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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">methylene blue</td><td ID="ALGREACT_1">(Visual disturbances NOS) or (amblyopia) or (blurred vision)</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="1836449A-711A-4EB5-B990-576D929377BF"/><code code="CONC" codeSystem="2.16.840.1.113883.5.6"/><statusCode code="active"/><effectiveTime><low value="20191212"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" 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code="6878" codeSystem="2.16.840.1.113883.6.88" displayName="methylene blue" codeSystemName="RxNorm"><originalText><reference value="#ALGSUB_1"/></originalText></code><name>methylene blue</name></playingEntity></participantRole></participant><entryRelationship typeCode="MFST" inversionInd="true"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.9"/><id root="3BE8095C-AC4B-46A6-807B-4795D096B3F4"/><code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/><text><reference value="#ALGREACT_1"/></text><statusCode code="completed"/><effectiveTime><high nullFlavor="UNK"/></effectiveTime><value xsi:type="CD" code="155145007" codeSystem="2.16.840.1.113883.6.96" displayName="(Visual disturbances NOS) or (amblyopia) or (blurred vision)"/><entryRelationship typeCode="SUBJ" inversionInd="true"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.8"/><code code="SEV" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" displayName="Severity Observation"/><text><reference value="#ALGSEVERITY_1"/></text><statusCode code="completed"/><value xsi:type="CD" code="6736007" displayName="Moderate" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation></entryRelationship></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="true"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.145"/><code code="82606-5" codeSystem="2.16.840.1.113883.6.1" displayName="Criticality"/><statusCode code="completed"/><value xsi:type="CD" code="CRITU" displayName="Unable to assess criticality" codeSystem="2.16.840.1.113883.5.1063" codeSystemName="Observation Value"/></observation></entryRelationship></observation></entryRelationship></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/><templateId 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">neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp, [RxNorm: 206520]</content></td><td align="center">03/18/2021</td><td align="right">INSTILL 4 DROPS INTO AFFECTED EAR(S) BY OTIC ROUTE 3 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med2">ofloxacin 0.3 % ear drops, [RxNorm: 876425]</content></td><td align="center">06/17/2020</td><td align="right">INSTILL 5-10 DROPS INTO AFFECTED EAR(S) BY OTIC ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med3">ofloxacin 0.3 % ear drops, [RxNorm: 876425]</content></td><td align="center">07/28/2020</td><td align="right">INSTILL 5-10 DROPS INTO AFFECTED EAR(S) BY OTIC ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med4">clotrimazole 1 % topical solution, [RxNorm: 1426997]</content></td><td align="center">03/31/2021</td><td align="right">Instill 4-5 drops into affected ear 2 TIMES PER DAY IN THE MORNING AND EVENING for 10 days. Follow up in office in 10 days. Disp # quantity sufficient. </td><td align="center">Active</td></tr><tr><td><content ID = "Med5">fluticasone propionate 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797909]</content></td><td align="center">12/12/2019</td><td align="right">SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">Tamiflu 75 mg capsule, [RxNorm: 261315]</content></td><td align="center">01/23/2024</td><td align="right">TAKE 1 CAPSULE (75 MG) BY ORAL ROUTE once daily for 10 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">fluconazole 150 mg tablet, [RxNorm: 207108]</content></td><td align="center">06/24/2020</td><td align="right">TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE, MAY REPEAT DOSE AFTER 3 DAYS IF SYMPTOMS PERSIST.</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">amoxicillin 500 mg tablet, [RxNorm: 213340]</content></td><td align="center">09/01/2023</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE BID x 10 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">ciprofloxacin 500 mg tablet, [RxNorm: 205770]</content></td><td align="center">07/14/2023</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">guaifenesin ER 600 mg tablet, extended release 12 hr, [RxNorm: 891301]</content></td><td align="center">12/12/2019</td><td align="right">TAKE 1 TABLET (600 MG) BY ORAL ROUTE EVERY 12 HOURS AS NEEDED</td><td align="center">Active</td></tr><tr><td><content ID = "Med12">amoxicillin 875 mg tablet, [RxNorm: 213339]</content></td><td align="center">06/24/2020</td><td align="right">TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med13">amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]</content></td><td align="center">10/28/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med14">amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]</content></td><td