2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

metronidazole 500 mg tablet, [RxNorm: 207291]
06/02/2020
2G PO at one time called into CVS Pharmacy in Tuskegee at 334-727-6586.
Active
cetirizine 10 mg tablet, [RxNorm: 1020025]
12/03/2019
TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY
Active
ferrous sulfate 325 mg (65 mg iron) tablet, [RxNorm: 211517]
12/10/2019
TAKE 1 TABLET (325 MG) BY ORAL ROUTE ONCE DAILY
Active
ondansetron 4 mg disintegrating tablet, [RxNorm: 876690]
12/03/2019
TAKE 1-2 TABLETS (8 MG) AND PLACE ON TOP OF THE TONGUE WHERE THEY WILL DISSOLVE, REPEAT EVERY 8 HOUR
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED NEW PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Dec 03, 20197461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
12/03/2019
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
12/03/2019
CBC W/ DIFF (QUEST), [CPT-4: 6399]
12/03/2019
TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]
12/03/2019
BLOOD DRAW, [CPT-4: 36415]
06/02/2020
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]
12/03/2019
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]
06/02/2020
HIV, [CPT-4: 86701]
12/03/2019
HIV, [CPT-4: 86701]
06/02/2020
VDRL, [LOINC: 11084-1]
06/02/2020
VDRL, [LOINC: 11084-1]
12/03/20197461 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 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

12/03/2019 173 cm 94 kg 31.48 137/88 mm[Hg] 37 Cel 54 bpm
06/02/2020 139/89 mm[Hg] 63 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
12/03/2019
Urobilinogen-Urine
Positive
12/03/2019
Protein [Mass/Volume] in Urine by Test strip
Positive mg/dL
12/03/2019
pH of Urine by Test strip
7 [pH]
12/03/2019
Blood-Urine
Negative
12/03/2019
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
12/03/2019
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
12/03/2019
Specific Gravity of Urine by Test strip
1.010
12/03/2019
Bilirubin-Urine
Negative
12/03/2019
Nitrites-Urine
Negative
12/03/2019NegativePositivePositiveNegativeNegativeNegativeNegativeNegativePLAN 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
metronidazole 500 mg tablet, [RxNorm: 207291]	06/02/2020	2G PO at one time called into CVS Pharmacy in Tuskegee at 334-727-6586.	Active
cetirizine 10 mg tablet, [RxNorm: 1020025]	12/03/2019	TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY	Active
ferrous sulfate 325 mg (65 mg iron) tablet, [RxNorm: 211517]	12/10/2019	TAKE 1 TABLET (325 MG) BY ORAL ROUTE ONCE DAILY	Active
ondansetron 4 mg disintegrating tablet, [RxNorm: 876690]	12/03/2019	TAKE 1-2 TABLETS (8 MG) AND PLACE ON TOP OF THE TONGUE WHERE THEY WILL DISSOLVE, REPEAT EVERY 8 HOUR	Active

Procedure	Date
UA, [CPT-4: 81003]	12/03/2019
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	12/03/2019
CBC W/ DIFF (QUEST), [CPT-4: 6399]	12/03/2019
TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]	12/03/2019
BLOOD DRAW, [CPT-4: 36415]	06/02/2020
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]	12/03/2019
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]	06/02/2020
HIV, [CPT-4: 86701]	12/03/2019
HIV, [CPT-4: 86701]	06/02/2020
VDRL, [LOINC: 11084-1]	06/02/2020
VDRL, [LOINC: 11084-1]	12/03/2019

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
12/03/2019	173 cm	94 kg	31.48	137/88 mm[Hg]	37 Cel	54 bpm
06/02/2020	139/89 mm[Hg]	63 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Negative	12/03/2019
Urobilinogen-Urine	Positive	12/03/2019
Protein [Mass/Volume] in Urine by Test strip	Positive mg/dL	12/03/2019
pH of Urine by Test strip	7 [pH]	12/03/2019
Blood-Urine	Negative	12/03/2019
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	12/03/2019
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	12/03/2019
Specific Gravity of Urine by Test strip	1.010	12/03/2019
Bilirubin-Urine	Negative	12/03/2019
Nitrites-Urine	Negative	12/03/2019