2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Macrobid 100 mg capsule, [RxNorm: 539712]
08/12/2021
TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD
Active
Pyridium 100 mg tablet, [RxNorm: 1094109]
08/12/2021
TAKE 1 TABLET (100 MG) BY ORAL ROUTE 3 TIMES PER DAY AFTER MEALS AS NEEDED for urinary spasms
Active
Diflucan 150 mg tablet, [RxNorm: 207108]
10/29/2021
TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE
Active
Diflucan 150 mg tablet, [RxNorm: 207108]
11/01/2021
TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE
Active
Zithromax Z-Pak 250 mg tablet, [RxNorm: 750149]
10/29/2021
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
Active
Ozempic 0.25 mg or 0.5 mg (2 mg/1.5 mL) subcutaneous pen injector, [RxNorm: 1991306]
08/12/2021
0.5mg once weekly
Active
ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule, [RxNorm: 1367414]
08/27/2021
1 capsule PO once a week 
Active
Wellbutrin XL 150 mg 24 hr tablet, extended release, [RxNorm: 993545]
08/12/2021
1 tablet PO daily
Active
cyclobenzaprine 5 mg tablet, [RxNorm: 828322]
08/12/2021
TAKE 1 TABLET (5 MG) BY ORAL ROUTE 3 TIMES PER DAY as needed for muscle spasms
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

TSH (QUEST), [CPT-4: 899]
08/25/2021
UA, [CPT-4: 81003]
08/12/2021
UA, [CPT-4: 81003]
08/25/2021
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
08/25/2021
LIPID PANEL (QUEST), [CPT-4: 7600]
08/25/2021
CBC W/ DIFF (QUEST), [CPT-4: 6399]
08/25/2021
VITAMIN B12 (QUEST), [CPT-4: 927]
08/25/2021
VITAMIN D 25 - HYDROXY, TOTAL (QUEST), [CPT-4: 17306]
08/25/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]
08/12/2021
T4 FREE (QUEST), [CPT-4: 866]
08/25/2021
Rocephin 1G, [CPT-4: J0696]
10/29/2021
Dexamethasone 4mg/ml, [CPT-4: J1100]
10/29/2021
Depo-Medrol 40mg/ml, [CPT-4: J1030]
10/29/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
09/03/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
08/02/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
02/12/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
03/05/2021
HEMOGLOBIN A1c, [CPT-4: 496]
08/25/20217461 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 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

COVID-19, mRNA, LNP-S, PF
02/12/2021
Completed
COVID-19, mRNA, LNP-S, PF
03/05/2021
CompletedCOVID-19, mRNA, LNP-S, PFEN6200Pfizer, Inc7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEN6205Pfizer, Inc7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

08/12/2021 163 cm 121 kg 45.83 116/80 mm[Hg] 37 Cel 80 bpm 99 pct 15 bpm
08/25/2021 163 cm 120 kg 45.38 122/82 mm[Hg] 36 Cel 80 bpm 98 pct 16 bpm
10/29/2021 163 cm 117 kg 44.28 140/89 mm[Hg] 37 Cel 83 bpm 100 pct 17 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Positive
08/12/2021
Leukocytes-Urine
Positive
08/25/2021
Urobilinogen-Urine
Positive
08/12/2021
Urobilinogen-Urine
Negative
08/25/2021
Protein [Mass/Volume] in Urine by Test strip
Positive mg/dL
08/12/2021
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/25/2021
pH of Urine by Test strip
5 [pH]
08/12/2021
pH of Urine by Test strip
6 [pH]
08/25/2021
Blood-Urine
Positive
08/12/2021
Blood-Urine
Negative
08/25/2021
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/12/2021
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/25/2021
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/12/2021
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/25/2021
Cesium-Urine
yes
08/12/2021
Specific Gravity of Urine by Test strip
1.020
08/12/2021
Specific Gravity of Urine by Test strip
1.020
08/25/2021
Bilirubin-Urine
Positive
08/12/2021
Bilirubin-Urine
Positive
08/25/2021
Nitrites-Urine
Positive
08/12/2021
Nitrites-Urine
Negative
08/25/2021
Appearance of Urine
bloody
08/12/2021
Color of Urine