align="center">12/12/2019</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med15">amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]</content></td><td align="center">01/13/2020</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med16">sulfamethoxazole 800 mg-trimethoprim 160 mg tablet, [RxNorm: 105279]</content></td><td align="center">07/28/2020</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">Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]</content></td><td align="center">08/11/2021</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med18">Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]</content></td><td align="center">08/26/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS FOR 7 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med19">Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]</content></td><td align="center">11/16/2021</td><td align="right">TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 6 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med20">Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]</content></td><td align="center">08/11/2021</td><td align="right">TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 6-8 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med21">cefdinir 300 mg capsule, [RxNorm: 213199]</content></td><td align="center">11/17/2023</td><td align="right">TAKE 2 capsules once daily x 10 days. </td><td align="center">Active</td></tr><tr><td><content ID = "Med22">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">11/16/2021</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med23">Allegra Allergy 180 mg tablet, [RxNorm: 997422]</content></td><td align="center">12/12/2019</td><td align="right">1 tablet daily by mouth as needed</td><td align="center">Active</td></tr><tr><td><content ID = "Med24">Pepcid 20 mg tablet, [RxNorm: 104094]</content></td><td align="center">08/11/2021</td><td align="right">TAKE 1 TABLET (20 MG) BY ORAL ROUTE 2 TIMES PER DAY for acid reflux</td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId 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codeSystemName="LOINC" displayName="History of encounters"/><title>ENCOUNTERS</title><text><table border="1" width="100%"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr><td ID="Encounter1">LIMITED NEW PT</td><td>Melodye Harvey</td><td>Auburn Montgomery Warhawk Health Services</td><td>Dec 12, 2019</td></tr><tr><td ID="Encounter2">INTERMEDIATE EST PT</td><td>Melodye Harvey</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 13, 2020</td></tr><tr><td ID="Encounter3">INTERMEDIATE EST PT</td><td>Melodye Harvey</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 07, 2020</td></tr><tr><td ID="Encounter4">INTERMEDIATE EST PT</td><td>Melodye Harvey</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 28, 2020</td></tr><tr><td ID="Encounter5">INTERMEDIATE EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Aug 10, 2021</td></tr><tr><td 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displayName="Complaint"/></code><statusCode code="completed"/><effectiveTime><low value="20210810"/></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="7AF10ED0-B566-4FEE-8E43-F9BF6957406B"/><code code="99395" displayName="PHYSICAL EST PT 18-39 YRS" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter6"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20220202"/><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 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root="C1F2BFC2-C638-411A-9D3E-A30F499425C8" extension="36135444"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20260325"/></effectiveTime><value xsi:type="CD" code="S89.92XA" displayName="USP INJURY OF LEFT LOWER LEG INITIAL ENCOUNTER" 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="C9A01FD9-BE63-4857-8F16-4BA1061F6364"/><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="20260325"/></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="E404C9F4-4B6B-432A-94B7-11E31B1812A1"/><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="20260325"/></effectiveTime><value xsi:type="CD" code="11864841000119106" 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">STREP A, [LOINC: 18481-2]</td><td align="center">11/16/2021</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">11/17/2023</td></tr><tr><td ID = "procedure3">UA, [CPT-4: 81003]</td><td align="center">08/26/2022</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">12/12/2019</td></tr><tr><td ID = "procedure5">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">02/02/2022</td></tr><tr><td ID = "procedure6">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">02/02/2022</td></tr><tr><td ID = "procedure7">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">12/12/2019</td></tr><tr><td ID = "procedure8">CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]</td><td align="center">08/26/2022</td></tr><tr><td ID = "procedure9">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">12/12/2019</td></tr><tr><td ID = "procedure10">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">07/14/2023</td></tr><tr><td ID = "procedure11">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">02/26/2024</td></tr><tr><td ID = "procedure12">Ear Irrigation, [CPT-4: 69209]</td><td align="center">03/31/2021</td></tr><tr><td ID = "procedure13">Rocephin 1G, [CPT-4: J0696]</td><td align="center">07/14/2023</td></tr><tr><td ID = "procedure14">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">07/14/2023</td></tr><tr><td ID = "procedure15">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">02/26/2024</td></tr><tr><td ID = "procedure16">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">10/28/2022</td></tr><tr><td ID = "procedure17">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">02/26/2024</td></tr><tr><td ID = "procedure18">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">07/14/2023</td></tr><tr><td ID = "procedure19">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">02/02/2022</td></tr><tr><td ID = "procedure20">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">10/28/2022</td></tr><tr><td ID = "procedure21">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">02/02/2022</td></tr><tr><td ID = "procedure22">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">08/10/2021</td></tr><tr><td ID = "procedure23">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">01/06/2022</td></tr><tr><td ID = "procedure24">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">02/12/2021</td></tr><tr><td ID = "procedure25">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/05/2021</td></tr><tr><td ID = "procedure26">GLUCOSE, [CPT-4: 483]</td><td align="center">02/02/2022</td></tr><tr><td ID = "procedure27">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">07/14/2023</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="541247D9-175B-44E2-87ED-2264F5CC5DDC"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20211116"/><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="221AC134-4DC4-445A-80AC-8794264B1982"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20231117"/><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="06BDA204-E8B5-4035-9CDB-A30A9BEAAC62"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20220826"/><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="AEF9DEBA-8800-4471-B53A-FF7E1F99F09C"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20191212"/><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="B0A80178-6421-4F62-B0DE-1F56AE92E117"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220202"/><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="A3C2E2E7-DA64-4B1A-B2B0-43B44EAA512E"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20191212"/><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="F0A890CE-8FAE-4FF4-A284-5B3279609107"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20191212"/><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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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="286AC5F3-0D06-4CDA-B173-4DB7A3316C1A"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20240226"/><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 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root="C0054922-16A1-47FC-A294-7F2911FD078B"/><code code="J0696" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Rocephin 1G"/><statusCode code="completed"/><effectiveTime value="20230714"/><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 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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="C52D9F4B-FE59-4752-B62A-A43F01C6A5FB"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20221028"/><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="20240226"/><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="1F1070BB-C9BF-49D3-A2A7-2293C5398E54"/><code code="J1030" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Depo-Medrol 40mg/ml"/><statusCode code="completed"/><effectiveTime value="20230714"/><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="595B69E1-5225-41BA-BFDF-DD81E4F794A2"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20220202"/><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="F071E449-9A68-49A4-BA15-CA6B0219342D"/><code code="90686" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Influenza virus vaccine"/><statusCode code="completed"/><effectiveTime value="20221028"/><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="20220202"/><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="515D5823-7DD5-4505-86FC-1F315310A474"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott Binax Now Rapid COVID "/><statusCode code="completed"/><effectiveTime value="20210810"/><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="0A3979D6-D4C4-4215-B960-D4903ED20A8A"/><code code="483" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="GLUCOSE"/><statusCode