2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Penicillins Unknown Unknown Active
ciprofloxacin Unknown Unknown ActivePenicillinsciprofloxacin

Substance	Reaction	Severity	Status
Penicillins	Unknown	Unknown	Active
ciprofloxacin	Unknown	Unknown	Active

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED EST PT
Carol Stewart
Auburn Montgomery Warhawk Health Services
Jun 26, 20177461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
06/26/2017
BLOOD DRAW, [CPT-4: 36415]
06/26/2017
HEPATITIS B SURFACE ANTIGEN, [LOINC: 5195-3]
06/26/20177461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

TDap
06/26/2017
CompletedTDapC5216ABSanofi Pasteu7461 East DrMontgomeryALUSCarolStewartNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

06/26/2017 426 cm 30 kg 1.66 135/81 mm[Hg] 37 Cel 79 bpm 12 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
06/26/2017
Urobilinogen-Urine
Negative
06/26/2017
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/26/2017
pH of Urine by Test strip
9 [pH]
06/26/2017
Blood-Urine
Negative
06/26/2017
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/26/2017
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/26/2017
Specific Gravity of Urine by Test strip
1.005
06/26/2017
Bilirubin-Urine
Negative
06/26/2017
Nitrites-Urine
Negative
06/26/2017NegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativePLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYSocial History Element Description Effective Date  

Smoking Status
Never Smoker, [SNOMED-CT: 266919005], 0 packs per day
20170626
Birth Sex "Male" "19920302"FUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Procedure	Date
UA, [CPT-4: 81003]	06/26/2017
BLOOD DRAW, [CPT-4: 36415]	06/26/2017
HEPATITIS B SURFACE ANTIGEN, [LOINC: 5195-3]	06/26/2017

Result Type	Result Value	Date
Leukocytes-Urine	Negative	06/26/2017
Urobilinogen-Urine	Negative	06/26/2017
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/26/2017
pH of Urine by Test strip	9 [pH]	06/26/2017
Blood-Urine	Negative	06/26/2017
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/26/2017
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/26/2017
Specific Gravity of Urine by Test strip	1.005	06/26/2017
Bilirubin-Urine	Negative	06/26/2017
Nitrites-Urine	Negative	06/26/2017

Social History Element	Description	Effective Date
Smoking Status	Never Smoker, [SNOMED-CT: 266919005], 0 packs per day	20170626
Birth Sex	"Male"	"19920302"