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tablet, [RxNorm: 859749]</content></td><td align="center">07/17/2024</td><td align="right">1 TABLET PO QHS </td><td align="center">Active</td></tr><tr><td><content ID = "Med3">rosuvastatin 10 mg tablet, [RxNorm: 859749]</content></td><td align="center">10/28/2024</td><td align="right">1 TABLET PO QHS </td><td align="center">Active</td></tr><tr><td><content ID = "Med5">ketoconazole 2 % topical cream, [RxNorm: 108329]</content></td><td align="center">10/31/2024</td><td align="right">APPLY TO THE AFFECTED AREA(S) BY TOPICAL ROUTE ONCE DAILY FOR 2 WEEKS</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">Polytrim 10,000 unit-1 mg/mL eye drops, [RxNorm: 244967]</content></td><td align="center">04/26/2022</td><td align="right">INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 6 HOURS x 5-7 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">cyclobenzaprine 10 mg tablet, [RxNorm: 828350]</content></td><td align="center">09/19/2024</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE 3 TIMES PER DAY PRN MUSCLE SPASM</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">ketorolac 10 mg tablet, [RxNorm: 861844]</content></td><td align="center">09/19/2024</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR UP TO 5 DAYS TOTAL USE PRN PAIN</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">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 = "Med10">rosuvastatin 10 mg tablet, [RxNorm: 859749]</content></td><td align="center">04/11/2022</td><td align="right">1 TABLET PO QHS </td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId 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Services</td><td>Sep 15, 2021</td></tr><tr><td ID="Encounter2">PHYSICAL EST PT 18-39 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Apr 08, 2022</td></tr><tr><td ID="Encounter3">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 11, 2023</td></tr><tr><td ID="Encounter4">PHYSICAL EST PT 18-39 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 17, 2024</td></tr><tr><td ID="Encounter5">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Oct 25, 2024</td></tr><tr><td ID="Encounter6">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 01, 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="9EFE62C2-E504-47DB-B81D-A319572584D2"/><code 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inversionInd="false"><observation classCode="OBS" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="4A77BF40-21DF-42B5-A7FC-11364B5CEA6E"/><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="20241025"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry><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="334C283A-898E-49B8-8667-CE6D6A4EE972"/><code code="00000" displayName="NO CHARGE" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter6"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20250701"/><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 CT" displayName="General Physician"/></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="3249076D-9CE4-4B95-9AE9-401D49E0FD75" extension="34479993"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20250701"/></effectiveTime><value xsi:type="CD" code="Z11.1" displayName="ENCOUNTER FOR SCREENING FOR RESP TUBRCLOSIS" codeSystem="2.16.840.1.113883.6.3"/></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="false"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.80"/><id root="216876B2-899B-488D-892E-A90AF1DC1ECF"/><code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ENCOUNTER DIAGNOSIS"/><statusCode code="active"/><effectiveTime><low value="20250701"/></effectiveTime><entryRelationship typeCode="SUBJ" inversionInd="false"><observation classCode="OBS" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="7EF82889-F3CF-4AA7-8CF6-7610354F5BBF"/><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="20250701"/></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">Varicella Antibody Titer Quantitative , [CPT-4: 0]</td><td align="center">07/01/2025</td></tr><tr><td ID = "procedure2">TSH (QUEST), [CPT-4: 899]</td><td align="center">04/08/2022</td></tr><tr><td ID = "procedure3">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">04/08/2022</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">05/11/2023</td></tr><tr><td ID = "procedure5">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">10/25/2024</td></tr><tr><td ID = "procedure6">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">10/25/2024</td></tr><tr><td ID = "procedure7">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">04/08/2022</td></tr><tr><td ID = "procedure8">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">05/11/2023</td></tr><tr><td ID = "procedure9">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">04/08/2022</td></tr><tr><td ID = "procedure10">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">10/25/2024</td></tr><tr><td ID = "procedure11">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">05/11/2023</td></tr><tr><td ID = "procedure12">TDap, [CPT-4: 90715]</td><td align="center">07/02/2025</td></tr><tr><td ID = "procedure13">Hepatitis B, [CPT-4: 90746]</td><td align="center">07/02/2025</td></tr><tr><td ID = "procedure14">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">07/01/2025</td></tr><tr><td ID = "procedure15">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">04/08/2022</td></tr><tr><td ID = "procedure16">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">07/02/2025</td></tr><tr><td ID = "procedure17">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/15/2021</td></tr><tr><td ID = "procedure18">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/15/2021</td></tr><tr><td ID = "procedure19">Hepatitis B Surf Ab Quant, [SNOMED CT: 006530]</td><td align="center">07/01/2025</td></tr><tr><td ID = "procedure20">Measles/Mumps/Rubella Immunity, [SNOMED CT: 058495]</td><td align="center">07/01/2025</td></tr><tr><td ID = "procedure21">Varicella-Zoster V Ab  IgG, [SNOMED CT: 096206]</td><td align="center">07/01/2025</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="2182E0F3-21B5-4F51-A1BE-36EC92EFA575"/><code code="0" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Varicella Antibody Titer Quantitative "/><statusCode code="completed"/><effectiveTime value="20250701"/><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="049CB660-DFBA-4681-9EF3-6498D3F5CCD6"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220408"/><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="C2F8CC39-5B78-4CCE-ADE7-B1FB81D89524"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220408"/><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="BA9D6E8A-8A09-4A27-87BA-4D7DD5C9A2A9"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230511"/><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="1EE1BCB6-55D2-47EE-B575-435EFCB9AB7B"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20241025"/><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="6090A3C5-1A65-4E54-990D-2205465CD5C1"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20241025"/><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="E2DFA83E-9750-43F5-AE8F-839270B051E1"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220408"/><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="1A34430B-275C-4C84-BB90-C869FEA6E78D"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230511"/><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="01AEC58D-BD80-4714-8DE6-6E2895D0DDB2"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220408"/><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="C87B9D36-7A8B-43F3-9F7D-40D30E621802"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20241025"/><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="ACE7280C-2C3B-45D1-8FF2-193D95C586EB"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230511"/><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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            </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 = "immun3">Influenza virus vaccine</td><td align="center">09/15/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun1">TDap</td><td align="center">07/02/2025</td><td align="center">Completed</td></tr><tr><td ID = "immun2">Hepatitis B</td><td align="center">07/02/2025</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="3484D6B3-3741-482A-8799-E9041CFF3D05"/><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 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 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value="20260716153910-0500"/><assignedAuthor><id extension="1265085633" 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><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="9FDC437D-8CA2-458F-B6CE-2DEC43D5DC56"/><text>TDap</text><statusCode