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					<title>2026 Consolidated CDA</title>
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align="center">Active</td></tr><tr><td><content ID = "Med7">lisinopril 30 mg tablet, [RxNorm: 213482]</content></td><td align="center">08/01/2022</td><td align="right">1 TABLET PO ONCE DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">lisinopril 30 mg tablet, [RxNorm: 213482]</content></td><td align="center">02/02/2023</td><td align="right">1 TABLET PO ONCE DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">lisinopril 30 mg tablet, [RxNorm: 213482]</content></td><td align="center">05/18/2022</td><td align="right">1 TABLET PO once DAILY for HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">amlodipine 2.5 mg tablet, [RxNorm: 212542]</content></td><td align="center">08/01/2022</td><td align="right">1 TABLET po DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med13">permethrin 5 % topical cream, [RxNorm: 207484]</content></td><td align="center">04/04/2022</td><td align="right">APPLY (THOROUGHLY MASSAGE INTO SKIN FROM HEAD TO SOLES OF FEET) BY TOPICAL ROUTE ONCE LEAVE ON FOR 8-14 HR, THEN REMOVE BY THOROUGH WASHING; May repeat in 14 days if needed. </td><td align="center">Active</td></tr><tr><td><content ID = "Med14">albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]</content></td><td align="center">11/07/2022</td><td align="right">INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED (FOR SOB/WHEEZING)</td><td align="center">Active</td></tr><tr><td><content ID = "Med17">ondansetron 4 mg disintegrating tablet, [RxNorm: 876690]</content></td><td align="center">08/01/2022</td><td align="right">PLACE 1 TABLET ON TOP OF THE TONGUE WHERE THEY WILL DISSOLVE,THEN SWALLOW BY TRANSLINGUAL ROUTE every 8 hours as needed for nausea. </td><td align="center">Active</td></tr><tr><td><content ID = "Med18">doxycycline hyclate 100 mg capsule, [RxNorm: 1101055]</content></td><td align="center">11/29/2022</td><td align="right">TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE 2 TIMES PER DAY FOR 14 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med19">benzonatate 200 mg capsule, [RxNorm: 351906]</content></td><td align="center">11/29/2022</td><td align="right">TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH</td><td align="center">Active</td></tr><tr><td><content ID = "Med21">amoxicillin 875 mg tablet, [RxNorm: 213339]</content></td><td align="center">11/07/2022</td><td align="right">TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS FOR 7 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med22">Zithromax Z-Pak 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">11/15/2022</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med23">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">11/29/2022</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med24">Ninjacof 12.5 mg-12.5 mg/5 mL oral liquid, [RxNorm: 1593756]</content></td><td align="center">12/05/2022</td><td align="right">Take 2 tsp (10mL) EVERY 6-8 HOURS. DO NOT EXCEED 6 tsp IN 24 HOURS. </td><td align="center">Active</td></tr><tr><td><content ID = "Med25">lamotrigine 200 mg tablet, [RxNorm: 108782]</content></td><td align="center">01/18/2022</td><td align="right">1 TABLET DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med26">Vraylar 3 mg capsule, [RxNorm: 1667670]</content></td><td align="center">01/18/2022</td><td align="right">1 TABLET DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med27">amlodipine 2.5 mg tablet, [RxNorm: 212542]</content></td><td align="center">01/18/2022</td><td align="right">1 TABLET PO DAILY for HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med28">lisinopril 30 mg tablet, [RxNorm: 213482]</content></td><td align="center">01/18/2022</td><td align="right">1 TABLET PO ONCE DAILY FOR HTN</td><td align="center">Active</td></tr><tr><td><content ID = "Med29">venlafaxine 75 mg tablet, [RxNorm: 208853]</content></td><td 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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="9BBC6576-BC5C-4138-AE18-B77EFFFF34EA" extension="28120153"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20221205"/></effectiveTime><value xsi:type="CD" code="R05.9" displayName="COUGH, UNSPECIFIED" 