2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Penicillins Unknown Unknown Active
Sulfa (Sulfonamide Antibiotics) Unknown Unknown ActivePenicillinsSulfa (Sulfonamide Antibiotics)

Substance	Reaction	Severity	Status
Penicillins	Unknown	Unknown	Active
Sulfa (Sulfonamide Antibiotics)	Unknown	Unknown	Active

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Nov 14, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Nov 18, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Nov 21, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jan 09, 2023
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Jan 13, 2023
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Aug 31, 20237461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

CBC W/ DIFF (QUEST), [CPT-4: 6399]
11/11/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
11/11/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
01/09/2023
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
08/31/2023
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
11/11/2022
Hepatitis B, [CPT-4: 90746]
08/31/2023
TB test - IPPD, [CPT-4: SP86580]
11/18/2022
TB test - IPPD, [CPT-4: SP86580]
11/11/2022
Varicella, [CPT-4: 90716]
01/13/2023
MMR TITER, [CPT-4: 5259]
11/11/2022
Immunization Injection Administration, [CPT-4: 90471]
01/13/20237461 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 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

Varicella
01/13/2023
Completed
Hepatitis B
08/31/2023
CompletedVaricellaW018829Merck Co., Inc.7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BXS27BGlaxoSmithKline7461 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

11/11/2022 168 cm 82 kg 29 128/71 mm[Hg] 37 Cel 82 bpm 99 pct 16 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
11/14/2022
TB Read Only
Negative
11/21/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
771.60
09/01/2023
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
137.10
01/10/2023
MEASLES AB (IGG), IMMUNE STATUS
>300.00
11/14/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
100.00
11/14/2022
RUBELLA AB (IGG), IMMUNE STATUS
5.07
11/14/2022
HEPATITIS B SURFACE AB IMMUNITY, QN
<5
11/14/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
<135.00
11/14/2022
WHITE BLOOD CELL COUNT
7.7
11/12/2022
RED BLOOD CELL COUNT
4.04
11/12/2022
HEMOGLOBIN
9.8
11/12/2022
HEMATOCRIT
31.1
11/12/2022
MCV
77.0
11/12/2022
MCH
24.3
11/12/2022
MCHC
31.5
11/12/2022
RDW
14.0
11/12/2022
PLATELET COUNT
192
11/12/2022
MPV
12.2
11/12/2022
ABSOLUTE NEUTROPHILS
5852
11/12/2022
ABSOLUTE LYMPHOCYTES
1186
11/12/2022
ABSOLUTE MONOCYTES
539
11/12/2022
ABSOLUTE EOSINOPHILS
100
11/12/2022
ABSOLUTE BASOPHILS
23
11/12/2022
NEUTROPHILS
76
11/12/2022
LYMPHOCYTES
15.4
11/12/2022
MONOCYTES
7.0
11/12/2022
EOSINOPHILS
1.3
11/12/2022
BASOPHILS
0.3
11/12/2022NegativeNegative>300.00<5<135.00PLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Encounter	Performer	Location	Date
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Nov 14, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Nov 18, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Nov 21, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jan 09, 2023
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Jan 13, 2023
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Aug 31, 2023

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	11/11/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	11/11/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	01/09/2023
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	08/31/2023
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	11/11/2022
Hepatitis B, [CPT-4: 90746]	08/31/2023
TB test - IPPD, [CPT-4: SP86580]	11/18/2022
TB test - IPPD, [CPT-4: SP86580]	11/11/2022
Varicella, [CPT-4: 90716]	01/13/2023
MMR TITER, [CPT-4: 5259]	11/11/2022
Immunization Injection Administration, [CPT-4: 90471]	01/13/2023

Result Type	Result Value	Date
TB Read Only	Negative	11/14/2022
TB Read Only	Negative	11/21/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	771.60	09/01/2023
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	137.10	01/10/2023
MEASLES AB (IGG), IMMUNE STATUS	>300.00	11/14/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	100.00	11/14/2022
RUBELLA AB (IGG), IMMUNE STATUS	5.07	11/14/2022
HEPATITIS B SURFACE AB IMMUNITY, QN	<5	11/14/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	<135.00	11/14/2022
WHITE BLOOD CELL COUNT	7.7	11/12/2022
RED BLOOD CELL COUNT	4.04	11/12/2022
HEMOGLOBIN	9.8	11/12/2022
HEMATOCRIT	31.1	11/12/2022
MCV	77.0	11/12/2022
MCH	24.3	11/12/2022
MCHC	31.5	11/12/2022
RDW	14.0	11/12/2022
PLATELET COUNT	192	11/12/2022
MPV	12.2	11/12/2022
ABSOLUTE NEUTROPHILS	5852	11/12/2022
ABSOLUTE LYMPHOCYTES	1186	11/12/2022
ABSOLUTE MONOCYTES	539	11/12/2022
ABSOLUTE EOSINOPHILS	100	11/12/2022
ABSOLUTE BASOPHILS	23	11/12/2022
NEUTROPHILS	76	11/12/2022
LYMPHOCYTES	15.4	11/12/2022
MONOCYTES	7.0	11/12/2022
EOSINOPHILS	1.3	11/12/2022
BASOPHILS	0.3	11/12/2022