James/Medical Record: Difference between revisions

James/Medical Record (view source)

Revision as of 19:21, 26 June 2014

468 bytes removed , 26 June 2014

Changed to new style template.

Aigle Phos

2,273

edits

@@ Line 1: / Line 1: @@
-<div style="width:200px; float:right;">
+{{James/Nav-Horizontal}}
-[[image:Medicallogo-blacknwhite.png‎|right]]
-<!--{{Template:James-Nav}}-->
-</div>
-__NOTOC__
 <br />
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Medical record: general information</h2>
+{|style="max-width:700px; margin:auto;"
+|style="background:teal;" width="100"|
-*'''Full name:''' James
+|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
-*'''Serial number:''' <span style="font-family:monospace;">ZP - 314 - 159</span>
+===James===
-*'''Age:''' 20
+*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' ZP - 314 - 159
+*'''Date of Birth:''' 30th April, 2367
+**'''Age:''' {{age|2367|04|30}}
+*'''Sex:''' Male
 *'''Species:''' Terran (3/4ths)/Vulcan (1/4th)
+|-
+|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
+|style="background:teal" |
+!width=180 align=right|<font size="4" color=teal>MEDICAL RECORD</font>
+|-
+|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
+|colspan=2|
+*'''Height:''' 220 cm (7'2")
+*'''Weight:''' 90 kilos (197 lbs)
+*'''Blood Type:''' AB+, Copper
+*'''[[T/E Rating]]:''' Weak, erratic T5
+|-
+|style="background:teal;"|
+|colspan=2|
+===PAST MEDICAL HISTORY===
+*'''Chronic Illnesses:''' Weakened heart due complications from 239102.01 surgical procedure.
+*'''Medications:''' None
+*'''Allergies and Reactions:''' None as of 239106.26
+*'''Sexual/Reproductive History:''' None.
+|-
+|style="background:teal;"|
+|colspan=2|
+===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
+* '''SD 239102.01''': Hospital stay while recovering from surgery.
-*'''Blood category (specify if applicable):''' Hot blooded
+===PAST SURGICAL HISTORY===
-*'''Blood type (specify if applicable):''' Copper based, green
+* '''SD 239010.09''': Removal of damaged teeth. Severe nerve damage was detected before procedure.
-*'''Body temperature:''' 32.78°C on average, internally regulated
+* '''SD 239102.01''': Surgical correction of broken bones - both arms -, broken ribs and various internal damage. Heart stopped shortly before procedure, had to be manually restarted.
-*'''Allergies:''' None as of 239102.3
+|-
+|style="background:teal;"|
+|colspan=2|
+===PSYCHIATRIC HISTORY===
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Antecedents</h2>
+===SUBSTANCE USE HISTORY===
+*'''Alcohol:''' None.
-===Physicals/Checkups===
+*'''Recreation Drugs:''' None.
-*'''238906.02:''' Mandatory checkup after graduation with Starfleet Academy. Performed by Academy physician.
+*'''Other:''' None.
+|-
-===Surgeries===
+|style="background:teal;"|
-* '''239010.09''': Removal of damaged teeth. Severe nerve damage was detected before procedure.
+|colspan=2|
-* '''239102.01''': Surgical correction of broken bones - both arms -, broken ribs and various internal damage. Heart stopped shortly before procedure, had to be manually restarted.
+===FAMILY MEDICAL HISTORY===
+*'''Mother:''' Clean bill of health
-===Dietary===
+*'''Father:''' Clean bill of health
-*'''Special requirements:''' Mostly vegetarian. Can process meat.
+*'''Siblings:''' None
+|-
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Observations/Notes</h2>
+|style="background:teal;"|
+|colspan=2|
-===Doctors===
+===SOCIAL HISTORY===
+*'''Marital status:''' Single
-===Nurses===
+*'''Children:''' None
+*'''Occupation/Assignment:''' Chief of Engineering, {{USS|Darwin|A}}
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Drug prescriptions</h2>
+*'''Diet:''' Mostly vegetarian and pescetarian. Can process meat.
+*'''Exercise:''' Work in Engineering.
-*N/A
+|-
+|style="background:teal;" colspan=3 height=4|
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Physical/Checkup results</h2>
+|-
+|style="background:teal;"|
-*'''238906.02:''' Perfect physical shape, prime for duty.
+|colspan=2|
+===PHYSICIANS' NOTES===
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Counseling Information</h2>
+*'''Medical Officer:'''
+*'''Medical Assessment:'''
-*'''Important Sessions:'''
+|-
+|style="background:teal;"|
+|colspan=2|
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Recommendations</h2>
+===COUNSELORS' NOTES===
+*'''Counselor:'''
+*'''Psychological Assessment:'''
-<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Attending physician</h2>
+|}
+__NOTOC__
-*<center>[[Shagan, Telice|Telice Shagan]]
-[[image:DrShagan_signature.png|right]]</center>
-<br clear="all">
-*<center>[[Brolin, Marvin|Marvin Brolin]]</center>
-<br clear="all">
-*<center>{{n|Jen|Malcom}}</center>
-<br clear="all">
-*<center>{{n|Jack|Corbin}}</center>
-<br clear="all">
-{{Template:James/Nav-Horizontal}}
-[[Category:James]]
 [[Category:Medical Records]]