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align="right">TAKE BY ORAL ROUTE 2 TIMES PER DAY PER PACKAGE DIRECTIONS FOR 5 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">Lotrel 10 mg-40 mg capsule, [RxNorm: 898348]</content></td><td align="center">04/12/2021</td><td align="right"></td><td align="center">Active</td></tr><tr><td><content ID = "Med6">Farxiga 5 mg tablet, [RxNorm: 1486981]</content></td><td align="center">06/13/2025</td><td align="right">1 tablet PO once daily</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]</content></td><td align="center">06/13/2025</td><td align="right">TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 6 HRS AS NEEDED FOR COUGH/CONGESTION</td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId 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code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.5.1"/><code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/><title>PROBLEMS</title><text ID="Concern_1"><content ID="problems1">No known <content ID="problemType1">health problems</content></content></text><entry typeCode="DRIV"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" /><templateId root="2.16.840.1.113883.10.20.22.4.3" /><id root="5434F907-8F2F-49E4-8777-FAE546AE7177"/><code code="CONC" codeSystem="2.16.840.1.113883.5.6"/><text><reference value="#Concern_1"></reference></text><statusCode 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Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jun 13, 2025</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="B846856C-24B8-45E9-B698-C114E611FE87"/><code code="99204" displayName="Detailed-New" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter1"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20210412"/><performer><assignedEntity><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="40D6DB5F-E479-412E-BE30-E036F55A6486" extension="23642149"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20210412"/></effectiveTime><value xsi:type="CD" code="Z20.822" displayName="CONTACT WITH AND (SUSPECTED) EXPOSURE TO 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moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="95699980-2072-49C5-A60E-B4F3A46A0417" extension="34378531"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20250613"/></effectiveTime><value xsi:type="CD" code="U07.1" displayName="COVID-19" codeSystem="2.16.840.1.113883.6.3"/></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="false"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.80"/><id root="92DB6762-5200-4899-87BB-8E7786AC1033"/><code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ENCOUNTER DIAGNOSIS"/><statusCode code="active"/><effectiveTime><low value="20250613"/></effectiveTime><entryRelationship typeCode="SUBJ" inversionInd="false"><observation classCode="OBS" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="21416266-4E07-4D1D-AF03-D06401EB9677"/><code code="409586006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Complaint"><translation code="75322-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Complaint"/></code><statusCode code="completed"/><effectiveTime><low value="20250613"/></effectiveTime><value xsi:type="CD" code="840539006" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.7.1"/><code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/><title>PROCEDURES</title><text><table border="1" width="100%"><thead><tr><th>Procedure</th><th>Date</th></tr></thead><tbody><tr><td ID = "procedure1">STREP A, [LOINC: 18481-2]</td><td align="center">07/26/2022</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">06/13/2025</td></tr><tr><td ID = "procedure3">UA, [CPT-4: 81003]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure5">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure6">C-REACTIVE PROTEIN (QUEST), [CPT-4: 4420]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure7">SED RATE BY MOD WEST (QUEST), [CPT-4: 809]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure8">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure9">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">07/26/2022</td></tr><tr><td ID = "procedure10">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">06/13/2025</td></tr><tr><td ID = "procedure11">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure12">EKG, [CPT-4: 93010]</td><td align="center">07/26/2022</td></tr><tr><td ID = "procedure13">Ondansetron 4mg/ml, [CPT-4: J2405]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure14">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">04/12/2021</td></tr><tr><td ID = "procedure15">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">06/13/2025</td></tr><tr><td ID = "procedure16">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">07/26/2022</td></tr><tr><td ID = "procedure17">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/25/2023</td></tr><tr><td ID = "procedure18">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/27/2024</td></tr><tr><td ID = "procedure19">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/25/2023</td></tr><tr><td ID = "procedure20">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/27/2024</td></tr><tr><td ID = "procedure21">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">04/09/2021</td></tr><tr><td ID = "procedure22">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">05/06/2021</td></tr><tr><td ID = "procedure23">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">10/26/2021</td></tr><tr><td ID = "procedure24">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">04/15/2022</td></tr><tr><td ID = "procedure25">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">07/13/2023</td></tr><tr><td ID = "procedure26">COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312]</td><td align="center">10/14/2022</td></tr></tbody></table></text><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="0810889D-FDF9-4606-BC5B-798568985825"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220726"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="090F3327-4EDB-4956-AE1A-FDB4C0801602"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20250613"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="0C311DF8-A8BD-454C-870B-70DE630B578B"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="BD85C2F4-14F9-4281-B84A-2797DE727CEA"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="C18F90E1-5F6F-466D-A306-E2BCAC7299F5"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="25D4BEC7-35C0-4F67-8043-8611AE402D34"/><code code="4420" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="C-REACTIVE PROTEIN (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="CC427AA5-4AFE-4176-A5D3-E2057DE75ABB"/><code code="809" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="SED RATE BY MOD WEST (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="EBA23883-C409-444E-8099-98BFF6D3DF53"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="71D88DA5-632B-4931-8A33-6E1B78A679F7"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220726"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="36EA4518-CCF4-4221-8CF2-A4BC52B20897"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20250613"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="F1CB5420-05FF-4C8C-8265-A93A6F84A869"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="5EFC9B91-E19F-4895-BEE9-52CBA8007DD2"/><code code="93010" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="EKG"/><statusCode code="completed"/><effectiveTime value="20220726"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="BC38380A-7576-4D4E-BD1A-340D52874BE3"/><code code="J2405" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Ondansetron 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="79EFC512-08C4-4B29-AD70-243C64FC59F9"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID Rapid Testing"/><statusCode code="completed"/><effectiveTime value="20210412"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="DFB7940E-B768-450C-8010-FDD45B8D63BC"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210506"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="83ECF5F7-6AB6-47EF-AF48-1A20C908636B"/><code code="91312" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19 Vaccine- Bivalent Booster- Pfizer"/><statusCode code="completed"/><effectiveTime value="20221014"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">04/08/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun4">COVID-19, mRNA, LNP-S, PF</td><td align="center">04/29/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun5">COVID-19, mRNA, LNP-S, PF</td><td align="center">10/12/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun6">COVID-19, mRNA, LNP-S, PF</td><td align="center">04/15/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun7">COVID-19 Vaccine- Bivalent Booster- Pfizer</td><td align="center">10/14/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun1">Influenza virus vaccine</td><td align="center">09/25/2023</td><td align="center">Completed</td></tr><tr><td ID = "immun2">Influenza virus vaccine</td><td align="center">09/27/2024</td><td align="center">Completed</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="C58A2D7C-CA32-4831-9EEF-68F68F54C939"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.4.1"/><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/><title>VITAL SIGNS</title><text><table border="1" width="100%"><thead><tr><th>Date</th><th>Height</th><th>Weight</th><th>BMI</th><th>Blood Pressure</th><th>Temperature</th><th>Pulse</th><th>Pulse Oximetry</th><th>Respiratory Rate</th><th>Inhaled Oxygen Concentration</th><th>Head Circumference Percentage</th><th>BMI Percentage</th><th>Weight