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					<title>2026 Consolidated CDA</title>
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border="1" width="100%"><thead><tr><th>Substance</th><th>Reaction</th><th>Severity</th><th>Status</th></tr></thead><tbody><tr ID="ALGSUMMARY_1"><td ID="ALGSUB_1">Demerol</td><td ID="ALGREACT_1">Unknown</td><td ID="ALGSEVERITY_1">Unknown</td><td ID="ALGSTATUS_1">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.30"/><id root="AD025E5D-AFFD-49D2-8FEF-F6BF44029644"/><code code="CONC" codeSystem="2.16.840.1.113883.5.6"/><statusCode code="active"/><effectiveTime><low value="20201207"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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 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root="2.16.840.1.113883.10.20.22.2.1.1"/><code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE"/><title>MEDICATIONS</title><text><table border="1" width="100%"><thead><tr><th>Medication</th><th>Start Date</th><th>Directions</th><th>Status</th></tr></thead><tbody><tr><td><content ID = "Med1">losartan 100 mg tablet, [RxNorm: 979482]</content></td><td align="center">06/28/2021</td><td align="right">1 TABLET PO QD</td><td align="center">Active</td></tr><tr><td><content ID = "Med2">spironolactone 50 mg tablet, [RxNorm: 104228]</content></td><td align="center">07/09/2021</td><td align="right">1 TABLET PO QD</td><td align="center">Active</td></tr><tr><td><content ID = "Med3">losartan 100 mg tablet, [RxNorm: 979482]</content></td><td align="center">12/10/2021</td><td align="right">1 TABLET PO QD</td><td align="center">Active</td></tr><tr><td><content ID = "Med4">spironolactone 50 mg tablet, [RxNorm: 104228]</content></td><td align="center">01/19/2022</td><td align="right">1 TABLET PO QD</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">spironolactone 50 mg tablet, [RxNorm: 104228]</content></td><td align="center">01/05/2023</td><td align="right">1 TABLET PO QD</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">losartan 100 mg tablet, [RxNorm: 979482]</content></td><td align="center">01/05/2023</td><td align="right">1 TABLET PO QD</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]</content></td><td align="center">07/11/2022</td><td align="right">INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">Breztri Aerosphere 160 mcg-9mcg-4.8mcg/actuation HFA aerosol inhaler, [RxNorm: 2387328]</content></td><td align="center">07/21/2022</td><td align="right">INHALE 2 PUFFS BY INHALATION ROUTE 2 TIMES PER DAY IN THE MORNING AND EVENING</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization, [RxNorm: 213784]</content></td><td align="center">07/12/2022</td><td align="right">INHALE 3 MILLILITERS (2.5 MG) BY NEBULIZATION ROUTE 3 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med12">metformin ER 500 mg 24 hr tablet,extended release (gastric retention), [RxNorm: 861018]</content></td><td align="center">03/30/2021</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE ONCE DAILY WITH THE EVENING MEAL</td><td align="center">Active</td></tr><tr><td><content ID = "Med14">Duexis 800 mg-26.6 mg tablet, [RxNorm: 1100070]</content></td><td align="center">03/31/2021</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR PAIN</td><td align="center">Active</td></tr><tr><td><content ID = "Med15">Duexis 800 mg-26.6 mg tablet, [RxNorm: 1100070]</content></td><td align="center">03/30/2021</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE 3 TIMES PER DAY as needed for pain</td><td align="center">Active</td></tr><tr><td><content ID = "Med16">Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]</content></td><td align="center">07/11/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med17">Zithromax Z-Pak 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">07/06/2022</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med18">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">07/06/2022</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med19">losartan 100 mg tablet, [RxNorm: 979482]</content></td><td align="center">06/07/2022</td><td align="right">TAKE ONE TABLET BY MOUTH DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med20">spironolactone 50 mg tablet, [RxNorm: 104228]</content></td><td align="center">07/29/2022</td><td align="right">TAKE ONE TABLET BY MOUTH DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med21">losartan 100 mg tablet, [RxNorm: 979482]</content></td><td align="center">06/20/2023</td><td align="right">TAKE ONE TABLET BY MOUTH DAILY- needs follow up appt for additional refills</td><td align="center">Active</td></tr><tr><td><content ID = "Med22">spironolactone 50 mg tablet, [RxNorm: 104228]</content></td><td align="center">09/18/2023</td><td align="right">TAKE ONE TABLET BY MOUTH DAILY- needs follow up appt. </td><td align="center">Active</td></tr><tr><td><content ID = "Med23">spironolactone 50 mg tablet, [RxNorm: 104228]</content></td><td align="center">11/17/2022</td><td align="right">TAKE ONE TABLET BY MOUTH DAILY- please call to schedule yearly labs for additional refills. </td><td align="center">Active</td></tr><tr><td><content ID = "Med24">loteprednol etabonate 0.5 % eye drops,suspension, [RxNorm: 213263]</content></td><td align="center">01/05/2023</td><td align="right"></td><td align="center">Active</td></tr><tr><td><content ID = "Med25">Restasis 0.05 % eye drops in a dropperette, [RxNorm: 2572293]</content></td><td align="center">01/05/2023</td><td align="right"></td><td align="center">Active</td></tr><tr><td><content ID = "Med26">spironolactone 50 mg tablet, [RxNorm: 104228]</content></td><td align="center">12/18/2020</td><td align="right">1 TABLET PO QD</td><td align="center">Active</td></tr><tr><td><content ID = "Med27">losartan 100 mg tablet, [RxNorm: 979482]</content></td><td align="center">12/18/2020</td><td align="right">1 TABLET PO 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width="100%"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr><td ID="Encounter1">WELL VISIT NEW 40-64 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Dec 07, 2020</td></tr><tr><td ID="Encounter2">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Mar 22, 2021</td></tr><tr><td ID="Encounter3">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Mar 24, 2021</td></tr><tr><td ID="Encounter4">PHYSICAL EST PT 40-64 YRS.