code="completed"/><effectiveTime value="20250702"/><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 root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="115" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="TDap"/><lotNumberText>KR75K</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>Maranda</given><family>Fain</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 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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">04/08/2022</td><td ID = "vital_1_height">180 cm</td><td ID = "vital_1_weight">98 kg</td><td ID = "vital_1_bmi">30.16</td><td ID = "vital_1_bp">132/85 mm[Hg]</td><td ID = "vital_1_temp">36 Cel</td><td ID = "vital_1_pulse">98 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">15 bpm</td></tr><tr><td ID = "vital_2">05/12/2023</td><td ID = "vital_2_bp">138/82 mm[Hg]</td><td ID = "vital_2_pulse">62 bpm</td></tr><tr><td ID = "vital_3">07/17/2024</td><td ID = "vital_3_height">180 cm</td><td ID = "vital_3_weight">96 kg</td><td ID = "vital_3_bmi">29.45</td><td ID = "vital_3_bp">134/75 mm[Hg]</td><td ID = "vital_3_temp">37 Cel</td><td ID = "vital_3_pulse">59 bpm</td><td ID = "vital_3_pulseox">98 pct</td><td ID = "vital_3_resp">16 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 root="2.16.840.1.113883.10.20.22.4.26"/><id root="70F87B3E-1454-44F6-8E26-BD6C2278EEA9"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/></code><statusCode code="completed"/><effectiveTime><low value="20220408"/><high value="20220408"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153910-0500"/><assignedAuthor><id extension="1265085633" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" 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(HIPAA)"/></assignedAuthor></author></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="A6AB85A3-5A75-4A61-B2CF-F2C9D2A06D7C"/><code code="59408-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PulseOx"/><text><reference value="#vital_3_pulseox"/></text><statusCode code="completed"/><effectiveTime value="20240717"/><value xsi:type="PQ" value="98" unit="%"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153910-0500"/><assignedAuthor><id extension="1265085633" 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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="7494E7A7-2D82-480A-9FC5-47E2D671B084"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_3_resp"/></text><statusCode code="completed"/><effectiveTime value="20240717"/><value xsi:type="PQ" value="16" unit="/min"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153910-0500"/><assignedAuthor><id extension="1265085633" 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="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.3.1"/><code code ="30954-2" codeSystem="2.16.840.1.113883.6.1" 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">RUBELLA ANTIBODIES, IGG</td><td>5.58</td><td align="center">07/02/2025</td></tr><tr><td ID="result2">MEASLES ANTIBODIES, IGG</td><td>&gt;300.0</td><td align="center">07/02/2025</td></tr><tr><td ID="result3">MUMPS ABS, IGG</td><td>103.0</td><td align="center">07/02/2025</td></tr><tr><td ID="result4">HEPATITIS B SURF AB QUANT</td><td>&lt;3.5</td><td align="center">07/02/2025</td></tr><tr><td ID="result5">VARICELLA ZOSTER IGG</td><td>Reactive</td><td align="center">07/02/2025</td></tr><tr><td ID="result6">CHOLESTEROL, TOTAL</td><td>157</td><td align="center">10/26/2024</td></tr><tr><td ID="result7">HDL CHOLESTEROL</td><td>46</td><td align="center">10/26/2024</td></tr><tr><td ID="result8">TRIGLYCERIDES</td><td>100</td><td align="center">10/26/2024</td></tr><tr><td ID="result9">LDL-CHOLESTEROL</td><td>91</td><td align="center">10/26/2024</td></tr><tr><td ID="result10">CHOL/HDLC RATIO</td><td>3.4</td><td align="center">10/26/2024</td></tr><tr><td ID="result11">NON HDL CHOLESTEROL</td><td>111</td><td align="center">10/26/2024</td></tr><tr><td ID="result12">GLUCOSE</td><td>88</td><td align="center">10/26/2024</td></tr><tr><td ID="result13">UREA NITROGEN (BUN)</td><td>23</td><td align="center">10/26/2024</td></tr><tr><td ID="result14">CREATININE</td><td>0.78</td><td align="center">10/26/2024</td></tr><tr><td ID="result15">EGFR</td><td>116</td><td align="center">10/26/2024</td></tr><tr><td