2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Lexapro 10 mg tablet, [RxNorm: 352272]
09/29/2021
1 tablet daily
Active
Macrobid 100 mg capsule, [RxNorm: 539712]
09/29/2021
TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD
Active
nitrofurantoin macrocrystal 50 mg capsule, [RxNorm: 201882]
09/29/2021
TAKE 1 CAPSULE (50 MG) BY ORAL ROUTE once daily as needed after intercourse for UTI prevention. 
Active
Vyvanse 40 mg capsule, [RxNorm: 854840]
09/29/2021
daily
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

UA, [CPT-4: 81003]
09/29/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]
09/29/2021
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]
09/29/20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSNo immunization historyVaccinationVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

09/29/2021 157 cm 60 kg 24.05 132/76 mm[Hg] 36 Cel 103 bpm 97 pct 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Positive
09/29/2021
Urobilinogen-Urine
Negative
09/29/2021
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
09/29/2021
pH of Urine by Test strip
6 [pH]
09/29/2021
Blood-Urine
Positive
09/29/2021
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
09/29/2021
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
09/29/2021
Cesium-Urine
yes
09/29/2021
Specific Gravity of Urine by Test strip
1.020
09/29/2021
Bilirubin-Urine
Negative
09/29/2021
Nitrites-Urine
Negative
09/29/2021
Appearance of Urine
cloudy
09/29/2021
Color of Urine
yellow
09/29/2021
SOURCE:
URINE
10/01/2021
STATUS:
FINAL
10/01/2021
ISOLATE 1:
Greater than 100,000 CFU/mL of Escherichia coli
10/01/2021
AMOXICILLIN/CLAVULANIC
4
10/01/2021
AMPICILLIN
>=32
10/01/2021
AMPICILLIN/SULBACTAM
16
10/01/2021
CEFAZOLIN
<=4
10/01/2021
CEFEPIME
<=1
10/01/2021
CEFTRIAXONE
<=1
10/01/2021
CIPROFLOXACIN
<=0.25
10/01/2021
LEVOFLOXACIN
<=0.12
10/01/2021
ERTAPENEM
<=0.5
10/01/2021
GENTAMICIN
>=16
10/01/2021
IMIPENEM
<=0.25
10/01/2021
NITROFURANTOIN
<=16
10/01/2021
PIPERACILLIN/TAZOBACTAM
<=4
10/01/2021
TOBRAMYCIN
8
10/01/2021
TRIMETHOPRIM/SULFA
>=320
10/01/2021PositiveNegativeNegativePositiveNegativeNegativeyesNegativeNegativecloudyyellowURINEFINALGreater than 100,000 CFU/mL of Escherichia coli>=32<=4<=1<=1<=0.25<=0.12<=0.5>=16<=0.25<=16<=4>=320PLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
Lexapro 10 mg tablet, [RxNorm: 352272]	09/29/2021	1 tablet daily	Active
Macrobid 100 mg capsule, [RxNorm: 539712]	09/29/2021	TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD	Active
nitrofurantoin macrocrystal 50 mg capsule, [RxNorm: 201882]	09/29/2021	TAKE 1 CAPSULE (50 MG) BY ORAL ROUTE once daily as needed after intercourse for UTI prevention.	Active
Vyvanse 40 mg capsule, [RxNorm: 854840]	09/29/2021	daily	Active

Procedure	Date
UA, [CPT-4: 81003]	09/29/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]	09/29/2021
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]	09/29/2021

Result Type	Result Value	Date
Leukocytes-Urine	Positive	09/29/2021
Urobilinogen-Urine	Negative	09/29/2021
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	09/29/2021
pH of Urine by Test strip	6 [pH]	09/29/2021
Blood-Urine	Positive	09/29/2021
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	09/29/2021
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	09/29/2021
Cesium-Urine	yes	09/29/2021
Specific Gravity of Urine by Test strip	1.020	09/29/2021
Bilirubin-Urine	Negative	09/29/2021
Nitrites-Urine	Negative	09/29/2021
Appearance of Urine	cloudy	09/29/2021
Color of Urine	yellow	09/29/2021
SOURCE:	URINE	10/01/2021
STATUS:	FINAL	10/01/2021
ISOLATE 1:	Greater than 100,000 CFU/mL of Escherichia coli	10/01/2021
AMOXICILLIN/CLAVULANIC	4	10/01/2021
AMPICILLIN	>=32	10/01/2021
AMPICILLIN/SULBACTAM	16	10/01/2021
CEFAZOLIN	<=4	10/01/2021
CEFEPIME	<=1	10/01/2021
CEFTRIAXONE	<=1	10/01/2021
CIPROFLOXACIN	<=0.25	10/01/2021
LEVOFLOXACIN	<=0.12	10/01/2021
ERTAPENEM	<=0.5	10/01/2021
GENTAMICIN	>=16	10/01/2021
IMIPENEM	<=0.25	10/01/2021
NITROFURANTOIN	<=16	10/01/2021
PIPERACILLIN/TAZOBACTAM	<=4	10/01/2021
TOBRAMYCIN	8	10/01/2021
TRIMETHOPRIM/SULFA	>=320	10/01/2021