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					<title>2026 Consolidated CDA</title>
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root="2.16.840.1.113883.10.20.22.2.1.1"/><code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE"/><title>MEDICATIONS</title><text><table border="1" width="100%"><thead><tr><th>Medication</th><th>Start Date</th><th>Directions</th><th>Status</th></tr></thead><tbody><tr><td><content ID = "Med1">nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream, [RxNorm: 1053756]</content></td><td align="center">08/14/2023</td><td align="right">APPLY TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY IN THE MORNING AND EVENING</td><td align="center">Active</td></tr><tr><td><content ID = "Med2">acyclovir 5 % topical cream, [RxNorm: 153224]</content></td><td align="center">02/04/2026</td><td align="right">APPLY TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 3-5 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med3">Tamiflu 75 mg capsule, [RxNorm: 261315]</content></td><td align="center">01/02/2024</td><td align="right">TAKE 1 CAPSULE (75 MG) BY ORAL ROUTE 2 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med4">fluconazole 150 mg tablet, [RxNorm: 207108]</content></td><td align="center">09/01/2017</td><td align="right">TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE A DAY FOR 2 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">Diflucan 150 mg tablet, [RxNorm: 207108]</content></td><td align="center">02/21/2022</td><td align="right">TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE; MAY REPEAT DOSE IN 72 HRS IF NEEDED. </td><td align="center">Active</td></tr><tr><td><content ID = "Med6">Diflucan 150 mg tablet, [RxNorm: 207108]</content></td><td align="center">01/03/2022</td><td align="right">TAKE 1 TABLET (150 MG) BY ORAL ROUTE ONCE; may repeat dose in 72 hrs if needed. </td><td align="center">Active</td></tr><tr><td><content ID = "Med7">Zoloft 25 mg tablet, [RxNorm: 212233]</content></td><td align="center">01/17/2023</td><td align="right">TAKE 1 TABLET (25 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">Zoloft 50 mg tablet, [RxNorm: 208161]</content></td><td align="center">02/17/2023</td><td align="right">TAKE 1 TABLET (50 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">Zoloft 50 mg tablet, [RxNorm: 208161]</content></td><td align="center">03/27/2023</td><td align="right">TAKE 1 TABLET (50 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">Zoloft 50 mg tablet, [RxNorm: 208161]</content></td><td align="center">04/14/2023</td><td align="right">TAKE 1 TABLET (50 MG) BY ORAL ROUTE ONCE DAILY</td><td align="center">Active</td></tr><tr><td><content ID = "Med11">clarithromycin 500 mg tablet, [RxNorm: 205866]</content></td><td align="center">02/21/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med12">buspirone 7.5 mg tablet, [RxNorm: 866113]</content></td><td align="center">07/08/2024</td><td align="right">TAKE 1 TABLET (7.5 MG) BY ORAL ROUTE 2 TIMES PER DAY as needed for anxiety </td><td align="center">Active</td></tr><tr><td><content ID = "Med13">methocarbamol 750 mg tablet, [RxNorm: 1010654]</content></td><td align="center">05/21/2024</td><td align="right">TAKE 1 TABLET (750 MG) BY ORAL ROUTE 3 TIMES PER DAY as needed for muscle relaxant/low back pain.</td><td align="center">Active</td></tr><tr><td><content ID = "Med14">acyclovir 800 mg tablet, [RxNorm: 152738]</content></td><td align="center">02/04/2026</td><td align="right">TAKE 1 TABLET (800 MG) BY ORAL ROUTE 3 TIMES PER DAY FOR 10 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med15">Duexis 800 mg-26.6 mg tablet, [RxNorm: 1100070]</content></td><td align="center">08/29/2021</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE 3 TIMES PER DAY as needed for pain</td><td align="center">Active</td></tr><tr><td><content ID = "Med16">Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]</content></td><td align="center">01/03/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med17">amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]</content></td><td align="center">04/08/2024</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med18">valacyclovir 500 mg tablet, [RxNorm: 108780]</content></td><td align="center">11/09/2017</td><td align="right">TAKE 2 TABLETS (500 MG) BY ORAL ROUTE EVERY 8 HOURS X 7 DAYS</td><td align="center">Active</td></tr><tr><td><content ID = "Med19">azithromycin 250 mg tablet, [RxNorm: 750149]</content></td><td