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					<title>2026 Consolidated CDA</title>
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"Med6">ibuprofen 800 mg tablet, [RxNorm: 202098]</content></td><td align="center">08/30/2022</td><td align="right">1 TABLET EVERY 8 HRS AS NEEDED FOR PAIN.</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">ibuprofen 800 mg tablet, [RxNorm: 202098]</content></td><td align="center">02/17/2023</td><td align="right">1 TABLET EVERY 8 HRS AS NEEDED FOR PAIN.</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">valacyclovir 1 gram tablet, [RxNorm: 212448]</content></td><td align="center">11/14/2022</td><td align="right">1 TABLET PO DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]</content></td><td align="center">07/17/2023</td><td align="right">1 TABLET PO ONCE DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]</content></td><td align="center">11/14/2022</td><td align="right">1 TABLET PO ONCE DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]</content></td><td align="center">01/15/2025</td><td align="right">1 TABLET PO ONCE DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med12">Eliquis 5 mg tablet, [RxNorm: 1364447]</content></td><td align="center">10/01/2021</td><td align="right">1 TABLET PO TWICE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med13">hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]</content></td><td align="center">06/15/2022</td><td align="right">1 TABLET PO once DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med15">lisinopril 10 mg tablet, [RxNorm: 201381]</content></td><td align="center">10/23/2024</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med17">cyclobenzaprine 5 mg tablet, [RxNorm: 828322]</content></td><td align="center">08/30/2022</td><td align="right">TAKE 1 TABLET (5 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR MUSCLE SPASMS.</td><td align="center">Active</td></tr><tr><td><content ID = "Med20">hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]</content></td><td align="center">07/18/2023</td><td align="right">TAKE 1 TABLET BY MOUTH ONCE DAILY FOR HIGH BLOOD PRESSURE- 30-day only approved</td><td align="center">Active</td></tr><tr><td><content ID = "Med23">Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]</content></td><td align="center">08/24/2021</td><td align="right">TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 6-8 HOURS as needed for cough/congestion</td><td align="center">Active</td></tr><tr><td><content ID = "Med24">azithromycin 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">08/24/2021</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med25">omeprazole 40 mg capsule,delayed release, [RxNorm: 201200]</content></td><td align="center">11/14/2022</td><td align="right">Take 1 capsule by mouth once daily</td><td align="center">Active</td></tr><tr><td><content ID = "Med26">lisinopril 10 mg tablet, [RxNorm: 201381]</content></td><td align="center">11/18/2024</td><td align="right">Take 1 tablet by mouth once daily</td><td align="center">Active</td></tr><tr><td><content ID = "Med27">omeprazole 40 mg capsule,delayed release, [RxNorm: 201200]</content></td><td align="center">10/01/2021</td><td align="right">1 TABLET DAILY for GERD</td><td align="center">Active</td></tr><tr><td><content ID = "Med28">ibuprofen 800 mg tablet, [RxNorm: 202098]</content></td><td align="center">02/07/2022</td><td align="right">1 TABLET EVERY 8 HRS AS NEEDED FOR PAIN.</td><td align="center">Active</td></tr><tr><td><content ID = "Med29">valacyclovir 1 gram tablet, [RxNorm: 212448]</content></td><td align="center">10/01/2021</td><td align="right">1 TABLET PO DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med30">hydrochlorothiazide 25 mg tablet, [RxNorm: 207936]</content></td><td align="center">10/01/2021</td><td align="right">1 TABLET PO ONCE DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med31">meclizine 25 mg tablet, [RxNorm: 1372663]</content></td><td align="center">05/26/2022</td><td align="right">TAKE 1 TABLET (25 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED for dizziness. </td><td align="center">Active</td></tr><tr><td><content ID = "Med32">cyclobenzaprine 5 mg tablet, [RxNorm: 828322]</content></td><td align="center">02/07/2022</td><td align="right">TAKE 1 TABLET (5 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR MUSCLE SPASMS.</td><td align="center">Active</td></tr><tr><td><content ID = "Med33">lisinopril 10 mg tablet, [RxNorm: 201381]</content></td><td align="center">12/16/2024</td><td align="right">TAKE 1 TABLET BY MOUTH ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med34">lisinopril 20 mg-hydrochlorothiazide 25 mg tablet, [RxNorm: 207965]</content></td><td align="center">12/12/2024</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE ONCE DAILY for HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med35">ondansetron HCl 4 mg tablet, [RxNorm: 104895]</content></td><td align="center">05/26/2022</td><td align="right">TAKE 1 tablet PO every 8 hrs as needed for nausea. </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 root="2.16.840.1.113883.10.20.22.4.16"/><id root="1689561C-0A5E-49F4-B582-44E7A3E527E8"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low 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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="57C3E012-2CF5-416E-AEF6-EA88CA3861C9" extension="25964421"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20220209"/></effectiveTime><value xsi:type="CD" code="Z23" displayName="ENCOUNTER FOR IMMUNIZATION" 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="9A33EA17-E228-4030-843B-33A4999B386C"/><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="20220209"/></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="FD828D23-4FF4-4D79-8B5F-4FE1D70F9721"/><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="20220209"/></effectiveTime><value xsi:type="CD" code="0" 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">TSH (QUEST), [CPT-4: 899]</td><td align="center">02/04/2022</td></tr><tr><td ID = "procedure2">UA, [CPT-4: 81003]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure3">UA, [CPT-4: 81003]</td><td align="center">09/01/2021</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">10/01/2021</td></tr><tr><td ID = "procedure5">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">02/04/2022</td></tr><tr><td ID = "procedure6">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure7">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">02/04/2022</td></tr><tr><td ID = "procedure8">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">02/04/2022</td></tr><tr><td ID = "procedure9">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">10/01/2021</td></tr><tr><td ID = "procedure10">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">09/10/2021</td></tr><tr><td ID = "procedure11">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure12">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure13">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure14">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure15">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure16">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">02/09/2022</td></tr><tr><td ID = "procedure17">Cervical Spine MRI W/O CONTRAST, [CPT-4: 72141]</td><td align="center">02/04/2022</td></tr><tr><td ID = "procedure18">Lumbar Spine MRI W/O CONTRAST, [LOINC: 30678-7]</td><td align="center">02/04/2022</td></tr><tr><td ID = "procedure19">EKG, [CPT-4: 93010]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure20">EKG, [CPT-4: 93010]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure21">EKG, [CPT-4: 93010]</td><td align="center">12/11/2024</td></tr><tr><td ID = "procedure22">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">08/24/2021</td></tr><tr><td ID = "procedure23">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">08/24/2021</td></tr><tr><td ID = "procedure24">Solumedrol 125mg/2ml, [CPT-4: J2930]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure25">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure26">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">02/09/2022</td></tr><tr><td ID = "procedure27">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure28">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">08/24/2021</td></tr><tr><td ID = "procedure29">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">12/01/2021</td></tr><tr><td ID = "procedure30">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">01/06/2022</td></tr><tr><td ID = "procedure31">BASIC METABOLIC PANEL, [CPT-4: 10165]</td><td align="center">05/26/2022</td></tr><tr><td ID = "procedure32">VITAMIN B12/FOLATE  SERUM PANEL, [CPT-4: 7065]</td><td align="center">10/01/2021</td></tr><tr><td ID = "procedure33">D-DIMER  QUANTITATIVE, [CPT-4: 8659]</td><td align="center">09/10/2021</td></tr><tr><td ID = "procedure34">PROTHROMBIN TIME-INR, [CPT-4: 8847]</td><td align="center">09/10/2021</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="3C16E992-523A-45A9-93BF-31CEF03A1BA2"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220204"/><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="38AA33E4-77BC-4190-9A22-CCBAA82D6E60"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20220526"/><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="F325F4D0-F746-48BD-A458-757F1B025013"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20210901"/><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="349F5A42-6072-47B8-B384-7BC18E18B91A"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211001"/><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="3A625844-3DF3-4175-9600-5EA4E764C978"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220204"/><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="16537532-EEE6-42A9-B03A-D6C428027197"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20241023"/><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="77D3A51E-940D-4161-A657-B30D4A7FF1D8"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220204"/><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="EC4CA11F-EA3B-4E6A-BF4D-30A48BF962DE"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220204"/><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="3DE5B05F-DD79-4D05-8AB8-ED2E23C42239"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211001"/><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="0EA086D0-5034-4F61-8EDA-303C6B4642DE"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210910"/><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="A5275AEB-09A1-4883-A004-A4D3F165E9E6"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20241023"/><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="31FBB285-CB18-4238-BDB5-214850E057D2"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220526"/><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="A9AD529A-083F-4A45-9572-62236CFC57E5"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220526"/><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="2.16.840.1.113883.19.5.9999.1393"/><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="30C17335-583D-4088-B87F-CB8BF923063D"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20220526"/><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 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code="completed"/><effectiveTime value="20220209"/><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 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root="040FB49C-BF9C-4A7C-9B80-90B8FADCA2A2"/><code code="93010" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="EKG"/><statusCode code="completed"/><effectiveTime value="20241211"/><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="C8270335-003B-489E-BC96-AAAB25252C41"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20210824"/><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="2.16.840.1.113883.19.5.9999.1393"/><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="F82DB97D-27CD-49FC-83A3-276204A1E46C"/><code code="J2930" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Solumedrol 125mg/2ml"/><statusCode code="completed"/><effectiveTime value="20220526"/><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 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code="completed"/><effectiveTime value="20241023"/><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="7ADB41FC-F902-43F7-ACB1-013D9ED74CEE"/><code code="90686" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Influenza virus vaccine"/><statusCode code="completed"/><effectiveTime value="20220209"/><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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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="29EEA3F9-6BA3-43B2-98DE-688918976F1E"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott Binax Now Rapid COVID "/><statusCode code="completed"/><effectiveTime value="20210824"/><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="CDA0C357-AA7D-4C77-A9EC-9F0BF3BFC28C"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="AEDE7278-057F-4D02-9ABE-2650E7869BE9"/><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="20220106"/><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="0C43077A-F9AF-483E-BD6B-638BD688AFB8"/><code code="10165" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BASIC METABOLIC PANEL"/><statusCode code="completed"/><effectiveTime value="20220526"/><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="705D3BAD-959A-4190-9AB7-3F008D3CE2FE"/><code code="7065" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="VITAMIN B12/FOLATE  SERUM PANEL"/><statusCode code="completed"/><effectiveTime