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					<title>2026 Consolidated CDA</title>
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root="2.16.840.1.113883.10.20.22.2.1.1"/><code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE"/><title>MEDICATIONS</title><text><table border="1" width="100%"><thead><tr><th>Medication</th><th>Start Date</th><th>Directions</th><th>Status</th></tr></thead><tbody><tr><td><content ID = "Med2">triamcinolone acetonide 0.5 % topical cream, [RxNorm: 1085688]</content></td><td align="center">07/10/2025</td><td align="right">APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med3">Antivert 25 mg chewable tablet, [RxNorm: 2273509]</content></td><td align="center">05/26/2022</td><td align="right">CHEW 1-2 TABLETS (25 MG) BY ORAL ROUTE DAILY AS NEEDED FOR MOTION SICKNESS (BEST TO TAKE 1 HOUR PRIOR TO TRAVEL)</td><td align="center">Active</td></tr><tr><td><content ID = "Med4">albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]</content></td><td align="center">01/10/2024</td><td align="right">INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED FOR SOB/WHEEZING</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">Breztri Aerosphere 160 mcg-9mcg-4.8mcg/actuation HFA aerosol inhaler, [RxNorm: 2387328]</content></td><td align="center">01/26/2022</td><td align="right">INHALE 2 PUFFS BY INHALATION ROUTE 2 TIMES PER DAY IN THE MORNING ANDEVENING</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">ciprofloxacin 500 mg tablet, [RxNorm: 205770]</content></td><td align="center">02/17/2021</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">Cipro 500 mg tablet, [RxNorm: 205770]</content></td><td align="center">05/26/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">Xofluza 80 mg tablet, [RxNorm: 2536742]</content></td><td align="center">04/25/2022</td><td align="right">TAKE 1 TABLET (80 MG) BY ORAL ROUTE ONCE</td><td align="center">Active</td></tr><tr><td><content ID = "Med12">Duexis 800 mg-26.6 mg tablet, [RxNorm: 1100070]</content></td><td align="center">04/25/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE 3 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med13">Augmentin 875 mg-125 mg tablet, [RxNorm: 824194]</content></td><td align="center">09/25/2020</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med14">Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]</content></td><td align="center">10/05/2020</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med15">amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]</content></td><td align="center">03/10/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med16">Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]</content></td><td align="center">04/25/2022</td><td align="right">TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 6 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med17">Zithromax Z-Pak 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">01/26/2022</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med18">azithromycin 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">07/13/2022</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET DAILY X 4 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med19">azithromycin 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">08/09/2022</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET DAILY X 4 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med20">azithromycin 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">10/16/2020</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLet daily x 4 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med21">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">09/25/2020</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med22">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">02/17/2021</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med23">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">01/26/2022</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med24">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">08/09/2022</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med25">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">07/10/2025</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med26">erythromycin 5 mg/gram (0.5 %) eye ointment, [RxNorm: 206035]</content></td><td align="center">11/15/2023</td><td align="right">APPLY 1 CM RIBBON INTO THE LOWER CONJUNCTIVAL SAC(S) IN THE AFFECTED EYE(S) BY OPHTHALMIC ROUTE 3 TIMES PER DAY (PLEASE FILL THIS ONE AND DO NOT TRANSFER TO ADAMS) THANKS</td><td align="center">Active</td></tr><tr><td><content ID = "Med27">albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]</content></td><td align="center">02/17/2021</td><td align="right">INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED FOR SOB/WHEEZING</td><td align="center">Active</td></tr><tr><td><content ID = "Med28">doxycycline hyclate 100 mg capsule, [RxNorm: 1101055]</content></td><td align="center">04/25/2023</td><td align="right">TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE 2 TIMES PER DAY FOR 7 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med29">ketorolac 10 mg tablet, [RxNorm: 861844]</content></td><td