| 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 |
| Code | Activity | Start Date | End Date |
|---|---|---|---|
| 449868002 (SNOMED) | Current every day 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 | 02/07/2024 | |
| 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 |
| Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
|---|---|---|---|---|---|
| No Known Allergies | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 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) |
Future visit PRN - Follow up PRN
| 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 |
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 |
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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.
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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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