</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Dec 13, 2021</td></tr><tr><td ID="Encounter5">PHYSICAL EST PT 40-64 YRS.</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 05, 2023</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId 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codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20230105"/><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 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code="active"/><effectiveTime><low value="20230105"/></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="A94A2B3F-264F-43F9-9439-0F0542DE682E"/><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="20230105"/></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">01/05/2023</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">07/06/2022</td></tr><tr><td ID = "procedure3">UA, [CPT-4: 81003]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure4">UA, [CPT-4: 81003]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure5">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure6">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure7">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">01/05/2023</td></tr><tr><td ID = "procedure8">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">01/05/2023</td></tr><tr><td ID = "procedure9">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure10">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure11">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure12">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure13">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">01/05/2023</td></tr><tr><td ID = "procedure14">C-REACTIVE PROTEIN (QUEST), [CPT-4: 4420]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure15">C-REACTIVE PROTEIN (QUEST), [CPT-4: 4420]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure16">SED RATE BY MOD WEST (QUEST), [CPT-4: 809]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure17">SED RATE BY MOD WEST (QUEST), [CPT-4: 809]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure18">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">07/06/2022</td></tr><tr><td ID = "procedure19">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure20">TDap, [CPT-4: 90715]</td><td align="center">03/22/2021</td></tr><tr><td ID = "procedure21">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">03/22/2021</td></tr><tr><td ID = "procedure22">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">12/16/2020</td></tr><tr><td ID = "procedure23">NEBULIZER BREATHING TREATMENT, [CPT-4: 94640]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure24">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure25">Chest XRAY, [CPT-4: 71020]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure26">TB SKIN TEST (1- STEP) , [CPT-4: TB1]</td><td align="center">03/22/2021</td></tr><tr><td ID = "procedure27">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure28">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure29">Albuterol Sulfate 0.083mg, [CPT-4: 94640]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure30">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">07/11/2022</td></tr><tr><td ID = "procedure31">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">07/06/2022</td></tr><tr><td ID = "procedure32">Glucose, [CPT-4: 82947]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure33">Glucose, [CPT-4: 82947]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure34">Hgb A1C , [CPT-4: 83036]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure35">HEMOGLOBIN A1c, [CPT-4: 496]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure36">CREATINE KINASE  TOTAL, [CPT-4: 374]</td><td align="center">03/29/2021</td></tr><tr><td ID = "procedure37">ANA screen w/ Reflex Titer, [CPT-4: 249]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure40">Rheumatoid Factor, [CPT-4: 4418]</td><td align="center">12/13/2021</td></tr><tr><td ID = "procedure45">Sjogren&apos;s Antibodies (SS-A, SS-B), [CPT-4: 7832]</td><td align="center">12/13/2021</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="D4CCEABC-9262-47EB-812D-043944BBF47E"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230105"/><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="C337ACFA-37BC-4184-82CC-40F297502DB5"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220706"/><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="C02981AD-4213-4056-99BB-E7B249A43E4B"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20211213"/><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="1D14C3E2-8E1B-4110-B479-1F40AE231AFB"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20210329"/><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="81B97660-756A-4C59-BE59-4E28BCC4F27F"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210329"/><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="44D37BF4-47A5-4132-B471-C4BEDE48026C"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211213"/><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="2A7115A7-264E-4CDC-B17B-C1AF6155AA73"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230105"/><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="22C2C24F-AA67-4900-8672-E6D4B88A8F5A"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230105"/><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="167D5B70-01BA-4434-8A45-544AA738224B"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211213"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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value="20201207"/><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="B8EC6AED-6833-4B04-82C5-9598F16B4E12"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210329"/><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="0F3DA804-7EF7-426A-B885-85AD88B2EB47"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211213"/><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="45E6CC4A-68F2-45C8-AC81-FDB662AF58BE"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230105"/><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="0748BE59-3D19-4657-A82C-7BCB4A11D436"/><code