Transition of Care Document

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

Table of Contents


Social History

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

Problems

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

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
none sensitive to gluten N/A N/A N/A N/A N/A

Medications

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.

Instructions

No Data

Results

No data

History of Procedures

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)

Vital Signs

No data

Plan of Treatment

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.

History of Past Illness

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

General Status

No data

Assessments

1.Type II Diabetes Prescription: 2.Obesity 3.Type 2 diabetes mellitus without complications Prescription: Mounjaro 2.5 mg/0.5 mL subcutaneous pen injector SC

Immunizations

No data

Functional Status

No data

Mental Status

No data

Reason for Referral

No data

Encounters

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

Review Of Systems

No Data

Goals

No data

Medical Equipment

No data

Health Concerns

No data

History of Present Illness

No Data

Family History

No data

Consultation Notes

No data

Laboratory Narrative

No data

Pathology Narrative

No data

Imaging Narrative

No data

Procedure Notes

No data

Progress Notes

No data

Care Team

Care Team Member Name Role Identifier location Telecom
Karen Herbst Doctor 1114977840 6365 E Tanque Verde Road, Suite 200 Tucson, AZ 857153830, US 3108825454

History And Physical Notes

No data