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finding"/><statusCode code="completed"/><effectiveTime><low value="20230202"/></effectiveTime><value xsi:type="CD" code="Z00.00" displayName="ENCNTR FOR GEN ADULT MEDICAL EXAM W/O AB FIND" 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="3B539A1B-FDB8-4643-8243-8CC396EC865B"/><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="20230202"/></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="52D4A6EF-1D2B-4852-98D2-72A1A594824A"/><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="20230202"/></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">TSH (QUEST), [CPT-4: 899]</td><td align="center">01/18/2022</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">11/07/2022</td></tr><tr><td ID = "procedure3">STREP A, [LOINC: 18481-2]</td><td align="center">11/15/2022</td></tr><tr><td ID = "procedure4">STREP A, [LOINC: 18481-2]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure5">UA, [CPT-4: 81003]</td><td align="center">08/01/2022</td></tr><tr><td ID = "procedure6">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">01/18/2022</td></tr><tr><td ID = "procedure7">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">01/18/2022</td></tr><tr><td ID = "procedure8">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">02/02/2023</td></tr><tr><td ID = "procedure9">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">12/05/2022</td></tr><tr><td ID = "procedure10">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">01/18/2022</td></tr><tr><td ID = "procedure11">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">08/01/2022</td></tr><tr><td ID = "procedure12">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure13">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">11/07/2022</td></tr><tr><td ID = "procedure14">BLOOD DRAW, [CPT-4: 36415]</td><td align="center">01/18/2022</td></tr><tr><td ID = "procedure15">NEBULIZER BREATHING TREATMENT, [CPT-4: 94640]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure16">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">03/31/2022</td></tr><tr><td ID = "procedure17">EKG, [CPT-4: 93010]</td><td align="center">01/18/2022</td></tr><tr><td ID = "procedure18">Rocephin 1G, [CPT-4: J0696]</td><td align="center">11/29/2022</td></tr><tr><td ID = "procedure19">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">11/15/2022</td></tr><tr><td ID = "procedure20">Solumedrol 125mg/2ml, [CPT-4: J2930]</td><td align="center">03/31/2022</td></tr><tr><td ID = "procedure21">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">08/01/2022</td></tr><tr><td ID = "procedure22">Glucose, [CPT-4: 82947]</td><td align="center">02/02/2023</td></tr><tr><td ID = "procedure23">BASIC METABOLIC PANEL, [CPT-4: 10165]</td><td align="center">02/02/2023</td></tr><tr><td ID = "procedure24">BASIC METABOLIC PANEL, [CPT-4: 10165]</td><td align="center">08/01/2022</td></tr><tr><td ID = "procedure25">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">11/07/2022</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="A6A06728-3B57-4C24-A4D7-CBE167E02130"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220118"/><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="9F2AD567-691A-4F79-9611-663E2FEB1440"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20221107"/><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="A4394B36-2C72-4D22-809C-7755B89AB38F"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20221115"/><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="29372225-599E-42BD-A073-F83B6D48805F"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20221129"/><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="6390106F-E0C7-4895-8E49-28E6C36E65BF"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20220801"/><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="CB8CAF93-5F76-45B0-9E44-502E94E29987"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220118"/><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="DEC175DB-42D4-407E-BA7E-7FD2E4838F3C"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220118"/><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="5F62743D-9119-42EC-9F4A-E61F4E029548"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230202"/><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="