{"text_format":"1","workbook":"xlsx","n_sheets":8,"sheets":["回復期・維持期","JCS退院時","mRS退院時","MNA","BI","FIM入院時","FIM退院時","CPS "],"not_rendered":{"charts":0,"images":101,"macros":1,"external_links":0,"defined_names":3,"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":"回復期・維持期","index":0,"n_rows":70,"n_cols":34,"rows_kept":70,"cut":false,"hidden":false,"merged":[[19,8,19,9],[19,10,19,14],[19,19,19,24],[20,2,20,4],[20,8,20,10],[20,12,20,15],[40,15,40,17],[41,17,53,17],[40,18,45,18],[49,18,53,18],[55,0,67,0],[55,1,60,1],[55,2,56,5],[55,27,57,29],[57,2,57,5],[57,20,57,25],[58,2,59,5],[60,2,60,8],[60,9,60,33],[66,1,67,1],[66,2,66,5],[66,20,66,23],[67,2,67,8],[67,9,67,33],[57,10,57,15],[61,1,65,1],[61,2,62,5],[63,2,63,5],[64,2,64,5],[64,8,64,9],[65,2,65,8],[65,9,65,33],[21,2,21,4],[21,5,21,10],[22,30,22,32],[26,1,39,1],[26,29,26,32],[27,2,29,2],[27,28,27,29],[27,30,27,32],[28,23,28,25],[28,26,28,27],[29,6,29,15],[30,2,32,2],[30,26,30,31],[27,20,27,23],[31,19,31,31],[32,9,32,32],[33,2,39,2],[34,30,34,32],[36,25,36,27],[24,31,24,32],[13,0,39,0],[13,1,13,4],[13,9,13,13],[13,18,13,19],[13,24,13,25],[13,31,13,32],[15,1,21,1],[15,2,15,8],[16,4,16,6],[16,7,16,9],[17,2,17,8],[17,29,17,32],[18,2,19,2],[18,3,18,11],[18,12,18,14],[22,1,25,1],[24,17,24,19],[24,20,24,22],[24,23,24,25],[19,4,19,7],[25,7,25,8],[25,9,25,14],[25,17,25,18],[25,19,25,24],[5,2,5,7],[5,30,5,33],[4,25,4,29],[5,25,5,29],[4,20,4,24],[5,20,5,24],[4,14,4,19],[5,14,5,19],[11,2,11,4],[11,18,12,21],[11,22,12,33],[12,2,12,4],[4,8,4,13],[5,8,5,13],[10,2,10,4],[10,9,10,11],[10,12,10,13],[6,2,7,4],[6,22,6,32],[7,11,7,21],[7,23,7,33],[8,2,8,4],[8,27,8,28],[8,29,8,32],[10,28,10,32],[1,0,12,0],[1,1,12,1],[1,2,1,4],[1,5,1,9],[1,11,1,12],[1,17,1,18],[1,19,1,20],[1,22,1,24],[3,26,3,27],[3,2,3,4],[3,5,3,10],[3,11,3,13],[3,14,3,19],[3,20,3,21],[3,22,3,25],[4,2,4,7],[2,2,2,4],[2,5,2,6],[2,7,2,8],[2,9,2,11],[2,12,2,24],[9,2,9,4],[9,9,9,11],[9,12,9,14],[40,19,40,27],[41,22,41,27],[43,22,43,27],[44,22,44,27],[45,22,45,27],[40,12,40,14],[41,14,53,14],[0,24,0,26],[0,27,0,33],[3,28,3,33],[4,30,4,33],[1,29,1,33],[25,27,25,28],[25,29,25,32],[40,28,40,30],[40,31,40,33],[40,0,54,0],[40,1,53,1],[40,2,53,2],[54,1,54,2],[41,3,46,5],[47,3,48,5],[49,3,51,5],[52,3,53,5],[41,6,41,11],[42,6,42,11],[43,6,43,11],[44,6,44,11],[45,6,45,11],[46,6,46,11],[47,6,47,11],[48,6,48,11],[49,6,49,11],[50,6,50,11],[51,6,51,11],[52,6,52,11],[53,6,53,11],[40,3,40,11],[41,30,45,30],[41,33,45,33],[49,19,49,21],[50,19,50,21],[51,19,51,21],[52,19,53,21],[47,18,48,21],[47,26,48,29],[47,22,48,23],[47,24,48,25],[47,30,48,31],[47,32,48,33],[43,19,45,21],[41,19,42,21],[42,22,42,27],[54,27,54,32],[53,23,53,32],[64,16,64,17],[64,19,64,20],[64,21,64,33],[64,14,64,15],[64,6,64,7],[46,18,46,27],[46,28,46,30],[46,31,46,33],[63,6,63,7],[63,30,63,32]]}
["脳","回復期・維持期用連携シート（脳卒中地域連携パス　北九州標準モデルver.3）",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"]
["MSW","基本情報","氏名",null,null,null,null,null,null,null,"様","性別",null,null,"男",null,"女","年齢",null,null,null,"歳","かかりつけ医",null,null,null,"無",null,"有"]