align="center">09/01/2017</td><td align="right">TAKE AS DIRECTED(ZPACK)</td><td align="center">Active</td></tr><tr><td><content ID = "Med20">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">02/21/2022</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med21">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">05/21/2024</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="8CC1762E-1B79-4B86-8E6E-5B8844521BF8"/><statusCode code="active"/><effectiveTime xsi:type="IVL_TS"><low value="20230814"/></effectiveTime><doseQuantity value="15"/><consumable><manufacturedProduct 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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">INTERMEDIATE EST PT</td><td>Carol Stewart</td><td>Auburn Montgomery Warhawk Health Services</td><td>Sep 01, 2017</td></tr><tr><td ID="Encounter2">INTERMEDIATE EST PT</td><td>Carol Stewart</td><td>Auburn Montgomery Warhawk Health Services</td><td>Sep 19, 2017</td></tr><tr><td ID="Encounter3">INTERMEDIATE EST PT</td><td>Melodye Harvey</td><td>Auburn Montgomery Warhawk Health Services</td><td>Nov 09, 2017</td></tr><tr><td ID="Encounter4">INTERMEDIATE EST PT</td><td>Melodye Harvey</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jun 13, 2018</td></tr><tr><td ID="Encounter5">INTERMEDIATE EST PT</td><td>Carol Stewart</td><td>Auburn Montgomery Warhawk Health Services</td><td>Dec 12, 2018</td></tr><tr><td ID="Encounter6">INTERMEDIATE EST PT</td><td>Carol Stewart</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jun 11, 2019</td></tr><tr><td ID="Encounter7">INTERMEDIATE EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Oct 20, 2020</td></tr><tr><td ID="Encounter8">INTERMEDIATE EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jul 08, 2024</td></tr><tr><td ID="Encounter9">LIMITED EST PT</td><td>Hayley Guthrie</td><td>Auburn Montgomery Warhawk Health Services</td><td>Nov 10, 2025</td></tr><tr><td ID="Encounter10">NO CHARGE</td><td>Hayley Guthrie</td><td>Auburn Montgomery Warhawk Health Services</td><td>Dec 08, 2025</td></tr><tr><td ID="Encounter11">LIMITED EST PT</td><td>Breena Till</td><td>Auburn Montgomery Warhawk Health Services</td><td>Feb 04, 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" extension="2014-06-09"/><id root="AD9D097B-80FA-496B-AF15-81C5E2723FD9"/><code code="99213" 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root="2.16.840.1.113883.10.20.22.4.4"/><id root="5AF39DCF-2D75-4169-90AC-0C08C93582B5"/><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="20260204"/></effectiveTime><value xsi:type="CD" code="4740000" 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">STREP A, [LOINC: 18481-2]</td><td align="center">10/20/2020</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">02/21/2022</td></tr><tr><td ID = "procedure3">STREP A, [LOINC: 18481-2]</td><td align="center">11/10/2025</td></tr><tr><td ID = "procedure4">UA, [CPT-4: 81003]</td><td align="center">05/21/2024</td></tr><tr><td ID = "procedure5">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">02/17/2023</td></tr><tr><td ID = "procedure6">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">11/09/2017</td></tr><tr><td ID = "procedure7">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">11/09/2017</td></tr><tr><td ID = "procedure8">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">02/17/2023</td></tr><tr><td ID = "procedure9">TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]</td><td align="center">02/17/2023</td></tr><tr><td ID = "procedure10">TSH W/REFLEX T4, FREE (QUEST), [CPT-4: 36127]</td><td align="center">11/09/2017</td></tr><tr><td ID = "procedure11">VITAMIN D 25 - HYDROXY, TOTAL (QUEST), [CPT-4: 17306]</td><td align="center">11/09/2017</td></tr><tr><td ID = "procedure12">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">10/20/2020</td></tr><tr><td ID = "procedure13">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">01/03/2022</td></tr><tr><td ID = "procedure14">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">11/10/2025</td></tr><tr><td ID = "procedure15">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">04/08/2024</td></tr><tr><td ID = "procedure16">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">05/21/2024</td></tr><tr><td ID = "procedure17">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">08/29/2021</td></tr><tr><td ID = "procedure18">Cervical Spine MRI W/O CONTRAST, [CPT-4: 72141]</td><td align="center">02/18/2022</td></tr><tr><td ID = "procedure19">Lumbar Spine MRI W/O