Transition of Care Document

Patient Cheryl Thomas Preferred Language Unspecified
Date of birth March 22, 1973 Sex Female
Race Unspecified

Ethnicity Unspecified
Contact info Home:

33864 Bartola Dr

Sterling Heights, MI 48312, US

Tel (Mobile): +1(248)-376-5699

Tel (Primary Home): +1(248)-376-5699

Mail: clh32273@yahoo.com

Patient IDs 2902432 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101

MM0000001013 2.16.840.1.113883.3.3710.3

MODMED 2.16.840.1.113883.3.3710.200.501

115636PAT000001023 2.16.840.1.113883.3.3710.200.500

Document Id test-id-1968494036 2.16.840.1.113883.3.3710.0
Document Created: April 6, 2024, 17:46:49 +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 3754380 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111
Encounter Date  From October 31, 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, 17:46:49 +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 Unspecified
Gender identity Unspecified

Problems

Problem Code Type Status Date of Diagnosis Date of Resolution
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 10/31/2023
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 10/31/2023
Hypermobile Ehlers-Danlos syndrome (disorder) 30652003(SNOMED) Diagnosis active 10/31/2023
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 10/31/2023
Varicose veins of lower extremity (disorder) 72866009(SNOMED) Diagnosis active 10/31/2023
Peripheral venous insufficiency (disorder) 20696009(SNOMED) Diagnosis active 10/31/2023
Acquired lymphedema of lower extremity (disorder) 609376003(SNOMED) Problem active
Asthma (disorder) 195967001(SNOMED) Problem active
Circulatory care for venous insufficiency (regime/therapy) 386238003(SNOMED) Problem active
Easy bruising (finding) 424131007(SNOMED) Problem active
Fibromyalgia (disorder) 203082005(SNOMED) Problem active
History of bronchitis (situation) 275528007(SNOMED) Problem active
History of depression (situation) 161469008(SNOMED) Problem active
History of pneumonia (situation) 161525004(SNOMED) Problem active
History of orthopedic surgery (situation) 53371000119101(SNOMED) Problem active
History of recurrent pneumonia (situation) 699015004(SNOMED) Problem active
Lipedema (disorder) 234102003(SNOMED) Problem active
Lymphedema of lower extremity (disorder) 403385000(SNOMED) Problem active
History of clinical finding in subject (situation) 417662000(SNOMED) Problem active
Abdominoplasty (procedure) 177250006(SNOMED) Problem active
Thigh reduction (procedure) 177256000(SNOMED) Problem active
Plastic surgery self-referral (procedure) 183706004(SNOMED) Problem active
History of hay fever (situation) 161524000(SNOMED) Problem active

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
Sulfa (Sulfonamide Antibiotics) Rash unspecified active
Penicillins Rash unspecified active

Medications

Medication Generic Name RxNorm Strength Strength Unit Route Dose Dose Form Frequency Date Started Date Ended Status Indication Sig
Flonase Allergy Relief fluticasone propionate 1797933 50 mcg/actuation Nasal spray,suspension active
Allegra Allergy fexofenadine 997422 180 mg Oral tablet 10/31/1985 active
Trikafta elexacaftor-tezacaftor-ivacaft 100-50-75 mg(d) /150 mg (n) Oral tablets, sequential 10/31/2018 active
Wellbutrin XL bupropion HCl 993564 300 mg Oral tablet extended release 24 hr active

Instructions

No Data

Results

No data

History of Procedures

Code Site Date Diagnosed Status
History of abdominal hernia (situation) completed
Classical cesarean section (procedure) completed
Hernia repair (procedure) completed
Hernia repair (procedure) completed
Classical cesarean section (procedure) completed
History of abdominal hernia (situation) completed
Abdominoplasty (procedure)
Thigh reduction (procedure)
Plastic surgery self-referral (procedure)
History of abdominal hernia (situation)
Hernia repair (procedure)
Classical cesarean section (procedure)

Vital Signs

No data

Plan of Treatment

Future visit PRN - Follow up PRN

History of Past Illness

Problem Code Type Status Date of Diagnosis Date of Resolution
History of hay fever (situation) 161524000 FINDING
History of depression (situation) 161469008 FINDING
History of pneumonia (situation) 161525004 FINDING
Asthma (disorder) 195967001 FINDING
Fibromyalgia (disorder) 203082005 FINDING
Lipedema (disorder) 234102003 FINDING
History of bronchitis (situation) 275528007 FINDING
Circulatory care for venous insufficiency (regime/therapy) 386238003 FINDING
Lymphedema of lower extremity (disorder) 403385000 FINDING
History of clinical finding in subject (situation) 417662000 FINDING
Easy bruising (finding) 424131007 FINDING
History of orthopedic surgery (situation) 53371000119101 FINDING
Acquired lymphedema of lower extremity (disorder) 609376003 FINDING
History of recurrent pneumonia (situation) 699015004 FINDING

General Status

No data

Assessments

1.Lipedema

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
Lipedema (E65) Total Lipedema Care - Arizona 10/31/2023 21:32:14 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