[null,null,"イニシャル",null,null,null,null,"生年月",null,null,null,null,"←名前の記入をご希望されない場合はイニシャル及び生年月のみご記入下さい。"]
[null,null,"入院日",null,null,"年　月　日",null,null,null,null,null,"退院日",null,null,"年　月　日",null,null,null,null,null,"病名",null,null,null,null,null,"発症日",null,"年　月　日"]
[null,null,"担当医",null,null,null,null,null,"看護師",null,null,null,null,null,"MSW",null,null,null,null,null,"PT",null,null,null,null,"OT",null,null,null,null,"ST"]
[]
[null,null,"転院先",null,null,null,"自宅",null,null,"介護保健施設",null,null,null,null,"療養型病院",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,"急性期病院（理由：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","←脳卒中再発や合併症にて急性期病院へ転送される際もご記入ください"]
[null,null,"居宅",null,null,"　　　　　　　　","持ち家",null,null,"借家",null,"共同住宅（",null,null,"エレベーター",null,null,null,"無",null,"有","）","介護保健施設",null,null,null,null,"その他（",null,null,null,null,null,"）"]
[null,null,"同居",null,null,null,"無",null,"有",null,null,null,"※日中在宅者",null,null,null,"無",null,"有",null,"※介護を見込める者",null,null,null,null,null,null,"無",null,"有"]
[null,null,"就業状態",null,null,null,"無",null,"有",null,null,null,"*職種",null,null,"サービス業",null,null,null,"デスクワーク",null,null,null,"肉体労働",null,null,"その他（",null,null,null,null,null,null,"）"]
[null,null,"介護保険",null,null,"      ","無",null,"申請中",null,null,"有",null,null,null,null,null,null,"特記事項"]
[null,null,"身障手帳",null,null,null,"無",null,"申請中",null,null,"有"]
["医師","スケール",null,null,null,null,null,null,null,{"$f":"JCS退院時!$AA$18&\"\"","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"mRS退院時!$A$14&\"\"","v":""}]
[null,null,null,null,null,null,"脳梗塞",null,null,"TIA",null,null,null,null,null,null,null,null,null,null,"脳出血",null,null,null,null,null,null,null,null,"くも膜下出血"]
[null,"発症原因","   　アテローム血栓性",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"高血圧性",null,null,null,null,null,null,null,null,null,"脳動脈瘤"]
[null,null,null,"（","血栓性",null,null,"塞栓性",null,null,null,"血行力学性　）",null,null,null,null,null,"脳動静脈奇形",null,null,null,null,null,null,null,null,null,"脳動静脈奇形"]
[null,null,"   　心原性",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"抗血栓療法",null,null,null,null,null,null,null,null,null,"その他（",null,null,null,null,null,"）"]
[null,null,null," 　　 心房細動を主とする不整脈",null,null,null,null,null,null,null,null," 弁膜症",null,null,null,null,"アミロイドアンギオパチー",null,null,null,null,null,null,null,null,null,"不明"]
[null,null,null,null,"奇異性塞栓症",null,null,null," その他(",null,null,null,null,null,null,")",null,"その他（",null,null,null,null,null,null,null,"）"]
[null,null,"  ラクナ",null,null,null,"BAD",null,"血管解離",null,null,null," 無症候性",null,null,null,null,"不明"]
[null,null,"その他（",null,null,null,null,null,null,null,null,"）",null,"不明"]
[null,"治療",null,"保存療法",null,null,null,null,null,null,null,"t-PA",null,null,null,null,null,"保存療法",null,null,null,null,null,null,null,null,null,"血管内治療",null,null,"保存的治療"]
[null,null,null,"血管内治療",null,null,null,null,null,null,null,"頸動脈剥離術",null,null,null,null,null,"外科的治療",null,null,null,null,null,null,null,null,null,"外科的治療"]