value="20211001"/><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 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="756CDDA0-2EB3-4483-9D49-8917124D9802"/><code code="8847" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="PROTHROMBIN TIME-INR"/><statusCode code="completed"/><effectiveTime value="20210910"/><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 = "immun2">COVID-19, mRNA, LNP-S, PF</td><td align="center">12/01/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">01/06/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun1">Influenza virus vaccine</td><td align="center">02/09/2022</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="CF3192A7-D117-4BD3-8F75-8A4C3803EB9C"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20211201"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="208" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="COVID-19, mRNA, LNP-S, PF"/><lotNumberText>FC3184</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>Pfizer, Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Lindsey</given><family>Barton</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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></substanceAdministration></entry><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="11F5FC06-8AFB-43AB-BAE9-32A99ABB2EB5"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20220106"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="208" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="COVID-19, mRNA, LNP-S, PF"/><lotNumberText>FC3184</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>Pfizer, Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Lindsey</given><family>Barton</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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></substanceAdministration></entry><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="6B9BABDD-53E8-44F5-BDB2-36242754B8C1"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20220209"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="5.0000000e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="150" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="Influenza virus vaccine"/><lotNumberText>7R9NM</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>GlaxoSmithKline</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Lindsey</given><family>Barton</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4.1" 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">08/24/2021</td><td ID = "vital_1_height">163 cm</td><td ID = "vital_1_weight">91 kg</td><td ID = "vital_1_bmi">34.33</td><td ID = "vital_1_bp">160/100 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">84 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">09/01/2021</td><td ID = "vital_2_bp">152/88 mm[Hg]</td><td ID = "vital_2_temp">36 Cel</td><td ID = "vital_2_pulse">81 bpm</td><td ID = "vital_2_pulseox">93 pct</td><td ID = "vital_2_resp">29 bpm</td></tr><tr><td ID = "vital_3">09/10/2021</td><td ID = "vital_3_height">163 cm</td><td ID = "vital_3_weight">93 kg</td><td ID = "vital_3_bmi">35.01</td><td ID = "vital_3_bp">153/78 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">82 bpm</td><td ID = "vital_3_pulseox">97 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">10/01/2021</td><td ID = "vital_4_height">163 cm</td><td ID = "vital_4_weight">92 kg</td><td ID = "vital_4_bmi">34.91</td><td ID = "vital_4_bp">140/78 mm[Hg]</td><td ID = "vital_4_temp">36 Cel</td><td ID = "vital_4_pulse">85 bpm</td><td ID = "vital_4_pulseox">97 pct</td><td ID = "vital_4_resp">16 bpm</td></tr><tr><td ID = "vital_5">02/04/2022</td><td ID = "vital_5_height">163 cm</td><td ID = "vital_5_weight">94 kg</td><td ID = "vital_5_bmi">35.73</td><td ID = "vital_5_bp">160/73 mm[Hg]</td><td ID = "vital_5_temp">36 Cel</td><td ID = "vital_5_pulse">59 bpm</td><td ID = "vital_5_pulseox">98 pct</td><td ID = "vital_5_resp">16 bpm</td></tr><tr><td ID = "vital_6">04/21/2022</td><td ID = "vital_6_height">163 cm</td><td ID = "vital_6_weight">94 kg</td><td ID = "vital_6_bmi">35.42</td><td ID = "vital_6_bp">157/80 mm[Hg]</td><td ID = "vital_6_temp">36 Cel</td><td ID = "vital_6_pulse">76 bpm</td><td ID = "vital_6_pulseox">98 pct</td><td ID = "vital_6_resp">16 bpm</td></tr><tr><td ID = "vital_7">05/26/2022</td><td ID = "vital_7_height">163 cm</td><td ID = "vital_7_weight">94 kg</td><td ID = "vital_7_bmi">35.73</td><td ID = "vital_7_bp">162/69 mm[Hg]</td><td ID = "vital_7_temp">37 Cel</td><td ID = "vital_7_pulse">54 bpm</td><td ID = "vital_7_pulseox">99 pct</td><td ID = "vital_7_resp">15 bpm</td></tr><tr><td ID = "vital_8">08/11/2022</td><td ID = "vital_8_height">163 cm</td><td ID = "vital_8_weight">95 kg</td><td ID = "vital_8_bmi">35.99</td><td ID = "vital_8_bp">132/76 mm[Hg]</td><td ID = "vital_8_temp">36 Cel</td><td ID = "vital_8_pulse">92 bpm</td><td ID = "vital_8_pulseox">97 pct</td><td ID = "vital_8_resp">16 bpm</td></tr><tr><td ID = "vital_9">11/10/2022</td><td ID = "vital_9_height">163 cm</td><td ID = "vital_9_weight">93 kg</td><td ID = "vital_9_bmi">35.34</td><td ID = "vital_9_bp">130/74 mm[Hg]</td><td ID = "vital_9_temp">36 Cel</td><td ID = "vital_9_pulse">76 bpm</td><td ID = "vital_9_pulseox">97 pct</td><td ID = "vital_9_resp">16 bpm</td></tr><tr><td ID = "vital_10">10/23/2024</td><td ID = "vital_10_height">157 cm</td><td ID = "vital_10_weight">93 kg</td><td ID = "vital_10_bmi">37.51</td><td ID = "vital_10_bp">159/67 mm[Hg]</td><td ID = "vital_10_temp">36 Cel</td><td ID = "vital_10_pulse">64 bpm</td><td ID = "vital_10_pulseox">98 pct</td><td ID = "vital_10_resp">16 bpm</td></tr><tr><td ID = "vital_11">12/11/2024</td><td ID = "vital_11_weight">93 kg</td><td ID = "vital_11_bp">194/78 mm[Hg]</td><td ID = "vital_11_temp">36 Cel</td><td ID = 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root="4099337C-EA2B-48ED-BEBA-3C037187A9A9"/><code code="8867-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pulse"/><text><reference value="#vital_11_pulse"/></text><statusCode code="completed"/><effectiveTime value="20241211"/><value xsi:type="PQ" value="45" 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="20260716154120-0500"/><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="A4C42DC8-882E-4A2B-BFE8-9EC9CE8554EA"/><code code="59408-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PulseOx"/><text><reference value="#vital_11_pulseox"/></text><statusCode code="completed"/><effectiveTime value="20241211"/><value xsi:type="PQ" value="99" 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="20260716154120-0500"/><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="C88803D6-DE6C-4BB9-B4AB-75B0D52898D9"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_11_resp"/></text><statusCode code="completed"/><effectiveTime value="20241211"/><value xsi:type="PQ" value="16" 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="20260716154120-0500"/><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">09/01/2021</td></tr><tr><td