m (Xalphox moved page Form:Medical Record to Form:MedicalRecord without leaving a redirect)
 
(Uploaded own work with UploadWizard)
Tag: Upload Wizard
 
Line 1: Line 1:
<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

Summary

Template:Information

Autogenerated profile picture

Licensing

Template:Licensing



Categories: