2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

ProAir HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 2123076]
01/03/2019
INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED
Active
fluticasone propionate 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797909]
01/03/2019
SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE DAILY
Active
cetirizine 10 mg tablet, [RxNorm: 1020025]
01/03/2019
TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

INTERMEDIATE EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Jan 03, 20197461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
01/03/20197461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSNo immunization historyVaccinationVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

01/03/2019 173 cm 111 kg 37.26 146/98 mm[Hg] 72 bpm 12 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
01/03/2019
Urobilinogen-Urine
Negative
01/03/2019
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/03/2019
pH of Urine by Test strip
5 [pH]
01/03/2019
Blood-Urine
Negative
01/03/2019
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/03/2019
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/03/2019
Specific Gravity of Urine by Test strip
1.015
01/03/2019
Bilirubin-Urine
Negative
01/03/2019
Nitrites-Urine
Negative
01/03/2019
Appearance of Urine
Clear
01/03/2019
Color of Urine
Yellow
01/03/2019NegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeClearYellowPLAN 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
ProAir HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 2123076]	01/03/2019	INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED	Active
fluticasone propionate 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797909]	01/03/2019	SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE DAILY	Active
cetirizine 10 mg tablet, [RxNorm: 1020025]	01/03/2019	TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY	Active

Result Type	Result Value	Date
Leukocytes-Urine	Negative	01/03/2019
Urobilinogen-Urine	Negative	01/03/2019
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/03/2019
pH of Urine by Test strip	5 [pH]	01/03/2019
Blood-Urine	Negative	01/03/2019
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/03/2019
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/03/2019
Specific Gravity of Urine by Test strip	1.015	01/03/2019
Bilirubin-Urine	Negative	01/03/2019
Nitrites-Urine	Negative	01/03/2019
Appearance of Urine	Clear	01/03/2019
Color of Urine	Yellow	01/03/2019