2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

benzonatate 100 mg capsule, [RxNorm: 208365]
05/30/2025
TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH
Active
benzonatate 200 mg capsule, [RxNorm: 351906]
11/03/2025
TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH
Active
Pyridium 100 mg tablet, [RxNorm: 1094109]
01/04/2023
TAKE 1 TABLET (100 MG) BY ORAL ROUTE 3 TIMES PER DAY AFTER MEALS AS NEEDED for urinary spasms
Active
prednisone 20 mg tablet, [RxNorm: 206998]
12/18/2018
TAKE 1 TABLET (20 MG) BY ORAL ROUTE ONCE DAILY
Active
cephalexin 500 mg tablet, [RxNorm: 152653]
01/04/2023
TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY BID x 5 days
Active
amoxicillin 875 mg tablet, [RxNorm: 213339]
11/03/2025
TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS for 10 days
Active
amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]
12/18/2018
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS
Active
amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]
05/30/2025
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS
Active
Tessalon Perles 100 mg capsule, [RxNorm: 208365]
12/18/2018
TAKE 1-2 CAPSULES (100 MG-200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH
Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]
11/03/2025
TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS
Active
aspirin 81 mg chewable tablet, [RxNorm: 211832]
07/19/2017

Active
amlodipine 10 mg-benazepril 40 mg capsule, [RxNorm: 898348]
07/19/2017

Active
levothyroxine 100 mcg tablet, [RxNorm: 1421056]
01/04/2023

Active
Farxiga 10 mg tablet, [RxNorm: 1486977]
01/04/2023

Active
atorvastatin 40 mg tablet, [RxNorm: 617320]
01/04/2023

Active
Janumet 50 mg-1,000 mg tablet, [RxNorm: 861771]
01/04/2023

Active
hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]
05/30/2025
1/2 to 1 tab PO once daily prn
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED EST PT
Carol Stewart
Auburn Montgomery Warhawk Health Services
Jul 17, 2017
LIMITED EST PT
Carol Stewart
Auburn Montgomery Warhawk Health Services
Jul 19, 2017
INTERMEDIATE EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Dec 18, 2018
INTERMEDIATE EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
May 30, 2025
LIMITED EST PT
Hayley Guthrie
Auburn Montgomery Warhawk Health Services
Nov 03, 20257461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
01/04/2023
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]
01/04/2023
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
05/30/2025
Ear Irrigation, [CPT-4: 69209]
01/05/2023
Ear Irrigation, [CPT-4: 69209]
10/06/2020
Dexamethasone 4mg/ml, [CPT-4: J1100]
05/30/2025
Depo-Medrol 40mg/ml, [CPT-4: J1030]
05/30/2025
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
02/13/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
03/05/20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

COVID-19, mRNA, LNP-S, PF
02/12/2021
Completed
COVID-19, mRNA, LNP-S, PF
03/05/2021
CompletedCOVID-19, mRNA, LNP-S, PFEN6200Pfizer, Inc7461 East DrMontgomeryALUSHayleyGuthrieCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEN6205Pfizer, Inc7461 East DrMontgomeryALUSHayleyGuthrieCRNPAuburn 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

