C09998453 / invoice 10000

Species:FELINE
Breed:Burmese
Age (years):9
Diagnosis or signs:add test missed in previous claim.
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>renal paramteres done. see prev hx. </p></html>

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 14:34:00
inc resp effort. lethargic. frusemide 10mg BID insuline 1.5 BID. no pain meds O; lethargic abdominal breathing. chest rads >pleural effusionchest u/s pleural effusion, looks like severe RCM/UCm .abdomen lots of fluid. lytes wnl.renal CREAT 500+ Urea 40+ Phos 3+ all H. a: severe CHF bicavitary effusion + failure. renal diseas severe tx; Pimobendan 1.25mg BID Frusemide 10mg BID tommorow, then rapter to SID. weight + monitor RR. p; home today, poor to grave pongisis. call me next week follow up. 
2026-03-02T00:00:00Z 17:24:00
Owners ring: diagnosed with CHF last friday with MG > HCM? Started on frusemide BID 10mgRR sleeping, highs of 21s, lows of 18s eating OK. mobility has been poor since visit. weight today is 5.9kg 10mg frusemide BID since friday + saturday + sunday Plan: Continue BID dosing, ring me Wednesday. dispened temvet as pain relief, as owners believe Chilli is painful with his legs @ home esp back legs. 10x 0.17ml Q6-12hours as pain relief of buprenorphine 300ug/ml. 
2026-02-18T00:00:00Z 14:50:00
owner reports when got home was 6.3kg at home, very bloated and fluid loaded according to owner. 10mg frusemide PO given. start diet transition to meat only goat/venison >> starting to eat that nbow. poo was abit more formed today. 

Previous claim history (7)

DateClaim #Diagnosis
2026-03-06C09998451HEART (CARDIAC) VALVE DISORDER
2026-02-27C09966268HEART (CARDIAC) VALVE DISORDER
2026-02-27C09970552HEART (CARDIAC) VALVE DISORDER
2026-02-16C09943921INFLAMMATORY BOWEL DISEASE (IBD)
2026-02-11C09904300INFLAMMATORY BOWEL DISEASE (IBD)
2026-02-09C09904300HYDRONEPHROSIS
2026-01-21C09873182DIABETIC KETOACIDOSIS (DKA)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_pathology115.172026-03-06

UPM+

  • DG02221HEART (CARDIAC) VALVE DISORDERDSTP_heart_condition_-_valve_disorder

Variant (sleepy_king)

INFLAMMATORY BOWEL DISEASE (IBD)
DSTP_inflammatory_bowel_disease_(ibd)
Conf: 0.850
Threshold: 0.59
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description