C09978967 / invoice 10000
Species:CANINE
Breed:Havanese
Age (years):6
Diagnosis or signs:Unspecified
Consult notes
03/03/2026 HISTORY: Painful right ear at home, red and itchy. EDDU ok. A little subdued. PHYSICAL EXAM: Attitude: BAR BCS: 3/5 Heart/lungs: grade 3 heart murmur, recently investigated MM: pink Skin Tent: normal Dental Score: 2 Abdomen: nad Skin: normal Eyes: nad Ears: right ear lichenified and red Temp: not assessed Lymph Nodes: normal MSK/Neuro: 4x ambulatory Rectal: not assessed DIAGNOSTICS: cytology R: Yeast +++, cocci + L: clear ASSESSMENT: otitis externa PLAN: easotic + epiotic 5d, recheck in 10d. SE
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 14:22:47
HISTORY: Painful right ear at home, red and itchy. EDDU ok. A little subdued. PHYSICAL EXAM: Attitude: BAR BCS: 3/5 Heart/lungs: grade 3 heart murmur, recently investigated MM: pink Skin Tent: normal Dental Score: 2 Abdomen: nad Skin: normal Eyes: nad Ears: right ear lichenified and red Temp: not assessed Lymph Nodes: normal MSK/Neuro: 4x ambulatory Rectal: not assessed DIAGNOSTICS: cytology R: Yeast +++, cocci + L: clear ASSESSMENT: otitis externa PLAN: easotic + epiotic 5d, recheck in 10d. SE
2026-01-27T00:00:00Z 15:53:08
Presented for vacc lepto booster
HR: 100
Respiration: normal
Temp: //
Vaccination Status:
C3 Current
Kennel Cough Current
Parasite Protection: Bravecto Q Given 15/1
Flea control: {__}
Tick control: {__}
Heartworm prevention: Proheart given 15/1
Worming: {__}
Skin: nad
Ears: nad
Eyes: nad
Heart & Lungs: g3 murmur
Muscles: nad
Bones & Joints: nad
Teeth & Gums: Grade 2 dental disease
Intestinal and Urinary Health: nad
Body Condition Score: 3/5
Behavioural Issues: needle phobic
Recommendations: Dental After o comes back from italy
ID
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-15 | C09795716 | HEART CONDITION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 38.51 | 2026-03-03 | — |
| 20000 | tstarc_ear_cleaner | 28.97 | 2026-03-03 | — |
| 30000 | tstarc_diagnostic_test_-_cytology | 99.50 | 2026-03-03 | — |
| 40000 | tstarc_consultation | 62.47 | 2026-03-03 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.980
Threshold: 0.07
Above: ✓
Correct?