code="4420" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="C-REACTIVE PROTEIN (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211213"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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code="completed"/><effectiveTime value="20210329"/><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="A46D468C-B64A-4D3E-BB85-D661E94EA3BD"/><code code="809" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="SED RATE BY MOD WEST (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210329"/><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="ECAFE2A3-B940-4CDB-BE3A-66C9B2C72DBA"/><code code="809" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="SED RATE BY MOD WEST (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211213"/><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="ABB569E4-502B-4221-BA6E-2347C407C6F9"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220706"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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code="completed"/><effectiveTime value="20220711"/><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="3C7D4B61-4686-4EC6-AA21-99BB047699B9"/><code code="90715" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TDap"/><statusCode code="completed"/><effectiveTime value="20210322"/><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="3E7EA3B7-5771-4469-8C8E-AA760E269F23"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20210322"/><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="712AB333-BD18-438B-BA81-4F931721F967"/><code code="36415" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BLOOD DRAW"/><statusCode code="completed"/><effectiveTime value="20201216"/><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="E925215F-D8E3-4346-A416-085B0937EB94"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20220711"/><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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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="75D2B0A6-96A2-4BB9-8A06-5A1198E85924"/><code code="TB1" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB SKIN TEST (1- STEP) "/><statusCode code="completed"/><effectiveTime value="20210322"/><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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            </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">TDap</td><td align="center">03/22/2021</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="ED078BE6-394C-452B-8012-F0151A58FA36"/><text>TDap</text><statusCode code="completed"/><effectiveTime value="20210322"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="5.0000000e-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="115" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="TDap"/><lotNumberText>4F99G</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>GlaxoSmithKline</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>Lindsey</given><family>Barton</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="2026071784112-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.4.1"/><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/><title>VITAL SIGNS</title><text><table border="1" width="100%"><thead><tr><th>Date</th><th>Height</th><th>Weight</th><th>BMI</th><th>Blood Pressure</th><th>Temperature</th><th>Pulse</th><th>Pulse Oximetry</th><th>Respiratory Rate</th><th>Inhaled Oxygen Concentration</th><th>Head Circumference Percentage</th><th>BMI Percentage</th><th>Weight to Length Percentage</th></tr></thead><tbody><tr><td ID = "vital_1">12/07/2020</td><td ID = "vital_1_height">159 cm</td><td ID = "vital_1_weight">79 kg</td><td ID = "vital_1_bmi">31.05</td><td ID = "vital_1_bp">132/75 mm[Hg]</td><td ID = "vital_1_temp">36 Cel</td><td ID = "vital_1_pulse">83 bpm</td><td ID = "vital_1_pulseox">83 pct</td><td ID = "vital_1_resp">17 bpm</td></tr><tr><td ID = "vital_2">03/29/2021</td><td ID = "vital_2_height">160 cm</td><td ID = "vital_2_weight">81 kg</td><td ID = "vital_2_bmi">31.67</td><td ID = "vital_2_bp">121/68 mm[Hg]</td><td ID = "vital_2_temp">36 Cel</td><td ID = "vital_2_pulse">83 bpm</td><td ID = "vital_2_pulseox">99 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">12/13/2021</td><td ID = "vital_3_height">160 cm</td><td ID = "vital_3_weight">87 kg</td><td ID = "vital_3_bmi">33.81</td><td ID = "vital_3_bp">125/80 mm[Hg]</td><td ID = "vital_3_pulse">63 bpm</td><td ID = "vital_3_pulseox">98 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">07/06/2022</td><td ID = "vital_4_height">160 cm</td><td ID = "vital_4_weight">85 kg</td><td ID = "vital_4_bmi">33.35</td><td ID = "vital_4_bp">123/73 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">98 bpm</td><td ID = "vital_4_pulseox">97 pct</td><td ID = "vital_4_resp">17 bpm</td></tr><tr><td ID = "vital_5">07/11/2022</td><td ID = "vital_5_height">157 cm</td><td ID = "vital_5_weight">86 kg</td><td ID = "vital_5_bmi">34.47</td><td ID = "vital_5_bp">124/77 mm[Hg]</td><td ID = "vital_5_temp">37 Cel</td><td ID = "vital_5_pulse">80 bpm</td><td ID = "vital_5_pulseox">98 pct</td><td ID = "vital_5_resp">18 bpm</td></tr><tr><td ID = "vital_6">01/05/2023</td><td ID = "vital_6_height">160 cm</td><td ID = "vital_6_weight">87 kg</td><td ID = "vital_6_bmi">33.88</td><td ID = "vital_6_bp">116/70 