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{"sheet":"様式６介護予防サービス･支援計画表","index":0,"n_rows":75,"n_cols":100,"rows_kept":75,"cut":false,"hidden":false,"merged":[[67,44,69,62],[66,44,66,48],[70,44,70,48],[69,0,71,7],[66,15,68,18],[69,15,71,18],[66,8,68,10],[69,8,71,10],[66,11,68,14],[69,11,71,14],[25,11,34,16],[69,94,70,94],[5,21,5,26],[5,27,5,37],[7,44,7,46],[10,31,14,36],[10,25,14,30],[59,35,62,62],[66,35,71,43],[71,44,71,62],[45,0,46,10],[47,0,54,10],[59,0,62,30],[35,11,44,16],[45,11,54,16],[46,17,54,24],[35,0,36,10],[37,0,44,10],[0,0,0,98],[2,4,2,17],[2,29,2,36],[1,2,1,11],[2,37,2,44],[2,0,2,3],[2,23,2,28],[2,72,2,80],[2,63,2,71],[2,91,3,98],[45,66,54,74],[10,37,14,46],[10,17,14,24],[26,17,34,24],[36,17,44,24],[10,47,14,57],[10,58,10,98],[11,95,14,98],[15,66,24,74],[11,90,14,94],[69,72,70,80],[69,84,70,93],[69,81,70,83],[25,75,34,83],[35,75,44,83],[35,66,44,74],[35,84,44,89],[45,84,54,89],[66,66,68,98],[45,75,54,83],[7,0,7,2],[15,0,16,10],[16,17,24,24],[17,0,24,10],[15,11,24,16],[7,3,8,43],[15,31,54,36],[25,0,26,10],[27,0,34,10],[10,11,14,16],[2,81,3,90],[25,90,34,94],[15,84,24,89],[25,84,34,89],[7,47,8,89],[2,45,2,52],[2,54,2,61],[11,58,14,65],[11,66,14,74],[11,84,14,89],[11,75,14,83],[15,75,24,83],[15,90,24,94],[10,0,14,10],[15,25,54,30],[15,47,54,57],[15,58,24,65],[25,58,34,65],[35,58,44,65],[25,66,34,74],[45,58,54,65],[15,37,54,46],[57,66,62,98],[5,0,5,9],[45,90,54,94],[15,95,24,98],[25,95,34,98],[35,95,44,98],[45,95,54,98],[35,90,44,94],[4,42,4,68],[5,10,5,19],[4,0,4,7],[5,47,5,59],[5,60,5,95],[4,69,4,98],[4,8,4,20],[4,21,4,36],[69,23,71,26],[66,19,68,22],[69,19,71,22],[69,27,71,30],[66,27,68,30],[66,23,68,26]]}
["介護予防サービス･支援計画書（ケアマネジメント結果等記録表）　＊ケアマネジメントBは網掛け部分省略可能"]
["No."]
["利用者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様",null,null,null,null,"認定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,"認定の有効期間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〜",null,null,null,null,null,null,null,null,null,"初回・紹介・継続",null,null,null,null,null,null,null,null,"認定済 ・ 申請中",null,null,null,null,null,null,null,null,"要支援1 ・ 要支援2",null,null,null,null,null,null,null,null,null,"事業対象者"]
[]
["計画作成者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"委託の場合：計画作成事業者・事業所名及び所在地（連絡先）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"."]
["計画作成 (変更) 日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(初回作成日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")",null,null,null,null,null,null,null,null,"担当地域包括支援センター："]
["目標とする生活"]
["1日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年"]
[]
[]
["アセスメン卜領域と\n現在の状况",null,null,null,null,null,null,null,null,null,null,"本人・家族の\n意欲・意向",null,null,null,null,null,"領域における課題\n（ 背景・原因 )",null,null,null,null,null,null,null,"総合的課題",null,null,null,null,null,"課題に対する\n目標と具体策\nの提案",null,null,null,null,null,"具体策についての意向\n本人・家族",null,null,null,null,null,null,null,null,null,"目標",null,null,null,null,null,null,null,null,null,null,"支援計画",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目標についての\n支援のポイン卜",null,null,null,null,null,null,null,"本人等のセルフケア\nや家族の支援、イン\nフォーマルサービス(民間サービス)",null,null,null,null,null,null,null,null,"介護保険サ一ビス\n又は地域支援事業\n(総合事業のサービス)",null,null,null,null,null,null,null,null,"サービス\n種別",null,null,null,null,null,"事業所\n(利用先)",null,null,null,null,"期間",null,null,null,false]
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[]
[]
["運動・移動について",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,"無"]
[]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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]
[]
[]
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["日常生活(家庭生活)について",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,"無"]
[]
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[]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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]
[]
[]
["社会参加、対人関係・コミュニケ一ションについて",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,"無"]
[]
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[]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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]
["健康管理について",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,"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,null,null,null,null,null,null,null,null,null,null,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]
[]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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]
[]
[]
[]
[]
[]
[]
[]
["健康状態について",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【本来行うべき支援が実施できない場合】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総合的な方針：生活不活発病の改善予防のポイント"]
[null,"主治医意見書、健診結果、観察結果等を踏まえた留意点",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  妥当な支援の実施に向けた方針"]
[]
[]
[]
[]
[]
[]
["基本チェックリストの（該当した質問項目数）／（質問項目数）を記入して下さい"]
["地域支援事業の場合は必要な事業プログラムの枠内の数字に○印をつけて下さい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"計画に関する同意"]
[null,null,null,null,null,null,null,null,"運動\n不足",null,null,"栄養\n改善",null,null,null,"口腔内\nケア",null,null,null,"閉じこもリ予防",null,null,null,"物忘れ予防",null,null,null,"うつ予防",null,null,null,null,null,null,null,"地域包括支援センター",null,null,null,null,null,null,null,null,"【意見】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　上記計画について、同意いたします。"]
[]
[]
["予防給付\nまたは\n地域支援事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【確認印】"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"未確認","確認済み"]

