Obesity
|
|
Obesity Class
• • •
|
BMI
|
Edmonton Obesity Stage
|
Complications:
• • •
|
Drivers
• • •
|
Comment
|
Advised
• • •
|
IBT for Obesity
|
Readiness
|
|
Goals
• • •
|
|
Program
• • •
|
Comments
|
AOM thoughts
|
|
Prior Authorization
• • •
|
|
Medication
• • •
|
|
Risks, Benefits, Contraindications
• • •
|
EKG
• • •
|
Plan Comment
|
|
Maintenance
|
Comments
|
Post VLCD
|
Results
• • •
|
Other Chronic Medical Conditions and Co-Morbidities
|
|
CAD
|
|
Assessment Comment
|
|
CAD education
|
|
Treatment Plan
• • •
|
Plan Comment
|
MI
|
|
Assessment Comment
|
MI eductation
|
Treatment Plan
• • •
|
Plan Comment
|
HTN
|
|
Assessment Comment
|
|
HTN education
|
Pre- HTN education
|
Treatment Plan
• • •
|
Plan Comment
|
Elevated CRP
|
|
Value
|
Risks
• • •
|
Treatment Plan
|
Plan Comment
|
Dyslipidemia
|
|
Type
• • •
|
LDL value
|
HDL value
|
TG Value
|
Total/HDL Ratio
|
LDL/HDL Ratio
|
Dyslipidmia Education
|
Treatment Plan
• • •
|
Plan Comment
|
|
Migraines
|
|
Assessment Comment
|
Treatment
• • •
|
Plan Comment
|
|
PCOS
|
|
Assessment Comment
|
PCOS Education
|
Treatment Plan
• • •
|
Plan Comment
|
Metabolic Syndrome
|
|
Assessment Comment
|
|
Met S Criteria
• • •
|
Met S Education
|
Treatment Plan
• • •
|
Plan Comment
|
Insulin Resistance
|
Value
|
Treatment
• • •
|
Plan Comment
|
Pre-Diabetes
|
|
Starting A1c
|
Most Recent A1c
|
Pre-DM Education
|
|
Post VLCD A1C
|
Treatment Plan
• • •
|
Plan Comment
|
|
Type I Diabetes
|
Most recent A1C
|
Type I Diabetes Education
|
|
Treatment Plan
• • •
|
Plan Comment
|
Type II Diabetes
|
|
Starting HgA1C
|
Most recent HgA1C
|
Post VLCD HgA1C
|
|
Diabetes education
|
|
Treatment Plan
• • •
|
Plan Comment
|
MASLD/Liver Disease
|
|
ALT
|
AST
|
Assessment
• • •
|
Treatment Plan
• • •
|
Plan Comment
|
|
GERD
|
|
Assessment Comment
|
|
Medication
|
Treatment Plan
• • •
|
Plan Comment
|
|
Asthma
|
|
Asthma Meds
|
Plan Comment
|
OSA
|
|
Treatment Plan
|
Comments
|
Snoring
|
|
Treatment Plan
• • •
|
Plan Comment
|
Anemia
|
|
Treatment Plan
• • •
|
Plan Comment
|
Osteoporosis
|
|
Treatment Plan
• • •
|
Plan Comment
|
Vitamin D Deficiency
|
|
Value
|
Treatment Plan
• • •
|
Plan Comment
|
|
Osteoarthritis
|
|
Treatment Plan
• • •
|
Plan Comment
|
Gout
|
|
Uric Acid Level
|
|
Treatment Plan
• • •
|
Plan Comment
|
Hypothyroidism
|
|
Treatment
• • •
|
Plan Comment
|
Fatigue
|
|
Assessment Comment
|
|
Treatment Plan
• • •
|
Plan Comment
|
Depression
|
|
Treatment Plan
• • •
|
Plan Comment
|
Anxiety
|
|
Treatment Plan
• • •
|
Plan Comment
|
Insomnia
|
|
Treatment
• • •
|
Plan Comment
|
BED
|
|
Assessment Comment
• • •
|
Treatment
• • •
|
Constipation
|
|
Treatment Plan
• • •
|
Plan Comment
|
Tobacco dependence
|
Plan Comment
|
Treatment Plan
• • •
|
|
Other Medical Conditions
|
|
Medical Condition 1
|
Plan Comment
|
Medical Condition 2
|
Plan Comment
|
Medical Condition 3
|
Plan Comment
|
Labs
• • •
|
Comments
|
Follow up
• • •
|
Comments
|
Telemedicine appointment
|
Mobile/Scale/BP Onboarding
|