Kaansi Desan/Medical Record: Difference between revisions
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Trekkie0587 (talk | contribs) (Created page with "{{subst:Medical Record}}") |
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= SO - 219 - 987 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2361 | ||
|BIRTHMONTH= | |BIRTHMONTH= 02 | ||
|BIRTHDATE= | |BIRTHDATE= 19 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[ | |SPECIES= [[Brekkian]]/[[Ornaran]] | ||
|HEIGHT= | |HEIGHT= 6'0 | ||
|WEIGHT= | |WEIGHT= 223 lbs | ||
|BLOOD TYPE= | |BLOOD TYPE= O+ | ||
|T/E RATING= T0 | |T/E RATING= T0+/E0+ | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= 2 glasses of wine per week | |ALCOHOL USE= 2 glasses of wine per week | ||
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|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= None | |MOTHER MEDICAL HISTORY= None | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= None | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= None | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Science Officer | ||
|DIET= | |DIET= Omnivorous | ||
|EXERCISE= Running, | |EXERCISE= Running, 5 times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*'''SD | *'''SD - Medical Officer:''' | ||
*'''Medical Assessment:''' | *'''Medical Assessment:''' | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
*'''SD | *'''SD - Counselor:''' | ||
*'''Counseling Assessment:''' | *'''Counseling Assessment:''' | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] |
Revision as of 07:14, 2 March 2017
Kaansi Desan
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESSPAST SURGICAL HISTORY | ||
PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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