2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]
01/29/2020
TAKE 1 CAPSULE (20 MG) BY ORAL ROUTE ONCE DAILY 30 MINUTES TO 1 HOUR BEFORE MEAL
Active
fluconazole 150 mg tablet, [RxNorm: 207108]
01/29/2020
TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE, MAY REPEAT IN 3 DAYS FOR PERSISTING SYMPTOMS.
Active
clarithromycin 500 mg tablet, [RxNorm: 205866]
01/29/2020
TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS
Active
trazodone 50 mg tablet, [RxNorm: 856379]
02/06/2020
TAKE 1/2-1 TABLET (25-50 MG) BY ORAL ROUTE ONCE DAILY AT BEDTIME
Active
amoxicillin 500 mg tablet, [RxNorm: 213340]
01/29/2020
TAKE 2 TABLETS (1000 MG) BY ORAL ROUTE EVERY 12 HOURS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Jan 29, 2020
INTERMEDIATE EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Feb 06, 20207461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
01/29/2020
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
01/29/2020
CBC W/ DIFF (QUEST), [CPT-4: 6399]
01/29/2020
H. PYLORI UREA BREATH TEST (QUEST), [CPT-4: 14839]
01/29/20207461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

TDap
04/28/2020
Completed
MMR
04/28/2020
CompletedTDapDC924Sanofi Pasteu7461 East DrMontgomeryALUSAmyMorrisRNAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMRS014807Merck Co., Inc.7461 East DrMontgomeryALUSAmyMorrisRNAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

01/29/2020 155 cm 41 kg 17.21 106/75 mm[Hg] 37 Cel 91 bpm 12 bpm
02/06/2020 107/78 mm[Hg] 80 bpm
04/28/2020 37 CelRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
01/29/2020
Urobilinogen-Urine
Negative
01/29/2020
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/29/2020
pH of Urine by Test strip
5 [pH]
01/29/2020
Blood-Urine
Negative
01/29/2020
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/29/2020
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/29/2020
Specific Gravity of Urine by Test strip
1.030
01/29/2020
Bilirubin-Urine
Negative
01/29/2020
Nitrites-Urine
Negative
01/29/2020
Appearance of Urine
Clear
01/29/2020
Color of Urine
Yellow
01/29/2020NegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeClearYellowPLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]	01/29/2020	TAKE 1 CAPSULE (20 MG) BY ORAL ROUTE ONCE DAILY 30 MINUTES TO 1 HOUR BEFORE MEAL	Active
fluconazole 150 mg tablet, [RxNorm: 207108]	01/29/2020	TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE, MAY REPEAT IN 3 DAYS FOR PERSISTING SYMPTOMS.	Active
clarithromycin 500 mg tablet, [RxNorm: 205866]	01/29/2020	TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS	Active
trazodone 50 mg tablet, [RxNorm: 856379]	02/06/2020	TAKE 1/2-1 TABLET (25-50 MG) BY ORAL ROUTE ONCE DAILY AT BEDTIME	Active
amoxicillin 500 mg tablet, [RxNorm: 213340]	01/29/2020	TAKE 2 TABLETS (1000 MG) BY ORAL ROUTE EVERY 12 HOURS	Active

Encounter	Performer	Location	Date
LIMITED EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Jan 29, 2020
INTERMEDIATE EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Feb 06, 2020

Procedure	Date
UA, [CPT-4: 81003]	01/29/2020
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	01/29/2020
CBC W/ DIFF (QUEST), [CPT-4: 6399]	01/29/2020
H. PYLORI UREA BREATH TEST (QUEST), [CPT-4: 14839]	01/29/2020

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry
01/29/2020	155 cm	41 kg	17.21	106/75 mm[Hg]	37 Cel	91 bpm	12 bpm
02/06/2020	107/78 mm[Hg]	80 bpm
04/28/2020	37 Cel

Result Type	Result Value	Date
Leukocytes-Urine	Negative	01/29/2020
Urobilinogen-Urine	Negative	01/29/2020
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/29/2020
pH of Urine by Test strip	5 [pH]	01/29/2020
Blood-Urine	Negative	01/29/2020
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/29/2020
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/29/2020
Specific Gravity of Urine by Test strip	1.030	01/29/2020
Bilirubin-Urine	Negative	01/29/2020
Nitrites-Urine	Negative	01/29/2020
Appearance of Urine	Clear	01/29/2020
Color of Urine	Yellow	01/29/2020