2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]
09/05/2024

Active
levothyroxine 100 mcg tablet, [RxNorm: 1421056]
09/05/2024

Active
Farxiga 10 mg tablet, [RxNorm: 1486977]
09/05/2024

Active
hydrocodone 7.5 mg-acetaminophen 325 mg tablet, [RxNorm: 1495476]
09/05/2024

Active
ranolazine ER 500 mg tablet,extended release,12 hr, [RxNorm: 860738]
09/05/2024

Active
levothyroxine 125 mcg tablet, [RxNorm: 966187]
09/05/2024

Active
losartan 50 mg tablet, [RxNorm: 979494]
09/05/2024

Active
ciclopirox 8 % topical solution, [RxNorm: 1236684]
09/05/2024
APPLY TO AFFECTED NAILS ONCE DAILY THEN REMOVE ONCE WEEKLY WITH ALCOHOL OR NAIL POLISH REMOVER
Active
clotrimazole 1 % topical cream, [RxNorm: 1112455]
09/05/2024
APPLY TO FEET TWICE DAILY
Active
nitroglycerin 0.4 mg sublingual tablet, [RxNorm: 207345]
09/05/2024
DISSOLVE ONE TABLET UNDER THE TONGUE EVERY 5 MINUTES AS NEEDED FOR CHEST PAIN. DO NOT EXCEED A TOTAL OF 3 DOSES IN 15 MINUTES
Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]
09/04/2024
INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED for shortness of breath or wheezing (disp 1 inhaler)
Active
testosterone cypionate 200 mg/mL intramuscular oil, [RxNorm: 1010044]
09/05/2024
INJECT 2 ML INTRAMUSCULARLY EVERY 2 WEEKS
Active
Lokelma 5 gram oral powder packet, [RxNorm: 2047639]
09/05/2024
TAKE 1 PACKET ONCE DAILY AS DIRECTED
Active
doxycycline hyclate 100 mg tablet, [RxNorm: 205615]
09/04/2024
TAKE 1 TABLET (100 MG) BY ORAL ROUTE 2 TIMES PER DAY
Active
tadalafil 20 mg tablet, [RxNorm: 402097]
09/05/2024
TAKE 1 TABLET BY MOUTH AS NEEDED
Active
atorvastatin 80 mg tablet, [RxNorm: 262095]
09/05/2024
TAKE 1 TABLET BY MOUTH ONCE DAILY
Active
levothyroxine 88 mcg tablet, [RxNorm: 966173]
09/05/2024
TAKE 1 TABLET BY MOUTH ONCE DAILY
Active
losartan 25 mg tablet, [RxNorm: 979487]
09/05/2024
TAKE 1 TABLET BY MOUTH ONCE DAILY
Active
sildenafil 100 mg tablet, [RxNorm: 213271]
09/05/2024
TAKE 1 TABLET BY MOUTH ONE HOUR PRIOR TO SEXUAL ACTIVITY ON AN EMPTY STOMACH AS NEEDED FOR ERECTILE DYSFUNCTION. DO NOT EXCEED ONE TABLET IN A 24 HOUR PERIOD.
Active
sodium bicarbonate 650 mg tablet, [RxNorm: 198861]
09/05/2024
TAKE 1 TABLET BY MOUTH TWICE DAILY
Active
carvedilol 3.125 mg tablet, [RxNorm: 226855]
09/05/2024
TAKE 1 TABLET BY MOUTH TWICE DAILY
Active
promethazine-DM 6.25 mg-15 mg/5 mL oral solution, [RxNorm: 991528]
09/05/2024
TAKE 5 ML BY MOUTH EVERY 4 HOURS AS NEEDED
Active
SPS (with sorbitol) 15 gram-20 gram/60 mL oral suspension, [RxNorm: 1799654]
09/05/2024
TAKE 60 ML BY MOUTH ONCE EVERY OTHER DAY
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

Albuterol Sulfate 0.083mg, [CPT-4: 94640]
09/04/2024
INFLUENZA Rapid Test, [CPT-4: 87804]
09/04/2024
NEBULIZER BREATHING TREATMENT, [CPT-4: 94640]
09/05/2024
Rocephin 1G, [CPT-4: J0696]
09/05/2024
Dexamethasone 4mg/ml, [CPT-4: J1100]
09/05/2024
Depo-Medrol 40mg/ml, [CPT-4: J1030]
09/05/2024
COVID Rapid Testing, [CPT-4: 87426]
09/04/2024
Glucose, [CPT-4: 82947]
09/04/20247461 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 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

09/04/2024 171 cm 94 kg 32.06 173/88 mm[Hg] 37 Cel 58 bpm 96 pct 16 bpmRESULTSResult Type Result Value Date

