C09983433 / invoice 10000

Species:CANINE
Breed:Labradoodle
Age (years):5
Diagnosis or signs:Consultation
Consult notes
04/03/2026 Nurse Entry
In with - Emily
Parasite control - Simp Trio given at home
Diet - RC hypo allergenic

Subjective: Was using ear drops at home that seemed to work well but owner can no longer find them.
So now one ear is more of a bother.
Allergies seem to have been going well but now he is just starting to flare up a bit.

Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - Right ear today


heart - normal systolic rhythm, rate -
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - 
dental -
Integument -
Temp - 

Assessment:

Plan:

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 11:01:43
Nurse Entry
In with - Emily
Parasite control - Simp Trio given at home
Diet - RC hypo allergenic

Subjective: Was using ear drops at home that seemed to work well but owner can no longer find them.
So now one ear is more of a bother.
Allergies seem to have been going well but now he is just starting to flare up a bit.

Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - Right ear today


heart - normal systolic rhythm, rate -
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - 
dental -
Integument -
Temp - 

Assessment:

Plan:

Previous claim history (16)

DateClaim #Diagnosis
2025-09-19C9243602HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-09-19C9243651HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-07-14C8960332OTITIS EXTERNA
2025-07-14C8960332HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-07-04C8921448HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-05-12C8696092EAR INFECTION
2025-03-07C8421690HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-11-29C8010099HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-10-11C6403237PAW WOUND
2023-06-14C5997710EAR INFECTION
2023-06-08C5976056EAR INFECTION
2023-05-24C5922604EAR (AURAL) INFECTION
2023-05-16C5897725EAR (AURAL) INFECTION
2023-05-05C5868340EAR (AURAL) INFECTION
2023-05-03C5851555EAR INFECTION
2023-03-22C5713560EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation109.002026-03-04
20000tstarc_skin_medication_-_cytopoint193.542026-03-04
30000tstarc_diagnostic_test_-_cytology51.002026-03-04
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal81.982026-03-04

UPM+

  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.580
Threshold: 0.38
Above:
Correct?