C09971241 / invoice 10000
Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):2
Diagnosis or signs:vaccination and ear check
Consult notes
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 9:22 AM
History:Winnie attends for his vaccination and general health check.ConcernsEar issues, recurrent from last year. O has been using a weekly ear cleaner.Itchiness around the chin/muzzle.Parasite prevention: Nexgard Spectra monthly.Health history: Recurrent otitis externa.Current medications: Weekly ear cleaner.Examination:Demeanour: bright but anxiousMM: pink, moist; CRT normalOral: normalEyes/nose/ears: mild ceruminous discharge R ear, mild erythema chinCardiorespiratory: HR 120 bpm, regular rhythm, no murmurlungs clearAbdomen: soft + comfortableSkin: mild erythema and alopecia on chinBCS: 5/9Diagnostics:Ear cytologyR ear: yeast present (Malassezia), no bacteria seen.Assessment:Yeast otitis externa (R)Dispense ear medication.Revisit in 1 week.Allergic skin diseaseTrial Apoquel.Discussed allergy management including environmental control and diet trials.Treatment:Vaccinated with Vanguard C4 triennial + Bordetella oral. Discussed mild potential side effects (lethargy, reduced appetite, fever, local swelling).Medications dispensedSurolan, apply to R ear BID for 7 days.Apoquel, give 1 tablet BID for 7 days, then 1 tablet SID. To start in one week.Plan:Revisit in 1 week for ear recheck and to assess response to Apoquel.. Vital Signs Weight: 31;
2025-10-11T00:00:00Z 1:22 PM
Vital Signs
2025-08-08T00:00:00Z 3:07 PM
Vital Signs
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2024-07-08 | C7436254 | COUNCIL REGISTRATION FEES |
| 2024-07-08 | C7465337 | EAR CONDITIONS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 3.69 | 2026-03-02 | — |
| 20000 | tstarc_consultation | 77.30 | 2026-03-02 | — |
| 30000 | tstarc_consultation | 16.00 | 2026-03-02 | — |
| 40000 | tstarc_vaccination_(canine) | 2.40 | 2026-03-02 | upstreamDSTP_routine_care_-_vaccinations_or_health_checks |
| 50000 | tstarc_diagnostic_test_-_cytology | 1.70 | 2026-03-02 | — |
| 60000 | tstarc_diagnostic_test_-_cytology | 34.30 | 2026-03-02 | — |
| 70000 | tstarc_diagnostic_test_-_cytology | 20.00 | 2026-03-02 | — |
| 80000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 59.90 | 2026-03-02 | — |
| 90000 | tstarc_skin_medication_-_apoquel | 61.50 | 2026-03-02 | — |
| 100000 | tstarc_vaccination_(canine) | 27.61 | 2026-03-02 | upstreamDSTP_routine_care_-_vaccinations_or_health_checks |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
- DG02932VACCINATIONS OR HEALTH CHECKSDSTP_routine_care_-_vaccinations_or_health_checks
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.150
Threshold: 0.38
Above: ✗
Correct?