CONTRAST, [LOINC: 30678-7]</td><td align="center">02/18/2022</td></tr><tr><td ID = "procedure20">Thoracic Spine MRI W/O CONTRAST, [CPT-4: 72146]</td><td align="center">02/18/2022</td></tr><tr><td ID = "procedure21">Toradol 60 MG , [CPT-4: J1885]</td><td align="center">05/21/2024</td></tr><tr><td ID = "procedure22">Toradol 60 MG , [CPT-4: J1885]</td><td align="center">08/25/2021</td></tr><tr><td ID = "procedure23">Rocephin 1G, [CPT-4: J0696]</td><td align="center">10/20/2020</td></tr><tr><td ID = "procedure24">Rocephin 1G, [CPT-4: J0696]</td><td align="center">04/08/2024</td></tr><tr><td ID = "procedure25">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">04/08/2024</td></tr><tr><td ID = "procedure26">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">08/25/2021</td></tr><tr><td ID = "procedure27">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">10/20/2020</td></tr><tr><td ID = "procedure28">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">08/25/2021</td></tr><tr><td ID = "procedure29">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">10/20/2020</td></tr><tr><td ID = "procedure30">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">04/08/2024</td></tr><tr><td ID = "procedure31">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">10/20/2020</td></tr><tr><td ID = "procedure32">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">11/10/2025</td></tr><tr><td ID = "procedure33">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">12/08/2025</td></tr><tr><td ID = "procedure34">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">12/08/2025</td></tr><tr><td ID = "procedure35">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">09/01/2021</td></tr><tr><td ID = "procedure36">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">01/03/2022</td></tr><tr><td ID = "procedure37">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">02/21/2022</td></tr><tr><td ID = "procedure38">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">01/06/2022</td></tr><tr><td ID = "procedure39">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">02/18/2022</td></tr><tr><td ID = "procedure40">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">12/03/2021</td></tr><tr><td ID = "procedure41">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">02/13/2021</td></tr><tr><td ID = "procedure42">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/05/2021</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="3F5B3D65-E3D8-419C-AB3F-702D87AC7B43"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20201020"/><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="AC3E50BC-954B-4C83-985B-1F230EBAA223"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220221"/><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="A2464EE1-1D6C-47A0-B745-A5B3EAC48FDE"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20251110"/><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="B7251B84-B07D-42A4-A2B0-D268924F9F2C"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20240521"/><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="2E4A7026-2442-44CA-80F7-B8DF325362FD"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230217"/><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="0F2075D1-E683-4AA6-B9AE-C90FDD2CD597"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20171109"/><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="A411FCC0-9765-41E7-9A74-CC532EA82FE7"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20171109"/><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="12145D38-7057-41C3-8C4B-40B277A30511"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230217"/><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="A61B07B6-C0D4-4A16-BF7B-80718A10C815"/><code code="36127" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH W/REFLEX T4, FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20230217"/><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="85C33C33-007D-4490-906A-2E6E0F2EC024"/><code code="36127" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH W/REFLEX T4, FREE (QUEST)"/><statusCode code="completed"/><effectiveTime