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nanocrystallized 145 mg tablet, [RxNorm: 540281]</content></td><td align="center">03/26/2021</td><td align="right">TAKE 1 TABLET (145 MG) BY ORAL ROUTE ONCE DAILY AT BEDTIME</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">fenofibrate nanocrystallized 145 mg tablet, [RxNorm: 540281]</content></td><td align="center">12/11/2020</td><td align="right">TAKE 1 TABLET (145 MG) BY ORAL ROUTE ONCE DAILY at bedtime</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">losartan 25 mg tablet, [RxNorm: 979487]</content></td><td align="center">03/24/2021</td><td align="right">TAKE 1 TABLET (25 MG) BY ORAL ROUTE ONCE DAILY for HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">Vascepa 1 gram capsule, [RxNorm: 1304985]</content></td><td align="center">03/26/2021</td><td align="right">TAKE 2 CAPSULES (2 GRAM) BY ORAL ROUTE 2 TIMES PER DAY WITH FOOD </td><td align="center">Active</td></tr><tr><td><content ID = "Med9">Vascepa 1 gram capsule, [RxNorm: 1304985]</content></td><td align="center">10/05/2021</td><td align="right">TAKE 2 CAPSULES (2 GRAM) BY ORAL ROUTE 2 TIMES PER DAY WITH FOOD </td><td align="center">Active</td></tr><tr><td><content ID = "Med10">allopurinol 300 mg tablet, [RxNorm: 105972]</content></td><td align="center">05/15/2023</td><td align="right">TAKE ONE TABLET BY MOUTH DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">allopurinol 300 mg tablet, [RxNorm: 105972]</content></td><td align="center">10/11/2022</td><td align="right">TAKE ONE TABLET BY MOUTH TWICE A DAY- please call office to schedule follow up appt. </td><td align="center">Active</td></tr><tr><td><content ID = "Med12">allopurinol 300 mg tablet, [RxNorm: 105972]</content></td><td align="center">06/02/2021</td><td align="right">1 TABLET PO DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med13">Crestor 10 mg tablet, [RxNorm: 859749]</content></td><td align="center">10/25/2021</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med14">Vascepa 1 gram capsule, [RxNorm: 1304985]</content></td><td align="center">12/11/2020</td><td align="right">TAKE 2 CAPSULES (2 GRAM) BY ORAL ROUTE 2 TIMES PER DAY WITH FOOD </td><td align="center">Active</td></tr><tr><td><content ID = "Med15">losartan 100 mg tablet, [RxNorm: 979482]</content></td><td align="center">12/08/2022</td><td align="right">daily</td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="F2B8094C-F4A9-45EE-BC7B-05A703C0E4EF"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20221208"/></effectiveTime><doseQuantity 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extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><id root="A419DE2D-128C-4A49-B215-554DC372F49D"/><manufacturedMaterial><code code="859749" displayName="Crestor 10 mg tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/></manufacturedMaterial></manufacturedProduct></consumable><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784123-0500"/><assignedAuthor><id extension="1295276632" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="1EBCC69C-486D-4750-84C2-8CF3CAD7D2E5"/><statusCode code="active"/><effectiveTime 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root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="2B6C1A33-4D4A-42B5-BE22-4C53CBC81029"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20221208"/></effectiveTime><doseQuantity value="0"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><id root="76BFAE69-7EA3-4BBD-BA97-7A505032876A"/><manufacturedMaterial><code code="979482" displayName="losartan 100 mg tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/></manufacturedMaterial></manufacturedProduct></consumable><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784123-0500"/><assignedAuthor><id extension="1295276632" 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="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.5.1"/><code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/><title>PROBLEMS</title><text ID="Concern_1"><content ID="problems1">No known <content ID="problemType1">health problems</content></content></text><entry typeCode="DRIV"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" /><templateId root="2.16.840.1.113883.10.20.22.4.3" /><id root="5434F907-8F2F-49E4-8777-FAE546AE7177"/><code code="CONC" codeSystem="2.16.840.1.113883.5.6"/><text><reference value="#Concern_1"></reference></text><statusCode code="active"/><effectiveTime><low value="20260717"/></effectiveTime><entryRelationship typeCode="SUBJ"><observation classCode="OBS" moodCode="EVN" negationInd="true"><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="968C4405-E077-4017-973B-C0F24DDA8AD2"/><code code="55607006" displayName="Problem" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96"><translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/></code><text><reference