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					<title>2026 Consolidated CDA</title>
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TO 1 HR PRIOR TO EXERCISE</td><td align="center">Active</td></tr><tr><td><content ID = "Med3">polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops, [RxNorm: 208451]</content></td><td align="center">01/05/2024</td><td align="right">INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 6 HOURS x 7 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">Breo Ellipta 100 mcg-25 mcg/dose powder for inhalation, [RxNorm: 1539891]</content></td><td align="center">01/05/2024</td><td align="right">1 actuation once daily by oral inhalation</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]</content></td><td align="center">11/17/2022</td><td align="right">INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED and 30 min to 1 hr prior to exercise</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">Singulair 10 mg tablet, [RxNorm: 153892]</content></td><td align="center">02/01/2023</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING</td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="B75BEF2E-EEEA-4813-B4FC-321BE87DCFAD"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20221215"/></effectiveTime><doseQuantity value="6"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><id root="43CF2F3E-586D-44CF-993E-9225AE58F6DE"/><manufacturedMaterial><code code="745752" displayName="albuterol sulfate HFA 90 mcg/actuation aerosol inhaler" codeSystem="2.16.840.1.113883.6.88" 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CT"><originalText><reference value="#problems1"></reference></originalText></value></observation></entryRelationship></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2014-06-09"/><code code = "46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters"/><title>ENCOUNTERS</title><text><table border="1" width="100%"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr><td ID="Encounter1">BRIEF EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Mar 24, 2021</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="FBCDD245-615F-4A44-9D11-3FD844EB4718"/><code code="99211" displayName="BRIEF EST PT" codeSystemName="CPT-4" 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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="E17C8E4E-4075-4829-A184-CC23839E78FE" extension="23516804"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20210324"/></effectiveTime><value xsi:type="CD" code="Z20.828" displayName="CONTACT W AND EXPO TO OTH VIRAL COMMUNICABLE DIS" 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="32E3E52B-9334-4347-AFA0-8B190FEA1110"/><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="20210324"/></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="2B0CCA74-DE54-4316-B881-2552FF175FD5"/><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="20210324"/></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">TSH (QUEST), [CPT-4: 899]</td><td align="center">11/17/2022</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">02/21/2023</td></tr><tr><td ID = "procedure3">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">11/17/2022</td></tr><tr><td ID = "procedure4">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">11/17/2022</td></tr><tr><td ID = "procedure5">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">11/17/2022</td></tr><tr><td ID = "procedure6">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">02/21/2023</td></tr><tr><td ID = "procedure7">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">03/22/2023</td></tr><tr><td ID = "procedure8">EKG, [CPT-4: 93010]</td><td align="center">11/17/2022</td></tr><tr><td ID = "procedure9">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">01/06/2022</td></tr><tr><td ID = "procedure10">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">02/13/2021</td></tr><tr><td ID = "procedure11">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/05/2021</td></tr><tr><td ID = "procedure12">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure13">SARS-CoV-2 Antibody (IgG), Spike, Semi- Quantitative , [CPT-4: 34499]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure14">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">02/21/2023</td></tr><tr><td ID = "procedure15">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">03/22/2023</td></tr></tbody></table></text><entry 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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="7C658B16-BCE9-416A-94A4-A6728C52ED35"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20230221"/><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="709ADC22-C7C7-4DFB-943E-026BC26B5FB4"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20221117"/><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="67782592-BF1E-4433-BE00-B1C68254C78E"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20221117"/><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="3F8DE2BB-8128-43AE-A4B1-8942E21F486E"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20221117"/><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="B4569AFF-180D-4590-853C-ED0054CF0437"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20230221"/><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="56F8097F-59D0-4224-9E6F-953A6A9E8BC5"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20230322"/><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="A6841671-6565-4CDC-8639-45272AE2DD62"/><code