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mg tablet, [RxNorm: 1087051]</content></td><td align="center">05/09/2023</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">07/20/2023</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">11/11/2024</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">04/19/2023</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">08/18/2023</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">11/20/2023</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">02/14/2024</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med12">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">11/20/2024</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med14">fluoxetine 60 mg tablet, [RxNorm: 1190110]</content></td><td align="center">08/11/2024</td><td align="right">TAKE 1 TABLET (60 MG) BY ORAL ROUTE ONCE DAILY IN THE MORNING</td><td align="center">Active</td></tr><tr><td><content ID = "Med15">fluoxetine 60 mg tablet, [RxNorm: 1190110]</content></td><td align="center">10/14/2024</td><td align="right">TAKE 1 TABLET (60 MG) BY ORAL ROUTE ONCE DAILY IN THE MORNING</td><td align="center">Active</td></tr><tr><td><content ID = "Med16">fluoxetine 60 mg tablet, [RxNorm: 1190110]</content></td><td align="center">11/11/2024</td><td align="right">TAKE 1 TABLET (60 MG) BY ORAL ROUTE ONCE DAILY IN THE MORNING</td><td align="center">Active</td></tr><tr><td><content ID = "Med18">fluoxetine 60 mg tablet, [RxNorm: 1190110]</content></td><td align="center">11/20/2024</td><td align="right">TAKE 1 TABLET (60 MG) BY ORAL ROUTE ONCE DAILY IN THE MORNING</td><td align="center">Active</td></tr><tr><td><content ID = "Med19">lisinopril 40 mg tablet, [RxNorm: 206770]</content></td><td align="center">01/20/2023</td><td align="right"></td><td align="center">Active</td></tr><tr><td><content ID = "Med20">chlorthalidone 25 mg tablet, [RxNorm: 214082]</content></td><td align="center">05/16/2025</td><td align="right">1 tablet po once daily</td><td align="center">Active</td></tr><tr><td><content ID = "Med21">erythromycin 5 mg/gram (0.5 %) eye ointment, [RxNorm: 206035]</content></td><td align="center">05/16/2025</td><td align="right">APPLY 1 CM RIBBON INTO THE LOWER CONJUNCTIVAL SAC(S) IN THE AFFECTED EYE(S) BY OPHTHALMIC ROUTE 3 TIMES PER DAY for 7 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med22">triamcinolone acetonide 0.1 % topical cream, [RxNorm: 1014318]</content></td><td align="center">01/31/2024</td><td align="right">APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med23">levothyroxine 137 mcg tablet, [RxNorm: 966192]</content></td><td align="center">01/20/2023</td><td align="right">TAKE 1 TABLET (137 MCG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med24">metformin ER 500 mg tablet,extended release 24 hr, [RxNorm: 860977]</content></td><td align="center">05/10/2024</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE ONCE DAILY WITH THE EVENING MEAL</td><td align="center">Active</td></tr><tr><td><content ID = "Med25">fluoxetine 60 mg tablet, [RxNorm: 1190110]</content></td><td align="center">01/31/2024</td><td align="right">TAKE 1 TABLET (60 MG) BY ORAL ROUTE ONCE DAILY IN THE MORNING</td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="43CC2AE6-8F43-43FB-85D9-9731DA97C932"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20230509"/></effectiveTime><doseQuantity 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Health Services</td><td>Jan 20, 2023</td></tr><tr><td ID="Encounter2">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 31, 2023</td></tr><tr><td ID="Encounter3">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 26, 2024</td></tr><tr><td ID="Encounter4">PHYSICAL EST PT 40-64 YRS.