value="20171109"/><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="BCCEE619-69D6-4C58-AD1B-A9DFEEAF8CDF"/><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="20171109"/><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="B670B20D-C930-4CA6-9097-15AD5FE952CE"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20201020"/><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="816F3784-2A91-4B2C-AC85-7234635BE5F6"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220103"/><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="9BCC72CD-7E8E-46EF-8725-8E0432D49F16"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20251110"/><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="EA8275D9-EAF5-4ABB-B606-E03AEF7BCF0E"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20240408"/><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="07507B1E-F584-4296-9E84-3001B3331301"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20240521"/><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 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code="completed"/><effectiveTime value="20210829"/><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="5CC45326-647A-4285-A637-E1675A27CD60"/><code code="72141" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Cervical Spine MRI W/O CONTRAST"/><statusCode code="completed"/><effectiveTime value="20220218"/><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="43F53741-0714-4BB6-AA50-4FBF113A224C"/><code code="30678-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Lumbar Spine MRI W/O CONTRAST"/><statusCode code="completed"/><effectiveTime value="20220218"/><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="CE55A1D5-6E04-4A4B-B398-7B4CF7011A21"/><code code="72146" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Thoracic Spine MRI W/O CONTRAST"/><statusCode code="completed"/><effectiveTime value="20220218"/><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="F2DE9343-0209-411B-BBB1-2564B92B1526"/><code code="J1885" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Toradol 60 MG "/><statusCode code="completed"/><effectiveTime value="20240521"/><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="F731ED95-7443-488B-9583-67BC7506346B"/><code code="J1885" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Toradol 60 MG "/><statusCode code="completed"/><effectiveTime value="20210825"/><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="10107536-277B-4C01-AE1B-E3EB80577DF1"/><code code="J0696" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Rocephin 1G"/><statusCode code="completed"/><effectiveTime value="20201020"/><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="0AE4FAC5-3A32-461E-8C69-F8CBFBCF8228"/><code code="J0696" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Rocephin 1G"/><statusCode code="completed"/><effectiveTime value="20240408"/><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 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code="completed"/><effectiveTime value="20240408"/><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="988534D6-31E3-4634-AD07-E05F54D8C287"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20210825"/><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="B6CF2C80-FD65-43AA-A7F9-159200365566"/><code code="J1100" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Dexamethasone 4mg/ml"/><statusCode code="completed"/><effectiveTime value="20201020"/><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="C081C565-C51A-4221-BB74-C91B948281B5"/><code code="J1030" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Depo-Medrol 40mg/ml"/><statusCode code="completed"/><effectiveTime value="20210825"/><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 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            </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 = "immun2">COVID-19, mRNA, LNP-S, PF</td><td align="center">02/13/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">03/05/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun4">COVID-19, mRNA, LNP-S, PF</td><td align="center">12/03/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun1">Influenza virus vaccine</td><td align="center">12/08/2025</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="286B3A4A-331D-44A9-88DD-48130BF6E328"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210213"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-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="208" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="COVID-19, mRNA, LNP-S, PF"/><lotNumberText>EN6200</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>Pfizer, Inc</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="20260716150338-0500"/><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><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="7DC08AE8-C2C4-4C89-BC75-1D2AAF8BC58D"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210305"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" 