C09982917 / invoice 10000
Species:CANINE
Breed:Dalmatian
Age (years):3
Diagnosis or signs:back pain
Consult notes
Animal clinical history (3 most recent)
2026-03-01T00:00:00Z 11:05 AM
Reason: In Pain? YelpingHx: Today has been very uncomfortable/unsettled. Yelping out in pain randomly. Not able to jump up on furniture despite wanting to. Not had these issues before.Ex: Put paw up on chair in consult but not able to get herself up onto it (O says that this is very unusual for her). NAD on neck movements, NAD on tail jack. I suspect uncomfortable around T-L junction on palp of spine (repeatable). Abdo palp: NAD, MM pink, heart NAD.Discussion/Plan: I suspect back pain (IVDD?). I have given her methadone for now, gaba can start tonight, carprofen when she gets home (can have with food). Recommended resting for at least a week (no deliberate walks). INI each day = revisit.Tx: 0.8mL methadone SC, 10 days carprofen (75mg SID), starting tonight - 7 days gabapentin (300mg BID). Vital Signs Weight: 27.5;
Previous claim history (8)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-06-11 | C8833892 | CORNEAL ULCER |
| 2025-06-06 | C8833901 | CORNEAL ULCER |
| 2025-06-03 | C8796297 | CORNEAL ULCER |
| 2025-06-01 | C8785433 | FOREIGN BODY - INTRA-OCULAR, CORNEAL |
| 2025-01-07 | C8796300 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2023-12-16 | C6650866 | INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT |
| 2023-11-23 | C6563204 | INTOXICATION (POISONING), PLANT (UNSPECIFIED) |
| 2023-11-23 | C6563215 | INGEST FOREIGN OBJECT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 104.99 | 2026-03-01 | — |
| 20000 | tstarc_procedure_fee | 65.00 | 2026-03-01 | — |
| 30000 | tstarc_opioids_-_methadone | 32.00 | 2026-03-01 | — |
| 40000 | tstarc_anticonvulsant_medication_-_gabapentin | 25.70 | 2026-03-01 | — |
| 50000 | tstarc_carprofen | 43.01 | 2026-03-01 | — |
UPM+
- DG02085PAIN - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_pain
Variant (sleepy_king)
PAIN - NECK (CERVICAL) - PRESENTING COMPLAINT
DSTP_clinical_signs_-_neck_pain
Conf: 0.390
Threshold: 0.90
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description