</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 31, 2024</td></tr><tr><td ID="Encounter5">Detailed</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Oct 16, 2024</td></tr><tr><td ID="Encounter6">INTERMEDIATE EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 16, 2025</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="0031FAFB-92B4-4EFA-8014-65A02FDAEA42"/><code 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code="active"/><effectiveTime><low value="20250516"/></effectiveTime><entryRelationship typeCode="SUBJ" inversionInd="false"><observation classCode="OBS" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="4E3A183D-E922-4665-89D7-3DCA377AE9FC"/><code code="409586006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Complaint"><translation code="75322-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Complaint"/></code><statusCode code="completed"/><effectiveTime><low value="20250516"/></effectiveTime><value xsi:type="CD" code="1356746000" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.7.1"/><code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/><title>PROCEDURES</title><text><table border="1" width="100%"><thead><tr><th>Procedure</th><th>Date</th></tr></thead><tbody><tr><td ID = "procedure1">TSH (QUEST), [CPT-4: 899]</td><td align="center">01/20/2023</td></tr><tr><td ID = "procedure2">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">01/20/2023</td></tr><tr><td ID = "procedure3">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">01/20/2023</td></tr><tr><td ID = "procedure4">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">07/31/2023</td></tr><tr><td ID = "procedure5">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">01/20/2023</td></tr><tr><td ID = "procedure6">TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]</td><td align="center">07/31/2023</td></tr><tr><td ID = "procedure7">T4 FREE (QUEST), [CPT-4: 866]</td><td align="center">01/20/2023</td></tr><tr><td ID = "procedure8">Ear Irrigation, [CPT-4: 69209]</td><td align="center">07/28/2023</td></tr><tr><td ID = "procedure9">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">01/20/2023</td></tr><tr><td ID = "procedure10">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">01/20/2023</td></tr><tr><td ID = "procedure11">BASIC METABOLIC PANEL, [CPT-4: 10165]</td><td align="center">07/31/2023</td></tr></tbody></table></text><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="E9B599C4-CD36-485F-941F-B063B2E08F0F"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230120"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="2EC8694D-74C9-48BA-8802-82D7DF71BCEE"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230120"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="A3B7D0F1-1DE8-4756-8843-4853EB493BB9"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230120"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="71C6B80D-B3F8-455F-9B73-D869D649EC12"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230731"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="D900CB83-6C18-4349-9566-1C4E7AE37832"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230120"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="6A0026C8-41E5-4341-883B-8D23DD03F9A3"/><code code="36127" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH W/REFLEX T4, FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230731"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="2327474C-2F5C-4B1C-BE48-7A268AE5D4D1"/><code code="866" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="T4 FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230120"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="80965EA2-CFE5-4851-93A2-DDACF645FD1B"/><code code="69209" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Ear Irrigation"/><statusCode code="completed"/><effectiveTime value="20230728"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="7B976ECD-3911-402F-8248-A1773CBB8BF6"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20230120"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="79B60FE1-CAA8-4351-8AC4-2A3624D73D8D"/><code code="90686" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Influenza virus vaccine"/><statusCode code="completed"/><effectiveTime value="20230120"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="353A0F92-F89E-47C6-8CC3-FD35E1C6C1B2"/><code code="10165" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="BASIC METABOLIC PANEL"/><statusCode code="completed"/><effectiveTime value="20230731"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry></section>