C89B251D-DB3D-45E2-8E63-AEBF12A9F75E"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20221205"/><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="E15FD24C-BAFC-46E7-8499-8F872E30FB1A"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220118"/><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="9FA80C06-BDFE-478D-B347-A6F872DBC239"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220801"/><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="7BC78D9A-BA66-4F78-B238-D72093B53DB2"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20221129"/><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="5A494242-7F4B-45F0-8C15-A460544ECE93"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20221107"/><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="C09942CE-F8B8-4239-9220-305149D1E66B"/><code code="36415" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BLOOD DRAW"/><statusCode code="completed"/><effectiveTime value="20220118"/><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 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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="8F505A5B-2E48-451D-82C7-A98C76752C38"/><code code="J0696" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Rocephin 1G"/><statusCode code="completed"/><effectiveTime value="20221129"/><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 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code="completed"/><effectiveTime value="20221115"/><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 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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="189434AE-35FC-495E-BD3D-D5E63CFA8660"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID Rapid Testing"/><statusCode code="completed"/><effectiveTime value="20220801"/><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="740CEFE8-23E9-483B-919A-48DD659752D7"/><code code="82947" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Glucose"/><statusCode code="completed"/><effectiveTime value="20230202"/><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 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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="C28E4C45-F859-4690-9C3B-BB90D11B4B0D"/><code code="ABBO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott COVID Rapid Test"/><statusCode code="completed"/><effectiveTime value="20221107"/><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></section>
            </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"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1"/><title>IMMUNIZATIONS</title><text>No immunization history</text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true"><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="5fe052cb-2632-4e96-80ff-38d6af7c9bb8"/><statusCode code="active"/><effectiveTime nullFlavor="NA"/><routeCode nullFlavor="NA"/><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 nullFlavor="OTH"><originalText>Vaccination</originalText><translation code="71181003" displayName="vaccine" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></code><lotNumberText nullFlavor="NA"/></manufacturedMaterial></manufacturedProduct></consumable></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.4.1"/><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL 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">01/18/2022</td><td ID = "vital_1_height">180 cm</td><td ID = "vital_1_weight">133 kg</td><td ID = "vital_1_bmi">40.86</td><td ID = "vital_1_bp">146/90 mm[Hg]</td><td ID = "vital_1_temp">36 Cel</td><td ID = "vital_1_pulse">78 bpm</td><td ID = "vital_1_pulseox">97 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">03/31/2022</td><td ID = "vital_2_height">180 cm</td><td ID = "vital_2_weight">134 kg</td><td ID = "vital_2_bmi">41.07</td><td ID = "vital_2_bp">130/77 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">73 bpm</td><td ID = "vital_2_pulseox">97 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">04/04/2022</td><td ID = "vital_3_height">180 cm</td><td ID = "vital_3_weight">134 kg</td><td ID = "vital_3_bmi">41.13</td><td ID = "vital_3_bp">154/92 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">83 bpm</td><td ID = "vital_3_pulseox">96 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">08/01/2022</td><td