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codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="Influenza virus vaccine"/><lotNumberText>2CA5M</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="20260716150338-0500"/><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">09/01/2017</td><td ID = "vital_1_bp">108/69 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">69 bpm</td></tr><tr><td ID = "vital_2">09/19/2017</td><td ID = "vital_2_bp">119/82 mm[Hg]</td><td ID = "vital_2_temp">36 Cel</td><td ID = "vital_2_pulse">59 bpm</td></tr><tr><td ID = "vital_3">11/09/2017</td><td ID = "vital_3_bp">108/69 mm[Hg]</td><td ID = "vital_3_temp">37 Cel</td><td ID = "vital_3_pulse">81 bpm</td></tr><tr><td ID = "vital_4">06/13/2018</td><td ID = "vital_4_weight">57 kg</td><td ID = "vital_4_bp">109/72 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">64 bpm</td></tr><tr><td ID = "vital_5">12/12/2018</td><td ID = "vital_5_bp">143/74 mm[Hg]</td><td ID = "vital_5_pulse">78 bpm</td></tr><tr><td ID = "vital_6">06/11/2019</td><td ID = "vital_6_bp">104/71 mm[Hg]</td><td ID = "vital_6_temp">37 Cel</td><td ID = "vital_6_pulse">83 bpm</td></tr><tr><td ID = "vital_7">10/20/2020</td><td ID = "vital_7_height">168 cm</td><td ID = "vital_7_weight">64 kg</td><td ID = "vital_7_bmi">22.59</td><td ID = "vital_7_bp">116/77 mm[Hg]</td><td ID = "vital_7_temp">37 Cel</td><td ID = "vital_7_pulse">87 bpm</td><td ID = "vital_7_pulseox">99 pct</td><td ID = "vital_7_resp">16 bpm</td></tr><tr><td ID = "vital_8">08/25/2021</td><td ID = "vital_8_height">170 cm</td><td ID = "vital_8_weight">60 kg</td><td ID = "vital_8_bmi">20.73</td><td ID = "vital_8_bp">114/76 mm[Hg]</td><td ID = "vital_8_temp">36 Cel</td><td ID = "vital_8_pulse">58 bpm</td><td ID = "vital_8_pulseox">100 pct</td><td ID = "vital_8_resp">16 bpm</td></tr><tr><td ID = "vital_9">01/03/2022</td><td ID = "vital_9_height">170 cm</td><td ID = "vital_9_weight">58 kg</td><td ID = "vital_9_bmi">19.89</td><td ID = "vital_9_bp">139/93 mm[Hg]</td><td ID = "vital_9_temp">36 Cel</td><td ID = "vital_9_pulse">62 bpm</td><td ID = "vital_9_pulseox">98 pct</td><td ID = "vital_9_resp">17 bpm</td></tr><tr><td ID = "vital_10">02/18/2022</td><td ID = "vital_10_height">170 cm</td><td ID = "vital_10_weight">58 kg</td><td ID = "vital_10_bmi">20.04</td><td ID = "vital_10_bp">124/83 mm[Hg]</td><td ID = "vital_10_temp">37 Cel</td><td ID = "vital_10_pulse">97 bpm</td><td ID = "vital_10_pulseox">100 pct</td><td ID = "vital_10_resp">16 bpm</td></tr><tr><td ID = "vital_11">01/17/2023</td><td ID = "vital_11_height">170 cm</td><td ID = "vital_11_weight">61 kg</td><td ID = "vital_11_bmi">21.19</td><td ID = "vital_11_bp">129/74 mm[Hg]</td><td ID = "vital_11_temp">37 Cel</td><td ID = "vital_11_pulse">59 bpm</td><td ID = "vital_11_pulseox">98 pct</td><td ID = "vital_11_resp">16 bpm</td></tr><tr><td ID = "vital_12">02/17/2023</td><td ID = "vital_12_height">170 cm</td><td ID = "vital_12_weight">62 kg</td><td ID = "vital_12_bmi">21.44</td><td ID = "vital_12_bp">114/77 mm[Hg]</td><td ID = "vital_12_temp">36 Cel</td><td ID = "vital_12_pulse">66 bpm</td><td ID = "vital_12_pulseox">100 pct</td><td ID = "vital_12_resp">16 bpm</td></tr><tr><td ID = "vital_13">03/27/2023</td><td ID = "vital_13_height">170 cm</td><td ID = "vital_13_weight">63 kg</td><td ID = "vital_13_bmi">21.91</td><td ID = "vital_13_bp">130/74 mm[Hg]</td><td ID = "vital_13_temp">37 Cel</td><td ID = "vital_13_pulse">69 bpm</td><td ID = "vital_13_pulseox">99 pct</td><td ID = "vital_13_resp">69 bpm</td></tr><tr><td ID = "vital_14">08/14/2023</td><td ID = "vital_14_height">170 cm</td><td ID = "vital_14_weight">63 kg</td><td ID = "vital_14_bmi">21.89</td><td ID = "vital_14_bp">121/74 mm[Hg]</td><td ID = "vital_14_temp">37 Cel</td><td ID = "vital_14_pulse">72 bpm</td><td ID = "vital_14_pulseox">98 pct</td><td ID = "vital_14_resp">16 bpm</td></tr><tr><td ID = "vital_15">04/08/2024</td><td ID = "vital_15_height">170 cm</td><td ID = "vital_15_weight">62 kg</td><td ID = "vital_15_bmi">21.53</td><td ID = "vital_15_bp">130/81 mm[Hg]</td><td ID = "vital_15_temp">36 Cel</td><td ID = "vital_15_pulse">64 bpm</td><td ID = "vital_15_pulseox">98 pct</td><td ID = "vital_15_resp">16 bpm</td></tr><tr><td ID = "vital_16">05/21/2024</td><td ID = "vital_16_height">170 cm</td><td ID = "vital_16_weight">63 kg</td><td ID = "vital_16_bmi">21.7</td><td ID = "vital_16_bp">123/88 mm[Hg]</td><td ID = "vital_16_temp">36 Cel</td><td ID = "vital_16_pulse">66 bpm</td><td ID = "vital_16_pulseox">98 pct</td><td ID = "vital_16_resp">16 bpm</td></tr><tr><td ID = "vital_17">07/08/2024</td><td ID = "vital_17_height">170 cm</td><td ID = "vital_17_weight">63 kg</td><td ID = "vital_17_bmi">21.84</td><td ID = "vital_17_bp">125/78 mm[Hg]</td><td ID = "vital_17_temp">36 Cel</td><td ID = "vital_17_pulse">60 bpm</td><td ID = "vital_17_pulseox">98 pct</td><td ID = "vital_17_resp">16 bpm</td></tr><tr><td ID = "vital_18">12/08/2025</td><td ID = "vital_18_temp">37 Cel</td></tr><tr><td ID = "vital_19">02/04/2026</td><td ID = "vital_19_height">170 cm</td><td ID = "vital_19_weight">60 kg</td><td ID = "vital_19_bmi">20.64</td><td ID = "vital_19_bp">112/70 mm[Hg]</td><td ID = "vital_19_temp">36 Cel</td><td ID = "vital_19_pulse">65 bpm</td><td ID = "vital_19_pulseox">97 pct</td><td ID = "vital_19_resp">15 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" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="E8C4C968-893C-42D5-AAE4-468BDC5137AA"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/></code><statusCode code="completed"/><effectiveTime><low value="20170901"/><high 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codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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="07F612C8-0D80-4763-A8FE-78D3F7E6675E"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_19_resp"/></text><statusCode code="completed"/><effectiveTime value="20260204"/><value xsi:type="PQ" value="15" 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="20260716150338-0500"/><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">Leukocytes-Urine</td><td>Positive</td><td align="center">05/21/2024</td></tr><tr><td ID="result2">Urobilinogen-Urine</td><td>Negative</td><td align="center">05/21/2024</td></tr><tr><td ID="result3">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">05/21/2024</td></tr><tr><td ID="result4">pH of Urine by Test strip</td><td>6.5 [pH]</td><td align="center">05/21/2024</td></tr><tr><td ID="result5">Blood-Urine</td><td>Negative</td><td align="center">05/21/2024</td></tr><tr><td ID="result6">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">05/21/2024</td></tr><tr><td ID="result7">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">05/21/2024</td></tr><tr><td ID="result8">Specific Gravity of Urine by Test strip</td><td>1.020</td><td align="center">05/21/2024</td></tr><tr><td ID="result9">Bilirubin-Urine</td><td>Negative</td><td align="center">05/21/2024</td></tr><tr><td ID="result10">Nitrites-Urine</td><td>Negative</td><td align="center">05/21/2024</td></tr><tr><td ID="result11">Appearance of Urine</td><td>sediment present</td><td align="center">05/21/2024</td></tr><tr><td ID="result12">Color of Urine</td><td>amber</td><td align="center">05/21/2024</td></tr><tr><td ID="result13">STREP A</td><td>Negative</td><td align="center">10/20/2020</td></tr><tr><td ID="result14">STREP A</td><td>Negative</td><td align="center">02/21/2022</td></tr><tr><td ID="result15">STREP A</td><td>Negative</td><td align="center">11/10/2025</td></tr><tr><td ID="result16">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">10/20/2020</td></tr><tr><td ID="result17">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">01/03/2022</td></tr><tr><td ID="result18">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">11/10/2025</td></tr><tr><td ID="result19">COVID Rapid Testing</td><td>Negative</td><td align="center">10/20/2020</td></tr><tr><td ID="result20">COVID Rapid Testing</td><td>Negative</td><td align="center">11/10/2025</td></tr><tr><td ID="result21">GLUCOSE</td><td>54</td><td align="center">02/18/2023</td></tr><tr><td ID="result22">UREA NITROGEN (BUN)</td><td>11</td><td align="center">02/18/2023</td></tr><tr><td ID="result23">CREATININE</td><td>0.60</td><td align="center">02/18/2023</td></tr><tr><td ID="result24">EGFR</td><td>121</td><td align="center">02/18/2023</td></tr><tr><td ID="result25">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">02/18/2023</td></tr><tr><td ID="result26">SODIUM</td><td>140</td><td align="center">02/18/2023</td></tr><tr><td ID="result27">POTASSIUM</td><td>4.0</td><td align="center">02/18/2023</td></tr><tr><td ID="result28">CHLORIDE</td><td>106</td><td align="center">02/18/2023</td></tr><tr><td ID="result29">CARBON DIOXIDE</td><td>28</td><td