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[null,null,"目次"]
[]
[null,1,"皆様へ"]
[null,2,"利用できる期間"]
[null,3,"管理できる機関"]
[null,4,"フェイスシート"]
[null,5,"支援の履歴"]
[null,6,"発達の記録"]
[null,7,"健診の記録"]
[null,8,"児童発達支援事業所"]
[null,9,"保育園・幼稚園（未満）"]
[null,10,"保育園・幼稚園"]
[null,11,"小学校（１～３年）"]
[null,12,"小学校（４～６年）"]
[null,13,"中学校（１～３年）"]
[null,14,"高等学校（１～３年）"]
[null,15,"１９歳以降"]
[null,16,"連絡欄"]

{"sheet":"１　皆様へ","index":2,"n_rows":1,"n_cols":1,"rows_kept":1,"cut":false,"hidden":false,"merged":[[0,0,23,6]]}
["《ファイルを利用する皆様へ》\n\n・このファイルは本人や家族のものです。利用に際して、願いや\n   迷いが生じた場合は、本人や家族の意思が尊重されます。\n\n・管理は本人や家族でお願い致します。もし、ファイルの保管が\n   心配な場合は支援者の方と相談してください。\n\n・閲覧、コピー、記入等の目的で支援機関にファイルを渡す場合\n   は、お互いの了解の上で行ってください。\n\n・ファイルの中には、本人や家族だけでは書くのが難しい内容も\n   たくさんあります。必要に応じて支援者の方に記入してもらっ\n   てください。\n\n・基本のシート以外に、医療（病院など）、福祉（事業所など）、\n   教育（保育園、幼稚園、学校など）での支援の記録等を自由に\n   綴じ込んでください。\n\n\n《支援者の皆様へ》\n\n・ファイルの利用は、本人や家族の意思に任されています。ただ、\n   支援者の方が本人や家族にとってファイルの利用が必要だと感\n   じられた場合、ファイルの利用を勧めることもできます。\n\n・ファイルの所有と管理は原則本人や家族となります。ファイル\n   を見たり、コピー等をしたり、記入したりする場合には本人や\n   家族の許可が必要です。\n   ただ、一度許可を受けられれば、その都度許可を求める必要は\n   ありません。（表1参照）\n\n・本人や家族での管理が難しい場合は、許可を受けた上で支援者\n   の方が管理していただいても結構です。（表2参照）\n\n・ファイルの内容について、本人や家族による記入が難しい場合\n   は、支援者の方による記入のお手伝いをお願い致します。\n\n この「成長ダイアリー」は利用する方々が生涯に渡って幸せな\n 生活を送っていくために大切なファイルです。\n 支援に関わっていただく皆様のご協力をお願い致します。"]

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["　氏名："]
["《このファイルを利用できる機関》"]
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["／"]
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["／"]
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[]
["＊本人や家族が、ファイルの利用を確認した日付や利用できる機関を事前に記入します。"]
["＊閲覧、複写・転載、記入欄には、可能であれば○をします。"]
["＊利用をする方が増えた場合には書き足し、利用しなくなった方がいた場合には二重線等で消します。"]

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["　氏名："]
["《このファイルを管理できる機関》"]
["貸出日","管理できる機関等","担当㊞","期　　　　間",null,null,"返却日","本人\n家族㊞"]
["／",null,null,"／　　　　～　　　　／",null,null,"／"]
["／",null,null,"／　　　　～　　　　／",null,null,"／"]
["／",null,null,"／　　　　～　　　　／",null,null,"／"]
["／",null,null,"／　　　　～　　　　／",null,null,"／"]
["／",null,null,"／　　　　～　　　　／",null,null,"／"]
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["／",null,null,"／　　　　～　　　　／",null,null,"／"]
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["／",null,null,"／　　　　～　　　　／",null,null,"／"]
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["／",null,null,"／　　　　～　　　　／",null,null,"／"]
["／",null,null,"／　　　　～　　　　／",null,null,"／"]
[]
["＊原則ファイルの管理は本人や家族ですが、管理が心配な場合には代わりの機関が管理できます。"]
["＊ファイルの管理を確認した日付や管理できる機関等を記入します。"]

