2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

ciprofloxacin 250 mg tablet, [RxNorm: 105313]
01/27/2021
1 tablet PO BID x 3 days
Active
Urogesic-Blue 81.6 mg-40.8 mg-0.12 mg tablet, [RxNorm: 1251290]
04/13/2021
1 tablet PO every 6 hrs as needed for bladder discomfort
Active
Macrobid 100 mg capsule, [RxNorm: 539712]
02/08/2021
TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD
Active
Mirena 21 mcg/24 hr (up to 8 years) 52 mg intrauterine device, [RxNorm: 807283]
01/27/2021

ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

BRIEF NEW PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 05, 2020
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 19, 2020
NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Nov 18, 2021
PHYSICAL EST PT 18-39 YRS
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Nov 29, 20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 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

UA, [CPT-4: 81003]
01/27/2021
UA, [CPT-4: 81003]
02/08/2021
UA, [CPT-4: 81003]
04/13/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]
04/13/2021
TDap, [CPT-4: 90715]
10/16/2020
TDap, [CPT-4: 90715]
11/18/2021
Hepatitis A, [CPT-4: 90632]
11/18/2021
TB test - IPPD, [CPT-4: SP86580]
10/16/2020
Immunization Injection Administration, [CPT-4: 90471]
11/18/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
12/01/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
05/11/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
04/12/20217461 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 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 devicesIMMUNIZATIONSName Date Status

TDap
10/16/2020
Completed
COVID-19, mRNA, LNP-S, PF
04/12/2021
Completed
COVID-19, mRNA, LNP-S, PF
05/11/2021
Completed
TDap
11/18/2021
Completed
Hepatitis A
11/18/2021
Completed
COVID-19, mRNA, LNP-S, PF
12/01/2021
CompletedTDap4f99gGlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFER8737Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USTDapMR5RKGlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis AJ95H7GlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFFC3184Pfizer, 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

01/27/2021 160 cm 61 kg 23.79 114/73 mm[Hg] 37 Cel 83 bpm 100 pct 16 bpm
02/08/2021 160 cm 62 kg 24.12 108/68 mm[Hg] 37 Cel 76 bpm 100 pct 15 bpm
04/13/2021 157 cm 60 kg 24.21 113/74 mm[Hg] 37 Cel 66 bpm 98 pct 16 bpm
11/29/2021 155 cm 59 kg 24.73 101/70 mm[Hg] 36 Cel 93 bpm 200 pct 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
01/27/2021
Leukocytes-Urine
Negative
02/08/2021
Leukocytes-Urine
Negative
04/13/2021
Urobilinogen-Urine
Negative
01/27/2021
Urobilinogen-Urine
Negative
02/08/2021
Urobilinogen-Urine
Negative
04/13/2021
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/27/2021
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/08/2021
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
04/13/2021
pH of Urine by Test strip
6 [pH]
01/27/2021
pH of Urine by Test strip
8 [pH]
02/08/2021
pH of Urine by Test strip
7 [pH]
04/13/2021
Blood-Urine
Positive
01/27/2021
Blood-Urine
Positive
02/08/2021
Blood-Urine
Negative
04/13/2021
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/27/2021
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/08/2021
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
04/13/2021
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/27/2021
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/08/2021
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
04/13/2021
Specific Gravity of Urine by Test strip
1.010
01/27/2021
Specific Gravity of Urine by Test strip
1.010
02/08/2021
Specific Gravity of Urine by Test strip
1.005
04/13/2021
Bilirubin-Urine
Negative
01/27/2021
Bilirubin-Urine
Negative
02/08/2021
Bilirubin-Urine
Negative
04/13/2021
Nitrites-Urine
Negative
01/27/2021
Nitrites-Urine
Negative
02/08/2021
Nitrites-Urine
Negative
04/13/2021
Appearance of Urine
Cloudy
01/27/2021
Appearance of Urine
Cloudy
02/08/2021
Appearance of Urine
Cloudy
04/13/2021
Color of Urine
yellow 
01/27/2021
Color of Urine
yellow 
02/08/2021
Color of Urine
yellow 
04/13/2021
TB Read Only
Negative
10/19/2020
SOURCE:
URINE
04/15/2021
STATUS:
FINAL
04/15/2021
RESULT:
No Growth
04/15/2021NegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativePositivePositiveNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeCloudyCloudyCloudyyellow yellow yellow NegativeURINEFINALNo GrowthPLAN 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
ciprofloxacin 250 mg tablet, [RxNorm: 105313]	01/27/2021	1 tablet PO BID x 3 days	Active
Urogesic-Blue 81.6 mg-40.8 mg-0.12 mg tablet, [RxNorm: 1251290]	04/13/2021	1 tablet PO every 6 hrs as needed for bladder discomfort	Active
Macrobid 100 mg capsule, [RxNorm: 539712]	02/08/2021	TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD	Active
Mirena 21 mcg/24 hr (up to 8 years) 52 mg intrauterine device, [RxNorm: 807283]	01/27/2021		Active

