2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

amoxicillin 875 mg tablet, [RxNorm: 213339]
03/29/2024

ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

INFLUENZA Rapid Test, [CPT-4: 87804]
03/29/2024
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
03/29/2024
EKG, [CPT-4: 93010]
11/09/2021
Dexamethasone 4mg/ml, [CPT-4: J1100]
03/29/2024
Depo-Medrol 40mg/ml, [CPT-4: J1030]
03/29/2024
COVID Rapid Testing, [CPT-4: 87426]
03/29/2024
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
01/03/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
09/08/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
09/29/20217461 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
09/08/2021
Completed
COVID-19, mRNA, LNP-S, PF
09/29/2021
CompletedCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PF30135BAPfizer, 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

11/09/2021 169 cm 89 kg 31.19 148/89 mm[Hg] 36 Cel 84 bpm 99 pct 16 bpm
03/29/2024 169 cm 85 kg 29.68 112/75 mm[Hg] 36 Cel 87 bpm 16 bpmRESULTSResult Type Result Value Date

INFLUENZA Rapid Test
Negative
03/29/2024
EKG
Yes
11/09/2021
COVID Rapid Testing
Negative
03/29/2024NegativeYesNegativeTREATMENT PLANName Type Date

REFERRAL
Sushant Khaire-Chest Pain s/p second COVID vaccine, family history of heart problems
December 29, 2021
REFERRAL
Sushant Khaire
November 09, 2021
SmokingCessation
Smoking Cessation
November 09, 2021
SmokingCessation
Smoking Cessation
March 29, 2024
NutritionCounsel
Nutrition Counseling
November 09, 2021
NutritionCounsel
Nutrition Counseling
March 29, 2024
PhysicalActivityCounsel
Physical Activity Counsel
November 09, 2021
PhysicalActivityCounsel
Physical Activity Counsel
March 29, 2024Sushant Khaire-Chest Pain s/p second COVID vaccine, family history of heart problemsSushant KhaireSmoking CessationSmoking CessationNutrition CounselingNutrition CounselingPhysical 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

Procedure	Date
INFLUENZA Rapid Test, [CPT-4: 87804]	03/29/2024
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	03/29/2024
EKG, [CPT-4: 93010]	11/09/2021
Dexamethasone 4mg/ml, [CPT-4: J1100]	03/29/2024
Depo-Medrol 40mg/ml, [CPT-4: J1030]	03/29/2024
COVID Rapid Testing, [CPT-4: 87426]	03/29/2024
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	01/03/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	09/08/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	09/29/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	09/08/2021	Completed
COVID-19, mRNA, LNP-S, PF	09/29/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
11/09/2021	169 cm	89 kg	31.19	148/89 mm[Hg]	36 Cel	84 bpm	99 pct	16 bpm
03/29/2024	169 cm	85 kg	29.68	112/75 mm[Hg]	36 Cel	87 bpm	16 bpm

Result Type	Result Value	Date
INFLUENZA Rapid Test	Negative	03/29/2024
EKG	Yes	11/09/2021
COVID Rapid Testing	Negative	03/29/2024

Name	Type	Date
REFERRAL	Sushant Khaire-Chest Pain s/p second COVID vaccine, family history of heart problems	December 29, 2021
REFERRAL	Sushant Khaire	November 09, 2021
SmokingCessation	Smoking Cessation	November 09, 2021
SmokingCessation	Smoking Cessation	March 29, 2024
NutritionCounsel	Nutrition Counseling	November 09, 2021
NutritionCounsel	Nutrition Counseling	March 29, 2024
PhysicalActivityCounsel	Physical Activity Counsel	November 09, 2021
PhysicalActivityCounsel	Physical Activity Counsel	March 29, 2024