Transition of Care Document

Patient Savannah Black Preferred Language Unspecified
Date of birth November 4, 1996 Sex Female
Race Unspecified

Ethnicity Unspecified
Contact info Home:

160 122nd St

Orofino, ID 83544, US

Tel (Mobile): +1(208)-827-6379

Mail: savannahroseblack@gmail.com

Patient IDs 4337027 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101

MM0000001483 2.16.840.1.113883.3.3710.3

MODMED 2.16.840.1.113883.3.3710.200.501

115636PAT000001493 2.16.840.1.113883.3.3710.200.500

Document Id test-id-267745963 2.16.840.1.113883.3.3710.0
Document Created: April 4, 2024, 22:14:06 +0000
Performer Jaime Schwartz
Author Diana Tagaban, Jaime S. Schwartz, MD
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, US

Tel (Work Place): 3108825454

Encounter Id 4924319 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111
Encounter Date  From March 11, 2024
Encounter Participant Kaory Silva
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, US

Tel (Work Place): 3108825454

Encounter Participant Jaime Schwartz
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, US

Tel (Work Place): 3108825454

Legal authenticator Diana Tagaban signed at April 4, 2024, 22:14:06 +0000
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, US

Tel (Work Place): 3108825454

Document maintained by Jaime S. Schwartz, MD
Contact info Work Place:

240 S La Cienega Blvd Ste 200

Beverly Hills, CA 902113324, 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 Don’t Know
Gender identity Unspecified

Problems

Problem Code Type Status Date of Diagnosis Date of Resolution
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 03/11/2024
History of depression (situation) 161469008(SNOMED) Problem active
History of pregnancy (situation) 271903000(SNOMED) Problem active
Human immunodeficiency virus infection (disorder) 86406008(SNOMED) Problem active
Lipedema (disorder) 234102003(SNOMED) Problem active

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
Penicillins Rash mild to moderate active 12/01/1996

Medications

No data

Instructions

Results

No data

History of Procedures

Code Site Date Diagnosed Status
Documentation of past medical history (procedure) completed
Plastic surgery self-referral (procedure)
Documentation of past medical history (procedure)

Vital Signs

Vital Sign Measurement Date Recorded
Body Height 67.0 in Mon Mar 11 21:16:00 UTC 2024
Body Weight 170.0 lbs Mon Mar 11 21:16:00 UTC 2024
Body Mass Index 26.6 kg/m2 Mon Mar 11 21:16:00 UTC 2024

Plan of Treatment

Future visit PRN - Follow up PRN for: Preoperative Appointment, Discussion of Procedure, Additional Consultation, Preoperative Marking

History of Past Illness

Problem Code Type Status Date of Diagnosis Date of Resolution
History of depression (situation) 161469008 FINDING
Lipedema (disorder) 234102003 FINDING
History of pregnancy (situation) 271903000 FINDING
Easy bruising (finding) 424131007 FINDING
Human immunodeficiency virus infection (disorder) 86406008 FINDING

General Status

No data

Assessments

1.Lipedema Counseling - Lipedema

Immunizations

No data

Functional Status

No data

Mental Status

No data

Reason for Referral

No data

Encounters

Service provided at Jaime S. Schwartz, MD, 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324. Office phone number is 3108825454.

Encounter Diagnosis Location Date / Time Type
Lipedema (E65) Jaime S. Schwartz, MD 03/11/2024 22:30:00 UTC 99202

Review Of Systems

No Data

Goals

No data

Medical Equipment

No data

Health Concerns

No data

History of Present Illness

This is a 27 year old female who is being seen for a lipedema consultation for lipedema affecting the legs, thighs, hip shelf, knees, and ankles. Legs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Yes - Bruising: Yes - Pain: Yes - Cuffing: No - Dimpling: Yes Thighs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Yes - Bruising: Yes - Pain: Yes - Dimpling: Yes Hip Shelf: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Knees: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Ankles: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Duration: 20 years Associated Diagnoses: Varicose veins are believed to be present, but they have not been officially diagnosed Similarly Affected Family Members: mother and grandmother Pedicures: No Do You Wear Boots: No Lipedema Worsened By: pregnancy and oral contraceptive pills Swelling Occurs With: standing, sitting, end of day, and summer Previous Treatments: Elevation (no change), Compression Garments for 12 weeks or more (better), Manual Lymphatic Drainage for 12 weeks or more (better), and Diet (Anti-inflammatory (better)) Difficulty Walking: No Flexibility: Moderately Flexible Cooler Areas: buttocks, arms, upper arms, and The legs feel very hot to the touch Easy Bruising: legs, thighs, calves, buttocks, and arms Pain: when touched (Lowest Pain: 6 out of 10) and At the end of the , I feel a lot of pain, with a pain level of 8-9 Ability to move a chair from one room to another: With a little difficulty Ability to bend down and pick up clothing from the floor: With a little difficulty Ability to to stand for one hour: With much difficulty Ability to do chores such as vacuuming or yard work: With some difficulty Ability to push open a heavy door: With some difficulty Ability to exercise for an hour: With much difficulty Ability to carry a heavy object (over 10 pounds /5 kg): With a little difficulty Ability to stand up from an armless straight chair: Without any difficulty Ability to dress yourself, including tying shoelaces and buttoning your clothes: Without any difficulty Ability to able to dry your back with a towel: Without any difficulty The patient understands and agrees that they must continue wearing compression garments after their surgery.

Family History

Family history: Glaucoma (situation) - FATHER, GRANDFATHER
Family history of stroke (situation) - FATHER
Family history: Myocardial infarction at less than 60 (situation) - OTHER, GRANDFATHER
Family history of prostate cancer (situation) - GRANDFATHER
Family history of diabetes mellitus type 2 (situation) - GRANDFATHER, MOTHER
Family history: Polycystic ovaries (situation) - MOTHER
Family history: Drug dependency (situation) - OTHER, SISTER, AUNT, MOTHER, UNCLE

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
Kaory Silva Surgical Coordinator 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324, US 3108825454
Jaime Schwartz Doctor 1336397660 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324, US 3108825454

History And Physical Notes

No data