2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

ketorolac 10 mg tablet, [RxNorm: 861844]
11/21/2023
TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR pain for UP TO5 DAYS TOTAL USE
Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]
11/21/2023
TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS
Active
ibuprofen 800 mg tablet, [RxNorm: 202098]
10/11/2024

Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]
10/11/2024
INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED for shortness of breath/wheezing (disp 1 inhaler). 
Active
methocarbamol 750 mg tablet, [RxNorm: 1010654]
11/21/2023
TAKE 1 TABLET (750 MG) BY ORAL ROUTE 3 TIMES PER DAY as needed for back spasms
Active
Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]
10/11/2024
TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 4 HOURS as needed for cough and congestion
Active
azithromycin 250 mg tablet, [RxNorm: 750149]
10/11/2024
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
Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]
10/11/2024
TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

Detailed
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 11, 20247461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

STREP A, [LOINC: 18481-2]
08/28/2023
STREP A, [LOINC: 18481-2]
01/02/2024
STREP A, [LOINC: 18481-2]
10/11/2024
UA, [CPT-4: 81003]
10/11/2024
UA, [CPT-4: 81003]
11/21/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]
10/11/2024
INFLUENZA Rapid Test, [CPT-4: 87804]
01/02/2024
INFLUENZA Rapid Test, [CPT-4: 87804]
08/28/2023
INFLUENZA Rapid Test, [CPT-4: 87804]
10/11/2024
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
08/28/2023
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
11/21/2023
Toradol 60 MG , [CPT-4: J1885]
11/21/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]
08/28/2023
Depo-Medrol 40mg/ml, [CPT-4: J1030]
08/28/2023
COVID Rapid Testing, [CPT-4: 87426]
01/02/2024
COVID Rapid Testing, [CPT-4: 87426]
10/11/2024
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
05/11/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
05/24/2021
Abbott COVID Rapid Test, [CPT-4: ABBO]
08/28/20237461 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 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

COVID-19, mRNA, LNP-S, PF
05/11/2021
Completed
COVID-19, mRNA, LNP-S, PF
05/24/2021
CompletedCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFER8737Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn 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

08/28/2023 165 cm 62 kg 22.64 126/79 mm[Hg] 37 Cel 83 bpm 98 pct 17 bpm
11/21/2023 163 cm 63 kg 23.72 136/89 mm[Hg] 36 Cel 71 bpm 98 pct 16 bpm
01/02/2024 160 cm 66 kg 25.88 135/83 mm[Hg] 36 Cel 82 bpm 99 pct 16 bpm
10/11/2024 166 cm 59 kg 21.45 123/84 mm[Hg] 36 Cel 78 bpm 98 pct 18 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
11/21/2023
Leukocytes-Urine
Negative
10/11/2024
Urobilinogen-Urine
Negative
11/21/2023
Urobilinogen-Urine
Negative
10/11/2024
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
11/21/2023
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/11/2024
pH of Urine by Test strip
7 [pH]
11/21/2023
pH of Urine by Test strip
8 [pH]
10/11/2024
Blood-Urine
Negative
11/21/2023
Blood-Urine
Negative
10/11/2024
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
11/21/2023
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/11/2024
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
11/21/2023
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/11/2024
Cesium-Urine
No
11/21/2023
Cesium-Urine
No
10/11/2024
Specific Gravity of Urine by Test strip
1.010
11/21/2023
Specific Gravity of Urine by Test strip
1.010
10/11/2024
Bilirubin-Urine
Negative
11/21/2023
Bilirubin-Urine
Negative
10/11/2024
Nitrites-Urine
Negative
11/21/2023
Nitrites-Urine
Negative
10/11/2024
Appearance of Urine
clear
11/21/2023
Appearance of Urine
clear
10/11/2024
Color of Urine
yellow
11/21/2023
Color of Urine
yellow
10/11/2024
STREP A
Negative
08/28/2023
STREP A
Negative
01/02/2024
STREP A
Negative
10/11/2024
INFLUENZA Rapid Test
Negative
08/28/2023
INFLUENZA Rapid Test
Negative
01/02/2024
INFLUENZA Rapid Test
Negative
10/11/2024
COVID Rapid Testing
Positive
01/02/2024
COVID Rapid Testing
Negative
10/11/2024
WHITE BLOOD CELL COUNT
9.6
10/12/2024
RED BLOOD CELL COUNT
5.32
10/12/2024
HEMOGLOBIN
16.2
10/12/2024
HEMATOCRIT
47.6
10/12/2024
MCV
89.5
10/12/2024
MCH
30.5
10/12/2024
MCHC
34.0
10/12/2024
RDW
12.6
10/12/2024
PLATELET COUNT
338
10/12/2024
MPV
9.8
10/12/2024
ABSOLUTE NEUTROPHILS
6048
10/12/2024
ABSOLUTE LYMPHOCYTES
2371
10/12/2024
ABSOLUTE MONOCYTES
941
10/12/2024
ABSOLUTE EOSINOPHILS
221
10/12/2024
ABSOLUTE BASOPHILS
19
10/12/2024
NEUTROPHILS
63
10/12/2024
LYMPHOCYTES
24.7
10/12/2024
MONOCYTES
9.8
10/12/2024
EOSINOPHILS
2.3
10/12/2024
BASOPHILS
0.2
10/12/2024NegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeNoNoNegativeNegativeNegativeNegativeclearclearyellowyellowNegativeNegativeNegativeNegativeNegativeNegativePositiveNegativeTREATMENT PLANName Type Date

