2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]
12/07/2021
TAKE 1 CAPSULE (20 MG) BY ORAL ROUTE ONCE DAILY 30 MINUTES TO 1 HOUR BEFORE A MEAL
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

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

TDap, [CPT-4: 90715]
11/01/2021
TB test - IPPD, [CPT-4: SP86580]
11/01/20217461 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
03/02/1998
Completed
MMR
08/31/1998
Completed
TDap
05/30/2011
Completed
TDap
11/01/2021
CompletedMMR7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMR7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USTDap7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USTDapMR5RKGlaxoSmithKline7461 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

12/07/2021 157 cm 54 kg 21.82 127/84 mm[Hg] 36 Cel 80 bpm 100 pct 15 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
11/03/2021NegativePLAN OF TREATMENTNo Treatment Plan Defined Goals 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	Nov 01, 2021
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Nov 03, 2021

Procedure	Date
TDap, [CPT-4: 90715]	11/01/2021
TB test - IPPD, [CPT-4: SP86580]	11/01/2021

Name	Date	Status
MMR	03/02/1998	Completed
MMR	08/31/1998	Completed
TDap	05/30/2011	Completed
TDap	11/01/2021	Completed