1 給食業務取扱要領 1 総則 （1）病院給食は、医療行為
Contents
1. Z lt JE 22. 1 6 9 2 13 1 2 uN 13
3. f HETA O fa eyyrwrwsssm ksxs s h m z t ba p RPE eE EN 7 CE IB F LNA i SO p oh e
4. 5 5 Z
5. VLDL 1 300mg 6g 9g 17 S ua ALL 7 AL AL AL AT LA AT LA LA AT LT LA AT LA LA 7 LT LT LA LT LT LA O
6. O 2 3 O RER
7. 1 1 Z lt 1 1 1 L DORER OV YC bae RR Eb
8. Ha AVA JARE DER AT LA LA LT A a a A 29 HT H O A HBs g g B A B
9. 3 7 5
10. 1 1 CE mss BB 18
11. O s 98 10 5 10 sw os i mo os o2 zs mo oo kcal 104 207 81 153 O O g E10 i u LA ALL AL AL AL T AT AT AT AT LA AL LT AT LT AT AT LA AT LT TAFE AL LA LT O 1 O 1 78g Laela lo
12. EKER 1 HETA ETARA EDA PIRAT EIKE HED gt E 5
13. 3 7 D
14. 11 Z 4 Z _ qa ns p 55 L
15. 4 1 2 3 4 5 1 2 3
16. ea LET 22 za kcal g kg day Co 30735 10 12 0 15 22 34 11 1 x 20 2 5 kE gp 7 5g day H SH I En F gt g day 6g 15 O EEN 30 30 30 S 4 4 4 4 50 50 50 50 50 60 60 60 60 60 Prva HA H j w 1 0 5 5 53 55 35 35 H CD H H 1
17. O 1 BEE m a Harris Benedict 66 5 13 75X kg 5 0X cm 6 78 3 665 1 9 56X kg 1 85 cm 4 86 X 14 1X kg 620 10 8 kg 620 H 37 1
18. 3 4 5 6 7 C 8
19. O O aa Le ee e as ar zs 27 lg _ O O ua AL 7 AT AT AT LT LT LA AT LA AT 7 LT LT LT AT s LT ss T
20. 6 8 1 0
21. 4 5 A 3 6 7 8
22. 2 i a ll y 10
23. 2 il Ha s A 2 Er
24. WEK 1 3 1 a 1 EDDA DODIR ERT Phe Phe Phe ET
25. 10 u 9 s 11 12 1 3 14
26. 3 H lt HACCP 1
27. 7 8 s LT LT O 1 O A O 1 3 EAIA z 5 7mm 11 O
28. O amp FAG amp O IESS eos 5 os im O B A O TE nonoo so o o foo so 5 3 H FC u S aaa ALL LA AL AL AT AT AAA LA LA LA AT AT AT AT AT LA AT LT LT AT LA LT AT LA O B
29. B 1 B 22 kcal g g g 50 20 9g X 80g 9g 100g
30. 237 1 10g E 20 EN SAMO _ __ _ _ _ _ ______ 1 O 2 j 1kcal 1ml 21
31. DOLTZA Sayi RIC DOL L Kise 8 1 2 3 4 H El El El 5 6 7 4 7 1 2 8
32. 7 4 7 2 1 0 1 3 0
33. 5 50 sg 2 0 2 lt 6 7
34. sis EET AER 3 296 S ALL AL AL AL LT AT AT AAA AT AL LA AT LT LA AT LA AT LT LA AT LT LT LA 3 O O f HETA O FF ba
35. 7 8 278 UL tb AETAT 9 x si Ps 10 11 1 2 10 1 2 4 5 3 4 6 7 8 9
36. H l 26 12 gt A NA SR gt WERU 0 RARR gt 5 CERTE 6
37. PFC O 1 BEE a Harris Benedict 66 5 13 75X kg 5 0X cm 6 78X 665 1 9 56 X 1 85X cm 4 86 X b 14 1X kg 620 10 8X kg 620 D X
38. 9 130 E AAE L 9g 170g 1829 2 250kcal 9g 180g 30 69 2 300 2 100kcal 9 200 70 1 850kcal E 18 29 1 700kcal 9g 230g 30 lt 69 1 7501 650kcal 9g 250g 70 1 450kcal 15 65 55 285 9g 180g 612 35 25 135 80g 1 2 40 35 180 100g 3 5 40 26 3 Iyn 5 5 i 4 20 79 9 A B 3 5 7 9 11 12 15 9g 50g 9g 70g
