m (Xalphox moved page Form:Medical Record to Form:MedicalRecord without leaving a redirect)
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<noinclude>
<noinclude>
This is the "Medical Record" form.
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.
{{#forminput:form=Medical Record|autocomplete on category=Medical Records}}


</noinclude><includeonly>
</noinclude><includeonly>
<div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div>
<div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div>


{{{info|page name=<unique number;start=1>}}}
{{{info|page name=MR<unique number;start=1>}}}
 
{{{for template|MedicalRecord}}}
{{{field|Patient|mandatory|input type=combobox|values from category=People|hidden}}}


{{{for template|Person/Medical Record}}}
{| class="formtable"
{| class="formtable"
! Patient:
| {{{field|Patient|mandatory|input type=combobox|values from category=People}}}
|-
|-
! Date:  
! Date:  
| {{{field|Date|mandatory|input type=Date|default=now}}}
| {{{field|Date|mandatory|input type=date|default=now}}}
|-
|-
! Attending physician:  
! Attending physician:  
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|-
|-
! Details:  
! Details:  
| {{{field|Details|mandatory}}}
| {{{field|Details|input type=textarea|mandatory}}}
|-
|-
! Treatment:  
! Treatment:  
| {{{field|Treatment}}}
| {{{field|Treatment|input type=textarea|}}}
|}
|}
{{{end template}}}
{{{end template}}}
</includeonly>
</includeonly>

Latest revision as of 22:52, 8 November 2022

This is the "Medical Record" form.


Retrieved from "http://wiki.sstrp.net/index.php?title=Form:MedicalRecord&oldid=787"


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