C09986253 / invoice 10000

Species:CANINE
Breed:Mastiff Cross
Age (years):7
Diagnosis or signs:Cytopoint/ vaccination / f/w GHC
Consult notes
Dog Annual/Triennual Vax + GHC + cytopoint+ worming

Itching again - hasn't had Cytopoint since March - O is surprised but perhaps didn't need it. Explain re bid Apo BID.
But keeps eating things he shouldn't
Has gained weight

Sonotix & Elocon twice a week (skips Elocon if not itching)

Exam
BCS 6/9
Teeth grade 1
Skin - mild erythema and alopaecia & hyperpigmentation - ventrally - groin, axilla, around prepuce.
CVS nad
LN's nad
MSK - mild medial buttress and thickening R stifle, all other joints nad.

CYTOLOGY
R ear

TREATMENT 
Cytopoint given S/C 20mg/ml + 40mg/ml 
Protech C3 + bb/Pi2 Vaccination given S/C 
Proheart injection given S/C 

All nails clipped by LCW with Heather 

PLAN 
C5 vaccination + proheart due in 1 year 
Cytopoint can be given in 1 month by nurse
tapewormer to go home with 
Order in bravecto 6 month spot on 

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 12:00:00
Dog Annual/Triennual Vax + GHC + cytopoint+ worming

Itching again - hasn't had Cytopoint since March - O is surprised but perhaps didn't need it. Explain re bid Apo BID.
But keeps eating things he shouldn't
Has gained weight

Sonotix & Elocon twice a week (skips Elocon if not itching)

Exam
BCS 6/9
Teeth grade 1
Skin - mild erythema and alopaecia & hyperpigmentation - ventrally - groin, axilla, around prepuce.
CVS nad
LN's nad
MSK - mild medial buttress and thickening R stifle, all other joints nad.

CYTOLOGY
R ear

TREATMENT 
Cytopoint given S/C 20mg/ml + 40mg/ml 
Protech C3 + bb/Pi2 Vaccination given S/C 
Proheart injection given S/C 

All nails clipped by LCW with Heather 

PLAN 
C5 vaccination + proheart due in 1 year 
Cytopoint can be given in 1 month by nurse
tapewormer to go home with 
Order in bravecto 6 month spot on 

Previous claim history (7)

DateClaim #Diagnosis
2026-01-28C09820273HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER - ATOPIC DERMATITIS
2025-08-06C09812137HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2020-12-08C3678835OTITIS EXTERNA
2020-11-20C3362321OTITIS EXTERNA
2020-11-11C3362321VACCINATIONS OR HEALTH CHECKS
2020-09-10C3162039OTITIS EXTERNA
2020-06-26C3162039OTITIS EXTERNA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_skin_medication_-_cytopoint233.752026-03-04
20000tstarc_skin_medication_-_cytopoint194.602026-03-04
30000tstarc_vaccination_(canine)130.002026-03-04
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
40000tstarc_heartworm_control332.052026-03-04
upstreamDSTP_routine_care_-_heartworm_control
50000tstarc_diagnostic_test_-_cytology49.502026-03-04
60000tstarc_flea_and_tick_control177.752026-03-04
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication
70000tstarc_intestinal_worm_control30.052026-03-04
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.650
Threshold: 0.38
Above:
Correct?