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["フ　ェ　イ　ス　シ　ー　ト"]
["本人","ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,"性　別",null,null,null,"作成日",null,null,null,"　　　　　年　　月　　日"]
[null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,"男・女",null,null,null,"生年月日",null,null,null,"　　　　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯電話"]
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["住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話"]
[]
[]
[]
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["家　　　　族","続柄",null,"氏　　　名",null,null,null,null,null,"生年月日",null,null,null,"職業（幼保・学校）・電話",null,null,null,null,null,null,null,null,null,null,null,"携帯電話",null,null,null,null,"同居・別居"]
[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,null,null,"同居　　　　・　　　　　別居"]
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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,null,null,"同居　　　　・　　　　　別居"]
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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,null,null,"同居　　　　・　　　　　別居"]
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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,null,null,"同居　　　　・　　　　　別居"]
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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,null,null,"同居　　　　・　　　　　別居"]
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[]
["支 援 の 履 歴"]
["氏名(ふりがな)",null,null,null,null,"（　　　　　　　　　　　　　　）",null,null,"性別",null,"男 ・ 女"]
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["年代","名称・担当者",null,null,"名称・主治医",null,"診断・服薬・リハビリ・入院等（年月日）",null,null,null,null,null,"名称・在籍級／在籍期間・担任／担当",null,null,null,"名称・担当者",null,null,"名称・等級（年月日）"]
["入園前","例：A市役所　B保健師",null,null,"C小児科　D先生",null,"H27.6　発達の相談",null,null,null,null,null,"H27.4　E療育センター　F先生",null,null,null,"A市遊びの広場",null,null,"H27.5 K式(Eセンター)"]
["保育・幼稚園等"]
["小学校"]
["中学校"]
["高等学校等"]
["１９\n歳\n以\n降"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注）「長野県版発達障害者支援のための情報共有ファイル」より一部参照しました．"]

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[null,"氏名：",null,null,null,"発　育　の　記　録　",null,null,null,"(　　　　年　　月　　日作成)"]
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[null,"＜妊娠から出生までの状況＞",null,null,null,null,null,"＜診断名＞",null,"（  有  ・  無  ）"]
[null,"妊娠中の異常",null,"　有（病名　　　　　     　）・ 無"]
[null,"分娩時の異常",null,"　有（病名　　　　　  　　）・ 無"]
[null,"出生時の異常",null,"有　・　無",null,null,null,"　初診日","　　　　　　年　　　月　　　日"]
[null,"　　　有  　","仮死　　強い黄疸　　けいれん\n\n酸素使用　　保育器使用",null,null,null,null,"　診断した病院等"]
[null,null,null,null,null,null,null,"　　　　　　　　　　病院・医院　　　　　　　　先生"]
[null,"その他",null,"（      　 　                              ）",null,null,null,"＜発達の経過＞"]
[null,"在胎期間",null,"　週　　日",null,"出生体重","ｇ","首のすわり",null,null,"ヶ月","ｱｲｺﾝﾀｸﾄ",null,"有 ・ 無","ヶ月"]
[null,"＜出生後の状況＞",null,null,null,null,null,"寝返り",null,null,"ヶ月","人見知り",null,null,"ヶ月"]
[null,"　栄養法",null,"（母乳・混合・人工）",null,"卒乳","ヶ月","お座り",null,null,"ヶ月","指さし",null,null,"ヶ月"]
[null,"　既往歴",null,"有（病名　　　　　　　　）・ 無",null,null,null,"這い這い",null,null,"ヶ月","後追い",null,null,"ヶ月"]
[null,"　治療中の病気",null,"有（病名　　　　　　　　）・ 無",null,null,null,"つかまり立ち",null,null,"ヶ月","始語",null,null,"ヶ月"]
[null,"　かかりやすい病気",null,"有（病名　　　　　　　　）・ 無",null,null,null,"つたい歩き",null,null,"ヶ月","利き手",null,"左　・　右"]
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["氏名：",null,null,null,null,null,null,null,"小学校・小学部４～６年"]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["４　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの支援内容を含めた様子",null,null,null,null,null,null,null,null,null,"今後必要と思われる支援　（記入項目にチェック）"]
[null,"学　習"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　）"]
[]
[]
[]
[]
[]
[]
[]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["５　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの支援内容を含めた様子",null,null,null,null,null,null,null,null,null,"今後必要と思われる支援　（記入項目にチェック）"]
[null,"学　習"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　）"]
[]
[]
[]
[]
[]
[]
[]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["６　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの支援内容を含めた様子",null,null,null,null,null,null,null,null,null,"今後必要と思われる支援　（記入項目にチェック）"]
[null,"学　習"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　）"]