value="#problems1"></reference></text><statusCode code="completed"/><effectiveTime><low value="20260717"/></effectiveTime><value xsi:type="CD" code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"><originalText><reference value="#problems1"></reference></originalText></value></observation></entryRelationship></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2014-06-09"/><code code = "46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters"/><title>ENCOUNTERS</title><text><table border="1" width="100%"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr><td ID="Encounter1">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">WELL VISIT NEW 40-64 YRS</td><td>Robin Blackwell</td><td>Auburn Montgomery Warhawk Health Services</td><td>Dec 08, 2022</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="EF7E9877-B813-4B70-924E-6E3CCBDD92D3"/><code code="99386" displayName="WELL VISIT NEW 40-64 YRS" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter1"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20201207"/><performer><assignedEntity><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="2216B3FF-078D-41D0-B6A2-ADEFDD4534DD" extension="22746981"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20201207"/></effectiveTime><value xsi:type="CD" code="Z00.00" displayName="ENCNTR FOR GEN ADULT MEDICAL EXAM W/O AB FIND" codeSystem="2.16.840.1.113883.6.3"/></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="false"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.80"/><id root="5306B36B-169F-4DA8-879E-4F02A2CCE95E"/><code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ENCOUNTER DIAGNOSIS"/><statusCode code="active"/><effectiveTime><low value="20201207"/></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="186B23D5-44F0-48F3-9C11-6F4A0AA94BA6"/><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="20201207"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="FAE4D445-C24C-4748-9EF9-373B8BEE0F66"/><code code="99386" displayName="WELL VISIT NEW 40-64 YRS" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter2"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20221208"/><performer><assignedEntity><id extension="1295276632" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="A90607BF-C811-42C2-96E7-340C3349876C" extension="28161143"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20221208"/></effectiveTime><value xsi:type="CD" code="Z00.00" displayName="ENCNTR FOR GEN ADULT MEDICAL EXAM W/O AB FIND" codeSystem="2.16.840.1.113883.6.3"/></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="false"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.80"/><id root="2229FC59-4C94-4960-A56F-49444060BA11"/><code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ENCOUNTER DIAGNOSIS"/><statusCode code="active"/><effectiveTime><low value="20221208"/></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="0CA35476-9449-4C81-A8EA-6C2817E35B03"/><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="20221208"/></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">12/07/2020</td></tr><tr><td ID = "procedure2">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure3">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">10/07/2021</td></tr><tr><td ID = "procedure5">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">10/07/2021</td></tr><tr><td ID = "procedure6">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">12/08/2022</td></tr><tr><td ID = "procedure7">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure8">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure9">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure10">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">10/07/2021</td></tr><tr><td ID = "procedure11">PSA, TOTAL (QUEST), [CPT-4: 5363]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure12">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">12/08/2020</td></tr><tr><td ID = "procedure13">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure14">EKG, [CPT-4: 93010]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure15">Glucose, [CPT-4: 82947]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure16">URIC ACID , [CPT-4: 84550]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure17">URIC ACID , [CPT-4: 84550]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure18">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure19">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">10/07/2021</td></tr><tr><td ID = "procedure20">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">10/07/2021</td></tr><tr><td ID = "procedure21">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">12/07/2020</td></tr><tr><td ID = "procedure22">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">04/16/2021</td></tr><tr><td ID = "procedure23">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">05/05/2021</td></tr><tr><td ID = "procedure24">URIC ACID, [CPT-4: 905]</td><td align="center">12/08/2022</td></tr><tr><td ID = "procedure25">URIC ACID, [CPT-4: 905]</td><td align="center">03/24/2021</td></tr><tr><td ID = "procedure26">GLUCOSE, [CPT-4: 483]</td><td align="center">12/08/2022</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="16956FA9-0D74-41A4-B1FA-A0EF9085E396"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime 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="F0725FB1-E993-47F3-8131-C22D8F4D8EE1"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime 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="5FB1E868-6D2E-457A-AFDF-D8CFD2F2C3EE"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210324"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="B69DF47D-689F-4856-B13E-FC36F347D3A0"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211007"/><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="38A3E27D-0A94-42D1-965F-609B0E9F55D9"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211007"/><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="2539B514-C837-429F-8516-6064315C7231"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20221208"/><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="928D9314-1A1B-4E31-AAF0-AC8926BD9AE9"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210324"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="0E22ED3A-D330-48B0-A670-73E02C73532E"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime 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="0CC42EB6-3FAC-4F11-840A-940959CDF046"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime 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="07AC3B8D-0D05-4EAD-A1B7-8281DB376115"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211007"/><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="98AD8EFC-23B9-400D-A193-EEA3A5D3C398"/><code code="5363" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="PSA, TOTAL (QUEST)"/><statusCode code="completed"/><effectiveTime 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="E3D6E462-8808-4A6C-9603-97443C6CA3B7"/><code code="36415" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BLOOD DRAW"/><statusCode code="completed"/><effectiveTime value="20201208"/><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="4255735A-C517-49BE-BC3B-65FF7372AC71"/><code code="36415" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BLOOD DRAW"/><statusCode code="completed"/><effectiveTime value="20210324"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="F2ED2F40-3529-462F-8B82-AC69B7990F84"/><code code="93010" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="EKG"/><statusCode code="completed"/><effectiveTime value="20210324"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="F8BF5AD5-8A9F-4584-8AE8-7099966F9048"/><code code="82947" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Glucose"/><statusCode code="completed"/><effectiveTime 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="96D0A0A4-9F44-4257-A954-DC5482426505"/><code code="84550" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="URIC ACID "/><statusCode code="completed"/><effectiveTime 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="72E96D40-7C22-4102-A8A4-608EA9A81DDB"/><code code="84550" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="URIC ACID "/><statusCode code="completed"/><effectiveTime value="20210324"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="CE0DBDBF-42B1-4D5D-9CC9-315449157E64"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime 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 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="1A2FBAD5-3316-4BBD-8EAA-5BA8CC1B877E"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210416"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun1">Influenza virus vaccine</td><td align="center">12/07/2020</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">04/16/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun4">COVID-19, mRNA, LNP-S, PF</td><td align="center">05/05/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun2">Influenza virus vaccine</td><td align="center">10/07/2021</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="6C8A43BE-84AF-4B71-A671-03951D5F3026"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20201207"/><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 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codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="208" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="COVID-19, mRNA, LNP-S, PF"/><lotNumberText>ER8737</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>Pfizer, Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Robin</given><family>Blackwell</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="2026071784123-0500"/><assignedAuthor><id