ID="result2">Leukocytes-Urine</td><td>Negative</td><td align="center">05/26/2022</td></tr><tr><td ID="result3">Urobilinogen-Urine</td><td>Negative</td><td align="center">09/01/2021</td></tr><tr><td ID="result4">Urobilinogen-Urine</td><td>Negative</td><td align="center">05/26/2022</td></tr><tr><td ID="result5">Protein [Mass/Volume] in Urine by Test strip</td><td>Positive mg/dL</td><td align="center">09/01/2021</td></tr><tr><td ID="result6">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">05/26/2022</td></tr><tr><td ID="result7">pH of Urine by Test strip</td><td>5 [pH]</td><td align="center">09/01/2021</td></tr><tr><td ID="result8">pH of Urine by Test strip</td><td>5 [pH]</td><td align="center">05/26/2022</td></tr><tr><td ID="result9">Blood-Urine</td><td>Positive</td><td align="center">09/01/2021</td></tr><tr><td ID="result10">Blood-Urine</td><td>Negative</td><td align="center">05/26/2022</td></tr><tr><td ID="result11">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">09/01/2021</td></tr><tr><td ID="result12">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">05/26/2022</td></tr><tr><td ID="result13">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">09/01/2021</td></tr><tr><td ID="result14">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">05/26/2022</td></tr><tr><td ID="result15">Specific Gravity of Urine by Test strip</td><td>1.015</td><td align="center">09/01/2021</td></tr><tr><td ID="result16">Specific Gravity of Urine by Test strip</td><td>1.010</td><td align="center">05/26/2022</td></tr><tr><td ID="result17">Bilirubin-Urine</td><td>Negative</td><td align="center">09/01/2021</td></tr><tr><td ID="result18">Bilirubin-Urine</td><td>Negative</td><td align="center">05/26/2022</td></tr><tr><td ID="result19">Nitrites-Urine</td><td>Negative</td><td align="center">09/01/2021</td></tr><tr><td ID="result20">Nitrites-Urine</td><td>Negative</td><td align="center">05/26/2022</td></tr><tr><td ID="result21">Appearance of Urine</td><td>clear</td><td align="center">09/01/2021</td></tr><tr><td ID="result22">Appearance of Urine</td><td>clear</td><td align="center">05/26/2022</td></tr><tr><td ID="result23">Color of Urine</td><td>yellow</td><td align="center">09/01/2021</td></tr><tr><td ID="result24">Color of Urine</td><td>pale yellow</td><td align="center">05/26/2022</td></tr><tr><td ID="result25">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">05/26/2022</td></tr><tr><td ID="result26">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">10/23/2024</td></tr><tr><td ID="result27">EKG</td><td>Yes</td><td align="center">05/26/2022</td></tr><tr><td ID="result28">EKG</td><td>Yes</td><td align="center">10/23/2024</td></tr><tr><td ID="result29">EKG</td><td>Yes</td><td align="center">12/11/2024</td></tr><tr><td ID="result30">COVID Rapid Testing</td><td>Negative</td><td align="center">10/23/2024</td></tr><tr><td ID="result31">GLUCOSE</td><td>88</td><td align="center">10/24/2024</td></tr><tr><td ID="result32">UREA NITROGEN (BUN)</td><td>10</td><td align="center">10/24/2024</td></tr><tr><td ID="result33">CREATININE</td><td>0.87</td><td align="center">10/24/2024</td></tr><tr><td ID="result34">EGFR</td><td>75</td><td align="center">10/24/2024</td></tr><tr><td ID="result35">BUN/CREATININE RATIO</td><td>SEE NOTE:</td><td align="center">10/24/2024</td></tr><tr><td ID="result36">SODIUM</td><td>138</td><td align="center">10/24/2024</td></tr><tr><td ID="result37">POTASSIUM</td><td>3.4</td><td align="center">10/24/2024</td></tr><tr><td ID="result38">CHLORIDE</td><td>100</td><td align="center">10/24/2024</td></tr><tr><td ID="result39">CARBON DIOXIDE</td><td>28</td><td align="center">10/24/2024</td></tr><tr><td ID="result40">CALCIUM</td><td>9.3</td><td align="center">10/24/2024</td></tr><tr><td ID="result41">PROTEIN, TOTAL</td><td>8.0</td><td align="center">10/24/2024</td></tr><tr><td ID="result42">ALBUMIN</td><td>4.4</td><td align="center">10/24/2024</td></tr><tr><td ID="result43">GLOBULIN</td><td>3.6</td><td align="center">10/24/2024</td></tr><tr><td ID="result44">ALBUMIN/GLOBULIN RATIO</td><td>1.2</td><td align="center">10/24/2024</td></tr><tr><td ID="result45">BILIRUBIN, TOTAL</td><td>0.8</td><td align="center">10/24/2024</td></tr><tr><td ID="result46">ALKALINE PHOSPHATASE</td><td>94</td><td align="center">10/24/2024</td></tr><tr><td ID="result47">AST</td><td>18</td><td align="center">10/24/2024</td></tr><tr><td ID="result48">ALT</td><td>21</td><td align="center">10/24/2024</td></tr><tr><td ID="result49">WHITE BLOOD CELL COUNT</td><td>6.9</td><td align="center">10/24/2024</td></tr><tr><td ID="result50">RED BLOOD CELL COUNT</td><td>4.52</td><td align="center">10/24/2024</td></tr><tr><td ID="result51">HEMOGLOBIN</td><td>10.7</td><td align="center">10/24/2024</td></tr><tr><td ID="result52">HEMATOCRIT</td><td>30.2</td><td align="center">10/24/2024</td></tr><tr><td ID="result53">MCV</td><td>66.8</td><td align="center">10/24/2024</td></tr><tr><td ID="result54">MCH</td><td>23.7</td><td align="center">10/24/2024</td></tr><tr><td ID="result55">MCHC</td><td>35.4</td><td align="center">10/24/2024</td></tr><tr><td ID="result56">RDW</td><td>19.1</td><td align="center">10/24/2024</td></tr><tr><td ID="result57">PLATELET COUNT</td><td>328</td><td align="center">10/24/2024</td></tr><tr><td ID="result58">MPV</td><td>11.0</td><td align="center">10/24/2024</td></tr><tr><td ID="result59">ABSOLUTE NEUTROPHILS</td><td>4195</td><td align="center">10/24/2024</td></tr><tr><td ID="result60">ABSOLUTE LYMPHOCYTES</td><td>2194</td><td align="center">10/24/2024</td></tr><tr><td ID="result61">ABSOLUTE MONOCYTES</td><td>421</td><td align="center">10/24/2024</td></tr><tr><td ID="result62">ABSOLUTE EOSINOPHILS</td><td>48</td><td align="center">10/24/2024</td></tr><tr><td ID="result63">ABSOLUTE BASOPHILS</td><td>41</td><td align="center">10/24/2024</td></tr><tr><td ID="result64">NEUTROPHILS</td><td>60.8</td><td align="center">10/24/2024</td></tr><tr><td ID="result65">LYMPHOCYTES</td><td>31.8</td><td align="center">10/24/2024</td></tr><tr><td ID="result66">MONOCYTES</td><td>6.1</td><td align="center">10/24/2024</td></tr><tr><td ID="result67">EOSINOPHILS</td><td>0.7</td><td align="center">10/24/2024</td></tr><tr><td ID="result68">BASOPHILS</td><td>0.6</td><td align="center">10/24/2024</td></tr><tr><td ID="result70">GLUCOSE</td><td>85</td><td align="center">05/27/2022</td></tr><tr><td ID="result71">UREA NITROGEN (BUN)</td><td>13</td><td align="center">05/27/2022</td></tr><tr><td ID="result72">CREATININE</td><td>0.88</td><td align="center">05/27/2022</td></tr><tr><td ID="result73">EGFR NON-AFR. AMERICAN</td><td>71</td><td align="center">05/27/2022</td></tr><tr><td ID="result74">EGFR AFRICAN AMERICAN</td><td>82</td><td align="center">05/27/2022</td></tr><tr><td ID="result75">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">05/27/2022</td></tr><tr><td