{"text_format":"1","workbook":"xlsx","n_sheets":1,"sheets":["シート"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":0,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"シート","index":0,"n_rows":47,"n_cols":37,"rows_kept":47,"cut":false,"hidden":false,"merged":[[33,3,33,5],[15,22,15,36],[17,26,17,34],[41,22,41,25],[41,29,41,36],[33,24,33,35],[37,25,37,35],[37,19,37,24],[45,11,45,14],[45,16,45,18],[41,0,41,4],[11,0,11,2],[12,0,13,2],[20,0,20,1],[24,2,24,5],[15,5,15,18],[16,5,16,18],[17,17,17,20],[28,13,28,32],[30,12,30,18],[30,25,30,27],[41,5,41,18],[41,19,41,21],[14,25,14,35],[2,0,2,3],[2,19,2,21],[2,26,2,28],[6,21,6,23],[13,23,13,35],[12,31,12,35],[12,20,12,21],[12,13,12,15],[13,12,13,15],[13,7,13,8],[5,34,5,35],[6,34,6,35],[6,24,6,31],[9,3,10,36],[7,3,7,24],[4,4,4,17],[5,4,5,17],[6,4,6,20],[2,4,2,18],[2,22,2,25],[2,29,2,36],[5,22,5,24],[5,26,5,27],[5,29,5,30],[7,28,7,29],[7,31,7,32],[7,34,7,35],[8,28,8,29],[8,31,8,32],[8,34,8,35],[11,25,11,35],[44,6,44,15],[44,19,44,36],[43,3,43,4],[43,6,43,7],[43,9,43,10],[43,16,43,17],[43,19,43,20],[44,16,44,18],[23,27,23,35],[35,26,35,35],[41,26,41,28],[15,0,15,4],[15,19,15,21],[32,0,32,2],[34,0,34,5],[45,23,45,35],[43,22,43,23],[43,28,43,29],[43,31,43,32],[43,34,43,35]]}
["船橋二和病院入院・転院相談シート",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域連携センターFAX　047-407-8070"]
[]
["医療機関名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,null,null,null,null,null,"電話番号"]
[null,null,null,null,null,"急性期",null,null,null,"療養型",null,null,null,"回リハ",null,null,null,"包括",null,null,null,"外来",null,null,null,"在宅"]
["ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,null,"生年月日",null,null,null,"大",null,"昭",null,"平"]
["患者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"男",null,"女",null,null,null,"年",null,null,"月",null,null,"日","身長",null,null,null,"cm"]
["住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,"体重",null,null,null,"kg"]
["病名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院日",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,"手術日",null,null,null,null,null,"年",null,null,"月",null,null,"日","発症日",null,null,null,null,"年",null,null,"月",null,null,"日"]
["既往"]
[]
["入院目的",null,null,null,"精査",null,null,null,"加療",null,null,null,"リハビリ",null,null,null,null,"在宅調整",null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["医療行為状況",null,null,null,"気管切開",null,null,null,null,"吸引（頻度",null,null,null,null,null,null,"）",null,"酸素（",null,null,null,"㍑","）",null,"褥瘡（部位・サイズ",null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,"透析（週",null,null,null,null,"回","曜日",null,null,null,null,null,"）",null,"インシュリン",null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["同居家族",null,null,null,null,null,"配偶者",null,null,null,"子",null,"嫁",null,"婿",null,"孫",null,"父",null,"母",null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["キーパーソン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号"]
["主介護者"]
["感染症",null,null,null,null,null,"ＭＲＳＡ",null,null,null,"未",null,"－",null,"＋","（部位",null,null,null,null,null,"）",null,"その他（",null,null,null,null,null,null,null,null,null,null,null,"）"]
["麻痺状況",null,null,null,null,null,null,"右上肢",null,null,null,"右下肢",null,null,null,"左上肢",null,null,null,"左下肢",null,null,null,"四肢",null,null,"対麻痺",null,null,null,"失調",null,null,null,"無"]
["機能障害",null,null,null,null,null,null,"構音障害",null,null,null,null,"嚥下障害",null,null,null,null,"失語症",null,null,null,"高次脳機能障害",null,null,null,null,null,null,"その他"]
["ＡＤＬ",null,"移動動作",null,null,null,"病前",null,null,"自立",null,null,"杖歩行",null,null,null,"伝い歩き",null,null,null,null,"車椅子",null,null,null,"ベッド上生活",null,null,null,null,null,"全介助"]
