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					<title>2026 Consolidated CDA</title>
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HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">clarithromycin 500 mg tablet, [RxNorm: 205866]</content></td><td align="center">04/21/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]</content></td><td align="center">11/05/2021</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]</content></td><td align="center">04/26/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]</content></td><td align="center">09/22/2021</td><td align="right">TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 6 HOURS as needed for cough/congestion</td><td 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CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Nov 05, 2021</td></tr><tr><td ID="Encounter5">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 03, 2022</td></tr><tr><td ID="Encounter6">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Feb 10, 2022</td></tr><tr><td ID="Encounter7">PHYSICAL EST PT 18-39 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 28, 2022</td></tr><tr><td ID="Encounter8">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Sep 19, 2022</td></tr><tr><td ID="Encounter9">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 19, 2023</td></tr><tr><td ID="Encounter10">PHYSICAL EST PT 18-39 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 26, 2023</td></tr><tr><td ID="Encounter11">NO CHARGE</td><td>Robin Blackwell</td><td>Auburn Montgomery Warhawk Health Services</td><td>Mar 07, 2023</td></tr><tr><td ID="Encounter12">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Mar 09, 2023</td></tr><tr><td ID="Encounter13">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Sep 15, 2023</td></tr><tr><td ID="Encounter14">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Feb 09, 2024</td></tr><tr><td ID="Encounter15">PHYSICAL EST PT 18-39 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Mar 01, 2024</td></tr><tr><td ID="Encounter16">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Oct 03, 2024</td></tr><tr><td ID="Encounter17">PHYSICAL EST PT 18-39 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 15, 2025</td></tr><tr><td ID="Encounter18">NO CHARGE</td><td>Maranda Fain</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 28, 2025</td></tr><tr><td ID="Encounter19">NO CHARGE</td><td>Maranda Fain</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 30, 2025</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="7A63D0FA-6C4D-4E33-80EC-6B2EE7036DD7"/><code code="00000" displayName="NO CHARGE" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter1"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20210915"/><performer><assignedEntity><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="C89564CF-07A0-4479-957D-9422080F5439"/><code code="409586006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Complaint"><translation code="75322-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Complaint"/></code><statusCode code="completed"/><effectiveTime><low value="20250730"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.7.1"/><code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/><title>PROCEDURES</title><text><table border="1" width="100%"><thead><tr><th>Procedure</th><th>Date</th></tr></thead><tbody><tr><td ID = "procedure1">TSH (QUEST), [CPT-4: 899]</td><td align="center">09/29/2021</td></tr><tr><td ID = "procedure2">TSH (QUEST), [CPT-4: 899]</td><td align="center">01/19/2023</td></tr><tr><td ID = "procedure3">STREP A, [LOINC: 18481-2]</td><td align="center">11/05/2021</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">09/29/2021</td></tr><tr><td ID = "procedure5">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">07/28/2022</td></tr><tr><td ID = "procedure6">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">03/01/2024</td></tr><tr><td ID = "procedure7">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">03/01/2024</td></tr><tr><td ID = "procedure8">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">07/28/2022</td></tr><tr><td ID = "procedure9">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">01/19/2023</td></tr><tr><td ID = "procedure10">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">09/29/2021</td></tr><tr><td ID = "procedure11">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">09/29/2021</td></tr><tr><td ID = "procedure12">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">07/28/2022</td></tr><tr><td ID = "procedure13">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">03/01/2024</td></tr><tr><td ID = "procedure14">TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]</td><td align="center">03/01/2024</td></tr><tr><td ID = "procedure15">TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]</td><td align="center">07/28/2022</td></tr><tr><td ID = "procedure16">VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]</td><td align="center">04/18/2022</td></tr><tr><td ID = "procedure17">VITAMIN B12 (QUEST), [CPT-4: 927]</td><td align="center">03/01/2024</td></tr><tr><td ID = "procedure18">VITAMIN D 25 - HYDROXY, TOTAL (QUEST), [CPT-4: 17306]</td><td align="center">03/01/2024</td></tr><tr><td ID = "procedure19">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">02/10/2022</td></tr><tr><td ID = "procedure20">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">11/05/2021</td></tr><tr><td ID = "procedure21">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">03/07/2023</td></tr><tr><td ID = "procedure22">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">07/28/2025</td></tr><tr><td ID = "procedure23">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">02/07/2024</td></tr><tr><td ID = "procedure24">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">01/03/2022</td></tr><tr><td