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					<title>2026 Consolidated CDA</title>
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align="center">11/08/2022</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">clobetasol 0.05 % topical ointment, [RxNorm: 103431]</content></td><td align="center">11/01/2021</td><td align="right">APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY for up to 2 weeks if needed. </td><td align="center">Active</td></tr><tr><td><content ID = "Med4">triamcinolone acetonide 0.1 % topical cream, [RxNorm: 1014318]</content></td><td align="center">01/04/2021</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 = "Med6">Pataday Once Daily Relief 0.2 % eye drops, [RxNorm: 1111345]</content></td><td align="center">09/27/2021</td><td align="right">INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">Vistaril 25 mg capsule, [RxNorm: 995255]</content></td><td align="center">11/01/2021</td><td align="right">TAKE 1 CAPSULE (25 MG) BY ORAL ROUTE 4 TIMES PER DAY as needed for itching. Do not take at night with temazepam. </td><td align="center">Active</td></tr><tr><td><content ID = "Med8">cephalexin 500 mg tablet, [RxNorm: 152653]</content></td><td align="center">04/04/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE PO BID x 10 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">prednisone 20 mg tablet, [RxNorm: 206998]</content></td><td align="center">10/26/2021</td><td align="right">TAKE 2 TABLETS (40 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">temazepam 30 mg capsule, [RxNorm: 201608]</content></td><td align="center">01/04/2021</td><td align="right">1 tablet PO daily</td><td align="center">Active</td></tr><tr><td><content ID = "Med12">Celebrex 200 mg capsule, [RxNorm: 213469]</content></td><td align="center">01/04/2021</td><td align="right">1 tablet PO twice daily</td><td align="center">Active</td></tr><tr><td><content ID = "Med13">desonide 0.05 % topical cream, [RxNorm: 1112785]</content></td><td align="center">11/14/2022</td><td align="right">APPLY SPARINGLY AND RUB GENTLY INTO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med14">prednisone 20 mg tablet, [RxNorm: 206998]</content></td><td align="center">11/14/2022</td><td align="right">TAKE 2 TABLETS (40 MG) BY ORAL ROUTE ONCE DAILY x 5 days</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="D883C884-0CBC-4190-B6B3-BDB3F5E8DF3D"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20220404"/></effectiveTime><doseQuantity value="22"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" 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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>Nov 06, 2020</td></tr><tr><td ID="Encounter2">INTERMEDIATE EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 04, 2021</td></tr><tr><td ID="Encounter3">BRIEF EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Mar 01, 2021</td></tr><tr><td ID="Encounter4">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Nov 01, 2021</td></tr><tr><td ID="Encounter5">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Feb 24, 2022</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="CDBDCA80-4EC3-4D76-8734-274611BC6994"/><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="20211101"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry><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="1B5C0029-F008-42B9-9DA4-A766E990E53A"/><code code="00000" displayName="NO CHARGE" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter5"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20220224"/><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 typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship 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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="EF9A39B7-7302-4291-80B0-116C4B1B052D"/><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="20220224"/></effectiveTime><value xsi:type="CD" code="735812007" 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">TDap, [CPT-4: 90715]</td><td align="center">02/24/2022</td></tr><tr><td ID = "procedure2">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">03/02/2021</td></tr><tr><td ID = "procedure3">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">01/04/2021</td></tr><tr><td ID = "procedure4">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">11/01/2021</td></tr><tr><td ID = "procedure5">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">11/08/2022</td></tr><tr><td ID = "procedure6">SARS-CoV-2 Serology (COVID-19) Antibody (IgG), Immunoassay (QUEST), [CPT-4: 39504]</td><td align="center">03/01/2021</td></tr><tr><td ID = "procedure7">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">11/01/2021</td></tr><tr><td ID = "procedure8">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">01/04/2021</td></tr><tr><td ID = "procedure9">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">11/08/2022</td></tr><tr><td ID = "procedure10">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">11/08/2022</td></tr><tr><td ID = "procedure11">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">01/04/2021</td></tr><tr><td ID = "procedure12">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">11/01/2021</td></tr><tr><td ID = "procedure13">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">01/04/2021</td></tr><tr><td ID = "procedure14">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">11/06/2020</td></tr><tr><td ID = "procedure15">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">10/26/2021</td></tr><tr><td ID = "procedure16">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">11/08/2022</td></tr><tr><td ID = "procedure17">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">11/08/2022</td></tr><tr><td ID = "procedure18">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">10/26/2021</td></tr><tr><td ID = "procedure19">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">11/06/2020</td></tr><tr><td ID = "procedure20">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/26/2021</td></tr><tr><td ID = "procedure21">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">04/16/2021</td></tr><tr><td ID = "procedure22">SARS-CoV-2 Antibody (IgG), Spike, Semi- Quantitative , [CPT-4: 34499]</td><td align="center">03/26/2021</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="50B6A4EC-2561-48A2-87E0-0993024AD356"/><code code="90715" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TDap"/><statusCode code="completed"/><effectiveTime value="20220224"/><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="1A969D50-31DF-47FA-B381-9843E1A45D95"/><code code="36415" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BLOOD DRAW"/><statusCode code="completed"/><effectiveTime value="20210302"/><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="E4BA3B61-6DF6-4C56-867A-5C8DEFF9CC21"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20210104"/><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="2D0579BC-85BF-4A83-B1A1-B8C61082E6E2"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20211101"/><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="0264DB51-22A9-441C-A3DA-CFCD64B237BE"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20221108"/><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="7A0429EA-3AC6-4681-AAA3-6E9123A49B79"/><code code="39504" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="SARS-CoV-2 Serology (COVID-19) Antibody (IgG), Immunoassay (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210301"/><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="E5D79020-8F5C-4A71-B190-21EDCEABB8AB"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20211101"/><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="37759AD5-FCF8-4660-9EC6-CA2EE95E8855"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20210104"/><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="833CDC61-3809-4C35-B7F5-057F27DEC8D9"/><code code="34499" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="SARS-CoV-2 Antibody (IgG), Spike, Semi- Quantitative "/><statusCode code="completed"/><effectiveTime value="20210326"/><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 = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">03/26/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun4">COVID-19, mRNA, LNP-S, PF</td><td align="center">04/16/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun2">Influenza virus vaccine</td><td align="center">10/26/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun1">TDap</td><td align="center">02/24/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun5">Influenza virus vaccine</td><td align="center">11/08/2022</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="82902C05-C32D-4E26-B510-030382A4DDE5"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210326"/><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 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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">11/06/2020</td><td ID = "vital_1_temp">37 Cel</td></tr><tr><td ID = "vital_2">01/04/2021</td><td ID = "vital_2_temp">37 Cel</td></tr><tr><td ID = "vital_3">09/27/2021</td><td ID = "vital_3_height">173 cm</td><td ID = "vital_3_weight">79 kg</td><td ID = "vital_3_bmi">26.6</td><td ID = "vital_3_bp">129/78 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">61 bpm</td><td ID = "vital_3_pulseox">97 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">10/26/2021</td><td ID = "vital_4_height">173 cm</td><td ID = "vital_4_weight">85 kg</td><td ID = "vital_4_bmi">28.47</td><td ID = "vital_4_bp">137/89 mm[Hg]</td><td ID = "vital_4_temp">36 Cel</td><td ID = "vital_4_pulse">62 bpm</td><td ID = "vital_4_pulseox">100 pct</td><td ID = "vital_4_resp">16 bpm</td></tr><tr><td ID = "vital_5">11/01/2021</td><td ID = "vital_5_height">173 cm</td><td ID = "vital_5_weight">81 kg</td><td ID = "vital_5_bmi">27.06</td><td ID = "vital_5_bp">144/86 mm[Hg]</td><td ID = "vital_5_temp">36 Cel</td><td ID = "vital_5_pulse">61 bpm</td><td ID = "vital_5_pulseox">100 pct</td><td ID = "vital_5_resp">16 bpm</td></tr><tr><td ID = "vital_6">04/04/2022</td><td ID = "vital_6_height">173 cm</td><td ID = "vital_6_weight">83 kg</td><td ID = "vital_6_bmi">27.9</td><td ID = "vital_6_bp">138/96 mm[Hg]</td><td ID = "vital_6_temp">36 Cel</td><td ID = "vital_6_pulse">72 bpm</td><td ID = "vital_6_pulseox">98 pct</td><td ID = "vital_6_resp">16 bpm</td></tr><tr><td ID = "vital_7">11/08/2022</td><td ID = "vital_7_height">173 cm</td><td ID = "vital_7_weight">82 kg</td><td ID = "vital_7_bmi">27.36</td><td ID = "vital_7_bp">149/94 mm[Hg]</td><td ID = "vital_7_temp">36 Cel</td><td ID = "vital_7_pulse">57 bpm</td><td ID = "vital_7_pulseox">100 pct</td><td ID = "vital_7_resp">16 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="9C979CE5-6CAC-47A3-B1FC-3A4D3AC87540"/><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="20201106"/><high 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Temperature"/><text><reference value="#vital_7_temp"/></text><statusCode code="completed"/><effectiveTime value="20221108"/><value xsi:type="PQ" value="36" unit="Cel"/><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="2026071784000-0500"/><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><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="914DA4EE-3681-4B15-BF50-3E25726AD617"/><code code="8867-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pulse"/><text><reference value="#vital_7_pulse"/></text><statusCode code="completed"/><effectiveTime value="20221108"/><value xsi:type="PQ" value="57" 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="2026071784000-0500"/><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><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="1B96196B-6C85-455B-A35C-D0C720214E0E"/><code code="59408-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PulseOx"/><text><reference value="#vital_7_pulseox"/></text><statusCode code="completed"/><effectiveTime value="20221108"/><value xsi:type="PQ" value="100" 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="2026071784000-0500"/><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><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="D69C709D-0487-4268-AF29-BEB8FB3AC951"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_7_resp"/></text><statusCode code="completed"/><effectiveTime value="20221108"/><value xsi:type="PQ" value="16" 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="2026071784000-0500"/><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">COVID Rapid Testing</td><td>Negative</td><td align="center">01/04/2021</td></tr><tr><td ID="result2">SARS COV 2 AB (IGG) SPIKE, SEMI QN</td><td>&gt;20.00</td><td align="center">03/29/2021</td></tr><tr><td ID="result3">SARS COV 2 AB IGG</td><td>POSITIVE</td><td align="center">03/02/2021</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="F0C3E69B-F2BB-4E73-BEA8-CBF80962EF22"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210104"/><high value="20210104"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784000-0500"/><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="C9D988B0-F14C-4478-AE1D-F7D1E141B745"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result1"/></originalText></code><text><reference value="#result1"/></text><statusCode code="completed"/><effectiveTime value="20210104"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784000-0500"/><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="218F0DEA-F731-4E90-947A-2C24AD0F5505"/><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="20210329"/><high value="20210329"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784000-0500"/><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="667B89E3-04CE-4B8C-A310-02E8A016EDA9"/><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="#result2"/></originalText></code><text><reference value="#result2"/></text><statusCode code="completed"/><effectiveTime value="20210329"/><value xsi:type="ST">&gt;20.00</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784000-0500"/><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="77391129-BF32-488B-A750-D35A73894D1D"/><code code="86028566" displayName="SARS COV 2 AB IGG" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210302"/><high value="20210302"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784000-0500"/><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="F18E6D10-39AD-438B-9FF8-01E1C8C9864C"/><code code="86028566" displayName="SARS COV 2 AB IGG" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result3"/></originalText></code><text><reference value="#result3"/></text><statusCode code="completed"/><effectiveTime value="20210302"/><value xsi:type="ST">POSITIVE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784000-0500"/><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>