平成17年 3月分
整 12345○○太郎 |
| 摘要 点数×回数 |
合計点数 |
1 |
2 |
… |
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□ |
25 |
… |
○ |
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| (33) |
25日 |
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点滴注射(0点手術当日) |
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大塚生食注TN(100ml)1キット |
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フルマリン静注用1g 1瓶 |
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ハルトマンD液「小林｣ 500ml 2瓶 |
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ソリターT3号 (500ml) 1瓶 |
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260×1 |
260 |
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1 |
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ーーーーーーーーーーーーーーーーーーーーーー |
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| (40) |
酸素(１L＝￥0.20) 360L |
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(0.2円×360L×1.3)÷10＝9点 |
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9×1 |
9 |
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1 |
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ーーーーーーーーーーーーーーーーーーーーーー |
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| (50) |
25日 |
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半月板切除術 9100×1 |
9100 |
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1 |
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途中省略 |
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| (90) |
一般病棟入院基本料1(Ⅰ群) |
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1 |
1 |
… |
1 |
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Ⅰ群入院期間加算(14日以内 ) 1661×8 |
13288 |
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1 |
1 |
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1 |
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□日～○日 |
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地域加算(4種) 5×8 |
40 |
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1 |
1 |
… |
1 |
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診療録管理体制加算 30×1 |
30 |
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1 |
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臨床研修病院入院診療加算 30×1 |
30 |
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1 |
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夜間勤務等看護加算3 39×8 |
312 |
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1 |
1 |
… |
1 |
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急性期入院加算 155×8 |
1240 |
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1 |
1 |
… |
1 |
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