ID="result76">SODIUM</td><td>139</td><td align="center">05/27/2022</td></tr><tr><td ID="result77">POTASSIUM</td><td>3.9</td><td align="center">05/27/2022</td></tr><tr><td ID="result78">CHLORIDE</td><td>101</td><td align="center">05/27/2022</td></tr><tr><td ID="result79">CARBON DIOXIDE</td><td>30</td><td align="center">05/27/2022</td></tr><tr><td ID="result80">CALCIUM</td><td>9.9</td><td align="center">05/27/2022</td></tr><tr><td ID="result81">WHITE BLOOD CELL COUNT</td><td>5.1</td><td align="center">05/27/2022</td></tr><tr><td ID="result82">RED BLOOD CELL COUNT</td><td>4.89</td><td align="center">05/27/2022</td></tr><tr><td ID="result83">HEMOGLOBIN</td><td>10.1</td><td align="center">05/27/2022</td></tr><tr><td ID="result84">HEMATOCRIT</td><td>31.6</td><td align="center">05/27/2022</td></tr><tr><td ID="result85">MCV</td><td>64.6</td><td align="center">05/27/2022</td></tr><tr><td ID="result86">MCH</td><td>20.7</td><td align="center">05/27/2022</td></tr><tr><td ID="result87">MCHC</td><td>32.0</td><td align="center">05/27/2022</td></tr><tr><td ID="result88">RDW</td><td>19.2</td><td align="center">05/27/2022</td></tr><tr><td ID="result89">PLATELET COUNT</td><td>304</td><td align="center">05/27/2022</td></tr><tr><td ID="result90">MPV</td><td>10.8</td><td align="center">05/27/2022</td></tr><tr><td ID="result91">ABSOLUTE NEUTROPHILS</td><td>2841</td><td align="center">05/27/2022</td></tr><tr><td ID="result92">ABSOLUTE LYMPHOCYTES</td><td>1846</td><td align="center">05/27/2022</td></tr><tr><td ID="result93">ABSOLUTE MONOCYTES</td><td>332</td><td align="center">05/27/2022</td></tr><tr><td ID="result94">ABSOLUTE EOSINOPHILS</td><td>51</td><td align="center">05/27/2022</td></tr><tr><td ID="result95">ABSOLUTE BASOPHILS</td><td>31</td><td align="center">05/27/2022</td></tr><tr><td ID="result96">NEUTROPHILS</td><td>55.7</td><td align="center">05/27/2022</td></tr><tr><td ID="result97">LYMPHOCYTES</td><td>36.2</td><td align="center">05/27/2022</td></tr><tr><td ID="result98">MONOCYTES</td><td>6.5</td><td align="center">05/27/2022</td></tr><tr><td ID="result99">EOSINOPHILS</td><td>1.0</td><td align="center">05/27/2022</td></tr><tr><td ID="result100">BASOPHILS</td><td>0.6</td><td align="center">05/27/2022</td></tr><tr><td ID="result102">CHOLESTEROL, TOTAL</td><td>186</td><td align="center">02/05/2022</td></tr><tr><td ID="result103">HDL CHOLESTEROL</td><td>47</td><td align="center">02/05/2022</td></tr><tr><td ID="result104">TRIGLYCERIDES</td><td>92</td><td align="center">02/05/2022</td></tr><tr><td ID="result105">LDL-CHOLESTEROL</td><td>119</td><td align="center">02/05/2022</td></tr><tr><td ID="result106">CHOL/HDLC RATIO</td><td>4.0</td><td align="center">02/05/2022</td></tr><tr><td ID="result107">NON HDL CHOLESTEROL</td><td>139</td><td align="center">02/05/2022</td></tr><tr><td ID="result108">GLUCOSE</td><td>90</td><td align="center">02/05/2022</td></tr><tr><td ID="result109">UREA NITROGEN (BUN)</td><td>16</td><td align="center">02/05/2022</td></tr><tr><td ID="result110">CREATININE</td><td>0.81</td><td align="center">02/05/2022</td></tr><tr><td ID="result111">EGFR NON-AFR. AMERICAN</td><td>79</td><td align="center">02/05/2022</td></tr><tr><td ID="result112">EGFR AFRICAN AMERICAN</td><td>91</td><td align="center">02/05/2022</td></tr><tr><td ID="result113">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">02/05/2022</td></tr><tr><td ID="result114">SODIUM</td><td>138</td><td align="center">02/05/2022</td></tr><tr><td ID="result115">POTASSIUM</td><td>3.9</td><td align="center">02/05/2022</td></tr><tr><td ID="result116">CHLORIDE</td><td>101</td><td align="center">02/05/2022</td></tr><tr><td ID="result117">CARBON DIOXIDE</td><td>29</td><td align="center">02/05/2022</td></tr><tr><td ID="result118">CALCIUM</td><td>9.6</td><td align="center">02/05/2022</td></tr><tr><td ID="result119">PROTEIN, TOTAL</td><td>7.9</td><td align="center">02/05/2022</td></tr><tr><td ID="result120">ALBUMIN</td><td>4.3</td><td align="center">02/05/2022</td></tr><tr><td ID="result121">GLOBULIN</td><td>3.6</td><td align="center">02/05/2022</td></tr><tr><td ID="result122">ALBUMIN/GLOBULIN RATIO</td><td>1.2</td><td align="center">02/05/2022</td></tr><tr><td ID="result123">BILIRUBIN, TOTAL</td><td>0.7</td><td align="center">02/05/2022</td></tr><tr><td ID="result124">ALKALINE PHOSPHATASE</td><td>89</td><td align="center">02/05/2022</td></tr><tr><td ID="result125">AST</td><td>18</td><td align="center">02/05/2022</td></tr><tr><td ID="result126">ALT</td><td>15</td><td align="center">02/05/2022</td></tr><tr><td ID="result127">TSH</td><td>1.50</td><td align="center">02/05/2022</td></tr><tr><td ID="result128">WHITE BLOOD CELL COUNT</td><td>4.7</td><td align="center">02/05/2022</td></tr><tr><td ID="result129">RED BLOOD CELL COUNT</td><td>4.81</td><td align="center">02/05/2022</td></tr><tr><td ID="result130">HEMOGLOBIN</td><td>9.9</td><td align="center">02/05/2022</td></tr><tr><td ID="result131">HEMATOCRIT</td><td>30.8</td><td align="center">02/05/2022</td></tr><tr><td ID="result132">MCV</td><td>64.0</td><td align="center">02/05/2022</td></tr><tr><td ID="result133">MCH</td><td>20.6</td><td align="center">02/05/2022</td></tr><tr><td ID="result134">MCHC</td><td>32.1</td><td align="center">02/05/2022</td></tr><tr><td ID="result135">RDW</td><td>18.7</td><td align="center">02/05/2022</td></tr><tr><td ID="result136">PLATELET COUNT</td><td>313</td><td align="center">02/05/2022</td></tr><tr><td ID="result137">MPV</td><td>11.1</td><td align="center">02/05/2022</td></tr><tr><td ID="result138">ABSOLUTE NEUTROPHILS</td><td>2016</td><td align="center">02/05/2022</td></tr><tr><td ID="result139">ABSOLUTE LYMPHOCYTES</td><td>2106</td><td align="center">02/05/2022</td></tr><tr><td ID="result140">ABSOLUTE MONOCYTES</td><td>442</td><td align="center">02/05/2022</td></tr><tr><td ID="result141">ABSOLUTE EOSINOPHILS</td><td>108</td><td align="center">02/05/2022</td></tr><tr><td ID="result142">ABSOLUTE BASOPHILS</td><td>28</td><td align="center">02/05/2022</td></tr><tr><td ID="result143">NEUTROPHILS</td><td>42.9</td><td align="center">02/05/2022</td></tr><tr><td ID="result144">LYMPHOCYTES</td><td>44.8</td><td align="center">02/05/2022</td></tr><tr><td ID="result145">MONOCYTES</td><td>9.4</td><td align="center">02/05/2022</td></tr><tr><td ID="result146">EOSINOPHILS</td><td>2.3</td><td align="center">02/05/2022</td></tr><tr><td ID="result147">BASOPHILS</td><td>0.6</td><td align="center">02/05/2022</td></tr><tr><td ID="result149">GLUCOSE</td><td>99</td><td align="center">10/07/2021</td></tr><tr><td ID="result150">UREA NITROGEN (BUN)</td><td>13</td><td align="center">10/07/2021</td></tr><tr><td ID="result151">CREATININE</td><td>0.87</td><td align="center">10/07/2021</td></tr><tr><td ID="result152">EGFR NON-AFR. AMERICAN</td><td>72</td><td align="center">10/07/2021</td></tr><tr><td ID="result153">EGFR AFRICAN AMERICAN</td><td>84</td><td