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[null,"介護保険施設栄養管理報告書",null,null,null,null,null,null,null,null,null,null,null,null,"（","令","和",null,null,"年",null,null,"月","分","）"]
[null,"施設名",null,null,null,null,null,null,null,null,null,null,null,"設置者（職・氏名）"]
[null,"郵便番号\n所在地",null,null,null,null,null,null,null,null,null,null,null,"給食責任者（職・氏名）"]
[null,"電話番号\nFAX番号",null,null,null,null,null,null,null,null,null,null,null,"作成者（職・氏名）"]
[null,"e-mail",null,null,null,null,null,null,null,null,null,null,null,"連絡先電話番号"]
[]
[null,"施設種別",null,null,null,null,null,null,null,null,null,null,null,"【栄養ﾏﾈｼﾞﾒﾝﾄ強化加算】",null,null,null,null,null,"【療養食加算】"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"【経口移行加算】",null,null,null,null,null,"【経口維持加算】"]
[null,"定員数",null,"入　所",null,"短　期",null,"通　所",null,"その他",null,"合　計",null,"【配膳時間】",null,null,null,"朝　食",null,"昼　食",null,"間　食",null,"夕　食",null,null,null,null,"【配膳時間】",null,"【適温給食】"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(D11:J11)","v":0},null,null,null,null,null,":",null,":",null,":",null,":",null,null,null,null,"朝食",{"$f":"IF(R11=\":\",\"\",VALUE(TEXT(R11,\"hhmm\")))","v":""},"保温保冷配膳車",false,{"$f":"IF(AF11=TRUE,1,0)","v":0}]
[null,"１回当た\nりの食数",null,"一般食","(         )",null,null,null,"療養食","加算対象",null,null,null,"【適温給食の実施方法】 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昼食",{"$f":"IF(T11=\":\",\"\",VALUE(TEXT(T11,\"hhmm\")))","v":""},"保冷配膳車",false,{"$f":"IF(AF12=TRUE,2,0)","v":0}]
[null,null,null,null,"(         )",null,null,null,null,"上記以外",null,null,null,null,null,null,null,null,null,null,"（",null,null,null,"）",null,null,null,"間食",{"$f":"IF(V11=\":\",\"\",VALUE(TEXT(V11,\"hhmm\")))","v":""},"保温トレイ",false,{"$f":"IF(AF13=TRUE,3,0)","v":0}]
[null,null,null,"　",null,null,null,null,"その他","(         )",null,null,null,"委託業者","名　　称",null,null,null,null,null,null,null,null,null,null,null,null,null,"夕食",{"$f":"IF(X11=\":\",\"\",VALUE(TEXT(X11,\"hhmm\")))","v":""},"保温食器",false,{"$f":"IF(AF14=TRUE,4,0)","v":0}]
[null,null,null,"職員食等",null,null,"朝",null,"昼",null,"夕",null,null,null,"所 在 地",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",false,{"$f":"IF(AF15=TRUE,5,0)","v":0}]
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[null,null,"調　理　員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,"）",null,null,null,"下処理",false,"クックサーブ",false]
[null,null,"事 務 職 員",null,null,null,null,null,null,null,null,null,null,"【施設外調理】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"調理",false,"真空調理",false]
[null,null,"合　　　計",null,null,{"$f":"SUM(F18:F22)","v":0},null,{"$f":"SUM(H18:H22)","v":0},null,{"$f":"SUM(J18:J22)","v":0},null,{"$f":"SUM(L18:L22)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛付",false,true]
[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,"配膳",false]