39. 3 4 5 PEREL 15 kcal 1 18 29 2 250kcal 30 69 2 300 2 100kcal 70 1 850kcal 18 29 1 700kcal 30 69 1 750 1 650kcal 15 a kcal g amp 7 g 900 35 25 135 9g Ee 50 1200 180 9g 100g 3 5 kcal g 1000 145 9 98
40. 9 6 1 H HH 9 3 pa gt 2 4 8 5 O
41. 3 1 2 3 4 5 6 7
42. 180g 180g 180g 180g 381808 180g 180g 78 80 78 80 78 80 ME 78 80 78 80 MAX 78 80 450g 20 28 15 00 10 00 20 00 15 00 15 00 1kg 1 00 20 00 JERC 15 00 450 30 00 200g 0 50 gt 15 00 5 00 200g 1 00 5 00 30 00 3 00 RELATI 10 00 lkg 5 00 1 8L 3 00 10 00 lt bh BL 3 00 0 50 6 00 Anga 1 50 1kg 0 50 1 50 1kg 0 50 0 20 k 0 20 ELH 150 00 ELH 150 00 MRI 0 00 5 A AIT L 5 TA U Yp 2 gt 33 08 90 00 50 00 30g 30 00 35 22 80 1_ 70 00 1kg 0 45 LTTE 3 00 BG 20 00 15 00 5 00 15 00 1kg 0 75 3 lt t 88381 BL 2 00 10 00 7 50 1 50 10 00 7 50 5 00 amp 5 3 00
43. 9 1 2 3 4 7 1 5 5 6
44. 15 1 2 3 4 No 16 1 14 2
45. 9g 80g 9g 100g 9g 120g 9g 130g 9g 130g 9g 150g 9g 170g 9g 170g 9g 180g 9g 180g 9g 200g 9g 200g 9g 220g 9g 220g 9g 230g 9g 250g 9g 250g O OO O O OO E 800N E 960N E 1040N E 1120N 6g 80g 6g 100g 6g 120g 6g 130g 6g 130g 6g 150g 6g 170g 6g 170g 6g 180g E 1200N E 1280N E 1360N E 1440N E 1520N E 1600N E 1680N E 1760N 1840 E 1920N 6g 200g Pi Hb E 2000N 6g 200g E 2080N 6g 220g E 2160N 6g 220g 2240 6g 230g E 2320N 6g 250g 2400 P30 E1400 6g 250g 6g P30 E1600 6g P30
46. 1 2 O O so 25 1 st O EH P O WIRA gt
47. 3 A 4 5 KO 14 4 O ul II kcal kg day g kg day g g day g day Eq L POPATA m 0 1 PE 5 5mEq L 50 wa mm 257 30 EBRA
48. 0 2 2 EE W u kg m x m X 22 1kg 1 20 25kcal kg H 25 30kcal kg 22 E g 50 80 205 60 105 385 9 800 2400 800 2240 50 80 20 55 105 355 9 8003 1520 507 65 20 35 105 240 9 8005 1200 50 55 20 30 105 180 9 sam ee m m m m o gt x js F o F les ee m is o o o o x x me sm sz m o gt lt lt m m o o o o x x ee m s 26 o o o L gt lt x E s o o T u we w s 22 o o o L gt lt es o 6 s 26 o o o T m 6 0 zo o o gt x E re 2 a zm o o T gt lt 2 we 6 22 o o
49. 2 210 6 7 15 9 9 6 NER IE as O TI o 5 mm ec IS 6 e ICT TC 25 437 143 36 429 1 198 FARRO 427 560 35 630 1 171 1 3 26 3 ID saza a E 10 5 101 000 s 2 2 102 200 5 GL 25 258 293 8