ID = "procedure26">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">02/10/2022</td></tr><tr><td ID = "procedure27">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">09/22/2021</td></tr><tr><td ID = "procedure28">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">11/05/2021</td></tr><tr><td ID = "procedure29">MMR TITER, [CPT-4: 5259]</td><td align="center">04/18/2022</td></tr><tr><td ID = "procedure30">Toradol 60 MG , [CPT-4: J1885]</td><td align="center">02/10/2022</td></tr><tr><td ID = "procedure31">T4 FREE (QUEST), [CPT-4: 866]</td><td align="center">09/29/2021</td></tr><tr><td ID = "procedure32">T4 FREE (QUEST), [CPT-4: 866]</td><td align="center">01/19/2023</td></tr><tr><td ID = "procedure33">Rocephin 1G, [CPT-4: J0696]</td><td align="center">11/05/2021</td></tr><tr><td ID = "procedure34">Rocephin 1G, [CPT-4: J0696]</td><td align="center">09/22/2021</td></tr><tr><td ID = "procedure35">Ondansetron 4mg/ml, [CPT-4: J2405]</td><td align="center">02/10/2022</td></tr><tr><td ID = "procedure36">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">11/05/2021</td></tr><tr><td ID = "procedure37">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">09/22/2021</td></tr><tr><td ID = "procedure38">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">09/22/2021</td></tr><tr><td ID = "procedure39">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">11/05/2021</td></tr><tr><td ID = "procedure40">Solumedrol 125mg/2ml, [CPT-4: J2930]</td><td align="center">02/10/2022</td></tr><tr><td ID = "procedure41">Solumedrol 125mg/2ml, [CPT-4: J2930]</td><td align="center">04/22/2022</td></tr><tr><td ID = "procedure42">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/15/2021</td></tr><tr><td ID = "procedure43">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/15/2023</td></tr><tr><td ID = "procedure44">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/19/2022</td></tr><tr><td ID = "procedure45">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">10/03/2024</td></tr><tr><td ID = "procedure46">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">10/03/2024</td></tr><tr><td ID = "procedure47">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/19/2022</td></tr><tr><td ID = "procedure48">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/15/2023</td></tr><tr><td ID = "procedure49">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/15/2021</td></tr><tr><td ID = "procedure50">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">09/22/2021</td></tr><tr><td ID = "procedure51">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">11/05/2021</td></tr><tr><td ID = "procedure52">HEMOGLOBIN A1c, [CPT-4: 496]</td><td align="center">09/29/2021</td></tr><tr><td ID = "procedure53">GLUCOSE, [CPT-4: 483]</td><td align="center">01/19/2023</td></tr><tr><td ID = "procedure54">HEPATITIS B SURFACE ANTIGEN W/REFL CONFIRM, [CPT-4: 498]</td><td align="center">04/18/2022</td></tr><tr><td ID = "procedure55">SARS-CoV-2 Antibody (IgG), Spike, Semi- Quantitative , [CPT-4: 34499]</td><td align="center">01/03/2022</td></tr><tr><td ID = "procedure56">SARS-CoV-2 Antibody (IgG), Spike, Semi- Quantitative , [CPT-4: 34499]</td><td align="center">09/29/2021</td></tr><tr><td ID = "procedure57">Serum total testosterone, [CPT-4: 15983]</td><td align="center">07/28/2022</td></tr><tr><td ID = "procedure58">Progesterone , [CPT-4: 745]</td><td align="center">07/28/2022</td></tr><tr><td ID = "procedure59">Estradiol, [CPT-4: 4021]</td><td align="center">07/28/2022</td></tr><tr><td ID = "procedure60">Hemoglobin A1c, [SNOMED CT: 001453]</td><td align="center">05/15/2025</td></tr><tr><td ID = "procedure61">Insulin, [SNOMED CT: 004333]</td><td align="center">05/15/2025</td></tr><tr><td ID = "procedure62">Comp. Metabolic Panel (14), [SNOMED CT: 322000]</td><td align="center">05/15/2025</td></tr><tr><td ID = "procedure63">TSH Rfx on Abnormal to Free T4, [SNOMED CT: 349829]</td><td align="center">05/15/2025</td></tr></tbody></table></text><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="3C087B5E-5357-47CE-A977-4C5A057ABF09"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210929"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="05743674-AFF4-4D6F-82A9-80BA1776B1F7"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230119"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="AE67868F-0437-4D7C-8EC0-9D21B7520B54"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20211105"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="F3D5E777-8793-4C9D-AEAD-5FA5259868F1"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210929"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="2471533B-934D-42F0-9D24-97C9F1019B16"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220728"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="081A7FD6-B94F-499F-A6E3-59A846842B79"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240301"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="C9C1CF9F-6FDB-46D3-A1E5-44E6CAD900C4"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240301"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="C63AFF80-28A6-41BB-A03B-597409BAADC8"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220728"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="2DDBDF73-A4A2-4537-8A2F-BB3DA209CBA4"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230119"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="9C566364-7C7C-4E62-B0D2-973130764CB4"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210929"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="3F6EB368-C954-43FA-9859-3C666E248834"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210929"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="D41C950E-1992-4278-93A7-F3ED5C024B3A"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220728"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="CFE43885-7591-437B-A2F7-8C7AE3A0B63C"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240301"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="DD8F4FA7-1B30-4457-84A2-F4FB4E1836B0"/><code