{"text_format":"1","workbook":"xlsx","n_sheets":1,"sheets":["診療情報提供書 （兼 診察依頼票）"],"not_rendered":{"charts":0,"images":23,"macros":1,"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":"診療情報提供書 （兼 診察依頼票）","index":0,"n_rows":51,"n_cols":44,"rows_kept":51,"cut":false,"hidden":false,"merged":[[9,2,9,5],[9,6,9,10],[0,0,1,11],[2,1,2,11],[3,0,3,5],[3,6,3,11],[4,0,4,5],[4,6,4,11],[5,2,5,5],[5,6,5,10],[6,2,6,5],[6,6,8,10],[7,1,8,1],[31,1,39,10],[10,1,12,1],[10,6,12,10],[11,4,12,5],[13,1,18,1],[19,1,21,1],[19,7,19,11],[20,7,21,9],[20,10,21,11],[22,1,22,10],[23,1,25,10],[26,1,26,10],[27,1,29,10],[30,1,30,10],[40,1,40,10],[41,1,46,10],[47,7,47,11],[48,7,48,11],[49,7,50,11]]}
["　　診 療 情 報 提 供 書 （兼 診察依頼票）",null,null,null,null,null,null,null,null,null,null,null,null,"M","T","S","H","R"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"男","女"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12]
["熊本労災病院　地域医療連携室行",null,null,null,null,null,"FAX 0965-34-5799",null,null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]
["　　　　　令和　　　年　　　月　　　日",null,null,null,null,null,"（月～金　8:15～17:00）",null,null,null,null,null,null,"月","火","水","木","金","　"]
[null,"ふりがな",null,null,null,null,"貴医療機関名（住所、電話番号、FAX番号）",null,null,null,null,null,null,4,5,6]
[null,"患者氏名"]
[null,"生年月日","T・S・H・R","年","月","日"]
[null,null,null,"歳","性別","男 ・ 女"]
[null,"電話番号",null,null,null,null,"貴医師名"]
[null,"住　所",null,"県",null,"市 ・ 郡"]
[null,null,null,"町"]
[]
[null,"依頼\n診療科"]
[]
[]
[]
[]
[]
[null,"希望日","①令和",null,"月","日","　","希望医師名"]
[null,null,"②令和","年","月","日","　",null,null,null,"医師"]
[null,null,"③令和","年","月","日","　"]
[null,"疾患名・症状"]
[]
[]
[]
[null,"紹介目的"]
[]
[]
[]
[null,"病状経過及び　検査歴・治療経過"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"現在の処方"]
[]
[]
[]
[]
[]
[]
[]
["〒866-8533　熊本県八代市竹原町1670番地",null,null,null,null,null,null,"独立行政法人　労働者健康安全機構"]
["電話　0965-33-4151（代　表）",null,null,null,null,null,null,"熊　本　労　災　病　院"]
["FAX　0965-34-5799（地域医療連携室）"]