C09988616 / invoice 10000

Species:CANINE
Breed:Border Collie Cross
Age (years):4
Diagnosis or signs:Appointment
Consult notes
05/03/2026 SUBJECTIVE:



LEFT



OBJECTIVE:





ASSESSMENT:





PLAN:





CLIENT COMMUNICATION:

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 09:45:10
SUBJECTIVE:



LEFT



OBJECTIVE:





ASSESSMENT:





PLAN:





CLIENT COMMUNICATION:
2025-10-04T00:00:00Z 14:54:00
HISTORY:
BIOP for 2 weeks
Shaking head recently, scratching ears more
no ataxia
Been desexed, no significant health issues
c3 17/5/22
EDDU normal, BAR
parasite prevention: nexgard spectra
Presented for:  3 year old just rehome want to make sure she’s healthy and doesn’t need anything + maybe as an ear infection (CS)

EXAM:
Mentation: BAR
BCS: 5/9
Hydration status: hydrated
Eyes: NAD
Ears: bilateral moderate waxy discharge present, desexing tattoo present
Nose: NAD
Mouth: minor wear on all 4 canines otherwise NAD
MM: pink CRT<2s
LNs: WNLs
CV: HR: 110 BPM, no M Or A
Resp: normal rate, effort
Abdo: soft, comfortable
MSK: NAD
Integ: NAD
Cytology: bilateral yeast

ASSESSMENT:
OE, bilateral yeast

PLAN:
Dermotic BID for 10 days 1ml
Revisit in 10 days - Vaccinate/c5 at this appointment

COMMUNICATION:
Discussed ear infection. Also likely due for vaccination (forgot to vaccinate, please vacc at recheck)

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation115.002026-03-05β€”
20000tstarc_diagnostic_test_-_cytology40.002026-03-05β€”
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal57.762026-03-05β€”
40000tstarc_ear_cleaner35.812026-03-05β€”

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.990
Threshold: 0.07
Above: βœ“
Correct?