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					<title>2026 Consolidated CDA</title>
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ROUTE 3 TIMES PER DAY FOR 7 DAYS (Please disp 1 tube). </td><td align="center">Active</td></tr><tr><td><content ID = "Med2">erythromycin 5 mg/gram (0.5 %) eye ointment, [RxNorm: 206035]</content></td><td align="center">07/14/2021</td><td align="right">APPLY 1 CM RIBBON INTO THE LOWER CONJUNCTIVAL SAC(S) IN THE AFFECTED EYE(S) BY OPHTHALMIC ROUTE 3 TIMES PER DAY for 7 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med3">Keflex 500 mg capsule, [RxNorm: 309114]</content></td><td align="center">12/15/2020</td><td align="right">TAKE 1 CAPSULE (500 MG) BY ORAL ROUTE BID x 10 days. </td><td align="center">Active</td></tr><tr><td><content ID = "Med4">Naprosyn 500 mg tablet, [RxNorm: 105899]</content></td><td align="center">06/16/2026</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE 2 TIMES PER DAY WITH FOOD AS NEEDED</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">azithromycin 500 mg tablet, [RxNorm: 750157]</content></td><td align="center">04/12/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE ONCE DAILY FOR 5 DAYS WITH FOOD</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]</content></td><td align="center">09/23/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]</content></td><td align="center">06/16/2026</td><td align="right">TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">tretinoin 0.05 % topical cream, [RxNorm: 151007]</content></td><td align="center">06/16/2026</td><td align="right"></td><td align="center">Active</td></tr><tr><td><content ID = "Med9">Dovato 50 mg-300 mg tablet, [RxNorm: 2122526]</content></td><td align="center">06/16/2026</td><td 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EST PT</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Dec 15, 2020</td></tr><tr><td ID="Encounter3">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 12, 2021</td></tr><tr><td ID="Encounter4">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 14, 2021</td></tr><tr><td ID="Encounter5">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 24, 2021</td></tr><tr><td ID="Encounter6">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>May 26, 2021</td></tr><tr><td ID="Encounter7">NO CHARGE</td><td>Breena Till</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jun 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" extension="2014-06-09"/><id 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displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20210524"/><performer><assignedEntity><id extension="1215285879" 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 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extension="2014-06-09"/><id root="0D0695C9-A933-42F4-A29E-DE2BD3FBAA2D"/><code code="00000" displayName="NO CHARGE" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter7"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20260616"/><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="34C1310A-8E7D-4C0B-9572-414DD4A0DDE3" extension="36622444"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20260616"/></effectiveTime><value xsi:type="CD" code="M25.572" displayName="PAIN IN LEFT ANKLE AND JOINTS OF LEFT FOOT" 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="653AF2F6-72FD-4B3E-B0AE-C726B2F61BC3"/><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="20260616"/></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="D76C317B-DF83-45A5-9C4B-BCF14D2CF403"/><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="20260616"/></effectiveTime><value xsi:type="CD" code="267954009" 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">12/15/2020</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">04/12/2022</td></tr><tr><td ID = "procedure3">STREP A, [LOINC: 18481-2]</td><td align="center">09/23/2022</td></tr><tr><td ID = "procedure4">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">09/23/2022</td></tr><tr><td ID = "procedure5">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">12/15/2020</td></tr><tr><td ID = "procedure6">TDap, [CPT-4: 90715]</td><td align="center">05/10/2021</td></tr><tr><td ID = "procedure7">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">05/24/2021</td></tr><tr><td ID = "procedure8">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">05/12/2021</td></tr><tr><td ID = "procedure9">GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]</td><td align="center">05/10/2021</td></tr><tr><td ID = "procedure10">GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]</td><td align="center">06/21/2021</td></tr><tr><td ID = "procedure11">GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]</td><td align="center">08/11/2023</td></tr><tr><td ID = "procedure12">GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]</td><td align="center">08/26/2021</td></tr><tr><td ID = "procedure13">GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801]</td><td align="center">01/04/2022</td></tr><tr><td ID = "procedure14">HIV, [CPT-4: 86701]</td><td align="center">08/26/2021</td></tr><tr><td ID = "procedure15">HIV, [CPT-4: 86701]</td><td align="center">06/21/2021</td></tr><tr><td ID = "procedure16">VDRL, [LOINC: 11084-1]</td><td align="center">06/21/2021</td></tr><tr><td ID = "procedure17">VDRL, [LOINC: 11084-1]</td><td align="center">08/26/2021</td></tr><tr><td ID = "procedure18">THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]</td><td align="center">09/23/2022</td></tr><tr><td ID = "procedure19">Rocephin 1G, [CPT-4: J0696]</td><td align="center">09/23/2022</td></tr><tr><td