Template:Medical Record

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You can use this template to create a medical record for your character:
  1. Create a new subpage for your character by adding "/Medical Record" to the end of your character's current bio page.
    The new page will have the address Character Name/Medical Record
  2. Insert {{subst:Medical Record}} into the body of the new subpage and click save.
  3. Click edit once the page is created and fill out the details as you wish.

Example: Roshanara Rahman/Medical Record


NOTE: To see the code that created the following output below, click here.


Starfleet Medical.png

Medical Record

MEDICAL RECORD
  • Height: 161 cm (5'3")
  • Weight: 56 kilos (123 lbs)
  • Blood Type: B+
  • T/E Rating: T0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: Strawberries (hives)
  • Sexual/Reproductive History: Longterm male partner

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • 2388: Tarkalean flu

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: 2 glasses of wine per week
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother: None
  • Father: Cardiovascular disease
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Married to Elliot Smith
  • Children: 1 son
  • Occupation/Assignment: Helmsman
  • Diet: Vegetarian
  • Exercise: Running, 3 times a week

PHYSICIANS' NOTES

  • SD 239004.23 - Medical Officer: Niccolò del Vedova, MD, USS Mercury
  • Medical Assessment: Ensign Smith is a 27-year-old human female who presents with abdominal pain and generalized weakness. She states the symptoms began last Thursday after eating a bowl of Commander McLaughin's "Sweet Chili Surprise" at the ship's annual cook off contest. I've started her on an intense bowel cleansing therapy which should be followed to completion through next week.

  • SD 239004.27 - Medical Officer: Niccolò del Vedova, MD, USS Mercury
  • Addendum: Ensign Smith returned to sickbay today stating she felt much better, insisting that her cleansing therapy was no longer necessary. I told her nonsense and sent her on her way.

COUNSELORS' NOTES

  • SD 239004.28 - Counselor: Lt. Rachel Simmons, USS Mercury
  • Counseling Assessment: Ensign Smith came to my office today in tears. It seems her recent medical illness due to her unfortunate encounter with McLaughlin's chili has left her feeling vulnerable and alone. I have advised her to continue daily therapy sessions with me until further notice.