C09996181 / invoice 10000

Species:CANINE
Breed:Springer Spaniel Cross
Age (years):3
Diagnosis or signs:Diagnostic ACTH
Consult notes
Admitted: ACTH Stim Test

History:
Reason for ACTH (Diagnostic) 
EDDU as normal (Y) 

Vitals:
WNL

ACTH:
0hr bloods @ (12:02pm), via (catheter cephalic) venipuncture
  IV catheter placed (23)G cephalic with injection port
Synacthen (250)mcg/mL @ (5)mcg/kg - (0.23)mL administered IV @ (12:05pm)
1hr bloods @ (1:07), via (Lt cephalic) venipuncture
IV catheter removed (Y)

Laboratory: 
Sample sent away for external testing

Given Vitamin B complex inj. IM in lumbar musculature net to spine.

Client Communication:
Advised client will call with pathology results. Discharge appointment booked.

Dispensed Cobalazorb 60 capsules > 1 capsule SID.

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 12:26:00
Admitted: ACTH Stim Test

History:
Reason for ACTH (Diagnostic) 
EDDU as normal (Y) 

Vitals:
WNL

ACTH:
0hr bloods @ (12:02pm), via (catheter cephalic) venipuncture
  IV catheter placed (23)G cephalic with injection port
Synacthen (250)mcg/mL @ (5)mcg/kg - (0.23)mL administered IV @ (12:05pm)
1hr bloods @ (1:07), via (Lt cephalic) venipuncture
IV catheter removed (Y)

Laboratory: 
Sample sent away for external testing

Given Vitamin B complex inj. IM in lumbar musculature net to spine.

Client Communication:
Advised client will call with pathology results. Discharge appointment booked.

Dispensed Cobalazorb 60 capsules > 1 capsule SID.

Previous claim history (8)

DateClaim #Diagnosis
2026-02-27C09962348GASTROENTERITIS
2026-02-25C09954711GASTROENTERITIS
2026-02-16C09908355NEUROLOGICAL DISEASE
2026-02-10C09883555NEUROLOGICAL DISEASE
2026-02-06C09865163GASTROENTERITIS
2026-02-06C09869133NEUROLOGICAL DISEASE
2026-02-04C09859419GASTROINTESTINAL PROBLEMS
2025-11-13C09822587ANAL SAC DISORDER

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_acth_stimulation_test259.602026-03-06
20000tstarc_synacthen121.052026-03-06
30000tstarc_hospitalisation69.002026-03-06
40000tstarc_iv_catheterisation42.002026-03-06
50000tstarc_iv_catheterisation5.002026-03-06
60000tstarc_vitamin_b36.452026-03-06
70000tstarc_vitamin_b69.002026-03-06

UPM+

  • DG02104PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINTDSTP_clinical_signs_-_abnormal_test_result

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.960
Threshold: 0.68
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description