利用した治療や福祉サービスが継続される予定です。"]
[]
[]
[null,"　４．  個人情報の取り扱い",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　４．  個人情報の取り扱い",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　４．  個人情報の取り扱い",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　４．  個人情報の取り扱い"]
[null,null," 加賀脳卒中地域連携パスに基づいて治療や福祉サービスを受けられる際は、連携施設間で、あなたの情報の共有が行われます。あなたの情報は、大切な個人情報のため、施設間での情報提供を含めた管理については、個人情報保護法を遵守し、加賀脳卒中地域連携パス運用以外の目的には使用いたしません。また、あなたの個人情報については、ご本人による開示請求・訂正・削除・利用停止等の権利を行使することが可能です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 加賀脳卒中地域連携パスに基づいて治療や福祉サービスを受けられる際は、連携施設間で、あなたの情報の共有が行われます。あなたの情報は、大切な個人情報のため、施設間での情報提供を含めた管理については、個人情報保護法を遵守し、加賀脳卒中地域連携パス運用以外の目的には使用いたしません。また、あなたの個人情報については、ご本人による開示請求・訂正・削除・利用停止等の権利を行使することが可能です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 加賀脳卒中地域連携パスに基づいて治療や福祉サービスを受けられる際は、連携施設間で、あなたの情報の共有が行われます。あなたの情報は、大切な個人情報のため、施設間での情報提供を含めた管理については、個人情報保護法を遵守し、加賀脳卒中地域連携パス運用以外の目的には使用いたしません。また、あなたの個人情報については、ご本人による開示請求・訂正・削除・利用停止等の権利を行使することが可能です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 加賀脳卒中地域連携パスに基づいて治療や福祉サービスを受けられる際は、連携施設間で、あなたの情報の共有が行われます。あなたの情報は、大切な個人情報のため、施設間での情報提供を含めた管理については、個人情報保護法を遵守し、加賀脳卒中地域連携パス運用以外の目的には使用いたしません。また、あなたの個人情報については、ご本人による開示請求・訂正・削除・利用停止等の権利を行使することが可能です。"]
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[null,"　５．  加賀脳卒中地域連携パス利用の任意性と、同意後の撤回",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　５．  加賀脳卒中地域連携パス利用の任意性と、同意後の撤回",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　５．  加賀脳卒中地域連携パス利用の任意性と、同意後の撤回",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　５．  加賀脳卒中地域連携パス利用の任意性と、同意後の撤回"]
[null,null," 加賀脳卒中地域連携パスの利用においては、あなたの意志が何よりも尊重されます。利用を見合わせたい場合、また同意後、同意を撤回したい場合には、いつでもご遠慮なくお申し出ください。\nなお、加賀脳卒中地域連携パス利用への同意の有無は、あなたの利益・不利益とは全く関係がありません。同意しない場合や同意後に撤回された場合、連携施設以外を利用される場合でも、あなたが受けられる治療や福祉サービスの内容は変わりません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 加賀脳卒中地域連携パスの利用においては、あなたの意志が何よりも尊重されます。利用を見合わせたい場合、また同意後、同意を撤回したい場合には、いつでもご遠慮なくお申し出ください。\nなお、加賀脳卒中地域連携パス利用への同意の有無は、あなたの利益・不利益とは全く関係がありません。同意しない場合や同意後に撤回された場合、連携施設以外を利用される場合でも、あなたが受けられる治療や福祉サービスの内容は変わりません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 加賀脳卒中地域連携パスの利用においては、あなたの意志が何よりも尊重されます。利用を見合わせたい場合、また同意後、同意を撤回したい場合には、いつでもご遠慮なくお申し出ください。\nなお、加賀脳卒中地域連携パス利用への同意の有無は、あなたの利益・不利益とは全く関係がありません。同意しない場合や同意後に撤回された場合、連携施設以外を利用される場合でも、あなたが受けられる治療や福祉サービスの内容は変わりません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 加賀脳卒中地域連携パスの利用においては、あなたの意志が何よりも尊重されます。利用を見合わせたい場合、また同意後、同意を撤回したい場合には、いつでもご遠慮なくお申し出ください。\nなお、加賀脳卒中地域連携パス利用への同意の有無は、あなたの利益・不利益とは全く関係がありません。同意しない場合や同意後に撤回された場合、連携施設以外を利用される場合でも、あなたが受けられる治療や福祉サービスの内容は変わりません。"]
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[null,"機関名：",null,{"$f":"IF(ISBLANK(H24),\"－\",H24)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病院長：",null,{"$f":"IF(ISBLANK(H27),\"－\",H27)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"機関名：",null,{"$f":"IF(ISBLANK(AJ18),\"－\",AJ18)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病院長：",null,{"$f":"IF(ISBLANK(AJ21),\"－\",AJ21)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"機関名：",null,{"$f":"IF(ISBLANK(BL18),\"－\",BL18)","v":"－"},null,null,null,null,null,null,null,null,null,null,"施設長：",null,{"$f":"IF(ISBLANK(BL21),\"－\",BL21)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"機関名：",null,{"$f":"IF(ISBLANK(CM20),\"－\",CM20)","v":"－"}]
[]
[null,null,null,"診療科：",null,{"$f":"IF(ISBLANK(H29),\"－\",H29)","v":"－"},null,null,null,null,null,null,null,null,"主治医：",null,{"$f":"IF(ISBLANK(H30),\"－\",H30)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科：",null,{"$f":"IF(ISBLANK(AJ23),\"－\",AJ23)","v":"－"},null,null,null,null,null,null,null,null,"主治医：",null,{"$f":"IF(ISBLANK(AJ24),\"－\",AJ24)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科：",null,{"$f":"IF(ISBLANK(BL23),\"－\",BL23)","v":"－"},null,null,null,null,null,null,null,null,"主治医：",null,{"$f":"IF(ISBLANK(BL24),\"－\",BL24)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科：",null,{"$f":"IF(ISBLANK(CM24),\"－\",CM24)","v":"－"},null,null,null,null,null,null,null,null,"主治医：",null,{"$f":"IF(ISBLANK(CM25),\"－\",CM25)","v":"－"}]
[]
[null,"上記内容を理解した上で、加賀脳卒中地域連携パス及び情報の利用につきまして同意いたします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上記内容を理解した上で、加賀脳卒中地域連携パス及び情報の利用につきまして同意いたします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上記内容を理解した上で、加賀脳卒中地域連携パス及び情報の利用につきまして同意いたします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上記内容を理解した上で、加賀脳卒中地域連携パス及び情報の利用につきまして同意いたします。"]
[]
[null,"令和　　　　　　年　　　　　　月　　　　　　日　　　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　　　　　年　　　　　　月　　　　　　日　　　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　　　　　年　　　　　　月　　　　　　日　　　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　　　　　年　　　　　　月　　　　　　日　　　　　"]
[]
[null,"署名：",null,null,null,null,null,null,null,null,null,null,null,null,"（続柄：",null,null,null,null,null,null,null,null,null,null,"）",null,null,"署名：",null,null,null,null,null,null,null,null,null,null,null,null,"（続柄：",null,null,null,null,null,null,null,null,null,null,"）",null,null,"署名：",null,null,null,null,null,null,null,null,null,null,null,null,"（続柄：",null,null,null,null,null,null,null,null,null,null,"）",null,null,"署名：",null,null,null,null,null,null,null,null,null,null,null,null,"（続柄：",null,null,null,null,null,null,null,null,null,null,"）"]
[null,"※代理人の場合は続柄も記入して下さい。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※代理人の場合は続柄も記入して下さい。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※代理人の場合は続柄も記入して下さい。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※代理人の場合は続柄も記入して下さい。"]

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[null,"地域連携情報シート　※入力不要"]
[]
[]
["一式印刷","※押し間違えに注意して下さい。",null,null,null,null,"地域連携情報",null,null,null,"施設間連携情報"]
[null,"急性期【印刷】",null,"転帰の際に必要な\n・地域連携情報\n・施設間連携情報\n・職種間連携情報\n一式が印刷されます。",null,null,null,"【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【印刷】",null,null,null,null,null,null,null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【印刷】",null,null,null,null,null,null,null,null,null,"生(施)【用紙】"]
[null,"生(在)【印刷】",null,null,null,null,null,null,null,null,null,"生(在)【用紙】"]
[]
[]
[null,null,null,null,null,null,null,"加賀脳卒中地域連携シート　",null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パス（医療・介護従事者用）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一式印刷構成"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】",null,"=","地域連携",null,"＋","施設間連携",null,"＋","診療","＋","看護","＋","リハ","＋","栄養","＋","福祉","＋","薬剤","＋","歯科"]
["（フリガナ）",null,{"$f":"IF(ISBLANK(計画書!H17),\"－\",計画書!H17)","v":"－"},null,null,null,null,"生年月日",{"$f":"IF(ISBLANK(計画書!H20),\"－\",計画書!H20)","v":"－"},null,null,null,null,"脳卒中病型",null,{"$f":"IF(計画書!H31 =TRUE,計画書!I31 & \" \",\"\"   )  & IF(計画書!M31 =TRUE,計画書!N31 & \" \",\"\"   ) & IF(計画書!R31 =TRUE,計画書!S31 & \" \",\"\"   )","v":""},null,null,{"$f":"IF(診療!I39 =TRUE,診療!J39 & \" \",\"\"   ) & IF(診療!K39 =TRUE,診療!L39 & \" \",\"\"   ) & IF(診療!M39 =TRUE,診療!N39 & \" \",\"\"   )","v":""},"加賀パス説明日",null,{"$f":"IF(ISBLANK(計画書!H41),\"－\",計画書!H41)","v":"－"},null,"加賀パスID",null,{"$f":"IF(ISBLANK(計画書!H16),\"－\",計画書!H16)","v":"－"}]
["患者氏名",null,{"$f":"IF(ISBLANK(計画書!H18),\"－\",計画書!H18)","v":"－"},null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!H19),\"－\",計画書!H19)","v":"－"},"年齢",{"$f":"IF(ISBLANK(計画書!Q57),\"－\",計画書!Q57)","v":0},null,null,"診断（大分類）",null,{"$f":"IF(診療!I24 =TRUE,診療!J24 & \" \",\"\"   ) & IF(診療!L24 =TRUE,診療!M24 & \" \",\"\"   ) & IF(診療!O24 =TRUE,診療!P24 & \" \",\"\"   )  & IF(診療!R24 =TRUE,診療!S24 & \" \",\"\"   ) & IF(診療!I25 =TRUE,診療!J25 & \" \",\"\"   ) & IF(診療!L25 =TRUE,診療!M25 & \" \",\"\"   ) & IF(診療!O25 =TRUE,診療!P25 & \" \",\"\"   )  & IF(診療!R25 =TRUE,診療!S25 & \" \",\"\"   ) & IF(診療!I26 =TRUE,診療!J26 & \" \",\"\"   )","v":""},null,null,null,"既往歴",null,{"$f":"IF(ISBLANK(診療!I40),\"－\",診療!I40)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】",null,"=","地域連携",null,"＋","施設間連携",null,"＋","診療","＋","看護","＋","リハ","＋","栄養","＋","福祉","＋","薬剤","＋","歯科"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"診断（小分類）",null,{"$f":"IF(診療!I27 =TRUE,診療!J27 & \" \",\"\"   ) & IF(診療!L27 =TRUE,診療!M27 & \" \",\"\"   ) & IF(診療!O27 =TRUE,診療!P27 & \" \",\"\"   )  & IF(診療!R27 =TRUE,診療!S27 & \" \",\"\"   )& IF(診療!I28 =TRUE,診療!J28 & \" \",\"\"   ) & IF(診療!L28 =TRUE,診療!M28 & \" \",\"\"   ) & IF(診療!O28 =TRUE,診療!P28 & \" \",\"\"   )  & IF(診療!R28 =TRUE,診療!S28 & \" \",\"\"   )& IF(診療!I29 =TRUE,診療!J29 & \" \",\"\"   ) & IF(診療!L29 =TRUE,診療!M29 & \" \",\"\"   ) & IF(診療!O29 =TRUE,診療!P29 & \" \",\"\"   )  & IF(診療!R29 =TRUE,診療!S29 & \" \",\"\"   )& IF(診療!I30 =TRUE,診療!J30 & \" \",\"\"   ) & IF(診療!L30 =TRUE,診療!M30 & \" \",\"\"   ) & IF(診療!O30 =TRUE,診療!P30 & \" \",\"\"   )  & IF(診療!R30 =TRUE,診療!S30 & \" \",\"\"   )& IF(診療!I31 =TRUE,診療!J31 & \" \",\"\"   ) & IF(診療!L31 =TRUE,診療!M31 & \" \",\"\"   ) & IF(診療!O31 =TRUE,診療!P31 & \" \",\"\"   )  & IF(診療!R31 =TRUE,診療!S31 & \" \",\"\"   )","v":""},null,null,null,null,null,{"$f":"IF(ISBLANK(診療!I41),\"－\",診療!I41)","v":"－"}]
["住所",null,{"$f":"IF(ISBLANK(計画書!H21),\"－\",計画書!H21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!H22),\"－\",計画書!H22)","v":"－"},null,null,null,null,null,null,null,null,"発症日時",null,{"$f":"IF(ISBLANK(診療!I20),\"－\",診療!I20)","v":"－"},null,{"$f":"IF(ISBLANK(診療!I21),\"－\",診療!I21)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】",null,"=","地域連携",null,"＋","施設間連携",null,"＋","診療","＋","看護","＋","リハ","＋","栄養","＋","福祉","＋","歯科"]
[]
["到達目標\nステージ",null,null,null,null,null,null,"病期",null,null,null,"急性期",null,null,null,"回復期",null,null,null,"生活期（施設）",null,null,null,"生活期（在宅）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【印刷】",null,"=","地域連携",null,"＋","施設間連携",null,"＋","診療","＋","看護","＋","リハ","＋","栄養","＋","福祉","＋","歯科"]
[null,null,null,null,null,null,null,"到達ステージ",null,null,null,{"$f":"IF(ISBLANK(リハ!AM26),\"－\",リハ!AM26)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(リハ!AM216),\"－\",リハ!AM26)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(リハ!AM406),\"－\",リハ!AM406)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(診療!I618),\"－\",診療!I618)","v":"－"}]
[{"$f":"IF(ISBLANK(リハ!AI26),\"－\",リハ!AI26)","v":"－"},null,null,null,null,null,null,"自立能力",null,null,null,{"$f":"IF(L19=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(L19=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(L19=3,\"病院施設内で身辺動作が自立している\",IF(L19=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(L19=5,\"自宅で身辺動作が自立している\",IF(L19=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,{"$f":"IF(P19=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(P19=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(P19=3,\"病院施設内で身辺動作が自立している\",IF(P19=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(P19=5,\"自宅で身辺動作が自立している\",IF(P19=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,{"$f":"IF(T19=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(T19=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(T19=3,\"病院施設内で身辺動作が自立している\",IF(T19=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(T19=5,\"自宅で身辺動作が自立している\",IF(T19=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,{"$f":"IF(X19=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(X19=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(X19=3,\"病院施設内で身辺動作が自立している\",IF(X19=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(X19=5,\"自宅で身辺動作が自立している\",IF(X19=6,\"一人で外出できる\",\"―\"))))))","v":"―"}]
[]
["到達目標\n自立能力",null,null,null,null,null,null,"次ステージへの\n阻害因子",null,null,null,{"$f":"IF(リハ!K67=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺",null,null,{"$f":"IF(リハ!K257=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺",null,null,{"$f":"IF(リハ!K447=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺",null,null,{"$f":"IF(リハ!K637=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!M67=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害",null,null,{"$f":"IF(リハ!M257=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害",null,null,{"$f":"IF(リハ!M447=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害",null,null,{"$f":"IF(リハ!M637=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害"]
[{"$f":"IF(A20=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(A20=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(A20=3,\"病院施設内で身辺動作が自立している\",IF(A20=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(A20=5,\"自宅で身辺動作が自立している\",IF(A20=6,\"一人で外出できる\",\"―\"))))))","v":"―"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!P67=TRUE,\"■\",\"□\")","v":"□"},"認知症",null,null,{"$f":"IF(リハ!P257=TRUE,\"■\",\"□\")","v":"□"},"認知症",null,null,{"$f":"IF(リハ!P447=TRUE,\"■\",\"□\")","v":"□"},"認知症",null,null,{"$f":"IF(リハ!P637=TRUE,\"■\",\"□\")","v":"□"},"認知症"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!R67=TRUE,\"■\",\"□\")","v":"□"},"既往歴",null,null,{"$f":"IF(リハ!R257=TRUE,\"■\",\"□\")","v":"□"},"既往歴",null,null,{"$f":"IF(リハ!R447=TRUE,\"■\",\"□\")","v":"□"},"既往歴",null,null,{"$f":"IF(リハ!R637=TRUE,\"■\",\"□\")","v":"□"},"既往歴"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!T67=TRUE,\"■\",\"□\")","v":"□"},"環境因子",null,null,{"$f":"IF(リハ!T257=TRUE,\"■\",\"□\")","v":"□"},"環境因子",null,null,{"$f":"IF(リハ!T447=TRUE,\"■\",\"□\")","v":"□"},"環境因子",null,null,{"$f":"IF(リハ!T637=TRUE,\"■\",\"□\")","v":"□"},"環境因子"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!V67=TRUE,\"■\",\"□\")","v":"□"},"その他",null,null,{"$f":"IF(リハ!V257=TRUE,\"■\",\"□\")","v":"□"},"その他",null,null,{"$f":"IF(リハ!V447=TRUE,\"■\",\"□\")","v":"□"},"その他",null,null,{"$f":"IF(リハ!V637=TRUE,\"■\",\"□\")","v":"□"},"その他"]
[]
["病期",null,null,"発症前",null,null,null,"急性期",null,null,null,null,null,null,null,"回復期",null,null,null,"生活期（施設）",null,null,null,"生活期（在宅）"]
[null,null,null,null,null,null,null,"入院時",null,null,null,"退院時",null,null,null,"退院・退所時",null,null,null,"退院・退所時",null,null,null,"6ヶ月経過時"]
["発症前生活場所",null,null,{"$f":"IF(ISBLANK(福祉!AE26),\"－\",福祉!AE26)","v":""},null,null,null,"施設名",{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"},null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"},null,null,null,{"$f":"IF(計画書!CM16 =TRUE,計画書!CN16 & \" \",\"\"   )  & IF(計画書!CS16 =TRUE,計画書!CT16 & \" \",\"\"   ) & IF(計画書!CY16 =TRUE,計画書!CZ16 & \" \",\"\"   ) & IF(計画書!CM17 =TRUE,計画書!CN17 & \" \",\"\"   ) & IF(計画書!CS17 =TRUE,計画書!CT17 & \" \",\"\"   ) & IF(計画書!CY17 =TRUE,計画書!CZ17 & \" \",\"\"   ) & IF(計画書!CM18 =TRUE,計画書!CN18 & \" \",\"\"   )& IF(計画書!CY18 =TRUE,計画書!CZ18 & \" \",\"\"   )","v":""}]
[null,null,null,{"$f":"IF(ISBLANK(福祉!AI26),\"－\",福祉!AI26)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM19),\"－\",計画書!CM19)","v":"－"}]
["かかりつけ医療機関",null,null,{"$f":"IF(ISBLANK(診療!I62),\"－\",診療!I62)","v":"－"},null,null,null,"入院日",{"$f":"IF(ISBLANK(計画書!H32),\"－\",計画書!H32)","v":"－"},null,null,"退院日",{"$f":"IF(ISBLANK(計画書!H45),\"－\",計画書!H45)","v":"－"},null,null,"退院･退所日",{"$f":"IF(ISBLANK(計画書!AJ26),\"－\",計画書!AJ26)","v":"－"},null,null,"退院･退所日",{"$f":"IF(ISBLANK(計画書!BL26),\"－\",計画書!BL26)","v":"－"},null,null,"初診日",{"$f":"IF(ISBLANK(計画書!CM26),\"－\",計画書!CM26)","v":"－"}]
["日常生活機能評価",null,null,{"$f":"IF(ISBLANK(看護!I15),\"－\",看護!I15)","v":0},null,null,"／19",{"$f":"IF(ISBLANK(看護!I25),\"－\",看護!I25)","v":0},null,null,"／19",{"$f":"IF(ISBLANK(看護!I41),\"－\",看護!I41)","v":0},null,null,"／19",{"$f":"IF(ISBLANK(看護!I207),\"－\",看護!I207)","v":0},null,null,"／19",{"$f":"IF(ISBLANK(診療!I476),\"－\",診療!I476)","v":"－"},null,null,"／19",{"$f":"IF(ISBLANK(診療!I617),\"－\",診療!I617)","v":"－"},null,null,"／19"]
["JCS",null,null,{"$f":"IF(ISBLANK(看護!I14),\"－\",看護!I14)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I24),\"－\",看護!I24)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I39),\"－\",看護!I39)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I206),\"－\",看護!I206)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I356),\"－\",看護!I356)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I506),\"－\",看護!I506)","v":"－"}]
["NIHSS",null,null,null,null,null,null,{"$f":"IF(ISBLANK(診療!I33),\"－\",診療!I33)","v":"－"},null,null,"／42"]
["ｍＲＳ",null,null,null,null,null,null,{"$f":"IF(ISBLANK(診療!I34),\"－\",診療!I34)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(診療!I78),\"－\",診療!I78)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(診療!I235),\"－\",診療!I235)","v":"－"},null,null,null,""]
["FIM",null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!I64),\"－\",リハ!I64)","v":0},null,null,"／126",{"$f":"IF(ISBLANK(リハ!I116),\"－\",リハ!I116)","v":0},null,null,"／126",{"$f":"IF(ISBLANK(リハ!I306),\"－\",リハ!I306)","v":0},null,null,"／126",{"$f":"IF(ISBLANK(リハ!I496),\"－\",リハ!I496)","v":0},null,null,"／126",{"$f":"IF(ISBLANK(リハ!I686),\"－\",リハ!I686)","v":0},null,null,"／126"]
["HDS－R",null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!I49),\"－\",リハ!I49)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I101),\"－\",リハ!I101)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I291),\"－\",リハ!I291)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I481),\"－\",リハ!I481)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I671),\"－\",リハ!I671)","v":"－"},null,null,"／30"]
["MMSE",null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!I50),\"－\",リハ!I50)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I102),\"－\",リハ!I102)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I292),\"－\",リハ!I292)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I482),\"－\",リハ!I482)","v":"－"},null,null,"／30",{"$f":"IF(ISBLANK(リハ!I672),\"－\",リハ!I672)","v":"－"},null,null,"／30"]
["日常生活\n自立度",null,"障害老人",null,null,null,null,{"$f":"IF(ISBLANK(看護!I34),\"－\",看護!I34)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I86),\"－\",看護!I86)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I252),\"－\",看護!I252)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I388),\"－\",看護!I388)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I538),\"－\",看護!I538)","v":"－"}]
[null,null,"認知症老人",null,null,null,null,{"$f":"IF(ISBLANK(看護!I35),\"－\",看護!I35)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I87),\"－\",看護!I87)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I253),\"－\",看護!I253)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I389),\"－\",看護!I389)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!I539),\"－\",看護!I539)","v":"－"}]
["基本的ADL"]
["食事",null,null,{"$f":"IF(ISBLANK(看護!AF44),\"－\",看護!AF44)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG44),\"－\",看護!AG44)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH44),\"－\",看護!AH44)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF232),\"－\",看護!AF232)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF368),\"－\",看護!AF368)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF518),\"－\",看護!AF518)","v":""}]
[null,null,"補給ルート",{"$f":"IF(ISBLANK(看護!AF45),\"－\",看護!AF45)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG45),\"－\",看護!AG45)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH45),\"－\",看護!AH45)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AI232),\"－\",看護!AI232)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AI368),\"－\",看護!AI368)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AI518),\"－\",看護!AI518)","v":""}]
["清潔",null,null,{"$f":"IF(ISBLANK(看護!AF48),\"－\",看護!AF48)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG48),\"－\",看護!AG48)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH48),\"－\",看護!AH48)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF235),\"－\",看護!AF235)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF371),\"－\",看護!AF371)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF521),\"－\",看護!AF521)","v":""}]
["排泄",null,null,{"$f":"IF(ISBLANK(看護!AF51),\"－\",看護!AF51)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG51),\"－\",看護!AG51)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH51),\"－\",看護!AH51)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF238),\"－\",看護!AF239)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF374),\"－\",看護!AF374)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF524),\"－\",看護!AF524)","v":""}]
[null,null,"排泄方法",{"$f":"IF(ISBLANK(看護!AF52),\"－\",看護!AF52)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG52),\"－\",看護!AG52)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH52),\"－\",看護!AH52)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF239),\"－\",看護!AF239)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF375),\"－\",看護!AF375)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF525),\"－\",看護!AF525)","v":""}]
["移動",null,null,{"$f":"IF(ISBLANK(看護!AF56),\"－\",看護!AF56)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG56),\"－\",看護!AG56)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH53),\"－\",看護!AH53)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(看護!AF243),\"－\",看護!AF243)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF379),\"－\",看護!AF379)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF529),\"－\",看護!AF529)","v":""}]
[null,null,"移動手段",null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!AK56),\"－\",看護!AK56)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AI243),\"－\",看護!AI243)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AI379),\"－\",看護!AI379)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AI529),\"－\",看護!AI529)","v":""}]
["更衣",null,null,{"$f":"IF(ISBLANK(看護!AF59),\"－\",看護!AF59)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG59),\"－\",看護!AG59)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH59),\"－\",看護!AH59)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF246),\"－\",看護!AF246)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF382),\"－\",看護!AF382)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF532),\"－\",看護!AF532)","v":""}]
["整容",null,null,{"$f":"IF(ISBLANK(看護!AF60),\"－\",看護!AF60)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AG60),\"－\",看護!AG60)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AH60),\"－\",看護!AH60)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF247),\"－\",看護!AF247)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF382),\"－\",看護!AF382)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF533),\"－\",看護!AF533)","v":""}]
["コミュニケーション障害",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!AF73),\"－\",看護!AF73)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF261),\"－\",看護!AF261)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF390),\"－\",看護!AF390)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF540),\"－\",看護!AF540)","v":""}]
["転倒歴",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!AF74),\"－\",看護!AF74)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF262),\"－\",看護!AF262)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF391),\"－\",看護!AF391)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF541),\"－\",看護!AF541)","v":""}]
["問題行動",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!AF75),\"－\",看護!AF75)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF263),\"－\",看護!AF263)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF392),\"－\",看護!AF392)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF542),\"－\",看護!AF542)","v":""}]
["監視・抑制",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!AF76),\"－\",看護!AF76)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF264),\"－\",看護!AF264)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF393),\"－\",看護!AF393)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF543),\"－\",看護!AF543)","v":""}]
["夜間の状態",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!AF77),\"－\",看護!AF77)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF265),\"－\",看護!AF265)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF394),\"－\",看護!AF394)","v":""},null,null,null,{"$f":"IF(ISBLANK(看護!AF544),\"－\",看護!AF544)","v":""}]
["持参薬",null,null,{"$f":"IF(ISBLANK(薬剤!I22),\"－\",薬剤!I22)","v":"－"},null,null,null,"退院・退所時処方",null,null,null,{"$f":"IF(ISBLANK(薬剤!I32),\"－\",薬剤!I32)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(薬剤!I222),\"－\",薬剤!I222)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(診療!AE453),\"－\",診療!AE453)","v":"－"},null,null,null,"現在の\n処方",{"$f":"IF(ISBLANK(診療!AE603),\"－\",診療!AE603)","v":"－"}]

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[null,null,"施設間情報シート　※入力不要"]
[]
[]
["施設間連携情報"]
[null,null,"急性期【用紙】",null,null,null,null,null,"急性期【印刷】",null,null,null,null,null,null,"全体連携図"]
[null,null,"回復期【用紙】",null,null,null,null,null,"回復期【印刷】",null,null,null,null,null,null,"計画書"]
[null,null,"生(施)【用紙】",null,null,null,null,null,"生(施)【印刷】",null,null,null,null,null,null,"地域連携"]
[null,null,"生(在)【用紙】",null,null,null,null,null,"生(在)【印刷】"]
[]
[]
[null,null,"急性期施設間情報"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀医療介護連携シート(急性期)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パス（医療・介護従事者用）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"到達目標ステージ"]
[null,null,null,null,"ﾌﾘｶﾞﾅ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AI26),\"－\",リハ!AI26)","v":"－"}]
[null,null,null,null,"氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"℡",null,{"$f":"IF(ISBLANK(計画書!$H$23),\"－\",計画書!$H$23)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"入院・入所日",null,{"$f":"IF(ISBLANK(計画書!H32),\"－\",計画書!H32)","v":"－"},null,null,null,null,null,null,null,"紹介先",{"$f":"IF(ISBLANK(診療!I72),\"－\",診療!I72)","v":"－"},null,null,null,null,null,null,null,"紹介先\n区分",null,{"$f":"IF(診療!I68 =TRUE,診療!J68 & \" \",\"\"   )  & IF(診療!L68 =TRUE,診療!M68 & \" \",\"\"   ) & IF(診療!O68 =TRUE,診療!P68 & \" \",\"\"   ) & IF(診療!R68 =TRUE,診療!S68 & \" \",\"\"   ) & IF(診療!I69 =TRUE,診療!J69 & \" \",\"\"   )  & IF(診療!L69 =TRUE,診療!M69 & \" \",\"\"   ) & IF(診療!O69 =TRUE,診療!P69 & \" \",\"\"   ) & IF(診療!R69 =TRUE,診療!S69 & \" \",\"\"   ) & IF(診療!I70 =TRUE,診療!J70 & \" \",\"\"   )  & IF(診療!L70 =TRUE,診療!M70 & \" \",\"\"   ) & IF(診療!O70 =TRUE,診療!P70 & \" \",\"\"   ) & IF(診療!R70 =TRUE,診療!S70 & \" \",\"\"   ) & IF(診療!I71 =TRUE,診療!J71 & \" \",\"\"   )  & IF(診療!L71 =TRUE,診療!M71 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"判定ステージ"]
[null,null,null,null,null,null,null,null,null,null,null,null,"年齢",null,{"$f":"IF(ISBLANK(計画書!$Q$57),\"－\",計画書!$Q$57)","v":0},null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"},null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"},null,null,null,null,null,"退院・退所日",null,{"$f":"IF(ISBLANK(計画書!H45),\"－\",計画書!H45)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AM26),\"－\",リハ!AM26)","v":"－"}]
[null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,{"$f":"IF(ISBLANK(計画書!H29),\"－\",計画書!H29)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(計画書!H30),\"－\",計画書!H30)","v":"－"},null,null,null,null,null,null,null,null,"医療\n機関名",null,{"$f":"IF(ISBLANK(診療!I74),\"－\",診療!I74)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(診療!I77),\"－\",診療!I77)","v":"－"},null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(診療!I66),\"－\",診療!I66)","v":"－"},null,null,null,null,null,null,null,{"$f":"IF(BR18=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(BR18=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(BR18=3,\"病院施設内で身辺動作が自立している\",IF(BR18=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(BR18=5,\"自宅で身辺動作が自立している\",IF(BR18=6,\"一人で外出できる\",\"―\"))))))","v":"―"}]
[]
[]
[]
[null,null,null,null,null,"健康状態",null,"測定日",null,null,{"$f":"IF(ISBLANK(栄養!I51),\"－\",栄養!I51)","v":"－"},null,null,"身長",null,null,{"$f":"IF(ISBLANK(栄養!I52),\"－\",栄養!I52)","v":"－"},null,"cm","体重",null,null,{"$f":"IF(ISBLANK(栄養!I53),\"－\",栄養!I53)","v":"－"},null,"kg","BMI",null,null,{"$f":"W23/((Q23/100)*(Q23/100))","v":{"$error":"#VALUE!"}},null,null,"体重の増減",null,null,null,{"$f":"IF(栄養!I56  =TRUE,栄養!J56 & \" \",\"\"   ) & IF(栄養!K56 =TRUE,栄養!L56 & \" \",\"\"   ) & IF(栄養!N56 =TRUE,栄養!O56 & \" \",\"\"   ) & IF(栄養!Q56 =TRUE,栄養!R56 & \" \",\"\"   ) & IF(栄養!I57  =TRUE,栄養!J57 & \" \",\"\"   ) & IF(栄養!K57 =TRUE,栄養!L57 & \" \",\"\"   ) & IF(栄養!N57 =TRUE,栄養!O57 & \" \",\"\"   ) & IF(栄養!Q57 =TRUE,栄養!R57 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,"普段の血圧値",null,null,null,"（収縮期血圧）",null,null,{"$f":"IF(ISBLANK(看護!I38),\"－\",看護!I38)","v":"－"},null,null,null,"台","採血情報",null,"別紙：栄養情報提供書参照"]
[null,null,null,null,null,null,null,"傷病等",null,"別紙：診療情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内服",null,"別紙：薬剤情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日付",null,null,null,{"$f":"IF(ISBLANK(栄養!I35),\"－\",栄養!I35)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I97),\"－\",栄養!I97)","v":"－"},null,null,"基準値"]
[null,null,null,null,null,null,null,null,"脳卒中",null,null,{"$f":"IF(計画書!H31=FALSE,\"□\",IF(計画書!H31=TRUE,\"■\"))","v":"□"},"脳梗塞",null,null,{"$f":"IF(計画書!M31=FALSE,\"□\",IF(計画書!M31=TRUE,\"■\"))","v":"□"},"脳出血",null,null,{"$f":"IF(計画書!R31=FALSE,\"□\",IF(計画書!R31=TRUE,\"■\"))","v":"□"},"くも膜下出血",null,null,"発症日",null,null,{"$f":"IF(ISBLANK(診療!I20),\"－\",診療!I20)","v":"－"},null,null,"病変部位",null,null,{"$f":"IF(ISBLANK(診療!I32),\"－\",診療!I32)","v":"－"},null,null,null,null,null,null,null,"調剤方法",null,null,{"$f":"IF(薬剤!K15=FALSE,\"□\",IF(薬剤!K15=TRUE,\"■\"))","v":"□"},"粉砕",null,null,{"$f":"IF(薬剤!M15=FALSE,\"□\",IF(薬剤!M15=TRUE,\"■\"))","v":"□"},"ＰＴＰ",null,null,{"$f":"IF(薬剤!O15=FALSE,\"□\",IF(薬剤!O15=TRUE,\"■\"))","v":"□"},"一部粉砕"]
[null,null,null,null,null,null,null,null,null,null,null,"治療・手術",null,null,{"$f":"IF(診療!I80=\"\",\"\",診療!I80)","v":""},null,null,null,null,null,null,null,null,{"$f":"IF(診療!I81=\"\",\"\",診療!I81)","v":""},null,null,null,null,null,null,null,null,{"$f":"IF(診療!I84=\"\",\"\",診療!I84)","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(薬剤!Q15=FALSE,\"□\",IF(薬剤!Q15=TRUE,\"■\"))","v":"□"},"簡易懸濁",null,null,{"$f":"IF(薬剤!S15=FALSE,\"□\",IF(薬剤!S15=TRUE,\"■\"))","v":"□"},"一包化",null,null,{"$f":"IF(薬剤!I15=FALSE,\"□\",IF(薬剤!I15=TRUE,\"■\"))","v":"□"},"不明",null,null,null,null,"CRP",null,null,null,{"$f":"IF(ISBLANK(栄養!I36),\"－\",栄養!I36)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I98),\"－\",栄養!I98)","v":"－"},null,null,"0.00-0.60m g/dl"]
[null,null,null,null,null,null,null,null,"整形外科疾患",null,null,null,null,null,null,null,null,"発症日",null,null,null,null,null,"部位",null,null,null,null,null,"治療・手術",null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,null,{"$f":"IF(ISBLANK(薬剤!I16),\"－\",薬剤!I16)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"白血球数(WBC)",null,null,null,{"$f":"IF(ISBLANK(栄養!I37),\"－\",栄養!I37)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I99),\"－\",栄養!I99)","v":"－"},null,null,"3500-8500/μl"]
[null,null,null,null,null,null,null,null,"心疾患",null,null,{"$f":"IF(診療!M93=FALSE,\"□\",IF(診療!M93=TRUE,\"■\"))","v":"□"},"心房細動",null,null,{"$f":"IF(診療!M94=FALSE,\"□\",IF(診療!M94=TRUE,\"■\"))","v":"□"},"心筋梗塞",null,null,{"$f":"IF(診療!M95=FALSE,\"□\",IF(診療!M95=TRUE,\"■\"))","v":"□"},"心不全",null,null,{"$f":"IF(診療!M96=FALSE,\"□\",IF(診療!M96=TRUE,\"■\"))","v":"□"},"狭心症",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)",null,null,null,{"$f":"IF(ISBLANK(栄養!I38),\"－\",栄養!I38)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I100),\"－\",栄養!I100)","v":"－"},null,null,"♂11.0-16.5 ♀10.0-15.0 g/dl"]
[null,null,null,null,null,null,null,null,"その他傷病名",null,null,{"$f":"IF(診療!M90=FALSE,\"□\",IF(診療!M90=TRUE,\"■\"))","v":"□"},"高血圧",null,null,{"$f":"IF(ISBLANK(診療!P90),\"－\",診療!P90)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M91=FALSE,\"□\",IF(診療!M91=TRUE,\"■\"))","v":"□"},"糖尿病",null,null,{"$f":"IF(ISBLANK(診療!P91),\"－\",診療!P91)","v":"－"},null,null,null,null,null,null,null,null,null,null,"持参薬",null,null,{"$f":"IF(ISBLANK(薬剤!I22),\"－\",薬剤!I22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,{"$f":"IF(ISBLANK(栄養!I39),\"－\",栄養!I39)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I101),\"－\",栄養!I101)","v":"－"},null,null,"♂33.0-48.0 ♀31.0-45.0%"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M92=FALSE,\"□\",IF(診療!M92=TRUE,\"■\"))","v":"□"},"脂質代謝異常",null,null,{"$f":"IF(ISBLANK(診療!P92),\"－\",診療!P92)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M97=FALSE,\"□\",IF(診療!M97=TRUE,\"■\"))","v":"□"},"呼吸器疾患",null,null,{"$f":"IF(ISBLANK(診療!P97),\"－\",診療!P97)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総蛋白(TP)",null,null,null,{"$f":"IF(ISBLANK(栄養!I40),\"－\",栄養!I40)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I102),\"－\",栄養!I102)","v":"－"},null,null,"6.5-8.2 g/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M98=FALSE,\"□\",IF(診療!M98=TRUE,\"■\"))","v":"□"},"ガン",null,null,{"$f":"IF(ISBLANK(診療!P98),\"－\",診療!P98)","v":"－"},null,null,null,null,null,null,null,null,null,"　その他",null,{"$f":"IF(ISBLANK(診療!I99),\"－\",診療!I99)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,null,{"$f":"IF(ISBLANK(薬剤!I32),\"－\",薬剤!I32)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)",null,null,null,{"$f":"IF(ISBLANK(栄養!I41),\"－\",栄養!I41)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I103),\"－\",栄養!I103)","v":"－"},null,null,"3.5-5.0 g/dl"]
[null,null,null,null,null,null,null,null,"既往歴",null,null,{"$f":"\"脳血管疾患:\"& IF(診療!I39  =TRUE,診療!J39 & \" \",\"\"   ) & IF(診療!K39 =TRUE,診療!L39 & \" \",\"\"   ) & IF(診療!M39 =TRUE,診療!N39 & \" \",\"\"   )","v":"脳血管疾患:"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"尿素窒素(BUN)",null,null,null,{"$f":"IF(ISBLANK(栄養!I42),\"－\",栄養!I42)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I104),\"－\",栄養!I104)","v":"－"},null,null,"7-21mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(診療!I41),\"－\",診療!I41)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)",null,null,null,{"$f":"IF(ISBLANK(栄養!I43),\"－\",栄養!I43)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I105),\"－\",栄養!I105)","v":"－"},null,null,"♂0.6-1.2 ♀0.4-0.9mg/dl"]
[null,null,null,null,null,null,null,null,"アレルギー",null,null,{"$f":"IF(ISBLANK(診療!I105),\"－\",診療!I105)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,null,{"$f":"IF(ISBLANK(診療!I103),\"－\",診療!I103)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾅﾄﾘｳﾑ(Na)",null,null,null,{"$f":"IF(ISBLANK(栄養!I44),\"－\",栄養!I44)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I106),\"－\",栄養!I106)","v":"－"},null,null,"136-145mEq/l"]
[null,null,null,null,null,null,null,"処置等",null,"別紙：看護情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｶﾘｳﾑ(K)",null,null,null,{"$f":"IF(ISBLANK(栄養!I45),\"－\",栄養!I45)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I107),\"－\",栄養!I107)","v":"－"},null,null,"3.5-5.0mEq/l"]
[null,null,null,null,null,null,null,null,{"$f":"IF(看護!K96=FALSE,\"□\",IF(看護!K96=TRUE,\"■\"))","v":"□"},"褥瘡",null,null,{"$f":"IF(ISBLANK(看護!I97),\"－\",看護!I97)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特記",null,null,{"$f":"IF(ISBLANK(薬剤!I46),\"－\",薬剤!I46)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"血糖(GLU)",null,null,null,{"$f":"IF(ISBLANK(栄養!I46),\"－\",栄養!I46)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I108),\"－\",栄養!I108)","v":"－"},null,null,"65-110mg/dl"]
[null,null,null,null,null,null,null,null,{"$f":"IF(OR(看護!K101=TRUE,看護!M101=TRUE,看護!O101=TRUE,看護!Q101=TRUE),\"■\",\"□\")","v":"□"},"経腸栄養管理",null,null,"栄養剤",null,null,{"$f":"IF(ISBLANK(看護!I102),\"－\",看護!I102)","v":"－"},null,null,null,null,"投与ルート",null,null,{"$f":"IF(看護!I101 =TRUE,看護!J101 & \" \",\"\")  & IF(看護!K101 =TRUE,看護!L101 & \" \",\"\") & IF(看護!M101 =TRUE,看護!N101 & \" \",\"\")& IF(看護!O101 =TRUE,看護!P101 & \" \",\"\")& IF(看護!Q101 =TRUE,看護!R101 & \" \",\"\")","v":""},null,null,{"$f":"IF(看護!I93=\"\",\"□\",\"■\")","v":"□"},"カニューレ",null,null,{"$f":"IF(ISBLANK(看護!I93),\"－\",看護!I93)","v":"－"},null,"Ｆｒ","カフの有無",null,null,{"$f":"IF(看護!I94 =TRUE,看護!J94 & \" \",\"\")  & IF(看護!K94 =TRUE,看護!L94 & \" \",\"\") & IF(看護!M94 =TRUE,看護!N94 & \" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)",null,null,null,{"$f":"IF(ISBLANK(栄養!I47),\"－\",栄養!I47)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I109),\"－\",栄養!I109)","v":"－"},null,null,"4.3-5.8％"]
[null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(看護!I98),\"－\",看護!I98)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I48),\"－\",栄養!I48)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I110),\"－\",栄養!I110)","v":"－"},null,null,"40-80mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I49),\"－\",栄養!I49)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I111),\"－\",栄養!I111)","v":"－"},null,null,"40-140mg/dl"]
[]
[]
[null,null,null,null,null,null,"心身機能・身体構造",null,true,"別紙：リハビリテーション情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,"活動",null,true,"別紙：看護，リハビリテーション，栄養情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加",null,true,"別紙：福祉情報提供書参照"]
[null,null,null,null,"◎生活機能",null,null,null,{"$f":"IF(リハ!K68=FALSE,\"□\",IF(リハ!K68=TRUE,\"■\"))","v":"□"},"麻痺\n※Brunnstrom stage",null,null,"左上肢",null,{"$f":"IF(ISBLANK(リハ!I72),\"－\",リハ!I72)","v":"－"},"左下肢",null,{"$f":"IF(ISBLANK(リハ!I74),\"－\",リハ!I74)","v":"－"},"左手指",null,{"$f":"IF(ISBLANK(リハ!I73),\"－\",リハ!I73)","v":"－"},null,null,null,null,"基本的ADL","項目",null,null,"自立","一部介助","全介助","介護内容・使用用具等",null,null,null,null,null,null,null,null,null,null,null,"FIM","項目",null,null,null,null,null,"評価（している）",null,null,null,null,null,null,null,null,null,null,"入院中の状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",null,{"$f":"IF(ISBLANK(リハ!I69),\"－\",リハ!I69)","v":"－"},"右下肢",null,{"$f":"IF(ISBLANK(リハ!I71),\"－\",リハ!I71)","v":"－"},"右手指",null,{"$f":"IF(ISBLANK(リハ!I70),\"－\",リハ!I70)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF( ISBLANK( リハ!AH73 )=TRUE,\"\",リハ!AH73)","v":""},{"$f":"IF(AZ44=1,\"自分で25% 未満しかしていない\",IF(AZ44=2,\"自分で25～49% している\",IF(AZ44=3,\"自分で50～74% している\",IF(AZ44=4,\"自分で75%以上している\",IF(AZ44=5,\"体に触れない監視、準備、指示\",IF(AZ44=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ44=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"},null,null,null,null,null,null,null,null,null,"生活\n","入院中",null,{"$f":"IF(ISBLANK(福祉!I74),\"－\",福祉!I74)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K75=FALSE,\"□\",IF(リハ!K75=TRUE,\"■\"))","v":"□"},"失調",null,null,{"$f":"IF(ISBLANK(リハ!I76),\"－\",リハ!I76)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF( ISBLANK( リハ!AH74 )=TRUE,\"\",リハ!AH74)","v":""},{"$f":"IF(AZ45=1,\"自分で25% 未満しかしていない\",IF(AZ45=2,\"自分で25～49% している\",IF(AZ45=3,\"自分で50～74% している\",IF(AZ45=4,\"自分で75%以上している\",IF(AZ45=5,\"体に触れない監視、準備、指示\",IF(AZ45=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ45=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF(看護!K55=FALSE,\"\",IF(看護!K55=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M55=FALSE,\"\",IF(看護!M55=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O55=FALSE,\"\",IF(看護!O55=TRUE,\"●\"))","v":""},"補給方法",null,{"$f":"IF(栄養!I18=TRUE,栄養!J18&\" \",\"\")&IF(栄養!K18=TRUE,栄養!L18&\" \",\"\")&IF(栄養!M18=TRUE,栄養!N18&\" \",\"\")& IF(栄養!O18=TRUE,栄養!P18&\" \",\"\") & IF(栄養!Q18=TRUE,栄養!R18&\" \",\"\") & IF(栄養!S18=TRUE,栄養!T18&\" \",\"\") & IF(栄養!U18=TRUE,栄養!V18&\" \",\"\")","v":""},null,null,null,"義歯",null,{"$f":"IF(看護!K56=FALSE,\"□\",IF(看護!K56=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(看護!M56=FALSE,\"□\",IF(看護!M56=TRUE,\"■\"))","v":"□"},"有",null,"①",null,null,"清拭",null,null,{"$f":"IF( ISBLANK( リハ!AH75 )=TRUE,\"\",リハ!AH75)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"IF(ISBLANK(栄養!I65),\"－\",栄養!I65)","v":""},null,null,null,"理由",null,{"$f":"IF(ISBLANK(栄養!I71),\"－\",栄養!I71)","v":"－"},null,null,null,null,"セルフケア",null,null,"更衣の上半身",null,null,{"$f":"IF( ISBLANK( リハ!AH76 )=TRUE,\"\",リハ!AH76)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I76),\"－\",福祉!I76)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K78=FALSE,\"□\",IF(リハ!K78=TRUE,\"■\"))","v":"□"},"感覚障害",null,null,{"$f":"IF(ISBLANK(リハ!I79),\"－\",リハ!I79)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"IF(ISBLANK(栄養!I66),\"－\",栄養!I66)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,{"$f":"IF( ISBLANK( リハ!AH77 )=TRUE,\"\",リハ!AH77)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"摂取量",null,{"$f":"IF(栄養!I79  =TRUE,栄養!J79 & \" \",\"\"   ) & IF(栄養!K79 =TRUE,栄養!L79 & \" \",\"\"   ) & IF(栄養!N79 =TRUE,栄養!O79 & \" \",\"\"   )","v":""},null,null,null,"食事回数",null,{"$f":"IF(栄養!I80  =TRUE,栄養!J80 & \" \",\"\"   ) & IF(栄養!K80  =TRUE,栄養!L80 & \" \",\"\"   ) & IF(栄養!M80  =TRUE,栄養!N80 & \" \",\"\"   ) & IF(栄養!O80  =TRUE,栄養!P80 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,"トイレ動作",null,null,{"$f":"IF( ISBLANK( リハ!AH78 )=TRUE,\"\",リハ!AH78)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療食指示",null,{"$f":"IF(栄養!M64=FALSE,\"□\",IF(栄養!M64=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K64=FALSE,\"□\",IF(栄養!K64=TRUE,\"■\"))","v":"□"},"有","補助食",null,{"$f":"IF(栄養!M81=FALSE,\"□\",IF(栄養!M81=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K81=FALSE,\"□\",IF(栄養!K81=TRUE,\"■\"))","v":"□"},"有",null,"②",null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH79 )=TRUE,\"\",リハ!AH79)","v":""},"―",null,null,null,null,null,null,null,null,null,"趣味","入院中",null,{"$f":"IF(ISBLANK(福祉!I78),\"－\",福祉!I78)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K81=FALSE,\"□\",IF(リハ!K81=TRUE,\"■\"))","v":"□"},"筋力低下\n※部位,MMT等",null,null,{"$f":"IF(ISBLANK(リハ!I82),\"－\",リハ!I82)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(栄養!I82),\"－\",栄養!I82)","v":"－"},null,null,null,"好き嫌い",null,{"$f":"IF(ISBLANK(栄養!I83),\"－\",栄養!I83)","v":"－"},null,null,null,null,"排泄コントロール",null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH80 )=TRUE,\"\",リハ!AH80)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I57),\"－\",看護!I57)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"③",null,null,"ベット・椅子・車椅子の移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH81 )=TRUE,\"\",リハ!AH81)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"IF(看護!K59=FALSE,\"\",IF(看護!K59=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M59=FALSE,\"\",IF(看護!M59=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O59=FALSE,\"\",IF(看護!O59=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I60=TRUE,看護!J60&\" \",\"\")&IF(看護!K60=TRUE,看護!L60&\" \",\"\")&IF(看護!M60=TRUE,看護!N60&\" \",\"\")& IF(看護!O60=TRUE,看護!P60&\" \",\"\") & IF(看護!Q60=TRUE,看護!R60&\" \",\"\") & IF(看護!S60=TRUE,看護!T60&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"トイレ移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH82 )=TRUE,\"\",リハ!AH82)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I80),\"－\",福祉!I80)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K84=FALSE,\"□\",IF(リハ!K84=TRUE,\"■\"))","v":"□"},"高次脳機能障害",null,null,{"$f":"IF(リハ!I85=FALSE,\"□\",IF(リハ!I85=TRUE,\"■\"))","v":"□"},"失行",null,{"$f":"IF(リハ!K85=FALSE,\"□\",IF(リハ!K85=TRUE,\"■\"))","v":"□"},"失認",null,{"$f":"IF(リハ!M85=FALSE,\"□\",IF(リハ!M85=TRUE,\"■\"))","v":"□"},"失語",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I62),\"－\",看護!I62)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,{"$f":"IF( ISBLANK( リハ!AH83 )=TRUE,\"\",リハ!AH83)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!O85=FALSE,\"□\",IF(リハ!O85=TRUE,\"■\"))","v":"□"},"注意",null,{"$f":"IF(リハ!Q85=FALSE,\"□\",IF(リハ!Q85=TRUE,\"■\"))","v":"□"},"記憶",null,null,null,null,null,null,null,null,null,"排泄",null,null,{"$f":"IF(看護!K64=FALSE,\"\",IF(看護!K64=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M64=FALSE,\"\",IF(看護!M64=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O64=FALSE,\"\",IF(看護!O64=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I20=TRUE,看護!J20&\" \",\"\")&IF(看護!K20=TRUE,看護!L20&\" \",\"\")&IF(看護!M20=TRUE,看護!N20&\" \",\"\")& IF(看護!O20=TRUE,看護!P20&\" \",\"\") & IF(看護!Q20=TRUE,看護!R20&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"④",null,null,"歩行・車椅子",null,null,{"$f":"IF( ISBLANK( リハ!AH84 )=TRUE,\"\",リハ!AH84)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!I86),\"－\",リハ!I86)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I73),\"－\",看護!I73)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,"階段",null,null,{"$f":"IF( ISBLANK( リハ!AH85 )=TRUE,\"\",リハ!AH85)","v":""},"―",null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,{"$f":"IF(看護!K75=FALSE,\"\",IF(看護!K75=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M75=FALSE,\"\",IF(看護!M75=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O75=FALSE,\"\",IF(看護!O75=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I76=TRUE,看護!J76&\" \",\"\")&IF(看護!K76=TRUE,看護!L76&\" \",\"\") & IF(看護!M76=TRUE,看護!N76&\" \",\"\")& IF(看護!O76=TRUE,看護!P76&\" \",\"\") & IF(看護!Q76=TRUE,看護!R76&\" \",\"\") & IF(看護!S76=TRUE,看護!T76&\" \",\"\") & IF(看護!U76=TRUE,看護!V76&\" \",\"\")  &IF(看護!K77=TRUE,看護!L77&\" \",\"\") & IF(看護!M77 =TRUE,看護!N77 &\" \",\"\")& IF(看護!O77=TRUE,看護!P77 &\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"⑤",null,null,"理解",null,null,{"$f":"IF( ISBLANK( リハ!AH86 )=TRUE,\"\",リハ!AH86)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K82=FALSE,\"□\",IF(福祉!K82=TRUE,\"■\"))","v":"□"},"訪問介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I83),\"－\",福祉!I83)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I85),\"－\",看護!I85)","v":false},null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,null,"表出",null,null,{"$f":"IF( ISBLANK( リハ!AH87 )=TRUE,\"\",リハ!AH87)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K84=FALSE,\"□\",IF(福祉!K84=TRUE,\"■\"))","v":"□"},"訪問看護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I85),\"－\",福祉!I85)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K88=FALSE,\"□\",IF(リハ!K88=TRUE,\"■\"))","v":"□"},"構音障害",null,null,{"$f":"IF(ISBLANK(リハ!I90),\"－\",リハ!I90)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,null,{"$f":"IF(看護!K80=FALSE,\"\",IF(看護!K80=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M80=FALSE,\"\",IF(看護!M80=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O80=FALSE,\"\",IF(看護!O80=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R80),\"－\",看護!R80)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"⑥",null,null,"社会的交流",null,null,{"$f":"IF( ISBLANK( リハ!AH88 )=TRUE,\"\",リハ!AH88)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K86=FALSE,\"□\",IF(福祉!K86=TRUE,\"■\"))","v":"□"},"訪問リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I87),\"－\",福祉!I87)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF(看護!K81=FALSE,\"\",IF(看護!K81=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M81=FALSE,\"\",IF(看護!M81=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O81=FALSE,\"\",IF(看護!O81=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R81),\"－\",看護!R81)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,null,"問題解決",null,null,{"$f":"IF( ISBLANK( リハ!AH89 )=TRUE,\"\",リハ!AH89)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K88=FALSE,\"□\",IF(福祉!K88=TRUE,\"■\"))","v":"□"},"通所介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I89),\"－\",福祉!I89)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",null,null,{"$f":"IF(リハ!I89  =TRUE,リハ!J89 & \" \",\"\"   ) & IF(リハ!K89 =TRUE,リハ!L89 & \" \",\"\"   ) & IF(リハ!N89 =TRUE,リハ!O89 & \" \",\"\"   ) & IF(リハ!Q89 =TRUE,リハ!R89 & \" \",\"\"   ) & IF(リハ!T89  =TRUE,リハ!U89 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,null,{"$f":"IF(看護!K82=FALSE,\"\",IF(看護!K82=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M82=FALSE,\"\",IF(看護!M82=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O82=FALSE,\"\",IF(看護!O82=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R82),\"－\",看護!R82)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,{"$f":"IF( ISBLANK( リハ!AH90 )=TRUE,\"\",リハ!AH90)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K90=FALSE,\"□\",IF(福祉!K90=TRUE,\"■\"))","v":"□"},"通所リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I91),\"－\",福祉!I91)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K92=FALSE,\"□\",IF(リハ!K92=TRUE,\"■\"))","v":"□"},"摂食機能障害",null,null,{"$f":"IF(ISBLANK(リハ!I93),\"－\",リハ!I93)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,null,{"$f":"IF(看護!K83=FALSE,\"\",IF(看護!K83=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M83=FALSE,\"\",IF(看護!M83=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O83=FALSE,\"\",IF(看護!O83=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R83),\"－\",看護!R83)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（①～④）",null,null,null,null,null,{"$f":"SUM(AZ44:AZ56)","v":0},"（13～91点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K92=FALSE,\"□\",IF(福祉!K92=TRUE,\"■\"))","v":"□"},"ショートスティ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I93),\"－\",福祉!I93)","v":"－"},"日／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,null,{"$f":"IF(看護!K84=FALSE,\"\",IF(看護!K84=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M84=FALSE,\"\",IF(看護!M84=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O84=FALSE,\"\",IF(看護!O84=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R84),\"－\",看護!R84)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（⑤、⑥）",null,null,null,null,null,{"$f":"SUM(AZ57:AZ61)","v":0},"（5～35点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K94=FALSE,\"□\",IF(福祉!K94=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（医療）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I95),\"－\",福祉!I95)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,null,{"$f":"IF(看護!K85=FALSE,\"\",IF(看護!K85=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M85=FALSE,\"\",IF(看護!M85=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O85=FALSE,\"\",IF(看護!O85=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R85),\"－\",看護!R85)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（①～⑥）",null,null,null,null,null,{"$f":"SUM(AZ62:AZ63)","v":0},"（18～126点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K96=FALSE,\"□\",IF(福祉!K96=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（薬剤）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I97),\"－\",福祉!I97)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K95=FALSE,\"□\",IF(リハ!K95=TRUE,\"■\"))","v":"□"},"可動域制限\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I96),\"－\",リハ!I96)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"起居動作","寝返り",null,null,{"$f":"IF(リハ!K115=FALSE,\"\",IF(リハ!K115=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M115=FALSE,\"\",IF(リハ!M115=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O115=FALSE,\"\",IF(リハ!O115=TRUE,\"●\"))","v":""},"その他","転倒歴",null,null,{"$f":"IF(看護!M89=FALSE,\"□\",IF(看護!M89=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K89=FALSE,\"□\",IF(看護!K89=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P89),\"－\",看護!P89)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K98=FALSE,\"□\",IF(福祉!K98=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（歯科）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I99),\"－\",福祉!I99)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"起きあがり",null,null,{"$f":"IF(リハ!K104=FALSE,\"\",IF(リハ!K104=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M104=FALSE,\"\",IF(リハ!M104=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O104=FALSE,\"\",IF(リハ!O104=TRUE,\"●\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K100=FALSE,\"□\",IF(福祉!K100=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（栄養）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I101),\"－\",福祉!I101)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K98=FALSE,\"□\",IF(リハ!K98=TRUE,\"■\"))","v":"□"},"疼痛\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I99),\"－\",リハ!I99)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"座位",null,null,{"$f":"IF(リハ!K105=FALSE,\"\",IF(リハ!K105=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M105=FALSE,\"\",IF(リハ!M105=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O105=FALSE,\"\",IF(リハ!O105=TRUE,\"●\"))","v":""},null,"問題となった行動",null,null,{"$f":"IF(看護!M90=FALSE,\"□\",IF(看護!M90=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K90=FALSE,\"□\",IF(看護!K90=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P90),\"－\",看護!P90)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(福祉!I102),\"－\",福祉!I102)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"立ち上がり",null,null,{"$f":"IF(リハ!K106=FALSE,\"\",IF(リハ!K106=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M106=FALSE,\"\",IF(リハ!M106=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O106=FALSE,\"\",IF(リハ!O106=TRUE,\"●\"))","v":""}]
[null,null,null,null,null,null,null,null,"HDS-R",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I49),\"－\",リハ!I49)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I101),\"－\",リハ!I101)","v":"－"},"/30点 ",null,null,null,null,null,null,"立位",null,null,{"$f":"IF(リハ!K107=FALSE,\"\",IF(リハ!K107=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M107=FALSE,\"\",IF(リハ!M107=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O107=FALSE,\"\",IF(リハ!O107=TRUE,\"●\"))","v":""},null,"監視・抑制",null,null,{"$f":"IF(看護!M91=FALSE,\"□\",IF(看護!M91=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K91=FALSE,\"□\",IF(看護!K91=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P91),\"－\",看護!P91)","v":"－"}]
[null,null,null,null,null,null,null,null,"MMSE",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I50),\"－\",リハ!I50)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I102),\"－\",リハ!I102)","v":"－"},"/30点 ",null,null,null,null,null,null,"移乗",null,null,{"$f":"IF(リハ!K108=FALSE,\"\",IF(リハ!K108=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M108=FALSE,\"\",IF(リハ!M108=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O108=FALSE,\"\",IF(リハ!O108=TRUE,\"●\"))","v":""},null,"夜間の状態",null,null,{"$f":"IF(看護!K92=FALSE,\"□\",IF(看護!K92=TRUE,\"■\"))","v":"□"},"良眠",null,{"$f":"IF(看護!M92=FALSE,\"□\",IF(看護!M92=TRUE,\"■\"))","v":"□"},"不眠",null,{"$f":"IF(ISBLANK(看護!P92),\"－\",看護!P92)","v":"－"}]
[]
[]
[]
[null,null,null,null,"◎背景因子",null,"環境因子",null,"住環境",null,"生活場所",null,{"$f":"IF(福祉!I14 =TRUE,福祉!J14 & \" \",\"\"   ) & IF(福祉!L14 =TRUE,福祉!M14 & \" \",\"\"   ) & IF(福祉!O14 =TRUE,福祉!P14 & \" \",\"\"   ) & IF(福祉!R14 =TRUE,福祉!S14 & \" \",\"\"   )  & IF(福祉!U14 =TRUE,福祉!V14 & \" \",\"\"   ) & IF(福祉!I15 =TRUE,福祉!J15 & \" \",\"\"   ) & IF(福祉!L15 =TRUE,福祉!M15 & \" \",\"\"   ) & IF(福祉!O15 =TRUE,福祉!P15 & \" \",\"\"   ) & IF(福祉!R15 =TRUE,福祉!S15 & \" \",\"\"   )  & IF(福祉!U15 =TRUE,福祉!V15 & \" \",\"\"   ) & IF(福祉!I16 =TRUE,福祉!J16 & \" \",\"\"   ) & IF(福祉!L16 =TRUE,福祉!M15 & \" \",\"\"   )  & IF(福祉!R16 =TRUE,福祉!S16 & \" \",\"\"   ) & IF(福祉!U16 =TRUE,福祉!V16 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"家族\n状況",null,"キーパ\nーソン",null,"氏名",null,{"$f":"IF(ISBLANK(福祉!I43),\"－\",福祉!I43)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"個人因子",null,"入院前\nの状況",null,"仕事",null,{"$f":"IF(福祉!M32=FALSE,\"□\",IF(福祉!M32=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(福祉!K32=FALSE,\"□\",IF(福祉!K32=TRUE,\"■\"))","v":"□"},"有",null,null,null,null,null,null,null,null,"生活",null,{"$f":"IF(ISBLANK(福祉!I37),\"－\",福祉!I37)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I17),\"－\",福祉!I17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,{"$f":"IF(福祉!I45 =TRUE,福祉!J45 & \" \",\"\"   )  & IF(福祉!K45 =TRUE,福祉!L45 & \" \",\"\"   ) & IF(福祉!M45 =TRUE,福祉!N45 & \" \",\"\"   )","v":""},null,"年齢",null,{"$f":"IF(ISBLANK(福祉!I46),\"－\",福祉!I46)","v":"－"},null,"続柄",null,{"$f":"IF(ISBLANK(福祉!I44),\"－\",福祉!I44)","v":"－"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I33),\"－\",福祉!I33)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修必要性",null,{"$f":"IF(リハ!M117=FALSE,\"□\",IF(リハ!M117=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K117=FALSE,\"□\",IF(リハ!K117=TRUE,\"■\"))","v":"□"},"有","改修状況",null,{"$f":"IF(リハ!M118=FALSE,\"□\",IF(リハ!M118=TRUE,\"■\"))","v":"□"},"未",{"$f":"IF(リハ!K118=FALSE,\"□\",IF(リハ!K118=TRUE,\"■\"))","v":"□"},"済",null,null,null,null,"健康状態",null,{"$f":"IF(福祉!I47 =TRUE,福祉!J47 & \" \",\"\"   )  & IF(福祉!K47 =TRUE,福祉!L47 & \" \",\"\"   ) & IF(福祉!M47 =TRUE,福祉!N47 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ①",null,{"$f":"IF(ISBLANK(福祉!I49),\"－\",福祉!I49)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修\n必要箇所",null,{"$f":"IF(ISBLANK(リハ!I119),\"－\",リハ!I119)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"介護力",null,{"$f":"IF(福祉!I48 =TRUE,福祉!J48 & \" \",\"\"   )  & IF(福祉!K48 =TRUE,福祉!L48 & \" \",\"\"   ) & IF(福祉!M48 =TRUE,福祉!N48 & \" \",\"\"   )& IF(福祉!O48 =TRUE,福祉!P48 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ②",null,{"$f":"IF(ISBLANK(福祉!I50),\"－\",福祉!I50)","v":"－"},null,null,null,null,null,null,null,null,null,null,"経済",null,{"$f":"IF(ISBLANK(福祉!I35),\"－\",福祉!I35)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"趣味",null,{"$f":"IF(ISBLANK(福祉!I39),\"－\",福祉!I39)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I51),\"－\",福祉!I51)","v":"－"}]
[null,null,null,null,null,null,null,null,"福祉\n用具",null,{"$f":"IF(リハ!M123=FALSE,\"□\",IF(リハ!M123=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K123=FALSE,\"□\",IF(リハ!K123=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K124=FALSE,\"□\",IF(リハ!K124=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M124=FALSE,\"□\",IF(リハ!M124=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保障",null,"医療保険",null,null,{"$f":"IF(福祉!I55 =TRUE,福祉!J55 & \" \",\"\"   ) & IF(福祉!K55 =TRUE,福祉!L55 & \" \",\"\"   ) & IF(福祉!M55 =TRUE,福祉!N55 & \" \",\"\"   ) &  IF(福祉!O55 =TRUE,福祉!P55 & \" \",\"\"   ) & IF(福祉!Q55 =TRUE,福祉!R55 & \" \",\"\"   ) & IF(福祉!S55 =TRUE,福祉!T55 & \" \",\"\"   ) & IF(福祉!K56 =TRUE,福祉!L56 & \" \",\"\"   ) & IF(福祉!M56 =TRUE,福祉!N56 & \" \",\"\"   ) &  IF(福祉!O56 =TRUE,福祉!P56 & \" \",\"\"   ) & Q56","v":""},null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,null,"取得状況",null,null,{"$f":"IF(福祉!I57 =TRUE,福祉!J57 & \" \",\"\"   ) & IF(福祉!K57 =TRUE,福祉!L57 & \" \",\"\"   ) & IF(福祉!M57 =TRUE,福祉!N57 & \" \",\"\"   ) &  IF(福祉!O57 =TRUE,福祉!P57 & \" \",\"\"   )& IF(福祉!K58 =TRUE,福祉!L58 & \" \",\"\"   ) & IF(福祉!M58 =TRUE,福祉!N58 & \" \",\"\"   ) & IF(福祉!O58 =TRUE,福祉!P58 & \" \",\"\"   )  & IF(福祉!Q58 =TRUE,福祉!R58 & \" \",\"\"   )  & IF(福祉!S58 =TRUE,福祉!T58 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P123),\"－\",リハ!P123)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,null,"取得状況",null,null,{"$f":"IF(福祉!I63 =TRUE,福祉!J63 & \" \",\"\"   ) & IF(福祉!K63 =TRUE,福祉!L63 & \" \",\"\"   ) & IF(福祉!M63 =TRUE,福祉!N63 & \" \",\"\"   ) &  IF(福祉!O63 =TRUE,福祉!P63 & \" \",\"\"   ) &  IF(福祉!Q63 =TRUE,福祉!R63 & \" \",\"\"   )&  IF(福祉!S63 =TRUE,福祉!T63 & \" \",\"\"   )  & IF(福祉!K64 =TRUE,福祉!L64 & \" \",\"\"   ) & IF(福祉!M64 =TRUE,福祉!N64 & \" \",\"\"   ) &  IF(福祉!O64 =TRUE,福祉!P64 & \" \",\"\"   ) &  IF(福祉!Q64 =TRUE,福祉!R64 & \" \",\"\"   )&  IF(福祉!S64 =TRUE,福祉!T64 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,"障害の種類",null,null,{"$f":"IF(福祉!I59 =TRUE,福祉!J59 & \" \",\"\"   ) & IF(福祉!K59 =TRUE,福祉!L59 & \" \",\"\"   ) & IF(福祉!M59 =TRUE,福祉!N59 & \" \",\"\"   ) &  IF(福祉!O59 =TRUE,福祉!P59 & \" \",\"\"   ) &  IF(福祉!Q59 =TRUE,福祉!R59 & \" \",\"\"   )&  IF(福祉!S59 =TRUE,福祉!T59 & \" \",\"\"   )&  IF(福祉!U59 =TRUE,福祉!V59 & \" \",\"\"   ) & IF(福祉!K60 =TRUE,福祉!L60 & \" \",\"\"   ) & IF(福祉!M60 =TRUE,福祉!N60 & \" \",\"\"   ) &  IF(福祉!O60 =TRUE,福祉!P60 & \" \",\"\"   ) &  IF(福祉!Q60 =TRUE,福祉!R60 & \" \",\"\"   )&  IF(福祉!S60 =TRUE,福祉!T60 & \" \",\"\"   )&  IF(福祉!U60 =TRUE,福祉!V60 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,"装具",null,{"$f":"IF(リハ!M125=FALSE,\"□\",IF(リハ!M125=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K125=FALSE,\"□\",IF(リハ!K125=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K126=FALSE,\"□\",IF(リハ!K126=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M126=FALSE,\"□\",IF(リハ!M126=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",null,null,{"$f":"IF(ISBLANK(福祉!I65),\"－\",福祉!I65)","v":"－"},null,null,null,null,null,null,null,"特定疾患",null,null,"特定疾患の申請",null,null,{"$f":"IF(福祉!I61 =TRUE,福祉!J61 & \" \",\"\"   ) & IF(福祉!K61 =TRUE,福祉!L61 & \" \",\"\"   ) & IF(福祉!M61 =TRUE,福祉!N61 & \" \",\"\"   ) &  IF(福祉!O61 =TRUE,福祉!P61 & \" \",\"\"   ) &  IF(福祉!Q61 =TRUE,福祉!R61 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P125),\"－\",リハ!P125)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",null,null,{"$f":"IF(ISBLANK(福祉!I66),\"－\",福祉!I66)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病名",null,null,{"$f":"IF(ISBLANK(福祉!AK40),\"－\",福祉!AK40)","v":"－"}]
