2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Polytrim 10,000 unit-1 mg/mL eye drops, [RxNorm: 244967]
10/18/2019
INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 6 HOURS
Active
sertraline 100 mg tablet, [RxNorm: 208149]
10/18/2019
1 tablet by mouth daily
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

INTERMEDIATE EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Oct 18, 2019
BRIEF EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Nov 18, 2020
BRIEF EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 09, 20207461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

COVID Rapid Testing, [CPT-4: 87426]
11/18/2020
COVID Rapid Testing, [CPT-4: 87426]
12/09/2020
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
03/26/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
04/16/20217461 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

COVID-19, mRNA, LNP-S, PF
03/26/2021
Completed
COVID-19, mRNA, LNP-S, PF
04/16/2021
CompletedCOVID-19, mRNA, LNP-S, PFEN6205Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFER8737Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn 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

10/18/2019 185 cm 129/79 mm[Hg] 36 Cel 74 bpm
11/18/2020 37 CelRESULTSResult Type Result Value Date

COVID Rapid Testing
Negative
11/18/2020
COVID Rapid Testing
Negative
12/09/2020NegativeNegativePLAN 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
Polytrim 10,000 unit-1 mg/mL eye drops, [RxNorm: 244967]	10/18/2019	INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 6 HOURS	Active
sertraline 100 mg tablet, [RxNorm: 208149]	10/18/2019	1 tablet by mouth daily	Active

Encounter	Performer	Location	Date
INTERMEDIATE EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Oct 18, 2019
BRIEF EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Nov 18, 2020
BRIEF EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 09, 2020

Procedure	Date
COVID Rapid Testing, [CPT-4: 87426]	11/18/2020
COVID Rapid Testing, [CPT-4: 87426]	12/09/2020
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	03/26/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	04/16/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	03/26/2021	Completed
COVID-19, mRNA, LNP-S, PF	04/16/2021	Completed

Result Type	Result Value	Date
COVID Rapid Testing	Negative	11/18/2020
COVID Rapid Testing	Negative	12/09/2020