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[RxNorm: 201380]</content></td><td align="center">04/08/2022</td><td align="right">1 TABLET PO DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med4">clotrimazole 1 % topical cream, [RxNorm: 1112455]</content></td><td align="center">10/05/2021</td><td align="right">APPLY TO THE AFFECTED AND SURROUNDING AREAS OF SKIN BY TOPICAL ROUTE 2 TIMES PER DAY IN THE MORNING AND EVENING</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">Diflucan 150 mg tablet, [RxNorm: 207108]</content></td><td align="center">10/05/2021</td><td align="right">TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE; repeat dose in 3 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">cyclobenzaprine 5 mg tablet, [RxNorm: 828322]</content></td><td align="center">08/22/2024</td><td align="right">TAKE 1 TABLET (5 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR PAIN</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">naproxen 500 mg tablet, [RxNorm: 105897]</content></td><td align="center">08/22/2024</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE 2 TIMES PER DAY WITH FOOD AS NEEDED FOR PAIN</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">metformin 500 mg tablet, [RxNorm: 204045]</content></td><td align="center">11/02/2021</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE 2 TIMES PER DAY WITH MORNING ANDEVENING MEALS</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">metformin 500 mg tablet, [RxNorm: 204045]</content></td><td align="center">01/05/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE 2 TIMES PER DAY WITH MORNING ANDEVENING MEALS</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">metformin 500 mg tablet, [RxNorm: 204045]</content></td><td align="center">04/08/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE ONCE DAILY </td><td align="center">Active</td></tr><tr><td><content ID = "Med12">lisinopril 5 mg tablet, [RxNorm: 201380]</content></td><td align="center">11/02/2021</td><td align="right">1 TABLET PO DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med13">metformin 500 mg tablet, [RxNorm: 204045]</content></td><td align="center">10/06/2021</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE ONCE DAILY </td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="B9684B7D-9C94-47F2-9A32-34FBA17DD996"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20220105"/></effectiveTime><doseQuantity value="90"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><id 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extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="34269C16-56D9-486A-AD83-5F96ECB751D9"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20220105"/></effectiveTime><doseQuantity value="180"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><id root="26FE4226-9E5C-4727-8509-9141C935137D"/><manufacturedMaterial><code code="204045" displayName="metformin 500 mg tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/></manufacturedMaterial></manufacturedProduct></consumable><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794836-0500"/><assignedAuthor><id extension="1265085633" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy 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extension="1265085633" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="52E903EE-786D-4EBB-AE6F-09DC9B816E29"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20211102"/></effectiveTime><doseQuantity value="0"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><id root="1D78A145-5F0C-4AEE-8466-53DE5610FD38"/><manufacturedMaterial><code code="201380" displayName="lisinopril 5 mg tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/></manufacturedMaterial></manufacturedProduct></consumable><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794836-0500"/><assignedAuthor><id extension="1265085633" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="1E608E6F-C16B-4B79-BBF2-659097AF552C"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20211006"/></effectiveTime><doseQuantity value="0"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><id root="9DFBB5C1-6FC6-446C-9E67-F249711CBF7A"/><manufacturedMaterial><code code="204045" displayName="metformin 500 mg tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/></manufacturedMaterial></manufacturedProduct></consumable><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794836-0500"/><assignedAuthor><id extension="1265085633" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.5.1"/><code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/><title>PROBLEMS</title><text ID="Concern_1"><content ID="problems1">No known <content ID="problemType1">health problems</content></content></text><entry typeCode="DRIV"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" /><templateId root="2.16.840.1.113883.10.20.22.4.3" /><id root="5434F907-8F2F-49E4-8777-FAE546AE7177"/><code