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Hayley Caden/Medical Record: Difference between revisions
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Danny Wilde (talk | contribs) (Created page with "{{subst:Medical Record}}") |
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= | ||
|BIRTHYEAR= | |BIRTHYEAR= 2368 | ||
|BIRTHMONTH= | |BIRTHMONTH= 11 | ||
|BIRTHDATE= | |BIRTHDATE= 23 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]]/[[Betazoid]] | ||
|HEIGHT= | |HEIGHT= | ||
|WEIGHT= | |WEIGHT= | ||
|BLOOD TYPE= | |BLOOD TYPE= | ||
|T/E RATING= | |T/E RATING= T2/E4 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
*''' | *''' | ||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= None | ||
|ALCOHOL USE= | |ALCOHOL USE= | ||
|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= | ||
|CHILDREN= | |CHILDREN= | ||
|OCCUPATION= | |OCCUPATION= | ||
|DIET= | |DIET= | ||
|EXERCISE= | |EXERCISE= | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*'''SD | *'''SD 000000.00 - Medical Officer:''' | ||
*'''Medical Assessment:''' | *'''Medical Assessment:''' | ||
<hr> | <hr> | ||
*'''SD | *'''SD 0000.00 - Medical Officer:''' | ||
*'''Addendum:''' | *'''Addendum:''' | ||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
*'''SD | *'''SD 0000.00 - Counselor:''' | ||
*'''Counseling Assessment:''' | *'''Counseling Assessment:''' | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] | ||