Transition of Care Document

Code	Activity	Start Date	End Date
266919005 (SNOMED)	Never smoker
Birth Sex	female
Sexual orientation	Unspecified
Gender identity	Unspecified

Problem	Code	Type	Status	Date of Diagnosis	Date of Resolution
Varicose veins of lower extremity (disorder)	72866009(SNOMED)	Diagnosis	active	11/01/2023
Peripheral venous insufficiency (disorder)	20696009(SNOMED)	Diagnosis	active	11/01/2023
Lymphedema (disorder)	234097001(SNOMED)	Diagnosis	active	10/25/2023
Localized obesity (disorder)	270486005(SNOMED)	Diagnosis	active	10/25/2023
Lymphedema (disorder)	234097001(SNOMED)	Diagnosis	active	10/25/2023
Peripheral venous insufficiency (disorder)	20696009(SNOMED)	Diagnosis	active	10/25/2023
Localized obesity (disorder)	270486005(SNOMED)	Diagnosis	active	10/25/2023
Hypermobile Ehlers-Danlos syndrome (disorder)	30652003(SNOMED)	Diagnosis	active	10/25/2023
Lymphedema (disorder)	234097001(SNOMED)	Diagnosis	active	10/25/2023
Varicose veins of lower extremity (disorder)	72866009(SNOMED)	Diagnosis	active	10/25/2023
Peripheral venous insufficiency (disorder)	20696009(SNOMED)	Diagnosis	active	10/25/2023
Vitamin D deficiency (disorder)	34713006(SNOMED)	Diagnosis	active	10/25/2023
Atrial fibrillation (disorder)	49436004(SNOMED)	Problem	active
Attention deficit hyperactivity disorder (disorder)	406506008(SNOMED)	Problem	active
Bipolar disorder (disorder)	13746004(SNOMED)	Problem	active
Depressive disorder (disorder)	35489007(SNOMED)	Problem	active
History of bronchitis (situation)	275528007(SNOMED)	Problem	active
History of depression (situation)	161469008(SNOMED)	Problem	active
History of obesity (situation)	161453001(SNOMED)	Problem	active
History of anemia (situation)	275538002(SNOMED)	Problem	active
Hypercholesterolemia (disorder)	13644009(SNOMED)	Problem	active
Plastic surgery self-referral (procedure)	183706004(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
estradiol	estradiol		12.5	mg	Implant	1	pellet	quarterly			active
testosterone	testosterone		75	mg	Implant	1	pellet	Quarterly			active
albuterol sulfate	albuterol sulfate	2166797	90	mcg/actuation	Inhalation		aero powdr breath act w/sensor	As Needed			active
atorvastatin	atorvastatin	617310	20	mg	Oral	2	tablet	Daily			active
bupropion HCl	bupropion HCl	993687	100	mg	Oral	2	tablet	Daily			active
Centrum Silver Women	multivit-min-iron-FA-vit K-lut		8 mg iron-400	mcg-50 mcg	Oral	1	tablet	Daily			active
dextroamphetamine-amphetamine	dextroamphetamine-amphetamine	577961	20	mg	Oral		tablet				active
diltiazem HCl	diltiazem HCl	833217	30	mg	Oral		tablet	As Needed			active
ergocalciferol (vitamin D2)	ergocalciferol (vitamin D2)	1367410	1,250 mcg	(50,000 unit)	Oral	1 Tablet	capsule	Weekly	10/25/2023		active		Take 1 tablet orally weekly.
hydroxyzine HCl	hydroxyzine HCl	995258	25	mg	Oral		tablet	As Needed			active
lamotrigine	lamotrigine	198428	150	mg	Oral	1	tablet	Daily			active
progesterone	progesterone	312644	200	mg/mL	Oral	1	oil	Dail			active
sertraline	sertraline	312938	100	mg	Oral	2	tablet	Daily			active
trazodone	trazodone	856377	50	mg	Oral	2	tablet	Daily			active
Vasculera	diosmin complex no.1		630	mg	Oral		tablet	daily	10/25/2023		active		Take 1 tablet by mouth daily.
Vitron-C	iron,carbonyl-vitamin C	1799178	65 mg iron-	125 mg	Oral	2	tablet,delayed release (DR/EC)	Daily			active
zinc sulfate	zinc sulfate	313773	50 mg zinc	(220 mg)	Oral	1	capsule	Daily			active
Zyrtec	cetirizine	1020023	10	mg	Oral	2	capsule	Daily			active

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Code	Site	Date Diagnosed	Status
Bypass of stomach (procedure)			completed
Cholecystectomy (procedure)			completed
Bypass of stomach (procedure)			completed
Cholecystectomy (procedure)			completed
Bypass of stomach (procedure)			completed
Cholecystectomy (procedure)			completed
Bypass of stomach (procedure)			completed
Cholecystectomy (procedure)			completed
Plastic surgery self-referral (procedure)
Cholecystectomy (procedure)
Bypass of stomach (procedure)

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Future visit for 11/01/2024 - Follow up in 1 year

Code	Detail	Instructions
571909	Vasculera 630 mg tablet	Take 1 tablet by mouth daily.
1367410	ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule	Take 1 tablet orally weekly.
571909	Vasculera 630 mg tablet	Take 1 tablet by mouth daily.

Problem	Code	Type	Status	Date of Diagnosis	Date of Resolution
History of skin disorder (situation) - none	161560005	FINDING
Hypercholesterolemia (disorder)	13644009	FINDING
Bipolar disorder (disorder)	13746004	FINDING
History of obesity (situation)	161453001	FINDING
History of depression (situation)	161469008	FINDING
History of bronchitis (situation)	275528007	FINDING
History of anemia (situation)	275538002	FINDING
Depressive disorder (disorder)	35489007	FINDING
Attention deficit hyperactivity disorder (disorder)	406506008	FINDING
Anxiety (finding)	48694002	FINDING
Atrial fibrillation (disorder)	49436004	FINDING

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1.Varicose Veins 2.Chronic Peripheral Venous Insufficiency Prescription: Vasculera 630 mg tablet PO Frequency: daily Indication: Venous insufficiency

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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
Varicose Veins (I83.90) Chronic Peripheral Venous Insufficiency (I87.2)	Total Lipedema Care - Arizona	11/01/2023 21:42:27 UTC

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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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