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width="100%"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr><td ID="Encounter1">WELL VISIT NEW 40-64 YRS</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Sep 24, 2024</td></tr><tr><td ID="Encounter2">Detailed</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Oct 23, 2024</td></tr><tr><td ID="Encounter3">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Apr 04, 2025</td></tr><tr><td ID="Encounter4">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Apr 07, 2025</td></tr><tr><td ID="Encounter5">PHYSICAL EST PT 40-64 YRS.</td><td>Breena Till</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 16, 2026</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" 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="8AB77568-25F4-499C-8B0B-1E7A4D322AC1"/><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="20250407"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry><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="1C92BF4D-3D8B-4538-84C3-CB38EB5B29A2"/><code code="99396" displayName="PHYSICAL EST PT 40-64 YRS." codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter5"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20260116"/><performer><assignedEntity><id extension="1376976183" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="B51658A3-C4FB-4614-A9CF-8996E93E3714" extension="35704135"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20260116"/></effectiveTime><value xsi:type="CD" code="E55.9" displayName="VITAMIN D DEFICIENCY, UNSPECIFIED" codeSystem="2.16.840.1.113883.6.3"/></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="false"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.80"/><id root="EAE386C0-C4F4-45A2-B6B1-66749E8D1563"/><code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ENCOUNTER DIAGNOSIS"/><statusCode code="active"/><effectiveTime><low value="20260116"/></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="819A9BDE-E7CA-481E-986C-5F14B28440B7"/><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="20260116"/></effectiveTime><value xsi:type="CD" code="0" 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">09/24/2024</td></tr><tr><td ID = "procedure2">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">09/24/2024</td></tr><tr><td ID = "procedure3">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">09/24/2024</td></tr><tr><td ID = "procedure4">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">09/24/2024</td></tr><tr><td ID = "procedure5">VITAMIN B12 (QUEST), [CPT-4: 927]</td><td align="center">09/24/2024</td></tr><tr><td ID = "procedure6">VITAMIN D 25 - HYDROXY, TOTAL (QUEST), [CPT-4: 17306]</td><td align="center">09/24/2024</td></tr><tr><td ID = "procedure7">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">04/04/2025</td></tr><tr><td ID = "procedure8">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure9">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure10">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">10/23/2024</td></tr><tr><td ID = "procedure11">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">08/29/2024</td></tr><tr><td ID = "procedure12">Calcitriol(1 25 di-OH Vit D), [SNOMED CT: 081091]</td><td align="center">01/16/2026</td></tr><tr><td ID = "procedure13">Basic Metabolic Panel (8), [SNOMED CT: 322758]</td><td align="center">01/16/2026</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="B81465D5-EAB5-4CA0-945A-005B3D4E118C"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240924"/><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="47045558-644B-4BBA-BC63-140EE5A58923"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240924"/><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="78C6CD1F-9071-4F84-A730-7AAECBCB7349"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240924"/><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="06CDF9CA-B6A2-407A-B883-1253FBE686B1"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240924"/><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="01A98E3B-2E85-4000-8402-EB75C82F3E90"/><code code="927" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="VITAMIN B12 (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240924"/><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="54D68BF4-5422-4583-BA0A-8D3B6F9C2754"/><code code="17306" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="VITAMIN D 25 - HYDROXY, TOTAL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20240924"/><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="E73DBE58-8019-4103-8401-A56F090CC976"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20250404"/><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="AE9002C3-F936-44AF-936B-5A803EED2D0A"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20241023"/><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="4DC2DE85-68EB-4B61-B9F6-771088A22212"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20241023"/><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="1A731C2B-5AFB-4CC7-A406-C22A44C21DBB"/><code