code="completed"/><effectiveTime value="20220202"/><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="EB1D4954-CC5C-4EA8-8F4D-6F33B1D5C598"/><code code="ABBO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott COVID Rapid Test"/><statusCode code="completed"/><effectiveTime value="20230714"/><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 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            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">02/12/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun4">COVID-19, mRNA, LNP-S, PF</td><td align="center">03/05/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun5">COVID-19, mRNA, LNP-S, PF</td><td align="center">01/06/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun1">Influenza virus vaccine</td><td align="center">02/02/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun2">Influenza virus vaccine</td><td align="center">10/28/2022</td><td align="center">Completed</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="69648B8D-8ECA-4C4D-9CF9-926CACBE2F93"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210212"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct 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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="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="A8D57860-9178-466F-B879-A47DCA3FBEE5"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210305"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct 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>EN6205</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>Breena</given><family>Till</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="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="28C8ECFF-17C8-406C-A3D4-A67143662C45"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20220106"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct 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>FC3184</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>Breena</given><family>Till</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="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="D5BBB582-9E48-4322-B0F1-E6A7C3B38983"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20220202"/><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" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="Influenza virus vaccine"/><lotNumberText>7R9NM</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>Breena</given><family>Till</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="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="C29F579E-869C-4505-8EDD-0F01E32F7697"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20221028"/><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" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="Influenza virus vaccine"/><lotNumberText>M3R5B</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>Breena</given><family>Till</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="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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">12/12/2019</td><td ID = "vital_1_bp">154/91 mm[Hg]</td><td ID = "vital_1_temp">38 Cel</td><td ID = "vital_1_pulse">93 bpm</td></tr><tr><td ID = "vital_2">01/13/2020</td><td ID = "vital_2_bp">130/80 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">61 bpm</td></tr><tr><td ID = "vital_3">07/07/2020</td><td ID = "vital_3_bp">131/85 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">76 bpm</td><td ID = "vital_3_pulseox">99 pct</td><td ID = "vital_3_resp">14 bpm</td></tr><tr><td ID = "vital_4">07/28/2020</td><td ID = "vital_4_bp">129/83 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">84 bpm</td><td ID = "vital_4_pulseox">97 pct</td><td ID = "vital_4_resp">14 bpm</td></tr><tr><td ID = "vital_5">03/18/2021</td><td ID = "vital_5_height">165 cm</td><td ID = "vital_5_weight">114 kg</td><td ID = "vital_5_bmi">41.7</td><td ID = "vital_5_bp">136/72 mm[Hg]</td><td ID = "vital_5_temp">37 Cel</td><td ID = "vital_5_pulse">91 bpm</td><td ID = "vital_5_pulseox">99 pct</td><td ID = "vital_5_resp">16 bpm</td></tr><tr><td ID = "vital_6">03/31/2021</td><td ID = "vital_6_height">165 cm</td><td ID = "vital_6_weight">115 kg</td><td ID = "vital_6_bmi">42.03</td><td ID = "vital_6_bp">144/86 mm[Hg]</td><td ID = "vital_6_temp">37 Cel</td><td ID = "vital_6_pulse">77 bpm</td><td ID = "vital_6_pulseox">98 pct</td><td ID = "vital_6_resp">17 bpm</td></tr><tr><td ID = "vital_7">08/10/2021</td><td ID = "vital_7_height">163 cm</td><td ID = "vital_7_bp">124/70 mm[Hg]</td><td ID = "vital_7_temp">37 Cel</td><td ID = "vital_7_pulse">97 bpm</td><td ID = "vital_7_pulseox">98 pct</td><td ID = "vital_7_resp">15 bpm</td></tr><tr><td ID = "vital_8">11/16/2021</td><td ID = "vital_8_height">163 cm</td><td ID = "vital_8_weight">117 kg</td><td ID = "vital_8_bmi">44.42</td><td ID = "vital_8_bp">126/78 mm[Hg]</td><td ID = "vital_8_temp">37 Cel</td><td