align="center">02/18/2023</td></tr><tr><td ID="result30">CALCIUM</td><td>9.0</td><td align="center">02/18/2023</td></tr><tr><td ID="result31">PROTEIN, TOTAL</td><td>6.4</td><td align="center">02/18/2023</td></tr><tr><td ID="result32">ALBUMIN</td><td>4.1</td><td align="center">02/18/2023</td></tr><tr><td ID="result33">GLOBULIN</td><td>2.3</td><td align="center">02/18/2023</td></tr><tr><td ID="result34">ALBUMIN/GLOBULIN RATIO</td><td>1.8</td><td align="center">02/18/2023</td></tr><tr><td ID="result35">BILIRUBIN, TOTAL</td><td>0.4</td><td align="center">02/18/2023</td></tr><tr><td ID="result36">ALKALINE PHOSPHATASE</td><td>73</td><td align="center">02/18/2023</td></tr><tr><td ID="result37">AST</td><td>19</td><td align="center">02/18/2023</td></tr><tr><td ID="result38">ALT</td><td>27</td><td align="center">02/18/2023</td></tr><tr><td ID="result39">TSH W/REFLEX TO FT4</td><td>1.20</td><td align="center">02/18/2023</td></tr><tr><td ID="result40">WHITE BLOOD CELL COUNT</td><td>4.1</td><td align="center">02/18/2023</td></tr><tr><td ID="result41">RED BLOOD CELL COUNT</td><td>4.20</td><td align="center">02/18/2023</td></tr><tr><td ID="result42">HEMOGLOBIN</td><td>12.4</td><td align="center">02/18/2023</td></tr><tr><td ID="result43">HEMATOCRIT</td><td>36.6</td><td align="center">02/18/2023</td></tr><tr><td ID="result44">MCV</td><td>87.1</td><td align="center">02/18/2023</td></tr><tr><td ID="result45">MCH</td><td>29.5</td><td align="center">02/18/2023</td></tr><tr><td ID="result46">MCHC</td><td>33.9</td><td align="center">02/18/2023</td></tr><tr><td ID="result47">RDW</td><td>13.6</td><td align="center">02/18/2023</td></tr><tr><td ID="result48">PLATELET COUNT</td><td>256</td><td align="center">02/18/2023</td></tr><tr><td ID="result49">MPV</td><td>11.6</td><td align="center">02/18/2023</td></tr><tr><td ID="result50">ABSOLUTE NEUTROPHILS</td><td>1902</td><td align="center">02/18/2023</td></tr><tr><td ID="result51">ABSOLUTE LYMPHOCYTES</td><td>1611</td><td align="center">02/18/2023</td></tr><tr><td ID="result52">ABSOLUTE MONOCYTES</td><td>467</td><td align="center">02/18/2023</td></tr><tr><td ID="result53">ABSOLUTE EOSINOPHILS</td><td>78</td><td align="center">02/18/2023</td></tr><tr><td ID="result54">ABSOLUTE BASOPHILS</td><td>41</td><td align="center">02/18/2023</td></tr><tr><td ID="result55">NEUTROPHILS</td><td>46.4</td><td align="center">02/18/2023</td></tr><tr><td ID="result56">LYMPHOCYTES</td><td>39.3</td><td align="center">02/18/2023</td></tr><tr><td ID="result57">MONOCYTES</td><td>11.4</td><td align="center">02/18/2023</td></tr><tr><td ID="result58">EOSINOPHILS</td><td>1.9</td><td align="center">02/18/2023</td></tr><tr><td ID="result59">BASOPHILS</td><td>1.0</td><td align="center">02/18/2023</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="0628B9F6-F44B-4012-ACB7-5CE77AD5EE99"/><code code="5803-2" displayName="pH of Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" 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codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20240521"/><high value="20240521"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="991DAF3F-6510-4239-A903-FF67DA16B42B"/><code code="13658-0" displayName="Urobilinogen-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result2"/></originalText></code><text><reference value="#result2"/></text><statusCode code="completed"/><effectiveTime value="20240521"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><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="9C998839-4688-47A4-A55A-18E5AB313CF2"/><code code="5804-0" displayName="Protein [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20240521"/><high value="20240521"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="845C16FA-4581-4BC6-A485-4FF1782CC2D8"/><code code="5804-0" displayName="Protein [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result3"/></originalText></code><text><reference value="#result3"/></text><statusCode code="completed"/><effectiveTime value="20240521"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><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="6043F3DB-D24E-4629-9FB2-94A10AFA250A"/><code code="5794-3" displayName="Blood-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20240521"/><high value="20240521"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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 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root="2.16.840.1.113883.10.20.22.4.2"/><id