2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

ketorolac 10 mg tablet, [RxNorm: 861844]
10/11/2021
TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR pain UP TO5 DAYS TOTAL USE
Active
metronidazole 500 mg tablet, [RxNorm: 207291]
10/15/2021
TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 8 HOURS
Active
Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]
10/11/2021
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 13, 2021
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 15, 2021
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 19, 2021
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 20, 2021
NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Nov 01, 2021
NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Nov 03, 20217461 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 Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

TB test - IPPD, [CPT-4: SP86580]
11/01/2021
Incision and Drainage, [CPT-4: 10060]
10/11/2021
Wound Care, [CPT-4: 97597]
10/13/2021
Wound Care, [CPT-4: 97597]
10/15/2021
Wound Care, [CPT-4: 97597]
10/19/2021
Culture, Wound, [CPT-4: 4446]
10/11/20217461 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 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

MMR
06/30/2021
Completed
TDap
07/30/2021
Completed
MMR
07/30/2021
CompletedMMR7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USTDap7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMR7461 East DrMontgomeryALUSMarandaFainCRNPAuburn 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

10/11/2021 183 cm 90 kg 26.85 138/91 mm[Hg] 36 Cel 95 bpm 100 pct 16 bpm
10/13/2021 183 cm 109 kg 32.6 120/78 mm[Hg] 36 Cel 99 bpm 100 pct 15 bpm
10/15/2021 183 cm 110 kg 32.97 148/94 mm[Hg] 37 Cel 85 bpm 98.4 pct 19 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
11/03/2021
Wound Care
Yes
10/13/2021
Wound Care
Yes
10/15/2021
Wound Care
Yes
10/19/2021
ISOLATE 1:
Moderate growth of Staphylococcus aureus This isolate demonstrates inducible clindamycin resistance.
10/14/2021
SOURCE:
PILONIDAL ABSCESS
10/14/2021
STATUS:
FINAL
10/14/2021
GRAM STAIN:
Rare White blood cells seen Rare Gram negative bacilli Rare Gram positive cocci
10/14/2021
ISOLATE 1:
Moderate growth of Bacteroides fragilis Highly effective agents included most beta-lactam/beta-lactamase-inhibitor combinations, imipenem, metronidazole, and chloramphenicol. Ref: Bailey
10/14/2021
VANCOMYCIN
<=0.5
10/14/2021
CIPROFLOXACIN
>=8
10/14/2021
CLINDAMYCIN
<=0.25
10/14/2021
LEVOFLOXACIN
4
10/14/2021
ERYTHROMYCIN
>=8
10/14/2021
GENTAMICIN
<=0.5
10/14/2021
OXACILLIN
0.5
10/14/2021
TETRACYCLINE
<=1
10/14/2021
TRIMETHOPRIM/SULFA
<=10
10/14/2021NegativeYesYesYesModerate growth of Staphylococcus aureus This isolate demonstrates inducible clindamycin resistance.PILONIDAL ABSCESSFINALRare White blood cells seen Rare Gram negative bacilli Rare Gram positive cocciModerate growth of Bacteroides fragilis Highly effective agents included most beta-lactam/beta-lactamase-inhibitor combinations, imipenem, metronidazole, and chloramphenicol. Ref: Bailey<=0.5>=8<=0.25>=8<=0.5<=1<=10TREATMENT PLANName Type Date

REFERRAL
Dr. Reza  Seirafi
November 03, 2021
REFERRAL
Dr. Reza  Seirafi
November 03, 2021
REFERRAL
Dr. Reza  Seirafi
October 13, 2021
REFERRAL
Dr. Reza  Seirafi
October 13, 2021Dr. Reza  SeirafiDr. Reza  SeirafiDr. Reza  SeirafiDr. Reza  SeirafiGoals 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
ketorolac 10 mg tablet, [RxNorm: 861844]	10/11/2021	TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR pain UP TO5 DAYS TOTAL USE	Active
metronidazole 500 mg tablet, [RxNorm: 207291]	10/15/2021	TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 8 HOURS	Active
Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]	10/11/2021	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS	Active

Encounter	Performer	Location	Date
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 13, 2021
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 15, 2021
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 19, 2021
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 20, 2021
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Nov 01, 2021
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Nov 03, 2021

Procedure	Date
TB test - IPPD, [CPT-4: SP86580]	11/01/2021
Incision and Drainage, [CPT-4: 10060]	10/11/2021
Wound Care, [CPT-4: 97597]	10/13/2021
Wound Care, [CPT-4: 97597]	10/15/2021
Wound Care, [CPT-4: 97597]	10/19/2021
Culture, Wound, [CPT-4: 4446]	10/11/2021

Name	Date	Status
MMR	06/30/2021	Completed
TDap	07/30/2021	Completed
MMR	07/30/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
10/11/2021	183 cm	90 kg	26.85	138/91 mm[Hg]	36 Cel	95 bpm	100 pct	16 bpm
10/13/2021	183 cm	109 kg	32.6	120/78 mm[Hg]	36 Cel	99 bpm	100 pct	15 bpm
10/15/2021	183 cm	110 kg	32.97	148/94 mm[Hg]	37 Cel	85 bpm	98.4 pct	19 bpm

Result Type	Result Value	Date
TB Read Only	Negative	11/03/2021
Wound Care	Yes	10/13/2021
Wound Care	Yes	10/15/2021
Wound Care	Yes	10/19/2021
ISOLATE 1:	Moderate growth of Staphylococcus aureus This isolate demonstrates inducible clindamycin resistance.	10/14/2021
SOURCE:	PILONIDAL ABSCESS	10/14/2021
STATUS:	FINAL	10/14/2021
GRAM STAIN:	Rare White blood cells seen Rare Gram negative bacilli Rare Gram positive cocci	10/14/2021
ISOLATE 1:	Moderate growth of Bacteroides fragilis Highly effective agents included most beta-lactam/beta-lactamase-inhibitor combinations, imipenem, metronidazole, and chloramphenicol. Ref: Bailey	10/14/2021
VANCOMYCIN	<=0.5	10/14/2021
CIPROFLOXACIN	>=8	10/14/2021
CLINDAMYCIN	<=0.25	10/14/2021
LEVOFLOXACIN	4	10/14/2021
ERYTHROMYCIN	>=8	10/14/2021
GENTAMICIN	<=0.5	10/14/2021
OXACILLIN	0.5	10/14/2021
TETRACYCLINE	<=1	10/14/2021
TRIMETHOPRIM/SULFA	<=10	10/14/2021

Name	Type	Date
REFERRAL	Dr. Reza Seirafi	November 03, 2021
REFERRAL	Dr. Reza Seirafi	November 03, 2021
REFERRAL	Dr. Reza Seirafi	October 13, 2021
REFERRAL	Dr. Reza Seirafi	October 13, 2021