ID = "vital_4_height">180 cm</td><td ID = "vital_4_weight">137 kg</td><td ID = "vital_4_bmi">42.17</td><td ID = "vital_4_bp">160/94 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">73 bpm</td><td ID = "vital_4_resp">16 bpm</td><td ID = "vital_4_inox">98 pct</td></tr><tr><td ID = "vital_5">11/07/2022</td><td ID = "vital_5_height">180 cm</td><td ID = "vital_5_weight">139 kg</td><td ID = "vital_5_bmi">42.59</td><td ID = "vital_5_temp">36 Cel</td><td ID = "vital_5_pulse">84 bpm</td><td ID = "vital_5_pulseox">97 pct</td><td ID = "vital_5_resp">16 bpm</td></tr><tr><td ID = "vital_6">11/15/2022</td><td ID = "vital_6_height">180 cm</td><td ID = "vital_6_weight">138 kg</td><td ID = "vital_6_bmi">42.53</td><td ID = "vital_6_bp">138/73 mm[Hg]</td><td ID = "vital_6_temp">37 Cel</td><td ID = "vital_6_pulse">71 bpm</td><td ID = "vital_6_pulseox">97 pct</td><td ID = "vital_6_resp">16 bpm</td></tr><tr><td ID = "vital_7">11/29/2022</td><td ID = "vital_7_height">180 cm</td><td ID = "vital_7_weight">138 kg</td><td ID = "vital_7_bmi">42.41</td><td ID = "vital_7_bp">131/76 mm[Hg]</td><td ID = "vital_7_temp">38 Cel</td><td ID = "vital_7_pulse">88 bpm</td><td ID = "vital_7_pulseox">98 pct</td><td ID = "vital_7_resp">17 bpm</td></tr><tr><td ID = "vital_8">02/02/2023</td><td ID = "vital_8_height">180 cm</td><td ID = "vital_8_weight">137 kg</td><td ID = "vital_8_bmi">42.13</td><td ID = "vital_8_bp">130/86 mm[Hg]</td><td ID = "vital_8_pulse">69 bpm</td><td ID = "vital_8_pulseox">98 pct</td><td ID = "vital_8_resp">16 bpm</td></tr><tr><td ID = "vital_9">02/24/2023</td><td ID = "vital_9_height">180 cm</td><td ID = "vital_9_weight">138 kg</td><td ID = "vital_9_bmi">42.3</td><td ID = "vital_9_bp">146/84 mm[Hg]</td><td ID = "vital_9_temp">36 Cel</td><td ID = "vital_9_pulse">80 bpm</td><td ID = "vital_9_pulseox">97 pct</td><td ID = "vital_9_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="B3FE7F20-B68D-4716-9D23-8418F37C61E4"/><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="20220118"/><high value="20220118"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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 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Temperature"/><text><reference value="#vital_9_temp"/></text><statusCode code="completed"/><effectiveTime value="20230224"/><value xsi:type="PQ" value="36" unit="Cel"/><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="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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="9263E639-A905-4011-99AD-34E5796CD7E3"/><code code="8867-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pulse"/><text><reference value="#vital_9_pulse"/></text><statusCode code="completed"/><effectiveTime value="20230224"/><value xsi:type="PQ" value="80" 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="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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="36305539-E741-41F3-A399-B515CE3D787B"/><code code="59408-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PulseOx"/><text><reference value="#vital_9_pulseox"/></text><statusCode code="completed"/><effectiveTime value="20230224"/><value xsi:type="PQ" value="97" 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="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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="D6C0D21D-1522-44AD-A462-1A183CC22C43"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_9_resp"/></text><statusCode code="completed"/><effectiveTime value="20230224"/><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="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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">Leukocytes-Urine</td><td>Negative</td><td align="center">08/01/2022</td></tr><tr><td ID="result2">Urobilinogen-Urine</td><td>Negative</td><td align="center">08/01/2022</td></tr><tr><td ID="result3">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">08/01/2022</td></tr><tr><td ID="result4">pH of Urine by Test strip</td><td>6.5 [pH]</td><td align="center">08/01/2022</td></tr><tr><td ID="result5">Blood-Urine</td><td>Negative</td><td align="center">08/01/2022</td></tr><tr><td ID="result6">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">08/01/2022</td></tr><tr><td