root="FB748575-8B43-4F40-85A7-BCDA369FB573"/><code code="5797-6" displayName="Ketones [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result6"/></originalText></code><text><reference value="#result6"/></text><statusCode code="completed"/><effectiveTime value="20240521"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><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="5B41CF7A-7E32-432C-A9EA-3A5E731E1091"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20240521"/><high value="20240521"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="BE414587-F1E0-4A18-8633-4F3839B29D51"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" 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codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20240521"/><high value="20240521"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="A3E6077C-D8AE-4E56-A034-34306E2F2459"/><code code="5770-3" displayName="Bilirubin-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result9"/></originalText></code><text><reference value="#result9"/></text><statusCode code="completed"/><effectiveTime value="20240521"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><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="AE499611-A981-4406-BB09-1067F7996F56"/><code code="5802-4" displayName="Nitrites-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20240521"/><high value="20240521"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><assignedAuthor><id 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codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20230218"/><high value="20230218"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="0B755E8E-1F1B-4C39-9198-20EA0DB92F9C"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result25"/></originalText></code><text><reference value="#result25"/></text><statusCode code="completed"/><effectiveTime value="20230218"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716150338-0500"/><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 ID="care_plan_1">Outside Diagnostic</td><td>Thoracic Spine MRI W/O CONTRAST</td><td align="center">February 18, 2022</td></tr><tr><td ID="care_plan_2">Outside Diagnostic</td><td>Lumbar Spine MRI W/O CONTRAST</td><td align="center">February 18, 2022</td></tr><tr><td ID="care_plan_3">Outside Diagnostic</td><td>Cervical Spine MRI W/O CONTRAST</td><td align="center">February 18, 2022</td></tr><tr><td>REFERRAL</td><td> Pro Impact -abnormal XR with chiropractor, awaiting MRI</td><td align="center">March 24, 2022</td></tr><tr><td>REFERRAL</td><td> Pro Impact -abnormal XR with chiropractor, awaiting MRI</td><td align="center">March 24, 2022</td></tr><tr><td>REFERRAL</td><td> Pro Impact </td><td align="center">February 18, 2022</td></tr><tr><td>REFERRAL</td><td> Pro Impact </td><td align="center">February 18, 2022</td></tr></tbody></table></text><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="09A32680-B573-46E1-AAE3-D7FD844B76E0"/><code code="239423" displayName="Outside Diagnostic" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_1"/>Thoracic Spine MRI W/O CONTRAST</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="ACDA3B67-90B5-48CB-B879-7574D227CDE6"/><code code="239421" displayName="Outside Diagnostic" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_2"/>Lumbar Spine MRI W/O CONTRAST</text><statusCode code="completed"/></observation></entry><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><id root="61CD0CF7-D265-4761-85D2-D0DBCC22E4C9"/><code code="239420" displayName="Outside Diagnostic" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><text><reference value="#care_plan_3"/>Cervical Spine MRI W/O CONTRAST</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="37FBED03-2842-4AD6-96FE-BD3E161BD91D"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Pro Impact -abnormal XR with chiropractor, awaiting MRI</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="FCABD064-A08F-471C-85E4-E767C9214320"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Pro Impact -abnormal XR with chiropractor, awaiting MRI</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="9AC85131-0A8E-4B8E-B13A-0B45119EC68D"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Pro Impact </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="EC3912ED-5CFC-4D20-9771-BD4F7900BA0F"/><code code="42349-1" displayName="REFERRAL" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"/><text> Pro Impact </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>