align="center">04/25/2023</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR PAIN UP TO 5 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Montgomery Warhawk Health Services</td><td>Feb 16, 2021</td></tr><tr><td ID="Encounter4">NO CHARGE</td><td>Maranda Fain</td><td>Auburn Montgomery Warhawk Health Services</td><td>Nov 04, 2021</td></tr><tr><td ID="Encounter5">NO CHARGE</td><td>Maranda Fain</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 26, 2022</td></tr><tr><td ID="Encounter6">NO CHARGE</td><td>Maranda Fain</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 16, 2022</td></tr><tr><td ID="Encounter7">NO CHARGE</td><td>Maranda Fain</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 31, 2022</td></tr><tr><td ID="Encounter8">NO CHARGE</td><td>Maranda Fain</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jun 07, 2022</td></tr><tr><td ID="Encounter9">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 13, 2022</td></tr><tr><td ID="Encounter10">NO CHARGE</td><td>Robin Blackwell</td><td>Auburn Montgomery Warhawk Health Services</td><td>Nov 29, 2022</td></tr><tr><td ID="Encounter11">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Oct 24, 2023</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="F9ADFA73-DB78-41FA-8D91-563184479302"/><code code="99211" displayName="BRIEF EST PT" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter1"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20200921"/><performer><assignedEntity><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/></assignedEntity></performer><participant 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classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="415023EB-C400-4279-8D95-888EDE5F5D43" extension="30399509"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20231024"/></effectiveTime><value xsi:type="CD" code="Z23" displayName="ENCOUNTER FOR IMMUNIZATION" codeSystem="2.16.840.1.113883.6.3"/></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="false"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.80"/><id root="CDCFA9AA-DC44-4EEF-9C8C-ED2A194E9730"/><code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ENCOUNTER DIAGNOSIS"/><statusCode code="active"/><effectiveTime><low value="20231024"/></effectiveTime><entryRelationship typeCode="SUBJ" inversionInd="false"><observation classCode="OBS" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="FA6D1B40-2C83-4C3E-9CB0-1A454A9D501A"/><code code="409586006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Complaint"><translation code="75322-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Complaint"/></code><statusCode code="completed"/><effectiveTime><low value="20231024"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.7.1"/><code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/><title>PROCEDURES</title><text><table border="1" width="100%"><thead><tr><th>Procedure</th><th>Date</th></tr></thead><tbody><tr><td ID = "procedure1">STREP A, [LOINC: 18481-2]</td><td align="center">07/13/2022</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">08/09/2022</td></tr><tr><td ID = "procedure3">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure4">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">07/13/2022</td></tr><tr><td ID = "procedure5">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">08/09/2022</td></tr><tr><td ID = "procedure6">TDap, [CPT-4: 90715]</td><td align="center">05/16/2022</td></tr><tr><td ID = "procedure7">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">05/16/2022</td></tr><tr><td ID = "procedure8">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">10/24/2023</td></tr><tr><td ID = "procedure9">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">08/09/2022</td></tr><tr><td ID = "procedure10">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">02/17/2021</td></tr><tr><td ID = "procedure11">Toradol 60 MG , [CPT-4: J1885]</td><td align="center">08/09/2022</td></tr><tr><td ID = "procedure12">Ear Irrigation, [CPT-4: 69209]</td><td align="center">09/25/2020</td></tr><tr><td ID = "procedure13">Rocephin 1G, [CPT-4: J0696]</td><td align="center">02/16/2021</td></tr><tr><td ID = "procedure14">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">02/16/2021</td></tr><tr><td ID = "procedure15">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">02/16/2021</td></tr><tr><td ID = "procedure16">PCR COVID 19 (Quest), [CPT-4: 39448]</td><td align="center">08/09/2022</td></tr><tr><td ID = "procedure17">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">07/13/2022</td></tr><tr><td ID = "procedure18">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">08/09/2022</td></tr><tr><td ID = "procedure19">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure20">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">05/16/2022</td></tr><tr><td ID = "procedure21">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/21/2020</td></tr><tr><td ID = "procedure22">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">11/04/2021</td></tr><tr><td ID = "procedure23">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">10/24/2023</td></tr><tr><td ID = "procedure24">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">11/04/2021</td></tr><tr><td ID = "procedure25">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/21/2020</td></tr><tr><td