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- <Report Title="" Author="" Company="" Category="" Description="" CreatedDate="2007-09-07 15:07:46" LastSavedDate="2017-07-07 14:51:03" Version="2.5.1.93"><FieldInfo><FieldSet ID="1"><Field Name="sdoa" Type="8" Size="0" Xpath="prninfo/sdoa"/><Field Name="rooa" Type="8" Size="0" Xpath="prninfo/rooa"/><Field Name="pid" Type="8" Size="0" Xpath="prninfo/pid"/><Field Name="rareobstno" Type="8" Size="0" Xpath="prninfo/rareobstno"/><Field Name="insuno" Type="8" Size="0" Xpath="prninfo/insuno"/><Field Name="insdnm" Type="8" Size="0" Xpath="prninfo/insdnm"/><Field Name="hngnm" Type="8" Size="0" Xpath="prninfo/hngnm"/><Field Name="rrgstno" Type="8" Size="0" Xpath="prninfo/rrgstno"/><Field Name="msg" Type="8" Size="0" Xpath="prninfo/msg"/><Field Name="mail" Type="8" Size="0" Xpath="prninfo/mail"/><Field Name="mpphontel" Type="8" Size="0" Xpath="prninfo/mpphontel"/><Field Name="acptplcetel" Type="8" Size="0" Xpath="prninfo/acptplcetel"/><Field Name="acptplceaddr" Type="8" Size="0" Xpath="prninfo/acptplceaddr"/><Field Name="orddeptnm" Type="8" Size="0" Xpath="prninfo/orddeptnm"/><Field Name="genrflagcd" Type="8" Size="0" Xpath="prninfo/genrflagcd"/><Field Name="rareobstcnfmdd" Type="8" Size="0" Xpath="prninfo/rareobstcnfmdd"/><Field Name="maindiagnm" Type="8" Size="0" Xpath="prninfo/maindiagnm"/><Field Name="maindiagcd" Type="8" Size="0" Xpath="prninfo/maindiagcd"/><Field Name="serdiag" Type="8" Size="0" Xpath="prninfo/serdiag"/><Field Name="rareobst" Type="8" Size="0" Xpath="prninfo/rareobst"/><Field Name="cnfmmthditem1" Type="8" Size="0" Xpath="prninfo/cnfmmthditem1"/><Field Name="cnfmmthditem2" Type="8" Size="0" Xpath="prninfo/cnfmmthditem2"/><Field Name="cnfmmthditem3" Type="8" Size="0" Xpath="prninfo/cnfmmthditem3"/><Field Name="cnfmmthditem4" Type="8" Size="0" Xpath="prninfo/cnfmmthditem4"/><Field Name="cnfmmthditem5" Type="8" Size="0" Xpath="prninfo/cnfmmthditem5"/><Field Name="cnfmmthditem6" Type="8" Size="0" Xpath="prninfo/cnfmmthditem6"/><Field Name="cnfmmthditem7" Type="8" Size="0" Xpath="prninfo/cnfmmthditem7"/><Field Name="cnfmmthditem8" Type="8" Size="0" Xpath="prninfo/cnfmmthditem8"/><Field Name="cnfmmthditem9" Type="8" Size="0" Xpath="prninfo/cnfmmthditem9"/><Field Name="cnfmmthditem10" Type="8" Size="0" Xpath="prninfo/cnfmmthditem10"/><Field Name="cnfmmthditem11" Type="8" Size="0" Xpath="prninfo/cnfmmthditem11"/><Field Name="cnfmmthdetc5" Type="8" Size="0" Xpath="prninfo/cnfmmthdetc5"/><Field Name="cnfmmthdetc12" Type="8" Size="0" Xpath="prninfo/cnfmmthdetc12"/><Field Name="rareitem1" Type="8" Size="0" Xpath="prninfo/rareitem1"/><Field Name="rareitem2" Type="8" Size="0" Xpath="prninfo/rareitem2"/><Field Name="rareitem3" Type="8" Size="0" Xpath="prninfo/rareitem3"/><Field Name="rareitem4" Type="8" Size="0" Xpath="prninfo/rareitem4"/><Field Name="rareitem5" Type="8" Size="0" Xpath="prninfo/rareitem5"/><Field Name="rareitem6" Type="8" Size="0" Xpath="prninfo/rareitem6"/><Field Name="rareitem7" Type="8" Size="0" Xpath="prninfo/rareitem7"/><Field Name="rareitem8" Type="8" Size="0" Xpath="prninfo/rareitem8"/><Field Name="rareitem9" Type="8" Size="0" Xpath="prninfo/rareitem9"/><Field Name="raredetc5" Type="8" Size="0" Xpath="prninfo/raredetc5"/><Field Name="raredetc10" Type="8" Size="0" Xpath="prninfo/raredetc10"/><Field Name="genryy" Type="8" Size="0" Xpath="prninfo/genryy"/><Field Name="genrmm" Type="8" Size="0" Xpath="prninfo/genrmm"/><Field Name="genrday" Type="8" Size="0" Xpath="prninfo/genrday"/><Field Name="hosinfo" Type="8" Size="0" Xpath="prninfo/hosinfo"/><Field Name="orddrnm" Type="8" Size="0" Xpath="prninfo/orddrnm"/><Field Name="licnsno" Type="8" Size="0" Xpath="prninfo/licnsno"/><Field Name="appmannm" Type="8" Size="0" Xpath="prninfo/appmannm"/><Field Name="genrdd" Type="8" Size="0" Xpath="prninfo/genrdd"/><Field Name="zipcdaddr" Type="8" Size="0" Xpath="prninfo/zipcdaddr"/><Field Name="relation" Type="8" Size="0" Xpath="prninfo/relation"/><Field Name="signimge" Type="8" Size="0" Xpath="prninfo/signimge"/><Field Name="seq" Type="8" Size="0" Xpath="prnpatinfo/seq"/><Field Name="email" Type="8" Size="0" Xpath="prninfo/email"/><Field Name="elctsignkey" Type="8" Size="0" Xpath="prninfo/elctsignkey"/><Field Name="elctsigncnts" Type="8" Size="0" Xpath="prninfo/elctsigncnts"/><Field Name="pidsignimage" Type="8" Size="0" Xpath="prninfo/pidsignimage"/><Field Name="agrsignkey" Type="8" Size="0" Xpath="prninfo/agrsignkey"/><Field Name="agrsigncnts" Type="8" Size="0" Xpath="prninfo/agrsigncnts"/><Field Name="agrsignimage" Type="8" Size="0" Xpath="prninfo/agrsignimage"/><Field Name="rgstkindcd" Type="1" Size="0" Xpath="prninfo/rgstkindcd"/><Field Name="burnicd10desc" Type="1" Size="0" Xpath="prninfo/burnicd10desc"/><Field Name="spclcd" Type="1" Size="0" Xpath="prninfo/spclcd"/><Field Name="prntdt" Type="1" Size="0" Xpath=""/><Field Name="spclcd1" Type="1" Size="0" Xpath="prninfo/spclcd1"/><Field Name="rareitem10" Type="1" Size="0" Xpath="prninfo/rareitem10"/><Field Name="raredetc11" Type="1" Size="0" Xpath="prninfo/raredetc11"/></FieldSet><FieldSet ID="2"/><FieldSet ID="3"><Field Name="seq" ScriptType="1"><![CDATA[return "+" + "{@seq}" + "+"]]></Field><Field Name="암기타진단명" ScriptType="1"><![CDATA[if ("{@rgstkindcd}" != "02") {
