Transition of Care Document

Patient Kemberli Ann Anderson Preferred Language en
Date of birth October 19, 1965 Sex Female
Race White

English

German

White

Ethnicity Not Hispanic or Latino
Contact info Home:

4445 Cartwright Ave, Unit 108

Toluca Lake, CA 91602, US

Tel (Mobile): +1(858)-213-1101

Mail: Kemberli.anderson@gmail.com

Patient IDs 2204362 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101

MM0000000671 2.16.840.1.113883.3.3710.3

MODMED 2.16.840.1.113883.3.3710.200.501

115636PAT000000680 2.16.840.1.113883.3.3710.200.500

Document Id test-id-1982193013 2.16.840.1.113883.3.3710.0
Document Created: April 6, 2024, 21:04:48 +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 2877338 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111
Encounter Date  From October 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, 21:04:48 +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 Straight (Heterosexual)
Gender identity Identifies as Female

Problems

Problem Code Type Status Date of Diagnosis Date of Resolution
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 10/18/2023
Mast cell disorder (disorder) 397007003(SNOMED) Diagnosis active 10/18/2023
Peripheral venous insufficiency (disorder) 20696009(SNOMED) Diagnosis active 10/18/2023
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 08/30/2023
Mast cell disorder (disorder) 397007003(SNOMED) Diagnosis active 08/30/2023
Hypothyroidism (disorder) 40930008(SNOMED) Diagnosis active 08/30/2023
Insomnia (disorder) 193462001(SNOMED) Diagnosis active 08/30/2023
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 08/07/2023
Anxiety (finding) 48694002(SNOMED) Problem active
Depressive disorder (disorder) 35489007(SNOMED) Problem active
History of orthopedic surgery (situation) 53371000119101(SNOMED) Problem active
Lipedema (disorder) 234102003(SNOMED) Problem active
Victim of sexual abuse (finding) 225826001(SNOMED) Problem active
Victim of verbal abuse (finding) 225825002(SNOMED) Problem active
Augmentation mammoplasty (procedure) 22890008(SNOMED) Problem active
Circumferential lipectomy (procedure) 442732003(SNOMED) Problem active
Drug abuse (disorder) 26416006(SNOMED) Problem active
Reduction of batwing arms (procedure) 24298005(SNOMED) Problem active

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
Penicillins Hives, Swelling moderate active 01/01/1996
codeine 2670 unspecified active 01/01/1986
Sulfa (Sulfonamide Antibiotics) Swelling, Hives unspecified active 01/01/1996

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 10/18/2023 active Take 2 tablet orally twice daily.
gabapentin gabapentin 310430 100 mg Oral 2 Capsules capsule Daily 08/30/2023 active Take 2 capsules by mouth daily at bedtime.

Instructions

No Data

Results

No data

History of Procedures

Code Site Date Diagnosed Status
Surgical biopsy of skin (procedure) completed
Surgical biopsy of skin (procedure) completed
Surgical biopsy of skin (procedure) completed
Augmentation mammoplasty (procedure)
Reduction of batwing arms (procedure)
Circumferential lipectomy (procedure)
Surgical biopsy of skin (procedure)

Vital Signs

Vital Sign Measurement Date Recorded
Body Height 66.0 in Mon Aug 07 16:17:03 UTC 2023
Body Weight 160.0 lbs Mon Aug 07 16:17:14 UTC 2023

Plan of Treatment

Future visit PRN - Follow up PRN

Code Detail Instructions
547641 Acid Reducer (famotidine) 20 mg tablet Take 2 tablet orally twice daily.
310430 gabapentin 100 mg capsule Take 2 capsules by mouth daily at bedtime.

History of Past Illness

Problem Code Type Status Date of Diagnosis Date of Resolution
Victim of verbal abuse (finding) 225825002 FINDING
Victim of sexual abuse (finding) 225826001 FINDING
Lipedema (disorder) 234102003 FINDING
Drug abuse (disorder) 26416006 FINDING
Depressive disorder (disorder) 35489007 FINDING
Anxiety (finding) 48694002 FINDING
History of orthopedic surgery (situation) 53371000119101 FINDING

General Status

No data

Assessments

1.Lipedema 2.Mast cell activation, unspecified Prescription: Acid Reducer (famotidine) 20 mg tablet PO Frequency: twice daily 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) Mast cell activation, unspecified (D89.40) Chronic Peripheral Venous Insufficiency (I87.2) Total Lipedema Care - Arizona 10/18/2023 23:45:00 UTC 99212

Review Of Systems

No Data

Goals

No data

Medical Equipment

No data

Health Concerns

No data

History of Present Illness

This is a 57 year old female who is being seen for a chief complaint of Lipedema. Patient is following up regarding Lipedema. Patient reports having lab work done.

Additional HPI Comments: Labs follow up Any lab results? no Any medical history changes? no Her lipedema is swelling over her whoes. She had her vein cauterized and it did not help her.

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