            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun1">Influenza virus vaccine</td><td align="center">01/20/2023</td><td align="center">Completed</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="A5086F0D-E825-47FB-B429-507475F0645E"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20230120"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="5.0000000e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code code="150" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="Influenza virus vaccine"/><lotNumberText>M3R5B</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>GlaxoSmithKline</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Lindsey</given><family>Barton</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.4.1"/><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/><title>VITAL SIGNS</title><text><table border="1" width="100%"><thead><tr><th>Date</th><th>Height</th><th>Weight</th><th>BMI</th><th>Blood Pressure</th><th>Temperature</th><th>Pulse</th><th>Pulse Oximetry</th><th>Respiratory Rate</th><th>Inhaled Oxygen Concentration</th><th>Head Circumference Percentage</th><th>BMI Percentage</th><th>Weight to Length Percentage</th></tr></thead><tbody><tr><td ID = "vital_1">01/20/2023</td><td ID = "vital_1_height">168 cm</td><td ID = "vital_1_weight">132 kg</td><td ID = "vital_1_bmi">46.8</td><td ID = "vital_1_bp">147/87 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">68 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">07/28/2023</td><td ID = "vital_2_height">168 cm</td><td ID = "vital_2_weight">128 kg</td><td ID = "vital_2_bmi">45.4</td><td ID = "vital_2_bp">139/81 mm[Hg]</td><td ID = "vital_2_temp">36 Cel</td><td ID = "vital_2_pulse">63 bpm</td><td ID = "vital_2_pulseox">99 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">01/31/2024</td><td ID = "vital_3_height">168 cm</td><td ID = "vital_3_weight">129 kg</td><td ID = "vital_3_bmi">45.8</td><td ID = "vital_3_bp">172/101 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">61 bpm</td><td ID = "vital_3_pulseox">97 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">10/16/2024</td><td ID = "vital_4_weight">134 kg</td><td ID = "vital_4_bp">185/102 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">78 bpm</td><td ID = "vital_4_pulseox">97 pct</td><td ID = "vital_4_resp">16 bpm</td></tr><tr><td ID = "vital_5">05/16/2025</td><td ID = "vital_5_height">168 cm</td><td ID = "vital_5_weight">130 kg</td><td ID = "vital_5_bmi">46.25</td><td ID = "vital_5_bp">139/95 mm[Hg]</td><td ID = "vital_5_temp">36 Cel</td><td ID = "vital_5_pulse">78 bpm</td><td ID = "vital_5_pulseox">98 pct</td><td ID = "vital_5_resp">16 bpm</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="E545A328-7BB0-4B35-B638-129FE703D9D3"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/></code><statusCode code="completed"/><effectiveTime><low value="20230120"/><high value="20230120"/></effectiveTime><author><templateId 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(HIPAA)"/></assignedAuthor></author></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="98BA1DA3-E0C9-46E7-AF44-6E9348ABA5E5"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_5_resp"/></text><statusCode code="completed"/><effectiveTime value="20250516"/><value xsi:type="PQ" value="16" unit="/min"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.3.1"/><code code ="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS"/><title>RESULTS</title><text><table