2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule, [RxNorm: 1367414]
11/21/2023

Active
escitalopram 10 mg tablet, [RxNorm: 352272]
11/21/2023
TAKE 1 TABLET BY MOUTH EVERY DAY
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

UA, [CPT-4: 81003]
11/21/2023
URINE PREG TEST , [LOINC: 2106-3]
11/21/2023
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
11/21/2023
Orthostatic Vital Signs, [CPT-4: 96111]
11/21/2023
EKG, [CPT-4: 93010]
11/21/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]
11/21/2023
Depo-Medrol 40mg/ml, [CPT-4: J1030]
11/21/20237461 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 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

11/21/2023 163 cm 84 kg 31.82 143/85 mm[Hg] 37 Cel 86 bpm 98 pct 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Positive
11/21/2023
Urobilinogen-Urine
Negative
11/21/2023
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
11/21/2023
pH of Urine by Test strip
7 [pH]
11/21/2023
Blood-Urine
Negative
11/21/2023
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
11/21/2023
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
11/21/2023
Cesium-Urine
No
11/21/2023
Specific Gravity of Urine by Test strip
1.005
11/21/2023
Bilirubin-Urine
Negative
11/21/2023
Nitrites-Urine
Negative
11/21/2023
Appearance of Urine
clear
11/21/2023
Color of Urine
yellow
11/21/2023
URINE PREG TEST 
Negative
11/21/2023
Orthostatic Vital Signs
Yes
11/21/2023
EKG
Yes
11/21/2023PositiveNegativeNegativeNegativeNegativeNegativeNoNegativeNegativeclearyellowNegativeYesYesPLAN 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

Medication	Start Date	Directions	Status
ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule, [RxNorm: 1367414]	11/21/2023		Active
escitalopram 10 mg tablet, [RxNorm: 352272]	11/21/2023	TAKE 1 TABLET BY MOUTH EVERY DAY	Active

Procedure	Date
UA, [CPT-4: 81003]	11/21/2023
URINE PREG TEST , [LOINC: 2106-3]	11/21/2023
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	11/21/2023
Orthostatic Vital Signs, [CPT-4: 96111]	11/21/2023
EKG, [CPT-4: 93010]	11/21/2023
Dexamethasone 4mg/ml, [CPT-4: J1100]	11/21/2023
Depo-Medrol 40mg/ml, [CPT-4: J1030]	11/21/2023

Result Type	Result Value	Date
Leukocytes-Urine	Positive	11/21/2023
Urobilinogen-Urine	Negative	11/21/2023
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	11/21/2023
pH of Urine by Test strip	7 [pH]	11/21/2023
Blood-Urine	Negative	11/21/2023
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	11/21/2023
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	11/21/2023
Cesium-Urine	No	11/21/2023
Specific Gravity of Urine by Test strip	1.005	11/21/2023
Bilirubin-Urine	Negative	11/21/2023
Nitrites-Urine	Negative	11/21/2023
Appearance of Urine	clear	11/21/2023
Color of Urine	yellow	11/21/2023
URINE PREG TEST	Negative	11/21/2023
Orthostatic Vital Signs	Yes	11/21/2023
EKG	Yes	11/21/2023