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["登録完了番号",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,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L4","v":0},null,null,null,null,"入室日時_月",{"$f":"AS5","v":""}]
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["生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(L7=\"\", \"\", L7)","v":""},{"$f":"IF(R7=\"\", \"\", R7)","v":""},{"$f":"IF(U7=\"\", \"\", U7)","v":""},null,null,"入室日時_分",{"$f":"AV5","v":""}]
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["既往歴",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,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,null,"年齢",{"$f":"AR8","v":""}]
["予防接種歴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",{"$f":"AR9","v":""}]
[null,"初期免疫療法(3種混合)の有無",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,null,null,null,null,null,null,null,null,null,null,null,false,false,false,null,null,"出身地",{"$f":"AR10","v":""}]
[null,"最終予防接種",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,null,"既往歴_血液",{"$f":"AR11","v":false}]
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[null,null,null,null,null,null,null,null,null,null,null,"※　【破傷風になりやすい創傷の場合以下から創傷の種類を選択】",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,null,null,null,null,null,null,"既往歴_不明",{"$f":"AU11","v":false}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,null,null,null,"予防接種歴_初期免疫療法(3種混合)の有無_あり",{"$f":"AR13","v":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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,null,null,null,"予防接種歴_初期免疫療法(3種混合)の有無_なし",{"$f":"AS13","v":false}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,null,null,null,null,"予防接種歴_最終予防接種_10年未満",{"$f":"AS14","v":false}]
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["TQS",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,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,null,null,"予防接種歴_最終予防接種_不明",{"$f":"AU14","v":false}]
["抗体価(IU/ml)(1回目)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(L25=\"\", \"\", L25)","v":""},null,null,null,null,"創傷の程度_なりにくい創傷",{"$f":"AR15","v":false}]
[null,"2回目(1ヶ月後)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,null,null,null,"創傷の程度_なりやすい創傷",{"$f":"AR16","v":false}]
[null,"3回目(6ヶ月-1年後)",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,null,null,null,null,null,null,null,null,null,null,null,"",null,null,null,null,"なりやすい創傷_動物咬傷・掻傷",{"$f":"AR18","v":false}]
["TQS(1回目)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,null,null,null,"なりやすい創傷_熱症",{"$f":"AS18","v":false}]
[null,"2回目(1ヶ月後)",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,null,null,null,null,null,null,null,null,null,null,null,"",null,null,null,null,"なりやすい創傷_慢性創傷",{"$f":"AR19","v":false}]
[null,"3回目(6ヶ月-1年後)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,null,null,null,"なりやすい創傷_園芸中の創傷",{"$f":"AS19","v":false}]
["Follow up",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,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"なりやすい創傷_異物あり洗浄困難",{"$f":"AR20","v":false}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"なりやすい創傷_受傷後6時間以上経過",{"$f":"AS21","v":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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"なりやすい創傷_感染徴候有",{"$f":"AR22","v":false}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TQS_陽性",{"$f":"AR24","v":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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TQS_判定保留",{"$f":"AT24","v":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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2回目(1ヶ月後)",""]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3回目(6ヶ月-1年後)",""]
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[4,5,null,null,null,null,null,null,null,null,null,null,null,0,0,0,1,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,null,null,null,null,null,0,0,0,0,0]
[5,6,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,null,null,null,null,null,0,0,0,0,0]
[6,9,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,null,null,null,null,1,0,0,0,0,0]
[7,10,2011,1,1,null,null,null,null,null,null,null,null,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,null,null,null,null,null,0,0,0,0,0]

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[4,5,null,null,null,null,null,null,null,null,null,null,null,0,0,0,1,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,null,null,null,null,null,0,0,0,0,0]
[5,6,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,null,null,null,null,null,0,0,0,0,0]
[6,9,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,null,null,null,null,1,0,0,0,0,0]
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