ID="result16">BUN/CREATININE RATIO</td><td>SEE NOTE:</td><td align="center">10/26/2024</td></tr><tr><td ID="result17">SODIUM</td><td>139</td><td align="center">10/26/2024</td></tr><tr><td ID="result18">POTASSIUM</td><td>4.2</td><td align="center">10/26/2024</td></tr><tr><td ID="result19">CHLORIDE</td><td>102</td><td align="center">10/26/2024</td></tr><tr><td ID="result20">CARBON DIOXIDE</td><td>27</td><td align="center">10/26/2024</td></tr><tr><td ID="result21">CALCIUM</td><td>9.5</td><td align="center">10/26/2024</td></tr><tr><td ID="result22">PROTEIN, TOTAL</td><td>6.7</td><td align="center">10/26/2024</td></tr><tr><td ID="result23">ALBUMIN</td><td>4.6</td><td align="center">10/26/2024</td></tr><tr><td ID="result24">GLOBULIN</td><td>2.1</td><td align="center">10/26/2024</td></tr><tr><td ID="result25">ALBUMIN/GLOBULIN RATIO</td><td>2.2</td><td align="center">10/26/2024</td></tr><tr><td ID="result26">BILIRUBIN, TOTAL</td><td>0.7</td><td align="center">10/26/2024</td></tr><tr><td ID="result27">ALKALINE PHOSPHATASE</td><td>29</td><td align="center">10/26/2024</td></tr><tr><td ID="result28">AST</td><td>24</td><td align="center">10/26/2024</td></tr><tr><td ID="result29">ALT</td><td>27</td><td align="center">10/26/2024</td></tr><tr><td ID="result30">WHITE BLOOD CELL COUNT</td><td>6.3</td><td align="center">10/26/2024</td></tr><tr><td ID="result31">RED BLOOD CELL COUNT</td><td>5.34</td><td align="center">10/26/2024</td></tr><tr><td ID="result32">HEMOGLOBIN</td><td>15.7</td><td align="center">10/26/2024</td></tr><tr><td ID="result33">HEMATOCRIT</td><td>48.0</td><td align="center">10/26/2024</td></tr><tr><td ID="result34">MCV</td><td>89.9</td><td align="center">10/26/2024</td></tr><tr><td ID="result35">MCH</td><td>29.4</td><td align="center">10/26/2024</td></tr><tr><td ID="result36">MCHC</td><td>32.7</td><td align="center">10/26/2024</td></tr><tr><td ID="result37">RDW</td><td>11.9</td><td align="center">10/26/2024</td></tr><tr><td ID="result38">PLATELET COUNT</td><td>202</td><td align="center">10/26/2024</td></tr><tr><td ID="result39">MPV</td><td>11.2</td><td align="center">10/26/2024</td></tr><tr><td ID="result40">ABSOLUTE NEUTROPHILS</td><td>3182</td><td align="center">10/26/2024</td></tr><tr><td ID="result41">ABSOLUTE LYMPHOCYTES</td><td>2501</td><td align="center">10/26/2024</td></tr><tr><td ID="result42">ABSOLUTE MONOCYTES</td><td>498</td><td align="center">10/26/2024</td></tr><tr><td ID="result43">ABSOLUTE EOSINOPHILS</td><td>88</td><td align="center">10/26/2024</td></tr><tr><td ID="result44">ABSOLUTE BASOPHILS</td><td>32</td><td align="center">10/26/2024</td></tr><tr><td ID="result45">NEUTROPHILS</td><td>50.5</td><td align="center">10/26/2024</td></tr><tr><td ID="result46">LYMPHOCYTES</td><td>39.7</td><td align="center">10/26/2024</td></tr><tr><td ID="result47">MONOCYTES</td><td>7.9</td><td align="center">10/26/2024</td></tr><tr><td ID="result48">EOSINOPHILS</td><td>1.4</td><td align="center">10/26/2024</td></tr><tr><td ID="result49">BASOPHILS</td><td>0.5</td><td align="center">10/26/2024</td></tr><tr><td ID="result50">CHOLESTEROL, TOTAL</td><td>206</td><td align="center">05/12/2023</td></tr><tr><td ID="result51">HDL CHOLESTEROL</td><td>45</td><td align="center">05/12/2023</td></tr><tr><td ID="result52">TRIGLYCERIDES</td><td>138</td><td align="center">05/12/2023</td></tr><tr><td ID="result53">LDL-CHOLESTEROL</td><td>134</td><td align="center">05/12/2023</td></tr><tr><td ID="result54">CHOL/HDLC RATIO</td><td>4.6</td><td align="center">05/12/2023</td></tr><tr><td ID="result55">NON HDL CHOLESTEROL</td><td>161</td><td align="center">05/12/2023</td></tr><tr><td ID="result56">GLUCOSE</td><td>92</td><td align="center">05/12/2023</td></tr><tr><td ID="result57">UREA NITROGEN (BUN)</td><td>24</td><td align="center">05/12/2023</td></tr><tr><td ID="result58">CREATININE</td><td>0.85</td><td align="center">05/12/2023</td></tr><tr><td ID="result59">EGFR</td><td>115</td><td align="center">05/12/2023</td></tr><tr><td ID="result60">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">05/12/2023</td></tr><tr><td ID="result61">SODIUM</td><td>138</td><td align="center">05/12/2023</td></tr><tr><td ID="result62">POTASSIUM</td><td>4.2</td><td align="center">05/12/2023</td></tr><tr><td ID="result63">CHLORIDE</td><td>102</td><td align="center">05/12/2023</td></tr><tr><td ID="result64">CARBON DIOXIDE</td><td>30</td><td