ID = "procedure26">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure27">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">10/24/2023</td></tr><tr><td ID = "procedure28">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">01/26/2022</td></tr><tr><td ID = "procedure29">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">05/31/2022</td></tr><tr><td ID = "procedure30">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">06/07/2022</td></tr><tr><td ID = "procedure31">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">11/19/2021</td></tr><tr><td ID = "procedure32">GLUCOSE, [CPT-4: 483]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure33">SARS-CoV-2 Antibody (IgG), Spike, Semi- Quantitative , [CPT-4: 34499]</td><td align="center">11/04/2021</td></tr></tbody></table></text><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="FCF6C6D9-EA04-4047-B812-A6FE9ECA3317"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220713"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="599D656C-41C4-4672-B8DB-79319F9A25CF"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220809"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="43ABC759-4AD5-4B67-AB85-40A6510B2203"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20221129"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="C7F926CC-0D8D-4747-8A3C-23DACDF2B58E"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220713"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="B923F29E-5A52-480C-BAE9-78C533B10200"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220809"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="97B6999B-1EB3-413E-BC1B-C7A4CE8CCA69"/><code code="90715" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TDap"/><statusCode code="completed"/><effectiveTime value="20220516"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="727DB977-8477-4357-89F9-B5EA79B84EDF"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20220516"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="013334D8-37C8-48B6-86CE-5F74945C7CB9"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20231024"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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code="completed"/><effectiveTime value="20220809"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId 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root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="23A9960A-FD6C-4915-BA2E-75F7C48D877A"/><code code="69209" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Ear Irrigation"/><statusCode code="completed"/><effectiveTime value="20200925"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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value="20210216"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="D7DBCA79-3C2F-4E53-86AF-160E99EB1FEA"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20210216"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="C6ACD2BC-2EFB-4ECE-8120-CBD552642383"/><code code="J1030" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Depo-Medrol 40mg/ml"/><statusCode code="completed"/><effectiveTime value="20210216"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="2F9114FC-D884-4021-80FE-12B5D10B8A60"/><code code="39448" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="PCR COVID 19 (Quest)"/><statusCode code="completed"/><effectiveTime value="20220809"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="A8B4E3E5-C412-4959-BF57-2908B94F9FB1"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID Rapid Testing"/><statusCode code="completed"/><effectiveTime value="20220713"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="46F7ED80-69BA-4CA0-B6C1-7B67BC914174"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20221129"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="52BE15BF-EC71-48E8-BA69-1318831204DE"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20200921"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 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code="completed"/><effectiveTime value="20211104"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="1A32733D-8E1B-41C0-B993-BAA437BF8929"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20231024"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun2">Influenza virus vaccine</td><td align="center">09/21/2020</td><td align="center">Completed</td></tr><tr><td ID = "immun3">Influenza virus vaccine</td><td align="center">11/04/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun4">COVID-19, mRNA, LNP-S, PF</td><td align="center">11/19/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun1">TDap</td><td align="center">05/16/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun5">Influenza virus vaccine</td><td align="center">11/29/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun6">Influenza virus vaccine</td><td align="center">10/24/2023</td><td align="center">Completed</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="18FD9C98-64D8-4C1D-8ECD-A1F29CA927B4"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20200921"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" 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value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.4.1"/><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/><title>VITAL