code="93010" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="EKG"/><statusCode code="completed"/><effectiveTime value="20221117"/><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="81A11F7F-83DD-4B7D-89CE-EAD51094A577"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210213"/><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="DAC758B8-7344-40C7-BF57-8125D220F2E2"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210305"/><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="2B7B34DC-1AA9-4A55-AE08-8CEF54531F8A"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210324"/><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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"/><statusCode code="completed"/><effectiveTime value="20210324"/><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="270BBCED-B9C6-4AE4-A198-7BCF402FFEB9"/><code code="ABBO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott COVID Rapid Test"/><statusCode code="completed"/><effectiveTime value="20230221"/><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="ED38446C-8891-4E1E-9101-A0A186BFF3AF"/><code code="ABBO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott COVID Rapid Test"/><statusCode code="completed"/><effectiveTime value="20230322"/><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></section>
            </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 = "immun1">COVID-19, mRNA, LNP-S, PF</td><td align="center">02/13/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun2">COVID-19, mRNA, LNP-S, PF</td><td align="center">03/05/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">01/06/2022</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="9DD46D2C-E290-492D-ABD8-64A98706DABC"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210213"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="208" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="COVID-19, mRNA, LNP-S, PF"/><lotNumberText>EN6200</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>Pfizer, Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Joyce</given><family>Williford</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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><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="E55E07EA-79EB-4C1F-9284-5707DC8B5FA8"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210305"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="208" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="COVID-19, mRNA, LNP-S, PF"/><lotNumberText>EN6205</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>Pfizer, Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Joyce</given><family>Williford</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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><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="F2953C9D-C34A-4192-8DBF-25388D035EE8"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20220106"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="208" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="COVID-19, mRNA, LNP-S, PF"/><lotNumberText>FC3184</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>Pfizer, Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Joyce</given><family>Williford</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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">11/17/2022</td><td ID = "vital_1_height">185 cm</td><td ID = "vital_1_weight">107 kg</td><td ID = "vital_1_bmi">31</td><td ID = "vital_1_bp">145/89 mm[Hg]</td><td ID = "vital_1_temp">36 Cel</td><td ID = "vital_1_pulse">72 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">19 bpm</td></tr><tr><td ID = "vital_2">02/15/2023</td><td ID = "vital_2_height">185 cm</td><td ID = "vital_2_weight">108 kg</td><td ID = "vital_2_bmi">31.54</td><td ID = "vital_2_bp">124/78 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">84 bpm</td><td ID = "vital_2_pulseox">98 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">03/22/2023</td><td ID = "vital_3_height">187 cm</td><td ID = "vital_3_weight">108 kg</td><td ID = "vital_3_bmi">30.84</td><td ID = "vital_3_bp">140/88 mm[Hg]</td><td ID = "vital_3_temp">37 Cel</td><td ID = "vital_3_pulse">65 bpm</td><td ID = "vital_3_pulseox">97 pct</td><td ID = "vital_3_resp">18 bpm</td></tr><tr><td ID = "vital_4">01/05/2024</td><td ID = "vital_4_height">185 cm</td><td ID = "vital_4_weight">98 kg</td><td ID = "vital_4_bmi">28.62</td><td ID = "vital_4_bp">121/73 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">66 bpm</td><td ID = "vital_4_pulseox">99 pct</td><td ID = "vital_4_resp">18 