code="J1030" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Depo-Medrol 40mg/ml"/><statusCode code="completed"/><effectiveTime value="20241023"/><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="8A7D0750-E400-4642-BC3D-A1A2D94F674D"/><code code="90686" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Influenza virus vaccine"/><statusCode code="completed"/><effectiveTime value="20240829"/><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="4FB62DA1-20C7-45C9-A3D6-E0A7BBA8977E"/><code code="081091" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Calcitriol(1 25 di-OH Vit D)"/><statusCode code="completed"/><effectiveTime value="20260116"/><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="C8354A89-EC60-4F82-9F79-C1AEFD9ACDC9"/><code code="322758" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Basic Metabolic Panel (8)"/><statusCode code="completed"/><effectiveTime value="20260116"/><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">08/29/2024</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="DDD25790-C7C1-4526-AA59-62061412CB6B"/><text>Influenza virus vaccine</text><statusCode code="completed"/><effectiveTime value="20240829"/><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>72RF2</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>Breena</given><family>Till</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="20260716105147-0500"/><assignedAuthor><id extension="1376976183" 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">08/29/2024</td><td ID = "vital_1_temp">36 Cel</td></tr><tr><td ID = "vital_2">09/24/2024</td><td ID = "vital_2_height">160 cm</td><td ID = "vital_2_weight">64 kg</td><td ID = "vital_2_bmi">24.79</td><td ID = "vital_2_bp">122/76 mm[Hg]</td><td ID = "vital_2_temp">36 Cel</td><td ID = "vital_2_pulse">65 bpm</td><td ID = "vital_2_pulseox">98 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">10/23/2024</td><td ID = "vital_3_height">160 cm</td><td ID = "vital_3_weight">64 kg</td><td ID = "vital_3_bmi">24.79</td><td ID = "vital_3_bp">134/83 mm[Hg]</td><td ID = "vital_3_temp">37 Cel</td><td ID = "vital_3_pulse">77 bpm</td><td ID = "vital_3_pulseox">99 pct</td><td ID = "vital_3_resp">18 bpm</td></tr><tr><td ID = "vital_4">01/16/2026</td><td ID = "vital_4_height">160 cm</td><td ID = "vital_4_weight">58 kg</td><td ID = "vital_4_bmi">22.74</td><td ID = "vital_4_bp">122/76 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">83 bpm</td><td ID = "vital_4_pulseox">98 pct</td><td ID = "vital_4_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" 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codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height"/><text><reference value="#vital_2_height"/></text><statusCode code="completed"/><effectiveTime value="20240924"/><value xsi:type="PQ" value="160" unit="cm"/><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="20260716105147-0500"/><assignedAuthor><id extension="1376976183" 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><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="7CDE0A01-474D-4CC6-96ED-64586A2DA70B"/><code code="29463-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Weight"/><text><reference value="#vital_2_weight"/></text><statusCode code="completed"/><effectiveTime value="20240924"/><value xsi:type="PQ" value="64" unit="kg"/><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="20260716105147-0500"/><assignedAuthor><id extension="1376976183" 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><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="DFBA09D5-41E5-4D08-A0A1-3ABEF4EB16DB"/><code code="39156-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BMI"/><text><reference value="#vital_2_bmi"/></text><statusCode 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unit="mm[Hg]"/><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="20260716105147-0500"/><assignedAuthor><id extension="1376976183" 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><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="6114BF1E-CAD8-4A93-8622-C3F668654FB2"/><code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Diastolic"/><text><reference value="#vital_2_bp"/></text><statusCode code="completed"/><effectiveTime value="20240924"/><value xsi:type="PQ" value="76" unit="mm[Hg]"/><interpretationCode code="N" 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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="A9C04213-C446-4E5D-A66D-5C2DD4F624AC"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_4_resp"/></text><statusCode code="completed"/><effectiveTime value="20260116"/><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="20260716105147-0500"/><assignedAuthor><id extension="1376976183" 