[null,"　　栄養補給法",null,null,null,null,null,null,null,null,null,null,null,"【食事せん規約】",null,null,null,"有","（",null,"年",null,"月作成",null,"）",null,null,null,"下膳",false]
[null,"【経腸栄養法】",null,null,null,null,null,"【静脈栄養法】",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,"）]",null,null,null,"食器洗浄",false]
[null,"【給食利用者の身体活動レベルの把握】",null,null,null,null,null,null,null,null,null,null,null,"【身長の把握】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",false]
[null,"【血液検査結果の把握】",null,null,null,null,null,null,null,null,null,null,null,"【体重の把握】"]
[null,"【疾病状況の把握】 ",null,null,null,null,null,null,null,null,null,null,null,"【体格指数（BMI）の把握】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【食事せん規約】"]
[null,"【喫食量調査】",null,null,null,null,null,null,null,null,null,null,null,"【嗜好調査】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"病態別",false,{"$f":"IF(AD30=TRUE,1,0)","v":0}]
[null,"【栄養食事相談】",null,null,"個別","入所者",null,"通所者",null,"在　宅",null,"計",null,"集団","入所者",null,"通所者",null,"計",null,"【実施内容】",null,null,null,null,null,null,null,"栄養成分別",false,{"$f":"IF(AD31=TRUE,2,0)","v":0}]
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[null,"【多職種協働】",null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,"無",null,{"$f":"IF(R25=\"無\",4,0)","v":0}]
[null,"【構成職種】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,"）",null,null,null,null,null,{"$f":"MAX(AE30:AE33)","v":0}]
[null,"【非常時危機管理対策】\n（食関連）",null,null,null,null,null,"食中毒発生時マニュアルの整備：",null,null,null,null,null,null,null,null,null,"災害時等マニュアルの整備："]
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[null,null,null,null,null,null,null,"施設間連携 ：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"管理栄養士",false]
[null,"　",null,null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(R3.3）",null,null,null,"栄養士",false]
[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,"医師",false]
[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,"看護師",false]
[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,"介護支援専門員",false]
[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,"理学療法士",false]
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[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,"その他",false]

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[]
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[null,"【食種】",null,null,null,null,null,"（",null,null,null,null,"）","【１人１日当たりの食材料費】",null,null,null,null,null,null,"円"]
[null,"【基準設定】",null,null,null,null,null,"（",null,"年",null,"月","）","【栄養価計算の基準】"]
[null,null,"栄養素等名",null,null,"（単位）",null,"給与栄養目標量",null,null,"給与栄養量",null,null,null,"食品群名",null,null,null,null,"目標量 （g）","給与量 （g）"]
[null,null,"エネルギー",null,null,"（ kcal ）",null,null,null,null,null,null,null,null,"穀類",null,null,"米"]
[null,null,"たんぱく質",null,null,"（  g  ）",null,null,null,null,null,null,null,null,null,null,null,"パン類"]