code="36127" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH W/REFLEX T4, FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240301"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="662BADF8-D4D3-430B-B6A7-CC56EC4059D4"/><code code="36127" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH W/REFLEX T4, FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220728"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="3B943240-47FE-4931-BBF0-9F18D827E563"/><code code="4439" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220418"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="DA6C3241-B952-424B-8F9B-8E4300E44964"/><code code="927" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="VITAMIN B12 (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240301"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="63474EA5-13A2-4142-A5BE-776CE0185D94"/><code code="17306" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="VITAMIN D 25 - HYDROXY, TOTAL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240301"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="89228836-569F-458B-8B0B-5D84A547E040"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220210"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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code="completed"/><effectiveTime value="20211105"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="83566D75-A3CA-4B04-A236-16E0779D7EC3"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20230307"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="DD63A765-4B62-4781-9F7A-6FE7CC79FB13"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20250728"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="042C641C-D064-4C10-9CA0-2FEB140EFF3D"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20240207"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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value="20220103"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="9C3355B9-ADF0-429A-AD0B-AAD6A6C4E220"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20220210"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="7C532C25-C7CB-44B7-B923-B655B1E69595"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20210922"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="7FE91DBA-B227-48B3-AD0F-FF8B7190DA3A"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20211105"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="A90825AA-3A2D-4DE0-AA51-3E424D9CCB69"/><code code="5259" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="MMR TITER"/><statusCode code="completed"/><effectiveTime value="20220418"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="5E7031F3-04AA-4DE9-BCFF-44D2F24033C8"/><code code="J1885" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Toradol 60 MG "/><statusCode code="completed"/><effectiveTime value="20220210"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="CF4D4EC2-C293-49CF-A730-721284C3AF78"/><code code="866" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="T4 FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210929"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="8EDF49B2-48DE-4344-B973-C5E49E97F1D5"/><code code="866" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="T4 FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230119"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="5919EC7F-70CF-4AEB-B0C0-8FEEC6DA6DAE"/><code code="J0696" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Rocephin 1G"/><statusCode code="completed"/><effectiveTime value="20211105"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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value="20210922"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="F15C659F-C97F-47D9-8064-924B9399230B"/><code code="J2405" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Ondansetron 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20220210"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="BB5BA970-7374-46F4-B687-CFEB8C50494F"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20211105"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="14EC2B73-EE74-4CBF-821F-6281CA68BD7B"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20210922"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="E69101AA-002F-405E-8291-A9F465AE5CA7"/><code code="J1030" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Depo-Medrol 40mg/ml"/><statusCode code="completed"/><effectiveTime value="20210922"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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code="completed"/><effectiveTime value="20211105"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="591F18DD-7026-4735-B542-243964412FB3"/><code code="J2930" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Solumedrol 125mg/2ml"/><statusCode code="completed"/><effectiveTime value="20220210"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="95FF7857-927D-49AA-B1A9-5330B1E433A3"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20210915"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="A3D83DE9-FB0A-47C7-828F-BCC60C573E1F"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20220919"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="EF0B531E-CD89-4E9B-969D-F3BBE2975640"/><code code="90686" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Influenza virus vaccine"/><statusCode code="completed"/><effectiveTime value="20241003"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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code="completed"/><effectiveTime