ID="result7">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">08/01/2022</td></tr><tr><td ID="result8">Cesium-Urine</td><td>no</td><td align="center">08/01/2022</td></tr><tr><td ID="result9">Specific Gravity of Urine by Test strip</td><td>1.025</td><td align="center">08/01/2022</td></tr><tr><td ID="result10">Bilirubin-Urine</td><td>Negative</td><td align="center">08/01/2022</td></tr><tr><td ID="result11">Nitrites-Urine</td><td>Negative</td><td align="center">08/01/2022</td></tr><tr><td ID="result12">Appearance of Urine</td><td>clear</td><td align="center">08/01/2022</td></tr><tr><td ID="result13">Color of Urine</td><td>amber</td><td align="center">08/01/2022</td></tr><tr><td ID="result14">STREP A</td><td>Negative</td><td align="center">11/07/2022</td></tr><tr><td ID="result15">STREP A</td><td>Negative</td><td align="center">11/15/2022</td></tr><tr><td ID="result16">STREP A</td><td>Negative</td><td align="center">11/29/2022</td></tr><tr><td ID="result17">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">11/07/2022</td></tr><tr><td ID="result18">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">11/29/2022</td></tr><tr><td ID="result19">NEBULIZER BREATHING TREATMENT</td><td>Yes</td><td align="center">11/29/2022</td></tr><tr><td ID="result20">EKG</td><td>Yes</td><td align="center">01/18/2022</td></tr><tr><td ID="result23">COVID Rapid Testing</td><td>Negative</td><td align="center">08/01/2022</td></tr><tr><td ID="result24">CHOLESTEROL, TOTAL</td><td>223</td><td align="center">02/03/2023</td></tr><tr><td ID="result25">HDL CHOLESTEROL</td><td>55</td><td align="center">02/03/2023</td></tr><tr><td ID="result26">TRIGLYCERIDES</td><td>106</td><td align="center">02/03/2023</td></tr><tr><td ID="result27">LDL-CHOLESTEROL</td><td>146</td><td align="center">02/03/2023</td></tr><tr><td ID="result28">CHOL/HDLC RATIO</td><td>4.1</td><td align="center">02/03/2023</td></tr><tr><td ID="result29">NON HDL CHOLESTEROL</td><td>168</td><td align="center">02/03/2023</td></tr><tr><td ID="result30">GLUCOSE</td><td>85</td><td align="center">02/03/2023</td></tr><tr><td ID="result31">UREA NITROGEN (BUN)</td><td>10</td><td align="center">02/03/2023</td></tr><tr><td ID="result32">CREATININE</td><td>0.76</td><td align="center">02/03/2023</td></tr><tr><td ID="result33">EGFR</td><td>123</td><td align="center">02/03/2023</td></tr><tr><td ID="result34">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">02/03/2023</td></tr><tr><td ID="result35">SODIUM</td><td>140</td><td align="center">02/03/2023</td></tr><tr><td ID="result36">POTASSIUM</td><td>4.5</td><td align="center">02/03/2023</td></tr><tr><td ID="result37">CHLORIDE</td><td>104</td><td align="center">02/03/2023</td></tr><tr><td ID="result38">CARBON DIOXIDE</td><td>26</td><td align="center">02/03/2023</td></tr><tr><td ID="result39">CALCIUM</td><td>9.3</td><td align="center">02/03/2023</td></tr><tr><td ID="result41">WHITE BLOOD CELL COUNT</td><td>6.1</td><td align="center">12/06/2022</td></tr><tr><td ID="result42">RED BLOOD CELL COUNT</td><td>5.08</td><td align="center">12/06/2022</td></tr><tr><td ID="result43">HEMOGLOBIN</td><td>15.3</td><td align="center">12/06/2022</td></tr><tr><td ID="result44">HEMATOCRIT</td><td>44.3</td><td align="center">12/06/2022</td></tr><tr><td ID="result45">MCV</td><td>87.2</td><td align="center">12/06/2022</td></tr><tr><td ID="result46">MCH</td><td>30.1</td><td align="center">12/06/2022</td></tr><tr><td ID="result47">MCHC</td><td>34.5</td><td align="center">12/06/2022</td></tr><tr><td ID="result48">RDW</td><td>12.7</td><td align="center">12/06/2022</td></tr><tr><td ID="result49">PLATELET COUNT</td><td>218</td><td align="center">12/06/2022</td></tr><tr><td ID="result50">MPV</td><td>10.0</td><td align="center">12/06/2022</td></tr><tr><td ID="result51">ABSOLUTE NEUTROPHILS</td><td>2220</td><td align="center">12/06/2022</td></tr><tr><td ID="result52">ABSOLUTE LYMPHOCYTES</td><td>3117</td><td align="center">12/06/2022</td></tr><tr><td ID="result53">ABSOLUTE MONOCYTES</td><td>500</td><td align="center">12/06/2022</td></tr><tr><td ID="result54">ABSOLUTE EOSINOPHILS</td><td>220</td><td align="center">12/06/2022</td></tr><tr><td ID="result55">ABSOLUTE BASOPHILS</td><td>43</td><td align="center">12/06/2022</td></tr><tr><td