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["氏名：",null,null,null,null,null,null,null,"中学校・中学部１～３年"]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["１　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの支援内容を含めた様子",null,null,null,null,null,null,null,null,null,"今後必要と思われる支援　（記入項目にチェック）"]
[null,"学　習"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　）"]
[]
[]
[]
[]
[]
[]
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["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["２　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの支援内容を含めた様子",null,null,null,null,null,null,null,null,null,"今後必要と思われる支援　（記入項目にチェック）"]
[null,"学　習"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　）"]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（"]
[]
[]
[]
[]
[]
[]
[]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["３　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの支援内容を含めた様子",null,null,null,null,null,null,null,null,null,"今後必要と思われる支援　（記入項目にチェック）"]
[null,"学　習"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）"]
[]
[]
[]
[]
[]
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[null,"生活･行動"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,"）"]
[]
[]
[]
[]
[]
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[null,"対\n人\n関\n係"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,"）"]

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["氏名：",null,null,null,null,null,null,"高等学校・高等部１～３年"]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["１　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの取り組みを含めた様子",null,null,null,null,null,null,null,null,null,"卒業準備チェックリスト（できるものに○、だいたいできるものに☑）"]
[null,"学　習"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]
[]
[]
[]
[]
[]
[]
[]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["２　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの取り組みを含めた様子",null,null,null,null,null,null,null,null,null,"卒業準備チェックリスト（できるものに○、だいたいできるものに☑）"]
[null,"学　習"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]
[]
[]
[]
[]
[]
[]
[]
["記入者所属：",null,null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,"　　　年　　　月　　　日"]
["３　　年","本人・保護者の思い"]
[]
[]
[null,"これまでの取り組みを含めた様子",null,null,null,null,null,null,null,null,null,"卒業準備チェックリスト（できるものに○、だいたいできるものに☑）"]
[null,"学　習"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"生活･行動"]
[]
[]
[]
[]
[]
[]
[]
[null,"対\n人\n関\n係"]

{"sheet":"１５　１９歳以降","index":16,"n_rows":61,"n_cols":19,"rows_kept":61,"cut":false,"hidden":false,"merged":[[60,1,86,23],[31,1,57,23],[60,0,86,0],[31,0,57,0],[30,0,30,2],[30,3,30,6],[30,7,30,8],[30,9,30,13],[30,15,30,17],[30,18,30,23],[59,0,59,2],[59,3,59,6],[59,7,59,8],[59,9,59,13],[0,9,0,16],[0,0,0,6],[2,0,28,0],[2,1,28,23],[59,15,59,17],[59,18,59,23],[1,0,1,2],[1,3,1,6],[1,7,1,8],[1,9,1,13],[1,15,1,17],[1,18,1,23]]}
["氏名：",null,null,null,null,null,null,null,null,"１９歳以降　成人"]
["記入者所属：",null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,null,"年　　　月　　　日"]
["１９\n\n歳"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
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["記入者所属：",null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,null,"年　　　月　　　日"]
["２０\n\n歳"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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["記入者所属：",null,null,null,null,null,null,"氏名：",null,null,null,null,null,null,null,"記入日：",null,null,"年　　　月　　　日"]
["２１\n\n歳"]