align="center">10/07/2021</td></tr><tr><td ID="result154">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">10/07/2021</td></tr><tr><td ID="result155">SODIUM</td><td>141</td><td align="center">10/07/2021</td></tr><tr><td ID="result156">POTASSIUM</td><td>3.4</td><td align="center">10/07/2021</td></tr><tr><td ID="result157">CHLORIDE</td><td>101</td><td align="center">10/07/2021</td></tr><tr><td ID="result158">CARBON DIOXIDE</td><td>25</td><td align="center">10/07/2021</td></tr><tr><td ID="result159">CALCIUM</td><td>10.5</td><td align="center">10/07/2021</td></tr><tr><td ID="result160">PROTEIN, TOTAL</td><td>7.4</td><td align="center">10/07/2021</td></tr><tr><td ID="result161">ALBUMIN</td><td>4.2</td><td align="center">10/07/2021</td></tr><tr><td ID="result162">GLOBULIN</td><td>3.2</td><td align="center">10/07/2021</td></tr><tr><td ID="result163">ALBUMIN/GLOBULIN RATIO</td><td>1.3</td><td align="center">10/07/2021</td></tr><tr><td ID="result164">BILIRUBIN, TOTAL</td><td>0.5</td><td align="center">10/07/2021</td></tr><tr><td ID="result165">ALKALINE PHOSPHATASE</td><td>85</td><td align="center">10/07/2021</td></tr><tr><td ID="result166">AST</td><td>25</td><td align="center">10/07/2021</td></tr><tr><td ID="result167">ALT</td><td>21</td><td align="center">10/07/2021</td></tr><tr><td ID="result168">WHITE BLOOD CELL COUNT</td><td>5.2</td><td align="center">10/07/2021</td></tr><tr><td ID="result169">RED BLOOD CELL COUNT</td><td>4.89</td><td align="center">10/07/2021</td></tr><tr><td ID="result170">HEMOGLOBIN</td><td>9.3</td><td align="center">10/07/2021</td></tr><tr><td ID="result171">HEMATOCRIT</td><td>31.0</td><td align="center">10/07/2021</td></tr><tr><td ID="result172">MCV</td><td>63.4</td><td align="center">10/07/2021</td></tr><tr><td ID="result173">MCH</td><td>19.0</td><td align="center">10/07/2021</td></tr><tr><td ID="result174">MCHC</td><td>30.0</td><td align="center">10/07/2021</td></tr><tr><td ID="result175">RDW</td><td>19.7</td><td align="center">10/07/2021</td></tr><tr><td ID="result176">PLATELET COUNT</td><td>379</td><td align="center">10/07/2021</td></tr><tr><td ID="result177">MPV</td><td>11.1</td><td align="center">10/07/2021</td></tr><tr><td ID="result178">ABSOLUTE NEUTROPHILS</td><td>2787</td><td align="center">10/07/2021</td></tr><tr><td ID="result179">ABSOLUTE LYMPHOCYTES</td><td>1934</td><td align="center">10/07/2021</td></tr><tr><td ID="result180">ABSOLUTE MONOCYTES</td><td>380</td><td align="center">10/07/2021</td></tr><tr><td ID="result181">ABSOLUTE EOSINOPHILS</td><td>68</td><td align="center">10/07/2021</td></tr><tr><td ID="result182">ABSOLUTE BASOPHILS</td><td>31</td><td align="center">10/07/2021</td></tr><tr><td ID="result183">NEUTROPHILS</td><td>53.6</td><td align="center">10/07/2021</td></tr><tr><td ID="result184">LYMPHOCYTES</td><td>37.2</td><td align="center">10/07/2021</td></tr><tr><td ID="result185">MONOCYTES</td><td>7.3</td><td align="center">10/07/2021</td></tr><tr><td ID="result186">EOSINOPHILS</td><td>1.3</td><td align="center">10/07/2021</td></tr><tr><td ID="result187">BASOPHILS</td><td>0.6</td><td align="center">10/07/2021</td></tr><tr><td ID="result189">IRON, TOTAL</td><td>67</td><td align="center">10/07/2021</td></tr><tr><td ID="result190">IRON BINDING CAPACITY</td><td>314</td><td align="center">10/07/2021</td></tr><tr><td ID="result191">% SATURATION</td><td>21</td><td align="center">10/07/2021</td></tr><tr><td ID="result192">FERRITIN</td><td>337</td><td align="center">10/07/2021</td></tr><tr><td ID="result193">VITAMIN B12</td><td>1374</td><td align="center">10/07/2021</td></tr><tr><td ID="result194">FOLATE, SERUM</td><td>17.9</td><td align="center">10/07/2021</td></tr><tr><td ID="result195">TEST NAME:</td><td>FERRITIN IRON AND TOTAL IRON</td><td align="center">10/07/2021</td></tr><tr><td ID="result196">TEST CODE:</td><td>457</td><td align="center">10/07/2021</td></tr><tr><td ID="result197">CLIENT CONTACT:</td><td>MIRANDA BICKNELL</td><td align="center">10/07/2021</td></tr><tr><td ID="result199">GLUCOSE</td><td>99</td><td align="center">10/03/2021</td></tr><tr><td ID="result200">UREA NITROGEN (BUN)</td><td>13</td><td align="center">10/03/2021</td></tr><tr><td ID="result201">CREATININE</td><td>0.87</td><td align="center">10/03/2021</td></tr><tr><td ID="result202">EGFR NON-AFR. AMERICAN</td><td>72</td><td align="center">10/03/2021</td></tr><tr><td ID="result203">EGFR AFRICAN AMERICAN</td><td>84</td><td align="center">10/03/2021</td></tr><tr><td ID="result204">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">10/03/2021</td></tr><tr><td ID="result205">SODIUM</td><td>141</td><td align="center">10/03/2021</td></tr><tr><td ID="result206">POTASSIUM</td><td>3.4</td><td align="center">10/03/2021</td></tr><tr><td ID="result207">CHLORIDE</td><td>101</td><td align="center">10/03/2021</td></tr><tr><td ID="result208">CARBON DIOXIDE</td><td>25</td><td align="center">10/03/2021</td></tr><tr><td ID="result209">CALCIUM</td><td>10.5</td><td align="center">10/03/2021</td></tr><tr><td ID="result210">PROTEIN, TOTAL</td><td>7.4</td><td align="center">10/03/2021</td></tr><tr><td ID="result211">ALBUMIN</td><td>4.2</td><td align="center">10/03/2021</td></tr><tr><td ID="result212">GLOBULIN</td><td>3.2</td><td align="center">10/03/2021</td></tr><tr><td ID="result213">ALBUMIN/GLOBULIN RATIO</td><td>1.3</td><td align="center">10/03/2021</td></tr><tr><td ID="result214">BILIRUBIN, TOTAL</td><td>0.5</td><td align="center">10/03/2021</td></tr><tr><td ID="result215">ALKALINE PHOSPHATASE</td><td>85</td><td align="center">10/03/2021</td></tr><tr><td ID="result216">AST</td><td>25</td><td align="center">10/03/2021</td></tr><tr><td ID="result217">ALT</td><td>21</td><td align="center">10/03/2021</td></tr><tr><td ID="result218">WHITE BLOOD CELL COUNT</td><td>5.2</td><td align="center">10/03/2021</td></tr><tr><td ID="result219">RED BLOOD CELL COUNT</td><td>4.89</td><td align="center">10/03/2021</td></tr><tr><td ID="result220">HEMOGLOBIN</td><td>9.3</td><td align="center">10/03/2021</td></tr><tr><td ID="result221">HEMATOCRIT</td><td>31.0</td><td align="center">10/03/2021</td></tr><tr><td ID="result222">MCV</td><td>63.4</td><td align="center">10/03/2021</td></tr><tr><td ID="result223">MCH</td><td>19.0</td><td align="center">10/03/2021</td></tr><tr><td ID="result224">MCHC</td><td>30.0</td><td align="center">10/03/2021</td></tr><tr><td ID="result225">RDW</td><td>19.7</td><td align="center">10/03/2021</td></tr><tr><td ID="result226">PLATELET COUNT</td><td>379</td><td align="center">10/03/2021</td></tr><tr><td ID="result227">MPV</td><td>11.1</td><td align="center">10/03/2021</td></tr><tr><td ID="result228">ABSOLUTE NEUTROPHILS</td><td>2787</td><td align="center">10/03/2021</td></tr><tr><td ID="result229">ABSOLUTE LYMPHOCYTES</td><td>1934</td><td align="center">10/03/2021</td></tr><tr><td ID="result230">ABSOLUTE MONOCYTES</td><td>380</td><td