2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

trazodone 100 mg tablet, [RxNorm: 856375]
08/26/2021
1 tablet QHS
Active
amlodipine 10 mg tablet, [RxNorm: 212575]
08/26/2021
1 tablet daily
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
08/26/2021
AMYLASE (QUEST), [CPT-4: 243]
08/26/2021
LIPASE (QUEST), [CPT-4: 606]
08/26/2021
TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]
08/26/2021
T3 FREE (QUEST), [CPT-4: 34429]
08/26/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
09/08/2021
HEMOGLOBIN A1c, [CPT-4: 496]
08/26/2021
HEPATITIS PANEL  ACUTE W/REFLEX TO CONFIRMATION, [CPT-4: 10306]
08/26/2021
Thyroid peroxidase and Thyroglobulin Antibodies, [CPT-4: 7260]
08/26/20217461 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 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

COVID-19, mRNA, LNP-S, PF
08/18/2021
Completed
COVID-19, mRNA, LNP-S, PF
09/08/2021
CompletedCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn 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

08/26/2021 180 cm 79 kg 24.42 130/74 mm[Hg] 37 Cel 100 bpm 98 pct 16 bpmRESULTSResult Type Result Value Date

HEPATITIS A IGM
NON-REACTIVE
08/27/2021
HEPATITIS B SURFACE ANTIGEN
NON-REACTIVE
08/27/2021
HEPATITIS B CORE ANTIBODY (IGM)
NON-REACTIVE
08/27/2021
HEPATITIS C ANTIBODY
NON-REACTIVE
08/27/2021
INDEX
0.03
08/27/2021
GLUCOSE
99
08/27/2021
UREA NITROGEN (BUN)
16
08/27/2021
CREATININE
0.37
08/27/2021
EGFR NON-AFR. AMERICAN
136
08/27/2021
EGFR AFRICAN AMERICAN
157
08/27/2021
BUN/CREATININE RATIO
43
08/27/2021
SODIUM
139
08/27/2021
POTASSIUM
4.4
08/27/2021
CHLORIDE
106
08/27/2021
CARBON DIOXIDE
25
08/27/2021
CALCIUM
9.2
08/27/2021
PROTEIN, TOTAL
6.1
08/27/2021
ALBUMIN
3.6
08/27/2021
GLOBULIN
2.5
08/27/2021
ALBUMIN/GLOBULIN RATIO
1.4
08/27/2021
BILIRUBIN, TOTAL
0.6
08/27/2021
ALKALINE PHOSPHATASE
92
08/27/2021
AST
139
08/27/2021
ALT
151
08/27/2021
AMYLASE
85
08/27/2021
LIPASE
100
08/27/2021
TSH W/REFLEX TO FT4
<0.01
08/27/2021
T4, FREE
5.2
08/27/2021
T3, FREE
>20.0
08/27/2021
THYROGLOBULIN ANTIBODIES
2
08/27/2021
THYROID PEROXIDASE ANTIBODIES
381
08/27/2021NON-REACTIVENON-REACTIVENON-REACTIVENON-REACTIVE<0.01>20.0PLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
trazodone 100 mg tablet, [RxNorm: 856375]	08/26/2021	1 tablet QHS	Active
amlodipine 10 mg tablet, [RxNorm: 212575]	08/26/2021	1 tablet daily	Active

Procedure	Date
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	08/26/2021
AMYLASE (QUEST), [CPT-4: 243]	08/26/2021
LIPASE (QUEST), [CPT-4: 606]	08/26/2021
TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]	08/26/2021
T3 FREE (QUEST), [CPT-4: 34429]	08/26/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	09/08/2021
HEMOGLOBIN A1c, [CPT-4: 496]	08/26/2021
HEPATITIS PANEL ACUTE W/REFLEX TO CONFIRMATION, [CPT-4: 10306]	08/26/2021
Thyroid peroxidase and Thyroglobulin Antibodies, [CPT-4: 7260]	08/26/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	08/18/2021	Completed
COVID-19, mRNA, LNP-S, PF	09/08/2021	Completed

Result Type	Result Value	Date
HEPATITIS A IGM	NON-REACTIVE	08/27/2021
HEPATITIS B SURFACE ANTIGEN	NON-REACTIVE	08/27/2021
HEPATITIS B CORE ANTIBODY (IGM)	NON-REACTIVE	08/27/2021
HEPATITIS C ANTIBODY	NON-REACTIVE	08/27/2021
INDEX	0.03	08/27/2021
GLUCOSE	99	08/27/2021
UREA NITROGEN (BUN)	16	08/27/2021
CREATININE	0.37	08/27/2021
EGFR NON-AFR. AMERICAN	136	08/27/2021
EGFR AFRICAN AMERICAN	157	08/27/2021
BUN/CREATININE RATIO	43	08/27/2021
SODIUM	139	08/27/2021
POTASSIUM	4.4	08/27/2021
CHLORIDE	106	08/27/2021
CARBON DIOXIDE	25	08/27/2021
CALCIUM	9.2	08/27/2021
PROTEIN, TOTAL	6.1	08/27/2021
ALBUMIN	3.6	08/27/2021
GLOBULIN	2.5	08/27/2021
ALBUMIN/GLOBULIN RATIO	1.4	08/27/2021
BILIRUBIN, TOTAL	0.6	08/27/2021
ALKALINE PHOSPHATASE	92	08/27/2021
AST	139	08/27/2021
ALT	151	08/27/2021
AMYLASE	85	08/27/2021
LIPASE	100	08/27/2021
TSH W/REFLEX TO FT4	<0.01	08/27/2021
T4, FREE	5.2	08/27/2021
T3, FREE	>20.0	08/27/2021
THYROGLOBULIN ANTIBODIES	2	08/27/2021
THYROID PEROXIDASE ANTIBODIES	381	08/27/2021