2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

UA, [CPT-4: 81003]
10/26/2022
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
10/26/2022
CBC W/ DIFF (QUEST), [CPT-4: 6399]
10/26/2022
TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]
10/26/2022
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]
10/26/2022
HIV, [CPT-4: 86701]
10/26/2022
VDRL, [LOINC: 11084-1]
10/26/20227461 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 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

10/26/2022 185 cm 77 kg 22.25 130/76 mm[Hg] 37 Cel 66 bpm 98 pct 15 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
10/26/2022
Urobilinogen-Urine
Negative
10/26/2022
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/26/2022
pH of Urine by Test strip
8 [pH]
10/26/2022
Blood-Urine
Negative
10/26/2022
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/26/2022
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
10/26/2022
Cesium-Urine
No
10/26/2022
Specific Gravity of Urine by Test strip
1.010
10/26/2022
Bilirubin-Urine
Negative
10/26/2022
Nitrites-Urine
Negative
10/26/2022
Appearance of Urine
clear
10/26/2022
Color of Urine
yellow
10/26/2022
GLUCOSE
81
10/27/2022
UREA NITROGEN (BUN)
12
10/27/2022
CREATININE
1.16
10/27/2022
EGFR
92
10/27/2022
BUN/CREATININE RATIO
NOT APPLICABLE
10/27/2022
SODIUM
141
10/27/2022
POTASSIUM
4.5
10/27/2022
CHLORIDE
103
10/27/2022
CARBON DIOXIDE
28
10/27/2022
CALCIUM
9.5
10/27/2022
PROTEIN, TOTAL
7.5
10/27/2022
ALBUMIN
4.5
10/27/2022
GLOBULIN
3.0
10/27/2022
ALBUMIN/GLOBULIN RATIO
1.5
10/27/2022
BILIRUBIN, TOTAL
0.3
10/27/2022
ALKALINE PHOSPHATASE
71
10/27/2022
AST
33
10/27/2022
ALT
30
10/27/2022
TSH W/REFLEX TO FT4
0.45
10/27/2022
WHITE BLOOD CELL COUNT
4.1
10/27/2022
RED BLOOD CELL COUNT
5.89
10/27/2022
HEMOGLOBIN
16.2
10/27/2022
HEMATOCRIT
48.7
10/27/2022
MCV
82.7
10/27/2022
MCH
27.5
10/27/2022
MCHC
33.3
10/27/2022
RDW
12.3
10/27/2022
PLATELET COUNT
318
10/27/2022
MPV
10.7
10/27/2022
ABSOLUTE NEUTROPHILS
2083
10/27/2022
ABSOLUTE LYMPHOCYTES
1218
10/27/2022
ABSOLUTE MONOCYTES
390
10/27/2022
ABSOLUTE EOSINOPHILS
369
10/27/2022
ABSOLUTE BASOPHILS
41
10/27/2022
NEUTROPHILS
50.8
10/27/2022
LYMPHOCYTES
29.7
10/27/2022
MONOCYTES
9.5
10/27/2022
EOSINOPHILS
9.0
10/27/2022
BASOPHILS
1.0
10/27/2022NegativeNegativeNegativeNegativeNegativeNegativeNoNegativeNegativeclearyellowNOT APPLICABLETREATMENT PLANName Type Date

REFERRAL
 East Montgomery Imaging Center-CT abd/pelvis w/ contrast. 
November 10, 2022
REFERRAL
 East Montgomery Imaging Center-CT abd/pelvis w/ contrast. 
November 10, 2022
REFERRAL
 East Montgomery Imaging Center
October 26, 2022
REFERRAL
 East Montgomery Imaging Center
October 26, 2022 East Montgomery Imaging Center-CT abd/pelvis w/ contrast.  East Montgomery Imaging Center-CT abd/pelvis w/ contrast.  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

Procedure	Date
UA, [CPT-4: 81003]	10/26/2022
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	10/26/2022
CBC W/ DIFF (QUEST), [CPT-4: 6399]	10/26/2022
TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]	10/26/2022
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]	10/26/2022
HIV, [CPT-4: 86701]	10/26/2022
VDRL, [LOINC: 11084-1]	10/26/2022

Result Type	Result Value	Date
Leukocytes-Urine	Negative	10/26/2022
Urobilinogen-Urine	Negative	10/26/2022
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/26/2022
pH of Urine by Test strip	8 [pH]	10/26/2022
Blood-Urine	Negative	10/26/2022
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/26/2022
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	10/26/2022
Cesium-Urine	No	10/26/2022
Specific Gravity of Urine by Test strip	1.010	10/26/2022
Bilirubin-Urine	Negative	10/26/2022
Nitrites-Urine	Negative	10/26/2022
Appearance of Urine	clear	10/26/2022
Color of Urine	yellow	10/26/2022
GLUCOSE	81	10/27/2022
UREA NITROGEN (BUN)	12	10/27/2022
CREATININE	1.16	10/27/2022
EGFR	92	10/27/2022
BUN/CREATININE RATIO	NOT APPLICABLE	10/27/2022
SODIUM	141	10/27/2022
POTASSIUM	4.5	10/27/2022
CHLORIDE	103	10/27/2022
CARBON DIOXIDE	28	10/27/2022
CALCIUM	9.5	10/27/2022
PROTEIN, TOTAL	7.5	10/27/2022
ALBUMIN	4.5	10/27/2022
GLOBULIN	3.0	10/27/2022
ALBUMIN/GLOBULIN RATIO	1.5	10/27/2022
BILIRUBIN, TOTAL	0.3	10/27/2022
ALKALINE PHOSPHATASE	71	10/27/2022
AST	33	10/27/2022
ALT	30	10/27/2022
TSH W/REFLEX TO FT4	0.45	10/27/2022
WHITE BLOOD CELL COUNT	4.1	10/27/2022
RED BLOOD CELL COUNT	5.89	10/27/2022
HEMOGLOBIN	16.2	10/27/2022
HEMATOCRIT	48.7	10/27/2022
MCV	82.7	10/27/2022
MCH	27.5	10/27/2022
MCHC	33.3	10/27/2022
RDW	12.3	10/27/2022
PLATELET COUNT	318	10/27/2022
MPV	10.7	10/27/2022
ABSOLUTE NEUTROPHILS	2083	10/27/2022
ABSOLUTE LYMPHOCYTES	1218	10/27/2022
ABSOLUTE MONOCYTES	390	10/27/2022
ABSOLUTE EOSINOPHILS	369	10/27/2022
ABSOLUTE BASOPHILS	41	10/27/2022
NEUTROPHILS	50.8	10/27/2022
LYMPHOCYTES	29.7	10/27/2022
MONOCYTES	9.5	10/27/2022
EOSINOPHILS	9.0	10/27/2022
BASOPHILS	1.0	10/27/2022

Name	Type	Date
REFERRAL	East Montgomery Imaging Center-CT abd/pelvis w/ contrast.	November 10, 2022
REFERRAL	East Montgomery Imaging Center-CT abd/pelvis w/ contrast.	November 10, 2022
REFERRAL	East Montgomery Imaging Center	October 26, 2022
REFERRAL	East Montgomery Imaging Center	October 26, 2022