2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

acyclovir 400 mg tablet, [RxNorm: 152737]
05/30/2018
2 tablets (800 mg) by mouth five times per day
Active
Zofran ODT 4 mg disintegrating tablet, [RxNorm: 104894]
09/07/2018
TAKE 1 TABLETS (4 MG) AND PLACE ON TOP OF THE TONGUE WHERE THEY WILL DISSOLVE, MAY REPEAT DOSE EVERY 8 HOURS AS NEEDED FOR N/V
Active
prednisone 5 mg tablets in a dose pack, [RxNorm: 845491]
05/30/2018
Take as directed
Active
ranitidine 150 mg tablet, [RxNorm: 153464]
09/06/2018
TAKE 1 TABLET (150 MG) BY ORAL ROUTE 2 TIMES PER DAY AS NEEDED
Active
Zofran ODT 4 mg disintegrating tablet, [RxNorm: 104894]
09/06/2018
TAKE 1 TABLETS (4 MG) AND PLACE ON TOP OF THE TONGUE WHERE THEY WILL DISSOLVE, MAY REPEAT DOSE EVERY 8 HOURS AS NEEDED FOR N/V
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED NEW PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Apr 16, 2018
INTERMEDIATE EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
May 30, 2018
Detailed
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Sep 06, 20187461 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

UA, [CPT-4: 81003]
09/06/20187461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

MMR
07/13/2000
Completed
MMR
07/01/2004
CompletedMMR7461 East DrMontgomeryALUSMelodyeHarveyCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMR7461 East DrMontgomeryALUSMelodyeHarveyCRNPAuburn 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

04/16/2018 171 cm 95 kg 32.31 134/71 mm[Hg] 63 bpm
05/30/2018 137/74 mm[Hg] 73 bpm
09/06/2018 172 cm 101 kg 34.14 133/79 mm[Hg] 37 Cel 83 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
09/06/2018
Urobilinogen-Urine
Negative
09/06/2018
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
09/06/2018
pH of Urine by Test strip
7 [pH]
09/06/2018
Blood-Urine
Negative
09/06/2018
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
09/06/2018
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
09/06/2018
Specific Gravity of Urine by Test strip
1.015
09/06/2018
Bilirubin-Urine
Negative
09/06/2018
Nitrites-Urine
Negative
09/06/2018
Appearance of Urine
Clear
09/06/2018
Color of Urine
Yellow
09/06/2018NegativeNegativeNegativeNegativeNegativeNegativeNegativeNegativeClearYellowPLAN 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
acyclovir 400 mg tablet, [RxNorm: 152737]	05/30/2018	2 tablets (800 mg) by mouth five times per day	Active
Zofran ODT 4 mg disintegrating tablet, [RxNorm: 104894]	09/07/2018	TAKE 1 TABLETS (4 MG) AND PLACE ON TOP OF THE TONGUE WHERE THEY WILL DISSOLVE, MAY REPEAT DOSE EVERY 8 HOURS AS NEEDED FOR N/V	Active
prednisone 5 mg tablets in a dose pack, [RxNorm: 845491]	05/30/2018	Take as directed	Active
ranitidine 150 mg tablet, [RxNorm: 153464]	09/06/2018	TAKE 1 TABLET (150 MG) BY ORAL ROUTE 2 TIMES PER DAY AS NEEDED	Active
Zofran ODT 4 mg disintegrating tablet, [RxNorm: 104894]	09/06/2018	TAKE 1 TABLETS (4 MG) AND PLACE ON TOP OF THE TONGUE WHERE THEY WILL DISSOLVE, MAY REPEAT DOSE EVERY 8 HOURS AS NEEDED FOR N/V	Active

Encounter	Performer	Location	Date
LIMITED NEW PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Apr 16, 2018
INTERMEDIATE EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	May 30, 2018
Detailed	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Sep 06, 2018

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse
04/16/2018	171 cm	95 kg	32.31	134/71 mm[Hg]	63 bpm
05/30/2018	137/74 mm[Hg]	73 bpm
09/06/2018	172 cm	101 kg	34.14	133/79 mm[Hg]	37 Cel	83 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Negative	09/06/2018
Urobilinogen-Urine	Negative	09/06/2018
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	09/06/2018
pH of Urine by Test strip	7 [pH]	09/06/2018
Blood-Urine	Negative	09/06/2018
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	09/06/2018
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	09/06/2018
Specific Gravity of Urine by Test strip	1.015	09/06/2018
Bilirubin-Urine	Negative	09/06/2018
Nitrites-Urine	Negative	09/06/2018
Appearance of Urine	Clear	09/06/2018
Color of Urine	Yellow	09/06/2018