align="center">05/12/2023</td></tr><tr><td ID="result65">CALCIUM</td><td>9.8</td><td align="center">05/12/2023</td></tr><tr><td ID="result66">PROTEIN, TOTAL</td><td>7.0</td><td align="center">05/12/2023</td></tr><tr><td ID="result67">ALBUMIN</td><td>4.6</td><td align="center">05/12/2023</td></tr><tr><td ID="result68">GLOBULIN</td><td>2.4</td><td align="center">05/12/2023</td></tr><tr><td ID="result69">ALBUMIN/GLOBULIN RATIO</td><td>1.9</td><td align="center">05/12/2023</td></tr><tr><td ID="result70">BILIRUBIN, TOTAL</td><td>0.7</td><td align="center">05/12/2023</td></tr><tr><td ID="result71">ALKALINE PHOSPHATASE</td><td>25</td><td align="center">05/12/2023</td></tr><tr><td ID="result72">AST</td><td>22</td><td align="center">05/12/2023</td></tr><tr><td ID="result73">ALT</td><td>27</td><td align="center">05/12/2023</td></tr><tr><td ID="result74">WHITE BLOOD CELL COUNT</td><td>6.4</td><td align="center">05/12/2023</td></tr><tr><td ID="result75">RED BLOOD CELL COUNT</td><td>5.15</td><td align="center">05/12/2023</td></tr><tr><td ID="result76">HEMOGLOBIN</td><td>16.2</td><td align="center">05/12/2023</td></tr><tr><td ID="result77">HEMATOCRIT</td><td>44.8</td><td align="center">05/12/2023</td></tr><tr><td ID="result78">MCV</td><td>87.0</td><td align="center">05/12/2023</td></tr><tr><td ID="result79">MCH</td><td>31.5</td><td align="center">05/12/2023</td></tr><tr><td ID="result80">MCHC</td><td>36.2</td><td align="center">05/12/2023</td></tr><tr><td ID="result81">RDW</td><td>12.5</td><td align="center">05/12/2023</td></tr><tr><td ID="result82">PLATELET COUNT</td><td>228</td><td align="center">05/12/2023</td></tr><tr><td ID="result83">MPV</td><td>11.5</td><td align="center">05/12/2023</td></tr><tr><td ID="result84">ABSOLUTE NEUTROPHILS</td><td>3232</td><td align="center">05/12/2023</td></tr><tr><td ID="result85">ABSOLUTE LYMPHOCYTES</td><td>2541</td><td align="center">05/12/2023</td></tr><tr><td ID="result86">ABSOLUTE MONOCYTES</td><td>480</td><td align="center">05/12/2023</td></tr><tr><td ID="result87">ABSOLUTE EOSINOPHILS</td><td>109</td><td align="center">05/12/2023</td></tr><tr><td ID="result88">ABSOLUTE BASOPHILS</td><td>38</td><td align="center">05/12/2023</td></tr><tr><td ID="result89">NEUTROPHILS</td><td>50.5</td><td align="center">05/12/2023</td></tr><tr><td ID="result90">LYMPHOCYTES</td><td>39.7</td><td align="center">05/12/2023</td></tr><tr><td ID="result91">MONOCYTES</td><td>7.5</td><td align="center">05/12/2023</td></tr><tr><td ID="result92">EOSINOPHILS</td><td>1.7</td><td align="center">05/12/2023</td></tr><tr><td ID="result93">BASOPHILS</td><td>0.6</td><td align="center">05/12/2023</td></tr><tr><td ID="result94">CHOLESTEROL, TOTAL</td><td>139</td><td align="center">04/09/2022</td></tr><tr><td ID="result95">HDL CHOLESTEROL</td><td>47</td><td align="center">04/09/2022</td></tr><tr><td ID="result96">TRIGLYCERIDES</td><td>111</td><td align="center">04/09/2022</td></tr><tr><td ID="result97">LDL-CHOLESTEROL</td><td>73</td><td align="center">04/09/2022</td></tr><tr><td ID="result98">CHOL/HDLC RATIO</td><td>3.0</td><td align="center">04/09/2022</td></tr><tr><td ID="result99">NON HDL CHOLESTEROL</td><td>92</td><td align="center">04/09/2022</td></tr><tr><td ID="result100">GLUCOSE</td><td>93</td><td align="center">04/09/2022</td></tr><tr><td ID="result101">UREA NITROGEN (BUN)</td><td>21</td><td align="center">04/09/2022</td></tr><tr><td ID="result102">CREATININE</td><td>0.76</td><td align="center">04/09/2022</td></tr><tr><td ID="result103">EGFR NON-AFR. AMERICAN</td><td>117</td><td align="center">04/09/2022</td></tr><tr><td ID="result104">EGFR AFRICAN AMERICAN</td><td>136</td><td align="center">04/09/2022</td></tr><tr><td ID="result105">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">04/09/2022</td></tr><tr><td ID="result106">SODIUM</td><td>139</td><td align="center">04/09/2022</td></tr><tr><td ID="result107">POTASSIUM</td><td>4.0</td><td align="center">04/09/2022</td></tr><tr><td ID="result108">CHLORIDE</td><td>104</td><td align="center">04/09/2022</td></tr><tr><td ID="result109">CARBON DIOXIDE</td><td>24</td><td align="center">04/09/2022</td></tr><tr><td ID="result110">CALCIUM</td><td>9.7</td><td align="center">04/09/2022</td></tr><tr><td ID="result111">PROTEIN, TOTAL</td><td>7.3</td><td align="center">04/09/2022</td></tr><tr><td ID="result112">ALBUMIN</td><td>4.8</td><td align="center">04/09/2022</td></tr><tr><td