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[null,null,null,null,null,null,null,null,null,null,"医科","指導","点数表の解釈医科"]
["　　　　○作業１",null,null,null,null,null,null,null,null,"医科","施設基準","集団指導","初・再診料","14年度改定分"]
[null,null,null,null,null,null,null,null,null,"歯科","監査","集団的個別指導","入院料等","16年度改定分"]
[null,null,null,null,null,null,null,null,null,"薬局","その他","個別指導","医学管理等","18年度改定分"]
[null,null,null,null,null,null,null,null,null,"訪問看護","指導","新規個別指導","在宅医療","20年度改定分"]
[null,null,null,null,null,null,null,null,null,"柔道整復","点数表の解釈医科",null,"検査","22年度改定分"]
[null,null,null,null,null,null,null,null,null,"その他",null,null,"画像診断"]
[null,null,null,null,null,null,null,null,null,null,"歯科",null,"投薬"]
["　　　　○作業２",null,null,null,null,null,null,null,null,null,"施設基準",null,"注射"]
[]
[]
[]
[]
["　　　　○作業３",null,null,null,null,null,null,null,null,null,"監査",null,"リハビリテーション"]
[null,null,null,null,null,null,null,null,null,null,"その他",null,"精神科専門療法"]
[null,null,null,null,null,null,null,null,null,null,"指導",null,"処置"]
[null,null,null,null,null,"　　　　　どちらかを選択して下さい。",null,null,null,null,"点数表の解釈歯科",null,"手術"]
[null,null,null,null,null,null,null,null,null,null,null,null,"麻酔"]
[null,null,null,null,null,null,null,null,null,null,null,null,"放射線治療"]
[null,null,null,null,null,null,null,null,null,null,null,null,"病理診断"]
[null,null,null,null,null,null,null,null,null,null,"薬局",null,"その他"]
[null,null,null,null,null,null,null,null,null,null,"施設基準"]
[null,null,null,null,null,null,null,null,null,null,"監査",null,"点数表の解釈歯科"]
[null,null,null,null,null,null,null,null,null,null,"その他",null,"初・再診料"]
[null,null,null,null,null,null,null,null,null,null,"指導",null,"入院料"]
[null,null,null,null,null,null,null,null,null,null,"点数表の解釈薬剤",null,"医学管理等"]
[null,null,null,null,null,null,null,null,null,null,null,null,"在宅医療"]
[null,null,null,null,null,null,null,null,null,null,null,null,"検査"]
[null,null,null,null,null,null,null,null,null,null,null,null,"画像診断"]
[null,null,null,null,null,null,null,null,null,null,null,null,"投薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,"注射"]
[null,null,null,null,null,null,null,null,null,null,null,null,"リハビリテーション"]
[null,null,null,null,null,null,null,null,null,null,null,null,"処置"]
[null,null,null,null,null,null,null,null,null,null,null,null,"手術"]
[null,null,null,null,null,null,null,null,null,null,null,null,"麻酔"]
[null,null,null,null,null,null,null,null,null,null,null,null,"放射線治療"]
[null,null,null,null,null,null,null,null,null,null,null,null,"歯冠修復及び欠損補綴"]
[null,null,null,null,null,null,null,null,null,null,null,null,"歯科矯正"]
[null,null,null,null,null,null,null,null,null,null,null,null,"病理診断"]
[null,null,null,null,null,null,null,null,null,null,null,null,"その他"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"点数表の解釈薬剤"]
[null,null,null,null,null,null,null,null,null,null,null,null,"調剤技術料"]
[null,null,null,null,null,null,null,null,null,null,null,null,"薬剤管理料"]
[null,null,null,null,null,null,null,null,null,null,null,null,"薬材料"]
[null,null,null,null,null,null,null,null,null,null,null,null,"特定保険医療材料料"]
[null,null,null,null,null,null,null,null,null,null,null,null,"医学管理料"]
[null,null,null,null,null,null,null,null,null,null,null,null,"在宅医療"]