value="20220919"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="5E56C75B-C317-48C1-9630-E4CB79AFE3D3"/><code code="90686" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Influenza virus vaccine"/><statusCode code="completed"/><effectiveTime value="20230915"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="0C4E2ABF-8235-40EF-B94A-DCBFF3CAB9AA"/><code code="498" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="HEPATITIS B SURFACE ANTIGEN W/REFL CONFIRM"/><statusCode code="completed"/><effectiveTime value="20220418"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 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            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun1">Influenza virus vaccine</td><td align="center">09/15/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun2">Influenza virus vaccine</td><td align="center">09/19/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun3">Influenza virus vaccine</td><td align="center">09/15/2023</td><td align="center">Completed</td></tr><tr><td ID = "immun4">Influenza virus vaccine</td><td align="center">10/03/2024</td><td align="center">Completed</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="73F14D34-05AF-461F-9BA0-7DD25C3547A4"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20210915"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="5.0000000e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId 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extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="150" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="Influenza virus vaccine"/><lotNumberText>72RF2</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>GlaxoSmithKline</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Lindsey</given><family>Barton</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.4.1"/><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/><title>VITAL SIGNS</title><text><table border="1" width="100%"><thead><tr><th>Date</th><th>Height</th><th>Weight</th><th>BMI</th><th>Blood Pressure</th><th>Temperature</th><th>Pulse</th><th>Pulse Oximetry</th><th>Respiratory Rate</th><th>Inhaled Oxygen Concentration</th><th>Head Circumference Percentage</th><th>BMI Percentage</th><th>Weight to Length Percentage</th></tr></thead><tbody><tr><td ID = "vital_1">09/22/2021</td><td ID = "vital_1_height">173 cm</td><td ID = "vital_1_weight">64 kg</td><td ID = "vital_1_bmi">21.28</td><td ID = "vital_1_bp">115/74 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">58 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">09/29/2021</td><td ID = "vital_2_height">171 cm</td><td ID = "vital_2_weight">65 kg</td><td ID = "vital_2_bmi">22.22</td><td ID = "vital_2_bp">107/74 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">71 bpm</td><td ID = "vital_2_pulseox">99 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">11/05/2021</td><td ID = "vital_3_height">173 cm</td><td ID = "vital_3_weight">66 kg</td><td ID = "vital_3_bmi">22.04</td><td ID = "vital_3_bp">103/71 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">71 bpm</td></tr><tr><td ID = "vital_4">02/10/2022</td><td ID = "vital_4_height">173 cm</td><td ID = "vital_4_weight">65 kg</td><td ID = "vital_4_bmi">21.89</td><td ID = "vital_4_bp">112/75 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">97 bpm</td><td ID = "vital_4_pulseox">100 pct</td><td ID = "vital_4_resp">17 bpm</td></tr><tr><td ID = "vital_5">07/28/2022</td><td ID = "vital_5_height">170 cm</td><td ID = "vital_5_weight">66 kg</td><td ID = "vital_5_bmi">22.86</td><td ID = "vital_5_bp">112/71 mm[Hg]</td><td ID = "vital_5_temp">37 Cel</td><td ID = "vital_5_pulse">64 bpm</td><td ID = "vital_5_pulseox">99 pct</td><td ID = "vital_5_resp">16 bpm</td></tr><tr><td ID = "vital_6">01/26/2023</td><td ID = "vital_6_height">170 cm</td><td ID = "vital_6_weight">66 kg</td><td ID = "vital_6_bmi">22.8</td><td ID = "vital_6_bp">104/69 mm[Hg]</td><td ID = "vital_6_temp">37 Cel</td><td ID = "vital_6_pulse">66 bpm</td><td ID = "vital_6_pulseox">100 pct</td><td ID = "vital_6_resp">16 bpm</td></tr><tr><td ID = "vital_7">09/15/2023</td><td ID = "vital_7_temp">37 Cel</td></tr><tr><td ID = "vital_8">03/01/2024</td><td ID = "vital_8_height">170 cm</td><td ID = "vital_8_weight">68 kg</td><td ID = "vital_8_bmi">23.49</td><td ID = "vital_8_bp">118/70 mm[Hg]</td><td ID = "vital_8_temp">37 Cel</td><td ID = "vital_8_pulse">73 bpm</td><td ID = "vital_8_pulseox">98 pct</td><td ID = "vital_8_resp">16 bpm</td></tr><tr><td ID = "vital_9">10/03/2024</td><td ID = "vital_9_temp">37 Cel</td></tr><tr><td ID = "vital_10">05/15/2025</td><td ID = "vital_10_bp">111/74 mm[Hg]</td><td ID = "vital_10_pulse">55 bpm</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/><templateId 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codeSystemName="LOINC" displayName="RESULTS"/><title>RESULTS</title><text><table border="1" width="100%"><thead><tr><th>Result Type</th><th>Result Value</th><th>Date</th></tr></thead><tbody><tr><td ID="result1">STREP A</td><td>Negative</td><td align="center">11/05/2021</td></tr><tr><td ID="result2">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">11/05/2021</td></tr><tr><td ID="result3">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">02/10/2022</td></tr><tr><td ID="result4">TB Read Only</td><td>Negative</td><td align="center">03/09/2023</td></tr><tr><td ID="result5">TB Read Only</td><td>Negative</td><td align="center">02/09/2024</td></tr><tr><td ID="result6">TB Read Only</td><td>Negative</td><td align="center">07/30/2025</td></tr><tr><td ID="result7">GLUCOSE</td><td>83</td><td align="center">05/16/2025</td></tr><tr><td ID="result8">BUN</td><td>15</td><td align="center">05/16/2025</td></tr><tr><td ID="result9">CREATININE</td><td>0.74</td><td