2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Xyzal 5 mg tablet, [RxNorm: 855174]
08/08/2019
TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING
Active
Advair Diskus 250 mcg-50 mcg/dose powder for inhalation, [RxNorm: 896190]
08/06/2019

Active
tacrolimus 0.03 % topical ointment, [RxNorm: 284521]
09/10/2019

Active
triamcinolone acetonide 0.5 % topical cream, [RxNorm: 1085688]
09/10/2019
APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PE
Active
Depo-Provera 150 mg/mL intramuscular syringe, [RxNorm: 1000154]
08/06/2019
Last dose approx June 24th, 2019
Active
Xyzal 5 mg tablet, [RxNorm: 855174]
08/06/2019
TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED EST PT
Carol Stewart
Auburn Montgomery Warhawk Health Services
Aug 06, 2019
LIMITED EST PT
Carol Stewart
Auburn Montgomery Warhawk Health Services
Sep 10, 2019
BRIEF EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Sep 23, 20207461 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

Immunization Injection Administration, [CPT-4: 90471]
09/23/2020
Influenza virus vaccine, [CPT-4: 90686]
09/23/2020
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 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

Influenza virus vaccine
09/23/2020
Completed
COVID-19, mRNA, LNP-S, PF
02/13/2021
Completed
COVID-19, mRNA, LNP-S, PF
03/05/2021
CompletedInfluenza virus vaccine9A235GlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEN6200Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEN6205Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn 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

08/06/2019 138/92 mm[Hg] 37 Cel 115 bpm
09/10/2019 130/82 mm[Hg] 98 bpmRESULTSLaboratory Values/Results: No Lab Result dataTREATMENT PLANName Type Date

Prescription
TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING
August 08, 2019
Prescription
APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PE
September 10, 2019TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENINGAPPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PEGoals 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
Xyzal 5 mg tablet, [RxNorm: 855174]	08/08/2019	TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING	Active
Advair Diskus 250 mcg-50 mcg/dose powder for inhalation, [RxNorm: 896190]	08/06/2019		Active
tacrolimus 0.03 % topical ointment, [RxNorm: 284521]	09/10/2019		Active
triamcinolone acetonide 0.5 % topical cream, [RxNorm: 1085688]	09/10/2019	APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PE	Active
Depo-Provera 150 mg/mL intramuscular syringe, [RxNorm: 1000154]	08/06/2019	Last dose approx June 24th, 2019	Active
Xyzal 5 mg tablet, [RxNorm: 855174]	08/06/2019	TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING	Active

Encounter	Performer	Location	Date
LIMITED EST PT	Carol Stewart	Auburn Montgomery Warhawk Health Services	Aug 06, 2019
LIMITED EST PT	Carol Stewart	Auburn Montgomery Warhawk Health Services	Sep 10, 2019
BRIEF EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Sep 23, 2020

Procedure	Date
Immunization Injection Administration, [CPT-4: 90471]	09/23/2020
Influenza virus vaccine, [CPT-4: 90686]	09/23/2020
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
Influenza virus vaccine	09/23/2020	Completed
COVID-19, mRNA, LNP-S, PF	02/13/2021	Completed
COVID-19, mRNA, LNP-S, PF	03/05/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
08/06/2019	138/92 mm[Hg]	37 Cel	115 bpm
09/10/2019	130/82 mm[Hg]	98 bpm

Name	Type	Date
Prescription	TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING	August 08, 2019
Prescription	APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PE	September 10, 2019