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
Jul 06, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jul 08, 20227461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
07/08/2022
TB test - IPPD, [CPT-4: SP86580]
07/06/2022
MMR, [CPT-4: 90707]
07/06/2022
HIV, [CPT-4: 86701]
07/08/2022
Chest XRAY, [CPT-4: 71020]
07/08/2022
Immunization Injection Administration, [CPT-4: 90471]
07/06/2022
QUANTIFERON(R)-TB GOLD PLUS  1 TUBE, [CPT-4: 36970]
07/08/20227461 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 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

MMR
05/30/2022
Completed
MMR
07/06/2022
CompletedMMR7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMRUO22174Merck Co., Inc.7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSNo Vitals Signs Selected to be DisplayedRESULTSResult Type Result Value Date

TB Read Only
Positive
07/08/2022
QUANTIFERON(R)-TB GOLD PLUS, 1 TUBE
NEGATIVE
07/11/2022
NIL
0.03
07/11/2022
MITOGEN-NIL
9.90
07/11/2022
TB1-NIL
0.02
07/11/2022
TB2-NIL
0.02
07/11/2022
GLUCOSE
92
07/09/2022
UREA NITROGEN (BUN)
9
07/09/2022
CREATININE
0.71
07/09/2022
EGFR NON-AFR. AMERICAN
130
07/09/2022
EGFR AFRICAN AMERICAN
151
07/09/2022
BUN/CREATININE RATIO
NOT APPLICABLE
07/09/2022
SODIUM
139
07/09/2022
POTASSIUM
3.5
07/09/2022
CHLORIDE
102
07/09/2022
CARBON DIOXIDE
27
07/09/2022
CALCIUM
10.2
07/09/2022
PROTEIN, TOTAL
9.0
07/09/2022
ALBUMIN
5.3
07/09/2022
GLOBULIN
3.7
07/09/2022
ALBUMIN/GLOBULIN RATIO
1.4
07/09/2022
BILIRUBIN, TOTAL
1.4
07/09/2022
ALKALINE PHOSPHATASE
72
07/09/2022
AST
18
07/09/2022
ALT
15
07/09/2022PositiveNEGATIVENOT APPLICABLEPLAN 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

Encounter	Performer	Location	Date
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Jul 06, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jul 08, 2022

Procedure	Date
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	07/08/2022
TB test - IPPD, [CPT-4: SP86580]	07/06/2022
MMR, [CPT-4: 90707]	07/06/2022
HIV, [CPT-4: 86701]	07/08/2022
Chest XRAY, [CPT-4: 71020]	07/08/2022
Immunization Injection Administration, [CPT-4: 90471]	07/06/2022
QUANTIFERON(R)-TB GOLD PLUS 1 TUBE, [CPT-4: 36970]	07/08/2022

Result Type	Result Value	Date
TB Read Only	Positive	07/08/2022
QUANTIFERON(R)-TB GOLD PLUS, 1 TUBE	NEGATIVE	07/11/2022
NIL	0.03	07/11/2022
MITOGEN-NIL	9.90	07/11/2022
TB1-NIL	0.02	07/11/2022
TB2-NIL	0.02	07/11/2022
GLUCOSE	92	07/09/2022
UREA NITROGEN (BUN)	9	07/09/2022
CREATININE	0.71	07/09/2022
EGFR NON-AFR. AMERICAN	130	07/09/2022
EGFR AFRICAN AMERICAN	151	07/09/2022
BUN/CREATININE RATIO	NOT APPLICABLE	07/09/2022
SODIUM	139	07/09/2022
POTASSIUM	3.5	07/09/2022
CHLORIDE	102	07/09/2022
CARBON DIOXIDE	27	07/09/2022
CALCIUM	10.2	07/09/2022
PROTEIN, TOTAL	9.0	07/09/2022
ALBUMIN	5.3	07/09/2022
GLOBULIN	3.7	07/09/2022
ALBUMIN/GLOBULIN RATIO	1.4	07/09/2022
BILIRUBIN, TOTAL	1.4	07/09/2022
ALKALINE PHOSPHATASE	72	07/09/2022
AST	18	07/09/2022
ALT	15	07/09/2022