C09998002 / invoice 10000
Species:CANINE
Breed:English Springer Spaniel
Age (years):3
Diagnosis or signs:GapOnly Claim Insurance Summary
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div><em>The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.<br></em></div> </div> </div> <div> <div> <div> </div> </div> </div> <div> <div> <div><strong>GapOnly claim Insurance Summary</strong></div> </div> </div> <div> <div> <div> </div> </div> </div> <div> <div> <div> <p>First Clinic Signs: ear check up<br><br>Summary: Archie a 2yo english spaniel MN presented today for an ear check up. Has been shaking his head again and licking at paws. EDDU normal. Bilateral ears had moderate amount of wax in there. BAR. <br><br><br>Diagnosis: pododermatitis caused by malasezzia and otitits externa caused by malasezzia.<br><br><br>Treatment: Advised O to continue on malaseb shampoo, starting of fungafite cream SID for 10 days, easotic SID for 7 days, ears cleaned.</p> </div> </div> </div></html>
Animal clinical history (3 most recent)
2026-02-09T00:00:00Z 16:26:00
The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required. GapOnly claim Insurance Summary First Clinic Signs: Wound on head, itching at home Summary: Archie is a 2.5yr old English Springer Spaniel presenting today for a repeat cytopoint injection and a checkup of a scabby wound on his head that was recently lanced and cleaned. O states that Archie has been doing well at home, apply ointment to head and eye daily. All other EDDU normal. Diagnosis: Atopic dermatitis (allergic environmental/ contact vs diet) vs secondary yeast infection Treatment:- Cytopoint injection 30mg today - Start using Malaseb bi weekly- whole dog wash.
2026-02-09T00:00:00Z 16:14:00
REASON FOR VISIT:Is pet insured - Parasite prevention - Any health problems - History of ear infections? On any medication - On any special diet - Previous Vet Hospital - HISTORY Age of onset: Pruritus score 1-10: Areas of pruritus:Face: Feet: Abdomen/Inguinal: Dorsum:Ears: Anus: Seasonality?: Indoor/outdoor ?: HR / PR = RR = Temp = MM = P+M OTHERS: BAR , O: Dermatological examSkin:Erythema of Ears:.... erythema of pinnaevertical and horizontal ear canals ...... debrisexternal pinnaeCytology:Ears: Paws, facial folds and tail folds: Skin scrapings: A: DDx - Unilateral (R) Secondary bacterial Otitis externa with external self traumaP- FOOD ALLERGY DIET Y / N - TX inflammation and now resulting secondary infections Treatment Given / Medication dispensed :
2026-01-30T00:00:00Z 17:32:00
The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.GapOnly claim Insurance SummaryFirst Clinic Signs: Recheck of wound right temporal area Summary: Able to identify small area of necrosis centrally - ? Foreign body Diagnosis: Foreign body reaction Treatment: Applied Xylocaine gel and cleaned out wound - removed mainly impacted hair
Previous claim history (4)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-09 | C09877072 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2026-01-30 | C09832048 | WOUND - PRESENTING COMPLAINT |
| 2026-01-20 | C09785290 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2026-01-07 | C09719676 | OTITIS EXTERNA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 100.00 | 2026-03-06 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 79.00 | 2026-03-06 | — |
| 30000 | tstarc_diagnostic_test_-_cytology | 30.00 | 2026-03-06 | — |
| 40000 | tstarc_prescription_fee | 24.00 | 2026-03-06 | — |
| 50000 | tstarc_procedure_fee_-_ear_flush | 35.00 | 2026-03-06 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.480
Threshold: 0.07
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description