カルテ情報の保全...

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  • 25

    PHR

    MY

    PHRPersonalHealthRecord

    PHR

  • MY

    2010 20142014

    IDID

    HL7

    QC

    XRs

    X-RX-Rs-RYouden

    Vol.38Suppl.2

    SI

    NMIJ

    JSCC

    (LD)

    1999 2007

  • HIS

    AgeGLU

    30

    mg/dl

    12

  • (LD)30

    13

    LD

    14

    DWH

    15

    16

  • 17

    1.5

    1

    0.5

    0

    0.5

    1

    1.5

    Jaffe

    CRE

    CRE

    18

    BOXCOX

    AKI

    48 0.3mg/dl 1.5

    0.5ml/Kg6

    Mehta,R.L.,Kellum,J.A.,Shah,S.V.,etal.:AcuteKidneyInjuryNetwork:reportofaninitiativetoimproveoutcomesinacutekidneyinjury.CritCare2007;11:R31

    1

    19

    CRE

    A B

  • DWH

    24

    a a a

    x 3 xx2x3 x logx

    x1 x0.5 x0.33 x0

    p=3.0 2.0 1.0 0.5 0.33 0.0

    BoxCox

  • BOXCOX

    25

    1 1 , 0log , 0

    Histogram of stdLD

    stdLD

    Freq

    uenc

    y

    0.00 0.01 0.02 0.03 0.04

    010

    020

    030

    040

    050

    0

    Histogram of LD

    LD

    Freq

    uenc

    y

    0 100 200 300 400 500

    010

    020

    030

    040

    0

    -3 -2 -1 0 1 2 3

    050

    100

    150

    200

    lambda0

    resu

    lt

    =0.78

    26

    Histogram of dat$LD

    dat$LD

    Freq

    uenc

    y

    0 200 400 600 800 1000

    050

    010

    0015

    00

    Histogram of powLD

    powLD

    Freq

    uenc

    y

    0.00 0.01 0.02 0.03 0.04

    020

    040

    060

    080

    010

    00

    BOXCOX

    Mean=0.016390^(1/0.78)=195

    =0.78

    LD

    BOX-COX

    :a2

    :d2 :d1

    BOX-COX

    :a1

    Mean2SD Mean2SD:

    d2*m1/m2

    :m1/m2

    2 1

    :m1=pow(a2,1/2)

    :m2=pow(a1,1/1)

    BoxCox

    1

    28

  • 0

    50

    100

    150

    200

    250

    300

    350

    400

    LD(LDH)

    29

    0

    5

    10

    15

    20

    25

    30

    AST(GOT)

    AST(GOT)

    30

    AST,ALT,ALP,GT,ChE,TBil

    202122232425262728

    01 02 03 04 05 06 07 08 09 10 11 12

    AST

    4060

    32

  • GLU

    33

    CRE

    34

    20 30 40 50 60 70 80 90

    4

    4.4

    4.8

    5.2

    5.6

    6

    6.4

    6.8

    Age

    HbA1c

    20 30 40 50 60 70 80 90

    4

    4.4

    4.8

    5.2

    5.6

    6

    6.4

    6.8

    4050

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