50. 1 8L IL ikg 500g s t gt IARE 5ml 2888888 8 anno o w 2283838 e S 888838 ks S munamo lt 258888888 s 8 S8g88888888888 s S8 888888888888888 s EACE 8 8 2858288 822888888 gs 8 e sN mmn n 2 88838888 8 88888 88888388888 Sp 888888 100g 500g A a 400ml 8 8 2888828288 59 58 2588 HA _ 7 8L 4042 71 2 9 100g 8 op 58588 1kg 8L 1kg 38888 BEE 77 1 BL Ponnn PoS sss R n 14 F3 2500
51. 500g 10 00 1206 20 00 1 00 50 00 15 00 ikg 1 00 30 00 20 00 10 00 15 00 30 00 7 00 10 00 100g 1 00 15 00 25 00 300g 0 01 1 50 77718 08 454g 10 00 6 00 400 0 30 500g 20 00 3 00 5 00 186 30 00 ELH 0 00 500g 2 00 1lkg 5 00 500g 2 00 0 50 0 50 0 20 500g 0 50 02 RIS 78 wa 1800 26 5 12 26 5 13 X 26 5 14 26 58158 26 5 16 26 5 17 26 5 18 TEE EE KM EBI PI 29 yy 22 1 35kg 200g Ike 208 1 4 AY MAT REREN ATGA oL 1kg 45428 91 2 1 16 1 32x2 937 PI 991
52. 12 WER 1 s
53. x 1330 190 98A 59 288 1600 250 9g kcal Mai B 15 130 281083938 399 MER 5 5916877798 75 ah ah SHE 0 130 400 HFB 1100 1300 PFC 1400 1600 347 1500 1600 gt gt O
54. 3 4 5 6 7 14 1 2
55. 200ml 200 00 200ml 200 00 SSES 7220911 200 00 P 8g 8 00 200ml 200 00 200ml 200 00 SEREEN C 2200 200 00 1 ED ST RS Ep 575 14 25 kcal 601 kcal MR 16 16 kcal 580kcal 17 36 563kcal 11 94 kcal 690 17 04 kcal 553kcal 13 04 koai 625 kcal MA 18 4g ZAR 20 4g 270 HAR 22 9g 43s waw 23 3g kimik 23 24 7g 244 21 9g KAMAE 2 3g 24 5g imuk 24 24 65 305 1806 180g 180g 180g 180g L E 78 80 78 80 78 80 agyak t 7 GP 8 ATA IT 8 A gt 9 8 900 3889381202 GP F497 Mt 1 780g 1 00 m 50 00 amp 30g 90 00 120 00 406 80 00 1 35kg 1 50 40 00 300 2 00 1 8L 3 00 22 50 0 50 1 50 1lkg 0 40 0 20 3 00 1 3 00 3 00 450g 2 00 30 00 1kg 0 40 300g 0 03 BL L 3k 1
56. 0 75 2 00 1 35kg 1 00 1 8L 3 00 8L 5 00 L m 1 50 tA 1 50 4 50 A U ABARH 1 50 3 00 0 30 22 50 0 75 2n gt 98910 PI 1 9 40 00 50 00 VIRE 1kg 10 00 500g 30 00 15 00 50082 40 00 15 00 10 00 500g 30 00 10 00 10 00 550g 0 30 7 2 50 30 00 10 00 M R n 4 01 25008 10 00 LEY 5 00 2 00 29 10 00 0 50 7 1 2 210 6 3 00 AOE 8L 0 50 15 00 0 3 00 300g 0 1 50 1 50 RID U MEP IIM HIMI PN RO URA 8 00 P 40 2 50 59 2 100 40 00 200ml WEM 40 00 500 1kg 10 00 10 00 BRE 99 1kg 1 50 100g 0 50 2 00 Ana eL 2 00 ER skill P
57. 3 1 2 3 1 4 HEEM 3 1 6 HER 3 1 8 F 1 2 1 2 0 2 2 0 8 0 9 0 85 0 9 f 1 35 1 25 1 5 1 6 1 5 1 7 1 6 1 7 1 2 1 6 1 2 1 5 1 5 1 8 20 1 0 1 5 21 40 1 5 1 85 41 100 1 85 2 05 1 1 0 3 37 1 2 1C 0 2 2 kg Fr m x m x22 1kg 1 20 25kca1 kg 2 gt yR 25 30kcal kg 3 30 35kcal kg 13 O cal 90 va z zo a pe Pe pe e e wam os HE
