Transition of Care Document

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

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
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

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
Vicodin, hydrocodone 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
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.

Instructions

No Data

Results

No data

History of Procedures

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)

Vital Signs

No data

Plan of Treatment

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.

History of Past Illness

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

General Status

No data

Assessments

1.Lipedema 2.Lymphedema 3.Chronic Peripheral Venous Insufficiency

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
Lipedema (E65) Lymphedema (I89.0) Chronic Peripheral Venous Insufficiency (I87.2) Total Lipedema Care - Arizona 02/20/2024 17:41:21 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