ID = "vital_8_pulse">95 bpm</td><td ID = "vital_8_pulseox">100 pct</td><td ID = "vital_8_resp">17 bpm</td></tr><tr><td ID = "vital_9">02/02/2022</td><td ID = "vital_9_height">163 cm</td><td ID = "vital_9_weight">115 kg</td><td ID = "vital_9_bmi">43.59</td><td ID = "vital_9_bp">136/92 mm[Hg]</td><td ID = "vital_9_temp">526 Cel</td><td ID = "vital_9_pulse">87 bpm</td><td ID = "vital_9_pulseox">99 pct</td><td ID = "vital_9_resp">17 bpm</td></tr><tr><td ID = "vital_10">08/26/2022</td><td ID = "vital_10_height">163 cm</td><td ID = "vital_10_weight">113 kg</td><td ID = "vital_10_bmi">42.8</td><td ID = "vital_10_bp">128/82 mm[Hg]</td><td ID = "vital_10_temp">37 Cel</td><td ID = "vital_10_pulse">81 bpm</td><td ID = "vital_10_pulseox">99 pct</td><td ID = "vital_10_resp">16 bpm</td></tr><tr><td ID = "vital_11">10/28/2022</td><td ID = "vital_11_height">163 cm</td><td ID = "vital_11_weight">111 kg</td><td ID = "vital_11_bmi">42.05</td><td ID = "vital_11_bp">128/72 mm[Hg]</td><td ID = "vital_11_temp">37 Cel</td><td ID = "vital_11_pulse">89 bpm</td><td ID = "vital_11_pulseox">99 pct</td><td ID = "vital_11_resp">16 bpm</td></tr><tr><td ID = "vital_12">07/14/2023</td><td ID = "vital_12_height">163 cm</td><td ID = "vital_12_weight">120 kg</td><td ID = "vital_12_bmi">45.22</td><td ID = "vital_12_bp">129/77 mm[Hg]</td><td ID = "vital_12_temp">37 Cel</td><td ID = "vital_12_pulse">96 bpm</td><td ID = "vital_12_pulseox">98 pct</td><td ID = "vital_12_resp">19 bpm</td></tr><tr><td ID = "vital_13">10/27/2023</td><td ID = "vital_13_height">164 cm</td><td ID = "vital_13_weight">117 kg</td><td ID = "vital_13_bmi">43.68</td><td ID = "vital_13_bp">120/70 mm[Hg]</td><td ID = "vital_13_temp">37 Cel</td><td ID = "vital_13_pulse">81 bpm</td><td ID = "vital_13_pulseox">98 pct</td><td ID = "vital_13_resp">16 bpm</td></tr><tr><td ID = "vital_14">11/17/2023</td><td ID = "vital_14_height">163 cm</td><td ID = "vital_14_weight">114 kg</td><td ID = "vital_14_bmi">43.2</td><td ID = "vital_14_bp">124/82 mm[Hg]</td><td ID = "vital_14_temp">36 Cel</td><td ID = "vital_14_pulse">66 bpm</td><td ID = "vital_14_pulseox">98 pct</td><td ID = "vital_14_resp">16 bpm</td></tr><tr><td ID = "vital_15">02/23/2024</td><td ID = "vital_15_height">163 cm</td><td ID = "vital_15_weight">114 kg</td><td ID = "vital_15_bmi">43.25</td><td ID = "vital_15_temp">36 Cel</td><td ID = "vital_15_pulse">83 bpm</td><td ID = "vital_15_pulseox">98 pct</td><td ID = "vital_15_resp">16 bpm</td></tr><tr><td ID = "vital_16">03/25/2026</td><td ID = "vital_16_height">163 cm</td><td ID = "vital_16_weight">124 kg</td><td ID = "vital_16_bmi">46.98</td><td ID = "vital_16_bp">152/99 mm[Hg]</td><td ID = "vital_16_temp">36 Cel</td><td ID = "vital_16_pulse">78 bpm</td><td ID = "vital_16_pulseox">99 pct</td><td ID = "vital_16_resp">17 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="552CABA7-4B76-478F-8BB3-4F7BF58DCD84"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/></code><statusCode code="completed"/><effectiveTime><low value="20191212"/><high value="20191212"/></effectiveTime><author><templateId 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(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="C4148B72-E828-404E-8953-DCF0705506A0"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_16_resp"/></text><statusCode code="completed"/><effectiveTime value="20260325"/><value xsi:type="PQ" value="17" 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="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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>Negative</td><td align="center">08/26/2022</td></tr><tr><td ID="result2">Urobilinogen-Urine</td><td>Negative</td><td align="center">08/26/2022</td></tr><tr><td ID="result3">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">08/26/2022</td></tr><tr><td ID="result4">pH of Urine by Test strip</td><td>6.5 [pH]</td><td align="center">08/26/2022</td></tr><tr><td ID="result5">Blood-Urine</td><td>Negative</td><td align="center">08/26/2022</td></tr><tr><td ID="result6">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">08/26/2022</td></tr><tr><td ID="result7">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">08/26/2022</td></tr><tr><td ID="result8">Cesium-Urine</td><td>yes</td><td align="center">08/26/2022</td></tr><tr><td ID="result9">Specific Gravity of Urine by Test strip</td><td>1.010</td><td align="center">08/26/2022</td></tr><tr><td ID="result10">Bilirubin-Urine</td><td>Negative</td><td align="center">08/26/2022</td></tr><tr><td ID="result11">Nitrites-Urine</td><td>Negative</td><td align="center">08/26/2022</td></tr><tr><td ID="result12">Appearance of Urine</td><td>clear</td><td align="center">08/26/2022</td></tr><tr><td ID="result13">Color of Urine</td><td>yellow </td><td align="center">08/26/2022</td></tr><tr><td ID="result14">STREP A</td><td>Negative</td><td align="center">11/16/2021</td></tr><tr><td ID="result15">STREP A</td><td>Positive</td><td align="center">11/17/2023</td></tr><tr><td ID="result16">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">12/12/2019</td></tr><tr><td ID="result17">SOURCE:</td><td>URINE</td><td align="center">08/28/2022</td></tr><tr><td ID="result18">STATUS:</td><td>FINAL</td><td align="center">08/28/2022</td></tr><tr><td ID="result19">RESULT:</td><td>Mixed genital flora isolated. These superficial bacteria are not indicative of a urinary tract infection. No further organism identification is warranted on this specimen. If clinically indicated, recollect clean-catch, mid-stream urine and transfer immediately to Urine Culture Transport Tube.