[null,null,"脂質",null,null,"（  g  ）",null,null,null,null,null,null,null,null,null,null,null,"めん類"]
[null,null,"カルシウム",null,null,"（ mg ）",null,null,null,null,null,null,null,null,null,null,null,"その他の穀類"]
[null,null,"鉄",null,null,"（ mg ）",null,null,null,null,null,null,null,null,"いも及び\nでん粉類",null,null,"いも"]
[null,null,"ビタミンA\n（レチノール活性当量）",null,null,"（μgRAE）",null,null,null,null,null,null,null,null,null,null,null,"いも加工品"]
[null,null,"ビタミンB1",null,null,"（ mg ）",null,null,null,null,null,null,null,null,"砂糖及び甘味類"]
[null,null,"ビタミンB2",null,null,"（ mg ）",null,null,null,null,null,null,null,null,"豆類",null,null,"大豆製品"]
[null,null,"ビタミンC",null,null,"（ mg ）",null,null,null,null,null,null,null,null,null,null,null,"大豆、その他の豆類"]
[null,null,"食物繊維",null,null,"（  g  ）",null,null,null,null,null,null,null,null,"種実類"]
[null,null,"食塩相当量",null,null,"（  g  ）",null,null,null,null,null,null,null,null,"野菜類",null,null,"緑黄色野菜"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他の野菜"]
[null,"エネルギー\n産生栄養素\nバランス\n(%ｴﾈﾙｷﾞｰ)",null,null,"た ん ぱ く 質",null,null,{"$f":"IF(H7=0,\"\",H7*4/H6)","v":""},null,null,{"$f":"IF(K7=0,\"\",K7*4/K6)","v":""},null,null,null,null,null,null,"野菜漬物"]
[null,null,null,null,"脂　　　　　質",null,null,{"$f":"IF(H8=0,\"\",H8*9/H6)","v":""},null,null,{"$f":"IF(K8=0,\"\",K8*9/K6)","v":""},null,null,null,"果実類",null,null,"果実"]
[null,null,null,null,"炭　水　化　物",null,null,{"$f":"IF(H6=0,\"\",(H6-(H7*4+H8*9))/H6)","v":""},null,null,{"$f":"IF(K6=0,\"\",(K6-(K7*4+K8*9))/K6)","v":""},null,null,null,null,null,null,"果実加工品"]
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["セルの説明　",null,null,"【オレンジ】",null,null,"入力必須（入力すると白色に変わります）　",null,null,null,null,null,null,null,null,null,null,"【黄色】",null,"関数が入っているため、自動計算されます。"]
[null,null,null,"【グレー】",null,null,"条件に合致すると、オレンジに変わります。オレンジになれば、入力してください。"]
[null,"（記入例）"]
[null,"介護保険施設栄養管理報告書",null,null,null,null,null,null,null,null,null,null,null,null,"（","令","和",3,null,"年",11,null,"月","分","）"]
[null,"施設名",null,"介護老人保健施設○○",null,null,null,null,null,null,null,null,null,"設置者（職・氏名）",null,null,null,null,"理事長　○○　○○"]
[null,"郵便番号\n所在地",null,"〒555-5555 \n大阪府大阪市阿倍野区○○町1-1-1",null,null,null,null,null,null,null,null,null,"給食責任者（職・氏名）",null,null,null,null,"栄養管理課 課長　□□　□□"]
[null,"電話番号\nFAX番号",null,"06-0000-0000",null,null,null,null,null,null,null,null,null,"作成者（職・氏名）",null,null,null,null,"管理栄養士　△△　△△"]
[null,"e-mail",null,"xxx_xxx@abc.jp",null,null,null,null,null,null,null,null,null,"連絡先電話番号",null,null,null,null,"06-0000-0011"]
[]
[null,"施設種別",null,"1.介護老人保健施設",null,null,null,null,null,null,null,null,null,"【栄養ﾏﾈｼﾞﾒﾝﾄ強化加算】",null,null,null,"有",null,"【療養食加算】",null,null,null,"有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"【経口移行加算】",null,null,null,"無",null,"【経口維持加算】",null,null,null,"無"]
[null,"定員数",null,"入　所",null,"短　期",null,"通　所",null,"その他",null,"合　計",null,"【配膳時間】",null,null,null,"朝　食",null,"昼　食",null,"間　食",null,"夕　食"]
