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[]
[null,"指定（介護予防）訪問看護事業所事前提出書類"]
[]
[]
[null,"〇　事業所名"]
[]
[]
[null,"〇　サービスの提供状況"]
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[null,null,null,null,null,null,null,null,"月",{"$f":"IF(H10=\"\",\"\",IF(H10=12,1,H10+1))","v":""},"月",{"$f":"IF(J10=\"\",\"\",IF(J10=12,1,J10+1))","v":""},"月",{"$f":"IF(L10=\"\",\"\",IF(L10=12,1,L10+1))","v":""},"月",{"$f":"IF(N10=\"\",\"\",IF(N10=12,1,N10+1))","v":""},"月",{"$f":"IF(P10=\"\",\"\",IF(P10=12,1,P10+1))","v":""},"月",{"$f":"IF(R10=\"\",\"\",IF(R10=12,1,R10+1))","v":""},"月",{"$f":"IF(T10=\"\",\"\",IF(T10=12,1,T10+1))","v":""},"月",{"$f":"IF(V10=\"\",\"\",IF(V10=12,1,V10+1))","v":""},"月",{"$f":"IF(X10=\"\",\"\",IF(X10=12,1,X10+1))","v":""},"月",{"$f":"IF(Z10=\"\",\"\",IF(Z10=12,1,Z10+1))","v":""},"月",{"$f":"IF(AB10=\"\",\"\",IF(AB10=12,1,AB10+1))","v":""},"月"]
[null,"介護予防訪問看護","利用者数計"]
[]
[null,null,"初回加算"]
[]
[null,null,"退院時共同指導加算"]
[]
[null,null,"看護体制強化加算"]
[]
[null,null,"サービス提供体制強化加算"]
[]
[null,null,"早朝・夜間・深夜加算"]
[]
[null,null,"複数名訪問看護加算"]
[]
[null,null,"特別地域訪問看護加算"]
[]
[null,null,"中山間地域等における小規模事業所加算"]
[]
[null,null,"中山間地域等に居住する者へのサービス提供加算"]
[]
[null,null,"緊急時訪問看護加算"]
[]
[null,null,"特別管理加算"]
[]
[null,"訪問看護","利用者数計"]
[]
[null,null,"定期巡回・随時対応型訪問看護と連携"]
[]
[null,null,"初回加算"]
[]
[null,null,"退院時共同指導加算"]
[]
[null,null,"看護・介護職員連携強化加算"]
[]
[null,null,"看護体制強化加算"]
[]
[null,null,"サービス提供体制強化加算"]
[]
[null,null,"早朝・夜間・深夜加算",null,null,null,null," "]
[]
[null,null,"複数名訪問看護加算"]
[]
[null,null,"特別地域加算"]
[]
[null,null,"中山間地域等における小規模事業所加算"]
[]
[null,null,"中山間地域等に居住する者へのサービス提供加算"]
[]
[null,null,"緊急時看護加算"]
[]
[null,null,"特別管理加算"]
[]
[null,null,"ターミナルケア加算"]