2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

atenolol 50 mg tablet, [RxNorm: 152414]
09/11/2021
1 tablet daily
Active
atorvastatin 40 mg tablet, [RxNorm: 617320]
09/11/2021
1 tablet daily
Active
ondansetron 4 mg disintegrating tablet, [RxNorm: 876690]
09/09/2021
1 tablet on tongue to dissolve every 6 hours as needed for nausea/ vomiting. 
Active
Ozempic 1 mg/dose (4 mg/3 mL) subcutaneous pen injector, [RxNorm: 2398842]
09/11/2021
1mg SQ once weekly
Active
metformin ER 500 mg 24 hr tablet,extended release (gastric retention), [RxNorm: 861018]
09/11/2021
2 tabs PO BID
Active
Flomax 0.4 mg capsule, [RxNorm: 863671]
09/09/2021
TAKE 1 CAPSULE (0.4 MG) BY ORAL ROUTE ONCE DAILY 
Active
ketorolac 10 mg tablet, [RxNorm: 861844]
09/09/2021
TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR pain  UP TO5 DAYS TOTAL USE
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

CBC W/ DIFF (QUEST), [CPT-4: 6399]
09/09/2021
Toradol 30MG, [CPT-4: J1885]
09/09/2021
Ondansetron 4mg/ml, [CPT-4: J2405]
09/09/2021
BASIC METABOLIC PANEL, [CPT-4: 10165]
09/09/2021
Normal saline 1L Bolus, [CPT-4: 90774]
09/09/20217461 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 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

09/09/2021 183 cm 101 kg 30.1 128/88 mm[Hg] 36 Cel 70 bpm 100 pct 16 bpmRESULTSResult Type Result Value Date

GLUCOSE
89
09/10/2021
UREA NITROGEN (BUN)
18
09/10/2021
CREATININE
0.98
09/10/2021
BUN/CREATININE RATIO
NOT APPLICABLE
09/10/2021
SODIUM
138
09/10/2021
POTASSIUM
4.5
09/10/2021
CHLORIDE
98
09/10/2021
CARBON DIOXIDE
31
09/10/2021
CALCIUM
10.1
09/10/2021
WHITE BLOOD CELL COUNT
5.9
09/10/2021
RED BLOOD CELL COUNT
4.37
09/10/2021
HEMOGLOBIN
13.4
09/10/2021
HEMATOCRIT
39.5
09/10/2021
MCV
90.4
09/10/2021
MCH
30.7
09/10/2021
MCHC
33.9
09/10/2021
RDW
12.9
09/10/2021
PLATELET COUNT
318
09/10/2021
MPV
9.5
09/10/2021
ABSOLUTE NEUTROPHILS
3446
09/10/2021
ABSOLUTE LYMPHOCYTES
1770
09/10/2021
ABSOLUTE MONOCYTES
496
09/10/2021
ABSOLUTE EOSINOPHILS
159
09/10/2021
ABSOLUTE BASOPHILS
30
09/10/2021
NEUTROPHILS
58.4
09/10/2021
LYMPHOCYTES
30.0
09/10/2021
MONOCYTES
8.4
09/10/2021
EOSINOPHILS
2.7
09/10/2021
BASOPHILS
0.5
09/10/2021NOT APPLICABLEPLAN 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
atenolol 50 mg tablet, [RxNorm: 152414]	09/11/2021	1 tablet daily	Active
atorvastatin 40 mg tablet, [RxNorm: 617320]	09/11/2021	1 tablet daily	Active
ondansetron 4 mg disintegrating tablet, [RxNorm: 876690]	09/09/2021	1 tablet on tongue to dissolve every 6 hours as needed for nausea/ vomiting.	Active
Ozempic 1 mg/dose (4 mg/3 mL) subcutaneous pen injector, [RxNorm: 2398842]	09/11/2021	1mg SQ once weekly	Active
metformin ER 500 mg 24 hr tablet,extended release (gastric retention), [RxNorm: 861018]	09/11/2021	2 tabs PO BID	Active
Flomax 0.4 mg capsule, [RxNorm: 863671]	09/09/2021	TAKE 1 CAPSULE (0.4 MG) BY ORAL ROUTE ONCE DAILY	Active
ketorolac 10 mg tablet, [RxNorm: 861844]	09/09/2021	TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR pain UP TO5 DAYS TOTAL USE	Active

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	09/09/2021
Toradol 30MG, [CPT-4: J1885]	09/09/2021
Ondansetron 4mg/ml, [CPT-4: J2405]	09/09/2021
BASIC METABOLIC PANEL, [CPT-4: 10165]	09/09/2021
Normal saline 1L Bolus, [CPT-4: 90774]	09/09/2021

Result Type	Result Value	Date
GLUCOSE	89	09/10/2021
UREA NITROGEN (BUN)	18	09/10/2021
CREATININE	0.98	09/10/2021
BUN/CREATININE RATIO	NOT APPLICABLE	09/10/2021
SODIUM	138	09/10/2021
POTASSIUM	4.5	09/10/2021
CHLORIDE	98	09/10/2021
CARBON DIOXIDE	31	09/10/2021
CALCIUM	10.1	09/10/2021
WHITE BLOOD CELL COUNT	5.9	09/10/2021
RED BLOOD CELL COUNT	4.37	09/10/2021
HEMOGLOBIN	13.4	09/10/2021
HEMATOCRIT	39.5	09/10/2021
MCV	90.4	09/10/2021
MCH	30.7	09/10/2021
MCHC	33.9	09/10/2021
RDW	12.9	09/10/2021
PLATELET COUNT	318	09/10/2021
MPV	9.5	09/10/2021
ABSOLUTE NEUTROPHILS	3446	09/10/2021
ABSOLUTE LYMPHOCYTES	1770	09/10/2021
ABSOLUTE MONOCYTES	496	09/10/2021
ABSOLUTE EOSINOPHILS	159	09/10/2021
ABSOLUTE BASOPHILS	30	09/10/2021
NEUTROPHILS	58.4	09/10/2021
LYMPHOCYTES	30.0	09/10/2021
MONOCYTES	8.4	09/10/2021
EOSINOPHILS	2.7	09/10/2021
BASOPHILS	0.5	09/10/2021