Transition of Care Document

Patient April Childers Preferred Language en
Date of birth April 30, 1970 Sex Female
Race Unspecified

Ethnicity Not Hispanic or Latino
Contact info Home:

2019 154th St E

Bradenton, FL 34212, US

Tel (Mobile): +1(941)-587-5678

Tel (Primary Home): +1(941)-587-5678

Mail: april@aprilchilders.biz

Patient IDs 3056372 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101

MM0000001133 2.16.840.1.113883.3.3710.3

MODMED 2.16.840.1.113883.3.3710.200.501

115636PAT000001143 2.16.840.1.113883.3.3710.200.500

Document Id test-id-58078937 2.16.840.1.113883.3.3710.0
Document Created: April 6, 2024, 11:12:19 +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 3855623 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111
Encounter Date  From November 15, 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, 11:12:19 +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
Disorder of connective tissue (disorder) 105969002(SNOMED) Diagnosis active 11/15/2023
Immune system finding (finding) 106182000(SNOMED) Diagnosis active 11/15/2023
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 11/15/2023
Varicose veins of lower extremity (disorder) 72866009(SNOMED) Diagnosis active 11/15/2023
Mast cell disorder (disorder) 397007003(SNOMED) Diagnosis active 11/15/2023
Hypothyroidism (disorder) 40930008(SNOMED) Diagnosis active 11/15/2023
Disorder of connective tissue (disorder) 105969002(SNOMED) Diagnosis active 11/15/2023
Immune system finding (finding) 106182000(SNOMED) Diagnosis active 11/15/2023
Anxiety (finding) 48694002(SNOMED) Problem active
Arthritis (disorder) 3723001(SNOMED) Problem active
History of pregnancy (situation) 271903000(SNOMED) Problem active
History of lipoma (situation) 16900351000119101(SNOMED) Problem active
History of orthopedic surgery (situation) 53371000119101(SNOMED) Problem active
Hypothyroidism (disorder) 40930008(SNOMED) Problem active
Pain in female genitalia on intercourse (finding) 81712001(SNOMED) Problem active
Abdominoplasty and liposuction (procedure) 177252003(SNOMED) Problem active
Plastic surgery self-referral (procedure) 183706004(SNOMED) Problem active

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
Allergic to triptans Allergic to darvaset and percaset 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
Lasix furosemide 200809 40 mg Oral tablet active

Instructions

No Data

Results

No data

History of Procedures

Code Site Date Diagnosed Status
Biopsy of breast (procedure) completed
Classical cesarean section (procedure) completed
History of abdominal hernia (situation) completed
Lumpectomy of breast (procedure) completed
Lumpectomy of right breast (procedure) completed
History of tubal ligation (situation) completed
Surgical biopsy of skin (procedure) completed
Surgical biopsy of skin (procedure) completed
History of abdominal hernia (situation) completed
Classical cesarean section (procedure) completed
History of tubal ligation (situation) completed
Biopsy of breast (procedure) completed
Lumpectomy of breast (procedure) completed
Lumpectomy of right breast (procedure) completed
Abdominoplasty and liposuction (procedure)
Plastic surgery self-referral (procedure)
Biopsy of breast (procedure)
History of abdominal hernia (situation)
History of tubal ligation (situation)
Surgical biopsy of skin (procedure)
Lumpectomy of breast (procedure)
Lumpectomy of right breast (procedure)
Classical cesarean section (procedure)

Vital Signs

No data

Plan of Treatment

Future visit for 11/15/2024 - Follow up in 1 year

History of Past Illness

Problem Code Type Status Date of Diagnosis Date of Resolution
History of lipoma (situation) 16900351000119101 FINDING
History of pregnancy (situation) 271903000 FINDING
Arthritis (disorder) 3723001 FINDING
Hypothyroidism (disorder) 40930008 FINDING
Anxiety (finding) 48694002 FINDING
History of orthopedic surgery (situation) 53371000119101 FINDING
Pain in female genitalia on intercourse (finding) 81712001 FINDING

General Status

No data

Assessments

1.Systemic involvement of connective tissue, unspecified 2.Other specified abnormal immunological findings in serum

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
Systemic involvement of connective tissue, unspecified (M35.9) Other specified abnormal immunological findings in serum (R76.8) Total Lipedema Care - Arizona 11/15/2023 18:06:42 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