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{"sheet":"アブレーション地域連携パス情報シート ","index":0,"n_rows":31,"n_cols":8,"rows_kept":31,"cut":false,"hidden":false,"merged":[[0,4,0,7],[5,1,18,1],[8,2,9,2],[22,1,24,1]]}
[null,"心房細動アブレーション地域連携パス情報シート",null,null,"（主治医：　　　　　　　　　医師　　／　かかりつけ医：　　　　　　　　　　　　　　　　　　　　先生）"]
[null,null,null,"ID：'@{Patient.ID}　　","患者氏名：'@{Patient.Name}　　　　　　　　　　　　様",null,null,"FAX送信先（地域連携室）：0566-27-6956"]
[null,null,null,null,null,null,null,"診療情報提供料(250点)算定"]
[null,null,null,"退院時","2週間","1ヶ月","2ヶ月","3ヶ月"]
[null,null,"年/月/日","/　　　/","/　　　/","/　　　/","/　　　/","/　　　/"]
[null,"医師記載欄","体重(kg)"]
[null,null,"血圧","/","/","/","/","/"]
[null,null,"脈拍"]
[null,null,"心電図","□洞調律　□発作性心房細動","□洞調律　□発作性心房細動","□洞調律　□発作性心房細動","□洞調律　□発作性心房細動","□洞調律　□発作性心房細動"]
[null,null,null,"□持続性性心房細動□その他","□持続性性心房細動□その他","□持続性性心房細動□その他","□持続性性心房細動□その他","□持続性性心房細動□その他"]
[null,null,"穿刺部の出血・血腫","□あり□なし","□あり□なし"]
[null,null,"PT－INR　※基準値：1.0"]
[null,null,"ワルファリン","　　　㎎","　　　㎎","　　　㎎","　　　　㎎","　　　㎎"]
[null,null,"プラザキサ","□300㎎□220㎎","□300㎎□220㎎","□300㎎□220㎎","□300㎎□220㎎","□300㎎□220㎎"]
[null,null,"イグザレルト","□15㎎□10㎎","□15㎎□10㎎","□15㎎□10㎎","□15㎎□10㎎","□15㎎□10㎎"]
[null,null,"エリキュース","□10㎎□5㎎","□10㎎□5㎎","□10㎎□5㎎","□10㎎□5㎎","□10㎎□5㎎"]
[null,null,"抗不整脈","□あり□なし","□あり□なし","□あり□なし","□あり□なし","□あり□なし"]
[null,null,"検査",null,null,null,null,"ホルター心電図・心エコー・心電図"]
[null,null,"3ヶ月以降に必要なこと",null,null,null,null,"通院　　(　必要　・　不要  )"]
[null,null,null,null,null,null,null,"内服　　(  必要  ・  不要  )"]
[null,null,"パス終了時サイン",null,null,null,null,"　サイン(                         )"]
[]
[null,"患者記載欄","穿刺部の異常","□あり□なし","□あり□なし"]
[null,null,"動悸　","有　・　無","有　・　無","有　・　無","有　・　無","有　・　無"]
[null,null,"その他"]
[]
[null,"【備考欄】"]
[]
[]
[null,"※あなたの病気はかかりつけ医と刈谷豊田総合病院が協力して治療していきます。調子が悪いときはいつでもご相談ください。"]
[null,"※かかりつけ医でファイルを保管しております。3カ月目の刈谷豊田総合病院受診以降、このファイルは患者さんご自身での保管となります。"]