2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Cipro Unknown Unknown Active
Zofran Unknown Unknown ActiveCiproZofran

Substance	Reaction	Severity	Status
Cipro	Unknown	Unknown	Active
Zofran	Unknown	Unknown	Active

MEDICATIONSMedication Start Date Directions Status

hydrochlorothiazide 12.5 mg capsule, [RxNorm: 211759]
01/13/2022
daily
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

UA, [CPT-4: 81003]
01/26/2022
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]
01/26/2022
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
01/13/20227461 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 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

01/13/2022 36 Cel
01/26/2022 168 cm 111 kg 39.46 128/86 mm[Hg] 36 Cel 72 bpm 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Positive
01/26/2022
Urobilinogen-Urine
Negative
01/26/2022
Protein [Mass/Volume] in Urine by Test strip
Positive mg/dL
01/26/2022
pH of Urine by Test strip
5 [pH]
01/26/2022
Blood-Urine
Negative
01/26/2022
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/26/2022
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
01/26/2022
Specific Gravity of Urine by Test strip
1.020
01/26/2022
Bilirubin-Urine
Negative
01/26/2022
Nitrites-Urine
Negative
01/26/2022
Appearance of Urine
clear
01/26/2022
Color of Urine
yellow
01/26/2022PositiveNegativePositiveNegativeNegativeNegativeNegativeNegativeclearyellowPLAN 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

Procedure	Date
UA, [CPT-4: 81003]	01/26/2022
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]	01/26/2022
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	01/13/2022

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
01/13/2022	36 Cel
01/26/2022	168 cm	111 kg	39.46	128/86 mm[Hg]	36 Cel	72 bpm	16 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Positive	01/26/2022
Urobilinogen-Urine	Negative	01/26/2022
Protein [Mass/Volume] in Urine by Test strip	Positive mg/dL	01/26/2022
pH of Urine by Test strip	5 [pH]	01/26/2022
Blood-Urine	Negative	01/26/2022
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/26/2022
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	01/26/2022
Specific Gravity of Urine by Test strip	1.020	01/26/2022
Bilirubin-Urine	Negative	01/26/2022
Nitrites-Urine	Negative	01/26/2022
Appearance of Urine	clear	01/26/2022
Color of Urine	yellow	01/26/2022