C09983371 / invoice 10000

Species:CANINE
Breed:Cocker Spaniel
Age (years):3
Diagnosis or signs:see hx
Consult notes
Reason: Ear Flush under sedationAdmit with: MJABeen well EDDUOn fluoxetine mane- not given this morningBAR, friendlyPre-Op/Procedure Check: HR:100 reg, nil pulse deficits   RR: panting  Temp:  MM: pink/moist   CRT: < 2 sec Sedation:    Medetomidine:  0.32    ml, route;    IV Butorphanol:     0.13ml, route;   IV  @    09:17Reversal:  Atipamezole;  0.32  ml,   route;  IM   @  9:38amgrass seed removed from L ear, both ear drums appear partially ruptured home with dex/enro/sterile h20 0.5ml bid both ears start oral pred today Plan:  recheck ears in 2 wksClient Communication: sc lam 10:05amDischarge:

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 8:43?am
Reason: Ear Flush under sedationAdmit with: MJABeen well EDDUOn fluoxetine mane- not given this morningBAR, friendlyPre-Op/Procedure Check: HR:100 reg, nil pulse deficits   RR: panting  Temp:  MM: pink/moist   CRT: < 2 sec Sedation:    Medetomidine:  0.32    ml, route;    IV Butorphanol:     0.13ml, route;   IV  @    09:17Reversal:  Atipamezole;  0.32  ml,   route;  IM   @  9:38amgrass seed removed from L ear, both ear drums appear partially ruptured home with dex/enro/sterile h20 0.5ml bid both ears start oral pred today Plan:  recheck ears in 2 wksClient Communication: sc lam 10:05amDischarge:    Vital Signs    

Previous claim history (6)

DateClaim #Diagnosis
2026-03-03C09977954OTITIS EXTERNA
2026-03-03C09977954BEHAVIOUR DISORDER
2026-01-09C09734644BEHAVIOUR DISORDER
2025-07-28C9022075INSECT BITE/STING
2025-04-07C8555055EAR INFECTION
2025-04-01C8525848EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_cytology70.012026-03-04
20000tstarc_procedure_fee_-_ear_flush150.002026-03-04
30000tstarc_corticosteroid_injection63.302026-03-04
40000tstarc_sedation_for_procedure226.002026-03-04
50000tstarc_hospitalisation115.002026-03-04
60000tstarc_corticosteroids33.102026-03-04
70000tstarc_antibiotics_-_enrofloxacin108.942026-03-04

UPM+

  • DG00867FOREIGN BODY, GRASS SEEDDSTP_foreign_body_-_grass_seed

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.980
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description