{"text_format":"1","workbook":"xlsx","n_sheets":2,"sheets":["返信シート","システム保守用"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":1,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"返信シート","index":0,"n_rows":132,"n_cols":18,"rows_kept":132,"cut":false,"hidden":false,"merged":[[4,2,4,10],[24,4,24,6],[24,7,24,9],[23,3,23,6],[23,7,23,8],[23,9,23,10],[17,9,18,9],[17,10,18,10],[5,0,5,2],[21,0,21,2],[21,3,21,4],[22,0,22,2],[22,3,22,9],[0,0,0,3],[2,0,2,13],[2,20,3,20],[2,21,3,28],[3,8,3,17],[6,12,7,15],[10,0,10,2],[10,3,11,9],[10,10,10,11],[10,12,11,16],[6,1,7,5],[6,8,7,9],[10,17,11,17],[13,0,13,2],[13,3,14,9],[13,11,14,13],[13,15,14,17],[17,17,18,17],[18,0,20,1],[18,2,20,5],[19,6,20,6],[19,7,20,7],[19,8,20,8],[19,9,20,17],[17,11,18,11],[17,12,18,12],[17,13,18,13],[17,14,18,14],[17,15,18,15],[17,16,18,16],[17,2,17,5],[17,7,18,7],[17,8,18,8],[22,11,22,12],[22,16,22,17],[23,0,26,1],[23,13,23,14],[23,15,23,16],[24,15,24,16],[25,2,25,3],[25,4,25,6],[25,8,25,9],[22,14,22,15],[23,11,23,12],[24,2,24,3],[24,10,24,12],[24,13,24,14],[25,11,25,12],[25,13,25,14],[23,20,23,22],[23,23,23,24],[23,25,23,27],[23,28,23,30],[23,31,23,32],[25,15,25,16],[26,3,26,4],[26,7,26,8],[26,11,26,12],[26,15,26,16],[62,0,63,3],[62,12,62,13],[63,7,63,8],[27,0,27,2],[28,2,28,12],[29,2,29,3],[60,0,60,2],[61,0,61,17],[33,0,33,5],[29,4,29,6],[30,2,30,8]]}
[]
["( 腎臓診療医   ⇒ 　ＣＫＤ予防ネットワーク登録医・かかりつけ医）　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　"]
["           〈鹿児島市〉　返信シート　 (診療情報提供書）"]
[null,null,null,null,null,null,null,null,"※同内容であれば、電子カルテや通常使用の返信様式でも可"]
[null,null,"【返信先医療機関】"]
["医療機関名"]
[]
[null,null,null,null,null,null,"病院",null,null,null,"科",null,null,null,null,null,"先生"]
[]
[null,null,"【返信元医療機関】"]
["医療機関名",null,null,null,null,null,null,null,null,null,"医師氏名",null," "]
[]
[]
[]
[]
[]
[]
["(ふりがな）",null,null,null,null,null,null,"性別","生年\n月日",null,null,"年",null,"月",null,"日",null,"歳"]
["患者\n氏名"]
[null,null,null,null,null,null,"様",null,"住 所"]
[]
["受診日",null,null,null,null,null,"年",null,"月",null,"日"]
["診断名",null,null,null,null,null,null,null,null,null,"CKDstage",null,null,"蛋白尿","Ａ１～Ａ３"]
[null,null,null,"検査結果は別添参照",null,null,null,"血圧",null,"/",null,"mmHg",null,"尿蛋白/Cr",null,null,null,"g/gCr"]
[null,null,"尿蛋白(定性）",null," －　±　＋　2＋ 3＋",null,null,"尿潜血(定性）",null,null,"－　±　＋　2＋ 3＋",null,null,"Hb",null,null,null,"g/dL "]
[null,null,"Cr",null,null,null,null,"mg/dL ","eGFR",null,null,"mL/min/1.73㎡",null,"TP",null,null,null,"g/dL "]
[null,null,"BUN",null,null,"mg/dL ","HbA1c",null,null,"% ","Alb",null,null,"g/dL","K",null,null,"mEq/L"]
["【治療方針】　"]
[null,null,"腎不全進行予防としての降圧目標：130/80ｍｍＨｇ以下にコントロールすること。"]
[null,"　","食事療法　（ ",null,"　蛋白質制限食",null,null,"g/kg/日、　",null,"　　減塩食６ｇ/日）をおこなうこと。"]
[null,null,"血糖管理（目標HbA1c７％以下）をおこなうこと。"]
[null,null,"その他"]
[]
["　【処方薬】　　以下の処方薬を",null,null,null,null,null,"開始しました",null,null,"処方をご検討ください。"]
[null,"降圧薬：",null,"　　　ARB/ACE阻害薬",null,null,null,"Ca拮抗薬",null,null,"その他","（　　　　　　　　　　　　　　　　　　　　）"]
[null,"血糖降下薬：　　",null,"　　　SGLT2阻害薬",null,null,"  ","GLP-1受容体作動薬",null,null,null,"その他","（　　　　　　　　　　　　　　　　　　）"]
[null,"DKD：",null,"　　　MRA",null,null,"その他：　　　　（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）","（",null,null,null,null,null,null,null,null,"）"]
[null,"その他：　　　　（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
["　【薬剤投与の注意点】"]
[null,"　　","血清Crの一時的増加（30％以内）",null,null,null,null,null,"高カリウム血症",null,null,"尿路感染症"]
[null,"　　","その他","（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
["　【栄養指導】",null,null,"　　　　別紙参照"]
[null,null,null,null,null,null,null,null,null,null,"　　","　　"]