border="1" width="100%"><thead><tr><th>Result Type</th><th>Result Value</th><th>Date</th></tr></thead><tbody><tr><td ID="result1">GLUCOSE</td><td>104</td><td align="center">11/14/2024</td></tr><tr><td ID="result2">UREA NITROGEN (BUN)</td><td>15</td><td align="center">11/14/2024</td></tr><tr><td ID="result3">CREATININE</td><td>0.67</td><td align="center">11/14/2024</td></tr><tr><td ID="result4">EGFR</td><td>101</td><td align="center">11/14/2024</td></tr><tr><td ID="result5">BUN/CREATININE RATIO</td><td>SEE NOTE:</td><td align="center">11/14/2024</td></tr><tr><td ID="result6">SODIUM</td><td>140</td><td align="center">11/14/2024</td></tr><tr><td ID="result7">POTASSIUM</td><td>4.4</td><td align="center">11/14/2024</td></tr><tr><td ID="result8">CHLORIDE</td><td>104</td><td align="center">11/14/2024</td></tr><tr><td ID="result9">CARBON DIOXIDE</td><td>25</td><td align="center">11/14/2024</td></tr><tr><td ID="result10">CALCIUM</td><td>9.0</td><td align="center">11/14/2024</td></tr><tr><td ID="result11">HEMOGLOBIN A1C</td><td>6.1</td><td align="center">11/14/2024</td></tr><tr><td ID="result12">TSH</td><td>4.24</td><td align="center">11/14/2024</td></tr><tr><td ID="result13">T4, FREE</td><td>1.3</td><td align="center">11/14/2024</td></tr><tr><td ID="result14">CHOLESTEROL, TOTAL</td><td>217</td><td align="center">05/10/2024</td></tr><tr><td ID="result15">HDL CHOLESTEROL</td><td>66</td><td align="center">05/10/2024</td></tr><tr><td ID="result16">TRIGLYCERIDES</td><td>149</td><td align="center">05/10/2024</td></tr><tr><td ID="result17">LDL-CHOLESTEROL</td><td>125</td><td align="center">05/10/2024</td></tr><tr><td ID="result18">CHOL/HDLC RATIO</td><td>3.3</td><td align="center">05/10/2024</td></tr><tr><td ID="result19">NON HDL CHOLESTEROL</td><td>151</td><td align="center">05/10/2024</td></tr><tr><td ID="result20">HEMOGLOBIN A1C</td><td>6.2</td><td align="center">05/10/2024</td></tr><tr><td ID="result21">CHOLESTEROL, TOTAL</td><td>213</td><td align="center">02/10/2024</td></tr><tr><td ID="result22">HDL CHOLESTEROL</td><td>65</td><td align="center">02/10/2024</td></tr><tr><td ID="result23">TRIGLYCERIDES</td><td>176</td><td align="center">02/10/2024</td></tr><tr><td ID="result24">LDL-CHOLESTEROL</td><td>119</td><td align="center">02/10/2024</td></tr><tr><td ID="result25">CHOL/HDLC RATIO</td><td>3.3</td><td align="center">02/10/2024</td></tr><tr><td ID="result26">NON HDL CHOLESTEROL</td><td>148</td><td align="center">02/10/2024</td></tr><tr><td ID="result27">GLUCOSE</td><td>101</td><td align="center">02/10/2024</td></tr><tr><td ID="result28">UREA NITROGEN (BUN)</td><td>12</td><td align="center">02/10/2024</td></tr><tr><td ID="result29">CREATININE</td><td>0.81</td><td align="center">02/10/2024</td></tr><tr><td ID="result30">EGFR</td><td>84</td><td align="center">02/10/2024</td></tr><tr><td ID="result31">BUN/CREATININE RATIO</td><td>SEE NOTE:</td><td align="center">02/10/2024</td></tr><tr><td ID="result32">SODIUM</td><td>139</td><td align="center">02/10/2024</td></tr><tr><td ID="result33">POTASSIUM</td><td>4.3</td><td align="center">02/10/2024</td></tr><tr><td ID="result34">CHLORIDE</td><td>102</td><td align="center">02/10/2024</td></tr><tr><td ID="result35">CARBON DIOXIDE</td><td>25</td><td align="center">02/10/2024</td></tr><tr><td ID="result36">CALCIUM</td><td>9.5</td><td align="center">02/10/2024</td></tr><tr><td ID="result37">PROTEIN, TOTAL</td><td>6.7</td><td align="center">02/10/2024</td></tr><tr><td ID="result38">ALBUMIN</td><td>4.1</td><td align="center">02/10/2024</td></tr><tr><td ID="result39">GLOBULIN</td><td>2.6</td><td align="center">02/10/2024</td></tr><tr><td ID="result40">ALBUMIN/GLOBULIN RATIO</td><td>1.6</td><td align="center">02/10/2024</td></tr><tr><td ID="result41">BILIRUBIN, TOTAL</td><td>0.6</td><td align="center">02/10/2024</td></tr><tr><td ID="result42">ALKALINE PHOSPHATASE</td><td>61</td><td align="center">02/10/2024</td></tr><tr><td ID="result43">AST</td><td>19</td><td