code="CONC" codeSystem="2.16.840.1.113883.5.6"/><text><reference value="#Concern_1"></reference></text><statusCode code="active"/><effectiveTime><low value="20260717"/></effectiveTime><entryRelationship typeCode="SUBJ"><observation classCode="OBS" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="968C4405-E077-4017-973B-C0F24DDA8AD2"/><code code="55607006" displayName="Problem" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96"><translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/></code><text><reference value="#problems1"></reference></text><statusCode code="completed"/><effectiveTime><low value="20260717"/></effectiveTime><value xsi:type="CD" code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"><originalText><reference value="#problems1"></reference></originalText></value></observation></entryRelationship></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2014-06-09"/><code code = "46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters"/><title>ENCOUNTERS</title><text><table border="1" width="100%"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr><td/></tr></tbody></table></text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.7.1"/><code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/><title>PROCEDURES</title><text><table border="1" width="100%"><thead><tr><th>Procedure</th><th>Date</th></tr></thead><tbody><tr><td ID = "procedure1">TSH (QUEST), [CPT-4: 899]</td><td align="center">10/05/2021</td></tr><tr><td ID = "procedure2">UA, [CPT-4: 81003]</td><td align="center">10/05/2021</td></tr><tr><td ID = "procedure3">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">10/05/2021</td></tr><tr><td ID = "procedure4">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">10/05/2021</td></tr><tr><td ID = "procedure5">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">10/05/2021</td></tr><tr><td ID = "procedure6">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">04/08/2022</td></tr><tr><td ID = "procedure7">Glucose, [CPT-4: 82947]</td><td align="center">10/05/2021</td></tr><tr><td ID = "procedure8">Diabetic Foot Exam, [CPT-4: G0245]</td><td align="center">10/06/2021</td></tr><tr><td ID = "procedure9">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">10/28/2021</td></tr><tr><td ID = "procedure10">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">02/15/2021</td></tr><tr><td ID = "procedure11">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/08/2021</td></tr><tr><td ID = "procedure12">HEMOGLOBIN A1c, [CPT-4: 496]</td><td align="center">10/05/2021</td></tr><tr><td ID = "procedure13">HEMOGLOBIN A1c, [CPT-4: 496]</td><td align="center">01/04/2022</td></tr><tr><td ID = "procedure14">HEMOGLOBIN A1c, [CPT-4: 496]</td><td align="center">04/08/2022</td></tr><tr><td ID = "procedure15">BASIC METABOLIC PANEL, [CPT-4: 10165]</td><td align="center">01/04/2022</td></tr><tr><td ID = "procedure16">ALBUMIN  RANDOM URINE W/CREATININE, [CPT-4: 6517]</td><td align="center">10/06/2021</td></tr></tbody></table></text><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="A0E511DD-7F8D-42A3-9B1D-448CF6D8DC08"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211005"/><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="3EF1AE6F-52C0-46BC-8F5D-FDDAABAC18EF"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20211005"/><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="153EBED7-920B-473D-9AFA-B3978BA19F24"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211005"/><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="8C753F57-67B7-4B40-819C-B7437B05AE60"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211005"/><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="640047F6-D613-4B58-A4FD-7827BD8641E8"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211005"/><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="E68D72F4-46E6-479D-89D6-8EF5C1E24E01"/><code code="36415" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BLOOD DRAW"/><statusCode code="completed"/><effectiveTime value="20220408"/><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="2B1FEE7A-7A33-44AB-8E7B-C6C3F0C62687"/><code code="82947" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Glucose"/><statusCode code="completed"/><effectiveTime value="20211005"/><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="FAF83F90-2DFE-45BF-AB72-15CF4F114CC1"/><code code="G0245" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Diabetic Foot Exam"/><statusCode code="completed"/><effectiveTime value="20211006"/><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="A6B43470-4BB7-491A-8C18-0DF1C39EFE2E"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode 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            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun1">COVID-19, mRNA, LNP-S, PF</td><td align="center">02/15/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun2">COVID-19, mRNA, LNP-S, PF</td><td