[null,null,null,null,null,null,null,null,"ご家族\n希望",null,{"$f":"IF(ISBLANK(福祉!I108),\"－\",福祉!I108)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"利用者\n希望",null,{"$f":"IF(ISBLANK(福祉!I104),\"－\",福祉!I104)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,"次のステージの課題",null,"医師",null,{"$f":"IF(ISBLANK(診療!I145),\"－\",診療!I145)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学\n療法士",null,{"$f":"IF(ISBLANK(リハ!I133),\"－\",リハ!I133)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士",null,{"$f":"IF(ISBLANK(栄養!I119),\"－\",栄養!I119)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"看護師",null,{"$f":"IF(ISBLANK(看護!I145),\"－\",看護!I145)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業\n療法士",null,{"$f":"IF(ISBLANK(リハ!I142),\"－\",リハ!I142)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MSW",null,{"$f":"IF(ISBLANK(福祉!I142),\"－\",福祉!I142)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"薬剤師",null,{"$f":"IF(ISBLANK(薬剤!I44),\"－\",薬剤!I44)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語\n聴覚士",null,{"$f":"IF(ISBLANK(リハ!I151),\"－\",リハ!I151)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科",null,{"$f":"IF(ISBLANK(歯科!I43),\"－\",歯科!I43)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"回復期施設間情報"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀医療介護連携シート（回復期）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パス（医療・介護従事者用）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"到達目標ステージ"]
[null,null,null,null,"ﾌﾘｶﾞﾅ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AI216),\"－\",リハ!AI216)","v":"－"}]
[null,null,null,null,"氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"℡",null,{"$f":"IF(ISBLANK(計画書!$H$23),\"－\",計画書!$H$23)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"入院・入所日",null,{"$f":"IF(ISBLANK(計画書!AJ25),\"－\",計画書!AJ25)","v":"－"},null,null,null,null,null,null,null,"紹介先",{"$f":"IF(ISBLANK(診療!I218),\"－\",診療!I218)","v":"－"},null,null,null,null,null,null,null,"紹介先\n区分",null,{"$f":"IF(診療!I214 =TRUE,診療!J214 & \" \",\"\"   )  & IF(診療!L214 =TRUE,診療!M214 & \" \",\"\"   ) & IF(診療!O214 =TRUE,診療!P214 & \" \",\"\"   ) & IF(診療!R214 =TRUE,診療!S214 & \" \",\"\"   )& IF(診療!I215 =TRUE,診療!J215 & \" \",\"\"   )  & IF(診療!L215 =TRUE,診療!M215 & \" \",\"\"   ) & IF(診療!O215 =TRUE,診療!P215 & \" \",\"\"   ) & IF(診療!R215 =TRUE,診療!S215 & \" \",\"\"   )& IF(診療!I216 =TRUE,診療!J216 & \" \",\"\"   )  & IF(診療!L216 =TRUE,診療!M216 & \" \",\"\"   ) & IF(診療!O216 =TRUE,診療!P216 & \" \",\"\"   ) & IF(診療!R216 =TRUE,診療!S216 & \" \",\"\"   )& IF(診療!I217 =TRUE,診療!J217 & \" \",\"\"   )  & IF(診療!L217 =TRUE,診療!M217 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"判定ステージ"]
[null,null,null,null,null,null,null,null,null,null,null,null,"年齢",null,{"$f":"IF(ISBLANK(計画書!$Q$57),\"－\",計画書!$Q$57)","v":0},null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"},null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"},null,null,null,null,null,"退院・退所日",null,{"$f":"IF(ISBLANK(計画書!AJ26),\"－\",計画書!AJ26)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AM216),\"－\",リハ!AM216)","v":"－"}]
[null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,{"$f":"IF(ISBLANK(計画書!AJ23),\"－\",計画書!AJ23)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(計画書!AJ24),\"－\",計画書!AJ24)","v":"－"},null,null,null,null,null,null,null,null,"医療\n機関名",null,{"$f":"IF(ISBLANK(診療!I220),\"－\",診療!I220)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(診療!I223),\"－\",診療!I223)","v":"－"},null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(診療!I204),\"－\",診療!I204)","v":"－"},null,null,null,null,null,null,null,{"$f":"IF(BR118=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(BR118=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(BR118=3,\"病院施設内で身辺動作が自立している\",IF(BR118=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(BR118=5,\"自宅で身辺動作が自立している\",IF(BR118=6,\"一人で外出できる\",\"―\"))))))","v":"―"}]
[]
[]
[]
[null,null,null,null,null,"健康状態",null,"測定日",null,null,{"$f":"IF(ISBLANK(栄養!I207),\"－\",栄養!I207)","v":"－"},null,null,"身長",null,null,{"$f":"IF(ISBLANK(栄養!I205),\"－\",栄養!I205)","v":"－"},null,"cm","体重",null,null,{"$f":"IF(ISBLANK(栄養!I206),\"－\",栄養!I206)","v":"－"},null,"kg","BMI",null,null,{"$f":"W123/((Q123/100)*(Q123/100))","v":{"$error":"#VALUE!"}},null,null,"体重の増減",null,null,null,{"$f":"IF(栄養!I209  =TRUE,栄養!J209 & \" \",\"\"   ) & IF(栄養!K209 =TRUE,栄養!L209 & \" \",\"\"   ) & IF(栄養!N209 =TRUE,栄養!O209 & \" \",\"\"   ) & IF(栄養!Q209 =TRUE,栄養!R209 & \" \",\"\"   )& IF(栄養!I210  =TRUE,栄養!J210 & \" \",\"\"   ) & IF(栄養!K210 =TRUE,栄養!L210 & \" \",\"\"   ) & IF(栄養!N210 =TRUE,栄養!O210 & \" \",\"\"   ) & IF(栄養!Q210 =TRUE,栄養!R210 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,"普段の血圧値",null,null,null,"（収縮期血圧）",null,null,{"$f":"IF(ISBLANK(看護!I205),\"－\",看護!I205)","v":"－"},null,null,null,"台","採血情報",null,"別紙：栄養情報提供書参照"]
[null,null,null,null,null,null,null,"傷病等",null,"別紙：診療情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内服",null,"別紙：薬剤情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日付",null,null,null,{"$f":"IF(ISBLANK(栄養!I97),\"－\",栄養!I97)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I250),\"－\",栄養!I250)","v":"－"},null,null,"基準値"]
[null,null,null,null,null,null,null,null,"脳卒中",null,null,{"$f":"IF(計画書!H31=FALSE,\"□\",IF(計画書!H31=TRUE,\"■\"))","v":"□"},"脳梗塞",null,null,{"$f":"IF(計画書!M31=FALSE,\"□\",IF(計画書!M31=TRUE,\"■\"))","v":"□"},"脳出血",null,null,{"$f":"IF(計画書!R31=FALSE,\"□\",IF(計画書!R31=TRUE,\"■\"))","v":"□"},"くも膜下出血",null,null,"発症日",null,null,{"$f":"IF(ISBLANK(診療!I20),\"－\",診療!I20)","v":"－"},null,null,"病変部位",null,null,{"$f":"IF(ISBLANK(診療!I233),\"－\",診療!I233)","v":"－"},null,null,null,null,null,null,null,"調剤方法",null,null,{"$f":"IF(薬剤!K205=FALSE,\"□\",IF(薬剤!K205=TRUE,\"■\"))","v":"□"},"粉砕",null,null,{"$f":"IF(薬剤!M205=FALSE,\"□\",IF(薬剤!M205=TRUE,\"■\"))","v":"□"},"ＰＴＰ",null,null,{"$f":"IF(薬剤!O205=FALSE,\"□\",IF(薬剤!O205=TRUE,\"■\"))","v":"□"},"一部粉砕"]
[null,null,null,null,null,null,null,null,null,null,null,"治療・手術",null,null,{"$f":"IF(診療!I80=\"\",\"\",診療!I80)","v":""},null,null,null,null,null,null,null,null,{"$f":"IF(診療!I81=\"\",\"\",診療!I81)","v":""},null,null,null,null,null,null,null,null,{"$f":"IF(診療!I84=\"\",\"\",診療!I84)","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(薬剤!Q205=FALSE,\"□\",IF(薬剤!Q205=TRUE,\"■\"))","v":"□"},"簡易懸濁",null,null,{"$f":"IF(薬剤!S205=FALSE,\"□\",IF(薬剤!S205=TRUE,\"■\"))","v":"□"},"一包化",null,null,{"$f":"IF(薬剤!I205=FALSE,\"□\",IF(薬剤!I205=TRUE,\"■\"))","v":"□"},"不明",null,null,null,null,"CRP",null,null,null,{"$f":"IF(ISBLANK(栄養!I98),\"－\",栄養!I98)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I251),\"－\",栄養!I251)","v":"－"},null,null,"0.00-0.60m g/dl"]
[null,null,null,null,null,null,null,null,"整形外科疾患",null,null,null,null,null,null,null,null,"発症日",null,null,null,null,null,"部位",null,null,null,null,null,"治療・手術",null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,null,{"$f":"IF(ISBLANK(薬剤!I206),\"－\",薬剤!I206)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"白血球数(WBC)",null,null,null,{"$f":"IF(ISBLANK(栄養!I99),\"－\",栄養!I99)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I252),\"－\",栄養!I252)","v":"－"},null,null,"3500-8500/μl"]
[null,null,null,null,null,null,null,null,"心疾患",null,null,{"$f":"IF(診療!M247=FALSE,\"□\",IF(診療!M247=TRUE,\"■\"))","v":"□"},"心房細動",null,null,{"$f":"IF(診療!M248=FALSE,\"□\",IF(診療!M248=TRUE,\"■\"))","v":"□"},"心筋梗塞",null,null,{"$f":"IF(診療!M249=FALSE,\"□\",IF(診療!M249=TRUE,\"■\"))","v":"□"},"心不全",null,null,{"$f":"IF(診療!M250=FALSE,\"□\",IF(診療!M250=TRUE,\"■\"))","v":"□"},"狭心症",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)",null,null,null,{"$f":"IF(ISBLANK(栄養!I100),\"－\",栄養!I100)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I253),\"－\",栄養!I253)","v":"－"},null,null,"♂11.0-16.5 ♀10.0-15.0 g/dl"]
[null,null,null,null,null,null,null,null,"その他傷病名",null,null,{"$f":"IF(診療!M244=FALSE,\"□\",IF(診療!M244=TRUE,\"■\"))","v":"□"},"高血圧",null,null,{"$f":"IF(ISBLANK(診療!P244),\"－\",診療!P244)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M245=FALSE,\"□\",IF(診療!M245=TRUE,\"■\"))","v":"□"},"糖尿病",null,null,{"$f":"IF(ISBLANK(診療!P245),\"－\",診療!P245)","v":"－"},null,null,null,null,null,null,null,null,null,null,"持参薬",null,null,{"$f":"IF(ISBLANK(薬剤!I212),\"－\",薬剤!I212)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,{"$f":"IF(ISBLANK(栄養!I101),\"－\",栄養!I101)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I254),\"－\",栄養!I254)","v":"－"},null,null,"♂33.0-48.0 ♀31.0-45.0%"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M246=FALSE,\"□\",IF(診療!M246=TRUE,\"■\"))","v":"□"},"脂質代謝異常",null,null,{"$f":"IF(ISBLANK(診療!P246),\"－\",診療!P246)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M251=FALSE,\"□\",IF(診療!M251=TRUE,\"■\"))","v":"□"},"呼吸器疾患",null,null,{"$f":"IF(ISBLANK(診療!P251),\"－\",診療!P251)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総蛋白(TP)",null,null,null,{"$f":"IF(ISBLANK(栄養!I102),\"－\",栄養!I102)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I255),\"－\",栄養!I255)","v":"－"},null,null,"6.5-8.2 g/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M252=FALSE,\"□\",IF(診療!M252=TRUE,\"■\"))","v":"□"},"ガン",null,null,{"$f":"IF(ISBLANK(診療!P252),\"－\",診療!P252)","v":"－"},null,null,null,null,null,null,null,null,null,"　その他",null,{"$f":"IF(ISBLANK(診療!I253),\"－\",診療!I253)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,null,{"$f":"IF(ISBLANK(薬剤!I222),\"－\",薬剤!I222)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)",null,null,null,{"$f":"IF(ISBLANK(栄養!I103),\"－\",栄養!I103)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I256),\"－\",栄養!I256)","v":"－"},null,null,"3.5-5.0 g/dl"]
[null,null,null,null,null,null,null,null,"既往歴",null,null,{"$f":"\"脳血管疾患:\"& IF(診療!I236  =TRUE,診療!J236 & \" \",\"\"   ) & IF(診療!K236 =TRUE,診療!L236 & \" \",\"\"   ) & IF(診療!M236 =TRUE,診療!N236 & \" \",\"\"   )","v":"脳血管疾患:"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"尿素窒素(BUN)",null,null,null,{"$f":"IF(ISBLANK(栄養!I104),\"－\",栄養!I104)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I257),\"－\",栄養!I257)","v":"－"},null,null,"7-21mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(診療!I237),\"－\",診療!I237)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)",null,null,null,{"$f":"IF(ISBLANK(栄養!I105),\"－\",栄養!I105)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I258),\"－\",栄養!I258)","v":"－"},null,null,"♂0.6-1.2 ♀0.4-0.9mg/dl"]
[null,null,null,null,null,null,null,null,"アレルギー",null,null,{"$f":"IF(ISBLANK(診療!I259),\"－\",診療!I259)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,null,{"$f":"IF(ISBLANK(診療!I257),\"－\",診療!I257)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾅﾄﾘｳﾑ(Na)",null,null,null,{"$f":"IF(ISBLANK(栄養!I106),\"－\",栄養!I106)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I259),\"－\",栄養!I259)","v":"－"},null,null,"136-145mEq/l"]
[null,null,null,null,null,null,null,"処置等",null,"別紙：看護情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｶﾘｳﾑ(K)",null,null,null,{"$f":"IF(ISBLANK(栄養!I107),\"－\",栄養!I107)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I260),\"－\",栄養!I260)","v":"－"},null,null,"3.5-5.0mEq/l"]
[null,null,null,null,null,null,null,null,{"$f":"IF(看護!K262=FALSE,\"□\",IF(看護!K262=TRUE,\"■\"))","v":"□"},"褥瘡",null,null,{"$f":"IF(ISBLANK(看護!I263),\"－\",看護!I263)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特記",null,null,{"$f":"IF(ISBLANK(薬剤!I236),\"－\",薬剤!I236)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"血糖(GLU)",null,null,null,{"$f":"IF(ISBLANK(栄養!I108),\"－\",栄養!I108)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I261),\"－\",栄養!I261)","v":"－"},null,null,"65-110mg/dl"]
[null,null,null,null,null,null,null,null,{"$f":"IF(OR(看護!K267=TRUE,看護!M267=TRUE,看護!O267=TRUE,看護!Q267=TRUE),\"■\",\"□\")","v":"□"},"経腸栄養管理",null,null,"栄養剤",null,null,{"$f":"IF(ISBLANK(看護!I268),\"－\",看護!I268)","v":"－"},null,null,null,null,"投与ルート",null,null,{"$f":"IF(看護!I267 =TRUE,看護!J267 & \" \",\"\")  & IF(看護!K267 =TRUE,看護!L267 & \" \",\"\") & IF(看護!M267 =TRUE,看護!N267 & \" \",\"\")& IF(看護!O267 =TRUE,看護!P267 & \" \",\"\")& IF(看護!Q267 =TRUE,看護!R267 & \" \",\"\")","v":""},null,null,{"$f":"IF(看護!I259=\"\",\"□\",\"■\")","v":"□"},"カニューレ",null,null,{"$f":"IF(ISBLANK(看護!I259),\"－\",看護!I259)","v":"－"},null,"Ｆｒ","カフの有無",null,null,{"$f":"IF(看護!I260 =TRUE,看護!J260 & \" \",\"\")  & IF(看護!K260 =TRUE,看護!L260 & \" \",\"\") & IF(看護!M260 =TRUE,看護!N260 & \" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)",null,null,null,{"$f":"IF(ISBLANK(栄養!I109),\"－\",栄養!I109)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I262),\"－\",栄養!I262)","v":"－"},null,null,"4.3-5.8％"]
[null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(看護!I198),\"－\",看護!I198)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I110),\"－\",栄養!I110)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I263),\"－\",栄養!I263)","v":"－"},null,null,"40-80mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I111),\"－\",栄養!I111)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I264),\"－\",栄養!I264)","v":"－"},null,null,"40-140mg/dl"]
[]
[]
[null,null,null,null,null,null,"心身機能・身体構造",null,true,"別紙：リハビリテーション情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,"活動",null,true,"別紙：看護，リハビリテーション，栄養情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加",null,true,"別紙：福祉情報提供書参照"]
[null,null,null,null,"◎生活機能",null,null,null,{"$f":"IF(リハ!K258=FALSE,\"□\",IF(リハ!K258=TRUE,\"■\"))","v":"□"},"麻痺\n※Brunnstrom stage",null,null,"左上肢",null,{"$f":"IF(ISBLANK(リハ!I262),\"－\",リハ!I262)","v":"－"},"左下肢",null,{"$f":"IF(ISBLANK(リハ!I264),\"－\",リハ!I264)","v":"－"},"左手指",null,{"$f":"IF(ISBLANK(リハ!I263),\"－\",リハ!I263)","v":"－"},null,null,null,null,"基本的ADL","項目",null,null,"自立","一部介助","全介助","介護内容・使用用具等",null,null,null,null,null,null,null,null,null,null,null,"FIM","項目",null,null,null,null,null,"評価（している）",null,null,null,null,null,null,null,null,null,null,"入院中の状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",null,{"$f":"IF(ISBLANK(リハ!I259),\"－\",リハ!I259)","v":"－"},"右下肢",null,{"$f":"IF(ISBLANK(リハ!I261),\"－\",リハ!I261)","v":"－"},"右手指",null,{"$f":"IF(ISBLANK(リハ!I260),\"－\",リハ!I260)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF( ISBLANK( リハ!AH263 )=TRUE,\"\",リハ!AH263)","v":""},{"$f":"IF(AZ144=1,\"自分で25% 未満しかしていない\",IF(AZ144=2,\"自分で25～49% している\",IF(AZ144=3,\"自分で50～74% している\",IF(AZ144=4,\"自分で75%以上している\",IF(AZ144=5,\"体に触れない監視、準備、指示\",IF(AZ144=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ144=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"},null,null,null,null,null,null,null,null,null,"生活\n","入院中",null,{"$f":"IF(ISBLANK(福祉!I236),\"－\",福祉!I236)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K265=FALSE,\"□\",IF(リハ!K265=TRUE,\"■\"))","v":"□"},"失調",null,null,{"$f":"IF(ISBLANK(リハ!I266),\"－\",リハ!I266)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF( ISBLANK( リハ!AH264 )=TRUE,\"\",リハ!AH264)","v":""},{"$f":"IF(AZ145=1,\"自分で25% 未満しかしていない\",IF(AZ145=2,\"自分で25～49% している\",IF(AZ145=3,\"自分で50～74% している\",IF(AZ145=4,\"自分で75%以上している\",IF(AZ145=5,\"体に触れない監視、準備、指示\",IF(AZ145=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ145=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF(看護!K221=FALSE,\"\",IF(看護!K221=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M221=FALSE,\"\",IF(看護!M221=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O221=FALSE,\"\",IF(看護!O221=TRUE,\"●\"))","v":""},"補給方法",null,{"$f":"IF(栄養!I216=TRUE,栄養!J216&\" \",\"\")&IF(栄養!K216=TRUE,栄養!L216&\" \",\"\")&IF(栄養!M216=TRUE,栄養!N216&\" \",\"\")& IF(栄養!O216=TRUE,栄養!P216&\" \",\"\") & IF(栄養!Q216=TRUE,栄養!R216&\" \",\"\") & IF(栄養!S216=TRUE,栄養!T216&\" \",\"\") & IF(栄養!U216=TRUE,栄養!V216&\" \",\"\")","v":""},null,null,null,"義歯",null,{"$f":"IF(看護!K222=FALSE,\"□\",IF(看護!K222=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(看護!M222=FALSE,\"□\",IF(看護!M222=TRUE,\"■\"))","v":"□"},"有",null,"①",null,null,"清拭",null,null,{"$f":"IF( ISBLANK( リハ!AH265 )=TRUE,\"\",リハ!AH265)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"IF(ISBLANK(栄養!I218),\"－\",栄養!I218)","v":""},null,null,null,"理由",null,{"$f":"IF(ISBLANK(栄養!I224),\"－\",栄養!I224)","v":"－"},null,null,null,null,"セルフケア",null,null,"更衣の上半身",null,null,{"$f":"IF( ISBLANK( リハ!AH266 )=TRUE,\"\",リハ!AH266)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I238),\"－\",福祉!I238)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K268=FALSE,\"□\",IF(リハ!K268=TRUE,\"■\"))","v":"□"},"感覚障害",null,null,{"$f":"IF(ISBLANK(リハ!I269),\"－\",リハ!I269)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"IF(ISBLANK(栄養!I219),\"－\",栄養!I219)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,{"$f":"IF( ISBLANK( リハ!AH267 )=TRUE,\"\",リハ!AH267)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"摂取量",null,{"$f":"IF(栄養!I232  =TRUE,栄養!J232 & \" \",\"\"   ) & IF(栄養!K232 =TRUE,栄養!L232 & \" \",\"\"   ) & IF(栄養!N232 =TRUE,栄養!O232 & \" \",\"\"   )","v":""},null,null,null,"食事回数",null,{"$f":"IF(栄養!I233  =TRUE,栄養!J233 & \" \",\"\"   ) & IF(栄養!K233  =TRUE,栄養!L233 & \" \",\"\"   ) & IF(栄養!M233  =TRUE,栄養!N233 & \" \",\"\"   ) & IF(栄養!O233  =TRUE,栄養!P233 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,"トイレ動作",null,null,{"$f":"IF( ISBLANK( リハ!AH268 )=TRUE,\"\",リハ!AH268)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療食指示",null,{"$f":"IF(栄養!M217=FALSE,\"□\",IF(栄養!M217=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K217=FALSE,\"□\",IF(栄養!K217=TRUE,\"■\"))","v":"□"},"有","補助食",null,{"$f":"IF(栄養!M234=FALSE,\"□\",IF(栄養!M234=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K234=FALSE,\"□\",IF(栄養!K234=TRUE,\"■\"))","v":"□"},"有",null,"②",null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH269 )=TRUE,\"\",リハ!AH269)","v":""},"―",null,null,null,null,null,null,null,null,null,"趣味","入院中",null,{"$f":"IF(ISBLANK(福祉!I240),\"－\",福祉!I240)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K271=FALSE,\"□\",IF(リハ!K271=TRUE,\"■\"))","v":"□"},"筋力低下\n※部位,MMT等",null,null,{"$f":"IF(ISBLANK(リハ!I272),\"－\",リハ!I272)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(栄養!I235),\"－\",栄養!I235)","v":"－"},null,null,null,"好き嫌い",null,{"$f":"IF(ISBLANK(栄養!I236),\"－\",栄養!I236)","v":"－"},null,null,null,null,"排泄コントロール",null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH270 )=TRUE,\"\",リハ!AH270)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I223),\"－\",看護!I223)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"③",null,null,"ベット・椅子・車椅子の移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH271 )=TRUE,\"\",リハ!AH271)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"IF(看護!K225=FALSE,\"\",IF(看護!K225=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M225=FALSE,\"\",IF(看護!M225=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O225=FALSE,\"\",IF(看護!O225=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I226=TRUE,看護!J226&\" \",\"\")&IF(看護!K226=TRUE,看護!L226&\" \",\"\")&IF(看護!M226=TRUE,看護!N226&\" \",\"\")& IF(看護!O226=TRUE,看護!P226&\" \",\"\") & IF(看護!Q226=TRUE,看護!R226&\" \",\"\") & IF(看護!S226=TRUE,看護!T226&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"トイレ移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH272 )=TRUE,\"\",リハ!AH272)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I242),\"－\",福祉!I242)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K274=FALSE,\"□\",IF(リハ!K274=TRUE,\"■\"))","v":"□"},"高次脳機能障害",null,null,{"$f":"IF(リハ!I275=FALSE,\"□\",IF(リハ!I275=TRUE,\"■\"))","v":"□"},"失行",null,{"$f":"IF(リハ!K275=FALSE,\"□\",IF(リハ!K275=TRUE,\"■\"))","v":"□"},"失認",null,{"$f":"IF(リハ!M275=FALSE,\"□\",IF(リハ!M275=TRUE,\"■\"))","v":"□"},"失語",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I228),\"－\",看護!I228)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,{"$f":"IF( ISBLANK( リハ!AH273 )=TRUE,\"\",リハ!AH273)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!O275=FALSE,\"□\",IF(リハ!O275=TRUE,\"■\"))","v":"□"},"注意",null,{"$f":"IF(リハ!Q275=FALSE,\"□\",IF(リハ!Q275=TRUE,\"■\"))","v":"□"},"記憶",null,null,null,null,null,null,null,null,null,"排泄",null,null,{"$f":"IF(看護!K230=FALSE,\"\",IF(看護!K230=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M230=FALSE,\"\",IF(看護!M230=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O230=FALSE,\"\",IF(看護!O230=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I231=TRUE,看護!J231&\" \",\"\")&IF(看護!K231=TRUE,看護!L231&\" \",\"\")&IF(看護!M231=TRUE,看護!N231&\" \",\"\")& IF(看護!O231=TRUE,看護!P231&\" \",\"\") & IF(看護!Q231=TRUE,看護!R231&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"④",null,null,"歩行・車椅子",null,null,{"$f":"IF( ISBLANK( リハ!AH274 )=TRUE,\"\",リハ!AH274)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!I276),\"－\",リハ!I276)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I239),\"－\",看護!I239)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,"階段",null,null,{"$f":"IF( ISBLANK( リハ!AH275 )=TRUE,\"\",リハ!AH275)","v":""},"―",null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,{"$f":"IF(看護!K241=FALSE,\"\",IF(看護!K241=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M241=FALSE,\"\",IF(看護!M241=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O241=FALSE,\"\",IF(看護!O241=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I242=TRUE,看護!J242&\" \",\"\")&IF(看護!K242=TRUE,看護!L242&\" \",\"\") & IF(看護!M242=TRUE,看護!N242&\" \",\"\")& IF(看護!O242=TRUE,看護!P242&\" \",\"\") & IF(看護!Q242=TRUE,看護!R242&\" \",\"\") & IF(看護!S242=TRUE,看護!T242&\" \",\"\") & IF(看護!U242=TRUE,看護!V242&\" \",\"\")  &IF(看護!K243=TRUE,看護!L243&\" \",\"\") & IF(看護!M243 =TRUE,看護!N243 &\" \",\"\")& IF(看護!O243=TRUE,看護!P243 &\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"⑤",null,null,"理解",null,null,{"$f":"IF( ISBLANK( リハ!AH276 )=TRUE,\"\",リハ!AH276)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K244=FALSE,\"□\",IF(福祉!K244=TRUE,\"■\"))","v":"□"},"訪問介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I245),\"－\",福祉!I245)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I244),\"－\",看護!I244)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,null,"表出",null,null,{"$f":"IF( ISBLANK( リハ!AH277 )=TRUE,\"\",リハ!AH277)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K246=FALSE,\"□\",IF(福祉!K246=TRUE,\"■\"))","v":"□"},"訪問看護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I247),\"－\",福祉!I247)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K278=FALSE,\"□\",IF(リハ!K278=TRUE,\"■\"))","v":"□"},"構音障害",null,null,{"$f":"IF(ISBLANK(リハ!I280),\"－\",リハ!I280)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,null,{"$f":"IF(看護!K246=FALSE,\"\",IF(看護!K246=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M246=FALSE,\"\",IF(看護!M246=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O246=FALSE,\"\",IF(看護!O246=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R246),\"－\",看護!R246)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"⑥",null,null,"社会的交流",null,null,{"$f":"IF( ISBLANK( リハ!AH278 )=TRUE,\"\",リハ!AH278)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K248=FALSE,\"□\",IF(福祉!K248=TRUE,\"■\"))","v":"□"},"訪問リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I249),\"－\",福祉!I249)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF(看護!K247=FALSE,\"\",IF(看護!K247=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M247=FALSE,\"\",IF(看護!M247=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O247=FALSE,\"\",IF(看護!O247=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R247),\"－\",看護!R247)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,null,"問題解決",null,null,{"$f":"IF( ISBLANK( リハ!AH279 )=TRUE,\"\",リハ!AH279)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K250=FALSE,\"□\",IF(福祉!K250=TRUE,\"■\"))","v":"□"},"通所介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I251),\"－\",福祉!I251)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",null,null,{"$f":"IF(リハ!I279  =TRUE,リハ!J279 & \" \",\"\"   ) & IF(リハ!K279 =TRUE,リハ!L279 & \" \",\"\"   ) & IF(リハ!N279 =TRUE,リハ!O279 & \" \",\"\"   ) & IF(リハ!Q279 =TRUE,リハ!R279 & \" \",\"\"   ) & IF(リハ!T279  =TRUE,リハ!U279 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,null,{"$f":"IF(看護!K248=FALSE,\"\",IF(看護!K248=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M248=FALSE,\"\",IF(看護!M248=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O248=FALSE,\"\",IF(看護!O248=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R248),\"－\",看護!R248)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,{"$f":"IF( ISBLANK( リハ!AH280 )=TRUE,\"\",リハ!AH280)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K252=FALSE,\"□\",IF(福祉!K252=TRUE,\"■\"))","v":"□"},"通所リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I253),\"－\",福祉!I253)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K282=FALSE,\"□\",IF(リハ!K282=TRUE,\"■\"))","v":"□"},"摂食機能障害",null,null,{"$f":"IF(ISBLANK(リハ!I283),\"－\",リハ!I283)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,null,{"$f":"IF(看護!K249=FALSE,\"\",IF(看護!K249=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M249=FALSE,\"\",IF(看護!M249=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O249=FALSE,\"\",IF(看護!O249=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R249),\"－\",看護!R249)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（①～④）",null,null,null,null,null,{"$f":"SUM(AZ144:AZ156)","v":0},"（13～91点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K254=FALSE,\"□\",IF(福祉!K254=TRUE,\"■\"))","v":"□"},"ショートスティ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I255),\"－\",福祉!I255)","v":"－"},"日／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,null,{"$f":"IF(看護!K250=FALSE,\"\",IF(看護!K250=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M250=FALSE,\"\",IF(看護!M250=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O184=FALSE,\"\",IF(看護!O184=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R250),\"－\",看護!R250)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（⑤、⑥）",null,null,null,null,null,{"$f":"SUM(AZ157:AZ161)","v":0},"（5～35点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K256=FALSE,\"□\",IF(福祉!K256=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（医療）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I257),\"－\",福祉!I257)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,null,{"$f":"IF(看護!K251=FALSE,\"\",IF(看護!K251=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M251=FALSE,\"\",IF(看護!M251=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O251=FALSE,\"\",IF(看護!O251=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R251),\"－\",看護!R251)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（①～⑥）",null,null,null,null,null,{"$f":"SUM(AZ162:AZ163)","v":0},"（18～126点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K258=FALSE,\"□\",IF(福祉!K258=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（薬剤）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I259),\"－\",福祉!I259)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K285=FALSE,\"□\",IF(リハ!K285=TRUE,\"■\"))","v":"□"},"可動域制限\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I286),\"－\",リハ!I286)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"起居動作","寝返り",null,null,{"$f":"IF(リハ!K293=FALSE,\"\",IF(リハ!K293=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M293=FALSE,\"\",IF(リハ!M293=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O293=FALSE,\"\",IF(リハ!O293=TRUE,\"●\"))","v":""},"その他","転倒歴",null,null,{"$f":"IF(看護!M255=FALSE,\"□\",IF(看護!M255=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K255=FALSE,\"□\",IF(看護!K255=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P255),\"－\",看護!P255)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K260=FALSE,\"□\",IF(福祉!K260=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（歯科）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I261),\"－\",福祉!I261)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"起きあがり",null,null,{"$f":"IF(リハ!K294=FALSE,\"\",IF(リハ!K294=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M294=FALSE,\"\",IF(リハ!M294=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O294=FALSE,\"\",IF(リハ!O294=TRUE,\"●\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K262=FALSE,\"□\",IF(福祉!K262=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（栄養）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I263),\"－\",福祉!I263)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K288=FALSE,\"□\",IF(リハ!K288=TRUE,\"■\"))","v":"□"},"疼痛\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I289),\"－\",リハ!I289)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"座位",null,null,{"$f":"IF(リハ!K295=FALSE,\"\",IF(リハ!K295=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M295=FALSE,\"\",IF(リハ!M295=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O295=FALSE,\"\",IF(リハ!O295=TRUE,\"●\"))","v":""},null,"問題となった行動",null,null,{"$f":"IF(看護!M256=FALSE,\"□\",IF(看護!M256=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K256=FALSE,\"□\",IF(看護!K256=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P256),\"－\",看護!P256)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(福祉!I264),\"－\",福祉!I264)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"立ち上がり",null,null,{"$f":"IF(リハ!K296=FALSE,\"\",IF(リハ!K296=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M296=FALSE,\"\",IF(リハ!M296=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O296=FALSE,\"\",IF(リハ!O296=TRUE,\"●\"))","v":""}]
[null,null,null,null,null,null,null,null,"HDS-R",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I239),\"－\",リハ!I239)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I291),\"－\",リハ!I291)","v":"－"},"/30点 ",null,null,null,null,null,null,"立位",null,null,{"$f":"IF(リハ!K297=FALSE,\"\",IF(リハ!K297=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M297=FALSE,\"\",IF(リハ!M297=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O297=FALSE,\"\",IF(リハ!O297=TRUE,\"●\"))","v":""},null,"監視・抑制",null,null,{"$f":"IF(看護!M257=FALSE,\"□\",IF(看護!M257=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K257=FALSE,\"□\",IF(看護!K257=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P257),\"－\",看護!P257)","v":"－"}]
[null,null,null,null,null,null,null,null,"MMSE",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I240),\"－\",リハ!I240)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I292),\"－\",リハ!I292)","v":"－"},"/30点 ",null,null,null,null,null,null,"移乗",null,null,{"$f":"IF(リハ!K305=FALSE,\"\",IF(リハ!K305=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M305=FALSE,\"\",IF(リハ!M305=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O305=FALSE,\"\",IF(リハ!O305=TRUE,\"●\"))","v":""},null,"夜間の状態",null,null,{"$f":"IF(看護!K258=FALSE,\"□\",IF(看護!K258=TRUE,\"■\"))","v":"□"},"良眠",null,{"$f":"IF(看護!M258=FALSE,\"□\",IF(看護!M258=TRUE,\"■\"))","v":"□"},"不眠",null,{"$f":"IF(ISBLANK(看護!P258),\"－\",看護!P258)","v":"－"}]
[]
[]
[]
[null,null,null,null,"◎背景因子",null,"環境因子",null,"住環境",null,"生活場所",null,{"$f":"IF(福祉!I14 =TRUE,福祉!J14 & \" \",\"\"   ) & IF(福祉!L14 =TRUE,福祉!M14 & \" \",\"\"   ) & IF(福祉!O14 =TRUE,福祉!P14 & \" \",\"\"   ) & IF(福祉!R14 =TRUE,福祉!S14 & \" \",\"\"   )  & IF(福祉!U14 =TRUE,福祉!V14 & \" \",\"\"   ) & IF(福祉!I15 =TRUE,福祉!J15 & \" \",\"\"   ) & IF(福祉!L15 =TRUE,福祉!M15 & \" \",\"\"   ) & IF(福祉!O15 =TRUE,福祉!P15 & \" \",\"\"   ) & IF(福祉!R15 =TRUE,福祉!S15 & \" \",\"\"   )  & IF(福祉!U15 =TRUE,福祉!V15 & \" \",\"\"   ) & IF(福祉!I16 =TRUE,福祉!J16 & \" \",\"\"   ) & IF(福祉!L16 =TRUE,福祉!M15 & \" \",\"\"   )  & IF(福祉!R16 =TRUE,福祉!S16 & \" \",\"\"   ) & IF(福祉!U16 =TRUE,福祉!V16 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"家族\n状況",null,"キーパ\nーソン",null,"氏名",null,{"$f":"IF(ISBLANK(福祉!I205),\"－\",福祉!I205)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"個人因子",null,"入院前\nの状況",null,"仕事",null,{"$f":"IF(福祉!M32=FALSE,\"□\",IF(福祉!M32=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(福祉!K32=FALSE,\"□\",IF(福祉!K32=TRUE,\"■\"))","v":"□"},"有",null,null,null,null,null,null,null,null,"生活",null,{"$f":"IF(ISBLANK(福祉!I37),\"－\",福祉!I37)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I17),\"－\",福祉!I17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,{"$f":"IF(福祉!I207 =TRUE,福祉!J207 & \" \",\"\"   )  & IF(福祉!K207 =TRUE,福祉!L207 & \" \",\"\"   ) & IF(福祉!M207 =TRUE,福祉!N207 & \" \",\"\"   )","v":""},null,"年齢",null,{"$f":"IF(ISBLANK(福祉!I208),\"－\",福祉!I208)","v":"－"},null,"続柄",null,{"$f":"IF(ISBLANK(福祉!I206),\"－\",福祉!I206)","v":"－"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I33),\"－\",福祉!I33)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修必要性",null,{"$f":"IF(リハ!M307=FALSE,\"□\",IF(リハ!M307=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K307=FALSE,\"□\",IF(リハ!K307=TRUE,\"■\"))","v":"□"},"有","改修状況",null,{"$f":"IF(リハ!M308=FALSE,\"□\",IF(リハ!M308=TRUE,\"■\"))","v":"□"},"未",{"$f":"IF(リハ!K308=FALSE,\"□\",IF(リハ!K308=TRUE,\"■\"))","v":"□"},"済",null,null,null,null,"健康状態",null,{"$f":"IF(福祉!I209 =TRUE,福祉!J209 & \" \",\"\"   )  & IF(福祉!K209 =TRUE,福祉!L209 & \" \",\"\"   ) & IF(福祉!M209 =TRUE,福祉!N209 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ①",null,{"$f":"IF(ISBLANK(福祉!I211),\"－\",福祉!I211)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修\n必要箇所",null,{"$f":"IF(ISBLANK(リハ!I309),\"－\",リハ!I309)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"介護力",null,{"$f":"IF(福祉!I148 =TRUE,福祉!J148 & \" \",\"\"   )  & IF(福祉!K148 =TRUE,福祉!L148 & \" \",\"\"   ) & IF(福祉!M148 =TRUE,福祉!N148 & \" \",\"\"   )& IF(福祉!O148 =TRUE,福祉!P148 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ②",null,{"$f":"IF(ISBLANK(福祉!I212),\"－\",福祉!I212)","v":"－"},null,null,null,null,null,null,null,null,null,null,"経済",null,{"$f":"IF(ISBLANK(福祉!I35),\"－\",福祉!I35)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"趣味",null,{"$f":"IF(ISBLANK(福祉!I39),\"－\",福祉!I39)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I213),\"－\",福祉!I213)","v":"－"}]
[null,null,null,null,null,null,null,null,"福祉\n用具",null,{"$f":"IF(リハ!M313=FALSE,\"□\",IF(リハ!M313=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K313=FALSE,\"□\",IF(リハ!K313=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K314=FALSE,\"□\",IF(リハ!K314=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M314=FALSE,\"□\",IF(リハ!M314=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保障",null,"医療保険",null,null,{"$f":"IF(福祉!I217 =TRUE,福祉!J217 & \" \",\"\"   ) & IF(福祉!K217 =TRUE,福祉!L217 & \" \",\"\"   ) & IF(福祉!M217 =TRUE,福祉!N217 & \" \",\"\"   ) &  IF(福祉!O217 =TRUE,福祉!P217 & \" \",\"\"   ) & IF(福祉!Q217 =TRUE,福祉!R217 & \" \",\"\"   ) & IF(福祉!S217 =TRUE,福祉!T217 & \" \",\"\"   ) & IF(福祉!K218 =TRUE,福祉!L218 & \" \",\"\"   ) & IF(福祉!M218 =TRUE,福祉!N218 & \" \",\"\"   ) &  IF(福祉!O218 =TRUE,福祉!P218 & \" \",\"\"   ) & Q218","v":"生年月日"},null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,null,"取得状況",null,null,{"$f":"IF(福祉!I219 =TRUE,福祉!J219 & \" \",\"\"   ) & IF(福祉!K219 =TRUE,福祉!L219 & \" \",\"\"   ) & IF(福祉!M219 =TRUE,福祉!N219 & \" \",\"\"   ) &  IF(福祉!O219 =TRUE,福祉!P219 & \" \",\"\"   )& IF(福祉!K220 =TRUE,福祉!L220 & \" \",\"\"   ) & IF(福祉!M220 =TRUE,福祉!N220 & \" \",\"\"   ) & IF(福祉!O220 =TRUE,福祉!P220 & \" \",\"\"   )  & IF(福祉!Q220 =TRUE,福祉!R220 & \" \",\"\"   )  & IF(福祉!S220 =TRUE,福祉!T220 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P313),\"－\",リハ!P313)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,null,"取得状況",null,null,{"$f":"IF(福祉!I225 =TRUE,福祉!J225 & \" \",\"\"   ) & IF(福祉!K225 =TRUE,福祉!L225 & \" \",\"\"   ) & IF(福祉!M225 =TRUE,福祉!N225 & \" \",\"\"   ) &  IF(福祉!O225 =TRUE,福祉!P225 & \" \",\"\"   ) &  IF(福祉!Q225 =TRUE,福祉!R225 & \" \",\"\"   )&  IF(福祉!S225 =TRUE,福祉!T225 & \" \",\"\"   )  & IF(福祉!K226 =TRUE,福祉!L226 & \" \",\"\"   ) & IF(福祉!M226 =TRUE,福祉!N226 & \" \",\"\"   ) &  IF(福祉!O226 =TRUE,福祉!P226 & \" \",\"\"   ) &  IF(福祉!Q226 =TRUE,福祉!R226 & \" \",\"\"   )&  IF(福祉!S226 =TRUE,福祉!T226 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,"障害の種類",null,null,{"$f":"IF(福祉!I221 =TRUE,福祉!J221 & \" \",\"\"   ) & IF(福祉!K221 =TRUE,福祉!L221 & \" \",\"\"   ) & IF(福祉!M221 =TRUE,福祉!N221 & \" \",\"\"   ) &  IF(福祉!O221 =TRUE,福祉!P221 & \" \",\"\"   ) &  IF(福祉!Q221 =TRUE,福祉!R221 & \" \",\"\"   )&  IF(福祉!S221 =TRUE,福祉!T221 & \" \",\"\"   )&  IF(福祉!U221 =TRUE,福祉!V221 & \" \",\"\"   ) & IF(福祉!K222 =TRUE,福祉!L222 & \" \",\"\"   ) & IF(福祉!M222 =TRUE,福祉!N222 & \" \",\"\"   ) &  IF(福祉!O222 =TRUE,福祉!P222 & \" \",\"\"   ) &  IF(福祉!Q222 =TRUE,福祉!R222 & \" \",\"\"   )&  IF(福祉!S222 =TRUE,福祉!T222 & \" \",\"\"   )&  IF(福祉!U222 =TRUE,福祉!V222 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,"装具",null,{"$f":"IF(リハ!M315=FALSE,\"□\",IF(リハ!M315=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K315=FALSE,\"□\",IF(リハ!K315=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K316=FALSE,\"□\",IF(リハ!K316=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M316=FALSE,\"□\",IF(リハ!M316=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",null,null,{"$f":"IF(ISBLANK(福祉!I227),\"－\",福祉!I227)","v":"－"},null,null,null,null,null,null,null,"特定疾患",null,null,"特定疾患の申請",null,null,{"$f":"IF(福祉!I223 =TRUE,福祉!J223 & \" \",\"\"   ) & IF(福祉!K223 =TRUE,福祉!L223 & \" \",\"\"   ) & IF(福祉!M223 =TRUE,福祉!N223 & \" \",\"\"   ) &  IF(福祉!O223 =TRUE,福祉!P223 & \" \",\"\"   ) &  IF(福祉!Q223 =TRUE,福祉!R223 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P315),\"－\",リハ!P315)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",null,null,{"$f":"IF(ISBLANK(福祉!I228),\"－\",福祉!I228)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病名",null,null,{"$f":"IF(ISBLANK(福祉!I224),\"－\",福祉!I224)","v":"－"}]
[null,null,null,null,null,null,null,null,"ご家族\n希望",null,{"$f":"IF(ISBLANK(福祉!I270),\"－\",福祉!I270)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"利用者\n希望",null,{"$f":"IF(ISBLANK(福祉!I266),\"－\",福祉!I266)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,"次のステージの課題",null,"医師",null,{"$f":"IF(ISBLANK(診療!I317),\"－\",診療!I317)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学\n療法士",null,{"$f":"IF(ISBLANK(リハ!I323),\"－\",リハ!I323)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士",null,{"$f":"IF(ISBLANK(栄養!I272),\"－\",栄養!I272)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"看護師",null,{"$f":"IF(ISBLANK(看護!I313),\"－\",看護!I313)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業\n療法士",null,{"$f":"IF(ISBLANK(リハ!I332),\"－\",リハ!I332)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MSW",null,{"$f":"IF(ISBLANK(福祉!I304),\"－\",福祉!I304)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"薬剤師",null,{"$f":"IF(ISBLANK(薬剤!I234),\"－\",薬剤!I234)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語\n聴覚士",null,{"$f":"IF(ISBLANK(リハ!I341),\"－\",リハ!I341)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科",null,{"$f":"IF(ISBLANK(歯科!I233),\"－\",歯科!I233)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"生活期(施設)施設間情報"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀医療介護連携シート（施設）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パス（医療・介護従事者用）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"到達目標ステージ"]
[null,null,null,null,"ﾌﾘｶﾞﾅ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AI406),\"－\",リハ!AI406)","v":"－"}]
[null,null,null,null,"氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"℡",null,{"$f":"IF(ISBLANK(計画書!$H$23),\"－\",計画書!$H$23)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"入院・入所日",null,{"$f":"IF(ISBLANK(計画書!BL25),\"－\",計画書!BL25)","v":"－"},null,null,null,null,null,null,null,"紹介先",{"$f":"IF(ISBLANK(診療!I368),\"－\",診療!I368)","v":"－"},null,null,null,null,null,null,null,"紹介先\n区分",null,{"$f":"IF(診療!I364 =TRUE,診療!J364 & \" \",\"\"   )  & IF(診療!L364 =TRUE,診療!M364 & \" \",\"\"   ) & IF(診療!O364 =TRUE,診療!P364 & \" \",\"\"   ) & IF(診療!R364 =TRUE,診療!S364 & \" \",\"\"   )& IF(診療!I365 =TRUE,診療!J365 & \" \",\"\"   )  & IF(診療!L365 =TRUE,診療!M365 & \" \",\"\"   ) & IF(診療!O365 =TRUE,診療!P365 & \" \",\"\"   ) & IF(診療!R365 =TRUE,診療!S365 & \" \",\"\"   )& IF(診療!I366 =TRUE,診療!J366 & \" \",\"\"   )  & IF(診療!L366 =TRUE,診療!M366 & \" \",\"\"   ) & IF(診療!O366 =TRUE,診療!P366 & \" \",\"\"   ) & IF(診療!R366 =TRUE,診療!S366 & \" \",\"\"   )& IF(診療!I367 =TRUE,診療!J367 & \" \",\"\"   )  & IF(診療!L367 =TRUE,診療!M367 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"判定ステージ"]
[null,null,null,null,null,null,null,null,null,null,null,null,"年齢",null,{"$f":"IF(ISBLANK(計画書!$Q$57),\"－\",計画書!$Q$57)","v":0},null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"},null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(計画書!BL22),\"－\",計画書!BL22)","v":"－"},null,null,null,null,null,"退院・退所日",null,{"$f":"IF(ISBLANK(計画書!BL26),\"－\",計画書!BL26)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AM406),\"－\",リハ!AM406)","v":"－"}]
[null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,{"$f":"IF(ISBLANK(計画書!BL23),\"－\",計画書!BL23)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(計画書!BL24),\"－\",計画書!BL24)","v":"－"},null,null,null,null,null,null,null,null,"医療\n機関名",null,{"$f":"IF(ISBLANK(診療!I370),\"－\",診療!I370)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(診療!I373),\"－\",診療!I373)","v":"－"},null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(診療!I354),\"－\",診療!I354)","v":"－"},null,null,null,null,null,null,null,{"$f":"IF(BR218=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(BR218=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(BR218=3,\"病院施設内で身辺動作が自立している\",IF(BR218=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(BR218=5,\"自宅で身辺動作が自立している\",IF(BR218=6,\"一人で外出できる\",\"―\"))))))","v":"―"}]
[]
[]
[]
[null,null,null,null,null,"健康状態",null,"測定日",null,null,{"$f":"IF(ISBLANK(栄養!I357),\"－\",栄養!I357)","v":"－"},null,null,"身長",null,null,{"$f":"IF(ISBLANK(栄養!I355),\"－\",栄養!I355)","v":"－"},null,"cm","体重",null,null,{"$f":"IF(ISBLANK(栄養!I356),\"－\",栄養!I356)","v":"－"},null,"kg","BMI",null,null,{"$f":"W223/((Q223/100)*(Q223/100))","v":{"$error":"#VALUE!"}},null,null,"体重の増減",null,null,null,{"$f":"IF(栄養!I359  =TRUE,栄養!J359 & \" \",\"\"   ) & IF(栄養!K359 =TRUE,栄養!L359 & \" \",\"\"   ) & IF(栄養!N359 =TRUE,栄養!O359 & \" \",\"\"   ) & IF(栄養!Q359 =TRUE,栄養!R359 & \" \",\"\"   )& IF(栄養!I360  =TRUE,栄養!J360 & \" \",\"\"   ) & IF(栄養!K360 =TRUE,栄養!L360 & \" \",\"\"   ) & IF(栄養!N360 =TRUE,栄養!O360 & \" \",\"\"   ) & IF(栄養!Q360 =TRUE,栄養!R360 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,"普段の血圧値",null,null,null,"（収縮期血圧）",null,null,{"$f":"IF(ISBLANK(看護!I355),\"－\",看護!I355)","v":"－"},null,null,null,"台","採血情報",true,"別紙：栄養情報提供書参照"]
[null,null,null,null,null,null,null,"傷病等",true,"別紙：診療情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内服",true,"別紙：薬剤情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日付",null,null,null,{"$f":"IF(ISBLANK(栄養!I97),\"－\",栄養!I97)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I400),\"－\",栄養!I400)","v":"－"},null,null,"基準値"]
[null,null,null,null,null,null,null,null,"脳卒中",null,null,{"$f":"IF(計画書!H31=FALSE,\"□\",IF(計画書!H31=TRUE,\"■\"))","v":"□"},"脳梗塞",null,null,{"$f":"IF(計画書!M31=FALSE,\"□\",IF(計画書!M31=TRUE,\"■\"))","v":"□"},"脳出血",null,null,{"$f":"IF(計画書!R31=FALSE,\"□\",IF(計画書!R31=TRUE,\"■\"))","v":"□"},"くも膜下出血",null,null,"発症日",null,null,{"$f":"IF(ISBLANK(診療!I20),\"－\",診療!I20)","v":"－"},null,null,"病変部位",null,null,{"$f":"IF(ISBLANK(診療!I524),\"－\",診療!I524)","v":"－"},null,null,null,null,null,null,null,"調剤方法",null,null,{"$f":"IF(薬剤!K15=FALSE,\"□\",IF(薬剤!K15=TRUE,\"■\"))","v":"□"},"粉砕",null,null,{"$f":"IF(薬剤!M15=FALSE,\"□\",IF(薬剤!M15=TRUE,\"■\"))","v":"□"},"ＰＴＰ",null,null,{"$f":"IF(薬剤!O15=FALSE,\"□\",IF(薬剤!O15=TRUE,\"■\"))","v":"□"},"一部粉砕"]
[null,null,null,null,null,null,null,null,null,null,null,"治療・手術",null,null,{"$f":"\"tPA投与:\"& IF(診療!I79  =TRUE,診療!J79 & \" \",\"\"   ) & IF(診療!K79 =TRUE,診療!L79 & \" \",\"\"   ) & IF(診療!M79 =TRUE,診療!N79 & \" \",\"\"   )","v":"tPA投与:"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(薬剤!Q15=FALSE,\"□\",IF(薬剤!Q15=TRUE,\"■\"))","v":"□"},"簡易懸濁",null,null,{"$f":"IF(薬剤!S15=FALSE,\"□\",IF(薬剤!S15=TRUE,\"■\"))","v":"□"},"一包化",null,null,{"$f":"IF(薬剤!I15=FALSE,\"□\",IF(薬剤!I15=TRUE,\"■\"))","v":"□"},"不明",null,null,null,null,"CRP",null,null,null,{"$f":"IF(ISBLANK(栄養!I98),\"－\",栄養!I98)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I401),\"－\",栄養!I401)","v":"－"},null,null,"0.00-0.60m g/dl"]
[null,null,null,null,null,null,null,null,"整形外科疾患",null,null,null,null,null,null,null,null,"発症日",null,null,null,null,null,"部位",null,null,null,null,null,"治療・手術",null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,null,{"$f":"IF(ISBLANK(薬剤!I16),\"－\",薬剤!I16)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"白血球数(WBC)",null,null,null,{"$f":"IF(ISBLANK(栄養!I99),\"－\",栄養!I99)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I402),\"－\",栄養!I402)","v":"－"},null,null,"3500-8500/μl"]
[null,null,null,null,null,null,null,null,"心疾患",null,null,{"$f":"IF(診療!M396=FALSE,\"□\",IF(診療!M396=TRUE,\"■\"))","v":"□"},"心房細動",null,null,{"$f":"IF(診療!M397=FALSE,\"□\",IF(診療!M397=TRUE,\"■\"))","v":"□"},"心筋梗塞",null,null,{"$f":"IF(診療!M398=FALSE,\"□\",IF(診療!M398=TRUE,\"■\"))","v":"□"},"心不全",null,null,{"$f":"IF(診療!M399=FALSE,\"□\",IF(診療!M399=TRUE,\"■\"))","v":"□"},"狭心症",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)",null,null,null,{"$f":"IF(ISBLANK(栄養!I100),\"－\",栄養!I100)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I403),\"－\",栄養!I403)","v":"－"},null,null,"♂11.0-16.5 ♀10.0-15.0 g/dl"]
[null,null,null,null,null,null,null,null,"その他傷病名",null,null,{"$f":"IF(診療!M393=FALSE,\"□\",IF(診療!M393=TRUE,\"■\"))","v":"□"},"高血圧",null,null,{"$f":"IF(ISBLANK(診療!P393),\"－\",診療!P393)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M394=FALSE,\"□\",IF(診療!M394=TRUE,\"■\"))","v":"□"},"糖尿病",null,null,{"$f":"IF(ISBLANK(診療!P394),\"－\",診療!P394)","v":"－"},null,null,null,null,null,null,null,null,null,null,"持参薬",null,null,{"$f":"IF(ISBLANK(薬剤!I22),\"－\",薬剤!I22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,{"$f":"IF(ISBLANK(栄養!I101),\"－\",栄養!I101)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I404),\"－\",栄養!I404)","v":"－"},null,null,"♂33.0-48.0 ♀31.0-45.0%"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M395=FALSE,\"□\",IF(診療!M395=TRUE,\"■\"))","v":"□"},"脂質代謝異常",null,null,{"$f":"IF(ISBLANK(診療!P395),\"－\",診療!P395)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M400=FALSE,\"□\",IF(診療!M400=TRUE,\"■\"))","v":"□"},"呼吸器疾患",null,null,{"$f":"IF(ISBLANK(診療!P400),\"－\",診療!P400)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総蛋白(TP)",null,null,null,{"$f":"IF(ISBLANK(栄養!I102),\"－\",栄養!I102)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I405),\"－\",栄養!I405)","v":"－"},null,null,"6.5-8.2 g/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M401=FALSE,\"□\",IF(診療!M401=TRUE,\"■\"))","v":"□"},"ガン",null,null,{"$f":"IF(ISBLANK(診療!P401),\"－\",診療!P401)","v":"－"},null,null,null,null,null,null,null,null,null,"　その他",null,{"$f":"IF(ISBLANK(診療!I402),\"－\",診療!I402)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,null,{"$f":"IF(ISBLANK(薬剤!I32),\"－\",薬剤!I32)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)",null,null,null,{"$f":"IF(ISBLANK(栄養!I103),\"－\",栄養!I103)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I406),\"－\",栄養!I406)","v":"－"},null,null,"3.5-5.0 g/dl"]
[null,null,null,null,null,null,null,null,"既往歴",null,null,{"$f":"\"脳血管疾患:\"& IF(診療!I385  =TRUE,診療!J385 & \" \",\"\"   ) & IF(診療!K385 =TRUE,診療!L385 & \" \",\"\"   ) & IF(診療!M385 =TRUE,診療!N385 & \" \",\"\"   )","v":"脳血管疾患:"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"尿素窒素(BUN)",null,null,null,{"$f":"IF(ISBLANK(栄養!I104),\"－\",栄養!I104)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I407),\"－\",栄養!I407)","v":"－"},null,null,"7-21mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(診療!I386),\"－\",診療!I386)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)",null,null,null,{"$f":"IF(ISBLANK(栄養!I105),\"－\",栄養!I105)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I408),\"－\",栄養!I408)","v":"－"},null,null,"♂0.6-1.2 ♀0.4-0.9mg/dl"]
[null,null,null,null,null,null,null,null,"アレルギー",null,null,{"$f":"IF(ISBLANK(診療!I408),\"－\",診療!I408)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,null,{"$f":"IF(ISBLANK(診療!I406),\"－\",診療!I406)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾅﾄﾘｳﾑ(Na)",null,null,null,{"$f":"IF(ISBLANK(栄養!I106),\"－\",栄養!I106)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I409),\"－\",栄養!I409)","v":"－"},null,null,"136-145mEq/l"]
[null,null,null,null,null,null,null,"処置等",true,"別紙：看護情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｶﾘｳﾑ(K)",null,null,null,{"$f":"IF(ISBLANK(栄養!I107),\"－\",栄養!I107)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I410),\"－\",栄養!I410)","v":"－"},null,null,"3.5-5.0mEq/l"]
[null,null,null,null,null,null,null,null,{"$f":"IF(看護!K398=FALSE,\"□\",IF(看護!K398=TRUE,\"■\"))","v":"□"},"褥瘡",null,null,{"$f":"IF(ISBLANK(看護!I399),\"－\",看護!I399)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特記",null,null,{"$f":"IF(ISBLANK(薬剤!I46),\"－\",薬剤!I46)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"血糖(GLU)",null,null,null,{"$f":"IF(ISBLANK(栄養!I108),\"－\",栄養!I108)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I411),\"－\",栄養!I411)","v":"－"},null,null,"65-110mg/dl"]
[null,null,null,null,null,null,null,null,{"$f":"IF(OR(看護!K403=TRUE,看護!M403=TRUE,看護!O403=TRUE,看護!Q403=TRUE),\"■\",\"□\")","v":"□"},"経腸栄養管理",null,null,"栄養剤",null,null,{"$f":"IF(ISBLANK(看護!I404),\"－\",看護!I404)","v":"－"},null,null,null,null,"投与ルート",null,null,{"$f":"IF(看護!I403 =TRUE,看護!J403 & \" \",\"\")  & IF(看護!K403 =TRUE,看護!L403 & \" \",\"\") & IF(看護!M403 =TRUE,看護!N403 & \" \",\"\")& IF(看護!O403 =TRUE,看護!P403 & \" \",\"\")& IF(看護!Q403 =TRUE,看護!R403 & \" \",\"\")","v":""},null,null,{"$f":"IF(看護!I395=\"\",\"□\",\"■\")","v":"□"},"カニューレ",null,null,{"$f":"IF(ISBLANK(看護!I395),\"－\",看護!I395)","v":"－"},null,"Ｆｒ","カフの有無",null,null,{"$f":"IF(看護!I396 =TRUE,看護!J396 & \" \",\"\")  & IF(看護!K396 =TRUE,看護!L396 & \" \",\"\") & IF(看護!M396 =TRUE,看護!N396 & \" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)",null,null,null,{"$f":"IF(ISBLANK(栄養!I109),\"－\",栄養!I109)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I412),\"－\",栄養!I412)","v":"－"},null,null,"4.3-5.8％"]
[null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(看護!I400),\"－\",看護!I400)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I110),\"－\",栄養!I110)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I413),\"－\",栄養!I413)","v":"－"},null,null,"40-80mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I111),\"－\",栄養!I111)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I414),\"－\",栄養!I414)","v":"－"},null,null,"40-140mg/dl"]
[]
[]
[null,null,null,null,null,null,"心身機能・身体構造",null,true,"別紙：リハビリテーション情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,"活動",null,true,"別紙：看護，リハビリテーション，栄養情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加",null,true,"別紙：福祉情報提供書参照"]
[null,null,null,null,"◎生活機能",null,null,null,{"$f":"IF(リハ!K396=FALSE,\"□\",IF(リハ!K396=TRUE,\"■\"))","v":"□"},"麻痺\n※Brunnstrom stage",null,null,"左上肢",null,{"$f":"IF(ISBLANK(リハ!I400),\"－\",リハ!I400)","v":"－"},"左下肢",null,{"$f":"IF(ISBLANK(リハ!I402),\"－\",リハ!I402)","v":"－"},"左手指",null,{"$f":"IF(ISBLANK(リハ!I401),\"－\",リハ!I401)","v":"－"},null,null,null,null,"基本的ADL","項目",null,null,"自立","一部介助","全介助","介護内容・使用用具等",null,null,null,null,null,null,null,null,null,null,null,"FIM","項目",null,null,null,null,null,"評価（している）",null,null,null,null,null,null,null,null,null,null,"入院中の状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",null,{"$f":"IF(ISBLANK(リハ!I397),\"－\",リハ!I397)","v":"－"},"右下肢",null,{"$f":"IF(ISBLANK(リハ!I399),\"－\",リハ!I399)","v":"－"},"右手指",null,{"$f":"IF(ISBLANK(リハ!I398),\"－\",リハ!I398)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF( ISBLANK( リハ!AH453 )=TRUE,\"\",リハ!AH453)","v":""},{"$f":"IF(AZ244=1,\"自分で25% 未満しかしていない\",IF(AZ244=2,\"自分で25～49% している\",IF(AZ244=3,\"自分で50～74% している\",IF(AZ244=4,\"自分で75%以上している\",IF(AZ244=5,\"体に触れない監視、準備、指示\",IF(AZ244=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ244=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"},null,null,null,null,null,null,null,null,null,"生活\n","入院中",null,{"$f":"IF(ISBLANK(福祉!I236),\"－\",福祉!I236)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K403=FALSE,\"□\",IF(リハ!K403=TRUE,\"■\"))","v":"□"},"失調",null,null,{"$f":"IF(ISBLANK(リハ!I404),\"－\",リハ!I404)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF( ISBLANK( リハ!AH454 )=TRUE,\"\",リハ!AH454)","v":""},{"$f":"IF(AZ245=1,\"自分で25% 未満しかしていない\",IF(AZ245=2,\"自分で25～49% している\",IF(AZ245=3,\"自分で50～74% している\",IF(AZ245=4,\"自分で75%以上している\",IF(AZ245=5,\"体に触れない監視、準備、指示\",IF(AZ245=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ245=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF(看護!K357=FALSE,\"\",IF(看護!K357=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M357=FALSE,\"\",IF(看護!M357=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O357=FALSE,\"\",IF(看護!O357=TRUE,\"●\"))","v":""},"補給方法",null,{"$f":"IF(栄養!I366=TRUE,栄養!J366&\" \",\"\")&IF(栄養!K366=TRUE,栄養!L366&\" \",\"\")&IF(栄養!M366=TRUE,栄養!N366&\" \",\"\")& IF(栄養!O366=TRUE,栄養!P366&\" \",\"\") & IF(栄養!Q366=TRUE,栄養!R366&\" \",\"\") & IF(栄養!S366=TRUE,栄養!T366&\" \",\"\") & IF(栄養!U366=TRUE,栄養!V366&\" \",\"\")","v":""},null,null,null,"義歯",null,{"$f":"IF(看護!K358=FALSE,\"□\",IF(看護!K358=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(看護!M358=FALSE,\"□\",IF(看護!M358=TRUE,\"■\"))","v":"□"},"有",null,"①",null,null,"清拭",null,null,{"$f":"IF( ISBLANK( リハ!AH455 )=TRUE,\"\",リハ!AH455)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"IF(ISBLANK(栄養!I368),\"－\",栄養!I368)","v":""},null,null,null,"理由",null,{"$f":"IF(ISBLANK(栄養!I374),\"－\",栄養!I374)","v":"－"},null,null,null,null,"セルフケア",null,null,"更衣の上半身",null,null,{"$f":"IF( ISBLANK( リハ!AH456 )=TRUE,\"\",リハ!AH456)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I238),\"－\",福祉!I238)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K406=FALSE,\"□\",IF(リハ!K406=TRUE,\"■\"))","v":"□"},"感覚障害",null,null,{"$f":"IF(ISBLANK(リハ!I407),\"－\",リハ!I407)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"IF(ISBLANK(栄養!I369),\"－\",栄養!I369)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,{"$f":"IF( ISBLANK( リハ!AH457 )=TRUE,\"\",リハ!AH457)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"摂取量",null,{"$f":"IF(栄養!I382  =TRUE,栄養!J382 & \" \",\"\"   ) & IF(栄養!K382 =TRUE,栄養!L382 & \" \",\"\"   ) & IF(栄養!N382 =TRUE,栄養!O382 & \" \",\"\"   )","v":""},null,null,null,"食事回数",null,{"$f":"IF(栄養!I383  =TRUE,栄養!J383 & \" \",\"\"   ) & IF(栄養!K383  =TRUE,栄養!L383 & \" \",\"\"   ) & IF(栄養!M383  =TRUE,栄養!N383 & \" \",\"\"   ) & IF(栄養!O383  =TRUE,栄養!P383 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,"トイレ動作",null,null,{"$f":"IF( ISBLANK( リハ!AH458 )=TRUE,\"\",リハ!AH458)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療食指示",null,{"$f":"IF(栄養!M367=FALSE,\"□\",IF(栄養!M367=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K367=FALSE,\"□\",IF(栄養!K367=TRUE,\"■\"))","v":"□"},"有","補助食",null,{"$f":"IF(栄養!M384=FALSE,\"□\",IF(栄養!M384=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K384=FALSE,\"□\",IF(栄養!K384=TRUE,\"■\"))","v":"□"},"有",null,"②",null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH459 )=TRUE,\"\",リハ!AH459)","v":""},"―",null,null,null,null,null,null,null,null,null,"趣味","入院中",null,{"$f":"IF(ISBLANK(福祉!I240),\"－\",福祉!I240)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K409=FALSE,\"□\",IF(リハ!K409=TRUE,\"■\"))","v":"□"},"筋力低下\n※部位,MMT等",null,null,{"$f":"IF(ISBLANK(リハ!I410),\"－\",リハ!I410)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(栄養!I385),\"－\",栄養!I385)","v":"－"},null,null,null,"好き嫌い",null,{"$f":"IF(ISBLANK(栄養!I386),\"－\",栄養!I386)","v":"－"},null,null,null,null,"排泄コントロール",null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH460 )=TRUE,\"\",リハ!AH460)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I359),\"－\",看護!I359)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"③",null,null,"ベット・椅子・車椅子の移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH461 )=TRUE,\"\",リハ!AH461)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"IF(看護!K361=FALSE,\"\",IF(看護!K361=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M361=FALSE,\"\",IF(看護!M361=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O361=FALSE,\"\",IF(看護!O361=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I362=TRUE,看護!J362&\" \",\"\")&IF(看護!K362=TRUE,看護!L362&\" \",\"\")&IF(看護!M362=TRUE,看護!N362&\" \",\"\")& IF(看護!O362=TRUE,看護!P362&\" \",\"\") & IF(看護!Q362=TRUE,看護!R362&\" \",\"\") & IF(看護!S362=TRUE,看護!T362&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"トイレ移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH462 )=TRUE,\"\",リハ!AH462)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I242),\"－\",福祉!I242)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K409=FALSE,\"□\",IF(リハ!K409=TRUE,\"■\"))","v":"□"},"高次脳機能障害",null,null,{"$f":"IF(リハ!I413=FALSE,\"□\",IF(リハ!I413=TRUE,\"■\"))","v":"□"},"失行",null,{"$f":"IF(リハ!K413=FALSE,\"□\",IF(リハ!K413=TRUE,\"■\"))","v":"□"},"失認",null,{"$f":"IF(リハ!M413=FALSE,\"□\",IF(リハ!M413=TRUE,\"■\"))","v":"□"},"失語",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I364),\"－\",看護!I364)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,{"$f":"IF( ISBLANK( リハ!AH463 )=TRUE,\"\",リハ!AH463)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!O413=FALSE,\"□\",IF(リハ!O413=TRUE,\"■\"))","v":"□"},"注意",null,{"$f":"IF(リハ!Q413=FALSE,\"□\",IF(リハ!Q413=TRUE,\"■\"))","v":"□"},"記憶",null,null,null,null,null,null,null,null,null,"排泄",null,null,{"$f":"IF(看護!K366=FALSE,\"\",IF(看護!K366=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M366=FALSE,\"\",IF(看護!M366=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O366=FALSE,\"\",IF(看護!O366=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I366=TRUE,看護!J366&\" \",\"\")&IF(看護!K366=TRUE,看護!L366&\" \",\"\")&IF(看護!M366=TRUE,看護!N366&\" \",\"\")& IF(看護!O366=TRUE,看護!P366&\" \",\"\") & IF(看護!Q366=TRUE,看護!R366&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"④",null,null,"歩行・車椅子",null,null,{"$f":"IF( ISBLANK( リハ!AH464 )=TRUE,\"\",リハ!AH464)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!I414),\"－\",リハ!I414)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I375),\"－\",看護!I375)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,"階段",null,null,{"$f":"IF( ISBLANK( リハ!AH465 )=TRUE,\"\",リハ!AH465)","v":""},"―",null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,{"$f":"IF(看護!K377=FALSE,\"\",IF(看護!K377=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M377=FALSE,\"\",IF(看護!M377=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O377=FALSE,\"\",IF(看護!O377=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I378=TRUE,看護!J378&\" \",\"\")&IF(看護!K378=TRUE,看護!L378&\" \",\"\") & IF(看護!M378=TRUE,看護!N378&\" \",\"\")& IF(看護!O378=TRUE,看護!P378&\" \",\"\") & IF(看護!Q378=TRUE,看護!R378&\" \",\"\") & IF(看護!S378=TRUE,看護!T378&\" \",\"\") & IF(看護!U378=TRUE,看護!V378&\" \",\"\")  &IF(看護!K379=TRUE,看護!L379&\" \",\"\") & IF(看護!M379 =TRUE,看護!N379 &\" \",\"\")& IF(看護!O379=TRUE,看護!P379 &\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"⑤",null,null,"理解",null,null,{"$f":"IF( ISBLANK( リハ!AH466 )=TRUE,\"\",リハ!AH466)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K244=FALSE,\"□\",IF(福祉!K244=TRUE,\"■\"))","v":"□"},"訪問介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I245),\"－\",福祉!I245)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I380),\"－\",看護!I380)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,null,"表出",null,null,{"$f":"IF( ISBLANK( リハ!AH467 )=TRUE,\"\",リハ!AH467)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K246=FALSE,\"□\",IF(福祉!K246=TRUE,\"■\"))","v":"□"},"訪問看護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I247),\"－\",福祉!I247)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K416=FALSE,\"□\",IF(リハ!K416=TRUE,\"■\"))","v":"□"},"構音障害",null,null,{"$f":"IF(ISBLANK(リハ!I418),\"－\",リハ!I418)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,null,{"$f":"IF(看護!K382=FALSE,\"\",IF(看護!K382=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M382=FALSE,\"\",IF(看護!M382=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O382=FALSE,\"\",IF(看護!O382=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R382),\"－\",看護!R382)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"⑥",null,null,"社会的交流",null,null,{"$f":"IF( ISBLANK( リハ!AH468 )=TRUE,\"\",リハ!AH468)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K248=FALSE,\"□\",IF(福祉!K248=TRUE,\"■\"))","v":"□"},"訪問リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I249),\"－\",福祉!I249)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF(看護!K383=FALSE,\"\",IF(看護!K383=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M383=FALSE,\"\",IF(看護!M383=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O383=FALSE,\"\",IF(看護!O383=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R383),\"－\",看護!R383)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,null,"問題解決",null,null,{"$f":"IF( ISBLANK( リハ!AH469 )=TRUE,\"\",リハ!AH469)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K250=FALSE,\"□\",IF(福祉!K250=TRUE,\"■\"))","v":"□"},"通所介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I251),\"－\",福祉!I251)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",null,null,{"$f":"IF(リハ!I417  =TRUE,リハ!J417 & \" \",\"\"   ) & IF(リハ!K417 =TRUE,リハ!L417 & \" \",\"\"   ) & IF(リハ!N417 =TRUE,リハ!O417 & \" \",\"\"   ) & IF(リハ!Q417 =TRUE,リハ!R417 & \" \",\"\"   ) & IF(リハ!T417  =TRUE,リハ!U417 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,null,{"$f":"IF(看護!K384=FALSE,\"\",IF(看護!K384=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M384=FALSE,\"\",IF(看護!M384=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O384=FALSE,\"\",IF(看護!O384=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R384),\"－\",看護!R384)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,{"$f":"IF( ISBLANK( リハ!AH470 )=TRUE,\"\",リハ!AH470)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K252=FALSE,\"□\",IF(福祉!K252=TRUE,\"■\"))","v":"□"},"通所リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I253),\"－\",福祉!I253)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K420=FALSE,\"□\",IF(リハ!K420=TRUE,\"■\"))","v":"□"},"摂食機能障害",null,null,{"$f":"IF(ISBLANK(リハ!I421),\"－\",リハ!I421)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,null,{"$f":"IF(看護!K385=FALSE,\"\",IF(看護!K385=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M385=FALSE,\"\",IF(看護!M385=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O385=FALSE,\"\",IF(看護!O385=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R385),\"－\",看護!R385)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（①～④）",null,null,null,null,null,{"$f":"SUM(AZ244:AZ256)","v":0},"（13～91点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K254=FALSE,\"□\",IF(福祉!K254=TRUE,\"■\"))","v":"□"},"ショートスティ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I255),\"－\",福祉!I255)","v":"－"},"日／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,null,{"$f":"IF(看護!K386=FALSE,\"\",IF(看護!K386=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M386=FALSE,\"\",IF(看護!M386=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O386=FALSE,\"\",IF(看護!O386=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R386),\"－\",看護!R386)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（⑤、⑥）",null,null,null,null,null,{"$f":"SUM(AZ257:AZ261)","v":0},"（5～35点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K256=FALSE,\"□\",IF(福祉!K256=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（医療）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I257),\"－\",福祉!I257)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,null,{"$f":"IF(看護!K387=FALSE,\"\",IF(看護!K387=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M387=FALSE,\"\",IF(看護!M387=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O387=FALSE,\"\",IF(看護!O387=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R387),\"－\",看護!R387)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（①～⑥）",null,null,null,null,null,{"$f":"SUM(AZ262:AZ263)","v":0},"（18～126点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K258=FALSE,\"□\",IF(福祉!K258=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（薬剤）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I259),\"－\",福祉!I259)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K423=FALSE,\"□\",IF(リハ!K423=TRUE,\"■\"))","v":"□"},"可動域制限\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I424),\"－\",リハ!I424)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"起居動作","寝返り",null,null,{"$f":"IF(リハ!K431=FALSE,\"\",IF(リハ!K431=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M431=FALSE,\"\",IF(リハ!M431=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O431=FALSE,\"\",IF(リハ!O431=TRUE,\"●\"))","v":""},"その他","転倒歴",null,null,{"$f":"IF(看護!M391=FALSE,\"□\",IF(看護!M391=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K391=FALSE,\"□\",IF(看護!K391=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P391),\"－\",看護!P391)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K260=FALSE,\"□\",IF(福祉!K260=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（歯科）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I261),\"－\",福祉!I261)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"起きあがり",null,null,{"$f":"IF(リハ!K432=FALSE,\"\",IF(リハ!K432=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M432=FALSE,\"\",IF(リハ!M432=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O432=FALSE,\"\",IF(リハ!O432=TRUE,\"●\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K262=FALSE,\"□\",IF(福祉!K262=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（栄養）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I263),\"－\",福祉!I263)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K426=FALSE,\"□\",IF(リハ!K426=TRUE,\"■\"))","v":"□"},"疼痛\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I427),\"－\",リハ!I427)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"座位",null,null,{"$f":"IF(リハ!K433=FALSE,\"\",IF(リハ!K433=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M433=FALSE,\"\",IF(リハ!M433=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O433=FALSE,\"\",IF(リハ!O433=TRUE,\"●\"))","v":""},null,"問題となった行動",null,null,{"$f":"IF(看護!M392=FALSE,\"□\",IF(看護!M392=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K392=FALSE,\"□\",IF(看護!K392=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P392),\"－\",看護!P392)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(福祉!I264),\"－\",福祉!I264)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"立ち上がり",null,null,{"$f":"IF(リハ!K434=FALSE,\"\",IF(リハ!K434=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M434=FALSE,\"\",IF(リハ!M434=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O434=FALSE,\"\",IF(リハ!O434=TRUE,\"●\"))","v":""}]