mm[Hg]</td><td ID = "vital_6_temp">36 Cel</td><td ID = "vital_6_pulse">80 bpm</td><td ID = "vital_6_pulseox">99 pct</td><td ID = "vital_6_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 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displayName="Weight"/><text><reference value="#vital_1_weight"/></text><statusCode code="completed"/><effectiveTime value="20201207"/><value xsi:type="PQ" value="79" unit="kg"/><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="2026071784112-0500"/><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="DC483A18-EFA6-4FC9-B47E-1E718AEB1B1C"/><code code="39156-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BMI"/><text><reference value="#vital_1_bmi"/></text><statusCode 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code="completed"/><effectiveTime value="20230105"/><value xsi:type="PQ" value="80" 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="2026071784112-0500"/><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="C7B6803F-1C78-4D7E-8945-AC5F2A3A2B54"/><code code="59408-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PulseOx"/><text><reference value="#vital_6_pulseox"/></text><statusCode code="completed"/><effectiveTime value="20230105"/><value xsi:type="PQ" value="99" 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="2026071784112-0500"/><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="BA0DB5A2-58A7-42F8-8919-2DD9D4F10D0B"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_6_resp"/></text><statusCode code="completed"/><effectiveTime value="20230105"/><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="2026071784112-0500"/><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">Leukocytes-Urine</td><td>Positive</td><td align="center">03/29/2021</td></tr><tr><td ID="result2">Leukocytes-Urine</td><td>Positive</td><td align="center">12/13/2021</td></tr><tr><td ID="result3">Urobilinogen-Urine</td><td>Negative</td><td align="center">03/29/2021</td></tr><tr><td ID="result4">Urobilinogen-Urine</td><td>Negative</td><td align="center">12/13/2021</td></tr><tr><td ID="result5">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">03/29/2021</td></tr><tr><td ID="result6">Protein [Mass/Volume] in Urine by Test strip</td><td>Positive mg/dL</td><td align="center">12/13/2021</td></tr><tr><td ID="result7">pH of Urine by Test strip</td><td>5 [pH]</td><td align="center">03/29/2021</td></tr><tr><td ID="result8">pH of Urine by Test strip</td><td>6 [pH]</td><td align="center">12/13/2021</td></tr><tr><td ID="result9">Blood-Urine</td><td>Positive</td><td align="center">03/29/2021</td></tr><tr><td ID="result10">Blood-Urine</td><td>Positive</td><td align="center">12/13/2021</td></tr><tr><td ID="result11">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">03/29/2021</td></tr><tr><td ID="result12">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">12/13/2021</td></tr><tr><td ID="result13">Glucose [Mass/Volume] in Urine by Test strip</td><td>Positive mg/dL</td><td align="center">03/29/2021</td></tr><tr><td ID="result14">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">12/13/2021</td></tr><tr><td ID="result15">Cesium-Urine</td><td>no</td><td align="center">12/13/2021</td></tr><tr><td ID="result16">Specific Gravity of Urine by Test strip</td><td>1.015</td><td align="center">03/29/2021</td></tr><tr><td ID="result17">Specific Gravity of Urine by Test strip</td><td>1.010</td><td align="center">12/13/2021</td></tr><tr><td ID="result18">Bilirubin-Urine</td><td>Negative</td><td align="center">03/29/2021</td></tr><tr><td ID="result19">Bilirubin-Urine</td><td>Negative</td><td align="center">12/13/2021</td></tr><tr><td ID="result20">Nitrites-Urine</td><td>Negative</td><td align="center">03/29/2021</td></tr><tr><td ID="result21">Nitrites-Urine</td><td>Negative</td><td align="center">12/13/2021</td></tr><tr><td ID="result22">Appearance of Urine</td><td>Cloudy</td><td align="center">03/29/2021</td></tr><tr><td ID="result23">Appearance of Urine</td><td>clear</td><td align="center">12/13/2021</td></tr><tr><td ID="result24">Color of Urine</td><td>yellow </td><td align="center">03/29/2021</td></tr><tr><td ID="result25">Color of Urine</td><td>yellow</td><td align="center">12/13/2021</td></tr><tr><td ID="result26">STREP A</td><td>Negative</td><td align="center">07/06/2022</td></tr><tr><td ID="result27">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">07/06/2022</td></tr><tr><td ID="result28">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">07/11/2022</td></tr><tr><td ID="result29">TB Read Only</td><td>Negative</td><td align="center">03/24/2021</td></tr><tr><td ID="result30">NEBULIZER BREATHING TREATMENT</td><td>Yes</td><td align="center">07/11/2022</td></tr><tr><td ID="result31">COVID Rapid Testing</td><td>Negative</td><td align="center">07/06/2022</td></tr><tr><td ID="result32">COVID Rapid Testing</td><td>Negative</td><td align="center">07/11/2022</td></tr><tr><td ID="result33">Glucose</td><td>123</td><td align="center">12/07/2020</td></tr><tr><td ID="result34">Glucose</td><td>213</td><td align="center">03/29/2021</td></tr><tr><td ID="result35">CHOLESTEROL, TOTAL</td><td>163</td><td align="center">01/07/2023</td></tr><tr><td ID="result36">HDL CHOLESTEROL</td><td>66</td><td align="center">01/07/2023</td></tr><tr><td ID="result37">TRIGLYCERIDES</td><td>72</td><td align="center">01/07/2023</td></tr><tr><td ID="result38">LDL-CHOLESTEROL</td><td>82</td><td align="center">01/07/2023</td></tr><tr><td ID="result39">CHOL/HDLC RATIO</td><td>2.5</td><td align="center">01/07/2023</td></tr><tr><td ID="result40">NON HDL CHOLESTEROL</td><td>97</td><td align="center">01/07/2023</td></tr><tr><td ID="result41">GLUCOSE</td><td>115</td><td align="center">01/07/2023</td></tr><tr><td ID="result42">UREA NITROGEN (BUN)</td><td>10</td><td align="center">01/07/2023</td></tr><tr><td ID="result43">CREATININE</td><td>0.82</td><td align="center">01/07/2023</td></tr><tr><td ID="result44">EGFR</td><td>84</td><td