C09980197 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):3
Diagnosis or signs:Annual Vaccination
Consult notes
03/03/2026 GapOnly Summary
In-House team to paste into OpenVPMS
Presenting Complaint:
- Due for routine vaccination, including leptospirosis, prior to upcoming kennel stay.

Prior History:
- Yes. History of hot spots, previously treated without complications. No prior leptospirosis vaccination as this is now a new recommendation for Victoria.

Assessment:
- Open

Treatment:
- Administered routine annual vaccination including leptospirosis.
- Booster for leptospirosis vaccination recommended in one month.
- Issued vaccination certificate for kennel.
- Provided advice regarding ongoing management of hot spots (keep skin dry, use topical antiseptic as required).

Diet:
- Fed a cooked, fresh commercial wet food diet containing beef, lamb, and turkey. Current daily portion is 300g twice daily, with reduced amounts to support weight management.
- Receives small quantities of liver treats, occasional leftover meat pieces (beef), and occasional grated cheese.
- Noted to previously be fed kibble, now avoided due to palatability issues.
If additional details regarding clinical findings or significant concurrent problems are required, please refer to full consultation notes.

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 16:58:08
GapOnly Summary
In-House team to paste into OpenVPMS
Presenting Complaint:
- Due for routine vaccination, including leptospirosis, prior to upcoming kennel stay.

Prior History:
- Yes. History of hot spots, previously treated without complications. No prior leptospirosis vaccination as this is now a new recommendation for Victoria.

Assessment:
- Open

Treatment:
- Administered routine annual vaccination including leptospirosis.
- Booster for leptospirosis vaccination recommended in one month.
- Issued vaccination certificate for kennel.
- Provided advice regarding ongoing management of hot spots (keep skin dry, use topical antiseptic as required).

Diet:
- Fed a cooked, fresh commercial wet food diet containing beef, lamb, and turkey. Current daily portion is 300g twice daily, with reduced amounts to support weight management.
- Receives small quantities of liver treats, occasional leftover meat pieces (beef), and occasional grated cheese.
- Noted to previously be fed kibble, now avoided due to palatability issues.
If additional details regarding clinical findings or significant concurrent problems are required, please refer to full consultation notes.

Previous claim history (10)

DateClaim #Diagnosis
2026-02-21C09957385BEHAVIOURAL THERAPY
2025-12-05C09587094DERMATITIS
2025-11-28C9551985DERMATITIS
2025-11-20C9518677DERMATITIS
2025-11-18C9505357DERMATITIS
2025-10-28C9412496HOT SPOT
2025-10-24C9397593SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2025-08-22C9129246OTITIS EXTERNA
2024-09-18C8019937MASS LESION - SKIN (CUTANEOUS)
2024-09-10C8019937SALIVATION - INCREASED/DROOLING - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_vaccination_(canine)89.002026-03-03
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000tstarc_vaccination_(canine)158.652026-03-03
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
30000tstarc_heartworm_control185.332026-03-03
upstreamDSTP_routine_care_-_heartworm_control
40000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory45.362026-03-03

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.760
Threshold: 0.25
Above:
Correct?