[null,null,null,100,null,1,null,24,null,0,null,{"$f":"SUM(D13:J13)","v":125},null,null,null,null,null,"08:00:00",null,"12:00:00",null,"15:00:00",null,"18:00:00"]
[null,"１回当た\nりの食数",null,"一般食","常食",null,75,null,"療養食","加算対象",null,3,null,"【適温給食の実施方法】 "]
[null,null,null,null,"軟菜",null,10,null,null,"上記以外",null,0,null,null,null,null,null,null,null,null,"（","再加熱カート",null,null,"）",null,null,true]
[null,null,null,"　",null,null,null,null,"その他",null,null,20,null,"委託業者","名　　称",null,null,"株式会社　○○",null,null,null,null,null,null,null,null,null,false]
[null,null,null,"職員食等",null,null,"朝",0,"昼",15,"夕",1,null,null,"所 在 地",null,null,"大阪市北区○○町1-2-3",null,null,null,null,null,null,null,null,null,false]
[null,"給食従事者数（人）","　",null,null,"施　　設",null,null,null,"委　託　業　者",null,null,null,null,"電話番号",null,null,"06-0000-1234",null,null,null,null,null,null,null,null,null,true]
[null,null,null,null,null,"常　勤",null,"常勤以外",null,"常　勤",null,"常勤以外",null,null,"代 表 者",null,null,"■■　■■"]
[null,null,"管理栄養士",null,null,1,null,0,null,0,null,0,null,null,"施設の責任者",null,null,"▲▲　▲▲"]
[null,null,"栄　養　士",null,null,0,null,0,null,1,null,0,null,"【委託内容】"]
[null,null,"調　理　師",null,null,0,null,0,null,1,null,0]
[null,null,"調　理　員",null,null,0,null,0,null,1,null,6,null,null,null,null,null,null,null,"（",null,null,null,null,"）"]
[null,null,"事 務 職 員",null,null,0,null,0,null,0,null,0,null,"【施設外調理】"]
[null,null,"合　　　計",null,null,{"$f":"SUM(F20:F24)","v":1},null,{"$f":"SUM(H20:H24)","v":0},null,{"$f":"SUM(J20:J24)","v":3},null,{"$f":"SUM(L20:L24)","v":6}]
[]
[null,"　　栄養補給法",null,null,null,null,null,null,null,null,null,null,null,"【食事せん規約】",null,null,null,"有","（","R3","年",3,"月作成",null,"）"]
[null,"【経腸栄養法】",null,null,null,"有",null,"【静脈栄養法】",null,null,null,"無",null,null,null,null,null,null,null,null,"（",null,null,null,"）]"]
[null,"【給食利用者の身体活動レベルの把握】",null,null,null,null,null,null,null,"無",null,null,null,"【身長の把握】",null,null,null,null,null,"有"]
[null,"【血液検査結果の把握】",null,null,null,null,null,null,null,"有",null,null,null,"【体重の把握】",null,null,null,null,null,"有"]
[null,"【疾病状況の把握】 ",null,null,null,null,null,null,null,"有",null,null,null,"【体格指数（BMI）の把握】",null,null,null,null,null,"有"]
[null,"【喫食量調査】",null,null,null,null,null,null,null,"有",null,null,null,"【嗜好調査】",null,null,null,null,null,"有"]
[null,"【栄養食事相談】",null,null,"個別","入所者",null,"通所者",null,"在　宅",null,"計",null,"集団","入所者",null,"通所者",null,"計",null,"【実施内容】"]
[null,"無",null,null,null,0,null,0,null,0,null,{"$f":"SUM(F34,H34,J34)","v":0},null,null,0,null,0,null,{"$f":"SUM(O34,Q34)","v":0},null,"-"]
[null,"【多職種協働】",null,null,null,"有",null,"（","褥瘡対策委員会",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"【構成職種】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（","事務職員",null,"）"]
[null,"【非常時危機管理対策】\n（食関連）",null,null,null,null,null,"食中毒発生時ﾏﾆｭｱﾙの整備",null,null,null,null,null,"有",null,null,null,"災害時等ﾏﾆｭｱﾙの整備",null,null,null,null,"有"]
