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[null,null,"地域連携診療計画書",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,"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,"脳卒中分類","手術あり・なし","食事","清潔","排泄","退院予定先","退院先区分","印刷対象","退院先"]
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["バージョンは6.0です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印刷対象",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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",null,null,null,null,null,null,null,null,null,null,null,"患者氏名：",null,null,null,null,{"$f":"H18","v":0},null,null,null,null,null,null,"様",null,null,"回復期退院時",null,null,null,null,null,null,null,null,null,null,null,"患者氏名：",null,null,null,null,{"$f":"H18","v":0},null,null,null,null,null,null,"様",null,null,"クリニック受診時",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脳出血","有","経管栄養","ｼｬﾜｰ浴","ﾍﾞｯﾄﾞ上","生活期（施設）","一般病棟","〇","生活期（在宅）"]
["計画書＆同意書",null,"A4サイズ",null,null,null,null,"同意書のみ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医師","看護","リハ","栄養","栄養2","福祉","薬剤","歯科",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,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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","無","経口摂取","一般浴","ﾄｲﾚ","生活期（在宅）","回復期リハビリテーション病棟"]
[null,null,"急入院【印刷】",null,null,null,null,null,null,"急性期【印刷】",null,null,null,null,null,null,null,null,null,null,null,null,"〇","〇","〇","×","〇","〇","〇","×",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域包括ケア病棟"]
[null,null,"回復期【印刷】",null,null,null,null,null,null,"回復期【印刷】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療療養病棟"]
[null,null,"A3サイズ",null,null,null,null,null,null,"生(施)【印刷】",null,null,null,null,null,null,null,null,null,null,null,null,"印刷対象",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護療養型医療施設"]
[null,null,"急入院【印刷】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医師","看護","リハ","栄養","栄養2","福祉","薬剤","歯科",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護老人福祉施設"]
[null,null,"回復期【印刷】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇","〇","〇","×","〇","〇","〇","×",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護老人保健施設"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"グループホーム"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"軽費老人ホーム"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サービス付き高齢者向け住宅"]
[null,"急性期：入院７日以内入力",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,"回復期：退院・退所時入力",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"高齢者専用賃貸住宅"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"加賀パスID",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期施設","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,"　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,"対象者","フリガナ",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,"郵便番号",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,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。"]
[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,null,null,"住所"]
[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,null,null,"代表者名"]
[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,"TEL"]
[null,null,"郵便番号",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,"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,null,null,null,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,"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,"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,"　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,"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,"入院日"]
[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,null,null,"退院日"]
[null,null,"郵便番号",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,"退院・退所時",null,null,null,"食事"]
[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,"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,"　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,"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,null,null,null,null,null,null,"排泄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,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,"退院先"]
[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,"計画書説明日"]
[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,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,"脳卒中分類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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。"]
[null,null,"入院日"]
[null,null,"入院予定期間",null,null,null,null,null,null,null,"日間"]
[null,null,"手術（有・無）"]
[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,"　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,"食事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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。"]
[null,null,null,null,null,"清潔"]
[null,null,null,null,null,"排泄"]
[null,null,"退院予定先"]
[null,"回復期入院予定期間",null,null,null,null,null,null,null,null,null,null,null,"ヶ月"]
[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,"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(AL16),\"－\",AL16)","v":"－"},null,null,null,null,null,null,null,null,null,null,"病院長：",null,{"$f":"IF(ISBLANK(AL19),\"－\",AL19)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,"機関名：",null,{"$f":"IF(ISBLANK(BP20),\"－\",BP20)","v":"－"}]
[null,"急性期：退院時入力",null,null,null,null,null,null,null,null,null,null,null,null,null,"地域連携診療計画加算\n算定の有無（急性期）",null,null,null,null,null,null,null,null,null,null,null,null,null,"地域連携診療計画加算\n算定の有無（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,null,null,null,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,{"$f":"IF(ISBLANK(H29),\"－\",H29)","v":"－"},null,null,null,null,null,null,null,null,"主治医：",null,{"$f":"IF(ISBLANK(H30),\"－\",H30)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科：",null,{"$f":"IF(ISBLANK(AL21),\"－\",AL21)","v":"－"},null,null,null,null,null,null,null,null,"主治医：",null,{"$f":"IF(ISBLANK(AL22),\"－\",AL22)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科：",null,{"$f":"IF(ISBLANK(BP24),\"－\",BP24)","v":"－"},null,null,null,null,null,null,null,null,"主治医：",null,{"$f":"IF(ISBLANK(BP25),\"－\",BP25)","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,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AL24),\"FALSE\",TRUE)","v":"FALSE"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,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,"※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。"]
[]
["地域連携診療計画書　加賀脳卒中地域連携クリティカルパス"]
[]
["※以下の内容は、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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期説明時"]
[null,"患者氏名：",null,null,null,null,{"$f":"H18","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"様",null,null,null,"病名：",null,null,null,null,null,null,{"$f":"H31","v":0}]
[]
[]
["※直筆箇所",null,null,null,null,null,null,null,null,null,"説明日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"説明者氏名"]
[]
[null,null,null,null,null,null,null,null,null,null,"年　　　　　月　　　　　日　"]
[]
[]
[]
[]
["退院基準",null,null,"全身状態の安定、危機脱出",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"在宅復帰の準備完了。入所等の準備完了。障害改善の安定",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後"]
[]
["基準",null,null,"脳梗塞、脳出血またはくも膜下出血を発症し、治療を実施している方",null,null,null,null,null,null,null,null,null,null,null,null,null,"退院\n予定先",null,{"$f":"IF(H39=\"\",\"-\",H39)","v":"-"},null,null,null,null,null,null,null,null,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,null,{"$f":"IF(AL28=\"生活期（施設）\",\"■\",\"□\")","v":"□"},null,"生活期（施設）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●","病院でリハビリを継続する必要がある。"]
["施設名",null,null,{"$f":"IF(ISBLANK(H24),\"-\",H24)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(H30),\"-\",H30)","v":"-"},null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AL16),\"-\",AL16)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医",null,{"$f":"IF(ISBLANK(AL22),\"-\",AL22)","v":"-"},null,null,null,null,null,null,null,null,null,{"$f":"IF(AL28=\"生活期（在宅）\",\"■\",\"□\")","v":"□"},null,"生活期（在宅）"]
[]
["予定期間",null,null,"全身状態がよければ",null,null,null,null,null,null,"約",null,{"$f":"IF(ISBLANK(H33),\"－\",H33)","v":"－"},null,"日間",null,"で退院の予定です",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"約",null,{"$f":"IF(H40=\"\",\"-\",H40)","v":"-"},null,null,"ヶ月",null,"で退院の予定です"]
[null,"経過",null,"入院日",null,null,null,null,null,"入院翌日～退院前まで",null,null,null,null,null,null,null,null,null,"退院前",null,null,null,null,null,null,null,null,null,"入院日",null,null,null,null,null,null,"入院翌日～退院前まで",null,null,null,null,null,null,"退院前"]
[null,"月日",null,{"$f":"IF(ISBLANK(H32),\"－\",H32)","v":"－"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(AL23),\"－\",AL23)","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,"再発予防と健康生活の維持・向上"]
["目標",null,null,"診断の確定をします。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,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"]
[]
[]
[]
["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。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,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,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,"手術",null,null,{"$f":"IF(ISBLANK(H34),\"-\",H34)","v":"-"}]
["検査",null,null,"必要に応じてCT，MRI，ﾚﾝﾄｹﾞﾝ，心電図，血液検査などの検査を行います。",null,null,null,null,null,"必要に応じて頭部血管造影検査，心ｴｺｰ，頸動脈ｴｺｰなどの検査を行います",null,null,null,null,null,null,null,null,null,"必要に応じて検査を行います",null,null,null,null,null,null,null,null,null,"必要に応じて検査を行います",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医などで定期的診察・検査を受けましょう"]
[]
[]
["安静度\n\nﾘﾊﾋﾞﾘ\nﾃｰｼｮﾝ",null,null,"主治医の許可があるまで、ベッド上安静でお過ごしください",null,null,null,null,null,"早期離床や機能障害の改善、廃用症候群の予防、日常生活の動作や活動の拡大に向けたﾘﾊﾋﾞﾘﾃｰｼｮﾝを行います",null,null,null,null,null,null,null,null,null,"必要に応じて退院後の生活の指導や訓練を行います",null,null,null,null,null,null,null,null,null,"機能障害の改善や廃用症候群の予防、日常生活の動作や活動の拡大に向けたﾘﾊﾋﾞﾘﾃｰｼｮﾝを行います",null,null,null,null,null,null,null,null,null,null,null,null,null,"必要に応じて、退院後の生活の指導や訓練、ｽﾀｯﾌによる住宅訪問、自宅への試験外泊などを行います",null,null,null,null,null,null,null,null,null,null,null,"新に病気になったり、再発しないように適度な運動をしましょう。現在できる身の回り動作を続け、さらにできる事を増やし、生活を豊かにしましょう。閉じこもりを避け、余暇活動にも積極的に参加しましょう。装具を使用されている方は、時々装具のチェックをしてもらいましょう。"]
[]
[]
[]
["食事",null,null,"嚥下状態の検査をします。嚥下状態に応じた食事を提供します。",null,null,null,null,null,{"$f":"IF(H36=\"点滴\",\"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(H36=\"経管栄養\",\"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(H36=\"経口摂取\",\"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,null,null,"摂取方法",null,null,null,null,{"$f":"IF(栄養!H22=\"\",\"-\",栄養!H22)","v":"-"},null,null,null,null,{"$f":"IF(AL25=\"点滴\",\"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(AL25=\"経管栄養\",\"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(AL25=\"経口摂取\",\"状態に合わせて通常の食事や治療食を提供します\",J92)))","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,"摂取方法",null,null,{"$f":"IF(栄養!F83=\"\",\"-\",栄養!F83)","v":"-"},null,null,null,null,"状態により各種介護サービスを利用しましょう"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,null,null,null,{"$f":"IF(栄養!H26=\"\",\"-\",栄養!H26)","v":"-"},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,{"$f":"IF(栄養!F87=\"\",\"-\",栄養!F87)","v":"-"},null,null,null,null,"●通所系サービス"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,null,null,null,{"$f":"IF(栄養!H27=\"\",\"-\",栄養!H27)","v":"-"},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,{"$f":"IF(栄養!F88=\"\",\"-\",栄養!F88)","v":"-"},null,null,null,null,null,{"$f":"IF(福祉!C158=\"有\",\"■\",\"□\")","v":"□"},"通所介護",null,null,null,{"$f":"IF(福祉!C159=\"有\",\"■\",\"□\")","v":"□"},"通所ﾘﾊﾋﾞﾘﾃｰｼｮﾝ",null,null,null,null,null,null,{"$f":"IF(福祉!C160=\"有\",\"■\",\"□\")","v":"□"},"ショートスティ"]
["清潔",null,null,{"$f":"IF(H37=\"清拭\",\"清拭や洗髪を行います\",IF(H37=\"ｼｬﾜｰ浴\",\"ｼｬﾜｰ浴を行います\",IF(H37=\"一般浴\",\"一般浴を行います\",\"\")))","v":""},null,null,null,null,null,{"$f":"IF(H37=\"清拭\",\"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(H37=\"ｼｬﾜｰ浴\",\"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(H37=\"一般浴\",\"一般浴を行います\",\"\")))","v":""},null,null,null,null,null,null,null,null,null,"清潔方法",null,null,null,null,{"$f":"IF(看護!I38=\"\",\"-\",看護!I38)","v":"-"},null,null,null,null,{"$f":"IF(AL26=\"清拭\",\"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(AL26=\"ｼｬﾜｰ浴\",\"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(AL26=\"一般浴\",\"一般浴を行います\",J95)))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔方法",null,null,{"$f":"IF(看護!H158=\"\",\"-\",看護!H158)","v":"-"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,null,null,{"$f":"IF(看護!G38=\"\",\"-\",看護!G38)","v":"-"},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,{"$f":"IF(看護!E158=\"\",\"-\",看護!E158)","v":"-"},null,null,null,null,"●訪問系サービス"]