ID="result56">NEUTROPHILS</td><td>36.4</td><td align="center">12/06/2022</td></tr><tr><td ID="result57">LYMPHOCYTES</td><td>51.1</td><td align="center">12/06/2022</td></tr><tr><td ID="result58">MONOCYTES</td><td>8.2</td><td align="center">12/06/2022</td></tr><tr><td ID="result59">EOSINOPHILS</td><td>3.6</td><td align="center">12/06/2022</td></tr><tr><td ID="result60">BASOPHILS</td><td>0.7</td><td align="center">12/06/2022</td></tr><tr><td ID="result61">GLUCOSE</td><td>94</td><td align="center">08/02/2022</td></tr><tr><td ID="result62">UREA NITROGEN (BUN)</td><td>9</td><td align="center">08/02/2022</td></tr><tr><td ID="result63">CREATININE</td><td>0.93</td><td align="center">08/02/2022</td></tr><tr><td ID="result64">EGFR</td><td>113</td><td align="center">08/02/2022</td></tr><tr><td ID="result65">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">08/02/2022</td></tr><tr><td ID="result66">SODIUM</td><td>142</td><td align="center">08/02/2022</td></tr><tr><td ID="result67">POTASSIUM</td><td>4.3</td><td align="center">08/02/2022</td></tr><tr><td ID="result68">CHLORIDE</td><td>104</td><td align="center">08/02/2022</td></tr><tr><td ID="result69">CARBON DIOXIDE</td><td>31</td><td align="center">08/02/2022</td></tr><tr><td ID="result70">CALCIUM</td><td>9.9</td><td align="center">08/02/2022</td></tr><tr><td ID="result71">WHITE BLOOD CELL COUNT</td><td>7.3</td><td align="center">08/02/2022</td></tr><tr><td ID="result72">RED BLOOD CELL COUNT</td><td>5.10</td><td align="center">08/02/2022</td></tr><tr><td ID="result73">HEMOGLOBIN</td><td>15.4</td><td align="center">08/02/2022</td></tr><tr><td ID="result74">HEMATOCRIT</td><td>43.9</td><td align="center">08/02/2022</td></tr><tr><td ID="result75">MCV</td><td>86.1</td><td align="center">08/02/2022</td></tr><tr><td ID="result76">MCH</td><td>30.2</td><td align="center">08/02/2022</td></tr><tr><td ID="result77">MCHC</td><td>35.1</td><td align="center">08/02/2022</td></tr><tr><td ID="result78">RDW</td><td>12.4</td><td align="center">08/02/2022</td></tr><tr><td ID="result79">PLATELET COUNT</td><td>228</td><td align="center">08/02/2022</td></tr><tr><td ID="result80">MPV</td><td>10.3</td><td align="center">08/02/2022</td></tr><tr><td ID="result81">ABSOLUTE NEUTROPHILS</td><td>3234</td><td align="center">08/02/2022</td></tr><tr><td ID="result82">ABSOLUTE LYMPHOCYTES</td><td>2891</td><td align="center">08/02/2022</td></tr><tr><td ID="result83">ABSOLUTE MONOCYTES</td><td>635</td><td align="center">08/02/2022</td></tr><tr><td ID="result84">ABSOLUTE EOSINOPHILS</td><td>482</td><td align="center">08/02/2022</td></tr><tr><td ID="result85">ABSOLUTE BASOPHILS</td><td>58</td><td align="center">08/02/2022</td></tr><tr><td ID="result86">NEUTROPHILS</td><td>44.3</td><td align="center">08/02/2022</td></tr><tr><td ID="result87">LYMPHOCYTES</td><td>39.6</td><td align="center">08/02/2022</td></tr><tr><td ID="result88">MONOCYTES</td><td>8.7</td><td align="center">08/02/2022</td></tr><tr><td ID="result89">EOSINOPHILS</td><td>6.6</td><td align="center">08/02/2022</td></tr><tr><td ID="result90">BASOPHILS</td><td>0.8</td><td align="center">08/02/2022</td></tr><tr><td ID="result91">CHOLESTEROL, TOTAL</td><td>227</td><td align="center">01/20/2022</td></tr><tr><td ID="result92">HDL CHOLESTEROL</td><td>45</td><td align="center">01/20/2022</td></tr><tr><td ID="result93">TRIGLYCERIDES</td><td>137</td><td align="center">01/20/2022</td></tr><tr><td ID="result94">LDL-CHOLESTEROL</td><td>156</td><td align="center">01/20/2022</td></tr><tr><td ID="result95">CHOL/HDLC RATIO</td><td>5.0</td><td align="center">01/20/2022</td></tr><tr><td ID="result96">NON HDL CHOLESTEROL</td><td>182</td><td align="center">01/20/2022</td></tr><tr><td ID="result97">GLUCOSE</td><td>89</td><td align="center">01/20/2022</td></tr><tr><td ID="result98">UREA NITROGEN (BUN)</td><td>8</td><td align="center">01/20/2022</td></tr><tr><td ID="result99">CREATININE</td><td>0.84</td><td align="center">01/20/2022</td></tr><tr><td ID="result100">EGFR NON-AFR. AMERICAN</td><td>117</td><td align="center">01/20/2022</td></tr><tr><td ID="result101">EGFR AFRICAN AMERICAN</td><td>136</td><td align="center">01/20/2022</td></tr><tr><td ID="result102">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">01/20/2022</td></tr><tr><td ID="result103">SODIUM</td><td>140</td><td