align="center">01/07/2023</td></tr><tr><td ID="result45">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">01/07/2023</td></tr><tr><td ID="result46">SODIUM</td><td>139</td><td align="center">01/07/2023</td></tr><tr><td ID="result47">POTASSIUM</td><td>4.1</td><td align="center">01/07/2023</td></tr><tr><td ID="result48">CHLORIDE</td><td>101</td><td align="center">01/07/2023</td></tr><tr><td ID="result49">CARBON DIOXIDE</td><td>29</td><td align="center">01/07/2023</td></tr><tr><td ID="result50">CALCIUM</td><td>9.7</td><td align="center">01/07/2023</td></tr><tr><td ID="result51">PROTEIN, TOTAL</td><td>7.3</td><td align="center">01/07/2023</td></tr><tr><td ID="result52">ALBUMIN</td><td>4.4</td><td align="center">01/07/2023</td></tr><tr><td ID="result53">GLOBULIN</td><td>2.9</td><td align="center">01/07/2023</td></tr><tr><td ID="result54">ALBUMIN/GLOBULIN RATIO</td><td>1.5</td><td align="center">01/07/2023</td></tr><tr><td ID="result55">BILIRUBIN, TOTAL</td><td>0.6</td><td align="center">01/07/2023</td></tr><tr><td ID="result56">ALKALINE PHOSPHATASE</td><td>90</td><td align="center">01/07/2023</td></tr><tr><td ID="result57">AST</td><td>18</td><td align="center">01/07/2023</td></tr><tr><td ID="result58">ALT</td><td>24</td><td align="center">01/07/2023</td></tr><tr><td ID="result59">HEMOGLOBIN A1C</td><td>6.9</td><td align="center">01/07/2023</td></tr><tr><td ID="result60">TSH</td><td>2.50</td><td align="center">01/07/2023</td></tr><tr><td ID="result61">WHITE BLOOD CELL COUNT</td><td>7.6</td><td align="center">01/07/2023</td></tr><tr><td ID="result62">RED BLOOD CELL COUNT</td><td>4.52</td><td align="center">01/07/2023</td></tr><tr><td ID="result63">HEMOGLOBIN</td><td>14.1</td><td align="center">01/07/2023</td></tr><tr><td ID="result64">HEMATOCRIT</td><td>42.0</td><td align="center">01/07/2023</td></tr><tr><td ID="result65">MCV</td><td>92.9</td><td align="center">01/07/2023</td></tr><tr><td ID="result66">MCH</td><td>31.2</td><td align="center">01/07/2023</td></tr><tr><td ID="result67">MCHC</td><td>33.6</td><td align="center">01/07/2023</td></tr><tr><td ID="result68">RDW</td><td>12.4</td><td align="center">01/07/2023</td></tr><tr><td ID="result69">PLATELET COUNT</td><td>223</td><td align="center">01/07/2023</td></tr><tr><td ID="result70">MPV</td><td>12.1</td><td align="center">01/07/2023</td></tr><tr><td ID="result71">ABSOLUTE NEUTROPHILS</td><td>4666</td><td align="center">01/07/2023</td></tr><tr><td ID="result72">ABSOLUTE LYMPHOCYTES</td><td>2113</td><td align="center">01/07/2023</td></tr><tr><td ID="result73">ABSOLUTE MONOCYTES</td><td>593</td><td align="center">01/07/2023</td></tr><tr><td ID="result74">ABSOLUTE EOSINOPHILS</td><td>167</td><td align="center">01/07/2023</td></tr><tr><td ID="result75">ABSOLUTE BASOPHILS</td><td>61</td><td align="center">01/07/2023</td></tr><tr><td ID="result76">NEUTROPHILS</td><td>61.4</td><td align="center">01/07/2023</td></tr><tr><td ID="result77">LYMPHOCYTES</td><td>27.8</td><td align="center">01/07/2023</td></tr><tr><td ID="result78">MONOCYTES</td><td>7.8</td><td align="center">01/07/2023</td></tr><tr><td ID="result79">EOSINOPHILS</td><td>2.2</td><td align="center">01/07/2023</td></tr><tr><td ID="result80">BASOPHILS</td><td>0.8</td><td align="center">01/07/2023</td></tr><tr><td ID="result81">TEST NAME:</td><td>HEMOGLOBIN A1c</td><td align="center">01/07/2023</td></tr><tr><td ID="result82">TEST CODE:</td><td>496</td><td align="center">01/07/2023</td></tr><tr><td ID="result83">CLIENT CONTACT:</td><td>MIRANDA BICKNELL</td><td align="center">01/07/2023</td></tr><tr><td ID="result85">CHOLESTEROL, TOTAL</td><td>163</td><td align="center">01/06/2023</td></tr><tr><td ID="result86">HDL CHOLESTEROL</td><td>66</td><td align="center">01/06/2023</td></tr><tr><td ID="result87">TRIGLYCERIDES</td><td>72</td><td align="center">01/06/2023</td></tr><tr><td ID="result88">LDL-CHOLESTEROL</td><td>82</td><td align="center">01/06/2023</td></tr><tr><td ID="result89">CHOL/HDLC RATIO</td><td>2.5</td><td align="center">01/06/2023</td></tr><tr><td ID="result90">NON HDL CHOLESTEROL</td><td>97</td><td align="center">01/06/2023</td></tr><tr><td ID="result91">GLUCOSE</td><td>115</td><td align="center">01/06/2023</td></tr><tr><td ID="result92">UREA NITROGEN (BUN)</td><td>10</td><td align="center">01/06/2023</td></tr><tr><td ID="result93">CREATININE</td><td>0.82</td><td align="center">01/06/2023</td></tr><tr><td ID="result94">EGFR</td><td>84</td><td align="center">01/06/2023</td></tr><tr><td ID="result95">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">01/06/2023</td></tr><tr><td ID="result96">SODIUM</td><td>139</td><td align="center">01/06/2023</td></tr><tr><td ID="result97">POTASSIUM</td><td>4.1</td><td align="center">01/06/2023</td></tr><tr><td ID="result98">CHLORIDE</td><td>101</td><td align="center">01/06/2023</td></tr><tr><td ID="result99">CARBON DIOXIDE</td><td>29</td><td align="center">01/06/2023</td></tr><tr><td ID="result100">CALCIUM</td><td>9.7</td><td align="center">01/06/2023</td></tr><tr><td ID="result101">PROTEIN, TOTAL</td><td>7.3</td><td align="center">01/06/2023</td></tr><tr><td ID="result102">ALBUMIN</td><td>4.4</td><td align="center">01/06/2023</td></tr><tr><td ID="result103">GLOBULIN</td><td>2.9</td><td align="center">01/06/2023</td></tr><tr><td ID="result104">ALBUMIN/GLOBULIN RATIO</td><td>1.5</td><td align="center">01/06/2023</td></tr><tr><td ID="result105">BILIRUBIN, TOTAL</td><td>0.6</td><td align="center">01/06/2023</td></tr><tr><td ID="result106">ALKALINE PHOSPHATASE</td><td>90</td><td align="center">01/06/2023</td></tr><tr><td ID="result107">AST</td><td>18</td><td align="center">01/06/2023</td></tr><tr><td ID="result108">ALT</td><td>24</td><td align="center">01/06/2023</td></tr><tr><td ID="result109">TSH</td><td>2.50</td><td align="center">01/06/2023</td></tr><tr><td ID="result110">WHITE BLOOD CELL COUNT</td><td>7.6</td><td align="center">01/06/2023</td></tr><tr><td ID="result111">RED BLOOD