Lydie Ehlanii Brice/Medical Record: Difference between revisions
Jump to navigation
Jump to search
(Created page with "{{subst:Medical Record}}") |
No edit summary |
||
Line 1: | Line 1: | ||
{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= DJ - 385 - 986 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2392 | ||
|BIRTHMONTH= | |BIRTHMONTH= 04 | ||
|BIRTHDATE= | |BIRTHDATE= TBD | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]]/[[Haliian]] | ||
|HEIGHT= | |HEIGHT= 20 inches | ||
|WEIGHT= | |WEIGHT= 6 lbs 4 oz | ||
|BLOOD TYPE= B+ | |BLOOD TYPE= B+ | ||
|T/E RATING= | |T/E RATING= T1*/E3 (T1 only with very close connections) | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= N/A | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= None | ||
|PAST SURGICAL HISTORY= None | |||
|PAST SURGICAL HISTORY= | |||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= | |ALCOHOL USE= None | ||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= | |MOTHER MEDICAL HISTORY= No Chronic Illnesses ([[Haliian]]) | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= No Chronic Illnesses ([[Human]]) | ||
|SIBLING MEDICAL HISTORY= | |SIBLING MEDICAL HISTORY= 1 sibling, [[Human]], no chronic illnesses | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= Single | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Baby | ||
|DIET= | |DIET= Breast Milk | ||
|EXERCISE= | |EXERCISE= Normal Baby Activities | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*'''SD | *'''SD 239204.** - Medical Officer:''' {{n|Johanna|MacLaren}}, MD, {{USS|Columbia}} | ||
*'''Medical Assessment:''' | *'''Medical Assessment:''' pending | ||
<hr> | <hr> | ||
*'''Counseling Assessment: none | |||
*'''Counseling Assessment: | |||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] |
Revision as of 19:25, 27 April 2015
Lydie Ehlanii Brice
| ||
MEDICAL RECORD | ||
---|---|---|
| ||
PAST MEDICAL HISTORY
| ||
PAST HOSPITALIZATIONS/SERIOUS ILLNESSNone PAST SURGICAL HISTORYNone | ||
PSYCHIATRIC HISTORYNone SUBSTANCE USE HISTORY
| ||
FAMILY MEDICAL HISTORY | ||
SOCIAL HISTORY
| ||
PHYSICIANS' NOTES
| ||
COUNSELORS' NOTES |