extension="1295276632" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" 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Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Robin</given><family>Blackwell</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="2026071784123-0500"/><assignedAuthor><id extension="1295276632" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="AFCF64D4-F526-4FAC-8C51-361B109F02E2"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20211007"/><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="150" 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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="2026071784123-0500"/><assignedAuthor><id extension="1295276632" 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">184 cm</td><td ID = "vital_1_weight">128 kg</td><td ID = "vital_1_bmi">37.85</td><td ID = "vital_1_bp">159/81 mm[Hg]</td><td ID = "vital_1_temp">36 Cel</td><td ID = "vital_1_pulse">67 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">03/24/2021</td><td ID = "vital_2_height">183 cm</td><td ID = "vital_2_weight">127 kg</td><td ID = "vital_2_bmi">37.96</td><td ID = "vital_2_bp">171/86 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">61 bpm</td><td ID = "vital_2_pulseox">98 pct</td><td ID = "vital_2_resp">17 bpm</td></tr><tr><td ID = "vital_3">10/07/2021</td><td ID = "vital_3_height">185 cm</td><td ID = "vital_3_weight">125 kg</td><td ID = "vital_3_bmi">36.46</td><td ID = "vital_3_bp">132/73 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">77 bpm</td><td ID = "vital_3_pulseox">98 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">12/08/2022</td><td ID = "vital_4_height">185 cm</td><td ID = "vital_4_weight">126 kg</td><td ID = "vital_4_bmi">36.55</td><td ID = "vital_4_bp">124/82 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">76 bpm</td><td ID = "vital_4_pulseox">98 pct</td><td ID = "vital_4_resp">16 bpm</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="0B7FC59E-2028-4DDE-93FA-2DC2601285BC"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation code="74728-7" 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value="98" 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="2026071784123-0500"/><assignedAuthor><id extension="1295276632" 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="1CD63CD5-7568-46D2-8077-587D9168E414"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_4_resp"/></text><statusCode code="completed"/><effectiveTime value="20221208"/><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="2026071784123-0500"/><assignedAuthor><id extension="1295276632" 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">EKG</td><td>Yes</td><td align="center">03/24/2021</td></tr><tr><td ID="result2">Glucose</td><td>120</td><td align="center">12/07/2020</td></tr><tr><td ID="result3">CHOLESTEROL, TOTAL</td><td>146</td><td align="center">12/09/2022</td></tr><tr><td ID="result4">HDL CHOLESTEROL</td><td>27</td><td align="center">12/09/2022</td></tr><tr><td ID="result5">TRIGLYCERIDES</td><td>252</td><td align="center">12/09/2022</td></tr><tr><td ID="result6">LDL-CHOLESTEROL</td><td>86</td><td align="center">12/09/2022</td></tr><tr><td ID="result7">CHOL/HDLC RATIO</td><td>5.4</td><td align="center">12/09/2022</td></tr><tr><td ID="result8">NON HDL CHOLESTEROL</td><td>119</td><td align="center">12/09/2022</td></tr><tr><td ID="result9">GLUCOSE</td><td>87</td><td align="center">12/09/2022</td></tr><tr><td ID="result10">URIC ACID</td><td>5.4</td><td align="center">12/09/2022</td></tr><tr><td ID="result11">CHOLESTEROL, TOTAL</td><td>208</td><td align="center">10/08/2021</td></tr><tr><td ID="result12">HDL CHOLESTEROL</td><td>30</td><td align="center">10/08/2021</td></tr><tr><td ID="result13">TRIGLYCERIDES</td><td>205</td><td align="center">10/08/2021</td></tr><tr><td ID="result14">LDL-CHOLESTEROL</td><td>144</td><td align="center">10/08/2021</td></tr><tr><td ID="result15">CHOL/HDLC RATIO</td><td>6.9</td><td align="center">10/08/2021</td></tr><tr><td ID="result16">NON HDL CHOLESTEROL</td><td>178</td><td align="center">10/08/2021</td></tr><tr><td ID="result17">GLUCOSE</td><td>101</td><td align="center">10/08/2021</td></tr><tr><td ID="result18">UREA NITROGEN (BUN)</td><td>26</td><td align="center">10/08/2021</td></tr><tr><td ID="result19">CREATININE</td><td>1.45</td><td align="center">10/08/2021</td></tr><tr><td ID="result20">EGFR NON-AFR. AMERICAN</td><td>53</td><td align="center">10/08/2021</td></tr><tr><td ID="result21">EGFR AFRICAN AMERICAN</td><td>61</td><td align="center">10/08/2021</td></tr><tr><td