2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule, [RxNorm: 208124]
04/13/2022
1 CAPSULE PO DAILY
Active
clarithromycin 500 mg tablet, [RxNorm: 205866]
04/18/2022
TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS
Active
promethazine-DM 6.25 mg-15 mg/5 mL oral solution, [RxNorm: 991528]
04/29/2022
TAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURS
Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]
04/13/2022
TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS
Active
triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule, [RxNorm: 208124]
10/16/2020
1 CAPSULE PO DAILY
Active
Wellbutrin XL 300 mg 24 hr tablet, extended release, [RxNorm: 993564]
10/16/2020
1 tab PO daily
Active
Xulane 150 mcg-35 mcg/24 hr transdermal patch, [RxNorm: 1536586]
04/13/2022
APPLY 1 PATCH BY TRANSDERMAL ROUTE ONCE WEEKLY
Active
Advair Diskus 250 mcg-50 mcg/dose powder for inhalation, [RxNorm: 896190]
05/11/2022
INHALE 1 PUFF BY INHALATION ROUTE 2 TIMES PER DAY APPROXIMATELY 12 HOURS APART AT THE SAME TIMES EACH DAY
Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]
04/29/2022
INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED
Active
Symbicort 160 mcg-4.5 mcg/actuation HFA aerosol inhaler, [RxNorm: 1246306]
05/11/2022
INHALE 2 PUFFS BY INHALATION ROUTE 2 TIMES PER DAY IN THE MORNING ANDEVENING
Active
hydroxyzine HCl 25 mg tablet, [RxNorm: 995260]
10/16/2020
PRN
Active
Singulair 10 mg tablet, [RxNorm: 153892]
04/13/2022
TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Apr 19, 20227461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

TSH (QUEST), [CPT-4: 899]
10/16/2020
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
10/16/2020
LIPID PANEL (QUEST), [CPT-4: 7600]
10/16/2020
CBC W/ DIFF (QUEST), [CPT-4: 6399]
10/16/2020
NEBULIZER BREATHING TREATMENT, [CPT-4: 94640]
04/29/2022
Chest XRAY, [CPT-4: 71020]
04/29/2022
FLU SHOT NON BILLABLE TO INSURANCE , [CPT-4: FLU]
10/16/2020
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
02/15/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
03/08/2021
BASIC METABOLIC PANEL, [CPT-4: 10165]
04/19/2022
Ninjacof 12.5 mg-12.5 mg/5 mL oral liquid, [LOINC: 18610-6]
04/13/20227461 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

COVID-19, mRNA, LNP-S, PF
02/15/2021
Completed
COVID-19, mRNA, LNP-S, PF
03/08/2021
CompletedCOVID-19, mRNA, LNP-S, PFEN6200Pfizer, Inc7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEN6205Pfizer, Inc7461 East DrMontgomeryALUSMarandaFainCRNPAuburn 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

10/16/2020 171 cm 130 kg 44.32 150/94 mm[Hg] 37 Cel 93 bpm 98 pct 18 bpm
04/13/2022 173 cm 130 kg 43.69 148/96 mm[Hg] 37 Cel 99 bpm 98 pct 16 bpm
04/29/2022 173 cm 130 kg 43.69 147/96 mm[Hg] 36 Cel 107 bpm 98 pctRESULTSResult Type Result Value Date

NEBULIZER BREATHING TREATMENT
Yes
04/29/2022
GLUCOSE
122
04/20/2022
UREA NITROGEN (BUN)
18
04/20/2022
CREATININE
0.71
04/20/2022
EGFR NON-AFR. AMERICAN
110
04/20/2022
EGFR AFRICAN AMERICAN
128
04/20/2022
BUN/CREATININE RATIO
NOT APPLICABLE
04/20/2022
SODIUM
136
04/20/2022
POTASSIUM
3.9
04/20/2022
CHLORIDE
101
04/20/2022
CARBON DIOXIDE
22
04/20/2022
CALCIUM
9.5
04/20/2022YesNOT APPLICABLETREATMENT PLANName Type Date