[null,null,null,null,null,null,null,null,"HDS-R",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I49),\"－\",リハ!I49)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I481),\"－\",リハ!I481)","v":"－"},"/30点 ",null,null,null,null,null,null,"立位",null,null,{"$f":"IF(リハ!K435=FALSE,\"\",IF(リハ!K435=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M435=FALSE,\"\",IF(リハ!M435=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O435=FALSE,\"\",IF(リハ!O436=TRUE,\"●\"))","v":""},null,"監視・抑制",null,null,{"$f":"IF(看護!M393=FALSE,\"□\",IF(看護!M393=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K393=FALSE,\"□\",IF(看護!K393=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P393),\"－\",看護!P393)","v":"－"}]
[null,null,null,null,null,null,null,null,"MMSE",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I50),\"－\",リハ!I50)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I482),\"－\",リハ!I482)","v":"－"},"/30点 ",null,null,null,null,null,null,"移乗",null,null,{"$f":"IF(リハ!K443=FALSE,\"\",IF(リハ!K443=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M443=FALSE,\"\",IF(リハ!M443=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O443=FALSE,\"\",IF(リハ!O443=TRUE,\"●\"))","v":""},null,"夜間の状態",null,null,{"$f":"IF(看護!K394=FALSE,\"□\",IF(看護!K394=TRUE,\"■\"))","v":"□"},"良眠",null,{"$f":"IF(看護!M394=FALSE,\"□\",IF(看護!M394=TRUE,\"■\"))","v":"□"},"不眠",null,{"$f":"IF(ISBLANK(看護!P394),\"－\",看護!P394)","v":"－"}]
[]
[]
[]
[null,null,null,null,"◎背景因子",null,"環境因子",null,"住環境",null,"生活場所",null,{"$f":"IF(福祉!I14 =TRUE,福祉!J14 & \" \",\"\"   ) & IF(福祉!L14 =TRUE,福祉!M14 & \" \",\"\"   ) & IF(福祉!O14 =TRUE,福祉!P14 & \" \",\"\"   ) & IF(福祉!R14 =TRUE,福祉!S14 & \" \",\"\"   )  & IF(福祉!U14 =TRUE,福祉!V14 & \" \",\"\"   ) & IF(福祉!I15 =TRUE,福祉!J15 & \" \",\"\"   ) & IF(福祉!L15 =TRUE,福祉!M15 & \" \",\"\"   ) & IF(福祉!O15 =TRUE,福祉!P15 & \" \",\"\"   ) & IF(福祉!R15 =TRUE,福祉!S15 & \" \",\"\"   )  & IF(福祉!U15 =TRUE,福祉!V15 & \" \",\"\"   ) & IF(福祉!I16 =TRUE,福祉!J16 & \" \",\"\"   ) & IF(福祉!L16 =TRUE,福祉!M15 & \" \",\"\"   )  & IF(福祉!R16 =TRUE,福祉!S16 & \" \",\"\"   ) & IF(福祉!U16 =TRUE,福祉!V16 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"家族\n状況",null,"キーパ\nーソン",null,"氏名",null,{"$f":"IF(ISBLANK(福祉!I355),\"－\",福祉!I355)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"個人因子",null,"入院前\nの状況",null,"仕事",null,{"$f":"IF(福祉!M32=FALSE,\"□\",IF(福祉!M32=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(福祉!K32=FALSE,\"□\",IF(福祉!K32=TRUE,\"■\"))","v":"□"},"有",null,null,null,null,null,null,null,null,"生活",null,{"$f":"IF(ISBLANK(福祉!I37),\"－\",福祉!I37)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I17),\"－\",福祉!I17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,{"$f":"IF(福祉!I357 =TRUE,福祉!J357 & \" \",\"\"   )  & IF(福祉!K357 =TRUE,福祉!L357 & \" \",\"\"   ) & IF(福祉!M357 =TRUE,福祉!N357 & \" \",\"\"   )","v":""},null,"年齢",null,{"$f":"IF(ISBLANK(福祉!I358),\"－\",福祉!I358)","v":"－"},null,"続柄",null,{"$f":"IF(ISBLANK(福祉!I356),\"－\",福祉!I356)","v":"－"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I33),\"－\",福祉!I33)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修必要性",null,{"$f":"IF(リハ!M497=FALSE,\"□\",IF(リハ!M497=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K497=FALSE,\"□\",IF(リハ!K497=TRUE,\"■\"))","v":"□"},"有","改修状況",null,{"$f":"IF(リハ!M498=FALSE,\"□\",IF(リハ!M498=TRUE,\"■\"))","v":"□"},"未",{"$f":"IF(リハ!K498=FALSE,\"□\",IF(リハ!K498=TRUE,\"■\"))","v":"□"},"済",null,null,null,null,"健康状態",null,{"$f":"IF(福祉!I359 =TRUE,福祉!J359 & \" \",\"\"   )  & IF(福祉!K359 =TRUE,福祉!L359 & \" \",\"\"   ) & IF(福祉!M359 =TRUE,福祉!N359 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ①",null,{"$f":"IF(ISBLANK(福祉!I361),\"－\",福祉!I361)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修\n必要箇所",null,{"$f":"IF(ISBLANK(リハ!I499),\"－\",リハ!I499)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"介護力",null,{"$f":"IF(福祉!I360 =TRUE,福祉!J360 & \" \",\"\"   )  & IF(福祉!K360 =TRUE,福祉!L360 & \" \",\"\"   ) & IF(福祉!M360 =TRUE,福祉!N360 & \" \",\"\"   )& IF(福祉!O360 =TRUE,福祉!P360 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ②",null,{"$f":"IF(ISBLANK(福祉!I362),\"－\",福祉!I362)","v":"－"},null,null,null,null,null,null,null,null,null,null,"経済",null,{"$f":"IF(ISBLANK(福祉!I35),\"－\",福祉!I35)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"趣味",null,{"$f":"IF(ISBLANK(福祉!I39),\"－\",福祉!I39)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I363),\"－\",福祉!I363)","v":"－"}]
[null,null,null,null,null,null,null,null,"福祉\n用具",null,{"$f":"IF(リハ!M503=FALSE,\"□\",IF(リハ!M503=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K503=FALSE,\"□\",IF(リハ!K503=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K504=FALSE,\"□\",IF(リハ!K504=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M504=FALSE,\"□\",IF(リハ!M504=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保障",null,"医療保険",null,null,{"$f":"IF(福祉!I367 =TRUE,福祉!J367 & \" \",\"\"   ) & IF(福祉!K367 =TRUE,福祉!L367 & \" \",\"\"   ) & IF(福祉!M367 =TRUE,福祉!N367 & \" \",\"\"   ) &  IF(福祉!O367 =TRUE,福祉!P367 & \" \",\"\"   ) & IF(福祉!Q367 =TRUE,福祉!R367 & \" \",\"\"   ) & IF(福祉!S367 =TRUE,福祉!T367 & \" \",\"\"   ) & IF(福祉!K368 =TRUE,福祉!L368 & \" \",\"\"   ) & IF(福祉!M368 =TRUE,福祉!N368 & \" \",\"\"   ) &  IF(福祉!O368 =TRUE,福祉!P368 & \" \",\"\"   ) & Q368","v":""},null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,null,"取得状況",null,null,{"$f":"IF(福祉!I369 =TRUE,福祉!J369 & \" \",\"\"   ) & IF(福祉!K369 =TRUE,福祉!L369 & \" \",\"\"   ) & IF(福祉!M369 =TRUE,福祉!N369 & \" \",\"\"   ) &  IF(福祉!O369 =TRUE,福祉!P369 & \" \",\"\"   )& IF(福祉!K370 =TRUE,福祉!L370 & \" \",\"\"   ) & IF(福祉!M370 =TRUE,福祉!N370 & \" \",\"\"   ) & IF(福祉!O370 =TRUE,福祉!P370 & \" \",\"\"   )  & IF(福祉!Q370 =TRUE,福祉!R370 & \" \",\"\"   )  & IF(福祉!S370 =TRUE,福祉!T370 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P503),\"－\",リハ!P503)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,null,"取得状況",null,null,{"$f":"IF(福祉!I375 =TRUE,福祉!J375 & \" \",\"\"   ) & IF(福祉!K375 =TRUE,福祉!L375 & \" \",\"\"   ) & IF(福祉!M375 =TRUE,福祉!N375 & \" \",\"\"   ) &  IF(福祉!O375 =TRUE,福祉!P375 & \" \",\"\"   ) &  IF(福祉!Q375 =TRUE,福祉!R375 & \" \",\"\"   )&  IF(福祉!S375 =TRUE,福祉!T375 & \" \",\"\"   )  & IF(福祉!K376 =TRUE,福祉!L376 & \" \",\"\"   ) & IF(福祉!M376 =TRUE,福祉!N376 & \" \",\"\"   ) &  IF(福祉!O376 =TRUE,福祉!P376 & \" \",\"\"   ) &  IF(福祉!Q376 =TRUE,福祉!R376 & \" \",\"\"   )&  IF(福祉!S376 =TRUE,福祉!T376 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,"障害の種類",null,null,{"$f":"IF(福祉!I371 =TRUE,福祉!J371 & \" \",\"\"   ) & IF(福祉!K371 =TRUE,福祉!L371 & \" \",\"\"   ) & IF(福祉!M371 =TRUE,福祉!N371 & \" \",\"\"   ) &  IF(福祉!O371 =TRUE,福祉!P371 & \" \",\"\"   ) &  IF(福祉!Q371 =TRUE,福祉!R371 & \" \",\"\"   )&  IF(福祉!S371 =TRUE,福祉!T371 & \" \",\"\"   )&  IF(福祉!U371 =TRUE,福祉!V371 & \" \",\"\"   ) & IF(福祉!K372 =TRUE,福祉!L372 & \" \",\"\"   ) & IF(福祉!M372 =TRUE,福祉!N372 & \" \",\"\"   ) &  IF(福祉!O372 =TRUE,福祉!P372 & \" \",\"\"   ) &  IF(福祉!Q372 =TRUE,福祉!R372 & \" \",\"\"   )&  IF(福祉!S372 =TRUE,福祉!T372 & \" \",\"\"   )&  IF(福祉!U372 =TRUE,福祉!V372 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,"装具",null,{"$f":"IF(リハ!M505=FALSE,\"□\",IF(リハ!M505=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K505=FALSE,\"□\",IF(リハ!K505=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K506=FALSE,\"□\",IF(リハ!K506=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M506=FALSE,\"□\",IF(リハ!M506=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",null,null,{"$f":"IF(ISBLANK(福祉!I377),\"－\",福祉!I377)","v":"－"},null,null,null,null,null,null,null,"特定疾患",null,null,"特定疾患の申請",null,null,{"$f":"IF(福祉!I373 =TRUE,福祉!J373 & \" \",\"\"   ) & IF(福祉!K373 =TRUE,福祉!L373 & \" \",\"\"   ) & IF(福祉!M373 =TRUE,福祉!N373 & \" \",\"\"   ) &  IF(福祉!O373 =TRUE,福祉!P373 & \" \",\"\"   ) &  IF(福祉!Q373 =TRUE,福祉!R373 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P505),\"－\",リハ!P505)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",null,null,{"$f":"IF(ISBLANK(福祉!I378),\"－\",福祉!I378)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病名",null,null,{"$f":"IF(ISBLANK(福祉!AJ378),\"－\",福祉!AJ378)","v":"－"}]
[null,null,null,null,null,null,null,null,"ご家族\n希望",null,{"$f":"IF(ISBLANK(福祉!I420),\"－\",福祉!I420)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"利用者\n希望",null,{"$f":"IF(ISBLANK(福祉!I416),\"－\",福祉!I416)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,"次のステージの課題",null,"医師",null,{"$f":"IF(ISBLANK(診療!I480),\"－\",診療!I480)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学\n療法士",null,{"$f":"IF(ISBLANK(リハ!I513),\"－\",リハ!I513)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士",null,{"$f":"IF(ISBLANK(栄養!I422),\"－\",栄養!I422)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"看護師",null,{"$f":"IF(ISBLANK(看護!I463),\"－\",看護!I463)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業\n療法士",null,{"$f":"IF(ISBLANK(リハ!I522),\"－\",リハ!I522)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MSW",null,{"$f":"IF(ISBLANK(福祉!I454),\"－\",福祉!I454)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"薬剤師",null,"-",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語\n聴覚士",null,{"$f":"IF(ISBLANK(リハ!I531),\"－\",リハ!I531)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科",null,{"$f":"IF(ISBLANK(歯科!I383),\"－\",歯科!I383)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"生活期(在宅)施設間情報"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀医療介護連携シート（在宅）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加賀脳卒中地域連携パス（医療・介護従事者用）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"到達目標ステージ"]
[null,null,null,null,"ﾌﾘｶﾞﾅ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",{"$f":"IF(ISBLANK(計画書!CM20),\"－\",計画書!CM20)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AI596),\"－\",リハ!AI596)","v":"－"}]
[null,null,null,null,"氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"性別",null,{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"℡",null,{"$f":"IF(ISBLANK(計画書!$H$23),\"－\",計画書!$H$23)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"入院・入所日",null,{"$f":"IF(ISBLANK(計画書!H32),\"－\",計画書!H32)","v":"－"},null,null,null,null,null,null,null,"紹介先",{"$f":"IF(ISBLANK(診療!I507),\"－\",診療!I507)","v":"－"},null,null,null,null,null,null,null,"紹介先\n区分",null,{"$f":"IF(診療!I68 =TRUE,診療!J68 & \" \",\"\"   )  & IF(診療!L68 =TRUE,診療!M68 & \" \",\"\"   ) & IF(診療!O68 =TRUE,診療!P68 & \" \",\"\"   ) & IF(診療!R68 =TRUE,診療!S68 & \" \",\"\"   ) & IF(診療!I69 =TRUE,診療!J69 & \" \",\"\"   )  & IF(診療!L69 =TRUE,診療!M69 & \" \",\"\"   ) & IF(診療!O69 =TRUE,診療!P69 & \" \",\"\"   ) & IF(診療!R69 =TRUE,診療!S69 & \" \",\"\"   ) & IF(診療!I70 =TRUE,診療!J70 & \" \",\"\"   )  & IF(診療!L70 =TRUE,診療!M70 & \" \",\"\"   ) & IF(診療!O70 =TRUE,診療!P70 & \" \",\"\"   ) & IF(診療!R70 =TRUE,診療!S70 & \" \",\"\"   ) & IF(診療!I71 =TRUE,診療!J71 & \" \",\"\"   )  & IF(診療!L71 =TRUE,診療!M71 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"判定ステージ"]
[null,null,null,null,null,null,null,null,null,null,null,null,"年齢",null,{"$f":"IF(ISBLANK(計画書!$Q$57),\"－\",計画書!$Q$57)","v":0},null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"},null,null,null,null,null,"TEL",null,{"$f":"IF(ISBLANK(計画書!CM23),\"－\",計画書!CM23)","v":"－"},null,null,null,null,null,"退院・退所日",null,{"$f":"IF(ISBLANK(計画書!H45),\"－\",計画書!H45)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!AM596),\"－\",リハ!AM596)","v":"－"}]
[null,null,null,null,"住所",null,"〒",{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,{"$f":"IF(ISBLANK(計画書!CM24),\"－\",計画書!CM24)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(計画書!CM25),\"－\",計画書!CM25)","v":"－"},null,null,null,null,null,null,null,null,"医療\n機関名",null,{"$f":"IF(ISBLANK(診療!I508),\"－\",診療!I508)","v":"－"},null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(診療!I512),\"－\",診療!I512)","v":"－"},null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(診療!I504),\"－\",診療!I504)","v":"－"},null,null,null,null,null,null,null,{"$f":"IF(BR318=1,\"身辺動作が全介助（生活空間は病院・施設内）\",IF(BR318=2,\"身辺動作に介助が必要（生活空間は病院・施設内）\",IF(BR318=3,\"病院施設内で身辺動作が自立している\",IF(BR318=4,\"身辺動作に介助が必要であるが自宅で生活している\",IF(BR318=5,\"自宅で身辺動作が自立している\",IF(BR318=6,\"一人で外出できる\",\"―\"))))))","v":"―"}]
[]
[]
[]
[null,null,null,null,null,"健康状態",null,"測定日",null,null,{"$f":"IF(ISBLANK(栄養!I507),\"－\",栄養!I507)","v":"－"},null,null,"身長",null,null,{"$f":"IF(ISBLANK(栄養!I505),\"－\",栄養!I505)","v":"－"},null,"cm","体重",null,null,{"$f":"IF(ISBLANK(栄養!I506),\"－\",栄養!I506)","v":"－"},null,"kg","BMI",null,null,{"$f":"W323/((Q323/100)*(Q323/100))","v":{"$error":"#VALUE!"}},null,null,"体重の増減",null,null,null,{"$f":"IF(栄養!I509  =TRUE,栄養!J509 & \" \",\"\"   ) & IF(栄養!K509 =TRUE,栄養!L509 & \" \",\"\"   ) & IF(栄養!N509 =TRUE,栄養!O509 & \" \",\"\"   ) & IF(栄養!Q509 =TRUE,栄養!R509 & \" \",\"\"   ) & IF(栄養!I510  =TRUE,栄養!J510 & \" \",\"\"   ) & IF(栄養!K510 =TRUE,栄養!L510 & \" \",\"\"   ) & IF(栄養!N510 =TRUE,栄養!O510 & \" \",\"\"   ) & IF(栄養!Q510 =TRUE,栄養!R510 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,"普段の血圧値",null,null,null,"（収縮期血圧）",null,null,{"$f":"IF(ISBLANK(看護!I506),\"－\",看護!I506)","v":"－"},null,null,null,"台","採血情報",true,"別紙：栄養情報提供書参照"]
[null,null,null,null,null,null,null,"傷病等",true,"別紙：診療情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内服",true,"別紙：薬剤情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日付",null,null,null,{"$f":"IF(ISBLANK(栄養!I97),\"－\",栄養!I97)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I550),\"－\",栄養!I550)","v":"－"},null,null,"基準値"]
[null,null,null,null,null,null,null,null,"脳卒中",null,null,{"$f":"IF(計画書!H31=FALSE,\"□\",IF(計画書!H31=TRUE,\"■\"))","v":"□"},"脳梗塞",null,null,{"$f":"IF(計画書!M31=FALSE,\"□\",IF(計画書!M31=TRUE,\"■\"))","v":"□"},"脳出血",null,null,{"$f":"IF(計画書!R31=FALSE,\"□\",IF(計画書!R31=TRUE,\"■\"))","v":"□"},"くも膜下出血",null,null,"発症日",null,null,{"$f":"IF(ISBLANK(診療!I20),\"－\",診療!I20)","v":"－"},null,null,"病変部位",null,null,{"$f":"IF(ISBLANK(診療!I524),\"－\",診療!I524)","v":"－"},null,null,null,null,null,null,null,"調剤方法",null,null,{"$f":"IF(薬剤!K15=FALSE,\"□\",IF(薬剤!K15=TRUE,\"■\"))","v":"□"},"粉砕",null,null,{"$f":"IF(薬剤!M15=FALSE,\"□\",IF(薬剤!M15=TRUE,\"■\"))","v":"□"},"ＰＴＰ",null,null,{"$f":"IF(薬剤!O15=FALSE,\"□\",IF(薬剤!O15=TRUE,\"■\"))","v":"□"},"一部粉砕"]
[null,null,null,null,null,null,null,null,null,null,null,"治療・手術",null,null,{"$f":"\"tPA投与:\"& IF(診療!I79  =TRUE,診療!J79 & \" \",\"\"   ) & IF(診療!K79 =TRUE,診療!L79 & \" \",\"\"   ) & IF(診療!M79 =TRUE,診療!N79 & \" \",\"\"   )","v":"tPA投与:"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(薬剤!Q15=FALSE,\"□\",IF(薬剤!Q15=TRUE,\"■\"))","v":"□"},"簡易懸濁",null,null,{"$f":"IF(薬剤!S15=FALSE,\"□\",IF(薬剤!S15=TRUE,\"■\"))","v":"□"},"一包化",null,null,{"$f":"IF(薬剤!I15=FALSE,\"□\",IF(薬剤!I15=TRUE,\"■\"))","v":"□"},"不明",null,null,null,null,"CRP",null,null,null,{"$f":"IF(ISBLANK(栄養!I98),\"－\",栄養!I98)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I551),\"－\",栄養!I551)","v":"－"},null,null,"0.00-0.60m g/dl"]
[null,null,null,null,null,null,null,null,"整形外科疾患",null,null,null,null,null,null,null,null,"発症日",null,null,null,null,null,"部位",null,null,null,null,null,"治療・手術",null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,null,{"$f":"IF(ISBLANK(薬剤!I16),\"－\",薬剤!I16)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"白血球数(WBC)",null,null,null,{"$f":"IF(ISBLANK(栄養!I99),\"－\",栄養!I99)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I552),\"－\",栄養!I552)","v":"－"},null,null,"3500-8500/μl"]
[null,null,null,null,null,null,null,null,"心疾患",null,null,{"$f":"IF(診療!M537=FALSE,\"□\",IF(診療!M537=TRUE,\"■\"))","v":"□"},"心房細動",null,null,{"$f":"IF(診療!M538=FALSE,\"□\",IF(診療!M538=TRUE,\"■\"))","v":"□"},"心筋梗塞",null,null,{"$f":"IF(診療!M539=FALSE,\"□\",IF(診療!M539=TRUE,\"■\"))","v":"□"},"心不全",null,null,{"$f":"IF(診療!M540=FALSE,\"□\",IF(診療!M540=TRUE,\"■\"))","v":"□"},"狭心症",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)",null,null,null,{"$f":"IF(ISBLANK(栄養!I100),\"－\",栄養!I100)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I553),\"－\",栄養!I553)","v":"－"},null,null,"♂11.0-16.5 ♀10.0-15.0 g/dl"]
[null,null,null,null,null,null,null,null,"その他傷病名",null,null,{"$f":"IF(診療!M534=FALSE,\"□\",IF(診療!M534=TRUE,\"■\"))","v":"□"},"高血圧",null,null,{"$f":"IF(ISBLANK(診療!P534),\"－\",診療!P534)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M535=FALSE,\"□\",IF(診療!M535=TRUE,\"■\"))","v":"□"},"糖尿病",null,null,{"$f":"IF(ISBLANK(診療!P535),\"－\",診療!P535)","v":"－"},null,null,null,null,null,null,null,null,null,null,"持参薬",null,null,{"$f":"IF(ISBLANK(薬剤!I22),\"－\",薬剤!I22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,{"$f":"IF(ISBLANK(栄養!I101),\"－\",栄養!I101)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I554),\"－\",栄養!I554)","v":"－"},null,null,"♂33.0-48.0 ♀31.0-45.0%"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M536=FALSE,\"□\",IF(診療!M536=TRUE,\"■\"))","v":"□"},"脂質代謝異常",null,null,{"$f":"IF(ISBLANK(診療!P536),\"－\",診療!P536)","v":"－"},null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M541=FALSE,\"□\",IF(診療!M541=TRUE,\"■\"))","v":"□"},"呼吸器疾患",null,null,{"$f":"IF(ISBLANK(診療!P541),\"－\",診療!P541)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総蛋白(TP)",null,null,null,{"$f":"IF(ISBLANK(栄養!I102),\"－\",栄養!I102)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I555),\"－\",栄養!I555)","v":"－"},null,null,"6.5-8.2 g/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!M542=FALSE,\"□\",IF(診療!M542=TRUE,\"■\"))","v":"□"},"ガン",null,null,{"$f":"IF(ISBLANK(診療!P542),\"－\",診療!P542)","v":"－"},null,null,null,null,null,null,null,null,null,"　その他",null,{"$f":"IF(ISBLANK(診療!I543),\"－\",診療!I543)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,null,{"$f":"IF(ISBLANK(薬剤!I32),\"－\",薬剤!I32)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)",null,null,null,{"$f":"IF(ISBLANK(栄養!I103),\"－\",栄養!I103)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I556),\"－\",栄養!I556)","v":"－"},null,null,"3.5-5.0 g/dl"]
[null,null,null,null,null,null,null,null,"既往歴",null,null,{"$f":"\"脳血管疾患:\"& IF(診療!I526  =TRUE,診療!J526 & \" \",\"\"   ) & IF(診療!K526 =TRUE,診療!L526 & \" \",\"\"   ) & IF(診療!M526 =TRUE,診療!N526 & \" \",\"\"   )","v":"脳血管疾患:"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"尿素窒素(BUN)",null,null,null,{"$f":"IF(ISBLANK(栄養!I104),\"－\",栄養!I104)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I557),\"－\",栄養!I557)","v":"－"},null,null,"7-21mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(診療!I527),\"－\",診療!I527)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)",null,null,null,{"$f":"IF(ISBLANK(栄養!I105),\"－\",栄養!I105)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I558),\"－\",栄養!I558)","v":"－"},null,null,"♂0.6-1.2 ♀0.4-0.9mg/dl"]
[null,null,null,null,null,null,null,null,"アレルギー",null,null,{"$f":"IF(ISBLANK(診療!I549),\"－\",診療!I549)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,null,{"$f":"IF(ISBLANK(診療!I547),\"－\",診療!I547)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾅﾄﾘｳﾑ(Na)",null,null,null,{"$f":"IF(ISBLANK(栄養!I106),\"－\",栄養!I106)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I559),\"－\",栄養!I559)","v":"－"},null,null,"136-145mEq/l"]
[null,null,null,null,null,null,null,"処置等",true,"別紙：看護情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｶﾘｳﾑ(K)",null,null,null,{"$f":"IF(ISBLANK(栄養!I107),\"－\",栄養!I107)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I560),\"－\",栄養!I560)","v":"－"},null,null,"3.5-5.0mEq/l"]
[null,null,null,null,null,null,null,null,{"$f":"IF(看護!K548=FALSE,\"□\",IF(看護!K548=TRUE,\"■\"))","v":"□"},"褥瘡",null,null,{"$f":"IF(ISBLANK(看護!I549),\"－\",看護!I549)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特記",null,null,{"$f":"IF(ISBLANK(薬剤!I46),\"－\",薬剤!I46)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"血糖(GLU)",null,null,null,{"$f":"IF(ISBLANK(栄養!I108),\"－\",栄養!I108)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I561),\"－\",栄養!I561)","v":"－"},null,null,"65-110mg/dl"]
[null,null,null,null,null,null,null,null,{"$f":"IF(OR(看護!K553=TRUE,看護!M553=TRUE,看護!O553=TRUE,看護!Q553=TRUE),\"■\",\"□\")","v":"□"},"経腸栄養管理",null,null,"栄養剤",null,null,{"$f":"IF(ISBLANK(看護!I554),\"－\",看護!I554)","v":"－"},null,null,null,null,"投与ルート",null,null,{"$f":"IF(看護!I553 =TRUE,看護!J553 & \" \",\"\")  & IF(看護!K553 =TRUE,看護!L553 & \" \",\"\") & IF(看護!M553 =TRUE,看護!N553 & \" \",\"\")& IF(看護!O553 =TRUE,看護!P553 & \" \",\"\")& IF(看護!Q553 =TRUE,看護!R553 & \" \",\"\")","v":""},null,null,{"$f":"IF(看護!I545=\"\",\"□\",\"■\")","v":"□"},"カニューレ",null,null,{"$f":"IF(ISBLANK(看護!I545),\"－\",看護!I545)","v":"－"},null,"Ｆｒ","カフの有無",null,null,{"$f":"IF(看護!I546 =TRUE,看護!J546 & \" \",\"\")  & IF(看護!K546 =TRUE,看護!L546 & \" \",\"\") & IF(看護!M546 =TRUE,看護!N546 & \" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)",null,null,null,{"$f":"IF(ISBLANK(栄養!I109),\"－\",栄養!I109)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I562),\"－\",栄養!I562)","v":"－"},null,null,"4.3-5.8％"]
[null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(看護!I550),\"－\",看護!I550)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I110),\"－\",栄養!I110)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I563),\"－\",栄養!I563)","v":"－"},null,null,"40-80mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"IF(ISBLANK(栄養!I111),\"－\",栄養!I111)","v":"－"},null,null,{"$f":"IF(ISBLANK(栄養!I564),\"－\",栄養!I564)","v":"－"},null,null,"40-140mg/dl"]
[]
[]
[null,null,null,null,null,null,"心身機能・身体構造",null,true,"別紙：リハビリテーション情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,"活動",null,true,"別紙：看護，リハビリテーション，栄養情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加",null,true,"別紙：福祉情報提供書参照"]
[null,null,null,null,"◎生活機能",null,null,null,{"$f":"IF(リハ!K586=FALSE,\"□\",IF(リハ!K586=TRUE,\"■\"))","v":"□"},"麻痺\n※Brunnstrom stage",null,null,"左上肢",null,{"$f":"IF(ISBLANK(リハ!I590),\"－\",リハ!I590)","v":"－"},"左下肢",null,{"$f":"IF(ISBLANK(リハ!I592),\"－\",リハ!I592)","v":"－"},"左手指",null,{"$f":"IF(ISBLANK(リハ!I591),\"－\",リハ!I591)","v":"－"},null,null,null,null,"基本的ADL","項目",null,null,"自立","一部介助","全介助","介護内容・使用用具等",null,null,null,null,null,null,null,null,null,null,null,"FIM","項目",null,null,null,null,null,"評価（している）",null,null,null,null,null,null,null,null,null,null,"入院中の状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",null,{"$f":"IF(ISBLANK(リハ!I587),\"－\",リハ!I587)","v":"－"},"右下肢",null,{"$f":"IF(ISBLANK(リハ!I589),\"－\",リハ!I589)","v":"－"},"右手指",null,{"$f":"IF(ISBLANK(リハ!I588),\"－\",リハ!I588)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF( ISBLANK( リハ!AH643 )=TRUE,\"\",リハ!AH643)","v":""},{"$f":"IF(AZ344=1,\"自分で25% 未満しかしていない\",IF(AZ344=2,\"自分で25～49% している\",IF(AZ344=3,\"自分で50～74% している\",IF(AZ344=4,\"自分で75%以上している\",IF(AZ344=5,\"体に触れない監視、準備、指示\",IF(AZ344=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ344=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"},null,null,null,null,null,null,null,null,null,"生活\n","入院中",null,{"$f":"IF(ISBLANK(福祉!I536),\"－\",福祉!I536)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K593=FALSE,\"□\",IF(リハ!K593=TRUE,\"■\"))","v":"□"},"失調",null,null,{"$f":"IF(ISBLANK(リハ!I594),\"－\",リハ!I594)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF( ISBLANK( リハ!AH644 )=TRUE,\"\",リハ!AH644)","v":""},{"$f":"IF(AZ345=1,\"自分で25% 未満しかしていない\",IF(AZ345=2,\"自分で25～49% している\",IF(AZ345=3,\"自分で50～74% している\",IF(AZ345=4,\"自分で75%以上している\",IF(AZ345=5,\"体に触れない監視、準備、指示\",IF(AZ345=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ345=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"IF(看護!K507=FALSE,\"\",IF(看護!K507=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M507=FALSE,\"\",IF(看護!M507=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O507=FALSE,\"\",IF(看護!O507=TRUE,\"●\"))","v":""},"補給方法",null,{"$f":"IF(栄養!I516=TRUE,栄養!J516&\" \",\"\")&IF(栄養!K516=TRUE,栄養!L516&\" \",\"\")&IF(栄養!M516=TRUE,栄養!N516&\" \",\"\")& IF(栄養!O516=TRUE,栄養!P516&\" \",\"\") & IF(栄養!Q516=TRUE,栄養!R516&\" \",\"\") & IF(栄養!S516=TRUE,栄養!T516&\" \",\"\") & IF(栄養!U516=TRUE,栄養!V516&\" \",\"\")","v":""},null,null,null,"義歯",null,{"$f":"IF(看護!K508=FALSE,\"□\",IF(看護!K508=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(看護!M508=FALSE,\"□\",IF(看護!M508=TRUE,\"■\"))","v":"□"},"有",null,"①",null,null,"清拭",null,null,{"$f":"IF( ISBLANK( リハ!AH645 )=TRUE,\"\",リハ!AH645)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"IF(ISBLANK(栄養!I518),\"－\",栄養!I518)","v":""},null,null,null,"理由",null,{"$f":"IF(ISBLANK(栄養!I524),\"－\",栄養!I524)","v":"－"},null,null,null,null,"セルフケア",null,null,"更衣の上半身",null,null,{"$f":"IF( ISBLANK( リハ!AH646 )=TRUE,\"\",リハ!AH646)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I538),\"－\",福祉!I538)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K596=FALSE,\"□\",IF(リハ!K596=TRUE,\"■\"))","v":"□"},"感覚障害",null,null,{"$f":"IF(ISBLANK(リハ!I597),\"－\",リハ!I597)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"IF(ISBLANK(栄養!I519),\"－\",栄養!I519)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,{"$f":"IF( ISBLANK( リハ!AH647 )=TRUE,\"\",リハ!AH647)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"摂取量",null,{"$f":"IF(栄養!I532  =TRUE,栄養!J532 & \" \",\"\"   ) & IF(栄養!K532 =TRUE,栄養!L532 & \" \",\"\"   ) & IF(栄養!N532 =TRUE,栄養!O532 & \" \",\"\"   )","v":""},null,null,null,"食事回数",null,{"$f":"IF(栄養!I533  =TRUE,栄養!J533 & \" \",\"\"   ) & IF(栄養!K533  =TRUE,栄養!L533 & \" \",\"\"   ) & IF(栄養!M533  =TRUE,栄養!N533 & \" \",\"\"   ) & IF(栄養!O533  =TRUE,栄養!P533 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,"トイレ動作",null,null,{"$f":"IF( ISBLANK( リハ!AH648 )=TRUE,\"\",リハ!AH648)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療食指示",null,{"$f":"IF(栄養!M517=FALSE,\"□\",IF(栄養!M517=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K517=FALSE,\"□\",IF(栄養!K517=TRUE,\"■\"))","v":"□"},"有","補助食",null,{"$f":"IF(栄養!M534=FALSE,\"□\",IF(栄養!M534=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(栄養!K534=FALSE,\"□\",IF(栄養!K534=TRUE,\"■\"))","v":"□"},"有",null,"②",null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH649 )=TRUE,\"\",リハ!AH649)","v":""},"―",null,null,null,null,null,null,null,null,null,"趣味","入院中",null,{"$f":"IF(ISBLANK(福祉!I540),\"－\",福祉!I540)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K599=FALSE,\"□\",IF(リハ!K599=TRUE,\"■\"))","v":"□"},"筋力低下\n※部位,MMT等",null,null,{"$f":"IF(ISBLANK(リハ!I600),\"－\",リハ!I600)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(栄養!I535),\"－\",栄養!I535)","v":"－"},null,null,null,"好き嫌い",null,{"$f":"IF(ISBLANK(栄養!I536),\"－\",栄養!I536)","v":"－"},null,null,null,null,"排泄コントロール",null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,{"$f":"IF( ISBLANK( リハ!AH650 )=TRUE,\"\",リハ!AH650)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I509),\"－\",看護!I509)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"③",null,null,"ベット・椅子・車椅子の移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH651 )=TRUE,\"\",リハ!AH651)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"IF(看護!K511=FALSE,\"\",IF(看護!K511=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M511=FALSE,\"\",IF(看護!M511=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O511=FALSE,\"\",IF(看護!O511=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I512=TRUE,看護!J512&\" \",\"\")&IF(看護!K512=TRUE,看護!L512&\" \",\"\")&IF(看護!M512=TRUE,看護!N512&\" \",\"\")& IF(看護!O512=TRUE,看護!P512&\" \",\"\") & IF(看護!Q512=TRUE,看護!R512&\" \",\"\") & IF(看護!S512=TRUE,看護!T512&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"トイレ移乗",null,null,{"$f":"IF( ISBLANK( リハ!AH652 )=TRUE,\"\",リハ!AH652)","v":""},"―",null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"IF(ISBLANK(福祉!I542),\"－\",福祉!I542)","v":"－"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K602=FALSE,\"□\",IF(リハ!K602=TRUE,\"■\"))","v":"□"},"高次脳機能障害",null,null,{"$f":"IF(リハ!I603=FALSE,\"□\",IF(リハ!I603=TRUE,\"■\"))","v":"□"},"失行",null,{"$f":"IF(リハ!K603=FALSE,\"□\",IF(リハ!K603=TRUE,\"■\"))","v":"□"},"失認",null,{"$f":"IF(リハ!M603=FALSE,\"□\",IF(リハ!M603=TRUE,\"■\"))","v":"□"},"失語",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I514),\"－\",看護!I514)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,{"$f":"IF( ISBLANK( リハ!AH653 )=TRUE,\"\",リハ!AH653)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(リハ!O603=FALSE,\"□\",IF(リハ!O603=TRUE,\"■\"))","v":"□"},"注意",null,{"$f":"IF(リハ!Q603=FALSE,\"□\",IF(リハ!Q603=TRUE,\"■\"))","v":"□"},"記憶",null,null,null,null,null,null,null,null,null,"排泄",null,null,{"$f":"IF(看護!K516=FALSE,\"\",IF(看護!K516=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M516=FALSE,\"\",IF(看護!M516=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O516=FALSE,\"\",IF(看護!O516=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I517=TRUE,看護!J517&\" \",\"\")&IF(看護!K517=TRUE,看護!L517&\" \",\"\")&IF(看護!M517=TRUE,看護!N517&\" \",\"\")& IF(看護!O517=TRUE,看護!P517&\" \",\"\") & IF(看護!Q517=TRUE,看護!R517&\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"④",null,null,"歩行・車椅子",null,null,{"$f":"IF( ISBLANK( リハ!AH654 )=TRUE,\"\",リハ!AH654)","v":""},"―"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!I604),\"－\",リハ!I604)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I525),\"－\",看護!I525)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,"階段",null,null,{"$f":"IF( ISBLANK( リハ!AH655 )=TRUE,\"\",リハ!AH655)","v":""},"―",null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,{"$f":"IF(看護!K527=FALSE,\"\",IF(看護!K527=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M527=FALSE,\"\",IF(看護!M527=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O527=FALSE,\"\",IF(看護!O527=TRUE,\"●\"))","v":""},"方法",null,{"$f":"IF(看護!I528=TRUE,看護!J528&\" \",\"\")&IF(看護!K528=TRUE,看護!L528&\" \",\"\") & IF(看護!M528=TRUE,看護!N528&\" \",\"\")& IF(看護!O528=TRUE,看護!P528&\" \",\"\") & IF(看護!Q528=TRUE,看護!R528&\" \",\"\") & IF(看護!S528=TRUE,看護!T528&\" \",\"\") & IF(看護!U528=TRUE,看護!V528&\" \",\"\")  &IF(看護!K529=TRUE,看護!L529&\" \",\"\") & IF(看護!M529 =TRUE,看護!N529 &\" \",\"\")& IF(看護!O529=TRUE,看護!P529 &\" \",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,"⑤",null,null,"理解",null,null,{"$f":"IF( ISBLANK( リハ!AH656 )=TRUE,\"\",リハ!AH656)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K544=FALSE,\"□\",IF(福祉!K544=TRUE,\"■\"))","v":"□"},"訪問介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I545),\"－\",福祉!I545)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(看護!I530),\"－\",看護!I530)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,null,"表出",null,null,{"$f":"IF( ISBLANK( リハ!AH657 )=TRUE,\"\",リハ!AH657)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K546=FALSE,\"□\",IF(福祉!K546=TRUE,\"■\"))","v":"□"},"訪問看護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I547),\"－\",福祉!I547)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K606=FALSE,\"□\",IF(リハ!K606=TRUE,\"■\"))","v":"□"},"構音障害",null,null,{"$f":"IF(ISBLANK(リハ!I608),\"－\",リハ!I608)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,null,{"$f":"IF(看護!K532=FALSE,\"\",IF(看護!K532=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M532=FALSE,\"\",IF(看護!M532=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O532=FALSE,\"\",IF(看護!O532=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R532),\"－\",看護!R532)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"⑥",null,null,"社会的交流",null,null,{"$f":"IF( ISBLANK( リハ!AH658 )=TRUE,\"\",リハ!AH658)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K548=FALSE,\"□\",IF(福祉!K548=TRUE,\"■\"))","v":"□"},"訪問リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I549),\"－\",福祉!I549)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,{"$f":"IF(看護!K533=FALSE,\"\",IF(看護!K533=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M533=FALSE,\"\",IF(看護!M533=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O533=FALSE,\"\",IF(看護!O533=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R533),\"－\",看護!R533)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,null,"問題解決",null,null,{"$f":"IF( ISBLANK( リハ!AH659 )=TRUE,\"\",リハ!AH659)","v":""},{"$f":"IF(AZ360=1,\"自分で25% 未満しかしていない\",IF(AZ360=2,\"自分で25～49% している\",IF(AZ360=3,\"自分で50～74% している\",IF(AZ360=4,\"自分で75%以上している\",IF(AZ360=5,\"体に触れない監視、準備、指示\",IF(AZ360=6,\"補助具の使用、通常以上の時間、安全性の配慮が必要\",IF(AZ360=7,\"安全に通常の時間で遂行\",\"―\")))))))","v":"―"},null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K550=FALSE,\"□\",IF(福祉!K550=TRUE,\"■\"))","v":"□"},"通所介護",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I551),\"－\",福祉!I551)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",null,null,{"$f":"IF(リハ!I607  =TRUE,リハ!J607 & \" \",\"\"   ) & IF(リハ!K607 =TRUE,リハ!L607 & \" \",\"\"   ) & IF(リハ!N607 =TRUE,リハ!O607 & \" \",\"\"   ) & IF(リハ!Q607 =TRUE,リハ!R607 & \" \",\"\"   ) & IF(リハ!T607  =TRUE,リハ!U607 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,null,{"$f":"IF(看護!K534=FALSE,\"\",IF(看護!K534=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M534=FALSE,\"\",IF(看護!M534=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O534=FALSE,\"\",IF(看護!O534=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R534),\"－\",看護!R534)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,{"$f":"IF( ISBLANK( リハ!AH660 )=TRUE,\"\",リハ!AH660)","v":""},"―",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K552=FALSE,\"□\",IF(福祉!K552=TRUE,\"■\"))","v":"□"},"通所リハ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I553),\"－\",福祉!I553)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K610=FALSE,\"□\",IF(リハ!K610=TRUE,\"■\"))","v":"□"},"摂食機能障害",null,null,{"$f":"IF(ISBLANK(リハ!I611),\"－\",リハ!I611)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,null,{"$f":"IF(看護!K535=FALSE,\"\",IF(看護!K535=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M535=FALSE,\"\",IF(看護!M535=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O535=FALSE,\"\",IF(看護!O535=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R535),\"－\",看護!R535)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（①～④）",null,null,null,null,null,{"$f":"SUM(AZ344:AZ356)","v":0},"（13～91点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K554=FALSE,\"□\",IF(福祉!K554=TRUE,\"■\"))","v":"□"},"ショートスティ",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I555),\"－\",福祉!I555)","v":"－"},"日／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,null,{"$f":"IF(看護!K536=FALSE,\"\",IF(看護!K536=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M536=FALSE,\"\",IF(看護!M536=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O536=FALSE,\"\",IF(看護!O536=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R536),\"－\",看護!R536)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（⑤、⑥）",null,null,null,null,null,{"$f":"SUM(AZ357:AZ361)","v":0},"（5～35点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K556=FALSE,\"□\",IF(福祉!K556=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（医療）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I557),\"－\",福祉!I557)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,null,{"$f":"IF(看護!K537=FALSE,\"\",IF(看護!K537=TRUE,\"●\"))","v":""},{"$f":"IF(看護!M537=FALSE,\"\",IF(看護!M537=TRUE,\"●\"))","v":""},{"$f":"IF(看護!O537=FALSE,\"\",IF(看護!O537=TRUE,\"●\"))","v":""},{"$f":"IF(ISBLANK(看護!R537),\"－\",看護!R537)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（①～⑥）",null,null,null,null,null,{"$f":"SUM(AZ362:AZ363)","v":0},"（18～126点）",null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K558=FALSE,\"□\",IF(福祉!K558=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（薬剤）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I559),\"－\",福祉!I559)","v":"－"},"回／月"]
[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K613=FALSE,\"□\",IF(リハ!K613=TRUE,\"■\"))","v":"□"},"可動域制限\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I614),\"－\",リハ!I614)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"起居動作","寝返り",null,null,{"$f":"IF(リハ!K621=FALSE,\"\",IF(リハ!K621=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M621=FALSE,\"\",IF(リハ!M621=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O621=FALSE,\"\",IF(リハ!O621=TRUE,\"●\"))","v":""},"その他","転倒歴",null,null,{"$f":"IF(看護!M541=FALSE,\"□\",IF(看護!M541=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K541=FALSE,\"□\",IF(看護!K541=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P541),\"－\",看護!P541)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!K560=FALSE,\"□\",IF(福祉!K560=TRUE,\"■\"))","v":"□"},"居宅療養管理指導（歯科）",null,null,null,"利用頻度",null,null,{"$f":"IF(ISBLANK(福祉!I561),\"－\",福祉!I561)","v":"－"},"回／月"]
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[null,null,null,null,null,null,null,null,{"$f":"IF(リハ!K616=FALSE,\"□\",IF(リハ!K616=TRUE,\"■\"))","v":"□"},"疼痛\n※部位等",null,null,{"$f":"IF(ISBLANK(リハ!I617),\"－\",リハ!I617)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"座位",null,null,{"$f":"IF(リハ!K623=FALSE,\"\",IF(リハ!K623=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M623=FALSE,\"\",IF(リハ!M623=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O623=FALSE,\"\",IF(リハ!O623=TRUE,\"●\"))","v":""},null,"問題となった行動",null,null,{"$f":"IF(看護!M542=FALSE,\"□\",IF(看護!M542=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K542=FALSE,\"□\",IF(看護!K542=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P542),\"－\",看護!P542)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(福祉!I564),\"－\",福祉!I564)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"立ち上がり",null,null,{"$f":"IF(リハ!K624=FALSE,\"\",IF(リハ!K624=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M624=FALSE,\"\",IF(リハ!M624=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O624=FALSE,\"\",IF(リハ!O624=TRUE,\"●\"))","v":""}]
[null,null,null,null,null,null,null,null,"HDS-R",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I49),\"－\",リハ!I49)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I619),\"－\",リハ!I619)","v":"－"},"/30点 ",null,null,null,null,null,null,"立位",null,null,{"$f":"IF(リハ!K625=FALSE,\"\",IF(リハ!K625=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M625=FALSE,\"\",IF(リハ!M625=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O625=FALSE,\"\",IF(リハ!O625=TRUE,\"●\"))","v":""},null,"監視・抑制",null,null,{"$f":"IF(看護!M543=FALSE,\"□\",IF(看護!M543=TRUE,\"■\"))","v":"□"},"無",null,{"$f":"IF(看護!K543=FALSE,\"□\",IF(看護!K543=TRUE,\"■\"))","v":"□"},"有",null,{"$f":"IF(ISBLANK(看護!P543),\"－\",看護!P543)","v":"－"}]
[null,null,null,null,null,null,null,null,"MMSE",null,null,"入院時",null,{"$f":"IF(ISBLANK(リハ!I50),\"－\",リハ!I50)","v":"－"},"/30点 ",null,"退院時",null,{"$f":"IF(ISBLANK(リハ!I620),\"－\",リハ!I620)","v":"－"},"/30点 ",null,null,null,null,null,null,"移乗",null,null,{"$f":"IF(リハ!K633=FALSE,\"\",IF(リハ!K633=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!M633=FALSE,\"\",IF(リハ!M633=TRUE,\"●\"))","v":""},{"$f":"IF(リハ!O633=FALSE,\"\",IF(リハ!O633=TRUE,\"●\"))","v":""},null,"夜間の状態",null,null,{"$f":"IF(看護!K544=FALSE,\"□\",IF(看護!K544=TRUE,\"■\"))","v":"□"},"良眠",null,{"$f":"IF(看護!M544=FALSE,\"□\",IF(看護!M544=TRUE,\"■\"))","v":"□"},"不眠",null,{"$f":"IF(ISBLANK(看護!P544),\"－\",看護!P544)","v":"－"}]
[]
[]
[]
[null,null,null,null,"◎背景因子",null,"環境因子",null,"住環境",null,"生活場所",null,{"$f":"IF(福祉!I14 =TRUE,福祉!J14 & \" \",\"\"   ) & IF(福祉!L14 =TRUE,福祉!M14 & \" \",\"\"   ) & IF(福祉!O14 =TRUE,福祉!P14 & \" \",\"\"   ) & IF(福祉!R14 =TRUE,福祉!S14 & \" \",\"\"   )  & IF(福祉!U14 =TRUE,福祉!V14 & \" \",\"\"   ) & IF(福祉!I15 =TRUE,福祉!J15 & \" \",\"\"   ) & IF(福祉!L15 =TRUE,福祉!M15 & \" \",\"\"   ) & IF(福祉!O15 =TRUE,福祉!P15 & \" \",\"\"   ) & IF(福祉!R15 =TRUE,福祉!S15 & \" \",\"\"   )  & IF(福祉!U15 =TRUE,福祉!V15 & \" \",\"\"   ) & IF(福祉!I16 =TRUE,福祉!J16 & \" \",\"\"   ) & IF(福祉!L16 =TRUE,福祉!M15 & \" \",\"\"   )  & IF(福祉!R16 =TRUE,福祉!S16 & \" \",\"\"   ) & IF(福祉!U16 =TRUE,福祉!V16 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,"家族\n状況",null,"キーパ\nーソン",null,"氏名",null,{"$f":"IF(ISBLANK(福祉!I505),\"－\",福祉!I505)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,"個人因子",null,"入院前\nの状況",null,"仕事",null,{"$f":"IF(福祉!M69=FALSE,\"□\",IF(福祉!M69=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(福祉!K69=FALSE,\"□\",IF(福祉!K69=TRUE,\"■\"))","v":"□"},"有",null,null,null,null,null,null,null,null,"生活",null,{"$f":"IF(ISBLANK(福祉!I37),\"－\",福祉!I37)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I17),\"－\",福祉!I17)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,{"$f":"IF(福祉!I507 =TRUE,福祉!J507 & \" \",\"\"   )  & IF(福祉!K507 =TRUE,福祉!L507 & \" \",\"\"   ) & IF(福祉!M507 =TRUE,福祉!N507 & \" \",\"\"   )","v":""},null,"年齢",null,{"$f":"IF(ISBLANK(福祉!I508),\"－\",福祉!I508)","v":"－"},null,"続柄",null,{"$f":"IF(ISBLANK(福祉!I506),\"－\",福祉!I506)","v":"－"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I70),\"－\",福祉!I70)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修必要性",null,{"$f":"IF(リハ!M687=FALSE,\"□\",IF(リハ!M687=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K687=FALSE,\"□\",IF(リハ!K687=TRUE,\"■\"))","v":"□"},"有","改修状況",null,{"$f":"IF(リハ!M688=FALSE,\"□\",IF(リハ!M688=TRUE,\"■\"))","v":"□"},"未",{"$f":"IF(リハ!K688=FALSE,\"□\",IF(リハ!K688=TRUE,\"■\"))","v":"□"},"済",null,null,null,null,"健康状態",null,{"$f":"IF(福祉!I509 =TRUE,福祉!J509 & \" \",\"\"   )  & IF(福祉!K509 =TRUE,福祉!L509 & \" \",\"\"   ) & IF(福祉!M509 =TRUE,福祉!N509 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ①",null,{"$f":"IF(ISBLANK(福祉!I511),\"－\",福祉!I511)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,"改修\n必要箇所",null,{"$f":"IF(ISBLANK(リハ!I689),\"－\",リハ!I689)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"介護力",null,{"$f":"IF(福祉!I510 =TRUE,福祉!J510 & \" \",\"\"   )  & IF(福祉!K510 =TRUE,福祉!L510 & \" \",\"\"   ) & IF(福祉!M510 =TRUE,福祉!N510 & \" \",\"\"   )& IF(福祉!O510 =TRUE,福祉!P510 & \" \",\"\"   )","v":""},null,null,null,"ＴＥＬ②",null,{"$f":"IF(ISBLANK(福祉!I512),\"－\",福祉!I512)","v":"－"},null,null,null,null,null,null,null,null,null,null,"経済",null,{"$f":"IF(ISBLANK(福祉!I72),\"－\",福祉!I72)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"趣味",null,{"$f":"IF(ISBLANK(福祉!I39),\"－\",福祉!I39)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(福祉!I513),\"－\",福祉!I513)","v":"－"}]
[null,null,null,null,null,null,null,null,"福祉\n用具",null,{"$f":"IF(リハ!M693=FALSE,\"□\",IF(リハ!M693=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K693=FALSE,\"□\",IF(リハ!K693=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K694=FALSE,\"□\",IF(リハ!K694=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M694=FALSE,\"□\",IF(リハ!M694=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保障",null,"医療保険",null,null,{"$f":"IF(福祉!I517 =TRUE,福祉!J517 & \" \",\"\"   ) & IF(福祉!K517 =TRUE,福祉!L517 & \" \",\"\"   ) & IF(福祉!M517 =TRUE,福祉!N517 & \" \",\"\"   ) &  IF(福祉!O517 =TRUE,福祉!P517 & \" \",\"\"   ) & IF(福祉!Q517 =TRUE,福祉!R517 & \" \",\"\"   ) & IF(福祉!S517 =TRUE,福祉!T517 & \" \",\"\"   ) & IF(福祉!K518 =TRUE,福祉!L518 & \" \",\"\"   ) & IF(福祉!M518 =TRUE,福祉!N518 & \" \",\"\"   ) &  IF(福祉!O518 =TRUE,福祉!P518 & \" \",\"\"   ) & Q518","v":""},null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,null,"取得状況",null,null,{"$f":"IF(福祉!I519 =TRUE,福祉!J519 & \" \",\"\"   ) & IF(福祉!K519 =TRUE,福祉!L519 & \" \",\"\"   ) & IF(福祉!M519 =TRUE,福祉!N519 & \" \",\"\"   ) &  IF(福祉!O519 =TRUE,福祉!P519 & \" \",\"\"   )& IF(福祉!K520 =TRUE,福祉!L520 & \" \",\"\"   ) & IF(福祉!M520 =TRUE,福祉!N520 & \" \",\"\"   ) & IF(福祉!O520 =TRUE,福祉!P520 & \" \",\"\"   )  & IF(福祉!Q520 =TRUE,福祉!R520 & \" \",\"\"   )  & IF(福祉!S520 =TRUE,福祉!T520 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P693),\"－\",リハ!P693)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,null,"取得状況",null,null,{"$f":"IF(福祉!I525 =TRUE,福祉!J525 & \" \",\"\"   ) & IF(福祉!K525 =TRUE,福祉!L525 & \" \",\"\"   ) & IF(福祉!M525 =TRUE,福祉!N525 & \" \",\"\"   ) &  IF(福祉!O525 =TRUE,福祉!P525 & \" \",\"\"   ) &  IF(福祉!Q525 =TRUE,福祉!R525 & \" \",\"\"   )&  IF(福祉!S525 =TRUE,福祉!T525 & \" \",\"\"   )  & IF(福祉!K526 =TRUE,福祉!L526 & \" \",\"\"   ) & IF(福祉!M526 =TRUE,福祉!N526 & \" \",\"\"   ) &  IF(福祉!O526 =TRUE,福祉!P526 & \" \",\"\"   ) &  IF(福祉!Q526 =TRUE,福祉!R526 & \" \",\"\"   )&  IF(福祉!S526 =TRUE,福祉!T526 & \" \",\"\"   )","v":""},null,null,null,null,null,null,null,null,null,null,"障害の種類",null,null,{"$f":"IF(福祉!I521 =TRUE,福祉!J521 & \" \",\"\"   ) & IF(福祉!K521 =TRUE,福祉!L521 & \" \",\"\"   ) & IF(福祉!M521 =TRUE,福祉!N521 & \" \",\"\"   ) &  IF(福祉!O521 =TRUE,福祉!P521 & \" \",\"\"   ) &  IF(福祉!Q521 =TRUE,福祉!R521 & \" \",\"\"   )&  IF(福祉!S521 =TRUE,福祉!T521 & \" \",\"\"   )&  IF(福祉!U521 =TRUE,福祉!V521 & \" \",\"\"   ) & IF(福祉!K522 =TRUE,福祉!L522 & \" \",\"\"   ) & IF(福祉!M522 =TRUE,福祉!N522 & \" \",\"\"   ) &  IF(福祉!O522 =TRUE,福祉!P522 & \" \",\"\"   ) &  IF(福祉!Q522 =TRUE,福祉!R522 & \" \",\"\"   )&  IF(福祉!S522 =TRUE,福祉!T522 & \" \",\"\"   )&  IF(福祉!U522 =TRUE,福祉!V522 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,"装具",null,{"$f":"IF(リハ!M695=FALSE,\"□\",IF(リハ!M695=TRUE,\"■\"))","v":"□"},"無",{"$f":"IF(リハ!K695=FALSE,\"□\",IF(リハ!K695=TRUE,\"■\"))","v":"□"},"有","（",{"$f":"IF(リハ!K696=FALSE,\"□\",IF(リハ!K696=TRUE,\"■\"))","v":"□"},"医療保険",null,{"$f":"IF(リハ!M426=FALSE,\"□\",IF(リハ!M426=TRUE,\"■\"))","v":"□"},"身障手帳",null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",null,null,{"$f":"IF(ISBLANK(福祉!I527),\"－\",福祉!I527)","v":"－"},null,null,null,null,null,null,null,"特定疾患",null,null,"特定疾患の申請",null,null,{"$f":"IF(福祉!I523 =TRUE,福祉!J523 & \" \",\"\"   ) & IF(福祉!K523 =TRUE,福祉!L523 & \" \",\"\"   ) & IF(福祉!M523 =TRUE,福祉!N523 & \" \",\"\"   ) &  IF(福祉!O523 =TRUE,福祉!P523 & \" \",\"\"   ) &  IF(福祉!Q523 =TRUE,福祉!R523 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(リハ!P695),\"－\",リハ!P695)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",null,null,{"$f":"IF(ISBLANK(福祉!I528),\"－\",福祉!I528)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病名",null,null,{"$f":"IF(ISBLANK(福祉!I524),\"－\",福祉!I524)","v":"－"}]
[null,null,null,null,null,null,null,null,"ご家族\n希望",null,{"$f":"IF(ISBLANK(福祉!I570),\"－\",福祉!I570)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"利用者\n希望",null,{"$f":"IF(ISBLANK(福祉!I566),\"－\",福祉!I566)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,"次のステージの課題",null,"医師",null,{"$f":"IF(ISBLANK(診療!I621),\"－\",診療!I621)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学\n療法士",null,{"$f":"IF(ISBLANK(リハ!I703),\"－\",リハ!I703)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士",null,{"$f":"IF(ISBLANK(栄養!I572),\"－\",栄養!I572)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"看護師",null,{"$f":"IF(ISBLANK(看護!I613),\"－\",看護!I613)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業\n療法士",null,{"$f":"IF(ISBLANK(リハ!I712),\"－\",リハ!I712)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MSW",null,{"$f":"IF(ISBLANK(福祉!I604),\"－\",福祉!I604)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,"薬剤師",null,"-",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語\n聴覚士",null,{"$f":"IF(ISBLANK(リハ!I721),\"－\",リハ!I721)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科",null,{"$f":"IF(ISBLANK(歯科!I533),\"－\",歯科!I533)","v":"－"}]

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[null,"診療情報入力シート",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療情報印刷シート"]
[]
[]
["(診療)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(診療)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図",null,null,null,null,null,null,null,null,null,null,null,null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書",null,null,null,null,null,null,null,null,null,null,null,null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携",null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：診療情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期：診療情報【印刷用紙】"]
[]
[null,"入院時入力"]
[null,"施設名",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療情報提供書（急性期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I66),\"－\",I66)","v":"－"},null,null,null,null,"急性期【印刷】"]
[null,"住所",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!H26),\"－\",計画書!H26)","v":"－"},null,null,null,"※入力不要"]
[null,"郵便番号",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!H25),\"－\",計画書!H25)","v":"－"},null,null,null,"※入力不要"]
[null,"診療科等",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!H29),\"－\",計画書!H29)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I74),\"－\",I74)","v":"－"},null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(I14),\"－\",I14)","v":"－"}]
[null,"主治医",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!H30),\"－\",計画書!H30)","v":"－"},null,null,null,"※入力不要"]
[null,"入院日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!H32),\"－\",計画書!H32)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I76),\"－\",I76)","v":"－"},null,null,null,null,null,"診療科　",null,{"$f":"IF(ISBLANK(I17),\"－\",I17)","v":"－"}]
[null,"発症日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I77),\"－\",I77)","v":"－"},null,null,"先生　御侍史",null,null,"医師名　",null,{"$f":"IF(ISBLANK(I18),\"－\",I18)","v":"－"}]
[null,"発症時刻",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"}]
[null,"加賀パス説明日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!H32),\"－\",計画書!H32)","v":"－"},null,null,null,"※入力不要"]
[null,"脳卒中病型",null,null,null,null,null,null,{"$f":"IF(計画書!H31 =TRUE,計画書!I31 & \" \",\"\"   )  & IF(計画書!M31 =TRUE,計画書!N31 & \" \",\"\"   ) & IF(計画書!R31 =TRUE,計画書!S31 & \" \",\"\"   )","v":""},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM24,AK14,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,"診断（大分類）",null,null,null,null,null,null,false,"不明",null,false,"破裂脳動脈瘤",null,false,"血管奇形",null,false,"閉塞性血管障害",null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"モヤモヤ病",null,false,"高血圧性脳出血",null,false,"特発性脳出血",null,false,"出血源不明のくも膜下出血",null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院日",null,{"$f":"IF(ISBLANK(I19),\"－\",I19)","v":"－"},null,null,null,"退院日",null,{"$f":"IF(ISBLANK(I67),\"－\",I67)","v":"－"}]
[null,"診断（小分類）",null,null,null,null,null,null,false,"不明",null,false,"一過性脳虚血発作",null,false,"ラクナ梗塞",null,false,"アテローム血栓性脳梗塞",null,null,null,null,null,null,null,null,null,"脳卒中病型",null,{"$f":"IF(ISBLANK(I23),\"－\",I23)","v":""},null,null,null,"加賀パス説明日",null,{"$f":"IF(ISBLANK(I22),\"－\",I22)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"心原性脳塞栓症",null,false,"静脈・静脈洞血栓",null,false,"その他の閉塞性疾患",null,false,"動静脈奇形",null,null,null,null,null,null,null,null,null,"発症日",null,{"$f":"IF(ISBLANK(I20),\"－\",I20)","v":"－"},null,null,null,"発症時刻",null,{"$f":"IF(ISBLANK(I21),\"－\",I21)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"硬膜動静脈瘻",null,false,"その他の動静脈瘻",null,false,"海綿状血管奇形",null,false,"静脈血管奇形",null,null,null,null,null,null,null,null,null,"診断（大分類）",null,{"$f":"IF(I24 =TRUE,J24 & \" \",\"\"   ) & IF(L24 =TRUE,M24 & \" \",\"\"   ) & IF(O24 =TRUE,P24 & \" \",\"\"   )  & IF(R24 =TRUE,S24 & \" \",\"\"   ) & IF(I25 =TRUE,J25 & \" \",\"\"   ) & IF(L25 =TRUE,M25 & \" \",\"\"   ) & IF(O25 =TRUE,P25 & \" \",\"\"   )  & IF(R25 =TRUE,S25 & \" \",\"\"   ) & IF(I26 =TRUE,J26 & \" \",\"\"   )","v":""},null,null,null,"診断（小分類）",null,{"$f":"IF(I27 =TRUE,J27 & \" \",\"\"   ) & IF(L27 =TRUE,M27 & \" \",\"\"   ) & IF(O27 =TRUE,P27 & \" \",\"\"   )  & IF(R27 =TRUE,S27 & \" \",\"\"   )& IF(I28 =TRUE,J28 & \" \",\"\"   ) & IF(L28 =TRUE,M28 & \" \",\"\"   ) & IF(O28 =TRUE,P28 & \" \",\"\"   )  & IF(R28 =TRUE,S28 & \" \",\"\"   )& IF(I29 =TRUE,J29 & \" \",\"\"   ) & IF(L29 =TRUE,M29 & \" \",\"\"   ) & IF(O29 =TRUE,P29 & \" \",\"\"   )  & IF(R29 =TRUE,S29 & \" \",\"\"   )& IF(I30 =TRUE,J30 & \" \",\"\"   ) & IF(L30 =TRUE,M30 & \" \",\"\"   ) & IF(O30 =TRUE,P30 & \" \",\"\"   )  & IF(R30 =TRUE,S30 & \" \",\"\"   )& IF(I31 =TRUE,J31 & \" \",\"\"   ) & IF(L31 =TRUE,M31 & \" \",\"\"   ) & IF(O31 =TRUE,P31 & \" \",\"\"   )  & IF(R31 =TRUE,S31 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,false,"毛細血管拡張症",null,false,"混合性血管奇形",null,false,"その他の血管奇形",null,false,"嚢状動脈瘤",null,null,null,null,null,null,null,null,null,"病変部位",null,{"$f":"IF(ISBLANK(I32),\"－\",I32)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"紡錘状動脈瘤",null,false,"細菌性動脈瘤",null,false,"その他の動脈瘤",null,false,"その他",null,null,null,null,null,null,null,null,null,"重症度",null,"NIHSS",{"$f":"IF(ISBLANK(I33),\"－\",I33)","v":"－"},"／42","ｍＲＳ","入院時",{"$f":"IF(ISBLANK(I34),\"－\",I34)","v":"－"},null,"退院時",{"$f":"IF(ISBLANK(I78),\"－\",I78)","v":"－"}]
[null,"病変部位",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"↓くも膜下出血の場合"]
[null,"重症度",null,"NIHSS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"H＆K",{"$f":"IF(ISBLANK(I35),\"－\",I35)","v":"－"},null,"WFNS",{"$f":"IF(ISBLANK(I36),\"－\",I36)","v":"－"},null,"Fｉｓｈｅｒ",{"$f":"IF(ISBLANK(I37),\"－\",I37)","v":"－"}]
[null,null,null,"ｍＲＳ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元施設名",null,"施設名",{"$f":"IF(ISBLANK(I59),\"－\",I59)","v":"－"},null,null,"診療科等",{"$f":"IF(ISBLANK(I60),\"－\",I60)","v":"－"},null,"医師名",{"$f":"IF(ISBLANK(I61),\"－\",I61)","v":"－"}]
[null,null,null,"H＆K",null,null,null,null,null,null,"※くも膜下出血の場合のみ記入",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医",null,"施設名",{"$f":"IF(ISBLANK(I62),\"－\",I62)","v":"－"},null,null,"診療科等",{"$f":"IF(ISBLANK(I63),\"－\",I63)","v":"－"},null,"医師名",{"$f":"IF(ISBLANK(I64),\"－\",I64)","v":"－"}]
[null,null,null,"WFNS",null,null,null,null,null,null,"※くも膜下出血の場合のみ記入",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主訴",null,{"$f":"IF(ISBLANK(I38),\"－\",I38)","v":"－"}]
[null,null,null,"Fｉｓｈｅｒ",null,null,null,null,null,null,"※くも膜下出血の場合のみ記入",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"既往歴",null,"脳血管疾患",null,{"$f":"IF(I39 =TRUE,J39 & \" \",\"\"   ) & IF(K39 =TRUE,L39 & \" \",\"\"   ) & IF(M39 =TRUE,N39 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I40),\"－\",I40)","v":"－"}]
[null,"主訴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I41),\"－\",I41)","v":"－"}]
[null,"既往歴",null,"脳血管疾患",null,null,null,null,false,"不明",false,"初発",false,"再発"]
[null,null,null,null,null,"詳細・コメント"]
[null,null,null,"その他"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現病歴",null,{"$f":"IF(ISBLANK(I47),\"－\",I47)","v":"－"}]
[]
[]
[null,"現病歴"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時\n検査所見",null,{"$f":"IF(ISBLANK(I53),\"－\",I53)","v":"－"}]
[]
[]
[null,"入院時検査所見"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療・手術",null,"tPA投与",null,{"$f":"IF(I79 =TRUE,J79 & \" \",\"\"   ) & IF(K79 =TRUE,L79 & \" \",\"\"   ) & IF(M79 =TRUE,N79 & \" \",\"\"   )","v":""},null,"使用薬剤",null,{"$f":"IF(ISBLANK(I80),\"－\",I80)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手術①",null,"術名",{"$f":"IF(ISBLANK(I81),\"－\",I81)","v":"－"},null,null,"手術日",{"$f":"IF(ISBLANK(I82),\"－\",I82)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I83),\"－\",I83)","v":"－"}]
[null,"紹介元",null,"施設名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手術②",null,"術名",{"$f":"IF(ISBLANK(I84),\"－\",I84)","v":"－"},null,null,"手術日",{"$f":"IF(ISBLANK(I85),\"－\",I85)","v":"－"}]
[null,null,null,"診療科等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I86),\"－\",I86)","v":"－"}]
[null,null,null,"医師名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I87),\"－\",I87)","v":"－"}]
[null,"かかりつけ医",null,"施設名"]
[null,null,null,"診療科等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[null,null,null,"医師名"]
[null,"退院時入力"]
[null,"記入日"]
[null,"退院日"]
[null,"退院・退所先",null,null,null,null,null,null,false,"自宅",null,false,"一般病棟",null,false,"回復期リハビリテーション病棟",null,false,"地域包括ケア病棟"]
[null,null,null,null,null,null,null,null,false,"医療療養病棟",null,false,"介護療養型医療施設",null,false,"介護老人福祉施設",null,false,"介護老人保健施設"]