[null,null,null,"頸動脈ステント術",null,null,null,null,null,null,null,"バイパス術",null,null,null,null,null,"開頭血種除去",null,null,"  穿頭術",null,null,"脳室ドレナージ",null,null,null,"クリッピング",null,null,"その他(",null,null,")"]
[null,null,null,"外減圧術",null,null,null,"その他（",null,null,null,null,null,null,null,"）",null,"その他（",null,null,null,null,null,null,null,"）",null,"その他（",null,null,null,null,null,"）"]
[null,"今後の医学的管理","降圧治療",null,null,null,"無",null,"有","( 目標",null,null,"130/80mmHg",null,null,null,null,"135/85mmHg",null,null,null,null,"140/90mmHg",null,null,null,null,"その他（",null,null,null,null,null,"))"]
[null,null,"内服治療","抗血小板療法",null,null,null,"無",null,"有","(",null,"アスピリン",null,null,null,"クロピトグレル",null,null,null,"シロスタゾール",null,null,null,null,"チクロピジン",null,null,"その他（",null,null,null,null,"）)"]
[null,null,null,"抗凝固療法",null,null,null,"無",null,"有","(",null,"ワーファリン（",null,null,null,"INR2.0～3.0",null,null,null,"INR1.6～2.6",null,null,"その他 INR",null,null,"～",null,"）",null,"NOAC/DOAC)"]
[null,null,null,"その他",null,"（",null,null,null,null,null,null,null,null,null,null,")＊抗血小板薬２剤併用時や抗凝固療法中の脳出血時などは内服治療の方針を明記して下さい。"]
[null,null,"画像検査","頭部画像検査　　　　　",null,null,null,null,null,null,"必要なし",null,null,"必要あり",null,null,"（",null,"頭部CT",null,null,"頭部MRI",null,null,"その他（",null,null,null,null,null,null,null,"）","）"]
[null,null,null,"その他の画像検査　　 　",null,null,null,null,null,null,"必要なし",null,null,"必要あり",null,null,"（","検査名（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","）"]
[null,null,null,"期間・頻度に関して記載（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,"合併症管理","水頭症",null,null,null,null,null,null,"無",null,"治療中（",null,null,"シャント造設術後",null,null,null,null,null,"保存療法",null,null,null,"）"]
[null,null,null,"脳卒中後てんかん",null,null,null,null,null,null,"無",null,"治療中（",null,null,"抗てんかん薬内服（血中モニターの必要性",null,null,null,null,null,null,null,null,null,null,"無",null,"有)",null,"経過観察",null,null,"）"]
[null,null,null,"痙縮",null,null,null,null,null,null,"無",null,"治療中（",null,null,"A型ボツリヌス毒素",null,null,null,null,null,"抗痙縮薬",null,null,null,"リハビリテーション",null,null,null,null,"）"]
[null,null,null,"深部静脈血栓症",null,null,null,null,null,null,"無",null,"入院中に治癒",null,null,null,null,"治療中",null,"（",null,"抗凝固療法",null,null,null,"経過観察",null,null,"）"]
[null,null,null,"脳卒中後うつ",null,null,null,null,null,null,"無",null,"入院中に治癒",null,null,null,null,"治療中",null,"（",null,"抗うつ薬",null,null,null,"経過観察",null,null,"）"]
[null,null,null,"誤嚥性肺炎",null,null,null,null,null,null,"無",null,"入院中に治癒",null,null,null,null,"治療中"]
[null,null,null,"褥創",null,null,null,null,null,null,"無",null,"入院中に治癒",null,null,null,null,"治療中"]
["栄養士・看護師・リハビリ",null,"運動","項目",null,null,null,null,null,null,null,null,"入院時",null,null,"退院時",null,null,"認知","項目",null,null,null,null,null,null,null,null,"入院時",null,null,"退院時"]
[null,null,null,"セルフケア",null,null,"A食事（箸・スプーン）",null,null,null,null,null,{"$f":"FIM入院時!$AC5&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC5&\"\"","v":""},"点",null,null,"コミュニケーション",null,null,"N理解（聴覚、視覚）",null,null,null,null,null,{"$f":"FIM入院時!$AC18&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC18&\"\"","v":""},"点"]
