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[null,"脳卒中地域連携診療計画書",{"$nulls":9},"南信州脳卒中地域連携パスVer2.1　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　\n\n                                病院\n"]
["患者氏名",{"$nulls":4},"病　名",{"$nulls":5},"説明日","年　　月　　日"]
[{"$nulls":4},"様","手　術",{"$nulls":5},"説明者"]
[]
[null,null,"急性期治療",{"$nulls":8},"亜急性期・回復期病棟など"]
["入院からの日数",null,"1日目","2日目","3日目",null,"～7日目",null,"1～2\n週目",null,"～1ヶ月","1ヶ月","2～3ケ月","3か月超"]
["転院のための判断基準"]
[]
["手術・転院予定"]
["点滴治療"]
["内服治療"]
["処置"]
["CT・MRI・血管撮影"]
["検査"]
["リハビリテーション\n（PT・OT・ST）"]
["食事内容"]
[{"$nulls":8},"ご本人又はご家族の署名"]
[]
[null,null,"※現時点での病状に基づいてご説明させていただきますので、今後変更になる場合があります。"]