{"sheet":"１６　医療的ケア等の状況①","index":17,"n_rows":52,"n_cols":3,"rows_kept":52,"cut":false,"hidden":false,"merged":[[51,0,51,2],[45,1,45,2],[46,1,46,2],[47,1,47,2],[48,1,48,2],[49,1,49,2],[50,1,50,2],[44,1,44,2],[33,1,33,2],[34,1,34,2],[35,1,35,2],[36,1,36,2],[37,1,37,2],[38,1,38,2],[39,1,39,2],[40,1,40,2],[41,1,41,2],[42,1,42,2],[43,1,43,2],[32,1,32,2],[21,1,21,2],[22,1,22,2],[23,1,23,2],[24,1,24,2],[25,1,25,2],[26,1,26,2],[27,1,27,2],[28,1,28,2],[29,1,29,2],[30,1,30,2],[31,1,31,2],[20,1,20,2],[9,1,9,2],[10,1,10,2],[11,1,11,2],[12,1,12,2],[13,1,13,2],[14,1,14,2],[15,1,15,2],[16,1,16,2],[17,1,17,2],[18,1,18,2],[19,1,19,2],[8,1,8,2],[0,0,0,2],[2,1,4,2],[5,1,5,2],[6,1,6,2],[7,1,7,2]]}
["医療的ケア等の状況（　　　年　　　月　　歳現在）"]
["身長　　　ｃｍ","体重　　　ｋｇ","体温　　　℃"]
["依存症"]
["既往症・感染症"]
["　□あり　　□なし"]
["アレルギー","アレルゲン"]
["　□あり　　□なし","　症　状"]
[null,"　対　応"]
["てんかん発作","　予　兆"]
["　□あり　　□なし","発作時の対応"]
[null,"□座薬挿入"]
[null,"□その他"]
["内服薬","服薬方法・時間"]
["　□あり　　□なし"]
["　□薬剤名"]
["　　・"]
["　　・"]
["　　・"]
["　□処方病院"]
["　□お薬手帳等参照"]
["臨時薬","服薬方法・時間"]
["　□あり　　□なし"]
["　□薬剤名"]
["　　・"]
["　□処方病院"]
["吸引"]
["　□あり　　□なし","呼吸障害　□あり　　□なし"]
["　□口腔内　　　　Fr","日常の酸素飽和度"]
["　□鼻腔内　　　　Fr"]
["　□気管内カニュー　　　Fr"]
["　□吸引時のチューブ挿入の長さ"]
["　□吸引処置の頻度"]
["　□その他"]
["排泄"]
["　□排尿","排尿回数　　　回／日　方法"]
["　□排便","排便回数　　　回／日　方法"]
["気管切開","　　　年　　　月施行"]
["　□あり　　□なし","□単管　　□複管"]
["　□人口鼻の着脱"]
["　□ガーゼの交換","頻度"]
["　□カニューレの種類","カフ付き・カフ無し　カフエアー　　 ml"]
["　□カニューレの固定方法","Fr"]
["　□カニューレ交換時期"]
["　□喉頭分離"]
["酸素吸入","使用開始時期　　　年　　　月"]
["　□あり　　□なし","O2　　　１／min ・ Sp02　　％目安    "]
["　□常時同条件での吸入","実施の目安"]
["　□体調の変化により吸入"]
["　□酸素マスク"]
["　□酸素鼻孔カニューレ"]
["　□その他"]
["注）このシートは「在宅重症心身障害児者サポートブック」より参照させていただきました。"]

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["薬剤吸入"]
["　□あり　　□なし","薬剤名"]
["　□常時吸入","時間"]
["　□適時吸入","量"]
["　□噴霧吸入","実施の時間"]
["人工呼吸器","使用開始時期　　　年　　　月"]
["　□あり　　□なし"]
["　□機種"]
["　　条件モード"]
["　　酸素","　　　　　　　　　　　％　　　　　　　　　　　ｌ"]
["　　呼吸回数","　　　　　　　回／分"]
["　　一回換気量","　　　　　　　ml／回"]
["経管栄養","注入方法　　　　　　　　　注入時間"]
["　□あり　　□なし","注入量　　　　　cc"]
["　□経鼻チューブ","サイズ　　　　　cm"]
["　□胃ろう","種類　　　　　　　　　　　サイズ　　 　Fr"]
["　□腸ろう","サイズ　　　　Fr　・　　　　　cm固定"]
["　　栄養剤"]
["発熱時の対応　　　℃以上"]
["　□薬剤名"]
["　□量"]
["　□実施の目安"]
["便秘時の対応"]
["　□薬剤名"]
["　□量"]
["　□実施の目安"]
["　□ガス抜き"]
["緊張時の対応"]
["　□薬剤名"]
["　□量"]
["　□実施の目安"]
["注）このシートは「在宅重症心身障害児者サポートブック」より参照させていただきました。"]