[null,null,null,null,null,null,null,"食品等の備蓄",null,null,"有",null,"（",5,"日分）",null,null,"災害時の具体的な献立",null,null,null,null,"有"]
[null,null,null,null,null,null,null,"施設間連携",null,null,"有"]
[null,"　",null,null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(R3.3）"]

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["セルの説明　",null,null,null,"【オレンジ】","入力必須（入力すると白色に変わります）　",null,null,null,null,null,null,null,null,null,null,null,"【黄色】",null,"関数が入っているため、自動計算されます。"]
[null,null,null,null,"【グレー】","条件に合致すると、オレンジに変わります。オレンジになれば、入力してください。"]
[null,"（記入例）"]
[null,"【食種】",null,null,null,null,null,"（","常食",null,null,null,"）","【１人１日当たりの食材料費】",null,null,null,null,null,725,"円"]
[null,"【基準設定】",null,null,null,null,null,"（","R3","年",3,"月","）","【栄養価計算の基準】",null,null,null,null,null,"八訂"]
[null,null,"栄養素等名",null,null,"（単位）",null,"給与栄養目標量",null,null,"給与栄養量",null,null,null,"食品群名",null,null,null,null,"目標量 （g）","給与量 （g）"]
[null,null,"エネルギー",null,null,"（ kcal ）",null,1600,null,null,1626,null,null,null,"穀類",null,null,"米",null,155,156]
[null,null,"たんぱく質",null,null,"（  g  ）",null,60,null,null,59,null,null,null,null,null,null,"パン類",null,38,40]
[null,null,"脂質",null,null,"（  g  ）",null,40,null,null,41,null,null,null,null,null,null,"めん類",null,16,18]
[null,null,"カルシウム",null,null,"（ mg ）",null,600,null,null,510,null,null,null,null,null,null,"その他の穀類",null,6,8]
[null,null,"鉄",null,null,"（ mg ）",null,8,null,null,7,null,null,null,"いも及び\nでん粉類",null,null,"いも",null,30,34]
[null,null,"ビタミンA\n（レチノール活性当量）",null,null,"（μgRAE）",null,700,null,null,630,null,null,null,null,null,null,"いも加工品",null,5,9]
[null,null,"ビタミンB1",null,null,"（ mg ）",null,0.9,null,null,0.8,null,null,null,"砂糖及び甘味類",null,null,null,null,15,15]
[null,null,"ビタミンB2",null,null,"（ mg ）",null,1,null,null,0.9,null,null,null,"豆類",null,null,"大豆製品",null,30,37]
[null,null,"ビタミンC",null,null,"（ mg ）",null,100,null,null,90,null,null,null,null,null,null,"大豆、その他の豆類",null,5,13]
[null,null,"食物繊維",null,null,"（  g  ）",null,15,null,null,15,null,null,null,"種実類",null,null,null,null,1,1]
[null,null,"食塩相当量",null,null,"（  g  ）",null,7,null,null,7,null,null,null,"野菜類",null,null,"緑黄色野菜",null,150,156]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他の野菜",null,200,172]
[null,"エネルギー\n産生栄養素\nバランス\n(%ｴﾈﾙｷﾞｰ)",null,null,"た ん ぱ く 質",null,null,{"$f":"IF(H8=0,\"\",H8*4/H7)","v":0.15},null,null,{"$f":"IF(K8=0,\"\",K8*4/K7)","v":0.14514145141451415},null,null,null,null,null,null,"野菜漬物",null,1,2]
[null,null,null,null,"脂　　　　　質",null,null,{"$f":"IF(H9=0,\"\",H9*9/H7)","v":0.22500000000000001},null,null,{"$f":"IF(K9=0,\"\",K9*9/K7)","v":0.22693726937269373},null,null,null,"果実類",null,null,"果実",null,20,13]
[null,null,null,null,"炭　水　化　物",null,null,{"$f":"IF(H7=0,\"\",(H7-(H8*4+H9*9))/H7)","v":0.625},null,null,{"$f":"IF(K7=0,\"\",(K7-(K8*4+K9*9))/K7)","v":0.62792127921279217},null,null,null,null,null,null,"果実加工品",null,45,46]