align="center">01/20/2022</td></tr><tr><td ID="result104">POTASSIUM</td><td>4.6</td><td align="center">01/20/2022</td></tr><tr><td ID="result105">CHLORIDE</td><td>101</td><td align="center">01/20/2022</td></tr><tr><td ID="result106">CARBON DIOXIDE</td><td>28</td><td align="center">01/20/2022</td></tr><tr><td ID="result107">CALCIUM</td><td>9.7</td><td align="center">01/20/2022</td></tr><tr><td ID="result108">PROTEIN, TOTAL</td><td>7.3</td><td align="center">01/20/2022</td></tr><tr><td ID="result109">ALBUMIN</td><td>4.7</td><td align="center">01/20/2022</td></tr><tr><td ID="result110">GLOBULIN</td><td>2.6</td><td align="center">01/20/2022</td></tr><tr><td ID="result111">ALBUMIN/GLOBULIN RATIO</td><td>1.8</td><td align="center">01/20/2022</td></tr><tr><td ID="result112">BILIRUBIN, TOTAL</td><td>0.6</td><td align="center">01/20/2022</td></tr><tr><td ID="result113">ALKALINE PHOSPHATASE</td><td>91</td><td align="center">01/20/2022</td></tr><tr><td ID="result114">AST</td><td>27</td><td align="center">01/20/2022</td></tr><tr><td ID="result115">ALT</td><td>38</td><td align="center">01/20/2022</td></tr><tr><td ID="result116">TSH</td><td>1.72</td><td align="center">01/20/2022</td></tr><tr><td ID="result117">WHITE BLOOD CELL COUNT</td><td>6.3</td><td align="center">01/20/2022</td></tr><tr><td ID="result118">RED BLOOD CELL COUNT</td><td>5.10</td><td align="center">01/20/2022</td></tr><tr><td ID="result119">HEMOGLOBIN</td><td>15.9</td><td align="center">01/20/2022</td></tr><tr><td ID="result120">HEMATOCRIT</td><td>44.5</td><td align="center">01/20/2022</td></tr><tr><td ID="result121">MCV</td><td>87.3</td><td align="center">01/20/2022</td></tr><tr><td ID="result122">MCH</td><td>31.2</td><td align="center">01/20/2022</td></tr><tr><td ID="result123">MCHC</td><td>35.7</td><td align="center">01/20/2022</td></tr><tr><td ID="result124">RDW</td><td>12.1</td><td align="center">01/20/2022</td></tr><tr><td ID="result125">PLATELET COUNT</td><td>220</td><td align="center">01/20/2022</td></tr><tr><td ID="result126">MPV</td><td>10.7</td><td align="center">01/20/2022</td></tr><tr><td ID="result127">ABSOLUTE NEUTROPHILS</td><td>3219</td><td align="center">01/20/2022</td></tr><tr><td ID="result128">ABSOLUTE LYMPHOCYTES</td><td>2199</td><td align="center">01/20/2022</td></tr><tr><td ID="result129">ABSOLUTE MONOCYTES</td><td>391</td><td align="center">01/20/2022</td></tr><tr><td ID="result130">ABSOLUTE EOSINOPHILS</td><td>435</td><td align="center">01/20/2022</td></tr><tr><td ID="result131">ABSOLUTE BASOPHILS</td><td>57</td><td align="center">01/20/2022</td></tr><tr><td ID="result132">NEUTROPHILS</td><td>51.1</td><td align="center">01/20/2022</td></tr><tr><td ID="result133">LYMPHOCYTES</td><td>34.9</td><td align="center">01/20/2022</td></tr><tr><td ID="result134">MONOCYTES</td><td>6.2</td><td align="center">01/20/2022</td></tr><tr><td ID="result135">EOSINOPHILS</td><td>6.9</td><td align="center">01/20/2022</td></tr><tr><td ID="result136">BASOPHILS</td><td>0.9</td><td align="center">01/20/2022</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="27E1FF55-3F70-417C-BCA0-E26961D237D8"/><code code="5803-2" displayName="pH of Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220801"/><high 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moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="024A0DF1-2E47-42B7-AD1A-5C61225CF0C6"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result15"/></originalText></code><text><reference value="#result15"/></text><statusCode code="completed"/><effectiveTime value="20221115"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId 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root="FCE89948-D17B-45AE-8A92-2583ADB4A053"/><code code="93010" displayName="EKG" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result20"/></originalText></code><text><reference value="#result20"/></text><statusCode code="completed"/><effectiveTime value="20220118"/><value xsi:type="ST">Yes</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><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="DF7D4282-2DB3-42B9-8938-6A554C4684F2"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220801"/><high value="20220801"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="3B5AADEE-D499-412F-8E17-AC59B1959B14"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result23"/></originalText></code><text><reference