CELL COUNT</td><td>4.52</td><td align="center">01/06/2023</td></tr><tr><td ID="result112">HEMOGLOBIN</td><td>14.1</td><td align="center">01/06/2023</td></tr><tr><td ID="result113">HEMATOCRIT</td><td>42.0</td><td align="center">01/06/2023</td></tr><tr><td ID="result114">MCV</td><td>92.9</td><td align="center">01/06/2023</td></tr><tr><td ID="result115">MCH</td><td>31.2</td><td align="center">01/06/2023</td></tr><tr><td ID="result116">MCHC</td><td>33.6</td><td align="center">01/06/2023</td></tr><tr><td ID="result117">RDW</td><td>12.4</td><td align="center">01/06/2023</td></tr><tr><td ID="result118">PLATELET COUNT</td><td>223</td><td align="center">01/06/2023</td></tr><tr><td ID="result119">MPV</td><td>12.1</td><td align="center">01/06/2023</td></tr><tr><td ID="result120">ABSOLUTE NEUTROPHILS</td><td>4666</td><td align="center">01/06/2023</td></tr><tr><td ID="result121">ABSOLUTE LYMPHOCYTES</td><td>2113</td><td align="center">01/06/2023</td></tr><tr><td ID="result122">ABSOLUTE MONOCYTES</td><td>593</td><td align="center">01/06/2023</td></tr><tr><td ID="result123">ABSOLUTE EOSINOPHILS</td><td>167</td><td align="center">01/06/2023</td></tr><tr><td ID="result124">ABSOLUTE BASOPHILS</td><td>61</td><td align="center">01/06/2023</td></tr><tr><td ID="result125">NEUTROPHILS</td><td>61.4</td><td align="center">01/06/2023</td></tr><tr><td ID="result126">LYMPHOCYTES</td><td>27.8</td><td align="center">01/06/2023</td></tr><tr><td ID="result127">MONOCYTES</td><td>7.8</td><td align="center">01/06/2023</td></tr><tr><td ID="result128">EOSINOPHILS</td><td>2.2</td><td align="center">01/06/2023</td></tr><tr><td ID="result129">BASOPHILS</td><td>0.8</td><td align="center">01/06/2023</td></tr><tr><td ID="result130">GLUCOSE</td><td>90</td><td align="center">12/14/2021</td></tr><tr><td ID="result131">UREA NITROGEN (BUN)</td><td>13</td><td align="center">12/14/2021</td></tr><tr><td ID="result132">CREATININE</td><td>0.86</td><td align="center">12/14/2021</td></tr><tr><td ID="result133">EGFR NON-AFR. AMERICAN</td><td>77</td><td align="center">12/14/2021</td></tr><tr><td ID="result134">EGFR AFRICAN AMERICAN</td><td>89</td><td align="center">12/14/2021</td></tr><tr><td ID="result135">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">12/14/2021</td></tr><tr><td ID="result136">SODIUM</td><td>139</td><td align="center">12/14/2021</td></tr><tr><td ID="result137">POTASSIUM</td><td>4.0</td><td align="center">12/14/2021</td></tr><tr><td ID="result138">CHLORIDE</td><td>102</td><td align="center">12/14/2021</td></tr><tr><td ID="result139">CARBON DIOXIDE</td><td>29</td><td align="center">12/14/2021</td></tr><tr><td ID="result140">CALCIUM</td><td>9.9</td><td align="center">12/14/2021</td></tr><tr><td ID="result141">PROTEIN, TOTAL</td><td>7.8</td><td align="center">12/14/2021</td></tr><tr><td ID="result142">ALBUMIN</td><td>4.5</td><td align="center">12/14/2021</td></tr><tr><td ID="result143">GLOBULIN</td><td>3.3</td><td align="center">12/14/2021</td></tr><tr><td ID="result144">ALBUMIN/GLOBULIN RATIO</td><td>1.4</td><td align="center">12/14/2021</td></tr><tr><td ID="result145">BILIRUBIN, TOTAL</td><td>0.4</td><td align="center">12/14/2021</td></tr><tr><td ID="result146">ALKALINE PHOSPHATASE</td><td>109</td><td align="center">12/14/2021</td></tr><tr><td ID="result147">AST</td><td>18</td><td align="center">12/14/2021</td></tr><tr><td ID="result148">ALT</td><td>21</td><td align="center">12/14/2021</td></tr><tr><td ID="result149">SED RATE BY MODIFIED WESTERGREN</td><td>17</td><td align="center">12/14/2021</td></tr><tr><td ID="result150">WHITE BLOOD CELL COUNT</td><td>9.0</td><td align="center">12/14/2021</td></tr><tr><td ID="result151">RED BLOOD CELL COUNT</td><td>4.43</td><td align="center">12/14/2021</td></tr><tr><td ID="result152">HEMOGLOBIN</td><td>14.4</td><td align="center">12/14/2021</td></tr><tr><td ID="result153">HEMATOCRIT</td><td>41.6</td><td align="center">12/14/2021</td></tr><tr><td ID="result154">MCV</td><td>93.9</td><td align="center">12/14/2021</td></tr><tr><td ID="result155">MCH</td><td>32.5</td><td align="center">12/14/2021</td></tr><tr><td ID="result156">MCHC</td><td>34.6</td><td align="center">12/14/2021</td></tr><tr><td ID="result157">RDW</td><td>12.1</td><td align="center">12/14/2021</td></tr><tr><td ID="result158">PLATELET COUNT</td><td>235</td><td align="center">12/14/2021</td></tr><tr><td ID="result159">MPV</td><td>12.0</td><td align="center">12/14/2021</td></tr><tr><td ID="result160">ABSOLUTE NEUTROPHILS</td><td>5805</td><td align="center">12/14/2021</td></tr><tr><td ID="result161">ABSOLUTE LYMPHOCYTES</td><td>2214</td><td align="center">12/14/2021</td></tr><tr><td ID="result162">ABSOLUTE MONOCYTES</td><td>657</td><td align="center">12/14/2021</td></tr><tr><td ID="result163">ABSOLUTE EOSINOPHILS</td><td>243</td><td align="center">12/14/2021</td></tr><tr><td ID="result164">ABSOLUTE BASOPHILS</td><td>81</td><td align="center">12/14/2021</td></tr><tr><td ID="result165">NEUTROPHILS</td><td>64.5</td><td align="center">12/14/2021</td></tr><tr><td ID="result166">LYMPHOCYTES</td><td>24.6</td><td align="center">12/14/2021</td></tr><tr><td ID="result167">MONOCYTES</td><td>7.3</td><td align="center">12/14/2021</td></tr><tr><td ID="result168">EOSINOPHILS</td><td>2.7</td><td align="center">12/14/2021</td></tr><tr><td ID="result169">BASOPHILS</td><td>0.9</td><td align="center">12/14/2021</td></tr><tr><td ID="result170">ANA SCREEN, IFA</td><td>NEGATIVE</td><td align="center">12/14/2021</td></tr><tr><td ID="result171">C-REACTIVE PROTEIN</td><td>7.3</td><td align="center">12/14/2021</td></tr><tr><td ID="result172">CHOLESTEROL, TOTAL</td><td>181</td><td align="center">12/14/2021</td></tr><tr><td ID="result173">HDL CHOLESTEROL</td><td>64</td><td align="center">12/14/2021</td></tr><tr><td ID="result174">TRIGLYCERIDES</td><td>160</td><td align="center">12/14/2021</td></tr><tr><td ID="result175">LDL-CHOLESTEROL</td><td>91</td><td align="center">12/14/2021</td></tr><tr><td