to Length Percentage</th></tr></thead><tbody><tr><td ID = "vital_1">04/12/2021</td><td ID = "vital_1_height">178 cm</td><td ID = "vital_1_weight">99 kg</td><td ID = "vital_1_bmi">31.45</td><td ID = "vital_1_bp">173/90 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">82 bpm</td><td ID = "vital_1_pulseox">97 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">07/26/2022</td><td ID = "vital_2_height">178 cm</td><td ID = "vital_2_weight">102 kg</td><td ID = "vital_2_bmi">32.25</td><td ID = "vital_2_bp">175/86 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">76 bpm</td><td ID = "vital_2_pulseox">98 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">07/13/2023</td><td ID = "vital_3_height">178 cm</td><td ID = "vital_3_weight">93 kg</td><td ID = "vital_3_bmi">29.5</td><td ID = "vital_3_bp">119/68 mm[Hg]</td><td ID = "vital_3_temp">37 Cel</td><td ID = "vital_3_pulse">77 bpm</td><td ID = "vital_3_pulseox">77 pct</td><td ID = "vital_3_resp">18 bpm</td></tr><tr><td ID = "vital_4">09/25/2023</td><td ID = "vital_4_temp">36 Cel</td></tr><tr><td ID = "vital_5">09/27/2024</td><td ID = "vital_5_temp">36 Cel</td></tr><tr><td ID = "vital_6">06/13/2025</td><td ID = "vital_6_height">178 cm</td><td ID = "vital_6_weight">80 kg</td><td ID = "vital_6_bmi">25.19</td><td ID = "vital_6_bp">118/64 mm[Hg]</td><td ID = "vital_6_temp">38 Cel</td><td ID = "vital_6_pulse">75 bpm</td><td 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codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PulseOx"/><text><reference value="#vital_6_pulseox"/></text><statusCode code="completed"/><effectiveTime value="20250613"/><value xsi:type="PQ" value="97" unit="%"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="97990F64-F99A-4D97-B1D7-F4C039672619"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_6_resp"/></text><statusCode code="completed"/><effectiveTime value="20250613"/><value xsi:type="PQ" value="18" unit="/min"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.3.1"/><code code ="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS"/><title>RESULTS</title><text><table border="1" width="100%"><thead><tr><th>Result Type</th><th>Result Value</th><th>Date</th></tr></thead><tbody><tr><td ID="result1">Leukocytes-Urine</td><td>Negative</td><td align="center">04/12/2021</td></tr><tr><td ID="result2">Urobilinogen-Urine</td><td>Negative</td><td align="center">04/12/2021</td></tr><tr><td ID="result3">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">04/12/2021</td></tr><tr><td ID="result4">pH of Urine by Test strip</td><td>5 [pH]</td><td align="center">04/12/2021</td></tr><tr><td ID="result5">Blood-Urine</td><td>Negative</td><td align="center">04/12/2021</td></tr><tr><td ID="result6">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">04/12/2021</td></tr><tr><td ID="result7">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">04/12/2021</td></tr><tr><td ID="result8">Specific Gravity of Urine by Test strip</td><td>1.010</td><td align="center">04/12/2021</td></tr><tr><td ID="result9">Bilirubin-Urine</td><td>Negative</td><td align="center">04/12/2021</td></tr><tr><td ID="result10">Nitrites-Urine</td><td>Negative</td><td align="center">04/12/2021</td></tr><tr><td ID="result11">Appearance of Urine</td><td>Cloudy</td><td align="center">04/12/2021</td></tr><tr><td ID="result12">Color of Urine</td><td>yellow </td><td align="center">04/12/2021</td></tr><tr><td ID="result13">STREP A</td><td>Negative</td><td align="center">07/26/2022</td></tr><tr><td ID="result14">STREP A</td><td>Negative</td><td align="center">06/13/2025</td></tr><tr><td ID="result15">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">04/12/2021</td></tr><tr><td ID="result16">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">06/13/2025</td></tr><tr><td ID="result17">EKG</td><td>Yes</td><td align="center">07/26/2022</td></tr><tr><td ID="result19">COVID Rapid Testing</td><td>Negative</td><td align="center">04/12/2021</td></tr><tr><td ID="result20">COVID Rapid Testing</td><td>Negative</td><td align="center">07/26/2022</td></tr><tr><td ID="result21">COVID Rapid Testing</td><td>Positive</td><td align="center">06/13/2025</td></tr><tr><td ID="result22">GLUCOSE</td><td>136</td><td align="center">04/13/2021</td></tr><tr><td ID="result23">UREA NITROGEN (BUN)</td><td>10</td><td align="center">04/13/2021</td></tr><tr><td ID="result24">CREATININE</td><td>0.83</td><td align="center">04/13/2021</td></tr><tr><td ID="result25">EGFR NON-AFR. AMERICAN</td><td>94</td><td align="center">04/13/2021</td></tr><tr><td ID="result26">EGFR AFRICAN AMERICAN</td><td>109</td><td align="center">04/13/2021</td></tr><tr><td ID="result27">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">04/13/2021</td></tr><tr><td ID="result28">SODIUM</td><td>140</td><td align="center">04/13/2021</td></tr><tr><td ID="result29">POTASSIUM</td><td>4.1</td><td