["排泄",null,null,{"$f":"IF(H38=\"導尿\",\"持続又は間欠的導尿を行います\",IF(H38=\"ﾍﾞｯﾄﾞ上\",\"ﾍﾞｯﾄﾞ上で排泄を行います\",IF(H38=\"ﾄｲﾚ\",\"ﾄｲﾚで排泄を行います\",\"\")))","v":""},null,null,null,null,null,{"$f":"IF(H38=\"導尿\",\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\",IF(H38=\"ﾍﾞｯﾄﾞ上\",\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\",IF(H38=\"ﾄｲﾚ\",\"ﾄｲﾚで排泄を行います\",\"\")))","v":""},null,null,null,null,null,null,null,null,null,"排泄方法",null,null,null,null,{"$f":"IF(看護!G42=\"\",\"-\",看護!G42)","v":"-"},null,null,null,null,{"$f":"IF(AL27=\"導尿\",\"状態に合わせて持続又は間欠的導尿の継続あるいはﾍﾞｯﾄﾞ上やﾄｲﾚで排泄を行います\",IF(AL27=\"ﾍﾞｯﾄﾞ上\",\"状態に合わせてﾍﾞｯﾄﾞ上あるいはﾄｲﾚで排泄を行います\",IF(AL27=\"ﾄｲﾚ\",\"ﾄｲﾚで排泄を行います\",J97)))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"排泄方法",null,null,{"$f":"IF(看護!E162=\"\",\"-\",看護!E162)","v":"-"},null,null,null,null,null,{"$f":"IF(福祉!C155=\"有\",\"■\",\"□\")","v":"□"},"訪問介護",null,null,null,{"$f":"IF(福祉!C156=\"有\",\"■\",\"□\")","v":"□"},"訪問看護",null,null,null,null,{"$f":"IF(福祉!C157=\"有\",\"■\",\"□\")","v":"□"},"訪問ﾘﾊﾋﾞﾘﾃｰｼｮﾝ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"状態",null,null,null,null,{"$f":"IF(看護!G41=\"\",\"-\",看護!G41)","v":"-"},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,{"$f":"IF(看護!E161=\"\",\"-\",看護!E161)","v":"-"}]
["患者\n家族\nへの説明",null,null,"治療方針や検査結果などを説明します\n今後、地域で連携して行う診療計画を説明します",null,null,null,null,null,"ﾘﾊﾋﾞﾘﾃｰｼｮﾝ計画を説明します。必要に応じて服薬指導や栄養指導などを行います。今後の方向性などｽﾀｯﾌと相談し決定します。",null,null,null,null,null,null,null,null,null,"退院後、地域で連携して行う診療計画を説明します。\n服薬指導を行います",null,null,null,null,null,null,null,null,null,"ﾘﾊﾋﾞﾘﾃｰｼｮﾝ計画や入院期間を説明します。必要に応じて服薬指導や栄養指導などを行います。今後の方向性などをｽﾀｯﾌと相談し決定します。社会保障制度の活用を説明します。",null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後、地域で連携して行う診療計画を説明します",null,null,null,null,null,null,null,null,null,null,null,"●居宅療養管理指導"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(福祉!H155=\"有\",\"■\",\"□\")","v":"□"},"医療　",null,null,{"$f":"IF(福祉!H156=\"有\",\"■\",\"□\")","v":"□"},"薬剤",null,null,{"$f":"IF(福祉!H157=\"有\",\"■\",\"□\")","v":"□"},"歯科",null,null,{"$f":"IF(福祉!H158=\"有\",\"■\",\"□\")","v":"□"},"栄養"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〔受診１ヵ月患者状態〕",null,null,null,null,null,null,null,"受診日",null,null,null,{"$f":"IF(診療!J273=\"\",\"-\",診療!J273)","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,"受診施設名",null,null,null,null,{"$f":"IF(診療!J224=\"\",\"-\",診療!J224)","v":"-"}]
["状態",null,null,{"$f":"IF(H35=FALSE,\"□\",\"■\")","v":"□"},"意識障害",null,null,null,null,"退院時状態",null,null,null,null,"退院日",null,null,null,null,{"$f":"IF(ISBLANK(H45),\"-\",H45)","v":"-"},null,null,null,null,null,null,null,null,null,"退院時状態",null,null,null,null,null,null,null,"退院日",null,null,null,null,null,{"$f":"IF(ISBLANK(AL24),\"-\",AL24)","v":"-"}]
[null,null,null,{"$f":"IF(M35=FALSE,\"□\",\"■\")","v":"□"},"言語障害",null,null,null,null,"移動",null,null,null,{"$f":"IF(ISBLANK(看護!G46),\"-\",看護!G46)","v":"-"},null,null,null,null,null,"日常生活\n機能評価",null,null,null,{"$f":"IF(ISBLANK(看護!G20),\"－\",看護!G20)","v":""},null,"/19点",null,null,null,"移動",null,null,null,{"$f":"IF(ISBLANK(看護!E166),\"-\",看護!E166)","v":"-"},null,null,null,null,null,null,null,null,null,"日常生活\n機能評価",null,null,null,{"$f":"IF(ISBLANK(看護!AA47),\"-\",看護!AA47)","v":"-"},null,"/19点",null,null,null,null,null,"日常生活\n機能評価",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(診療!F273=\"\",\"-\",診療!F273)","v":"-"},null,"/19点"]
[null,null,null,{"$f":"IF(R35=FALSE,\"□\",\"■\")","v":"□"},"麻痺",null,null,null,null,"手段",null,null,null,{"$f":"IF(ISBLANK(看護!J46),\"-\",看護!J46)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手段",null,null,null,{"$f":"IF(ISBLANK(看護!H166),\"-\",看護!H166)","v":"-"}]

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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,"加賀医療介護連携シート(急性期退院時状態)",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）"]
[]
["ﾌﾘｶﾞﾅ",null,{"$f":"計画書!H17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",{"$f":"計画書!H24","v":0}]
["氏名",null,{"$f":"計画書!H18","v":0},null,null,null,null,null,"性別",null,{"$f":"計画書!H19","v":0},null,"℡",null,{"$f":"計画書!H23","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"入院日",null,{"$f":"計画書!H32","v":"00:00:00"}]
[null,null,null,null,null,null,null,null,"年齢",null,{"$f":"診療!M15","v":"-"},null,"生年月日",null,{"$f":"計画書!H20","v":"00:00:00"},null,null,null,null,null,"TEL",null,{"$f":"計画書!H28","v":0},null,null,null,null,null,"退院日",null,{"$f":"計画書!H45","v":"00:00:00"}]
["住所",null,"〒",{"$f":"計画書!H21","v":0},null,{"$f":"計画書!H22","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,{"$f":"計画書!H29","v":0},null,null,null,null,null,"主治医",null,{"$f":"計画書!H30","v":0},null,null,null,null,null,null,null,"紹介先","施設名",null,{"$f":"診療!B11","v":0},null,null,null,null,null,"主治医",null,{"$f":"診療!B12","v":0},null,null,null,null,null,"記入日",null,{"$f":"診療!J104","v":"00:00:00"}]
[]
[]
[]
[null,"健康状態",null,"測定日",null,null,{"$f":"栄養!H19","v":"00:00:00"},null,null,"身長",null,null,{"$f":"栄養!H17","v":0},null,"cm","体重",null,null,{"$f":"栄養!H18","v":0},null,"kg","BMI",null,null,{"$f":"栄養!H20","v":{"$error":"#DIV/0!"}},null,null,"体重の増減",null,null,null,{"$f":"栄養!H21","v":0},null,null,null,null,null,null,null,null,"普段の血圧値",null,null,null,"（収縮期血圧）",null,null,{"$f":"看護!G18","v":0},null,null,null,"台","採血情報",null,"別紙：栄養情報提供書参照"]
[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,{"$f":"栄養!G42","v":"00:00:00"},null,null,{"$f":"栄養!G42","v":"00:00:00"},null,null,"基準値"]
[null,null,null,null,"脳卒中",null,null,{"$f":"計画書!H31","v":0},null,null,null,null,null,null,null,null,null,null,null,"発症日",null,null,{"$f":"診療!D20","v":"00:00:00"},null,null,"病変部位",null,null,{"$f":"診療!D22","v":0},null,null,null,null,null,null,null,"調剤方法",null,null,{"$f":"薬剤!AO8","v":""}]
[null,null,null,null,null,null,null,"治療・手術",null,null,{"$f":"診療!J40","v":0},null,null,null,null,null,null,null,null,{"$f":"診療!G41","v":0},null,null,null,null,null,null,null,null,{"$f":"診療!G43","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CRP",null,null,null,{"$f":"栄養!E43","v":0},null,null,{"$f":"栄養!G43","v":0},null,null,"0.00-0.60m g/dl"]
[null,null,null,null,"整形外科疾患",null,null,null,null,null,null,null,null,"発症日",null,null,null,null,null,"部位",null,null,null,null,null,"治療・手術",null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,null,{"$f":"薬剤!D17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"白血球数(WBC)",null,null,null,{"$f":"栄養!E44","v":0},null,null,{"$f":"栄養!G44","v":0},null,null,"3500-8500/μl"]
[null,null,null,null,"心疾患",null,null,{"$f":"診療!F49","v":0},"：心房細動",null,null,{"$f":"診療!F50","v":0},"：心筋梗塞",null,null,{"$f":"診療!F51","v":0},"：心不全",null,null,{"$f":"診療!F52","v":0},"：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,{"$f":"栄養!E45","v":0},null,null,{"$f":"栄養!G45","v":0},null,null,"♂11.0-16.5 ♀10.0-15.0 g/dl"]
[null,null,null,null,"その他傷病名",null,null,{"$f":"診療!F46","v":0},"：高血圧",null,null,{"$f":"診療!G46","v":0},null,null,null,null,null,null,null,null,null,{"$f":"診療!F47","v":0},"：糖尿病",null,null,{"$f":"診療!G47","v":0},null,null,null,null,null,null,null,null,null,null,"持参薬",null,null,{"$f":"薬剤!D23","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,{"$f":"栄養!E46","v":0},null,null,{"$f":"栄養!G46","v":0},null,null,"♂33.0-48.0 ♀31.0-45.0%"]
[null,null,null,null,null,null,null,{"$f":"診療!F48","v":0},"：脂質代謝異常",null,null,{"$f":"診療!G48","v":0},null,null,null,null,null,null,null,null,null,{"$f":"診療!F53","v":0},"：呼吸器疾患",null,null,{"$f":"診療!G53","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総蛋白(TP)",null,null,null,{"$f":"栄養!E47","v":0},null,null,{"$f":"栄養!G47","v":0},null,null,"6.5-8.2 g/dl"]
[null,null,null,null,null,null,null,{"$f":"診療!F54","v":0},"：ガン",null,null,{"$f":"診療!G54","v":0},null,null,null,null,null,null,null,null,null,"　その他",null,{"$f":"診療!F55","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,null,{"$f":"薬剤!D33","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)",null,null,null,{"$f":"栄養!E48","v":0},null,null,{"$f":"栄養!G48","v":0},null,null,"3.5-5.0 g/dl"]
[null,null,null,null,"既往歴",null,null,{"$f":"診療!D28","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,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,{"$f":"栄養!E49","v":0},null,null,{"$f":"栄養!G49","v":0},null,null,"7-21mg/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,"ｸﾚｱﾁﾆﾝ(Cre)",null,null,null,{"$f":"栄養!J43","v":0},null,null,{"$f":"栄養!L43","v":0},null,null,"♂0.6-1.2 ♀0.4-0.9mg/dl"]
[null,null,null,null,"アレルギー",null,null,{"$f":"診療!D62","v":0},null,{"$f":"診療!F62","v":0},null,null,null,null,null,null,null,null,null,"禁忌",null,null,{"$f":"診療!D60","v":0},null,{"$f":"診療!F60","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,"ﾅﾄﾘｳﾑ(Na)",null,null,null,{"$f":"栄養!J44","v":0},null,null,{"$f":"栄養!L44","v":0},null,null,"136-145mEq/l"]
[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,{"$f":"栄養!J45","v":0},null,null,{"$f":"栄養!L45","v":0},null,null,"3.5-5.0mEq/l"]
[null,null,null,null,{"$f":"看護!E67","v":0},"：褥瘡",null,null,{"$f":"看護!H67","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,"特記",null,null,{"$f":"薬剤!D45","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"血糖(GLU)",null,null,null,{"$f":"栄養!J46","v":0},null,null,{"$f":"栄養!L46","v":0},null,null,"65-110mg/dl"]
[null,null,null,null,{"$f":"IF(OR(看護!E71=\"\",看護!E71=\"なし\"),\"無\",\"有\")","v":"無"},"：経腸栄養管理",null,null,"栄養剤",null,null,{"$f":"看護!E72","v":"-"},null,null,null,null,"投与ルート",null,null,{"$f":"IF(OR(看護!E71=\"\",看護!E71=\"なし\"),\"\",看護!E71)","v":""},null,null,null,"カニューレ",null,null,{"$f":"看護!E66","v":0},null,"Ｆｒ","カフの有無",null,null,{"$f":"看護!H66","v":0},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,{"$f":"栄養!J47","v":0},null,null,{"$f":"栄養!L47","v":0},null,null,"4.3-5.8％"]
[null,null,null,null,"その他",null,null,{"$f":"看護!E68","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"栄養!J48","v":0},null,null,{"$f":"栄養!L48","v":0},null,null,"40-80mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"栄養!J49","v":0},null,null,{"$f":"栄養!L49","v":0},null,null,"40-140mg/dl"]
[]
[]
[null,null,"心身機能・身体構造",null,true,"別紙：リハビリテーション情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,"活動",null,true,"別紙：看護，リハビリテーション，栄養情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加",null,true,"別紙：福祉情報提供書参照"]
["◎生活機能",null,null,null,{"$f":"リハビリ!H20","v":0},"：麻痺\n※Brunnstrom stage",null,null,"左上肢",null,{"$f":"リハビリ!I22","v":0},"左下肢",null,{"$f":"リハビリ!M22","v":0},"左手指",null,{"$f":"リハビリ!K22","v":0},null,null,null,null,"基本的ADL","項目",null,null,null,null,null,"介護内容・使用用具等",null,null,null,null,null,null,null,null,null,null,null,"FIM","項目",null,null,null,null,null,"評価（している）",null,null,null,null,null,null,null,null,null,null,"入院中の状況"]
[null,null,null,null,null,null,null,null,"右上肢",null,{"$f":"リハビリ!I21","v":0},"右下肢",null,{"$f":"リハビリ!M21","v":0},"右手指",null,{"$f":"リハビリ!K21","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,"食事",null,null,{"$f":"リハビリ!G62","v":0},null,null,null,null,null,null,null,null,null,null,"生活\n","入院中",null,{"$f":"福祉!E52","v":0}]
[null,null,null,null,{"$f":"リハビリ!H23","v":0},"：失調",null,null,{"$f":"リハビリ!I24","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,null,null,null,null,null,null,null,"整容",null,null,{"$f":"リハビリ!G63","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"看護!G34","v":0},null,null,"補給方法",null,{"$f":"栄養!H22","v":0},null,null,null,"義歯",null,{"$f":"看護!I35","v":0},null,null,null,null,"①",null,null,"清拭",null,null,{"$f":"リハビリ!G64","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"栄養!H26","v":""},null,null,null,"詳細",null,{"$f":"栄養!J22","v":0},null,null,null,null,"セルフケア",null,null,"更衣の上半身",null,null,{"$f":"リハビリ!G65","v":0},null,null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"福祉!E54","v":0}]
[null,null,null,null,{"$f":"リハビリ!H26","v":0},"：感覚障害",null,null,{"$f":"リハビリ!I27","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"栄養!H27","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,{"$f":"リハビリ!G66","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"摂取量",null,{"$f":"栄養!H32","v":0},null,null,null,"食事回数",null,{"$f":"栄養!H33","v":0},null,null,null,null,null,null,null,"トイレ動作",null,null,{"$f":"リハビリ!G67","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,"治療食指示",null,{"$f":"栄養!H25","v":0},null,null,null,"補助食",null,{"$f":"栄養!H34","v":0},null,null,null,null,"②",null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,{"$f":"リハビリ!G68","v":0},null,null,null,null,null,null,null,null,null,null,"趣味","入院中",null,{"$f":"福祉!E58","v":0}]