ID="result176">CHOL/HDLC RATIO</td><td>2.8</td><td align="center">12/14/2021</td></tr><tr><td ID="result177">NON HDL CHOLESTEROL</td><td>117</td><td align="center">12/14/2021</td></tr><tr><td ID="result178">RHEUMATOID FACTOR</td><td>&lt;14</td><td align="center">12/14/2021</td></tr><tr><td ID="result179">SJOGREN&apos;S ANTIBODY (SS-A)</td><td>&lt;1.0 NEG</td><td align="center">12/14/2021</td></tr><tr><td ID="result180">SJOGREN&apos;S ANTIBODY (SS-B)</td><td>1.3</td><td align="center">12/14/2021</td></tr><tr><td ID="result181">GLUCOSE</td><td>189</td><td align="center">03/30/2021</td></tr><tr><td ID="result182">UREA NITROGEN (BUN)</td><td>14</td><td align="center">03/30/2021</td></tr><tr><td ID="result183">CREATININE</td><td>0.75</td><td align="center">03/30/2021</td></tr><tr><td ID="result184">EGFR NON-AFR. AMERICAN</td><td>91</td><td align="center">03/30/2021</td></tr><tr><td ID="result185">EGFR AFRICAN AMERICAN</td><td>105</td><td align="center">03/30/2021</td></tr><tr><td ID="result186">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">03/30/2021</td></tr><tr><td ID="result187">SODIUM</td><td>139</td><td align="center">03/30/2021</td></tr><tr><td ID="result188">POTASSIUM</td><td>4.1</td><td align="center">03/30/2021</td></tr><tr><td ID="result189">CHLORIDE</td><td>101</td><td align="center">03/30/2021</td></tr><tr><td ID="result190">CARBON DIOXIDE</td><td>25</td><td align="center">03/30/2021</td></tr><tr><td ID="result191">CALCIUM</td><td>9.3</td><td align="center">03/30/2021</td></tr><tr><td ID="result192">PROTEIN, TOTAL</td><td>6.8</td><td align="center">03/30/2021</td></tr><tr><td ID="result193">ALBUMIN</td><td>4.2</td><td align="center">03/30/2021</td></tr><tr><td ID="result194">GLOBULIN</td><td>2.6</td><td align="center">03/30/2021</td></tr><tr><td ID="result195">ALBUMIN/GLOBULIN RATIO</td><td>1.6</td><td align="center">03/30/2021</td></tr><tr><td ID="result196">BILIRUBIN, TOTAL</td><td>0.3</td><td align="center">03/30/2021</td></tr><tr><td ID="result197">ALKALINE PHOSPHATASE</td><td>68</td><td align="center">03/30/2021</td></tr><tr><td ID="result198">AST</td><td>19</td><td align="center">03/30/2021</td></tr><tr><td ID="result199">ALT</td><td>24</td><td align="center">03/30/2021</td></tr><tr><td ID="result200">CREATINE KINASE, TOTAL</td><td>80</td><td align="center">03/30/2021</td></tr><tr><td ID="result201">SED RATE BY MODIFIED WESTERGREN</td><td>11</td><td align="center">03/30/2021</td></tr><tr><td ID="result202">WHITE BLOOD CELL COUNT</td><td>7.8</td><td align="center">03/30/2021</td></tr><tr><td ID="result203">RED BLOOD CELL COUNT</td><td>4.17</td><td align="center">03/30/2021</td></tr><tr><td ID="result204">HEMOGLOBIN</td><td>13.1</td><td align="center">03/30/2021</td></tr><tr><td ID="result205">HEMATOCRIT</td><td>39.4</td><td align="center">03/30/2021</td></tr><tr><td ID="result206">MCV</td><td>94.5</td><td align="center">03/30/2021</td></tr><tr><td ID="result207">MCH</td><td>31.4</td><td align="center">03/30/2021</td></tr><tr><td ID="result208">MCHC</td><td>33.2</td><td align="center">03/30/2021</td></tr><tr><td ID="result209">RDW</td><td>12.1</td><td align="center">03/30/2021</td></tr><tr><td ID="result210">PLATELET COUNT</td><td>221</td><td align="center">03/30/2021</td></tr><tr><td ID="result211">MPV</td><td>11.9</td><td align="center">03/30/2021</td></tr><tr><td ID="result212">ABSOLUTE NEUTROPHILS</td><td>4696</td><td align="center">03/30/2021</td></tr><tr><td ID="result213">ABSOLUTE LYMPHOCYTES</td><td>2145</td><td align="center">03/30/2021</td></tr><tr><td ID="result214">ABSOLUTE MONOCYTES</td><td>577</td><td align="center">03/30/2021</td></tr><tr><td ID="result215">ABSOLUTE EOSINOPHILS</td><td>312</td><td align="center">03/30/2021</td></tr><tr><td ID="result216">ABSOLUTE BASOPHILS</td><td>70</td><td align="center">03/30/2021</td></tr><tr><td ID="result217">NEUTROPHILS</td><td>60.2</td><td align="center">03/30/2021</td></tr><tr><td ID="result218">LYMPHOCYTES</td><td>27.5</td><td align="center">03/30/2021</td></tr><tr><td ID="result219">MONOCYTES</td><td>7.4</td><td align="center">03/30/2021</td></tr><tr><td ID="result220">EOSINOPHILS</td><td>4.0</td><td align="center">03/30/2021</td></tr><tr><td ID="result221">BASOPHILS</td><td>0.9</td><td align="center">03/30/2021</td></tr><tr><td ID="result222">C-REACTIVE PROTEIN</td><td>2.9</td><td align="center">03/30/2021</td></tr><tr><td ID="result223">HEMOGLOBIN A1C</td><td>6.3</td><td align="center">03/30/2021</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" 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displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result3"/></originalText></code><text><reference value="#result3"/></text><statusCode code="completed"/><effectiveTime value="20210329"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="5F3BFAF1-A8CE-48C4-A164-057C2624C66A"/><code code="13658-0" displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20211213"/><high value="20211213"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="8823A6AB-5547-4FE6-8C06-A9DA6E6E3A20"/><code code="13658-0" displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result4"/></originalText></code><text><reference value="#result4"/></text><statusCode code="completed"/><effectiveTime 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value="2026071784112-0500"/><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="B5FB8430-8E4D-4B17-9204-A57F15E52C7A"/><code code="5804-0" displayName="Protein [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result5"/></originalText></code><text><reference value="#result5"/></text><statusCode code="completed"/><effectiveTime value="20210329"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="A1E1757E-4E95-4A75-B5CC-D20637BD9F2A"/><code code="5804-0" displayName="Protein [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20211213"/><high value="20211213"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="4BC1EC2C-0BB0-48BF-819A-10E6C789E552"/><code