[null,null,null,null,null,null,null,null,false,"グループホーム",null,false,"軽費老人ホーム",null,false,"有料老人ホーム",null,false,"サービス付き高齢者向け住宅"]
[null,null,null,null,null,null,null,null,false,"高齢者専用賃貸住宅",null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他傷病名",null,"高血圧",null,{"$f":"IF(I90 =TRUE,J90 & \" \",\"\"   ) & IF(K90 =TRUE,L90 & \" \",\"\"   ) & IF(M90 =TRUE,N90 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(P90),\"－\",P90)","v":"－"}]
[null,null,null,"施設名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"糖尿病",null,"","－"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脂質代謝異常",null,"","－"]
[null,"紹介先",null,"医療機関名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心疾患","心房細動","","－"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心筋梗塞","","－"]
[null,null,null,"診療科等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心不全","","－"]
[null,null,null,"医師名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"狭心症","","－"]
[null,"重症度",null,"ｍＲＳ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"呼吸器疾患",null,"","－"]
[null,"治療・手術",null,"tPA投与",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ガン",null,"","－"]
[null,null,null,"使用薬剤",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I99),\"－\",I99)","v":"－"}]
[null,null,null,"手術①",null,"術名"]
[null,null,null,null,null,"手術日"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"遷延性意識障害",null,{"$f":"IF(I102 =TRUE,J102 & \" \",\"\"   ) & IF(K102 =TRUE,L102 & \" \",\"\"   ) & IF(M102 =TRUE,N102 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(P102),\"－\",P102)","v":"－"}]
[null,null,null,"手術②",null,"術名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,{"$f":"IF(ISBLANK(I103),\"－\",I103)","v":"－"}]
[null,null,null,null,null,"手術日"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(I105),\"－\",I105)","v":"－"}]
[null,null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"感染症",null,"HBｓ抗原",null,{"$f":"IF(I107 =TRUE,J107 & \" \",\"\"   ) & IF(K107 =TRUE,L107 & \" \",\"\"   ) & IF(M107 =TRUE,N107 & \" \",\"\"   )","v":""},null,null,"HBｓ抗体",null,{"$f":"IF(I108 =TRUE,J108 & \" \",\"\"   ) & IF(K108 =TRUE,L108 & \" \",\"\"   ) & IF(M108 =TRUE,N108 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HCV抗体",null,{"$f":"IF(I109 =TRUE,J109 & \" \",\"\"   ) & IF(K109 =TRUE,L109 & \" \",\"\"   ) & IF(M109 =TRUE,N109 & \" \",\"\"   )","v":""},null,null,"MRSA",null,{"$f":"IF(I110 =TRUE,J110 & \" \",\"\"   ) & IF(K110 =TRUE,L110 & \" \",\"\"   ) & IF(M110 =TRUE,N110 & \" \",\"\"   ) &  IF(O110 =TRUE,P110 & \" \",\"\"   )  & IF(Q110 =TRUE,R110 & \" \",\"\"   )","v":""}]
[null,"その他傷病名",null,"高血圧",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I111),\"－\",I111)","v":"－"}]
[null,null,null,"糖尿病",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"脂質代謝異常",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"心疾患",null,"心房細動",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄機能障害",null,"神経因性膀胱",null,{"$f":"IF(I114 =TRUE,J114 & \" \",\"\"   ) & IF(K114 =TRUE,L114 & \" \",\"\"   ) & IF(M114 =TRUE,N114 & \" \",\"\"   )","v":""},null,null,"前立腺肥大",null,{"$f":"IF(I115 =TRUE,J115 & \" \",\"\"   ) & IF(K115 =TRUE,L115 & \" \",\"\"   ) & IF(M115 =TRUE,N115 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,"心筋梗塞",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"便秘症",null,{"$f":"IF(I116 =TRUE,J116 & \" \",\"\"   ) & IF(K116 =TRUE,L116 & \" \",\"\"   ) & IF(M116 =TRUE,N116 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,"心不全",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I117),\"－\",I117)","v":"－"}]
[null,null,null,null,null,"狭心症",null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"呼吸器疾患",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"ガン",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"復職見込み",null,{"$f":"IF(I120 =TRUE,J120 & \" \",\"\"   ) & IF(K120 =TRUE,L120 & \" \",\"\"   ) & IF(M120 =TRUE,N120 & \" \",\"\"   ) &  IF(O120 =TRUE,P120 & \" \",\"\"   )  & IF(Q120 =TRUE,R120 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I121),\"－\",I121)","v":"－"}]
[null,null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"症状\n\n治療経過\n\n今後の見通し",null,{"$f":"IF(ISBLANK(I123),\"－\",I123)","v":"－"}]
[]
[null,"遷延性意識障害",null,null,null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,"禁忌"]
[]
[null,"アレルギー"]
[]
[null,"感染症",null,"HBｓ抗原",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"HBｓ抗体",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"HCV抗体",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"MRSA",null,null,null,null,false,"不明",false,"無",false,"痰",false,"尿",false,"その他"]
[null,null,null,"その他・詳細・コメント"]
[]
[]
[null,"排泄機能障害",null,"神経因性膀胱",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"前立腺肥大",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"便秘症",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医師からの\n説明",null,"患者",{"$f":"IF(ISBLANK(I139),\"－\",I139)","v":"－"}]
[null,null,null,"その他・詳細・コメント"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族",{"$f":"IF(ISBLANK(I142),\"－\",I142)","v":"－"}]
[null,"復職見込み",null,null,null,null,null,null,false,"不明",false,"無",false,"有",false,"無職",false,"条件付きで可能"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[]
[null,"症状・治療経過・今後の見通し"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"医師からの説明",null,"患者"]
[]
[]
[null,null,null,"家族"]
[]
[]
[null,"次のステージの課題"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"回復期：診療情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：診療情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急性期引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療情報提供書（回復期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I204),\"－\",I204)","v":"－"},null,null,null,null,"回復期【印刷】"]
[null,"施設区分",null,null,null,null,null,null,{"$f":"IF(計画書!AJ16 =TRUE,計画書!AK16 & \" \",\"\"   )  & IF(計画書!AT16 =TRUE,計画書!AU16 & \" \",\"\"   ) & IF(計画書!AJ17 =TRUE,計画書!AK17 & \" \",\"\"   ) & IF(計画書!AO17 =TRUE,計画書!AP17 & \" \",\"\"   ) & IF(計画書!AT17 =TRUE,計画書!AU17 & \" \",\"\"   )","v":""},null,null,null,"※入力不要"]
[null,"施設名",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"},null,null,null,"※入力不要"]
[null,"住所",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ20),\"－\",計画書!AJ20)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I220","v":0},null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(I206),\"－\",I206)","v":"－"}]
[null,"郵便番号",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ19),\"－\",計画書!AJ19)","v":"－"},null,null,null,"※入力不要"]
[null,"診療科等",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ23),\"－\",計画書!AJ23)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I222","v":0},null,null,null,null,null,"診療科　",null,{"$f":"IF(ISBLANK(I209),\"－\",I209)","v":"－"}]
[null,"主治医",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ24),\"－\",計画書!AJ24)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I223","v":0},null,null,"先生　御侍史",null,null,"医師名　",null,{"$f":"IF(ISBLANK(I210),\"－\",I210)","v":"－"}]
[null,"入院・入所日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ25),\"－\",計画書!AJ25)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"}]
[null,"退院・退所日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ26),\"－\",計画書!AJ26)","v":"－"},null,null,null,"※入力不要"]
[null,"加賀パス説明日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!AJ31),\"－\",計画書!AJ31)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM214,AK204,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,"退院・退所先",null,null,null,null,null,null,false,"自宅",null,false,"一般病棟",null,false,"回復期リハビリテーション病棟",null,false,"地域包括ケア病棟",null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"医療療養病棟",null,false,"介護療養型医療施設",null,false,"介護老人福祉施設",null,false,"介護老人保健施設",null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"グループホーム",null,false,"軽費老人ホーム",null,false,"有料老人ホーム",null,false,"サービス付き高齢者向け住宅",null,null,null,null,null,null,null,null,null,"入院日",null,{"$f":"IF(ISBLANK(I211),\"－\",I211)","v":"－"},null,null,null,"退院日",null,{"$f":"IF(ISBLANK(I212),\"－\",I212)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"高齢者専用賃貸住宅",null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脳卒中病型",null,{"$f":"IF(ISBLANK(I224),\"－\",I224)","v":""},null,null,null,"加賀パス説明日",null,{"$f":"IF(ISBLANK(I213),\"－\",I213)","v":"－"}]
[null,null,null,"施設名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症日",null,{"$f":"IF(ISBLANK(I20),\"－\",I20)","v":"－"},null,null,null,"発症時刻",null,{"$f":"IF(ISBLANK(I21),\"－\",I21)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診断（大分類）",null,{"$f":"IF(I225 =TRUE,J225 & \" \",\"\"   ) & IF(L225 =TRUE,M225 & \" \",\"\"   ) & IF(O225 =TRUE,P225 & \" \",\"\"   )  & IF(R225 =TRUE,S225 & \" \",\"\"   )  & IF(I226 =TRUE,J226 & \" \",\"\"   ) & IF(L226 =TRUE,M226 & \" \",\"\"   ) & IF(O226 =TRUE,P226 & \" \",\"\"   ) & IF(R226 =TRUE,S226 & \" \",\"\"   ) & IF(I227 =TRUE,J227 & \" \",\"\"   )","v":""},null,null,null,"診断（小分類）",null,{"$f":"IF(I228 =TRUE,J228 & \" \",\"\"   ) & IF(L228 =TRUE,M228 & \" \",\"\"   ) & IF(O228 =TRUE,P228 & \" \",\"\"   )  & IF(R228 =TRUE,S228 & \" \",\"\"   )& IF(I229 =TRUE,J229 & \" \",\"\"   ) & IF(L229 =TRUE,M229 & \" \",\"\"   ) & IF(O229 =TRUE,P229 & \" \",\"\"   )  & IF(R229 =TRUE,S229 & \" \",\"\"   )& IF(I230 =TRUE,J230 & \" \",\"\"   ) & IF(L230 =TRUE,M230 & \" \",\"\"   ) & IF(O230 =TRUE,P230 & \" \",\"\"   )  & IF(R230 =TRUE,S230 & \" \",\"\"   )& IF(I231 =TRUE,J231 & \" \",\"\"   ) & IF(L231 =TRUE,M231 & \" \",\"\"   ) & IF(O231 =TRUE,P231 & \" \",\"\"   )  & IF(R231 =TRUE,S231 & \" \",\"\"   )& IF(I232 =TRUE,J232 & \" \",\"\"   ) & IF(L232 =TRUE,M232 & \" \",\"\"   ) & IF(O232 =TRUE,P232 & \" \",\"\"   )  & IF(R232 =TRUE,S232 & \" \",\"\"   )","v":""}]
[null,"紹介先",null,"医療機関名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主訴",null,{"$f":"IF(ISBLANK(I234),\"－\",I234)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"病変部位",null,{"$f":"IF(ISBLANK(I233),\"－\",I233)","v":"－"}]
[null,null,null,"診療科等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"既往歴",null,"脳血管疾患",null,{"$f":"IF(I236 =TRUE,J236 & \" \",\"\"   ) & IF(K236 =TRUE,L236 & \" \",\"\"   ) & IF(M236 =TRUE,N236 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I237),\"－\",I237)","v":"－"}]
[null,null,null,"医師名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I238),\"－\",I238)","v":"－"}]
[null,"脳卒中病型",null,null,null,null,null,null,{"$f":"IF(計画書!H31 =TRUE,計画書!I31 & \" \",\"\"   )  & IF(計画書!M31 =TRUE,計画書!N31 & \" \",\"\"   ) & IF(計画書!R31 =TRUE,計画書!S31 & \" \",\"\"   )","v":""},null,null,null,"※入力不要"]
[null,"診断（大分類）",null,null,null,null,null,null,false,"不明",null,false,"破裂脳動脈瘤",null,false,"血管奇形",null,false,"閉塞性血管障害"]
[null,null,null,null,null,null,null,null,false,"モヤモヤ病",null,false,"高血圧性脳出血",null,false,"特発性脳出血",null,false,"出血源不明のくも膜下出血"]
[null,null,null,null,null,null,null,null,false,"その他"]
[null,"診断（小分類）",null,null,null,null,null,null,false,"不明",null,false,"一過性脳虚血発作",null,false,"ラクナ梗塞",null,false,"アテローム血栓性脳梗塞"]
[null,null,null,null,null,null,null,null,false,"心原性脳塞栓症",null,false,"静脈・静脈洞血栓",null,false,"その他の閉塞性疾患",null,false,"動静脈奇形",null,null,null,null,null,null,null,null,null,"その他傷病名",null,"高血圧",null,{"$f":"IF(I244 =TRUE,J244 & \" \",\"\"   ) & IF(K244 =TRUE,L244 & \" \",\"\"   ) & IF(M244 =TRUE,N244 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(P244),\"－\",P244)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"硬膜動静脈瘻",null,false,"その他の動静脈瘻",null,false,"海綿状血管奇形",null,false,"静脈血管奇形",null,null,null,null,null,null,null,null,null,null,null,"糖尿病",null,"",{"$f":"IF(ISBLANK(P245),\"－\",P245)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"毛細血管拡張症",null,false,"混合性血管奇形",null,false,"その他の血管奇形",null,false,"嚢状動脈瘤",null,null,null,null,null,null,null,null,null,null,null,"脂質代謝異常",null,"","－"]
[null,null,null,null,null,null,null,null,false,"紡錘状動脈瘤",null,false,"細菌性動脈瘤",null,false,"その他の動脈瘤",null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,"心疾患","心房細動","","－"]
[null,"病変部位",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心筋梗塞","","－"]
[null,"主訴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心不全","","－"]
[null,"重症度",null,"ｍＲＳ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"狭心症","","－"]
[null,"既往歴",null,"脳血管疾患",null,null,null,null,false,"不明",false,"初発",false,"再発",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"呼吸器疾患",null,"","－"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ガン",null,"","－"]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I253),\"－\",I253)","v":"－"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"遷延性意識障害",null,{"$f":"IF(I256 =TRUE,J256 & \" \",\"\"   ) & IF(K256 =TRUE,L256 & \" \",\"\"   ) & IF(M256 =TRUE,N256 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(P256),\"－\",P256)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,{"$f":"IF(ISBLANK(I257),\"－\",I257)","v":"－"}]
[]
[null,"その他傷病名",null,"高血圧",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(I259),\"－\",I259)","v":"－"}]
[null,null,null,"糖尿病",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"脂質代謝異常",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"感染症",null,"HBｓ抗原",null,{"$f":"IF(I261 =TRUE,J261 & \" \",\"\"   ) & IF(K261 =TRUE,L261 & \" \",\"\"   ) & IF(M261 =TRUE,N261 & \" \",\"\"   )","v":""},null,null,"HBｓ抗体",null,{"$f":"IF(I262 =TRUE,J262 & \" \",\"\"   ) & IF(K262 =TRUE,L262 & \" \",\"\"   ) & IF(M262 =TRUE,N262 & \" \",\"\"   )","v":""}]
[null,null,null,"心疾患",null,"心房細動",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HCV抗体",null,{"$f":"IF(I263 =TRUE,J263 & \" \",\"\"   ) & IF(K263 =TRUE,L263 & \" \",\"\"   ) & IF(M263 =TRUE,N263 & \" \",\"\"   )","v":""},null,null,"MRSA",null,{"$f":"IF(I264 =TRUE,J264 & \" \",\"\"   ) & IF(K264 =TRUE,L264 & \" \",\"\"   ) & IF(M264 =TRUE,N264 & \" \",\"\"   )& IF(O264 =TRUE,P264 & \" \",\"\"   ) & IF(Q264 =TRUE,R264 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,"心筋梗塞",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I265),\"－\",I265)","v":"－"}]
[null,null,null,null,null,"心不全",null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,null,null,"狭心症",null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"呼吸器疾患",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄機能障害",null,"神経因性膀胱",null,{"$f":"IF(I268 =TRUE,J268 & \" \",\"\"   ) & IF(K268 =TRUE,L268 & \" \",\"\"   ) & IF(M268 =TRUE,N268 & \" \",\"\"   )","v":""},null,null,"前立腺肥大",null,{"$f":"IF(I269 =TRUE,J269 & \" \",\"\"   ) & IF(K269 =TRUE,L269 & \" \",\"\"   ) & IF(M269 =TRUE,N269 & \" \",\"\"   )","v":""}]
[null,null,null,"ガン",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"便秘症",null,{"$f":"IF(I270 =TRUE,J270 & \" \",\"\"   ) & IF(K270 =TRUE,L270 & \" \",\"\"   ) & IF(M270 =TRUE,N270 & \" \",\"\"   )","v":""}]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I271),\"－\",I271)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[null,"遷延性意識障害",null,null,null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,"禁忌"]
[]
[null,"アレルギー"]
[]
[null,"感染症",null,"HBｓ抗原",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"復職見込み",null,{"$f":"IF(I274 =TRUE,J274 & \" \",\"\"   ) & IF(K274 =TRUE,L274 & \" \",\"\"   ) & IF(M274 =TRUE,N274 & \" \",\"\"   )& IF(O274 =TRUE,P274 & \" \",\"\"   ) & IF(Q274 =TRUE,R274 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I275),\"－\",I275)","v":"－"}]
[null,null,null,"HBｓ抗体",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"HCV抗体",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"症状\n\n治療経過\n\n今後の見通し",null,{"$f":"IF(ISBLANK(I277),\"－\",I277)","v":"－"}]
[null,null,null,"MRSA",null,null,null,null,false,"不明",false,"無",false,"痰",false,"尿",false,"その他"]
[null,null,null,"その他・詳細・コメント"]
[]
[]
[null,"排泄機能障害",null,"神経因性膀胱",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"前立腺肥大",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"便秘症",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"その他・詳細・コメント"]
[]
[]
[null,"復職見込み",null,null,null,null,null,null,false,"不明",false,"無",false,"有",false,"無職",false,"条件付きで可能"]
[null,null,null,"詳細・コメント"]
[]
[null,"症状・治療経過・今後の見通し"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医師からの\n説明",null,"患者",{"$f":"IF(ISBLANK(I307),\"－\",I307)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族",{"$f":"IF(ISBLANK(I312),\"－\",I312)","v":"－"}]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[]
[]
[]
[]
[null,"医師からの説明",null,"患者"]
[]
[]
[]
[]
[null,null,null,"家族"]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(施設)：診療情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(施設)：診療情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,"急性期引用",null,"回復期引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療情報提供書（生活期／施設）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I354),\"－\",I354)","v":"－"},null,null,null,null,"生(施)【印刷】"]
[null,"施設区分",null,null,null,null,null,null,{"$f":"IF(計画書!BL16 =TRUE,計画書!BM16 & \" \",\"\"   )  & IF(計画書!BR16 =TRUE,計画書!BS16 & \" \",\"\"   ) & IF(計画書!BX16 =TRUE,計画書!BY16 & \" \",\"\"   ) & IF(計画書!BL17 =TRUE,計画書!BM17 & \" \",\"\"   ) & IF(計画書!BR17 =TRUE,計画書!BS17 & \" \",\"\"   )","v":""},null,null,null,"※入力不要"]
[null,"施設名",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"},null,null,null,"※入力不要"]
[null,"住所",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL20),\"－\",計画書!BL20)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I370","v":0},null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(I356),\"－\",I356)","v":"－"}]
[null,"郵便番号",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL19),\"－\",計画書!BL19)","v":"－"},null,null,null,"※入力不要"]
[null,"診療科等",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL23),\"－\",計画書!BL23)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I372","v":0},null,null,null,null,null,"診療科　",null,{"$f":"IF(ISBLANK(I359),\"－\",I359)","v":"－"}]
[null,"主治医",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL24),\"－\",計画書!BL24)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I373","v":0},null,null,"先生　御侍史",null,null,"医師名　",null,{"$f":"IF(ISBLANK(I360),\"－\",I360)","v":"－"}]
[null,"入院・入所日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL25),\"－\",計画書!BL25)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!BL22),\"－\",計画書!BL22)","v":"－"}]
[null,"退院・退所日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL26),\"－\",計画書!BL26)","v":"－"},null,null,null,"※入力不要"]
[null,"加賀パス説明日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!BL30),\"－\",計画書!BL30)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM364,AK354,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,"退院・退所先",null,null,null,null,null,null,false,"自宅",null,false,"一般病棟",null,false,"回復期リハビリテーション病棟",null,false,"地域包括ケア病棟",null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"医療療養病棟",null,false,"介護療養型医療施設",null,false,"介護老人福祉施設",null,false,"介護老人保健施設",null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"グループホーム",null,false,"軽費老人ホーム",null,false,"有料老人ホーム",null,false,"サービス付き高齢者向け住宅",null,null,null,null,null,null,null,null,null,"入院日",null,{"$f":"IF(ISBLANK(I361),\"－\",I361)","v":"－"},null,null,null,"退院日",null,{"$f":"IF(ISBLANK(I362),\"－\",I362)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"高齢者専用賃貸住宅",null,false,"その他",null,null,null,null,false,null,null,null,null,null,null,null,null,null,null,"脳卒中病型",null,{"$f":"IF(ISBLANK(I374),\"－\",I374)","v":""},null,null,null,"加賀パス説明日",null,{"$f":"IF(ISBLANK(I363),\"－\",I363)","v":"－"}]
[null,null,null,"施設名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症日",null,{"$f":"IF(ISBLANK(I20),\"－\",I20)","v":"－"},null,null,null,"発症時刻",null,{"$f":"IF(ISBLANK(I21),\"－\",I21)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診断（大分類）",null,{"$f":"IF(I375 =TRUE,J375 & \" \",\"\"   ) & IF(L375 =TRUE,M375 & \" \",\"\"   ) & IF(O375 =TRUE,P375 & \" \",\"\"   )  & IF(R375 =TRUE,S375 & \" \",\"\"   )  & IF(I376 =TRUE,J376 & \" \",\"\"   ) & IF(L376 =TRUE,M376 & \" \",\"\"   ) & IF(O376 =TRUE,P376 & \" \",\"\"   ) & IF(R376 =TRUE,S376 & \" \",\"\"   ) & IF(I377 =TRUE,J377 & \" \",\"\"   )","v":""},null,null,null,"診断（小分類）",null,{"$f":"IF(I378 =TRUE,J378 & \" \",\"\"   ) & IF(L378 =TRUE,M378 & \" \",\"\"   ) & IF(O378 =TRUE,P378 & \" \",\"\"   )  & IF(R378 =TRUE,S378 & \" \",\"\"   )& IF(I379 =TRUE,J379 & \" \",\"\"   ) & IF(L379 =TRUE,M379 & \" \",\"\"   ) & IF(O379 =TRUE,P379 & \" \",\"\"   )  & IF(R379 =TRUE,S379 & \" \",\"\"   )& IF(I380 =TRUE,J380 & \" \",\"\"   ) & IF(L380 =TRUE,M380 & \" \",\"\"   ) & IF(O380 =TRUE,P380 & \" \",\"\"   )  & IF(R380 =TRUE,S380 & \" \",\"\"   )& IF(I381 =TRUE,J381 & \" \",\"\"   ) & IF(L381 =TRUE,M381 & \" \",\"\"   ) & IF(O381 =TRUE,P381 & \" \",\"\"   )  & IF(R381 =TRUE,S381 & \" \",\"\"   )& IF(I382 =TRUE,J382 & \" \",\"\"   ) & IF(L382 =TRUE,M382 & \" \",\"\"   ) & IF(O382 =TRUE,P382 & \" \",\"\"   )  & IF(R382 =TRUE,S382 & \" \",\"\"   )","v":""}]
[null,"紹介先",null,"医療機関名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主訴",null,{"$f":"IF(ISBLANK(I384),\"－\",I384)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"病変部位",null,{"$f":"IF(ISBLANK(I383),\"－\",I383)","v":"－"}]
[null,null,null,"診療科等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"既往歴",null,"脳血管疾患",null,{"$f":"IF(I385 =TRUE,J385 & \" \",\"\"   ) & IF(K385 =TRUE,L385 & \" \",\"\"   ) & IF(M385 =TRUE,N385 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I386),\"－\",I386)","v":"－"}]
[null,null,null,"医師名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I387),\"－\",I387)","v":"－"}]
[null,"脳卒中病型",null,null,null,null,null,null,{"$f":"IF(計画書!H31 =TRUE,計画書!I31 & \" \",\"\"   )  & IF(計画書!M31 =TRUE,計画書!N31 & \" \",\"\"   ) & IF(計画書!R31 =TRUE,計画書!S31 & \" \",\"\"   )","v":""},null,null,null,"※入力不要"]
[null,"診断（大分類）",null,null,null,null,null,null,false,"不明",null,false,"破裂脳動脈瘤",null,false,"血管奇形",null,false,"閉塞性血管障害"]
[null,null,null,null,null,null,null,null,false,"モヤモヤ病",null,false,"高血圧性脳出血",null,false,"特発性脳出血",null,false,"出血源不明のくも膜下出血"]
[null,null,null,null,null,null,null,null,false,"その他"]
[null,"診断（小分類）",null,null,null,null,null,null,false,"不明",null,false,"一過性脳虚血発作",null,false,"ラクナ梗塞",null,false,"アテローム血栓性脳梗塞"]
[null,null,null,null,null,null,null,null,false,"心原性脳塞栓症",null,false,"静脈・静脈洞血栓",null,false,"その他の閉塞性疾患",null,false,"動静脈奇形",null,null,null,null,null,null,null,null,null,"その他傷病名",null,"高血圧",null,{"$f":"IF(I393 =TRUE,J393 & \" \",\"\"   ) & IF(K393 =TRUE,L393 & \" \",\"\"   ) & IF(M393 =TRUE,N393 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(P393),\"－\",P393)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"硬膜動静脈瘻",null,false,"その他の動静脈瘻",null,false,"海綿状血管奇形",null,false,"静脈血管奇形",null,null,null,null,null,null,null,null,null,null,null,"糖尿病",null,"","－"]
[null,null,null,null,null,null,null,null,false,"毛細血管拡張症",null,false,"混合性血管奇形",null,false,"その他の血管奇形",null,false,"嚢状動脈瘤",null,null,null,null,null,null,null,null,null,null,null,"脂質代謝異常",null,"","－"]
[null,null,null,null,null,null,null,null,false,"紡錘状動脈瘤",null,false,"細菌性動脈瘤",null,false,"その他の動脈瘤",null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,"心疾患","心房細動","","－"]
[null,"病変部位",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心筋梗塞","","－"]
[null,"主訴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心不全","","－"]
[null,"既往歴",null,"脳血管疾患",null,null,null,null,false,"不明",false,"初発",false,"再発",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"狭心症","","－"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"呼吸器疾患",null,"","－"]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ガン",null,"","－"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I402),\"－\",I402)","v":"－"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"遷延性意識障害",null,{"$f":"IF(I405 =TRUE,J405 & \" \",\"\"   ) & IF(K405 =TRUE,L405 & \" \",\"\"   ) & IF(M405 =TRUE,N405 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(P405),\"－\",P405)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,{"$f":"IF(ISBLANK(I406),\"－\",I406)","v":"－"}]
[null,"その他傷病名",null,"高血圧",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"糖尿病",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(I408),\"－\",I408)","v":"－"}]
[null,null,null,"脂質代謝異常",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"心疾患",null,"心房細動",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"感染症",null,"HBｓ抗原",null,{"$f":"IF(I410 =TRUE,J410 & \" \",\"\"   ) & IF(K410 =TRUE,L410 & \" \",\"\"   ) & IF(M410 =TRUE,N410 & \" \",\"\"   )","v":""},null,null,"HBｓ抗体",null,{"$f":"IF(I411 =TRUE,J411 & \" \",\"\"   ) & IF(K411 =TRUE,L411 & \" \",\"\"   ) & IF(M411 =TRUE,N411 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,"心筋梗塞",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HCV抗体",null,{"$f":"IF(I412 =TRUE,J412 & \" \",\"\"   ) & IF(K412 =TRUE,L412 & \" \",\"\"   ) & IF(M412 =TRUE,N412 & \" \",\"\"   )","v":""},null,null,"MRSA",null,{"$f":"IF(I413 =TRUE,J413 & \" \",\"\"   ) & IF(K413 =TRUE,L413 & \" \",\"\"   ) & IF(M413 =TRUE,N413 & \" \",\"\"   )& IF(O413 =TRUE,P413 & \" \",\"\"   ) & IF(Q413 =TRUE,R413 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,"心不全",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I414),\"－\",I414)","v":"－"}]
[null,null,null,null,null,"狭心症",null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"呼吸器疾患",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"ガン",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄機能障害",null,"神経因性膀胱",null,{"$f":"IF(I417 =TRUE,J417 & \" \",\"\"   ) & IF(K417 =TRUE,L417 & \" \",\"\"   ) & IF(M417 =TRUE,N417 & \" \",\"\"   )","v":""},null,null,"前立腺肥大",null,{"$f":"IF(I418 =TRUE,J418 & \" \",\"\"   ) & IF(K418 =TRUE,L418 & \" \",\"\"   ) & IF(M418 =TRUE,N418 & \" \",\"\"   )","v":""}]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"便秘症",null,{"$f":"IF(I419 =TRUE,J419 & \" \",\"\"   ) & IF(K419 =TRUE,L419 & \" \",\"\"   ) & IF(M419 =TRUE,N419 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I420),\"－\",I420)","v":"－"}]
[]
[null,"遷延性意識障害",null,null,null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】"]
[null,"禁忌"]
[]
[null,"アレルギー"]
[]
[null,"感染症",null,"HBｓ抗原",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"HBｓ抗体",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"復職見込み",null,{"$f":"IF(I423 =TRUE,J423 & \" \",\"\"   ) & IF(K423 =TRUE,L423 & \" \",\"\"   ) & IF(M423 =TRUE,N423 & \" \",\"\"   )& IF(O423 =TRUE,P423 & \" \",\"\"   ) & IF(Q423 =TRUE,R423 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I424),\"－\",I424)","v":"－"}]
[null,null,null,"HCV抗体",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"MRSA",null,null,null,null,false,"不明",false,"無",false,"痰",false,"尿",false,"その他",null,null,null,null,null,null,null,null,null,null,"症状\n\n治療経過\n\n今後の見通し",null,{"$f":"IF(ISBLANK(I426),\"－\",I426)","v":"－"}]
[null,null,null,"その他・詳細・コメント"]
[]
[]
[null,"排泄機能障害",null,"神経因性膀胱",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"前立腺肥大",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"便秘症",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"その他・詳細・コメント"]
[]
[]
[null,"復職見込み",null,null,null,null,null,null,false,"不明",false,"無",false,"有",false,"無職",false,"条件付きで可能"]
[null,null,null,"詳細・コメント"]
[]
[null,"症状・治療経過・今後の見通し"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医師からの\n説明",null,"患者",{"$f":"IF(ISBLANK(I446),\"－\",I446)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族",{"$f":"IF(ISBLANK(I451),\"－\",I451)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,{"$f":"IF(ISBLANK(I456),\"－\",I456)","v":"－"}]
[]
[]
[null,"医師からの説明",null,"患者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"持参薬",null,{"$f":"IF(ISBLANK(I461),\"－\",I461)","v":"－"}]
[]
[]
[null,null,null,"家族"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院・退所時\n処方",null,{"$f":"IF(ISBLANK(I466),\"－\",I466)","v":"－"}]
[]
[]
[null,"禁忌薬"]
[]
[]
[]
[]
[null,"持参薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】"]
[]
[]
[]
[null,"退院・退所時処方"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"日常生活機能評価"]
[null,"ステージ",null,"判定ステージ"]
[null,null,null,"次のステージへの阻害因子",null,null,null,null,false,"運動麻痺",null,false,"高次脳機能障害",null,false,"認知症"]
[null,null,null,null,null,null,null,null,false,"既往歴",null,false,"環境因子",null,false,"その他"]
[null,"次のステージの課題"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(在宅)：診療情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(在宅)：診療情報【印刷用紙】"]
[]
[null,"初診時入力",null,null,null,null,null,null,null,null,"急性期引用",null,"回復期引用",null,"生活期(施)引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療情報提供書（生活期／在宅）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I504),\"－\",I504)","v":"－"},null,null,null,null,"生(在)【印刷】"]
[null,"生活場所",null,null,null,null,null,null,{"$f":"IF(計画書!CM16 =TRUE,計画書!CN16 & \" \",\"\"   )  & IF(計画書!CS16 =TRUE,計画書!CT16 & \" \",\"\"   ) & IF(計画書!CY16 =TRUE,計画書!CZ16 & \" \",\"\"   ) & IF(計画書!CM17 =TRUE,計画書!CN17 & \" \",\"\"   ) & IF(計画書!CS17 =TRUE,計画書!CT17 & \" \",\"\"   ) & IF(計画書!CY17 =TRUE,計画書!CZ17 & \" \",\"\"   ) & IF(計画書!CM18 =TRUE,計画書!CN18 & \" \",\"\"   )& IF(計画書!CY18 =TRUE,計画書!CZ18 & \" \",\"\"   )","v":""},null,null,null,"※入力不要"]
[]
[null,"施設名",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM19),\"－\",計画書!CM19)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I14),\"－\",I14)","v":"－"},null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(I508),\"－\",I508)","v":"－"}]
[null,"医療機関名",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM20),\"－\",計画書!CM20)","v":"－"},null,null,null,"※入力不要"]
[null,"住所",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM22),\"－\",計画書!CM22)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I17),\"－\",I17)","v":"－"},null,null,null,null,null,"診療科　",null,{"$f":"IF(ISBLANK(I511),\"－\",I511)","v":"－"}]
[null,"郵便番号",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM21),\"－\",計画書!CM21)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I18),\"－\",I18)","v":"－"},null,null,"先生　御侍史",null,null,"医師名　",null,{"$f":"IF(ISBLANK(I512),\"－\",I512)","v":"－"}]
[null,"診療科等",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM24),\"－\",計画書!CM24)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!CM23),\"－\",計画書!CM23)","v":"－"}]
[null,"主治医",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM25),\"－\",計画書!CM25)","v":"－"},null,null,null,"※入力不要"]
[null,"初診日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM26),\"－\",計画書!CM26)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM514,AK504,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,"加賀パス説明日",null,null,null,null,null,null,{"$f":"IF(ISBLANK(計画書!CM27),\"－\",計画書!CM27)","v":"－"},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,"脳卒中病型",null,null,null,null,null,null,{"$f":"IF(計画書!H31 =TRUE,計画書!I31 & \" \",\"\"   )  & IF(計画書!M31 =TRUE,計画書!N31 & \" \",\"\"   ) & IF(計画書!R31 =TRUE,計画書!S31 & \" \",\"\"   )","v":""},null,null,null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,"診断（大分類）",null,null,null,null,null,null,false,"不明",null,false,"破裂脳動脈瘤",null,false,"血管奇形",null,false,"閉塞性血管障害",null,null,null,null,null,null,null,null,null,"初診日",null,{"$f":"IF(ISBLANK(I513),\"－\",I513)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"モヤモヤ病",null,false,"高血圧性脳出血",null,false,"特発性脳出血",null,false,"出血源不明のくも膜下出血",null,null,null,null,null,null,null,null,null,"脳卒中病型",null,{"$f":"IF(ISBLANK(I524),\"－\",I524)","v":"－"},null,null,null,"加賀パス説明日",null,{"$f":"IF(ISBLANK(I514),\"－\",I514)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症日",null,{"$f":"IF(ISBLANK(I20),\"－\",I20)","v":"－"},null,null,null,"発症時刻",null,{"$f":"IF(ISBLANK(I21),\"－\",I21)","v":"－"}]
[null,"診断（小分類）",null,null,null,null,null,null,false,"不明",null,false,"一過性脳虚血発作",null,false,"ラクナ梗塞",null,false,"アテローム血栓性脳梗塞",null,null,null,null,null,null,null,null,null,"診断（大分類）",null,{"$f":"IF(I516 =TRUE,J516 & \" \",\"\"   ) & IF(L516 =TRUE,M516 & \" \",\"\"   ) & IF(O516 =TRUE,P516 & \" \",\"\"   )  & IF(R516 =TRUE,S516 & \" \",\"\"   )& IF(I517 =TRUE,J517 & \" \",\"\"   ) & IF(L517 =TRUE,M517 & \" \",\"\"   ) & IF(O517 =TRUE,P517 & \" \",\"\"   ) & IF(R517 =TRUE,S517 & \" \",\"\"   )& IF(I518 =TRUE,J518 & \" \",\"\"   )","v":""},null,null,null,"診断（小分類）",null,{"$f":"IF(I519 =TRUE,J519 & \" \",\"\"   ) & IF(L519 =TRUE,M519 & \" \",\"\"   ) & IF(O519 =TRUE,P519 & \" \",\"\"   )  & IF(R519 =TRUE,S519 & \" \",\"\"   )& IF(I520 =TRUE,J520 & \" \",\"\"   ) & IF(L520 =TRUE,M520 & \" \",\"\"   ) & IF(O520 =TRUE,P520 & \" \",\"\"   )  & IF(R520 =TRUE,S520 & \" \",\"\"   )& IF(I521 =TRUE,J521 & \" \",\"\"   ) & IF(L521 =TRUE,M521 & \" \",\"\"   ) & IF(O521 =TRUE,P521 & \" \",\"\"   )  & IF(R521 =TRUE,S521 & \" \",\"\"   )& IF(I522 =TRUE,J522 & \" \",\"\"   ) & IF(L522 =TRUE,M522 & \" \",\"\"   ) & IF(O522 =TRUE,P522 & \" \",\"\"   )  & IF(R522 =TRUE,S522 & \" \",\"\"   )& IF(I523 =TRUE,J523 & \" \",\"\"   ) & IF(L523 =TRUE,M523 & \" \",\"\"   ) & IF(O523 =TRUE,P523 & \" \",\"\"   )  & IF(R523 =TRUE,S523 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,false,"心原性脳塞栓症",null,false,"静脈・静脈洞血栓",null,false,"その他の閉塞性疾患",null,false,"動静脈奇形",null,null,null,null,null,null,null,null,null,"主訴",null,{"$f":"IF(ISBLANK(I525),\"－\",I525)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"硬膜動静脈瘻",null,false,"その他の動静脈瘻",null,false,"海綿状血管奇形",null,false,"静脈血管奇形",null,null,null,null,null,null,null,null,null,"病変部位",null,{"$f":"IF(ISBLANK(I524),\"－\",I524)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"毛細血管拡張症",null,false,"混合性血管奇形",null,false,"その他の血管奇形",null,false,"嚢状動脈瘤",null,null,null,null,null,null,null,null,null,"既往歴",null,"脳血管疾患",null,{"$f":"IF(I526 =TRUE,J526 & \" \",\"\"   ) & IF(K526 =TRUE,L526 & \" \",\"\"   ) & IF(M526 =TRUE,N526 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I527),\"－\",I527)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"紡錘状動脈瘤",null,false,"細菌性動脈瘤",null,false,"その他の動脈瘤",null,false,"その他",null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I528),\"－\",I528)","v":"－"}]
[null,"病変部位"]
[null,"主訴"]
[null,"既往歴",null,"脳血管疾患",null,null,null,null,false,"不明",false,"初発",false,"再発"]
[null,null,null,null,null,"詳細・コメント"]
[null,null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他傷病名",null,"高血圧",null,{"$f":"IF(I534 =TRUE,J534 & \" \",\"\"   ) & IF(K534 =TRUE,L534 & \" \",\"\"   ) & IF(M534 =TRUE,N534 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(P534),\"－\",P534)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"糖尿病",null,"",{"$f":"IF(ISBLANK(P535),\"－\",P535)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脂質代謝異常",null,"","－"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心疾患","心房細動","","－"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心筋梗塞","","－"]
[null,"その他傷病名",null,"高血圧",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心不全","","－"]
[null,null,null,"糖尿病",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"狭心症","","－"]
[null,null,null,"脂質代謝異常",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"呼吸器疾患",null,"","－"]
[null,null,null,"心疾患",null,"心房細動",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ガン",null,"","－"]
[null,null,null,null,null,"心筋梗塞",null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"IF(ISBLANK(I543),\"－\",I543)","v":"－"}]
[null,null,null,null,null,"心不全",null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,null,null,"狭心症",null,null,false,"不明",false,"無",false,"有","詳細・コメント"]
[null,null,null,"呼吸器疾患",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"遷延性意識障害",null,{"$f":"IF(I546 =TRUE,J546 & \" \",\"\"   ) & IF(K546 =TRUE,L546 & \" \",\"\"   ) & IF(M546 =TRUE,N546 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(P546),\"－\",P546)","v":"－"}]
[null,null,null,"ガン",null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌",null,{"$f":"IF(ISBLANK(P547),\"－\",P547)","v":"－"}]
[null,null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー",null,{"$f":"IF(ISBLANK(I549),\"－\",I549)","v":"－"}]
[]
[null,"遷延性意識障害",null,null,null,null,null,null,false,"不明",false,"無",false,"有","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"感染症",null,"HBｓ抗原",null,{"$f":"IF(I551 =TRUE,J551 & \" \",\"\"   ) & IF(K551 =TRUE,L551 & \" \",\"\"   ) & IF(M551 =TRUE,N551 & \" \",\"\"   )","v":""},null,null,"HBｓ抗体",null,{"$f":"IF(I552 =TRUE,J552 & \" \",\"\"   ) & IF(K552 =TRUE,L552 & \" \",\"\"   ) & IF(M552 =TRUE,N552 & \" \",\"\"   )","v":""}]
[null,"禁忌",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HCV抗体",null,{"$f":"IF(I553 =TRUE,J553 & \" \",\"\"   ) & IF(K553 =TRUE,L553 & \" \",\"\"   ) & IF(M553 =TRUE,N553 & \" \",\"\"   )","v":""},null,null,"MRSA",null,{"$f":"IF(I554 =TRUE,J554 & \" \",\"\"   ) & IF(K554 =TRUE,L554 & \" \",\"\"   ) & IF(M554 =TRUE,N554 & \" \",\"\"   )& IF(O554 =TRUE,P554 & \" \",\"\"   ) & IF(Q554 =TRUE,R554 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I555),\"－\",I555)","v":"－"}]
[null,"アレルギー"]
[]
[null,"感染症",null,"HBｓ抗原",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄機能障害",null,"神経因性膀胱",null,{"$f":"IF(I558 =TRUE,J558 & \" \",\"\"   ) & IF(K558 =TRUE,L558 & \" \",\"\"   ) & IF(M558 =TRUE,N558 & \" \",\"\"   )","v":""},null,null,"前立腺肥大",null,{"$f":"IF(I559 =TRUE,J559 & \" \",\"\"   ) & IF(K559 =TRUE,L559 & \" \",\"\"   ) & IF(M559 =TRUE,N559 & \" \",\"\"   )","v":""}]
[null,null,null,"HBｓ抗体",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"便秘症",null,{"$f":"IF(I560 =TRUE,J560 & \" \",\"\"   ) & IF(K560 =TRUE,L560 & \" \",\"\"   ) & IF(M560 =TRUE,N560 & \" \",\"\"   )","v":""}]
[null,null,null,"HCV抗体",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(I561),\"－\",I561)","v":"－"}]
[null,null,null,"MRSA",null,null,null,null,false,"不明",false,"無",false,"痰",false,"尿",false,"その他"]
[null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【印刷】"]
[]
[]
[null,"排泄機能障害",null,"神経因性膀胱",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"前立腺肥大",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"便秘症",null,null,null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"復職見込み",null,{"$f":"IF(I564 =TRUE,J564 & \" \",\"\"   ) & IF(K564 =TRUE,L564 & \" \",\"\"   ) & IF(M564 =TRUE,N564 & \" \",\"\"   )& IF(O564 =TRUE,P564 & \" \",\"\"   ) & IF(Q564 =TRUE,R564 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I565),\"－\",I565)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"症状\n\n治療経過\n\n今後の見通し",null,{"$f":"IF(ISBLANK(I567),\"－\",I567)","v":"－"}]
[null,"復職見込み",null,null,null,null,null,null,false,"不明",false,"無",false,"有",false,"無職",false,"条件付きで可能"]
[null,null,null,"詳細・コメント"]
[]
[null,"症状・治療経過・今後の見通し"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医師からの\n説明",null,"患者",{"$f":"IF(ISBLANK(I587),\"－\",I587)","v":"－"}]
[]
[]
[]
[null,"医師からの説明",null,"患者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族",{"$f":"IF(ISBLANK(I592),\"－\",I592)","v":"－"}]
[]
[]
[]
[null,null,null,"家族"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,{"$f":"IF(ISBLANK(I597),\"－\",I597)","v":"－"}]
[]
[]
[]
[null,"禁忌薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"持参薬",null,{"$f":"IF(ISBLANK(I602),\"－\",I602)","v":"－"}]
[]
[]
[]
[null,"持参薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"処方内容",null,{"$f":"IF(ISBLANK(I607),\"－\",I607)","v":"－"}]
[]
[]
[]
[null,"処方内容"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【印刷】"]
[]
[]
[]
[]
[null,"日常生活機能評価"]
[null,"ステージ",null,"判定ステージ"]
[null,null,null,"次のステージへの阻害因子",null,null,null,null,false,"運動麻痺",null,false,"高次脳機能障害",null,false,"認知症"]
[null,null,null,null,null,null,null,null,false,"既往歴",null,false,"環境因子",null,false,"その他"]
[null,"次のステージの課題"]

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[null,"看護情報入力シート",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護情報印刷シート"]
[]
[]
["(看護)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(看護)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図",null,null,null,null,null,null,null,null,null,null,null,null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書",null,null,null,null,null,null,null,null,null,null,null,null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携",null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：看護情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期：看護情報【印刷用紙】"]
[]
[null,"入院時入力"]
[null,"発症前",null,"意識障害",null,"JCS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護情報提供書（急性期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I37),\"－\",I37)","v":"－"},null,null,null,null,"急性期【印刷】"]
[null,null,null,"日常生活機能評価",null,"合計点数",null,null,{"$f":"AF43","v":0}]
[null,null,null,"基本的ADL",null,"食事",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助"]
[null,null,null,null,null,null,"補給ルート",null,false,"不明",false,"経口",false,"経口+経腸",false,"経腸",false,"静脈+経口",false,"静脈+経腸",false,"静脈",null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE24),\"－\",AE24)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"}]
[null,null,null,null,null,"清潔",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助"]
[null,null,null,null,null,"排泄",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"担当看護師",null,{"$f":"IF(ISBLANK(I147),\"－\",I147)","v":"－"}]
[null,null,null,null,null,"排泄方法",null,null,false,"不明",false,"トイレ",false,"ポータブルトイレ",false,"おむつ",false,"尿留置カテーテル",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護管理者　　",null,{"$f":"IF(ISBLANK(I148),\"－\",I148)","v":"－"}]
[null,null,null,null,null,"移動",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"}]
[null,null,null,null,null,"更衣",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助"]
[null,null,null,null,null,"整容",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM24,AK14,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,"入院時",null,"意識障害",null,"JCS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,"日常生活機能評価",null,"合計点数",null,null,{"$f":"AG43","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"基本的ADL",null,"食事",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症前","入院時","退院時"]
[null,null,null,null,null,null,"補給ルート",null,false,"不明",false,"経口",false,"経口+経腸",false,"経腸",false,"静脈+経口",false,"静脈+経腸",false,"静脈",null,null,null,null,null,null,"意識障害",null,"JCS",{"$f":"IF(ISBLANK(I14),\"－\",I14)","v":"－"},{"$f":"IF(ISBLANK(I24),\"－\",I24)","v":"－"},{"$f":"IF(ISBLANK(I39),\"－\",I39)","v":"－"}]
[null,null,null,null,null,"清潔",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"普段の血圧値（収縮期血圧）",null,null,null,null,{"$f":"IF(ISBLANK(I38),\"－\",I38)","v":"－"},{"$f":"IF(ISBLANK(J38),\"－\",J38)","v":"－"}]
[null,null,null,null,null,"排泄",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"重症度・看護必要度A項目",null,null,null,null,{"$f":"IF(ISBLANK(I40),\"－\",I40)","v":"－"},"／8"]
[null,null,null,null,null,"排泄方法",null,null,false,"不明",false,"トイレ",false,"ポータブルトイレ",false,"おむつ",false,"尿留置カテーテル",null,null,null,null,null,null,null,null,null,null,"日常生活機能評価","床上安静指示",null,null,null,null,{"$f":"IF(ISBLANK(I42),\"－\",I42)","v":"－"}]
[null,null,null,null,null,"移動",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"胸元まで持ち上げ",null,null,null,null,"－"]
[null,null,null,null,null,"更衣",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"寝返り",null,null,null,null,"－"]
[null,null,null,null,null,"整容",null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"起き上がり",null,null,null,null,"－"]
[null,null,null,"日常生活",null,"障害高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"座位保持",null,null,null,null,"－"]
[null,null,null,"自立度",null,"認知症高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,null,null,null,"－"]
[null,"退院時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：入院時引用",null,"※各自責任のもと情報の引用を行ってください。",null,null,null,null,null,null,null,null,null,null,null,null,"移動方法",null,null,null,null,"－"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔清潔",null,null,null,null,"－"]
[null,"普段の血圧値（収縮期血圧）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事摂取",null,null,null,null,"－"]
[null,"意識障害",null,"JCS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"衣服の着脱",null,null,null,null,"－"]
[null,"看護必要度A項目",null,"合計点数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"意思伝達",null,null,null,null,"－"]
[null,"日常生活機能評価",null,"合計点数",null,null,null,null,{"$f":"AH43","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療・療養指示",null,null,null,null,"－"]
[null,null,null,"床上安静指示",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"危険行動",null,null,null,null,"－"]
[null,null,null,"胸元まで持ち上げ",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計点数",null,{"$f":"SUM($AF$30:$AF$42)","v":0},{"$f":"SUM($AG$30:$AG$42)","v":0},{"$f":"SUM($AH$30:$AH$42)","v":0}]
[null,null,null,"寝返り",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"基本的ADL","食事",null,{"$f":"IF(I16=TRUE,J16&\" \",\"\")&IF(K16=TRUE,L16&\" \",\"\")&IF(M16=TRUE,N16&\" \",\"\")& IF(O16=TRUE,P16&\" \",\"\")","v":""},{"$f":"IF(I26=TRUE,J26&\" \",\"\")&IF(K26=TRUE,L26&\" \",\"\")&IF(M26=TRUE,N26&\" \",\"\")& IF(O26=TRUE,P26&\" \",\"\")","v":""},{"$f":"IF(I55=TRUE,J55&\" \",\"\")&IF(K55=TRUE,L55&\" \",\"\")&IF(M55=TRUE,N55&\" \",\"\")& IF(O55=TRUE,P55&\" \",\"\")","v":""}]
[null,null,null,"起き上がり",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補給ルート",{"$f":"IF(I17=TRUE,J17&\" \",\"\")&IF(K17=TRUE,L17&\" \",\"\")&IF(M17=TRUE,N17&\" \",\"\")& IF(O17=TRUE,P17&\" \",\"\") & IF(Q17=TRUE,R17&\" \",\"\") & IF(S17=TRUE,T17&\" \",\"\") & IF(U17=TRUE,V17&\" \",\"\")","v":""},{"$f":"IF(栄養!I18=TRUE,栄養!J18&\" \",\"\")&IF(栄養!K18=TRUE,栄養!L18&\" \",\"\")&IF(栄養!M18=TRUE,栄養!N18&\" \",\"\")& IF(栄養!O18=TRUE,栄養!P18&\" \",\"\") & IF(栄養!Q18=TRUE,栄養!R18&\" \",\"\") & IF(栄養!S18=TRUE,栄養!T18&\" \",\"\") & IF(栄養!U18=TRUE,栄養!V18&\" \",\"\")","v":""},{"$f":"IF(栄養!I63=TRUE,栄養!J63&\" \",\"\")&IF(栄養!K63=TRUE,栄養!L63&\" \",\"\")&IF(栄養!M63=TRUE,栄養!N63&\" \",\"\")& IF(栄養!O63=TRUE,栄養!P63&\" \",\"\") & IF(栄養!Q63=TRUE,栄養!R63&\" \",\"\") & IF(栄養!S63=TRUE,栄養!T63&\" \",\"\") & IF(栄養!U63=TRUE,栄養!V63&\" \",\"\")","v":""},"義歯",{"$f":"IF(I56=TRUE,J56&\" \",\"\")&IF(K56=TRUE,L56&\" \",\"\")&IF(M56=TRUE,N56&\" \",\"\")","v":""}]
[null,null,null,"座位保持",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I57),\"－\",I57)","v":"－"}]
[null,null,null,"移乗",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,"移動方法",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,{"$f":"IF(I18=TRUE,J18&\" \",\"\")&IF(K18=TRUE,L18&\" \",\"\")&IF(M18=TRUE,N18&\" \",\"\")& IF(O18=TRUE,P18&\" \",\"\")","v":""},{"$f":"IF(I28=TRUE,J28&\" \",\"\")&IF(K28=TRUE,L28&\" \",\"\")&IF(M28=TRUE,N28&\" \",\"\")& IF(O28=TRUE,P28&\" \",\"\")","v":""},{"$f":"IF(I59=TRUE,J59&\" \",\"\")&IF(K59=TRUE,L59&\" \",\"\")&IF(M59=TRUE,N59&\" \",\"\")& IF(O59=TRUE,P59&\" \",\"\")","v":""},"方法",{"$f":"IF(I60=TRUE,J60&\" \",\"\")&IF(K60=TRUE,L60&\" \",\"\")&IF(M60=TRUE,N60&\" \",\"\")& IF(O60=TRUE,P60&\" \",\"\") & IF(Q60=TRUE,R60&\" \",\"\") & IF(S60=TRUE,T60&\" \",\"\")","v":""},null,"最終日",{"$f":"IF(ISBLANK(I61),\"－\",I61)","v":"－"}]
[null,null,null,"口腔清潔",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I62),\"－\",I62)","v":"－"}]
[null,null,null,"食事摂取",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,"衣服の着脱",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,{"$f":"IF(I19=TRUE,J19&\" \",\"\")&IF(K19=TRUE,L19&\" \",\"\")&IF(M19=TRUE,N19&\" \",\"\")& IF(O19=TRUE,P19&\" \",\"\")","v":""},{"$f":"IF(I29=TRUE,J29&\" \",\"\")&IF(K29=TRUE,L29&\" \",\"\")&IF(M29=TRUE,N29&\" \",\"\")& IF(O29=TRUE,P29&\" \",\"\")","v":""},{"$f":"IF(I64=TRUE,J64&\" \",\"\")&IF(K64=TRUE,L64&\" \",\"\")&IF(M64=TRUE,N64&\" \",\"\")& IF(O64=TRUE,P64&\" \",\"\")","v":""},"排尿回数",{"$f":"IF(ISBLANK(I66),\"－\",I66)","v":"－"},"/日","排便回数",{"$f":"IF(ISBLANK(I67),\"－\",I67)","v":"－"},"/週"]
[null,null,null,"意思伝達",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",{"$f":"IF(I20=TRUE,J20&\" \",\"\")&IF(K20=TRUE,L20&\" \",\"\")&IF(M20=TRUE,N20&\" \",\"\")& IF(O20=TRUE,P20&\" \",\"\") & IF(Q20=TRUE,R20&\" \",\"\")","v":""},{"$f":"IF(I30=TRUE,J30&\" \",\"\")&IF(K30=TRUE,L30&\" \",\"\")&IF(M30=TRUE,N30&\" \",\"\")& IF(O30=TRUE,P30&\" \",\"\") & IF(Q30=TRUE,R30&\" \",\"\")","v":""},{"$f":"IF(I65=TRUE,J65&\" \",\"\")&IF(K65=TRUE,L65&\" \",\"\")&IF(M65=TRUE,N65&\" \",\"\")& IF(O65=TRUE,P65&\" \",\"\") & IF(Q65=TRUE,R65&\" \",\"\")","v":""},"最終排便日",{"$f":"IF(ISBLANK(I68),\"－\",I68)","v":"－"},null,"便秘時対策",{"$f":"IF(I69=TRUE,J69&\" \",\"\")&IF(K69=TRUE,L69&\" \",\"\")&IF(M69=TRUE,N69&\" \",\"\")& IF(O69=TRUE,P69&\" \",\"\") & IF(Q69=TRUE,R69&\" \",\"\") & IF(S69=TRUE,T69&\" \",\"\")","v":""}]
[null,null,null,"診療・療養指示",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"カテーテル",{"$f":"IF(ISBLANK(I70),\"－\",I70)","v":"－"},"最終交換日",null,{"$f":"IF(ISBLANK(I71),\"－\",I71)","v":"－"},null,"固定水（ｍｌ）",null,{"$f":"IF(ISBLANK(I72),\"－\",I72)","v":"－"}]
[null,null,null,"危険行動",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I73),\"－\",I73)","v":"－"}]
[null,"基本的ADL",null,"食事",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,"義歯",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,{"$f":"IF(I21=TRUE,J21&\" \",\"\")&IF(K21=TRUE,L21&\" \",\"\")&IF(M21=TRUE,N21&\" \",\"\")& IF(O21=TRUE,P21&\" \",\"\")","v":""},{"$f":"IF(I31=TRUE,J31&\" \",\"\")&IF(K31=TRUE,L31&\" \",\"\")&IF(M31=TRUE,N31&\" \",\"\")& IF(O31=TRUE,P31&\" \",\"\")","v":""},{"$f":"IF(I75=TRUE,J75&\" \",\"\")&IF(K75=TRUE,L75&\" \",\"\")&IF(M75=TRUE,N75&\" \",\"\")& IF(O75=TRUE,P75&\" \",\"\")","v":""},"移動手段",null,{"$f":"IF(I76=TRUE,J76&\" \",\"\")&IF(K76=TRUE,L76&\" \",\"\") & IF(M76=TRUE,N76&\" \",\"\")& IF(O76=TRUE,P76&\" \",\"\") & IF(Q76=TRUE,R76&\" \",\"\") & IF(S76=TRUE,T76&\" \",\"\") & IF(U76=TRUE,V76&\" \",\"\")  &IF(K77=TRUE,L77&\" \",\"\") & IF(M77 =TRUE,N77 &\" \",\"\")& IF(O77=TRUE,P77 &\" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I78),\"－\",I78)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,"清潔",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,{"$f":"IF(I22=TRUE,J22&\" \",\"\")&IF(K22=TRUE,L22&\" \",\"\")&IF(M22=TRUE,N22&\" \",\"\") & IF(O22=TRUE,P22 & \" \",\"\")","v":""},{"$f":"IF(I32=TRUE,J32&\" \",\"\")&IF(K32=TRUE,L32&\" \",\"\")&IF(M32=TRUE,N32&\" \",\"\") & IF(O32=TRUE,P32&\" \",\"\")","v":""},{"$f":"IF(I80=TRUE,J80&\" \",\"\")&IF(K80=TRUE,L80&\" \",\"\")&IF(M80=TRUE,N80&\" \",\"\")& IF(O80=TRUE,P80&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R80),\"－\",R80)","v":"－"}]
[null,null,null,null,null,"方法",null,null,false,"不明",false,"一般浴",false,"シャワー浴",false,"介助浴",false,"機械浴",false,"清拭",null,null,null,null,null,null,null,null,null,"整容",null,{"$f":"IF(I23=TRUE,J23&\" \",\"\")&IF(K23=TRUE,L23&\" \",\"\")&IF(M23=TRUE,N23&\" \",\"\" ) & IF(O23=TRUE,P23&\" \",\"\")","v":""},{"$f":"IF(I33=TRUE,J33&\" \",\"\")&IF(K33=TRUE,L33&\" \",\"\")&IF(M33=TRUE,N33&\" \",\"\") & IF(O33=TRUE,P33&\" \",\"\")","v":""},{"$f":"IF(I81=TRUE,J81&\" \",\"\")&IF(K81=TRUE,L81&\" \",\"\")&IF(M81=TRUE,N81&\" \",\"\")& IF(O81=TRUE,P81&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R81),\"－\",R81)","v":"－"}]
[null,null,null,null,null,"最終日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,{"$f":"IF(I82=TRUE,J82&\" \",\"\")&IF(K82=TRUE,L82&\" \",\"\")&IF(M82=TRUE,N82&\" \",\"\")& IF(O82=TRUE,P82&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R82),\"－\",R82)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,{"$f":"IF(I83=TRUE,J83&\" \",\"\")&IF(K83=TRUE,L83&\" \",\"\")&IF(M83=TRUE,N83&\" \",\"\")& IF(O83=TRUE,P83&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R83),\"－\",R83)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,{"$f":"IF(I84=TRUE,J84&\" \",\"\")&IF(K84=TRUE,L84&\" \",\"\")&IF(M84=TRUE,N84&\" \",\"\")& IF(O84=TRUE,P84&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R84),\"－\",R84)","v":"－"}]
[null,null,null,"排泄",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,{"$f":"IF(I85=TRUE,J85&\" \",\"\")&IF(K85=TRUE,L85&\" \",\"\")&IF(M85=TRUE,N85&\" \",\"\")& IF(O85=TRUE,P85&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R85),\"－\",R85)","v":"－"},null,null,null,null,null,null,null,null,"急性期【印刷】"]
[null,null,null,null,null,"排泄方法",null,null,false,"不明",false,"トイレ",false,"ポータブルトイレ",false,"おむつ",false,"尿留置カテーテル"]
[null,null,null,null,null,"排尿回数/日"]
[null,null,null,null,null,"排便回数/週"]
[null,null,null,null,null,"最終排便日"]
[null,null,null,null,null,"便秘時対策",null,null,false,"不明",false,"無",false,"有",false,"下剤",false,"座薬",false,"浣腸"]
[null,null,null,null,null,"カテーテル"]
[null,null,null,null,null,"最終交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日常生活自立度",null,"障害高齢者",null,{"$f":"IF(ISBLANK(I34),\"－\",I34)","v":"－"},{"$f":"IF(ISBLANK(I86),\"－\",I86)","v":"－"}]
[null,null,null,null,null,"固定水",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症高齢者",null,{"$f":"IF(ISBLANK(I35),\"－\",I35)","v":"－"},{"$f":"IF(ISBLANK(I87),\"－\",I87)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション障害",null,null,{"$f":"IF(I88=TRUE,J88&\" \",\"\")&IF(K88=TRUE,L88&\" \",\"\")&IF(M88=TRUE,N88&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P88),\"－\",P88)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転倒歴",null,null,{"$f":"IF(I89=TRUE,J89&\" \",\"\")&IF(K89=TRUE,L89&\" \",\"\")&IF(M89=TRUE,N89&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P89),\"－\",P89)","v":"－"}]
[null,null,null,"移動",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"問題となった行動",null,null,{"$f":"IF(I90=TRUE,J90&\" \",\"\")&IF(K90=TRUE,L90&\" \",\"\")&IF(M90=TRUE,N90&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P90),\"－\",P90)","v":"－"}]
[null,null,null,null,null,"移動手段",null,null,false,"不明",false,"自立歩行",false,"見守り",false,"手引き",false,"杖",false,"歩行器",false,"シルバーカー",null,null,null,null,null,null,"監視・抑制",null,null,{"$f":"IF(I91=TRUE,J91&\" \",\"\")&IF(K91=TRUE,L91&\" \",\"\")&IF(M91=TRUE,N91&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P91),\"－\",P91)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"車椅子",false,"ストレッチャー",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,"夜間の状態",null,null,{"$f":"IF(I92=TRUE,J92&\" \",\"\")&IF(K92=TRUE,L92&\" \",\"\")&IF(M92=TRUE,N92&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P92),\"－\",P92)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療処置","カニューレ（Fr）",null,{"$f":"IF(ISBLANK(I93),\"－\",I93)","v":"－"},"カフの有無",null,{"$f":"IF(I94=TRUE,J94&\" \",\"\")&IF(K94=TRUE,L94&\" \",\"\")&IF(M94=TRUE,N94&\" \",\"\")","v":""},null,"最終交換日",null,{"$f":"IF(ISBLANK(I95),\"－\",I95)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"褥瘡",null,{"$f":"IF(I96=TRUE,J96&\" \",\"\")&IF(K96=TRUE,L96&\" \",\"\")&IF(M96=TRUE,N96&\" \",\"\")","v":""},"処置等",null,{"$f":"IF(ISBLANK(I97),\"－\",I97)","v":"－"}]
[null,null,null,"更衣",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"注射や処置内容",null,{"$f":"IF(ISBLANK(I98),\"－\",I98)","v":"－"}]
[null,null,null,"整容",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"等の処置"]
[null,"IADL",null,"服薬管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"その他"]
[null,null,null,"食事準備",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,"経管栄養","投与ルート",null,{"$f":"IF(I101=TRUE,J101&\" \",\"\")&IF(K101=TRUE,L101&\" \",\"\")&IF(M101=TRUE,N101&\" \",\"\") & IF(O101=TRUE,P101&\" \",\"\")& IF(Q101=TRUE,R101&\" \",\"\")","v":""}]
[null,null,null,"水分摂取",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"栄養剤",null,{"$f":"IF(ISBLANK(I102),\"－\",I102)","v":"－"}]
[null,null,null,"財産管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"投与量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I103),\"－\",I103)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I104),\"－\",I104)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I105),\"－\",I105)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I106),\"－\",I106)","v":"－"}]
[null,"日常生活",null,"障害高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"追加水分量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I107),\"－\",I107)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I108),\"－\",I108)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I109),\"－\",I109)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I110),\"－\",I110)","v":"－"}]
[null,"自立度",null,"認知症高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護経過",{"$f":"IF(ISBLANK(I111),\"－\",I111)","v":"－"}]
[null,"コミュニケーション障害",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"転倒歴",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"問題となった行動",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"監視・抑制",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"夜間の状態",null,null,null,null,null,null,false,"不明",false,"良眠",false,"不眠","詳細・コメント"]
[null,"医療処置",null,"カニューレ",null,null,null,null,null,"Fr"]
[null,null,null,null,null,"カフの有無",null,null,false,"不明",false,"有",false,"無"]
[null,null,null,null,null,"最終交換日"]
[null,null,null,"褥瘡",null,null,null,null,false,"不明",false,"有",false,"無"]
[null,null,null,null,null,"処置等"]
[null,null,null,"注射や処置内容等の処置・その他"]
[]
[]
[null,"経腸栄養",null,"投与ルート",null,null,null,null,false,"不明",false,"経鼻",false,"胃瘻",false,"腸瘻",false,"その他"]
[null,null,null,"栄養剤",null,null,null,null,{"$f":"IF(ISBLANK(栄養!I29),\"－\",栄養!I29)","v":"－"}]
[null,null,null,"投与量",null,"朝"]
[null,null,null,null,null,"昼"]
[null,null,null,null,null,"夕"]
[null,null,null,null,null,"眠前"]
[null,null,null,"追加水分量",null,"朝"]
[null,null,null,null,null,"昼"]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"残された看護上の問題",{"$f":"IF(ISBLANK(I133),\"－\",I133)","v":"－"}]
[null,null,null,null,null,"眠前"]
[null,"看護経過"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"残された看護上の問題"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当看護師"]
[null,"看護管理者"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"回復期：看護情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：看護情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護情報提供書（回復期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I204),\"－\",I204)","v":"－"},null,null,null,null,"回復期【印刷】"]
[null,"普段の血圧値（収縮期血圧）"]
[null,"意識障害",null,"JCS"]
[null,"日常生活",null,"合計点数",null,null,null,null,{"$f":"AF231","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE214),\"－\",AE214)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"}]
[null,"機能評価",null,"床上安静指示",null,"詳細・コメント"]
[null,null,null,"胸元まで持ち上げ",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"担当看護師",null,{"$f":"IF(ISBLANK(I315),\"－\",I315)","v":"－"}]
[null,null,null,"寝返り",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護管理者　　",null,{"$f":"IF(ISBLANK(I316),\"－\",I316)","v":"－"}]
[null,null,null,"起き上がり",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"}]
[null,null,null,"座位保持",null,"詳細・コメント"]
[null,null,null,"移乗",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM214,AK204,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,"移動方法",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,"口腔清潔",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"食事摂取",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"普段の血圧値（収縮期血圧）",null,null,{"$f":"IF(ISBLANK(I205),\"－\",I205)","v":"－"},{"$f":"IF(ISBLANK(J205),\"－\",J205)","v":"－"}]
[null,null,null,"衣服の着脱",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"意識障害",null,"JCS",{"$f":"IF(ISBLANK(I206),\"－\",I206)","v":"－"}]
[null,null,null,"意思伝達",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日常生活機能評価","床上安静指示",null,null,{"$f":"IF(ISBLANK(I208),\"－\",I208)","v":"－"}]
[null,null,null,"診療・療養指示",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"胸元まで持ち上げ",null,null,"－"]
[null,null,null,"危険行動",null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"寝返り",null,null,"－"]
[null,"基本的ADL",null,"食事",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"起き上がり",null,null,"－"]
[null,null,null,null,null,"義歯",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"座位保持",null,null,"－"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"－"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動方法",null,null,"－"]
[null,null,null,"清潔",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔清潔",null,null,"－"]
[null,null,null,null,null,"方法",null,null,false,"不明",false,"一般浴",false,"シャワー浴",false,"介助浴",false,"機械浴",false,"清拭",null,null,null,null,null,null,null,null,null,"食事摂取",null,null,"－"]
[null,null,null,null,null,"最終日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"衣服の着脱",null,null,"－"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"意思伝達",null,null,"－"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療・療養指示",null,null,"－"]
[null,null,null,"排泄",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"危険行動",null,null,"－"]