REFERRAL
 East Montgomery Imaging Center
November 27, 2023
REFERRAL
 East Montgomery Imaging Center
October 11, 2024
REFERRAL
 East Montgomery Imaging Center
October 11, 2024
REFERRAL
 East Montgomery Imaging Center
October 11, 2024
REFERRAL
 East Montgomery Imaging Center
November 21, 2023
REFERRAL
 East Montgomery Imaging Center
October 11, 2024
REFERRAL
 East Montgomery Imaging Center
October 11, 2024
REFERRAL
 East Montgomery Imaging Center
October 11, 2024 East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging Center East Montgomery Imaging CenterGoals 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
ketorolac 10 mg tablet, [RxNorm: 861844]	11/21/2023	TAKE 1 TABLET (10 MG) BY ORAL ROUTE EVERY 6 HOURS AS NEEDED FOR pain for UP TO5 DAYS TOTAL USE	Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]	11/21/2023	TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS	Active
ibuprofen 800 mg tablet, [RxNorm: 202098]	10/11/2024		Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]	10/11/2024	INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED for shortness of breath/wheezing (disp 1 inhaler).	Active
methocarbamol 750 mg tablet, [RxNorm: 1010654]	11/21/2023	TAKE 1 TABLET (750 MG) BY ORAL ROUTE 3 TIMES PER DAY as needed for back spasms	Active
Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]	10/11/2024	TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 4 HOURS as needed for cough and congestion	Active
azithromycin 250 mg tablet, [RxNorm: 750149]	10/11/2024	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	Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]	10/11/2024	TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS	Active

Procedure	Date
STREP A, [LOINC: 18481-2]	08/28/2023
STREP A, [LOINC: 18481-2]	01/02/2024
STREP A, [LOINC: 18481-2]	10/11/2024
UA, [CPT-4: 81003]	10/11/2024
UA, [CPT-4: 81003]	11/21/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]	10/11/2024
INFLUENZA Rapid Test, [CPT-4: 87804]	01/02/2024
INFLUENZA Rapid Test, [CPT-4: 87804]	08/28/2023
INFLUENZA Rapid Test, [CPT-4: 87804]	10/11/2024
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	08/28/2023
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	11/21/2023
Toradol 60 MG , [CPT-4: J1885]	11/21/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]	08/28/2023
Depo-Medrol 40mg/ml, [CPT-4: J1030]	08/28/2023
COVID Rapid Testing, [CPT-4: 87426]	01/02/2024
COVID Rapid Testing, [CPT-4: 87426]	10/11/2024
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	05/11/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	05/24/2021
Abbott COVID Rapid Test, [CPT-4: ABBO]	08/28/2023