[]
["　【今後の方針】"]
[null,null,"右記薬剤の休薬、中止を御検討ください。（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
[null,null,"貴院で引き続き加療継続してください。（以下のいずれかを呈しましたら再紹介をお願いします）"]
[null,"　　　",null,"血清クレアチニン値の増加（　.  mg/dL増加）",null,null,null,null,null,null,null,"腎機能の急激な悪化（30％以上）"]
[null,"　　",null,"尿蛋白の急激な増加（１ｇ/日以上）",null,null,null,null,null,null,"その他","（　　　　　　　　　　　　　　　　　　　　　　）"]
[null,null,"　"]
[null,"　　","併診させていただきます。"]
["　","　（　　　　）カ月に一度、当科でも診療させていただき腎機能・栄養指導などおこなってまいります。"]
[]
[null,"　　","しばらく当科で診療継続させていただきます。"]
[null,"　　","　　検査・治療後、症状安定しましたら貴院へ逆紹介させていただきます。"]
[null,"　　","　　近い将来の腎代替透析療法が必要と思われます。適切な時期に腎代替療法導入後、患者様と相談　"]
[null,null,"　　のうえ、当院または他の透析施設などへご紹介させていただきます。"]
[null,"　　","　　その他"]
[]
[]
["(自由記載欄)"]
[]
["次回予定",null,null,null,null,null,"年",null,"月",null,"日",null,"または"]
[null,null,null,null,null,null,null,"ヵ月後",null,null,"予約"]
[]
["★年に１回は特定健診の受診をお勧めください。ＣＫＤ予防ネットワークの分析にも活用することができます。"]
[]
[null,"○","元",null,null,"エネルギー量　　　　　　　　kcal、  食塩　　　　　g、　 たんぱく質　　　　　　　g、　カリウム制限　　　有　　無　　"]
[null,null,1]
[null,null,2,null,"有"]
[null,null,3,null,"無",null,"-","Ａ１","Ｇ１"]
[null,null,4,null,null,null,"±","Ａ２","Ｇ２"]
[null,null,5,null,null,null,"＋","Ａ３","Ｇ３ａ"]
[null,null,6,null,null,null,"２＋",null,"Ｇ３ｂ"]
[null,null,7,null,null,null,"３＋",null,"Ｇ４"]
[null,null,8,null,null,null,null,null,"Ｇ５"]
[null,null,9]
[null,null,10,null,"別添参照"]
[null,null,11,null,"次のとおり"]
[null,null,12]
[null,null,13]
[null,null,14]
[null,null,15]
[null,null,16]
[null,null,17]
[null,null,18]
[null,null,19]
[null,null,20]
[null,null,21]
[null,null,22]
[null,null,23]
[null,null,24]
[null,null,25]
[null,null,26]
[null,null,27]
[null,null,28]
[null,null,29]
[null,null,30]
[null,null,31]
[null,null,32]
[null,null,33]
[null,null,34]
[null,null,35]
[null,null,36]
[null,null,37]
[null,null,38]
[null,null,39]
[null,null,40]
[null,null,41]
[null,null,42]
[null,null,43]
[null,null,44]
[null,null,45]
[null,null,46]
[null,null,47]
[null,null,48]
[null,null,49]
[null,null,50]
[null,null,51]
[null,null,52]
[null,null,53]
[null,null,54]
[null,null,55]
[null,null,56]
[null,null,57]
[null,null,58]
[null,null,59]
[null,null,60]
[null,null,61]
[null,null,62]
[null,null,63]
[null,null,64]

{"sheet":"システム保守用","index":1,"n_rows":66,"n_cols":6,"rows_kept":66,"cut":false,"hidden":false,"merged":[]}
[null,"和暦","◦年","次回予定","尿蛋白(定性）","血尿（定性）"]
[null,null,null,null," －　±　＋　2＋ 3＋","－　±　＋　2＋ 3＋"]
[null,"明治","元",2025,"－","－"]
[null,"大正",2,2026,"±","±"]
[null,"昭和",3,2027,"＋","＋"]
[null,"平成",4,2028,"2＋","2＋"]
[null,"令和",5,2029,"3＋","3＋"]
[null,null,6,2030]
[null,null,7,2031]
[null,null,8,2032]
[null,null,9,2033]
[null,null,10,2034]
[null,null,11,2035]
[null,null,12,2036]
[null,null,13,2037]
[null,null,14,2038]
[null,null,15,2039]
[null,null,16,2040]
[null,null,17,2041]
[null,null,18,2042]
[null,null,19,2043]
[null,null,20,2044]
[null,null,21,2045]
[null,null,22,2046]
[null,null,23,2047]
[null,null,24,2048]
[null,null,25,2049]
[null,null,26,2050]
[null,null,27]
[null,null,28]
[null,null,29]
[null,null,30]
[null,null,31]
[null,null,32]
[null,null,33]
[null,null,34]
[null,null,35]
[null,null,36]
[null,null,37]
[null,null,38]
[null,null,39]
[null,null,40]
[null,null,41]
[null,null,42]
[null,null,43]
[null,null,44]
[null,null,45]
[null,null,46]
[null,null,47]
[null,null,48]
[null,null,49]
[null,null,50]
[null,null,51]
[null,null,52]
[null,null,53]
[null,null,54]
[null,null,55]
[null,null,56]
[null,null,57]
[null,null,58]
[null,null,59]
[null,null,60]
[null,null,61]
[null,null,62]
[null,null,63]
[null,null,64]