[null,null,null,null,null,"排泄方法",null,null,false,"不明",false,"トイレ",false,"ポータブルトイレ",false,"おむつ",false,"尿留置カテーテル",null,null,null,null,null,null,null,null,null,null,null,"合計点数",null,{"$f":"SUM($AF$218:$AF$230)","v":0}]
[null,null,null,null,null,"排尿回数/日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"基本的ADL","食事",null,{"$f":"IF(I221=TRUE,J221&\" \",\"\")&IF(K221=TRUE,L221&\" \",\"\")&IF(M221=TRUE,N221&\" \",\"\")& IF(O221=TRUE,P221&\" \",\"\")","v":""},"補給ルート",null,{"$f":"IF(栄養!I63=TRUE,栄養!J63&\" \",\"\")&IF(栄養!K63=TRUE,栄養!L63&\" \",\"\")&IF(栄養!M63=TRUE,栄養!N63&\" \",\"\")& IF(栄養!O63=TRUE,栄養!P63&\" \",\"\") & IF(栄養!Q63=TRUE,栄養!R63&\" \",\"\") & IF(栄養!S63=TRUE,栄養!T63&\" \",\"\") & IF(栄養!U63=TRUE,栄養!V63&\" \",\"\")","v":""},null,"義歯",null,{"$f":"IF(I222=TRUE,J222&\" \",\"\")&IF(K222=TRUE,L222&\" \",\"\")&IF(M222=TRUE,N222&\" \",\"\")","v":""}]
[null,null,null,null,null,"排便回数/週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I223),\"－\",I223)","v":"－"}]
[null,null,null,null,null,"最終排便日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,"便秘時対策",null,null,false,"不明",false,"無",false,"有",false,"下剤",false,"座薬",false,"浣腸",null,null,null,null,null,null,null,null,null,"清潔",null,{"$f":"IF(I225=TRUE,J225&\" \",\"\")&IF(K225=TRUE,L225&\" \",\"\")&IF(M225=TRUE,N225&\" \",\"\")& IF(O225=TRUE,P225&\" \",\"\")","v":""},"方法",null,{"$f":"IF(I226=TRUE,J226&\" \",\"\")&IF(K226=TRUE,L226&\" \",\"\")&IF(M226=TRUE,N226&\" \",\"\")& IF(O226=TRUE,P226&\" \",\"\") & IF(Q226=TRUE,R226&\" \",\"\") & IF(S226=TRUE,T226&\" \",\"\")","v":""},null,"最終日",null,{"$f":"IF(ISBLANK(I227),\"－\",I227)","v":"－"}]
[null,null,null,null,null,"カテーテル",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I228),\"－\",I228)","v":"－"}]
[null,null,null,null,null,"最終交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,"固定水",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,{"$f":"IF(I230=TRUE,J230&\" \",\"\")&IF(K230=TRUE,L230&\" \",\"\")&IF(M230=TRUE,N230&\" \",\"\")& IF(O230=TRUE,P230&\" \",\"\")","v":""},"排尿回数",null,{"$f":"IF(ISBLANK(I232),\"－\",I232)","v":"－"},"/日","排便回数",null,{"$f":"IF(ISBLANK(I233),\"－\",I233)","v":"－"},"/週"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",{"$f":"IF(I231=TRUE,J231&\" \",\"\")&IF(K231=TRUE,L231&\" \",\"\")&IF(M231=TRUE,N231&\" \",\"\")& IF(O231=TRUE,P231&\" \",\"\") & IF(Q231=TRUE,R231&\" \",\"\")","v":""},"最終排便日",null,{"$f":"IF(ISBLANK(I234),\"－\",I234)","v":"－"},null,"便秘時対策",null,{"$f":"IF(I235=TRUE,J235&\" \",\"\")&IF(K235=TRUE,L235&\" \",\"\")&IF(M235=TRUE,N235&\" \",\"\")& IF(O235=TRUE,P235&\" \",\"\") & IF(Q235=TRUE,R235&\" \",\"\")& IF(S235=TRUE,T235&\" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"カテーテル",{"$f":"IF(ISBLANK(I236),\"－\",I236)","v":"－"},"最終交換日",null,{"$f":"IF(ISBLANK(I237),\"－\",I237)","v":"－"},null,"固定水（ｍｌ）",null,{"$f":"IF(ISBLANK(I238),\"－\",I238)","v":"－"}]
[null,null,null,"移動",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I239),\"－\",I239)","v":"－"}]
[null,null,null,null,null,"移動手段",null,null,false,"不明",false,"自立歩行",false,"見守り",false,"手引き",false,"杖",false,"歩行器",false,"シルバーカー",null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,null,null,null,null,null,false,"車椅子",false,"ストレッチャー",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,{"$f":"IF(I241=TRUE,J241&\" \",\"\")&IF(K241=TRUE,L241&\" \",\"\")&IF(M241=TRUE,N241&\" \",\"\")& IF(O241=TRUE,P241&\" \",\"\")","v":""},"移動手段",null,{"$f":"IF(I242=TRUE,J242&\" \",\"\")&IF(K242=TRUE,L242&\" \",\"\") & IF(M242=TRUE,N242&\" \",\"\")& IF(O242=TRUE,P242&\" \",\"\") & IF(Q242=TRUE,R242&\" \",\"\") & IF(S242=TRUE,T242&\" \",\"\") & IF(U242=TRUE,V242&\" \",\"\")  &IF(K243=TRUE,L243&\" \",\"\") & IF(M243 =TRUE,N243 &\" \",\"\")& IF(O243=TRUE,P243 &\" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I244),\"－\",I244)","v":"－"}]
[null,null,null,null,null,null,null,null,false,null,null,null,true,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,"更衣",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,{"$f":"IF(I246=TRUE,J246&\" \",\"\")&IF(K246=TRUE,L246&\" \",\"\")&IF(M246=TRUE,N246&\" \",\"\") & IF(O246=TRUE,P246 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(R246),\"－\",R246)","v":"－"}]
[null,null,null,"整容",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,{"$f":"IF(I247=TRUE,J247&\" \",\"\")&IF(K247=TRUE,L247&\" \",\"\")&IF(M247=TRUE,N247&\" \",\"\") & IF(O247=TRUE,P247 & \" \",\"\")","v":""},"－"]
[null,"IADL",null,"服薬管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,{"$f":"IF(I248=TRUE,J248&\" \",\"\")&IF(K248=TRUE,L248&\" \",\"\")&IF(M248=TRUE,N248&\" \",\"\")& IF(O248=TRUE,P248&\" \",\"\")","v":""},"－"]
[null,null,null,"食事準備",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,{"$f":"IF(I249=TRUE,J249&\" \",\"\")&IF(K249=TRUE,L249&\" \",\"\")&IF(M249=TRUE,N249&\" \",\"\")& IF(O249=TRUE,P249&\" \",\"\")","v":""},"－"]
[null,null,null,"水分摂取",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,{"$f":"IF(I250=TRUE,J250&\" \",\"\")&IF(K250=TRUE,L250&\" \",\"\")&IF(M250=TRUE,N250&\" \",\"\")& IF(O250=TRUE,P250&\" \",\"\")","v":""},"－"]
[null,null,null,"財産管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,{"$f":"IF(I251=TRUE,J251&\" \",\"\")&IF(K251=TRUE,L251&\" \",\"\")&IF(M251=TRUE,N251&\" \",\"\")& IF(O251=TRUE,P251&\" \",\"\")","v":""},"－"]
[null,"日常生活",null,"障害高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日常生活自立度",null,"障害高齢者",{"$f":"IF(ISBLANK(I252),\"－\",I252)","v":"－"}]
[null,"自立度",null,"認知症高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症高齢者",{"$f":"IF(ISBLANK(I253),\"－\",I253)","v":"－"},null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[null,"コミュニケーション障害",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"転倒歴",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"問題となった行動",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"監視・抑制",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,"夜間の状態",null,null,null,null,null,null,false,"不明",false,"良眠",false,"不眠","詳細・コメント"]
[null,"医療処置",null,"カニューレ"]
[null,null,null,null,null,"カフの有無",null,null,false,"不明",false,"有",false,"無"]
[null,null,null,null,null,"最終交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション障害",null,null,{"$f":"IF(I254=TRUE,J254&\" \",\"\")&IF(K254=TRUE,L254&\" \",\"\")&IF(M254=TRUE,N254&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P254),\"－\",P254)","v":"－"}]
[null,null,null,"褥瘡",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転倒歴",null,null,{"$f":"IF(I255=TRUE,J255&\" \",\"\")&IF(K255=TRUE,L255&\" \",\"\")&IF(M255=TRUE,N255&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P255),\"－\",P255)","v":"－"}]
[null,null,null,null,null,"処置等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"問題行動",null,null,{"$f":"IF(I256=TRUE,J256&\" \",\"\")&IF(K256=TRUE,L256&\" \",\"\")&IF(M256=TRUE,N256&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P256),\"－\",P256)","v":"－"}]
[null,null,null,"注射や処置内容等の処置・その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監視・抑制",null,null,{"$f":"IF(I257=TRUE,J257&\" \",\"\")&IF(K257=TRUE,L257&\" \",\"\")&IF(M257=TRUE,N257&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P257),\"－\",P257)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夜間の状態",null,null,{"$f":"IF(I258=TRUE,J258&\" \",\"\")&IF(K258=TRUE,L258&\" \",\"\")&IF(M258=TRUE,N258&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P258),\"－\",P258)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療処置","カニューレ（Fr）",null,{"$f":"IF(ISBLANK(I259),\"－\",I259)","v":"－"},"カフの有無",null,{"$f":"IF(I260=TRUE,J260&\" \",\"\")&IF(K260=TRUE,L260&\" \",\"\")&IF(M260=TRUE,N260&\" \",\"\")","v":""},null,"最終交換日",null,{"$f":"IF(ISBLANK(I261),\"－\",I261)","v":"－"}]
[null,"経腸栄養",null,"投与ルート",null,null,null,null,false,"不明",false,"経鼻",false,"胃瘻",false,"腸瘻",false,"その他",null,null,null,null,null,null,null,null,null,null,null,"褥瘡",null,{"$f":"IF(I262=TRUE,J262&\" \",\"\")&IF(K262=TRUE,L262&\" \",\"\")&IF(M262=TRUE,N262&\" \",\"\")","v":""},"処置等",null,{"$f":"IF(ISBLANK(I263),\"－\",I263)","v":"－"}]
[null,null,null,"栄養剤",null,null,null,null,"－",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注射や処置内容",null,{"$f":"IF(ISBLANK(I264),\"－\",I264)","v":"－"}]
[null,null,null,"投与量",null,"朝",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"等の処置"]
[null,null,null,null,null,"昼",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他"]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経管栄養","投与ルート",null,{"$f":"IF(I267=TRUE,J267&\" \",\"\")&IF(K267=TRUE,L267&\" \",\"\")&IF(M267=TRUE,N267&\" \",\"\") & IF(O267=TRUE,P267&\" \",\"\")& IF(Q267=TRUE,R267&\" \",\"\")","v":""}]
[null,null,null,null,null,"眠前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養剤",null,{"$f":"IF(ISBLANK(I268),\"－\",I268)","v":"－"}]
[null,null,null,"追加水分量",null,"朝",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"投与量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I269),\"－\",I269)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I270),\"－\",I270)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I271),\"－\",I271)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I272),\"－\",I272)","v":"－"}]
[null,null,null,null,null,"昼",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"追加水分量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I273),\"－\",I273)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I274),\"－\",I274)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I275),\"－\",I275)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I276),\"－\",I276)","v":"－"}]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護経過",{"$f":"IF(ISBLANK(I277),\"－\",I277)","v":"－"}]
[null,null,null,null,null,"眠前"]
[null,"看護経過"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"残された看護上の問題",{"$f":"IF(ISBLANK(I301),\"－\",I301)","v":"－"}]
[]
[null,"残された看護上の問題"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当看護師"]
[null,"看護管理者"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(施設)：看護情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(施設)：看護情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護情報提供書（生活期／施設）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I354),\"－\",I354)","v":"－"}]
[null,"普段の血圧値（収縮期血圧）"]
[null,"意識障害",null,"JCS"]
[null,"基本的ADL",null,"食事",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE364),\"－\",AE364)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"}]
[null,null,null,null,null,"義歯",null,null,false,"不明",false,"無",false,"有"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"担当看護師",null,{"$f":"IF(ISBLANK(I465),\"－\",I465)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護管理者　　",null,{"$f":"IF(ISBLANK(I466),\"－\",I466)","v":"－"}]
[null,null,null,"清潔",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!BL22),\"－\",計画書!BL22)","v":"－"}]
[null,null,null,null,null,"方法",null,null,false,"不明",false,"一般浴",false,"シャワー浴",false,"介助浴",false,"機械浴",false,"清拭"]
[null,null,null,null,null,"最終日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM364,AK354,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"排泄",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"普段の血圧値（収縮期血圧）",null,null,{"$f":"IF(ISBLANK(I355),\"－\",I355)","v":"－"},{"$f":"IF(ISBLANK(J355),\"－\",J355)","v":"－"}]
[null,null,null,null,null,"排泄方法",null,null,false,"不明",false,"トイレ",false,"ポータブルトイレ",false,"おむつ",false,"尿留置カテーテル",null,null,null,null,null,null,null,null,null,null,"意識障害",null,"JCS",{"$f":"IF(ISBLANK(I356),\"－\",I356)","v":"－"}]
[null,null,null,null,null,"排尿回数/日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"基本的ADL","食事",null,{"$f":"IF(I357=TRUE,J357&\" \",\"\")&IF(K357=TRUE,L357&\" \",\"\")&IF(M357=TRUE,N357&\" \",\"\")& IF(O357=TRUE,P357&\" \",\"\")","v":""},"補給ルート",null,{"$f":"IF(栄養!I216=TRUE,栄養!J216&\" \",\"\")&IF(栄養!K216=TRUE,栄養!L216&\" \",\"\")&IF(栄養!M216=TRUE,栄養!N216&\" \",\"\")& IF(栄養!O216=TRUE,栄養!P216&\" \",\"\") & IF(栄養!Q216=TRUE,栄養!R216&\" \",\"\") & IF(栄養!S216=TRUE,栄養!T216&\" \",\"\") & IF(栄養!U216=TRUE,栄養!V216&\" \",\"\")","v":""},null,"義歯",null,{"$f":"IF(I358=TRUE,J358&\" \",\"\")&IF(K358=TRUE,L358&\" \",\"\")&IF(M358=TRUE,N358&\" \",\"\")","v":""}]
[null,null,null,null,null,"排便回数/週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I359),\"－\",I359)","v":"－"}]
[null,null,null,null,null,"最終排便日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,"便秘時対策",null,null,false,"不明",false,"無",false,"有",false,"下剤",false,"座薬",false,"浣腸",null,null,null,null,null,null,null,null,null,"清潔",null,{"$f":"IF(I361=TRUE,J361&\" \",\"\")&IF(K361=TRUE,L361&\" \",\"\")&IF(M361=TRUE,N361&\" \",\"\")& IF(O361=TRUE,P361&\" \",\"\")","v":""},"方法",null,{"$f":"IF(I362=TRUE,J362&\" \",\"\")&IF(K362=TRUE,L362&\" \",\"\")&IF(M362=TRUE,N362&\" \",\"\")& IF(O362=TRUE,P362&\" \",\"\") & IF(Q362=TRUE,R362&\" \",\"\") & IF(S362=TRUE,T362&\" \",\"\")","v":""},null,"最終日",null,{"$f":"IF(ISBLANK(I363),\"－\",I363)","v":"－"}]
[null,null,null,null,null,"カテーテル",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I364),\"－\",I364)","v":"－"}]
[null,null,null,null,null,"最終交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,"固定水",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,{"$f":"IF(I366=TRUE,J366&\" \",\"\")&IF(K366=TRUE,L366&\" \",\"\")&IF(M366=TRUE,N366&\" \",\"\")& IF(O366=TRUE,P366&\" \",\"\")","v":""},"排尿回数",null,{"$f":"IF(ISBLANK(I368),\"－\",I368)","v":"－"},"/日","排便回数",null,{"$f":"IF(ISBLANK(I369),\"－\",I369)","v":"－"},"/週"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",{"$f":"IF(I367=TRUE,J367&\" \",\"\")&IF(K367=TRUE,L367&\" \",\"\")&IF(M367=TRUE,N367&\" \",\"\")& IF(O367=TRUE,P367&\" \",\"\") & IF(Q367=TRUE,R367&\" \",\"\")","v":""},"最終排便日",null,{"$f":"IF(ISBLANK(I370),\"－\",I370)","v":"－"},null,"便秘時対策",null,{"$f":"IF(I371=TRUE,J371&\" \",\"\")&IF(K371=TRUE,L371&\" \",\"\")&IF(M371=TRUE,N371&\" \",\"\")& IF(O371=TRUE,P371&\" \",\"\") & IF(Q371=TRUE,R371&\" \",\"\")& IF(S371=TRUE,T371&\" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"カテーテル",{"$f":"IF(ISBLANK(I372),\"－\",I372)","v":"－"},"最終交換日",null,{"$f":"IF(ISBLANK(I373),\"－\",I373)","v":"－"},null,"固定水（ｍｌ）",null,{"$f":"IF(ISBLANK(I374),\"－\",I374)","v":"－"}]
[null,null,null,"移動",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I375),\"－\",I375)","v":"－"}]
[null,null,null,null,null,"移動手段",null,null,false,"不明",false,"自立歩行",false,"見守り",false,"手引き",false,"杖",false,"歩行器",false,"シルバーカー",null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,null,null,null,null,null,false,"車椅子",false,"ストレッチャー",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,{"$f":"IF(I377=TRUE,J377&\" \",\"\")&IF(K377=TRUE,L377&\" \",\"\")&IF(M377=TRUE,N377&\" \",\"\")& IF(O377=TRUE,P377&\" \",\"\")","v":""},"移動手段",null,{"$f":"IF(I378=TRUE,J378&\" \",\"\")&IF(K378=TRUE,L378&\" \",\"\") & IF(M378=TRUE,N378&\" \",\"\")& IF(O378=TRUE,P378&\" \",\"\") & IF(Q378=TRUE,R378&\" \",\"\") & IF(S378=TRUE,T378&\" \",\"\") & IF(U378=TRUE,V378&\" \",\"\")  &IF(K379=TRUE,L379&\" \",\"\") & IF(M379 =TRUE,N379 &\" \",\"\")& IF(O379=TRUE,P379 &\" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I380),\"－\",I380)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,"更衣",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,{"$f":"IF(I382=TRUE,J382&\" \",\"\")&IF(K382=TRUE,L382&\" \",\"\")&IF(M382=TRUE,N382&\" \",\"\") & IF(O382=TRUE,P382&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R382),\"－\",R382)","v":"－"}]
[null,null,null,"整容",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,{"$f":"IF(I383=TRUE,J383&\" \",\"\")&IF(K383=TRUE,L383&\" \",\"\")&IF(M383=TRUE,N383&\" \",\"\")&IF(O383=TRUE,P383&\" \",\"\")","v":""},"－"]
[null,"IADL",null,"服薬管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,{"$f":"IF(I384=TRUE,J384&\" \",\"\")&IF(K384=TRUE,L384&\" \",\"\")&IF(M384=TRUE,N384&\" \",\"\")& IF(O384=TRUE,P384&\" \",\"\")","v":""},"－"]
[null,null,null,"食事準備",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,{"$f":"IF(I385=TRUE,J385&\" \",\"\")&IF(K385=TRUE,L385&\" \",\"\")&IF(M385=TRUE,N385&\" \",\"\")& IF(O385=TRUE,P385&\" \",\"\")","v":""},"－"]
[null,null,null,"水分摂取",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,{"$f":"IF(I386=TRUE,J386&\" \",\"\")&IF(K386=TRUE,L386&\" \",\"\")&IF(M386=TRUE,N386&\" \",\"\")& IF(O386=TRUE,P386&\" \",\"\")","v":""},"－"]
[null,null,null,"財産管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,{"$f":"IF(I387=TRUE,J387&\" \",\"\")&IF(K387=TRUE,L387&\" \",\"\")&IF(M387=TRUE,N387&\" \",\"\")& IF(O387=TRUE,P387&\" \",\"\")","v":""},"－"]
[null,"日常生活",null,"障害高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日常生活自立度",null,"障害高齢者",{"$f":"IF(ISBLANK(I388),\"－\",I388)","v":"－"}]
[null,"自立度",null,"認知症高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症高齢者",{"$f":"IF(ISBLANK(I389),\"－\",I389)","v":"－"}]
[null,"コミュニケーション障害",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション障害",null,null,{"$f":"IF(I390=TRUE,J390&\" \",\"\")&IF(K390=TRUE,L390&\" \",\"\")&IF(M390=TRUE,N390&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P390),\"－\",P390)","v":"－"}]
[null,"転倒歴",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"転倒歴",null,null,{"$f":"IF(I391=TRUE,J391&\" \",\"\")&IF(K391=TRUE,L391&\" \",\"\")&IF(M391=TRUE,N391&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P391),\"－\",P391)","v":"－"}]
[null,"問題となった行動",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"問題行動",null,null,{"$f":"IF(I392=TRUE,J392&\" \",\"\")&IF(K392=TRUE,L392&\" \",\"\")&IF(M392=TRUE,N392&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P392),\"－\",P392)","v":"－"}]
[null,"監視・抑制",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"監視・抑制",null,null,{"$f":"IF(I393=TRUE,J393&\" \",\"\")&IF(K393=TRUE,L393&\" \",\"\")&IF(M393=TRUE,N393&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P393),\"－\",P393)","v":"－"}]
[null,"夜間の状態",null,null,null,null,null,null,false,"不明",false,"良眠",false,"不眠","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"夜間の状態",null,null,{"$f":"IF(I394=TRUE,J394&\" \",\"\")&IF(K394=TRUE,L394&\" \",\"\")&IF(M394=TRUE,N394&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P394),\"－\",P394)","v":"－"}]
[null,"医療処置",null,"カニューレ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療処置","カニューレ（Fr）",null,{"$f":"IF(ISBLANK(I395),\"－\",I395)","v":"－"},"カフの有無",null,{"$f":"IF(I396=TRUE,J396&\" \",\"\")&IF(K396=TRUE,L396&\" \",\"\")&IF(M396=TRUE,N396&\" \",\"\")","v":""},null,"最終交換日",null,{"$f":"IF(ISBLANK(I397),\"－\",I397)","v":"－"}]
[null,null,null,null,null,"カフの有無",null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"褥瘡",null,{"$f":"IF(I398=TRUE,J398&\" \",\"\")&IF(K398=TRUE,L398&\" \",\"\")&IF(M398=TRUE,N398&\" \",\"\")","v":""},"処置等",null,{"$f":"IF(ISBLANK(I399),\"－\",I399)","v":"－"}]
[null,null,null,null,null,"最終交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注射や処置内容",null,{"$f":"IF(ISBLANK(I400),\"－\",I400)","v":"－"}]
[null,null,null,"褥瘡",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"等の処置"]
[null,null,null,null,null,"処置等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他"]
[null,null,null,"注射や処置内容等の処置・その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経管栄養","投与ルート",null,{"$f":"IF(I403=TRUE,J403&\" \",\"\")&IF(K403=TRUE,L403&\" \",\"\")&IF(M403=TRUE,N403&\" \",\"\") & IF(O403=TRUE,P403&\" \",\"\")& IF(Q403=TRUE,R403&\" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養剤",null,{"$f":"IF(ISBLANK(I404),\"－\",I404)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"投与量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I405),\"－\",I405)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I406),\"－\",I406)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I407),\"－\",I407)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I408),\"－\",I408)","v":"－"}]
[null,"経腸栄養",null,"投与ルート",null,null,null,null,false,"不明",false,"経鼻",false,"胃瘻",false,"腸瘻",false,"その他",null,null,null,null,null,null,null,null,null,null,null,"追加水分量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I409),\"－\",I409)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I410),\"－\",I410)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I411),\"－\",I411)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I412),\"－\",I412)","v":"－"}]
[null,null,null,"栄養剤",null,null,null,null,"－"]
[null,null,null,"投与量",null,"朝"]
[null,null,null,null,null,"昼"]
[null,null,null,null,null,"夕"]
[null,null,null,null,null,"眠前"]
[null,null,null,"追加水分量",null,"朝"]
[null,null,null,null,null,"昼"]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護経過",{"$f":"IF(ISBLANK(I413),\"－\",I413)","v":"－"}]
[null,null,null,null,null,"眠前"]
[null,"看護経過"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"残された看護上の問題",{"$f":"IF(ISBLANK(I451),\"－\",I451)","v":"－"}]
[]
[null,"残された看護上の問題"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)：看護【印刷】"]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当看護師"]
[null,"看護管理者"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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[]
[]
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[null,"生活期(在宅)：看護情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(在宅)：看護情報【印刷用紙】"]
[]
[null,"６ヶ月経過時入力",null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"生(施)：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護情報提供書（生活期／在宅）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I504),\"－\",I504)","v":"－"}]
[null,"普段の血圧値（収縮期血圧）"]
[null,"意識障害",null,"JCS"]
[null,"基本的ADL",null,"食事",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE514),\"－\",AE514)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!CM20),\"－\",計画書!CM20)","v":"－"}]
[null,null,null,null,null,"義歯",null,null,false,"不明",false,"無",false,"有"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"担当看護師",null,{"$f":"IF(ISBLANK(I615),\"－\",I615)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護管理者　　",null,{"$f":"IF(ISBLANK(I616),\"－\",I616)","v":"－"}]
[null,null,null,"清潔",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!CM23),\"－\",計画書!CM23)","v":"－"}]
[null,null,null,null,null,"方法",null,null,false,"不明",false,"一般浴",false,"シャワー浴",false,"介助浴",false,"機械浴",false,"清拭"]
[null,null,null,null,null,"最終日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM514,AK504,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"排泄",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"普段の血圧値（収縮期血圧）",null,null,{"$f":"IF(ISBLANK(I505),\"－\",I505)","v":"－"},{"$f":"IF(ISBLANK(J505),\"－\",J505)","v":"－"}]
[null,null,null,null,null,"排泄方法",null,null,false,"不明",false,"トイレ",false,"ポータブルトイレ",false,"おむつ",false,"尿留置カテーテル",null,null,null,null,null,null,null,null,null,null,"意識障害",null,"JCS",{"$f":"IF(ISBLANK(I506),\"－\",I506)","v":"－"}]
[null,null,null,null,null,"排尿回数/日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"基本的ADL","食事",null,{"$f":"IF(I507=TRUE,J507&\" \",\"\")&IF(K507=TRUE,L507&\" \",\"\")&IF(M507=TRUE,N507&\" \",\"\")& IF(O507=TRUE,P507&\" \",\"\")","v":""},"補給ルート",null,{"$f":"IF(栄養!I366=TRUE,栄養!J366&\" \",\"\")&IF(栄養!K366=TRUE,栄養!L366&\" \",\"\")&IF(栄養!M366=TRUE,栄養!N366&\" \",\"\")& IF(栄養!O366=TRUE,栄養!P366&\" \",\"\") & IF(栄養!Q366=TRUE,栄養!R366&\" \",\"\") & IF(栄養!S366=TRUE,栄養!T366&\" \",\"\") & IF(栄養!U366=TRUE,栄養!V366&\" \",\"\")","v":""},null,"義歯",null,{"$f":"IF(I508=TRUE,J508&\" \",\"\")&IF(K508=TRUE,L508&\" \",\"\")&IF(M508=TRUE,N508&\" \",\"\")","v":""}]
[null,null,null,null,null,"排便回数/週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I509),\"－\",I509)","v":"－"}]
[null,null,null,null,null,"最終排便日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,"便秘時対策",null,null,false,"不明",false,"無",false,"有",false,"下剤",false,"座薬",false,"浣腸",null,null,null,null,null,null,null,null,null,"清潔",null,{"$f":"IF(I511=TRUE,J511&\" \",\"\")&IF(K511=TRUE,L511&\" \",\"\")&IF(M511=TRUE,N511&\" \",\"\")& IF(O511=TRUE,P511&\" \",\"\")","v":""},"方法",null,{"$f":"IF(I512=TRUE,J512&\" \",\"\")&IF(K512=TRUE,L512&\" \",\"\")&IF(M512=TRUE,N512&\" \",\"\")& IF(O512=TRUE,P512&\" \",\"\") & IF(Q512=TRUE,R512&\" \",\"\") & IF(S512=TRUE,T512&\" \",\"\")","v":""},null,"最終日",null,{"$f":"IF(ISBLANK(I513),\"－\",I513)","v":"－"}]
[null,null,null,null,null,"カテーテル",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I514),\"－\",I514)","v":"－"}]
[null,null,null,null,null,"最終交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,"固定水",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄",null,{"$f":"IF(I516=TRUE,J516&\" \",\"\")&IF(K516=TRUE,L516&\" \",\"\")&IF(M516=TRUE,N516&\" \",\"\")& IF(O516=TRUE,P516&\" \",\"\")","v":""},"排尿回数",null,{"$f":"IF(ISBLANK(I518),\"－\",I518)","v":"－"},"/日","排便回数",null,{"$f":"IF(ISBLANK(I519),\"－\",I519)","v":"－"},"/週"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",{"$f":"IF(I517=TRUE,J517&\" \",\"\")&IF(K517=TRUE,L517&\" \",\"\")&IF(M517=TRUE,N517&\" \",\"\")& IF(O517=TRUE,P517&\" \",\"\") & IF(Q517=TRUE,R517&\" \",\"\")","v":""},"最終排便日",null,{"$f":"IF(ISBLANK(I520),\"－\",I520)","v":"－"},null,"便秘時対策",null,{"$f":"IF(I521=TRUE,J521&\" \",\"\")&IF(K521=TRUE,L521&\" \",\"\")&IF(M521=TRUE,N521&\" \",\"\")& IF(O521=TRUE,P521&\" \",\"\") & IF(Q521=TRUE,R521&\" \",\"\")& IF(S521=TRUE,T521&\" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"カテーテル",{"$f":"IF(ISBLANK(I522),\"－\",I522)","v":"－"},"最終交換日",null,{"$f":"IF(ISBLANK(I523),\"－\",I523)","v":"－"},null,"固定水（ｍｌ）",null,{"$f":"IF(ISBLANK(I524),\"－\",I524)","v":"－"}]
[null,null,null,"移動",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I525),\"－\",I525)","v":"－"}]
[null,null,null,null,null,"移動手段",null,null,false,"不明",false,"自立歩行",false,"見守り",false,"手引き",false,"杖",false,"歩行器",false,"シルバーカー",null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,null,null,null,null,null,null,null,false,"車椅子",false,"ストレッチャー",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,{"$f":"IF(I527=TRUE,J527&\" \",\"\")&IF(K527=TRUE,L527&\" \",\"\")&IF(M527=TRUE,N527&\" \",\"\")& IF(O527=TRUE,P527&\" \",\"\")","v":""},"移動手段",null,{"$f":"IF(I528=TRUE,J528&\" \",\"\")&IF(K528=TRUE,L528&\" \",\"\") & IF(M528=TRUE,N528&\" \",\"\")& IF(O528=TRUE,P528&\" \",\"\") & IF(Q528=TRUE,R528&\" \",\"\") & IF(S528=TRUE,T528&\" \",\"\") & IF(U528=TRUE,V528&\" \",\"\")  &IF(K529=TRUE,L529&\" \",\"\") & IF(M529 =TRUE,N529 &\" \",\"\")& IF(O529=TRUE,P529 &\" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I530),\"－\",I530)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント"]
[null,null,null,"更衣",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,{"$f":"IF(I532=TRUE,J532&\" \",\"\")&IF(K532=TRUE,L532&\" \",\"\")&IF(M532=TRUE,N532&\" \",\"\")&IF(O532=TRUE,P532&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(R532),\"－\",R532)","v":"－"}]
[null,null,null,"整容",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,{"$f":"IF(I533=TRUE,J533&\" \",\"\")&IF(K533=TRUE,L533&\" \",\"\")&IF(M533=TRUE,N533&\" \",\"\") &IF(O533=TRUE,P533&\" \",\"\")","v":""},"－"]
[null,"IADL",null,"服薬管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,{"$f":"IF(I534=TRUE,J534&\" \",\"\")&IF(K534=TRUE,L534&\" \",\"\")&IF(M534=TRUE,N534&\" \",\"\")& IF(O534=TRUE,P534&\" \",\"\")","v":""},"－"]
[null,null,null,"食事準備",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,{"$f":"IF(I535=TRUE,J535&\" \",\"\")&IF(K535=TRUE,L535&\" \",\"\")&IF(M535=TRUE,N535&\" \",\"\")& IF(O535=TRUE,P535&\" \",\"\")","v":""},"－"]
[null,null,null,"水分摂取",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"水分摂取",null,{"$f":"IF(I536=TRUE,J536&\" \",\"\")&IF(K536=TRUE,L536&\" \",\"\")&IF(M536=TRUE,N536&\" \",\"\")& IF(O536=TRUE,P536&\" \",\"\")","v":""},"－"]
[null,null,null,"財産管理",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,{"$f":"IF(I537=TRUE,J537&\" \",\"\")&IF(K537=TRUE,L537&\" \",\"\")&IF(M537=TRUE,N537&\" \",\"\")& IF(O537=TRUE,P537&\" \",\"\")","v":""},"－"]
[null,"日常生活",null,"障害高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日常生活自立度",null,"障害高齢者",{"$f":"IF(ISBLANK(I538),\"－\",I538)","v":"－"}]
[null,"自立度",null,"認知症高齢者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症高齢者",{"$f":"IF(ISBLANK(I539),\"－\",I539)","v":"－"}]
[null,"コミュニケーション障害",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション障害",null,null,{"$f":"IF(I540=TRUE,J540&\" \",\"\")&IF(K540=TRUE,L540&\" \",\"\")&IF(M540=TRUE,N540&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P540),\"－\",P540)","v":"－"}]
[null,"転倒歴",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"転倒歴",null,null,{"$f":"IF(I541=TRUE,J541&\" \",\"\")&IF(K541=TRUE,L541&\" \",\"\")&IF(M541=TRUE,N541&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P541),\"－\",P541)","v":"－"}]
[null,"問題となった行動",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"問題行動",null,null,{"$f":"IF(I542=TRUE,J542&\" \",\"\")&IF(K542=TRUE,L542&\" \",\"\")&IF(M542=TRUE,N542&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P542),\"－\",P542)","v":"－"}]
[null,"監視・抑制",null,null,null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"監視・抑制",null,null,{"$f":"IF(I543=TRUE,J543&\" \",\"\")&IF(K543=TRUE,L543&\" \",\"\")&IF(M543=TRUE,N543&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P543),\"－\",P543)","v":"－"}]
[null,"夜間の状態",null,null,null,null,null,null,false,"不明",false,"良眠",false,"不眠","詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,"夜間の状態",null,null,{"$f":"IF(I544=TRUE,J544&\" \",\"\")&IF(K544=TRUE,L544&\" \",\"\")&IF(M544=TRUE,N544&\" \",\"\")","v":""},{"$f":"IF(ISBLANK(P544),\"－\",P544)","v":"－"}]
[null,"医療処置",null,"カニューレ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療処置","カニューレ（Fr）",null,{"$f":"IF(ISBLANK(I545),\"－\",I545)","v":"－"},"カフの有無",null,{"$f":"IF(I546=TRUE,J546&\" \",\"\")&IF(K546=TRUE,L546&\" \",\"\")&IF(M546=TRUE,N546&\" \",\"\")","v":""},null,"最終交換日",null,{"$f":"IF(ISBLANK(I547),\"－\",I547)","v":"－"}]
[null,null,null,null,null,"カフの有無",null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"褥瘡",null,{"$f":"IF(I548=TRUE,J548&\" \",\"\")&IF(K548=TRUE,L548&\" \",\"\")&IF(M548=TRUE,N548&\" \",\"\")","v":""},"処置等",null,{"$f":"IF(ISBLANK(I549),\"－\",I549)","v":"－"}]
[null,null,null,null,null,"最終交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注射や処置内容",null,{"$f":"IF(ISBLANK(I550),\"－\",I550)","v":"－"}]
[null,null,null,"褥瘡",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"等の処置"]
[null,null,null,null,null,"処置等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他"]
[null,null,null,"注射や処置内容等の処置・その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経管栄養","投与ルート",null,{"$f":"IF(I553=TRUE,J553&\" \",\"\")&IF(K553=TRUE,L553&\" \",\"\")&IF(M553=TRUE,N553&\" \",\"\") & IF(O553=TRUE,P553&\" \",\"\")& IF(Q553=TRUE,R553&\" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養剤",null,{"$f":"IF(ISBLANK(I554),\"－\",I554)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"投与量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I555),\"－\",I555)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I556),\"－\",I556)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I557),\"－\",I557)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I558),\"－\",I558)","v":"－"}]
[null,"経腸栄養",null,"投与ルート",null,null,null,null,false,"不明",false,"経鼻",false,"胃瘻",false,"腸瘻",false,"その他",null,null,null,null,null,null,null,null,null,null,null,"追加水分量",null,"朝（ｍｌ）",{"$f":"IF(ISBLANK(I559),\"－\",I559)","v":"－"},"昼（ｍｌ）",{"$f":"IF(ISBLANK(I560),\"－\",I560)","v":"－"},"夕（ｍｌ）",{"$f":"IF(ISBLANK(I561),\"－\",I561)","v":"－"},"眠前（ｍｌ）",null,{"$f":"IF(ISBLANK(I562),\"－\",I562)","v":"－"}]
[null,null,null,"栄養剤",null,null,null,null,"－"]
[null,null,null,"投与量",null,"朝"]
[null,null,null,null,null,"昼"]
[null,null,null,null,null,"夕"]
[null,null,null,null,null,"眠前"]
[null,null,null,"追加水分量",null,"朝"]
[null,null,null,null,null,"昼"]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護経過",{"$f":"IF(ISBLANK(I563),\"－\",I563)","v":"－"}]
[null,null,null,null,null,"眠前"]
[null,"看護経過"]
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[]
[]
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[]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"残された看護上の問題",{"$f":"IF(ISBLANK(I601),\"－\",I601)","v":"－"}]
[]
[null,"残された看護上の問題"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)：看護【印刷】"]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当看護師"]
[null,"看護管理者"]

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[]
[]
["(リハビリ)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(リハビリ)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図",null,null,null,null,null,null,null,null,null,null,null,null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書",null,null,null,null,null,null,null,null,null,null,null,null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携",null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：リハビリテーション情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期：リハビリテーション情報【印刷用紙】"]
[]
[null,"開始時入力"]
[null,"開始日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"リハビリテーション情報提供書（急性期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I66),\"－\",I66)","v":"－"},null,null,null,null,"急性期【印刷】"]
[null,"到達目標ステージ"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"}]
[null,null,null,null,null,"右上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE24),\"－\",AE24)","v":"－"},null,null,null,"氏"]
[null,null,null,null,null,"右手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",null,{"$f":"IF(ISBLANK(I135),\"－\",I135)","v":"－"}]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"作業療法士",null,{"$f":"IF(ISBLANK(I144),\"－\",I144)","v":"－"}]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",null,{"$f":"IF(ISBLANK(I153),\"－\",I153)","v":"－"}]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"}]
[null,null,null,null,null,"左下肢"]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM24,AK14,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ステージ",null,null,null,"到達目標ステージ",null,{"$f":"IF(ISBLANK(I15),\"－\",I15)","v":"－"},null,"判定ステージ",null,{"$f":"IF(ISBLANK(I67),\"－\",I67)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"次のステージへの\n阻害因子",null,null,{"$f":"IF(K67=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺",null,{"$f":"IF(M67=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害",null,{"$f":"IF(P67=TRUE,\"■\",\"□\")","v":"□"},"認知症"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(R67=TRUE,\"■\",\"□\")","v":"□"},"既往歴",null,{"$f":"IF(T67=TRUE,\"■\",\"□\")","v":"□"},"環境因子",null,{"$f":"IF(V67=TRUE,\"■\",\"□\")","v":"□"},"その他"]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心身機能概況（開始時）",null,null,null,{"$f":"IF(ISBLANK(I14),\"－\",I14)","v":"－"},null,"心身機能概況（退院時）",null,null,null,{"$f":"IF(ISBLANK(I66),\"－\",I66)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I16=TRUE,\"□\",\"\")  & IF(K16=TRUE,\"■\",\"\")","v":""},"中枢性麻痺",null,null,null,null,{"$f":"IF(I68=TRUE,\"□\",\"\")  & IF(K68=TRUE,\"■\",\"\")","v":""},"中枢性麻痺"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",{"$f":"IF(ISBLANK(I17),\"－\",I17)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I20),\"－\",I20)","v":"－"},null,null,"右上肢",{"$f":"IF(ISBLANK(I69),\"－\",I69)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I72),\"－\",I72)","v":"－"}]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右手指",{"$f":"IF(ISBLANK(I18),\"－\",I18)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I21),\"－\",I21)","v":"－"},null,null,"右手指",{"$f":"IF(ISBLANK(I70),\"－\",I70)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I73),\"－\",I73)","v":"－"}]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,"右下肢",{"$f":"IF(ISBLANK(I19),\"－\",I19)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I22),\"－\",I22)","v":"－"},null,null,"右下肢",{"$f":"IF(ISBLANK(I71),\"－\",I71)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I74),\"－\",I74)","v":"－"}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I23=TRUE,\"□\",\"\")  & IF(K23=TRUE,\"■\",\"\")","v":""},"失調",null,null,null,null,{"$f":"IF(I75=TRUE,\"□\",\"\")  & IF(K75=TRUE,\"■\",\"\")","v":""},"失調"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I24),\"－\",I24)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I76),\"－\",I76)","v":"－"}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,{"$f":"IF(I26=TRUE,\"□\",\"\")  & IF(K26=TRUE,\"■\",\"\")","v":""},"感覚障害",null,null,null,null,{"$f":"IF(I78=TRUE,\"□\",\"\")  & IF(K78=TRUE,\"■\",\"\")","v":""},"感覚障害"]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I27),\"－\",I27)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I79),\"－\",I79)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I29=TRUE,\"□\",\"\")  & IF(K29=TRUE,\"■\",\"\")","v":""},"筋力低下",null,null,null,null,{"$f":"IF(I81=TRUE,\"□\",\"\")  & IF(K81=TRUE,\"■\",\"\")","v":""},"筋力低下"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I30),\"－\",I30)","v":"－"},null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I82),\"－\",I82)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I32=TRUE,\"□\",\"\")  & IF(K32=TRUE,\"■\",\"\")","v":""},"高次脳機能障害",null,null,null,null,{"$f":"IF(I84=TRUE,\"□\",\"\")  & IF(K84=TRUE,\"■\",\"\")","v":""},"高次脳機能障害"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I33=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K33=TRUE,\"■\",\"□\")","v":"□"},"失認",null,null,{"$f":"IF(I85=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K85=TRUE,\"■\",\"□\")","v":"□"},"失認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(M33=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O33=TRUE,\"■\",\"□\")","v":"□"},"注意",null,null,{"$f":"IF(M85=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O85=TRUE,\"■\",\"□\")","v":"□"},"注意"]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q33=TRUE,\"■\",\"□\")","v":"□"},"記憶",null,null,null,null,{"$f":"IF(Q85=TRUE,\"■\",\"□\")","v":"□"},"記憶"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I34),\"－\",I34)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I86),\"－\",I86)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,"認知症に対する",null,"HDS-R（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I36=TRUE,\"□\",\"\")  & IF(K36=TRUE,\"■\",\"\")","v":""},"構音障害",null,null,null,null,{"$f":"IF(I88=TRUE,\"□\",\"\")  & IF(K88=TRUE,\"■\",\"\")","v":""},"構音障害"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",{"$f":"IF(I37=TRUE,J37& \" \",\"\")  & IF(K37=TRUE,L37 & \" \",\"\") & IF(N37=TRUE,O37 & \" \",\"\")  & IF(Q37=TRUE,R37 & \" \",\"\") & IF(T37=TRUE,U37 & \" \",\"\")","v":""},null,null,null,null,"会話明瞭度",{"$f":"IF(I89=TRUE,J89& \" \",\"\")  & IF(K89=TRUE,L89 & \" \",\"\") & IF(N89=TRUE,O89 & \" \",\"\")  & IF(Q89=TRUE,R89 & \" \",\"\") & IF(T89=TRUE,U89 & \" \",\"\")","v":""}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I38),\"－\",I38)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I90),\"－\",I90)","v":"－"}]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I40=TRUE,\"□\",\"\")  & IF(K40=TRUE,\"■\",\"\")","v":""},"摂食機能障害",null,null,null,null,{"$f":"IF(I92=TRUE,\"□\",\"\")  & IF(K92=TRUE,\"■\",\"\")","v":""},"摂食機能障害"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I41),\"－\",I41)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I93),\"－\",I93)","v":"－"}]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I43=TRUE,\"□\",\"\")  & IF(K43=TRUE,\"■\",\"\")","v":""},"可動域制限",null,null,null,null,{"$f":"IF(I95=TRUE,\"□\",\"\")  & IF(K95=TRUE,\"■\",\"\")","v":""},"可動域制限"]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I44),\"－\",I44)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I96),\"－\",I96)","v":"－"}]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I46=TRUE,\"□\",\"\")  & IF(K46=TRUE,\"■\",\"\")","v":""},"疼痛",null,null,null,null,{"$f":"IF(I98=TRUE,\"□\",\"\")  & IF(K98=TRUE,\"■\",\"\")","v":""},"疼痛"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I47),\"－\",I47)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I99),\"－\",I99)","v":"－"}]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"HDS-R（点）",null,{"$f":"I49","v":0},"／30点",null,null,"HDS-R（点）",null,{"$f":"I101","v":0},"／30点"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"SUM(AG93)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MMSE（点）",null,{"$f":"I50","v":0},"／30点",null,null,"MMSE（点）",null,{"$f":"I102","v":0},"／30点",null,null,"急性期【印刷】"]
[null,"退院時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：開始時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"入力日"]
[null,"判定ステージ",null,null,null,null,null,null,null,null,false,"運動麻痺 ",false,"高次脳機能障害 ",null,false,"認知症",false," 既往歴",false,"環境因子",false,"その他"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"右上肢"]
[null,null,null,null,null,"右手指"]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＩＭ",null,null,null,null,null,"基本動作"]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"開始時","退院時",null,null,"開始時",null,"退院時"]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"セルフケア",null,"食事",null,null,null,"寝返り",null,{"$f":"IF(I51=TRUE,J51& \" \",\"\")  & IF(K51=TRUE,L51 & \" \",\"\") & IF(M51=TRUE,N51 & \" \",\"\")  & IF(O51=TRUE,P51 & \" \",\"\")","v":""},null,{"$f":"IF(I103=TRUE,J103& \" \",\"\")  & IF(K103=TRUE,L103 & \" \",\"\") & IF(M103=TRUE,N103 & \" \",\"\")  & IF(O103=TRUE,P103 & \" \",\"\")","v":""}]
[null,null,null,null,null,"左下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,null,"起き上がり",null,{"$f":"IF(I52=TRUE,J52& \" \",\"\")  & IF(K52=TRUE,L52 & \" \",\"\") & IF(M52=TRUE,N52 & \" \",\"\")  & IF(O52=TRUE,P52 & \" \",\"\")","v":""},null,{"$f":"IF(I104=TRUE,J104& \" \",\"\")  & IF(K104=TRUE,L104 & \" \",\"\") & IF(M104=TRUE,N104 & \" \",\"\")  & IF(O104=TRUE,P104 & \" \",\"\")","v":""}]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清拭",null,null,null,"座位保持",null,{"$f":"IF(I53=TRUE,J53& \" \",\"\")  & IF(K53=TRUE,L53 & \" \",\"\") & IF(M53=TRUE,N53 & \" \",\"\")  & IF(O53=TRUE,P53 & \" \",\"\")","v":""},null,{"$f":"IF(I105=TRUE,J105& \" \",\"\")  & IF(K105=TRUE,L105 & \" \",\"\") & IF(M105=TRUE,N105 & \" \",\"\")  & IF(O105=TRUE,P105 & \" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の上半身",null,null,null,"立ち上がり",null,{"$f":"IF(I54=TRUE,J54& \" \",\"\")  & IF(K54=TRUE,L54 & \" \",\"\") & IF(M54=TRUE,N54 & \" \",\"\")  & IF(O54=TRUE,P54 & \" \",\"\")","v":""},null,{"$f":"IF(I106=TRUE,J106& \" \",\"\")  & IF(K106=TRUE,L106 & \" \",\"\") & IF(M106=TRUE,N106 & \" \",\"\")  & IF(O106=TRUE,P106 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,null,"立位保持",null,{"$f":"IF(I55=TRUE,J55& \" \",\"\")  & IF(K55=TRUE,L55 & \" \",\"\") & IF(M55=TRUE,N55 & \" \",\"\")  & IF(O55=TRUE,P55 & \" \",\"\")","v":""},null,{"$f":"IF(I107=TRUE,J107& \" \",\"\")  & IF(K107=TRUE,L107 & \" \",\"\") & IF(M107=TRUE,N107 & \" \",\"\")  & IF(O107=TRUE,P107 & \" \",\"\")","v":""}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ動作",null,null,null,"移動形態"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄コントロール",null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,null,null,"開始時",null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,"歩行",null,{"$f":"IF(I56=TRUE,J56& \" \",\"\")  & IF(K56=TRUE,L56 & \" \",\"\") & IF(M56=TRUE,N56 & \" \",\"\")  & IF(O56=TRUE,P56 & \" \",\"\")","v":""},null,{"$f":"IF(I108=TRUE,J108& \" \",\"\")  & IF(K108=TRUE,L108 & \" \",\"\") & IF(M108=TRUE,N108 & \" \",\"\")  & IF(O108=TRUE,P108 & \" \",\"\")","v":""}]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,"ベット・椅子・車椅子の移乗",null,null,null,null,null,{"$f":"IF(I57=TRUE,J57& \" \",\"\")  & IF(K57=TRUE,L57 & \" \",\"\") & IF(M57=TRUE,N57 & \" \",\"\")","v":""},"つかまり",{"$f":"IF(I109=TRUE,J109& \" \",\"\")  & IF(K109=TRUE,L109 & \" \",\"\") & IF(M109=TRUE,N109 & \" \",\"\")","v":""},"つかまり"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ移乗",null,null,null,null,null,{"$f":"IF(I58=TRUE,J58& \" \",\"\")  & IF(K58=TRUE,L58 & \" \",\"\") & IF(M58=TRUE,N58 & \" \",\"\")","v":""},"歩行器等",{"$f":"IF(I110=TRUE,J110& \" \",\"\")  & IF(K110=TRUE,L110 & \" \",\"\") & IF(M110=TRUE,N110 & \" \",\"\")","v":""},"歩行器等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,null,null,null,{"$f":"IF(I59=TRUE,J59& \" \",\"\")  & IF(K59=TRUE,L59 & \" \",\"\") & IF(M59=TRUE,N59 & \" \",\"\")","v":""},"杖等",{"$f":"IF(I111=TRUE,J111& \" \",\"\")  & IF(K111=TRUE,L111 & \" \",\"\") & IF(M111=TRUE,N111 & \" \",\"\")","v":""},"杖等"]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,"歩行・車椅子",null,null,null,null,null,{"$f":"IF(I60=TRUE,J60& \" \",\"\")  & IF(K60=TRUE,L60 & \" \",\"\") & IF(M60=TRUE,N60 & \" \",\"\")","v":""},"杖なし",{"$f":"IF(I112=TRUE,J112& \" \",\"\")  & IF(K112=TRUE,L112 & \" \",\"\") & IF(M112=TRUE,N112 & \" \",\"\")","v":""},"杖なし"]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,null,"階段",null,null,null,"車椅子",null,{"$f":"IF(I61=TRUE,J61& \" \",\"\")  & IF(K61=TRUE,L61 & \" \",\"\") & IF(M61=TRUE,N61 & \" \",\"\")","v":""},null,{"$f":"IF(I113=TRUE,J113& \" \",\"\")  & IF(K113=TRUE,L113 & \" \",\"\") & IF(M113=TRUE,N113 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,"理解",null,null,null,"駆動",null,{"$f":"IF(I62=TRUE,J62& \" \",\"\")  & IF(K62=TRUE,L62 & \" \",\"\") & IF(M62=TRUE,N62 & \" \",\"\") & IF(O62=TRUE,P62 & \" \",\"\")","v":""},null,{"$f":"IF(I114=TRUE,J114& \" \",\"\")  & IF(K114=TRUE,L114 & \" \",\"\") & IF(M114=TRUE,N114 & \" \",\"\") & IF(O114=TRUE,P114 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"表出",null,null,null,"移乗",null,{"$f":"IF(I63=TRUE,J63& \" \",\"\")  & IF(K63=TRUE,L63 & \" \",\"\") & IF(M63=TRUE,N63 & \" \",\"\") & IF(O63=TRUE,P63 & \" \",\"\")","v":""},null,{"$f":"IF(I115=TRUE,J115& \" \",\"\")  & IF(K115=TRUE,L115 & \" \",\"\") & IF(M115=TRUE,N115 & \" \",\"\") & IF(O115=TRUE,P115 & \" \",\"\")","v":""}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,"社会的交流",null,null,null,"住環境"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,null,null,"問題解決",null,null,null,"住宅改修の必要性",null,{"$f":"IF(I117=TRUE,J117& \" \",\"\")  & IF(K117=TRUE,L117 & \" \",\"\") & IF(M117=TRUE,N117 & \" \",\"\")","v":""},"改修状況",null,{"$f":"IF(I118=TRUE,J118& \" \",\"\")  & IF(K118=TRUE,L118 & \" \",\"\") & IF(M118=TRUE,N118 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,null,"改修済または\n必要箇所",null,{"$f":"IF(ISBLANK(I119),\"－\",I119)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（13～91点）",null,null,null,{"$f":"SUM($AG$73:$AG$85)","v":0},{"$f":"SUM($AH$73:$AH$85)","v":0}]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（5～35点）",null,null,null,{"$f":"SUM($AG$86:$AG$90)","v":0},{"$f":"SUM($AH$86:$AH$90)","v":0}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（18～126点）",null,null,null,{"$f":"AG91+AG92","v":0},{"$f":"AH91+AH92","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉用具",null,{"$f":"IF(I123=TRUE,J123& \" \",\"\")  & IF(K123=TRUE,L123 & \" \",\"\") & IF(M123=TRUE,N123 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P123),\"－\",P123)","v":"－"},null,null,"装具",null,{"$f":"IF(I125=TRUE,J125 & \" \",\"\")  & IF(K125=TRUE,L125 & \" \",\"\") & IF(M125=TRUE,N125 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P125),\"－\",P125)","v":"－"}]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I124=TRUE,J124& \" \",\"\")  & IF(K124=TRUE,L124 & \" \",\"\") & IF(M124=TRUE,N124 & \" \",\"\")","v":""},null,null,null,null,null,{"$f":"IF(I126=TRUE,J126 & \" \",\"\")  & IF(K126=TRUE,L126 & \" \",\"\") & IF(M126=TRUE,N126 & \" \",\"\")","v":""}]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",{"$f":"IF(ISBLANK(I127),\"－\",I127)","v":"－"}]
[]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"部位・詳細・コメント"]
[]
[null,"認知症に対する",null,"HDS-R（点）"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業療法士",{"$f":"IF(ISBLANK(I136),\"－\",I136)","v":"－"}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",{"$f":"IF(ISBLANK(I145),\"－\",I145)","v":"－"}]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能"]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"共通コメント",{"$f":"IF(ISBLANK(I154),\"－\",I154)","v":"－"}]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"AH93","v":0}]
[null,"住環境",null,"住宅改修の必要性",null,null,null,null,false,"不明",false,"有",false,"無"]
[null,null,null,null,null,"改修状況",null,null,false,"不明",false,"改修済",false,"未改修"]
[null,null,null,null,null,"改修済または必要箇所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[]
[null,null,null,"福祉用具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"介護保険",false,"身体障害者手帳"]
[null,null,null,"装具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"医療保険",false,"身体障害者手帳"]
[null,"理学療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"作業療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"言語聴覚療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"共通コメント"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"回復期：リハビリテーション情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：リハビリテーション情報【印刷用紙】"]
[]
[null,"開始時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"開始日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"リハビリテーション情報提供書（回復期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I256),\"－\",I256)","v":"－"},null,null,null,null,"回復期【印刷】"]
[null,"到達目標ステージ"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"}]
[null,null,null,null,null,"右上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE214),\"－\",AE214)","v":"－"},null,null,null,"氏"]
[null,null,null,null,null,"右手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",null,{"$f":"IF(ISBLANK(I325),\"－\",I325)","v":"－"}]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"作業療法士",null,{"$f":"IF(ISBLANK(I334),\"－\",I334)","v":"－"}]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",null,{"$f":"IF(ISBLANK(I343),\"－\",I343)","v":"－"}]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"}]
[null,null,null,null,null,"左下肢"]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM214,AK204,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ステージ",null,null,null,"到達目標ステージ",null,{"$f":"IF(ISBLANK(I205),\"－\",I205)","v":"－"},null,"判定ステージ",null,{"$f":"IF(ISBLANK(I257),\"－\",I257)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"次のステージへの\n阻害因子",null,null,{"$f":"IF(K257=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺",null,{"$f":"IF(M257=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害",null,{"$f":"IF(P257=TRUE,\"■\",\"□\")","v":"□"},"認知症"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(R257=TRUE,\"■\",\"□\")","v":"□"},"既往歴",null,{"$f":"IF(T257=TRUE,\"■\",\"□\")","v":"□"},"環境因子",null,{"$f":"IF(V257=TRUE,\"■\",\"□\")","v":"□"},"その他"]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心身機能概況（開始時）",null,null,null,{"$f":"IF(ISBLANK(I204),\"－\",I204)","v":"－"},null,"心身機能概況（退院）",null,null,null,{"$f":"IF(ISBLANK(I256),\"－\",I256)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I206=TRUE,\"□\",\"\")  & IF(K206=TRUE,\"■\",\"\")","v":""},"中枢性麻痺",null,null,null,null,{"$f":"IF(I258=TRUE,\"□\",\"\")  & IF(K258=TRUE,\"■\",\"\")","v":""},"中枢性麻痺"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",{"$f":"IF(ISBLANK(I207),\"－\",I207)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I210),\"－\",I210)","v":"－"},null,null,"右上肢",{"$f":"IF(ISBLANK(I259),\"－\",I259)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I262),\"－\",I262)","v":"－"}]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右手指",{"$f":"IF(ISBLANK(I208),\"－\",I208)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I211),\"－\",I211)","v":"－"},null,null,"右手指",{"$f":"IF(ISBLANK(I260),\"－\",I260)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I263),\"－\",I263)","v":"－"}]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,"右下肢",{"$f":"IF(ISBLANK(I209),\"－\",I209)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I212),\"－\",I212)","v":"－"},null,null,"右下肢",{"$f":"IF(ISBLANK(I261),\"－\",I261)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I264),\"－\",I264)","v":"－"}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I213=TRUE,\"□\",\"\")  & IF(K213=TRUE,\"■\",\"\")","v":""},"失調",null,null,null,null,{"$f":"IF(I265=TRUE,\"□\",\"\")  & IF(K265=TRUE,\"■\",\"\")","v":""},"失調"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I214),\"－\",I214)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I266),\"－\",I266)","v":"－"}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,{"$f":"IF(I216=TRUE,\"□\",\"\")  & IF(K216=TRUE,\"■\",\"\")","v":""},"感覚障害",null,null,null,null,{"$f":"IF(I268=TRUE,\"□\",\"\")  & IF(K268=TRUE,\"■\",\"\")","v":""},"感覚障害"]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I217),\"－\",I217)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I269),\"－\",I269)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I219=TRUE,\"□\",\"\")  & IF(K219=TRUE,\"■\",\"\")","v":""},"筋力低下",null,null,null,null,{"$f":"IF(I271=TRUE,\"□\",\"\")  & IF(K271=TRUE,\"■\",\"\")","v":""},"筋力低下"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I220),\"－\",I220)","v":"－"},null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I272),\"－\",I272)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I222=TRUE,\"□\",\"\")  & IF(K222=TRUE,\"■\",\"\")","v":""},"高次脳機能障害",null,null,null,null,{"$f":"IF(I274=TRUE,\"□\",\"\")  & IF(K274=TRUE,\"■\",\"\")","v":""},"高次脳機能障害"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I223=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K223=TRUE,\"■\",\"□\")","v":"□"},"失認",null,null,{"$f":"IF(I275=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K275=TRUE,\"■\",\"□\")","v":"□"},"失認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(M223=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O223=TRUE,\"■\",\"□\")","v":"□"},"注意",null,null,{"$f":"IF(M275=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O275=TRUE,\"■\",\"□\")","v":"□"},"注意"]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q223=TRUE,\"■\",\"□\")","v":"□"},"記憶",null,null,null,null,{"$f":"IF(Q275=TRUE,\"■\",\"□\")","v":"□"},"記憶"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I224),\"－\",I224)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I276),\"－\",I276)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,"認知症に対する",null,"HDS-R（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I226=TRUE,\"□\",\"\")  & IF(K226=TRUE,\"■\",\"\")","v":""},"構音障害",null,null,null,null,{"$f":"IF(I278=TRUE,\"□\",\"\")  & IF(K278=TRUE,\"■\",\"\")","v":""},"構音障害"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",{"$f":"IF(I227=TRUE,J227& \" \",\"\")  & IF(K227=TRUE,L227 & \" \",\"\") & IF(N227=TRUE,O227 & \" \",\"\")  & IF(Q227=TRUE,R227 & \" \",\"\") & IF(T227=TRUE,U227 & \" \",\"\")","v":""},null,null,null,null,"会話明瞭度",{"$f":"IF(I279=TRUE,J279& \" \",\"\")  & IF(K279=TRUE,L279 & \" \",\"\") & IF(N279=TRUE,O279 & \" \",\"\")  & IF(Q279=TRUE,R279 & \" \",\"\") & IF(T279=TRUE,U279 & \" \",\"\")","v":""}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I228),\"－\",I228)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I280),\"－\",I280)","v":"－"}]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I230=TRUE,\"□\",\"\")  & IF(K230=TRUE,\"■\",\"\")","v":""},"摂食機能障害",null,null,null,null,{"$f":"IF(I282=TRUE,\"□\",\"\")  & IF(K282=TRUE,\"■\",\"\")","v":""},"摂食機能障害"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I231),\"－\",I231)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I283),\"－\",I283)","v":"－"}]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I233=TRUE,\"□\",\"\")  & IF(K233=TRUE,\"■\",\"\")","v":""},"可動域制限",null,null,null,null,{"$f":"IF(I285=TRUE,\"□\",\"\")  & IF(K285=TRUE,\"■\",\"\")","v":""},"可動域制限"]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I234),\"－\",I234)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I286),\"－\",I286)","v":"－"}]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I236=TRUE,\"□\",\"\")  & IF(K236=TRUE,\"■\",\"\")","v":""},"疼痛",null,null,null,null,{"$f":"IF(I288=TRUE,\"□\",\"\")  & IF(K288=TRUE,\"■\",\"\")","v":""},"疼痛"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I237),\"－\",I237)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I289),\"－\",I289)","v":"－"}]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"HDS-R（点）",null,{"$f":"I239","v":0},"／30点",null,null,"HDS-R（点）",null,{"$f":"I291","v":0},"／30点"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"AG283","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MMSE（点）",null,{"$f":"I240","v":0},"／30点",null,null,"MMSE（点）",null,{"$f":"I292","v":0},"／30点",null,null,"回復期【印刷】"]
[null,"退院時入力",null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：開始時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"入力日"]
[null,"判定ステージ",null,null,null,null,null,null,null,null,false,"運動麻痺 ",false,"高次脳機能障害 ",null,false,"認知症",false," 既往歴",false,"環境因子",false,"その他"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"右上肢"]
[null,null,null,null,null,"右手指"]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＩＭ",null,null,null,null,null,"基本動作"]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"開始時","退院時",null,null,"開始時",null,"退院時"]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"セルフケア",null,"食事",null,null,null,"寝返り",null,{"$f":"IF(I241=TRUE,J241& \" \",\"\")  & IF(K241=TRUE,L241 & \" \",\"\") & IF(M241=TRUE,N241 & \" \",\"\")  & IF(O241=TRUE,P241 & \" \",\"\")","v":""},null,{"$f":"IF(I293=TRUE,J293& \" \",\"\")  & IF(K293=TRUE,L293 & \" \",\"\") & IF(M293=TRUE,N293 & \" \",\"\")  & IF(O293=TRUE,P293 & \" \",\"\")","v":""}]
[null,null,null,null,null,"左下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,null,"起き上がり",null,{"$f":"IF(I242=TRUE,J242& \" \",\"\")  & IF(K242=TRUE,L242 & \" \",\"\") & IF(M242=TRUE,N242 & \" \",\"\")  & IF(O242=TRUE,P242 & \" \",\"\")","v":""},null,{"$f":"IF(I294=TRUE,J294& \" \",\"\")  & IF(K294=TRUE,L294 & \" \",\"\") & IF(M294=TRUE,N294 & \" \",\"\")  & IF(O294=TRUE,P294 & \" \",\"\")","v":""}]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清拭",null,null,null,"座位保持",null,{"$f":"IF(I243=TRUE,J243& \" \",\"\")  & IF(K243=TRUE,L243 & \" \",\"\") & IF(M243=TRUE,N243 & \" \",\"\")  & IF(O243=TRUE,P243 & \" \",\"\")","v":""},null,{"$f":"IF(I295=TRUE,J295& \" \",\"\")  & IF(K295=TRUE,L295 & \" \",\"\") & IF(M295=TRUE,N295 & \" \",\"\")  & IF(O295=TRUE,P295 & \" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の上半身",null,null,null,"立ち上がり",null,{"$f":"IF(I244=TRUE,J244& \" \",\"\")  & IF(K244=TRUE,L244 & \" \",\"\") & IF(M244=TRUE,N244 & \" \",\"\")  & IF(O244=TRUE,P244 & \" \",\"\")","v":""},null,{"$f":"IF(I296=TRUE,J296& \" \",\"\")  & IF(K296=TRUE,L296 & \" \",\"\") & IF(M296=TRUE,N296 & \" \",\"\")  & IF(O296=TRUE,P296 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,null,"立位保持",null,{"$f":"IF(I245=TRUE,J245& \" \",\"\")  & IF(K245=TRUE,L245 & \" \",\"\") & IF(M245=TRUE,N245 & \" \",\"\")  & IF(O245=TRUE,P245 & \" \",\"\")","v":""},null,{"$f":"IF(I297=TRUE,J297& \" \",\"\")  & IF(K297=TRUE,L297 & \" \",\"\") & IF(M297=TRUE,N297 & \" \",\"\")  & IF(O297=TRUE,P297 & \" \",\"\")","v":""}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ動作",null,null,null,"移動形態"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄コントロール",null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,null,null,"開始時",null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,"歩行",null,{"$f":"IF(I246=TRUE,J246& \" \",\"\")  & IF(K246=TRUE,L246 & \" \",\"\") & IF(M246=TRUE,N246 & \" \",\"\")  & IF(O246=TRUE,P246 & \" \",\"\")","v":""},null,{"$f":"IF(I298=TRUE,J298& \" \",\"\")  & IF(K298=TRUE,L298 & \" \",\"\") & IF(M298=TRUE,N298 & \" \",\"\")  & IF(O298=TRUE,P298 & \" \",\"\")","v":""}]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,"ベット・椅子・車椅子の移乗",null,null,null,null,null,{"$f":"IF(I247=TRUE,J247& \" \",\"\")  & IF(K247=TRUE,L247 & \" \",\"\") & IF(M247=TRUE,N247 & \" \",\"\")","v":""},"つかまり",{"$f":"IF(I299=TRUE,J299& \" \",\"\")  & IF(K299=TRUE,L299 & \" \",\"\") & IF(M299=TRUE,N299 & \" \",\"\")","v":""},"つかまり"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ移乗",null,null,null,null,null,{"$f":"IF(I248=TRUE,J248& \" \",\"\")  & IF(K248=TRUE,L248 & \" \",\"\") & IF(M248=TRUE,N248 & \" \",\"\")","v":""},"歩行器等",{"$f":"IF(I300=TRUE,J300& \" \",\"\")  & IF(K300=TRUE,L300 & \" \",\"\") & IF(M300=TRUE,N300 & \" \",\"\")","v":""},"歩行器等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,null,null,null,{"$f":"IF(I249=TRUE,J249& \" \",\"\")  & IF(K249=TRUE,L249 & \" \",\"\") & IF(M249=TRUE,N249 & \" \",\"\")","v":""},"杖等",{"$f":"IF(I301=TRUE,J301& \" \",\"\")  & IF(K301=TRUE,L301 & \" \",\"\") & IF(M301=TRUE,N301 & \" \",\"\")","v":""},"杖等"]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,"歩行・車椅子",null,null,null,null,null,{"$f":"IF(I250=TRUE,J250& \" \",\"\")  & IF(K250=TRUE,L250 & \" \",\"\") & IF(M250=TRUE,N250 & \" \",\"\")","v":""},"杖なし",{"$f":"IF(I302=TRUE,J302& \" \",\"\")  & IF(K302=TRUE,L302 & \" \",\"\") & IF(M302=TRUE,N302 & \" \",\"\")","v":""},"杖なし"]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,null,"階段",null,null,null,"車椅子",null,{"$f":"IF(I251=TRUE,J251& \" \",\"\")  & IF(K251=TRUE,L251 & \" \",\"\") & IF(M251=TRUE,N251 & \" \",\"\")","v":""},null,{"$f":"IF(I303=TRUE,J303& \" \",\"\")  & IF(K303=TRUE,L303 & \" \",\"\") & IF(M303=TRUE,N303 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,"理解",null,null,null,"駆動",null,{"$f":"IF(I252=TRUE,J252& \" \",\"\")  & IF(K252=TRUE,L252 & \" \",\"\") & IF(M252=TRUE,N252 & \" \",\"\") & IF(O252=TRUE,P252 & \" \",\"\")","v":""},null,{"$f":"IF(I304=TRUE,J304& \" \",\"\")  & IF(K304=TRUE,L304 & \" \",\"\") & IF(M304=TRUE,N304 & \" \",\"\") & IF(O304=TRUE,P304 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"表出",null,null,null,"移乗",null,{"$f":"IF(I253=TRUE,J253& \" \",\"\")  & IF(K253=TRUE,L253 & \" \",\"\") & IF(M253=TRUE,N253 & \" \",\"\") & IF(O253=TRUE,P253 & \" \",\"\")","v":""},null,{"$f":"IF(I305=TRUE,J305& \" \",\"\")  & IF(K305=TRUE,L305 & \" \",\"\") & IF(M305=TRUE,N305 & \" \",\"\") & IF(O305=TRUE,P305 & \" \",\"\")","v":""}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,"社会的交流",null,null,null,"住環境"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,null,null,"問題解決",null,null,null,"住宅改修の必要性",null,{"$f":"IF(I307=TRUE,J307& \" \",\"\")  & IF(K307=TRUE,L307 & \" \",\"\") & IF(M307=TRUE,N307 & \" \",\"\")","v":""},"改修状況",null,{"$f":"IF(I308=TRUE,J308& \" \",\"\")  & IF(K308=TRUE,L308 & \" \",\"\") & IF(M308=TRUE,N308 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,null,"改修済または\n必要箇所",null,{"$f":"IF(ISBLANK(I309),\"－\",I309)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（13～91点）",null,null,null,{"$f":"SUM($AG$263:$AG$275)","v":0},{"$f":"SUM($AH$263:$AH$275)","v":0}]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（5～35点）",null,null,null,{"$f":"SUM($AG$276:$AG$280)","v":0},{"$f":"SUM($AH$276:$AH$280)","v":0}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（18～126点）",null,null,null,{"$f":"AG281+AG282","v":0},{"$f":"AH281+AH282","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉用具",null,{"$f":"IF(I313=TRUE,J313& \" \",\"\")  & IF(K313=TRUE,L313 & \" \",\"\") & IF(M313=TRUE,N313 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P313),\"－\",P313)","v":"－"},null,null,"装具",null,{"$f":"IF(I315=TRUE,J315 & \" \",\"\")  & IF(K315=TRUE,L315 & \" \",\"\") & IF(M315=TRUE,N315 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P315),\"－\",P315)","v":"－"}]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I314=TRUE,J314& \" \",\"\")  & IF(K314=TRUE,L314 & \" \",\"\") & IF(M314=TRUE,N314 & \" \",\"\")","v":""},null,null,null,null,null,{"$f":"IF(I316=TRUE,J316 & \" \",\"\")  & IF(K316=TRUE,L316 & \" \",\"\") & IF(M316=TRUE,N316 & \" \",\"\")","v":""}]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",{"$f":"IF(ISBLANK(I317),\"－\",I317)","v":"－"}]