[null,null,null,null,null,null,"現在",null,null,"自立",null,null,"杖歩行",null,null,null,"一部介助歩行",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"全介助"]
[null,null,null,null,null,null,null,null,null,"車椅子",null,null,"（移乗",null,null,null,"自立",null,null,"一部介助",null,null,null,"全介助",null,null,"）"]
[null,null,"寝返り",null,null,null,null,null,null,"自立",null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"エアマット使用",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,"）"]
[null,null,"ベッド起き上り",null,null,null,null,null,null,"自立",null,null,"一部介助",null,null,null,null,"全介助"]
[null,null,"排泄",null,null,null,"日中",null,null,"自立",null,null,"車椅子・一部介助",null,null,null,null,null,null,"ポーダブルトイレ",null,null,null,null,null,null,"オムツ",null,null,"留置カテーテル",null,null,null,null,null,"尿器"]
[null,null,null,null,null,null,"夜間",null,null,"自立",null,null,"車椅子・一部介助",null,null,null,null,null,null,"ポーダブルトイレ",null,null,null,null,null,null,"オムツ",null,null,"留置カテーテル",null,null,null,null,null,"尿器"]
[null,null,"食事",null,null,null,null,"セッティング後自食",null,null,null,null,null,null,null,"一部介助",null,null,null,null,"全介助",null,null,"経管栄養",null,null,"（",null,"経鼻",null,null,"胃瘻",null,"）"]
[null,null,null,null,null,null,"経管栄養の内容",null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,"食形態",null,null,null,null,"常食",null,null,"全粥",null,null,"ミキサー食",null,null,null,null,"軟飯",null,null,"軟菜",null,null,"刻み食",null,null,null,"一口大"]
[null,null,null,null,null,null,null,"嚥下訓練食",null,null,null,"（",null,null,null,null,null,null,null,"）",null,"治療食",null,null,"（",null,null,null,"K㌍",null,"）"]
[null,null,null,null,null,null,null,"とろみ"]
["精神状況",null,null,"認知症",null,null,null,"無",null,null,"重度",null,null,"中等度",null,null,null,"軽度",null,null,"声出し",null,null,null,"徘徊",null,null,"記憶障害",null,null,null,null,"暴言暴力"]
[null,null,null,"精神疾患",null,null,null,"無",null,null,"うつ状態",null,null,null,null,"統合失調症",null,null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["コミュニケーション",null,null,null,null,null,null,"正常",null,null,"会話可能",null,null,null,null,"はい、いいえ程度",null,null,null,null,null,null,"困難",null,null,"せん妄",null,null,null,"不穏",null,null,"傾眠傾向"]
[null,null,null,null,null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,"身体抑制",null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,"ナースコール（",null,null,null,null,null,"可",null,"時々可",null,null,null,"不可",null,"）",null,"センサー使用（",null,null,null,null,null,"無",null,"有","）"]
["リハビリ状況",null,null,null,null,null,"リハビリ指示（",null,null,null,null,null,"入る",null,null,"入らない）",null,null,null,"リハ内容（具体的に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["退院先予定",null,null,null,null,null,null,"自宅（",null,null,null,"戸建",null,null,"集合住宅",null,null,null,null,"階エレベーター",null,null,null,null,null,"無",null,"有）",null,null,"施設",null,null,null,"未定"]
["保険情報",null,null,null,null,null,"無",null,"社保",null,null,"国保",null,null,"後期",null,null,"生保"]
["介護申請",null,null,null,null,null,"無",null,"申請中",null,null,"要介護（",null,null,null,1,null,2,null,3,null,4,null,5,"）","要支援（",null,null,null,1,null,2,"）"]
["ケアマネ事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,null,null,null,null,null,"電話番号"]
["地域連携センター処理欄"]
["受付日",null,null,null,null,"年",null,null,"月",null,null,"日","転院受入日",null,null,null,null,null,"年",null,null,"月",null,null,"日","連絡日",null,null,null,null,"年",null,null,"月",null,null,"日"]
["相談対応者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"不可理由"]
["当院へ移動手段",null,null,null,null,null,null,"救急車",null,null,null,"介護タクシー",null,null,null,null,"自家用車",null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["付添",null,null,null,"無",null,"有"]