C09974197 / invoice 10000

Species:CANINE
Breed:Maremma Sheepdog
Age (years):6
Diagnosis or signs:Consultation
Consult notes
02/03/2026 SUBJECTIVE:presented by Natalie
stilboeteraol ran out last week. this week leaving puddles -usually where she has been lyuing
in herself no other concerns -no changes in drinking ,appetite is normal 

OBJECTIVE:
all okay on exam 
growled when trying to check vulva/under tail so this was not done. 
abdo -NSF

ASSESSMENT:likely hormonal incontinance -responsive to stilboesterol 


PLAN:ok for 6mths - should have enough meds for this - reminder added for meds review in 6mths unless concerns prior 

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 14:35:28
SUBJECTIVE:presented by Natalie
stilboeteraol ran out last week. this week leaving puddles -usually where she has been lyuing
in herself no other concerns -no changes in drinking ,appetite is normal 

OBJECTIVE:
all okay on exam 
growled when trying to check vulva/under tail so this was not done. 
abdo -NSF

ASSESSMENT:likely hormonal incontinance -responsive to stilboesterol 


PLAN:ok for 6mths - should have enough meds for this - reminder added for meds review in 6mths unless concerns prior 

Previous claim history (2)

DateClaim #Diagnosis
2025-11-22C9549534URINARY INCONTINENCE
2025-10-23C9397564URINARY INCONTINENCE

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit105.002026-03-02
20000tstarc_incontinence_medication_-_stilboestrol52.252026-03-02

UPM+

  • DG01879URINARY INCONTINENCEDSTP_urinary_incontinence

Variant (sleepy_king)

URINARY INCONTINENCE
DSTP_urinary_incontinence
Conf: 0.930
Threshold: 0.25
Above:
Correct?