align="center">03/08/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">10/28/2021</td><td align="center">Completed</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="381F604E-F9B7-42B9-9110-900F34DA8077"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210215"/><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>EN6200</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>Maranda</given><family>Fain</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="2026071794836-0500"/><assignedAuthor><id extension="1265085633" 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="72B33390-8377-4D20-9FC9-B4D5CC2FA7EC"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210308"/><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>Maranda</given><family>Fain</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="2026071794836-0500"/><assignedAuthor><id extension="1265085633" 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="07E11032-412E-411A-8559-D46A6F5F5F8E"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20211028"/><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>Maranda</given><family>Fain</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="2026071794836-0500"/><assignedAuthor><id extension="1265085633" 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">10/05/2021</td><td ID = "vital_1_height">165 cm</td><td ID = "vital_1_weight">89 kg</td><td ID = "vital_1_bmi">32.68</td><td ID = "vital_1_bp">127/88 mm[Hg]</td><td ID = "vital_1_temp">36 Cel</td><td ID = "vital_1_pulse">77 bpm</td><td ID = "vital_1_pulseox">99 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">11/02/2021</td><td ID = "vital_2_height">165 cm</td><td ID = "vital_2_weight">90 kg</td><td ID = "vital_2_bmi">33.18</td><td ID = "vital_2_bp">127/90 mm[Hg]</td><td ID = "vital_2_temp">36 Cel</td><td ID = "vital_2_pulse">74 bpm</td><td ID = "vital_2_pulseox">98 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">01/04/2022</td><td ID = "vital_3_height">165 cm</td><td ID = "vital_3_weight">86 kg</td><td ID = "vital_3_bmi">31.36</td><td ID = "vital_3_bp">129/42 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">63 bpm</td><td ID = "vital_3_pulseox">99 pct</td><td ID = "vital_3_resp">15 bpm</td></tr><tr><td ID = "vital_4">04/08/2022</td><td ID = "vital_4_height">165 cm</td><td ID = "vital_4_weight">84 kg</td><td ID = "vital_4_bmi">30.7</td><td ID = "vital_4_bp">136/95 mm[Hg]</td><td ID = "vital_4_temp">36 Cel</td><td ID = "vital_4_pulse">72 bpm</td><td ID = "vital_4_pulseox">98 pct</td><td ID = "vital_4_resp">15 bpm</td></tr><tr><td ID = "vital_5">08/22/2024</td><td ID = "vital_5_height">165 cm</td><td ID = "vital_5_weight">90 kg</td><td ID = "vital_5_bmi">33.09</td><td ID = "vital_5_bp">141/94 mm[Hg]</td><td ID = "vital_5_temp">37 Cel</td><td ID = "vital_5_pulse">72 bpm</td><td ID = "vital_5_pulseox">98 pct</td><td ID = "vital_5_resp">16 bpm</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="1C6D2B5C-0BEC-4945-A6B2-3429698A8F1B"/><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="20211005"/><high value="20211005"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794836-0500"/><assignedAuthor><id extension="1265085633" 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value="98" unit="%"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794836-0500"/><assignedAuthor><id extension="1265085633" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="652F30EA-71BA-4F50-B229-9BFEB76DD1F7"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_5_resp"/></text><statusCode code="completed"/><effectiveTime value="20240822"/><value xsi:type="PQ" value="16" unit="/min"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794836-0500"/><assignedAuthor><id extension="1265085633" 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">10/05/2021</td></tr><tr><td ID="result2">Urobilinogen-Urine</td><td>Negative</td><td align="center">10/05/2021</td></tr><tr><td ID="result3">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/05/2021</td></tr><tr><td ID="result4">pH of Urine by Test strip</td><td>5 [pH]</td><td align="center">10/05/2021</td></tr><tr><td ID="result5">Blood-Urine</td><td>Negative</td><td align="center">10/05/2021</td></tr><tr><td ID="result6">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/05/2021</td></tr><tr><td ID="result7">Glucose [Mass/Volume] in Urine by Test strip</td><td>Positive mg/dL</td><td align="center">10/05/2021</td></tr><tr><td ID="result8">Cesium-Urine</td><td>no</td><td align="center">10/05/2021</td></tr><tr><td ID="result9">Specific Gravity of Urine by Test strip</td><td>1.015</td><td align="center">10/05/2021</td></tr><tr><td ID="result10">Bilirubin-Urine</td><td>Negative</td><td align="center">10/05/2021</td></tr><tr><td ID="result11">Nitrites-Urine</td><td>Negative</td><td align="center">10/05/2021</td></tr><tr><td ID="result12">Appearance of Urine</td><td>clear</td><td align="center">10/05/2021</td></tr><tr><td