align="center">02/10/2024</td></tr><tr><td ID="result44">ALT</td><td>22</td><td align="center">02/10/2024</td></tr><tr><td ID="result45">TSH W/REFLEX TO FT4</td><td>2.07</td><td align="center">02/10/2024</td></tr><tr><td ID="result46">PROTEIN C, ACTIVITY</td><td>192</td><td align="center">02/10/2024</td></tr><tr><td ID="result47">PROTEIN S, ACTIVITY</td><td>100</td><td align="center">02/10/2024</td></tr><tr><td ID="result48">FACTOR V (LEIDEN) MUTATION</td><td>NEGATIVE</td><td align="center">02/10/2024</td></tr><tr><td ID="result49">INTERPRETATION</td><td>See Below</td><td align="center">02/10/2024</td></tr><tr><td ID="result50">INR</td><td>1.0</td><td align="center">02/10/2024</td></tr><tr><td ID="result51">PT</td><td>10.6</td><td align="center">02/10/2024</td></tr><tr><td ID="result52">WHITE BLOOD CELL COUNT</td><td>7.1</td><td align="center">02/10/2024</td></tr><tr><td ID="result53">RED BLOOD CELL COUNT</td><td>4.39</td><td align="center">02/10/2024</td></tr><tr><td ID="result54">HEMOGLOBIN</td><td>13.1</td><td align="center">02/10/2024</td></tr><tr><td ID="result55">HEMATOCRIT</td><td>39.2</td><td align="center">02/10/2024</td></tr><tr><td ID="result56">MCV</td><td>89.3</td><td align="center">02/10/2024</td></tr><tr><td ID="result57">MCH</td><td>29.8</td><td align="center">02/10/2024</td></tr><tr><td ID="result58">MCHC</td><td>33.4</td><td align="center">02/10/2024</td></tr><tr><td ID="result59">RDW</td><td>12.2</td><td align="center">02/10/2024</td></tr><tr><td ID="result60">PLATELET COUNT</td><td>337</td><td align="center">02/10/2024</td></tr><tr><td ID="result61">MPV</td><td>9.8</td><td align="center">02/10/2024</td></tr><tr><td ID="result62">ABSOLUTE NEUTROPHILS</td><td>4019</td><td align="center">02/10/2024</td></tr><tr><td ID="result63">ABSOLUTE LYMPHOCYTES</td><td>2095</td><td align="center">02/10/2024</td></tr><tr><td ID="result64">ABSOLUTE MONOCYTES</td><td>682</td><td align="center">02/10/2024</td></tr><tr><td ID="result65">ABSOLUTE EOSINOPHILS</td><td>213</td><td align="center">02/10/2024</td></tr><tr><td ID="result66">ABSOLUTE BASOPHILS</td><td>92</td><td align="center">02/10/2024</td></tr><tr><td ID="result67">NEUTROPHILS</td><td>56.6</td><td align="center">02/10/2024</td></tr><tr><td ID="result68">LYMPHOCYTES</td><td>29.5</td><td align="center">02/10/2024</td></tr><tr><td ID="result69">MONOCYTES</td><td>9.6</td><td align="center">02/10/2024</td></tr><tr><td ID="result70">EOSINOPHILS</td><td>3.0</td><td align="center">02/10/2024</td></tr><tr><td ID="result71">BASOPHILS</td><td>1.3</td><td align="center">02/10/2024</td></tr><tr><td ID="result72">CHOLESTEROL, TOTAL</td><td>203</td><td align="center">08/01/2023</td></tr><tr><td ID="result73">HDL CHOLESTEROL</td><td>65</td><td align="center">08/01/2023</td></tr><tr><td ID="result74">TRIGLYCERIDES</td><td>99</td><td align="center">08/01/2023</td></tr><tr><td ID="result75">LDL-CHOLESTEROL</td><td>117</td><td align="center">08/01/2023</td></tr><tr><td ID="result76">CHOL/HDLC RATIO</td><td>3.1</td><td align="center">08/01/2023</td></tr><tr><td ID="result77">NON HDL CHOLESTEROL</td><td>138</td><td align="center">08/01/2023</td></tr><tr><td ID="result78">GLUCOSE</td><td>93</td><td align="center">08/01/2023</td></tr><tr><td ID="result79">UREA NITROGEN (BUN)</td><td>17</td><td align="center">08/01/2023</td></tr><tr><td ID="result80">CREATININE</td><td>0.78</td><td align="center">08/01/2023</td></tr><tr><td ID="result81">EGFR</td><td>88</td><td align="center">08/01/2023</td></tr><tr><td ID="result82">BUN/CREATININE RATIO</td><td>SEE NOTE:</td><td align="center">08/01/2023</td></tr><tr><td ID="result83">SODIUM</td><td>140</td><td align="center">08/01/2023</td></tr><tr><td ID="result84">POTASSIUM</td><td>4.8</td><td align="center">08/01/2023</td></tr><tr><td ID="result85">CHLORIDE</td><td>106</td><td align="center">08/01/2023</td></tr><tr><td ID="result86">CARBON DIOXIDE</td><td>25</td><td