ID="result113">GLOBULIN</td><td>2.5</td><td align="center">04/09/2022</td></tr><tr><td ID="result114">ALBUMIN/GLOBULIN RATIO</td><td>1.9</td><td align="center">04/09/2022</td></tr><tr><td ID="result115">BILIRUBIN, TOTAL</td><td>0.7</td><td align="center">04/09/2022</td></tr><tr><td ID="result116">ALKALINE PHOSPHATASE</td><td>26</td><td align="center">04/09/2022</td></tr><tr><td ID="result117">AST</td><td>28</td><td align="center">04/09/2022</td></tr><tr><td ID="result118">ALT</td><td>36</td><td align="center">04/09/2022</td></tr><tr><td ID="result119">WHITE BLOOD CELL COUNT</td><td>7.2</td><td align="center">04/09/2022</td></tr><tr><td ID="result120">RED BLOOD CELL COUNT</td><td>5.44</td><td align="center">04/09/2022</td></tr><tr><td ID="result121">HEMOGLOBIN</td><td>16.1</td><td align="center">04/09/2022</td></tr><tr><td ID="result122">HEMATOCRIT</td><td>46.4</td><td align="center">04/09/2022</td></tr><tr><td ID="result123">MCV</td><td>85.3</td><td align="center">04/09/2022</td></tr><tr><td ID="result124">MCH</td><td>29.6</td><td align="center">04/09/2022</td></tr><tr><td ID="result125">MCHC</td><td>34.7</td><td align="center">04/09/2022</td></tr><tr><td ID="result126">RDW</td><td>12.1</td><td align="center">04/09/2022</td></tr><tr><td ID="result127">PLATELET COUNT</td><td>234</td><td align="center">04/09/2022</td></tr><tr><td ID="result128">MPV</td><td>11.7</td><td align="center">04/09/2022</td></tr><tr><td ID="result129">ABSOLUTE NEUTROPHILS</td><td>3067</td><td align="center">04/09/2022</td></tr><tr><td ID="result130">ABSOLUTE LYMPHOCYTES</td><td>3514</td><td align="center">04/09/2022</td></tr><tr><td ID="result131">ABSOLUTE MONOCYTES</td><td>468</td><td align="center">04/09/2022</td></tr><tr><td ID="result132">ABSOLUTE EOSINOPHILS</td><td>122</td><td align="center">04/09/2022</td></tr><tr><td ID="result133">ABSOLUTE BASOPHILS</td><td>29</td><td align="center">04/09/2022</td></tr><tr><td ID="result134">NEUTROPHILS</td><td>42.6</td><td align="center">04/09/2022</td></tr><tr><td ID="result135">LYMPHOCYTES</td><td>48.8</td><td align="center">04/09/2022</td></tr><tr><td ID="result136">MONOCYTES</td><td>6.5</td><td align="center">04/09/2022</td></tr><tr><td ID="result137">EOSINOPHILS</td><td>1.7</td><td align="center">04/09/2022</td></tr><tr><td ID="result138">BASOPHILS</td><td>0.4</td><td align="center">04/09/2022</td></tr><tr><td ID="result139">TSH</td><td>1.82</td><td align="center">04/09/2022</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="B9F77090-017A-431A-8149-61BC812E9236"/><code code="006204" displayName="RUBELLA ANTIBODIES, IGG" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20250702"/><high 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codeSystemName="CPT-4"><originalText><reference value="#result105"/></originalText></code><text><reference value="#result105"/></text><statusCode code="completed"/><effectiveTime value="20220409"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716153910-0500"/><assignedAuthor><id extension="1265085633" 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>TREATMENT PLAN</title><text><table border="1" width="100%"><thead><tr><th>Name</th><th>Type</th><th>Date</th></tr></thead><tbody><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">April 01, 2025</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">March 25, 2025</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="79BACD7B-6DB1-4A0F-A00E-1C1B8546AA70"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="B25197D3-F0D2-471E-BE7B-3C36B49D64AB"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center</text><statusCode code="completed"/></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" codeSystem="2.16.840.1.113883.6.1" 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="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2014-06-09"/><id root="AA4F7677-ED64-4B17-AE4B-D65BC835ABA9"/><code code="11367-0" codeSystem="2.16.840.1.113883.6.1"/><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.14"/><code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/><title>FUNCTIONAL STATUS</title><text>No information</text></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" /><code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" /><title>MENTAL STATUS</title><text>No information</text></section></component></structuredBody> </component></ClinicalDocument>