[null,null,null,null,null,null,"B整容",null,null,null,null,null,{"$f":"FIM入院時!$AC6&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC6&\"\"","v":""},"点",null,null,null,null,null,"O表出（音声、非音声）",null,null,null,null,null,{"$f":"FIM入院時!$AC19&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC19&\"\"","v":""},"点"]
[null,null,null,null,null,null,"C清拭",null,null,null,null,null,{"$f":"FIM入院時!$AC7&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC7&\"\"","v":""},"点",null,null,"社会認識",null,null,"P社会的交流",null,null,null,null,null,{"$f":"FIM入院時!$AC20&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC20&\"\"","v":""},"点"]
[null,null,null,null,null,null,"D更衣（上半身）",null,null,null,null,null,{"$f":"FIM入院時!$AC8&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC8&\"\"","v":""},"点",null,null,null,null,null,"Q問題解決",null,null,null,null,null,{"$f":"FIM入院時!$AC21&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC21&\"\"","v":""},"点"]
[null,null,null,null,null,null,"E更衣（下半身）",null,null,null,null,null,{"$f":"FIM入院時!$AC9&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC9&\"\"","v":""},"点",null,null,null,null,null,"R記憶",null,null,null,null,null,{"$f":"FIM入院時!$AC22&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC22&\"\"","v":""},"点"]
[null,null,null,null,null,null,"Fトイレ",null,null,null,null,null,{"$f":"FIM入院時!$AC10&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC10&\"\"","v":""},"点",null,"合計点",null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(M42=\"\",M43=\"\",M44=\"\",M45=\"\",M46=\"\",M47=\"\",M48=\"\",M49=\"\",M50=\"\",M51=\"\",M52=\"\",M53=\"\",M54=\"\",AC42=\"\",AC43=\"\",AC44=\"\",AC45=\"\",AC46=\"\"),\"\",SUM(FIM入院時!AC5:AC22))","v":""},null,null,{"$f":"IF(OR(P42=\"\",P43=\"\",P44=\"\",P45=\"\",P46=\"\",P47=\"\",P48=\"\",P49=\"\",P50=\"\",P51=\"\",P52=\"\",P53=\"\",P54=\"\",AF42=\"\",AF43=\"\",AF44=\"\",AF45=\"\",AF46=\"\"),\"\",SUM(FIM退院時!AC5:AC22))","v":""}]
[null,null,null,"排泄",null,null,"G排尿コントロール",null,null,null,null,null,{"$f":"FIM入院時!$AC11&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC11&\"\"","v":""},"点",null,null,null,null,null,{"$f":"MNA!$AE$24","v":""},null,"点",null,null,null,null,null,{"$f":"BI!$A$14","v":""},null,"点"]
[null,null,null,null,null,null,"H排便コントロール",null,null,null,null,null,{"$f":"FIM入院時!$AC12&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC12&\"\"","v":""},"点"]
[null,null,null,"移乗",null,null,"Iベッド、椅子、車椅子",null,null,null,null,null,{"$f":"FIM入院時!$AC13&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC13&\"\"","v":""},"点",null,"問題点","服薬管理",null,null,null,"自立",null,null,"一部介助",null,null,null,"全介助"]
[null,null,null,null,null,null,"Jトイレ",null,null,null,null,null,{"$f":"FIM入院時!$AC14&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC14&\"\"","v":""},"点",null,null,"口腔清潔",null,null,null,"自立",null,null,"一部介助",null,null,null,"全介助"]
[null,null,null,null,null,null,"K浴槽、シャワー",null,null,null,null,null,{"$f":"FIM入院時!$AC15&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC15&\"\"","v":""},"点",null,null,"義歯",null,null,null,"無",null,null,"適合",null,null,null,"不適合"]
