2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Nov 15, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Nov 17, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Nov 29, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Dec 01, 20227461 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]
12/13/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
11/15/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
11/15/2022
TB test - IPPD, [CPT-4: SP86580]
11/29/2022
TB test - IPPD, [CPT-4: SP86580]
11/15/2022
MMR TITER, [CPT-4: 5259]
11/15/2022
Visual Acuity, [CPT-4: 99173]
12/13/20227461 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 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

12/13/2022 168 cm 97 kg 34.41 126/78 mm[Hg] 36 Cel 80 bpm 100 pct 16 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
11/17/2022
TB Read Only
Negative
12/01/2022
RightCorrected-Vision
20
12/13/2022
WHITE BLOOD CELL COUNT
7.4
12/14/2022
RED BLOOD CELL COUNT
4.48
12/14/2022
HEMOGLOBIN
13.4
12/14/2022
HEMATOCRIT
40.0
12/14/2022
MCV
89.3
12/14/2022
MCH
29.9
12/14/2022
MCHC
33.5
12/14/2022
RDW
11.8
12/14/2022
PLATELET COUNT
258
12/14/2022
MPV
12.6
12/14/2022
ABSOLUTE NEUTROPHILS
4751
12/14/2022
ABSOLUTE LYMPHOCYTES
2139
12/14/2022
ABSOLUTE MONOCYTES
400
12/14/2022
ABSOLUTE EOSINOPHILS
52
12/14/2022
ABSOLUTE BASOPHILS
59
12/14/2022
NEUTROPHILS
64.2
12/14/2022
LYMPHOCYTES
28.9
12/14/2022
MONOCYTES
5.4
12/14/2022
EOSINOPHILS
0.7
12/14/2022
BASOPHILS
0.8
12/14/2022
MEASLES AB (IGG), IMMUNE STATUS
>300.00
11/16/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
12.50
11/16/2022
RUBELLA AB (IGG), IMMUNE STATUS
2.71
11/16/2022
HEPATITIS B SURFACE AB IMMUNITY, QN
70
11/16/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
1416.00
11/16/2022NegativeNegative>300.00PLAN 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 15, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Nov 17, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Nov 29, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Dec 01, 2022

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	12/13/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	11/15/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	11/15/2022
TB test - IPPD, [CPT-4: SP86580]	11/29/2022
TB test - IPPD, [CPT-4: SP86580]	11/15/2022
MMR TITER, [CPT-4: 5259]	11/15/2022
Visual Acuity, [CPT-4: 99173]	12/13/2022

Result Type	Result Value	Date
TB Read Only	Negative	11/17/2022
TB Read Only	Negative	12/01/2022
RightCorrected-Vision	20	12/13/2022
WHITE BLOOD CELL COUNT	7.4	12/14/2022
RED BLOOD CELL COUNT	4.48	12/14/2022
HEMOGLOBIN	13.4	12/14/2022
HEMATOCRIT	40.0	12/14/2022
MCV	89.3	12/14/2022
MCH	29.9	12/14/2022
MCHC	33.5	12/14/2022
RDW	11.8	12/14/2022
PLATELET COUNT	258	12/14/2022
MPV	12.6	12/14/2022
ABSOLUTE NEUTROPHILS	4751	12/14/2022
ABSOLUTE LYMPHOCYTES	2139	12/14/2022
ABSOLUTE MONOCYTES	400	12/14/2022
ABSOLUTE EOSINOPHILS	52	12/14/2022
ABSOLUTE BASOPHILS	59	12/14/2022
NEUTROPHILS	64.2	12/14/2022
LYMPHOCYTES	28.9	12/14/2022
MONOCYTES	5.4	12/14/2022
EOSINOPHILS	0.7	12/14/2022
BASOPHILS	0.8	12/14/2022
MEASLES AB (IGG), IMMUNE STATUS	>300.00	11/16/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	12.50	11/16/2022
RUBELLA AB (IGG), IMMUNE STATUS	2.71	11/16/2022
HEPATITIS B SURFACE AB IMMUNITY, QN	70	11/16/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	1416.00	11/16/2022