C09995473 / invoice 10000

Species:CANINE
Breed:Italian Lagotto Romagnolo
Age (years):8
Diagnosis or signs:See notes
Consult notes
Reason: Zydax, Vaccinations

History 
Eating well, drinking well, normal stool, urinating normally.
Diet: No change
Problems: 
- OA
- overweight
Existing medications: NA
Heartworm Prevention: UTD
Flea and tick control: UTD

Physical examination

Mouth - dental disease grade 2? Hard to see as nippy
Ears - no abnormalities
Eyes - conjunctiva and orbit normal
Skin and coat - normal
Chest - thoracic auscultation normal, Heart Rate =
Abdomen - all abdominal viscera palpate normally
Limbs - no lameness detected

Plan - vaccinate with live vaccine
KC SC, L2 SC

Zydax #1 today - 0.6mL SC
***CARE*** Done out the back with a nurse, will take chicken
Booster in 1 week
Last zydax doesn't have to be with a vet - been on this course lots of times before

Recommendations:
Intestinal worming three monthly
Weight loss
Anxiety - repeat script for gabapentin done for the dogs

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 12:22:00
Reason: Zydax, Vaccinations

History 
Eating well, drinking well, normal stool, urinating normally.
Diet: No change
Problems: 
- OA
- overweight
Existing medications: NA
Heartworm Prevention: UTD
Flea and tick control: UTD

Physical examination

Mouth - dental disease grade 2? Hard to see as nippy
Ears - no abnormalities
Eyes - conjunctiva and orbit normal
Skin and coat - normal
Chest - thoracic auscultation normal, Heart Rate =
Abdomen - all abdominal viscera palpate normally
Limbs - no lameness detected

Plan - vaccinate with live vaccine
KC SC, L2 SC

Zydax #1 today - 0.6mL SC
***CARE*** Done out the back with a nurse, will take chicken
Booster in 1 week
Last zydax doesn't have to be with a vet - been on this course lots of times before

Recommendations:
Intestinal worming three monthly
Weight loss
Anxiety - repeat script for gabapentin done for the dogs

Previous claim history (15)

DateClaim #Diagnosis
2022-03-26C4637347HIP DYSPLASIA
2020-04-27C2883079EAR INFECTION
2020-03-11C2802409HIP DYSPLASIA
2019-09-21C2455513HIP DYSPLASIA
2019-08-15C2394458LAMENESS LH
2019-07-13C2394476VACCINATIONS OR HEALTH CHECKS
2019-05-11C2394480EAR INFECTION
2019-05-03C2394483EAR INFECTION
2019-04-27C2394484LAMENESS LF
2019-04-27C2394484EAR INFECTION
2019-01-09C2013974MISCELLANEOUS CONDITIONS
2019-01-09C2394482LAMENESS LF
2018-08-25C1835600EAR INFECTION
2018-08-10C1835600HEARTWORM TEST OR BLOOD SCREEN
2018-05-16C1835600EAR CONDITIONS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_vaccination_(canine)160.002026-03-06
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000tstarc_vaccination_(canine)65.002026-03-06
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
30000tstarc_arthritis_injection37.802026-03-06
40000tstarc_arthritis_injection37.802026-03-06
50000tstarc_arthritis_injection37.802026-03-06
60000tstarc_arthritis_injection37.852026-03-06
70000tstarc_prescription_fee30.002026-03-06

UPM+

  • DG00238BEHAVIOUR DISORDERDSTP_behavioural_abnormality_and_therapy
  • DG02268HIP DYSPLASIA, DEVELOPMENTALDSTP_hip_dysplasia

Variant (sleepy_king)

ARTHRITIS
DSTP_osteoarthritis
Conf: 0.530
Threshold: 0.17
Above:
Correct?
Acceptable?
Reason (potential financial impact)
Diagnosis description