[null,null,null,"移動",null,null,"L歩行、車椅子",null,null,null,null,null,{"$f":"FIM入院時!$AC16&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC16&\"\"","v":""},"点",null,null,"問題行動",null,null,null,"無",null,null,"有"]
[null,null,null,null,null,null,"M階段",null,null,null,null,null,{"$f":"FIM入院時!$AC17&\"\"","v":""},"点",null,{"$f":"FIM退院時!$AC17&\"\"","v":""},"点",null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,"処置",null,null,"酸素吸入",null,null,null,"喀痰吸引",null,null,null,"膀胱カテーテル",null,null,null,null,"気管切開",null,null,null,"褥瘡処置",null,null,null,"その他（",null,null,null,null,null,null,null,"）"]
["リハ専門職","PT","Br.stage　",null,null,null,"右下肢",null,null,null,"Ⅰ",null,"Ⅱ",null,"Ⅲ",null,"Ⅳ",null,"Ⅴ",null,"Ⅵ",null,"麻痺なし",null,null,null,null,"失調症状",null,null,null,"失調なし"]
[null,null,null,null,null,null,"左下肢　",null,null,null,"Ⅰ",null,"Ⅱ",null,"Ⅲ",null,"Ⅳ",null,"Ⅴ",null,"Ⅵ",null,"麻痺なし",null,null,null,null,null,null,null,null,"四肢失調"]
[null,null,"装具",null,null,null,null,"無",null,"有(",null,null,null,null,null,null,")",null,"検討中（",null,null,null,null,null,null,null,"）",null,null,null,null,"体幹失調"]
[null,null,"移動能力",null,null,null,null,"不能もしくは二人介助必要",null,null,null,null,null,null,null,null,"体重を支える介助必要",null,null,null,null,null,null,null,"軽く触れる介助必要",null,null,null,null,null,"監視が必要"]
[null,null,null,null,null,null,null,"平地自立",null,null,null,null,null,null,null,null,"完全自立"]
[null,null,"特記事項（訓練内容など）"]
[null,"OT","Br.stage",null,null,null,"右上肢　",null,null,null,"Ⅰ",null,"Ⅱ",null,"Ⅲ",null,"Ⅳ",null,"Ⅴ",null,"Ⅵ",null,"麻痺なし"]
[null,null,null,null,null,null,"左上肢　",null,null,null,"Ⅰ",null,"Ⅱ",null,"Ⅲ",null,"Ⅳ",null,"Ⅴ",null,"Ⅵ",null,"麻痺なし"]
[null,null,"高次\n脳機能\n障害",null,null,null,"無",null,null,"遂行機能障害",null,null,null,"注意障害",null,null,"記憶障害",null,null,"社会的行動障害",null,null,null,null,"失行",null,"失認",null,"その他（",null,null,null,null,")"]
[null,null,"認知面",null,null,null,"MMSE            ",null,null,null,"点",null,"or",null,"HDS-R",null,null,null,"点","その他"]
[null,null,"特記事項（訓練内容など）"]
[null,"ST","言語機能",null,null,null,null,"言語障害なし",null,null,null,null,"構音障害",null,null,null,null,"失語",null,null,"嚥下障害　",null,null,null,null,"嚥下障害なし",null,null,null,"嚥下障害"]
[null,null,"特記事項（訓練内容など）"]
[null,"※　コピーをとって連携先に渡してください。原本は記入医療機関で保存してください。　 また、医師会へ郵送或いはFAXでお送り下さい。"]
[null,"※　任意項目；「ＭＮＡ」「ＢＩ」"]

{"sheet":"JCS退院時","index":1,"n_rows":18,"n_cols":25,"rows_kept":18,"cut":false,"hidden":false,"merged":[[0,8,1,8],[17,26,18,26],[0,0,1,2],[0,9,1,11],[0,12,1,13],[0,14,1,16],[0,17,1,18],[0,19,1,19],[0,20,1,23],[0,24,1,26],[0,3,1,7]]}
["氏名",null,null,{"$f":"回復期・維持期!$F$2&\"\"","v":""},null,null,null,null,"様","性別",null,null,null,null,"年齢",null,null,{"$f":"回復期・維持期!$T$2&\"\"","v":""},null,"歳","施設名",null,null,null,{"$f":"回復期・維持期!$AB$1&\"\"","v":""}]
[]
[]
["Japan Coma Scale"]
["Ⅰ.覚醒している（1桁の点数で表現）"]
[]
[]
[]
[]
["Ⅱ.刺激に応じて一時的に覚醒する（2桁の点数で表現）"]
[]
[]
[]
["Ⅲ.刺激しても覚醒しない（3桁の点数で表現）"]
[]
[]
[]
["付加情報"]

