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[null,"伏見CKD連携パス2020"]
[]
[null,"患者氏名",{"$nulls":17},"性別",{"$nulls":4},"生年月日 (西暦)",{"$nulls":9},"年",null,null,"月",null,null,"日",null,null,"歳"]
[]
[null,"かかりつけ医",{"$nulls":10},"当院医師",{"$nulls":8},"身長",{"$nulls":5},"cm",null,"体重",{"$nulls":4},"kg",null,"前回比",{"$nulls":5},"kg"]
[]
[null,"診察日 (西暦)",{"$nulls":10},"診察室血圧",{"$nulls":7},"mmHg",null,"脈拍",{"$nulls":3},"/分",null,"家庭血圧",{"$nulls":13},"mmHg"]
[]
[null,"貴院への依頼事項"]
[]
[]
[]
[]
[null,"その他当院からのコメント"]
{"$rows_empty":7}
[null,"食事療法",{"$nulls":3},"カロリー",{"$nulls":5},"kcal",null,"塩分",{"$nulls":4},"g","蛋白質",{"$nulls":5},"g",null,"カリウム制限",{"$nulls":4},"有","/","無"]
[null,"生活指導　　",{"$nulls":3},"禁煙",null,null,"減酒",null,null,"体重減量",{"$nulls":3},"CDKステージ"]
[{"$nulls":15},"目標血圧",{"$nulls":4},"診察室",{"$nulls":4},"/",null,null,"未満",null,"　","家庭",{"$nulls":3},"/",null,null,"未満"]
[]
[null,"バリアンス (発生したら次回受診日前でも受診を勧めて下さい)",{"$nulls":19},"CKDステージ　"]
[null,"1. 血清Crが前回の1.3倍以上",{"$nulls":9},"5. コントロール不能の高血圧",{"$nulls":9},"GFR",{"$nulls":10},"蛋白尿"]
[null,"2. 尿蛋白の急激な増加",{"$nulls":9},"6. 肺水腫",{"$nulls":9},"G1"," ","90以上 (ml/min/1.73 m2)",{"$nulls":8},"A1",null,"尿蛋白/尿Cr0.15未満 (g/gCr)"]
[null,"3. 血清K 5.5 mEq/L以上",{"$nulls":9},"7. 浮腫の急激な悪化",{"$nulls":9},"G2",null,"60-89",{"$nulls":10},"尿Alb/尿Cr30未満 (mg/gCr)"]
[null,"4. Hb 11 g/dL未満",{"$nulls":19},"G3a",null,"45-59",{"$nulls":8},"A2",null,"尿蛋白/尿Cr0.15-0.49"]
[{"$nulls":21},"G3b",null,"30-44",{"$nulls":10},"尿Alb/尿Cr30-299"]
[null,"次回再診日",{"$nulls":19},"G4",null,"15-29",{"$nulls":8},"A3",null,"尿蛋白/尿Cr0.5以上"]
[{"$nulls":21},"G5",null,"15未満",{"$nulls":10},"尿Alb/尿Cr300以上"]
[null,"下記は貴院受診時にご使用下さい。ご記載いただいた場合、当院再診時に患者さんにお渡し下さい。"]
[null,"実施日"]
[]
[null,"診察室血圧 (mmHg)"]
[null,"家庭血圧 (mmHg)"]
[]
[null,"体重 (kg)"]
[null,"尿蛋白定性"]
[null,"尿蛋白/尿Cr (g/gCr)"]
[null,"　(部分尿)"]
[null,"血清Cr (mg/dL)"]
[null,"推算GFR "]
[null,"　(ml/min/1.73 m2)"]
[null,"K (mEq/L)"]
[null,"Hb (g/dL)"]
[]
[]
[]
[]
[null,"貴院からのコメント"]
{"$rows_empty":9}
[null,"再診時には検査データ (時系列があればそれも)・処方内容の添付をお願い致します。"]