align="center">05/16/2025</td></tr><tr><td ID="result10">EGFR</td><td>107</td><td align="center">05/16/2025</td></tr><tr><td ID="result11">BUN/CREATININE RATIO</td><td>20</td><td align="center">05/16/2025</td></tr><tr><td ID="result12">SODIUM</td><td>141</td><td align="center">05/16/2025</td></tr><tr><td ID="result13">POTASSIUM</td><td>4.6</td><td align="center">05/16/2025</td></tr><tr><td ID="result14">CHLORIDE</td><td>103</td><td align="center">05/16/2025</td></tr><tr><td ID="result15">CARBON DIOXIDE, TOTAL</td><td>22</td><td align="center">05/16/2025</td></tr><tr><td ID="result16">CALCIUM</td><td>9.3</td><td align="center">05/16/2025</td></tr><tr><td ID="result17">PROTEIN, TOTAL</td><td>7.3</td><td align="center">05/16/2025</td></tr><tr><td ID="result18">ALBUMIN</td><td>4.7</td><td align="center">05/16/2025</td></tr><tr><td ID="result19">GLOBULIN, TOTAL</td><td>2.6</td><td align="center">05/16/2025</td></tr><tr><td ID="result20">BILIRUBIN, TOTAL</td><td>0.6</td><td align="center">05/16/2025</td></tr><tr><td ID="result21">ALKALINE PHOSPHATASE</td><td>91</td><td align="center">05/16/2025</td></tr><tr><td ID="result22">AST (SGOT)</td><td>16</td><td align="center">05/16/2025</td></tr><tr><td ID="result23">ALT (SGPT)</td><td>17</td><td align="center">05/16/2025</td></tr><tr><td ID="result24">CHOLESTEROL, TOTAL</td><td>160</td><td align="center">05/16/2025</td></tr><tr><td ID="result25">TRIGLYCERIDES</td><td>51</td><td align="center">05/16/2025</td></tr><tr><td ID="result26">HDL CHOLESTEROL</td><td>67</td><td align="center">05/16/2025</td></tr><tr><td ID="result27">VLDL CHOLESTEROL CAL</td><td>11</td><td align="center">05/16/2025</td></tr><tr><td ID="result28">LDL CHOL CALC (NIH)</td><td>82</td><td align="center">05/16/2025</td></tr><tr><td ID="result29">HEMOGLOBIN A1C</td><td>5.1</td><td align="center">05/16/2025</td></tr><tr><td ID="result30">TSH</td><td>1.800</td><td align="center">05/16/2025</td></tr><tr><td ID="result31">INSULIN</td><td>2.8</td><td align="center">05/16/2025</td></tr><tr><td ID="result32">CHOLESTEROL, TOTAL</td><td>134</td><td align="center">03/02/2024</td></tr><tr><td ID="result33">HDL CHOLESTEROL</td><td>61</td><td align="center">03/02/2024</td></tr><tr><td ID="result34">TRIGLYCERIDES</td><td>52</td><td align="center">03/02/2024</td></tr><tr><td ID="result35">LDL-CHOLESTEROL</td><td>60</td><td align="center">03/02/2024</td></tr><tr><td ID="result36">CHOL/HDLC RATIO</td><td>2.2</td><td align="center">03/02/2024</td></tr><tr><td ID="result37">NON HDL CHOLESTEROL</td><td>73</td><td align="center">03/02/2024</td></tr><tr><td ID="result38">GLUCOSE</td><td>88</td><td align="center">03/02/2024</td></tr><tr><td ID="result39">UREA NITROGEN (BUN)</td><td>16</td><td align="center">03/02/2024</td></tr><tr><td ID="result40">CREATININE</td><td>0.65</td><td align="center">03/02/2024</td></tr><tr><td ID="result41">EGFR</td><td>118</td><td align="center">03/02/2024</td></tr><tr><td ID="result42">BUN/CREATININE RATIO</td><td>SEE NOTE:</td><td align="center">03/02/2024</td></tr><tr><td ID="result43">SODIUM</td><td>136</td><td align="center">03/02/2024</td></tr><tr><td ID="result44">POTASSIUM</td><td>4.3</td><td align="center">03/02/2024</td></tr><tr><td ID="result45">CHLORIDE</td><td>101</td><td align="center">03/02/2024</td></tr><tr><td ID="result46">CARBON DIOXIDE</td><td>27</td><td align="center">03/02/2024</td></tr><tr><td ID="result47">CALCIUM</td><td>9.1</td><td align="center">03/02/2024</td></tr><tr><td ID="result48">PROTEIN, TOTAL</td><td>6.8</td><td align="center">03/02/2024</td></tr><tr><td ID="result49">ALBUMIN</td><td>4.5</td><td align="center">03/02/2024</td></tr><tr><td ID="result50">GLOBULIN</td><td>2.3</td><td align="center">03/02/2024</td></tr><tr><td ID="result51">ALBUMIN/GLOBULIN RATIO</td><td>2.0</td><td align="center">03/02/2024</td></tr><tr><td ID="result52">BILIRUBIN, TOTAL</td><td>0.7</td><td align="center">03/02/2024</td></tr><tr><td ID="result53">ALKALINE PHOSPHATASE</td><td>75</td><td align="center">03/02/2024</td></tr><tr><td ID="result54">AST</td><td>18</td><td align="center">03/02/2024</td></tr><tr><td ID="result55">ALT</td><td>20</td><td align="center">03/02/2024</td></tr><tr><td ID="result56">VITAMIN D,25-OH,TOTAL,IA</td><td>43</td><td align="center">03/02/2024</td></tr><tr><td ID="result57">TSH W/REFLEX TO FT4</td><td>1.31</td><td align="center">03/02/2024</td></tr><tr><td ID="result58">WHITE BLOOD CELL COUNT</td><td>7.2</td><td align="center">03/02/2024</td></tr><tr><td ID="result59">RED BLOOD CELL COUNT</td><td>4.54</td><td align="center">03/02/2024</td></tr><tr><td ID="result60">HEMOGLOBIN</td><td>14.0</td><td align="center">03/02/2024</td></tr><tr><td ID="result61">HEMATOCRIT</td><td>42.2</td><td align="center">03/02/2024</td></tr><tr><td ID="result62">MCV</td><td>93.0</td><td align="center">03/02/2024</td></tr><tr><td ID="result63">MCH</td><td>30.8</td><td align="center">03/02/2024</td></tr><tr><td ID="result64">MCHC</td><td>33.2</td><td align="center">03/02/2024</td></tr><tr><td ID="result65">RDW</td><td>11.4</td><td align="center">03/02/2024</td></tr><tr><td ID="result66">PLATELET COUNT</td><td>247</td><td align="center">03/02/2024</td></tr><tr><td ID="result67">MPV</td><td>11.1</td><td align="center">03/02/2024</td></tr><tr><td ID="result68">ABSOLUTE NEUTROPHILS</td><td>4651</td><td align="center">03/02/2024</td></tr><tr><td ID="result69">ABSOLUTE LYMPHOCYTES</td><td>1843</td><td align="center">03/02/2024</td></tr><tr><td ID="result70">ABSOLUTE MONOCYTES</td><td>511</td><td align="center">03/02/2024</td></tr><tr><td ID="result71">ABSOLUTE EOSINOPHILS</td><td>137</td><td align="center">03/02/2024</td></tr><tr><td ID="result72">ABSOLUTE BASOPHILS</td><td>58</td><td align="center">03/02/2024</td></tr><tr><td ID="result73">NEUTROPHILS</td><td>64.6</td><td align="center">03/02/2024</td></tr><tr><td