| Patient | Nina Allen | Preferred Language | en |
| Date of birth | October 24, 1969 | Sex | Female |
| Race | Unspecified
|
Ethnicity | Unspecified |
| Contact info | Primary Home:
5304 N Colonial Ave #101, , Fresno, CA 93704, US Tel (Mobile): +1(714)-213-9329 Mail: nroallen@gmail.com |
Patient IDs | 529406 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
8035 2.16.840.1.113883.3.3710.3 Ellkay 2.16.840.1.113883.3.3710.200.501 8035 2.16.840.1.113883.3.3710.200.500 |
| Document Id | test-id-1434664963 2.16.840.1.113883.3.3710.0 |
| Document Created: | April 5, 2024, 07:23:31 +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 | 4791941 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
| Encounter Date | From February 20, 2024 | ||
| 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 5, 2024, 07:23:31 +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 |
|---|---|---|---|
| 266919005 (SNOMED) | Never smoker | ||
| Birth Sex | female | ||
| Sexual orientation | Unspecified | ||
| Gender identity | Unspecified |
| Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
|---|---|---|---|---|---|
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Peripheral venous insufficiency (disorder) | 20696009(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Hypermobile Ehlers-Danlos syndrome (disorder) | 30652003(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Hypermobile Ehlers-Danlos syndrome (disorder) | 30652003(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Varicose veins of lower extremity (disorder) | 72866009(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Peripheral venous insufficiency (disorder) | 20696009(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Disorder of female genital organs (disorder) | 244938009(SNOMED) | Diagnosis | active | 02/20/2024 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 01/09/2024 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 10/17/2023 | |
| Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 10/17/2023 | |
| Hypercalcemia (disorder) | 66931009(SNOMED) | Diagnosis | active | 10/17/2023 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 09/18/2023 | |
| Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 09/18/2023 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 09/13/2023 | |
| Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 09/13/2023 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 09/13/2023 | |
| Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 09/13/2023 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 05/08/2023 | |
| Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 05/08/2023 | |
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 03/22/2023 | |
| History of pneumonia (situation) | 161525004(SNOMED) | Problem | active | ||
| History of pregnancy (situation) | 271903000(SNOMED) | Problem | active | ||
| History of anemia (situation) | 275538002(SNOMED) | Problem | active | ||
| Hypothyroidism (disorder) | 40930008(SNOMED) | Problem | active | ||
| Inflammatory disease of liver (disorder) | 128241005(SNOMED) | Problem | active | ||
| Lipedema (disorder) | 234102003(SNOMED) | Problem | active | ||
| History of skin disorder (situation) | 161560005(SNOMED) | Problem | active |
| Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
|---|---|---|---|---|---|
| Vicodin, hydrocodone | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| pentoxifylline | pentoxifylline | 312301 | 400 | mg | Oral | tablet extended release | Twice a day | 01/09/2024 | active | Take 1 tablet by mouth twice a day. | |||
| Mounjaro | tirzepatide | 2601764 | 2.5 | mg/0.5 mL | Subcutaneous | 0.5 ml | pen injector | Weekly | 01/09/2024 | active | Inject 0.5 ml subcutaneously weekly. |
| Code | Site | Date Diagnosed | Status |
|---|---|---|---|
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Documentation of past medical history (procedure) |
Future visit for 02/20/2025 - Follow up in 1 year
| Code | Detail | Instructions |
|---|---|---|
| 312301 | pentoxifylline ER 400 mg tablet,extended release | Take 1 tablet by mouth twice a day. |
| 2601764 | Mounjaro 2.5 mg/0.5 mL subcutaneous pen injector | Inject 0.5 ml subcutaneously weekly. |
| Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
|---|---|---|---|---|---|
| History of skin disorder (situation) | 161560005 | FINDING | |||
| Inflammatory disease of liver (disorder) | 128241005 | FINDING | |||
| History of pneumonia (situation) | 161525004 | FINDING | |||
| Lipedema (disorder) | 234102003 | FINDING | |||
| History of pregnancy (situation) | 271903000 | FINDING | |||
| History of anemia (situation) | 275538002 | FINDING | |||
| Hypothyroidism (disorder) | 40930008 | 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 |
|---|---|---|---|
| Lipedema (E65) Lymphedema (I89.0) Chronic Peripheral Venous Insufficiency (I87.2) | Total Lipedema Care - Arizona | 02/20/2024 17:41:21 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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