align="center">10/03/2021</td></tr><tr><td ID="result231">ABSOLUTE EOSINOPHILS</td><td>68</td><td align="center">10/03/2021</td></tr><tr><td ID="result232">ABSOLUTE BASOPHILS</td><td>31</td><td align="center">10/03/2021</td></tr><tr><td ID="result233">NEUTROPHILS</td><td>53.6</td><td align="center">10/03/2021</td></tr><tr><td ID="result234">LYMPHOCYTES</td><td>37.2</td><td align="center">10/03/2021</td></tr><tr><td ID="result235">MONOCYTES</td><td>7.3</td><td align="center">10/03/2021</td></tr><tr><td ID="result236">EOSINOPHILS</td><td>1.3</td><td align="center">10/03/2021</td></tr><tr><td ID="result237">BASOPHILS</td><td>0.6</td><td align="center">10/03/2021</td></tr><tr><td ID="result239">VITAMIN B12</td><td>1374</td><td align="center">10/03/2021</td></tr><tr><td ID="result240">FOLATE, SERUM</td><td>17.9</td><td align="center">10/03/2021</td></tr><tr><td ID="result241">INR</td><td>1.0</td><td align="center">09/11/2021</td></tr><tr><td ID="result242">PT</td><td>10.2</td><td align="center">09/11/2021</td></tr><tr><td ID="result243">WHITE BLOOD CELL COUNT</td><td>11.5</td><td align="center">09/11/2021</td></tr><tr><td ID="result244">RED BLOOD CELL COUNT</td><td>5.27</td><td align="center">09/11/2021</td></tr><tr><td ID="result245">HEMOGLOBIN</td><td>10.0</td><td align="center">09/11/2021</td></tr><tr><td ID="result246">HEMATOCRIT</td><td>32.8</td><td align="center">09/11/2021</td></tr><tr><td ID="result247">MCV</td><td>62.2</td><td align="center">09/11/2021</td></tr><tr><td ID="result248">MCH</td><td>19.0</td><td align="center">09/11/2021</td></tr><tr><td ID="result249">MCHC</td><td>30.5</td><td align="center">09/11/2021</td></tr><tr><td ID="result250">RDW</td><td>19.2</td><td align="center">09/11/2021</td></tr><tr><td ID="result251">PLATELET COUNT</td><td>388</td><td align="center">09/11/2021</td></tr><tr><td ID="result252">MPV</td><td>10.1</td><td align="center">09/11/2021</td></tr><tr><td ID="result253">ABSOLUTE NEUTROPHILS</td><td>8165</td><td align="center">09/11/2021</td></tr><tr><td ID="result254">ABSOLUTE LYMPHOCYTES</td><td>2645</td><td align="center">09/11/2021</td></tr><tr><td ID="result255">ABSOLUTE MONOCYTES</td><td>690</td><td align="center">09/11/2021</td></tr><tr><td ID="result256">ABSOLUTE EOSINOPHILS</td><td>0</td><td align="center">09/11/2021</td></tr><tr><td ID="result257">ABSOLUTE BASOPHILS</td><td>0</td><td align="center">09/11/2021</td></tr><tr><td ID="result258">NEUTROPHILS</td><td>71.0</td><td align="center">09/11/2021</td></tr><tr><td ID="result259">LYMPHOCYTES</td><td>23.0</td><td align="center">09/11/2021</td></tr><tr><td ID="result260">MONOCYTES</td><td>6.0</td><td align="center">09/11/2021</td></tr><tr><td ID="result261">EOSINOPHILS</td><td>0</td><td align="center">09/11/2021</td></tr><tr><td ID="result262">BASOPHILS</td><td>0</td><td align="center">09/11/2021</td></tr><tr><td ID="result265">D-DIMER, QUANTITATIVE</td><td>3.63</td><td align="center">09/11/2021</td></tr><tr><td ID="result267">SPECIMEN TYPE RECEIVED</td><td>Serum Separator (SST)</td><td align="center">09/11/2021</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" 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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="2955B391-C231-4B95-B5D1-76DDC1609935"/><code code="13658-0" displayName="Urobilinogen-Urine" 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="20210901"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="69DA0E8F-F68E-449E-96DF-A72F1FDDCA06"/><code code="13658-0" displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220526"/><high value="20220526"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="25D57F76-10ED-4CC0-BB01-398830CEDD74"/><code code="13658-0" displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result4"/></originalText></code><text><reference value="#result4"/></text><statusCode code="completed"/><effectiveTime value="20220526"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="DDC9E136-4D29-4D2E-A594-DF5B5CDAFED4"/><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="20210901"/><high value="20210901"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="272680C5-87FF-4EB3-8596-EADD329B5CE8"/><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="#result5"/></originalText></code><text><reference value="#result5"/></text><statusCode code="completed"/><effectiveTime value="20210901"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="42893051-544B-46AA-8C3A-BC3AD98DDA5D"/><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="20220526"/><high value="20220526"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="F5A03CD7-7507-4949-964A-835598645E1D"/><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="#result6"/></originalText></code><text><reference value="#result6"/></text><statusCode code="completed"/><effectiveTime value="20220526"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="BCAC36B6-44E9-4CF8-A588-9FAB796E215D"/><code code="5794-3" displayName="Blood-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20210901"/><high value="20210901"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="A959C778-9ED3-4DE8-ADFC-DC2D5AE4DDB6"/><code code="5794-3" displayName="Blood-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="20210901"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="255DBE5A-7B90-42E3-A77B-46368DF1FB8E"/><code code="5794-3" displayName="Blood-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220526"/><high value="20220526"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="A79A97FF-04D0-4BF9-B330-C14C701E6B42"/><code code="5794-3" displayName="Blood-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result10"/></originalText></code><text><reference value="#result10"/></text><statusCode code="completed"/><effectiveTime value="20220526"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="99E2DED2-DB97-4440-97CD-570CAA715394"/><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="20210901"/><high value="20210901"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="B797052D-678E-4D0D-A493-B27DC9DD9DB7"/><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="#result11"/></originalText></code><text><reference value="#result11"/></text><statusCode code="completed"/><effectiveTime value="20210901"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="1AEEAD91-2AED-47E2-8DF3-336B12C532BB"/><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="20220526"/><high value="20220526"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="70B0220C-D67E-463E-ADB1-337A5211A8B2"/><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="#result12"/></originalText></code><text><reference value="#result12"/></text><statusCode code="completed"/><effectiveTime value="20220526"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="640138C3-D645-4FC7-BA21-35B28FBBDD3F"/><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="20210901"/><high