ID="result74">LYMPHOCYTES</td><td>25.6</td><td align="center">03/02/2024</td></tr><tr><td ID="result75">MONOCYTES</td><td>7.1</td><td align="center">03/02/2024</td></tr><tr><td ID="result76">EOSINOPHILS</td><td>1.9</td><td align="center">03/02/2024</td></tr><tr><td ID="result77">BASOPHILS</td><td>0.8</td><td align="center">03/02/2024</td></tr><tr><td ID="result78">VITAMIN B12</td><td>812</td><td align="center">03/02/2024</td></tr><tr><td ID="result79">CHOLESTEROL, TOTAL</td><td>136</td><td align="center">01/20/2023</td></tr><tr><td ID="result80">HDL CHOLESTEROL</td><td>62</td><td align="center">01/20/2023</td></tr><tr><td ID="result81">TRIGLYCERIDES</td><td>62</td><td align="center">01/20/2023</td></tr><tr><td ID="result82">LDL-CHOLESTEROL</td><td>60</td><td align="center">01/20/2023</td></tr><tr><td ID="result83">CHOL/HDLC RATIO</td><td>2.2</td><td align="center">01/20/2023</td></tr><tr><td ID="result84">NON HDL CHOLESTEROL</td><td>74</td><td align="center">01/20/2023</td></tr><tr><td ID="result85">GLUCOSE</td><td>82</td><td align="center">01/20/2023</td></tr><tr><td ID="result86">TSH</td><td>1.63</td><td align="center">01/20/2023</td></tr><tr><td ID="result87">T4, FREE</td><td>1.1</td><td align="center">01/20/2023</td></tr><tr><td ID="result89">CHOLESTEROL, TOTAL</td><td>127</td><td align="center">08/01/2022</td></tr><tr><td ID="result90">HDL CHOLESTEROL</td><td>55</td><td align="center">08/01/2022</td></tr><tr><td ID="result91">TRIGLYCERIDES</td><td>57</td><td align="center">08/01/2022</td></tr><tr><td ID="result92">LDL-CHOLESTEROL</td><td>59</td><td align="center">08/01/2022</td></tr><tr><td ID="result93">CHOL/HDLC RATIO</td><td>2.3</td><td align="center">08/01/2022</td></tr><tr><td ID="result94">NON HDL CHOLESTEROL</td><td>72</td><td align="center">08/01/2022</td></tr><tr><td ID="result95">GLUCOSE</td><td>80</td><td align="center">08/01/2022</td></tr><tr><td ID="result96">UREA NITROGEN (BUN)</td><td>13</td><td align="center">08/01/2022</td></tr><tr><td ID="result97">CREATININE</td><td>0.75</td><td align="center">08/01/2022</td></tr><tr><td ID="result98">EGFR</td><td>108</td><td align="center">08/01/2022</td></tr><tr><td ID="result99">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">08/01/2022</td></tr><tr><td ID="result100">SODIUM</td><td>138</td><td align="center">08/01/2022</td></tr><tr><td ID="result101">POTASSIUM</td><td>4.5</td><td align="center">08/01/2022</td></tr><tr><td ID="result102">CHLORIDE</td><td>103</td><td align="center">08/01/2022</td></tr><tr><td ID="result103">CARBON DIOXIDE</td><td>27</td><td align="center">08/01/2022</td></tr><tr><td ID="result104">CALCIUM</td><td>9.4</td><td align="center">08/01/2022</td></tr><tr><td ID="result105">PROTEIN, TOTAL</td><td>7.2</td><td align="center">08/01/2022</td></tr><tr><td ID="result106">ALBUMIN</td><td>4.5</td><td align="center">08/01/2022</td></tr><tr><td ID="result107">GLOBULIN</td><td>2.7</td><td align="center">08/01/2022</td></tr><tr><td ID="result108">ALBUMIN/GLOBULIN RATIO</td><td>1.7</td><td align="center">08/01/2022</td></tr><tr><td ID="result109">BILIRUBIN, TOTAL</td><td>0.9</td><td align="center">08/01/2022</td></tr><tr><td ID="result110">ALKALINE PHOSPHATASE</td><td>70</td><td align="center">08/01/2022</td></tr><tr><td ID="result111">AST</td><td>15</td><td align="center">08/01/2022</td></tr><tr><td ID="result112">ALT</td><td>15</td><td align="center">08/01/2022</td></tr><tr><td ID="result113">TSH W/REFLEX TO FT4</td><td>1.14</td><td align="center">08/01/2022</td></tr><tr><td ID="result114">WHITE BLOOD CELL COUNT</td><td>6.7</td><td align="center">08/01/2022</td></tr><tr><td ID="result115">RED BLOOD CELL COUNT</td><td>4.72</td><td align="center">08/01/2022</td></tr><tr><td ID="result116">HEMOGLOBIN</td><td>14.3</td><td align="center">08/01/2022</td></tr><tr><td ID="result117">HEMATOCRIT</td><td>42.5</td><td align="center">08/01/2022</td></tr><tr><td ID="result118">MCV</td><td>90.0</td><td align="center">08/01/2022</td></tr><tr><td ID="result119">MCH</td><td>30.3</td><td align="center">08/01/2022</td></tr><tr><td ID="result120">MCHC</td><td>33.6</td><td align="center">08/01/2022</td></tr><tr><td ID="result121">RDW</td><td>11.4</td><td align="center">08/01/2022</td></tr><tr><td ID="result122">PLATELET COUNT</td><td>271</td><td align="center">08/01/2022</td></tr><tr><td ID="result123">MPV</td><td>11.2</td><td align="center">08/01/2022</td></tr><tr><td ID="result124">ABSOLUTE NEUTROPHILS</td><td>4415</td><td align="center">08/01/2022</td></tr><tr><td ID="result125">ABSOLUTE LYMPHOCYTES</td><td>1628</td><td align="center">08/01/2022</td></tr><tr><td ID="result126">ABSOLUTE MONOCYTES</td><td>482</td><td align="center">08/01/2022</td></tr><tr><td ID="result127">ABSOLUTE EOSINOPHILS</td><td>127</td><td align="center">08/01/2022</td></tr><tr><td ID="result128">ABSOLUTE BASOPHILS</td><td>47</td><td align="center">08/01/2022</td></tr><tr><td ID="result129">NEUTROPHILS</td><td>65.9</td><td align="center">08/01/2022</td></tr><tr><td ID="result130">LYMPHOCYTES</td><td>24.3</td><td align="center">08/01/2022</td></tr><tr><td ID="result131">MONOCYTES</td><td>7.2</td><td align="center">08/01/2022</td></tr><tr><td ID="result132">EOSINOPHILS</td><td>1.9</td><td align="center">08/01/2022</td></tr><tr><td ID="result133">BASOPHILS</td><td>0.7</td><td align="center">08/01/2022</td></tr><tr><td ID="result134">PROGESTERONE</td><td>4.8</td><td align="center">08/01/2022</td></tr><tr><td ID="result135">ESTRADIOL</td><td>51</td><td align="center">08/01/2022</td></tr><tr><td ID="result136">MEASLES AB (IGG), IMMUNE STATUS</td><td>67.00</td><td align="center">04/21/2022</td></tr><tr><td ID="result137">MUMPS VIRUS AB (IGG), IMMUNE STATUS</td><td>54.70</td><td align="center">04/21/2022</td></tr><tr><td ID="result138">RUBELLA AB (IGG), IMMUNE STATUS</td><td>1.74</td><td