Msafiri Bakari/Medical Record: Difference between revisions

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Msafiri Bakari/Medical Record (view source)

Revision as of 06:39, 12 October 2014

694 bytes added ,  12 October 2014
Replaced content with "{{subst:Medical Record}}"
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{{Medical Record LCARS
|SERIAL NUMBER= VS - 108 - 427
|BIRTHYEAR= 2356
|BIRTHMONTH= 12
|BIRTHDATE= 15
|SEX= Female
|SPECIES= [[Kriosian]]
|HEIGHT= 161 cm (5'3")
|WEIGHT= 56 kilos (123 lbs)
|BLOOD TYPE= K3
|T/E RATING= E4
|CHRONIC ILLNESSES= Neurodegenerative disease of unknown origin
|MEDICATIONS= None
|ALLERGIES & REACTIONS= None
|SEXUAL/REPRODUCTIVE HISTORY= None
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
*'''2383:''' Physical Rehabilitation, [[Medical Starbase 253]]
|PAST SURGICAL HISTORY=
*'''2390:''' Nanite neurograft
**'''Surgeons:''' Ven Demar, MD; {{n|Niccolò|del Vedova}}, MD
**'''OR Site:''' {{USS|Mercury}}
*'''SD 239101.12:''' 4th and 5th Digit Prosthetic Replacement on Left Hand
**'''Surgeon:''' {{n|Niccolò|del Vedova}}, MD
**'''OR Site:''' {{USS|Garuda}}
**[http://sims.starbase118.net/posts/223306 Op Note]
|PSYCHIATRIC HISTORY= None
|ALCOHOL USE= None
|RECREATIONAL DRUG USE= None
|OTHER SUBSTANCE USE= None
|MOTHER MEDICAL HISTORY= None
|FATHER MEDICAL HISTORY= None
|SIBLING MEDICAL HISTORY= None
|MARITAL STATUS & SPOUSE= Single
|CHILDREN= None
|OCCUPATION= Engineer
|DIET= Kriosian nutritional supplement
|EXERCISE= Running, 3 times a week
|PHYSICIANS NOTE=
*'''SD 239007.12 - Medical Officer:''' {{n|Niccolò|del Vedova}}, MD
*'''Medical Assessment:''' Lt. Commander Rahman is a 33-year-old Kriosian female who presents with persistent headaches and loss of concentration. She states the symptoms began late last year and have progressively gotten worse. I have tried various conventional medications and therapy, which have not helped. She underwent a nanite neurograft to strengthen her neuronal tissue, but it appears this has had the unfortunate effect that her neuroplasticity has only been reinforced. The current plan is to continue monitoring her condition as I seek alternative therapies.
<hr>
*'''SD 239110.07 - Medical Officer:''' {{n|Niccolò|del Vedova}}, MD
*'''Addendum:''' Per request of Lieutenant {{n|Sean|Naughton}}, SB118 JAG, I have reviewed Rahman's condition and concur with the conclusion that given her susceptibility to suggestion, she is unfit for duty at this time.
|COUNSELORS NOTE=
*'''SD 239110.04 - Counselor:''' {{n|Raissa|Moonsong}}, MD
*'''Counseling Assessment:''' Per request of Lieutenant {{n|Sean|Naughton}}, SB118 JAG, I met with Rahman to assess her competence to stand trial. However, due to the JAG officer's interruption of my session with the lieutenant commander, I was unable to complete my assessment. I recommend that she be given a complete evaluation at StarBase 118 before her case moves forward.
}}


{|style="max-width:700px"
|style="background:teal;" width="100"|
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
===LAST NAME, FIRST NAME MIDDLE NAME===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' EZ - 123 - 456
*'''Date of Birth:'''
**'''Age:''' {{age|2360|03|31}}
*'''Sex:'''
*'''Species:'''
|-
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
|style="background:teal" |
!width=180 align=right style="line-height: 130%;"|<font size="4" color=teal>MEDICAL RECORD</font>
|-
|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
|colspan=2|
*'''Height:''' 178 cm (5'10")
*'''Weight:''' 73 kilos (160 lbs)
*'''Blood Type:'''
*'''[[T/E Rating]]:'''
|-
|style="background:teal;"|
|colspan=2|
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Medications:'''
*'''Allergies and Reactions:'''
*'''Sexual/Reproductive History:'''
|-
|style="background:teal;"|
|colspan=2|
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''SD 237005.05:'''
*'''SD 237007.05:'''
===PAST SURGICAL HISTORY===
*'''SD 237005.05:'''
*'''SD 237007.05:'''
|-
|style="background:teal;"|
|colspan=2|
===PSYCHIATRIC HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Recreation Drugs:'''
*'''Other:'''
|-
|style="background:teal;"|
|colspan=2|
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Father:'''
*'''Siblings:'''
|-
|style="background:teal;"|
|colspan=2|
===SOCIAL HISTORY===
*'''Marital status:'''
*'''Children:'''
*'''Occupation/Assignment:'''
*'''Diet:'''
*'''Exercise:'''
|-
|style="background:teal;" colspan=3 height=4|
|-
|style="background:teal;"|
|colspan=2|
===PHYSICIANS' NOTES===
*'''Medical Officer:'''
*'''Medical Assessment:'''
|-
|style="background:teal;"|
|colspan=2|
===COUNSELORS' NOTES===
*'''Counselor:'''
*'''Psychological Assessment:'''
|}
__NOTOC__
[[Category:Medical Records]]
[[Category:Medical Records]]
Retrieved from "https://wiki.starbase118.net/wiki/index.php?title=Special:MobileDiff/164445"

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