[null,null," ",null,null,null,null,null,null,null,null,null,null,null,"きのこ類",null,null,null,null,13,15]
[null,"【上記の食種における",null,null,null,null,null,"有",null,null,null,null,null,null,"藻類",null,null,null,null,2,1]
[null,"  栄養補助食品等の使用状況】",null,null,null,null,null,null,null,null,null,null,null,null,"魚介類",null,null,"魚介類(生)",null,50,43]
[null,"栄養補助食品等の名称",null,null,null,null,null,"１日あたりの使用量(単位)/日",null,null,null,null,null,null,null,null,null,"干物､塩蔵､缶詰",null,1,1]
[null,"（主な補給目的の栄養素等名）",null,null,null,null,null,"（１日あたりの給与栄養量(単位)/日）",null,null,null,null,null,null,null,null,null,"練製品",null,7,7]
[null,"低脂肪乳",null,null,null,null,null,"200g",null,null,null,null,"/日",null,"肉類",null,null,"肉類(生)",null,60,60]
[null,"（",null,"鉄",null,null,"）","3.5mg",null,null,null,null,"/日",null,null,null,null,"肉加工品",null,4,4]
[null,"低脂肪乳",null,null,null,null,null,"200g",null,null,null,null,"/日",null,"卵類",null,null,null,null,25,25]
[null,"（",null,"カルシウム",null,null,"）","65mg",null,null,null,null,"/日",null,"乳類",null,null,"牛乳",null,165,155]
[null,"強化米",null,null,null,null,null,"0.6g",null,null,null,null,"/日",null,null,null,null,"乳製品",null,4,22]
[null,"（",null,"ビタミンB1",null,null,"）","1.1mg",null,null,null,null,"/日",null,"油脂類",null,null,"植物性",null,8,8]
[null,"【栄養管理における課題】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"動物性",null,0,0]
[null,"・身体状況、喫食状況を把握し、個人に適した食事提供を行う",null,null,null,null,null,null,null,null,null,null,null,null,"調味料\n及び\n香辛料類",null,null,"食塩",null,0.7,0.5]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"しょうゆ",null,14,14]
[null,"【課題に対する改善策、工夫事項】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"みそ",null,10,8]
[null,"・他職種と連携を図り、個人の身体状況・志向の把握に努める。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他の調味料",null,30,28]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"調理済み流通食品類",null,null,null,null,4,10]
[null,"【栄養情報の提供】"]
[null,null,"有",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,true]
[null,null,null,null,null,null,"(","栄養クイズの掲示",null,null,null,null,")]",null,"合計",null,null,null,null,{"$f":"SUM(T7:T38)","v":1114.7},{"$f":"SUM(U7:U38)","v":1121.5}]

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["介護保険施設栄養管理報告書　（　　　年　　　月分）"]
["施 設 名",null,null,null,null,null,null,null,null,null,null,null,"設　置　者（職・氏名）"]
["郵便番号\n所 在 地",null,null,null,null,null,null,null,null,null,null,null,"給食責任者（職・氏名）"]
["\n電話番号\nFAX番号\n\ne-mail",null,null,null,null,null,null,null,null,null,null,null,"作　成　者（職・氏名）"]
[null,null,null,null,null,null,null,null,null,null,null,null," 連絡先　電話番号："]
["施設種別",null,"　　1.介護老人保健施設 　 2.介護医療院",null,null,null,null,null,null,null,null,null,"【栄養マネジメント\n　強化加算】",null,null,null,"有・無",null,"【療養食加算】",null,null,null,"有・無"]
