Transition of Care Document

Patient Andrea Armstrong Preferred Language en
Date of birth October 27, 1963 Sex Female
Race Unspecified

Ethnicity Not Hispanic or Latino
Contact info Home:

3010 Boardman Ave

Klamath Falls, OR 97603, US

Tel (Mobile): +1(541)-281-3270

Tel (Primary Home): +1(541)-273-0479

Mail: 1rdtrk@charter.net

Mail: AArmstrong@jeldwen.com

Patient IDs 3674768 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101

MM0000001349 2.16.840.1.113883.3.3710.3

MODMED 2.16.840.1.113883.3.3710.200.501

115636PAT000001359 2.16.840.1.113883.3.3710.200.500

Document Id test-id-430625829 2.16.840.1.113883.3.3710.0
Document Created: April 5, 2024, 10:23:16 +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 4632959 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111
Encounter Date  From February 7, 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, 10:23:16 +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
449868002 (SNOMED) Current every day 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 02/07/2024
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 02/07/2024
Varicose veins of lower extremity (disorder) 72866009(SNOMED) Diagnosis active 02/07/2024
Peripheral venous insufficiency (disorder) 20696009(SNOMED) Diagnosis active 02/07/2024
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 01/18/2024
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 01/18/2024
Peripheral venous insufficiency (disorder) 20696009(SNOMED) Diagnosis active 01/18/2024
Obesity (disorder) 414916001(SNOMED) Diagnosis active 01/18/2024
Obesity caused by energy imbalance (disorder) 722596001(SNOMED) Diagnosis active 01/18/2024
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 01/18/2024
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 01/18/2024
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 01/18/2024
Lipomatosis (disorder) 402693001(SNOMED) Diagnosis active 01/18/2024
Obesity (disorder) 414916001(SNOMED) Diagnosis active 01/18/2024
Varicose veins of lower extremity (disorder) 72866009(SNOMED) Diagnosis active 01/18/2024
Peripheral venous insufficiency (disorder) 20696009(SNOMED) Diagnosis active 01/18/2024
Arthritis (disorder) 3723001(SNOMED) Problem active
Depressive disorder (disorder) 35489007(SNOMED) Problem active
Diabetes mellitus (disorder) 73211009(SNOMED) Problem active
Easy bruising (finding) 424131007(SNOMED) Problem active
Essential hypertension (disorder) 59621000(SNOMED) Problem active
History of depression (situation) 161469008(SNOMED) Problem active
History of obesity (situation) 161453001(SNOMED) Problem active
History of skin disorder (situation) 161560005(SNOMED) Problem active
Anxiety (finding) 48694002(SNOMED) Problem active

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
No Known Allergies 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
atorvastatin atorvastatin 617311 40 mg Oral 1 tablet 1 active
enalapril maleate enalapril maleate 858810 20 mg Oral 1 tablet 1 active
glipizide glipizide 310488 10 mg Oral 1 tablet 1 02/07/2024 suspended
hydrochlorothiazide hydrochlorothiazide 310798 25 mg Oral 1 tablet 1 active
levothyroxine levothyroxine 966406 25 mcg Oral 1 capsule 1 active
Lexapro escitalopram oxalate 352273 20 mg Oral 1 tablet 1 active
metformin metformin 860975 500 mg Oral 4 tablet extended release 24 hr 2 active
metoprolol succinate metoprolol succinate 866412 100 mg Oral 1 tablet extended release 24 hr 1 active
progesterone micronized progesterone micronized 260243 100 mg Oral 1 capsule 1 active
Vascepa icosapent ethyl 1304985 1 gram Oral 4 capsule 2 active
Ozempic semaglutide 2619154 0.25 mg or 0.5 mg (2 mg/3 mL) Subcutaneous pen injector 02/06/2024 active

Instructions

No Data

Results

No data

History of Procedures

Code Site Date Diagnosed Status
History of tubal ligation (situation) completed
Hernia of abdominal cavity (disorder) completed
Hernia repair (procedure) completed
Hysterectomy (procedure) completed
Hysterectomy (procedure) completed
History of tubal ligation (situation) completed
Hernia of abdominal cavity (disorder) completed
Hernia repair (procedure) completed
History of tubal ligation (situation) completed
Hernia of abdominal cavity (disorder) completed
Hernia repair (procedure) completed
Hysterectomy (procedure) completed
History of tubal ligation (situation) completed
Hernia of abdominal cavity (disorder) completed
Hernia repair (procedure) completed
Hysterectomy (procedure) completed
Plastic surgery self-referral (procedure)
Hysterectomy (procedure)
History of tubal ligation (situation)
Hernia repair (procedure)
Hernia of abdominal cavity (disorder)

Vital Signs

No data

Plan of Treatment

Future visit PRN - Follow up PRN

History of Past Illness

Problem Code Type Status Date of Diagnosis Date of Resolution
History of skin disorder (situation) 161560005 FINDING
History of obesity (situation) 161453001 FINDING
History of depression (situation) 161469008 FINDING
Depressive disorder (disorder) 35489007 FINDING
Arthritis (disorder) 3723001 FINDING
Easy bruising (finding) 424131007 FINDING
Anxiety (finding) 48694002 FINDING
Essential hypertension (disorder) 59621000 FINDING
Diabetes mellitus (disorder) 73211009 FINDING

General Status

No data

Assessments

1.Lipedema 2.Lymphedema 3.Varicose Veins 4.Chronic Peripheral Venous Insufficiency 5.Lymphedema Physical Therapy Services

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) Varicose Veins (I83.90) Chronic Peripheral Venous Insufficiency (I87.2) Lymphedema (I89.0) Total Lipedema Care - Arizona 02/07/2024 18:00:00 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 60 year old female who is being seen for a chief complaint of Lipedema. Patient is following up regarding lab results

Additional HPI Comments: Lab Results Any changes in medication/supplements? No Any lab results? No Any medical history changes? Hips and knees are getting stiffer after sitting for a half an hour or so. It takes a little while to my bearings. Her primary care doctor took her off glipizide and started Ozempic. She is starting to watch what she is eating. She took smaller bites and slowed down. She was taking Tylenol and she was going to restart a prescription for pain but she wants to wait until she has been on Ozempic longer. She wants to avoid an allergic reaction.

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