英文体检报告模板

英文体检报告模板一、个人信息PatientName:______________________DateofBirth:______________________Gender:____________________________IDNumber:_________________________二、体检日期DateofExamination:__________________三、体检项目及结果1.GeneralPhysicalExamination（一般体检）Height:______________________cmWeight:______________________kgBloodPressure:______________________mmHgPulse:______________________beats/min2.EyeExamination（眼科检查）Vision:LeftEye:______________________RightEye:______________________ColorVision:Normal/Abnormal3.Ear,NoseandThroatExamination（耳鼻喉科检查）Hearing:Normal/AbnormalNose:Normal/AbnormalThroat:Normal/Abnormal4.DentalExamination（口腔检查）ConditionofTeeth:______________________GumCondition:______________________5.InternalMedicineExamination（内科检查）Heart:Normal/AbnormalLungs:Normal/AbnormalAbdomen:Normal/Abnormal6.LaboratoryTests（实验室检查）BloodRoutine:______________________Urinalysis:______________________FecalOccultBloodTest:______________________7.ImagingExamination（影像学检查）ChestXray:______________________Ultrasonography:______________________四、体检结论1.OverallHealthAssessment:______________________五、医生签名Physician'sSignature:______________________Date:______________________四、专项检查8.GynecologicalExamination（妇科检查）ForFemalesBreastExamination:Normal/AbnormalPelvicExamination:Normal/AbnormalPapSmear:______________________(resultstobeprovidedseparately)9.ProstateExamination（前列腺检查）ForMalesDigitalRectalExamination:Normal/AbnormalProstateSpecificAntigen(PSA)Level:______________________ng/mL10.CardiovascularExamination（心血管检查）ECG(Electrocardiogram):______________________(interpretationtobeprovidedseparately)CholesterolLevel:Total:______________________mg/dL,HDL:______________________mg/dL,LDL:______________________mg/dL11.RespiratoryFunctionTest（肺功能检查）ForcedVitalCapacity(FVC):______________________litersForcedExpiratoryVolumein1Second(FEV1):______________________liters五、健康建议1.DietandNutrition（饮食与营养）SpecificDietaryRestrictions:______________________2.ExerciseandLifestyle（运动与生活方式）SuggestionsforImprovingLifestyle:______________________3.FollowupAppointments（随访预约）DatesforNextCheckup:______________________六、备注SpecialInstructions:______________________AdditionalComments:______________________七、患者确认Patient'sSignature:______________________Date:______________________八、保密声明Thismedicalexaminationreportcontainsconfidentialinformationandisintendedfortheuseofthenamedpatientandauthorizedhealthcareprovidersonly.Unauthorizedcopyingordistributionofthisreportisprohibited.HealthcareFacility:______________________ContactInformation:______________________九、紧急联系人信息Incaseofemergency,pleasecontact:Name:______________________Relationship:______________________PhoneNumber:______________________AlternatePhoneNumber:______________________十、体检报告解读Weunderstandthatmedicalterminologycansometimesbeoverwhelming.Belowisabriefexplanationofsometermsusedinthisreport:Normal:Indicatesthatthetestorexaminationresultiswithintheexpectedrangeforahealthyindividual.Abnormal:Suggeststhatthetestorexaminationresultisoutsidethenormalrangeandmayrequirefurtherinvestigationortreatment.十一、患者权利与责任Asapatient,youhavetherightto:Accessyourmedicalrecordsandreports.Beinformedaboutyourtreatmentoptionsandtoparticipateindecisionsaboutyourcare.Youareresponsiblefor:Contactingyourhealthcareproviderifyouexperienceanyunexpectedchangesinyourhealth.十二、后续关怀Appointmentschedulingforfollowupvisitsorspecialistconsultations.Assistancewithreferralstootherhealthcareprovidersorservices.Informationonsupportgroupsorresourcesformanagingspecifichealthconditions.十三、感谢与反馈Foranyfeedbackorconcerns,please