[]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"部位・詳細・コメント"]
[]
[null,"認知症に対する",null,"HDS-R（点）"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業療法士",{"$f":"IF(ISBLANK(I326),\"－\",I326)","v":"－"}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",{"$f":"IF(ISBLANK(I335),\"－\",I335)","v":"－"}]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能"]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"共通コメント",{"$f":"IF(ISBLANK(I344),\"－\",I344)","v":"－"}]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"AH283","v":0}]
[null,"住環境",null,"住宅改修の必要性",null,null,null,null,false,"不明",false,"有",false,"無"]
[null,null,null,null,null,"改修状況",null,null,false,"不明",false,"改修済",false,"未改修"]
[null,null,null,null,null,"改修済または必要箇所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[]
[null,null,null,"福祉用具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"介護保険",false,"身体障害者手帳"]
[null,null,null,"装具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"医療保険",false,"身体障害者手帳"]
[null,"理学療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"作業療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"言語聴覚療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"共通コメント"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(施設)：リハビリテーション情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(施設)：リハビリテーション情報【印刷用紙】"]
[]
[null,"開始時入力",null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"開始日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"リハビリテーション情報提供書（生活期／施設）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I446),\"－\",I446)","v":"－"}]
[null,"到達目標ステージ"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"}]
[null,null,null,null,null,"右上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE404),\"－\",AE404)","v":"－"},null,null,null,"氏"]
[null,null,null,null,null,"右手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",null,{"$f":"IF(ISBLANK(I515),\"－\",I515)","v":"－"}]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"作業療法士",null,{"$f":"IF(ISBLANK(I524),\"－\",I524)","v":"－"}]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",null,{"$f":"IF(ISBLANK(I533),\"－\",I533)","v":"－"}]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!BL22),\"－\",計画書!BL22)","v":"－"}]
[null,null,null,null,null,"左下肢"]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM404,AK394,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ステージ",null,null,null,"到達目標ステージ",null,{"$f":"IF(ISBLANK(I395),\"－\",I395)","v":"－"},null,"判定ステージ",null,{"$f":"IF(ISBLANK(I447),\"－\",I447)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"次のステージへの\n阻害因子",null,null,{"$f":"IF(K447=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺",null,{"$f":"IF(M447=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害",null,{"$f":"IF(P447=TRUE,\"■\",\"□\")","v":"□"},"認知症"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(R447=TRUE,\"■\",\"□\")","v":"□"},"既往歴",null,{"$f":"IF(T447=TRUE,\"■\",\"□\")","v":"□"},"環境因子",null,{"$f":"IF(V447=TRUE,\"■\",\"□\")","v":"□"},"その他"]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心身機能概況（開始時）",null,null,null,{"$f":"IF(ISBLANK(I394),\"－\",I394)","v":"－"},null,"心身機能概況（退院時）",null,null,null,{"$f":"IF(ISBLANK(I446),\"－\",I446)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I396=TRUE,\"□\",\"\")  & IF(K396=TRUE,\"■\",\"\")","v":""},"中枢性麻痺",null,null,null,null,{"$f":"IF(I448=TRUE,\"□\",\"\")  & IF(K448=TRUE,\"■\",\"\")","v":""},"中枢性麻痺"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",{"$f":"IF(ISBLANK(I397),\"－\",I397)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I400),\"－\",I400)","v":"－"},null,null,"右上肢",{"$f":"IF(ISBLANK(I449),\"－\",I449)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I452),\"－\",I452)","v":"－"}]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右手指",{"$f":"IF(ISBLANK(I398),\"－\",I398)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I401),\"－\",I401)","v":"－"},null,null,"右手指",{"$f":"IF(ISBLANK(I450),\"－\",I450)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I453),\"－\",I453)","v":"－"}]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,"右下肢",{"$f":"IF(ISBLANK(I399),\"－\",I399)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I402),\"－\",I402)","v":"－"},null,null,"右下肢",{"$f":"IF(ISBLANK(I451),\"－\",I451)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I454),\"－\",I454)","v":"－"}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I403=TRUE,\"□\",\"\")  & IF(K403=TRUE,\"■\",\"\")","v":""},"失調",null,null,null,null,{"$f":"IF(I455=TRUE,\"□\",\"\")  & IF(K455=TRUE,\"■\",\"\")","v":""},"失調"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I404),\"－\",I404)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I456),\"－\",I456)","v":"－"}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,{"$f":"IF(I406=TRUE,\"□\",\"\")  & IF(K406=TRUE,\"■\",\"\")","v":""},"感覚障害",null,null,null,null,{"$f":"IF(I458=TRUE,\"□\",\"\")  & IF(K458=TRUE,\"■\",\"\")","v":""},"感覚障害"]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I407),\"－\",I407)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I459),\"－\",I459)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I409=TRUE,\"□\",\"\")  & IF(K409=TRUE,\"■\",\"\")","v":""},"筋力低下",null,null,null,null,{"$f":"IF(I461=TRUE,\"□\",\"\")  & IF(K461=TRUE,\"■\",\"\")","v":""},"筋力低下"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I410),\"－\",I410)","v":"－"},null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I462),\"－\",I462)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I412=TRUE,\"□\",\"\")  & IF(K412=TRUE,\"■\",\"\")","v":""},"高次脳機能障害",null,null,null,null,{"$f":"IF(I464=TRUE,\"□\",\"\")  & IF(K464=TRUE,\"■\",\"\")","v":""},"高次脳機能障害"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I413=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K413=TRUE,\"■\",\"□\")","v":"□"},"失認",null,null,{"$f":"IF(I465=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K465=TRUE,\"■\",\"□\")","v":"□"},"失認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(M413=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O413=TRUE,\"■\",\"□\")","v":"□"},"注意",null,null,{"$f":"IF(M465=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O465=TRUE,\"■\",\"□\")","v":"□"},"注意"]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q413=TRUE,\"■\",\"□\")","v":"□"},"記憶",null,null,null,null,{"$f":"IF(Q465=TRUE,\"■\",\"□\")","v":"□"},"記憶"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I414),\"－\",I414)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I466),\"－\",I466)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,"認知症に対する",null,"HDS-R（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I416=TRUE,\"□\",\"\")  & IF(K416=TRUE,\"■\",\"\")","v":""},"構音障害",null,null,null,null,{"$f":"IF(I468=TRUE,\"□\",\"\")  & IF(K468=TRUE,\"■\",\"\")","v":""},"構音障害"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",{"$f":"IF(I417=TRUE,J417& \" \",\"\")  & IF(K417=TRUE,L417 & \" \",\"\") & IF(N417=TRUE,O417 & \" \",\"\")  & IF(Q417=TRUE,R417 & \" \",\"\") & IF(T417=TRUE,U417 & \" \",\"\")","v":""},null,null,null,null,"会話明瞭度",{"$f":"IF(I469=TRUE,J469& \" \",\"\")  & IF(K469=TRUE,L469 & \" \",\"\") & IF(N469=TRUE,O469 & \" \",\"\")  & IF(Q469=TRUE,R469 & \" \",\"\") & IF(T469=TRUE,U469 & \" \",\"\")","v":""}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I418),\"－\",I418)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I470),\"－\",I470)","v":"－"}]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I420=TRUE,\"□\",\"\")  & IF(K420=TRUE,\"■\",\"\")","v":""},"摂食機能障害",null,null,null,null,{"$f":"IF(I472=TRUE,\"□\",\"\")  & IF(K472=TRUE,\"■\",\"\")","v":""},"摂食機能障害"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I421),\"－\",I421)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I473),\"－\",I473)","v":"－"}]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I423=TRUE,\"□\",\"\")  & IF(K423=TRUE,\"■\",\"\")","v":""},"可動域制限",null,null,null,null,{"$f":"IF(I475=TRUE,\"□\",\"\")  & IF(K475=TRUE,\"■\",\"\")","v":""},"可動域制限"]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I424),\"－\",I424)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I476),\"－\",I476)","v":"－"}]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I426=TRUE,\"□\",\"\")  & IF(K426=TRUE,\"■\",\"\")","v":""},"疼痛",null,null,null,null,{"$f":"IF(I478=TRUE,\"□\",\"\")  & IF(K478=TRUE,\"■\",\"\")","v":""},"疼痛"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I427),\"－\",I427)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I479),\"－\",I479)","v":"－"}]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"HDS-R（点）",null,{"$f":"I429","v":0},"／30点",null,null,"HDS-R（点）",null,{"$f":"I481","v":0},"／30点"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"AG473","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MMSE（点）",null,{"$f":"I430","v":0},"／30点",null,null,"MMSE（点）",null,{"$f":"I482","v":0},"／30点"]
[null,"退院時入力",null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"生(施)：開始時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"入力日"]
[null,"判定ステージ",null,null,null,null,null,null,null,null,false,"運動麻痺 ",false,"高次脳機能障害 ",null,false,"認知症",false," 既往歴",false,"環境因子",false,"その他"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"右上肢"]
[null,null,null,null,null,"右手指"]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＩＭ",null,null,null,null,null,"基本動作"]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"開始時","退院時",null,null,"開始時",null,"退院時"]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"セルフケア",null,"食事",null,null,null,"寝返り",null,{"$f":"IF(I431=TRUE,J431& \" \",\"\")  & IF(K431=TRUE,L431 & \" \",\"\") & IF(M431=TRUE,N431 & \" \",\"\")  & IF(O431=TRUE,P431 & \" \",\"\")","v":""},null,{"$f":"IF(I483=TRUE,J483& \" \",\"\")  & IF(K483=TRUE,L483 & \" \",\"\") & IF(M483=TRUE,N483 & \" \",\"\")  & IF(O483=TRUE,P483 & \" \",\"\")","v":""}]
[null,null,null,null,null,"左下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,null,"起き上がり",null,{"$f":"IF(I432=TRUE,J432& \" \",\"\")  & IF(K432=TRUE,L432 & \" \",\"\") & IF(M432=TRUE,N432 & \" \",\"\")  & IF(O432=TRUE,P432 & \" \",\"\")","v":""},null,{"$f":"IF(I484=TRUE,J484& \" \",\"\")  & IF(K484=TRUE,L484 & \" \",\"\") & IF(M484=TRUE,N484 & \" \",\"\")  & IF(O484=TRUE,P484 & \" \",\"\")","v":""}]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清拭",null,null,null,"座位保持",null,{"$f":"IF(I433=TRUE,J433& \" \",\"\")  & IF(K433=TRUE,L433 & \" \",\"\") & IF(M433=TRUE,N433 & \" \",\"\")  & IF(O433=TRUE,P433 & \" \",\"\")","v":""},null,{"$f":"IF(I485=TRUE,J485& \" \",\"\")  & IF(K485=TRUE,L485 & \" \",\"\") & IF(M485=TRUE,N485 & \" \",\"\")  & IF(O485=TRUE,P485 & \" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の上半身",null,null,null,"立ち上がり",null,{"$f":"IF(I434=TRUE,J434& \" \",\"\")  & IF(K434=TRUE,L434 & \" \",\"\") & IF(M434=TRUE,N434 & \" \",\"\")  & IF(O434=TRUE,P434 & \" \",\"\")","v":""},null,{"$f":"IF(I486=TRUE,J486& \" \",\"\")  & IF(K486=TRUE,L486 & \" \",\"\") & IF(M486=TRUE,N486 & \" \",\"\")  & IF(O486=TRUE,P486 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,null,"立位保持",null,{"$f":"IF(I435=TRUE,J435& \" \",\"\")  & IF(K435=TRUE,L435 & \" \",\"\") & IF(M435=TRUE,N435 & \" \",\"\")  & IF(O435=TRUE,P435 & \" \",\"\")","v":""},null,{"$f":"IF(I487=TRUE,J487& \" \",\"\")  & IF(K487=TRUE,L487 & \" \",\"\") & IF(M487=TRUE,N487 & \" \",\"\")  & IF(O487=TRUE,P487 & \" \",\"\")","v":""}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ動作",null,null,null,"移動形態"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄コントロール",null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,null,null,"開始時",null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,"歩行",null,{"$f":"IF(I436=TRUE,J436& \" \",\"\")  & IF(K436=TRUE,L436 & \" \",\"\") & IF(M436=TRUE,N436 & \" \",\"\")  & IF(O436=TRUE,P436 & \" \",\"\")","v":""},null,{"$f":"IF(I488=TRUE,J488& \" \",\"\")  & IF(K488=TRUE,L488 & \" \",\"\") & IF(M488=TRUE,N488 & \" \",\"\")  & IF(O488=TRUE,P488 & \" \",\"\")","v":""}]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,"ベット・椅子・車椅子の移乗",null,null,null,null,null,{"$f":"IF(I437=TRUE,J437& \" \",\"\")  & IF(K437=TRUE,L437 & \" \",\"\") & IF(M437=TRUE,N437 & \" \",\"\")","v":""},"つかまり",{"$f":"IF(I489=TRUE,J489& \" \",\"\")  & IF(K489=TRUE,L489 & \" \",\"\") & IF(M489=TRUE,N489 & \" \",\"\")","v":""},"つかまり"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ移乗",null,null,null,null,null,{"$f":"IF(I438=TRUE,J438& \" \",\"\")  & IF(K438=TRUE,L438 & \" \",\"\") & IF(M438=TRUE,N438 & \" \",\"\")","v":""},"歩行器等",{"$f":"IF(I490=TRUE,J490& \" \",\"\")  & IF(K490=TRUE,L490 & \" \",\"\") & IF(M490=TRUE,N490 & \" \",\"\")","v":""},"歩行器等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,null,null,null,{"$f":"IF(I439=TRUE,J439& \" \",\"\")  & IF(K439=TRUE,L439 & \" \",\"\") & IF(M439=TRUE,N439 & \" \",\"\")","v":""},"杖等",{"$f":"IF(I491=TRUE,J491& \" \",\"\")  & IF(K491=TRUE,L491 & \" \",\"\") & IF(M491=TRUE,N491 & \" \",\"\")","v":""},"杖等"]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,"歩行・車椅子",null,null,null,null,null,{"$f":"IF(I440=TRUE,J440& \" \",\"\")  & IF(K440=TRUE,L440 & \" \",\"\") & IF(M440=TRUE,N440 & \" \",\"\")","v":""},"杖なし",{"$f":"IF(I492=TRUE,J492& \" \",\"\")  & IF(K492=TRUE,L492 & \" \",\"\") & IF(M492=TRUE,N492 & \" \",\"\")","v":""},"杖なし"]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,null,"階段",null,null,null,"車椅子",null,{"$f":"IF(I441=TRUE,J441& \" \",\"\")  & IF(K441=TRUE,L441 & \" \",\"\") & IF(M441=TRUE,N441 & \" \",\"\")","v":""},null,{"$f":"IF(I493=TRUE,J493& \" \",\"\")  & IF(K493=TRUE,L493 & \" \",\"\") & IF(M493=TRUE,N493 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,"理解",null,null,null,"駆動",null,{"$f":"IF(I442=TRUE,J442& \" \",\"\")  & IF(K442=TRUE,L442 & \" \",\"\") & IF(M442=TRUE,N442 & \" \",\"\") & IF(O442=TRUE,P442 & \" \",\"\")","v":""},null,{"$f":"IF(I494=TRUE,J494& \" \",\"\")  & IF(K494=TRUE,L494 & \" \",\"\") & IF(M494=TRUE,N494 & \" \",\"\") & IF(O494=TRUE,P494 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"表出",null,null,null,"移乗",null,{"$f":"IF(I443=TRUE,J443& \" \",\"\")  & IF(K443=TRUE,L443 & \" \",\"\") & IF(M443=TRUE,N443 & \" \",\"\") & IF(O443=TRUE,P443 & \" \",\"\")","v":""},null,{"$f":"IF(I495=TRUE,J495& \" \",\"\")  & IF(K495=TRUE,L495 & \" \",\"\") & IF(M495=TRUE,N495 & \" \",\"\") & IF(O495=TRUE,P495 & \" \",\"\")","v":""}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,"社会的交流",null,null,null,"住環境"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,null,null,"問題解決",null,null,null,"住宅改修の必要性",null,{"$f":"IF(I497=TRUE,J497& \" \",\"\")  & IF(K497=TRUE,L497 & \" \",\"\") & IF(M497=TRUE,N497 & \" \",\"\")","v":""},"改修状況",null,{"$f":"IF(I498=TRUE,J498& \" \",\"\")  & IF(K498=TRUE,L498 & \" \",\"\") & IF(M498=TRUE,N498 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,null,"改修済または\n必要箇所",null,{"$f":"IF(ISBLANK(I499),\"－\",I499)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（13～91点）",null,null,null,{"$f":"SUM($AG$453:$AG$465)","v":0},{"$f":"SUM($AH$453:$AH$465)","v":0}]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（5～35点）",null,null,null,{"$f":"SUM($AG$466:$AG$470)","v":0},{"$f":"SUM($AH$466:$AH$470)","v":0}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（18～126点）",null,null,null,{"$f":"AG471+AG472","v":0},{"$f":"AH471+AH472","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉用具",null,{"$f":"IF(I503=TRUE,J503& \" \",\"\")  & IF(K503=TRUE,L503 & \" \",\"\") & IF(M503=TRUE,N503 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P503),\"－\",P503)","v":"－"},null,null,"装具",null,{"$f":"IF(I505=TRUE,J505 & \" \",\"\")  & IF(K505=TRUE,L505 & \" \",\"\") & IF(M505=TRUE,N505 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P505),\"－\",P505)","v":"－"}]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I504=TRUE,J504& \" \",\"\")  & IF(K504=TRUE,L504 & \" \",\"\") & IF(M504=TRUE,N504 & \" \",\"\")","v":""},null,null,null,null,null,{"$f":"IF(I506=TRUE,J506 & \" \",\"\")  & IF(K506=TRUE,L506 & \" \",\"\") & IF(M506=TRUE,N506 & \" \",\"\")","v":""}]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",{"$f":"IF(ISBLANK(I507),\"－\",I507)","v":"－"}]
[]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"部位・詳細・コメント"]
[]
[null,"認知症に対する",null,"HDS-R（点）"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業療法士",{"$f":"IF(ISBLANK(I516),\"－\",I516)","v":"－"}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",{"$f":"IF(ISBLANK(I525),\"－\",I525)","v":"－"}]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能"]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"共通コメント",{"$f":"IF(ISBLANK(I534),\"－\",I534)","v":"－"}]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"AH473","v":0}]
[null,"住環境",null,"住宅改修の必要性",null,null,null,null,false,"不明",false,"有",false,"無"]
[null,null,null,null,null,"改修状況",null,null,false,"不明",false,"改修済",false,"未改修"]
[null,null,null,null,null,"改修済または必要箇所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)：リハ【印刷】"]
[]
[null,null,null,"福祉用具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"介護保険",false,"身体障害者手帳"]
[null,null,null,"装具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"医療保険",false,"身体障害者手帳"]
[null,"理学療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"作業療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"言語聴覚療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"共通コメント"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(在宅)：リハビリテーション情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(在宅)：リハビリテーション情報【印刷用紙】"]
[]
[null,"開始時入力",null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"生(施)：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"開始日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"リハビリテーション情報提供書（生活期／在宅）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I636),\"－\",I636)","v":"－"}]
[null,"到達目標ステージ"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!CM20),\"－\",計画書!CM20)","v":"－"}]
[null,null,null,null,null,"右上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE594),\"－\",AE594)","v":"－"},null,null,null,"氏"]
[null,null,null,null,null,"右手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",null,{"$f":"IF(ISBLANK(I705),\"－\",I705)","v":"－"}]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛",null,null,null,null,null,"作業療法士",null,{"$f":"IF(ISBLANK(I714),\"－\",I714)","v":"－"}]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",null,{"$f":"IF(ISBLANK(I723),\"－\",I723)","v":"－"}]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!CM23),\"－\",計画書!CM23)","v":"－"}]
[null,null,null,null,null,"左下肢"]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM594,AK584,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ステージ",null,null,null,"到達目標ステージ",null,{"$f":"IF(ISBLANK(I585),\"－\",I585)","v":"－"},null,"判定ステージ",null,{"$f":"IF(ISBLANK(I637),\"－\",I637)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"次のステージへの\n阻害因子",null,null,{"$f":"IF(K637=TRUE,\"■\",\"□\")","v":"□"},"運動麻痺",null,{"$f":"IF(M637=TRUE,\"■\",\"□\")","v":"□"},"高次脳機能障害",null,{"$f":"IF(P637=TRUE,\"■\",\"□\")","v":"□"},"認知症"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(R637=TRUE,\"■\",\"□\")","v":"□"},"既往歴",null,{"$f":"IF(T637=TRUE,\"■\",\"□\")","v":"□"},"環境因子",null,{"$f":"IF(V637=TRUE,\"■\",\"□\")","v":"□"},"その他"]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"心身機能概況（開始時）",null,null,null,{"$f":"IF(ISBLANK(I584),\"－\",I584)","v":"－"},null,"心身機能概況（退院）",null,null,null,{"$f":"IF(ISBLANK(I636),\"－\",I636)","v":"－"}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I586=TRUE,\"□\",\"\")  & IF(K586=TRUE,\"■\",\"\")","v":""},"中枢性麻痺",null,null,null,null,{"$f":"IF(I638=TRUE,\"□\",\"\")  & IF(K638=TRUE,\"■\",\"\")","v":""},"中枢性麻痺"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右上肢",{"$f":"IF(ISBLANK(I587),\"－\",I587)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I590),\"－\",I590)","v":"－"},null,null,"右上肢",{"$f":"IF(ISBLANK(I639),\"－\",I639)","v":"－"},"左上肢",{"$f":"IF(ISBLANK(I642),\"－\",I642)","v":"－"}]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"右手指",{"$f":"IF(ISBLANK(I588),\"－\",I588)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I591),\"－\",I591)","v":"－"},null,null,"右手指",{"$f":"IF(ISBLANK(I640),\"－\",I640)","v":"－"},"左手指",{"$f":"IF(ISBLANK(I643),\"－\",I643)","v":"－"}]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,"右下肢",{"$f":"IF(ISBLANK(I589),\"－\",I589)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I592),\"－\",I592)","v":"－"},null,null,"右下肢",{"$f":"IF(ISBLANK(I641),\"－\",I641)","v":"－"},"左下肢",{"$f":"IF(ISBLANK(I644),\"－\",I644)","v":"－"}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I593=TRUE,\"□\",\"\")  & IF(K593=TRUE,\"■\",\"\")","v":""},"失調",null,null,null,null,{"$f":"IF(I645=TRUE,\"□\",\"\")  & IF(K645=TRUE,\"■\",\"\")","v":""},"失調"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I594),\"－\",I594)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I646),\"－\",I646)","v":"－"}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,{"$f":"IF(I596=TRUE,\"□\",\"\")  & IF(K596=TRUE,\"■\",\"\")","v":""},"感覚障害",null,null,null,null,{"$f":"IF(I648=TRUE,\"□\",\"\")  & IF(K648=TRUE,\"■\",\"\")","v":""},"感覚障害"]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I597),\"－\",I597)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I649),\"－\",I649)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I599=TRUE,\"□\",\"\")  & IF(K599=TRUE,\"■\",\"\")","v":""},"筋力低下",null,null,null,null,{"$f":"IF(I651=TRUE,\"□\",\"\")  & IF(K651=TRUE,\"■\",\"\")","v":""},"筋力低下"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I600),\"－\",I600)","v":"－"},null,null,null,null,"部位・MMT\n",{"$f":"IF(ISBLANK(I652),\"－\",I652)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I602=TRUE,\"□\",\"\")  & IF(K602=TRUE,\"■\",\"\")","v":""},"高次脳機能障害",null,null,null,null,{"$f":"IF(I654=TRUE,\"□\",\"\")  & IF(K654=TRUE,\"■\",\"\")","v":""},"高次脳機能障害"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I603=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K603=TRUE,\"■\",\"□\")","v":"□"},"失認",null,null,{"$f":"IF(I655=TRUE,\"■\",\"□\")","v":"□"},"失行",{"$f":"IF(K655=TRUE,\"■\",\"□\")","v":"□"},"失認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(M603=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O603=TRUE,\"■\",\"□\")","v":"□"},"注意",null,null,{"$f":"IF(M655=TRUE,\"■\",\"□\")","v":"□"},"失語",{"$f":"IF(O655=TRUE,\"■\",\"□\")","v":"□"},"注意"]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q603=TRUE,\"■\",\"□\")","v":"□"},"記憶",null,null,null,null,{"$f":"IF(Q655=TRUE,\"■\",\"□\")","v":"□"},"記憶"]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",{"$f":"IF(ISBLANK(I604),\"－\",I604)","v":"－"},null,null,null,null,"その他",{"$f":"IF(ISBLANK(I656),\"－\",I656)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,"認知症に対する",null,"HDS-R（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I606=TRUE,\"□\",\"\")  & IF(K606=TRUE,\"■\",\"\")","v":""},"構音障害",null,null,null,null,{"$f":"IF(I658=TRUE,\"□\",\"\")  & IF(K658=TRUE,\"■\",\"\")","v":""},"構音障害"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会話明瞭度",{"$f":"IF(I607=TRUE,J607& \" \",\"\")  & IF(K607=TRUE,L607 & \" \",\"\") & IF(N607=TRUE,O607 & \" \",\"\")  & IF(Q607=TRUE,R607 & \" \",\"\") & IF(T607=TRUE,U607 & \" \",\"\")","v":""},null,null,null,null,"会話明瞭度",{"$f":"IF(I659=TRUE,J659& \" \",\"\")  & IF(K659=TRUE,L659 & \" \",\"\") & IF(N659=TRUE,O659 & \" \",\"\")  & IF(Q659=TRUE,R659 & \" \",\"\") & IF(T659=TRUE,U659 & \" \",\"\")","v":""}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I608),\"－\",I608)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I660),\"－\",I660)","v":"－"}]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I610=TRUE,\"□\",\"\")  & IF(K610=TRUE,\"■\",\"\")","v":""},"摂食機能障害",null,null,null,null,{"$f":"IF(I662=TRUE,\"□\",\"\")  & IF(K662=TRUE,\"■\",\"\")","v":""},"摂食機能障害"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I611),\"－\",I611)","v":"－"},null,null,null,null,"詳細",{"$f":"IF(ISBLANK(I663),\"－\",I663)","v":"－"}]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,null,null,null,null,"コメント"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I613=TRUE,\"□\",\"\")  & IF(K613=TRUE,\"■\",\"\")","v":""},"可動域制限",null,null,null,null,{"$f":"IF(I665=TRUE,\"□\",\"\")  & IF(K665=TRUE,\"■\",\"\")","v":""},"可動域制限"]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I614),\"－\",I614)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I666),\"－\",I666)","v":"－"}]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I616=TRUE,\"□\",\"\")  & IF(K616=TRUE,\"■\",\"\")","v":""},"疼痛",null,null,null,null,{"$f":"IF(I668=TRUE,\"□\",\"\")  & IF(K668=TRUE,\"■\",\"\")","v":""},"疼痛"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I617),\"－\",I617)","v":"－"},null,null,null,null,"部位\n",{"$f":"IF(ISBLANK(I669),\"－\",I669)","v":"－"}]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,null,null,null,null,"詳細・コメント"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,null,"HDS-R（点）",null,{"$f":"I619","v":0},"／30点",null,null,"HDS-R（点）",null,{"$f":"I671","v":0},"／30点"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"AG663","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MMSE（点）",null,{"$f":"I620","v":0},"／30点",null,null,"MMSE（点）",null,{"$f":"I672","v":0},"／30点"]
[null,"６ヶ月経過時入力",null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"生(施)：退院時引用",null,"生(在)：開始時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"入力日"]
[null,"判定ステージ",null,null,null,null,null,null,null,null,false,"運動麻痺 ",false,"高次脳機能障害 ",null,false,"認知症",false," 既往歴",false,"環境因子",false,"その他"]
[null,"心身機能概況",null,"中枢性麻痺",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"右上肢"]
[null,null,null,null,null,"右手指"]
[null,null,null,null,null,"右下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＩＭ",null,null,null,null,null,"基本動作"]
[null,null,null,null,null,"左上肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"開始時","退院時",null,null,"開始時",null,"退院時"]
[null,null,null,null,null,"左手指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"セルフケア",null,"食事",null,null,null,"寝返り",null,{"$f":"IF(I621=TRUE,J621& \" \",\"\")  & IF(K621=TRUE,L621 & \" \",\"\") & IF(M621=TRUE,N621 & \" \",\"\")  & IF(O621=TRUE,P621 & \" \",\"\")","v":""},null,{"$f":"IF(I673=TRUE,J673& \" \",\"\")  & IF(K673=TRUE,L673 & \" \",\"\") & IF(M673=TRUE,N673 & \" \",\"\")  & IF(O673=TRUE,P673 & \" \",\"\")","v":""}]
[null,null,null,null,null,"左下肢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整容",null,null,null,"起き上がり",null,{"$f":"IF(I622=TRUE,J622& \" \",\"\")  & IF(K622=TRUE,L622 & \" \",\"\") & IF(M622=TRUE,N622 & \" \",\"\")  & IF(O622=TRUE,P622 & \" \",\"\")","v":""},null,{"$f":"IF(I674=TRUE,J674& \" \",\"\")  & IF(K674=TRUE,L674 & \" \",\"\") & IF(M674=TRUE,N674 & \" \",\"\")  & IF(O674=TRUE,P674 & \" \",\"\")","v":""}]
[null,null,null,"失調",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清拭",null,null,null,"座位保持",null,{"$f":"IF(I623=TRUE,J623& \" \",\"\")  & IF(K623=TRUE,L623 & \" \",\"\") & IF(M623=TRUE,N623 & \" \",\"\")  & IF(O623=TRUE,P623 & \" \",\"\")","v":""},null,{"$f":"IF(I675=TRUE,J675& \" \",\"\")  & IF(K675=TRUE,L675 & \" \",\"\") & IF(M675=TRUE,N675 & \" \",\"\")  & IF(O675=TRUE,P675 & \" \",\"\")","v":""}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の上半身",null,null,null,"立ち上がり",null,{"$f":"IF(I624=TRUE,J624& \" \",\"\")  & IF(K624=TRUE,L624 & \" \",\"\") & IF(M624=TRUE,N624 & \" \",\"\")  & IF(O624=TRUE,P624 & \" \",\"\")","v":""},null,{"$f":"IF(I676=TRUE,J676& \" \",\"\")  & IF(K676=TRUE,L676 & \" \",\"\") & IF(M676=TRUE,N676 & \" \",\"\")  & IF(O676=TRUE,P676 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,null,"立位保持",null,{"$f":"IF(I625=TRUE,J625& \" \",\"\")  & IF(K625=TRUE,L625 & \" \",\"\") & IF(M625=TRUE,N625 & \" \",\"\")  & IF(O625=TRUE,P625 & \" \",\"\")","v":""},null,{"$f":"IF(I677=TRUE,J677& \" \",\"\")  & IF(K677=TRUE,L677 & \" \",\"\") & IF(M677=TRUE,N677 & \" \",\"\")  & IF(O677=TRUE,P677 & \" \",\"\")","v":""}]
[null,null,null,"感覚障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ動作",null,null,null,"移動形態"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄コントロール",null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,null,null,"開始時",null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,"歩行",null,{"$f":"IF(I626=TRUE,J626& \" \",\"\")  & IF(K626=TRUE,L626 & \" \",\"\") & IF(M626=TRUE,N626 & \" \",\"\")  & IF(O626=TRUE,P626 & \" \",\"\")","v":""},null,{"$f":"IF(I678=TRUE,J678& \" \",\"\")  & IF(K678=TRUE,L678 & \" \",\"\") & IF(M678=TRUE,N678 & \" \",\"\")  & IF(O678=TRUE,P678 & \" \",\"\")","v":""}]
[null,null,null,"筋力低下",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,"ベット・椅子・車椅子の移乗",null,null,null,null,null,{"$f":"IF(I627=TRUE,J627& \" \",\"\")  & IF(K627=TRUE,L627 & \" \",\"\") & IF(M627=TRUE,N627 & \" \",\"\")","v":""},"つかまり",{"$f":"IF(I679=TRUE,J679& \" \",\"\")  & IF(K679=TRUE,L679 & \" \",\"\") & IF(M679=TRUE,N679 & \" \",\"\")","v":""},"つかまり"]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"トイレ移乗",null,null,null,null,null,{"$f":"IF(I628=TRUE,J628& \" \",\"\")  & IF(K628=TRUE,L628 & \" \",\"\") & IF(M628=TRUE,N628 & \" \",\"\")","v":""},"歩行器等",{"$f":"IF(I680=TRUE,J680& \" \",\"\")  & IF(K680=TRUE,L680 & \" \",\"\") & IF(M680=TRUE,N680 & \" \",\"\")","v":""},"歩行器等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,null,null,null,{"$f":"IF(I629=TRUE,J629& \" \",\"\")  & IF(K629=TRUE,L629 & \" \",\"\") & IF(M629=TRUE,N629 & \" \",\"\")","v":""},"杖等",{"$f":"IF(I681=TRUE,J681& \" \",\"\")  & IF(K681=TRUE,L681 & \" \",\"\") & IF(M681=TRUE,N681 & \" \",\"\")","v":""},"杖等"]
[null,null,null,"高次脳機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,"歩行・車椅子",null,null,null,null,null,{"$f":"IF(I630=TRUE,J630& \" \",\"\")  & IF(K630=TRUE,L630 & \" \",\"\") & IF(M630=TRUE,N630 & \" \",\"\")","v":""},"杖なし",{"$f":"IF(I682=TRUE,J682& \" \",\"\")  & IF(K682=TRUE,L682 & \" \",\"\") & IF(M682=TRUE,N682 & \" \",\"\")","v":""},"杖なし"]
[null,null,null,null,null,"詳細",null,null,false,"失行",false,"失認",false,"失語",false,"注意",false,"記憶",null,null,null,null,null,null,null,null,null,null,null,null,"階段",null,null,null,"車椅子",null,{"$f":"IF(I631=TRUE,J631& \" \",\"\")  & IF(K631=TRUE,L631 & \" \",\"\") & IF(M631=TRUE,N631 & \" \",\"\")","v":""},null,{"$f":"IF(I683=TRUE,J683& \" \",\"\")  & IF(K683=TRUE,L683 & \" \",\"\") & IF(M683=TRUE,N683 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション",null,"理解",null,null,null,"駆動",null,{"$f":"IF(I632=TRUE,J632& \" \",\"\")  & IF(K632=TRUE,L632 & \" \",\"\") & IF(M632=TRUE,N632 & \" \",\"\") & IF(O632=TRUE,P632 & \" \",\"\")","v":""},null,{"$f":"IF(I684=TRUE,J684& \" \",\"\")  & IF(K684=TRUE,L684 & \" \",\"\") & IF(M684=TRUE,N684 & \" \",\"\") & IF(O684=TRUE,P684 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"表出",null,null,null,"移乗",null,{"$f":"IF(I633=TRUE,J633& \" \",\"\")  & IF(K633=TRUE,L633 & \" \",\"\") & IF(M633=TRUE,N633 & \" \",\"\") & IF(O633=TRUE,P633 & \" \",\"\")","v":""},null,{"$f":"IF(I685=TRUE,J685& \" \",\"\")  & IF(K685=TRUE,L685 & \" \",\"\") & IF(M685=TRUE,N685 & \" \",\"\") & IF(O685=TRUE,P685 & \" \",\"\")","v":""}]
[null,null,null,"構音障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会的認知",null,"社会的交流",null,null,null,"住環境"]
[null,null,null,null,null,"会話明瞭度",null,null,false,"全てわかる",false,"時々わからないことばがある",null,false,"話の内容を知っていればわかる",null,false,"時々わかることばがある",null,false,"全くわからない",null,null,null,null,null,null,null,null,null,"問題解決",null,null,null,"住宅改修の必要性",null,{"$f":"IF(I687=TRUE,J687& \" \",\"\")  & IF(K687=TRUE,L687 & \" \",\"\") & IF(M687=TRUE,N687 & \" \",\"\")","v":""},"改修状況",null,{"$f":"IF(I688=TRUE,J688& \" \",\"\")  & IF(K688=TRUE,L688 & \" \",\"\") & IF(M688=TRUE,N688 & \" \",\"\")","v":""}]
[null,null,null,null,null,"その他・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,null,"改修済または\n必要箇所",null,{"$f":"IF(ISBLANK(I689),\"－\",I689)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（13～91点）",null,null,null,{"$f":"SUM($AG$643:$AG$655)","v":0},{"$f":"SUM($AH$643:$AH$655)","v":0}]
[null,null,null,"摂食機能障害",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知項目合計（5～35点）",null,null,null,{"$f":"SUM($AG$656:$AG$660)","v":0},{"$f":"SUM($AH$656:$AH$660)","v":0}]
[null,null,null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（18～126点）",null,null,null,{"$f":"AG661+AG662","v":0},{"$f":"AH661+AH662","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉用具",null,{"$f":"IF(I693=TRUE,J693& \" \",\"\")  & IF(K693=TRUE,L693 & \" \",\"\") & IF(M693=TRUE,N693 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P693),\"－\",P693)","v":"－"},null,null,"装具",null,{"$f":"IF(I695=TRUE,J695 & \" \",\"\")  & IF(K695=TRUE,L695 & \" \",\"\") & IF(M695=TRUE,N695 & \" \",\"\")","v":""},{"$f":"IF(ISBLANK(P695),\"－\",P695)","v":"－"}]
[null,null,null,"可動域制限",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I694=TRUE,J694& \" \",\"\")  & IF(K694=TRUE,L694 & \" \",\"\") & IF(M694=TRUE,N694 & \" \",\"\")","v":""},null,null,null,null,null,{"$f":"IF(I696=TRUE,J696 & \" \",\"\")  & IF(K696=TRUE,L696 & \" \",\"\") & IF(M696=TRUE,N696 & \" \",\"\")","v":""}]
[null,null,null,null,null,"部位・詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理学療法士",{"$f":"IF(ISBLANK(I697),\"－\",I697)","v":"－"}]
[]
[null,null,null,"疼痛",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"部位・詳細・コメント"]
[]
[null,"認知症に対する",null,"HDS-R（点）"]
[null,"評価",null,"MMSE（点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業療法士",{"$f":"IF(ISBLANK(I706),\"－\",I706)","v":"－"}]
[null,"基本動作",null,"寝返り",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"起き上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"座位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立ち上がり",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,null,null,"立位保持",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"移動形態",null,"歩行",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"言語聴覚士",{"$f":"IF(ISBLANK(I715),\"－\",I715)","v":"－"}]
[null,null,null,null,null,"つかまり",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"歩行器等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖等",null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,null,null,"杖なし",null,null,false,"不明",false,"可能",false,"不可能"]
[null,null,null,"車椅子",null,null,null,null,false,"不明",false,"要",false,"不要"]
[null,null,null,"駆動",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助",null,null,null,null,null,null,null,null,null,null,null,null,"共通コメント",{"$f":"IF(ISBLANK(I724),\"－\",I724)","v":"－"}]
[null,null,null,"移乗",null,null,null,null,false,"未実施",false,"自立",false,"監視",false,"介助"]
[null,"FIM",null,"合計点数（18～126点）",null,null,null,null,{"$f":"AH663","v":0}]
[null,"住環境",null,"住宅改修の必要性",null,null,null,null,false,"不明",false,"有",false,"無"]
[null,null,null,null,null,"改修状況",null,null,false,"不明",false,"改修済",false,"未改修"]
[null,null,null,null,null,"改修済または必要箇所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)：リハ【印刷】"]
[]
[null,null,null,"福祉用具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"介護保険",false,"身体障害者手帳"]
[null,null,null,"装具",null,null,null,null,false,"不明",false,"有",false,"無","詳細・コメント"]
[null,null,null,null,null,"利用制度",null,null,false,"不明",false,"医療保険",false,"身体障害者手帳"]
[null,"理学療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"作業療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"言語聴覚療法部門コメント"]
[]
[]
[]
[]
[]
[null,null,null,"次のステージの課題"]
[]
[null,null,null,"担当者"]
[null,"共通コメント"]

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[null,"栄養情報入力シート",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養情報印刷シート"]
[]
[]
["(栄養)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(栄養)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図",null,null,null,null,null,null,null,null,null,null,null,null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書",null,null,null,null,null,null,null,null,null,null,null,null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携",null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：栄養情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期：栄養情報【印刷用紙】"]
[]
[null,"入院時入力"]
[null,"身体情報",null,"身長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養情報提供書（急性期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I51),\"－\",I51)","v":"－"},null,null,null,null,"急性期【印刷】"]
[null,null,null,"体重"]
[null,null,null,null,null,"測定日"]
[null,null,null,"BMI",null,null,null,null,{"$f":"I15/((I14/100)*(I14/100))","v":{"$error":"#DIV/0!"}},null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE24),\"－\",AE24)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"}]
[null,"給与栄養量",null,"栄養補給方法",null,null,null,null,false,"不明",false,"経口",false,"経口+経腸",false,"経腸",false,"静脈+経口",false,"静脈+経腸",false,"静脈"]
[null,"★詳細は、退院時に記入",null,"治療（特別）食指示",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,"食形態（Iスケール）",null,"主食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士　　",null,{"$f":"IF(ISBLANK(I121),\"－\",I121)","v":"－"}]
[null,null,null,null,null,"副食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"}]
[null,null,null,"エネルギー"]
[null,null,null,"たんぱく質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM24,AK14,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,"脂質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,"塩分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,"食事摂取状況",null,"摂取量",null,null,null,null,false,"不明",false,"良好（76％～100％）",null,false,"不良（75％以下）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時",null,"退院時",null,"詳細・コメント"]
[null,"★詳細は、退院時に記入",null,"食事回数",null,null,null,null,false,"不明",false,"1回",false,"2回",false,"3回",null,null,null,null,null,null,null,null,null,null,null,null,"身体情報",null,"身長",null,{"$f":"IF(ISBLANK(I14),\"－\",I14)","v":"－"},"ｃｍ",{"$f":"IF(ISBLANK(I52),\"－\",I52)","v":"－"},"ｃｍ",{"$f":"IF(ISBLANK(I58),\"－\",I58)","v":"－"}]
[null,null,null,"補助食利用の有無",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重",null,{"$f":"IF(ISBLANK(I15),\"－\",I15)","v":"－"},"ｋｇ",{"$f":"IF(ISBLANK(I53),\"－\",I53)","v":"－"},"ｋｇ"]
[null,"経腸栄養管理",null,"栄養剤",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"測定日",{"$f":"IF(ISBLANK(I16),\"－\",I16)","v":"－"},null,{"$f":"IF(ISBLANK(I54),\"－\",I54)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BMI",null,{"$f":"IF(ISBLANK(I17),\"－\",I17)","v":{"$error":"#DIV/0!"}},null,{"$f":"IF(ISBLANK(I55),\"－\",I55)","v":{"$error":"#DIV/0!"}}]
[null,null,null,"投与量",null,"朝",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重の増減率",null,null,null,{"$f":"IF(I56  =TRUE,J56 & \" \",\"\"   ) & IF(K56 =TRUE,L56 & \" \",\"\"   ) & IF(N56 =TRUE,O56 & \" \",\"\"   ) & IF(Q56 =TRUE,R56 & \" \",\"\"   ) & IF(I57  =TRUE,J57 & \" \",\"\"   ) & IF(K57 =TRUE,L57 & \" \",\"\"   ) & IF(N57 =TRUE,O57 & \" \",\"\"   ) & IF(Q57 =TRUE,R57 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,"昼",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"給与栄養量",null,"栄養補給方法",null,{"$f":"IF(I18 =TRUE,J18 & \" \",\"\"   ) & IF(K18 =TRUE,L18 & \" \",\"\"   ) & IF(M18 =TRUE,N18 & \" \",\"\"   )  & IF(O18 =TRUE,P18 & \" \",\"\"   ) & IF(Q18 =TRUE,R18 & \" \",\"\"   )  & IF(S18 =TRUE,T18 & \" \",\"\"   )  & IF(U18 =TRUE,V18 & \" \",\"\"   )","v":""},null,{"$f":"IF(I63 =TRUE,J63 & \" \",\"\"   ) & IF(K63 =TRUE,L63 & \" \",\"\"   ) & IF(M63 =TRUE,N63 & \" \",\"\"   )  & IF(O63 =TRUE,P63 & \" \",\"\"   ) & IF(Q63 =TRUE,R63 & \" \",\"\"   )  & IF(S63 =TRUE,T63 & \" \",\"\"   )  & IF(U63 =TRUE,V63 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I71),\"－\",I71)","v":"－"}]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療（特別）食指示",null,{"$f":"IF(I19 =TRUE,J19 & \" \",\"\"   ) & IF(K19 =TRUE,L19 & \" \",\"\"   ) & IF(M19 =TRUE,N19 & \" \",\"\"   )","v":""},null,{"$f":"IF(I64 =TRUE,J64 & \" \",\"\"   ) & IF(K64 =TRUE,L64 & \" \",\"\"   ) & IF(M64 =TRUE,N64 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,"眠前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食形態","主食",{"$f":"IF(ISBLANK(I20),\"－\",I20)","v":""},null,{"$f":"IF(ISBLANK(I65),\"－\",I65)","v":""}]
[null,"検体検査",null,"入院時採血日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（Iスケール）","副食","",null,""]
[null,null,null,"CRP",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"エネルギー",null,"－","kcal","－","kcal"]
[null,null,null,"白血球数(WBC)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"たんぱく質",null,"－","g","－","g"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脂質",null,"－","g","－","g"]
[null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"塩分",null,"－","g","－","g"]
[null,null,null,"総蛋白(TP)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事摂取状況",null,"摂取量",null,{"$f":"IF(I26 =TRUE,J26 & \" \",\"\"   ) & IF(K26 =TRUE,L26 & \" \",\"\"   ) & IF(N26 =TRUE,O26 & \" \",\"\"   )","v":""},null,{"$f":"IF(I79 =TRUE,J79 & \" \",\"\"   ) & IF(K79 =TRUE,L79 & \" \",\"\"   ) & IF(N79 =TRUE,O79 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I84),\"－\",I84)","v":"－"}]
[null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事回数",null,{"$f":"IF(I27 =TRUE,J27 & \" \",\"\"   ) & IF(K27 =TRUE,L27 & \" \",\"\"   ) & IF(M27 =TRUE,N27 & \" \",\"\"   )  & IF(O27 =TRUE,P27 & \" \",\"\"   )","v":""},null,{"$f":"IF(I80 =TRUE,J80 & \" \",\"\"   ) & IF(K80 =TRUE,L80 & \" \",\"\"   ) & IF(M80 =TRUE,N80 & \" \",\"\"   )  & IF(O80 =TRUE,P80 & \" \",\"\"   )","v":""}]
[null,null,null,"尿素窒素(BUN)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助食利用の有無",null,{"$f":"IF(I28 =TRUE,J28 & \" \",\"\"   ) & IF(K28 =TRUE,L28 & \" \",\"\"   ) & IF(M28 =TRUE,N28 & \" \",\"\"   )","v":""},null,{"$f":"IF(I81 =TRUE,J81 & \" \",\"\"   ) & IF(K81 =TRUE,L81 & \" \",\"\"   ) & IF(M81 =TRUE,N81 & \" \",\"\"   )","v":""}]
[null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー（食べ物）",null,{"$f":"IF(ISBLANK(I82),\"－\",I82)","v":"－"}]
[null,null,null,"ﾅﾄﾘｳﾑ(Na)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"好き嫌い（食べ物）",null,{"$f":"IF(ISBLANK(I83),\"－\",I83)","v":"－"}]
[null,null,null,"ｶﾘｳﾑ(K)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経腸栄養管理",null,"栄養剤",{"$f":"IF(ISBLANK(I89),\"－\",I89)","v":"－"},null,"投与量","朝",{"$f":"IF(ISBLANK(I91),\"－\",I91)","v":"－"},"ｍｌ","昼",{"$f":"IF(ISBLANK(I92),\"－\",I92)","v":"－"},"ｍｌ"]
[null,null,null,"血糖(GLU)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕",{"$f":"IF(ISBLANK(I93),\"－\",I93)","v":"－"},"ｍｌ","眠前",{"$f":"IF(ISBLANK(I94),\"－\",I94)","v":"－"},"ｍｌ"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I95),\"－\",I95)","v":"－"}]
[null,null,null,"HDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"LDLｺﾚｽﾃﾛｰﾙ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検体検査",null,null,"入院時",null,"直近",null,null,"入院時",null,"直近"]
[null,"退院時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：入院時引用",null,"※各自責任のもと情報の引用を行ってください。",null,null,null,null,null,null,null,null,null,null,null,null,null,"採血日",{"$f":"IF(ISBLANK($I$35),\"－\",$I$35)","v":"－"},null,{"$f":"IF(ISBLANK(I97),\"－\",I97)","v":"－"},null,"採血日",{"$f":"IF(ISBLANK($I$35),\"－\",$I$35)","v":"－"},null,{"$f":"IF(ISBLANK(I97),\"－\",I97)","v":"－"}]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CRP",{"$f":"IF(ISBLANK($I$36),\"－\",$I$36)","v":"－"},"mg/dl",{"$f":"IF(ISBLANK(I98),\"－\",I98)","v":"－"},"mg/dl","Cre",{"$f":"IF(ISBLANK($I$43),\"－\",$I$43)","v":"－"},"mg/dl",{"$f":"IF(ISBLANK(I105),\"－\",I105)","v":"－"},"mg/dl"]
[null,"身体情報",null,"身長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"WBC",{"$f":"IF(ISBLANK($I$37),\"－\",$I$37)","v":"－"},"/μl",{"$f":"IF(ISBLANK(I99),\"－\",I99)","v":"－"},"/μl","Na",{"$f":"IF(ISBLANK($I$44),\"－\",$I$44)","v":"－"},"mEq/l","－","mEq/l"]
[null,null,null,"体重",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Hb",{"$f":"IF(ISBLANK($I$38),\"－\",$I$38)","v":"－"},"g/dl","－","g/dl","K",{"$f":"IF(ISBLANK($I$45),\"－\",$I$45)","v":"－"},"mEq/l","－","mEq/l"]
[null,null,null,null,null,"測定日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ht",{"$f":"IF(ISBLANK($I$39),\"－\",$I$39)","v":"－"},"%","－","%","GLU",{"$f":"IF(ISBLANK($I$46),\"－\",$I$46)","v":"－"},"mg/dl","－","mg/dl"]
[null,null,null,"BMI",null,null,null,null,{"$f":"I53/((I52/100)*(I52/100))","v":{"$error":"#DIV/0!"}},null,"※入力不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TP",{"$f":"IF(ISBLANK($I$40),\"－\",$I$40)","v":"－"},"g/dl","－","g/dl","HA1c",{"$f":"IF(ISBLANK($I$47),\"－\",$I$47)","v":"－"},"％","－","％"]
[null,null,null,"体重の増減率",null,null,null,null,false,"不明",false,"1ヶ月に3～5％未満",null,false,"3ヶ月に3～7.5％未満",null,false,"6ヶ月に3～10％未満",null,null,null,null,null,null,null,null,null,null,null,null,"ALB",{"$f":"IF(ISBLANK($I$41),\"－\",$I$41)","v":"－"},"g/dl","－","g/dl","HDLｺﾚｽﾃﾛｰﾙ",{"$f":"IF(ISBLANK($I$48),\"－\",$I$48)","v":"－"},"mg/dl","－","mg/dl"]
[null,null,null,null,null,null,null,null,false,"無",false,"1ヶ月に5％以上",null,false,"3ヶ月に7.5％以上",null,false,"6ヶ月に10％以上",null,null,null,null,null,null,null,null,null,null,null,null,"BUN",{"$f":"IF(ISBLANK($I$42),\"－\",$I$42)","v":"－"},"mg/dl","－","mg/dl","LDLｺﾚｽﾃﾛｰﾙ",{"$f":"IF(ISBLANK($I$49),\"－\",$I$49)","v":"－"},"mg/dl","－","mg/dl"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I112),\"－\",I112)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,{"$f":"IF(ISBLANK(I114),\"－\",I114)","v":"－"}]
[]
[]
[null,"給与栄養量",null,"栄養補給方法",null,null,null,null,false,"不明",false,"経口",false,"経口+経腸",false,"経腸",false,"静脈+経口",false,"静脈+経腸",false,"静脈"]
[null,null,null,"治療（特別）食指示",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[null,null,null,"食形態（Iスケール）",null,"主食",null,null,""]
[null,null,null,null,null,"副食",null,null,""]
[null,null,null,"エネルギー"]
[null,null,null,"たんぱく質"]
[null,null,null,"脂質"]
[null,null,null,"塩分"]
[null,null,null,"詳細・コメント"]
[]
[]
[]
[]
[]
[]
[]
[null,"食事摂取状況",null,"摂取量",null,null,null,null,false,"不明",false,"良好（76％～100％）",null,false,"不良（75％以下）"]
[null,"★詳細は、退院時に記入",null,"食事回数",null,null,null,null,false,"不明",false,"1回",false,"2回",false,"3回"]
[null,null,null,"補助食利用の有無",null,null,null,null,false,"不明",false,"有",false,"無"]
[null,null,null,"アレルギー（食べ物）"]
[null,null,null,"好き嫌い（食べ物）"]
[null,null,null,"詳細・コメント"]
[]
[]
[]
[]
[null,"経腸栄養管理",null,"栄養剤"]
[]
[null,null,null,"投与量",null,"朝"]
[null,null,null,null,null,"昼"]
[null,null,null,null,null,"夕"]
[null,null,null,null,null,"眠前"]
[null,null,null,"詳細・コメント"]
[]
[null,"検体検査",null,"直近採血日"]
[null,null,null,"CRP"]
[null,null,null,"白血球数(WBC)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)"]
[null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)"]
[null,null,null,"総蛋白(TP)"]
[null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)"]
[null,null,null,"尿素窒素(BUN)"]
[null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)"]
[null,null,null,"ﾅﾄﾘｳﾑ(Na)"]
[null,null,null,"ｶﾘｳﾑ(K)"]
[null,null,null,"血糖(GLU)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)"]
[null,null,null,"HDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"LDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"詳細・コメント"]
[]
[null,"コメント"]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当栄養士"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"回復期：栄養情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：栄養情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養情報提供書（回復期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I204),\"－\",I204)","v":"－"},null,null,null,null,"回復期【印刷】"]
[null,"身体情報",null,"身長"]
[null,null,null,"体重"]
[null,null,null,null,null,"測定日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE214),\"－\",AE214)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"}]
[null,null,null,"BMI",null,null,null,null,{"$f":"I206/((I205/100)*(I205/100))","v":{"$error":"#DIV/0!"}},null,"※入力不要"]
[null,null,null,"体重の増減率",null,null,null,null,false,"不明",false,"1ヶ月に3～5％未満",null,false,"3ヶ月に3～7.5％未満",null,false,"6ヶ月に3～10％未満",null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,false,"無",false,"1ヶ月に5％以上",null,false,"3ヶ月に7.5％以上",null,false,"6ヶ月に10％以上",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士　　",null,{"$f":"IF(ISBLANK(I274),\"－\",I274)","v":"－"}]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM214,AK204,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,"給与栄養量",null,"栄養補給方法",null,null,null,null,false,"不明",false,"経口",false,"経口+経腸",false,"経腸",false,"静脈+経口",false,"静脈+経腸",false,"静脈",null,null,null,null,null,null,null,null,null,null,"退院・退所時",null,"詳細・コメント"]
[null,"★詳細は、退院時に記入",null,"治療（特別）食指示",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体情報",null,"身長",null,{"$f":"IF(ISBLANK(I205),\"－\",I205)","v":"－"},"ｃｍ",{"$f":"IF(ISBLANK(I211),\"－\",I211)","v":"－"}]
[null,null,null,"食形態（Iスケール）",null,"主食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重",null,{"$f":"IF(ISBLANK(I206),\"－\",I206)","v":"－"},"ｋｇ"]
[null,null,null,null,null,"副食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"測定日",{"$f":"IF(ISBLANK(I207),\"－\",I207)","v":"－"}]
[null,null,null,"エネルギー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BMI",null,{"$f":"IF(ISBLANK(I208),\"－\",I208)","v":{"$error":"#DIV/0!"}}]
[null,null,null,"たんぱく質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重の増減率",null,{"$f":"IF(I209  =TRUE,J209 & \" \",\"\"   ) & IF(K209 =TRUE,L209 & \" \",\"\"   ) & IF(N209 =TRUE,O209 & \" \",\"\"   ) & IF(Q209 =TRUE,R209 & \" \",\"\"   )& IF(I210  =TRUE,J210 & \" \",\"\"   ) & IF(K210 =TRUE,L210 & \" \",\"\"   ) & IF(N210 =TRUE,O210 & \" \",\"\"   ) & IF(Q210 =TRUE,R210 & \" \",\"\"   )","v":""}]
[null,null,null,"脂質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"給与栄養量",null,"栄養補給方法",null,{"$f":"IF(I216 =TRUE,J216 & \" \",\"\"   ) & IF(K216 =TRUE,L216 & \" \",\"\"   ) & IF(M216 =TRUE,N216 & \" \",\"\"   )  & IF(O216 =TRUE,P216 & \" \",\"\"   ) & IF(Q216 =TRUE,R216 & \" \",\"\"   )  & IF(S216 =TRUE,T216 & \" \",\"\"   )  & IF(U216 =TRUE,V216 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I224),\"－\",I224)","v":"－"}]
[null,null,null,"塩分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療（特別）食指示",null,{"$f":"IF(I217 =TRUE,J217 & \" \",\"\"   ) & IF(K217 =TRUE,L217 & \" \",\"\"   ) & IF(M217 =TRUE,N217 & \" \",\"\"   )","v":""}]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食形態","主食",{"$f":"IF(ISBLANK(I218),\"－\",I218)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（Iスケール）","副食",""]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"エネルギー",null,"－","kcal"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"たんぱく質",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脂質",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"塩分",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事摂取状況",null,"摂取量",null,{"$f":"IF(I232 =TRUE,J232 & \" \",\"\"   ) & IF(K232 =TRUE,L232 & \" \",\"\"   ) & IF(N232 =TRUE,O232 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I237),\"－\",I237)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事回数",null,{"$f":"IF(I233 =TRUE,J233 & \" \",\"\"   ) & IF(K233 =TRUE,L233 & \" \",\"\"   ) & IF(M233 =TRUE,N233 & \" \",\"\"   )  & IF(O233 =TRUE,P233 & \" \",\"\"   )","v":""}]
[null,"食事摂取状況",null,"摂取量",null,null,null,null,false,"不明",false,"良好（76％～100％）",null,false,"不良（75％以下）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助食利用の有無",null,{"$f":"IF(I234 =TRUE,J234 & \" \",\"\"   ) & IF(K234 =TRUE,L234 & \" \",\"\"   ) & IF(M234 =TRUE,N234 & \" \",\"\"   )","v":""}]
[null,"★詳細は、退院時に記入",null,"食事回数",null,null,null,null,false,"不明",false,"1回",false,"2回",false,"3回",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー（食べ物）",null,{"$f":"IF(ISBLANK(I235),\"－\",I235)","v":"－"}]
[null,null,null,"補助食利用の有無",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"好き嫌い（食べ物）",null,{"$f":"IF(ISBLANK(I236),\"－\",I236)","v":"－"}]
[null,null,null,"アレルギー（食べ物）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経腸栄養管理",null,"栄養剤",{"$f":"IF(ISBLANK(I242),\"－\",I242)","v":"－"},null,"投与量","朝",{"$f":"IF(ISBLANK(I244),\"－\",I244)","v":"－"},"ｍｌ","昼",{"$f":"IF(ISBLANK(I245),\"－\",I245)","v":"－"},"ｍｌ"]
[null,null,null,"好き嫌い（食べ物）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕",{"$f":"IF(ISBLANK(I246),\"－\",I246)","v":"－"},"ｍｌ","眠前",{"$f":"IF(ISBLANK(I247),\"－\",I247)","v":"－"},"ｍｌ"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I248),\"－\",I248)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検体検査",null,null,"急性期最終",null,"直近",null,null,"急性期最終",null,"直近"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"採血日",{"$f":"IF(ISBLANK($I$97),\"－\",$I$97)","v":"－"},null,{"$f":"IF(ISBLANK($I$250),\"－\",$I$250)","v":"－"},null,"採血日",{"$f":"IF(ISBLANK($I$97),\"－\",$I$97)","v":"－"},null,{"$f":"IF(ISBLANK($I$250),\"－\",$I$250)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CRP",{"$f":"IF(ISBLANK(I98),\"－\",I98)","v":"－"},"mg/dl",{"$f":"IF(ISBLANK(I251),\"－\",I251)","v":"－"},"mg/dl","Cre",{"$f":"IF(ISBLANK(I105),\"－\",I105)","v":"－"},"mg/dl",{"$f":"IF(ISBLANK(I258),\"－\",I258)","v":"－"},"mg/dl"]
[null,"経腸栄養管理",null,"栄養剤",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"WBC","－","/μl","－","/μl","Na","－","mEq/l","－","mEq/l"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Hb","－","g/dl","－","g/dl","K","－","mEq/l","－","mEq/l"]
[null,null,null,"投与量",null,"朝",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ht","－","%","－","%","GLU","－","mg/dl","－","mg/dl"]
[null,null,null,null,null,"昼",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TP","－","g/dl","－","g/dl","HA1c","－","％","－","％"]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ALB","－","g/dl","－","g/dl","HDLｺﾚｽﾃﾛｰﾙ","－","mg/dl","－","mg/dl"]
[null,null,null,null,null,"眠前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BUN","－","mg/dl","－","mg/dl","LDLｺﾚｽﾃﾛｰﾙ","－","mg/dl","－","mg/dl"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I265),\"－\",I265)","v":"－"}]
[]
[null,"検体検査",null,"直近採血日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,{"$f":"IF(ISBLANK(I267),\"－\",I267)","v":"－"}]
[null,null,null,"CRP"]
[null,null,null,"白血球数(WBC)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)"]
[null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[null,null,null,"総蛋白(TP)"]
[null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)"]
[null,null,null,"尿素窒素(BUN)"]
[null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)"]
[null,null,null,"ﾅﾄﾘｳﾑ(Na)"]
[null,null,null,"ｶﾘｳﾑ(K)"]
[null,null,null,"血糖(GLU)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)"]
[null,null,null,"HDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"LDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"詳細・コメント"]
[]
[null,"コメント"]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当栄養士"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(施設)：栄養情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(施設)：栄養情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養情報提供書（生活期／施設）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I354),\"－\",I354)","v":"－"},null,null,null,null,"生(施)【印刷】"]
[null,"身体情報",null,"身長"]
[null,null,null,"体重"]
[null,null,null,null,null,"測定日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE364),\"－\",AE364)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"}]
[null,null,null,"BMI",null,null,null,null,{"$f":"I356/((I355/100)*(I355/100))","v":{"$error":"#DIV/0!"}},null,"※入力不要"]
[null,null,null,"体重の増減率",null,null,null,null,false,"不明",false,"1ヶ月に3～5％未満",null,false,"3ヶ月に3～7.5％未満",null,false,"6ヶ月に3～10％未満",null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,false,"無",false,"1ヶ月に5％以上",null,false,"3ヶ月に7.5％以上",null,false,"6ヶ月に10％以上",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士　　",null,{"$f":"IF(ISBLANK(I424),\"－\",I424)","v":"－"}]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!BL22),\"－\",計画書!BL22)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM364,AK354,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,"給与栄養量",null,"栄養補給方法",null,null,null,null,false,"不明",false,"経口",false,"経口+経腸",false,"経腸",false,"静脈+経口",false,"静脈+経腸",false,"静脈",null,null,null,null,null,null,null,null,null,null,"退院・退所時",null,"詳細・コメント"]
[null,"★詳細は、退院時に記入",null,"治療（特別）食指示",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体情報",null,"身長",null,{"$f":"IF(ISBLANK(I355),\"－\",I355)","v":"－"},"ｃｍ",{"$f":"IF(ISBLANK(I361),\"－\",I361)","v":"－"}]
[null,null,null,"食形態（Iスケール）",null,"主食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重",null,{"$f":"IF(ISBLANK(I356),\"－\",I356)","v":"－"},"ｋｇ"]
[null,null,null,null,null,"副食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"測定日",{"$f":"IF(ISBLANK(I357),\"－\",I357)","v":"－"}]
[null,null,null,"エネルギー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BMI",null,{"$f":"IF(ISBLANK(I358),\"－\",I358)","v":{"$error":"#DIV/0!"}}]
[null,null,null,"たんぱく質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重の増減率",null,{"$f":"IF(I359  =TRUE,J359 & \" \",\"\"   ) & IF(K359 =TRUE,L359 & \" \",\"\"   ) & IF(N359 =TRUE,O359 & \" \",\"\"   ) & IF(Q359 =TRUE,R359 & \" \",\"\"   )& IF(I360  =TRUE,J360 & \" \",\"\"   ) & IF(K360 =TRUE,L360 & \" \",\"\"   ) & IF(N360 =TRUE,O360 & \" \",\"\"   ) & IF(Q360 =TRUE,R360 & \" \",\"\"   )","v":""}]
