User:Sky Blake/Additional Sandbox: Difference between revisions

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{|style="max-width:700px"
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|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
===LAST NAME, FIRST NAME MIDDLE NAME===
===LAST NAME, FIRST NAME MIDDLE NAME===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' TC - 725 - 253
*'''Date of Birth:'''
*'''Date of Birth:''' 236111.22
**'''Age:''' {{age|2360|03|31}}
**'''Age:''' {{age|2361|11|22}}
*'''Sex:'''
*'''Sex:''' Male
*'''Species:'''
*'''Species:''' [[Rodulan]]
|-
|-
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
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|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
|colspan=2|
|colspan=2|
*'''Height:''' 178 cm (5'10")
*'''Height:''' 172 cm (5'8")
*'''Weight:''' 73 kilos (160 lbs)
*'''Weight:''' 71 kilos (158 lbs)
*'''Blood Type:'''
*'''Blood Type:''' A
*'''[[T/E Rating]]:'''
*'''[[T/E Rating]]:''' T0 NR
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:''' N/A
*'''Medications:'''
*'''Medications:''' N/A
*'''Allergies and Reactions:'''
*'''Allergies and Reactions:''' N/A
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:''' N.A
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''SD 237005.05:'''
*'''SD 238708.01:''' Explosion aboard the [[USS Pioneer]]'s Engineering see's Core blown into a bulkhead and having another bulkhead fall onto him, breaking his skull and causing severe brain damage and crushing his left knee. Doctors worked for twelve hours to place him in a somewhat stable condition, in which time he is transferred to a medical facility.
*'''SD 237007.05:'''
*'''SD 238708.08:''' Core is given 12 months of medical leave, in which he is required to attend rehabilitation. He chose to remain in the medical facility until he was posted to [[Deep Space 17]].


===PAST SURGICAL HISTORY===
===PAST SURGICAL HISTORY===
*'''SD 237005.05:'''
*'''SD 238708.01:''' Placed in surgery to stabilize him.
*'''SD 237007.05:'''
*'''SD 238708.02:'''  
**Surgery to repair brain damage (telepathic lobe deemed irreparable).
**Total knee reconstruction.
 
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===PSYCHIATRIC HISTORY===
===PSYCHIATRIC HISTORY===
*'''SD 238708.08:''' Is required to attend regular counseling sessions during his medical leave.


===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
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|colspan=2|
===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Mother:''' Meredyn Core (deceased)
*'''Father:'''
*'''Father:''' Gamighan Core
*'''Siblings:'''
*'''Siblings:''' Taywor Core (twin brother)
|-
|-
|style="background:teal;"|
|style="background:teal;"|
|colspan=2|
|colspan=2|
===SOCIAL HISTORY===
===SOCIAL HISTORY===
*'''Marital status:'''
*'''Marital status:''' Single
*'''Children:'''
*'''Children:''' None
*'''Occupation/Assignment:'''
*'''Occupation/Assignment:''' Engineering officer
*'''Diet:'''
*'''Diet:''' Various edible substances
*'''Exercise:'''
*'''Exercise:''' N/A
|-
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|style="background:teal;" colspan=3 height=4|
|style="background:teal;" colspan=3 height=4|
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__NOTOC__
__NOTOC__
[[Category:Medical Records]]

Revision as of 12:14, 27 July 2014


Starfleet Medical.png

LAST NAME, FIRST NAME MIDDLE NAME

MEDICAL RECORD
  • Height: 172 cm (5'8")
  • Weight: 71 kilos (158 lbs)
  • Blood Type: A
  • T/E Rating: T0 NR

PAST MEDICAL HISTORY

  • Chronic Illnesses: N/A
  • Medications: N/A
  • Allergies and Reactions: N/A
  • Sexual/Reproductive History: N.A

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 238708.01: Explosion aboard the USS Pioneer's Engineering see's Core blown into a bulkhead and having another bulkhead fall onto him, breaking his skull and causing severe brain damage and crushing his left knee. Doctors worked for twelve hours to place him in a somewhat stable condition, in which time he is transferred to a medical facility.
  • SD 238708.08: Core is given 12 months of medical leave, in which he is required to attend rehabilitation. He chose to remain in the medical facility until he was posted to Deep Space 17.

PAST SURGICAL HISTORY

  • SD 238708.01: Placed in surgery to stabilize him.
  • SD 238708.02:
    • Surgery to repair brain damage (telepathic lobe deemed irreparable).
    • Total knee reconstruction.

PSYCHIATRIC HISTORY

  • SD 238708.08: Is required to attend regular counseling sessions during his medical leave.

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Mother: Meredyn Core (deceased)
  • Father: Gamighan Core
  • Siblings: Taywor Core (twin brother)

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Engineering officer
  • Diet: Various edible substances
  • Exercise: N/A

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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