red
08/12/2021
CHOLESTEROL, TOTAL
143
08/26/2021
HDL CHOLESTEROL
34
08/26/2021
TRIGLYCERIDES
104
08/26/2021
LDL-CHOLESTEROL
89
08/26/2021
CHOL/HDLC RATIO
4.2
08/26/2021
NON HDL CHOLESTEROL
109
08/26/2021
GLUCOSE
83
08/26/2021
UREA NITROGEN (BUN)
11
08/26/2021
CREATININE
0.74
08/26/2021
EGFR NON-AFR. AMERICAN
106
08/26/2021
EGFR AFRICAN AMERICAN
123
08/26/2021
BUN/CREATININE RATIO
NOT APPLICABLE
08/26/2021
SODIUM
139
08/26/2021
POTASSIUM
4.4
08/26/2021
CHLORIDE
103
08/26/2021
CARBON DIOXIDE
28
08/26/2021
CALCIUM
9.6
08/26/2021
PROTEIN, TOTAL
7.0
08/26/2021
ALBUMIN
4.5
08/26/2021
GLOBULIN
2.5
08/26/2021
ALBUMIN/GLOBULIN RATIO
1.8
08/26/2021
BILIRUBIN, TOTAL
0.6
08/26/2021
ALKALINE PHOSPHATASE
83
08/26/2021
AST
13
08/26/2021
ALT
17
08/26/2021
HEMOGLOBIN A1C
4.7
08/26/2021
VITAMIN D,25-OH,TOTAL,IA
20
08/26/2021
TSH
2.45
08/26/2021
T4, FREE
1.2
08/26/2021
WHITE BLOOD CELL COUNT
5.8
08/26/2021
RED BLOOD CELL COUNT
4.75
08/26/2021
HEMOGLOBIN
12.8
08/26/2021
HEMATOCRIT
40.6
08/26/2021
MCV
85.5
08/26/2021
MCH
26.9
08/26/2021
MCHC
31.5
08/26/2021
RDW
13.1
08/26/2021
PLATELET COUNT
348
08/26/2021
MPV
10.4
08/26/2021
ABSOLUTE NEUTROPHILS
3903
08/26/2021
ABSOLUTE LYMPHOCYTES
1543
08/26/2021
ABSOLUTE MONOCYTES
232
08/26/2021
ABSOLUTE EOSINOPHILS
81
08/26/2021
ABSOLUTE BASOPHILS
41
08/26/2021
NEUTROPHILS
67.3
08/26/2021
LYMPHOCYTES
26.6
08/26/2021
MONOCYTES
4.0
08/26/2021
EOSINOPHILS
1.4
08/26/2021
BASOPHILS
0.7
08/26/2021
VITAMIN B12
263
08/26/2021
SOURCE:
URINE
08/14/2021
STATUS:
FINAL
08/14/2021
RESULT:
Growth of mixed flora was isolated, suggesting probable contamination. No further testing will be performed. If clinically indicated, recollection using a method to minimize contamination, with prompt transfer to Urine Culture Transport Tube, is recommended.
08/14/2021PositivePositivePositiveNegativePositiveNegativePositiveNegativeNegativeNegativeNegativeNegativeyesPositivePositivePositiveNegativebloodyredNOT APPLICABLEURINEFINALGrowth of mixed flora was isolated, suggesting probable contamination. No further testing will be performed. If clinically indicated, recollection using a method to minimize contamination, with prompt transfer to Urine Culture Transport Tube, is recommended.PLAN 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
Macrobid 100 mg capsule, [RxNorm: 539712]	08/12/2021	TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD	Active
Pyridium 100 mg tablet, [RxNorm: 1094109]	08/12/2021	TAKE 1 TABLET (100 MG) BY ORAL ROUTE 3 TIMES PER DAY AFTER MEALS AS NEEDED for urinary spasms	Active
Diflucan 150 mg tablet, [RxNorm: 207108]	10/29/2021	TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE	Active
Diflucan 150 mg tablet, [RxNorm: 207108]	11/01/2021	TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE	Active
Zithromax Z-Pak 250 mg tablet, [RxNorm: 750149]	10/29/2021	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	Active
Ozempic 0.25 mg or 0.5 mg (2 mg/1.5 mL) subcutaneous pen injector, [RxNorm: 1991306]	08/12/2021	0.5mg once weekly	Active
ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule, [RxNorm: 1367414]	08/27/2021	1 capsule PO once a week	Active
Wellbutrin XL 150 mg 24 hr tablet, extended release, [RxNorm: 993545]	08/12/2021	1 tablet PO daily	Active
cyclobenzaprine 5 mg tablet, [RxNorm: 828322]	08/12/2021	TAKE 1 TABLET (5 MG) BY ORAL ROUTE 3 TIMES PER DAY as needed for muscle spasms	Active

Procedure	Date
TSH (QUEST), [CPT-4: 899]	08/25/2021
UA, [CPT-4: 81003]	08/12/2021
UA, [CPT-4: 81003]	08/25/2021
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	08/25/2021
LIPID PANEL (QUEST), [CPT-4: 7600]	08/25/2021
CBC W/ DIFF (QUEST), [CPT-4: 6399]	08/25/2021
VITAMIN B12 (QUEST), [CPT-4: 927]	08/25/2021