[null,null,null,"脂質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"給与栄養量",null,"栄養補給方法",null,{"$f":"IF(I366 =TRUE,J366 & \" \",\"\"   ) & IF(K366 =TRUE,L366 & \" \",\"\"   ) & IF(M366 =TRUE,N366 & \" \",\"\"   )  & IF(O366 =TRUE,P366 & \" \",\"\"   ) & IF(Q366 =TRUE,R366 & \" \",\"\"   )  & IF(S366 =TRUE,T366 & \" \",\"\"   )  & IF(U366 =TRUE,V366 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I374),\"－\",I374)","v":"－"}]
[null,null,null,"塩分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療（特別）食指示",null,{"$f":"IF(I367 =TRUE,J367 & \" \",\"\"   ) & IF(K367 =TRUE,L367 & \" \",\"\"   ) & IF(M367 =TRUE,N367 & \" \",\"\"   )","v":""}]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食形態","主食",{"$f":"IF(ISBLANK(I368),\"－\",I368)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（Iスケール）","副食",""]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"エネルギー",null,"－","kcal"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"たんぱく質",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脂質",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"塩分",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事摂取状況",null,"摂取量",null,{"$f":"IF(I382 =TRUE,J382 & \" \",\"\"   ) & IF(K382 =TRUE,L382 & \" \",\"\"   ) & IF(N382 =TRUE,O382 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I387),\"－\",I387)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事回数",null,{"$f":"IF(I383 =TRUE,J383 & \" \",\"\"   ) & IF(K383 =TRUE,L383 & \" \",\"\"   ) & IF(M383 =TRUE,N383 & \" \",\"\"   )  & IF(O383 =TRUE,P383 & \" \",\"\"   )","v":""}]
[null,"食事摂取状況",null,"摂取量",null,null,null,null,false,"不明",false,"良好（76％～100％）",null,false,"不良（75％以下）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助食利用の有無",null,{"$f":"IF(I384 =TRUE,J384 & \" \",\"\"   ) & IF(K384 =TRUE,L384 & \" \",\"\"   ) & IF(M384 =TRUE,N384 & \" \",\"\"   )","v":""}]
[null,"★詳細は、退院時に記入",null,"食事回数",null,null,null,null,false,"不明",false,"1回",false,"2回",false,"3回",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー（食べ物）",null,{"$f":"IF(ISBLANK(I385),\"－\",I385)","v":"－"}]
[null,null,null,"補助食利用の有無",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"好き嫌い（食べ物）",null,{"$f":"IF(ISBLANK(I386),\"－\",I386)","v":"－"}]
[null,null,null,"アレルギー（食べ物）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経腸栄養管理",null,"栄養剤",{"$f":"IF(ISBLANK(I392),\"－\",I392)","v":"－"},null,"投与量","朝",{"$f":"IF(ISBLANK(I394),\"－\",I394)","v":"－"},"ｍｌ","昼",{"$f":"IF(ISBLANK(I395),\"－\",I395)","v":"－"},"ｍｌ"]
[null,null,null,"好き嫌い（食べ物）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕",{"$f":"IF(ISBLANK(I396),\"－\",I396)","v":"－"},"ｍｌ","眠前",{"$f":"IF(ISBLANK(I397),\"－\",I397)","v":"－"},"ｍｌ"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I398),\"－\",I398)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検体検査",null,null,"急性期最終",null,"直近",null,null,"急性期最終",null,"直近"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"採血日",{"$f":"IF(ISBLANK($I$97),\"－\",$I$97)","v":"－"},null,{"$f":"IF(ISBLANK(I400),\"－\",I400)","v":"－"},null,"採血日",{"$f":"IF(ISBLANK($I$97),\"－\",$I$97)","v":"－"},null,{"$f":"IF(ISBLANK(I400),\"－\",I400)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CRP",{"$f":"IF(ISBLANK(I98),\"－\",I98)","v":"－"},"mg/dl","－","mg/dl","Cre",{"$f":"IF(ISBLANK(I105),\"－\",I105)","v":"－"},"mg/dl",{"$f":"IF(ISBLANK(I408),\"－\",I408)","v":"－"},"mg/dl"]
[null,"経腸栄養管理",null,"栄養剤",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"WBC","－","/μl","－","/μl","Na","－","mEq/l","－","mEq/l"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Hb","－","g/dl","－","g/dl","K","－","mEq/l","－","mEq/l"]
[null,null,null,"投与量",null,"朝",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ht","－","%","－","%","GLU","－","mg/dl","－","mg/dl"]
[null,null,null,null,null,"昼",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TP","－","g/dl","－","g/dl","HA1c","－","％","－","％"]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ALB","－","g/dl","－","g/dl","HDLｺﾚｽﾃﾛｰﾙ","－","mg/dl","－","mg/dl"]
[null,null,null,null,null,"眠前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BUN","－","mg/dl","－","mg/dl","LDLｺﾚｽﾃﾛｰﾙ","－","mg/dl","－","mg/dl"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I415),\"－\",I415)","v":"－"}]
[]
[null,"検体検査",null,"直近採血日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,{"$f":"IF(ISBLANK(I417),\"－\",I417)","v":"－"}]
[null,null,null,"CRP"]
[null,null,null,"白血球数(WBC)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)"]
[null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】"]
[null,null,null,"総蛋白(TP)"]
[null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)"]
[null,null,null,"尿素窒素(BUN)"]
[null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)"]
[null,null,null,"ﾅﾄﾘｳﾑ(Na)"]
[null,null,null,"ｶﾘｳﾑ(K)"]
[null,null,null,"血糖(GLU)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)"]
[null,null,null,"HDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"LDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"詳細・コメント"]
[]
[null,"コメント"]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当栄養士"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(在宅)：栄養情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(在宅)：栄養情報【印刷用紙】"]
[]
[null,"６ヶ月経過時入力",null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"生(施)：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養情報提供書（生活期／在宅）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I504),\"－\",I504)","v":"－"},null,null,null,null,"生(在)【印刷】"]
[null,"身体情報",null,"身長"]
[null,null,null,"体重"]
[null,null,null,null,null,"測定日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE514),\"－\",AE514)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!CM20),\"－\",計画書!CM20)","v":"－"}]
[null,null,null,"BMI",null,null,null,null,{"$f":"I506/((I505/100)*(I505/100))","v":{"$error":"#DIV/0!"}},null,"※入力不要"]
[null,null,null,"体重の増減率",null,null,null,null,false,"不明",false,"1ヶ月に3～5％未満",null,false,"3ヶ月に3～7.5％未満",null,false,"6ヶ月に3～10％未満",null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,false,"無",false,"1ヶ月に5％以上",null,false,"3ヶ月に7.5％以上",null,false,"6ヶ月に10％以上",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士　　",null,{"$f":"IF(ISBLANK(I574),\"－\",I574)","v":"－"}]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!CM23),\"－\",計画書!CM23)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM514,AK504,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,"給与栄養量",null,"栄養補給方法",null,null,null,null,false,"不明",false,"経口",false,"経口+経腸",false,"経腸",false,"静脈+経口",false,"静脈+経腸",false,"静脈",null,null,null,null,null,null,null,null,null,null,"6ヶ月経過時",null,"詳細・コメント"]
[null,"★詳細は、退院時に記入",null,"治療（特別）食指示",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体情報",null,"身長",null,{"$f":"IF(ISBLANK(I505),\"－\",I505)","v":"－"},"ｃｍ",{"$f":"IF(ISBLANK(I511),\"－\",I511)","v":"－"}]
[null,null,null,"食形態（Iスケール）",null,"主食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重",null,{"$f":"IF(ISBLANK(I506),\"－\",I506)","v":"－"},"ｋｇ"]
[null,null,null,null,null,"副食",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"測定日",{"$f":"IF(ISBLANK(I507),\"－\",I507)","v":"－"}]
[null,null,null,"エネルギー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BMI",null,{"$f":"IF(ISBLANK(I358),\"－\",I358)","v":{"$error":"#DIV/0!"}}]
[null,null,null,"たんぱく質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体重の増減率",null,{"$f":"IF(I509  =TRUE,J509 & \" \",\"\"   ) & IF(K509 =TRUE,L509 & \" \",\"\"   ) & IF(N509 =TRUE,O509 & \" \",\"\"   ) & IF(Q509 =TRUE,R509 & \" \",\"\"   )& IF(I510  =TRUE,J510 & \" \",\"\"   ) & IF(K510 =TRUE,L510 & \" \",\"\"   ) & IF(N510 =TRUE,O510 & \" \",\"\"   ) & IF(Q510 =TRUE,R510 & \" \",\"\"   )","v":""}]
[null,null,null,"脂質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"給与栄養量",null,"栄養補給方法",null,{"$f":"IF(I516 =TRUE,J516 & \" \",\"\"   ) & IF(K516 =TRUE,L516 & \" \",\"\"   ) & IF(M516 =TRUE,N516 & \" \",\"\"   )  & IF(O516 =TRUE,P516 & \" \",\"\"   ) & IF(Q516 =TRUE,R516 & \" \",\"\"   )  & IF(S516 =TRUE,T516 & \" \",\"\"   )  & IF(U516 =TRUE,V516 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I524),\"－\",I524)","v":"－"}]
[null,null,null,"塩分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療（特別）食指示",null,{"$f":"IF(I517 =TRUE,J517 & \" \",\"\"   ) & IF(K517 =TRUE,L517 & \" \",\"\"   ) & IF(M517 =TRUE,N517 & \" \",\"\"   )","v":""}]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食形態","主食",{"$f":"IF(ISBLANK(I518),\"－\",I518)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（Iスケール）","副食",""]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"エネルギー",null,"－","kcal"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"たんぱく質",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脂質",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"塩分",null,"－","g"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事摂取状況",null,"摂取量",null,{"$f":"IF(I532 =TRUE,J532 & \" \",\"\"   ) & IF(K532 =TRUE,L532 & \" \",\"\"   ) & IF(N532 =TRUE,O532 & \" \",\"\"   )","v":""},null,{"$f":"IF(ISBLANK(I537),\"－\",I537)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事回数",null,{"$f":"IF(I533 =TRUE,J533 & \" \",\"\"   ) & IF(K533 =TRUE,L533 & \" \",\"\"   ) & IF(M533 =TRUE,N533 & \" \",\"\"   )  & IF(O533 =TRUE,P533 & \" \",\"\"   )","v":""}]
[null,"食事摂取状況",null,"摂取量",null,null,null,null,false,"不明",false,"良好（76％～100％）",null,false,"不良（75％以下）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助食利用の有無",null,{"$f":"IF(I534 =TRUE,J534 & \" \",\"\"   ) & IF(K534 =TRUE,L534 & \" \",\"\"   ) & IF(M534 =TRUE,N534 & \" \",\"\"   )","v":""}]
[null,"★詳細は、退院時に記入",null,"食事回数",null,null,null,null,false,"不明",false,"1回",false,"2回",false,"3回",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アレルギー（食べ物）",null,{"$f":"IF(ISBLANK(I535),\"－\",I535)","v":"－"}]
[null,null,null,"補助食利用の有無",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"好き嫌い（食べ物）",null,{"$f":"IF(ISBLANK(I536),\"－\",I536)","v":"－"}]
[null,null,null,"アレルギー（食べ物）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経腸栄養管理",null,"栄養剤",{"$f":"IF(ISBLANK(I542),\"－\",I542)","v":"－"},null,"投与量","朝",{"$f":"IF(ISBLANK(I544),\"－\",I544)","v":"－"},"ｍｌ","昼",{"$f":"IF(ISBLANK(I545),\"－\",I545)","v":"－"},"ｍｌ"]
[null,null,null,"好き嫌い（食べ物）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕",{"$f":"IF(ISBLANK(I546),\"－\",I546)","v":"－"},"ｍｌ","眠前",{"$f":"IF(ISBLANK(I547),\"－\",I547)","v":"－"},"ｍｌ"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I548),\"－\",I548)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検体検査",null,null,"急性期最終",null,"直近",null,null,"急性期最終",null,"直近"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"採血日",{"$f":"IF(ISBLANK($I$97),\"－\",$I$97)","v":"－"},null,{"$f":"IF(ISBLANK(I550),\"－\",I550)","v":"－"},null,"採血日",{"$f":"IF(ISBLANK($I$97),\"－\",$I$97)","v":"－"},null,{"$f":"IF(ISBLANK(I550),\"－\",I550)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CRP",{"$f":"IF(ISBLANK(I98),\"－\",I98)","v":"－"},"mg/dl","－","mg/dl","Cre",{"$f":"IF(ISBLANK(I105),\"－\",I105)","v":"－"},"mg/dl",{"$f":"IF(ISBLANK(I558),\"－\",I558)","v":"－"},"mg/dl"]
[null,"経腸栄養管理",null,"栄養剤",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"WBC","－","/μl","－","/μl","Na","－","mEq/l","－","mEq/l"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Hb","－","g/dl","－","g/dl","K","－","mEq/l","－","mEq/l"]
[null,null,null,"投与量",null,"朝",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ht","－","%","－","%","GLU","－","mg/dl","－","mg/dl"]
[null,null,null,null,null,"昼",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TP","－","g/dl","－","g/dl","HA1c","－","％","－","％"]
[null,null,null,null,null,"夕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ALB","－","g/dl","－","g/dl","HDLｺﾚｽﾃﾛｰﾙ","－","mg/dl","－","mg/dl"]
[null,null,null,null,null,"眠前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BUN","－","mg/dl","－","mg/dl","LDLｺﾚｽﾃﾛｰﾙ","－","mg/dl","－","mg/dl"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I565),\"－\",I565)","v":"－"}]
[]
[null,"検体検査",null,"直近採血日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,{"$f":"IF(ISBLANK(I567),\"－\",I567)","v":"－"}]
[null,null,null,"CRP"]
[null,null,null,"白血球数(WBC)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝ(Hb)"]
[null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【印刷】"]
[null,null,null,"総蛋白(TP)"]
[null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)"]
[null,null,null,"尿素窒素(BUN)"]
[null,null,null,"ｸﾚｱﾁﾆﾝ(Cre)"]
[null,null,null,"ﾅﾄﾘｳﾑ(Na)"]
[null,null,null,"ｶﾘｳﾑ(K)"]
[null,null,null,"血糖(GLU)"]
[null,null,null,"ﾍﾓｸﾞﾛﾋﾞﾝA1c(HA1c)"]
[null,null,null,"HDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"LDLｺﾚｽﾃﾛｰﾙ"]
[null,null,null,"詳細・コメント"]
[]
[null,"コメント"]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当栄養士"]

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[]
[]
["急性期：栄養情報",null,null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!H24","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入力分",null,null,null,null,null,null,null,null,"白色セルのみ記入する"]
["看護及び栄養管理等に関する情報（急性期）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(太枠：必須記入)"]
["患者氏名",null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!H18","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院日",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!H32","v":"00:00:00"},null,null,null,null,null,null,null,null,null,null,"退院日",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!H45","v":"00:00:00"}]
["栄養管理に関する情報",null,"栄養管理・栄養指導等の経過"]
[]
[null,null,"栄養管理上の\n注意点と課題"]
[]
[null,null,"栄養評価",null,"評価日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"過去（",null,null,null,null,null,null,null,"週間）の体重変化",null,null,null,null,null,null,null,null,null,null,null,null,null,"増加",null,null,null,null,"変化なし",null,null,null,null,null,null,null,"減少",null,null,null,null,null,null,"kg",null,null,null,null,null,null,"%"]
[null,null,null,null,"身体計測",null,null,null,null,null,null,"測定日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身長",null,null,null,null,null,null,null,null,"cm",null,null,"体重",null,null,null,null,null,null,null,null,"Kg",null,null,"BMI",null,null,{"$f":"AS11/((AG11/100)*(AG11/100))","v":{"$error":"#DIV/0!"}},null,null,null,"kg/㎡"]
[null,null,null,null,null,null,null,null,null,null,null,"下腿周囲長",null,null,null,null,null,null,null,null,null,null,null,null,null,"kg/㎡",null,null,null,null,null,"不明",null,null,null,null,"握力",null,null,null,null,null,null,null,null,null,null,null,null,"kgf",null,null,null,null,"不明"]
[null,null,null,null,"身体所見",null,null,null,null,null,null,"食欲低下",null,null,null,null,null,null,null,"無",null,null,null,"有",null,null,null,"不明(",null,null,null,null,null,null,null,null,null,")","消化器症状",null,null,null,null,null,null,null,null,"無",null,null,null,"有(",null,null,null,"嘔気",null,null,null,null,"嘔吐",null,null,null,null,"下痢",null,null,null,null,"便秘)",null,null,null,null,"不明"]
[null,null,null,null,null,null,null,null,null,null,null,"味覚障害",null,null,null,null,null,null,null,"無",null,null,null,"有",null,null,null,"不明（",null,null,null,null,null,null,null,null,null,null,null,null,"）","褥瘡",null,null,null,null,null,"無",null,null,null,"有",null,"（部位等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,"不明"]
[null,null,null,null,null,null,null,null,null,null,null,"浮腫",null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,null,null,"胸水",null,null,null,null,"腹水",null,null,null,null,"下肢",null,null,null,")",null,null,null,"不明",null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,null,"嚥下障害",null,null,null,null,null,null,null,"無",null,null,null,"有",null,"特記事項"]
[null,null,null,null,null,null,null,null,null,null,null,"咀嚼障害",null,null,null,null,null,null,null,"無",null,null,null,"有"]
[null,null,null,null,"検査・その他",null,null,null,null,null,null,"検査日",null,null,null,null,null,null,null,null,null,null,null,null,null,"過去1カ月以内Alb値",null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,"）g/dL",null,null,null,null,null,null,"測定無し",null,null,null,null,null,"その他"]
[null,null,null,null,"1日栄養量",null,null,null,null,null,null,"エネルギー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"たんぱく質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食塩",null,null,null,null,null,"水分",null,null,null,null,null,"その他"]
[null,null,null,null,"必要栄養量",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"g",null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/現体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/現体重kg"]
[null,null,null,null,"摂取栄養量",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"g",null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/現体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/現体重kg"]
[null,null,null,null,"栄養補給法",null,null,null,null,null,null,null,null,"経口",null,null,null,null,"経腸（",null,null,null,null,null,"経口",null,null,null,null,"経鼻",null,null,null,null,"胃瘻",null,null,null,null,"腸瘻",null,null,"）",null,null,"静脈"]
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[null,null,"退院時食事内容",null,"食種",null,null,null,null,null,null,null,null,"一般食",null,null,null,null,null,null,"特別食（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,"食事形態",null,null,null,null,null,null,"主食種類",null,null,null,null,null,null,"朝",null,null,null,"米飯",null,null,null,null,"軟飯",null,null,null,null,"全粥",null,null,null,null,"パン",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,"）","量",null,null,null,null,null,null,null,null,null,null,"g/食"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昼",null,null,null,"米飯",null,null,null,null,"軟飯",null,null,null,null,"全粥",null,null,null,null,"パン",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,"g/食"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕",null,null,null,"米飯",null,null,null,null,"軟飯",null,null,null,null,"全粥",null,null,null,null,"パン",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,"g/食"]
[null,null,null,null,null,null,null,null,null,null,null,"副食形態"]
[null,null,null,null,null,null,null,null,null,null,null,"嚥下調整食",null,null,null,null,null,null,null,null,null,"不要",null,null,null,null,"必要",null,null,"コード（嚥下調整食の場合は必須）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0j",null,null,null,"0t",null,null,null,"1j",null,null,null,"2-1",null,null,null,null,"2-2",null,null,null,null,3,null,null,null,4]
[null,null,null,null,null,null,null,null,null,null,null,"とろみ調整\n食品の使用",null,null,null,null,null,null,null,null,null,null,"無",null,"種類（製品名）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用量（gまたは包）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"とろみの濃度"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"薄い",null,null,null,null,null,"中間",null,null,null,null,null,null,"濃い"]
[null,null,null,null,"その他影響する問題点",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"無",null,null,null,"有(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,"禁止食品",null,null,null,null,null,null,"食物\nアレルギー",null,null,null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,null,null,"乳",null,null,null,"乳製品",null,null,null,null,null,null,"卵",null,null,null,"小麦",null,null,null,null,"そば",null,null,null,null,"落花生",null,null,null,null,null,null,"えび"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かに",null,null,null,null,"青魚",null,null,null,null,"大豆",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,null,null,null,null,"禁止食品\n（治療、服薬、宗教上などによる事項）"]
[]
[]
[null,null,"退院時栄養設定の詳細",null,"栄養量",null,null,null,null,null,null,"補給量",null,null,null,null,null,null,null,null,null,null,"エネルギー",null,null,null,null,null,null,null,null,null,"たんぱく質\n（アミノ酸）",null,null,null,null,null,null,"脂質",null,null,null,null,null,null,"炭水化物\n(糖質)",null,null,null,null,null,null,"食塩",null,null,null,null,null,null,"水分",null,null,null,null,null,null,"その他"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"経口(食事)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"kcal",null,null,null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"ml"]
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[null,null,null,null,null,null,null,null,null,null,null,"静脈",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"kcal",null,null,null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"経口飲水",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"合計",null,null,null,null,null,null,null,null,null,null,{"$f":"W42+W43+W44","v":0},null,null,null,null,null,"kcal",null,null,null,{"$f":"AG42+AG43+AG44","v":0},null,null,null,null,"g",null,{"$f":"AN42+AN43+AN44","v":0},null,null,null,null,"g",null,{"$f":"AU42+AU43+AU44","v":0},null,null,null,null,"g",null,{"$f":"BB42+BB43+BB44","v":0},null,null,null,null,"g",null,{"$f":"BI42+BI43+BI44","v":0},null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"(現体重当たり)",null,null,null,null,null,null,null,null,null,null,{"$f":"W46/AS11","v":{"$error":"#DIV/0!"}},null,null,null,null,"kcal/kg",null,null,null,null,{"$f":"AG46/AS11","v":{"$error":"#DIV/0!"}},null,null,null,"g/kg",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AS11/BI46","v":{"$error":"#DIV/0!"}},null,null,null,null,"ml"]
[null,null,null,null,"経腸栄養\n詳細",null,null,null,null,null,null,"種類",null,null,null,null,null,null,null,null,null,null,"朝：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昼：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕："]
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[null,null,null,null,null,null,null,null,null,null,null,"投与経路",null,null,null,null,null,null,null,null,null,null,null,null,"経口",null,null,null,null,"経鼻",null,null,null,null,"胃瘻",null,null,null,null,"腸瘻",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,"投与速度",null,null,null,null,null,null,null,null,null,null,"朝：",null,null,null,null,null,null,null,null,null,null,null,null,null,"ml/h",null,null,null,"昼：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml/h",null,null,null,"夕：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml/h"]
[null,null,null,null,null,null,null,null,null,null,null,"追加水分",null,null,null,null,null,null,null,null,null,null,"朝：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml",null,"昼：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml",null,"夕：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml"]
[null,null,null,null,"静脈栄養\n詳細",null,null,null,null,null,null,"種類・量"]
[null,null,null,null,null,null,null,null,null,null,null,"投与経路"]
[null,null,"備考"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"照会先"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"施設名",null,null,null,null,null,{"$f":"計画書!H24","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記入者氏名"]
[]
[]
[]
[]
["回復期：栄養情報",null,null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!AJ18","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入力分",null,null,null,null,null,null,null,null,null,null,null,null,"白色セルのみ記入する"]
["看護及び栄養管理等に関する情報（回復期）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(太枠：必須記入)"]
["患者氏名",null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!H18","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院日",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!AJ25","v":"00:00:00"},null,null,null,null,null,null,null,null,null,null,"退院日",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!AJ26","v":"00:00:00"}]
["栄養管理に関する情報",null,"栄養管理・栄養指導等の経過"]
[]
[null,null,"栄養管理上の\n注意点と課題"]
[]
[null,null,"栄養評価",null,"評価日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"過去（",null,null,null,null,null,null,null,"週間）の体重変化",null,null,null,null,null,null,null,null,null,null,null,null,null,"増加",null,null,null,null,"変化なし",null,null,null,null,null,null,null,"減少",null,null,null,null,null,null,"kg",null,null,null,null,null,null,"%"]
[null,null,null,null,"身体計測",null,null,null,null,null,null,"測定日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身長",null,null,null,null,null,null,null,null,"cm",null,null,"体重",null,null,null,null,null,null,null,null,"Kg",null,null,"BMI",null,null,{"$f":"AS73/((AG73/100)*(AG73/100))","v":{"$error":"#DIV/0!"}},null,null,null,"kg/㎡"]
[null,null,null,null,null,null,null,null,null,null,null,"下腿周囲長",null,null,null,null,null,null,null,null,null,null,null,null,null,"kg/㎡",null,null,null,null,null,"不明",null,null,null,null,"握力",null,null,null,null,null,null,null,null,null,null,null,null,"kgf",null,null,null,null,"不明"]
[null,null,null,null,"身体所見",null,null,null,null,null,null,"食欲低下",null,null,null,null,null,null,null,"無",null,null,null,"有",null,null,null,"不明(",null,null,null,null,null,null,null,null,null,")","消化器症状",null,null,null,null,null,null,null,null,"無",null,null,null,"有(",null,null,null,"嘔気",null,null,null,null,"嘔吐",null,null,null,null,"下痢",null,null,null,null,"便秘)",null,null,null,null,"不明"]
[null,null,null,null,null,null,null,null,null,null,null,"味覚障害",null,null,null,null,null,null,null,"無",null,null,null,"有",null,null,null,"不明（",null,null,null,null,null,null,null,null,null,null,null,null,"）","褥瘡",null,null,null,null,null,"無",null,null,null,"有",null,"（部位等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,"不明"]
[null,null,null,null,null,null,null,null,null,null,null,"浮腫",null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,null,null,"胸水",null,null,null,null,"腹水",null,null,null,null,"下肢",null,null,null,")",null,null,null,"不明",null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,null,"嚥下障害",null,null,null,null,null,null,null,"無",null,null,null,"有",null,"特記事項"]
[null,null,null,null,null,null,null,null,null,null,null,"咀嚼障害",null,null,null,null,null,null,null,"無",null,null,null,"有"]
[null,null,null,null,"検査・その他",null,null,null,null,null,null,"検査日",null,null,null,null,null,null,null,null,null,null,null,null,null,"過去1カ月以内Alb値",null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,"）g/dL",null,null,null,null,null,null,"測定無し",null,null,null,null,null,"その他"]
[null,null,null,null,"1日栄養量",null,null,null,null,null,null,"エネルギー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"たんぱく質",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食塩",null,null,null,null,null,"水分",null,null,null,null,null,"その他"]
[null,null,null,null,"必要栄養量",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"g",null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/現体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/現体重kg"]
[null,null,null,null,"摂取栄養量",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/標準体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"g",null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）kcal/現体重kg",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）g/現体重kg"]
[null,null,null,null,"栄養補給法",null,null,null,null,null,null,null,null,"経口",null,null,null,null,"経腸（",null,null,null,null,null,"経口",null,null,null,null,"経鼻",null,null,null,null,"胃瘻",null,null,null,null,"腸瘻",null,null,"）",null,null,"静脈"]
[null,null,null,null,null,null,null,null,null,null,null,"食事回数",null,null,null,null,null,null,null,null,null,null,"回/日",null,null,null,null,null,null,"朝",null,null,null,"昼",null,null,null,"夕",null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,"）"]
[null,null,"退院時食事内容",null,"食種",null,null,null,null,null,null,null,null,"一般食",null,null,null,null,null,null,"特別食（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,"食事形態",null,null,null,null,null,null,"主食種類",null,null,null,null,null,null,"朝",null,null,null,"米飯",null,null,null,null,"軟飯",null,null,null,null,"全粥",null,null,null,null,"パン",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,"）","量",null,null,null,null,null,null,null,null,null,null,"g/食"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昼",null,null,null,"米飯",null,null,null,null,"軟飯",null,null,null,null,"全粥",null,null,null,null,"パン",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,"g/食"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕",null,null,null,"米飯",null,null,null,null,"軟飯",null,null,null,null,"全粥",null,null,null,null,"パン",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,"g/食"]
[null,null,null,null,null,null,null,null,null,null,null,"副食形態"]
[null,null,null,null,null,null,null,null,null,null,null,"嚥下調整食",null,null,null,null,null,null,null,null,null,"不要",null,null,null,null,"必要",null,null,"コード（嚥下調整食の場合は必須）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0j",null,null,null,"0t",null,null,null,"1j",null,null,null,"2-1",null,null,null,null,"2-2",null,null,null,null,3,null,null,null,4]
[null,null,null,null,null,null,null,null,null,null,null,"とろみ調整\n食品の使用",null,null,null,null,null,null,null,null,null,null,"無",null,"種類（製品名）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用量（gまたは包）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"とろみの濃度"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"薄い",null,null,null,null,null,"中間",null,null,null,null,null,null,"濃い"]
[null,null,null,null,"その他影響する問題点",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"無",null,null,null,"有(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,"禁止食品",null,null,null,null,null,null,"食物\nアレルギー",null,null,null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,null,null,"乳",null,null,null,"乳製品",null,null,null,null,null,null,"卵",null,null,null,"小麦",null,null,null,null,"そば",null,null,null,null,"落花生",null,null,null,null,null,null,"えび"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かに",null,null,null,null,"青魚",null,null,null,null,"大豆",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,null,null,null,null,"禁止食品\n（治療、服薬、宗教上などによる事項）"]
[]
[]
[null,null,"退院時栄養設定の詳細",null,"栄養量",null,null,null,null,null,null,"補給量",null,null,null,null,null,null,null,null,null,null,"エネルギー",null,null,null,null,null,null,null,null,null,"たんぱく質\n（アミノ酸）",null,null,null,null,null,null,"脂質",null,null,null,null,null,null,"炭水化物\n(糖質)",null,null,null,null,null,null,"食塩",null,null,null,null,null,null,"水分",null,null,null,null,null,null,"その他"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"経口(食事)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"kcal",null,null,null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"経腸",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"kcal",null,null,null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"静脈",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"kcal",null,null,null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"g",null,null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"経口飲水",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"合計",null,null,null,null,null,null,null,null,null,null,{"$f":"W104+W105+W106","v":0},null,null,null,null,null,"kcal",null,null,null,{"$f":"AG104+AG105+AG106","v":0},null,null,null,null,"g",null,{"$f":"AN104+AN105+AN106","v":0},null,null,null,null,"g",null,{"$f":"AU104+AU105+AU106","v":0},null,null,null,null,"g",null,{"$f":"BB104+BB105+BB106","v":0},null,null,null,null,"g",null,{"$f":"BI104+BI105+BI106","v":0},null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"(現体重当たり)",null,null,null,null,null,null,null,null,null,null,{"$f":"W108/AS73","v":{"$error":"#DIV/0!"}},null,null,null,null,"kcal/kg",null,null,null,null,{"$f":"AG108/AS73","v":{"$error":"#DIV/0!"}},null,null,null,"g/kg",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AS73/BI108","v":{"$error":"#DIV/0!"}},null,null,null,null,"ml"]
[null,null,null,null,"経腸栄養\n詳細",null,null,null,null,null,null,"種類",null,null,null,null,null,null,null,null,null,null,"朝：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昼：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夕："]
[null,null,null,null,null,null,null,null,null,null,null,"量",null,null,null,null,null,null,null,null,null,null,"朝：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml",null,"昼：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml",null,"夕：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml"]
[null,null,null,null,null,null,null,null,null,null,null,"投与経路",null,null,null,null,null,null,null,null,null,null,null,null,"経口",null,null,null,null,"経鼻",null,null,null,null,"胃瘻",null,null,null,null,"腸瘻",null,null,null,null,"その他",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,"投与速度",null,null,null,null,null,null,null,null,null,null,"朝：",null,null,null,null,null,null,null,null,null,null,null,null,null,"ml/h",null,null,null,"昼：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml/h",null,null,null,"夕：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml/h"]
[null,null,null,null,null,null,null,null,null,null,null,"追加水分",null,null,null,null,null,null,null,null,null,null,"朝：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml",null,"昼：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml",null,"夕：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ml"]
[null,null,null,null,"静脈栄養\n詳細",null,null,null,null,null,null,"種類・量"]
[null,null,null,null,null,null,null,null,null,null,null,"投与経路"]
[null,null,"備考"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"照会先",null,"施設名",null,null,null,null,null,{"$f":"計画書!AJ18","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号"]
[]
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[null,"福祉情報入力シート",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉情報印刷シート"]
[]
[]
["(福祉)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(福祉)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図",null,null,null,null,null,null,null,null,null,null,null,null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書",null,null,null,null,null,null,null,null,null,null,null,null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携",null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：福祉情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期：福祉情報【印刷用紙】"]
[]
[null,"入院時入力"]
[null,"発症前生活場所",null,null,null,null,null,null,false,"自宅",null,false,"一般病棟",null,false,"回復期リハビリテーション病棟",null,false,"地域包括ケア病棟",null,false,"医療療養病棟",null,null,null,null,null,null,"福祉情報提供書（急性期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I42),\"－\",I42)","v":"－"},null,null,null,null,"急性期【印刷】"]
[null,null,null,null,null,null,null,null,false,"介護療養型医療施設",null,false,"介護老人福祉施設",null,false,"介護老人保健施設",null,false,"グループホーム",null,false,"軽費老人ホーム"]
[null,null,null,null,null,null,null,null,false,"有料老人ホーム",null,false,"サービス付き高齢者向け住宅",null,null,null,null,false,"高齢者専用賃貸住宅",null,false,"その他"]
[null,null,null,"施設名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE24),\"－\",AE24)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"}]
[null,"社会保障",null,"医療保険",null,null,null,null,false,"不明",false,"後期高齢者",false,"国民健康保険",false,"協会けんぽ",false,"船員保険",false,"共済組合"]
[null,null,null,null,null,null,null,null,null,null,false,"生活保護",false,"労災",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,"身体障害者手帳",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I144),\"－\",I144)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"1級",false,"2級",false,"3級",false,"4級",false,"5級",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"}]
[null,null,null,null,null,"障害の種類",null,null,false,"不明",false,"視覚",false,"聴覚",false,"音声・言語機能",false,"そしゃく機能",false,"肢体不自由",false,"内部障害である心臓機能"]
[null,null,null,null,null,null,null,null,null,null,false,"呼吸器機能",false,"じん臓機能",false,"ぼうこう又は直腸機能",false,"小腸機能",false,"免疫機能",false,"肝臓機能",null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM24,AK14,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,"特定疾患",null,"特定疾患の申請",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"申請済",null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,"病名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,"介護保険",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"要支援1",false,"要支援2",null,null,null,null,null,null,null,null,"発症前生活場所",null,{"$f":"IF(I14 =TRUE,J14 & \" \",\"\"   ) & IF(L14 =TRUE,M14 & \" \",\"\"   ) & IF(O14 =TRUE,P14 & \" \",\"\"   ) & IF(R14 =TRUE,S14 & \" \",\"\"   )  & IF(U14 =TRUE,V14 & \" \",\"\"   ) & IF(I15 =TRUE,J15 & \" \",\"\"   ) & IF(L15 =TRUE,M15 & \" \",\"\"   ) & IF(O15 =TRUE,P15 & \" \",\"\"   ) & IF(R15 =TRUE,S15 & \" \",\"\"   )  & IF(U15 =TRUE,V15 & \" \",\"\"   ) & IF(I16 =TRUE,J16 & \" \",\"\"   ) & IF(L16 =TRUE,M15 & \" \",\"\"   )  & IF(R16 =TRUE,S16 & \" \",\"\"   ) & IF(U16 =TRUE,V16 & \" \",\"\"   )","v":""},null,null,null,{"$f":"IF(ISBLANK(I17),\"－\",I17)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"要介護1",false,"要介護2",false,"要介護3",false,"要介護4",false,"要介護5",null,null,null,null,null,null,null,null,"家族状況","キーパーソン",null,"氏名",{"$f":"IF(ISBLANK(I43),\"－\",I43)","v":"－"}]
[null,null,null,null,null,null,"居宅事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",{"$f":"IF(ISBLANK(I44),\"－\",I44)","v":"－"},null,"性別",{"$f":"IF(I45 =TRUE,J45 & \" \",\"\"   ) & IF(K45 =TRUE,L45 & \" \",\"\"   ) & IF(M45 =TRUE,N45 & \" \",\"\"   )","v":""},null,"年齢",{"$f":"IF(ISBLANK(I46),\"－\",I46)","v":"－"}]
[null,null,null,null,null,null,"ケアマネジャー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康状態",{"$f":"IF(I47 =TRUE,J47 & \" \",\"\"   ) & IF(K47 =TRUE,L47 & \" \",\"\"   ) & IF(M47 =TRUE,N47 & \" \",\"\"   )","v":""},null,"ＴＥＬ①",{"$f":"IF(ISBLANK(I49),\"－\",I49)","v":"－"}]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護力",{"$f":"IF(I48 =TRUE,J48 & \" \",\"\"   ) & IF(K48 =TRUE,L48 & \" \",\"\"   ) & IF(M48 =TRUE,N48 & \" \",\"\"   ) &  IF(O48 =TRUE,P48 & \" \",\"\"   )","v":""},null,"ＴＥＬ②",{"$f":"IF(ISBLANK(I50),\"－\",I50)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I51),\"－\",I51)","v":"－"}]
[null,"職業",null,"入院前",null,null,null,null,false,"不明",false,"有",false,"無"]
[]
[]
[null,"経済",null,"入院前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保障制度",null,null,null,"入院前",null,null,null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療保険",null,null,{"$f":"IF(I18 =TRUE,J18 & \" \",\"\"   ) & IF(K18 =TRUE,L18 & \" \",\"\"   ) & IF(M18 =TRUE,N18 & \" \",\"\"   ) &  IF(O18 =TRUE,P18 & \" \",\"\"   ) & IF(Q18 =TRUE,R18 & \" \",\"\"   ) & IF(S18 =TRUE,T18 & \" \",\"\"   ) & IF(K19 =TRUE,L19 & \" \",\"\"   ) & IF(M19 =TRUE,N19 & \" \",\"\"   ) &  IF(O19 =TRUE,P19 & \" \",\"\"   ) & Q19","v":""},null,null,null,{"$f":"IF(I55 =TRUE,J55 & \" \",\"\"   ) & IF(K55 =TRUE,L55 & \" \",\"\"   ) & IF(M55 =TRUE,N55 & \" \",\"\"   ) &  IF(O55 =TRUE,P55 & \" \",\"\"   ) & IF(Q55 =TRUE,R55 & \" \",\"\"   ) & IF(S55 =TRUE,T55 & \" \",\"\"   ) & IF(K56 =TRUE,L56 & \" \",\"\"   ) & IF(M56 =TRUE,N56 & \" \",\"\"   ) &  IF(O56 =TRUE,P56 & \" \",\"\"   ) & Q56","v":""}]
[null,"生活",null,"入院前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,"取得状況",{"$f":"IF(I20 =TRUE,J20 & \" \",\"\"   ) & IF(K20 =TRUE,L20 & \" \",\"\"   ) & IF(M20 =TRUE,N20 & \" \",\"\"   ) &  IF(O20 =TRUE,P20 & \" \",\"\"   )& IF(K21 =TRUE,L21 & \" \",\"\"   ) & IF(M21 =TRUE,N21 & \" \",\"\"   ) & IF(O21 =TRUE,P21 & \" \",\"\"   )  & IF(Q21 =TRUE,R21 & \" \",\"\"   )  & IF(S21 =TRUE,T21 & \" \",\"\"   )","v":""},null,null,null,{"$f":"IF(I57 =TRUE,J57 & \" \",\"\"   ) & IF(K57 =TRUE,L57 & \" \",\"\"   ) & IF(M57 =TRUE,N57 & \" \",\"\"   ) &  IF(O57 =TRUE,P57 & \" \",\"\"   )& IF(K58 =TRUE,L58 & \" \",\"\"   ) & IF(M58 =TRUE,N58 & \" \",\"\"   ) & IF(O58 =TRUE,P58 & \" \",\"\"   )  & IF(Q58 =TRUE,R58 & \" \",\"\"   )  & IF(S58 =TRUE,T58 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"障害の種類",{"$f":"IF(I22 =TRUE,J22 & \" \",\"\"   ) & IF(K22 =TRUE,L22 & \" \",\"\"   ) & IF(M22 =TRUE,N22 & \" \",\"\"   ) &  IF(O22 =TRUE,P22 & \" \",\"\"   ) &  IF(Q22 =TRUE,R22 & \" \",\"\"   )&  IF(S22 =TRUE,T22 & \" \",\"\"   )&  IF(U22 =TRUE,V22 & \" \",\"\"   ) & IF(K23 =TRUE,L23 & \" \",\"\"   ) & IF(M23 =TRUE,N23 & \" \",\"\"   ) &  IF(O23 =TRUE,P23 & \" \",\"\"   ) &  IF(Q23 =TRUE,R23 & \" \",\"\"   )&  IF(S23 =TRUE,T23 & \" \",\"\"   )&  IF(U23 =TRUE,V23 & \" \",\"\"   )","v":""},null,null,null,{"$f":"IF(I59 =TRUE,J59 & \" \",\"\"   ) & IF(K59 =TRUE,L59 & \" \",\"\"   ) & IF(M59 =TRUE,N59 & \" \",\"\"   ) &  IF(O59 =TRUE,P59 & \" \",\"\"   ) &  IF(Q59 =TRUE,R59 & \" \",\"\"   )&  IF(S59 =TRUE,T59 & \" \",\"\"   )&  IF(U59 =TRUE,V59 & \" \",\"\"   ) & IF(K60 =TRUE,L60 & \" \",\"\"   ) & IF(M60 =TRUE,N60 & \" \",\"\"   ) &  IF(O60 =TRUE,P60 & \" \",\"\"   ) &  IF(Q60 =TRUE,R60 & \" \",\"\"   )&  IF(S60 =TRUE,T60 & \" \",\"\"   )&  IF(U60 =TRUE,V60 & \" \",\"\"   )","v":""}]
[null,"趣味",null,"入院前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特定疾患",null,"申請状況",{"$f":"IF(I24 =TRUE,J24 & \" \",\"\"   ) & IF(K24 =TRUE,L24 & \" \",\"\"   ) & IF(M24 =TRUE,N24 & \" \",\"\"   ) &  IF(O24 =TRUE,P24 & \" \",\"\"   ) &  IF(Q24 =TRUE,R24 & \" \",\"\"   )","v":""},null,null,null,{"$f":"IF(I61 =TRUE,J61 & \" \",\"\"   ) & IF(K61 =TRUE,L61 & \" \",\"\"   ) & IF(M61 =TRUE,N61 & \" \",\"\"   ) &  IF(O61 =TRUE,P61 & \" \",\"\"   ) &  IF(Q61 =TRUE,R61 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"病名",{"$f":"IF(ISBLANK(I25),\"－\",I25)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(I62),\"－\",I62)","v":"－"}]
[null,"退院時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：入院時引用",null,"※各自責任のもと情報の引用を行ってください。",null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,"取得状況",{"$f":"IF(I26 =TRUE,J26 & \" \",\"\"   ) & IF(K26 =TRUE,L26 & \" \",\"\"   ) & IF(M26 =TRUE,N26 & \" \",\"\"   ) &  IF(O26 =TRUE,P26 & \" \",\"\"   ) &  IF(Q26 =TRUE,R26 & \" \",\"\"   )&  IF(S26 =TRUE,T26 & \" \",\"\"   )  & IF(K27 =TRUE,L27 & \" \",\"\"   ) & IF(M27 =TRUE,N27 & \" \",\"\"   ) &  IF(O27 =TRUE,P27 & \" \",\"\"   ) &  IF(Q27 =TRUE,R27 & \" \",\"\"   )&  IF(S27 =TRUE,T27 & \" \",\"\"   )","v":""},null,null,null,{"$f":"IF(I63 =TRUE,J63 & \" \",\"\"   ) & IF(K63 =TRUE,L63 & \" \",\"\"   ) & IF(M63 =TRUE,N63 & \" \",\"\"   ) &  IF(O63 =TRUE,P63 & \" \",\"\"   ) &  IF(Q63 =TRUE,R63 & \" \",\"\"   )&  IF(S63 =TRUE,T63 & \" \",\"\"   )  & IF(K64 =TRUE,L64 & \" \",\"\"   ) & IF(M64 =TRUE,N64 & \" \",\"\"   ) &  IF(O64 =TRUE,P64 & \" \",\"\"   ) &  IF(Q64 =TRUE,R64 & \" \",\"\"   )&  IF(S64 =TRUE,T64 & \" \",\"\"   )","v":""}]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",{"$f":"IF(ISBLANK(I28),\"－\",I28)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(I65),\"－\",I65)","v":"－"}]
[null,"家族状況",null,"キーパーソン",null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",{"$f":"IF(ISBLANK(I29),\"－\",I29)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(I66),\"－\",I66)","v":"－"}]
[null,null,null,null,null,"続柄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(I30),\"－\",I30)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(I67),\"－\",I67)","v":"－"}]
[null,null,null,null,null,"性別",null,null,false,"不明",false,"男性",false,"女性"]
[null,null,null,null,null,"年齢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　職業",null,null,null,{"$f":"IF(I32 =TRUE,J32 & \" \",\"\"   ) & IF(K32 =TRUE,L32 & \" \",\"\"   ) & IF(M32 =TRUE,N32 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(I33),\"－\",I33)","v":"－"},null,null,{"$f":"IF(I69 =TRUE,J69 & \" \",\"\"   ) & IF(K69 =TRUE,L69 & \" \",\"\"   ) & IF(M69 =TRUE,N69 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(I70),\"－\",I70)","v":"－"}]
[null,null,null,null,null,"健康状態",null,null,false,"不明",false,"良好",false,"不良"]
[null,null,null,null,null,"介護力",null,null,false,"不明",false,"昼夜とも",false,"日中",false,"夜間",null,null,null,null,null,null,null,null,null,null,null,null,"　経済状況",null,null,null,{"$f":"IF(ISBLANK(I35),\"－\",I35)","v":"－"},null,null,null,{"$f":"IF(ISBLANK(I72),\"－\",I72)","v":"－"}]
[null,null,null,null,null,"ＴＥＬ①"]
[null,null,null,null,null,"ＴＥＬ②",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活","入院前",null,{"$f":"IF(ISBLANK(I37),\"－\",I37)","v":"－"}]
[null,null,null,"詳細・コメント"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I74),\"－\",I74)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I76),\"－\",I76)","v":"－"}]
[null,"社会保障",null,"医療保険",null,null,null,null,false,"不明",false,"後期高齢者",false,"国民健康保険",false,"協会けんぽ",false,"船員保険",false,"共済組合"]
[null,null,null,null,null,null,null,null,null,null,false,"生活保護",false,"労災",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,"趣味","入院前",null,{"$f":"IF(ISBLANK(I39),\"－\",I39)","v":"－"}]
[null,null,null,"身体障害者手帳",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中"]
[null,null,null,null,null,null,null,null,null,null,false,"1級",false,"2級",false,"3級",false,"4級",false,"5級",null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I78),\"－\",I78)","v":"－"}]
[null,null,null,null,null,"障害の種類",null,null,false,"不明",false,"視覚",false,"聴覚",false,"音声・言語機能",false,"そしゃく機能",false,"肢体不自由",false,"内部障害である心臓機能"]
[null,null,null,null,null,null,null,null,null,null,false,"呼吸器機能",false,"じん臓機能",false,"ぼうこう又は直腸機能",false,"小腸機能",false,"免疫機能",false,"肝臓機能",null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I80),\"－\",I80)","v":"－"}]
[null,null,null,"特定疾患",null,"特定疾患の申請",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"申請済",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[null,null,null,null,null,"病名"]
[null,null,null,"介護保険",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"要支援1",false,"要支援2"]
[null,null,null,null,null,null,null,null,null,null,false,"要介護1",false,"要介護2",false,"要介護3",false,"要介護4",false,"要介護5"]
[null,null,null,null,null,null,"居宅事業所"]
[null,null,null,null,null,null,"ケアマネジャー"]
[null,null,null,"その他"]
[]
[null,"職業",null,"退院時",null,null,null,null,false,"不明",false,"有",false,"無"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,"経済",null,"退院時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I82 =TRUE,J82 & \" \",\"\"   ) & IF(K82 =TRUE,L82 & \" \",\"\"   )","v":""},"訪問介護",null,{"$f":"IF(ISBLANK(I83),\"－\",I83)","v":"－"},"回／週",{"$f":"IF(I94 =TRUE,J94 & \" \",\"\"   ) & IF(K94 =TRUE,L94 & \" \",\"\"   )","v":""},"居宅療養管理指導（医療）",null,null,{"$f":"IF(ISBLANK(I95),\"－\",I95)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I84 =TRUE,J84 & \" \",\"\"   ) & IF(K84 =TRUE,L84 & \" \",\"\"   )","v":""},"訪問看護",null,{"$f":"IF(ISBLANK(I85),\"－\",I85)","v":"－"},"回／週",{"$f":"IF(I96 =TRUE,J96 & \" \",\"\"   ) & IF(K96 =TRUE,L96 & \" \",\"\"   )","v":""},"居宅療養管理指導（薬剤）",null,null,{"$f":"IF(ISBLANK(I97),\"－\",I97)","v":"－"},"回／週"]
[null,"生活",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I86 =TRUE,J86 & \" \",\"\"   ) & IF(K86 =TRUE,L86 & \" \",\"\"   )","v":""},"訪問リハ",null,{"$f":"IF(ISBLANK(I87),\"－\",I87)","v":"－"},"回／週",{"$f":"IF(I98 =TRUE,J98 & \" \",\"\"   ) & IF(K98 =TRUE,L98 & \" \",\"\"   )","v":""},"居宅療養管理指導（歯科）",null,null,{"$f":"IF(ISBLANK(I99),\"－\",I99)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I88 =TRUE,J86 & \" \",\"\"   ) & IF(K88 =TRUE,L88 & \" \",\"\"   )","v":""},"通所介護",null,{"$f":"IF(ISBLANK(I89),\"－\",I89)","v":"－"},"回／週",{"$f":"IF(I100 =TRUE,J100 & \" \",\"\"   ) & IF(K100 =TRUE,L100 & \" \",\"\"   )","v":""},"居宅療養管理指導（栄養）",null,null,{"$f":"IF(ISBLANK(I101),\"－\",I101)","v":"－"},"回／週"]
[null,null,null,"退院後の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I90 =TRUE,J90 & \" \",\"\"   ) & IF(K90 =TRUE,L90 & \" \",\"\"   )","v":""},"通所リハ",null,{"$f":"IF(ISBLANK(I91),\"－\",I91)","v":"－"},"回／週","その他",{"$f":"IF(ISBLANK(I102),\"－\",I102)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I92 =TRUE,J92 & \" \",\"\"   ) & IF(K92 =TRUE,L92 & \" \",\"\"   )","v":""},"ショートスティ",null,{"$f":"IF(ISBLANK(I93),\"－\",I93)","v":"－"},"日／月"]
[null,"趣味",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者の\n希望",{"$f":"IF(ISBLANK(I104),\"－\",I104)","v":"－"}]
[]
[null,null,null,"退院後の希望"]
[]
[null,"退院後の",null,"訪問介護",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族の\n希望",{"$f":"IF(ISBLANK(I108),\"－\",I108)","v":"－"}]
[null,"在宅サービス",null,null,null,"利用頻度",null,null,null,"回／週"]
[null,"利用予定",null,"訪問看護",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"訪問リハビリテーション",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"援助過程・アセスメント",{"$f":"IF(ISBLANK(I112),\"－\",I112)","v":"－"}]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"通所介護",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"通所リハビリテーション",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"ショートスティ",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／月"]
[null,null,null,"居宅療養管理指導（医療）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（薬剤）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（歯科）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（栄養）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"その他"]
[]
[null,"患者の希望"]
[]
[]
[]
[null,"家族の希望"]
[]
[]
[]
[null,"援助過程・アセスメント"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[null,"担当者"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"回復期：福祉情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：福祉情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉情報提供書（回復期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I204),\"－\",I204)","v":"－"},null,null,null,null,"回復期【印刷】"]
[null,"家族状況",null,"キーパーソン",null,"氏名"]
[null,null,null,null,null,"続柄"]
[null,null,null,null,null,"性別",null,null,false,"不明",false,"男性",false,"女性",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE214),\"－\",AE214)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"}]
[null,null,null,null,null,"年齢"]
[null,null,null,null,null,"健康状態",null,null,false,"不明",false,"良好",false,"不良",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,"介護力",null,null,false,"不明",false,"昼夜とも",false,"日中",false,"夜間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I306),\"－\",I306)","v":"－"}]
[null,null,null,null,null,"ＴＥＬ①",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"}]
[null,null,null,null,null,"ＴＥＬ②"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM214,AK204,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症前生活場所",null,{"$f":"IF(I14 =TRUE,J14 & \" \",\"\"   ) & IF(L14 =TRUE,M14 & \" \",\"\"   ) & IF(O14 =TRUE,P14 & \" \",\"\"   ) & IF(R14 =TRUE,S14 & \" \",\"\"   )  & IF(U14 =TRUE,V14 & \" \",\"\"   ) & IF(I15 =TRUE,J15 & \" \",\"\"   ) & IF(L15 =TRUE,M15 & \" \",\"\"   ) & IF(O15 =TRUE,P15 & \" \",\"\"   ) & IF(R15 =TRUE,S15 & \" \",\"\"   )  & IF(U15 =TRUE,V15 & \" \",\"\"   ) & IF(I16 =TRUE,J16 & \" \",\"\"   ) & IF(L16 =TRUE,M15 & \" \",\"\"   )  & IF(R16 =TRUE,S16 & \" \",\"\"   )","v":""},null,null,null,{"$f":"IF(ISBLANK(I17),\"－\",I17)","v":"－"}]
[null,"社会保障",null,"医療保険",null,null,null,null,false,"不明",false,"後期高齢者",false,"国民健康保険",false,"協会けんぽ",false,"船員保険",false,"共済組合",null,null,null,null,null,null,null,null,"家族状況","キーパーソン",null,"氏名",{"$f":"IF(ISBLANK(I205),\"－\",I205)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"生活保護",false,"労災",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",{"$f":"IF(ISBLANK(I206),\"－\",I206)","v":"－"},null,"性別",{"$f":"IF(I207 =TRUE,J207 & \" \",\"\"   ) & IF(K207 =TRUE,L207 & \" \",\"\"   ) & IF(M207 =TRUE,N207 & \" \",\"\"   )","v":""},null,"年齢",{"$f":"IF(ISBLANK(I208),\"－\",I208)","v":"－"}]
[null,null,null,"身体障害者手帳",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康状態",{"$f":"IF(I209 =TRUE,J209 & \" \",\"\"   ) & IF(K209 =TRUE,L209 & \" \",\"\"   ) & IF(M209 =TRUE,N209 & \" \",\"\"   )","v":""},null,"ＴＥＬ①",{"$f":"IF(ISBLANK(I211),\"－\",I211)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"1級",false,"2級",false,"3級",false,"4級",false,"5級",null,null,null,null,null,null,null,null,null,null,null,"介護力",{"$f":"IF(I210 =TRUE,J210 & \" \",\"\"   ) & IF(K210 =TRUE,L210 & \" \",\"\"   ) & IF(M210 =TRUE,N210 & \" \",\"\"   ) &  IF(O210 =TRUE,P210 & \" \",\"\"   )","v":""},null,"ＴＥＬ②",{"$f":"IF(ISBLANK(I212),\"－\",I212)","v":"－"}]
[null,null,null,null,null,"障害の種類",null,null,false,"不明",false,"視覚",false,"聴覚",false,"音声・言語機能",false,"そしゃく機能",false,"肢体不自由",false,"内部障害である心臓機能",null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I213),\"－\",I213)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"呼吸器機能",false,"じん臓機能",false,"ぼうこう又は直腸機能",false,"小腸機能",false,"免疫機能",false,"肝臓機能"]
[null,null,null,"特定疾患",null,"特定疾患の申請",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"申請済"]
[null,null,null,null,null,"病名"]
[null,null,null,"介護保険",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"要支援1",false,"要支援2",null,null,null,null,null,null,null,null,"社会保障制度",null,null,null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,false,"要介護1",false,"要介護2",false,"要介護3",false,"要介護4",false,"要介護5",null,null,null,null,null,null,null,null,null,"医療保険",null,null,{"$f":"IF(I217 =TRUE,J217 & \" \",\"\"   ) & IF(K217 =TRUE,L217 & \" \",\"\"   ) & IF(M217 =TRUE,N217 & \" \",\"\"   ) &  IF(O217 =TRUE,P217 & \" \",\"\"   ) & IF(Q217 =TRUE,R217 & \" \",\"\"   ) & IF(S217 =TRUE,T217 & \" \",\"\"   ) & IF(K218 =TRUE,L218 & \" \",\"\"   ) & IF(M218 =TRUE,N218 & \" \",\"\"   ) &  IF(O218 =TRUE,P218 & \" \",\"\"   ) & Q218","v":""}]
[null,null,null,null,null,null,"居宅事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,"取得状況",{"$f":"IF(I219 =TRUE,J219 & \" \",\"\"   ) & IF(K219 =TRUE,L219 & \" \",\"\"   ) & IF(M219 =TRUE,N219 & \" \",\"\"   ) &  IF(O219 =TRUE,P219 & \" \",\"\"   )& IF(K220 =TRUE,L220 & \" \",\"\"   ) & IF(M220 =TRUE,N220 & \" \",\"\"   ) & IF(O220 =TRUE,P220 & \" \",\"\"   )  & IF(Q220 =TRUE,R220 & \" \",\"\"   )  & IF(S220 =TRUE,T220 & \" \",\"\"   )","v":""},null,"障害の種類",{"$f":"IF(I221 =TRUE,J221 & \" \",\"\"   ) & IF(K221 =TRUE,L221 & \" \",\"\"   ) & IF(M221 =TRUE,N221 & \" \",\"\"   ) &  IF(O221 =TRUE,P221 & \" \",\"\"   ) &  IF(Q221 =TRUE,R221 & \" \",\"\"   )&  IF(S221 =TRUE,T221 & \" \",\"\"   )&  IF(U221 =TRUE,V221 & \" \",\"\"   ) & IF(K222 =TRUE,L222 & \" \",\"\"   ) & IF(M222 =TRUE,N222 & \" \",\"\"   ) &  IF(O222 =TRUE,P222 & \" \",\"\"   ) &  IF(Q222 =TRUE,R222 & \" \",\"\"   )&  IF(S222 =TRUE,T222 & \" \",\"\"   )&  IF(U222 =TRUE,V222 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,"ケアマネジャー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特定疾患",null,"申請状況",{"$f":"IF(I223 =TRUE,J223 & \" \",\"\"   ) & IF(K223 =TRUE,L223 & \" \",\"\"   ) & IF(M223 =TRUE,N223 & \" \",\"\"   ) &  IF(O223 =TRUE,P223 & \" \",\"\"   ) &  IF(Q223 =TRUE,R223 & \" \",\"\"   )","v":""},null,"病名",{"$f":"IF(ISBLANK(I224),\"－\",I224)","v":"－"}]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,"取得状況",{"$f":"IF(I225 =TRUE,J225 & \" \",\"\"   ) & IF(K225 =TRUE,L225 & \" \",\"\"   ) & IF(M225 =TRUE,N225 & \" \",\"\"   ) &  IF(O225 =TRUE,P225 & \" \",\"\"   ) &  IF(Q225 =TRUE,R225 & \" \",\"\"   )&  IF(S225 =TRUE,T225 & \" \",\"\"   )  & IF(K226 =TRUE,L226 & \" \",\"\"   ) & IF(M226 =TRUE,N226 & \" \",\"\"   ) &  IF(O226 =TRUE,P226 & \" \",\"\"   ) &  IF(Q226 =TRUE,R226 & \" \",\"\"   )&  IF(S226 =TRUE,T226 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",{"$f":"IF(ISBLANK(I227),\"－\",I227)","v":"－"}]
[null,"職業",null,"退院時",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",{"$f":"IF(ISBLANK(I228),\"－\",I228)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(I229),\"－\",I229)","v":"－"}]
[]
[null,"経済",null,"退院時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　職業",null,null,null,{"$f":"IF(I231 =TRUE,J231 & \" \",\"\"   ) & IF(K231 =TRUE,L231 & \" \",\"\"   ) & IF(M231 =TRUE,N231 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(I232),\"－\",I232)","v":"－"}]
[]
[null,"生活",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　経済状況",null,null,null,{"$f":"IF(ISBLANK(I234),\"－\",I234)","v":"－"}]
[]
[null,null,null,"退院後の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活","急性期入院前",null,{"$f":"IF(ISBLANK(I37),\"－\",I37)","v":"－"}]
[]
[null,"趣味",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I236),\"－\",I236)","v":"－"}]
[]
[null,null,null,"退院後の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I238),\"－\",I238)","v":"－"}]
[]
[null,"退院後の",null,"訪問介護",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"趣味","急性期入院前",null,{"$f":"IF(ISBLANK(I39),\"－\",I39)","v":"－"}]
[null,"在宅サービス",null,null,null,"利用頻度",null,null,null,"回／週"]
[null,"利用予定",null,"訪問看護",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I240),\"－\",I240)","v":"－"}]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"訪問リハビリテーション",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I242),\"－\",I242)","v":"－"}]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[null,null,null,"通所介護",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"通所リハビリテーション",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"ショートスティ",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／月"]
[null,null,null,"居宅療養管理指導（医療）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（薬剤）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（歯科）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,null,null,"居宅療養管理指導（栄養）",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I244 =TRUE,J244 & \" \",\"\"   ) & IF(K244 =TRUE,L244 & \" \",\"\"   )","v":""},"訪問介護",null,{"$f":"IF(ISBLANK(I245),\"－\",I245)","v":"－"},"回／週",{"$f":"IF(I256 =TRUE,J256 & \" \",\"\"   ) & IF(K256 =TRUE,L256 & \" \",\"\"   )","v":""},"居宅療養管理指導（医療）",null,null,{"$f":"IF(ISBLANK(I257),\"－\",I257)","v":"－"},"回／週"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I246 =TRUE,J246 & \" \",\"\"   ) & IF(K246 =TRUE,L246 & \" \",\"\"   )","v":""},"訪問看護",null,{"$f":"IF(ISBLANK(I247),\"－\",I247)","v":"－"},"回／週",{"$f":"IF(I258 =TRUE,J258 & \" \",\"\"   ) & IF(K258 =TRUE,L258 & \" \",\"\"   )","v":""},"居宅療養管理指導（薬剤）",null,null,{"$f":"IF(ISBLANK(I259),\"－\",I259)","v":"－"},"回／週"]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I248 =TRUE,J248 & \" \",\"\"   ) & IF(K248 =TRUE,L248 & \" \",\"\"   )","v":""},"訪問リハ",null,{"$f":"IF(ISBLANK(I249),\"－\",I249)","v":"－"},"回／週",{"$f":"IF(I260 =TRUE,J260 & \" \",\"\"   ) & IF(K260 =TRUE,L260 & \" \",\"\"   )","v":""},"居宅療養管理指導（歯科）",null,null,{"$f":"IF(ISBLANK(I261),\"－\",I261)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I250 =TRUE,J250 & \" \",\"\"   ) & IF(K250 =TRUE,L250 & \" \",\"\"   )","v":""},"通所介護",null,{"$f":"IF(ISBLANK(I251),\"－\",I251)","v":"－"},"回／週",{"$f":"IF(I262 =TRUE,J262 & \" \",\"\"   ) & IF(K262 =TRUE,L262 & \" \",\"\"   )","v":""},"居宅療養管理指導（栄養）",null,null,{"$f":"IF(ISBLANK(I263),\"－\",I263)","v":"－"},"回／週"]
[null,"患者の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I252 =TRUE,J252 & \" \",\"\"   ) & IF(K252 =TRUE,L252 & \" \",\"\"   )","v":""},"通所リハ",null,{"$f":"IF(ISBLANK(I253),\"－\",I253)","v":"－"},"回／週","その他",{"$f":"IF(ISBLANK(I264),\"－\",I264)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I254 =TRUE,J254 & \" \",\"\"   ) & IF(K254 =TRUE,L254 & \" \",\"\"   )","v":""},"ショートスティ",null,{"$f":"IF(ISBLANK(I255),\"－\",I255)","v":"－"},"日／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者の\n希望",{"$f":"IF(ISBLANK(I266),\"－\",I266)","v":"－"}]
[]
[null,"家族の希望"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族の\n希望",{"$f":"IF(ISBLANK(I270),\"－\",I270)","v":"－"}]
[]
[null,"援助過程・アセスメント"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"援助過程・アセスメント",{"$f":"IF(ISBLANK(I274),\"－\",I274)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[null,"担当者"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(施設)：福祉情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(施設)：福祉情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉情報提供書（生活期／施設）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I354),\"－\",I354)","v":"－"},null,null,null,null,"生(施)【印刷】"]
[null,"家族状況",null,"キーパーソン",null,"氏名"]
[null,null,null,null,null,"続柄"]
[null,null,null,null,null,"性別",null,null,false,"不明",false,"男性",false,"女性",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE364),\"－\",AE364)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"}]
[null,null,null,null,null,"年齢"]
[null,null,null,null,null,"健康状態",null,null,false,"不明",false,"良好",false,"不良",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,"介護力",null,null,false,"不明",false,"昼夜とも",false,"日中",false,"夜間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I456),\"－\",I456)","v":"－"}]
[null,null,null,null,null,"ＴＥＬ①",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!BL22),\"－\",計画書!BL22)","v":"－"}]
[null,null,null,null,null,"ＴＥＬ②"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM364,AK354,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症前生活場所",null,{"$f":"IF(I14 =TRUE,J14 & \" \",\"\"   ) & IF(L14 =TRUE,M14 & \" \",\"\"   ) & IF(O14 =TRUE,P14 & \" \",\"\"   ) & IF(R14 =TRUE,S14 & \" \",\"\"   )  & IF(U14 =TRUE,V14 & \" \",\"\"   ) & IF(I15 =TRUE,J15 & \" \",\"\"   ) & IF(L15 =TRUE,M15 & \" \",\"\"   ) & IF(O15 =TRUE,P15 & \" \",\"\"   ) & IF(R15 =TRUE,S15 & \" \",\"\"   )  & IF(U15 =TRUE,V15 & \" \",\"\"   ) & IF(I16 =TRUE,J16 & \" \",\"\"   ) & IF(L16 =TRUE,M15 & \" \",\"\"   )  & IF(R16 =TRUE,S16 & \" \",\"\"   )","v":""},null,null,null,{"$f":"IF(ISBLANK(I17),\"－\",I17)","v":"－"}]