[null,null,null,null,null,null,null,null,null,null,null,null,"投薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,"注射"]
[null,null,null,null,null,null,null,null,null,null,null,null,"その他"]
[]
[null,null,null,null,null,null,null,null,null,null,"訪問看護",null,"訪問看護指導"]
[null,null,null,null,null,null,null,null,null,null,"施設基準",null,"集団指導"]
[null,null,null,null,null,null,null,null,null,null,"監査",null,"個別指導"]
[null,null,null,null,null,null,null,null,null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,"訪問看護指導"]
[null,null,null,null,null,null,null,null,null,null,"指定訪問看護の費用"]
[]
[null,null,null,null,null,null,null,null,null,null,"柔道整復"]
[null,null,null,null,null,null,null,null,null,null,"契約・協定"]
[null,null,null,null,null,null,null,null,null,null,"監査"]
[null,null,null,null,null,null,null,null,null,null,"その他"]
[null,null,null,null,null,null,null,null,null,null,"指導"]
[null,null,null,null,null,null,null,null,null,null,"療養費の算定基準"]
[]
[null,null,null,null,null,null,null,null,null,null,"その他"]

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[]
["平成30年診療報酬改定に関する質問",null,null,null,"左記以外の質問",null,null,"（※いずれかに○）"]
["疑義照会票"]
[]
["照 会 日",null,"　　　　年　　　　　月　　　　　日　　"]
["照 会 者",null,"　保険医療機関等の名称"]
[null,null,"　保険医療機関等コード"]
[null,null,"　担当者氏名(所属部署名)",null,"（　　　　　　）"]
[null,null,"　電話番号(内線番号)",null,"（　　　　）"]
["照会対象（※いずれかに○）",null,"　医科　・　歯科 ・　薬局　・　訪問看護　・　（　　　　　　）"]
["照会区分（※いずれかに○）",null,"　算定方法　・　施設基準 ・　その他（　　　　　　　　　　　　　）"]
["対象の点数表\n区分番号・名称",null,null,null,null,null,"（（例）Ａ０００ 初診料）"]
["参考となる書籍・告示・通知等の名称及び該当箇所",null,null,null,null,null,"（（例）医科点数表の解釈Ｐ２４）"]
["照　会　内　容"]
["※具体的かつ詳細に記載してください。"]
[]
[]
[]
[]
[]
[]
[]
["照会に至った経緯"]
["※照会の趣旨・意図・背景・何に困っているのかなどを具体的に記載してください。"]
[]
[]
["貴保険医療機関等の見解"]
["※貴保険医療機関等における現時点での見解を記載してください。"]
[]
[]
["【留意事項等】",null,null,null,null,null,"（※以下は厚生局記載欄）"]
["　＊ 上欄について漏れなく記載してください。",null,null,null,null,null,"受付日"]
["　＊ 照会内容は、この照会票１枚につき１件の記入でお願いします。"]
["　＊ 個人の疑義ではなく、貴機関内で検討しても解釈できないもの"]
["     について照会ください。"]
["　＊ 仮定の内容での照会はご遠慮ください。"]
["　＊ 照会内容によっては回答までに相当の期間を要する場合があり"]
["　　 ます。"]
["　＊ 添付可能な資料等がありましたら、合わせて送信願います。",null,null,null,null,null,"受付番号"]
["　＊ FAXにて送信される場合、送信票は不要です。"]

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["疑義照会票",null,null,null,null,null,null,null,null,null,"参考資料等"]
[null,null,null,null,null,null,"九州－",null,null,null,"（画像データを挿入してこの枠線に入るように調整してください。）"]
["照会日時"]
["照会者情報","氏　　名",null,"徳久　学"]
[null,"所　　属\n（係名まで入力）",null,"九州厚生局医療課指導第二係"]
[null,"連絡先\n（メールアドレス）",null,"tokuhisa-manabu@mhlw.go.jp"]
["照 会 先","(本省担当者名を入力)",null,"古賀 紳介","永井 さよみ"]
["照会区分","区分１","医科","区分２","施設基準","区分３","入院料等","22年度改定分"]
["件　  名","Ａ226-2　緩和ケア診療加算"]
["参考書類等\n（参照条文）","厚生労働省告示72号　保発0305第2号"]
["照　会　内　容"]
["\n\n　緩和ケア診療加算に関する施設基準の中で、「精神症状の緩和を担当する常勤医師」は、「３年以上がん専門病院又は一般病院での精神医療に従事した経験を有する者であること。」とあります。平成１４年の事務連絡で「精神科医である必要がある」と示されていますが、心療内科の医師を「精神症状の緩和を担当する常勤医師」とすることは可能でしょうか。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["照会における地方厚生(支)局の考え方等"]
["\n　今回照会するのは別添履歴書にある医師についてです。この医師については、心療内科の経験があり、緩和ケア病棟において心療内科医として勤務しております。認めても差し支えないと思料します。\n\n　"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["確認者","室長","医療指導管理官","室長補佐","室長補佐"]
[null,null,null,null,null,"回答日時"]
["本省からの回答",null,null,"回答者名"]