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| <noinclude>
| | =={{int:filedesc}}== |
| This is the "Medical Record" form.
| | {{Information |
| To create a page with this form, enter the page name below;
| | |description={{en|1=Autogenerated profile picture}} |
| if a page with that name already exists, you will be sent to a form to edit that page.
| | |date=2020-03-29 16:36:07 |
| | |source={{own}} |
| | |author=[[User:Xalphox|Xalphox]] |
| | |permission= |
| | |other versions= |
| | }} |
|
| |
|
| {{#forminput:form=Medical Record|autocomplete on category=Medical Records}}
| | Autogenerated profile picture |
|
| |
|
| </noinclude><includeonly>
| | =={{int:license-header}}== |
| <div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div>
| | {{licensing|generic}} |
| | |
| {{{info|page name=<unique number;start=1>}}}
| |
| | |
| {{{for template|Person/Medical Record}}}
| |
| {| class="formtable"
| |
| ! Patient:
| |
| | {{{field|Patient|mandatory|input type=combobox|values from category=People}}}
| |
| |-
| |
| ! Date:
| |
| | {{{field|Date|mandatory|input type=Date|default=now}}}
| |
| |-
| |
| ! Attending physician:
| |
| | {{{field|Attending physician|mandatory|input type=combobox|values from category=People}}}
| |
| |-
| |
| ! Severity
| |
| | {{{field|Severity|input type=radiobutton|mandatory|values=Critical, Serious, Mild, Minor, Trivial}}}
| |
| |-
| |
| ! Details:
| |
| | {{{field|Details|mandatory}}}
| |
| |-
| |
| ! Treatment:
| |
| | {{{field|Treatment}}}
| |
| |} | |
| {{{end template}}}
| |
| </includeonly>
| |
Latest revision as of 21:45, 8 November 2022