ID="result22">BUN/CREATININE RATIO</td><td>18</td><td align="center">10/08/2021</td></tr><tr><td ID="result23">SODIUM</td><td>142</td><td align="center">10/08/2021</td></tr><tr><td ID="result24">POTASSIUM</td><td>4.1</td><td align="center">10/08/2021</td></tr><tr><td ID="result25">CHLORIDE</td><td>106</td><td align="center">10/08/2021</td></tr><tr><td ID="result26">CARBON DIOXIDE</td><td>23</td><td align="center">10/08/2021</td></tr><tr><td ID="result27">CALCIUM</td><td>10.0</td><td align="center">10/08/2021</td></tr><tr><td ID="result28">PROTEIN, TOTAL</td><td>7.3</td><td align="center">10/08/2021</td></tr><tr><td ID="result29">ALBUMIN</td><td>4.6</td><td align="center">10/08/2021</td></tr><tr><td ID="result30">GLOBULIN</td><td>2.7</td><td align="center">10/08/2021</td></tr><tr><td ID="result31">ALBUMIN/GLOBULIN RATIO</td><td>1.7</td><td align="center">10/08/2021</td></tr><tr><td ID="result32">BILIRUBIN, TOTAL</td><td>0.6</td><td align="center">10/08/2021</td></tr><tr><td ID="result33">ALKALINE PHOSPHATASE</td><td>59</td><td align="center">10/08/2021</td></tr><tr><td ID="result34">AST</td><td>26</td><td align="center">10/08/2021</td></tr><tr><td ID="result35">ALT</td><td>27</td><td align="center">10/08/2021</td></tr><tr><td ID="result36">WHITE BLOOD CELL COUNT</td><td>5.4</td><td align="center">10/08/2021</td></tr><tr><td ID="result37">RED BLOOD CELL COUNT</td><td>5.01</td><td align="center">10/08/2021</td></tr><tr><td ID="result38">HEMOGLOBIN</td><td>13.9</td><td align="center">10/08/2021</td></tr><tr><td ID="result39">HEMATOCRIT</td><td>42.6</td><td align="center">10/08/2021</td></tr><tr><td ID="result40">MCV</td><td>85.0</td><td align="center">10/08/2021</td></tr><tr><td ID="result41">MCH</td><td>27.7</td><td align="center">10/08/2021</td></tr><tr><td ID="result42">MCHC</td><td>32.6</td><td align="center">10/08/2021</td></tr><tr><td ID="result43">RDW</td><td>12.9</td><td align="center">10/08/2021</td></tr><tr><td ID="result44">PLATELET COUNT</td><td>184</td><td align="center">10/08/2021</td></tr><tr><td ID="result45">MPV</td><td>10.9</td><td align="center">10/08/2021</td></tr><tr><td ID="result46">ABSOLUTE NEUTROPHILS</td><td>3645</td><td align="center">10/08/2021</td></tr><tr><td ID="result47">ABSOLUTE LYMPHOCYTES</td><td>1161</td><td align="center">10/08/2021</td></tr><tr><td ID="result48">ABSOLUTE MONOCYTES</td><td>319</td><td align="center">10/08/2021</td></tr><tr><td ID="result49">ABSOLUTE EOSINOPHILS</td><td>238</td><td align="center">10/08/2021</td></tr><tr><td ID="result50">ABSOLUTE BASOPHILS</td><td>38</td><td align="center">10/08/2021</td></tr><tr><td ID="result51">NEUTROPHILS</td><td>67.5</td><td align="center">10/08/2021</td></tr><tr><td ID="result52">LYMPHOCYTES</td><td>21.5</td><td align="center">10/08/2021</td></tr><tr><td ID="result53">MONOCYTES</td><td>5.9</td><td align="center">10/08/2021</td></tr><tr><td ID="result54">EOSINOPHILS</td><td>4.4</td><td align="center">10/08/2021</td></tr><tr><td ID="result55">BASOPHILS</td><td>0.7</td><td align="center">10/08/2021</td></tr><tr><td ID="result56">CHOLESTEROL, TOTAL</td><td>182</td><td align="center">03/25/2021</td></tr><tr><td ID="result57">HDL CHOLESTEROL</td><td>29</td><td align="center">03/25/2021</td></tr><tr><td ID="result58">TRIGLYCERIDES</td><td>129</td><td align="center">03/25/2021</td></tr><tr><td ID="result59">LDL-CHOLESTEROL</td><td>129</td><td align="center">03/25/2021</td></tr><tr><td ID="result60">CHOL/HDLC RATIO</td><td>6.3</td><td align="center">03/25/2021</td></tr><tr><td ID="result61">NON HDL CHOLESTEROL</td><td>153</td><td align="center">03/25/2021</td></tr><tr><td ID="result62">GLUCOSE</td><td>100</td><td align="center">03/25/2021</td></tr><tr><td ID="result63">UREA NITROGEN (BUN)</td><td>24</td><td align="center">03/25/2021</td></tr><tr><td ID="result64">CREATININE</td><td>1.30</td><td align="center">03/25/2021</td></tr><tr><td ID="result65">EGFR NON-AFR. AMERICAN</td><td>61</td><td align="center">03/25/2021</td></tr><tr><td ID="result66">EGFR AFRICAN AMERICAN</td><td>70</td><td align="center">03/25/2021</td></tr><tr><td ID="result67">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">03/25/2021</td></tr><tr><td ID="result68">SODIUM</td><td>141</td><td align="center">03/25/2021</td></tr><tr><td ID="result69">POTASSIUM</td><td>4.4</td><td align="center">03/25/2021</td></tr><tr><td ID="result70">CHLORIDE</td><td>108</td><td align="center">03/25/2021</td></tr><tr><td ID="result71">CARBON DIOXIDE</td><td>26</td><td align="center">03/25/2021</td></tr><tr><td ID="result72">CALCIUM</td><td>9.3</td><td align="center">03/25/2021</td></tr><tr><td ID="result73">PROTEIN, TOTAL</td><td>6.6</td><td align="center">03/25/2021</td></tr><tr><td ID="result74">ALBUMIN</td><td>4.4</td><td align="center">03/25/2021</td></tr><tr><td