bpm</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="C2D229AB-C409-4D43-9924-E201A230167C"/><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="20221117"/><high value="20221117"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="6765BEB5-3501-4EFF-BBDD-4D9E5A2DBD80"/><code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height"/><text><reference value="#vital_1_height"/></text><statusCode code="completed"/><effectiveTime value="20221117"/><value xsi:type="PQ" value="185" unit="cm"/><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="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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><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 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codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BMI"/><text><reference value="#vital_1_bmi"/></text><statusCode code="completed"/><effectiveTime value="20221117"/><value xsi:type="PQ" value="31"/><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="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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><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="A920AC07-4D69-47DE-BB12-03767AA0BD51"/><code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Systolic"/><text><reference value="#vital_1_bp"/></text><statusCode code="completed"/><effectiveTime value="20221117"/><value xsi:type="PQ" value="145" unit="mm[Hg]"/><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="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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><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="1C933E14-E281-4542-9D97-758E2418BCE3"/><code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Diastolic"/><text><reference value="#vital_1_bp"/></text><statusCode 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(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="DE37895C-8305-46A8-B7F9-1D6BEBD42F24"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_4_resp"/></text><statusCode code="completed"/><effectiveTime value="20240105"/><value xsi:type="PQ" value="18" unit="/min"/><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="2026071783856-0500"/><assignedAuthor><id extension="1154738201" 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">02/15/2023</td></tr><tr><td ID="result2">INFLUENZA Rapid Test</td><td>Positive</td><td align="center">02/15/2023</td></tr><tr><td ID="result3">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">03/22/2023</td></tr><tr><td ID="result4">EKG</td><td>Yes</td><td align="center">11/17/2022</td></tr><tr><td ID="result5">CHOLESTEROL, TOTAL</td><td>210</td><td align="center">11/18/2022</td></tr><tr><td ID="result6">HDL CHOLESTEROL</td><td>32</td><td align="center">11/18/2022</td></tr><tr><td ID="result7">TRIGLYCERIDES</td><td>229</td><td align="center">11/18/2022</td></tr><tr><td ID="result8">LDL-CHOLESTEROL</td><td>141</td><td align="center">11/18/2022</td></tr><tr><td ID="result9">CHOL/HDLC RATIO</td><td>6.6</td><td align="center">11/18/2022</td></tr><tr><td ID="result10">NON HDL CHOLESTEROL</td><td>178</td><td align="center">11/18/2022</td></tr><tr><td ID="result11">GLUCOSE</td><td>96</td><td align="center">11/18/2022</td></tr><tr><td ID="result12">UREA NITROGEN (BUN)</td><td>15</td><td align="center">11/18/2022</td></tr><tr><td ID="result13">CREATININE</td><td>1.00</td><td align="center">11/18/2022</td></tr><tr><td ID="result14">EGFR</td><td>99</td><td align="center">11/18/2022</td></tr><tr><td ID="result15">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">11/18/2022</td></tr><tr><td ID="result16">SODIUM</td><td>141</td><td align="center">11/18/2022</td></tr><tr><td ID="result17">POTASSIUM</td><td>4.5</td><td align="center">11/18/2022</td></tr><tr><td ID="result18">CHLORIDE</td><td>108</td><td align="center">11/18/2022</td></tr><tr><td ID="result19">CARBON DIOXIDE</td><td>21</td><td align="center">11/18/2022</td></tr><tr><td ID="result20">CALCIUM</td><td>9.4</td><td align="center">11/18/2022</td></tr><tr><td ID="result21">PROTEIN, TOTAL</td><td>7.0</td><td align="center">11/18/2022</td></tr><tr><td ID="result22">ALBUMIN</td><td>4.7</td><td align="center">11/18/2022</td></tr><tr><td ID="result23">GLOBULIN</td><td>2.3</td><td align="center">11/18/2022</td></tr><tr><td ID="result24">ALBUMIN/GLOBULIN RATIO</td><td>2.0</td><td align="center">11/18/2022</td></tr><tr><td ID="result25">BILIRUBIN, TOTAL</td><td>0.5</td><td align="center">11/18/2022</td></tr><tr><td ID="result26">ALKALINE PHOSPHATASE</td><td>46</td><td align="center">11/18/2022</td></tr><tr><td ID="result27">AST</td><td>30</td><td align="center">11/18/2022</td></tr><tr><td ID="result28">ALT</td><td>41</td><td align="center">11/18/2022</td></tr><tr><td ID="result29">TSH</td><td>2.04</td><td align="center">11/18/2022</td></tr><tr><td ID="result30">WHITE BLOOD CELL COUNT</td><td>7.3</td><td align="center">11/18/2022</td></tr><tr><td ID="result31">RED BLOOD CELL COUNT</td><td>5.01</td><td align="center">11/18/2022</td></tr><tr><td