07/17/2017 118/74 mm[Hg] 37 Cel 74 bpm
12/18/2018 118/76 mm[Hg] 36 Cel 84 bpm
01/04/2023 171 cm 97 kg 33.13 126/85 mm[Hg] 37 Cel 122 bpm 96 pct 18 bpm
05/30/2025 168 cm 97 kg 34.52 133/79 mm[Hg] 36 Cel 79 bpm 99 pct 17 bpm
11/03/2025 171 cm 99 kg 33.83 132/82 mm[Hg] 36 Cel 94 bpm 97 pct 17 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
01/04/2023
Urobilinogen-Urine
Positive
01/04/2023
Protein [Mass/Volume] in Urine by Test strip
Positive mg/dL
01/04/2023
pH of Urine by Test strip
5 [pH]
01/04/2023
Blood-Urine
Positive
01/04/2023
Ketones [Mass/Volume] in Urine by Test strip
Positive mg/dL
01/04/2023
Glucose [Mass/Volume] in Urine by Test strip
Positive mg/dL
01/04/2023
Cesium-Urine
yes
01/04/2023
Specific Gravity of Urine by Test strip
1.005
01/04/2023
Bilirubin-Urine
Positive
01/04/2023
Nitrites-Urine
Positive
01/04/2023
Appearance of Urine
clear
01/04/2023
Color of Urine
yellow
01/04/2023
SOURCE:
URINE
01/06/2023
STATUS:
FINAL
01/06/2023
RESULT:
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.
01/06/2023NegativePositivePositivePositivePositivePositiveyesPositivePositiveclearyellowURINEFINALMixed 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.PLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
benzonatate 100 mg capsule, [RxNorm: 208365]	05/30/2025	TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH	Active
benzonatate 200 mg capsule, [RxNorm: 351906]	11/03/2025	TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH	Active
Pyridium 100 mg tablet, [RxNorm: 1094109]	01/04/2023	TAKE 1 TABLET (100 MG) BY ORAL ROUTE 3 TIMES PER DAY AFTER MEALS AS NEEDED for urinary spasms	Active
prednisone 20 mg tablet, [RxNorm: 206998]	12/18/2018	TAKE 1 TABLET (20 MG) BY ORAL ROUTE ONCE DAILY	Active
cephalexin 500 mg tablet, [RxNorm: 152653]	01/04/2023	TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY BID x 5 days	Active
amoxicillin 875 mg tablet, [RxNorm: 213339]	11/03/2025	TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS for 10 days	Active
amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]	12/18/2018	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS	Active
amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]	05/30/2025	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS	Active
Tessalon Perles 100 mg capsule, [RxNorm: 208365]	12/18/2018	TAKE 1-2 CAPSULES (100 MG-200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH	Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]	11/03/2025	TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS	Active
aspirin 81 mg chewable tablet, [RxNorm: 211832]	07/19/2017		Active
amlodipine 10 mg-benazepril 40 mg capsule, [RxNorm: 898348]	07/19/2017		Active
levothyroxine 100 mcg tablet, [RxNorm: 1421056]	01/04/2023		Active
Farxiga 10 mg tablet, [RxNorm: 1486977]	01/04/2023		Active
atorvastatin 40 mg tablet, [RxNorm: 617320]	01/04/2023		Active
Janumet 50 mg-1,000 mg tablet, [RxNorm: 861771]	01/04/2023		Active
hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]	05/30/2025	1/2 to 1 tab PO once daily prn	Active

Encounter	Performer	Location	Date
LIMITED EST PT	Carol Stewart	Auburn Montgomery Warhawk Health Services	Jul 17, 2017
LIMITED EST PT	Carol Stewart	Auburn Montgomery Warhawk Health Services	Jul 19, 2017
INTERMEDIATE EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Dec 18, 2018
INTERMEDIATE EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	May 30, 2025
LIMITED EST PT	Hayley Guthrie	Auburn Montgomery Warhawk Health Services	Nov 03, 2025

Procedure	Date
UA, [CPT-4: 81003]	01/04/2023
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]	01/04/2023
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	05/30/2025
Ear Irrigation, [CPT-4: 69209]	01/05/2023
Ear Irrigation, [CPT-4: 69209]	10/06/2020
Dexamethasone 4mg/ml, [CPT-4: J1100]	05/30/2025
Depo-Medrol 40mg/ml, [CPT-4: J1030]	05/30/2025
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	02/13/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	03/05/2021

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

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
07/17/2017	118/74 mm[Hg]	37 Cel	74 bpm
12/18/2018	118/76 mm[Hg]	36 Cel	84 bpm
01/04/2023	171 cm	97 kg	33.13	126/85 mm[Hg]	37 Cel	122 bpm	96 pct	18 bpm
05/30/2025	168 cm	97 kg	34.52	133/79 mm[Hg]	36 Cel	79 bpm	99 pct	17 bpm
11/03/2025	171 cm	99 kg	33.83	132/82 mm[Hg]	36 Cel	94 bpm	97 pct	17 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Negative	01/04/2023
Urobilinogen-Urine	Positive	01/04/2023
Protein [Mass/Volume] in Urine by Test strip	Positive mg/dL	01/04/2023
pH of Urine by Test strip	5 [pH]	01/04/2023
Blood-Urine	Positive	01/04/2023
Ketones [Mass/Volume] in Urine by Test strip	Positive mg/dL	01/04/2023
Glucose [Mass/Volume] in Urine by Test strip	Positive mg/dL	01/04/2023
Cesium-Urine	yes	01/04/2023
Specific Gravity of Urine by Test strip	1.005	01/04/2023
Bilirubin-Urine	Positive	01/04/2023
Nitrites-Urine	Positive	01/04/2023
Appearance of Urine	clear	01/04/2023
Color of Urine	yellow	01/04/2023
SOURCE:	URINE	01/06/2023
STATUS:	FINAL	01/06/2023
RESULT:	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.	01/06/2023