[null,null,"　　3.特別養護老人ホーム",null,null,null,null,null,null,null,null,null,"【経口移行加算】",null,null,null,"有・無",null,"【経口維持加算】",null,null,null,"Ⅰ・Ⅱ・無"]
["定 員 数",null,"入　所",null,"短　期",null,"通　所",null,"その他\n(　　　　)",null,"合計",null,"【配膳時間】",null,null,null,"朝　食",null,"昼　食",null,"間　食",null,"夕　食"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"：",null,"：",null,"：",null,"："]
["１回当た\n\nりの食数",null,"一般食","（）",null,null,null,"療養食","加算対象",null,null,null,"【適温給食の実施方法】 ",null,null,null,null,null,"保温保冷配膳車・保冷配膳車・"]
[null,null,null,"（）",null,null,null,null,"上記以外",null,null,null,"　保温トレイ・保温食器・その他（　　　　　　　　　　　　）"]
[null,null,"　",null,null,null,null,"その他(     )",null,null,null,null,"委　　託　　業　　者","名　　　　称"]
[null,null,"職 員 食 等",null,null,"朝",null,"昼",null,"夕",null,null,null,"所　　在　　地"]
["給　食　従　事　者　数　（人）","　",null,null,"施　　設",null,null,null,"委　託　業　者",null,null,null,null,"電　話　番　号"]
[null,null,null,null,"常　勤",null,"常勤以外",null,"常　勤",null,"常勤以外",null,null,"代　　表　　者"]
[null,"管理栄養士",null,null,null,null,null,null,null,null,null,null,null,"施設の責任者"]
[null,"栄　養　士",null,null,null,null,null,null,null,null,null,null,"【委託内容】 ",null,null,"献立作成・食材調達・下処理・調理・盛付・"]
[null,"調　理　師",null,null,null,null,null,null,null,null,null,null," 配膳・下膳・食器洗浄・その他（　　    　　　   　　　　）"]
[null,"調　理　員"]
[null,"事　務　職　員",null,null,null,null,null,null,null,null,null,null,"【院外調理】",null,null,"クックチル・クックフリーズ・クックサーブ・"]
[null,"合　　　計",null,null,null,null,null,null,null,null,"　",null," 真空調理・その他（　　　　　　　　 　　　　　　　　　　）　"]
[]
["栄　　養　　補　　給　　法",null,null,null,null,null,null,null,null,null,null,null,"【食事せん規約】　有 （    　年    　月作成） ・ 無"]
["【経腸栄養法】",null,null,null,"有・無",null,"【静脈栄養法】",null,null,null,"有・無",null," 有の場合［ 病態別 ・ 栄養成分別 ・ その他（　　　　）］"]
["【給食利用者の身体活動レベルの把握】",null,null,null,null,null,null,null,"有 ・ 無",null,null,null,"【身長の把握】",null,null,null,null,null,"有　・　無"]
["【血液検査結果の把握】",null,null,null,null,null,null,null,"有 ・ 無",null,null,null,"【体重の把握】",null,null,null,null,null,"有　・　無"]
["【疾病状況の把握】 ",null,null,null,null,null,null,null,"有 ・ 無",null,null,null,"【体格指数（BMI）の把握】　",null,null,null,null,null,"有　・　無"]
["【喫食量調査】",null,null,null,null,null,null,null,"有 ・ 無",null,null,null,"【嗜好調査】",null,null,null,null,null,"有　・　無"]
["【栄養食事相談】",null,"個　別",null,"入所者",null,"通所者",null,"在宅",null,"計",null,"集　団",null,"入所者",null,"通所者",null,"計",null,"【実施内容】"]
["有 ・ 無",null,null,null,null,null,"人",null,"人",null,"人",null,null,null,"人",null,"人",null,"人"]
["【多職種協働】",null,null,null,null,"有（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）・ 無"]
["構　成　職　種",null,null,null,null,"管理栄養士・栄養士・医師・看護師・介護支援専門員・理学療法士・介護職員・その他（　   ）"]
["【非常時危機管理対策】\n（食関連）",null,null,null,null,null,"食中毒発生時ﾏﾆｭｱﾙの整備",null,null,null,null,null,"有・無",null,null,null,"災害時等ﾏﾆｭｱﾙの整備",null,null,null,null,"有 ・ 無"]
[null,null,null,null,null,null,"食品等の備蓄",null,null," 有（　   　日分）・無",null,null,null,null,null,null,"災害時の具体的な献立",null,null,null,null,"有 ・ 無"]
