C09971843 / invoice 10000
Species:CANINE
Breed:Border Collie
Age (years):4
Diagnosis or signs:Consultation
Consult notes
02/03/2026 REASON: Hurt mouth with stick
Nurse: JZ
Presented by: Andres
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HOME CARE AND PREVENTIONS
Vaccinations: UTD
Nutrition: Lifewise grain free
Worming: nexgard spectra
Hwp: ^^
Flea Treatment: ^^
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SUBJECTIVE / HISTORY:
Friend looking after salsa yesterday, went ot dog park. Playing with stick and injured mouth
yesterday did not want to drink or eat
seems to have improved this morning, did drink a little bit and ate this morning, But still seems sad
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CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
-
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OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 5
DS (0-4): {__}
T: {__}
P: {__}
R: {__}
APPEARANCE/DEMEANOUR: BAR, very nervous
SKIN & COAT: {__}
EARS: {__}
EYES: {__}
ORAL: {__}
MM: {__}
CVS: {__}
RESP: {__}
ABDO/GIT: {__}
UROGEN: {__}
NEURO: {__}
MSK: {__}
LN: {__}
n : Normal - : Not Examined
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ASSESSMENT:
Problems:
{__}
Ddxi:
{__}
Further Procedure & Diagnostic Needs [Client Response]:
Sedate and examine mouth properly [d]
O opted for medications first - if worsen will bring back in for sedation and examination
Medication:
{__}
Ongoing medication prescriptions? Renewed prescriptions: {__}
[a] = Appointment [d] = Deferred [w] = Waived [x] = Do it now
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PLAN / CE:
{__}
Finalised by {__}
Rec = Recall Rev = Revisit Rem = ReminderAnimal clinical history (3 most recent)
2026-03-02T00:00:00Z 10:21:10
REASON: Hurt mouth with stick
Nurse: JZ
Presented by: Andres
-------------------------------------------------------------------------------
HOME CARE AND PREVENTIONS
Vaccinations: UTD
Nutrition: Lifewise grain free
Worming: nexgard spectra
Hwp: ^^
Flea Treatment: ^^
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY:
Friend looking after salsa yesterday, went ot dog park. Playing with stick and injured mouth
yesterday did not want to drink or eat
seems to have improved this morning, did drink a little bit and ate this morning, But still seems sad
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
-
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 5
DS (0-4): {__}
T: {__}
P: {__}
R: {__}
APPEARANCE/DEMEANOUR: BAR, very nervous
SKIN & COAT: {__}
EARS: {__}
EYES: {__}
ORAL: {__}
MM: {__}
CVS: {__}
RESP: {__}
ABDO/GIT: {__}
UROGEN: {__}
NEURO: {__}
MSK: {__}
LN: {__}
n : Normal - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT:
Problems:
{__}
Ddxi:
{__}
Further Procedure & Diagnostic Needs [Client Response]:
Sedate and examine mouth properly [d]
O opted for medications first - if worsen will bring back in for sedation and examination
Medication:
{__}
Ongoing medication prescriptions? Renewed prescriptions: {__}
[a] = Appointment [d] = Deferred [w] = Waived [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE:
{__}
Finalised by {__}
Rec = Recall Rev = Revisit Rem = Reminder2026-02-13T00:00:00Z 09:21:33
NURSE RECALL Reason: see if O wants to book in dental Spoke to -- OUTCOME / PLAN: LAM on Andres's mobile. Closed recall as second contact.
2026-02-11T00:00:00Z 09:46:44
NURSE RECALL Reason: see if O has had thoughts on Dental Spoke to -- OUTCOME / PLAN: LAM on Andres's mobile - moved recall forward two days.
Previous claim history (17)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-28 | C09820621 | VACCINATIONS OR HEALTH CHECKS |
| 2025-12-28 | C09683246 | FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT |
| 2025-01-07 | C8166997 | COLLAPSE |
| 2025-01-06 | C8163788 | VACCINATIONS OR HEALTH CHECKS |
| 2025-01-06 | C8163788 | COLLAPSE |
| 2023-02-02 | C5554612 | GASTROENTERITIS |
| 2023-02-01 | C5546288 | DIARROHEA |
| 2023-01-24 | C5513988 | FOREIGN BODY, GRASS SEED |
| 2023-01-23 | C5517325 | VACCINATIONS OR HEALTH CHECKS |
| 2022-06-30 | C4880627 | MISCELLANEOUS CONDITIONS |
| 2022-06-30 | C4949743 | MISCELLANEOUS CONDITIONS |
| 2022-04-21 | C4678417 | MISCELLANEOUS CONDITIONS |
| 2022-04-04 | C4629584 | LAMENESS LF |
| 2022-04-04 | C4629584 | FLEA/TICK/WORM CONTROL |
| 2022-01-04 | C4374807 | FLEA/TICK/WORM CONTROL |
| 2022-01-04 | C4374807 | HEARTWORM CONTROL |
| 2022-01-04 | C4374807 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_amoxicillin | 33.87 | 2026-03-02 | — |
| 20000 | tstarc_meloxicam | 40.95 | 2026-03-02 | — |
| 30000 | tstarc_consultation | 101.60 | 2026-03-02 | — |
UPM+
- DG01687STICK INJURYDSTP_foreign_body_-_oral
Variant (sleepy_king)
FOREIGN BODY - ORAL (MOUTH)
DSTP_foreign_body_-_oral
Conf: 0.600
Threshold: 0.90
Above: ✗
Correct?