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	05/11/2021	Completed
COVID-19, mRNA, LNP-S, PF	05/24/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
08/28/2023	165 cm	62 kg	22.64	126/79 mm[Hg]	37 Cel	83 bpm	98 pct	17 bpm
11/21/2023	163 cm	63 kg	23.72	136/89 mm[Hg]	36 Cel	71 bpm	98 pct	16 bpm
01/02/2024	160 cm	66 kg	25.88	135/83 mm[Hg]	36 Cel	82 bpm	99 pct	16 bpm
10/11/2024	166 cm	59 kg	21.45	123/84 mm[Hg]	36 Cel	78 bpm	98 pct	18 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Negative	11/21/2023
Leukocytes-Urine	Negative	10/11/2024
Urobilinogen-Urine	Negative	11/21/2023
Urobilinogen-Urine	Negative	10/11/2024
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	11/21/2023
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/11/2024
pH of Urine by Test strip	7 [pH]	11/21/2023
pH of Urine by Test strip	8 [pH]	10/11/2024
Blood-Urine	Negative	11/21/2023
Blood-Urine	Negative	10/11/2024
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	11/21/2023
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/11/2024
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	11/21/2023
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/11/2024
Cesium-Urine	No	11/21/2023
Cesium-Urine	No	10/11/2024
Specific Gravity of Urine by Test strip	1.010	11/21/2023
Specific Gravity of Urine by Test strip	1.010	10/11/2024
Bilirubin-Urine	Negative	11/21/2023
Bilirubin-Urine	Negative	10/11/2024
Nitrites-Urine	Negative	11/21/2023
Nitrites-Urine	Negative	10/11/2024
Appearance of Urine	clear	11/21/2023
Appearance of Urine	clear	10/11/2024
Color of Urine	yellow	11/21/2023
Color of Urine	yellow	10/11/2024
STREP A	Negative	08/28/2023
STREP A	Negative	01/02/2024
STREP A	Negative	10/11/2024
INFLUENZA Rapid Test	Negative	08/28/2023
INFLUENZA Rapid Test	Negative	01/02/2024
INFLUENZA Rapid Test	Negative	10/11/2024
COVID Rapid Testing	Positive	01/02/2024
COVID Rapid Testing	Negative	10/11/2024
WHITE BLOOD CELL COUNT	9.6	10/12/2024
RED BLOOD CELL COUNT	5.32	10/12/2024
HEMOGLOBIN	16.2	10/12/2024
HEMATOCRIT	47.6	10/12/2024
MCV	89.5	10/12/2024
MCH	30.5	10/12/2024
MCHC	34.0	10/12/2024
RDW	12.6	10/12/2024
PLATELET COUNT	338	10/12/2024
MPV	9.8	10/12/2024
ABSOLUTE NEUTROPHILS	6048	10/12/2024
ABSOLUTE LYMPHOCYTES	2371	10/12/2024
ABSOLUTE MONOCYTES	941	10/12/2024
ABSOLUTE EOSINOPHILS	221	10/12/2024
ABSOLUTE BASOPHILS	19	10/12/2024
NEUTROPHILS	63	10/12/2024
LYMPHOCYTES	24.7	10/12/2024
MONOCYTES	9.8	10/12/2024
EOSINOPHILS	2.3	10/12/2024
BASOPHILS	0.2	10/12/2024

Name	Type	Date
REFERRAL	East Montgomery Imaging Center	November 27, 2023
REFERRAL	East Montgomery Imaging Center	October 11, 2024
REFERRAL	East Montgomery Imaging Center	October 11, 2024
REFERRAL	East Montgomery Imaging Center	October 11, 2024
REFERRAL	East Montgomery Imaging Center	November 21, 2023
REFERRAL	East Montgomery Imaging Center	October 11, 2024
REFERRAL	East Montgomery Imaging Center	October 11, 2024
REFERRAL	East Montgomery Imaging Center	October 11, 2024