SIGNS</title><text><table border="1" width="100%"><thead><tr><th>Date</th><th>Height</th><th>Weight</th><th>BMI</th><th>Blood Pressure</th><th>Temperature</th><th>Pulse</th><th>Pulse Oximetry</th><th>Respiratory Rate</th><th>Inhaled Oxygen Concentration</th><th>Head Circumference Percentage</th><th>BMI Percentage</th><th>Weight to Length Percentage</th></tr></thead><tbody><tr><td ID = "vital_1">09/25/2020</td><td ID = "vital_1_height">178 cm</td><td ID = "vital_1_weight">95 kg</td><td ID = "vital_1_bmi">30.13</td></tr><tr><td ID = "vital_2">11/04/2021</td><td ID = "vital_2_temp">37 Cel</td></tr><tr><td ID = "vital_3">01/26/2022</td><td ID = "vital_3_height">178 cm</td><td ID = "vital_3_weight">95 kg</td><td ID = "vital_3_bmi">30.13</td><td ID = "vital_3_bp">140/94 mm[Hg]</td><td ID = "vital_3_temp">38 Cel</td><td ID = "vital_3_pulse">102 bpm</td><td ID = "vital_3_pulseox">97 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">07/13/2022</td><td ID = "vital_4_height">178 cm</td><td ID = "vital_4_weight">95 kg</td><td ID = "vital_4_bmi">30.13</td><td ID = "vital_4_bp">134/89 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">93 bpm</td><td ID = "vital_4_pulseox">98 pct</td><td ID = "vital_4_resp">16 bpm</td></tr><tr><td ID = "vital_5">08/09/2022</td><td ID = "vital_5_height">175 cm</td><td ID = "vital_5_weight">94 kg</td><td ID = "vital_5_bmi">30.56</td><td ID = "vital_5_bp">126/86 mm[Hg]</td><td ID = "vital_5_temp">36 Cel</td><td ID = "vital_5_resp">16 bpm</td><td ID = "vital_5_inox">98 pct</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="C8E0D6EC-9CE1-4CDC-8BE0-FC9BCA2F44D0"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/></code><statusCode code="completed"/><effectiveTime><low value="20200925"/><high value="20200925"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult 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Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="46547207-68F6-4FE7-AA22-DCFD91B302B0"/><code code="3150-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Oxygen inhaled "/><text><reference value="#vital_5_inox"/></text><statusCode code="completed"/><effectiveTime value="20220809"/><value xsi:type="PQ" value="98" unit="%"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.3.1"/><code code ="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS"/><title>RESULTS</title><text><table border="1" width="100%"><thead><tr><th>Result Type</th><th>Result Value</th><th>Date</th></tr></thead><tbody><tr><td ID="result1">STREP A</td><td>Negative</td><td align="center">07/13/2022</td></tr><tr><td ID="result2">STREP A</td><td>Negative</td><td align="center">08/09/2022</td></tr><tr><td ID="result3">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">08/09/2022</td></tr><tr><td ID="result4">TB Read Only</td><td>Negative</td><td align="center">05/18/2022</td></tr><tr><td ID="result5">TB Read Only</td><td>Negative</td><td align="center">10/26/2023</td></tr><tr><td ID="result8">COVID Rapid Testing</td><td>Negative</td><td align="center">07/13/2022</td></tr><tr><td ID="result9">COVID Rapid Testing</td><td>Negative</td><td align="center">08/09/2022</td></tr><tr><td ID="result10">CHOLESTEROL, TOTAL</td><td>218</td><td align="center">11/30/2022</td></tr><tr><td ID="result11">HDL CHOLESTEROL</td><td>51</td><td align="center">11/30/2022</td></tr><tr><td ID="result12">TRIGLYCERIDES</td><td>90</td><td align="center">11/30/2022</td></tr><tr><td ID="result13">LDL-CHOLESTEROL</td><td>147</td><td align="center">11/30/2022</td></tr><tr><td ID="result14">CHOL/HDLC RATIO</td><td>4.3</td><td align="center">11/30/2022</td></tr><tr><td ID="result15">NON HDL CHOLESTEROL</td><td>167</td><td align="center">11/30/2022</td></tr><tr><td ID="result16">GLUCOSE</td><td>86</td><td align="center">11/30/2022</td></tr><tr><td ID="result17">WHITE BLOOD CELL COUNT</td><td>6.9</td><td align="center">07/14/2022</td></tr><tr><td ID="result18">RED BLOOD CELL COUNT</td><td>4.71</td><td align="center">07/14/2022</td></tr><tr><td ID="result19">HEMOGLOBIN</td><td>14.5</td><td align="center">07/14/2022</td></tr><tr><td ID="result20">HEMATOCRIT</td><td>43.5</td><td align="center">07/14/2022</td></tr><tr><td ID="result21">MCV</td><td>92.4</td><td align="center">07/14/2022</td></tr><tr><td ID="result22">MCH</td><td>30.8</td><td align="center">07/14/2022</td></tr><tr><td ID="result23">MCHC</td><td>33.3</td><td align="center">07/14/2022</td></tr><tr><td ID="result24">RDW</td><td>12.0</td><td align="center">07/14/2022</td></tr><tr><td ID="result25">PLATELET COUNT</td><td>225</td><td align="center">07/14/2022</td></tr><tr><td ID="result26">MPV</td><td>10.2</td><td align="center">07/14/2022</td></tr><tr><td ID="result27">ABSOLUTE NEUTROPHILS</td><td>3754</td><td align="center">07/14/2022</td></tr><tr><td ID="result28">ABSOLUTE LYMPHOCYTES</td><td>2236</td><td align="center">07/14/2022</td></tr><tr><td ID="result29">ABSOLUTE MONOCYTES</td><td>725</td><td align="center">07/14/2022</td></tr><tr><td ID="result30">ABSOLUTE EOSINOPHILS</td><td>138</td><td align="center">07/14/2022</td></tr><tr><td ID="result31">ABSOLUTE BASOPHILS</td><td>48</td><td align="center">07/14/2022</td></tr><tr><td