2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Jan 26, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jan 28, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Jan 23, 2023
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Jan 25, 20237461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

CBC W/ DIFF (QUEST), [CPT-4: 6399]
01/11/2022
CBC W/ DIFF (QUEST), [CPT-4: 6399]
02/08/2023
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
01/11/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
01/11/2022
TDap, [CPT-4: 90715]
01/11/2022
Hepatitis B, [CPT-4: 90746]
01/13/2022
Hepatitis B, [CPT-4: 90746]
02/08/2023
TB test - IPPD, [CPT-4: SP86580]
01/26/2022
TB test - IPPD, [CPT-4: SP86580]
01/11/2022
TB test - IPPD, [CPT-4: SP86580]
01/23/2023
MMR TITER, [CPT-4: 5259]
01/11/20227461 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 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 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

TDap
01/11/2022
Completed
Hepatitis B
01/13/2022
Completed
Hepatitis B
02/08/2023
CompletedTDapM442PGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B7XY23GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BNT9X3GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn 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

01/11/2022 173 cm 116 kg 38.92 146/98 mm[Hg] 38 Cel 88 bpm 98 pct 16 bpm
02/08/2023 173 cm 123 kg 41.15 158/86 mm[Hg] 36 Cel 85 bpm 100 pct 16 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
01/13/2022
TB Read Only
Negative
01/28/2022
TB Read Only
Negative
01/25/2023
WHITE BLOOD CELL COUNT
3.4
02/09/2023
RED BLOOD CELL COUNT
4.45
02/09/2023
HEMOGLOBIN
11.3
02/09/2023
HEMATOCRIT
35.4
02/09/2023
MCV
79.6
02/09/2023
MCH
25.4
02/09/2023
MCHC
31.9
02/09/2023
RDW
15.5
02/09/2023
PLATELET COUNT
275
02/09/2023
MPV
9.6
02/09/2023
ABSOLUTE NEUTROPHILS
1860
02/09/2023
ABSOLUTE LYMPHOCYTES
1295
02/09/2023
ABSOLUTE MONOCYTES
204
02/09/2023
ABSOLUTE EOSINOPHILS
20
02/09/2023
ABSOLUTE BASOPHILS
20
02/09/2023
NEUTROPHILS
54.7
02/09/2023
LYMPHOCYTES
38.1
02/09/2023
MONOCYTES
6.0
02/09/2023
EOSINOPHILS
0.6
02/09/2023
BASOPHILS
0.6
02/09/2023
MEASLES AB (IGG), IMMUNE STATUS
>300.00
01/12/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
79.80
01/12/2022
RUBELLA AB (IGG), IMMUNE STATUS
4.16
01/12/2022
WHITE BLOOD CELL COUNT
4.7
01/12/2022
RED BLOOD CELL COUNT
4.51
01/12/2022
HEMOGLOBIN
12.0
01/12/2022
HEMATOCRIT
36.2
01/12/2022
MCV
80.3
01/12/2022
MCH
26.6
01/12/2022
MCHC
33.1
01/12/2022
RDW
14.3
01/12/2022
PLATELET COUNT
277
01/12/2022
MPV
10.2
01/12/2022
ABSOLUTE NEUTROPHILS
2068
01/12/2022
ABSOLUTE LYMPHOCYTES
2256
01/12/2022
ABSOLUTE MONOCYTES
376
01/12/2022
ABSOLUTE EOSINOPHILS
0
01/12/2022
ABSOLUTE BASOPHILS
0
01/12/2022
NEUTROPHILS
44.0
01/12/2022
LYMPHOCYTES
48.0
01/12/2022
MONOCYTES
8.0
01/12/2022
EOSINOPHILS
0
01/12/2022
BASOPHILS
0
01/12/2022
HEPATITIS B SURFACE AB IMMUNITY, QN
<5
01/12/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
1931.00
01/12/2022NegativeNegativeNegative>300.00<5TREATMENT PLANName Type Date

SmokingCessation
Smoking Cessation
January 11, 2022
SmokingCessation
Smoking Cessation
February 08, 2023
NutritionCounsel
Nutrition Counseling
January 11, 2022
NutritionCounsel
Nutrition Counseling
February 08, 2023
PhysicalActivityCounsel
Physical Activity Counsel
January 11, 2022
PhysicalActivityCounsel
Physical Activity Counsel
February 08, 2023Smoking CessationSmoking CessationNutrition CounselingNutrition CounselingPhysical Activity CounselPhysical Activity CounselGoals 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