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">TB Read Only</td><td>Negative</td><td align="center">04/07/2025</td></tr><tr><td ID="result2">WBC</td><td>5.1</td><td align="center">01/18/2026</td></tr><tr><td ID="result3">RBC</td><td>3.92</td><td align="center">01/18/2026</td></tr><tr><td ID="result4">HEMOGLOBIN</td><td>11.9</td><td align="center">01/18/2026</td></tr><tr><td ID="result5">HEMATOCRIT</td><td>37.2</td><td align="center">01/18/2026</td></tr><tr><td ID="result6">MCV</td><td>95</td><td align="center">01/18/2026</td></tr><tr><td ID="result7">MCH</td><td>30.4</td><td align="center">01/18/2026</td></tr><tr><td ID="result8">MCHC</td><td>32.0</td><td align="center">01/18/2026</td></tr><tr><td ID="result9">RDW</td><td>13.0</td><td align="center">01/18/2026</td></tr><tr><td ID="result10">PLATELETS</td><td>394</td><td align="center">01/18/2026</td></tr><tr><td ID="result11">NEUTROPHILS</td><td>58</td><td align="center">01/18/2026</td></tr><tr><td ID="result12">LYMPHS</td><td>31</td><td align="center">01/18/2026</td></tr><tr><td ID="result13">MONOCYTES</td><td>10</td><td align="center">01/18/2026</td></tr><tr><td ID="result14">EOS</td><td>0</td><td align="center">01/18/2026</td></tr><tr><td ID="result15">BASOS</td><td>1</td><td align="center">01/18/2026</td></tr><tr><td ID="result16">NEUTROPHILS (ABSOLUTE)</td><td>2.9</td><td align="center">01/18/2026</td></tr><tr><td ID="result17">LYMPHS (ABSOLUTE)</td><td>1.6</td><td align="center">01/18/2026</td></tr><tr><td ID="result18">MONOCYTES(ABSOLUTE)</td><td>0.5</td><td align="center">01/18/2026</td></tr><tr><td ID="result19">EOS (ABSOLUTE)</td><td>0.0</td><td align="center">01/18/2026</td></tr><tr><td ID="result20">BASO (ABSOLUTE)</td><td>0.1</td><td align="center">01/18/2026</td></tr><tr><td ID="result21">IMMATURE GRANULOCYTES</td><td>0</td><td align="center">01/18/2026</td></tr><tr><td ID="result22">IMMATURE GRANS (ABS)</td><td>0.0</td><td align="center">01/18/2026</td></tr><tr><td ID="result23">GLUCOSE</td><td>81</td><td align="center">01/18/2026</td></tr><tr><td ID="result24">BUN</td><td>13</td><td align="center">01/18/2026</td></tr><tr><td ID="result25">CREATININE</td><td>0.81</td><td align="center">01/18/2026</td></tr><tr><td ID="result26">EGFR</td><td>93</td><td align="center">01/18/2026</td></tr><tr><td ID="result27">BUN/CREATININE RATIO</td><td>16</td><td align="center">01/18/2026</td></tr><tr><td ID="result28">SODIUM</td><td>138</td><td align="center">01/18/2026</td></tr><tr><td ID="result29">POTASSIUM</td><td>4.3</td><td align="center">01/18/2026</td></tr><tr><td ID="result30">CHLORIDE</td><td>102</td><td align="center">01/18/2026</td></tr><tr><td ID="result31">CARBON DIOXIDE, TOTAL</td><td>23</td><td align="center">01/18/2026</td></tr><tr><td ID="result32">CALCIUM</td><td>9.4</td><td align="center">01/18/2026</td></tr><tr><td ID="result33">CHOLESTEROL, TOTAL</td><td>186</td><td align="center">01/18/2026</td></tr><tr><td ID="result34">TRIGLYCERIDES</td><td>41</td><td align="center">01/18/2026</td></tr><tr><td ID="result35">HDL CHOLESTEROL</td><td>94</td><td align="center">01/18/2026</td></tr><tr><td ID="result36">VLDL CHOLESTEROL CAL</td><td>8</td><td align="center">01/18/2026</td></tr><tr><td ID="result37">LDL CHOL CALC (NIH)</td><td>84</td><td align="center">01/18/2026</td></tr><tr><td ID="result38">LDL/HDL RATIO</td><td>0.9</td><td align="center">01/18/2026</td></tr><tr><td ID="result39">TSH</td><td>1.300</td><td align="center">01/18/2026</td></tr><tr><td ID="result40">CALCITRIOL(1,25 DI-OH VIT D)</td><td>43.3</td><td align="center">01/18/2026</td></tr><tr><td ID="result41">CHOLESTEROL, TOTAL</td><td>148</td><td align="center">09/25/2024</td></tr><tr><td ID="result42">HDL CHOLESTEROL</td><td>69</td><td align="center">09/25/2024</td></tr><tr><td ID="result43">TRIGLYCERIDES</td><td>52</td><td align="center">09/25/2024</td></tr><tr><td ID="result44">LDL-CHOLESTEROL</td><td>66</td><td align="center">09/25/2024</td></tr><tr><td ID="result45">CHOL/HDLC RATIO</td><td>2.1</td><td align="center">09/25/2024</td></tr><tr><td ID="result46">NON HDL CHOLESTEROL</td><td>79</td><td align="center">09/25/2024</td></tr><tr><td ID="result47">GLUCOSE</td><td>77</td><td align="center">09/25/2024</td></tr><tr><td ID="result48">UREA NITROGEN (BUN)</td><td>14</td><td align="center">09/25/2024</td></tr><tr><td ID="result49">CREATININE</td><td>0.71</td><td align="center">09/25/2024</td></tr><tr><td ID="result50">EGFR</td><td>110</td><td align="center">09/25/2024</td></tr><tr><td ID="result51">BUN/CREATININE RATIO</td><td>SEE NOTE:</td><td align="center">09/25/2024</td></tr><tr><td ID="result52">SODIUM</td><td>138</td><td align="center">09/25/2024</td></tr><tr><td ID="result53">POTASSIUM</td><td>3.8</td><td align="center">09/25/2024</td></tr><tr><td ID="result54">CHLORIDE</td><td>103</td><td align="center">09/25/2024</td></tr><tr><td ID="result55">CARBON DIOXIDE</td><td>25</td><td align="center">09/25/2024</td></tr><tr><td