[null,null,null,null,{"$f":"リハビリ!H29","v":0},"：筋力低下\n※部位,MMT等",null,null,{"$f":"リハビリ!I30","v":0},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,{"$f":"栄養!F35","v":0},null,null,null,"好き嫌い",null,{"$f":"栄養!F36","v":0},null,null,null,null,"排泄コントロール",null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,{"$f":"リハビリ!G69","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"栄養!J32","v":0},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,{"$f":"リハビリ!G70","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"看護!G38","v":0},null,null,"方法",null,{"$f":"看護!I38","v":0},null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"トイレ移乗",null,null,{"$f":"リハビリ!G71","v":0},null,null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"福祉!E60","v":0}]
[null,null,null,null,{"$f":"リハビリ!H32","v":0},"：高次脳機能障害",null,null,{"$f":"リハビリ!I33","v":0},"失行",null,{"$f":"リハビリ!K33","v":0},"失認",null,{"$f":"リハビリ!I34","v":0},"失語",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"看護!E39","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,{"$f":"リハビリ!G72","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"リハビリ!K34","v":0},"注意",null,{"$f":"リハビリ!I35","v":0},"記憶",null,{"$f":"リハビリ!K35","v":0},"無視",null,null,null,null,null,null,"排泄",null,null,{"$f":"看護!G41","v":0},null,null,"方法",null,{"$f":"看護!G42","v":0},null,null,null,null,null,null,null,null,null,null,"④",null,null,"歩行・車椅子",null,null,{"$f":"リハビリ!G73","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"リハビリ!I36","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"看護!E44","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,"階段",null,null,{"$f":"リハビリ!G74","v":0},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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,{"$f":"看護!G46","v":0},null,null,"手段",null,{"$f":"看護!J46","v":0},null,null,null,null,null,null,null,null,null,null,"⑤",null,null,"理解",null,null,{"$f":"リハビリ!G75","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C66","v":0},"訪問介護",null,null,null,"利用頻度",null,null,{"$f":"福祉!F66","v":0},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"看護!E47","v":0},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,{"$f":"リハビリ!G76","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C67","v":0},"訪問看護",null,null,null,"利用頻度",null,null,{"$f":"福祉!F67","v":0},"回／週"]
[null,null,null,null,{"$f":"リハビリ!H40","v":0},"：構音障害",null,null,{"$f":"リハビリ!I42","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,null,{"$f":"看護!G49","v":0},null,null,{"$f":"看護!H49","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"⑥",null,null,"社会的交流",null,null,{"$f":"リハビリ!G77","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C68","v":0},"訪問リハ",null,null,null,"利用頻度",null,null,{"$f":"福祉!F68","v":0},"回／週"]
[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,{"$f":"看護!G50","v":0},null,null,{"$f":"看護!H50","v":0},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,{"$f":"リハビリ!G78","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C69","v":0},"通所介護",null,null,null,"利用頻度",null,null,{"$f":"福祉!F69","v":0},"回／週"]
[null,null,null,null,null,null,null,null,"会話明瞭度",null,null,{"$f":"リハビリ!J41","v":0},null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,null,{"$f":"看護!G51","v":0},null,null,{"$f":"看護!H51","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,{"$f":"リハビリ!G79","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C70","v":0},"通所リハ",null,null,null,"利用頻度",null,null,{"$f":"福祉!F70","v":0},"回／週"]
[null,null,null,null,{"$f":"リハビリ!H44","v":0},"：摂食機能障害",null,null,{"$f":"リハビリ!I46","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,null,{"$f":"看護!G52","v":0},null,null,{"$f":"看護!H52","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（①～④）",null,null,null,null,null,{"$f":"リハビリ!G80","v":""},"（13～91点）",null,null,null,null,null,null,null,null,null,{"$f":"福祉!C71","v":0},"ショートスティ",null,null,null,"利用頻度",null,null,{"$f":"福祉!F71","v":0},"日／月"]
[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,{"$f":"看護!G53","v":0},null,null,{"$f":"看護!H53","v":0},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,{"$f":"リハビリ!G81","v":""},"（5～35点）",null,null,null,null,null,null,null,null,null,{"$f":"福祉!H66","v":0},"居宅療養管理指導（医療）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L66","v":0},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,null,{"$f":"看護!G54","v":0},null,null,{"$f":"看護!H54","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（①～⑥）",null,null,null,null,null,{"$f":"リハビリ!G82","v":""},"（18～126点）",null,null,null,null,null,null,null,null,null,{"$f":"福祉!H67","v":0},"居宅療養管理指導（薬剤）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L67","v":0},"回／月"]
[null,null,null,null,{"$f":"リハビリ!H48","v":0},"：可動域制限\n※部位等",null,null,{"$f":"リハビリ!I49","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"起居動作","寝返り",null,null,{"$f":"リハビリ!L62","v":0},null,null,"その他","転倒歴",null,null,{"$f":"看護!G58","v":0},null,null,{"$f":"看護!H58","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!H68","v":0},"居宅療養管理指導（歯科）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L68","v":0},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"起きあがり",null,null,{"$f":"リハビリ!L63","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,null,null,null,null,{"$f":"福祉!H69","v":0},"居宅療養管理指導（栄養）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L69","v":0},"回／月"]
[null,null,null,null,{"$f":"リハビリ!H51","v":0},"：疼痛\n※部位等",null,null,{"$f":"リハビリ!I52","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"座位保持",null,null,{"$f":"リハビリ!L64","v":0},null,null,null,"問題となった行動",null,null,{"$f":"看護!G59","v":0},null,null,{"$f":"看護!H59","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"福祉!I70","v":0}]
[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,{"$f":"リハビリ!L65","v":0}]
[null,null,null,null,"HDS-R",null,null,"入院時",null,{"$f":"リハビリ!E54","v":0},"/30点 ",null,"退院時",null,{"$f":"リハビリ!K54","v":0},"/30点 ",null,null,null,null,null,null,"立位保持",null,null,{"$f":"リハビリ!L66","v":0},null,null,null,"監視・抑制",null,null,{"$f":"看護!G60","v":0},null,null,{"$f":"看護!H60","v":0}]
[null,null,null,null,"MMSE",null,null,"入院時",null,{"$f":"リハビリ!E55","v":0},"/30点 ",null,"退院時",null,{"$f":"リハビリ!K55","v":0},"/30点 ",null,null,null,null,null,null,"移乗",null,null,{"$f":"リハビリ!L75","v":0},null,null,null,"夜間の状態",null,null,{"$f":"看護!G61","v":0},null,null,{"$f":"看護!H61","v":0}]
[]
[]
[]
["◎背景因子",null,"環境因子",null,"住環境",null,"生活場所",null,{"$f":"福祉!D17","v":0},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,{"$f":"福祉!F19","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"個人因子",null,"入院前\nの状況",null,"仕事",null,{"$f":"福祉!F46","v":0},null,null,null,null,null,null,null,null,null,null,null,"生活",null,{"$f":"福祉!E50","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"福祉!J17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,{"$f":"福祉!I20","v":0},null,"年齢",null,{"$f":"福祉!L20","v":0},null,"続柄",null,{"$f":"福祉!F20","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!G46","v":0}]
[null,null,null,null,null,null,"改修必要性",null,null,null,null,null,"改修状況",null,null,null,null,null,null,null,null,null,"同居",null,{"$f":"福祉!F21","v":0},null,null,null,"ＴＥＬ①",null,{"$f":"福祉!I21","v":0}]
[null,null,null,null,null,null,"改修\n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,"ＴＥＬ②",null,{"$f":"福祉!I22","v":0},null,null,null,null,null,null,null,null,null,null,"経済",null,{"$f":"福祉!J48","v":0},null,null,null,null,null,null,null,null,null,null,null,"趣味",null,{"$f":"福祉!E56","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!E26","v":0}]
[null,null,null,null,"福祉\n用具",null,null,null,null,null,null,null,null,null,null,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",null,"医療保険",null,null,{"$f":"福祉!J35","v":0},null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,null,"取得状況",null,null,{"$f":"福祉!J36","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,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,{"$f":"福祉!J40","v":0},null,null,null,null,null,null,null,null,null,null,"障害の種類",null,null,{"$f":"福祉!J37","v":0}]
[null,null,null,null,"装具",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,{"$f":"福祉!J41","v":0},null,null,null,null,null,null,null,"特定疾患",null,null,"特定疾患の申請",null,null,{"$f":"福祉!J38","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,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,{"$f":"福祉!J42","v":0},null,null,null,null,null,null,null,null,null,null,"病名",null,null,{"$f":"福祉!J39","v":0}]
[null,null,null,null,"ご家族\n希望",null,{"$f":"福祉!C78","v":0},null,{"$f":"福祉!D76","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,null,null,"本人の\n希望",null,{"$f":"福祉!C72","v":0}]
[]
[]
[]
[]
[null,"次のステージの課題",null,"医師",null,{"$f":"診療!D98","v":0},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,{"$f":"リハビリ!C92","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士",null,{"$f":"栄養!D57","v":0}]
[]
[]
[]
[null,null,null,"看護師",null,{"$f":"看護!C109","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業\n療法士",null,{"$f":"リハビリ!C100","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MSW",null,{"$f":"福祉!C101","v":0}]
[]
[]
[]
[null,null,null,"薬剤師",null,{"$f":"薬剤!D50","v":0},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,{"$f":"リハビリ!C108","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科",null,{"$f":"歯科!C50","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,"加賀医療介護連携シート（回復期退院時状態）",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,"到達目標ステージ"]
["ﾌﾘｶﾞﾅ",null,{"$f":"計画書!H17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",{"$f":"計画書!AL16","v":0}]
["氏名",null,{"$f":"計画書!H18","v":0},null,null,null,null,null,"性別",null,{"$f":"計画書!H19","v":0},null,"℡",null,{"$f":"計画書!H23","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"入院日",null,{"$f":"計画書!AL23","v":"00:00:00"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,"年齢",null,{"$f":"診療!M118","v":"-"},null,"生年月日",null,{"$f":"計画書!H20","v":"00:00:00"},null,null,null,null,null,"TEL",null,{"$f":"計画書!AL20","v":0},null,null,null,null,null,"退院日",null,{"$f":"計画書!AL24","v":"00:00:00"}]
["住所",null,"〒",{"$f":"計画書!H21","v":0},null,{"$f":"計画書!H22","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"診療科",null,{"$f":"計画書!AL21","v":0},null,null,null,null,null,"主治医",null,{"$f":"計画書!AL22","v":0},null,null,null,null,null,null,null,"紹介先","施設名",null,{"$f":"診療!B112","v":0},null,null,null,null,null,"主治医",null,{"$f":"診療!B115","v":0},null,null,null,null,null,"記入日",null,{"$f":"診療!J209","v":"00:00:00"}]
[]
[]
[]
[null,"健康状態",null,"測定日",null,null,{"$f":"栄養!F80","v":"00:00:00"},null,null,"身長",null,null,{"$f":"栄養!F78","v":0},null,"cm","体重",null,null,{"$f":"栄養!F79","v":0},null,"kg","BMI",null,null,{"$f":"栄養!F81","v":{"$error":"#DIV/0!"}},null,null,"体重の増減",null,null,null,{"$f":"栄養!F82","v":0},null,null,null,null,null,null,null,null,"普段の血圧値",null,null,null,"（収縮期血圧）",null,null,{"$f":"看護!I140","v":0},null,null,null,"台","採血情報",null,"別紙：栄養情報提供書参照"]
[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,{"$f":"栄養!E103","v":"00:00:00"},null,null,{"$f":"栄養!G103","v":"00:00:00"},null,null,"基準値"]
[null,null,null,null,"脳卒中",null,null,{"$f":"計画書!H31","v":0},null,null,null,null,null,null,null,null,null,null,null,"発症日",null,null,{"$f":"診療!D20","v":"00:00:00"},null,null,"病変部位",null,null,{"$f":"診療!D22","v":0},null,null,null,null,null,null,null,"調剤方法",null,null,{"$f":"薬剤!AP8","v":""}]
[null,null,null,null,null,null,null,"治療・手術",null,null,{"$f":"診療!J40","v":0},null,null,null,null,null,null,null,null,{"$f":"診療!G41","v":0},null,null,null,null,null,null,null,null,{"$f":"診療!G43","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CRP",null,null,null,{"$f":"栄養!E104","v":0},null,null,{"$f":"栄養!G104","v":0},null,null,"0.00-0.60m g/dl"]
[null,null,null,null,"整形外科疾患",null,null,null,null,null,null,null,null,"発症日",null,null,null,null,null,"部位",null,null,null,null,null,"治療・手術",null,null,null,null,null,null,null,null,null,null,"禁忌薬",null,null,{"$f":"薬剤!D73","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"白血球数(WBC)",null,null,null,{"$f":"栄養!E105","v":0},null,null,{"$f":"栄養!G105","v":0},null,null,"3500-8500/μl"]
[null,null,null,null,"心疾患",null,null,{"$f":"診療!F135","v":0},"：心房細動",null,null,{"$f":"診療!F136","v":0},"：心筋梗塞",null,null,{"$f":"診療!F137","v":0},"：心不全",null,null,{"$f":"診療!F138","v":0},"：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,{"$f":"栄養!E106","v":0},null,null,{"$f":"栄養!G106","v":0},null,null,"♂11.0-16.5 ♀10.0-15.0 g/dl"]
