No edit summary
 
mNo edit summary
Line 14: Line 14:
|-
|-
! Date:  
! Date:  
| {{{field|Date}}}
| {{{field|Date|mandatory|default=TODAY()}}}
|-
|-
! Attending physician:  
! Attending physician:  
| {{{field|Attending physician}}}
| {{{field|Attending physician|mandatory|input type=Page}}}
|-
|-
! Severeity:
! Severity
| {{{field|Severity}}}
| {{{field|Severity|mandatory|values=Critical, Serious, Mild, Minor, Trivial}}}
|-
|-
! Details:  
! Details:  
| {{{field|Details}}}
| {{{field|Details|mandatory}}}
|-
|-
! Treatment:  
! Treatment:  
Line 29: Line 29:
|}
|}
{{{end template}}}
{{{end template}}}
'''Free text:'''
{{{standard input|free text|rows=10}}}
</includeonly>
</includeonly>

Revision as of 15:59, 6 November 2022

This is the "Medical Record" form. To create a page with this form, enter the page name below; if a page with that name already exists, you will be sent to a form to edit that page.




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