align="center">08/01/2023</td></tr><tr><td ID="result87">CALCIUM</td><td>9.3</td><td align="center">08/01/2023</td></tr><tr><td ID="result88">TSH W/REFLEX TO FT4</td><td>2.29</td><td align="center">08/01/2023</td></tr><tr><td ID="result89">CHOLESTEROL, TOTAL</td><td>216</td><td align="center">01/21/2023</td></tr><tr><td ID="result90">HDL CHOLESTEROL</td><td>61</td><td align="center">01/21/2023</td></tr><tr><td ID="result91">TRIGLYCERIDES</td><td>228</td><td align="center">01/21/2023</td></tr><tr><td ID="result92">LDL-CHOLESTEROL</td><td>120</td><td align="center">01/21/2023</td></tr><tr><td ID="result93">CHOL/HDLC RATIO</td><td>3.5</td><td align="center">01/21/2023</td></tr><tr><td ID="result94">NON HDL CHOLESTEROL</td><td>155</td><td align="center">01/21/2023</td></tr><tr><td ID="result95">GLUCOSE</td><td>82</td><td align="center">01/21/2023</td></tr><tr><td ID="result96">UREA NITROGEN (BUN)</td><td>13</td><td align="center">01/21/2023</td></tr><tr><td ID="result97">CREATININE</td><td>0.84</td><td align="center">01/21/2023</td></tr><tr><td ID="result98">EGFR</td><td>80</td><td align="center">01/21/2023</td></tr><tr><td ID="result99">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">01/21/2023</td></tr><tr><td ID="result100">SODIUM</td><td>140</td><td align="center">01/21/2023</td></tr><tr><td ID="result101">POTASSIUM</td><td>3.7</td><td align="center">01/21/2023</td></tr><tr><td ID="result102">CHLORIDE</td><td>103</td><td align="center">01/21/2023</td></tr><tr><td ID="result103">CARBON DIOXIDE</td><td>31</td><td align="center">01/21/2023</td></tr><tr><td ID="result104">CALCIUM</td><td>9.3</td><td align="center">01/21/2023</td></tr><tr><td ID="result105">PROTEIN, TOTAL</td><td>6.5</td><td align="center">01/21/2023</td></tr><tr><td ID="result106">ALBUMIN</td><td>4.2</td><td align="center">01/21/2023</td></tr><tr><td ID="result107">GLOBULIN</td><td>2.3</td><td align="center">01/21/2023</td></tr><tr><td ID="result108">ALBUMIN/GLOBULIN RATIO</td><td>1.8</td><td align="center">01/21/2023</td></tr><tr><td ID="result109">BILIRUBIN, TOTAL</td><td>0.4</td><td align="center">01/21/2023</td></tr><tr><td ID="result110">ALKALINE PHOSPHATASE</td><td>58</td><td align="center">01/21/2023</td></tr><tr><td ID="result111">AST</td><td>17</td><td align="center">01/21/2023</td></tr><tr><td ID="result112">ALT</td><td>22</td><td align="center">01/21/2023</td></tr><tr><td ID="result113">TSH</td><td>2.01</td><td align="center">01/21/2023</td></tr><tr><td ID="result114">T4, FREE</td><td>1.4</td><td align="center">01/21/2023</td></tr><tr><td ID="result115">WHITE BLOOD CELL COUNT</td><td>8.7</td><td align="center">01/21/2023</td></tr><tr><td ID="result116">RED BLOOD CELL COUNT</td><td>4.36</td><td align="center">01/21/2023</td></tr><tr><td ID="result117">HEMOGLOBIN</td><td>12.8</td><td align="center">01/21/2023</td></tr><tr><td ID="result118">HEMATOCRIT</td><td>38.9</td><td align="center">01/21/2023</td></tr><tr><td ID="result119">MCV</td><td>89.2</td><td align="center">01/21/2023</td></tr><tr><td ID="result120">MCH</td><td>29.4</td><td align="center">01/21/2023</td></tr><tr><td ID="result121">MCHC</td><td>32.9</td><td align="center">01/21/2023</td></tr><tr><td ID="result122">RDW</td><td>12.5</td><td align="center">01/21/2023</td></tr><tr><td ID="result123">PLATELET COUNT</td><td>321</td><td align="center">01/21/2023</td></tr><tr><td ID="result124">MPV</td><td>9.8</td><td align="center">01/21/2023</td></tr><tr><td ID="result125">ABSOLUTE NEUTROPHILS</td><td>4776</td><td align="center">01/21/2023</td></tr><tr><td ID="result126">ABSOLUTE LYMPHOCYTES</td><td>2654</td><td align="center">01/21/2023</td></tr><tr><td ID="result127">ABSOLUTE MONOCYTES</td><td>940</td><td align="center">01/21/2023</td></tr><tr><td ID="result128">ABSOLUTE EOSINOPHILS</td><td>244</td><td align="center">01/21/2023</td></tr><tr><td ID="result129">ABSOLUTE BASOPHILS</td><td>87</td><td align="center">01/21/2023</td></tr><tr><td