C09998438 / invoice 10000

Species:CANINE
Breed:St Bernard
Age (years):3
Diagnosis or signs:Hotspot
Consult notes
06/03/2026 GapOnly Summary
In-House team to paste into OpenVPMS
Presenting Complaint
- Localised skin irritation and licking/chewing leading to superficial lesion (“hot spot”).
- Owner reports ongoing anxiety.
- Inquiry regarding desexing due to behaviour and breeder requirements.

Prior History
- Yes; previous episodes of skin irritation and hot spots reported, including flare-up requiring antibiotics and anti-itch medication in past year.
- Ongoing anxious demeanour and allergy history.

Assessment
- Superficial bacterial skin infection (“hot spot”).

Treatment
- CytoPoint injection administered.
- Provided topical antiseptic spray (not antibiotic) for focal application twice daily.
- Plan to follow up with owner in one week regarding response.
- Discussed desexing considerations and provided offer for documentation/letter for breeder communication.

Diet
- Owner mentioned normal appetite at home, with decreased interest in food in clinic due to anxiety.
- Owner gives treats opportunistically at home.

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 18:30:06
GapOnly Summary
In-House team to paste into OpenVPMS
Presenting Complaint
- Localised skin irritation and licking/chewing leading to superficial lesion (“hot spot”).
- Owner reports ongoing anxiety.
- Inquiry regarding desexing due to behaviour and breeder requirements.

Prior History
- Yes; previous episodes of skin irritation and hot spots reported, including flare-up requiring antibiotics and anti-itch medication in past year.
- Ongoing anxious demeanour and allergy history.

Assessment
- Superficial bacterial skin infection (“hot spot”).

Treatment
- CytoPoint injection administered.
- Provided topical antiseptic spray (not antibiotic) for focal application twice daily.
- Plan to follow up with owner in one week regarding response.
- Discussed desexing considerations and provided offer for documentation/letter for breeder communication.

Diet
- Owner mentioned normal appetite at home, with decreased interest in food in clinic due to anxiety.
- Owner gives treats opportunistically at home.

Previous claim history (16)

DateClaim #Diagnosis
2025-12-05C09587482ALOPECIA - PRESENTING COMPLAINT
2025-12-05C09589525HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-05C09589525EYE CONDITIONS
2025-12-05C09596232ALTERNATIVE THERAPIES
2025-10-31C9496446HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-10-15C9357492GASTROINTESTINAL PROBLEMS
2025-10-14C9353163VOMITION & DIARRHOEA
2025-10-11C9338052GASTROINTESTINAL PROBLEMS
2025-10-03C9308195HYPERSENSITIVITY DISORDER (ALLERGY)
2025-06-23C8876811EAR INFECTION
2025-06-23C8876811HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-05-26C8761112PRURITUS - PRESENTING COMPLAINT
2025-02-17C8344876OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2024-11-16C7960430OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2024-07-31C7533127RED EYE - PRESENTING COMPLAINT
2023-06-07C6471142URINATION ABNORMAL - OTHER - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_skin_medication_-_cytopoint258.742026-03-06
20000tstarc_consultation109.002026-03-06
30000tstarc_chlorhexidine25.402026-03-06

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.750
Threshold: 0.38
Above:
Correct?