value="20210901"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="F15029D3-D5D7-455D-825D-E46C7F4736CE"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result13"/></originalText></code><text><reference value="#result13"/></text><statusCode code="completed"/><effectiveTime value="20210901"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="7A552D3C-D90A-482D-850E-3BD9913E1250"/><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="20220526"/><high value="20220526"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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="A497B978-599D-45F7-B391-FFA93531DF21"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result14"/></originalText></code><text><reference value="#result14"/></text><statusCode code="completed"/><effectiveTime value="20220526"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time 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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="D6D28A26-2620-49A8-8AA9-A159C290C7AE"/><code code="86026736" displayName="SPECIMEN TYPE RECEIVED" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result267"/></originalText></code><text><reference value="#result267"/></text><statusCode code="completed"/><effectiveTime value="20210911"/><value xsi:type="ST">Serum Separator (SST)</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716154120-0500"/><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-MRI L-spine and C-spine w/o contrast</td><td align="center">February 25, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-MRI L-spine and C-spine w/o contrast</td><td align="center">February 25, 2022</td></tr><tr><td>REFERRAL</td><td> Baptist Breast Health</td><td align="center">April 01, 2022</td></tr><tr><td>REFERRAL</td><td>Dr. Mark Anderson</td><td align="center">July 07, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 15, 2022</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">February 11, 2025</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">February 11, 2025</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">February 11, 2025</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">February 11, 2025</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">February 04, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">February 04, 2022</td></tr><tr><td>REFERRAL</td><td> Baptist Breast Health</td><td align="center">February 04, 2022</td></tr><tr><td>REFERRAL</td><td>Dr. Mark Anderson</td><td align="center">February 04, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 10, 2022</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">December 11, 2024</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">December 11, 2024</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">December 11, 2024</td></tr><tr><td>REFERRAL</td><td> Montgomery Cardiovascular Associates </td><td align="center">December 11, 2024</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="32ABA33F-6B0F-47B1-AAD4-0F9D16EE2EA6"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center-MRI L-spine and C-spine 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="D24DBBEA-FDF1-49A9-9814-4743B10E4E93"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center-MRI L-spine and C-spine 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="8941B357-CB34-46B3-9895-44F5E08C14B1"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Baptist Breast Health</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="22BE083E-0B09-4CCF-AAE2-F3B818FF830C"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Mark Anderson</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="03EDFEA7-FCC9-4331-A8A9-F026A74FDE1A"/><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="C6F730FB-ABFB-4100-9695-643BB99D82D8"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </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="C5EA3749-5D76-4133-8D0D-C202F253F92A"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </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="6778167F-505F-4D7F-BA4B-FCDF6F135179"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </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="96D047ED-639B-4BA1-9E94-D031B661615E"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </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="78F64F78-C3C3-4877-BEF1-996C04F1E7A2"/><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="E8F2D322-20B6-42E9-8A7F-BCE5DC1F4358"/><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="8D488550-4CC9-4014-81BF-0B0B4476DEB7"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Baptist Breast Health</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="41ED4188-2994-4B8F-9217-53E2DF434D05"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Mark Anderson</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="283C9735-5E63-4079-8ED5-1A734571E5A3"/><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="7F013343-9DAB-439A-89E9-14C7EC4C525C"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </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="EB02CA04-C49D-4997-8F20-6788F24C3E1A"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </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="2DCBA327-39DE-4F92-9317-AC7B8AD36945"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </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="89FC10B9-5688-4D2E-A6BE-592C73F75D6D"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Montgomery Cardiovascular Associates </text><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.60"/><code code="61146-7" 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 root="2.16.840.1.113883.10.20.22.2.45"/><code code = "69730-0" codeSystem = "2.16.840.1.113883.6.1"/><title>INSTRUCTIONS</title><text>No Known Instructions/Patient Education</text><entry><act classCode="ACT" moodCode="INT" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.20"/><code code = "311401005" codeSystem = "2.16.840.1.113883.6.96"/><statusCode code = "completed"/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.17"/><code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/><title>SOCIAL HISTORY</title><text>No Social History Selected to be Displayed</text><entry typeCode="DRIV"><observation classCode="OBS" moodCode ="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2014-06-09"/><id root="AA4F7677-ED64-4B17-AE4B-D65BC835ABA9"/><code code="11367-0" codeSystem="2.16.840.1.113883.6.1"/><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.14"/><code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/><title>FUNCTIONAL STATUS</title><text>No information</text></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" /><code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" /><title>MENTAL STATUS</title><text>No information</text></section></component></structuredBody> </component></ClinicalDocument>