code="5804-0" displayName="Protein [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result6"/></originalText></code><text><reference value="#result6"/></text><statusCode code="completed"/><effectiveTime value="20211213"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="F594E784-6924-4889-B86D-797BAACAE045"/><code code="5794-3" displayName="Blood-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result9"/></originalText></code><text><reference value="#result9"/></text><statusCode code="completed"/><effectiveTime value="20210329"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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 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value="#result10"/></originalText></code><text><reference value="#result10"/></text><statusCode code="completed"/><effectiveTime value="20211213"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="19A4626D-F331-471A-8D97-DB8908CBAF2F"/><code code="5797-6" displayName="Ketones [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><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="2026071784112-0500"/><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="8AEC4708-8FFC-48A0-B6A6-BC0E9E4B7460"/><code code="5797-6" displayName="Ketones [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result11"/></originalText></code><text><reference value="#result11"/></text><statusCode code="completed"/><effectiveTime value="20210329"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="7D1FEFA8-2B45-42C7-BE6F-201DEE9AF3B6"/><code code="5797-6" displayName="Ketones [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20211213"/><high value="20211213"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="5C04EDAF-31F7-4711-9CCF-DFE6A270E6A7"/><code code="5797-6" displayName="Ketones [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result12"/></originalText></code><text><reference value="#result12"/></text><statusCode code="completed"/><effectiveTime value="20211213"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="BE43D138-9A0C-4636-9309-40FE910B73AE"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><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="2026071784112-0500"/><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="9BDA5F65-8364-4E48-999C-CF5B6403D52A"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result13"/></originalText></code><text><reference value="#result13"/></text><statusCode code="completed"/><effectiveTime value="20210329"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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 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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="B5D22D79-33F6-40D1-872D-83D618B6332F"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result14"/></originalText></code><text><reference value="#result14"/></text><statusCode code="completed"/><effectiveTime value="20211213"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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 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xsi:type="ST">&lt;14</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="7B03AA64-3C2F-4860-8FB5-431B8AB40F9F"/><code code="45061015" displayName="SJOGREN&apos;S ANTIBODY (SS-A)" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20211214"/><high value="20211214"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="0FF51DC8-A426-4917-BF0C-08F50A4167C7"/><code code="45061015" displayName="SJOGREN&apos;S ANTIBODY (SS-A)" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result179"/></originalText></code><text><reference value="#result179"/></text><statusCode code="completed"/><effectiveTime value="20211214"/><value xsi:type="ST">&lt;1.0 NEG</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="2212FE4D-F263-4E2D-BA00-8F5DE0BF9075"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210330"/><high value="20210330"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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="D9643E62-90E2-450F-9322-43701C9B8B36"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result186"/></originalText></code><text><reference value="#result186"/></text><statusCode code="completed"/><effectiveTime value="20210330"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784112-0500"/><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>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 ID="care_plan_1">Prescription</td><td>INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED</td><td align="center">July 11, 2022</td></tr><tr><td ID="care_plan_2">Prescription</td><td>TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">July 11, 2022</td></tr><tr><td ID="care_plan_3">Prescription</td><td>INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED</td><td align="center">July 11, 2022</td></tr><tr><td ID="care_plan_4">Prescription</td><td>TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">July 11, 2022</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="8A2BF653-C623-454A-812A-4C247ED99C40"/><code code="279394" displayName="Prescription" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_1"/>INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="1BE5C1EA-2973-40A9-BA84-927B87457133"/><code code="279394" displayName="Prescription" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_2"/>TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="132D2D73-A575-48B6-9ED9-BB61077BC0BE"/><code code="429198" displayName="Prescription" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_3"/>INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="56CE0938-540A-4376-B8ED-C81F7F95E524"/><code code="429198" displayName="Prescription" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_4"/>TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</text><statusCode code="completed"/></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>