報告様式2_確認・記入要領
Contents
1.2. DPC 1 1 1 1 1
3. 1 1 6 7 gt Excel 2 27 6
4. A400 3 4 5 A 400 3 K008 2 A 400 3 K873 10 10 K 9
5. 4 2 1 1 20 1 DPC PDPS Di System PC i H E Ms 1
6. 42 42 5 7 001 399 400 699 2 2
7. 6 7 6 8 27 6 7 2 0 2 1
8. 10 K534 3 9 17
9. 2 27 6 RAN 139 SM 10 K534 3 3 K664 te
10. 27 6 27 7 A238 5 289 27 6 27 7 1 BO05 3 I 290 27 6
11. 1 4 27 6 7
12. ID 8 27 7 2 7 ID T D 8 8 F AX e mail
13. 27 6 27 7 BO01 2 5 251 27 6 27 7 BO01 2 6 252 253 9 E BO001 2 6 27 6
14. ban A400 1 27 6 27 7 137 11 L007 L008 27 6 MK NR 138
15. 1 agnosis Procedure Combination Per Diem Payment 1 P 7 11 51 36 59 26 1 i I CO i 1 Ei E NO 93 26 E
16. 2 1 0 6 1g 13
17. 27 6 27 7 248 NN ES 27 6 27 7 249 J041 1 27 6 27 7 250 VE ee 1 6
18. 2 27 6 27 7 NINE 107 135 2 2 0
19. 1 1 1 K522 1 1 3 1 1 10 14 2 5 0 10 9
20. K 27 6 27 7 No We oie 137 10 K 9 J
21. B C2 _ HP Excel HP 2 6 8 2 gt gt
22. 20 93 26 1 2 2 3
23. K603 B K604 2 K603 K603 K600 J 038 2 K602 1 1 1 27 6 27 7 i 27 7 IAN a IABP 1 2 TABP 1 IABP 2 2 1 27 6 3 K604 2 AA
24. 2 1 1 1 27 1
25. 4 10 K716 1 K716 2 1 2 4 42 42
26. 7 1 7 59 ER NN SN i On 0 lt 0 1 A rt LR H NR i
27. 5 WM NN Qr TT 16 2 3 27 6 27 7 136 ON 10 9 10 K920 K 0 NN DN K768
28. 11 27 6 27 7 A210 1 361 27 6 27 7 1 A211 1 362 27 6 27 7
29. K000 1 5 cm K 000 1 5 cm K000 2 6 1 ND RI eh K 000 2 1 2 5cm K142 2 2 K 142 2 2
30. I 2 2 2 2 2 2 2 3 2 2 2 2
31. 27 6 7 27 6 gt gt gt gt
32. 11 L007 L008 L007 L008 29 K 2 2 2 2
33. 22 2 NARA A206 2 1 A206 3 1 2 27 6 27 7 A238 4
34. H 42 PR 1 2 gt 1 BO001 5 7 001 399 400 699 11 12
35. 27 6 27 7 K939 4 140 0 27 6 EN 141 10 9 K719 3
36. 27 6 7 2 27 6 8 10 20 10
37. 10 2 B gt 6 8 2 27 6 7 5 2 6 7 2 12 11 11 2
38. 1 27 6 27 7 Re 273 276 1 A238 1 14 15 30 31 2 27 6 27 7
39. 37 81 37 2 37 29 5 5 5 70 71 58 8 37 20 2 1 5 28
40. RS a 1 2 1 M v 1 D220 14 27 7 na 27 7 1 25 2
41. 2 ID220 2 7 7 H SA 27 6 i 27 7 27 7 27 7 27 7
42. K469 1 K469 2 A400 3 4 5 A400 3 KO008 2 A400 3 K873 10 Qr
43. 2 27 6 SA 23 27 6 B006 3 gt 27 6 B007 SA GO05 Ss 4 27 6 1 D220 D220 gt es i
44. 3 H002 CD VG gt a mm A308 1 gt A308 1 27 6 dp IH002 1 27 6 8 27 7
45. i 27 7 K178 2 K MES K178 4 19 2 203 213 1 214 215 5 216 II 217 10 MM 219 221 3 K1 K178 2 a TE K178 1 78 K178 1 MI
46. 2 2 6 7 CX1 Excel 1 EC E CD 11 11 1
47. 2 2 2 2 2
48. 9 K469 1 K469 2 3 10 K534 3 10 K534 3 K664
49. 27 6 WE i Y 27 7 NINE 27 7 0 7 CO 2 2 27 6 27 7 HO03 2 357 10 27 6 27 7 A101
50. 1 2 2 2 cilee04dsdialaiul 2 2 2 2 a
51. 1 SI 1 HO07 3 US H003 HO00 3 1 mm H003 gt 1 9 HO00 F 27 6 1
52. 10 31 27 6 7 2 2 2 2 2 2 2 2 2
53. K611 1 2 3 K716 1 K716 2 1 27 6 27 7 142 N000 1 27 6 27 7 N003 1 143 E 27 6 27 7 144 1
54. 27 7 2 7 6 7 2 O
55. 27 7 DPC 2 gt 6 7
56. 1 1 1 H 0 1 42 42 ES 2 1 RO
57. A238 2 277 281 1 A238 2 30 31 90 91 120 12 1 r
58. 27 6 27 7 282 288 A100 A308 3 A317 1 A108 1 A101 A109 1
59. 1 27 6 27 7 1 1 106 2 3 1