</td><td align="center">08/28/2022</td></tr><tr><td ID="result20">CHOLESTEROL, TOTAL</td><td>190</td><td align="center">02/03/2022</td></tr><tr><td ID="result21">HDL CHOLESTEROL</td><td>54</td><td align="center">02/03/2022</td></tr><tr><td ID="result22">TRIGLYCERIDES</td><td>140</td><td align="center">02/03/2022</td></tr><tr><td ID="result23">LDL-CHOLESTEROL</td><td>111</td><td align="center">02/03/2022</td></tr><tr><td ID="result24">CHOL/HDLC RATIO</td><td>3.5</td><td align="center">02/03/2022</td></tr><tr><td ID="result25">NON HDL CHOLESTEROL</td><td>136</td><td align="center">02/03/2022</td></tr><tr><td ID="result26">GLUCOSE</td><td>75</td><td align="center">02/03/2022</td></tr><tr><td ID="result27">WHITE BLOOD CELL COUNT</td><td>10.7</td><td align="center">02/03/2022</td></tr><tr><td ID="result28">RED BLOOD CELL COUNT</td><td>4.67</td><td align="center">02/03/2022</td></tr><tr><td ID="result29">HEMOGLOBIN</td><td>14.2</td><td align="center">02/03/2022</td></tr><tr><td ID="result30">HEMATOCRIT</td><td>42.5</td><td align="center">02/03/2022</td></tr><tr><td ID="result31">MCV</td><td>91.0</td><td align="center">02/03/2022</td></tr><tr><td ID="result32">MCH</td><td>30.4</td><td align="center">02/03/2022</td></tr><tr><td ID="result33">MCHC</td><td>33.4</td><td align="center">02/03/2022</td></tr><tr><td ID="result34">RDW</td><td>13.3</td><td align="center">02/03/2022</td></tr><tr><td ID="result35">PLATELET COUNT</td><td>335</td><td align="center">02/03/2022</td></tr><tr><td ID="result36">MPV</td><td>9.9</td><td align="center">02/03/2022</td></tr><tr><td ID="result37">ABSOLUTE NEUTROPHILS</td><td>6409</td><td align="center">02/03/2022</td></tr><tr><td ID="result38">ABSOLUTE LYMPHOCYTES</td><td>3146</td><td align="center">02/03/2022</td></tr><tr><td ID="result39">ABSOLUTE MONOCYTES</td><td>642</td><td align="center">02/03/2022</td></tr><tr><td ID="result40">ABSOLUTE EOSINOPHILS</td><td>428</td><td align="center">02/03/2022</td></tr><tr><td ID="result41">ABSOLUTE BASOPHILS</td><td>75</td><td align="center">02/03/2022</td></tr><tr><td ID="result42">NEUTROPHILS</td><td>59.9</td><td align="center">02/03/2022</td></tr><tr><td ID="result43">LYMPHOCYTES</td><td>29.4</td><td align="center">02/03/2022</td></tr><tr><td ID="result44">MONOCYTES</td><td>6.0</td><td align="center">02/03/2022</td></tr><tr><td ID="result45">EOSINOPHILS</td><td>4.0</td><td align="center">02/03/2022</td></tr><tr><td ID="result46">BASOPHILS</td><td>0.7</td><td align="center">02/03/2022</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 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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="4F3A6CF3-A9AF-488E-B082-88BFAF458F07"/><code code="5618-4" displayName="Cesium-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result8"/></originalText></code><text><reference value="#result8"/></text><statusCode code="completed"/><effectiveTime value="20220826"/><value xsi:type="ST">yes</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="44B95F28-792E-4E61-9CFD-2F9DB85C2B91"/><code code="5770-3" displayName="Bilirubin-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220826"/><high value="20220826"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="99FA7C66-07F1-4AFC-9092-7A82257468D3"/><code code="5770-3" displayName="Bilirubin-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result10"/></originalText></code><text><reference value="#result10"/></text><statusCode code="completed"/><effectiveTime value="20220826"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="3D19B9BE-B3C5-4B2D-9E2A-71C5F8822248"/><code code="5802-4" displayName="Nitrites-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220826"/><high value="20220826"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="A45E836C-5F15-410F-B857-0BDF101C0AC7"/><code code="5802-4" displayName="Nitrites-Urine" 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="20220826"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="193A7489-390A-47A4-B5F8-2EC4629FAA4F"/><code code="5767-9" displayName="Appearance of Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220826"/><high value="20220826"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="B9FED0E0-8DA2-4AAB-BA17-9AA3078D3816"/><code code="5767-9" displayName="Appearance of Urine" 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="20220826"/><value