ID="result56">CALCIUM</td><td>8.8</td><td align="center">09/25/2024</td></tr><tr><td ID="result57">PROTEIN, TOTAL</td><td>6.8</td><td align="center">09/25/2024</td></tr><tr><td ID="result58">ALBUMIN</td><td>4.5</td><td align="center">09/25/2024</td></tr><tr><td ID="result59">GLOBULIN</td><td>2.3</td><td align="center">09/25/2024</td></tr><tr><td ID="result60">ALBUMIN/GLOBULIN RATIO</td><td>2.0</td><td align="center">09/25/2024</td></tr><tr><td ID="result61">BILIRUBIN, TOTAL</td><td>0.3</td><td align="center">09/25/2024</td></tr><tr><td ID="result62">ALKALINE PHOSPHATASE</td><td>42</td><td align="center">09/25/2024</td></tr><tr><td ID="result63">AST</td><td>16</td><td align="center">09/25/2024</td></tr><tr><td ID="result64">ALT</td><td>11</td><td align="center">09/25/2024</td></tr><tr><td ID="result65">VITAMIN D,25-OH,TOTAL,IA</td><td>32</td><td align="center">09/25/2024</td></tr><tr><td ID="result66">TSH</td><td>1.07</td><td align="center">09/25/2024</td></tr><tr><td ID="result67">WHITE BLOOD CELL COUNT</td><td>4.7</td><td align="center">09/25/2024</td></tr><tr><td ID="result68">RED BLOOD CELL COUNT</td><td>3.75</td><td align="center">09/25/2024</td></tr><tr><td ID="result69">HEMOGLOBIN</td><td>11.4</td><td align="center">09/25/2024</td></tr><tr><td ID="result70">HEMATOCRIT</td><td>35.7</td><td align="center">09/25/2024</td></tr><tr><td ID="result71">MCV</td><td>95.2</td><td align="center">09/25/2024</td></tr><tr><td ID="result72">MCH</td><td>30.4</td><td align="center">09/25/2024</td></tr><tr><td ID="result73">MCHC</td><td>31.9</td><td align="center">09/25/2024</td></tr><tr><td ID="result74">RDW</td><td>12.9</td><td align="center">09/25/2024</td></tr><tr><td ID="result75">PLATELET COUNT</td><td>308</td><td align="center">09/25/2024</td></tr><tr><td ID="result76">MPV</td><td>11.6</td><td align="center">09/25/2024</td></tr><tr><td ID="result77">ABSOLUTE NEUTROPHILS</td><td>2895</td><td align="center">09/25/2024</td></tr><tr><td ID="result78">ABSOLUTE LYMPHOCYTES</td><td>1307</td><td align="center">09/25/2024</td></tr><tr><td ID="result79">ABSOLUTE MONOCYTES</td><td>451</td><td align="center">09/25/2024</td></tr><tr><td ID="result80">ABSOLUTE EOSINOPHILS</td><td>19</td><td align="center">09/25/2024</td></tr><tr><td ID="result81">ABSOLUTE BASOPHILS</td><td>28</td><td align="center">09/25/2024</td></tr><tr><td ID="result82">NEUTROPHILS</td><td>61.6</td><td align="center">09/25/2024</td></tr><tr><td ID="result83">LYMPHOCYTES</td><td>27.8</td><td align="center">09/25/2024</td></tr><tr><td ID="result84">MONOCYTES</td><td>9.6</td><td align="center">09/25/2024</td></tr><tr><td ID="result85">EOSINOPHILS</td><td>0.4</td><td align="center">09/25/2024</td></tr><tr><td ID="result86">BASOPHILS</td><td>0.6</td><td align="center">09/25/2024</td></tr><tr><td ID="result87">VITAMIN B12</td><td>1933</td><td align="center">09/25/2024</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="AE708A64-9D9B-4546-9259-2C173C981CB5"/><code 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NOTE:</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716105147-0500"/><assignedAuthor><id extension="1376976183" 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> Baptist Breast Health</td><td align="center">October 22, 2024</td></tr><tr><td>REFERRAL</td><td>Dr. Mark Herron-facial lesion, lesion below left eye</td><td align="center">February 06, 2026</td></tr><tr><td>REFERRAL</td><td> Baptist Breast Health</td><td align="center">September 24, 2024</td></tr><tr><td>REFERRAL</td><td>Dr. Mark Herron</td><td align="center">January 16, 2026</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="9E516E86-2676-4C15-A5BB-3F220F8F00E4"/><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="5E70847D-C270-4EBF-994D-C4D35B4D03F2"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text>Dr. Mark Herron-facial lesion, lesion below left eye</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="EA97F613-4240-4342-B025-9FD1EC80EA7F"/><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="9AB06135-4597-4847-B15B-31CADD8371D7"/><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></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" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.132"/><id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/><code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="active"/><effectiveTime value=""/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.45"/><code code = "69730-0" codeSystem = "2.16.840.1.113883.6.1"/><title>INSTRUCTIONS</title><text>No Known Instructions/Patient Education</text><entry><act classCode="ACT" moodCode="INT" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.20"/><code code = "311401005" codeSystem = "2.16.840.1.113883.6.96"/><statusCode code = "completed"/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/><templateId 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>