| Patient | Lana Adair | Preferred Language | Unspecified |
| Date of birth | May 11, 1970 | Sex | Female |
| Race | White
Irish German English |
Ethnicity | Not Hispanic or Latino |
| Contact info | Home:
50 Presidio Ave SF, CA 94115, US Tel (Mobile): +1(415)-264-3370 Tel (Primary Home): +1(415)-264-3370 Mail: Lana@Adairsf.com |
Patient IDs | 2912803 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
MM0000001070 2.16.840.1.113883.3.3710.3 MODMED 2.16.840.1.113883.3.3710.200.501 115636PAT000001080 2.16.840.1.113883.3.3710.200.500 |
| Document Id | test-id-311996597 2.16.840.1.113883.3.3710.0 |
| Document Created: | April 6, 2024, 10:46:01 +0000 |
| Performer | Karen Herbst | ||
| Author | Diana Tagaban, Total Lipedema Care - Arizona |
| Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
| Encounter Id | 3965699 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
| Encounter Date | From December 18, 2023 | ||
| Encounter Participant | Karen Herbst | ||
| Contact info | Work Place:
6365 E Tanque Verde Road, Suite 200 Tucson, AZ 857153830, US Tel (Work Place): 3108825454 |
||
| Legal authenticator | Diana Tagaban signed at April 6, 2024, 10:46:01 +0000 |
| Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
| Document maintained by | Total Lipedema Care - Arizona |
| Contact info | Work Place:
6365 E Tanque Verde Road, Suite 200 Tucson, AZ 857153830, US Tel (Work Place): 3108825454 |
| Code | Activity | Start Date | End Date |
|---|---|---|---|
| 8517006 (SNOMED) | Former smoker | 02/01/1994 | 12/15/2022 |
| Birth Sex | female | ||
| Sexual orientation | Straight (Heterosexual) | ||
| Gender identity | Identifies as Female |
| Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
|---|---|---|---|---|---|
| Type II diabetes mellitus without complication (disorder) | 313436004(SNOMED) | Diagnosis | active | 12/18/2023 | |
| Obesity (disorder) | 414916001(SNOMED) | Diagnosis | active | 12/18/2023 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 11/21/2023 | |
| Hypermobile Ehlers-Danlos syndrome (disorder) | 30652003(SNOMED) | Diagnosis | active | 11/21/2023 | |
| Varicose veins of lower extremity (disorder) | 72866009(SNOMED) | Diagnosis | active | 11/21/2023 | |
| Peripheral venous insufficiency (disorder) | 20696009(SNOMED) | Diagnosis | active | 11/21/2023 | |
| Mast cell disorder (disorder) | 397007003(SNOMED) | Diagnosis | active | 11/21/2023 | |
| Easy bruising (finding) | 424131007(SNOMED) | Problem | active | ||
| Rosacea (disorder) | 398909004(SNOMED) | Problem | active | ||
| History of clinical finding in subject (situation) | 417662000(SNOMED) | Problem | active | ||
| Augmentation mammoplasty (procedure) | 22890008(SNOMED) | Problem | active | ||
| Blepharoplasty of bilateral upper eyelids (procedure) | 20321003(SNOMED) | Problem | active | ||
| Laser removal of hair (procedure) | 309721001(SNOMED) | Problem | active | ||
| Nasal septoplasty (procedure) | 13529000(SNOMED) | Problem | active | ||
| Revision of scar (procedure) | 284079008(SNOMED) | Problem | active | ||
| Plastic surgery self-referral (procedure) | 183706004(SNOMED) | Problem | active | ||
| Attention deficit hyperactivity disorder (disorder) | 406506008(SNOMED) | Problem | active |
| Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
|---|---|---|---|---|---|
| none sensitive to gluten | N/A | N/A | N/A | N/A | N/A |
| Medication | Generic Name | RxNorm | Strength | Strength Unit | Route | Dose | Dose Form | Frequency | Date Started | Date Ended | Status | Indication | Sig |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Acid Reducer (famotidine) | famotidine | 20 | mg | Oral | tablet | twice daily | 11/21/2023 | active | Take 2 tablet orally twice daily. | ||||
| Allergy Relief (fexofenadine) | fexofenadine | 997501 | 60 | mg | Oral | tablet | Twice a day | 11/21/2023 | active | Take 1 tablet by mouth twice a day. | |||
| Lamictal | lamotrigine | 206201 | 150 | mg | Oral | tablet | active | ||||||
| metformin | metformin | 861021 | 625 | mg | Oral | tablet | active | ||||||
| Vyvanse | lisdexamfetamine | 1871461 | 30 | mg | Oral | tablet,chewable | active | ||||||
| Mounjaro | tirzepatide | 2601764 | 2.5 | mg/0.5 mL | Subcutaneous | 0.5 mg | pen injector | Weekly | 11/21/2023 | active | Inject 0.5 mg subcutaneously weekly. |
| Code | Site | Date Diagnosed | Status |
|---|---|---|---|
| Classical cesarean section (procedure) | completed | ||
| Classical cesarean section (procedure) | completed | ||
| Nasal septoplasty (procedure) | |||
| Plastic surgery self-referral (procedure) | |||
| Blepharoplasty of bilateral upper eyelids (procedure) | |||
| Augmentation mammoplasty (procedure) | |||
| Revision of scar (procedure) | |||
| Laser removal of hair (procedure) | |||
| Classical cesarean section (procedure) |
Future visit for 12/18/2024 - Follow up in 1 year
| Code | Detail | Instructions |
|---|---|---|
| 2601764 | Mounjaro 2.5 mg/0.5 mL subcutaneous pen injector | Inject 0.25 mg subcutaneously weekly. |
| 2601764 | Mounjaro 2.5 mg/0.5 mL subcutaneous pen injector | Inject 0.5 mg subcutaneously weekly. |
| 547641 | Acid Reducer (famotidine) 20 mg tablet | Take 2 tablet orally twice daily. |
| 997501 | Allergy Relief (fexofenadine) 60 mg tablet | Take 1 tablet by mouth twice a day. |
| Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
|---|---|---|---|---|---|
| History of skin disorder (situation) - none | 161560005 | FINDING | |||
| Rosacea (disorder) | 398909004 | FINDING | |||
| Attention deficit hyperactivity disorder (disorder) | 406506008 | FINDING | |||
| History of clinical finding in subject (situation) | 417662000 | FINDING | |||
| Easy bruising (finding) | 424131007 | FINDING |
Service provided at Total Lipedema Care - Arizona, 6365 E Tanque Verde Road, Suite 200, Tucson, AZ 857153830. Office phone number is 3108825454. Office fax number is 3107475908.
| Encounter Diagnosis | Location | Date / Time | Type |
|---|---|---|---|
| Type II Diabetes (E11.9) Obesity (E66.9) Type 2 diabetes mellitus without complications (E11.9) | Total Lipedema Care - Arizona | 12/18/2023 19:47:27 UTC |
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| Care Team Member Name | Role | Identifier | location | Telecom |
|---|---|---|---|---|
| Karen Herbst | Doctor | 1114977840 | 6365 E Tanque Verde Road, Suite 200 Tucson, AZ 857153830, US | 3108825454 |
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