- return "{@maindiagnm}";
- } ]]></Field><Field Name="중증화상코드" ScriptType="1"><![CDATA[var aa = null;
- if ("{@rgstkindcd}" == "02") {
- aa = '{@maindiagnm}' + '(' + '{@burnicd10desc}' + ')';
- return aa;
- }
- ]]></Field><Field Name="상병기호" ScriptType="1"><![CDATA[var aa = null;
- if ("{@rgstkindcd}" != "02") {
- if ( '{@spclcd1}' != "-" && '{@spclcd1}' != "")
- {
- aa = '{@maindiagcd}' + ' / ' + '{@spclcd1}';
- }
- else
- {
- aa = '{@maindiagcd}';
- }
- }
- return aa;
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- return "{@spclcd}";
- } ]]></Field><Field Name="출력일자" ScriptType="1"><![CDATA[var dd = "{@prntdt}";
- var dd1 = dd.substring(0, 4);
- var dd2 = dd.substring(4, 6);
- var dd3 = dd.substring(6, 8);
- if (dd1 != "0000") {
- return dd1+"-"+dd2+"-"+dd3;
- } else {
- return "{%PrintDate}";
- }]]></Field><Field Name="prntdt" ScriptType="1"><![CDATA[var aa = null;
- var prntdt = '{@genryy}' + '년 '
- + '{@genrmm}' + '월 '
- + '{@genrday}' + '일';
- aa = prntdt;
- return aa;]]></Field><Field Name="rgskindcd01" ScriptType="1"><![CDATA[var dd = "{@rgstkindcd}";
- if(dd == "01" || dd == "03" || dd == "04" || dd == "05" || dd == "07" || dd == "08" ){
- return 1;
- } else {
- return 0;
- }
- ]]></Field><Field Name="rgskindcd02" ScriptType="1"><![CDATA[var dd = "{@rgstkindcd}";
- if(dd == "02"){
- return 1;
- } else {
- return 0;
- }
- ]]></Field><Field Name="rgskindcd06" ScriptType="1"><![CDATA[var dd = "{@rgstkindcd}";
- if(dd == "06" || dd == "09"){
- return 1;
- } else {
- return 0;
- }
- ]]></Field><Field Name="rgskindcd08" ScriptType="1"><![CDATA[var dd = "{@rgstkindcd}";
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- } else {
- return 0;
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- var prntdt = '{@genryy}' + '년 '
- + '{@genrmm}' + '월 '
- + '{@genrday}' + '일';
- aa = prntdt;
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성명,주민등록번호,외국인등록번호,주소,전화번호,휴대폰번호,전자메일주소,상병코드,상병명," MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="3" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="3" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="3" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 특정기호,확진일,건강보험증번호,세대주성명" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="4" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="4" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="4" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 4. 개인정보 보유 및 이용기간 : 준영구" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="5" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="5" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="5" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 5. 제3자에게 제공:건강보험심사평가원(진료비심사),요양기관(본인일부부담금경감적용)," MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 보건복지부(국가암 사업 및 의료급여자 산정특례연계),지방자치단체(의료급여1종취득)," MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="7" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="7" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="7" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 환경관리공단(석면피해자지원)에 제공할 수 있음" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="8" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="8" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="8" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 6. 개인정보를 제공받는 자의 개인정보 보유 및 이용기간 : 문서보존기간까지" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="9" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="9" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="9" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 7. 개인정보 제공 동의서는 동의하지 않을 수 있으며, 동의하지 않을 경우에는" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="10" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="10" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="10" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 국민건강보험 산정특례등록 대상자에서 제외 됩니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="11" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="11" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="11" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ○ 본인은 건강보험 산정특례 등록 대상자로 신청하거나 대상자로 선정·등록된 자로, 개인정보" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="12" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="12" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="12" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 