2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

amoxicillin 875 mg tablet, [RxNorm: 213339]
08/16/2023
TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS FOR 7 DAYS
Active
Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]
08/16/2023
TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 4 HOURS AS NEEDED FOR COUGH/CONGESTION. DO NOT EXCEED 40 ML/DAY
Active
Eliquis 5 mg tablet, [RxNorm: 1364447]
08/16/2023

Active
Synthroid 125 mcg tablet, [RxNorm: 966191]
08/16/2023

Active
aspirin 81 mg tablet,delayed release, [RxNorm: 1189781]
08/31/2023
1 tablet daily
Active
Macrobid 100 mg capsule, [RxNorm: 539712]
08/31/2023
TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD
Active
Diflucan 150 mg tablet, [RxNorm: 207108]
08/31/2023
TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE; may repeat dose in 72 hrs if needed. 
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

UA, [CPT-4: 81003]
08/31/2023
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]
08/31/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]
08/16/2023
Solumedrol 125mg/2ml, [CPT-4: J2930]
02/10/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
10/26/20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

COVID-19, mRNA, LNP-S, PF
10/26/2021
CompletedCOVID-19, mRNA, LNP-S, PFFC3184Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

02/10/2022 163 cm 113 kg 42.65 147/100 mm[Hg] 37 Cel 101 bpm 98 pct 16 bpm
08/16/2023 160 cm 106 kg 41.27 132/88 mm[Hg] 37 Cel 98 bpm 98 pct 17 bpm
08/31/2023 160 cm 115 kg 45.04 139/85 mm[Hg] 37 Cel 91 bpm 91 pct 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Positive
08/31/2023
Urobilinogen-Urine
Negative
08/31/2023
Protein [Mass/Volume] in Urine by Test strip
Positive mg/dL
08/31/2023
pH of Urine by Test strip
6.5 [pH]
08/31/2023
Blood-Urine
Positive
08/31/2023
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/31/2023
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/31/2023
Cesium-Urine
yes
08/31/2023
Specific Gravity of Urine by Test strip
1.015
08/31/2023
Bilirubin-Urine
Positive
08/31/2023
Nitrites-Urine
Positive
08/31/2023
Appearance of Urine
clear
08/31/2023
Color of Urine
yellow
08/31/2023
SOURCE:
URINE
09/03/2023
STATUS:
FINAL
09/03/2023
ISOLATE 1:
10
09/03/2023
AMPICILLIN
<=2.0
09/03/2023
VANCOMYCIN
1.0
09/03/2023
NITROFURANTOIN
<=16.0
09/03/2023PositiveNegativePositivePositiveNegativeNegativeyesPositivePositiveclearyellowURINEFINAL<=2.0<=16.0PLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
amoxicillin 875 mg tablet, [RxNorm: 213339]	08/16/2023	TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS FOR 7 DAYS	Active
Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]	08/16/2023	TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 4 HOURS AS NEEDED FOR COUGH/CONGESTION. DO NOT EXCEED 40 ML/DAY	Active
Eliquis 5 mg tablet, [RxNorm: 1364447]	08/16/2023		Active
Synthroid 125 mcg tablet, [RxNorm: 966191]	08/16/2023		Active
aspirin 81 mg tablet,delayed release, [RxNorm: 1189781]	08/31/2023	1 tablet daily	Active
Macrobid 100 mg capsule, [RxNorm: 539712]	08/31/2023	TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD	Active
Diflucan 150 mg tablet, [RxNorm: 207108]	08/31/2023	TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE; may repeat dose in 72 hrs if needed.	Active

Procedure	Date
UA, [CPT-4: 81003]	08/31/2023
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]	08/31/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]	08/16/2023
Solumedrol 125mg/2ml, [CPT-4: J2930]	02/10/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	10/26/2021

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
02/10/2022	163 cm	113 kg	42.65	147/100 mm[Hg]	37 Cel	101 bpm	98 pct	16 bpm
08/16/2023	160 cm	106 kg	41.27	132/88 mm[Hg]	37 Cel	98 bpm	98 pct	17 bpm
08/31/2023	160 cm	115 kg	45.04	139/85 mm[Hg]	37 Cel	91 bpm	91 pct	16 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Positive	08/31/2023
Urobilinogen-Urine	Negative	08/31/2023
Protein [Mass/Volume] in Urine by Test strip	Positive mg/dL	08/31/2023
pH of Urine by Test strip	6.5 [pH]	08/31/2023
Blood-Urine	Positive	08/31/2023
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/31/2023
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/31/2023
Cesium-Urine	yes	08/31/2023
Specific Gravity of Urine by Test strip	1.015	08/31/2023
Bilirubin-Urine	Positive	08/31/2023
Nitrites-Urine	Positive	08/31/2023
Appearance of Urine	clear	08/31/2023
Color of Urine	yellow	08/31/2023
SOURCE:	URINE	09/03/2023
STATUS:	FINAL	09/03/2023
ISOLATE 1:	10	09/03/2023
AMPICILLIN	<=2.0	09/03/2023
VANCOMYCIN	1.0	09/03/2023
NITROFURANTOIN	<=16.0	09/03/2023