2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

benzonatate 200 mg capsule, [RxNorm: 351906]
03/24/2023
TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH
Active
Tamiflu 75 mg capsule, [RxNorm: 261315]
04/19/2022
TAKE 1 CAPSULE (75 MG) BY ORAL ROUTE 2 TIMES PER DAY
Active
ketorolac 10 mg tablet, [RxNorm: 861844]
05/22/2023
TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR PAIN UP TO 5 DAYS TOTAL USE.
Active
amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]
03/24/2023
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS FOR 10 DAYS
Active
ondansetron HCl 4 mg tablet, [RxNorm: 104895]
03/24/2023
TAKE 1 TABLET PO EVERY 8 HOURS AS NEEDED FOR NAUSEA/VOMITING
Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]
05/22/2023
TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS
Active
metoprolol tartrate 50 mg tablet, [RxNorm: 201332]
03/24/2023
Daily
Active
lisinopril 10 mg tablet, [RxNorm: 201381]
03/24/2023
Daily
Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]
05/30/2023
INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED (FOR SOB/WHEEZING)
Active
benzonatate 200 mg capsule, [RxNorm: 351906]
05/30/2023
TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH
Active
levofloxacin 750 mg tablet, [RxNorm: 284481]
05/30/2023
TAKE 1 TABLET (750 MG) BY ORAL ROUTE ONCE DAILY
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Mar 24, 2023
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
May 22, 20237461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

STREP A, [LOINC: 18481-2]
05/30/2023
UA, [CPT-4: 81003]
05/30/2023
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
05/30/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]
05/30/2023
INFLUENZA Rapid Test, [CPT-4: 87804]
03/24/2023
INFLUENZA Rapid Test, [CPT-4: 87804]
05/30/2023
IV START, [CPT-4: 90760]
05/30/2023
Chest XRAY, [CPT-4: 71020]
05/30/2023
Foot XRAY, [CPT-4: 73620]
05/22/2023
Toradol 60 MG , [CPT-4: J1885]
05/22/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]
03/24/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]
05/22/2023
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
06/01/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
06/22/2021
Normal saline 1L Bolus, [CPT-4: 90774]
05/30/2023
Abbott COVID Rapid Test, [CPT-4: ABBO]
03/24/2023
Abbott COVID Rapid Test, [CPT-4: ABBO]
05/30/2023
RSV, [CPT-4: 87807]
05/30/20237461 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 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 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 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

COVID-19, mRNA, LNP-S, PF
06/01/2021
Completed
COVID-19, mRNA, LNP-S, PF
06/22/2021
CompletedCOVID-19, mRNA, LNP-S, PFER8737Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFER8737Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn 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

03/24/2023 168 cm 157 kg 56 145/91 mm[Hg] 37 Cel 75 bpm 99 pct 20 bpm
05/22/2023 170 cm 161 kg 55.44 137/86 mm[Hg] 37 Cel 60 bpm 97 pct 19 bpm
05/30/2023 170 cm 161 kg 55.44 144/92 mm[Hg] 37 Cel 94 bpm 95 pct 18 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Positive
05/30/2023
Urobilinogen-Urine
Positive
05/30/2023
Protein [Mass/Volume] in Urine by Test strip
Positive mg/dL
05/30/2023
pH of Urine by Test strip
5 [pH]
05/30/2023
Blood-Urine
Positive
05/30/2023
Ketones [Mass/Volume] in Urine by Test strip
Positive mg/dL
05/30/2023
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
05/30/2023
Cesium-Urine
No
05/30/2023
Specific Gravity of Urine by Test strip
1.025
05/30/2023
Bilirubin-Urine
Positive
05/30/2023
Nitrites-Urine
Positive
05/30/2023
Appearance of Urine
cloudy
05/30/2023
Color of Urine
dark yellow 
05/30/2023
STREP A
Negative
05/30/2023
INFLUENZA Rapid Test
Negative
03/24/2023
INFLUENZA Rapid Test
Negative
05/30/2023
IV START
Yes
05/30/2023
RSV
Negative
05/30/2023
GLUCOSE
108
05/31/2023
UREA NITROGEN (BUN)
15
05/31/2023
CREATININE
1.19
05/31/2023
EGFR
83
05/31/2023
BUN/CREATININE RATIO
NOT APPLICABLE
05/31/2023
SODIUM
131
05/31/2023
POTASSIUM
4.0
05/31/2023
CHLORIDE
96
05/31/2023
CARBON DIOXIDE
25
05/31/2023
CALCIUM
8.3
05/31/2023
PROTEIN, TOTAL
6.8
05/31/2023
ALBUMIN
3.4
05/31/2023
GLOBULIN
3.4
05/31/2023
ALBUMIN/GLOBULIN RATIO
1.0
05/31/2023
BILIRUBIN, TOTAL
0.4
05/31/2023
ALKALINE PHOSPHATASE
57
05/31/2023
AST
21
05/31/2023
ALT
24
05/31/2023
WHITE BLOOD CELL COUNT
11.8
05/31/2023
RED BLOOD CELL COUNT
5.28
05/31/2023
HEMOGLOBIN
14.7
05/31/2023
HEMATOCRIT
44.6
05/31/2023
MCV
84.5
05/31/2023
MCH
27.8
05/31/2023
MCHC
33.0
05/31/2023
RDW
12.6
05/31/2023
PLATELET COUNT
187
05/31/2023
MPV
10.2
05/31/2023
ABSOLUTE NEUTROPHILS
9664
05/31/2023
ABSOLUTE LYMPHOCYTES
1369
05/31/2023
ABSOLUTE MONOCYTES
732
05/31/2023
ABSOLUTE EOSINOPHILS
0
05/31/2023
ABSOLUTE BASOPHILS
35
05/31/2023
NEUTROPHILS
81.9
05/31/2023
LYMPHOCYTES
11.6
05/31/2023
MONOCYTES
6.2
05/31/2023
EOSINOPHILS
0.0
05/31/2023
BASOPHILS
0.3
05/31/2023PositivePositivePositivePositivePositiveNegativeNoPositivePositivecloudydark yellow NegativeNegativeNegativeYesNegativeNOT APPLICABLETREATMENT PLANName Type Date