[null,null,null,null,"その他傷病名",null,null,{"$f":"診療!F132","v":0},"：高血圧",null,null,{"$f":"診療!G132","v":0},null,null,null,null,null,null,null,null,null,{"$f":"診療!F133","v":0},"：糖尿病",null,null,{"$f":"診療!G133","v":0},null,null,null,null,null,null,null,null,null,null,"持参薬",null,null,{"$f":"薬剤!D79","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾍﾏﾄｸﾘｯﾄ(Ht)",null,null,null,{"$f":"栄養!E107","v":0},null,null,{"$f":"栄養!G107","v":0},null,null,"♂33.0-48.0 ♀31.0-45.0%"]
[null,null,null,null,null,null,null,{"$f":"診療!F134","v":0},"：脂質代謝異常",null,null,{"$f":"診療!G134","v":0},null,null,null,null,null,null,null,null,null,{"$f":"診療!F139","v":0},"：呼吸器疾患",null,null,{"$f":"診療!G139","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総蛋白(TP)",null,null,null,{"$f":"栄養!E108","v":0},null,null,{"$f":"栄養!G108","v":0},null,null,"6.5-8.2 g/dl"]
[null,null,null,null,null,null,null,{"$f":"診療!F140","v":0},"：ガン",null,null,{"$f":"診療!G140","v":0},null,null,null,null,null,null,null,null,null,"　その他",null,{"$f":"診療!F141","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"退院時処方",null,null,{"$f":"薬剤!D89","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"ｱﾙﾌﾞﾐﾝ(ALB)",null,null,null,{"$f":"栄養!E109","v":0},null,null,{"$f":"栄養!G109","v":0},null,null,"3.5-5.0 g/dl"]
[null,null,null,null,"既往歴",null,null,{"$f":"診療!D28","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,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,{"$f":"栄養!E110","v":0},null,null,{"$f":"栄養!G110","v":0},null,null,"7-21mg/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,"ｸﾚｱﾁﾆﾝ(Cre)",null,null,null,{"$f":"栄養!J104","v":0},null,null,{"$f":"栄養!L104","v":0},null,null,"♂0.6-1.2 ♀0.4-0.9mg/dl"]
[null,null,null,null,"アレルギー",null,null,{"$f":"診療!D147","v":0},null,{"$f":"診療!F147","v":0},null,null,null,null,null,null,null,null,null,"禁忌",null,null,{"$f":"診療!D145","v":0},null,{"$f":"診療!F145","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,"ﾅﾄﾘｳﾑ(Na)",null,null,null,{"$f":"栄養!J105","v":0},null,null,{"$f":"栄養!L105","v":0},null,null,"136-145mEq/l"]
[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,{"$f":"栄養!J106","v":0},null,null,{"$f":"栄養!L106","v":0},null,null,"3.5-5.0mEq/l"]
[null,null,null,null,{"$f":"看護!E191","v":0},"：褥瘡",null,null,{"$f":"看護!H191","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,"特記",null,null,{"$f":"薬剤!D101","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"血糖(GLU)",null,null,null,{"$f":"栄養!J107","v":0},null,null,{"$f":"栄養!L107","v":0},null,null,"65-110mg/dl"]
[null,null,null,null,{"$f":"IF(OR(看護!E195=\"\",看護!E195=\"なし\"),\"無\",\"有\")","v":"無"},"：経腸栄養管理",null,null,"栄養剤",null,null,{"$f":"栄養!E98","v":0},null,null,null,null,"投与ルート",null,null,{"$f":"IF(OR(看護!E195=\"\",看護!E195=\"なし\"),\"\",看護!E195)","v":""},null,null,null,"カニューレ",null,null,{"$f":"看護!E190","v":0},null,"Ｆｒ","カフの有無",null,null,{"$f":"看護!H190","v":0},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,{"$f":"栄養!J108","v":0},null,null,{"$f":"栄養!L108","v":0},null,null,"4.3-5.8％"]
[null,null,null,null,"その他",null,null,{"$f":"看護!E192","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"栄養!J109","v":0},null,null,{"$f":"栄養!L109","v":0},null,null,"40-80mg/dl"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LDLｺﾚｽﾃﾛｰﾙ",null,null,null,{"$f":"栄養!J110","v":0},null,null,{"$f":"栄養!L110","v":0},null,null,"40-140mg/dl"]
[]
[]
[null,null,"心身機能・身体構造",null,true,"別紙：リハビリテーション情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,"活動",null,true,"別紙：看護，リハビリテーション，栄養情報提供書参照",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加",null,true,"別紙：福祉情報提供書参照"]
["◎生活機能",null,null,null,{"$f":"リハビリ!H134","v":0},"：麻痺\n※Brunnstrom stage",null,null,"左上肢",null,{"$f":"リハビリ!I136","v":0},"左下肢",null,{"$f":"リハビリ!M136","v":0},"左手指",null,{"$f":"リハビリ!K136","v":0},null,null,null,null,"基本的ADL","項目",null,null,null,null,null,"介護内容・使用用具等",null,null,null,null,null,null,null,null,null,null,null,"FIM","項目",null,null,null,null,null,"評価（している）",null,null,null,null,null,null,null,null,null,null,"入院中の状況"]
[null,null,null,null,null,null,null,null,"右上肢",null,{"$f":"リハビリ!I135","v":0},"右下肢",null,{"$f":"リハビリ!M135","v":0},"右手指",null,{"$f":"リハビリ!K135","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,"食事",null,null,{"$f":"リハビリ!G176","v":0},null,null,null,null,null,null,null,null,null,null,"生活\n","入院中",null,{"$f":"福祉!E52","v":0}]
[null,null,null,null,{"$f":"リハビリ!H137","v":0},"：失調",null,null,{"$f":"リハビリ!I138","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,null,null,null,null,null,null,null,"整容",null,null,{"$f":"リハビリ!G177","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事",null,null,{"$f":"看護!E155","v":0},null,null,"補給方法",null,{"$f":"栄養!F83","v":0},null,null,null,"義歯",null,{"$f":"看護!L155","v":0},null,null,null,null,"①",null,null,"清拭",null,null,{"$f":"リハビリ!G178","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主食",null,{"$f":"栄養!F87","v":0},null,null,null,"詳細",null,{"$f":"栄養!H83","v":0},null,null,null,null,"セルフケア",null,null,"更衣の上半身",null,null,{"$f":"リハビリ!G179","v":0},null,null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"福祉!E54","v":0}]
[null,null,null,null,{"$f":"リハビリ!H140","v":0},"：感覚障害",null,null,{"$f":"リハビリ!I141","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"副食",null,{"$f":"栄養!F88","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣の下半身",null,null,{"$f":"リハビリ!G180","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"摂取量",null,{"$f":"栄養!F93","v":0},null,null,null,"食事回数",null,{"$f":"栄養!F94","v":0},null,null,null,null,null,null,null,"トイレ動作",null,null,{"$f":"リハビリ!G181","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,"治療食指示",null,{"$f":"栄養!F86","v":0},null,null,null,"補助食",null,{"$f":"栄養!F95","v":0},null,null,null,null,"②",null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,{"$f":"リハビリ!G182","v":0},null,null,null,null,null,null,null,null,null,null,"趣味","入院中",null,{"$f":"福祉!E58","v":0}]
[null,null,null,null,{"$f":"リハビリ!H143","v":0},"：筋力低下\n※部位,MMT等",null,null,{"$f":"リハビリ!I144","v":0},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,{"$f":"栄養!F96","v":0},null,null,null,"好き嫌い",null,{"$f":"栄養!F97","v":0},null,null,null,null,"排泄コントロール",null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,{"$f":"リハビリ!G183","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"看護!E156","v":0},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,{"$f":"リハビリ!G184","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"清潔",null,null,{"$f":"看護!E158","v":0},null,null,"方法",null,{"$f":"看護!H158","v":0},null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"トイレ移乗",null,null,{"$f":"リハビリ!G185","v":0},null,null,null,null,null,null,null,null,null,null,null,"退院後\nの希望",null,{"$f":"福祉!E60","v":0}]
[null,null,null,null,{"$f":"リハビリ!H146","v":0},"：高次脳機能障害",null,null,{"$f":"リハビリ!I147","v":0},"失行",null,{"$f":"リハビリ!K147","v":0},"失認",null,{"$f":"リハビリ!I148","v":0},"失語",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"看護!E159","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽・シャワー",null,null,{"$f":"リハビリ!G186","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"リハビリ!K148","v":0},"注意",null,{"$f":"リハビリ!I149","v":0},"記憶",null,{"$f":"リハビリ!K149","v":0},"無視",null,null,null,null,null,null,"排泄",null,null,{"$f":"看護!E161","v":0},null,null,"方法",null,{"$f":"看護!E162","v":0},null,null,null,null,null,null,null,null,null,null,"④",null,null,"歩行・車椅子",null,null,{"$f":"リハビリ!G187","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"リハビリ!I150","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"看護!E164","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,"階段",null,null,{"$f":"リハビリ!G188","v":0},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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動",null,null,{"$f":"看護!E166","v":0},null,null,"手段",null,{"$f":"看護!H166","v":0},null,null,null,null,null,null,null,null,null,null,"⑤",null,null,"理解",null,null,{"$f":"リハビリ!G189","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C155","v":0},"訪問介護",null,null,null,"利用頻度",null,null,{"$f":"福祉!F155","v":0},"回／週"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"看護!E167","v":0},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,{"$f":"リハビリ!G190","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C156","v":0},"訪問看護",null,null,null,"利用頻度",null,null,{"$f":"福祉!F156","v":0},"回／週"]
[null,null,null,null,{"$f":"リハビリ!H154","v":0},"：構音障害",null,null,{"$f":"リハビリ!I156","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"更衣",null,null,{"$f":"看護!E169","v":0},null,null,{"$f":"看護!F169","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"⑥",null,null,"社会的交流",null,null,{"$f":"リハビリ!G191","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C157","v":0},"訪問リハ",null,null,null,"利用頻度",null,null,{"$f":"福祉!F157","v":0},"回／週"]
[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,{"$f":"看護!E170","v":0},null,null,{"$f":"看護!F170","v":0},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,{"$f":"リハビリ!G192","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C158","v":0},"通所介護",null,null,null,"利用頻度",null,null,{"$f":"福祉!F158","v":0},"回／週"]
[null,null,null,null,null,null,null,null,"会話明瞭度",null,null,{"$f":"リハビリ!J155","v":0},null,null,null,null,null,null,null,null,null,"IADL","服薬管理",null,null,{"$f":"看護!E171","v":0},null,null,{"$f":"看護!F171","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶",null,null,{"$f":"リハビリ!G193","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!C159","v":0},"通所リハ",null,null,null,"利用頻度",null,null,{"$f":"福祉!F159","v":0},"回／週"]
[null,null,null,null,{"$f":"リハビリ!H158","v":"有"},"：摂食機能障害",null,null,{"$f":"リハビリ!I160","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"食事準備",null,null,{"$f":"看護!E172","v":0},null,null,{"$f":"看護!F172","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"運動項目合計（①～④）",null,null,null,null,null,{"$f":"リハビリ!G194","v":""},"（13～91点）",null,null,null,null,null,null,null,null,null,{"$f":"福祉!C160","v":0},"ショートスティ",null,null,null,"利用頻度",null,null,{"$f":"福祉!F160","v":0},"日／月"]
[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,{"$f":"看護!E173","v":0},null,null,{"$f":"看護!F173","v":0},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,{"$f":"リハビリ!G195","v":""},"（5～35点）",null,null,null,null,null,null,null,null,null,{"$f":"福祉!H155","v":0},"居宅療養管理指導（医療）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L155","v":0},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財産管理",null,null,{"$f":"看護!E174","v":0},null,null,{"$f":"看護!F174","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"合計点数（①～⑥）",null,null,null,null,null,{"$f":"リハビリ!G196","v":""},"（18～126点）",null,null,null,null,null,null,null,null,null,{"$f":"福祉!H156","v":0},"居宅療養管理指導（薬剤）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L156","v":0},"回／月"]
[null,null,null,null,{"$f":"リハビリ!H162","v":0},"：可動域制限\n※部位等",null,null,{"$f":"リハビリ!I163","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"起居動作","寝返り",null,null,{"$f":"リハビリ!L176","v":0},null,null,"その他","転倒歴",null,null,{"$f":"看護!E178","v":0},null,null,{"$f":"看護!F178","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!H157","v":0},"居宅療養管理指導（歯科）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L157","v":0},"回／月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"起きあがり",null,null,{"$f":"リハビリ!L179","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,null,null,null,null,{"$f":"福祉!H158","v":0},"居宅療養管理指導（栄養）",null,null,null,"利用頻度",null,null,{"$f":"福祉!L158","v":0},"回／月"]
[null,null,null,null,{"$f":"リハビリ!H165","v":0},"：疼痛\n※部位等",null,null,{"$f":"リハビリ!I166","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"座位保持",null,null,{"$f":"リハビリ!L178","v":0},null,null,null,"問題となった行動",null,null,{"$f":"看護!E179","v":0},null,null,{"$f":"看護!F179","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,{"$f":"福祉!I159","v":0}]
[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,{"$f":"リハビリ!L179","v":0}]
[null,null,null,null,"HDS-R",null,null,"入院時",null,{"$f":"リハビリ!E168","v":0},"/30点 ",null,"退院時",null,{"$f":"リハビリ!K168","v":0},"/30点 ",null,null,null,null,null,null,"立位保持",null,null,{"$f":"リハビリ!L180","v":0},null,null,null,"監視・抑制",null,null,{"$f":"看護!E180","v":0},null,null,{"$f":"看護!F180","v":0}]
[null,null,null,null,"MMSE",null,null,"入院時",null,{"$f":"リハビリ!E169","v":0},"/30点 ",null,"退院時",null,{"$f":"リハビリ!K169","v":0},"/30点 ",null,null,null,null,null,null,"移乗",null,null,{"$f":"リハビリ!L189","v":0},null,null,null,"夜間の状態",null,null,{"$f":"看護!E181","v":0},null,null,{"$f":"看護!F181","v":0}]
[]
[]
[]