ID = "procedure20">Dexamethasone 4mg/ml, [CPT-4: J1100]</td><td align="center">09/23/2022</td></tr><tr><td ID = "procedure21">Depo-Medrol 40mg/ml, [CPT-4: J1030]</td><td align="center">09/23/2022</td></tr><tr><td ID = "procedure22">COVID Rapid Testing, [CPT-4: 87426]</td><td align="center">12/15/2020</td></tr><tr><td ID = "procedure23">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">04/12/2022</td></tr><tr><td ID = "procedure24">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">02/15/2021</td></tr><tr><td ID = "procedure25">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/08/2021</td></tr><tr><td ID = "procedure26">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">09/23/2022</td></tr><tr><td ID = "procedure27">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">08/02/2022</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="FA3F481D-E91F-4BBC-8DC2-42203905962D"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20201215"/><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="2339C1C9-FD03-4369-87E1-59BF51AD8B5E"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220412"/><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="3914F43B-B315-439D-AFEB-28A4E4194143"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220923"/><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="3A0EC215-4531-4007-B80B-32CC9A2EFA44"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220923"/><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="66AD26DB-3196-45B5-B551-A13A1F7315F2"/><code code="87804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="INFLUENZA Rapid Test"/><statusCode code="completed"/><effectiveTime value="20201215"/><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="E258AE3E-8C11-4E69-97FB-EFC83EA6209C"/><code code="90715" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TDap"/><statusCode code="completed"/><effectiveTime value="20210510"/><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="576B1893-D397-48EC-BA76-F6D237877359"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20210524"/><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="A4EE899D-971E-4C33-AA09-0115AE58D5F4"/><code code="SP86580" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TB test - IPPD"/><statusCode code="completed"/><effectiveTime value="20210512"/><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="22B5AA19-ADB0-4536-8198-3960E089B49B"/><code code="87801" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="GC AND CHLAMYDIA COLLECTION"/><statusCode code="completed"/><effectiveTime value="20210510"/><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="0B022C31-D77C-4660-85B2-010A8FD6109B"/><code code="87801" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="GC AND CHLAMYDIA COLLECTION"/><statusCode code="completed"/><effectiveTime value="20210621"/><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="EE7C779C-0FA3-4E8E-9D61-45586361BA7E"/><code code="87801" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="GC AND CHLAMYDIA COLLECTION"/><statusCode code="completed"/><effectiveTime value="20230811"/><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="F20C6372-B16C-47AF-B064-8A17A9E995B8"/><code code="87801" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="GC AND CHLAMYDIA COLLECTION"/><statusCode code="completed"/><effectiveTime value="20210826"/><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="C0FC69D6-F131-48DE-95E6-738F5E3CC9CE"/><code code="87801" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="GC AND CHLAMYDIA COLLECTION"/><statusCode code="completed"/><effectiveTime value="20220104"/><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="545D4AE7-B2E7-4448-A02D-E0ED58A76E36"/><code code="86701" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="HIV"/><statusCode code="completed"/><effectiveTime value="20210826"/><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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value="20210621"/><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="ADCB939F-8B21-4FC2-BD2F-B6723D7B9663"/><code code="11084-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VDRL"/><statusCode code="completed"/><effectiveTime value="20210621"/><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="A7982974-9425-4D41-B119-A4D767EF04E1"/><code code="11084-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VDRL"/><statusCode code="completed"/><effectiveTime value="20210826"/><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="055367E6-0F4F-4B32-919E-C251E39AEA13"/><code code="96372" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="THERAPEUTIC INJECTION ADMIN"/><statusCode code="completed"/><effectiveTime value="20220923"/><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="E80B997D-5294-4F05-8101-FA516C2EBB07"/><code code="J0696" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Rocephin 1G"/><statusCode code="completed"/><effectiveTime value="20220923"/><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="20220923"/><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="9F27E136-D676-47C3-9446-84D4869565EB"/><code code="J1030" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Depo-Medrol 40mg/ml"/><statusCode code="completed"/><effectiveTime value="20220923"/><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="D0EB8F36-9340-48C0-A3B2-AD1410A5928B"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID Rapid Testing"/><statusCode code="completed"/><effectiveTime value="20201215"/><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="13DED93D-4A74-48E6-8241-F598920AC6F6"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott Binax Now Rapid COVID "/><statusCode code="completed"/><effectiveTime value="20220412"/><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="20210215"/><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="5FC246F4-9292-4667-BA9E-EA042CCEB2FB"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210308"/><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 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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="4776CF34-92B1-4438-9E67-F9811536E6DC"/><code code="ABBO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott COVID Rapid Test"/><statusCode code="completed"/><effectiveTime value="20220802"/><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">02/15/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">03/08/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun1">TDap</td><td align="center">05/10/2021</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="F2833CCF-44EF-4609-BD0B-172AC1400D0F"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210215"/><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="20260716101945-0500"/><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="5E0C4FD7-A354-465D-88D5-EC75638E998D"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210308"/><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>EN6205</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="20260716101945-0500"/><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="0E4887DA-A6D3-451F-B88D-78876D546DC0"/><text>TDap</text><statusCode code="completed"/><effectiveTime value="20210510"/><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="115" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX" displayName="TDap"/><lotNumberText>4F99G</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="20260716101945-0500"/><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">07/31/2020</td><td ID = "vital_1_temp">37 Cel</td></tr><tr><td ID = "vital_2">12/15/2020</td><td ID = "vital_2_height">175 cm</td><td ID = "vital_2_weight">84 kg</td><td ID = "vital_2_bmi">27.33</td><td ID = "vital_2_bp">143/87 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">82 bpm</td><td ID = "vital_2_pulseox">99 pct</td><td ID = "vital_2_resp">14 bpm</td></tr><tr><td ID = "vital_3">05/10/2021</td><td ID = "vital_3_height">175 cm</td><td ID = "vital_3_weight">34 kg</td><td ID = "vital_3_bmi">11.22</td><td ID = "vital_3_bp">110/78 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">76 bpm</td><td ID = "vital_3_pulseox">98 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">07/14/2021</td><td ID = "vital_4_height">178 cm</td><td ID = "vital_4_weight">83 kg</td><td ID = "vital_4_bmi">26.25</td><td ID = "vital_4_bp">134/79 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">64 bpm</td><td ID = "vital_4_pulseox">98 pct</td><td ID = "vital_4_resp">16 bpm</td></tr><tr><td ID = "vital_5">04/12/2022</td><td ID = "vital_5_height">180 cm</td><td ID = "vital_5_weight">83 kg</td><td ID = "vital_5_bmi">25.66</td><td ID = "vital_5_bp">153/86 mm[Hg]</td><td ID = "vital_5_temp">37 Cel</td><td ID = "vital_5_pulse">73 bpm</td><td ID = "vital_5_pulseox">98 pct</td><td ID = "vital_5_resp">16 bpm</td></tr><tr><td ID = "vital_6">09/23/2022</td><td ID = "vital_6_height">178 cm</td><td ID = "vital_6_weight">84 kg</td><td ID = "vital_6_bmi">26.48</td><td ID = "vital_6_bp">152/91 mm[Hg]</td><td ID = "vital_6_temp">36 Cel</td><td ID = "vital_6_pulse">71 bpm</td><td ID = "vital_6_pulseox">97 pct</td><td ID = "vital_6_resp">16 bpm</td></tr><tr><td ID = "vital_7">02/15/2024</td><td ID = "vital_7_height">178 cm</td><td ID = "vital_7_weight">86 kg</td><td ID = "vital_7_bmi">27.08</td><td ID = "vital_7_bp">144/84 mm[Hg]</td><td ID = "vital_7_temp">37 Cel</td><td ID = "vital_7_pulse">67 bpm</td><td ID = "vital_7_pulseox">98 pct</td><td ID = "vital_7_resp">19 bpm</td></tr><tr><td ID = "vital_8">06/16/2026</td><td ID = "vital_8_height">180 cm</td><td ID = "vital_8_weight">91 kg</td><td ID = "vital_8_bmi">28.08</td><td ID = "vital_8_bp">152/87 mm[Hg]</td><td ID = "vital_8_temp">36 Cel</td><td ID = "vital_8_pulse">57 bpm</td><td ID = "vital_8_pulseox">97 pct</td><td ID = "vital_8_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" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="19AB87CA-099D-4C97-88B4-643560552AF2"/><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="20200731"/><high value="20200731"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id 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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="697837E4-CA93-47D6-B755-C5E3982C858E"/><code code="59408-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PulseOx"/><text><reference value="#vital_8_pulseox"/></text><statusCode code="completed"/><effectiveTime value="20260616"/><value xsi:type="PQ" value="97" unit="%"/><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="20260716101945-0500"/><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="0A358B44-8F89-4D8E-A44E-BAD27AD35DC0"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_8_resp"/></text><statusCode code="completed"/><effectiveTime value="20260616"/><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="20260716101945-0500"/><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">STREP A</td><td>Positive</td><td align="center">12/15/2020</td></tr><tr><td ID="result2">STREP A</td><td>Positive</td><td align="center">04/12/2022</td></tr><tr><td ID="result3">STREP A</td><td>Negative</td><td align="center">09/23/2022</td></tr><tr><td