VITAMIN D 25 - HYDROXY, TOTAL (QUEST), [CPT-4: 17306]	08/25/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]	08/12/2021
T4 FREE (QUEST), [CPT-4: 866]	08/25/2021
Rocephin 1G, [CPT-4: J0696]	10/29/2021
Dexamethasone 4mg/ml, [CPT-4: J1100]	10/29/2021
Depo-Medrol 40mg/ml, [CPT-4: J1030]	10/29/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	09/03/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	08/02/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	02/12/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	03/05/2021
HEMOGLOBIN A1c, [CPT-4: 496]	08/25/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	02/12/2021	Completed
COVID-19, mRNA, LNP-S, PF	03/05/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
08/12/2021	163 cm	121 kg	45.83	116/80 mm[Hg]	37 Cel	80 bpm	99 pct	15 bpm
08/25/2021	163 cm	120 kg	45.38	122/82 mm[Hg]	36 Cel	80 bpm	98 pct	16 bpm
10/29/2021	163 cm	117 kg	44.28	140/89 mm[Hg]	37 Cel	83 bpm	100 pct	17 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Positive	08/12/2021
Leukocytes-Urine	Positive	08/25/2021
Urobilinogen-Urine	Positive	08/12/2021
Urobilinogen-Urine	Negative	08/25/2021
Protein [Mass/Volume] in Urine by Test strip	Positive mg/dL	08/12/2021
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/25/2021
pH of Urine by Test strip	5 [pH]	08/12/2021
pH of Urine by Test strip	6 [pH]	08/25/2021
Blood-Urine	Positive	08/12/2021
Blood-Urine	Negative	08/25/2021
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/12/2021
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/25/2021
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/12/2021
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/25/2021
Cesium-Urine	yes	08/12/2021
Specific Gravity of Urine by Test strip	1.020	08/12/2021
Specific Gravity of Urine by Test strip	1.020	08/25/2021
Bilirubin-Urine	Positive	08/12/2021
Bilirubin-Urine	Positive	08/25/2021
Nitrites-Urine	Positive	08/12/2021
Nitrites-Urine	Negative	08/25/2021
Appearance of Urine	bloody	08/12/2021
Color of Urine	red	08/12/2021
CHOLESTEROL, TOTAL	143	08/26/2021
HDL CHOLESTEROL	34	08/26/2021
TRIGLYCERIDES	104	08/26/2021
LDL-CHOLESTEROL	89	08/26/2021
CHOL/HDLC RATIO	4.2	08/26/2021
NON HDL CHOLESTEROL	109	08/26/2021
GLUCOSE	83	08/26/2021
UREA NITROGEN (BUN)	11	08/26/2021
CREATININE	0.74	08/26/2021
EGFR NON-AFR. AMERICAN	106	08/26/2021
EGFR AFRICAN AMERICAN	123	08/26/2021
BUN/CREATININE RATIO	NOT APPLICABLE	08/26/2021
SODIUM	139	08/26/2021
POTASSIUM	4.4	08/26/2021
CHLORIDE	103	08/26/2021
CARBON DIOXIDE	28	08/26/2021
CALCIUM	9.6	08/26/2021
PROTEIN, TOTAL	7.0	08/26/2021
ALBUMIN	4.5	08/26/2021
GLOBULIN	2.5	08/26/2021
ALBUMIN/GLOBULIN RATIO	1.8	08/26/2021
BILIRUBIN, TOTAL	0.6	08/26/2021
ALKALINE PHOSPHATASE	83	08/26/2021
AST	13	08/26/2021
ALT	17	08/26/2021
HEMOGLOBIN A1C	4.7	08/26/2021
VITAMIN D,25-OH,TOTAL,IA	20	08/26/2021
TSH	2.45	08/26/2021
T4, FREE	1.2	08/26/2021
WHITE BLOOD CELL COUNT	5.8	08/26/2021
RED BLOOD CELL COUNT	4.75	08/26/2021
HEMOGLOBIN	12.8	08/26/2021
HEMATOCRIT	40.6	08/26/2021
MCV	85.5	08/26/2021
MCH	26.9	08/26/2021
MCHC	31.5	08/26/2021
RDW	13.1	08/26/2021
PLATELET COUNT	348	08/26/2021
MPV	10.4	08/26/2021
ABSOLUTE NEUTROPHILS	3903	08/26/2021
ABSOLUTE LYMPHOCYTES	1543	08/26/2021
ABSOLUTE MONOCYTES	232	08/26/2021
ABSOLUTE EOSINOPHILS	81	08/26/2021
ABSOLUTE BASOPHILS	41	08/26/2021
NEUTROPHILS	67.3	08/26/2021
LYMPHOCYTES	26.6	08/26/2021
MONOCYTES	4.0	08/26/2021
EOSINOPHILS	1.4	08/26/2021
BASOPHILS	0.7	08/26/2021
VITAMIN B12	263	08/26/2021
SOURCE:	URINE	08/14/2021
STATUS:	FINAL	08/14/2021
RESULT:	Growth of mixed flora was isolated, suggesting probable contamination. No further testing will be performed. If clinically indicated, recollection using a method to minimize contamination, with prompt transfer to Urine Culture Transport Tube, is recommended.	08/14/2021