["◎背景因子",null,"環境因子",null,"住環境",null,"生活場所",null,{"$f":"福祉!D123","v":0},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,{"$f":"福祉!F125","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"個人因子",null,"入院前\nの状況",null,"仕事",null,{"$f":"福祉!F46","v":0},null,null,null,null,null,null,null,null,null,null,null,"生活",null,{"$f":"福祉!E50","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"福祉!J123","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,{"$f":"福祉!I126","v":0},null,"年齢",null,{"$f":"福祉!L126","v":0},null,"続柄",null,{"$f":"福祉!F126","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!G46","v":0}]
[null,null,null,null,null,null,"改修必要性",null,{"$f":"リハビリ!J191","v":0},null,null,null,"改修状況",null,{"$f":"リハビリ!M191","v":0},null,null,null,null,null,null,null,"同居",null,{"$f":"福祉!F127","v":0},null,null,null,"ＴＥＬ①",null,{"$f":"福祉!I127","v":0}]
[null,null,null,null,null,null,"改修\n必要箇所",null,{"$f":"リハビリ!J192","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ②",null,{"$f":"福祉!I128","v":0},null,null,null,null,null,null,null,null,null,null,"経済",null,null,null,null,null,null,null,null,null,null,null,null,null,"趣味",null,{"$f":"福祉!E56","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"福祉!E132","v":0}]
[null,null,null,null,"福祉\n用具",null,{"$f":"リハビリ!D197","v":0},null,null,{"$f":"リハビリ!E198","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,null,"社会保障",null,"医療保険",null,null,{"$f":"福祉!F141","v":0},null,null,null,null,null,null,null,null,null,null,"身体障害者手帳",null,null,"取得状況",null,null,{"$f":"福祉!F142","v":0}]
[null,null,null,null,null,null,{"$f":"リハビリ!F199","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護保険",null,null,"取得状況",null,null,{"$f":"福祉!F144","v":0},null,null,null,null,null,null,null,null,null,null,"障害の種類",null,null,{"$f":"福祉!I142","v":0}]
[null,null,null,null,"装具",null,{"$f":"リハビリ!J197","v":0},null,null,{"$f":"リハビリ!K198","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅事業所",null,null,{"$f":"福祉!F145","v":0},null,null,null,null,null,null,null,"特定疾患",null,null,"特定疾患の申請",null,null,{"$f":"福祉!F143","v":0}]
[null,null,null,null,null,null,{"$f":"リハビリ!L199","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,null,null,null,null,null,null,null,null,null,"ケアマネジャー",null,null,{"$f":"福祉!F146","v":0},null,null,null,null,null,null,null,null,null,null,"病名",null,null,{"$f":"福祉!I143","v":0}]
[null,null,null,null,"ご家族\n希望",null,{"$f":"福祉!C173","v":0},null,{"$f":"福祉!D170","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,null,null,"本人の\n希望",null,{"$f":"福祉!C164","v":0}]
[]
[]
[]
[]
[null,"次のステージの課題",null,"医師",null,{"$f":"診療!D203","v":0},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,{"$f":"リハビリ!C209","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"栄養士",null,{"$f":"栄養!D118","v":0}]
[]
[]
[]
[null,null,null,"看護師",null,{"$f":"看護!C235","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業\n療法士",null,{"$f":"リハビリ!C217","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MSW",null,{"$f":"福祉!C203","v":0}]
[]
[]
[]
[null,null,null,"薬剤師",null,{"$f":"薬剤!D106","v":0},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,{"$f":"リハビリ!C225","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科",null,{"$f":"歯科!C101","v":0}]

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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,null,null,null,null,null,null,null,null,null,null,"1a)意識水準（0-3）",null,null,null,null,null,"不明","不明","不明","不明","不明","不明","不明"]
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["急性期",null,"回復期",null,"クリニック",null,null,"急性期",null,"回復期",null,"クリニック",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1c)意識障害（0-2）",null,null,null,null,null,"血管奇形","ラクナ梗塞","有","痰","軽度","有","再発"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,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)注視（0-2）",null,null,null,null,null,"閉塞性血管障害","アテローム血栓性脳梗塞",null,"尿","中等度","無職"]
["医師情報（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,"3)視野（0-3）",null,null,null,null,null,"モヤモヤ病","心原性脳塞栓症",null,"その他","高度","条件付きで可能"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,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)顔面麻痺（0-3）",null,null,null,null,null,"高血圧性脳出血","静脈・静脈洞血栓"]
[null,"医師情報（急性期退院時）",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,null,null,null,null,null,null,"5)上肢運動（右）（0-4,N）",null,null,null,null,null,"特発性脳出血","その他の閉塞性疾患"]
[null,null,null,null,null,null,null,"施設名",null,{"$f":"IF(計画書!H24=\"\",\"-\",計画書!H24)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5)上肢運動（左）（0-4,N）",null,null,null,null,null,"出血源不明のくも膜下出血","動静脈奇形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6)下肢運動（右）（0-4,N）",null,null,null,null,null,"その他","硬膜動静脈瘻"]
[null,null,null,null,null,null,null,"診療科",null,{"$f":"IF(計画書!H29=\"\",\"-\",計画書!H29)","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,"6)下肢運動（左）（0-4,N）",null,null,null,null,null,null,"その他の動静脈瘻"]
[null,null,null,null,"先生　御侍史",null,null,"医師名",null,{"$f":"IF(計画書!H30=\"\",\"-\",計画書!H30)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"7)運動失調（0-2,N）",null,null,null,null,null,null,"海綿状血管奇形"]
[null,null,null,null,null,null,null,"電話番号",null,{"$f":"IF(計画書!H28=\"\",\"-\",計画書!H28)","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)感覚（0-2）",null,null,null,null,null,null,"静脈血管奇形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"9)言語（0-3）",null,null,null,null,null,null,"毛細血管拡張症"]
[null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"-\",計画書!H17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!H45,\"y\")))","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"10)構音（0-2,N）",null,null,null,null,null,null,"混合性血管奇形"]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"11)消去現象と注意障害（0-2)",null,null,null,null,null,null,"その他の血管奇形"]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"嚢状動脈瘤"]
[null,"入院日",null,{"$f":"IF(計画書!H32=\"\",\"－\",計画書!H32)","v":"－"},null,null,null,"退院日",null,{"$f":"IF(計画書!H45=\"\",\"-\",計画書!H45)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紡錘状動脈瘤"]
[null,"脳卒中病型",null,{"$f":"IF(計画書!H31=\"\",\"-\",計画書!H31)","v":"-"},null,null,null,"初発・再発",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"細菌性動脈瘤"]
[null,"発症日",null,null,null,null,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,null,null,null,null,null,"その他の動脈瘤"]
[null,"診断（大分類）",null,null,null,null,null,"診断（小分類）",null,null,null,null,null,null,null,null,null,null,null,null,null,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,"病変部位"]
[null,"重症度",null,"入院時NIHSS",null,null,"入院時mRS",null,null,"退院時mRS"]
[null,null,null,"入院時H＆K",null,null,"入院時WFNS",null,null,"入院時Fｉｓｈｅｒ"]
[null,"紹介元施設名",null,"施設名",null,null,null,"診療科等",null,null,"医師名"]
[null,"かかりつけ医",null,"施設名",null,null,null,"診療科等",null,null,"医師名"]
[null,"主訴"]
[null,"既往歴"]
[]
[]
[]
[null,"現病歴と\n身体所見"]
[]
[]
[]
[null,"入院時\n検査所見"]
[]
[]
[]
[null,"治療・手術",null,"tPA投与",null,null,null,"使用薬剤"]
[null,null,null,"手術①",null,"術名",null,null,null,"手術日"]
[null,null,null,null,null,"詳細"]
[null,null,null,"手術②",null,"術名",null,null,null,"手術日"]
[null,null,null,null,null,"詳細"]
[null,"その他傷病名",null,null,null,"有・無","詳細コメント"]
[null,null,null,"高血圧"]
[null,null,null,"糖尿病"]
[null,null,null,"脂質代謝異常"]
[null,null,null,"心疾患","心房細動"]
[null,null,null,null,"心筋梗塞"]
[null,null,null,null,"心不全"]
[null,null,null,null,"狭心症"]
[null,null,null,"呼吸器疾患"]
[null,null,null,"ガン"]
[null,null,null,"その他"]
[]
[null,"遷延性意識障害",null,null,"遷延性意識障害詳細"]
[]
[]
[null,"禁忌",null,null,"詳細"]
[]
[null,"アレルギー",null,null,"詳細"]
[]
[null,"感染症",null,"HBｓ抗原",null,null,null,null,"HBｓ抗体"]
[null,null,null,"HCV抗体",null,null,null,null,"MRSA"]
[null,null,null,"感染症の\nその他コメント"]
[]
[]
[null,"排泄機能障害",null,"神経因性膀胱",null,null,null,null,"前立腺肥大"]
[null,null,null,"便秘症"]
[null,null,null,"排泄機能障害\n詳細コメント"]
[]
[]
[null,"復職見込み",null,null,null,"復職見込み詳細"]
[]
[null,"症状\n治療経過\n今後の見通し"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"医師からの\n説明",null,"患者"]
[]
[]
[null,null,null,"家族"]
[]
[]
[null,"次のステージの課題"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,"記入日"]
[null,null,null,"地域連携診療計画加算　算定の有無：",null,null,null,null,null,{"$f":"IF(計画書!P45=\"\",\"-\",計画書!P45)","v":"-"}]
[]
[]
[]
["医師情報（回復期）"]
[]
[null,"医師情報（回復期退院時）"]
[null,null,null,null,null,null,null,"施設名",null,{"$f":"IF(計画書!AL16=\"\",\"-\",計画書!AL16)","v":"-"}]
[]
[null,null,null,null,null,null,null,"診療科",null,{"$f":"IF(計画書!AL21=\"\",\"-\",計画書!AL21)","v":"-"}]
[null,null,null,null,"先生　御侍史",null,null,"医師名",null,{"$f":"IF(計画書!AL22=\"\",\"-\",計画書!AL22)","v":"-"}]
[null,null,null,null,null,null,null,"電話番号",null,{"$f":"IF(計画書!AL20=\"\",\"-\",計画書!AL20)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"-\",計画書!H17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!$H$20=\"\",\"-\",DATEDIF(計画書!$H$20,計画書!$AL$24,\"y\"))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!$H$20=\"\",\"-\",計画書!$H$20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!$H$21=\"\",\"-\",計画書!$H$21)","v":"-"},null,{"$f":"IF(計画書!$H$22=\"\",\"-\",計画書!$H$22)","v":"-"}]
[null,"入院日",null,{"$f":"IF(計画書!$AL$23=\"\",\"-\",計画書!$AL$23)","v":"-"},null,null,null,"退院日",null,{"$f":"IF(計画書!$AL$24=\"\",\"-\",計画書!$AL$24)","v":"-"}]
[null,"脳卒中病型",null,{"$f":"IF($D$19=\"\",\"-\",$D$19)","v":"-"},null,null,null,"初発・再発",null,{"$f":"IF(J19=\"\",\"-\",J19)","v":"-"}]
[null,"発症日",null,{"$f":"IF(D20=\"\",\"-\",D20)","v":"-"},null,null,null,"発症時刻",null,{"$f":"IF(J20=\"\",\"-\",J20)","v":"-"}]
[null,"診断（大分類）",null,{"$f":"IF(D21=\"\",\"-\",D21)","v":"-"},null,null,null,"診断（小分類）",null,{"$f":"IF(J21=\"\",\"-\",J21)","v":"-"}]
[null,"主訴",null,{"$f":"IF(D27=\"\",\"-\",D27)","v":"-"}]
[null,"病変部位",null,{"$f":"IF(D22=\"\",\"-\",D22)","v":"-"}]
[null,"既往歴",null,{"$f":"IF(D28=\"\",\"-\",D28)","v":"-"}]
[]
[]
[]
[null,"その他傷病名",null,null,null,"有・無","詳細コメント"]
[null,null,null,"高血圧"]
[null,null,null,"糖尿病"]
[null,null,null,"脂質代謝異常"]
[null,null,null,"心疾患","心房細動"]
[null,null,null,null,"心筋梗塞"]
[null,null,null,null,"心不全"]
[null,null,null,null,"狭心症"]
[null,null,null,"呼吸器疾患"]
[null,null,null,"ガン"]
[null,null,null,"その他"]
[]
[]
[null,"遷延性意識障害",null,null,"遷延性意識障害詳細"]
[null,"禁忌",null,null,"詳細"]
[]
[null,"アレルギー",null,null,"詳細"]
[]
[null,"感染症",null,"HBｓ抗原",null,null,null,null,"HBｓ抗体"]
[null,null,null,"HCV抗体",null,null,null,null,"MRSA"]
[null,null,null,"感染症の\nその他コメント"]
[]
[]
[null,"排泄機能障害",null,"神経因性膀胱",null,null,null,null,"前立腺肥大"]
[null,null,null,"便秘症"]
[]
[]
[]
[]
[]
[null,"復職見込み",null,null,null,"復職見込み詳細"]
[]
[null,"症状\n\n治療経過\n\n今後の見通し"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"医師からの\n説明",null,"患者"]
[]
[]
[]
[]
[null,null,null,"家族"]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,"記入日"]
[null,null,null,"地域連携診療計画加算　算定の有無：",null,null,null,null,null,{"$f":"IF(計画書!AD45=\"\",\"-\",計画書!AD45)","v":"-"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["医師情報（クリニック受診時）"]
[]
[null,"診療情報提供書（クリニック受診時）"]
[]
[null,null,null,null,null,null,null,"施設名"]
[]
[null,null,null,null,null,null,null,"診療科"]
[null,null,null,null,"先生　御侍史",null,null,"医師名"]
[null,null,null,null,null,null,null,"電話番号"]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"-\",計画書!H17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,"今後の見通し"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"医師からの\n説明",null,"患者"]
[]
[]
[null,null,null,"家族"]
[]
[]
[null,"持参薬"]
[]
[]
[]
[]
[null,"処方内容"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"日常生活機能評価",null,null,null,null,null,"受診日"]

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["看護情報",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,null,null,null,null,null,null,null,"看護必要度A項目","予備","予備","予備","ADL","栄養ルート","有・無","清潔","排泄方法","便秘時対策","移動手段","夜間の状態","投与ルート","移動手段","急性期","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,"自立","経口","無","一般浴","トイレ","無","自立歩行","良眠","なし","自立歩行",false,false]
[null,"セルの移動",null,null,null,null,"印刷",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一部介助","経口+経腸","有","シャワー浴","ポータブルトイレ","有","見守り","不眠","経鼻","見守り",false,false]
[null,"急性期",null,"回復期",null,null,"急性期",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,null,null,null,null,null,null,null,"全介助","経腸",null,"介助浴","おむつ","下剤","手引き",null,"胃瘻","手引き",false,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"静脈+経口",null,"機械浴","尿留置カテーテル","座薬","杖",null,"腸瘻","杖",false,false]
["看護情報（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,"静脈+経腸",null,"清拭",null,"浣腸","歩行器",null,"その他","歩行器",false,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"静脈",null,null,null,null,"シルバーカー",null,null,"ｼﾙﾊﾞｰｶｰ",false,false]
[null,"看護情報提供書（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,"車椅子",null,null,"車椅子",false,false]