ID="result32">HEMOGLOBIN</td><td>15.4</td><td align="center">11/18/2022</td></tr><tr><td ID="result33">HEMATOCRIT</td><td>43.8</td><td align="center">11/18/2022</td></tr><tr><td ID="result34">MCV</td><td>87.4</td><td align="center">11/18/2022</td></tr><tr><td ID="result35">MCH</td><td>30.7</td><td align="center">11/18/2022</td></tr><tr><td ID="result36">MCHC</td><td>35.2</td><td align="center">11/18/2022</td></tr><tr><td ID="result37">RDW</td><td>12.3</td><td align="center">11/18/2022</td></tr><tr><td ID="result38">PLATELET COUNT</td><td>224</td><td align="center">11/18/2022</td></tr><tr><td ID="result39">MPV</td><td>10.8</td><td align="center">11/18/2022</td></tr><tr><td ID="result40">ABSOLUTE NEUTROPHILS</td><td>4563</td><td align="center">11/18/2022</td></tr><tr><td ID="result41">ABSOLUTE LYMPHOCYTES</td><td>2110</td><td align="center">11/18/2022</td></tr><tr><td ID="result42">ABSOLUTE MONOCYTES</td><td>504</td><td align="center">11/18/2022</td></tr><tr><td ID="result43">ABSOLUTE EOSINOPHILS</td><td>88</td><td align="center">11/18/2022</td></tr><tr><td ID="result44">ABSOLUTE BASOPHILS</td><td>37</td><td align="center">11/18/2022</td></tr><tr><td ID="result45">NEUTROPHILS</td><td>62.5</td><td align="center">11/18/2022</td></tr><tr><td ID="result46">LYMPHOCYTES</td><td>28.9</td><td align="center">11/18/2022</td></tr><tr><td ID="result47">MONOCYTES</td><td>6.9</td><td align="center">11/18/2022</td></tr><tr><td ID="result48">EOSINOPHILS</td><td>1.2</td><td align="center">11/18/2022</td></tr><tr><td ID="result49">BASOPHILS</td><td>0.5</td><td align="center">11/18/2022</td></tr><tr><td ID="result50">SARS COV 2 AB (IGG) SPIKE, SEMI QN</td><td>&gt;20.00</td><td align="center">03/25/2021</td></tr></tbody></table></text><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="E51111F2-49A2-440B-A299-E023E3171417"/><code code="25003000" displayName="CHOLESTEROL, TOTAL" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20221118"/><high value="20221118"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071783856-0500"/><assignedAuthor><id extension="1154738201" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult 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(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>TREATMENT PLAN</title><text><table border="1" width="100%"><thead><tr><th>Name</th><th>Type</th><th>Date</th></tr></thead><tbody><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 18, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 18, 2022</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">November 28, 2022</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">November 28, 2022</td></tr><tr><td>REFERRAL</td><td>Dr. Tamjeed Arshad</td><td align="center">February 01, 2023</td></tr><tr><td>REFERRAL</td><td>Dr. Tamjeed Arshad</td><td align="center">February 01, 2023</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CXR- referral given to patient in office. </td><td align="center">March 03, 2023</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CXR- referral given to patient in office. </td><td align="center">March 03, 2023</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">May 23, 2023</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">May 23, 2023</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">May 23, 2023</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 17, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 17, 2022</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">November 17, 2022</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">November 17, 2022</td></tr><tr><td>REFERRAL</td><td>Dr. Tamjeed Arshad</td><td align="center">November 17, 2022</td></tr><tr><td>REFERRAL</td><td>Dr. Tamjeed Arshad</td><td align="center">November 17, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">February 21, 2023</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">February 21, 2023</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">February 21, 2023</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">February 21, 2023</td></tr><tr><td>REFERRAL</td><td> Montgomery Pulmonary Consultants</td><td align="center">February 21, 2023</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="8EC6245B-FC38-44FC-873F-0997FCDAAB3A"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="FBDD0783-132C-442B-9EEB-F4A38AC7CB48"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="D05EB48D-682C-4D22-AE08-DBDB90543003"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Pulmonary Consultants</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="3EC5C20A-3A6F-4E1D-9426-BD54158FEAE6"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Pulmonary Consultants</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="8E462E7E-98A1-46E5-AB02-58F65CF13CF5"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Tamjeed Arshad</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="4CEAD3E0-355F-4A28-A7C3-0DDF28EDC226"/><code code="42349-1" 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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>