{"sheet":"１８　生活の様子","index":19,"n_rows":17,"n_cols":2,"rows_kept":17,"cut":false,"hidden":false,"merged":[[15,0,15,1],[16,0,16,2],[8,0,8,1],[9,0,9,1],[10,0,10,1],[11,0,11,1],[12,0,13,0],[14,0,14,1],[7,0,7,1],[0,0,0,2],[1,0,1,1],[4,0,4,1],[5,0,5,1],[6,0,6,1]]}
["生活の様子"]
["食事"]
[null,"経口"]
[null,"経管"]
["水分"]
["入浴"]
["歯磨き・洗顔等"]
["外出"]
["家事"]
["金銭管理"]
["睡眠"]
["福祉用具・自助具"]
["コミュニケーション","周囲⇒本人"]
[null,"本人⇒周囲"]
["興味関心・遊び\nこだわり"]
["環境の問題・音や温度\n感覚の過敏さ"]
["注）このシートは「在宅重症心身障害児者サポートブック」より参照させていただきました。"]

{"sheet":"１９　一日の流れ","index":20,"n_rows":26,"n_cols":1,"rows_kept":26,"cut":false,"hidden":false,"merged":[[0,0,0,3],[25,0,25,3]]}
["一日の流れ（食事や水分補給、入浴、排泄、姿勢）"]
["01:00:00"]
["02:00:00"]
["03:00:00"]
["04:00:00"]
["05:00:00"]
["06:00:00"]
["07:00:00"]
["08:00:00"]
["09:00:00"]
["10:00:00"]
["11:00:00"]
["12:00:00"]
["13:00:00"]
["14:00:00"]
["15:00:00"]
["16:00:00"]
["17:00:00"]
["18:00:00"]
["19:00:00"]
["20:00:00"]
["21:00:00"]
["22:00:00"]
["23:00:00"]
[1]
["注）このシートは「在宅重症心身障害児者サポートブック」より参照させていただきました。"]

{"sheet":"２０　連絡票","index":21,"n_rows":20,"n_cols":2,"rows_kept":20,"cut":false,"hidden":false,"merged":[[0,1,0,2]]}
[null,"連絡票"]
[null,"情報発信機関"]
[null,"担当者（職種）"]
[null,"連絡先"]
[null,"連絡内容"]
[]
[null,"情報発信機関"]
[null,"担当者（職種）"]
[null,"連絡先"]
[null,"連絡内容"]
[]
[null,"情報発信機関"]
[null,"担当者（職種）"]
[null,"連絡先"]
[null,"連絡内容"]
[]
[null,"情報発信機関"]
[null,"担当者（職種）"]
[null,"連絡先"]
[null,"連絡内容"]

{"sheet":"２１　連絡欄","index":22,"n_rows":2,"n_cols":2,"rows_kept":2,"cut":false,"hidden":false,"merged":[[25,1,25,8],[26,1,26,8],[27,1,27,8],[28,1,28,8],[29,1,29,8],[20,1,20,8],[21,1,21,8],[22,1,22,8],[23,1,23,8],[24,1,24,8],[15,1,15,8],[16,1,16,8],[17,1,17,8],[18,1,18,8],[19,1,19,8],[10,1,10,8],[11,1,11,8],[12,1,12,8],[13,1,13,8],[14,1,14,8],[5,1,5,8],[6,1,6,8],[7,1,7,8],[8,1,8,8],[9,1,9,8],[0,0,0,8],[1,1,1,8],[2,1,2,8],[3,1,3,8],[4,1,4,8]]}
["　　　　　　　　　本 人 ・ 保 護 者 ・ 関 係 者 連 絡 欄　　　　　　"]
["　年 月 日\n　記 入 者","自 由 に ご 記 入 く だ さ い 。"]