[null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!H24=\"\",\"-\",計画書!H24)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ストレッチャー",null,null,"ｽﾄﾚｯﾁｬｰ",false,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,"その他",false,false]
[null,"担当者　様　宛",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!H28=\"\",\"-\",計画書!H28)","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,"不明 ",false,false]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!H45,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,null,null,null,"発症前","入院時","退院時"]
[null,"意識障害",null,"JCS"]
[null,"普段の血圧値（収縮期血圧）"]
[null,"重症度・看護必要度A項目",null,null,null,null,null,"／8"]
[null,"日常生活機能評価","合計点数",null,{"$f":"IF(COUNTA(E21:E33)<13,\"\",SUM(E21:E33))","v":""},{"$f":"IF(COUNTA(F21:F33)<13,\"\",SUM(F21:F33))","v":""},{"$f":"IF(COUNTA(G21:G33)<13,\"\",SUM(G21:G33))","v":""},null,null,null,null,null,null,"←各点数を直接入れるか、合計点数をクリックしてフォームで入力してください。"]
[null,null,"床上安静指示",null,null,null,null,null,null,null,null,null,null,"0：なし　1：あり"]
[null,null,"胸元まで持ち上げ",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できない"]
[null,null,"寝返り",null,null,null,null,null,null,null,null,null,null,"0：できる　1：何かにつかまればできる　2：できない"]
[null,null,"起き上がり",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できない"]
[null,null,"座位保持",null,null,null,null,null,null,null,null,null,null,"0：できる　1：支えがあればできる　2：できない"]
[null,null,"移乗",null,null,null,null,null,null,null,null,null,null,"0：できる　1：見守り・一部介助が必要　2：できない"]
[null,null,"移動方法",null,null,null,null,null,null,null,null,null,null,"0：介助を要しない移動　1：介助を要する移動（救急を含む）"]
[null,null,"口腔清潔",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できない"]
[null,null,"食事摂取",null,null,null,null,null,null,null,null,null,null,"0：介助なし　1：一部介助　2：全介助"]
[null,null,"衣服の着脱",null,null,null,null,null,null,null,null,null,null,"0：介助なし　1：一部介助　2：全介助"]
[null,null,"意思伝達",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できる時とできない時がある　2：できない"]
[null,null,"診療・療養指示",null,null,null,null,null,null,null,null,null,null,"0：はい　1：いいえ"]
[null,null,"危険行動",null,null,null,null,null,null,null,null,null,null,"0：ない　1：ある"]
[null,"基本的ADL","食事"]
[null,null,null,"補給ルート",null,null,null,"義歯"]
[null,null,null,"詳細"]
[]
[null,null,"清潔",null,null,null,null,"方法",null,null,"最終日"]
[null,null,null,"詳細"]
[]
[null,null,"排泄",null,null,null,null,"排尿回数",null,"/日","排便回数",null,"/週"]
[null,null,null,"排泄方法",null,null,null,"最終排便日",null,null,"便秘時対策"]
[null,null,null,"カテーテル",null,null,null,"最終交換日",null,null,"固定水（ｍｌ）"]
[null,null,null,"詳細"]
[]
[null,null,"移動",null,null,null,null,"移動手段"]
[null,null,null,"詳細"]
[]
[null,null,"更衣"]
[null,null,"整容"]
[null,"IADL","服薬管理"]
[null,null,"食事準備"]
[null,null,"水分摂取"]
[null,null,"財産管理"]
[null,"日常生活自立度","障害高齢者"]
[null,null,"認知症高齢者"]
[null,"コミュニケーション障害"]
[null,"転倒歴"]
[null,"問題となった行動"]
[null,"監視・抑制"]
[null,"夜間の状態"]
[]
[]
[]
[]
[null,"医療処置","カニューレ（Fr）",null,null,"カフの有無",null,null,null,"最終交換日"]
[null,null,"褥瘡",null,null,"処置等"]
[null,null,"注射や処置内容"]
[null,null,"等の処置"]
[null,null,"その他"]
[null,"経管栄養","投与ルート"]
[null,null,"栄養剤",null,{"$f":"IF(栄養!E37=\"\",\"-\",栄養!E37)","v":"-"}]
[null,null,"投与量",null,"朝（ｍｌ）",null,"昼（ｍｌ）",null,"夕（ｍｌ）",null,"眠前（ｍｌ）"]
[null,null,"追加水分量",null,"朝（ｍｌ）",null,"昼（ｍｌ）",null,"夕（ｍｌ）",null,"眠前（ｍｌ）"]
[null,"看護経過"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"残された看護上の問題"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[]
[null,"担当看護師",null,null,null,null,null,"記入日"]
[null,"看護管理者　　"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["看護情報（回復期）"]
[]
[null,"看護情報提供書（回復期）"]
[null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!AL16=\"\",\"-\",計画書!AL16)","v":"-"}]
[]
[null,"担当者　様　宛",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!AL20=\"\",\"-\",計画書!AL20)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!H17=\"\",\"-\",計画書!H17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!$H$20=\"\",\"-\",DATEDIF(計画書!$H$20,計画書!$AL$24,\"y\"))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!$H$20=\"\",\"-\",計画書!$H$20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!$H$21=\"\",\"-\",計画書!$H$21)","v":"-"},null,{"$f":"IF(計画書!$H$22=\"\",\"-\",計画書!$H$22)","v":"-"}]
[null,null,null,null,"退院時"]
[null,"意識障害",null,"JCS",null,"普段の血圧値（収縮期血圧）"]
[null,"日常生活機能評価","合計点数",null,{"$f":"IF(COUNTA(E142:E154)<13,\"\",SUM(E142:E154))","v":""},null,null,null,null,null,null,null,null,"←各点数を直接入れるか、合計点数をクリックしてフォームで入力してください。"]
[null,null,"床上安静指示",null,null,null,null,null,null,null,null,null,null,"0：なし　1：あり"]
[null,null,"胸元まで持ち上げ",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できない"]
[null,null,"寝返り",null,null,null,null,null,null,null,null,null,null,"0：できる　1：何かにつかまればできる　2：できない"]
[null,null,"起き上がり",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できない"]
[null,null,"座位保持",null,null,null,null,null,null,null,null,null,null,"0：できる　1：支えがあればできる　2：できない"]
[null,null,"移乗",null,null,null,null,null,null,null,null,null,null,"0：できる　1：見守り・一部介助が必要　2：できない"]
[null,null,"移動方法",null,null,null,null,null,null,null,null,null,null,"0：介助を要しない移動　1：介助を要する移動（救急を含む）"]
[null,null,"口腔清潔",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できない"]
[null,null,"食事摂取",null,null,null,null,null,null,null,null,null,null,"0：介助なし　1：一部介助　2：全介助"]
[null,null,"衣服の着脱",null,null,null,null,null,null,null,null,null,null,"0：介助なし　1：一部介助　2：全介助"]
[null,null,"意思伝達",null,null,null,null,null,null,null,null,null,null,"0：できる　1：できる時とできない時がある　2：できない"]
[null,null,"診療・療養指示",null,null,null,null,null,null,null,null,null,null,"0：はい　1：いいえ"]
[null,null,"危険行動",null,null,null,null,null,null,null,null,null,null,"0：ない　1：ある"]
[null,"基本的ADL","食事",null,null,"補給ルート",null,null,null,"義歯"]
[null,null,"詳細"]
[]
[null,null,"清潔",null,null,"方法",null,null,null,"最終日"]
[null,null,"詳細"]
[]
[null,null,"排泄",null,null,null,"排尿回数",null,"/日","排便回数",null,null,"/週"]
[null,null,"排泄方法",null,null,null,"最終排便日",null,null,"便秘時対策"]
[null,null,"カテーテル",null,null,null,"最終交換日",null,null,"固定水（ｍｌ）"]
[null,null,"詳細"]
[]
[null,null,"移動",null,null,"移動手段"]
[null,null,"詳細"]
[]
[null,null,"更衣"]
[null,null,"整容"]
[null,"IADL","服薬管理"]
[null,null,"食事準備"]
[null,null,"水分摂取"]
[null,null,"財産管理"]
[null,"日常生活自立度","障害高齢者"]
[null,null,"認知症高齢者"]
[null,"コミュニケーション障害"]
[null,"転倒歴"]
[null,"問題行動"]
[null,"監視・抑制"]
[null,"夜間の状態"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"医療処置","カニューレ（Fr）",null,null,"カフの有無",null,null,null,"最終交換日"]
[null,null,"褥瘡",null,null,"処置等"]
[null,null,"注射や処置内容"]
[null,null,"等の処置"]
[null,null,"その他"]
[null,"経管栄養","投与ルート"]
[null,null,"栄養剤"]
[null,null,"投与量",null,"朝（ｍｌ）",null,"昼（ｍｌ）",null,"夕（ｍｌ）",null,"眠前（ｍｌ）"]
[null,null,"追加水分量",null,"朝（ｍｌ）",null,"昼（ｍｌ）",null,"夕（ｍｌ）",null,"眠前（ｍｌ）"]
[null,"看護経過"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[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,null,null,null,null,"記入日"]
[null,"看護管理者　　"]

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["リハビリ情報",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,null,"急性期判定ステージ","回復期判定ステージ",null,null,null,"〇","有・無","会話明瞭度","自立","要・不要","可能・不可能","利用制度（福祉用具）","利用制度（装具）","改修状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運動麻痺",false,false,null,null,null,"〇","有","全てわかる","未実施","要",null,"不明","不明","改修済"]
[null,"セルの移動",null,null,null,null,"印刷",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"高次脳機能障害",false,false,null,null,null,null,"無","時々わからないことばがある","自立","不要",null,"介護保険","医療保険","未改修"]
[null,"急性期",null,"回復期",null,null,"急性期",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,"認知症",false,false,null,null,null,null,null,"話の内容を知っていればわかる","監視",null,null,"身体障害者手帳","身体障害者手帳"]
[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,null,null,null,null,"既往歴",false,false,null,null,null,null,null,"時々わかることばがある","介助"]
["リハビリ情報（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,"環境因子",false,false,null,null,null,null,null,"全くわからない"]
[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,"その他",false,false]
[null,"リハビリテーション情報提供書（急性期）"]
[null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!H24=\"\",\"-\",計画書!H24)","v":"-"}]
[]
[null,"担当者　様\n",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!H28=\"\",\"-\",計画書!H28)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!H45,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,"ステージ",null,null,null,"到達目標ステージ",null,null,null,"判定ステージ"]
[null,"次のステージへの\n阻害因子",null,null,{"$f":"IF(AG2=TRUE,\"〇\",\"\")","v":""},"運動麻痺",null,{"$f":"IF(AG3=TRUE,\"〇\",\"\")","v":""},"高次脳機能障害",null,{"$f":"IF(AG4=TRUE,\"〇\",\"\")","v":""},"認知症"]
[null,null,null,null,{"$f":"IF(AG5=TRUE,\"〇\",\"\")","v":""},"既往歴",null,{"$f":"IF(AG6=TRUE,\"〇\",\"\")","v":""},"環境因子",null,{"$f":"IF(AG7=TRUE,\"〇\",\"\")","v":""},"その他"]
[null,"心身機能概況（開始日時）",null,null,null,null,null,"心身機能概況（退院日時）"]
[null,null,"中枢性麻痺",null,null,null,null,null,"中枢性麻痺"]
[null,"右上肢",null,"右手指",null,"右下肢",null,"右上肢",null,"右手指",null,"右下肢"]
[null,"左上肢",null,"左手指",null,"左下肢",null,"左上肢",null,"左手指",null,"左下肢"]
[null,null,"失調",null,null,null,null,null,"失調"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"感覚障害",null,null,null,null,null,"感覚障害"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"筋力低下",null,null,null,null,null,"筋力低下"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"高次脳機能障害",null,null,null,null,null,"高次脳機能障害"]
[null,null,null,"失行",null,"失認",null,null,null,"失行",null,"失認"]
[null,null,null,"失語",null,"注意",null,null,null,"失語",null,"注意"]
[null,null,null,"記憶",null,"無視",null,null,null,"記憶",null,"無視"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[]
[]
[null,null,"構音障害",null,null,null,null,null,"構音障害"]
[null,"会話明瞭度",null,null,null,null,null,"会話明瞭度"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"摂食嚥下障害",null,null,null,null,null,"摂食機能障害"]
[null,"DSS",null,null,"FOIS",null,null,"DSS",null,null,"FOIS"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"可動域制限",null,null,null,null,null,"可動域制限"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"疼痛",null,null,null,null,null,"疼痛"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,"HDS-R（点）",null,null,null,"／30点",null,"HDS-R（点）",null,null,null,"／30点"]
[null,"MMSE（点）",null,null,null,"／30点",null,"MMSE（点）",null,null,null,"／30点"]
[]
[]
[]
[]
[]
[null,"ＦＩＭ",null,null,null,"開始時","退院時","基本動作",null,"開始時",null,"退院時"]
[null,"セルフケア",null,"食事",null,null,null,"寝返り"]
[null,null,null,"整容",null,null,null,"起き上がり"]
[null,null,null,"清拭",null,null,null,"座位保持"]
[null,null,null,"更衣の上半身",null,null,null,"立ち上がり"]
[null,null,null,"更衣の下半身",null,null,null,"立位保持"]
[null,null,null,"トイレ動作",null,null,null,"移動形態",null,"開始時",null,"退院時"]
[null,"排泄コントロール",null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,"歩行"]
[null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,null,"歩行補助具の詳細"]
[null,"移乗",null,"ベット・椅子・車椅子の移乗"]
[null,null,null,"トイレ移乗"]
[null,null,null,"浴槽・シャワー"]
[null,"移動",null,"歩行・車椅子",null,null,null,"車椅子"]
[null,null,null,"階段",null,null,null,"駆動"]
[null,"コミュニケーション",null,"理解",null,null,null,"移乗"]
[null,null,null,"表出"]
[null,"社会的認知",null,"社会的交流"]
[null,null,null,"問題解決"]
[null,null,null,"記憶"]
[null,"運動項目合計（13～91点）",null,null,null,{"$f":"IF(COUNTA(F62:F74)<13,\"\",SUM(F62:F74))","v":""},{"$f":"IF(COUNTA(G62:G74)<13,\"\",SUM(G62:G74))","v":""}]
[null,"認知項目合計（5～35点）",null,null,null,{"$f":"IF(COUNTA(F75:F79)<5,\"\",SUM(F75:F79))","v":""},{"$f":"IF(COUNTA(G75:G79)<5,\"\",SUM(G75:G79))","v":""}]
[null,"合計点数（18～126点）",null,null,null,{"$f":"IF(COUNTA(F62:F79)<18,\"\",SUM(F62:F79))","v":""},{"$f":"IF(COUNTA(G62:G79)<18,\"\",SUM(G62:G79))","v":""},null,null,null,null,null,null,"←FIMは合計点数をクリックしてフォーム入力するか、各項目に直接入力してください。"]
[null,"危険行動やリハ意欲　など"]
[]
[]
[null,"理学療法士","記載者",null,null,null,null,"記載日"]
[]
[]
[]
[]
[null,null,"次のステージの課題"]
[]
[]
[null,"作業療法士","記載者",null,null,null,null,"記載日"]
[]
[]
[]
[]
[null,null,"次のステージの課題"]
[]
[]
[null,"言語聴覚士","記載者",null,null,null,null,"記載日"]
[]
[]
[]
[]
[null,null,"次のステージの課題"]
[]
[]
[null,"備考"]
[]
[]
[]
[]
[]
[]
[]
[]
["リハビリ情報（回復期）"]
[]
[null,"リハビリテーション情報提供書（回復期）"]
[]
[null,{"$f":"IF(計画書!AL131=\"\",\"\",計画書!AL131)","v":""},null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!AL16=\"\",\"-\",計画書!AL16)","v":"-"}]
[]
[null,"担当者　様\n",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!AL20=\"\",\"-\",計画書!AL20)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!AL24,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,"ステージ",null,null,null,"到達目標ステージ",null,null,null,"判定ステージ"]
[null,"次のステージへの\n阻害因子",null,null,{"$f":"IF(AH2=TRUE,\"〇\",\"\")","v":""},"運動麻痺",null,{"$f":"IF(AH3=TRUE,\"〇\",\"\")","v":""},"高次脳機能障害",null,{"$f":"IF(AH4=TRUE,\"〇\",\"\")","v":""},"認知症"]
[null,null,null,null,{"$f":"IF(AH5=TRUE,\"〇\",\"\")","v":""},"既往歴",null,{"$f":"IF(AH6=TRUE,\"〇\",\"\")","v":""},"環境因子",null,{"$f":"IF(AH7=TRUE,\"〇\",\"\")","v":""},"その他"]
