2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]
09/24/2021
as directed
Active
omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]
09/24/2021
once daily
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

WELL VISIT NEW 18-39 YRS.
Maranda Fain
Auburn Montgomery Warhawk Health Services
Sep 24, 20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

STREP A, [LOINC: 18481-2]
11/19/2021
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
09/24/2021
INFLUENZA Rapid Test, [CPT-4: 87804]
11/19/2021
TDap, [CPT-4: 90715]
10/05/2022
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]
09/24/2021
HIV, [CPT-4: 86701]
09/28/2021
VDRL, [LOINC: 11084-1]
09/28/2021
FLU SHOT NON BILLABLE TO INSURANCE , [CPT-4: FLU]
09/28/2021
Tetanus, diphtheria toxoids and acellular pertussi, [CPT-4: 90715]
10/05/2022
Immunization Injection Administration, [CPT-4: 90471]
09/28/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
11/19/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
08/25/2021
HEMOGLOBIN A1c, [CPT-4: 496]
09/24/20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

TDap
10/05/2022
CompletedTDapTR292GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

08/25/2021 180 cm 98 bpm 98 pct
09/24/2021 178 cm 127 kg 40.11 133/89 mm[Hg] 37 Cel 97 bpm 98 pct 16 bpm
11/19/2021 183 cm 121 kg 36.21 140/97 mm[Hg] 37 Cel 88 bpm 96 pct 17 bpm
10/05/2022 183 cm 114 kg 34.04 129/80 mm[Hg] 36 Cel 91 bpm 96 pct 16 bpmRESULTSResult Type Result Value Date

STREP A
Negative
11/19/2021
INFLUENZA Rapid Test
Negative
11/19/2021
GLUCOSE
82
09/25/2021
UREA NITROGEN (BUN)
7
09/25/2021
CREATININE
1.08
09/25/2021
EGFR NON-AFR. AMERICAN
99
09/25/2021
EGFR AFRICAN AMERICAN
115
09/25/2021
BUN/CREATININE RATIO
NOT APPLICABLE
09/25/2021
SODIUM
138
09/25/2021
POTASSIUM
4.1
09/25/2021
CHLORIDE
103
09/25/2021
CARBON DIOXIDE
26
09/25/2021
CALCIUM
9.5
09/25/2021
PROTEIN, TOTAL
7.4
09/25/2021
ALBUMIN
4.4
09/25/2021
GLOBULIN
3.0
09/25/2021
ALBUMIN/GLOBULIN RATIO
1.5
09/25/2021
BILIRUBIN, TOTAL
0.5
09/25/2021
ALKALINE PHOSPHATASE
145
09/25/2021
AST
17
09/25/2021
ALT
18
09/25/2021
HEMOGLOBIN A1C
5.3
09/25/2021NegativeNegativeNOT APPLICABLETREATMENT PLANName Type Date

SmokingCessation
Smoking Cessation
September 24, 2021
NutritionCounsel
Nutrition Counseling
September 24, 2021
NutritionCounsel
Nutrition Counseling
September 28, 2021
NutritionCounsel
Nutrition Counseling
November 19, 2021
NutritionCounsel
Nutrition Counseling
October 05, 2022
PhysicalActivityCounsel
Physical Activity Counsel
September 24, 2021
PhysicalActivityCounsel
Physical Activity Counsel
September 28, 2021
PhysicalActivityCounsel
Physical Activity Counsel
November 19, 2021
PhysicalActivityCounsel
Physical Activity Counsel
October 05, 2022Smoking CessationNutrition CounselingNutrition CounselingNutrition CounselingNutrition CounselingPhysical Activity CounselPhysical Activity CounselPhysical Activity CounselPhysical Activity CounselGoals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]	09/24/2021	as directed	Active
omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]	09/24/2021	once daily	Active

Procedure	Date
STREP A, [LOINC: 18481-2]	11/19/2021
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	09/24/2021
INFLUENZA Rapid Test, [CPT-4: 87804]	11/19/2021
TDap, [CPT-4: 90715]	10/05/2022
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]	09/24/2021
HIV, [CPT-4: 86701]	09/28/2021
VDRL, [LOINC: 11084-1]	09/28/2021
FLU SHOT NON BILLABLE TO INSURANCE , [CPT-4: FLU]	09/28/2021
Tetanus, diphtheria toxoids and acellular pertussi, [CPT-4: 90715]	10/05/2022
Immunization Injection Administration, [CPT-4: 90471]	09/28/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	11/19/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	08/25/2021
HEMOGLOBIN A1c, [CPT-4: 496]	09/24/2021

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
08/25/2021	180 cm	98 bpm	98 pct
09/24/2021	178 cm	127 kg	40.11	133/89 mm[Hg]	37 Cel	97 bpm	98 pct	16 bpm
11/19/2021	183 cm	121 kg	36.21	140/97 mm[Hg]	37 Cel	88 bpm	96 pct	17 bpm
10/05/2022	183 cm	114 kg	34.04	129/80 mm[Hg]	36 Cel	91 bpm	96 pct	16 bpm

Result Type	Result Value	Date
STREP A	Negative	11/19/2021
INFLUENZA Rapid Test	Negative	11/19/2021
GLUCOSE	82	09/25/2021
UREA NITROGEN (BUN)	7	09/25/2021
CREATININE	1.08	09/25/2021
EGFR NON-AFR. AMERICAN	99	09/25/2021
EGFR AFRICAN AMERICAN	115	09/25/2021
BUN/CREATININE RATIO	NOT APPLICABLE	09/25/2021
SODIUM	138	09/25/2021
POTASSIUM	4.1	09/25/2021
CHLORIDE	103	09/25/2021
CARBON DIOXIDE	26	09/25/2021
CALCIUM	9.5	09/25/2021
PROTEIN, TOTAL	7.4	09/25/2021
ALBUMIN	4.4	09/25/2021
GLOBULIN	3.0	09/25/2021
ALBUMIN/GLOBULIN RATIO	1.5	09/25/2021
BILIRUBIN, TOTAL	0.5	09/25/2021
ALKALINE PHOSPHATASE	145	09/25/2021
AST	17	09/25/2021
ALT	18	09/25/2021
HEMOGLOBIN A1C	5.3	09/25/2021

Name	Type	Date
SmokingCessation	Smoking Cessation	September 24, 2021
NutritionCounsel	Nutrition Counseling	September 24, 2021
NutritionCounsel	Nutrition Counseling	September 28, 2021
NutritionCounsel	Nutrition Counseling	November 19, 2021
NutritionCounsel	Nutrition Counseling	October 05, 2022
PhysicalActivityCounsel	Physical Activity Counsel	September 24, 2021
PhysicalActivityCounsel	Physical Activity Counsel	September 28, 2021
PhysicalActivityCounsel	Physical Activity Counsel	November 19, 2021
PhysicalActivityCounsel	Physical Activity Counsel	October 05, 2022