Encounter	Performer	Location	Date
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Jan 26, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jan 28, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Jan 23, 2023
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Jan 25, 2023

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	01/11/2022
CBC W/ DIFF (QUEST), [CPT-4: 6399]	02/08/2023
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	01/11/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	01/11/2022
TDap, [CPT-4: 90715]	01/11/2022
Hepatitis B, [CPT-4: 90746]	01/13/2022
Hepatitis B, [CPT-4: 90746]	02/08/2023
TB test - IPPD, [CPT-4: SP86580]	01/26/2022
TB test - IPPD, [CPT-4: SP86580]	01/11/2022
TB test - IPPD, [CPT-4: SP86580]	01/23/2023
MMR TITER, [CPT-4: 5259]	01/11/2022

Name	Date	Status
TDap	01/11/2022	Completed
Hepatitis B	01/13/2022	Completed
Hepatitis B	02/08/2023	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
01/11/2022	173 cm	116 kg	38.92	146/98 mm[Hg]	38 Cel	88 bpm	98 pct	16 bpm
02/08/2023	173 cm	123 kg	41.15	158/86 mm[Hg]	36 Cel	85 bpm	100 pct	16 bpm

Result Type	Result Value	Date
TB Read Only	Negative	01/13/2022
TB Read Only	Negative	01/28/2022
TB Read Only	Negative	01/25/2023
WHITE BLOOD CELL COUNT	3.4	02/09/2023
RED BLOOD CELL COUNT	4.45	02/09/2023
HEMOGLOBIN	11.3	02/09/2023
HEMATOCRIT	35.4	02/09/2023
MCV	79.6	02/09/2023
MCH	25.4	02/09/2023
MCHC	31.9	02/09/2023
RDW	15.5	02/09/2023
PLATELET COUNT	275	02/09/2023
MPV	9.6	02/09/2023
ABSOLUTE NEUTROPHILS	1860	02/09/2023
ABSOLUTE LYMPHOCYTES	1295	02/09/2023
ABSOLUTE MONOCYTES	204	02/09/2023
ABSOLUTE EOSINOPHILS	20	02/09/2023
ABSOLUTE BASOPHILS	20	02/09/2023
NEUTROPHILS	54.7	02/09/2023
LYMPHOCYTES	38.1	02/09/2023
MONOCYTES	6.0	02/09/2023
EOSINOPHILS	0.6	02/09/2023
BASOPHILS	0.6	02/09/2023
MEASLES AB (IGG), IMMUNE STATUS	>300.00	01/12/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	79.80	01/12/2022
RUBELLA AB (IGG), IMMUNE STATUS	4.16	01/12/2022
WHITE BLOOD CELL COUNT	4.7	01/12/2022
RED BLOOD CELL COUNT	4.51	01/12/2022
HEMOGLOBIN	12.0	01/12/2022
HEMATOCRIT	36.2	01/12/2022
MCV	80.3	01/12/2022
MCH	26.6	01/12/2022
MCHC	33.1	01/12/2022
RDW	14.3	01/12/2022
PLATELET COUNT	277	01/12/2022
MPV	10.2	01/12/2022
ABSOLUTE NEUTROPHILS	2068	01/12/2022
ABSOLUTE LYMPHOCYTES	2256	01/12/2022
ABSOLUTE MONOCYTES	376	01/12/2022
ABSOLUTE EOSINOPHILS	0	01/12/2022
ABSOLUTE BASOPHILS	0	01/12/2022
NEUTROPHILS	44.0	01/12/2022
LYMPHOCYTES	48.0	01/12/2022
MONOCYTES	8.0	01/12/2022
EOSINOPHILS	0	01/12/2022
BASOPHILS	0	01/12/2022
HEPATITIS B SURFACE AB IMMUNITY, QN	<5	01/12/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	1931.00	01/12/2022

Name	Type	Date
SmokingCessation	Smoking Cessation	January 11, 2022
SmokingCessation	Smoking Cessation	February 08, 2023
NutritionCounsel	Nutrition Counseling	January 11, 2022
NutritionCounsel	Nutrition Counseling	February 08, 2023
PhysicalActivityCounsel	Physical Activity Counsel	January 11, 2022
PhysicalActivityCounsel	Physical Activity Counsel	February 08, 2023