2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
morphine Unknown Unknown Activemorphine

Substance	Reaction	Severity	Status
morphine	Unknown	Unknown	Active

MEDICATIONSMedication Start Date Directions Status

fluoxetine 20 mg capsule, [RxNorm: 104849]
02/27/2020

Active
Crestor 10 mg tablet, [RxNorm: 859749]
02/27/2020

Active
Macrobid 100 mg capsule, [RxNorm: 539712]
02/27/2020
TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED NEW PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Feb 27, 20207461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
02/27/20207461 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

02/27/2020 132/74 mm[Hg] 37 Cel 75 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
02/27/2020
Urobilinogen-Urine
Negative
02/27/2020
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/27/2020
pH of Urine by Test strip
6 [pH]
02/27/2020
Blood-Urine
Positive
02/27/2020
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/27/2020
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/27/2020
Specific Gravity of Urine by Test strip
1.010
02/27/2020
Bilirubin-Urine
Negative
02/27/2020
Nitrites-Urine
Negative
02/27/2020
Appearance of Urine
Clear
02/27/2020
Color of Urine
pale yellow
02/27/2020NegativeNegativeNegativePositiveNegativeNegativeNegativeNegativeClearpale yellowPLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSClinical Instructions/Patient Decision Aids  

Urinary Tract Infection
Patient Decision Aids
02/27/2020Urinary Tract InfectionSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
fluoxetine 20 mg capsule, [RxNorm: 104849]	02/27/2020		Active
Crestor 10 mg tablet, [RxNorm: 859749]	02/27/2020		Active
Macrobid 100 mg capsule, [RxNorm: 539712]	02/27/2020	TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD	Active

Result Type	Result Value	Date
Leukocytes-Urine	Negative	02/27/2020
Urobilinogen-Urine	Negative	02/27/2020
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/27/2020
pH of Urine by Test strip	6 [pH]	02/27/2020
Blood-Urine	Positive	02/27/2020
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/27/2020
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/27/2020
Specific Gravity of Urine by Test strip	1.010	02/27/2020
Bilirubin-Urine	Negative	02/27/2020
Nitrites-Urine	Negative	02/27/2020
Appearance of Urine	Clear	02/27/2020
Color of Urine	pale yellow	02/27/2020