James/Medical Record: Difference between revisions

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{{James/Nav-Horizontal}}
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<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Medical record: general information</h2>
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|style="background:teal;" width="100"|
*'''Full name:''' James
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
*'''Serial number:''' <span style="font-family:monospace;">ZP - 314 - 159</span>
===James===
*'''Age:''' 20
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' ZP - 314 - 159
*'''Date of Birth:''' 30th April, 2367
**'''Age:''' {{age|2367|04|30}}
*'''Sex:''' Male
*'''Species:''' Terran (3/4ths)/Vulcan (1/4th)
*'''Species:''' Terran (3/4ths)/Vulcan (1/4th)
|-
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
|style="background:teal" |
!width=180 align=right|<font size="4" color=teal>MEDICAL RECORD</font>
|-
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|colspan=2|
*'''Height:''' 220 cm (7'2")
*'''Weight:''' 90 kilos (197 lbs)
*'''Blood Type:''' AB+, Copper
*'''[[T/E Rating]]:''' Weak, erratic T5
|-
|style="background:teal;"|
|colspan=2|
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:''' Weakened heart due complications from 239102.01 surgical procedure.
*'''Medications:''' None
*'''Allergies and Reactions:''' None as of 239106.26
*'''Sexual/Reproductive History:''' None.
|-
|style="background:teal;"|
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===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
* '''SD 239102.01''': Hospital stay while recovering from surgery.


*'''Blood category (specify if applicable):''' Hot blooded
===PAST SURGICAL HISTORY===
*'''Blood type (specify if applicable):''' Copper based, green
* '''SD 239010.09''': Removal of damaged teeth. Severe nerve damage was detected before procedure.
*'''Body temperature:''' 32.78°C on average, internally regulated
* '''SD 239102.01''': Surgical correction of broken bones - both arms -, broken ribs and various internal damage. Heart stopped shortly before procedure, had to be manually restarted.


*'''Allergies:''' None as of 239102.3
|-
|style="background:teal;"|
|colspan=2|
===PSYCHIATRIC HISTORY===


<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Antecedents</h2>
===SUBSTANCE USE HISTORY===
 
*'''Alcohol:''' None.
===Physicals/Checkups===
*'''Recreation Drugs:''' None.
*'''238906.02:''' Mandatory checkup after graduation with Starfleet Academy. Performed by Academy physician.
*'''Other:''' None.
 
|-
===Surgeries===
|style="background:teal;"|
* '''239010.09''': Removal of damaged teeth. Severe nerve damage was detected before procedure.
|colspan=2|
* '''239102.01''': Surgical correction of broken bones - both arms -, broken ribs and various internal damage. Heart stopped shortly before procedure, had to be manually restarted.
===FAMILY MEDICAL HISTORY===
 
*'''Mother:''' Clean bill of health
===Dietary===
*'''Father:''' Clean bill of health
*'''Special requirements:''' Mostly vegetarian. Can process meat.
*'''Siblings:''' None
 
|-
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Observations/Notes</h2>
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===Doctors===
===SOCIAL HISTORY===
 
*'''Marital status:''' Single
===Nurses===
*'''Children:''' None
 
*'''Occupation/Assignment:''' Chief of Engineering, {{USS|Darwin|A}}
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Drug prescriptions</h2>
*'''Diet:''' Mostly vegetarian and pescetarian. Can process meat.
 
*'''Exercise:''' Work in Engineering.
*N/A
|-
 
|style="background:teal;" colspan=3 height=4|
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Physical/Checkup results</h2>
|-
 
|style="background:teal;"|
*'''238906.02:''' Perfect physical shape, prime for duty.
|colspan=2|
 
===PHYSICIANS' NOTES===
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Counseling Information</h2>
*'''Medical Officer:'''
 
*'''Medical Assessment:'''
*'''Important Sessions:'''
|-
 
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<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Recommendations</h2>
===COUNSELORS' NOTES===
 
*'''Counselor:'''
 
*'''Psychological Assessment:'''
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Attending physician</h2>
|}
 
__NOTOC__
*<center>[[Shagan, Telice|Telice Shagan]]
[[image:DrShagan_signature.png|right]]</center>
<br clear="all">
*<center>[[Brolin, Marvin|Marvin Brolin]]</center>
<br clear="all">
*<center>{{n|Jen|Malcom}}</center>
<br clear="all">
*<center>{{n|Jack|Corbin}}</center>
<br clear="all">
 
{{Template:James/Nav-Horizontal}}
 
[[Category:James]]
[[Category:Medical Records]]
[[Category:Medical Records]]

Revision as of 19:21, 26 June 2014

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James

  • Patient Reference Number: ZP - 314 - 159
  • Date of Birth: 30th April, 2367
    • Age: 34
  • Sex: Male
  • Species: Terran (3/4ths)/Vulcan (1/4th)
MEDICAL RECORD
  • Height: 220 cm (7'2")
  • Weight: 90 kilos (197 lbs)
  • Blood Type: AB+, Copper
  • T/E Rating: Weak, erratic T5

PAST MEDICAL HISTORY

  • Chronic Illnesses: Weakened heart due complications from 239102.01 surgical procedure.
  • Medications: None
  • Allergies and Reactions: None as of 239106.26
  • Sexual/Reproductive History: None.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 239102.01: Hospital stay while recovering from surgery.

PAST SURGICAL HISTORY

  • SD 239010.09: Removal of damaged teeth. Severe nerve damage was detected before procedure.
  • SD 239102.01: Surgical correction of broken bones - both arms -, broken ribs and various internal damage. Heart stopped shortly before procedure, had to be manually restarted.

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: None.
  • Recreation Drugs: None.
  • Other: None.

FAMILY MEDICAL HISTORY

  • Mother: Clean bill of health
  • Father: Clean bill of health
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Chief of Engineering, USS Darwin-A
  • Diet: Mostly vegetarian and pescetarian. Can process meat.
  • Exercise: Work in Engineering.

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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