{"sheet":"定義シート","index":1,"n_rows":63,"n_cols":4,"rows_kept":63,"cut":false,"hidden":true,"merged":[]}
["シート名","定義名","カラム名・オブジェクト名","区分・備考等"]
["介護予防サービス･支援計画表","No"]
["介護予防サービス･支援計画表","利用者名"]
["介護予防サービス･支援計画表","計画作成（変更）日",null,"yyyy/mm/dd"]
["介護予防サービス･支援計画表","計画区分","check10","1：初回、2：紹介、3：継続、4：初回と紹介、5：紹介と継続"]
["介護予防サービス･支援計画表","認定区分","check20","1: 認定済   2: 申請中"]
["介護予防サービス･支援計画表","要支援区分","check30","11: 要支援1   12: 要支援2"]
["介護予防サービス･支援計画表","認定年月日",null,"yyyy/mm/dd"]
["介護予防サービス･支援計画表","認定有効期間（開始）",null,"yyyy/mm/dd"]
["介護予防サービス･支援計画表","認定有効期間（終了）"]
["介護予防サービス･支援計画表","計画作成者氏名（支援センター）"]
["介護予防サービス･支援計画表","計画作成者氏名（委託先）"]
["介護予防サービス･支援計画表","担当地域包括支援センター"]
["介護予防サービス･支援計画表","計画作成事業者"]
["介護予防サービス･支援計画表","初回作成日",null,"yyyy/mm/dd"]
["介護予防サービス･支援計画表","目標とする生活（一日）"]
["介護予防サービス･支援計画表","目標とする生活（一年）"]
["介護予防サービス･支援計画表","総合的な方針"]
["介護予防サービス･支援計画表","地域包括支援センターの意見"]
["介護予防サービス･支援計画表","地域包括支援センター確認印",null,"1：未確認、2：確認済み"]
["介護予防サービス･支援計画表","同意日",null,"yyyy/mm/dd"]
["介護予防サービス･支援計画表","同意者"]
["介護予防サービス･支援計画表","健康状態について"]
["介護予防サービス･支援計画表","必要な事業プログラム（運動不足）","○"]
["介護予防サービス･支援計画表","必要な事業プログラム（栄養改善）"]
["介護予防サービス･支援計画表","必要な事業プログラム（口腔内ケア）"]
["介護予防サービス･支援計画表","必要な事業プログラム（閉じこもり予防）"]
["介護予防サービス･支援計画表","必要な事業プログラム（物忘れ予防）"]
["介護予防サービス･支援計画表","必要な事業プログラム（うつ予防）"]
["介護予防サービス･支援計画表","必要な事業プログラム（運動不足）チェック数","check80","1:○"]
["介護予防サービス･支援計画表","必要な事業プログラム（栄養改善）チェック数","check81","1:○"]
["介護予防サービス･支援計画表","必要な事業プログラム（口腔内ケア）チェック数","check82","1:○"]
["介護予防サービス･支援計画表","必要な事業プログラム（閉じこもり予防）チェック数","check83","1:○"]
["介護予防サービス･支援計画表","必要な事業プログラム（物忘れ予防）チェック数","check84","1:○"]
["介護予防サービス･支援計画表","必要な事業プログラム（うつ予防）チェック数","check85","1:○"]
["介護予防サービス･支援計画表","アセスメント領域と現在の状況（１）",null,"【運動・移動について】"]
["介護予防サービス･支援計画表","本人・家族の意欲・意向（１）"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）チェック（１）","check40","1:有　　　　0:無"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）（１）"]
["介護予防サービス･支援計画表","アセスメント領域と現在の状況（２）",null,"【日常生活（家庭生活）について】"]
["介護予防サービス･支援計画表","本人・家族の意欲・意向（２）"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）チェック（２）","check５0","1:有　　　　0:無"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）（２）"]
["介護予防サービス･支援計画表","アセスメント領域と現在の状況（３）",null,"【社会参加、対人関係・コミュニケーションについて】"]
["介護予防サービス･支援計画表","本人・家族の意欲・意向（３）"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）チェック（３）","check６0","1:有　　　　0:無"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）（３）"]
["介護予防サービス･支援計画表","アセスメント領域と現在の状況（４）",null,"【健康管理について】"]
["介護予防サービス･支援計画表","本人・家族の意欲・意向（４）"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）チェック（４）","check７0","1:有　　　　0:無"]
["介護予防サービス･支援計画表","領域における課題（背景・原因）（４）"]
["介護予防サービス･支援計画表","本来行うべき支援が実施できない場合の当面の方針"]
["介護予防サービス･支援計画表","総合的課題"]
["介護予防サービス･支援計画表","課題に対する目標と具体策の提案"]
["介護予防サービス･支援計画表","具体策についての本人・家族の意向"]
["介護予防サービス･支援計画表","目標"]
["介護予防サービス･支援計画表","目標についての支援のポイント"]
["介護予防サービス･支援計画表","本人等のセルフケアや家族の支援、インフォーマルサービス"]
["介護予防サービス･支援計画表","介護保険サービスまたは地域支援事業"]
["介護予防サービス･支援計画表","サービス種別"]
["介護予防サービス･支援計画表","事業所"]
["介護予防サービス･支援計画表","期間"]
["介護予防サービス･支援計画表","表示順"]

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[1,1]

{"sheet":"cps_ssplan_stand3","index":5,"n_rows":2,"n_cols":9,"rows_kept":2,"cut":false,"hidden":true,"merged":[]}
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[1,1]