{"text_format":"1","workbook":"xlsx","n_sheets":3,"sheets":["担当医連絡票 (2)","Sheet2","Sheet3"],"not_rendered":{"charts":0,"images":0,"macros":0,"external_links":0,"defined_names":1,"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":"担当医連絡票 (2)","index":0,"n_rows":41,"n_cols":7,"rows_kept":41,"cut":false,"hidden":false,"merged":[[5,2,5,6],[10,2,10,3],[11,2,11,3],[17,2,17,6],[19,2,19,6],[16,2,16,6],[12,2,12,6],[13,2,13,6],[33,2,33,6],[28,2,32,6],[38,2,38,6],[39,4,39,6],[22,2,22,6],[24,3,24,6],[25,3,25,6],[34,5,34,6],[36,2,36,6],[37,2,37,6],[26,2,26,6]]}
[]
[]
[]
[]
[]
[null,null,"担当医連絡票"]
[null,null,null,null,null,null,"年　　　月　　　日"]
[null,null,"医療機関",null,null,"事業所"]
[null,null,"科",null,null,"所在地"]
[null,null,"担当医",null,null,"担当者"]
[null,null,"FAX：",null,null,"ＴＥＬ"]
[null,null,"TEL：",null,null,"FAX"]
[null,null,"　日頃よりお世話になっております。　下記の方の件につきまして（お尋ね・ご報告）します。"]
[null,null,"　お忙しいところ誠に恐れ入りますが、ご回答をお願い致します。"]
[null,null,"【介護支援専門員】"]
[null,null,"＜連絡理由＞"]
[null,null,"□担当医との面談依頼"]
[null,null,"□ケアプラン作成　（　新規　・　更新　・　区分変更　・　事業所変更　・　その他　）について"]
[null,null,"□利用者の医療・看護・介護・病状について"]
[null,null,"□医療系サービスの導入について"]
[null,null,"□福祉用具貸与について"]
[null,null,"□その他"]
[]
[null,null,"＜利用者＞"]
[null,null,"氏名","様　　男・女　　生年月日　　　年　　月　　日生（　　歳）"]
[null,null,"住所"]
[null,null,"＜要介護度＞　要支援　１　・　２　　要介護　１　・　２　・　３　・　４　・　５　（認定期間　　　　　～　　　　　　）"]
[null,null,"＜連絡事項＞"]
[]
[]
[]
[]
[]
[null,null,"　※添付ケアプラン　　　□あり　（第1表・第2表・週間計画表）　計　　枚　　　　□なし"]
[null,null,null,null,null,"希望返信期日：  　年　　 月　　　日"]
[]
[null,null,"【担当医記入欄】"]
[null,null,"＜返信事項＞"]
[null,null,"\n　　　連絡事項の内容に　　　□同意します　　　　□再度、検討ください　　　□意見・助言があります"]
[null,null,null,null,"　年　　　月　　　日　　担当医（　　　　　　　　　　　　　　　　　）"]
[null,null,null,null,null,null,"作成日：2021年3月\n知多北部広域介護支援専門員連絡協議会　"]

{"sheet":"Sheet2","index":1,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Sheet3","index":2,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}