2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Augmentin Unknown Unknown ActiveAugmentin

Substance	Reaction	Severity	Status
Augmentin	Unknown	Unknown	Active

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Dec 17, 2021
NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Jan 04, 2022
NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Jan 06, 20227461 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

CBC W/ DIFF (QUEST), [CPT-4: 6399]
12/15/2021
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
12/15/2021
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
12/15/2021
TB test - IPPD, [CPT-4: SP86580]
01/04/2022
TB test - IPPD, [CPT-4: SP86580]
12/15/2021
MMR TITER, [CPT-4: 5259]
12/15/20217461 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 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

12/15/2021 165 cm 53 kg 19.32 115/74 mm[Hg] 36 Cel 76 bpm 100 pct 15 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
12/17/2021
TB Read Only
Negative
01/06/2022
MEASLES AB (IGG), IMMUNE STATUS
>300.00
12/16/2021
MUMPS VIRUS AB (IGG), IMMUNE STATUS
>300.00
12/16/2021
RUBELLA AB (IGG), IMMUNE STATUS
8.55
12/16/2021
WHITE BLOOD CELL COUNT
9.6
12/16/2021
RED BLOOD CELL COUNT
4.98
12/16/2021
HEMOGLOBIN
11.8
12/16/2021
HEMATOCRIT
37.1
12/16/2021
MCV
74.5
12/16/2021
MCH
23.7
12/16/2021
MCHC
31.8
12/16/2021
RDW
14.0
12/16/2021
PLATELET COUNT
317
12/16/2021
MPV
10.9
12/16/2021
ABSOLUTE NEUTROPHILS
7152
12/16/2021
ABSOLUTE LYMPHOCYTES
1958
12/16/2021
ABSOLUTE MONOCYTES
461
12/16/2021
ABSOLUTE EOSINOPHILS
10
12/16/2021
ABSOLUTE BASOPHILS
19
12/16/2021
NEUTROPHILS
74.5
12/16/2021
LYMPHOCYTES
20.4
12/16/2021
MONOCYTES
4.8
12/16/2021
EOSINOPHILS
0.1
12/16/2021
BASOPHILS
0.2
12/16/2021
HEPATITIS B SURFACE AB IMMUNITY, QN
104
12/16/2021
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
664.60
12/16/2021NegativeNegative>300.00>300.00TREATMENT PLANName Type Date

SmokingCessation
Smoking Cessation
December 15, 2021
NutritionCounsel
Nutrition Counseling
December 15, 2021
PhysicalActivityCounsel
Physical Activity Counsel
December 15, 2021Smoking CessationNutrition CounselingPhysical Activity CounselGoals 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

Encounter	Performer	Location	Date
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Dec 17, 2021
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Jan 04, 2022
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Jan 06, 2022

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	12/15/2021
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	12/15/2021
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	12/15/2021
TB test - IPPD, [CPT-4: SP86580]	01/04/2022
TB test - IPPD, [CPT-4: SP86580]	12/15/2021
MMR TITER, [CPT-4: 5259]	12/15/2021

Result Type	Result Value	Date
TB Read Only	Negative	12/17/2021
TB Read Only	Negative	01/06/2022
MEASLES AB (IGG), IMMUNE STATUS	>300.00	12/16/2021
MUMPS VIRUS AB (IGG), IMMUNE STATUS	>300.00	12/16/2021
RUBELLA AB (IGG), IMMUNE STATUS	8.55	12/16/2021
WHITE BLOOD CELL COUNT	9.6	12/16/2021
RED BLOOD CELL COUNT	4.98	12/16/2021
HEMOGLOBIN	11.8	12/16/2021
HEMATOCRIT	37.1	12/16/2021
MCV	74.5	12/16/2021
MCH	23.7	12/16/2021
MCHC	31.8	12/16/2021
RDW	14.0	12/16/2021
PLATELET COUNT	317	12/16/2021
MPV	10.9	12/16/2021
ABSOLUTE NEUTROPHILS	7152	12/16/2021
ABSOLUTE LYMPHOCYTES	1958	12/16/2021
ABSOLUTE MONOCYTES	461	12/16/2021
ABSOLUTE EOSINOPHILS	10	12/16/2021
ABSOLUTE BASOPHILS	19	12/16/2021
NEUTROPHILS	74.5	12/16/2021
LYMPHOCYTES	20.4	12/16/2021
MONOCYTES	4.8	12/16/2021
EOSINOPHILS	0.1	12/16/2021
BASOPHILS	0.2	12/16/2021
HEPATITIS B SURFACE AB IMMUNITY, QN	104	12/16/2021
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	664.60	12/16/2021

Name	Type	Date
SmokingCessation	Smoking Cessation	December 15, 2021
NutritionCounsel	Nutrition Counseling	December 15, 2021
PhysicalActivityCounsel	Physical Activity Counsel	December 15, 2021