58. C E1600 E2400 F _ F e O exe F10 F30 E1000 E1800 E1200 E2400 E1040 E2000 E800 E1840 E1040 E2000 E800 E2400 2 alp Tol N P30 E1400 E2200 P40 P50 E1400 E2200 P50 P60 E1400 E2200 P50 P60 E1400 E2200 P30 P50 1400 2200 P30 P50 1400 2200 P50 P60 1400 2200 BEETS F10 F20 E1000 E1800 F30 E1400 E1800 F20 F30 E1400 E1800 E1440 E2000 F30 E1400 E1800 10 E1000 E1600 11 E1200 E2400 12 E800 E1800 E PCR FC 1 12
59. sl 2 2 229 E 1520N 6 sl 59 230 E 1600N 2 282 2 3 R 26 3 cN lt co cN ST m N LO co cN mimo 1 NM 45 m T tO LO cO co TS 6 N Ni NIN N m LO lt I cN cN cN cx NN cO ep N N NIN cN Co cN lt N LO cN Co co OO Q O O cN cu cN co Ico cO CN m m N OJN 800 N 1680N 1760N 1840N 30 3 P30 E1400 P30 E1600 P 30 E 1800 P 30 E 2000 P40 E 1400 P 40 E 1600 P 40 E 1800 40 E 2200 50 1400 50 1600 50 1800 P 50 2000 P 60 1600 60 1800 5 E 31 232 33 co lt T CO co m lt N co coco N o N cN Ico cu co CN 1 N lt IO LO LO 860 0O 0O 2696 105 2 075 v
60. 821 7 PE 60 WAYS 5 JE P 200 MAM 14 10mlx40 J 38838883 338888 500g M 2 2 7 500g 7 AF 28mmmikgC ZEH y 10 tban 1 32x2 36g SE 654 kcal 12 6 kcal 734 RN 24 65 601 21 65 27 0g 2 27 6g 295 24 5g 42 Sasna 882323 090 23 9g 561 12 54 651 21 54 3 3g 19 6g 27g 5 34 1805 78 80 680 PH MOEA RIKI 2 60g 80g 80 0 IL 8803118 E 80 IL 0 92 7 8t1001 r14747 2 r5 qz r 100g 1 0 50 tke 1kg 77714 8 4546 1kg M 3722 97 lkg 8 1L 500g 80g 80g
61. 10 1 1 IRD 11 1 gt FEL REDRE WE 2 i 4 NER IT Jo IN 2 5 6
62. 15 00 O O ar 1900 65 55 9 O 10 5 6 Q Q Q x a AT Q a a s V LT LT koal B O 1 1
63. O g g kcal g ER RODIN TAREA g 1cm C 5
64. gt T T gt T lt we n o o gt gt lt Lam am 5 n o o gt 1 Eze aw o o gt T T gt lt x E z m s 6 gt T T T gt T lt le ee ze w s an o o gt T gt lt Eze zm sn o gt T T gt T lt ao eso 1w as o L T T T T lt x x x x x x x x B N B gt gt x x x x gt X x x x x x x x x x x x x x x x x x x x x x x x x x x xj x X x x x x x amp x x N N rN ARER AKR e EW TRW ____________ O 298 EDW OER
65. 0 E1800 375 9g F20 E1800N F30 E1400 230 9g F30 E1400N F30 E1600 275 9g F30 E1600N F30 E1800 325 9g F30 E1800N F332 140 9g F52 3 175 9g 5 7 3 5 7 9 B F x ARENE EEE LDL RIER E AAIE LDL 430 490 9 13 HFB 1100 1300135 50 8 59917 HFC 1400 1600 45 60 8 DSLEW 1500 1600 55 60 13 1 26 827 5 8 3 7 56 6
66. 1 1 2 2 1 2