ID="result75">GLOBULIN</td><td>2.2</td><td align="center">03/25/2021</td></tr><tr><td ID="result76">ALBUMIN/GLOBULIN RATIO</td><td>2.0</td><td align="center">03/25/2021</td></tr><tr><td ID="result77">BILIRUBIN, TOTAL</td><td>0.6</td><td align="center">03/25/2021</td></tr><tr><td ID="result78">ALKALINE PHOSPHATASE</td><td>51</td><td align="center">03/25/2021</td></tr><tr><td ID="result79">AST</td><td>25</td><td align="center">03/25/2021</td></tr><tr><td ID="result80">ALT</td><td>27</td><td align="center">03/25/2021</td></tr><tr><td ID="result82">URIC ACID</td><td>4.9</td><td align="center">03/25/2021</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="08DB89A3-8ED7-433B-869E-102CB3F87F84"/><code code="82947" displayName="Glucose" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode 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codeSystemName="CPT-4"><originalText><reference value="#result1"/></originalText></code><text><reference value="#result1"/></text><statusCode code="completed"/><effectiveTime value="20210324"/><value xsi:type="ST">Yes</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784123-0500"/><assignedAuthor><id extension="1295276632" 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="71308784-65D3-4E54-9EE1-488E8DA18D5F"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210325"/><high value="20210325"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784123-0500"/><assignedAuthor><id extension="1295276632" 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="B53AEB22-868B-4176-A648-F419F9B47254"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result67"/></originalText></code><text><reference value="#result67"/></text><statusCode code="completed"/><effectiveTime value="20210325"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784123-0500"/><assignedAuthor><id extension="1295276632" 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>REFERRAL</td><td>Dr. Amy Cooper</td><td align="center">April 15, 2021</td></tr><tr><td>REFERRAL</td><td>Dr. Amy Cooper</td><td align="center">April 06, 2021</td></tr><tr><td ID="care_plan_19">SmokingCessation</td><td>Smoking Cessation</td><td align="center">October 07, 2021</td></tr><tr><td ID="care_plan_20">SmokingCessation</td><td>Smoking Cessation</td><td align="center">December 08, 2022</td></tr><tr><td ID="care_plan_21">NutritionCounsel</td><td>Nutrition Counseling</td><td align="center">October 07, 2021</td></tr><tr><td ID="care_plan_22">NutritionCounsel</td><td>Nutrition Counseling</td><td align="center">December 08, 2022</td></tr><tr><td ID="care_plan_23">PhysicalActivityCounsel</td><td>Physical Activity Counsel</td><td align="center">October 07, 2021</td></tr><tr><td ID="care_plan_24">PhysicalActivityCounsel</td><td>Physical Activity Counsel</td><td align="center">December 08, 2022</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="27442777-E968-4EAF-BA6B-884C19AED9A4"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Amy Cooper</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="DA6ED15B-2504-4AE3-BD4B-0B3AFB877086"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Amy Cooper</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="C72145C1-6F5C-47B8-B1FE-91F9C0BB73BD"/><code code="225323000" displayName="SmokingCessation" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/><text><reference value="#care_plan_19"/>Smoking Cessation</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="D200D4C6-C2EF-44C8-B2BF-02334E96ADAA"/><code code="225323000" displayName="SmokingCessation" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/><text><reference value="#care_plan_20"/>Smoking Cessation</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="58A77322-D5D0-42CD-BBAA-3E4ED6952207"/><code code="410270001" displayName="NutritionCounsel" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/><text><reference value="#care_plan_21"/>Nutrition Counseling</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="F3E6B4A3-CE6A-40FC-B324-651829474A0A"/><code code="410270001" displayName="NutritionCounsel" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/><text><reference value="#care_plan_22"/>Nutrition Counseling</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="77AD615E-EBE7-4368-BDE6-1D3E8CC14470"/><code code="183301007" displayName="PhysicalActivityCounsel" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/><text><reference value="#care_plan_23"/>Physical Activity Counsel</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="558D929C-B163-4602-BC53-0E3A5C9A91E0"/><code code="183301007" displayName="PhysicalActivityCounsel" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/><text><reference value="#care_plan_24"/>Physical Activity Counsel</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>