align="center">04/21/2022</td></tr><tr><td ID="result139">HEPATITIS B SURFACE ANTIGEN</td><td>NON-REACTIVE</td><td align="center">04/21/2022</td></tr><tr><td ID="result140">HEPATITIS B SURFACE AB IMMUNITY, QN</td><td>8</td><td align="center">04/21/2022</td></tr><tr><td ID="result141">VARICELLA ZOSTER VIRUS ANTIBODY (IGG)</td><td>746.50</td><td align="center">04/21/2022</td></tr><tr><td ID="result142">TEST NAME:</td><td>HEPATITIS B SURFACE AB</td><td align="center">04/21/2022</td></tr><tr><td ID="result143">TEST CODE:</td><td>8475</td><td align="center">04/21/2022</td></tr><tr><td ID="result144">CLIENT CONTACT:</td><td>MARIANDA BICKNELL</td><td align="center">04/21/2022</td></tr><tr><td ID="result146">CHOLESTEROL, TOTAL</td><td>133</td><td align="center">09/30/2021</td></tr><tr><td ID="result147">HDL CHOLESTEROL</td><td>61</td><td align="center">09/30/2021</td></tr><tr><td ID="result148">TRIGLYCERIDES</td><td>71</td><td align="center">09/30/2021</td></tr><tr><td ID="result149">LDL-CHOLESTEROL</td><td>57</td><td align="center">09/30/2021</td></tr><tr><td ID="result150">CHOL/HDLC RATIO</td><td>2.2</td><td align="center">09/30/2021</td></tr><tr><td ID="result151">NON HDL CHOLESTEROL</td><td>72</td><td align="center">09/30/2021</td></tr><tr><td ID="result152">GLUCOSE</td><td>86</td><td align="center">09/30/2021</td></tr><tr><td ID="result153">UREA NITROGEN (BUN)</td><td>14</td><td align="center">09/30/2021</td></tr><tr><td ID="result154">CREATININE</td><td>0.72</td><td align="center">09/30/2021</td></tr><tr><td ID="result155">EGFR NON-AFR. AMERICAN</td><td>111</td><td align="center">09/30/2021</td></tr><tr><td ID="result156">EGFR AFRICAN AMERICAN</td><td>128</td><td align="center">09/30/2021</td></tr><tr><td ID="result157">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">09/30/2021</td></tr><tr><td ID="result158">SODIUM</td><td>137</td><td align="center">09/30/2021</td></tr><tr><td ID="result159">POTASSIUM</td><td>4.2</td><td align="center">09/30/2021</td></tr><tr><td ID="result160">CHLORIDE</td><td>103</td><td align="center">09/30/2021</td></tr><tr><td ID="result161">CARBON DIOXIDE</td><td>27</td><td align="center">09/30/2021</td></tr><tr><td ID="result162">CALCIUM</td><td>9.5</td><td align="center">09/30/2021</td></tr><tr><td ID="result163">PROTEIN, TOTAL</td><td>6.9</td><td align="center">09/30/2021</td></tr><tr><td ID="result164">ALBUMIN</td><td>4.6</td><td align="center">09/30/2021</td></tr><tr><td ID="result165">GLOBULIN</td><td>2.3</td><td align="center">09/30/2021</td></tr><tr><td ID="result166">ALBUMIN/GLOBULIN RATIO</td><td>2.0</td><td align="center">09/30/2021</td></tr><tr><td ID="result167">BILIRUBIN, TOTAL</td><td>0.7</td><td align="center">09/30/2021</td></tr><tr><td ID="result168">ALKALINE PHOSPHATASE</td><td>67</td><td align="center">09/30/2021</td></tr><tr><td ID="result169">AST</td><td>15</td><td align="center">09/30/2021</td></tr><tr><td ID="result170">ALT</td><td>15</td><td align="center">09/30/2021</td></tr><tr><td ID="result171">HEMOGLOBIN A1C</td><td>4.8</td><td align="center">09/30/2021</td></tr><tr><td ID="result172">TSH</td><td>1.52</td><td align="center">09/30/2021</td></tr><tr><td ID="result173">T4, FREE</td><td>1.2</td><td align="center">09/30/2021</td></tr><tr><td ID="result174">WHITE BLOOD CELL COUNT</td><td>7.9</td><td align="center">09/30/2021</td></tr><tr><td ID="result175">RED BLOOD CELL COUNT</td><td>4.67</td><td align="center">09/30/2021</td></tr><tr><td ID="result176">HEMOGLOBIN</td><td>14.1</td><td align="center">09/30/2021</td></tr><tr><td ID="result177">HEMATOCRIT</td><td>42.6</td><td align="center">09/30/2021</td></tr><tr><td ID="result178">MCV</td><td>91.2</td><td align="center">09/30/2021</td></tr><tr><td ID="result179">MCH</td><td>30.2</td><td align="center">09/30/2021</td></tr><tr><td ID="result180">MCHC</td><td>33.1</td><td align="center">09/30/2021</td></tr><tr><td ID="result181">RDW</td><td>11.9</td><td align="center">09/30/2021</td></tr><tr><td ID="result182">PLATELET COUNT</td><td>275</td><td align="center">09/30/2021</td></tr><tr><td ID="result183">MPV</td><td>10.6</td><td align="center">09/30/2021</td></tr><tr><td ID="result184">ABSOLUTE NEUTROPHILS</td><td>5325</td><td align="center">09/30/2021</td></tr><tr><td ID="result185">ABSOLUTE LYMPHOCYTES</td><td>1793</td><td align="center">09/30/2021</td></tr><tr><td ID="result186">ABSOLUTE MONOCYTES</td><td>537</td><td align="center">09/30/2021</td></tr><tr><td ID="result187">ABSOLUTE EOSINOPHILS</td><td>182</td><td align="center">09/30/2021</td></tr><tr><td ID="result188">ABSOLUTE BASOPHILS</td><td>63</td><td align="center">09/30/2021</td></tr><tr><td ID="result189">NEUTROPHILS</td><td>67.4</td><td align="center">09/30/2021</td></tr><tr><td ID="result190">LYMPHOCYTES</td><td>22.7</td><td align="center">09/30/2021</td></tr><tr><td ID="result191">MONOCYTES</td><td>6.8</td><td align="center">09/30/2021</td></tr><tr><td ID="result192">EOSINOPHILS</td><td>2.3</td><td align="center">09/30/2021</td></tr><tr><td ID="result193">BASOPHILS</td><td>0.8</td><td align="center">09/30/2021</td></tr><tr><td ID="result194">SARS COV 2 AB (IGG) SPIKE, SEMI QN</td><td>&gt;20.00</td><td align="center">09/30/2021</td></tr><tr><td ID="result195">SARS COV 2 AB (IGG) SPIKE, SEMI QN</td><td>&gt;150.00</td><td align="center">01/04/2022</td></tr><tr><td ID="result196">MEASLES AB (IGG), IMMUNE STATUS</td><td>67.00</td><td align="center">04/19/2022</td></tr><tr><td ID="result197">MUMPS VIRUS AB (IGG), IMMUNE STATUS</td><td>54.70</td><td align="center">04/19/2022</td></tr><tr><td ID="result198">RUBELLA AB (IGG), IMMUNE STATUS</td><td>1.74</td><td align="center">04/19/2022</td></tr><tr><td ID="result199">HEPATITIS B SURFACE ANTIGEN</td><td>NON-REACTIVE</td><td align="center">04/19/2022</td></tr><tr><td ID="result200">VARICELLA ZOSTER VIRUS ANTIBODY (IGG)</td><td>746.50</td><td