2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797933]
07/28/2017

Active
ProAir HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 2123076]
07/28/2017

ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED NEW PT
Carol Stewart
Auburn Montgomery Warhawk Health Services
Jul 28, 20177461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
07/28/20177461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSNo immunization historyVaccinationVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

07/28/2017 176 cm 90 kg 29.12 117/61 mm[Hg] 37 Cel 69 bpm 14 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
07/28/2017
Urobilinogen-Urine
Negative
07/28/2017
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
07/28/2017
pH of Urine by Test strip
9 [pH]
07/28/2017
Blood-Urine
Negative
07/28/2017
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
07/28/2017
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
07/28/2017
Specific Gravity of Urine by Test strip
1.005
07/28/2017
Bilirubin-Urine
Negative
07/28/2017
Nitrites-Urine
Negative
07/28/2017NegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativePLAN 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
20170728
Birth Sex "Male" "19950924"FUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797933]	07/28/2017		Active
ProAir HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 2123076]	07/28/2017		Active

Result Type	Result Value	Date
Leukocytes-Urine	Negative	07/28/2017
Urobilinogen-Urine	Negative	07/28/2017
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	07/28/2017
pH of Urine by Test strip	9 [pH]	07/28/2017
Blood-Urine	Negative	07/28/2017
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	07/28/2017
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	07/28/2017
Specific Gravity of Urine by Test strip	1.005	07/28/2017
Bilirubin-Urine	Negative	07/28/2017
Nitrites-Urine	Negative	07/28/2017

Social History Element	Description	Effective Date
Smoking Status	Never Smoker, [SNOMED-CT: 266919005], 0 packs per day	20170728
Birth Sex	"Male"	"19950924"