INFLUENZA Rapid Test
Negative
09/04/2024
COVID Rapid Testing
Negative
09/04/2024
Glucose
117
09/04/2024
NEBULIZER BREATHING TREATMENT
Yes
09/04/2024NegativeNegativeYesPLAN 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
omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]	09/05/2024		Active
levothyroxine 100 mcg tablet, [RxNorm: 1421056]	09/05/2024		Active
Farxiga 10 mg tablet, [RxNorm: 1486977]	09/05/2024		Active
hydrocodone 7.5 mg-acetaminophen 325 mg tablet, [RxNorm: 1495476]	09/05/2024		Active
ranolazine ER 500 mg tablet,extended release,12 hr, [RxNorm: 860738]	09/05/2024		Active
levothyroxine 125 mcg tablet, [RxNorm: 966187]	09/05/2024		Active
losartan 50 mg tablet, [RxNorm: 979494]	09/05/2024		Active
ciclopirox 8 % topical solution, [RxNorm: 1236684]	09/05/2024	APPLY TO AFFECTED NAILS ONCE DAILY THEN REMOVE ONCE WEEKLY WITH ALCOHOL OR NAIL POLISH REMOVER	Active
clotrimazole 1 % topical cream, [RxNorm: 1112455]	09/05/2024	APPLY TO FEET TWICE DAILY	Active
nitroglycerin 0.4 mg sublingual tablet, [RxNorm: 207345]	09/05/2024	DISSOLVE ONE TABLET UNDER THE TONGUE EVERY 5 MINUTES AS NEEDED FOR CHEST PAIN. DO NOT EXCEED A TOTAL OF 3 DOSES IN 15 MINUTES	Active
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, [RxNorm: 745752]	09/04/2024	INHALE 2 PUFFS (180 MCG) BY INHALATION ROUTE EVERY 4-6 HOURS AS NEEDED for shortness of breath or wheezing (disp 1 inhaler)	Active
testosterone cypionate 200 mg/mL intramuscular oil, [RxNorm: 1010044]	09/05/2024	INJECT 2 ML INTRAMUSCULARLY EVERY 2 WEEKS	Active
Lokelma 5 gram oral powder packet, [RxNorm: 2047639]	09/05/2024	TAKE 1 PACKET ONCE DAILY AS DIRECTED	Active
doxycycline hyclate 100 mg tablet, [RxNorm: 205615]	09/04/2024	TAKE 1 TABLET (100 MG) BY ORAL ROUTE 2 TIMES PER DAY	Active
tadalafil 20 mg tablet, [RxNorm: 402097]	09/05/2024	TAKE 1 TABLET BY MOUTH AS NEEDED	Active
atorvastatin 80 mg tablet, [RxNorm: 262095]	09/05/2024	TAKE 1 TABLET BY MOUTH ONCE DAILY	Active
levothyroxine 88 mcg tablet, [RxNorm: 966173]	09/05/2024	TAKE 1 TABLET BY MOUTH ONCE DAILY	Active
losartan 25 mg tablet, [RxNorm: 979487]	09/05/2024	TAKE 1 TABLET BY MOUTH ONCE DAILY	Active
sildenafil 100 mg tablet, [RxNorm: 213271]	09/05/2024	TAKE 1 TABLET BY MOUTH ONE HOUR PRIOR TO SEXUAL ACTIVITY ON AN EMPTY STOMACH AS NEEDED FOR ERECTILE DYSFUNCTION. DO NOT EXCEED ONE TABLET IN A 24 HOUR PERIOD.	Active
sodium bicarbonate 650 mg tablet, [RxNorm: 198861]	09/05/2024	TAKE 1 TABLET BY MOUTH TWICE DAILY	Active
carvedilol 3.125 mg tablet, [RxNorm: 226855]	09/05/2024	TAKE 1 TABLET BY MOUTH TWICE DAILY	Active
promethazine-DM 6.25 mg-15 mg/5 mL oral solution, [RxNorm: 991528]	09/05/2024	TAKE 5 ML BY MOUTH EVERY 4 HOURS AS NEEDED	Active
SPS (with sorbitol) 15 gram-20 gram/60 mL oral suspension, [RxNorm: 1799654]	09/05/2024	TAKE 60 ML BY MOUTH ONCE EVERY OTHER DAY	Active

Procedure	Date
Albuterol Sulfate 0.083mg, [CPT-4: 94640]	09/04/2024
INFLUENZA Rapid Test, [CPT-4: 87804]	09/04/2024
NEBULIZER BREATHING TREATMENT, [CPT-4: 94640]	09/05/2024
Rocephin 1G, [CPT-4: J0696]	09/05/2024
Dexamethasone 4mg/ml, [CPT-4: J1100]	09/05/2024
Depo-Medrol 40mg/ml, [CPT-4: J1030]	09/05/2024
COVID Rapid Testing, [CPT-4: 87426]	09/04/2024
Glucose, [CPT-4: 82947]	09/04/2024

Result Type	Result Value	Date
INFLUENZA Rapid Test	Negative	09/04/2024
COVID Rapid Testing	Negative	09/04/2024
Glucose	117	09/04/2024
NEBULIZER BREATHING TREATMENT	Yes	09/04/2024