보호법제15조제1항 제3호 규정에 의거하여 본인의 개인정보를 제공할 것을 동의합니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="13" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="13" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="13" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ■ 동의함 □ 동의하지 않음" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="14" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="14" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="14" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ○ 본인은 건강보험 산정특례 등록 대상자로 신청하거나 대상자로 선정·등록된 자로, 개인정보" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="15" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="15" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="15" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 보호법 제23조 제1호 규정에 의거하여 본인의 민감정보를 처리할 것을 동의합니다. " MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="16" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="16" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="16" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ■ 동의함 □ 동의하지 않음" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="17" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="17" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="17" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ○ 본인은 건강보험 산정특례 등록 대상자로 신청하거나 대상자로 선정·등록된 자로, 개인정보" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="18" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="18" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="18" BaseCellColIndex="0"/></Row><Row Size="58"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 보호법 제24조 제1항제1호 규정에 의거하여 본인의 고유식별정보를 처리할 것을 동의합니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="19" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="19" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="19" BaseCellColIndex="0"/></Row><Row Size="77"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ■ 동의함 □ 동의하지 않음" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="20" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="20" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="20" BaseCellColIndex="0"/></Row><Row Size="71"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ○ 본인은 건강보험 산정특례 등록 대상자로 신청하거나 대상자로 선정·등록된 자로, 개인정보보호법" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="21" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="21" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="21" BaseCellColIndex="0"/></Row><Row Size="71"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 제17조제1항제2호 규정에 의거하여 본인의 개인정보를 제3자에게 제공할 것을 동의합니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="22" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="22" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="22" BaseCellColIndex="0"/></Row><Row Size="71"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ■ 동의함 □ 동의하지 않음" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="5"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="0"/></Row><Row Size="73"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 위의 사항을 확인합니다. 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Text="!prntdt" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="yyyy"년" mm"월" dd"일"" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="3" FieldIndex="0" StyleIndex="2"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" 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AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="4"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="동의인" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="2"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="1" Text="@appmannm" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="1" FieldIndex="50" StyleIndex="2"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="(서명 또는 인)" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="3"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="< 건강보험 산정특례 등록 신청서 작성요령 >" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="12" FontBold="1" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ① 등록결과 통보방법란은 반드시 1개 이상 선택하여 기재하여 주시고, 통보방법에 따라 문자 " MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="28" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="28" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="28" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 또는 E-mail로 등록 결과가 통보됩니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="29" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="29" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="29" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ② 개인정보 제공동의란은 반드시 수진자 본인의 이름을 기재한 후 본인이 서명하여야 합니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="30" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="30" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="30" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ③ 암.