2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Tri-Previfem (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-35 mcg tablet, [RxNorm: 749784]
10/18/2019
Take as directed
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Oct 18, 2019
LIMITED EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Jun 19, 20207461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
06/22/2020
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
06/19/2020
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
06/19/2020
TB test - IPPD, [CPT-4: SP86580]
06/19/2020
TB test - IPPD, [CPT-4: SP86580]
10/18/2019
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]
06/22/20207461 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 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 devicesIMMUNIZATIONSNo immunization historyVaccinationVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

06/19/2020 108/75 mm[Hg] 37 Cel 88 bpm 14 bpm
06/22/2020 156 cm 68 kg 28 102/63 mm[Hg] 37 Cel 84 bpm 14 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Positive
06/22/2020
Urobilinogen-Urine
Negative
06/22/2020
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/22/2020
pH of Urine by Test strip
7 [pH]
06/22/2020
Blood-Urine
Positive
06/22/2020
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/22/2020
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/22/2020
Specific Gravity of Urine by Test strip
1.015
06/22/2020
Bilirubin-Urine
Negative
06/22/2020
Nitrites-Urine
Negative
06/22/2020
Appearance of Urine
Clear
06/22/2020
Color of Urine
Yellow
06/22/2020PositiveNegativeNegativePositiveNegativeNegativeNegativeNegativeClearYellowPLAN 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

Encounter	Performer	Location	Date
NO CHARGE	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Oct 18, 2019
LIMITED EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Jun 19, 2020

Procedure	Date
UA, [CPT-4: 81003]	06/22/2020
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	06/19/2020
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	06/19/2020
TB test - IPPD, [CPT-4: SP86580]	06/19/2020
TB test - IPPD, [CPT-4: SP86580]	10/18/2019
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]	06/22/2020

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
06/19/2020	108/75 mm[Hg]	37 Cel	88 bpm	14 bpm
06/22/2020	156 cm	68 kg	28	102/63 mm[Hg]	37 Cel	84 bpm	14 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Positive	06/22/2020
Urobilinogen-Urine	Negative	06/22/2020
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/22/2020
pH of Urine by Test strip	7 [pH]	06/22/2020
Blood-Urine	Positive	06/22/2020
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/22/2020
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/22/2020
Specific Gravity of Urine by Test strip	1.015	06/22/2020
Bilirubin-Urine	Negative	06/22/2020
Nitrites-Urine	Negative	06/22/2020
Appearance of Urine	Clear	06/22/2020
Color of Urine	Yellow	06/22/2020