ID="result32">NEUTROPHILS</td><td>54.4</td><td align="center">07/14/2022</td></tr><tr><td ID="result33">LYMPHOCYTES</td><td>32.4</td><td align="center">07/14/2022</td></tr><tr><td ID="result34">MONOCYTES</td><td>10.5</td><td align="center">07/14/2022</td></tr><tr><td ID="result35">EOSINOPHILS</td><td>2.0</td><td align="center">07/14/2022</td></tr><tr><td ID="result36">BASOPHILS</td><td>0.7</td><td align="center">07/14/2022</td></tr><tr><td ID="result37">SARS COV 2 AB (IGG) SPIKE, SEMI QN</td><td>&lt;1.00</td><td align="center">11/05/2021</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId 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extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="6DDEF617-B980-47B7-8EB3-05DE2B823C96"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result4"/></originalText></code><text><reference value="#result4"/></text><statusCode code="completed"/><effectiveTime value="20220518"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="A2942DFF-E5A7-4F0C-A60B-4FFC59E7FF81"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20231026"/><high value="20231026"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="03E763E6-1C2D-4DA7-9F07-C3DF53E04E79"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result5"/></originalText></code><text><reference value="#result5"/></text><statusCode code="completed"/><effectiveTime value="20231026"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="1657E4EE-9354-4471-ABA3-DAEE56248EF8"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220713"/><high value="20220713"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="6B4681D5-0830-4984-BA87-634AB7BD6E13"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result8"/></originalText></code><text><reference value="#result8"/></text><statusCode code="completed"/><effectiveTime value="20220713"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="9B616643-DB9A-42AB-92F9-CE3C830BC21A"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220809"/><high value="20220809"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="8AAD651C-03AA-40C2-BA6E-DD6B9F86EB2B"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result9"/></originalText></code><text><reference value="#result9"/></text><statusCode code="completed"/><effectiveTime value="20220809"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="71757F66-571E-415C-8098-438652F31B0D"/><code code="86029797" displayName="SARS COV 2 AB (IGG) SPIKE, SEMI QN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20211105"/><high value="20211105"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="2CDFEE56-8AB0-4482-B494-79BACC3B1A49"/><code code="86029797" displayName="SARS COV 2 AB (IGG) SPIKE, SEMI QN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result37"/></originalText></code><text><reference value="#result37"/></text><statusCode code="completed"/><effectiveTime value="20211105"/><value xsi:type="ST">&lt;1.00</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783639-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.10"/><code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/><title>PLAN OF TREATMENT</title><text>No Treatment Plan Defined</text><entry><observation classCode="OBS" moodCode="RQO" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><code code="394089009" displayName="Treatment Plan" codeSystem="2.16.840.1.113883.6.96"/></observation></entry> </section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.60"/><code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Goals Section</title><text>No goal information</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.58" /><code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Health Concerns Section</title><text>No Known Health Concerns on </text><entry typeCode="COMP"><act classCode="ACT" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.132"/><id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/><code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="active"/><effectiveTime value=""/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.45"/><code code = "69730-0" codeSystem = "2.16.840.1.113883.6.1"/><title>INSTRUCTIONS</title><text>No Known Instructions/Patient Education</text><entry><act classCode="ACT" moodCode="INT" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.20"/><code code = "311401005" codeSystem = "2.16.840.1.113883.6.96"/><statusCode code = "completed"/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.17"/><code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/><title>SOCIAL HISTORY</title><text>No Social History Selected to be Displayed</text><entry typeCode="DRIV"><observation classCode="OBS" moodCode ="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2014-06-09"/><id root="AA4F7677-ED64-4B17-AE4B-D65BC835ABA9"/><code code="11367-0" codeSystem="2.16.840.1.113883.6.1"/><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.14"/><code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/><title>FUNCTIONAL STATUS</title><text>No information</text></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" /><code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" /><title>MENTAL STATUS</title><text>No information</text></section></component></structuredBody> </component></ClinicalDocument>