60. 27 7 E 1 GO03 3 F 4 K178 RE 27 7 E 1 27 6 A205 2 DD 27 6 a 27 6 27 7 E
61. 2 3 1 1 1 2 1 2 2 1 3 3 A NE 1 1 1 1 1 MM DPC
62. 27 7 1 2 A 254 256 A205 1 1 A205 2 1 lt 27 6 27 7 A206 1 2 3 257 260 A206 1 0
63. 223 225 226 228 229 243 3 244 D230 1 27 6 1 1 1 D230 1 2 2 a ON a K600 1 2
64. 27 7 1 2 gt 1 1 1 3 B 14 024 1 gt D225 27 6 SN 27 6
65. 1 261 27 6 27 7 gt BO005 2 262 6 27 6 27 7 ON ON A 263 27 6 27 7 DAS 1
66. H 1 30 1 30 3 31 K604 2 K604 2 H 1 3 31 K604 2 H 27 6 D227 Re a 2 1 CS kd 3 K603 K60
67. 047 i 27 7 1 2 a 2 27 6 27 7 J048 27 6 27 7 J049 EE 23 2
68. 0120 139 111 9 00 17 00 FAX 0120 139 121 24 11 2 2 2 0 0 0 0
69. 2 I 27 6 27 7 27 6 7 27 6 8 27 6 27 7
70. 27 7 NO a 323 9 27 6 27 7 Cf 324 350 HO02 H003 HO07 HO07 2 H 26 2 351 352 353
71. ER Ni 4 3 27 6 27 7 23 23 1 i Kg GO03 27 6
72. 1 4 K178 2 2 K178 3 1 27 6 Fi it K549 550 K550 2 K546 546 a 1 2 3 K548 27 7 K K K546
73. 354 355 355 007 3 A 001 IH000 1 1 gt 1 HO07 2 1 HO07 1 H IH002 H003
74. 2000_XXXXXXXX_YYYYMMDDhhm ss XXXXXXXX TD 8 YYYYMMDD 2 27 2 6 7
75. 264 27 6 27 7 OR Ce 265 267 J046 NE 30 04 6 2 30 268 270 271 272 H 1 J047 gt 1 CE 0 27 6
76. A109 1 358 27 6 27 7 359 J001 4 1 27 6 27 7 A226 1 360
77. 1 1 1 1 7 7 1 15 1 1 7 7 1 1 15 1 22
78. 10 31 10 1 6 D 1 1 TD 9 4 27 _byousyoukinou mizuho ir co jp
79. J038 1 2 3 J042 1 2 J038 1 1 J038 2 1 J038 3 1 J042 1 1 J042 2 1 J038 1 4 4 5 5 27 6
80. 2 1 5 0 0R 3 2 04 3 TA27 4 045 3 5 1 311 UE 27 6 27 7 J038 1 2 3 J042 1 2 312 322
81. 2 Il ER RK RDK 0 1 C19 a 1 2 1 3 2 ee 1 4 2 ee 7 5 Re 11 6 1 1 11 2 12 94 2 056ssses8sesssessssssssysssvsssvsssvsssssesesiessssessssssse 2 1 26
82. 27 7 2 i 291 24 2 292 293 294 8 295 296 301 302 1 303 o KG gt FE
83. 1 2 2 3 31 604 1 1 2 2 30 K602 1 2 2 1 O 27 6 1 2 2 K604 K604 K604 4 27 7 2 i 1 K60 27 7
84. FD MO CD R 27 6 7 2 Excel E CD R gt 12 11
85. K 30
86. oo gt 6 11 3 oo 93 1 1 b gt k N jm pm 0 15 2
87. 6 7 6 8 27 6 7 2 0 14 2 27 6 7
88. 2 2 2 A 2 7 Excel 7 E CD R R 2 2 2 2 2 2 2 Excel 2
89. K548 1 2 K550 a gt S IO01 0 D230 K549 K5
90. o 28 3 27 6 27 7 136 I P 17 10 K 9 J 10 K920 K 920 2
91. 2 2 2 2 4 2 B gt 2
92. 1 4 4 4 2 15 2 ID 8 27 7 2 7 27 6 7
93. 12 2 4 J045 D220 5 100 200 600 3 7 20 103 207 620
94. 27 6 27 7 J002 1 2 J008 304 310 JO10 TI009 3 002 1 2 J008 J010 E I009 3 1 J002 1 1 IJ002
95. IH001 ll i 27 7 IH001 1 ws 27 6 A308 1 E 27 6 3 J H004 1 27 7
96. A212 1 G63 27 6 27 7 A231 2 1 364 1
97. 1 27 7 1 gt 27 6 27 7 gt 27 6 a OR LT H 27 7 E 27 6 27 7 1 2 20 2 222
98. 24 20 18 20 21 5 4 12 1 13 1
99. 3 K604 B K604 90 4 91 K604 2 1 4 91 1 i K 1 4 gt i 27 7 1 21 2 0 27 6 27 7 245 247 K601 1 2 K601 1 1 K601 2 2 1
100. 49 K549 27 6 1 27 6 A237 2 BO05 5 IK548 3 1 1 2 1 ts K550 2 27 7 27 7 A230 4 i gt 27 6
101. 88 12 11 M 12 MO05 SI 2 27 7 189 0 42 8 2 1 2 90 92 193 194 95 96 202
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