67. 39 _104 1600 H 7 szs60 105 1800 O 32274 2082 228 6 637 106 20 87 8 865 2 532 107 200 7 2 108 2400 33 3 29 114 135 146 139 13 555 O o 2 243 242 22 92 118 154 140 137 140 12 693 119 O 78 82 6 376 h 510 475 5434 2 55 0 15 772 120 1100 Tl Pp p ss 121 1350 3 sll 3 122 1600 Tp 1 53 _ el GL q ol im ZALANIA T UL T L ha 124 B mem s o gl ol 293 125 Sieso 129 13 129 s5 126 5 126 13 130 s89 127 7 63 6 ie mm 36 _33j7 382 128 14 1 3 4 m oaeen m ss hi 2 2 2 gl 8 131 J 4 _ mam Z O S 2234 132 W si 205l 120 m 0 206 E 1280 2 2 207 E 1360 r 208 E 1440 H 14 14 59jE i 4 4 T 13 210 0 5 24 257 769 2H E 1680 5 el 5 175 212 E 1760 16 T li 213 E 1840 f 159 160 24 E 1920 3 I 140 215 e200 TH PL I
68. 4 00 8 00 1 8 4 50 IELA 20 00 BALER lkg 1 00 50 00 2 00 ELH 50 00 8 00 3 00 10 00 20 00 40 00 60 00 M 2 20 00 0 1 8 8 00 1kg 0 45 10 00 20 00 20 00 20 00 5 00 4 00 75 00 10 00 iL 3 00 15 00 454g 20 00 1 3 00 ikg 4 00 3 00 7 0 30 ang 8L 9 00 30 00 1kg 13 00 3 00 1 50 1 2 00 2 50 188 1000 1kg 7 00 30 00 10 00 1 00 ELH 50 00 SB 20 00 1kg 5 00 1 00 0 50 KEH 1 50 400 0 40 100 00 2 00 10 00 500g 0 50 3 00 MAn 59 1 773 ZK 30 00 KENAZ 30 00 1kg 0 20 20 00
69. 5 5 5 3 5 5 CD 5 ale OO CD ale 54 O CS N CD N N ln 1 CD m N N ojo 16 u 27 aaa LA AL AL AL AT AT AT LA LA LA AL AT LA LT AT AT LA AT AFL LA LA O O F10E1000N F30E1800N F10E1000N F30E1800N 5 rE 5 10 8 1400 5 20 PA 1600 20 PAZE MESE LDL 238 1400 55 30 LDL 98 1600 30 1 271 425 9 O 290 2700
70. E1800 P30 E2000 6g P30 E2200 P40 E1400 6g P40 E1600 P40 E1800 P40 E2000 40 2200 50 1400 P50 E1600 P50 E1800 P50 E2000 P50 E2200 P60 E1400 P60 E1600 P60 E1800 P60 E2000 P60 E2200 ZRH 4 1 2 3 A 3 B fons kcal g F10 E1000 1000 F10 E1000N 1000 F20 E1400 220 260 F20 E1400N F20 E1600 320 9g F20 E1600N F2
71. g 0P P 24478 91 2 LRI 1 587kcal 698 kcal 14 25 583 kcal 14 36 603 k 586 10 25 530 kcal 9 0g 546kcal 27 9g 32 EAR 32 5g 2 3g 24 4g REMER 24e 2316 3 4g 26 0g 244 27 1g 898 26 5g 24g 1 652kcal SN 3 3 69 8 5J 75 2 35 i 24 0 k 1 1 1 83Ikcal 15 4 1 32x2 8 88888 8
72. ojo 67 m 12 67 02 4 3 2 sess 4 600 625 593 1618 901 26 3 I j 1 a ta 136 718 62 60 2 090 4 L 1381 o 279 29 785 a Zx a 5542882 1 66 eef 66 41 556 19 18 18 17 18 18 746 60 73 2 159 506 5 145 8 1440 LU PO l 147 Rim o 14 15 133 3 2 155 60000 0 2 8 sa 12 309 11 973 12 317 1 2 7 1800 26 5 12 26 5 13 26 5 14 26 26 5 16 26 5 17 26 5 18
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