ID="result130">NEUTROPHILS</td><td>54.9</td><td align="center">01/21/2023</td></tr><tr><td ID="result131">LYMPHOCYTES</td><td>30.5</td><td align="center">01/21/2023</td></tr><tr><td ID="result132">MONOCYTES</td><td>10.8</td><td align="center">01/21/2023</td></tr><tr><td ID="result133">EOSINOPHILS</td><td>2.8</td><td align="center">01/21/2023</td></tr><tr><td ID="result134">BASOPHILS</td><td>1.0</td><td align="center">01/21/2023</td></tr><tr><td ID="result136">HGA1C</td><td>6.2</td><td align="center">05/10/2024</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="EA4A8171-49AF-46DE-BB0D-1F519B3F9439"/><code code="25000000" displayName="GLUCOSE" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20241114"/><high value="20241114"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" 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root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="BA5845E6-B86C-419F-B067-6BC68FE4BE36"/><code code="30002800" displayName="BASOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20230121"/><high value="20230121"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="802214CC-CF66-4E65-B063-52FAC994C74A"/><code code="30002800" displayName="BASOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result134"/></originalText></code><text><reference value="#result134"/></text><statusCode code="completed"/><effectiveTime value="20230121"/><value xsi:type="PQ" value="1.0"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="5A280559-B8BF-4FC0-BAAC-244BCEA069FE"/><code code="4548-4" displayName="HGA1C" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20240510"/><high value="20240510"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="079C9633-713E-45ED-A619-88C22586A2A3"/><code code="4548-4" displayName="HGA1C" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result136"/></originalText></code><text><reference value="#result136"/></text><statusCode code="completed"/><effectiveTime value="20240510"/><value xsi:type="PQ" value="6.2"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="9205FFAA-242B-49A0-8A04-14FB54BC7379"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20241114"/><high value="20241114"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="390B341E-2329-47FF-89AC-78773E3C980A"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result5"/></originalText></code><text><reference value="#result5"/></text><statusCode code="completed"/><effectiveTime value="20241114"/><value xsi:type="ST">SEE NOTE:</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="E4BA2A35-9F6D-4DA2-8E9A-C0504F7C9C4B"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20240210"/><high value="20240210"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="C9E55297-F25C-42F5-9A72-04039DAD1EF5"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result31"/></originalText></code><text><reference value="#result31"/></text><statusCode code="completed"/><effectiveTime value="20240210"/><value xsi:type="ST">SEE NOTE:</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="87F7C10A-385B-4554-B23E-13BB2FE14CED"/><code code="85985660" displayName="FACTOR V (LEIDEN) MUTATION" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20240210"/><high value="20240210"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="6338A754-DB12-40A6-8947-26C8CF524D0D"/><code code="85985660" displayName="FACTOR V (LEIDEN) MUTATION" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result48"/></originalText></code><text><reference value="#result48"/></text><statusCode code="completed"/><effectiveTime value="20240210"/><value xsi:type="ST">NEGATIVE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="278DC40F-9990-491F-8526-F42AC968DC39"/><code code="86011544" displayName="INTERPRETATION" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20240210"/><high value="20240210"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="2B062649-5DED-4C86-A40D-123FCF13218F"/><code