Encounter	Performer	Location	Date
BRIEF NEW PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 05, 2020
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 19, 2020
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Nov 18, 2021
PHYSICAL EST PT 18-39 YRS	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Nov 29, 2021

Procedure	Date
UA, [CPT-4: 81003]	01/27/2021
UA, [CPT-4: 81003]	02/08/2021
UA, [CPT-4: 81003]	04/13/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]	04/13/2021
TDap, [CPT-4: 90715]	10/16/2020
TDap, [CPT-4: 90715]	11/18/2021
Hepatitis A, [CPT-4: 90632]	11/18/2021
TB test - IPPD, [CPT-4: SP86580]	10/16/2020
Immunization Injection Administration, [CPT-4: 90471]	11/18/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	12/01/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	05/11/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	04/12/2021

Name	Date	Status
TDap	10/16/2020	Completed
COVID-19, mRNA, LNP-S, PF	04/12/2021	Completed
COVID-19, mRNA, LNP-S, PF	05/11/2021	Completed
TDap	11/18/2021	Completed
Hepatitis A	11/18/2021	Completed
COVID-19, mRNA, LNP-S, PF	12/01/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
01/27/2021	160 cm	61 kg	23.79	114/73 mm[Hg]	37 Cel	83 bpm	100 pct	16 bpm
02/08/2021	160 cm	62 kg	24.12	108/68 mm[Hg]	37 Cel	76 bpm	100 pct	15 bpm
04/13/2021	157 cm	60 kg	24.21	113/74 mm[Hg]	37 Cel	66 bpm	98 pct	16 bpm
11/29/2021	155 cm	59 kg	24.73	101/70 mm[Hg]	36 Cel	93 bpm	200 pct	16 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Negative	01/27/2021
Leukocytes-Urine	Negative	02/08/2021
Leukocytes-Urine	Negative	04/13/2021
Urobilinogen-Urine	Negative	01/27/2021
Urobilinogen-Urine	Negative	02/08/2021
Urobilinogen-Urine	Negative	04/13/2021
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/27/2021
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/08/2021
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	04/13/2021
pH of Urine by Test strip	6 [pH]	01/27/2021
pH of Urine by Test strip	8 [pH]	02/08/2021
pH of Urine by Test strip	7 [pH]	04/13/2021
Blood-Urine	Positive	01/27/2021
Blood-Urine	Positive	02/08/2021
Blood-Urine	Negative	04/13/2021
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/27/2021
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/08/2021
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	04/13/2021
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/27/2021
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/08/2021
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	04/13/2021
Specific Gravity of Urine by Test strip	1.010	01/27/2021
Specific Gravity of Urine by Test strip	1.010	02/08/2021
Specific Gravity of Urine by Test strip	1.005	04/13/2021
Bilirubin-Urine	Negative	01/27/2021
Bilirubin-Urine	Negative	02/08/2021
Bilirubin-Urine	Negative	04/13/2021
Nitrites-Urine	Negative	01/27/2021
Nitrites-Urine	Negative	02/08/2021
Nitrites-Urine	Negative	04/13/2021
Appearance of Urine	Cloudy	01/27/2021
Appearance of Urine	Cloudy	02/08/2021
Appearance of Urine	Cloudy	04/13/2021
Color of Urine	yellow	01/27/2021
Color of Urine	yellow	02/08/2021
Color of Urine	yellow	04/13/2021
TB Read Only	Negative	10/19/2020
SOURCE:	URINE	04/15/2021
STATUS:	FINAL	04/15/2021
RESULT:	No Growth	04/15/2021