value="#result23"/></text><statusCode code="completed"/><effectiveTime value="20220801"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><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="773845F6-68D2-418B-A0FF-3CC9FDE01337"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20230203"/><high value="20230203"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="CF602BE4-67A8-4B80-9811-C78C36A66E42"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result34"/></originalText></code><text><reference value="#result34"/></text><statusCode code="completed"/><effectiveTime value="20230203"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><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="45C421D7-5161-4E37-B3E7-91FC08E1CDB2"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220802"/><high value="20220802"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="482EEDEA-5568-463B-85C1-906641784B02"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result65"/></originalText></code><text><reference value="#result65"/></text><statusCode code="completed"/><effectiveTime value="20220802"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><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="01D40717-5E4F-4B67-A293-E1F11B3E7DA0"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220120"/><high value="20220120"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="313F5847-EB66-4810-A63F-9B4D1149847C"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result102"/></originalText></code><text><reference value="#result102"/></text><statusCode code="completed"/><effectiveTime value="20220120"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716144653-0500"/><assignedAuthor><id extension="1295276632" 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">November 30, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 30, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CT of chest with contrast</td><td align="center">December 07, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center-CT of chest with contrast</td><td align="center">December 07, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 29, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">November 29, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">December 06, 2022</td></tr><tr><td>REFERRAL</td><td> East Montgomery Imaging Center</td><td align="center">December 06, 2022</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="BE288113-BB57-4A09-B3DD-258DD1696517"/><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="FCC89152-844E-4F62-B5A7-906625946F1C"/><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="DC82B23A-BFC8-4D42-97B5-CBE342C6F87D"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center-CT of chest with contrast</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="849CBBCE-65E8-4540-AD4F-C61A45513F4B"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> East Montgomery Imaging Center-CT of chest with contrast</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="2C146813-3503-4095-A067-514089D29391"/><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="3C5E319F-E9A2-45AB-91C7-8C0FCCB4FCFC"/><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="4E95EC74-F770-42A0-9494-6FAAECBAF11B"/><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="DC420BBA-377A-430A-9077-2D29D24E2538"/><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" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="active"/><effectiveTime value=""/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.45"/><code code = "69730-0" codeSystem = "2.16.840.1.113883.6.1"/><title>INSTRUCTIONS</title><text>No Known Instructions/Patient Education</text><entry><act classCode="ACT" moodCode="INT" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.20"/><code code = "311401005" codeSystem = "2.16.840.1.113883.6.96"/><statusCode code = "completed"/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.17"/><code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/><title>SOCIAL HISTORY</title><text>No Social History Selected to be Displayed</text><entry typeCode="DRIV"><observation classCode="OBS" moodCode ="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>