Template:Medical Record: Difference between revisions
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m (Protected "Template:Medical Record" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))) |
(Updating example using Robin Hopper's example) |
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<onlyinclude>{{Medical Record LCARS | <onlyinclude>{{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= HC-018-080 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2371 | ||
|BIRTHMONTH= | |BIRTHMONTH= 09 | ||
|BIRTHDATE= | |BIRTHDATE= 02 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]] / [[Centauran]] | ||
|HEIGHT= | |HEIGHT= 1.67 m | ||
|WEIGHT= | |WEIGHT= 54 kg | ||
|BLOOD TYPE= | |BLOOD TYPE= AB positive | ||
|T/E RATING= T0 | |T/E RATING= T0/E0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= | |MEDICATIONS= Receiving regular contraceptive injections | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= Possible intolerance for certain grains (i.e. hops) | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= Active, no pregnancies | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
* | *None | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
*''' | *'''2371''': At birth, left leg amputation (due to complications) | ||
*'''2372''': At 8 months, bioelectrical implantation for neurologically-controlled prosthesis | |||
* | *'''2390''': At 19 years, wisdom teeth removal | ||
|PSYCHIATRIC HISTORY= | |||
|PSYCHIATRIC HISTORY= None | *None, regular counselling | ||
|ALCOHOL USE= | |ALCOHOL USE= Occasional | ||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= | |OTHER SUBSTANCE USE= Mild caffeine intake | ||
| | |PARENT 1 = Birth Mother | ||
| | |PARENT 1 MEDICAL HISTORY= Melissa Hopper (Human), civilian file not available without requisition | ||
|SIBLING MEDICAL HISTORY= | |PARENT 2 = Biological Mother | ||
|MARITAL STATUS & SPOUSE= | |PARENT 2 MEDICAL HISTORY= Ansyra Hopper (Centauran), civilian file not available without requisition | ||
|CHILDREN= | |SIBLING MEDICAL HISTORY= Kerilyn Hopper (Human/Centauran), civilian file not available without requisition | ||
|OCCUPATION= | |MARITAL STATUS & SPOUSE= Single | ||
|CHILDREN= None | |||
|OCCUPATION= Chief Science Officer, [[Amity Outpost]] | |||
|DIET= Vegetarian | |DIET= Vegetarian | ||
|EXERCISE= | |EXERCISE= Typical aerobics, cardiovascular health optimal | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*''' | *'''239708.11 - Dr. Duran Larx''' (CMO, [[USS Wall Street]]): Ensign Hopper's health is excellent; Routine check-ups recommended. | ||
* | |||
* | |||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
* | * None on file | ||
}} | }} | ||
Revision as of 09:55, 30 September 2022
You can use this template to create a medical record for your character:
Example: Roshanara Rahman/Medical Record
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NOTE: To see the code that created the following output below, click here.
Medical Record
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
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PSYCHIATRIC HISTORY
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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