Transition of Care Document

Patient	Yvette Etteldorf	Preferred Language	Unspecified
Date of birth	November 11, 1979	Sex	Female
Race	Unspecified	Ethnicity	Unspecified
Contact info	Home: 5815 Harkins Ave Little Rock, AR 72210, US Tel (Mobile): +1(501)-347-4464 Tel (Primary Home): +1(501)-347-4464 Mail: yetteldorf@gmail.com	Patient IDs	3358126 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101 MM0000001192 2.16.840.1.113883.3.3710.3 MODMED 2.16.840.1.113883.3.3710.200.501 115636PAT000001202 2.16.840.1.113883.3.3710.200.500

Document Id	test-id-707227053 2.16.840.1.113883.3.3710.0
Document Created:	April 6, 2024, 17:33:19 +0000

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
Encounter Date	From , to ,
Encounter Participant
Contact info

Legal authenticator	Diana Tagaban signed at April 6, 2024, 17:33:19 +0000
Contact info	Work Place: 240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454

Document maintained by	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
449868002 (SNOMED)	Current every day smoker
Birth Sex	female
Sexual orientation	Don’t Know
Gender identity	Unspecified

Problems

Problem	Code	Type	Status	Date of Diagnosis	Date of Resolution
No known problem	N/A	N/A	N/A	N/A

Allergies

Substance	RxNorm	Reaction(s)	Severity	Status	Start Date
Whooping cough or polio vaccine.	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
Brilinta	ticagrelor	1116639	90	mg	Oral		tablet	2	03/14/2023		active	Heart Attack
Children's Aspirin	aspirin				oral				03/14/2023		active
CoQ-10	coenzyme Q10	252761	100	mg	Oral		capsule	1	03/14/2023		active
estradiol-norethindrone acet	estradiol-norethindrone acet		1-0.5	mg	Oral		tablet	1			active	Hormone deficiency
eszopiclone	eszopiclone	485465	3	mg	Oral		tablet	1			active	Sleep
metoprolol succinate	metoprolol succinate	866427	25	mg	Oral	.5	tablet extended release 24 hr	1			active
ranolazine	ranolazine	616749	500	mg	Oral		tablet extended release 12 hr	2			active	Heart Attack
Synthroid	levothyroxine	966282	88	mcg	Oral		tablet	1	03/14/2023		active	Hypothyroidism

Instructions

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Results

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History of Procedures

Code	Site	Date Diagnosed	Status
Plastic surgery self-referral (procedure)
Documentation of past medical history (procedure)
Gastric sleeve (physical object)

Vital Signs

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Plan of Treatment

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History of Past Illness

Problem	Code	Type	Status	Date of Diagnosis	Date of Resolution
History of chest pain (situation)	16089411000119109	FINDING
History of lipoma (situation)	16900351000119101	FINDING
Sexual abuse (event)	213017001	FINDING
Victim of verbal abuse (finding)	225825002	FINDING
Lipedema (disorder)	234102003	FINDING
History of bronchitis (situation)	275528007	FINDING
History of anemia (situation)	275538002	FINDING
Emotional abuse (event)	371773006	FINDING
Hypothyroidism (disorder)	40930008	FINDING
Easy bruising (finding)	424131007	FINDING
At high risk for malignant neoplasm of breast (finding)	448731000124102	FINDING
Anxiety (finding)	48694002	FINDING
Pain in female genitalia on intercourse (finding)	81712001	FINDING

General Status

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Assessments

Immunizations

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Functional Status

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Mental Status

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Reason for Referral

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Review Of Systems

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Goals

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Medical Equipment

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Health Concerns

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History of Present Illness

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Family History

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Consultation Notes

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Laboratory Narrative

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Pathology Narrative

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Imaging Narrative

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Procedure Notes

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Progress Notes

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History And Physical Notes

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