2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Dupixent 100 mg/0.67 mL subcutaneous syringe, [RxNorm: 2583635]
12/02/2022
one injection twice a month
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

WELL VISIT NEW 18-39 YRS.
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 02, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 05, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Dec 07, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 12, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 14, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Jan 11, 2023
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Jul 11, 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 Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

CBC W/ DIFF (QUEST), [CPT-4: 6399]
12/02/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
12/02/2022
TDap, [CPT-4: 90715]
12/02/2022
Hepatitis B, [CPT-4: 90746]
12/02/2022
Hepatitis B, [CPT-4: 90746]
12/07/2022
Hepatitis B, [CPT-4: 90746]
01/11/2023
Hepatitis B, [CPT-4: 90746]
07/11/2023
TB test - IPPD, [CPT-4: SP86580]
12/02/2022
TB test - IPPD, [CPT-4: SP86580]
12/12/2022
MMR TITER, [CPT-4: 5259]
12/02/2022
Immunization Injection Administration, [CPT-4: 90471]
12/02/2022
Immunization Injection Administration, [CPT-4: 90471]
12/07/2022
Immunization Injection Administration, [CPT-4: 90471]
07/11/2023
Immunization Injection Administration, [CPT-4: 90471]
01/11/2023
Influenza virus vaccine, [CPT-4: 90686]
12/02/2022
addtl immunization administration, [CPT-4: 90472]
12/02/20227461 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 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

TDap
12/02/2022
Completed
Influenza virus vaccine
12/02/2022
Completed
Hepatitis B
12/07/2022
Completed
Hepatitis B
01/11/2023
Completed
Hepatitis B
07/11/2023
CompletedTDapX4G4CGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USInfluenza virus vaccineM3R5BGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B25K3MGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B25K3MGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BD23D3GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn 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

12/02/2022 173 cm 117 kg 39.25 132/83 mm[Hg] 36 Cel 93 bpm 100 pct 16 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
12/05/2022
TB Read Only
Negative
12/14/2022
MEASLES AB (IGG), IMMUNE STATUS
>300.00
12/06/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
96.00
12/06/2022
RUBELLA AB (IGG), IMMUNE STATUS
2.62
12/06/2022
HEPATITIS B SURFACE AB IMMUNITY, QN
<5
12/06/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
441.80
12/06/2022
TEST NAME:
HEPATITIS B SURFACE AB
12/06/2022
TEST CODE:
8475
12/06/2022
CLIENT CONTACT:
MIRANDA BICKNALL
12/06/2022
MEASLES AB (IGG), IMMUNE STATUS
>300.00
12/03/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
96.00
12/03/2022
RUBELLA AB (IGG), IMMUNE STATUS
2.62
12/03/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
441.80
12/03/2022
WHITE BLOOD CELL COUNT
8.9
12/03/2022
RED BLOOD CELL COUNT
4.07
12/03/2022
HEMOGLOBIN
11.4
12/03/2022
HEMATOCRIT
35.4
12/03/2022
MCV
87.0
12/03/2022
MCH
28.0
12/03/2022
MCHC
32.2
12/03/2022
RDW
13.5
12/03/2022
PLATELET COUNT
324
12/03/2022
MPV
10.8
12/03/2022
ABSOLUTE NEUTROPHILS
5135
12/03/2022
ABSOLUTE LYMPHOCYTES
2385
12/03/2022
ABSOLUTE MONOCYTES
1050
12/03/2022
ABSOLUTE EOSINOPHILS
303
12/03/2022
ABSOLUTE BASOPHILS
27
12/03/2022
NEUTROPHILS
57.7
12/03/2022
LYMPHOCYTES
26.8
12/03/2022
MONOCYTES
11.8
12/03/2022
EOSINOPHILS
3.4
12/03/2022
BASOPHILS
0.3
12/03/2022NegativeNegative>300.00<5HEPATITIS B SURFACE ABMIRANDA BICKNALL>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
WELL VISIT NEW 18-39 YRS.	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 02, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 05, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Dec 07, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 12, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 14, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Jan 11, 2023
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Jul 11, 2023

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	12/02/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	12/02/2022
TDap, [CPT-4: 90715]	12/02/2022
Hepatitis B, [CPT-4: 90746]	12/02/2022
Hepatitis B, [CPT-4: 90746]	12/07/2022
Hepatitis B, [CPT-4: 90746]	01/11/2023
Hepatitis B, [CPT-4: 90746]	07/11/2023
TB test - IPPD, [CPT-4: SP86580]	12/02/2022
TB test - IPPD, [CPT-4: SP86580]	12/12/2022
MMR TITER, [CPT-4: 5259]	12/02/2022
Immunization Injection Administration, [CPT-4: 90471]	12/02/2022
Immunization Injection Administration, [CPT-4: 90471]	12/07/2022
Immunization Injection Administration, [CPT-4: 90471]	07/11/2023
Immunization Injection Administration, [CPT-4: 90471]	01/11/2023
Influenza virus vaccine, [CPT-4: 90686]	12/02/2022
addtl immunization administration, [CPT-4: 90472]	12/02/2022

Name	Date	Status
TDap	12/02/2022	Completed
Influenza virus vaccine	12/02/2022	Completed
Hepatitis B	12/07/2022	Completed
Hepatitis B	01/11/2023	Completed
Hepatitis B	07/11/2023	Completed

Result Type	Result Value	Date
TB Read Only	Negative	12/05/2022
TB Read Only	Negative	12/14/2022
MEASLES AB (IGG), IMMUNE STATUS	>300.00	12/06/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	96.00	12/06/2022
RUBELLA AB (IGG), IMMUNE STATUS	2.62	12/06/2022
HEPATITIS B SURFACE AB IMMUNITY, QN	<5	12/06/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	441.80	12/06/2022
TEST NAME:	HEPATITIS B SURFACE AB	12/06/2022
TEST CODE:	8475	12/06/2022
CLIENT CONTACT:	MIRANDA BICKNALL	12/06/2022
MEASLES AB (IGG), IMMUNE STATUS	>300.00	12/03/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	96.00	12/03/2022
RUBELLA AB (IGG), IMMUNE STATUS	2.62	12/03/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	441.80	12/03/2022
WHITE BLOOD CELL COUNT	8.9	12/03/2022
RED BLOOD CELL COUNT	4.07	12/03/2022
HEMOGLOBIN	11.4	12/03/2022
HEMATOCRIT	35.4	12/03/2022
MCV	87.0	12/03/2022
MCH	28.0	12/03/2022
MCHC	32.2	12/03/2022
RDW	13.5	12/03/2022
PLATELET COUNT	324	12/03/2022
MPV	10.8	12/03/2022
ABSOLUTE NEUTROPHILS	5135	12/03/2022
ABSOLUTE LYMPHOCYTES	2385	12/03/2022
ABSOLUTE MONOCYTES	1050	12/03/2022
ABSOLUTE EOSINOPHILS	303	12/03/2022
ABSOLUTE BASOPHILS	27	12/03/2022
NEUTROPHILS	57.7	12/03/2022
LYMPHOCYTES	26.8	12/03/2022
MONOCYTES	11.8	12/03/2022
EOSINOPHILS	3.4	12/03/2022
BASOPHILS	0.3	12/03/2022