xsi:type="ST">clear</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="75176053-1AFB-4D86-9C95-213F51AD6C98"/><code code="5778-6" displayName="Color of Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220826"/><high value="20220826"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="FA348C42-5D72-4C28-B3CF-EBBF1DAFA5BE"/><code code="5778-6" displayName="Color of Urine" 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="20220826"/><value xsi:type="ST">yellow </value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="A46B0FD5-A6DD-416A-8670-0CC2B2926FC9"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20211116"/><high value="20211116"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="6A48834D-7E84-480E-9213-ACCC6C25434B"/><code code="18481-2" displayName="STREP A" 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="20211116"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="DB0C1E80-2BD2-46EB-A7FD-5E2EDD2ADC1E"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20231117"/><high value="20231117"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="E399A0DA-28FA-499C-BF71-FF6521BCCBA6"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result15"/></originalText></code><text><reference value="#result15"/></text><statusCode code="completed"/><effectiveTime value="20231117"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="AB9446FE-2FA1-41FB-A002-7B1BD860F909"/><code code="87804" displayName="INFLUENZA Rapid Test" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20191212"/><high value="20191212"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="D7B6E58D-8361-4D1D-AD44-C03B90E47322"/><code code="87804" displayName="INFLUENZA Rapid Test" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result16"/></originalText></code><text><reference value="#result16"/></text><statusCode code="completed"/><effectiveTime value="20191212"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="B0C944D8-E880-4F43-B46A-7DA7A04C31C6"/><code code="75000000" displayName="SOURCE:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220828"/><high value="20220828"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="FC55E941-CB27-4A8B-B773-A6A18D687268"/><code code="75000000" displayName="SOURCE:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result17"/></originalText></code><text><reference value="#result17"/></text><statusCode code="completed"/><effectiveTime value="20220828"/><value xsi:type="ST">URINE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="9F2B2E8B-6F2C-4E64-AD94-450C2F3FF896"/><code code="75000100" displayName="STATUS:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220828"/><high value="20220828"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="16D04CA3-2C36-4B2B-988F-1ECDB3AD2C3F"/><code code="75000100" displayName="STATUS:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result18"/></originalText></code><text><reference value="#result18"/></text><statusCode code="completed"/><effectiveTime value="20220828"/><value xsi:type="ST">FINAL</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="EA069210-1A1D-4BE2-9A9A-6E4A3C3675E2"/><code code="75002000" displayName="RESULT:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220828"/><high value="20220828"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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="2E62E0EF-60EC-42C0-8E96-E47888297BCD"/><code code="75002000" displayName="RESULT:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result19"/></originalText></code><text><reference value="#result19"/></text><statusCode code="completed"/><effectiveTime value="20220828"/><value xsi:type="ST">Mixed genital flora isolated. These superficial bacteria are not indicative of a urinary tract infection. No further organism identification is warranted on this specimen. If clinically indicated, recollect clean-catch, mid-stream urine and transfer immediately to Urine Culture Transport Tube.</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071784634-0500"/><assignedAuthor><id extension="1376976183" 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>TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">January 13, 2020</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="449D4417-1608-4BD4-9606-88AAA4DD527C"/><code code="296359" displayName="Prescription" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_1"/>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><table border="1" width="100%"><thead><tr><th colspan = "3">Clinical Instructions/Patient Decision Aids</th> </tr></thead><tbody><tr><td ID = "sect1">AUM Instruction Sheet</td><td>Patient Decision Aids</td><td align="center">12/12/2019</td></tr></tbody></table></text><entry><act classCode="ACT" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.20"/><code xsi:type="CE" code="311401005" codeSystem="2.16.840.1.113883.6.96" displayName="Patient Education"/><text><reference value="#sect1"/>AUM Instruction Sheet</text><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>