ID="result13">Color of Urine</td><td>yellow</td><td align="center">10/05/2021</td></tr><tr><td ID="result14">Glucose</td><td>348</td><td align="center">10/05/2021</td></tr><tr><td ID="result15">HEMOGLOBIN A1C</td><td>5.8</td><td align="center">04/09/2022</td></tr><tr><td ID="result16">GLUCOSE</td><td>107</td><td align="center">01/05/2022</td></tr><tr><td ID="result17">UREA NITROGEN (BUN)</td><td>13</td><td align="center">01/05/2022</td></tr><tr><td ID="result18">CREATININE</td><td>0.97</td><td align="center">01/05/2022</td></tr><tr><td ID="result19">EGFR NON-AFR. AMERICAN</td><td>100</td><td align="center">01/05/2022</td></tr><tr><td ID="result20">EGFR AFRICAN AMERICAN</td><td>116</td><td align="center">01/05/2022</td></tr><tr><td ID="result21">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">01/05/2022</td></tr><tr><td ID="result22">SODIUM</td><td>139</td><td align="center">01/05/2022</td></tr><tr><td ID="result23">POTASSIUM</td><td>4.6</td><td align="center">01/05/2022</td></tr><tr><td ID="result24">CHLORIDE</td><td>105</td><td align="center">01/05/2022</td></tr><tr><td ID="result25">CARBON DIOXIDE</td><td>26</td><td align="center">01/05/2022</td></tr><tr><td ID="result26">CALCIUM</td><td>9.6</td><td align="center">01/05/2022</td></tr><tr><td ID="result27">HEMOGLOBIN A1C</td><td>6.6</td><td align="center">01/05/2022</td></tr><tr><td ID="result28">CREATININE, RANDOM URINE</td><td>282</td><td align="center">10/07/2021</td></tr><tr><td ID="result29">ALBUMIN, URINE</td><td>3.0</td><td align="center">10/07/2021</td></tr><tr><td ID="result30">ALBUMIN/CREATININE RATIO, RANDOM URINE</td><td>11</td><td align="center">10/07/2021</td></tr><tr><td ID="result31">CHOLESTEROL, TOTAL</td><td>221</td><td align="center">10/06/2021</td></tr><tr><td ID="result32">HDL CHOLESTEROL</td><td>39</td><td align="center">10/06/2021</td></tr><tr><td ID="result33">TRIGLYCERIDES</td><td>210</td><td align="center">10/06/2021</td></tr><tr><td ID="result34">LDL-CHOLESTEROL</td><td>147</td><td align="center">10/06/2021</td></tr><tr><td ID="result35">CHOL/HDLC RATIO</td><td>5.7</td><td align="center">10/06/2021</td></tr><tr><td ID="result36">NON HDL CHOLESTEROL</td><td>182</td><td align="center">10/06/2021</td></tr><tr><td ID="result37">GLUCOSE</td><td>349</td><td align="center">10/06/2021</td></tr><tr><td ID="result38">UREA NITROGEN (BUN)</td><td>11</td><td align="center">10/06/2021</td></tr><tr><td ID="result39">CREATININE</td><td>0.91</td><td align="center">10/06/2021</td></tr><tr><td ID="result40">EGFR NON-AFR. AMERICAN</td><td>109</td><td align="center">10/06/2021</td></tr><tr><td ID="result41">EGFR AFRICAN AMERICAN</td><td>126</td><td align="center">10/06/2021</td></tr><tr><td ID="result42">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">10/06/2021</td></tr><tr><td ID="result43">SODIUM</td><td>135</td><td align="center">10/06/2021</td></tr><tr><td ID="result44">POTASSIUM</td><td>3.9</td><td align="center">10/06/2021</td></tr><tr><td ID="result45">CHLORIDE</td><td>98</td><td align="center">10/06/2021</td></tr><tr><td ID="result46">CARBON DIOXIDE</td><td>24</td><td align="center">10/06/2021</td></tr><tr><td ID="result47">CALCIUM</td><td>10.0</td><td align="center">10/06/2021</td></tr><tr><td ID="result48">PROTEIN, TOTAL</td><td>7.6</td><td align="center">10/06/2021</td></tr><tr><td ID="result49">ALBUMIN</td><td>4.5</td><td align="center">10/06/2021</td></tr><tr><td ID="result50">GLOBULIN</td><td>3.1</td><td align="center">10/06/2021</td></tr><tr><td ID="result51">ALBUMIN/GLOBULIN RATIO</td><td>1.5</td><td align="center">10/06/2021</td></tr><tr><td ID="result52">BILIRUBIN, TOTAL</td><td>0.5</td><td align="center">10/06/2021</td></tr><tr><td ID="result53">ALKALINE PHOSPHATASE</td><td>155</td><td align="center">10/06/2021</td></tr><tr><td ID="result54">AST</td><td>14</td><td align="center">10/06/2021</td></tr><tr><td ID="result55">ALT</td><td>23</td><td align="center">10/06/2021</td></tr><tr><td ID="result56">HEMOGLOBIN A1C</td><td>12.4</td><td align="center">10/06/2021</td></tr><tr><td ID="result57">TSH</td><td>1.36</td><td align="center">10/06/2021</td></tr><tr><td ID="result58">WHITE BLOOD CELL COUNT</td><td>10.2</td><td align="center">10/06/2021</td></tr><tr><td ID="result59">RED BLOOD CELL COUNT</td><td>6.21</td><td align="center">10/06/2021</td></tr><tr><td ID="result60">HEMOGLOBIN</td><td>16.8</td><td align="center">10/06/2021</td></tr><tr><td ID="result61">HEMATOCRIT</td><td>51.0</td><td align="center">10/06/2021</td></tr><tr><td ID="result62">MCV</td><td>82.1</td><td align="center">10/06/2021</td></tr><tr><td ID="result63">MCH</td><td>27.1</td><td align="center">10/06/2021</td></tr><tr><td ID="result64">MCHC</td><td>32.9</td><td align="center">10/06/2021</td></tr><tr><td ID="result65">RDW</td><td>12.5</td><td align="center">10/06/2021</td></tr><tr><td ID="result66">PLATELET COUNT</td><td>332</td><td align="center">10/06/2021</td></tr><tr><td ID="result67">MPV</td><td>10.4</td><td