2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Breo Ellipta 100 mcg-25 mcg/dose powder for inhalation, [RxNorm: 1539891]
10/29/2021
1 puff daily
Active
Singulair 10 mg tablet, [RxNorm: 153892]
10/29/2021
1 tablet PO QHS
Active
trazodone 50 mg tablet, [RxNorm: 856379]
10/29/2021
1 tablet QHS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 29, 20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

UA, [CPT-4: 81003]
10/29/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]
10/29/20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSNo immunization historyVaccinationVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

10/29/2021 165 cm 63 kg 22.99 130/84 mm[Hg] 36 Cel 100 bpm 98 pct 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
10/29/2021
Urobilinogen-Urine
Negative
10/29/2021
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/29/2021
pH of Urine by Test strip
7 [pH]
10/29/2021
Blood-Urine
Negative
10/29/2021
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/29/2021
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/29/2021
Cesium-Urine
yes
10/29/2021
Specific Gravity of Urine by Test strip
1.005
10/29/2021
Bilirubin-Urine
Negative
10/29/2021
Nitrites-Urine
Negative
10/29/2021
Appearance of Urine
clear
10/29/2021
Color of Urine
yellow
10/29/2021
SOURCE:
URINE
10/31/2021
STATUS:
FINAL
10/31/2021
RESULT:
No Growth
10/31/2021NegativeNegativeNegativeNegativeNegativeNegativeyesNegativeNegativeclearyellowURINEFINALNo GrowthPLAN 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
Breo Ellipta 100 mcg-25 mcg/dose powder for inhalation, [RxNorm: 1539891]	10/29/2021	1 puff daily	Active
Singulair 10 mg tablet, [RxNorm: 153892]	10/29/2021	1 tablet PO QHS	Active
trazodone 50 mg tablet, [RxNorm: 856379]	10/29/2021	1 tablet QHS	Active

Procedure	Date
UA, [CPT-4: 81003]	10/29/2021
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]	10/29/2021

Result Type	Result Value	Date
Leukocytes-Urine	Negative	10/29/2021
Urobilinogen-Urine	Negative	10/29/2021
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/29/2021
pH of Urine by Test strip	7 [pH]	10/29/2021
Blood-Urine	Negative	10/29/2021
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/29/2021
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/29/2021
Cesium-Urine	yes	10/29/2021
Specific Gravity of Urine by Test strip	1.005	10/29/2021
Bilirubin-Urine	Negative	10/29/2021
Nitrites-Urine	Negative	10/29/2021
Appearance of Urine	clear	10/29/2021
Color of Urine	yellow	10/29/2021
SOURCE:	URINE	10/31/2021
STATUS:	FINAL	10/31/2021
RESULT:	No Growth	10/31/2021