Aitas/Medical Record: Difference between revisions
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= EZ - 123 - 456 | |SERIAL NUMBER= EZ - 123 - 456 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2366 | ||
|BIRTHMONTH= | |BIRTHMONTH= 04 | ||
|BIRTHDATE= | |BIRTHDATE= 23 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[ | |SPECIES= [[Vulcan]]/[[Betazoid]] | ||
|HEIGHT= | |HEIGHT= 5'8" | ||
|WEIGHT= | |WEIGHT= 128 pounds | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= | |T/E RATING= T3/E6 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= | ||
Numerous partners of various genders. Last Pon Farr in early 2387, next expected to begin on roughly 239401.07. | |||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
* | * | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
*'''SD | *'''SD 237707.11:''' Surgery to repair broken arm | ||
**'''Surgeon:''' | **'''Surgeon:''' Unknown | ||
**'''OR Site:''' | **'''OR Site:''' Unknown | ||
**'''Op Note:''' | **'''Op Note:''' None | ||
|PSYCHIATRIC HISTORY= | |PSYCHIATRIC HISTORY= Patient has history of trauma due to interactions with the [[Orion Syndicate]] as well as the loss of her mother in 2374. Despite this her use of counseling services has been minimal. | ||
|ALCOHOL USE= | |ALCOHOL USE= Occasional | ||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|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= Unmarried | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Intelligence Officer | ||
|DIET= Vegetarian | |DIET= Largely Vegetarian | ||
|EXERCISE= Running, 3 times a week | |EXERCISE= Running, 3 times a week | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*'''SD | *'''SD 239307.23 - Medical Officer:''' {{n|Mirra|Ezo}}, CMO, [[Starbase 118 Ops]] | ||
*'''Medical Assessment: | *'''Medical Assessment: | ||
<hr> | <hr> | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
*'''SD 239004.28 - Counselor:''' | *'''SD 239004.28 - Counselor:''' [[T%27Sai Reyes]], [[Starbase 118 Ops]] | ||
*'''Counseling Assessment:''' | *'''Counseling Assessment:''' | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] | ||
[[Category:Aitas|Medical Record]] |
Revision as of 16:00, 6 September 2016
Aitas
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESSPAST SURGICAL HISTORY
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PSYCHIATRIC HISTORYPatient has history of trauma due to interactions with the Orion Syndicate as well as the loss of her mother in 2374. Despite this her use of counseling services has been minimal. 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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