희귀난치성질환의 적용기간은 등록일로부터 5년간 적용합니다. 단, " MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="31" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="31" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="31" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 일반결핵(A15~A19)은 2년간 적용하며, 상세불명 희귀질환의 경우 1년간 적용됩니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="32" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="32" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="32" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ④ 본인부담 제외 대상 결핵의 경우 결핵예방법 시행규칙 제3조 및 별지서식의" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="33" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="33" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="33" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 치료결과보고에 따른 산정특례 종료일까지 적용됩니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="34" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="34" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="34" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" ⑤ 중증화상환자인 경우, 적용기간은 등록일로부터 1년이며, 등록기간 종료 후 진료담당의사의" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="35" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="35" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="35" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" 의학적 판단하에 등록기간을 6개월 연장 할 수 있습니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="36" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="36" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="36" BaseCellColIndex="0"/></Row><Row Size="69"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text=" - 개인정보 관련 문의 : 국민건강보험공단( ☎ 1577-1000 )" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="4" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="궁서체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="1"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="37" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="37" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="37" BaseCellColIndex="0"/></Row></Rows><Cols><Col Size="475"/><Col Size="475"/><Col Size="475"/><Col Size="475"/></Cols><ConditionalStyles/></Control><Control Type="Control.Image" Name="그림1" Visible="0" X1="1418" Y1="1562" Width="250" Height="120" LineStyle="0" LineWidth="0.75" LineColor="0" RoundRate="0" SquareRound="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" SizeMode="4" SourceType="1" Embedding="0" Path="" Frame="0" ImageFormat="1" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0" DataFieldID="1" DataFieldIndex="62"><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/></Control></ListControls><ConditionalStyles/><Script><![CDATA[]]></Script></Section><Section Type="2" Name="보고서바닥글" Height="0" Visible="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" CanGrow="0" CanShrink="0" ColumnWidth="0" ColumnDirection="0" ColumnSpacing="0" ColumnLayout="0" Repeat="0" UnderlayNext="0" DetailIteration="0" ForcedGH="0" KeepTogether="1" NewColumn="0" NewPage="0" PrintAtBottom="0" PageReset="0" SuppressBlankSection="0" SuppressRepeatedBlankSection="0" FillBlank="0" Exportable="1" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0" GroupFieldID="-1" GroupFieldIndex="-1" GroupSortingFieldID="-1" GroupSortingFieldIndex="-1" GroupTOCFieldID="-1" GroupTOCFieldIndex="-1"><ListControls Type="0"/><ListControls Type="1"/><ConditionalStyles/><Script><![CDATA[]]></Script></Section></Page><Page Gutter="0" MirrorMargin="0" Orientation="1" PaperSize="2" PaperWidth="2100" PaperHeight="2970" ReportWidth="2100" TopMargin="50" LeftMargin="50" BottomMargin="50" RightMargin="50"/></Report><Script><![CDATA[]]></Script></Section><Section Type="8" Name="페이지바닥글" Height="50" Visible="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" CanGrow="0" CanShrink="0" ColumnWidth="0" ColumnDirection="0" ColumnSpacing="0" ColumnLayout="0" Repeat="0" UnderlayNext="0" DetailIteration="0" ForcedGH="0" KeepTogether="1" NewColumn="0" NewPage="0" PrintAtBottom="0" PageReset="0" SuppressBlankSection="0" SuppressRepeatedBlankSection="0" FillBlank="0" Exportable="1" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0" GroupFieldID="-1" GroupFieldIndex="-1" GroupSortingFieldID="-1" GroupSortingFieldIndex="-1" GroupTOCFieldID="-1" GroupTOCFieldIndex="-1"><ListControls Type="0"/><ListControls Type="1"/><ConditionalStyles/><Script><![CDATA[]]></Script></Section></Page><Page Gutter="0" MirrorMargin="0" Orientation="1" PaperSize="2" PaperWidth="2100" PaperHeight="2970" ReportWidth="2100" TopMargin="50" LeftMargin="50" BottomMargin="50" RightMargin="50"/></Report>
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