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[null,"自治体名：",null,null,null,"大東市",null,null,null,null,null,null,null,null,null,null,"1：二次判定",null,null,null,null,"要介護度"]
[null,"担当部署名：",null,null,null,"保健医療部　高齢介護室　介護保険グループ",null,null,null,null,null,null,null,null,null,null,"2：被保険者番号",null,null,null,null,"被保険者番号"]
[null,"担当名：",null,null,null,"竹内・築山",null,null,null,null,null,null,null,null,null,null,"3：被保険者氏名",null,null,null,null,"氏名"]
[null,"郵便番号：",null,null,null,"574-8555",null,null,null,null,null,null,null,null,null,null,"4：性別",null,null,null,null,"性別"]
[null,"住所：",null,null,null,"大東市谷川一丁目１番１号",null,null,null,null,null,null,null,null,null,null,"5：年齢",null,null,null,null,"年齢"]
[null,"電話番号：",null,null,null,"072-870-9628（直通）",null,null,null,null,null,null,null,null,null,null,"6：支援事業者番号",null,null,null,null,"支援事業者番号"]
[null,"FAX番号：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"7：支援事業者名称",null,null,null,null,"支援事業者名称"]
[null,"メールアドレス：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"8：ケアマネ番号",null,null,null,null,"ケアマネ番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"9：ケアマネ名",null,null,null,null,"ケアマネ名"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回答欄：",null,null,null,null,"【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]

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[null,null,null,null,null,null,null,null,null,"事 　務　 連　 絡"]
["介護保険事業者各位",null,null,null,null,null,null,null,{"$f":"#REF!","v":{"$error":"#REF!"}}]
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[]
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["ケアプラン及びサービス確認のお願い"]
[]
[]
["　日頃より、大東市介護保険事業の推進についてご理解とご協力を賜り、感謝申し上げます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　送付先の事業者情報"]
["　さて、大東市の介護給付適正化事業は、介護保険事業者である皆様が立てられたケアプランや、"]
["提供されたサービスが、利用者の心身状態に適合しているか等を、事業者の皆様と共同で確認するこ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者名：","居宅介護事業者"]
["とにより、介護保険事業の適正な運営を図ることを目的としております。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"郵便番号：","123-1234"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所：","適正化市適正町適正９－９－９"]
["　そこで、介護給付適正化支援システムを利用し、給付実績情報と認定情報を突合させたデータから",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号：","03-4321-4321"]
["サービスの必要性等を確認するためのヒアリングシートを作成しました。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX：","03-4321-4321"]
[]
["　ご多忙のところ恐縮ですが、別添のヒアリングシートの内容をご確認いただき、下記要領にてご回答",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※ ヒアリングシート生成後に各送付先の事業者情報が出力されます。"]
["くださいますようお願い致します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　リンク元としてご利用ください。"]
["　なお、このヒアリングシートの内容等についてご不明な点がございましたら、お手数ですがお問合せ"]
["くださいますようお願い致します。"]
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[null,"　"]
["記"]
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["　１．回答期日",{"$f":"#REF!","v":{"$error":"#REF!"}}]
[null,null,"2017-05-10"]
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["　２．回答方法","窓口へ持参、もしくは郵送でご回答をお願い致します。"]
[null,null,"2017-05-10"]
[null,null,"2017-05-10"]
["　３．回答・お問合せ先",{"$f":"\"〒\" & 設定!F10","v":"〒574-8555"}]
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[null,{"$f":"設定!F9","v":"竹内・築山"}]
[null,{"$f":"\"Tel：\"&設定!F12","v":"Tel：072-870-9628（直通）"}]

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["ヒアリングシート"]
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["以下の【回答】欄に確認内容を記入して、窓口へ持参、もしくは郵送でご回答ください。"]
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[]
[]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["【回答・お問合せ先】  〒574-8555     大東市谷川一丁目１番１号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者名/回答者名："]
["                                  大東市保健医療部　高齢介護室　介護保険グループ  竹内・築山      Tel:072-870-9628（直通）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回答者連絡先："]