[null,"社会保障",null,"医療保険",null,null,null,null,false,"不明",false,"後期高齢者",false,"国民健康保険",false,"協会けんぽ",false,"船員保険",false,"共済組合",null,null,null,null,null,null,null,null,"家族状況","キーパーソン",null,"氏名",{"$f":"IF(ISBLANK(I355),\"－\",I355)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"生活保護",false,"労災",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",{"$f":"IF(ISBLANK(I356),\"－\",I356)","v":"－"},null,"性別",{"$f":"IF(I357 =TRUE,J357 & \" \",\"\"   ) & IF(K357 =TRUE,L357 & \" \",\"\"   ) & IF(M357 =TRUE,N357 & \" \",\"\"   )","v":""},null,"年齢",{"$f":"IF(ISBLANK(I358),\"－\",I358)","v":"－"}]
[null,null,null,"身体障害者手帳",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康状態",{"$f":"IF(I359 =TRUE,J359 & \" \",\"\"   ) & IF(K359 =TRUE,L359 & \" \",\"\"   ) & IF(M359 =TRUE,N359 & \" \",\"\"   )","v":""},null,"ＴＥＬ①",{"$f":"IF(ISBLANK(I361),\"－\",I361)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"1級",false,"2級",false,"3級",false,"4級",false,"5級",null,null,null,null,null,null,null,null,null,null,null,"介護力",{"$f":"IF(I360 =TRUE,J360 & \" \",\"\"   ) & IF(K360 =TRUE,L360 & \" \",\"\"   ) & IF(M360 =TRUE,N360 & \" \",\"\"   ) &  IF(O360 =TRUE,P360 & \" \",\"\"   )","v":""},null,"ＴＥＬ②",{"$f":"IF(ISBLANK(I362),\"－\",I362)","v":"－"}]
[null,null,null,null,null,"障害の種類",null,null,false,"不明",false,"視覚",false,"聴覚",false,"音声・言語機能",false,"そしゃく機能",false,"肢体不自由",false,"内部障害である心臓機能",null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I363),\"－\",I363)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"呼吸器機能",false,"じん臓機能",false,"ぼうこう又は直腸機能",false,"小腸機能",false,"免疫機能",false,"肝臓機能"]
[null,null,null,"特定疾患",null,"特定疾患の申請",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"申請済"]
[null,null,null,null,null,"病名"]
[null,null,null,"介護保険",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"要支援1",false,"要支援2",null,null,null,null,null,null,null,null,"社会保障制度",null,null,null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,false,"要介護1",false,"要介護2",false,"要介護3",false,"要介護4",false,"要介護5",null,null,null,null,null,null,null,null,null,"医療保険",null,null,{"$f":"IF(I367 =TRUE,J367 & \" \",\"\"   ) & IF(K367 =TRUE,L367 & \" \",\"\"   ) & IF(M367 =TRUE,N367 & \" \",\"\"   ) &  IF(O367 =TRUE,P367 & \" \",\"\"   ) & IF(Q367 =TRUE,R367 & \" \",\"\"   ) & IF(S367 =TRUE,T367 & \" \",\"\"   ) & IF(K368 =TRUE,L368 & \" \",\"\"   ) & IF(M368 =TRUE,N368 & \" \",\"\"   ) &  IF(O368 =TRUE,P368 & \" \",\"\"   ) & Q368","v":""}]
[null,null,null,null,null,null,"居宅事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,"取得状況",{"$f":"IF(I369 =TRUE,J369 & \" \",\"\"   ) & IF(K369 =TRUE,L369 & \" \",\"\"   ) & IF(M369 =TRUE,N369 & \" \",\"\"   ) &  IF(O369 =TRUE,P369 & \" \",\"\"   )& IF(K370 =TRUE,L370 & \" \",\"\"   ) & IF(M370 =TRUE,N370 & \" \",\"\"   ) & IF(O370 =TRUE,P370 & \" \",\"\"   )  & IF(Q370 =TRUE,R370 & \" \",\"\"   )  & IF(S370 =TRUE,T370 & \" \",\"\"   )","v":""},null,"障害の種類",{"$f":"IF(I371 =TRUE,J371 & \" \",\"\"   ) & IF(K371 =TRUE,L371 & \" \",\"\"   ) & IF(M371 =TRUE,N371 & \" \",\"\"   ) &  IF(O371 =TRUE,P371 & \" \",\"\"   ) &  IF(Q371 =TRUE,R371 & \" \",\"\"   )&  IF(S371 =TRUE,T371 & \" \",\"\"   )&  IF(U371 =TRUE,V371 & \" \",\"\"   ) & IF(K372 =TRUE,L372 & \" \",\"\"   ) & IF(M372 =TRUE,N372 & \" \",\"\"   ) &  IF(O372 =TRUE,P372 & \" \",\"\"   ) &  IF(Q372 =TRUE,R372 & \" \",\"\"   )&  IF(S372 =TRUE,T372 & \" \",\"\"   )&  IF(U372 =TRUE,V372 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,"ケアマネジャー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特定疾患",null,"申請状況",{"$f":"IF(I373 =TRUE,J373 & \" \",\"\"   ) & IF(K373 =TRUE,L373 & \" \",\"\"   ) & IF(M373 =TRUE,N373 & \" \",\"\"   ) &  IF(O373 =TRUE,P373 & \" \",\"\"   ) &  IF(Q373 =TRUE,R373 & \" \",\"\"   )","v":""},null,"病名",{"$f":"IF(ISBLANK(I374),\"－\",I374)","v":"－"}]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,"取得状況",{"$f":"IF(I375 =TRUE,J375 & \" \",\"\"   ) & IF(K375 =TRUE,L375 & \" \",\"\"   ) & IF(M375 =TRUE,N375 & \" \",\"\"   ) &  IF(O375 =TRUE,P375 & \" \",\"\"   ) &  IF(Q375 =TRUE,R375 & \" \",\"\"   )&  IF(S375 =TRUE,T375 & \" \",\"\"   )  & IF(K376 =TRUE,L376 & \" \",\"\"   ) & IF(M376 =TRUE,N376 & \" \",\"\"   ) &  IF(O376 =TRUE,P376 & \" \",\"\"   ) &  IF(Q376 =TRUE,R376 & \" \",\"\"   )&  IF(S376 =TRUE,T376 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",{"$f":"IF(ISBLANK(I377),\"－\",I377)","v":"－"}]
[null,"職業",null,"退院時",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",{"$f":"IF(ISBLANK(I378),\"－\",I378)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(I379),\"－\",I379)","v":"－"}]
[]
[null,"経済",null,"退院時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　職業",null,null,null,{"$f":"IF(I381 =TRUE,J381 & \" \",\"\"   ) & IF(K381 =TRUE,L381 & \" \",\"\"   ) & IF(M381 =TRUE,N381 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(I382),\"－\",I382)","v":"－"}]
[]
[null,"生活",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　経済状況",null,null,null,{"$f":"IF(ISBLANK(I384),\"－\",I384)","v":"－"}]
[]
[null,null,null,"退院後の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活","急性期入院前",null,{"$f":"IF(ISBLANK(I37),\"－\",I37)","v":"－"}]
[]
[null,"趣味",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I386),\"－\",I386)","v":"－"}]
[]
[null,null,null,"退院後の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I388),\"－\",I388)","v":"－"}]
[]
[null,"退院後の",null,"訪問介護",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"趣味","急性期入院前",null,{"$f":"IF(ISBLANK(I39),\"－\",I39)","v":"－"}]
[null,"在宅サービス",null,null,null,"利用頻度",null,null,null,"回／週"]
[null,"利用予定",null,"訪問看護",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I390),\"－\",I390)","v":"－"}]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"訪問リハビリテーション",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I392),\"－\",I392)","v":"－"}]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】"]
[null,null,null,"通所介護",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"通所リハビリテーション",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"ショートスティ",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／月"]
[null,null,null,"居宅療養管理指導（医療）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（薬剤）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（歯科）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,null,null,"居宅療養管理指導（栄養）",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I394 =TRUE,J394 & \" \",\"\"   ) & IF(K394 =TRUE,L394 & \" \",\"\"   )","v":""},"訪問介護",null,{"$f":"IF(ISBLANK(I395),\"－\",I395)","v":"－"},"回／週",{"$f":"IF(I406 =TRUE,J406 & \" \",\"\"   ) & IF(K406 =TRUE,L406 & \" \",\"\"   )","v":""},"居宅療養管理指導（医療）",null,null,{"$f":"IF(ISBLANK(I407),\"－\",I407)","v":"－"},"回／週"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I396 =TRUE,J396 & \" \",\"\"   ) & IF(K396 =TRUE,L396 & \" \",\"\"   )","v":""},"訪問看護",null,{"$f":"IF(ISBLANK(I397),\"－\",I397)","v":"－"},"回／週",{"$f":"IF(I408 =TRUE,J408 & \" \",\"\"   ) & IF(K408 =TRUE,L408 & \" \",\"\"   )","v":""},"居宅療養管理指導（薬剤）",null,null,{"$f":"IF(ISBLANK(I409),\"－\",I409)","v":"－"},"回／週"]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I398 =TRUE,J398 & \" \",\"\"   ) & IF(K398 =TRUE,L398 & \" \",\"\"   )","v":""},"訪問リハ",null,{"$f":"IF(ISBLANK(I399),\"－\",I399)","v":"－"},"回／週",{"$f":"IF(I410 =TRUE,J410 & \" \",\"\"   ) & IF(K410 =TRUE,L410 & \" \",\"\"   )","v":""},"居宅療養管理指導（歯科）",null,null,{"$f":"IF(ISBLANK(I411),\"－\",I411)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I400 =TRUE,J400 & \" \",\"\"   ) & IF(K400 =TRUE,L400 & \" \",\"\"   )","v":""},"通所介護",null,{"$f":"IF(ISBLANK(I401),\"－\",I401)","v":"－"},"回／週",{"$f":"IF(I412 =TRUE,J412 & \" \",\"\"   ) & IF(K412 =TRUE,L412 & \" \",\"\"   )","v":""},"居宅療養管理指導（栄養）",null,null,{"$f":"IF(ISBLANK(I413),\"－\",I413)","v":"－"},"回／週"]
[null,"患者の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I402 =TRUE,J402 & \" \",\"\"   ) & IF(K402 =TRUE,L402 & \" \",\"\"   )","v":""},"通所リハ",null,{"$f":"IF(ISBLANK(I403),\"－\",I403)","v":"－"},"回／週","その他",{"$f":"IF(ISBLANK(I414),\"－\",I414)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I404 =TRUE,J404 & \" \",\"\"   ) & IF(K404 =TRUE,L404 & \" \",\"\"   )","v":""},"ショートスティ",null,{"$f":"IF(ISBLANK(I405),\"－\",I405)","v":"－"},"日／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者の\n希望",{"$f":"IF(ISBLANK(I416),\"－\",I416)","v":"－"}]
[]
[null,"家族の希望"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族の\n希望",{"$f":"IF(ISBLANK(I420),\"－\",I420)","v":"－"}]
[]
[null,"援助過程・アセスメント"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"援助過程・アセスメント",{"$f":"IF(ISBLANK(I424),\"－\",I424)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】"]
[null,"担当者"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(在宅)：福祉情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(在宅)：福祉情報【印刷用紙】"]
[]
[null,"６ヶ月経過時入力",null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"生(施)：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉情報提供書（生活期／在宅）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I504),\"－\",I504)","v":"－"},null,null,null,null,"生(在)【印刷】"]
[null,"家族状況",null,"キーパーソン",null,"氏名"]
[null,null,null,null,null,"続柄"]
[null,null,null,null,null,"性別",null,null,false,"不明",false,"男性",false,"女性",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE514),\"－\",AE514)","v":"－"},null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!CM20),\"－\",計画書!CM20)","v":"－"}]
[null,null,null,null,null,"年齢"]
[null,null,null,null,null,"健康状態",null,null,false,"不明",false,"良好",false,"不良",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,"介護力",null,null,false,"不明",false,"昼夜とも",false,"日中",false,"夜間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I606),\"－\",I606)","v":"－"}]
[null,null,null,null,null,"ＴＥＬ①",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!CM23),\"－\",計画書!CM23)","v":"－"}]
[null,null,null,null,null,"ＴＥＬ②"]
[null,null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM514,AK504,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症前生活場所",null,{"$f":"IF(I14 =TRUE,J14 & \" \",\"\"   ) & IF(L14 =TRUE,M14 & \" \",\"\"   ) & IF(O14 =TRUE,P14 & \" \",\"\"   ) & IF(R14 =TRUE,S14 & \" \",\"\"   )  & IF(U14 =TRUE,V14 & \" \",\"\"   ) & IF(I15 =TRUE,J15 & \" \",\"\"   ) & IF(L15 =TRUE,M15 & \" \",\"\"   ) & IF(O15 =TRUE,P15 & \" \",\"\"   ) & IF(R15 =TRUE,S15 & \" \",\"\"   )  & IF(U15 =TRUE,V15 & \" \",\"\"   ) & IF(I16 =TRUE,J16 & \" \",\"\"   ) & IF(L16 =TRUE,M15 & \" \",\"\"   )  & IF(R16 =TRUE,S16 & \" \",\"\"   )","v":""}]
[null,"社会保障",null,"医療保険",null,null,null,null,false,"不明",false,"後期高齢者",false,"国民健康保険",false,"協会けんぽ",false,"船員保険",false,"共済組合",null,null,null,null,null,null,null,null,"家族状況","キーパーソン",null,"氏名",{"$f":"IF(ISBLANK(I505),\"－\",I505)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"生活保護",false,"労災",false,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",{"$f":"IF(ISBLANK(I506),\"－\",I506)","v":"－"},null,"性別",{"$f":"IF(I507 =TRUE,J507 & \" \",\"\"   ) & IF(K507 =TRUE,L507 & \" \",\"\"   ) & IF(M507 =TRUE,N507 & \" \",\"\"   )","v":""},null,"年齢",{"$f":"IF(ISBLANK(I508),\"－\",I508)","v":"－"}]
[null,null,null,"身体障害者手帳",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康状態",{"$f":"IF(I509 =TRUE,J509 & \" \",\"\"   ) & IF(K509 =TRUE,L509 & \" \",\"\"   ) & IF(M509 =TRUE,N509 & \" \",\"\"   )","v":""},null,"ＴＥＬ①",{"$f":"IF(ISBLANK(I511),\"－\",I511)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"1級",false,"2級",false,"3級",false,"4級",false,"5級",null,null,null,null,null,null,null,null,null,null,null,"介護力",{"$f":"IF(I510 =TRUE,J510 & \" \",\"\"   ) & IF(K510 =TRUE,L510 & \" \",\"\"   ) & IF(M510 =TRUE,N510 & \" \",\"\"   ) &  IF(O510 =TRUE,P510 & \" \",\"\"   )","v":""},null,"ＴＥＬ②",{"$f":"IF(ISBLANK(I512),\"－\",I512)","v":"－"}]
[null,null,null,null,null,"障害の種類",null,null,false,"不明",false,"視覚",false,"聴覚",false,"音声・言語機能",false,"そしゃく機能",false,"肢体不自由",false,"内部障害である心臓機能",null,null,null,null,null,null,null,"詳細・コメント",null,{"$f":"IF(ISBLANK(I513),\"－\",I513)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,false,"呼吸器機能",false,"じん臓機能",false,"ぼうこう又は直腸機能",false,"小腸機能",false,"免疫機能",false,"肝臓機能"]
[null,null,null,"特定疾患",null,"特定疾患の申請",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"申請済"]
[null,null,null,null,null,"病名"]
[null,null,null,"介護保険",null,"取得状況",null,null,false,"不明",false,"不要",false,"未申請",false,"申請中",false,"要支援1",false,"要支援2",null,null,null,null,null,null,null,null,"社会保障制度",null,null,null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,false,"要介護1",false,"要介護2",false,"要介護3",false,"要介護4",false,"要介護5",null,null,null,null,null,null,null,null,null,"医療保険",null,null,{"$f":"IF(I517 =TRUE,J517 & \" \",\"\"   ) & IF(K517 =TRUE,L517 & \" \",\"\"   ) & IF(M517 =TRUE,N517 & \" \",\"\"   ) &  IF(O517 =TRUE,P517 & \" \",\"\"   ) & IF(Q517 =TRUE,R517 & \" \",\"\"   ) & IF(S517 =TRUE,T517 & \" \",\"\"   ) & IF(K518 =TRUE,L518 & \" \",\"\"   ) & IF(M518 =TRUE,N518 & \" \",\"\"   ) &  IF(O518 =TRUE,P518 & \" \",\"\"   ) & Q518","v":""}]
[null,null,null,null,null,null,"居宅事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,"取得状況",{"$f":"IF(I519 =TRUE,J519 & \" \",\"\"   ) & IF(K519 =TRUE,L519 & \" \",\"\"   ) & IF(M519 =TRUE,N519 & \" \",\"\"   ) &  IF(O519 =TRUE,P519 & \" \",\"\"   )& IF(K520 =TRUE,L520 & \" \",\"\"   ) & IF(M520 =TRUE,N520 & \" \",\"\"   ) & IF(O520 =TRUE,P520 & \" \",\"\"   )  & IF(Q520 =TRUE,R520 & \" \",\"\"   )  & IF(S520 =TRUE,T520 & \" \",\"\"   )","v":""},null,"障害の種類",{"$f":"IF(I521 =TRUE,J521 & \" \",\"\"   ) & IF(K521 =TRUE,L521 & \" \",\"\"   ) & IF(M521 =TRUE,N521 & \" \",\"\"   ) &  IF(O521 =TRUE,P521 & \" \",\"\"   ) &  IF(Q521 =TRUE,R521 & \" \",\"\"   )&  IF(S521 =TRUE,T521 & \" \",\"\"   )&  IF(U521 =TRUE,V521 & \" \",\"\"   ) & IF(K522 =TRUE,L522 & \" \",\"\"   ) & IF(M522 =TRUE,N522 & \" \",\"\"   ) &  IF(O522 =TRUE,P522 & \" \",\"\"   ) &  IF(Q522 =TRUE,R522 & \" \",\"\"   )&  IF(S522 =TRUE,T522 & \" \",\"\"   )&  IF(U522 =TRUE,V522 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,"ケアマネジャー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特定疾患",null,"申請状況",{"$f":"IF(I523 =TRUE,J523 & \" \",\"\"   ) & IF(K523 =TRUE,L523 & \" \",\"\"   ) & IF(M523 =TRUE,N523 & \" \",\"\"   ) &  IF(O523 =TRUE,P523 & \" \",\"\"   ) &  IF(Q523 =TRUE,R523 & \" \",\"\"   )","v":""},null,"病名",{"$f":"IF(ISBLANK(I524),\"－\",I524)","v":"－"}]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,"取得状況",{"$f":"IF(I525 =TRUE,J525 & \" \",\"\"   ) & IF(K525 =TRUE,L525 & \" \",\"\"   ) & IF(M525 =TRUE,N525 & \" \",\"\"   ) &  IF(O525 =TRUE,P525 & \" \",\"\"   ) &  IF(Q525 =TRUE,R525 & \" \",\"\"   )&  IF(S525 =TRUE,T525 & \" \",\"\"   )  & IF(K526 =TRUE,L526 & \" \",\"\"   ) & IF(M526 =TRUE,N526 & \" \",\"\"   ) &  IF(O526 =TRUE,P526 & \" \",\"\"   ) &  IF(Q526 =TRUE,R526 & \" \",\"\"   )&  IF(S526 =TRUE,T526 & \" \",\"\"   )","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",{"$f":"IF(ISBLANK(I527),\"－\",I527)","v":"－"}]
[null,"職業",null,"退院時",null,null,null,null,false,"不明",false,"有",false,"無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネジャー",{"$f":"IF(ISBLANK(I528),\"－\",I528)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,{"$f":"IF(ISBLANK(I529),\"－\",I529)","v":"－"}]
[]
[null,"経済",null,"退院時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　職業",null,null,null,{"$f":"IF(I531 =TRUE,J531 & \" \",\"\"   ) & IF(K531 =TRUE,L531 & \" \",\"\"   ) & IF(M531 =TRUE,N531 & \" \",\"\"   )","v":""},{"$f":"IF(ISBLANK(I532),\"－\",I532)","v":"－"}]
[]
[null,"生活",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　経済状況",null,null,null,{"$f":"IF(ISBLANK(I534),\"－\",I534)","v":"－"}]
[]
[null,null,null,"退院後の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活","急性期入院前",null,{"$f":"IF(ISBLANK(I37),\"－\",I37)","v":"－"}]
[]
[null,"趣味",null,"入院中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I536),\"－\",I536)","v":"－"}]
[]
[null,null,null,"退院後の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I538),\"－\",I538)","v":"－"}]
[]
[null,"退院後の",null,"訪問介護",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"趣味","急性期入院前",null,{"$f":"IF(ISBLANK(I39),\"－\",I39)","v":"－"}]
[null,"在宅サービス",null,null,null,"利用頻度",null,null,null,"回／週"]
[null,"利用予定",null,"訪問看護",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院中",null,{"$f":"IF(ISBLANK(I540),\"－\",I540)","v":"－"}]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"訪問リハビリテーション",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の希望",null,{"$f":"IF(ISBLANK(I542),\"－\",I542)","v":"－"}]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【印刷】"]
[null,null,null,"通所介護",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"通所リハビリテーション",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"ショートスティ",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／月"]
[null,null,null,"居宅療養管理指導（医療）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（薬剤）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週"]
[null,null,null,"居宅療養管理指導（歯科）",null,null,null,null,false,"無",false,"有"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の在宅サービス利用予定"]
[null,null,null,"居宅療養管理指導（栄養）",null,null,null,null,false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I544 =TRUE,J544 & \" \",\"\"   ) & IF(K544 =TRUE,L544 & \" \",\"\"   )","v":""},"訪問介護",null,{"$f":"IF(ISBLANK(I545),\"－\",I545)","v":"－"},"回／週",{"$f":"IF(I556 =TRUE,J556 & \" \",\"\"   ) & IF(K556 =TRUE,L556 & \" \",\"\"   )","v":""},"居宅療養管理指導（医療）",null,null,{"$f":"IF(ISBLANK(I557),\"－\",I557)","v":"－"},"回／週"]
[null,null,null,null,null,"利用頻度",null,null,null,"回／週",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I546 =TRUE,J546 & \" \",\"\"   ) & IF(K546 =TRUE,L546 & \" \",\"\"   )","v":""},"訪問看護",null,{"$f":"IF(ISBLANK(I547),\"－\",I547)","v":"－"},"回／週",{"$f":"IF(I558 =TRUE,J558 & \" \",\"\"   ) & IF(K558 =TRUE,L558 & \" \",\"\"   )","v":""},"居宅療養管理指導（薬剤）",null,null,{"$f":"IF(ISBLANK(I559),\"－\",I559)","v":"－"},"回／週"]
[null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I548 =TRUE,J548 & \" \",\"\"   ) & IF(K548 =TRUE,L548 & \" \",\"\"   )","v":""},"訪問リハ",null,{"$f":"IF(ISBLANK(I549),\"－\",I549)","v":"－"},"回／週",{"$f":"IF(I560 =TRUE,J560 & \" \",\"\"   ) & IF(K560 =TRUE,L560 & \" \",\"\"   )","v":""},"居宅療養管理指導（歯科）",null,null,{"$f":"IF(ISBLANK(I561),\"－\",I561)","v":"－"},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I550 =TRUE,J550 & \" \",\"\"   ) & IF(K550 =TRUE,L550 & \" \",\"\"   )","v":""},"通所介護",null,{"$f":"IF(ISBLANK(I551),\"－\",I551)","v":"－"},"回／週",{"$f":"IF(I562 =TRUE,J562 & \" \",\"\"   ) & IF(K562 =TRUE,L562 & \" \",\"\"   )","v":""},"居宅療養管理指導（栄養）",null,null,{"$f":"IF(ISBLANK(I563),\"－\",I563)","v":"－"},"回／週"]
[null,"患者の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I552 =TRUE,J552 & \" \",\"\"   ) & IF(K552 =TRUE,L552 & \" \",\"\"   )","v":""},"通所リハ",null,{"$f":"IF(ISBLANK(I553),\"－\",I553)","v":"－"},"回／週","その他",{"$f":"IF(ISBLANK(I564),\"－\",I564)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I554 =TRUE,J554 & \" \",\"\"   ) & IF(K554 =TRUE,L554 & \" \",\"\"   )","v":""},"ショートスティ",null,{"$f":"IF(ISBLANK(I555),\"－\",I555)","v":"－"},"日／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者の\n希望",{"$f":"IF(ISBLANK(I566),\"－\",I566)","v":"－"}]
[]
[null,"家族の希望"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"家族の\n希望",{"$f":"IF(ISBLANK(I570),\"－\",I570)","v":"－"}]
[]
[null,"援助過程・アセスメント"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"援助過程・アセスメント",{"$f":"IF(ISBLANK(I574),\"－\",I574)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【印刷】"]
[null,"担当者"]

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[null,"薬剤情報入力シート",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"薬剤情報印刷シート"]
[]
[]
["(薬剤)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(薬剤)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図",null,null,null,null,null,null,null,null,null,null,null,null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書",null,null,null,null,null,null,null,null,null,null,null,null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,null,null,null,null,null,null,null,null,null,"生(施)【用紙】",null,null,null,"地域連携",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,null,null,null,null,null,null,null,null,null,"生(在)【用紙】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：薬剤情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期：薬剤情報【印刷用紙】"]
[]
[null,"退院時入力"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"薬剤情報提供書（急性期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I14),\"－\",I14)","v":"－"},null,null,null,null,"急性期【印刷】"]
[null,"調剤方法",null,null,null,null,null,null,false,"不明",false,"粉砕",false,"ＰＴＰ",false,"一部粉砕",false,"簡昜懸濁",false,"一包化"]
[null,"禁忌薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE24),\"－\",AE24)","v":"－"},null,null,null,"氏",null,"施設名",null,{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当薬剤師",null,{"$f":"IF(ISBLANK(I56),\"－\",I56)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"}]
[null,"持参薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM24,AK14,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"調剤方法",null,{"$f":"IF(I15=TRUE,J15 & \" \",\"\")  & IF(K15=TRUE,L15 & \" \",\"\") & IF(M15=TRUE,N15 & \" \",\"\")  & IF(O15=TRUE,P15 & \" \",\"\")  & IF(Q15=TRUE,R15 & \" \",\"\")  & IF(S15=TRUE,T15 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,{"$f":"IF(ISBLANK(I16),\"－\",I16)","v":"－"}]
[]
[]
[]
[]
[null,"退院時処方"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"持参薬",null,{"$f":"IF(ISBLANK(I22),\"－\",I22)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,{"$f":"IF(ISBLANK(I32),\"－\",I32)","v":"－"}]
[null,"次のステージの課題"]
[]
[null,"コメント"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,{"$f":"IF(ISBLANK(I46),\"－\",I46)","v":"－"}]
[null,"担当薬剤師"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
[]
[]
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[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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[null,"回復期：薬剤情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：薬剤情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"薬剤情報提供書（回復期）",null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I204),\"－\",I204)","v":"－"},null,null,null,null,"回復期【印刷】"]
[null,"調剤方法",null,null,null,null,null,null,false,"不明",false,"粉砕",false,"ＰＴＰ",false,"一部粉砕",false,"簡昜懸濁",false,"一包化"]
[null,"禁忌薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE214),\"－\",AE214)","v":"－"},null,null,null,"氏",null,"施設名",null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当薬剤師",null,{"$f":"IF(ISBLANK(I246),\"－\",I246)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"}]
[null,"持参薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},"年齢",{"$f":"DATEDIF(AM214,AK204,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,"生年月日",null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,{"$f":"IF(ISBLANK(計画書!$H$21),\"－\",計画書!$H$21)","v":"－"},null,{"$f":"IF(ISBLANK(計画書!$H$22),\"－\",計画書!$H$22)","v":"－"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"調剤方法",null,{"$f":"IF(I205=TRUE,J205 & \" \",\"\")  & IF(K205=TRUE,L205 & \" \",\"\") & IF(M205=TRUE,N205 & \" \",\"\")  & IF(O205=TRUE,P205 & \" \",\"\")  & IF(Q205=TRUE,R205 & \" \",\"\")  & IF(S205=TRUE,T205 & \" \",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,{"$f":"IF(ISBLANK(I206),\"－\",I206)","v":"－"}]
[]
[]
[]
[]
[null,"退院時処方"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"持参薬",null,{"$f":"IF(ISBLANK(I212),\"－\",I212)","v":"－"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,{"$f":"IF(ISBLANK(I222),\"－\",I222)","v":"－"}]
[null,"次のステージの課題"]
[]
[null,"コメント"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",null,{"$f":"IF(ISBLANK(I236),\"－\",I236)","v":"－"}]
[null,"担当薬剤師"]
[]
[]
[]
[]
[]
[]
[]
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[null,"歯科情報入力シート",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科情報印刷シート"]
[]
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["(歯科)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(歯科)\n職種間連携情報",null,null,null,null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図",null,null,null,null,null,null,null,null,null,null,null,null,"急性期【入力】",null,"急性期【用紙】",null,null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書",null,null,null,null,null,null,null,null,null,null,null,null,"回復期【入力】",null,"回復期【用紙】",null,null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携",null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【入力】",null,"生(施)【用紙】",null,null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(在)【入力】",null,"生(在)【用紙】",null,null,"生(在)【印刷】",null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：歯科情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期：歯科情報【印刷用紙】"]
[]
[null,"退院時入力"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科情報提供書（急性期）",null,null,null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I14),\"－\",I14)","v":"－"},null,null,null,null,null,null,"急性期【印刷】"]
[null,"歯と口の状態",null,"清掃の状況",null,null,null,null,false,"不明",false,"良好",false,"不良",false,"著しく不良"]
[null,null,null,"口腔乾燥（柿木の分類）",null,null,null,null,false,"不明"]
[null,null,null,null,null,null,null,null,false,"0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE24),\"－\",AE24)","v":"－"},null,null,null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!H24),\"－\",計画書!H24)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,null,null,null,null,null,null,null,false,"2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,false,"3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I51),\"－\",I51)","v":"－"}]
[null,null,null,"う蝕",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!H28),\"－\",計画書!H28)","v":"－"}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"歯周疾患",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"年齢",{"$f":"DATEDIF(AP24,AM14,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,null,null,"生年月日",null,null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,"義歯の使用状況",null,"上顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯と口の状態"]
[null,null,null,null,null,"下顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清掃の状況",null,null,null,{"$f":"IF(I15=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K15=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M15=TRUE,\"■\",\"□\")","v":"□"},"不良",{"$f":"IF(O15=TRUE,\"■\",\"□\")","v":"□"},"著しく不良"]
[null,"口腔機能の状態",null,"咀嚼機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔乾燥\n（柿木の分類）",null,null,null,"□","不明"]
[null,null,null,"摂食・嚥下機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。"]
[null,null,null,"発音機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,"姿勢",null,"口腔ケア時の姿勢",null,null,null,null,false,"不明",false,"仰臥位のみ",null,false,"側臥位可能",null,false,"座位可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。"]
[null,null,null,null,null,"ｷﾞｬｯﾁｱｯﾌﾟ",null,null,null,"度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。"]
[null,null,null,"上肢のコントロール",null,null,null,null,false,"不明",false,"自由",null,false,"右上肢不自由",null,false,"左上肢不自由",null,false,"両上肢不自由",null,null,null,null,null,null,null,null,"う蝕",null,null,null,"□","不明",{"$f":"IF(K21=TRUE,\"■\",\"□\")","v":"□"},"無",{"$f":"IF(M21=TRUE,\"■\",\"□\")","v":"□"},"有"]
[null,null,null,"口腔ケア時の頭位",null,null,null,null,false,"不明",false,"正常位とれる",null,false,"右に傾き",null,false,"左に傾き",null,false,"前に傾き",null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,"口腔ケア時の開口",null,null,null,null,false,"不明",false,"開口障害なし",null,false,"開口障害あり",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯周疾患",null,null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"開口障害",null,null,null,"横指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"協力",null,null,false,"不明",false,"可",false,"不可",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯の使用状況",null,null,"上顎","□","不明","□","無","□","有"]
[null,"現状の口腔ケア",null,"口腔清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下顎","□","不明","□","無","□","有"]
[null,null,null,"義歯清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"口腔機能の状態"]
[null,"歯式",null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,null,"咀嚼機能",null,null,null,{"$f":"IF(I27=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K27=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M27=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O27=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,"※□：残存歯,■：欠損",null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"摂食・嚥下機能",null,null,null,{"$f":"IF(I28=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K28=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M28=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O28=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"発音機能",null,null,null,{"$f":"IF(I29=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K29=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M29=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O29=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,"姿勢"]
[null,"次のステージの課題",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の姿勢",null,null,null,{"$f":"IF(I30=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K30=TRUE,\"■\",\"□\")","v":"□"},"仰臥位のみ",null,"（",{"$f":"IF(ISBLANK(I31),\"－\",I31)","v":"－"},"度ｷﾞｬｯﾁｱｯﾌﾟ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N30=TRUE,\"■\",\"□\")","v":"□"},"側臥位可能",null,null,{"$f":"IF(Q30=TRUE,\"■\",\"□\")","v":"□"},"座位可能"]
[null,"コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上肢のコントロール",null,null,null,{"$f":"IF(I32=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K32=TRUE,\"■\",\"□\")","v":"□"},"自由",null,null,{"$f":"IF(N32=TRUE,\"■\",\"□\")","v":"□"},"右上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q32=TRUE,\"■\",\"□\")","v":"□"},"左上肢不自由",null,null,{"$f":"IF(T32=TRUE,\"■\",\"□\")","v":"□"},"両上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の頭位",null,null,null,{"$f":"IF(I33=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K33=TRUE,\"■\",\"□\")","v":"□"},"正常位とれる",null,null,{"$f":"IF(N33=TRUE,\"■\",\"□\")","v":"□"},"右に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q33=TRUE,\"■\",\"□\")","v":"□"},"左に傾き",null,null,{"$f":"IF(T33=TRUE,\"■\",\"□\")","v":"□"},"前に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の開口",null,null,null,{"$f":"IF(I34=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K34=TRUE,\"■\",\"□\")","v":"□"},"開口障害なし"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N34=TRUE,\"■\",\"□\")","v":"□"},"開口障害あり",null,"（",{"$f":"IF(ISBLANK(I35),\"－\",I35)","v":"－"},"横指）","（協力",null,{"$f":"IF(I36=TRUE,J36 & \" \",\"\"  ) & IF(K36=TRUE,L36 & \" \",\"\"  ) & IF(M36=TRUE,N36 & \" \",\"\"  )","v":""},null,"）"]
[null,"担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現状の口腔ケア"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔清掃の自立",null,null,null,{"$f":"IF(I37=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K37=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M37=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O37=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯清掃の自立",null,null,null,{"$f":"IF(I38=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K38=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M38=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O38=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯式　　※□：残存歯,■：欠損"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I39=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I42=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",{"$f":"IF(ISBLANK(I45),\"－\",I45)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期【印刷】"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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[]
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[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"回復期：歯科情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期：歯科情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科情報提供書（回復期）",null,null,null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I204),\"－\",I204)","v":"－"},null,null,null,null,null,null,"回復期【印刷】"]
[null,"歯と口の状態",null,"清掃の状況",null,null,null,null,false,"不明",false,"良好",false,"不良",false,"著しく不良"]
[null,null,null,"口腔乾燥（柿木の分類）",null,null,null,null,false,"不明"]
[null,null,null,null,null,null,null,null,false,"0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE214),\"－\",AE214)","v":"－"},null,null,null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!AJ18),\"－\",計画書!AJ18)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,null,null,null,null,null,null,null,false,"2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,false,"3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I241),\"－\",I241)","v":"－"}]
[null,null,null,"う蝕",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!AJ22),\"－\",計画書!AJ22)","v":"－"}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"歯周疾患",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"年齢",{"$f":"DATEDIF(AP214,AM204,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,null,null,"生年月日",null,null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,"義歯の使用状況",null,"上顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯と口の状態"]
[null,null,null,null,null,"下顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清掃の状況",null,null,null,{"$f":"IF(I205=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K205=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M205=TRUE,\"■\",\"□\")","v":"□"},"不良",{"$f":"IF(O205=TRUE,\"■\",\"□\")","v":"□"},"著しく不良"]
[null,"口腔機能の状態",null,"咀嚼機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔乾燥\n（柿木の分類）",null,null,null,"□","不明"]
[null,null,null,"摂食・嚥下機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。"]
[null,null,null,"発音機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,"姿勢",null,"口腔ケア時の姿勢",null,null,null,null,false,"不明",false,"仰臥位のみ",null,false,"側臥位可能",null,false,"座位可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。"]
[null,null,null,null,null,"ｷﾞｬｯﾁｱｯﾌﾟ",null,null,null,"度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。"]
[null,null,null,"上肢のコントロール",null,null,null,null,false,"不明",false,"自由",null,false,"右上肢不自由",null,false,"左上肢不自由",null,false,"両上肢不自由",null,null,null,null,null,null,null,null,"う蝕",null,null,null,"□","不明",{"$f":"IF(K211=TRUE,\"■\",\"□\")","v":"□"},"無",{"$f":"IF(M211=TRUE,\"■\",\"□\")","v":"□"},"有"]
[null,null,null,"口腔ケア時の頭位",null,null,null,null,false,"不明",false,"正常位とれる",null,false,"右に傾き",null,false,"左に傾き",null,false,"前に傾き",null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,"口腔ケア時の開口",null,null,null,null,false,"不明",false,"開口障害なし",null,false,"開口障害あり",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯周疾患",null,null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"開口障害",null,null,null,"横指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"協力",null,null,false,"不明",false,"可",false,"不可",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯の使用状況",null,null,"上顎","□","不明","□","無","□","有"]
[null,"現状の口腔ケア",null,"口腔清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下顎","□","不明","□","無","□","有"]
[null,null,null,"義歯清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"口腔機能の状態"]
[null,"歯式",null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,null,"咀嚼機能",null,null,null,{"$f":"IF(I217=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K217=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M217=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O217=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,"※□：残存歯,■：欠損",null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"摂食・嚥下機能",null,null,null,{"$f":"IF(I218=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K218=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M218=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O218=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"発音機能",null,null,null,{"$f":"IF(I219=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K219=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M219=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O219=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,"姿勢"]
[null,"次のステージの課題",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の姿勢",null,null,null,{"$f":"IF(I220=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K220=TRUE,\"■\",\"□\")","v":"□"},"仰臥位のみ",null,"（",{"$f":"IF(ISBLANK(I221),\"－\",I221)","v":"－"},"度ｷﾞｬｯﾁｱｯﾌﾟ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N220=TRUE,\"■\",\"□\")","v":"□"},"側臥位可能",null,null,{"$f":"IF(Q220=TRUE,\"■\",\"□\")","v":"□"},"座位可能"]
[null,"コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上肢のコントロール",null,null,null,{"$f":"IF(I222=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K222=TRUE,\"■\",\"□\")","v":"□"},"自由",null,null,{"$f":"IF(N222=TRUE,\"■\",\"□\")","v":"□"},"右上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q222=TRUE,\"■\",\"□\")","v":"□"},"左上肢不自由",null,null,{"$f":"IF(T222=TRUE,\"■\",\"□\")","v":"□"},"両上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の頭位",null,null,null,{"$f":"IF(I223=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K223=TRUE,\"■\",\"□\")","v":"□"},"正常位とれる",null,null,{"$f":"IF(N223=TRUE,\"■\",\"□\")","v":"□"},"右に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q223=TRUE,\"■\",\"□\")","v":"□"},"左に傾き",null,null,{"$f":"IF(T223=TRUE,\"■\",\"□\")","v":"□"},"前に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の開口",null,null,null,{"$f":"IF(I224=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K224=TRUE,\"■\",\"□\")","v":"□"},"開口障害なし"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N224=TRUE,\"■\",\"□\")","v":"□"},"開口障害あり",null,"（",{"$f":"IF(ISBLANK(I225),\"－\",I225)","v":"－"},"横指）","（協力",null,{"$f":"IF(I226=TRUE,J226 & \" \",\"\"  ) & IF(K226=TRUE,L226 & \" \",\"\"  ) & IF(M226=TRUE,N226 & \" \",\"\"  )","v":""},null,"）"]
[null,"担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現状の口腔ケア"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔清掃の自立",null,null,null,{"$f":"IF(I227=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K227=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M227=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O227=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯清掃の自立",null,null,null,{"$f":"IF(I228=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K228=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M228=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O228=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯式　　※□：残存歯,■：欠損"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I229=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I232=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",{"$f":"IF(ISBLANK(I235),\"－\",I235)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期【印刷】"]
[]
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[]
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[]
[]
[]
[]
[]
[]
[]
[]
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[]
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[]
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[]
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[]
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[]
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[]
[]
[]
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[]
[null,"生活期(施設)：歯科情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(施設)：歯科情報【印刷用紙】"]
[]
[null,"退院・退所時入力",null,null,null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"※各自責任のもと情報の引用を行ってください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科情報提供書（生活期／施設）",null,null,null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I354),\"－\",I354)","v":"－"}]
[null,"歯と口の状態",null,"清掃の状況",null,null,null,null,false,"不明",false,"良好",false,"不良",false,"著しく不良"]
[null,null,null,"口腔乾燥（柿木の分類）",null,null,null,null,false,"不明"]
[null,null,null,null,null,null,null,null,false,"0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE364),\"－\",AE364)","v":"－"},null,null,null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!BL18),\"－\",計画書!BL18)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,null,null,null,null,null,null,null,false,"2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,false,"3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I391),\"－\",I391)","v":"－"}]
[null,null,null,"う蝕",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!BL22),\"－\",計画書!BL22)","v":"－"}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"歯周疾患",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"年齢",{"$f":"DATEDIF(AP364,AM354,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,null,null,"生年月日",null,null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,"義歯の使用状況",null,"上顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯と口の状態"]
[null,null,null,null,null,"下顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清掃の状況",null,null,null,{"$f":"IF(I355=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K355=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M355=TRUE,\"■\",\"□\")","v":"□"},"不良",{"$f":"IF(O355=TRUE,\"■\",\"□\")","v":"□"},"著しく不良"]
[null,"口腔機能の状態",null,"咀嚼機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔乾燥\n（柿木の分類）",null,null,null,"□","不明"]
[null,null,null,"摂食・嚥下機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。"]
[null,null,null,"発音機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,"姿勢",null,"口腔ケア時の姿勢",null,null,null,null,false,"不明",false,"仰臥位のみ",null,false,"側臥位可能",null,false,"座位可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。"]
[null,null,null,null,null,"ｷﾞｬｯﾁｱｯﾌﾟ",null,null,null,"度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。"]
[null,null,null,"上肢のコントロール",null,null,null,null,false,"不明",false,"自由",null,false,"右上肢不自由",null,false,"左上肢不自由",null,false,"両上肢不自由",null,null,null,null,null,null,null,null,"う蝕",null,null,null,"□","不明",{"$f":"IF(K361=TRUE,\"■\",\"□\")","v":"□"},"無",{"$f":"IF(M361=TRUE,\"■\",\"□\")","v":"□"},"有"]
[null,null,null,"口腔ケア時の頭位",null,null,null,null,false,"不明",false,"正常位とれる",null,false,"右に傾き",null,false,"左に傾き",null,false,"前に傾き",null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,"口腔ケア時の開口",null,null,null,null,false,"不明",false,"開口障害なし",null,false,"開口障害あり",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯周疾患",null,null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"開口障害",null,null,null,"横指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"協力",null,null,false,"不明",false,"可",false,"不可",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯の使用状況",null,null,"上顎","□","不明","□","無","□","有"]
[null,"現状の口腔ケア",null,"口腔清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下顎","□","不明","□","無","□","有"]
[null,null,null,"義歯清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"口腔機能の状態"]
[null,"歯式",null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,null,"咀嚼機能",null,null,null,{"$f":"IF(I367=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K367=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M367=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O367=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,"※□：残存歯,■：欠損",null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"摂食・嚥下機能",null,null,null,{"$f":"IF(I368=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K368=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M368=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O368=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"発音機能",null,null,null,{"$f":"IF(I369=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K369=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M369=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O369=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,"姿勢"]
[null,"次のステージの課題",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の姿勢",null,null,null,{"$f":"IF(I370=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K370=TRUE,\"■\",\"□\")","v":"□"},"仰臥位のみ",null,"（",{"$f":"IF(ISBLANK(I371),\"－\",I371)","v":"－"},"度ｷﾞｬｯﾁｱｯﾌﾟ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N370=TRUE,\"■\",\"□\")","v":"□"},"側臥位可能",null,null,{"$f":"IF(Q370=TRUE,\"■\",\"□\")","v":"□"},"座位可能"]
[null,"コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上肢のコントロール",null,null,null,{"$f":"IF(I372=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K372=TRUE,\"■\",\"□\")","v":"□"},"自由",null,null,{"$f":"IF(N372=TRUE,\"■\",\"□\")","v":"□"},"右上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q372=TRUE,\"■\",\"□\")","v":"□"},"左上肢不自由",null,null,{"$f":"IF(T372=TRUE,\"■\",\"□\")","v":"□"},"両上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の頭位",null,null,null,{"$f":"IF(I373=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K373=TRUE,\"■\",\"□\")","v":"□"},"正常位とれる",null,null,{"$f":"IF(N373=TRUE,\"■\",\"□\")","v":"□"},"右に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q373=TRUE,\"■\",\"□\")","v":"□"},"左に傾き",null,null,{"$f":"IF(T373=TRUE,\"■\",\"□\")","v":"□"},"前に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の開口",null,null,null,{"$f":"IF(I374=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K374=TRUE,\"■\",\"□\")","v":"□"},"開口障害なし"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N374=TRUE,\"■\",\"□\")","v":"□"},"開口障害あり",null,"（",{"$f":"IF(ISBLANK(I375),\"－\",I375)","v":"－"},"横指）","（協力",null,{"$f":"IF(I376=TRUE,J376 & \" \",\"\"  ) & IF(K376=TRUE,L376 & \" \",\"\"  ) & IF(M376=TRUE,N376 & \" \",\"\"  )","v":""},null,"）"]
[null,"担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現状の口腔ケア"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔清掃の自立",null,null,null,{"$f":"IF(I377=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K377=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M377=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O377=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯清掃の自立",null,null,null,{"$f":"IF(I378=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K378=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M378=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O378=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯式　　※□：残存歯,■：欠損"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I379=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I382=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",{"$f":"IF(ISBLANK(I385),\"－\",I385)","v":"－"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生(施)【印刷】"]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
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[]
[]
[]
[]
[]
[]
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[]
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[]
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[]
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[]
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[]
[null,"生活期(在宅)：歯科情報【入力】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期(在宅)：歯科情報【印刷用紙】"]
[]
[null,"６ヶ月経過時入力",null,null,null,null,null,null,null,null,"急：退院時引用",null,"回：退院時引用",null,"生(施)：退院時引用",null,"※各自責任のもと情報の引用を行ってください。"]
[null,"記入日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科情報提供書（生活期／在宅）",null,null,null,null,null,null,null,"記入日",null,{"$f":"IF(ISBLANK(I504),\"－\",I504)","v":"－"},null,null,null,null,null,null,"生(在)【印刷】"]
[null,"歯と口の状態",null,"清掃の状況",null,null,null,null,false,"不明",false,"良好",false,"不良",false,"著しく不良"]
[null,null,null,"口腔乾燥（柿木の分類）",null,null,null,null,false,"不明"]
[null,null,null,null,null,null,null,null,false,"0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AE514),\"－\",AE514)","v":"－"},null,null,null,null,null,"氏",null,"施設名　",null,{"$f":"IF(ISBLANK(計画書!CM20),\"－\",計画書!CM20)","v":"－"}]
[null,null,null,null,null,null,null,null,false,"1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,null,null,null,null,null,null,null,false,"2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者　様　宛"]
[null,null,null,null,null,null,null,null,false,"3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,{"$f":"IF(ISBLANK(I541),\"－\",I541)","v":"－"}]
[null,null,null,"う蝕",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(ISBLANK(計画書!CM23),\"－\",計画書!CM23)","v":"－"}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有"]
[null,null,null,"歯周疾患",null,null,null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,{"$f":"IF(ISBLANK(計画書!$H$17),\"－\",計画書!$H$17)","v":"－"},null,null,null,null,null,null,null,"性別",{"$f":"IF(ISBLANK(計画書!$H$19),\"－\",計画書!$H$19)","v":"－"},null,"年齢",{"$f":"DATEDIF(AP514,AM504,\"Y\")","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,"治療の緊急性",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"患者氏名",null,{"$f":"IF(ISBLANK(計画書!$H$18),\"－\",計画書!$H$18)","v":"－"},null,null,null,null,null,null,null,"生年月日",null,null,{"$f":"IF(ISBLANK(計画書!$H$20),\"－\",計画書!$H$20)","v":"－"}]
[null,null,null,"義歯の使用状況",null,"上顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯と口の状態"]
[null,null,null,null,null,"下顎",null,null,false,"不明",false,"無",false,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清掃の状況",null,null,null,{"$f":"IF(I505=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K505=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M505=TRUE,\"■\",\"□\")","v":"□"},"不良",{"$f":"IF(O505=TRUE,\"■\",\"□\")","v":"□"},"著しく不良"]
[null,"口腔機能の状態",null,"咀嚼機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔乾燥\n（柿木の分類）",null,null,null,"□","不明"]
[null,null,null,"摂食・嚥下機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","0度（正常）",null,"乾燥なし（1～3度の所見がなく、正常範囲と思われる）。"]
[null,null,null,"発音機能",null,null,null,null,false,"不明",false,"良好",false,"普通",false,"不調",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","1度（軽度）",null,"唾液の粘性が亢進している。"]
[null,"姿勢",null,"口腔ケア時の姿勢",null,null,null,null,false,"不明",false,"仰臥位のみ",null,false,"側臥位可能",null,false,"座位可能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","2度（中程度）",null,"唾液中に細かい唾液の泡が見られる。"]
[null,null,null,null,null,"ｷﾞｬｯﾁｱｯﾌﾟ",null,null,null,"度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","3度（重度）",null,"舌の上にほとんど唾液が見られず、乾燥している。"]
[null,null,null,"上肢のコントロール",null,null,null,null,false,"不明",false,"自由",null,false,"右上肢不自由",null,false,"左上肢不自由",null,false,"両上肢不自由",null,null,null,null,null,null,null,null,"う蝕",null,null,null,"□","不明",{"$f":"IF(K511=TRUE,\"■\",\"□\")","v":"□"},"無",{"$f":"IF(M511=TRUE,\"■\",\"□\")","v":"□"},"有"]
[null,null,null,"口腔ケア時の頭位",null,null,null,null,false,"不明",false,"正常位とれる",null,false,"右に傾き",null,false,"左に傾き",null,false,"前に傾き",null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,"口腔ケア時の開口",null,null,null,null,false,"不明",false,"開口障害なし",null,false,"開口障害あり",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯周疾患",null,null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"開口障害",null,null,null,"横指",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"治療の緊急性",null,null,"□","不明","□","無","□","有"]
[null,null,null,null,null,"協力",null,null,false,"不明",false,"可",false,"不可",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯の使用状況",null,null,"上顎","□","不明","□","無","□","有"]
[null,"現状の口腔ケア",null,"口腔清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下顎","□","不明","□","無","□","有"]
[null,null,null,"義歯清掃の自立",null,null,null,null,false,"不明",false,"自立",false,"一部介助",false,"全介助",null,null,null,null,null,null,null,null,null,null,null,null,"口腔機能の状態"]
[null,"歯式",null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,null,"咀嚼機能",null,null,null,{"$f":"IF(I517=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K517=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M517=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O517=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,"※□：残存歯,■：欠損",null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"摂食・嚥下機能",null,null,null,{"$f":"IF(I518=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K518=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M518=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O518=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8,null,null,null,null,null,"発音機能",null,null,null,{"$f":"IF(I519=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K519=TRUE,\"■\",\"□\")","v":"□"},"良好",{"$f":"IF(M519=TRUE,\"■\",\"□\")","v":"□"},"普通",{"$f":"IF(O519=TRUE,\"■\",\"□\")","v":"□"},"不調"]
[null,null,null,null,null,null,null,null,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,null,null,null,null,"姿勢"]
[null,"次のステージの課題",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の姿勢",null,null,null,{"$f":"IF(I520=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K520=TRUE,\"■\",\"□\")","v":"□"},"仰臥位のみ",null,"（",{"$f":"IF(ISBLANK(I521),\"－\",I521)","v":"－"},"度ｷﾞｬｯﾁｱｯﾌﾟ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N520=TRUE,\"■\",\"□\")","v":"□"},"側臥位可能",null,null,{"$f":"IF(Q520=TRUE,\"■\",\"□\")","v":"□"},"座位可能"]
[null,"コメント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上肢のコントロール",null,null,null,{"$f":"IF(I522=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K522=TRUE,\"■\",\"□\")","v":"□"},"自由",null,null,{"$f":"IF(N522=TRUE,\"■\",\"□\")","v":"□"},"右上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q522=TRUE,\"■\",\"□\")","v":"□"},"左上肢不自由",null,null,{"$f":"IF(T522=TRUE,\"■\",\"□\")","v":"□"},"両上肢不自由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の頭位",null,null,null,{"$f":"IF(I523=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K523=TRUE,\"■\",\"□\")","v":"□"},"正常位とれる",null,null,{"$f":"IF(N523=TRUE,\"■\",\"□\")","v":"□"},"右に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Q523=TRUE,\"■\",\"□\")","v":"□"},"左に傾き",null,null,{"$f":"IF(T523=TRUE,\"■\",\"□\")","v":"□"},"前に傾き"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔ケア時の開口",null,null,null,{"$f":"IF(I524=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K524=TRUE,\"■\",\"□\")","v":"□"},"開口障害なし"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(N524=TRUE,\"■\",\"□\")","v":"□"},"開口障害あり",null,"（",{"$f":"IF(ISBLANK(I525),\"－\",I525)","v":"－"},"横指）","（協力",null,{"$f":"IF(I526=TRUE,J526 & \" \",\"\"  ) & IF(K526=TRUE,L526 & \" \",\"\"  ) & IF(M526=TRUE,N526 & \" \",\"\"  )","v":""},null,"）"]
[null,"担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現状の口腔ケア"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口腔清掃の自立",null,null,null,{"$f":"IF(I527=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K527=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M527=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O527=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"義歯清掃の自立",null,null,null,{"$f":"IF(I528=TRUE,\"■\",\"□\")","v":"□"},"不明",{"$f":"IF(K528=TRUE,\"■\",\"□\")","v":"□"},"自立",{"$f":"IF(M528=TRUE,\"■\",\"□\")","v":"□"},"一部介助",null,{"$f":"IF(O528=TRUE,\"■\",\"□\")","v":"□"},"全介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯式　　※□：残存歯,■：欠損"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I529=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I532=TRUE,\"■\",\"□\")","v":"□"},"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コメント",{"$f":"IF(ISBLANK(I535),\"－\",I535)","v":"－"}]
[]
[]
[]
[]
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[null,"算定状況連絡票"]
[]
[]
["算定状況連絡票",null,null,null,"施設間連携情報"]
[null,"【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,null,null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,null,null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,null,null,null,null,"生(在)【用紙】"]
[]
[]
[null,"算定状況連絡票【入力・印刷用紙】"]
[]
[]
[null,null,"算定状況連絡票"]
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[]
[]
[]
[null,null,"　この書類は、連携先である保険医療機関が診療報酬を算定する際に必要な『連携元の算定状況』を記載する連絡票です。\n"]
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[null,null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"－\",計画書!H17)","v":"－"},null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"－\",計画書!H20)","v":"－"}]
[]
[null,null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"－\",計画書!H18)","v":"－"},null,null,null,"性別",null,{"$f":"IF(計画書!H19=\"\",\"－\",計画書!H19)","v":"－"}]
[]
[]
[null,null,"急性期",null,null,"保険医療機関名",null,null,{"$f":"IF(計画書!H24=\"\",\"－\",計画書!H24)","v":"－"}]
[]
[]
[]
[null,null,"地域連携診療計画加算"]
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[]
[]
[]
[]
[]
[null,null,"回復期",null,null,"保険医療機関名",null,null,{"$f":"IF(計画書!AJ18=\"\",\"－\",計画書!AJ18)","v":"－"}]
[]
[]
[]
[null,null,"地域連携診療計画加算"]

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[null,"パスワードシート"]
[]
[]
["パスワード",null,null,null,null,null,"施設間連携情報"]
[null,"急性期【入力】",null,"急性期【印刷】",null,null,null,"急性期【用紙】",null,null,null,"全体連携図"]
[null,"回復期【入力】",null,"回復期【印刷】",null,null,null,"回復期【用紙】",null,null,null,"計画書"]
[null,"生(施)【入力】",null,"生(施)【印刷】",null,null,null,"生(施)【用紙】",null,null,null,"地域連携"]
[null,"生(在)【入力】",null,"生(在)【印刷】",null,null,null,"生(在)【用紙】"]
[]
[]
[null,"急性期：パスワード【入力・印刷用紙】"]
[]
[]
[null,null,"加賀脳卒中地域連携パス\n【パスワード】",null,null,null,null,null,null,"日付"]
[]
[]
[]
[]
[null,null,"　CD-Rにて加賀脳卒中地域連携パスデータを次の連携先に送付する際は、必ずファイルを暗号化し、コンピュータウィルス感染がないことを確認の上で送付してください。\n　送付は、原則として患者または家族に手交とします。また、手交が困難な場合は、別の手段で送付してください。（CD-Rは郵送し、同意書のコピー及びパスワードはFAX等にて送付する。）"]
[]
[]
[]
[]
[]
[]
[null,null,"連携先施設名",null,{"$f":"IF(計画書!AJ18=\"\",\"－\",計画書!AJ18)","v":"－"},null,null,null,"連携元施設名",null,{"$f":"IF(計画書!H24=\"\",\"－\",計画書!H24)","v":"－"}]
[]
[]
[]
[null,null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"－\",計画書!H17)","v":"－"},null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"－\",計画書!H20)","v":"－"}]
[]
[null,null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"－\",計画書!H18)","v":"－"},null,null,null,"性別",null,{"$f":"IF(計画書!H19=\"\",\"－\",計画書!H19)","v":"－"}]
[]
[]
[]
[null,null,"ファイルを暗号化した際のパスワードをご記入ください。"]
[]
[null,null,"パスワード"]
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[null,"回復期：パスワード【入力・印刷用紙】"]
[]
[]
[null,null,"加賀脳卒中地域連携パス\n【パスワード】",null,null,null,null,null,null,"日付"]
[]
[]
[]
[]
[null,null,"　CD-Rにて加賀脳卒中地域連携パスデータを次の連携先に送付する際は、必ずファイルを暗号化し、コンピュータウィルス感染がないことを確認の上で送付してください。\n　送付は、原則として患者または家族に手交とします。また、手交が困難な場合は、別の手段で送付してください。（CD-Rは郵送し、同意書のコピー及びパスワードはFAX等にて送付する。）"]
[]
[]
[]
[]
[]
[]
[null,null,"連携先施設名",null,{"$f":"IF(計画書!BL18=\"\",\"－\",計画書!BL18)","v":"－"},null,null,null,"連携元施設名",null,{"$f":"IF(計画書!AJ18=\"\",\"－\",計画書!AJ18)","v":"－"}]
[]
[]
[]
[null,null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"－\",計画書!H17)","v":"－"},null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"－\",計画書!H20)","v":"－"}]
[]
[null,null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"－\",計画書!H18)","v":"－"},null,null,null,"性別",null,{"$f":"IF(計画書!H19=\"\",\"－\",計画書!H19)","v":"－"}]
[]
[]
[]
[null,null,"ファイルを暗号化した際のパスワードをご記入ください。"]
[]
[null,null,"パスワード"]
[]
[]
[]
[]
[]
[]
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[]
[]
[null,"生活期(施設)：パスワード【入力・印刷用紙】"]
[]
[]
[null,null,"加賀脳卒中地域連携パス\n【パスワード】",null,null,null,null,null,null,"日付"]
[]
[]
[]
[]
[null,null,"　CD-Rにて加賀脳卒中地域連携パスデータを次の連携先に送付する際は、必ずファイルを暗号化し、コンピュータウィルス感染がないことを確認の上で送付してください。\n　送付は、原則として患者または家族に手交とします。また、手交が困難な場合は、別の手段で送付してください。（CD-Rは郵送し、同意書のコピー及びパスワードはFAX等にて送付する。）"]
[]
[]
[]
[]
[]
[]
[null,null,"連携先施設名",null,{"$f":"IF(計画書!CM19=\"\",\"－\",計画書!CM19)","v":"－"},null,null,null,"連携元施設名",null,{"$f":"IF(計画書!BL18=\"\",\"－\",計画書!BL18)","v":"－"}]
[]
[]
[]
[null,null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"－\",計画書!H17)","v":"－"},null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"－\",計画書!H20)","v":"－"}]
[]
[null,null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"－\",計画書!H18)","v":"－"},null,null,null,"性別",null,{"$f":"IF(計画書!H19=\"\",\"－\",計画書!H19)","v":"－"}]
[]
[]
[]
[null,null,"ファイルを暗号化した際のパスワードをご記入ください。"]
[]
[null,null,"パスワード"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活期(在宅)：パスワード【入力・印刷用紙】"]
[]
[]
[null,null,"加賀脳卒中地域連携パス\n【パスワード】",null,null,null,null,null,null,"日付"]
[]
[]
[]
[]
[null,null,"　CD-Rにて加賀脳卒中地域連携パスデータを次の連携先に送付する際は、必ずファイルを暗号化し、コンピュータウィルス感染がないことを確認の上で送付してください。\n　送付は、原則として患者または家族に手交とします。また、手交が困難な場合は、別の手段で送付してください。（CD-Rは郵送し、同意書のコピー及びパスワードはFAX等にて送付する。）"]
[]
[]
[]
[]
[]
[]
[null,null,"連携先施設名",null,{"$f":"IF(計画書!H24=\"\",\"－\",計画書!H24)","v":"－"},null,null,null,"連携元施設名",null,{"$f":"IF(計画書!CM19=\"\",\"－\",計画書!CM19)","v":"－"}]
[]
[]
[]
[null,null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"－\",計画書!H17)","v":"－"},null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"－\",計画書!H20)","v":"－"}]
[]
[null,null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"－\",計画書!H18)","v":"－"},null,null,null,"性別",null,{"$f":"IF(計画書!H19=\"\",\"－\",計画書!H19)","v":"－"}]
[]
[]
[]
[null,null,"ファイルを暗号化した際のパスワードをご記入ください。"]
[]
[null,null,"パスワード"]

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