Prescription
TAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURS
April 29, 2022
Prescription
INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED
April 29, 2022
Prescription
TAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURS
April 29, 2022
Prescription
INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED
April 29, 2022TAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURSINHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDEDTAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURSINHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDEDGoals 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
triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule, [RxNorm: 208124]	04/13/2022	1 CAPSULE PO DAILY	Active
clarithromycin 500 mg tablet, [RxNorm: 205866]	04/18/2022	TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS	Active
promethazine-DM 6.25 mg-15 mg/5 mL oral solution, [RxNorm: 991528]	04/29/2022	TAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURS	Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]	04/13/2022	TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS	Active
triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule, [RxNorm: 208124]	10/16/2020	1 CAPSULE PO DAILY	Active
Wellbutrin XL 300 mg 24 hr tablet, extended release, [RxNorm: 993564]	10/16/2020	1 tab PO daily	Active
Xulane 150 mcg-35 mcg/24 hr transdermal patch, [RxNorm: 1536586]	04/13/2022	APPLY 1 PATCH BY TRANSDERMAL ROUTE ONCE WEEKLY	Active
Advair Diskus 250 mcg-50 mcg/dose powder for inhalation, [RxNorm: 896190]	05/11/2022	INHALE 1 PUFF BY INHALATION ROUTE 2 TIMES PER DAY APPROXIMATELY 12 HOURS APART AT THE SAME TIMES EACH DAY	Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]	04/29/2022	INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED	Active
Symbicort 160 mcg-4.5 mcg/actuation HFA aerosol inhaler, [RxNorm: 1246306]	05/11/2022	INHALE 2 PUFFS BY INHALATION ROUTE 2 TIMES PER DAY IN THE MORNING ANDEVENING	Active
hydroxyzine HCl 25 mg tablet, [RxNorm: 995260]	10/16/2020	PRN	Active
Singulair 10 mg tablet, [RxNorm: 153892]	04/13/2022	TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING	Active

Procedure	Date
TSH (QUEST), [CPT-4: 899]	10/16/2020
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	10/16/2020
LIPID PANEL (QUEST), [CPT-4: 7600]	10/16/2020
CBC W/ DIFF (QUEST), [CPT-4: 6399]	10/16/2020
NEBULIZER BREATHING TREATMENT, [CPT-4: 94640]	04/29/2022
Chest XRAY, [CPT-4: 71020]	04/29/2022
FLU SHOT NON BILLABLE TO INSURANCE , [CPT-4: FLU]	10/16/2020
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	02/15/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	03/08/2021
BASIC METABOLIC PANEL, [CPT-4: 10165]	04/19/2022
Ninjacof 12.5 mg-12.5 mg/5 mL oral liquid, [LOINC: 18610-6]	04/13/2022

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	02/15/2021	Completed
COVID-19, mRNA, LNP-S, PF	03/08/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
10/16/2020	171 cm	130 kg	44.32	150/94 mm[Hg]	37 Cel	93 bpm	98 pct	18 bpm
04/13/2022	173 cm	130 kg	43.69	148/96 mm[Hg]	37 Cel	99 bpm	98 pct	16 bpm
04/29/2022	173 cm	130 kg	43.69	147/96 mm[Hg]	36 Cel	107 bpm	98 pct

Result Type	Result Value	Date
NEBULIZER BREATHING TREATMENT	Yes	04/29/2022
GLUCOSE	122	04/20/2022
UREA NITROGEN (BUN)	18	04/20/2022
CREATININE	0.71	04/20/2022
EGFR NON-AFR. AMERICAN	110	04/20/2022
EGFR AFRICAN AMERICAN	128	04/20/2022
BUN/CREATININE RATIO	NOT APPLICABLE	04/20/2022
SODIUM	136	04/20/2022
POTASSIUM	3.9	04/20/2022
CHLORIDE	101	04/20/2022
CARBON DIOXIDE	22	04/20/2022
CALCIUM	9.5	04/20/2022

Name	Type	Date
Prescription	TAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURS	April 29, 2022
Prescription	INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED	April 29, 2022
Prescription	TAKE 5 MILLILITERS BY ORAL ROUTE EVERY 4-6 HOURS AS NEEDED, NOT TO EXCEED 30 ML IN 24 HOURS	April 29, 2022
Prescription	INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED	April 29, 2022