ID="result4">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">12/15/2020</td></tr><tr><td ID="result5">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">09/23/2022</td></tr><tr><td ID="result6">TB Read Only</td><td>Negative</td><td align="center">05/14/2021</td></tr><tr><td ID="result7">TB Read Only</td><td>Negative</td><td align="center">05/26/2021</td></tr><tr><td ID="result8">COVID Rapid Testing</td><td>Negative</td><td align="center">12/15/2020</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="4CE77125-C939-4062-91C3-EAB454D8FD83"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20201215"/><high value="20201215"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="1FC048CA-543A-491F-BB7C-EBA5756B7F44"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result1"/></originalText></code><text><reference value="#result1"/></text><statusCode code="completed"/><effectiveTime value="20201215"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="16577E99-4F94-49DA-829F-E4E35AC948F7"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220412"/><high value="20220412"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="507C618B-7E92-4315-A9EB-1965B2F443BE"/><code code="18481-2" displayName="STREP A" 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="20220412"/><value xsi:type="ST">Positive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="F971888E-B2F6-449C-8491-B2A4C7E80719"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220923"/><high value="20220923"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="C150A6D4-D249-4DF6-AF1A-8646C6CD4316"/><code code="18481-2" displayName="STREP A" 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="20220923"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="15C47E97-82E9-4771-B070-9629B2C1C576"/><code code="87804" displayName="INFLUENZA Rapid Test" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20201215"/><high value="20201215"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="BFDFD440-36F6-4593-914E-ACF5136EBE62"/><code code="87804" displayName="INFLUENZA Rapid Test" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result4"/></originalText></code><text><reference value="#result4"/></text><statusCode code="completed"/><effectiveTime value="20201215"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="DBEBB2C4-2527-4F66-89A8-30DB9ECEC565"/><code code="87804" displayName="INFLUENZA Rapid Test" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220923"/><high value="20220923"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><assignedAuthor><id extension="1376976183" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="57524822-AEEE-417D-B7DF-1C9B9BC9FBFB"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result6"/></originalText></code><text><reference value="#result6"/></text><statusCode code="completed"/><effectiveTime value="20210514"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="AC9CE119-64CC-49F3-AC94-7B53B86932DE"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210526"/><high value="20210526"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="4432F933-7DEF-424D-B027-57A9B943C171"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result7"/></originalText></code><text><reference value="#result7"/></text><statusCode code="completed"/><effectiveTime value="20210526"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="20B5C01C-0BE9-43B4-ADDF-C48EE473B5DC"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20201215"/><high value="20201215"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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="7B0FE489-BB97-46ED-98C5-8AF6CD7964F9"/><code code="87426" displayName="COVID Rapid Testing" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result8"/></originalText></code><text><reference value="#result8"/></text><statusCode code="completed"/><effectiveTime value="20201215"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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>PLAN OF TREATMENT</title><text>No Treatment Plan Defined</text><entry><observation classCode="OBS" moodCode="RQO" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><code code="394089009" displayName="Treatment Plan" codeSystem="2.16.840.1.113883.6.96"/></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><table border="1" width="100%"><thead><tr><th>Concern</th> <th>Status</th> <th>Date</th> </tr></thead><tbody><tr><td>SYPHILIS, UNSPECIFIED concern</td><td>Inactive</td><td>June 23, 2021</td></tr></tbody></table></text><entry><act classCode="ACT" moodCode="EVN"><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="891344B1-182F-416A-B8C0-C4866FE213CA"/><code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="completed"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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><entryRelationship typeCode="REFR"><observation classCode="OBS" moodCode="EVN"><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="D961AAD7-E939-4B68-B16D-5E06D0DCE5D9"/><code code="64572001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Condition"><translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/></code><statusCode code="completed"/><effectiveTime><low value="20210623"/></effectiveTime><value xsi:type="CD" code="A53.9" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD10" displayName="SYPHILIS, UNSPECIFIED"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716101945-0500"/><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></entryRelationship></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>