REFERRAL
 East Montgomery Imaging Center-Right ankle/foot x-ray
May 22, 2023
REFERRAL
 East Montgomery Imaging Center-Right ankle/foot x-ray
May 22, 2023
REFERRAL
 East Montgomery Imaging Center-Right ankle/foot x-ray
May 22, 2023
REFERRAL
 East Montgomery Imaging Center-CXR STAT
May 30, 2023
REFERRAL
 East Montgomery Imaging Center-CXR STAT
May 30, 2023
REFERRAL
 East Montgomery Imaging Center
May 30, 2023
REFERRAL
 East Montgomery Imaging Center
May 30, 2023
REFERRAL
 East Montgomery Imaging Center
May 22, 2023
REFERRAL
 East Montgomery Imaging Center
May 22, 2023
REFERRAL
 East Montgomery Imaging Center
May 22, 2023 East Montgomery Imaging Center-Right ankle/foot x-ray East Montgomery Imaging Center-Right ankle/foot x-ray East Montgomery Imaging Center-Right ankle/foot x-ray East Montgomery Imaging Center-CXR STAT East Montgomery Imaging Center-CXR STAT East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging CenterGoals 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
benzonatate 200 mg capsule, [RxNorm: 351906]	03/24/2023	TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH	Active
Tamiflu 75 mg capsule, [RxNorm: 261315]	04/19/2022	TAKE 1 CAPSULE (75 MG) BY ORAL ROUTE 2 TIMES PER DAY	Active
ketorolac 10 mg tablet, [RxNorm: 861844]	05/22/2023	TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR PAIN UP TO 5 DAYS TOTAL USE.	Active
amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]	03/24/2023	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS FOR 10 DAYS	Active
ondansetron HCl 4 mg tablet, [RxNorm: 104895]	03/24/2023	TAKE 1 TABLET PO EVERY 8 HOURS AS NEEDED FOR NAUSEA/VOMITING	Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]	05/22/2023	TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS	Active
metoprolol tartrate 50 mg tablet, [RxNorm: 201332]	03/24/2023	Daily	Active
lisinopril 10 mg tablet, [RxNorm: 201381]	03/24/2023	Daily	Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]	05/30/2023	INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED (FOR SOB/WHEEZING)	Active
benzonatate 200 mg capsule, [RxNorm: 351906]	05/30/2023	TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH	Active
levofloxacin 750 mg tablet, [RxNorm: 284481]	05/30/2023	TAKE 1 TABLET (750 MG) BY ORAL ROUTE ONCE DAILY	Active

Encounter	Performer	Location	Date
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Mar 24, 2023
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	May 22, 2023

Procedure	Date
STREP A, [LOINC: 18481-2]	05/30/2023
UA, [CPT-4: 81003]	05/30/2023
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	05/30/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]	05/30/2023
INFLUENZA Rapid Test, [CPT-4: 87804]	03/24/2023
INFLUENZA Rapid Test, [CPT-4: 87804]	05/30/2023
IV START, [CPT-4: 90760]	05/30/2023
Chest XRAY, [CPT-4: 71020]	05/30/2023
Foot XRAY, [CPT-4: 73620]	05/22/2023
Toradol 60 MG , [CPT-4: J1885]	05/22/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]	03/24/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]	05/22/2023
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	06/01/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	06/22/2021
Normal saline 1L Bolus, [CPT-4: 90774]	05/30/2023
Abbott COVID Rapid Test, [CPT-4: ABBO]	03/24/2023
Abbott COVID Rapid Test, [CPT-4: ABBO]	05/30/2023
RSV, [CPT-4: 87807]	05/30/2023