[null,"心身機能概況（開始日時）",null,null,null,null,null,"心身機能概況（退院日時）"]
[null,null,"中枢性麻痺",null,null,null,null,null,"中枢性麻痺"]
[null,"右上肢",null,"右手指",null,"右下肢",null,"右上肢",null,"右手指",null,"右下肢"]
[null,"左上肢",null,"左手指",null,"左下肢",null,"左上肢",null,"左手指",null,"左下肢"]
[null,null,"失調",null,null,null,null,null,"失調"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"感覚障害",null,null,null,null,null,"感覚障害"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"筋力低下",null,null,null,null,null,"筋力低下"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"高次脳機能障害",null,null,null,null,null,"高次脳機能障害"]
[null,null,null,"失行",null,"失認",null,null,null,"失行",null,"失認"]
[null,null,null,"失語",null,"注意",null,null,null,"失語",null,"注意"]
[null,null,null,"記憶",null,"無視",null,null,null,"記憶",null,"無視"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[]
[]
[null,null,"構音障害",null,null,null,null,null,"構音障害"]
[null,"会話明瞭度",null,null,null,null,null,"会話明瞭度"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"摂食嚥下障害",null,null,null,null,"有","摂食機能障害"]
[null,"DSS",null,null,"FOIS",null,null,"DSS",null,null,"FOIS"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"可動域制限",null,null,null,null,null,"可動域制限"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,null,"疼痛",null,null,null,null,null,"疼痛"]
[null,"詳細",null,null,null,null,null,"詳細"]
[]
[null,"HDS-R（点）",null,null,null,"／30点",null,"HDS-R（点）",null,null,null,"／30点"]
[null,"MMSE（点）",null,null,null,"／30点",null,"MMSE（点）",null,null,null,"／30点"]
[]
[]
[]
[]
[]
[null,"ＦＩＭ",null,null,null,"開始時","退院時","基本動作",null,"開始時",null,"退院時"]
[null,"セルフケア",null,"食事",null,null,null,"寝返り"]
[null,null,null,"整容",null,null,null,"起き上がり"]
[null,null,null,"清拭",null,null,null,"座位保持"]
[null,null,null,"更衣の上半身",null,null,null,"立ち上がり"]
[null,null,null,"更衣の下半身",null,null,null,"立位保持"]
[null,null,null,"トイレ動作",null,null,null,"移動形態",null,"開始時",null,"退院時"]
[null,"排泄コントロール",null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,"歩行"]
[null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,null,"歩行補助具の詳細"]
[null,"移乗",null,"ベット・椅子・車椅子の移乗"]
[null,null,null,"トイレ移乗"]
[null,null,null,"浴槽・シャワー"]
[null,"移動",null,"歩行・車椅子",null,null,null,"車椅子"]
[null,null,null,"階段",null,null,null,"駆動"]
[null,"コミュニケーション",null,"理解",null,null,null,"移乗"]
[null,null,null,"表出",null,null,null,"住環境"]
[null,"社会的認知",null,"社会的交流",null,null,null,"住宅改修の必要性",null,null,"改修状況"]
[null,null,null,"問題解決",null,null,null,"改修済または\n必要箇所"]
[null,null,null,"記憶"]
[null,"運動項目合計（13～91点）",null,null,null,{"$f":"IF(COUNTA(F176:F188)<13,\"\",SUM(F176:F188))","v":""},{"$f":"IF(COUNTA(G176:G188)<13,\"\",SUM(G176:G188))","v":""}]
[null,"認知項目合計（5～35点）",null,null,null,{"$f":"IF(COUNTA(F189:F193)<5,\"\",SUM(F189:F193))","v":""},{"$f":"IF(COUNTA(G189:G193)<5,\"\",SUM(G189:G193))","v":""}]
[null,"合計点数（18～126点）",null,null,null,{"$f":"IF(COUNTA(F176:F193)<18,\"\",SUM(F176:F193))","v":""},{"$f":"IF(COUNTA(G176:G193)<18,\"\",SUM(G176:G193))","v":""},null,null,null,null,null,null,"←FIMは合計点数をクリックしてフォーム入力するか、各項目に直接入力してください。"]
[null,"福祉用具",null,null,null,null,null,"装具"]
[null,null,null,"詳細",null,null,null,null,null,"詳細"]
[null,null,null,"利用制度",null,null,null,null,null,"利用制度"]
[null,"危険行動やリハ意欲　など"]
[]
[]
[null,"理学療法士","記載者",null,null,null,null,"記載日"]
[]
[]
[]
[]
[null,null,"次のステージの課題"]
[]
[]
[null,"作業療法士","記載者",null,null,null,null,"記載日"]
[]
[]
[]
[]
[null,null,"次のステージの課題"]
[]
[]
[null,"言語聴覚士","記載者",null,null,null,null,"記載日"]
[]
[]
[]
[]
[null,null,"次のステージの課題"]
[]
[]
[null,"備考"]

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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,null,null,null,null,"（仮）薄いとろみ","不明","不明","不明","不明","経口",false,false,false]
[null,"セルの移動",null,null,null,null,"印刷",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（仮）中間のとろみ","有","良好（76％～100％）","1回","無","経鼻",false,false,false]
[null,"急性期",null,"回復期",null,null,"急性期",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,"（仮）濃いとろみ","無","不良（75％以下）","2回","1ヶ月に3～5％未満","胃瘻",false,false,false]
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["栄養情報（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,"3ヶ月に3～7.5％未満","静脈",false,false,false]
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[null,"栄養情報提供書（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,"6ヶ月に3～10％未満"]
[null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!H24=\"\",\"-\",計画書!H24)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6ヶ月に10％以上"]
[]
[null,"担当者　様　宛",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!H28=\"\",\"-\",計画書!H28)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!H45,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,null,null,null,null,"入院時",null,"退院時",null,"詳細・コメント"]
[null,"身体情報",null,"身長",null,null,"ｃｍ",null,"ｃｍ"]
[null,null,null,"体重",null,null,"ｋｇ",null,"ｋｇ"]
[null,null,null,null,"測定日"]
[null,null,null,"BMI",null,{"$f":"F18/((F17/100)*(F17/100))","v":{"$error":"#DIV/0!"}},null,{"$f":"H18/((H17/100)*(H17/100))","v":{"$error":"#DIV/0!"}}]
[null,null,null,"体重の増減率"]
[null,"給与栄養量",null,"栄養補給方法"]
[]
[null,null,null,"水分とろみ"]
[null,null,null,"治療（特別）食指示"]
[null,null,null,"食形態","主食","",null,""]
[null,null,null,"（Iスケール）","副食"]
[null,null,null,"エネルギー",null,null,"kcal",null,"kcal"]
[null,null,null,"たんぱく質",null,null,"g",null,"g"]
[null,null,null,"脂質",null,null,"g",null,"g"]
[null,null,null,"塩分",null,null,"g",null,"g"]
[null,"食事摂取状況",null,"摂取量"]
[null,null,null,"食事回数"]
[null,null,null,"補助食利用の有無"]
[null,null,null,"アレルギー（食べ物）"]
[null,null,null,"好き嫌い（食べ物）"]
[null,"経腸栄養管理",null,"栄養剤",null,null,"投与量","朝",null,"ｍｌ","昼",null,"ｍｌ"]
[null,null,null,null,null,null,null,"夕",null,"ｍｌ","眠前",null,"ｍｌ"]
[null,null,null,"詳細・コメント"]
[]
[null,"検体検査",null,null,"入院時",null,"直近",null,null,"入院時",null,"直近"]
[null,null,null,"採血日",null,null,null,null,"採血日"]
[null,null,null,"CRP",null,"mg/dl",null,"mg/dl","Cre",null,"mg/dl",null,"mg/dl"]
[null,null,null,"WBC",null,"/μl",null,"/μl","Na",null,"mEq/l",null,"mEq/l"]
[null,null,null,"Hb",null,"g/dl",null,"g/dl","K",null,"mEq/l",null,"mEq/l"]
[null,null,null,"Ht",null,"%",null,"%","GLU",null,"mg/dl",null,"mg/dl"]
[null,null,null,"TP",null,"g/dl",null,"g/dl","HA1c",null,"％",null,"％"]
[null,null,null,"ALB",null,"g/dl",null,"g/dl","HDLｺﾚｽﾃﾛｰﾙ",null,"mg/dl",null,"mg/dl"]
[null,null,null,"BUN",null,"mg/dl",null,"mg/dl","LDLｺﾚｽﾃﾛｰﾙ",null,"mg/dl",null,"mg/dl"]
[null,null,null,"詳細・コメント"]
[]
[null,"コメント"]
[]
[]
[]
[]
[null,"次のステージの\n課題"]
[]
[]
[null,"担当者",null,null,null,null,null,"記入日"]
[]
[]
[]
[]
[]
[]
["栄養情報（回復期）"]
[]
[null,"栄養情報提供書（回復期）"]
[null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!AL16=\"\",\"-\",計画書!AL16)","v":"-"}]
[]
[null,"担当者　様　宛",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!AL20=\"\",\"-\",計画書!AL20)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!AL24,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,null,null,null,null,"退院・退所時",null,"詳細・コメント"]
[null,"身体情報",null,"身長",null,null,"ｃｍ"]
[null,null,null,"体重",null,null,"ｋｇ"]
[null,null,null,null,"測定日"]
[null,null,null,"BMI",null,{"$f":"F79/((F78/100)*(F78/100))","v":{"$error":"#DIV/0!"}}]
[null,null,null,"体重の増減率"]
[null,"給与栄養量",null,"栄養補給方法"]
[]
[null,null,null,"水分とろみ"]
[null,null,null,"治療（特別）食指示"]
[null,null,null,"食形態","主食"]
[null,null,null,"（Iスケール）","副食"]
[null,null,null,"エネルギー",null,null,"kcal"]
[null,null,null,"たんぱく質",null,null,"g"]
[null,null,null,"脂質",null,null,"g"]
[null,null,null,"塩分",null,null,"g"]
[null,"食事摂取状況",null,"摂取量"]
[null,null,null,"食事回数"]
[null,null,null,"補助食利用の有無"]
[null,null,null,"アレルギー（食べ物）"]
[null,null,null,"好き嫌い（食べ物）"]
[null,"経腸栄養管理",null,"栄養剤",null,null,"投与量","朝",null,"ｍｌ","昼",null,"ｍｌ"]
[null,null,null,null,null,null,null,"夕",null,"ｍｌ","眠前",null,"ｍｌ"]
[null,null,null,"詳細・コメント"]
[]
[null,"検体検査",null,null,"急性期最終",null,"直近",null,null,"急性期最終",null,"直近"]
[null,null,null,"採血日",{"$f":"G42","v":"00:00:00"},null,null,null,"採血日",{"$f":"L42","v":"00:00:00"}]
[null,null,null,"CRP",{"$f":"G43","v":0},"mg/dl",null,"mg/dl","Cre",{"$f":"L43","v":0},"mg/dl",null,"mg/dl"]
[null,null,null,"WBC",{"$f":"G44","v":0},"/μl",null,"/μl","Na",{"$f":"L44","v":0},"mEq/l",null,"mEq/l"]
[null,null,null,"Hb",0,"g/dl",null,"g/dl","K",0,"mEq/l",null,"mEq/l"]
[null,null,null,"Ht",0,"%",null,"%","GLU",0,"mg/dl",null,"mg/dl"]
[null,null,null,"TP",0,"g/dl",null,"g/dl","HA1c",0,"％",null,"％"]
[null,null,null,"ALB",0,"g/dl",null,"g/dl","HDLｺﾚｽﾃﾛｰﾙ",0,"mg/dl",null,"mg/dl"]
[null,null,null,"BUN",0,"mg/dl",null,"mg/dl","LDLｺﾚｽﾃﾛｰﾙ",0,"mg/dl",null,"mg/dl"]
[null,null,null,"詳細・コメント"]
[]
[null,"コメント"]
[]
[]
[]
[]
[null,"次のステージの\n課題"]
[]
[]
[null,"担当者",null,null,null,null,null,"記入日"]

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[]
[null,"退院時共同指導料を算定しない場合はこのシートは記載不要です。"]
["急性期：栄養情報",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,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経口",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経腸",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（経口）",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（経鼻）",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（胃瘻）",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（腸瘻）",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"静脈",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■急性期退院時"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経口",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経鼻",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"胃瘻",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"腸瘻",0]
[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,null,null,null,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",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■回復期入院時"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経口",0]
[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,null,null,null,null,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",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（経口）",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（経鼻）",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（胃瘻）",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,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（腸瘻）",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"静脈",0]
[]
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[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経口",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"経鼻",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"胃瘻",0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"腸瘻",0]
[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,null,null,null,null,null,null,null,null,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",0]
[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："]
[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,null,null,null,null,null,null,null,null,null,null,null,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,{"$f":"計画書!H28","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記入者氏名"]
[]
[]
[]
[]
["回復期：栄養情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入力分",null,null,null,null,null,null,null,null,null,null,null,null,"白色セルのみ記入する"]
["看護及び栄養管理等に関する情報（回復期）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(太枠：必須記入)"]
["患者氏名",null,null,null,null,null,null,null,null,null,null,{"$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,{"$f":"計画書!AL23","v":"00:00:00"},null,null,null,null,null,null,null,null,null,null,"退院日",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"計画書!AL24","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,{"$f":"計画書!AL16","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,{"$f":"計画書!AL20","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,null,null,null,null,null,null,null,null,"記入者氏名"]

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["福祉情報",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,null,"発症前生活場所","医療保険","身体障害者手帳取得状況","身体障害者手帳障害の種類","特定疾患の申請","介護保険の取得状況","不明有無","性別","健康状態","介護力","有","サービス利用",null,null,null,null,null,null,"障害種類","障害急性期入院時","障害急性期退院時","障害回復期退院時","同居の有無"]
[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,"自宅","不明","不明","不明","不明","不明","不明","男性","良好","昼夜とも","有","サービス利用あり",null,null,null,null,null,null,"視覚",false,false,false,"同居"]
[null,"セルの移動",null,null,null,null,"印刷",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一般病棟","後期高齢者","不要","視覚","不要","不要","有","女性","不良","日中",null,"サービス利用なし",null,null,null,null,null,null,"聴覚",false,false,false,"別居"]