align="center">04/13/2021</td></tr><tr><td ID="result30">CHLORIDE</td><td>105</td><td align="center">04/13/2021</td></tr><tr><td ID="result31">CARBON DIOXIDE</td><td>23</td><td align="center">04/13/2021</td></tr><tr><td ID="result32">CALCIUM</td><td>9.9</td><td align="center">04/13/2021</td></tr><tr><td ID="result33">PROTEIN, TOTAL</td><td>7.1</td><td align="center">04/13/2021</td></tr><tr><td ID="result34">ALBUMIN</td><td>4.7</td><td align="center">04/13/2021</td></tr><tr><td ID="result35">GLOBULIN</td><td>2.4</td><td align="center">04/13/2021</td></tr><tr><td ID="result36">ALBUMIN/GLOBULIN RATIO</td><td>2.0</td><td align="center">04/13/2021</td></tr><tr><td ID="result37">BILIRUBIN, TOTAL</td><td>0.5</td><td align="center">04/13/2021</td></tr><tr><td ID="result38">ALKALINE PHOSPHATASE</td><td>84</td><td align="center">04/13/2021</td></tr><tr><td ID="result39">AST</td><td>14</td><td align="center">04/13/2021</td></tr><tr><td ID="result40">ALT</td><td>25</td><td align="center">04/13/2021</td></tr><tr><td ID="result41">SED RATE BY MODIFIED WESTERGREN</td><td>2</td><td align="center">04/13/2021</td></tr><tr><td ID="result42">WHITE BLOOD CELL COUNT</td><td>9.3</td><td align="center">04/13/2021</td></tr><tr><td ID="result43">RED BLOOD CELL COUNT</td><td>5.53</td><td align="center">04/13/2021</td></tr><tr><td ID="result44">HEMOGLOBIN</td><td>16.0</td><td align="center">04/13/2021</td></tr><tr><td ID="result45">HEMATOCRIT</td><td>47.5</td><td align="center">04/13/2021</td></tr><tr><td ID="result46">MCV</td><td>85.9</td><td align="center">04/13/2021</td></tr><tr><td ID="result47">MCH</td><td>28.9</td><td align="center">04/13/2021</td></tr><tr><td ID="result48">MCHC</td><td>33.7</td><td align="center">04/13/2021</td></tr><tr><td ID="result49">RDW</td><td>13.3</td><td align="center">04/13/2021</td></tr><tr><td ID="result50">PLATELET COUNT</td><td>242</td><td align="center">04/13/2021</td></tr><tr><td ID="result51">MPV</td><td>10.5</td><td align="center">04/13/2021</td></tr><tr><td ID="result52">ABSOLUTE NEUTROPHILS</td><td>7040</td><td align="center">04/13/2021</td></tr><tr><td ID="result53">ABSOLUTE LYMPHOCYTES</td><td>1581</td><td align="center">04/13/2021</td></tr><tr><td ID="result54">ABSOLUTE MONOCYTES</td><td>549</td><td align="center">04/13/2021</td></tr><tr><td ID="result55">ABSOLUTE EOSINOPHILS</td><td>74</td><td align="center">04/13/2021</td></tr><tr><td ID="result56">ABSOLUTE BASOPHILS</td><td>56</td><td align="center">04/13/2021</td></tr><tr><td ID="result57">NEUTROPHILS</td><td>75.7</td><td align="center">04/13/2021</td></tr><tr><td ID="result58">LYMPHOCYTES</td><td>17.0</td><td align="center">04/13/2021</td></tr><tr><td ID="result59">MONOCYTES</td><td>5.9</td><td align="center">04/13/2021</td></tr><tr><td ID="result60">EOSINOPHILS</td><td>0.8</td><td align="center">04/13/2021</td></tr><tr><td ID="result61">BASOPHILS</td><td>0.6</td><td align="center">04/13/2021</td></tr><tr><td ID="result62">C-REACTIVE PROTEIN</td><td>4.3</td><td align="center">04/13/2021</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="EF9F4C0D-8BB5-4C87-9F58-F1256D79A945"/><code code="5803-2" displayName="pH of Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" 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root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="75F5EC60-2365-4C69-8E33-A4E1BC3ECA3A"/><code code="45003700" displayName="C-REACTIVE PROTEIN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result62"/></originalText></code><text><reference value="#result62"/></text><statusCode code="completed"/><effectiveTime value="20210413"/><value xsi:type="PQ" value="4.3"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="D532FB05-467B-48E9-90D3-C3B442038C46"/><code code="5799-2" displayName="Leukocytes-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="88B35648-459E-4D16-A710-D8F1B5785DCA"/><code code="5799-2" displayName="Leukocytes-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result1"/></originalText></code><text><reference value="#result1"/></text><statusCode code="completed"/><effectiveTime value="20210412"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="691DD68F-CDC7-4916-99A1-F377D3A13005"/><code code="13658-0" displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="25D1C35A-2E33-4011-B46D-F9B4922D7292"/><code code="13658-0" displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result2"/></originalText></code><text><reference value="#result2"/></text><statusCode code="completed"/><effectiveTime value="20210412"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="5AA7D652-D202-472C-9400-AC7D5B71C1EE"/><code code="5804-0" displayName="Protein [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="A3D154A6-1814-4B30-9CA3-60651C4A251B"/><code code="5804-0" displayName="Protein [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result3"/></originalText></code><text><reference value="#result3"/></text><statusCode code="completed"/><effectiveTime value="20210412"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="026ECA88-B6D7-4C03-B3FC-F1FE3BE990F7"/><code code="5794-3" displayName="Blood-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="EEC263D7-CEFD-4B47-AB1F-4F896A57144A"/><code code="5794-3" displayName="Blood-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result5"/></originalText></code><text><reference value="#result5"/></text><statusCode code="completed"/><effectiveTime value="20210412"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="D24B314E-F25D-4EE8-BE0C-796233BD162F"/><code code="5797-6" displayName="Ketones [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="6D8AFB97-1588-474E-B203-480E08A670DB"/><code code="5797-6" displayName="Ketones [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result6"/></originalText></code><text><reference value="#result6"/></text><statusCode code="completed"/><effectiveTime value="20210412"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="E2C23FD1-FBDB-4FC0-B945-0560D41AAE1E"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="92ADF938-85B2-4D1E-A345-31100F16D2EA"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" 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codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="264F13E4-E4F1-4FE5-A172-F8AAA6B21AEA"/><code code="5770-3" displayName="Bilirubin-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result9"/></originalText></code><text><reference value="#result9"/></text><statusCode code="completed"/><effectiveTime value="20210412"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="83BEB426-4F22-42C7-A3FF-0C65BA844EF1"/><code code="5802-4" displayName="Nitrites-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210412"/><high value="20210412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id 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xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071782724-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.10"/><code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/><title>TREATMENT PLAN</title><text><table border="1" width="100%"><thead><tr><th>Name</th><th>Type</th><th>Date</th></tr></thead><tbody><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CXR, CT abd/pelvis w/ w/o contrast</td><td align="center">April 16, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CXR, CT abd/pelvis w/ w/o contrast</td><td align="center">April 16, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CXR, CT abd/pelvis w/ w/o contrast</td><td align="center">April 16, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CXR, CT abd/pelvis w/ w/o contrast</td><td align="center">April 16, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CXR, CT abd/pelvis w/ w/o contrast</td><td align="center">April 16, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">April 12, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">April 12, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">April 12, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">April 12, 2021</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">April 12, 2021</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="B1967432-F2B2-492B-8BA0-7A10375AC460"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center-CXR, CT abd/pelvis w/ w/o contrast</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="262FB363-A374-4B1E-9D89-799813717DB3"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center-CXR, CT abd/pelvis w/ w/o contrast</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId 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Center-CXR, CT abd/pelvis w/ w/o contrast</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="4719D37D-6F21-436A-96AE-651C9CEAA79D"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="866C1350-AEE0-44D2-A728-FF2187436E27"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="646C146C-CEAA-4732-A450-CE326CF1EB8B"/><code code="42349-1" displayName="REFERRAL" 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displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Goals Section</title><text>No goal information</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.58" /><code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Health Concerns Section</title><text>No Known Health Concerns on </text><entry typeCode="COMP"><act classCode="ACT" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.132"/><id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/><code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="active"/><effectiveTime value=""/></act></entry></section></component><component><section><templateId 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