Transition of Care Document

Patient Jody Allard Preferred Language Unspecified
Date of birth July 6, 1978 Sex Female
Race Unspecified

Ethnicity Unspecified
Contact info Home:

9736 E Torino Ave

Mesa, AZ 85212, US

Tel (Mobile): +1(206)-316-6419

Tel (Primary Home): +1(206)-316-6419

Mail: allardjody@gmail.com

Patient IDs 2162848 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101

MM0000000653 2.16.840.1.113883.3.3710.3

MODMED 2.16.840.1.113883.3.3710.200.501

115636PAT000000662 2.16.840.1.113883.3.3710.200.500

Document Id test-id-134099384 2.16.840.1.113883.3.3710.0
Document Created: April 7, 2024, 17:56:25 +0000
Author Diana Tagaban, Jaime S. Schwartz, MD
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, US

Tel (Work Place): 3108825454

Encounter Id
Encounter Date  From , to ,
Encounter Participant
Contact info



Legal authenticator Diana Tagaban signed at April 7, 2024, 17:56:25 +0000
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, US

Tel (Work Place): 3108825454

Document maintained by Jaime S. Schwartz, MD
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, US

Tel (Work Place): 3108825454

Table of Contents

Social History

Code Activity Start Date End Date
266919005 (SNOMED) Never smoker
Birth Sex female
Sexual orientation Unspecified
Gender identity Unspecified

Problems

Problem Code Type Status Date of Diagnosis Date of Resolution
No known problem N/A N/A N/A N/A

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
iodine 5933 Anaphylaxis unspecified active

Medications

Medication Generic Name RxNorm Strength Strength Unit Route Dose Dose Form Frequency Date Started Date Ended Status Indication Sig
atenolol atenolol 197381 50 mg Oral 1 tablet 2 times a day active
buspirone buspirone 866083 10 mg Oral 1 tablet 2 times a day active
escitalopram oxalate escitalopram oxalate 349332 10 mg Oral 1 tablet 1 time a day active
gabapentin gabapentin 310431 300 mg Oral 3 capsule 1 time a day active
levocarnitine levocarnitine 197448 330 mg Oral 3 tablet 3 times a day active

Instructions

No Data

Results

No data

History of Procedures

Code Site Date Diagnosed Status
History of tubal ligation (situation)
Cholecystectomy (procedure)

Vital Signs

No data

Plan of Treatment

No data

History of Past Illness

Problem Code Type Status Date of Diagnosis Date of Resolution
History of hay fever (situation) 161524000 FINDING
Neuromuscular junction disorder (disorder) 128213006 FINDING
Hypercholesterolemia (disorder) 13644009 FINDING
History of obesity (situation) 161453001 FINDING
History of hypertension (situation) 161501007 FINDING
History of pneumonia (situation) 161525004 FINDING
History of lipoma (situation) 16900351000119101 FINDING
Sexual abuse (event) 213017001 FINDING
Gastroesophageal reflux disease (disorder) 235595009 FINDING
Increased blood pressure (finding) 24184005 FINDING
History of pregnancy (situation) 271903000 FINDING
History of anemia (situation) 275538002 FINDING
Depressive disorder (disorder) 35489007 FINDING
Postural orthostatic tachycardia syndrome (disorder) 371073003 FINDING
Ehlers-Danlos syndrome (disorder) 398114001 FINDING
Adverse anesthesia outcome (finding) 405656000 FINDING
Attention deficit hyperactivity disorder (disorder) 406506008 FINDING
Hypothyroidism (disorder) 40930008 FINDING
Easy bruising (finding) 424131007 FINDING
Anxiety (finding) 48694002 FINDING
Diabetes mellitus (disorder) 73211009 FINDING

General Status

No data

Assessments

Immunizations

No data

Functional Status

No data

Mental Status

No data

Reason for Referral

No data

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

History And Physical Notes

No data