{"text_format":"3","workbook":"xls","n_sheets":3,"sheets":["本表填写后打印","依据检查结果填写，个人剂量部分","本表不要变动"],"not_rendered":{"external_links":1,"comments":1},"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"本表填写后打印","index":0,"n_rows":90,"n_cols":5,"rows_kept":90,"merged":[[0,0,0,3],[8,4,24,5],[27,4,31,5],[34,4,47,5],[50,4,60,5],[66,4,68,5],[71,4,85,5],[89,0,89,3]],"flags":["formulas_cached_only"]}
["医疗机构基本情况调查表"]
["医疗机构名称：",null,"医疗机构等级："]
["医疗机构执业许可证发证机关级别：",null,"单位组织机构代码或社会服务代码："]
["年门诊量（人次）：",null,"年住院人数（人次）："]
["地址：",null,"在编职工（人）："]
["总放射工作人员数（人）",null,"编外职工（人）："]
["1、X射线射线影像诊断情况"]
["设备情况：",{"$nulls":3},"相关说明："]
["屏片X射线摄影机（台）",null,"牙片机（台）"]
["DR（台）",null,"牙全景机（台）"]
["CR（台）",null,"口腔CT（台）"]
["直接荧光屏透视机（台）",null,"CT（台）"]
["影像增强器透视机（台）",null,"胃肠机（台）"]
["平板探测器透视机（台）",null,"骨密度仪（台）"]
["乳腺屏片（台）",null,"其他设备（台）"]
["乳腺DR（台）",null,"主要包括："]
["乳腺CR（台）",null,"辐射巡测仪（台）"]
["其他防护用品配备情况说明："]
["铅橡胶围裙（件）",null,"铅帽子（件）"]
["铅橡胶手套（件）",null,"铅眼镜（件）"]
["铅颈套（件）",null,"铅屏风（件）"]
["铅防护衣（件）",null,"铅三角（件）"]
["其他防护用品数量：",null,"主要包括："]
["放射工作人员配置："]
["男性人数（人）:",null,"女性人数（人）:"]
["2、放射治疗（无放射治疗可忽略）"]
["电子加速器数量",null,"剂量扫描装置数量",null,"相关说明："]
["其他设备数量（台）",null,"主要包括："]
["个人剂量报警仪数量（台）",null,"辐射巡测仪数量（台）"]
["是否开展稳定性监测",null,"配备剂量仪数量（台）"]
["放射工作人员配置：",null,"物理师人数（人）："]
["男性人数（人）：",null,"女性人数（人）："]
["3、核医学（无核医学开展可忽略）"]
["设备情况：",{"$nulls":3},"相关说明："]
["PET/CT（PET）数量（台）",null,"生产厂家"]
["SPECT/CT（SPECT）数量（台）",null,"生产厂家"]
["回旋加速器数量（台）",null,"伽马照相机数量（台）"]
["其他设备数量（台）",null,"主要包括"]
["防护用品配备："]
["铅橡胶围裙（件）",null,"铅橡胶帽子（件）"]
["铅橡胶手套（件）",null,"铅防护眼镜（件）"]
["铅橡胶颈套（件）",null,"铅防护屏风（件）"]
["铅防护衣（件）",null,"铅三角（件）"]
["其他防护用品数量",null,"主要包括"]
["表面污染仪数量",null,"活度计数量（台）："]
["放射工作人员配置："]
["男性人数（人）：",null,"女性人数（人）："]
["其中分装、注射等直接操作放射性核素\n放射工作人员数量（人）：",null,"佩戴内外双剂量计监测\n放射工作人员数量（人）："]
["4、介入放射学（未开展可忽略）"]
["设备情况：",{"$nulls":3},"相关说明："]
["数字减影设备（DSA）（台）：",null,"移动式C型臂（台）："]
["其他设备数量（台）",null,"主要包括"]
["防护用品配备："]
["铅橡胶围裙（件）",null,"铅橡胶帽子（件）"]
["铅橡胶手套（件）",null,"铅防护眼镜（件）"]
["铅橡胶颈套（件）",null,"铅防护屏风（件）"]
["铅防护衣服（件）",null,"铅三角（件）"]
["其他防护用品数量（件）",null,"其他防护用品主要包括："]
["铅悬挂防护屏（件）",null,"防护吊帘（件）"]
["床侧防护屏（件）",null,"移动防护屏（件）"]
["床侧防护帘（件）"]
["放射工作人员配置："]
["男性人数（人）：",null,"女性人数（人）："]
["佩戴内外双剂量计监测\n放射工作人员数量：（人）："]
["5、诊疗情况频度","（最近一年，按2017年4月至2018年3月31日计，人数应以实际具体结果为准）"]
["常规X射线诊断人次（人次）：",null,"CT诊断人次（人次）：",null,"相关说明："]
["其他人次（人次）：",null,"其他诊断类型主要包括："]
["介入治疗人次（人次）：",null,"放射治疗人次（人次）："]
["核医学诊断人次（人次）：",null,"核医学治疗人次（人次）："]
["6、放射工作人员培训与职业健康监护"]
["岗前培训人次",null,"在岗培训人数",null,"相关说明："]
["放射工作人持证人数",null,"发证单位："]
["个人剂量监测情况：",null,"提供监测服务的机构名称："]
["建立个人剂量档案人数",null,"年剂量超过20mSv人数"]
["应监测人数",null,"实监测人数"]
["建立职业健康档案人数",null,"提供监测服务的机构名称："]
["应检岗前体检人数",null,"在岗"]
[null,null,"离岗"]
["实检岗前体检人数",null,"在岗"]
[null,null,"离岗"]
["检查可继续从事放射人数",null,"建议暂时脱离人数"]
["不易从事放射工作人数"]
["其中：职业禁忌人数",null,"疑似放射病人数"]
["处理结果调离人数",null,"确诊放射病人数"]
["离岗处理结果调离人数",null,"确诊放射病人数"]
["事故处理结果调离人数",null,"确诊放射病人数"]
["填表人：",null,"填表日期："]
["手机：",null,"邮箱："]
[]
["填表说明：\n1、只有黄色部分需要填写\n2、数量为0不需填写\n3、表格数据为国家统计制定政策依据，请如实填写，与日常监督工作不关联。\n4、请于2018年5月20日前将本表提交至市疾控中心，由市疾控中心统一报市卫计委。"]

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["委托监测单位",{"$nulls":7},"填表说明：黄色部分请按实际结果认真填写！ \n个人剂量监测在省内各疾控中心，包括省、市疾控中心的不需要填写"]
["最后一个具有结果的监测周期开始时间"]
["序号","姓名","第一季度","第二季度","第三季度","第四季度"]
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