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	06/01/2021	Completed
COVID-19, mRNA, LNP-S, PF	06/22/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
03/24/2023	168 cm	157 kg	56	145/91 mm[Hg]	37 Cel	75 bpm	99 pct	20 bpm
05/22/2023	170 cm	161 kg	55.44	137/86 mm[Hg]	37 Cel	60 bpm	97 pct	19 bpm
05/30/2023	170 cm	161 kg	55.44	144/92 mm[Hg]	37 Cel	94 bpm	95 pct	18 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Positive	05/30/2023
Urobilinogen-Urine	Positive	05/30/2023
Protein [Mass/Volume] in Urine by Test strip	Positive mg/dL	05/30/2023
pH of Urine by Test strip	5 [pH]	05/30/2023
Blood-Urine	Positive	05/30/2023
Ketones [Mass/Volume] in Urine by Test strip	Positive mg/dL	05/30/2023
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	05/30/2023
Cesium-Urine	No	05/30/2023
Specific Gravity of Urine by Test strip	1.025	05/30/2023
Bilirubin-Urine	Positive	05/30/2023
Nitrites-Urine	Positive	05/30/2023
Appearance of Urine	cloudy	05/30/2023
Color of Urine	dark yellow	05/30/2023
STREP A	Negative	05/30/2023
INFLUENZA Rapid Test	Negative	03/24/2023
INFLUENZA Rapid Test	Negative	05/30/2023
IV START	Yes	05/30/2023
RSV	Negative	05/30/2023
GLUCOSE	108	05/31/2023
UREA NITROGEN (BUN)	15	05/31/2023
CREATININE	1.19	05/31/2023
EGFR	83	05/31/2023
BUN/CREATININE RATIO	NOT APPLICABLE	05/31/2023
SODIUM	131	05/31/2023
POTASSIUM	4.0	05/31/2023
CHLORIDE	96	05/31/2023
CARBON DIOXIDE	25	05/31/2023
CALCIUM	8.3	05/31/2023
PROTEIN, TOTAL	6.8	05/31/2023
ALBUMIN	3.4	05/31/2023
GLOBULIN	3.4	05/31/2023
ALBUMIN/GLOBULIN RATIO	1.0	05/31/2023
BILIRUBIN, TOTAL	0.4	05/31/2023
ALKALINE PHOSPHATASE	57	05/31/2023
AST	21	05/31/2023
ALT	24	05/31/2023
WHITE BLOOD CELL COUNT	11.8	05/31/2023
RED BLOOD CELL COUNT	5.28	05/31/2023
HEMOGLOBIN	14.7	05/31/2023
HEMATOCRIT	44.6	05/31/2023
MCV	84.5	05/31/2023
MCH	27.8	05/31/2023
MCHC	33.0	05/31/2023
RDW	12.6	05/31/2023
PLATELET COUNT	187	05/31/2023
MPV	10.2	05/31/2023
ABSOLUTE NEUTROPHILS	9664	05/31/2023
ABSOLUTE LYMPHOCYTES	1369	05/31/2023
ABSOLUTE MONOCYTES	732	05/31/2023
ABSOLUTE EOSINOPHILS	0	05/31/2023
ABSOLUTE BASOPHILS	35	05/31/2023
NEUTROPHILS	81.9	05/31/2023
LYMPHOCYTES	11.6	05/31/2023
MONOCYTES	6.2	05/31/2023
EOSINOPHILS	0.0	05/31/2023
BASOPHILS	0.3	05/31/2023

Name	Type	Date
REFERRAL	East Montgomery Imaging Center-Right ankle/foot x-ray	May 22, 2023
REFERRAL	East Montgomery Imaging Center-Right ankle/foot x-ray	May 22, 2023
REFERRAL	East Montgomery Imaging Center-Right ankle/foot x-ray	May 22, 2023
REFERRAL	East Montgomery Imaging Center-CXR STAT	May 30, 2023
REFERRAL	East Montgomery Imaging Center-CXR STAT	May 30, 2023
REFERRAL	East Montgomery Imaging Center	May 30, 2023
REFERRAL	East Montgomery Imaging Center	May 30, 2023
REFERRAL	East Montgomery Imaging Center	May 22, 2023
REFERRAL	East Montgomery Imaging Center	May 22, 2023
REFERRAL	East Montgomery Imaging Center	May 22, 2023