2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Loryna (28) 3 mg-0.02 mg tablet, [RxNorm: 1099026]
07/26/2024

ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

WELL VISIT NEW 18-39 YRS.
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jul 26, 2024
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jul 29, 20247461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
07/26/2024
TDap, [CPT-4: 90715]
07/26/2024
TB test - IPPD, [CPT-4: SP86580]
07/26/2024
BLOOD DRAW, [CPT-4: 36415]
07/26/2024
Visual Acuity, [CPT-4: 99173]
07/26/2024
Immunization Injection Administration, [CPT-4: 90471]
07/26/20247461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

MMR
03/18/2003
Completed
MMR
01/10/2007
Completed
TDap
07/26/2024
CompletedMMR7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMR7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USTDap9935HGlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

07/26/2024 167 cm 63 kg 22.73 128/91 mm[Hg] 36 Cel 84 bpm 99 pct 17 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
07/29/2024
RightCorrected-Vision
20
07/26/2024NegativePLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Encounter	Performer	Location	Date
WELL VISIT NEW 18-39 YRS.	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jul 26, 2024
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jul 29, 2024

Procedure	Date
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	07/26/2024
TDap, [CPT-4: 90715]	07/26/2024
TB test - IPPD, [CPT-4: SP86580]	07/26/2024
BLOOD DRAW, [CPT-4: 36415]	07/26/2024
Visual Acuity, [CPT-4: 99173]	07/26/2024
Immunization Injection Administration, [CPT-4: 90471]	07/26/2024

Name	Date	Status
MMR	03/18/2003	Completed
MMR	01/10/2007	Completed
TDap	07/26/2024	Completed

Result Type	Result Value	Date
TB Read Only	Negative	07/29/2024
RightCorrected-Vision	20	07/26/2024