{"sheet":"mRS退院時","index":2,"n_rows":12,"n_cols":25,"rows_kept":12,"cut":false,"hidden":false,"merged":[[13,0,14,2],[3,0,3,2],[3,3,3,4],[0,19,1,19],[0,20,1,23],[3,5,3,6],[11,0,12,2],[4,3,4,4],[5,3,5,4],[6,3,6,4],[7,3,7,4],[8,3,8,4],[9,3,9,4],[10,3,10,4],[0,24,1,33],[0,17,1,18],[0,12,1,13],[0,0,1,2],[0,3,1,7],[0,8,1,8],[0,9,1,11],[0,14,1,16]]}
["氏名",null,null,{"$f":"回復期・維持期!$F$2&\"\"","v":""},null,null,null,null,"様","性別",null,null,null,null,"年齢",null,null,{"$f":"回復期・維持期!$T$2&\"\"","v":""},null,"歳","施設名",null,null,null,{"$f":"回復期・維持期!$AB$1&\"\"","v":""}]
[]
[]
["退院時",null,null,"Grade",null,"mRS"]
[null,null,null,0,null,"全く症状なし"]
[null,null,null,"Ⅰ",null,"何らかの症状はあるが障害はない：通常の仕事や活動は全て行える"]
[null,null,null,"Ⅱ",null,"軽微な障害：これまでの活動は全てはできないが、身の回りのことは援助なしでできる"]
[null,null,null,"Ⅲ",null,"中等度の障害：何らかの援助を要するが、援助なしで歩行できる"]
[null,null,null,"Ⅳ",null,"中等度から重度の障害：援助なしでは歩行できず、身の回りのこともできない"]
[null,null,null,"Ⅴ",null,"重度の障害：ねたきり、失禁、全面的な介護"]
[null,null,null,"Ⅵ",null,"死亡"]
["退院時Grade"]

{"sheet":"MNA","index":3,"n_rows":24,"n_cols":31,"rows_kept":24,"cut":false,"hidden":false,"merged":[[23,30,25,32],[7,30,10,32],[11,30,13,32],[14,0,15,12],[14,30,15,32],[16,30,18,32],[19,30,22,32],[4,30,6,32],[0,0,1,2],[0,3,1,7],[0,8,1,8],[0,9,1,11],[0,12,1,13],[0,14,1,16],[0,17,1,18],[0,19,1,19],[0,20,1,23],[0,24,1,26],[4,0,5,12]]}
["氏名",null,null,{"$f":"回復期・維持期!$F$2&\"\"","v":""},null,null,null,null,"様","性別",null,null,null,null,"年齢",null,null,{"$f":"回復期・維持期!$T$2&\"\"","v":""},null,"歳","施設名",null,null,null,{"$f":"回復期・維持期!$AB$1&\"\"","v":""}]
[]
[]
["栄養状態　MNA"]
["過去３カ月で食欲不振、消化器・嚥下の問題で食事量が減少したか？"]
[]
[]
["過去３カ月で体重減少"]
[]
[]
[]
["自力で歩けるか"]
[]
[]
["過去３カ月間のストレス、急性疾患を経験したか　"]
[]
["神経・精神的問題の有無"]
[]
[]
["ＢＭＩ　　"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(AE5=\"\",AE8=\"\",AE12=\"\",AE15=\"\",AE17=\"\",AE20=\"\"),\"\",SUM(AE5:AG23))","v":""}]

{"sheet":"BI","index":4,"n_rows":17,"n_cols":29,"rows_kept":17,"cut":false,"hidden":false,"merged":[[9,28,10,30],[11,28,11,30],[12,28,12,30],[13,0,15,0],[13,28,13,30],[14,28,14,30],[15,28,16,30],[0,18,1,19],[0,20,1,20],[0,21,1,24],[0,25,1,27],[3,0,11,0],[0,1,1,3],[0,4,1,8],[0,9,1,9],[0,10,1,12],[0,13,1,14],[0,15,1,17],[3,28,3,30],[4,28,5,30],[6,28,6,30],[7,28,7,30],[8,28,8,30]]}
[null,"氏名",null,null,{"$f":"回復期・維持期!$F$2&\"\"","v":""},null,null,null,null,"様","性別",null,null,null,null,"年齢",null,null,{"$f":"回復期・維持期!$T$2&\"\"","v":""},null,"歳","施設名",null,null,null,{"$f":"回復期・維持期!$AB$1&\"\"","v":""}]
[]
[]
["BI","Barthel Index",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"点数"]
[null,"食事"]
[]
[null,"移乗"]
[null,"整容"]
[null,"トイレ"]
[null,"入浴"]
[]
[null,"歩行"]
["合計点","階段昇降"]
[{"$f":"IF(OR(AC5=\"\",AC7=\"\",AC8=\"\",AC9=\"\",AC10=\"\",AC12=\"\",AC13=\"\",AC14=\"\",AC15=\"\",AC16=\"\"),\"\",SUM(AC5:AE17))","v":""},"着替え"]
[null,"排便"]
[null,"排尿"]
["点"]

{"sheet":"FIM入院時","index":5,"n_rows":30,"n_cols":28,"rows_kept":30,"cut":false,"hidden":false,"merged":[[22,19,22,26],[16,19,16,27],[17,19,17,27],[18,19,18,27],[19,19,19,27],[20,19,20,27],[21,19,21,27],[3,76,3,77],[17,0,21,0],[13,19,13,27],[14,19,14,27],[15,19,15,27],[10,19,10,27],[11,19,11,27],[12,19,12,27],[3,19,3,28],[4,19,4,27],[5,19,5,27],[6,19,6,27],[7,19,7,27],[3,78,3,79],[4,0,16,0],[0,17,1,19],[0,20,1,20],[0,21,1,23],[0,24,1,27],[0,0,1,2],[0,3,1,7],[0,8,1,8],[0,9,1,11],[0,12,1,13],[0,14,1,16],[8,19,8,27],[9,19,9,27],[3,61,3,62],[3,63,3,64]]}
