2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

cefdinir 300 mg capsule, [RxNorm: 213199]
02/05/2026
TAKE 1 CAPSULE (300 MG) BY ORAL ROUTE EVERY 12 HOURS
Active
azithromycin 250 mg tablet, [RxNorm: 750149]
12/17/2025
TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS
Active
trazodone 50 mg tablet, [RxNorm: 856379]
12/17/2025
QHS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

INTERMEDIATE EST PT
Breena Till
Auburn Montgomery Warhawk Health Services
Dec 17, 2025
INTERMEDIATE EST PT
Breena Till
Auburn Montgomery Warhawk Health Services
Feb 05, 20267461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

STREP A, [LOINC: 18481-2]
02/05/2026
INFLUENZA Rapid Test, [CPT-4: 87804]
02/05/2026
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
02/05/2026
Rocephin 250mg                   , [CPT-4: J0696]
02/05/2026
Rocephin 1G, [CPT-4: J0696]
12/17/2025
Dexamethasone 4mg/ml, [CPT-4: J1100]
12/17/2025
Dexamethasone 4mg/ml, [CPT-4: J1100]
02/05/2026
COVID Rapid Testing, [CPT-4: 87426]
02/05/20267461 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

12/17/2025 183 cm 102 kg 30.35 119/81 mm[Hg] 36 Cel 88 bpm 98 pct 16 bpm
02/05/2026 183 cm 103 kg 30.86 135/91 mm[Hg] 37 Cel 77 bpm 98 pct 16 bpmRESULTSResult Type Result Value Date

COVID Rapid Testing
Negative
02/05/2026
INFLUENZA Rapid Test
Negative
02/05/2026
STREP A
Negative
02/05/2026NegativeNegativeNegativeTREATMENT PLANName Type Date

NutritionCounsel
Nutrition Counseling
December 17, 2025
NutritionCounsel
Nutrition Counseling
February 05, 2026
PhysicalActivityCounsel
Physical Activity Counsel
December 17, 2025
PhysicalActivityCounsel
Physical Activity Counsel
February 05, 2026Nutrition CounselingNutrition CounselingPhysical Activity CounselPhysical Activity CounselGoals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYSocial History Element Description Effective Date  

Smoking Status
Chews products containing tobacco, [SNOMED-CT: 405746006], 0 packs per day
20260205
Birth Sex "Male" "19810609"FUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
cefdinir 300 mg capsule, [RxNorm: 213199]	02/05/2026	TAKE 1 CAPSULE (300 MG) BY ORAL ROUTE EVERY 12 HOURS	Active
azithromycin 250 mg tablet, [RxNorm: 750149]	12/17/2025	TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS	Active
trazodone 50 mg tablet, [RxNorm: 856379]	12/17/2025	QHS	Active

Encounter	Performer	Location	Date
INTERMEDIATE EST PT	Breena Till	Auburn Montgomery Warhawk Health Services	Dec 17, 2025
INTERMEDIATE EST PT	Breena Till	Auburn Montgomery Warhawk Health Services	Feb 05, 2026

Procedure	Date
STREP A, [LOINC: 18481-2]	02/05/2026
INFLUENZA Rapid Test, [CPT-4: 87804]	02/05/2026
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	02/05/2026
Rocephin 250mg , [CPT-4: J0696]	02/05/2026
Rocephin 1G, [CPT-4: J0696]	12/17/2025
Dexamethasone 4mg/ml, [CPT-4: J1100]	12/17/2025
Dexamethasone 4mg/ml, [CPT-4: J1100]	02/05/2026
COVID Rapid Testing, [CPT-4: 87426]	02/05/2026

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
12/17/2025	183 cm	102 kg	30.35	119/81 mm[Hg]	36 Cel	88 bpm	98 pct	16 bpm
02/05/2026	183 cm	103 kg	30.86	135/91 mm[Hg]	37 Cel	77 bpm	98 pct	16 bpm

Result Type	Result Value	Date
COVID Rapid Testing	Negative	02/05/2026
INFLUENZA Rapid Test	Negative	02/05/2026
STREP A	Negative	02/05/2026

Name	Type	Date
NutritionCounsel	Nutrition Counseling	December 17, 2025
NutritionCounsel	Nutrition Counseling	February 05, 2026
PhysicalActivityCounsel	Physical Activity Counsel	December 17, 2025
PhysicalActivityCounsel	Physical Activity Counsel	February 05, 2026

Social History Element	Description	Effective Date
Smoking Status	Chews products containing tobacco, [SNOMED-CT: 405746006], 0 packs per day	20260205
Birth Sex	"Male"	"19810609"