User:Zephyr/sandbox3: Difference between revisions
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(created starting file, will be revising and moving once it's complete.) |
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{{ | {{Medical Record LCARS | ||
|SERIAL NUMBER= DH-787-031 | |||
|BIRTHYEAR= 2364 | |||
|BIRTHMONTH= 04 | |||
|BIRTHDATE= 17 | |||
|SEX= Male | |||
|SPECIES= [[Denobulan]] / [[Human]] | |||
|HEIGHT= 5'11" | |||
|WEIGHT= 175 pounds | |||
|BLOOD TYPE= | |||
|T/E RATING= T0/E0 | |||
|CHRONIC ILLNESSES= None | |||
|MEDICATIONS= | |||
|ALLERGIES & REACTIONS= None | |||
|SEXUAL/REPRODUCTIVE HISTORY= None | |||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |||
*239508.12: Patient entered with 3rd degree plasma burns around the temples from an overheated visual aid. | |||
|PAST SURGICAL HISTORY= | |||
<!-- placeholder format text*'''239111.23:''' Full corrective wrist surgery to left wrist. Instructed to keep a brace on it until further notice. | |||
**'''Surgeon:''' Surgery performed by neurologist Ven Demar and Ensign {{n|Roslyn|Mo'Phatz}}, MD | |||
**'''OR Site:''' {{USS|Garuda}} | |||
*'''239312.26:''' EARS device installed as a result of cummulative damage to both eardrums. Instructed to rest and report any dizziness or difficulties with hearing or balance. | |||
**'''Surgeon:''' Surgery performed by Lieutenant Junior Grade Dassa Alexander, ChD, PD, PDS | |||
**'''OR Site:''' {{USS|Gorkon}}--> | |||
|PSYCHIATRIC HISTORY= | |||
|ALCOHOL USE= | |||
|RECREATIONAL DRUG USE= | |||
|OTHER SUBSTANCE USE= | |||
|MOTHER MEDICAL HISTORY= | |||
|FATHER MEDICAL HISTORY= | |||
|SIBLING MEDICAL HISTORY= | |||
|MARITAL STATUS & SPOUSE= | |||
|CHILDREN= None | |||
|OCCUPATION= Science Officer, {{USS|Veritas}} | |||
|DIET= | |||
|EXERCISE= | |||
|PHYSICIANS NOTE= | |||
*'''Stardate 23950812:''' | |||
**'''Medical Officer:''' Lieutenant [[Dassa Alexander]], PD/PDS | |||
**'''Medical Assessment:''' File created. Patient experienced some dizziness after throwing the visor technology to the ground, causing partial hair loss and third degree plasma burns to both temples. Treated via burn gel. Expressed interest in visiting with the patient 3 of 10 following her disconnection from the Borg Collective. | |||
*'''Stardate 239508.16:''' | |||
**''Medical Officer:''' Lt. Commander [[Chythar Skyfire]], MD; Chief Medical Officer | |||
**'''Medical Assessment:''' Remaining treatment of plasma burns, followed by dermal regeneration and mandatory onboarding physical. Cleared for duty. | |||
|COUNSELORS NOTE= <!-- placeholder text for formatting later *'''Stardate 23950812:''' | |||
**'''Medical Officer:''' Lieutenant [[Dassa Alexander]], PD/PDS | |||
**'''Medical Assessment:''' File created. Patient experienced some dizziness after throwing the visor technology to the ground, causing partial hair loss and third degree plasma burns to both temples. Treated via burn gel. Expressed interest in visiting with the patient 3 of 10 following her disconnection from the Borg Collective. --> | |||
}} | |||
{{LCARS- | {{LCARS-sdfooter|COLOR=teal}} | ||
[[Category:Medical Records]] | |||
Revision as of 10:08, 16 August 2018
Zephyr
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY | ||
PSYCHIATRIC HISTORYSUBSTANCE 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 |
REV SD 239508.16 |
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