["氏名",null,null,{"$f":"回復期・維持期!$F$2&\"\"","v":""},null,null,null,null,"様","性別",null,null,null,null,"年齢",null,null,{"$f":"回復期・維持期!$T$2&\"\"","v":""},null,null,"歳","施設名",null,null,{"$f":"回復期・維持期!$AB$1&\"\"","v":""}]
[]
[]
["\nFIM\n     ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時"]
["運動\n","セルフケア",null,null,null,null,null,null,null,null,"A食事（箸・スプーン）"]
[null,null,null,null,null,null,null,null,null,null,"B整容"]
[null,null,null,null,null,null,null,null,null,null,"C清拭"]
[null,null,null,null,null,null,null,null,null,null,"D更衣（上半身）"]
[null,null,null,null,null,null,null,null,null,null,"E更衣（下半身)"]
[null,null,null,null,null,null,null,null,null,null,"Fトイレ"]
[null,"排泄",null,null,null,null,null,null,null,null,"G排尿コントロール"]
[null,null,null,null,null,null,null,null,null,null,"H排便コントロール"]
[null,"移乗",null,null,null,null,null,null,null,null,"Iベッド、椅子、車椅子"]
[null,null,null,null,null,null,null,null,null,null,"Jトイレ"]
[null,null,null,null,null,null,null,null,null,null,"K浴槽、シャワー"]
[null,"移動",null,null,null,null,null,null,null,null,"L歩行、車椅子"]
[null,null,null,null,null,null,null,null,null,null,"M階段"]
["認知","コミュニケーション",null,null,null,null,null,null,null,null,"N理解（聴覚、視覚）"]
[null,null,null,null,null,null,null,null,null,null,"O表出（音声、非音声）"]
[null,"社会認識",null,null,null,null,null,null,null,null,"P社会的交流"]
[null,null,null,null,null,null,null,null,null,null,"Q問題解決"]
[null,null,null,null,null,null,null,null,null,null,"R記憶"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計点",null,null,{"$f":"IF(OR(AC5=\"\",AC6=\"\",AC7=\"\",AC8=\"\",AC9=\"\",AC10=\"\",AC11=\"\",AC12=\"\",AC13=\"\",AC14=\"\",AC15=\"\",AC16=\"\",AC17=\"\",AC18=\"\",AC19=\"\",AC20=\"\",AC21=\"\",AC22=\"\"),\"\",SUM(AC5:AC22))","v":""},null,null,null,null,null,null,null,"点"]
["自立",null,null,null,"7：完全自立"]
[null,null,null,null,"6：修正自立（時間がかかるが、補助具が必要、安全性の配慮が必要）"]
["部分介助",null,null,null,"5：監視、準備（監視、指示、促し、準備）"]
["介助あり",null,null,null,"4：最小介助（75％以上自分で行う）"]
[null,null,null,null,"3：中等度介助（50％以上75％未満を自分で行う）"]
["完全介助",null,null,null,"2：最大介助（25％以上50％未満を自分で行う）"]
[null,null,null,null,"1：全介助（25％未満しか自分で行わない）"]

{"sheet":"FIM退院時","index":6,"n_rows":30,"n_cols":29,"rows_kept":30,"cut":false,"hidden":false,"merged":[[0,14,1,16],[0,0,1,2],[0,3,1,7],[0,8,1,8],[0,9,1,11],[0,12,1,13],[0,17,1,19],[0,20,1,20],[0,21,1,23],[0,24,1,27],[3,19,3,28],[3,63,3,64],[3,76,3,77],[3,78,3,79],[4,0,16,0],[4,19,4,27],[5,19,5,27],[6,19,6,27],[7,19,7,27],[8,19,8,27],[9,19,9,27],[3,61,3,62],[10,19,10,27],[11,19,11,27],[12,19,12,27],[13,19,13,27],[14,19,14,27],[15,19,15,27],[22,19,22,27],[16,19,16,27],[17,0,21,0],[17,19,17,27],[18,19,18,27],[19,19,19,27],[20,19,20,27],[21,19,21,27]]}
["氏名",null,null,{"$f":"回復期・維持期!$F$2&\"\"","v":""},null,null,null,null,"様","性別",null,null,null,null,"年齢",null,null,{"$f":"回復期・維持期!$T$2&\"\"","v":""},null,null,"歳","施設名",null,null,{"$f":"回復期・維持期!$AB$1&\"\"","v":""}]
[]
[]