[null,"急性期",null,"回復期",null,null,"急性期",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,"回復期リハビリテーション病棟","国民健康保険","未申請","聴覚","未申請","未申請","無",null,"不明","夜間",null,null,null,null,null,null,null,null,"音声・言語機能",false,false,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域包括ケア病棟","協会けんぽ","申請中","音声・言語機能","申請中","申請中",null,null,null,"なし",null,null,null,null,null,null,null,null,"そしゃく機能",false,false,false]
["福祉情報（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,"医療療養病棟","健康保険組合","1級","そしゃく機能","申請済","要支援1",null,null,null,"不明",null,null,null,null,null,null,null,null,"肢体不自由",false,false,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護療養型医療施設","船員保険","2級","肢体不自由",null,"要支援2",null,null,null,null,null,null,null,null,null,null,null,null,"内部障害である心臓機能",false,false,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護老人福祉施設","共済組合","3級","内部障害である心臓機能",null,"要介護1",null,null,null,null,null,null,null,null,null,null,null,null,"呼吸器機能",false,false,false]
[null,"福祉情報提供書（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,"介護老人保健施設","生活保護","4級","呼吸器機能",null,"要介護2",null,null,null,null,null,null,null,null,null,null,null,null,"じん臓機能",false,true,true]
[null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!H24=\"\",\"-\",計画書!H24)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症グループホーム","労災","5級","じん臓機能",null,"要介護3",null,null,null,null,null,null,null,null,null,null,null,null,"ぼうこう又は直腸機能",false,true,true]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"軽費老人ホーム","その他",null,"ぼうこう又は直腸機能",null,"要介護4",null,null,null,null,null,null,null,null,null,null,null,null,"小腸機能",false,true,true]
[null,"担当者　様　宛",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!H28=\"\",\"-\",計画書!H28)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有料老人ホーム",null,null,"小腸機能",null,"要介護5",null,null,null,null,null,null,null,null,null,null,null,null,"免疫機能",false,false,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サービス付き高齢者向け住宅",null,null,"免疫機能",null,"事業対象者",null,null,null,null,null,null,null,null,null,null,null,null,"肝臓機能",false,false,false]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!H45,\"y\")))","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"高齢者専用賃貸住宅",null,null,"肝臓機能",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体幹機能障害",false,false,false]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,"体幹機能障害",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"不明",false,false,false]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,"発症前生活場所",null,null,null,null,null,"施設名"]
[null,"退院先"]
[null,"家族状況","キーパーソン",null,"氏名",null,null,null,"介護力",null,null,"健康状態"]
[null,null,null,null,"続柄",null,null,"性別",null,null,"年齢"]
[null,null,null,null,"同居",null,null,"ＴＥＬ①"]
[null,null,null,null,null,null,null,"ＴＥＬ②"]
[null,null,"介護者\n※ｷｰﾊﾟｰｿﾝと別の場合は記載",null,"氏名"]
[null,null,null,null,"続柄",null,null,"性別",null,null,"年齢"]
[null,null,null,null,"介護力",null,null,"健康状態",null,null,"同居"]
[null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,"※第2ｷｰﾊﾟｰｿﾝがいれば、詳細ｺﾒﾝﾄに記載"]
[]
[]
[]
[]
[]
[]
[]
[null,"社会保障制度",null,null,null,"入院前",null,null,null,"退院時"]
[null,null,"医療保険"]
[null,null,"身体障害者手帳","取得状況"]
[null,null,null,"障害の種類"]
[null,null,"特定疾患","申請状況"]
[null,null,null,"病名"]
[null,null,"介護保険","取得状況"]
[null,null,null,"居宅事業所"]
[null,null,null,"ケアマネジャー"]
[null,null,null,"事業対象者"]
[null,null,"その他"]
[]
[null,"　職業"]
[]
[null,"　経済状況"]
[]
[null,"生活","入院前"]
[]
[null,null,"入院中"]
[]
[null,null,"退院後の希望"]
[]
[null,"趣味","入院前"]
[]
[null,null,"入院中"]
[]
[null,null,"退院後の希望"]
[]
[]
[]
[]
[null,"退院後の在宅サービス利用予定"]
[null,"サービス内容",null,"訪問介護",null,null,"回／週",null,"居宅療養管理指導（医療）",null,null,null,"回／週"]
[null,null,null,"訪問看護",null,null,"回／週",null,"居宅療養管理指導（薬剤）",null,null,null,"回／週"]
[null,null,null,"訪問リハ",null,null,"回／週",null,"居宅療養管理指導（歯科）",null,null,null,"回／週"]
[null,null,null,"通所介護",null,null,"回／週",null,"居宅療養管理指導（栄養）",null,null,null,"回／週"]
[null,null,null,"通所リハ",null,null,"回／週","その他"]
[null,null,null,"ショートスティ",null,null,"日／月"]
[null,"患者の\n希望"]
[]
[]
[]
[null,"家族の\n希望","続柄"]
[]
[]
[]
[null,"援助過程・アセスメント"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[]
[null,"担当者",null,null,null,null,null,"記入日"]
[]
[]
[]
[]
[]
[]
[]
["福祉情報（回復期）"]
[]
[]
[null,"福祉情報提供書（回復期）"]
[null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!AL16=\"\",\"-\",計画書!AL16)","v":"-"}]
[]
[null,"担当者　様　宛",null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!AL20=\"\",\"-\",計画書!AL20)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!AL24,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,"発症前生活場所",null,null,null,null,null,"施設名"]
[null,"退院先"]
[null,"家族状況","キーパーソン",null,"氏名",null,null,null,"介護力",null,null,"健康状態"]
[null,null,null,null,"続柄",null,null,"性別",null,null,"年齢"]
[null,null,null,null,"同居",null,null,"ＴＥＬ①"]
[null,null,null,null,null,null,null,"ＴＥＬ②"]
[null,null,"介護者\n※ｷｰﾊﾟｰｿﾝと別の場合は記載",null,"氏名"]
[null,null,null,null,"続柄",null,null,"性別",null,null,"年齢"]
[null,null,null,null,"介護力",null,null,"健康状態",null,null,"同居"]
[null,null,"詳細・コメント",null,null,null,null,null,null,null,null,null,null,"※第2ｷｰﾊﾟｰｿﾝなどの情報は詳細ｺﾒﾝﾄに記載"]
[]
[]
[]
[]
[]
[]
[]
[null,"社会保障制度",null,null,null,"退院時"]
[null,null,"医療保険"]
[null,null,"身体障害者手帳",null,"取得状況",null,null,"障害の種類"]
[null,null,"特定疾患",null,"申請状況",null,null,"病名"]
[null,null,"介護\n保険","取得状況"]
[null,null,null,"居宅事業所"]
[null,null,null,"ケアマネジャー"]
[null,null,null,"事業対象者"]
[null,null,"その他"]
[]
[null,"　職業"]
[]
[null,"　経済状況"]
[]
[null,"退院後の在宅サービス利用予定"]
[null,"サービス内容",null,"訪問介護",null,null,"回／週",null,"居宅療養管理指導（医療）",null,null,null,"回／週"]
[null,null,null,"訪問看護",null,null,"回／週",null,"居宅療養管理指導（薬剤）",null,null,null,"回／週"]
[null,null,null,"訪問リハ",null,null,"回／週",null,"居宅療養管理指導（歯科）",null,null,null,"回／週"]
[null,null,null,"通所介護",null,null,"回／週",null,"居宅療養管理指導（栄養）",null,null,null,"回／週"]
[null,null,null,"通所リハ",null,null,"回／週","その他"]
[null,null,null,"ショートスティ",null,null,"日／月"]
[]
[]
[]
[null,"患者の\n希望"]
[]
[]
[]
[]
[]
[null,"家族の\n希望","続柄"]
[]
[]
[]
[]
[]
[null,"援助過程・アセスメント"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[]
[null,"担当者",null,null,null,null,null,"記入日"]

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[null,"急性期",null,"回復期",null,null,"急性期",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,null,null,"一部粉砕",false,false,{"$f":"IF(AM4=TRUE,\"一部粉砕　\",\"\")","v":""},{"$f":"IF(AN4=TRUE,\"一部粉砕　\",\"\")","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,"簡易懸濁",false,false,{"$f":"IF(AM5=TRUE,\"簡易懸濁　\",\"\")","v":""},{"$f":"IF(AN5=TRUE,\"簡易懸濁　\",\"\")","v":""}]
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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,null,null,null,null,null,null,null,null,null,"不明",false,false,{"$f":"IF(AM7=TRUE,\"不明　\",\"\")","v":""},{"$f":"IF(AN7=TRUE,\"不明　\",\"\")","v":""}]
[null,"薬剤情報提供書（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,{"$f":"CONCATENATE(AO2,AO3,AO4,AO5,AO6,AO7)","v":""},{"$f":"CONCATENATE(AP2,AP3,AP4,AP5,AP6,AP7)","v":""},""]
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[]
[null,"担当者　様　宛",null,null,null,null,null,"電話番号",null,{"$f":"IF(計画書!H28=\"\",\"-\",計画書!H28)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!H45,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,"調剤方法"]
[null,"禁忌薬"]
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[null,"持参薬"]
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[null,"退院時処方"]
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[]
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[]
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[]
[]
[null,"コメント"]
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[]
[]
[]
[]
[]
[]
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[null,"次のステージの\n課題"]
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[]
[null,"担当薬剤師",null,null,null,null,null,"記入日",null,{"$f":"計画書!H45","v":"00:00:00"}]
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[]
[]
[]
[]
[]
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["薬剤情報（回復期）"]
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[null,"薬剤情報提供書（回復期）"]
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[null,"担当者　様　宛",null,null,null,null,null,"電話番号",null,{"$f":"IF(計画書!AL20=\"\",\"-\",計画書!AL20)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!AL24,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,"生年月日",null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"住所",null,{"$f":"IF(計画書!H21=\"\",\"-\",計画書!H21)","v":"-"},null,{"$f":"IF(計画書!H22=\"\",\"-\",計画書!H22)","v":"-"}]
[null,"調剤方法"]
[null,"禁忌薬"]
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[]
[null,"持参薬"]
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[]
[]
[]
[]
[]
[]
[]
[null,"退院時処方"]
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[]
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[]
[]
[]
[]
[]
[]
[]
[null,"コメント"]
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[]
[]
[]
[]
[]
[]
[]
[null,"次のステージの\n課題"]
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[]
[null,"担当薬剤師",null,null,null,null,null,"記入日",null,{"$f":"計画書!AL24","v":"00:00:00"}]

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[null,"歯科情報提供書（急性期）"]
[null,null,null,null,null,null,null,null,null,"施設名　",null,{"$f":"IF(計画書!H24=\"\",\"-\",計画書!H24)","v":"-"}]
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[null,"担当者　様　宛",null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!H28=\"\",\"-\",計画書!H28)","v":"-"}]
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[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},null,"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!H45,\"y\")))","v":"-"}]
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[null,null,"口腔乾燥（柿木の分類）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"：乾燥なし（1～3度の所見がなく、正常範囲と思われる）。"]
[null,null,"う蝕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,"：唾液の粘性が亢進している。"]
[null,null,null,"治療の緊急性",null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,"：唾液中に細かい唾液の泡が見られる。"]
[null,null,"歯周疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,"：舌の上にほとんど唾液が見られず、乾燥している。"]
[null,null,null,"治療の緊急性"]
[null,null,"義歯の使用状況",null,null,"上顎"]
[null,null,null,null,null,"下顎"]
[null,"口腔機能の状態"]
[null,null,"咀嚼機能"]
[null,null,"摂食・嚥下機能"]
[null,null,"発音機能"]
[null,"姿勢"]
[null,null,"口腔ケア時の姿勢"]
[null,null,null,"ｷﾞｬｯﾁｱｯﾌﾟ",null,null,null,null,"度"]
[null,null,"上肢のコントロール"]
[null,null,"口腔ケア時の頭位"]
[null,null,"口腔ケア時の開口"]
[null,null,null,"開口障害",null,null,null,null,"横指"]
[null,null,null,"協力"]
[null,"現状の口腔ケア"]
[null,null,"口腔清掃の自立"]
[null,null,"義歯清掃の自立"]
[null,"歯式　　※□：残存歯,■：欠損"]
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[null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,"コメント"]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
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[]
[null,null,null,null,null,"記入者",null,null,null,null,null,"記入日"]
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[]
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["歯科情報（急性期）"]
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[null,"歯科情報提供書（回復期）"]
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[null,"担当者　様　宛",null,null,null,null,null,null,null,"電話番号　",null,{"$f":"IF(計画書!AL20=\"\",\"-\",計画書!AL20)","v":"-"}]
[]
[null,"フリガナ",null,{"$f":"IF(計画書!$H$17=\"\",\"-\",計画書!$H$17)","v":"-"},null,null,null,null,null,null,null,"性別",{"$f":"IF(計画書!H19=\"\",\"-\",計画書!H19)","v":"-"},null,"年齢",{"$f":"IF(計画書!H20=\"\",\"-\",(DATEDIF(計画書!H20,計画書!AL24,\"y\")))","v":"-"}]
[null,"患者氏名",null,{"$f":"IF(計画書!H18=\"\",\"-\",計画書!H18)","v":"-"},null,null,null,null,null,null,null,"生年月日",null,null,{"$f":"IF(計画書!H20=\"\",\"-\",計画書!H20)","v":"-"}]
[null,"歯と口の状態"]
[null,null,"清掃の状況"]
[null,null,"口腔乾燥（柿木の分類）"]
[null,null,"う蝕"]
[null,null,null,"治療の緊急性"]
[null,null,"歯周疾患"]
[null,null,null,"治療の緊急性"]
[null,null,"義歯の使用状況",null,null,"上顎"]
[null,null,null,null,null,"下顎"]
[null,"口腔機能の状態"]
[null,null,"咀嚼機能"]
[null,null,"摂食・嚥下機能"]
[null,null,"発音機能"]
[null,"姿勢"]
[null,null,"口腔ケア時の姿勢"]
[null,null,null,"ｷﾞｬｯﾁｱｯﾌﾟ",null,null,null,null,"度"]
[null,null,"上肢のコントロール"]
[null,null,"口腔ケア時の頭位"]
[null,null,"口腔ケア時の開口"]
[null,null,null,"開口障害",null,null,null,null,"横指"]
[null,null,null,"協力"]
[null,"現状の口腔ケア"]
[null,null,"口腔清掃の自立"]
[null,null,"義歯清掃の自立"]
[null,"歯式　　※□：残存歯,■：欠損"]
[null,"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
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[null,8,7,6,5,4,3,2,1,1,2,3,4,5,6,7,8]
[null,"□","□","□","□","□","□","□","□","□","□","□","□","□","□","□","□"]
[null,"コメント"]
[]
[]
[]
[]
[]
[null,"次のステージの課題"]
[]
[]
[null,null,null,null,null,"記入者",null,null,null,null,null,"記入日"]