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["ヒアリングシート"]
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["以下の【回答】欄に確認内容を記入して、窓口へ持参、もしくは郵送でご回答ください。"]
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[]
[]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["【回答・お問合せ先】  〒574-8555     大東市谷川一丁目１番１号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者名/回答者名："]
["                                  大東市保健医療部　高齢介護室　介護保険グループ  竹内・築山      Tel:072-870-9628（直通）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回答者連絡先："]

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["ヒアリングシート"]
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[]
["以下の【回答】欄に確認内容を記入して、窓口へ持参、もしくは郵送でご回答ください。"]
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["要介護度","被保険者番号","氏名","性別","年齢","支援事業者番号","支援事業者名称","ケアマネ番号","ケアマネ名","提供事業者番号","提供事業者名称","サービス提供月","種類明細コード","日数回数","サービス単位数","サービス種類","心身状態","確認事項"]
[]
[]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
[]
[]
[]
[]
[]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
[]
[]
[]
[]
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["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["【回答・お問合せ先】  〒574-8555     大東市谷川一丁目１番１号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者名/回答者名："]
["                                  大東市保健医療部　高齢介護室　介護保険グループ  竹内・築山      Tel:072-870-9628（直通）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回答者連絡先："]

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["ヒアリングシート"]
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[]
["以下の【回答】欄に確認内容を記入して、窓口へ持参、もしくは郵送でご回答ください。"]
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[]
[]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
[]
[]
[]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
[]
[]
[]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
[]
[]
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["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["【回答・お問合せ先】  〒574-8555     大東市谷川一丁目１番１号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者名/回答者名："]
["                                  大東市保健医療部　高齢介護室　介護保険グループ  竹内・築山      Tel:072-870-9628（直通）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回答者連絡先："]

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["ヒアリングシート"]
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["以下の【回答】欄に確認内容を記入して、窓口へ持参、もしくは郵送でご回答ください。"]
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["【回答・お問合せ先】  〒574-8555     大東市谷川一丁目１番１号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者名/回答者名："]
["                                  大東市保健医療部　高齢介護室　介護保険グループ  竹内・築山      Tel:072-870-9628（直通）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回答者連絡先："]

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["検索条件"]
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[307,7,12,2002,"2 不必要と思われる給付",30007,"2－3　心身軽度状態への福祉用具貸与",30026,"2－3－4　立ち上がりや歩行等ができる状態への用具貸与の特殊寝台付属品",272187,"大東市",2180484506,"山口　典秀","ﾔﾏｸﾞﾁ ﾉﾘﾋﾃﾞ","男",77,"1941-07-12","2017-01-04","更新申請","第１号被保険者",null,"その他の施設","要介護２","2016-03-01","2017-02-28",458,51,"要介護１","要介護２","2017-01-25","2017-02-13","2017-03-01","2019-02-28",2771901440,"ケアプランセンターレガート大阪東",27111132,"三浦由香",2773601295,"グランドライフケアショップ","2018-10-01","2018-11-01",17,171004,0,31,615,30026,"高度","用具貸与","身体機能の低下が無いか軽度","Ａ１","Ⅲａ","Ⅲｂ","寝返りや起き上がり、立ち上がり、歩行もできる状態の方に、福祉用具貸与の特殊寝台付属品を利用されていますが、その必要性について記載してください。","00170-Z00077；00170-000490；00563-000021",null,null,null,443,"ケアプランセンターレガート大阪東","574-0077","大東市三箇六丁目２３番２号","072-871-3737","072-871-3837",446,null,null,null,"",""]
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["ヒアリングシート"]
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["以下の【回答】欄に確認内容を記入して、窓口へ持参、もしくは郵送でご回答ください。"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身体機能の低下が無いか軽度"]
["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["【回答】　ケアプラン見直し予定：　有　□　　無　□　／過誤調整：　有　□　　無　□　（左記の該当する項目にチェックをしてください。） "]
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["回答期日：　　　　　年　　　　月　　　　日までにご回答をお願い致します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"調査回答日："]
["【回答・お問合せ先】  〒574-8555     大東市谷川一丁目１番１号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者名/回答者名："]
["                                  大東市保健医療部　高齢介護室　介護保険グループ  　 Tel:072-870-9628（直通）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回答者連絡先："]

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