["\nFIM\n     ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時"]
["運動\n","セルフケア",null,null,null,null,null,null,null,null,"A食事（箸・スプーン）"]
[null,null,null,null,null,null,null,null,null,null,"B整容"]
[null,null,null,null,null,null,null,null,null,null,"C清拭"]
[null,null,null,null,null,null,null,null,null,null,"D更衣（上半身）"]
[null,null,null,null,null,null,null,null,null,null,"E更衣（下半身)"]
[null,null,null,null,null,null,null,null,null,null,"Fトイレ"]
[null,"排泄",null,null,null,null,null,null,null,null,"G排尿コントロール"]
[null,null,null,null,null,null,null,null,null,null,"H排便コントロール"]
[null,"移乗",null,null,null,null,null,null,null,null,"Iベッド、椅子、車椅子"]
[null,null,null,null,null,null,null,null,null,null,"Jトイレ"]
[null,null,null,null,null,null,null,null,null,null,"K浴槽、シャワー"]
[null,"移動",null,null,null,null,null,null,null,null,"L歩行、車椅子"]
[null,null,null,null,null,null,null,null,null,null,"M階段"]
["認知","コミュニケーション",null,null,null,null,null,null,null,null,"N理解（聴覚、視覚）"]
[null,null,null,null,null,null,null,null,null,null,"O表出（音声、非音声）"]
[null,"社会認識",null,null,null,null,null,null,null,null,"P社会的交流"]
[null,null,null,null,null,null,null,null,null,null,"Q問題解決"]
[null,null,null,null,null,null,null,null,null,null,"R記憶"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計点",null,null,{"$f":"IF(OR(AC5=\"\",AC6=\"\",AC7=\"\",AC8=\"\",AC9=\"\",AC10=\"\",AC11=\"\",AC12=\"\",AC13=\"\",AC14=\"\",AC15=\"\",AC16=\"\",AC17=\"\",AC18=\"\",AC19=\"\",AC20=\"\",AC21=\"\",AC22=\"\"),\"\",SUM(AC5:AC22))","v":""},null,null,null,null,null,null,null,null,"点"]
["自立",null,null,null,"7：完全自立"]
[null,null,null,null,"6：修正自立（時間がかかるが、補助具が必要、安全性の配慮が必要）"]
["部分介助",null,null,null,"5：監視、準備（監視、指示、促し、準備）"]
["介助あり",null,null,null,"4：最小介助（75％以上自分で行う）"]
[null,null,null,null,"3：中等度介助（50％以上75％未満を自分で行う）"]
["完全介助",null,null,null,"2：最大介助（25％以上50％未満を自分で行う）"]
[null,null,null,null,"1：全介助（25％未満しか自分で行わない）"]

{"sheet":"CPS ","index":7,"n_rows":16,"n_cols":5,"rows_kept":16,"cut":false,"hidden":false,"merged":[[2,0,2,4],[4,0,7,4]]}
["CPSチェックシート 　　(監修：札幌医科大学医学部脳神経外科　教授　三國　信啓　先生) "]
[]
["複雑部分発作（CPS）は気付かれにくく、見過ごされていることが多い発作です。しかし、CPSを拾い上 げて治療することで、大発作への全般化を減らし、発作による事故などを少なくできる可能性がありま す。本CPSチェックシートを有効にご活用下さい。"]
[]
["《使用方法》\n※１剤以上の抗てんかん薬を服用されている方が対象です。\n※複雑部分発作(CPS)は患者さん本人の自覚がない発作のため、ご家族など、日常生活をともにされている方にチェックをいただく必要があります。\n※１個でもチェックがついたら、発作が完全にゼロになっていないことを疑ってください。\n※薬物治療の強化を行っても症状の改善が見られない場合は、専門医への紹介を考慮ください。 \n※飲み忘れ・怠薬がないかどうかを常に確認することが大切です。\n\n\n≪判定方法≫\n１）B・C合わせて２点以上 　　⇒すぐに薬物治療強化を行います。\n２）Cが１点(その他の項目はAに限る) 　　\n    　    ⇒具体的なエピソードを聞き、下記リスクの有無をご確認ください。 　　　\n　　　　　●生活に支障をきたしているかどうか 　　\n　　　　　●危険を伴う事が起こりそうかどうか(仕事関係・一人で過ごす時間も多い等) 　　　\n                　　　 ⇒１つでも当てはまればリスクあり ：すぐに薬物治療の強化を行います。 \n                          当てはまらなければリスクなし　：様子を見る。次回の外来時も続けてチェックがつくようであれば、治療強化を考えます。 \n３）上記以外の場合 　　⇒様子を見る。次回の外来時も続けてチェックがつくようであれば、治療強化を考えます。 \n"]
[]
[]
[]
[]
["チェック項目","A\n月に１～２回ほど","B\n週に１～２回ほど","C\n週に３回以上","D\n特になし"]
["①１点をずーっと見つめ、ぼーっとしているときがある。"]
["②こちらの問いかけに答えが返ってこなかったり、まと外れな答えが返って\n　きたりすることがある。"]
["③口をもごもごしたり、手をもぞもぞしたりして意識がはっきりしないときがある。"]
["④動作が止まっていることがある。"]
["⑤“何をしていたか覚えていない”という時がある。\n　 (いつの間にか移動していた等)"]
["合計点"]