code="86011544" displayName="INTERPRETATION" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result49"/></originalText></code><text><reference value="#result49"/></text><statusCode code="completed"/><effectiveTime value="20240210"/><value xsi:type="ST">See Below</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="41E38FBA-42A8-44EB-84B9-ACB3DA83A0E9"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20230801"/><high value="20230801"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="71AD4EF0-52E1-4B03-BFB6-E690C34594B5"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result82"/></originalText></code><text><reference value="#result82"/></text><statusCode code="completed"/><effectiveTime value="20230801"/><value xsi:type="ST">SEE NOTE:</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="B8CE2392-631F-43EF-8DE3-57DDE7211586"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20230121"/><high value="20230121"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="5D34296A-8CB3-412F-B1B9-B92C0045B1F0"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result99"/></originalText></code><text><reference value="#result99"/></text><statusCode code="completed"/><effectiveTime value="20230121"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121301-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.10"/><code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/><title>TREATMENT PLAN</title><text><table border="1" width="100%"><thead><tr><th>Name</th><th>Type</th><th>Date</th></tr></thead><tbody><tr><td>REFERRAL</td><td>Dr. Mark Herron</td><td align="center">September 11, 2023</td></tr><tr><td>REFERRAL</td><td> Baptist Breast Health</td><td align="center">September 15, 2023</td></tr><tr><td>REFERRAL</td><td>Dr. Mark Herron</td><td align="center">July 28, 2023</td></tr><tr><td>REFERRAL</td><td> Baptist Breast Health</td><td align="center">July 28, 2023</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="966659E3-F7E3-4754-A774-A091B04427A2"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Mark Herron</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="5F9AC8C2-4D80-4A67-ACF7-55E3CDD541E9"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Baptist Breast Health</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="F44C6583-94A2-459E-9F62-47A64C464D19"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Mark Herron</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="PRP"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="FF741B67-D199-495F-BE8E-D5EF10E88EBF"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Baptist Breast Health</text><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.60"/><code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Goals Section</title><text>No goal information</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.58" /><code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Health Concerns Section</title><text>No Known Health Concerns on </text><entry typeCode="COMP"><act classCode="ACT" 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root="2.16.840.1.113883.10.20.22.2.17"/><code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/><title>SOCIAL HISTORY</title><text>No Social History Selected to be Displayed</text><entry typeCode="DRIV"><observation classCode="OBS" moodCode ="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2014-06-09"/><id root="AA4F7677-ED64-4B17-AE4B-D65BC835ABA9"/><code code="11367-0" codeSystem="2.16.840.1.113883.6.1"/><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.14"/><code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/><title>FUNCTIONAL STATUS</title><text>No information</text></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" /><code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" /><title>MENTAL STATUS</title><text>No information</text></section></component></structuredBody> </component></ClinicalDocument>