[null,null,null,null,null,null,"施設間連携",null,null," 有・無"]
["　",null,null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(R3.3）"]

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[]
[null,"【食種】",null,"（　　　　　　　　　　　）",null,null,null,"【１人１日当たりの食材料費】",null,null,null,null,"　　　　　　　　　円　"]
[null,"【基準設定】　",null,"（　　　　年　　　　　月 　）",null,null,null,"【栄養価計算の基準】",null,null,null,null,"八 訂","七 訂"]
[null,"栄養素等名",null,"（単位）","給与栄養目標量","給与栄養量",null,"食品群名",null,null,null,null,"目標量（ｇ）","給与量（ｇ）"]
[null,"エネルギー",null,"（kcal）",null,null,null,"穀類",null,null,"米"]
[null,"たんぱく質",null,"（ ｇ ）",null,null,null,null,null,null,"パン類"]
[null,"脂質",null,"（ ｇ ）",null,null,null,null,null,null,"めん類"]
[null,"カルシウム",null,"（ｍｇ）",null,null,null,null,null,null,"その他の穀類"]
[null,"鉄",null,"（ｍｇ）",null,null,null,"いも及びでん粉類",null,null,"いも"]
[null,"ビタミンA\n（レチノール活性当量）",null,"(μgRAE）",null,null,null,null,null,null,"いも加工品"]
[null,"ビタミンB1",null,"（ｍｇ）",null,null,null,"砂糖及び甘味類"]
[null,"ビタミンB2",null,"（ｍｇ）",null,null,null,"豆類",null,null,"大豆製品"]
[null,"ビタミンC1",null,"（ｍｇ）",null,null,null,null,null,null,"大豆、その他の豆類"]
[null,"食物繊維",null,"（ ｇ ）",null,null,null,"種実類"]
[null,"食塩相当量",null,"（ ｇ ）",null,null,null,"野菜類",null,null,"緑黄色野菜"]
[null,null,null,null,null,null,null,null,null,null,"その他の野菜"]
["エネルギー産生栄養素バランス　(%ｴﾈﾙｷﾞｰ)",null,"た　　ん　　ぱ　　く　　質",null,null,null,null,null,null,null,"野菜漬物"]
[null,null,"脂　　　　　　　　質",null,null,null,null,"果実類",null,null,"果実"]
[null,null,"炭　　水　　化　　物",null,null,null,null,null,null,null,"果実加工品"]
["　",null,null,null,null,null,null,"きのこ類"]
["【栄養補助食品等の使用状況】","【上記の食種における",null,null,"有　　・　無",null,null,"藻類"]
[null,"栄養補助食品等の使用状況】",null,null,null,null,null,"魚介類",null,null,"魚介類(生)"]
["栄養補助食品等の名称",null,null,null,"１日あたりの使用量　　　",null,null,null,null,null,"干物､塩蔵､缶詰"]
["（主な補給目的の栄養素等名）",null,null,null,"1日あたりの給与栄養量\n(単位)/日",null,null,null,null,null,"練製品"]
[null,null,null,null,"　　　   　 g・mg/日",null,null,"肉類",null,null,"肉類(生)"]
["（）",null,null,null,"　　　    (   　)/日",null,null,null,null,null,"肉加工品"]
[null,null,null,null,"　　　   　 g・mg/日",null,null,"卵類"]
["（）",null,null,null,"　　　    (   　)/日",null,null,"乳類",null,null,"牛乳"]
[null,null,null,null,"　　　   　 g・mg/日",null,null,null,null,null,"乳製品"]
["（）",null,null,null,"　　　    (   　)/日",null,null,"油脂類",null,null,"植物性"]
["【栄養管理における課題】",null,null,null,null,null,null,null,null,null,"動物性"]
[null,null,null,null,null,null,null,"調味料\n及び\n香辛料類",null,null,"食塩"]
[null,null,null,null,null,null,null,null,null,null,"しょうゆ"]
["【課題に対する改善策、工夫事項】",null,null,null,null,null,null,null,null,null,"みそ"]
[null,null,null,null,null,null,null,null,null,null,"その他の調味料"]
[null,null,null,null,null,null,null,"調理済み流通食品類"]
["【栄養情報の提供】"]
[null," 有［ ポスター掲示 ・ 献立の掲示 ・ 栄養メモ ・ "]
[null,"　    　 給食だより ・ その他（　                           ) ］　  ・  無",null,null,null,null,null,"合計"]

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