align="center">10/06/2021</td></tr><tr><td ID="result68">ABSOLUTE NEUTROPHILS</td><td>5967</td><td align="center">10/06/2021</td></tr><tr><td ID="result69">ABSOLUTE LYMPHOCYTES</td><td>3437</td><td align="center">10/06/2021</td></tr><tr><td ID="result70">ABSOLUTE MONOCYTES</td><td>612</td><td align="center">10/06/2021</td></tr><tr><td ID="result71">ABSOLUTE EOSINOPHILS</td><td>133</td><td align="center">10/06/2021</td></tr><tr><td ID="result72">ABSOLUTE BASOPHILS</td><td>51</td><td align="center">10/06/2021</td></tr><tr><td ID="result73">NEUTROPHILS</td><td>58.5</td><td align="center">10/06/2021</td></tr><tr><td ID="result74">LYMPHOCYTES</td><td>33.7</td><td align="center">10/06/2021</td></tr><tr><td ID="result75">MONOCYTES</td><td>6.0</td><td align="center">10/06/2021</td></tr><tr><td ID="result76">EOSINOPHILS</td><td>1.3</td><td align="center">10/06/2021</td></tr><tr><td ID="result77">BASOPHILS</td><td>0.5</td><td align="center">10/06/2021</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="83A7EF72-E9B9-430F-B930-90D4D4065261"/><code code="5803-2" displayName="pH of Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode 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code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result42"/></originalText></code><text><reference value="#result42"/></text><statusCode code="completed"/><effectiveTime value="20211006"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794836-0500"/><assignedAuthor><id extension="1265085633" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.10"/><code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/><title>TREATMENT PLAN</title><text><table border="1" width="100%"><thead><tr><th>Name</th><th>Type</th><th>Date</th></tr></thead><tbody><tr><td>REFERRAL</td><td>Center for Diabetes Education DM Education-BMCE DME class. </td><td align="center">December 01, 2021</td></tr><tr><td>REFERRAL</td><td>Center for Diabetes Education DM Education-BMCE DME class. </td><td align="center">December 01, 2021</td></tr><tr><td>REFERRAL</td><td>Center for Diabetes Education DM Education</td><td align="center">October 06, 2021</td></tr><tr><td>REFERRAL</td><td>Center for Diabetes Education DM Education</td><td align="center">October 06, 2021</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="42F3FB3E-E0BB-4C9B-904F-1514831297B3"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Center for Diabetes Education DM Education-BMCE DME class. </text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="D9F4EE34-0B84-49D8-9D93-58F3D83420E5"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Center for Diabetes Education DM Education-BMCE DME class. </text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="C60CD0A2-9D7E-4C63-A3B0-9B48162F6F88"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Center for Diabetes Education DM Education</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="B700323B-198C-41E0-ACA7-B3D64A243880"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Center for Diabetes Education DM Education</text><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.60"/><code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Goals Section</title><text>No goal information</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.58" /><code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Health Concerns Section</title><text>No Known Health Concerns on </text><entry typeCode="COMP"><act classCode="ACT" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.132"/><id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/><code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="active"/><effectiveTime value=""/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.45"/><code code = "69730-0" codeSystem = "2.16.840.1.113883.6.1"/><title>INSTRUCTIONS</title><text>No Known Instructions/Patient Education</text><entry><act classCode="ACT" moodCode="INT" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.20"/><code code = "311401005" codeSystem = "2.16.840.1.113883.6.96"/><statusCode code = "completed"/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.17"/><code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/><title>SOCIAL HISTORY</title><text>No Social History Selected to be Displayed</text><entry typeCode="DRIV"><observation classCode="OBS" moodCode ="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2014-06-09"/><id root="AA4F7677-ED64-4B17-AE4B-D65BC835ABA9"/><code code="11367-0" codeSystem="2.16.840.1.113883.6.1"/><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.14"/><code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/><title>FUNCTIONAL STATUS</title><text>No information</text></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" /><code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" /><title>MENTAL STATUS</title><text>No information</text></section></component></structuredBody> </component></ClinicalDocument>