align="center">04/19/2022</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="F60AE3B3-518A-48A0-80E5-C25775933F48"/><code code="001032" displayName="GLUCOSE" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20250516"/><high 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value="#result5"/></originalText></code><text><reference value="#result5"/></text><statusCode code="completed"/><effectiveTime value="20240209"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="7F1E25C8-46DE-4209-9AD8-BC636EBF59CC"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20250730"/><high value="20250730"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="09305831-51DE-4E1A-9F56-127FAAC27166"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result6"/></originalText></code><text><reference value="#result6"/></text><statusCode code="completed"/><effectiveTime value="20250730"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="D1029200-1C00-4B33-B4DF-604E7C567702"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20240302"/><high value="20240302"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="3E3AFCB5-4874-4A72-95C0-B90F1BFE8E2F"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result99"/></originalText></code><text><reference value="#result99"/></text><statusCode code="completed"/><effectiveTime value="20220801"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId 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codeSystemName="CPT-4"><originalText><reference value="#result139"/></originalText></code><text><reference value="#result139"/></text><statusCode code="completed"/><effectiveTime value="20220421"/><value xsi:type="ST">NON-REACTIVE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="6DDB5F33-B448-4385-AF89-C700301009C9"/><code code="97005000" displayName="TEST NAME:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220421"/><high value="20220421"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="73A06DEF-01E0-4EEA-8C6E-236B29572446"/><code code="97005000" displayName="TEST NAME:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result142"/></originalText></code><text><reference value="#result142"/></text><statusCode code="completed"/><effectiveTime value="20220421"/><value xsi:type="ST">HEPATITIS B SURFACE AB</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="6AB7EE7E-B7BF-4EA9-A825-5E694A2A51A2"/><code code="97006000" displayName="CLIENT CONTACT:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220421"/><high value="20220421"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="188A0C43-A5E6-4017-A9A9-F1F4641D1C0A"/><code code="97006000" displayName="CLIENT CONTACT:" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result144"/></originalText></code><text><reference value="#result144"/></text><statusCode code="completed"/><effectiveTime value="20220421"/><value xsi:type="ST">MARIANDA BICKNELL</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" 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classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="A4060EAF-A60E-4EBF-B962-8DF2D430FE3F"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result157"/></originalText></code><text><reference value="#result157"/></text><statusCode code="completed"/><effectiveTime value="20210930"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" 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root="0D7FFB03-75E1-4FDE-9F65-AE376055E70D"/><code code="86029797" displayName="SARS COV 2 AB (IGG) SPIKE, SEMI QN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result194"/></originalText></code><text><reference value="#result194"/></text><statusCode code="completed"/><effectiveTime value="20210930"/><value xsi:type="ST">&gt;20.00</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="61374E34-20B7-485D-9EA2-D286C6C3C457"/><code code="86029797" displayName="SARS COV 2 AB (IGG) SPIKE, SEMI QN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220104"/><high value="20220104"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="B5EA729B-654E-4EF5-A2ED-EB72547E7F90"/><code code="86029797" displayName="SARS COV 2 AB (IGG) SPIKE, SEMI QN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result195"/></originalText></code><text><reference value="#result195"/></text><statusCode code="completed"/><effectiveTime value="20220104"/><value xsi:type="ST">&gt;150.00</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="FBBC41B3-E40B-42E6-BC50-A1A72E715127"/><code code="55019300" displayName="HEPATITIS B SURFACE ANTIGEN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode 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xsi:type="ST">NON-REACTIVE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153921-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.10"/><code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/><title>PLAN OF TREATMENT</title><text>No Treatment Plan Defined</text><entry><observation classCode="OBS" moodCode="RQO" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><code code="394089009" displayName="Treatment Plan" codeSystem="2.16.840.1.113883.6.96"/></observation></entry> </section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.60"/><code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Goals Section</title><text>No goal information</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.58" /><code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Health Concerns Section</title><text>No Known Health Concerns on </text><entry typeCode="COMP"><act classCode="ACT" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.132"/><id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/><code code="75310-3" 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information</text></section></component></structuredBody> </component></ClinicalDocument>