C09999058 / invoice 10000

Species:CANINE
Breed:Labrador Cross
Age (years):4
Diagnosis or signs:Conjunctivitis
Consult notes
06/03/2026 REASON: Annual Vaccination & Health Check

HISTORY: 
- EDDU
- Preventatives: yes unknown 
- Diet: wet sausage mix from woolooworths. + some little treats
- HEALTH CONCERNS:
- Gets eye discahrge around once a year. Uses the cream from here and clears up in a couple of days


PHYSICAL EXAM:
HR:  100 RR: 24T:  not taken   MM: pink, moist  CRT: 1-2s
Distant:        BAR                             BCS:    4 /9
Cardiac:  NMA, SSFP, NSR
Respiratory:   normal relaxed effort, normal bronchovesicular sounds, no adventitious sounds
Nares: NSF
Oral:  NSF                           Dental Score: 2/1
Ocular: mild mucoid discahrge lateral canthus bilaterally
v mild conjunctivitis, scleritits
LNs: submand / pre-scap LNs WNL
Abdomen:  soft pliable abdomen, NSF
Integument:     NSF
Aural: NSF          Otoscopic exam: not performed
Rectal: Not performed
Musculoskeletal:  NSF
Urogenital/reproductive:   desexed   NSF
Neurological: able to right, rise and ambulate; neuro exam not performed

PROBLEM LIST/DDx:
-      fit for vaccination    
- mild conjunctivitits
-          

TREATMENT GIVEN:
- Nobivac DHP SQ + BB3 IN
- Chloropt bid for 5-7d

PLAN/COMMENTS:
- o d/c flurosceine stain. If any worsening of eyes revisit
- discussed side effects

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 16:46:52
REASON: Annual Vaccination & Health Check

HISTORY: 
- EDDU
- Preventatives: yes unknown 
- Diet: wet sausage mix from woolooworths. + some little treats
- HEALTH CONCERNS:
- Gets eye discahrge around once a year. Uses the cream from here and clears up in a couple of days


PHYSICAL EXAM:
HR:  100 RR: 24T:  not taken   MM: pink, moist  CRT: 1-2s
Distant:        BAR                             BCS:    4 /9
Cardiac:  NMA, SSFP, NSR
Respiratory:   normal relaxed effort, normal bronchovesicular sounds, no adventitious sounds
Nares: NSF
Oral:  NSF                           Dental Score: 2/1
Ocular: mild mucoid discahrge lateral canthus bilaterally
v mild conjunctivitis, scleritits
LNs: submand / pre-scap LNs WNL
Abdomen:  soft pliable abdomen, NSF
Integument:     NSF
Aural: NSF          Otoscopic exam: not performed
Rectal: Not performed
Musculoskeletal:  NSF
Urogenital/reproductive:   desexed   NSF
Neurological: able to right, rise and ambulate; neuro exam not performed

PROBLEM LIST/DDx:
-      fit for vaccination    
- mild conjunctivitits
-          

TREATMENT GIVEN:
- Nobivac DHP SQ + BB3 IN
- Chloropt bid for 5-7d

PLAN/COMMENTS:
- o d/c flurosceine stain. If any worsening of eyes revisit
- discussed side effects

Previous claim history (1)

DateClaim #Diagnosis
2025-11-03C9439060GASTROENTERITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_vaccination_(canine)149.602026-03-06
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000tstarc_eye_medication_-_topical_antibiotics29.852026-03-06

UPM+

  • DG00512CONJUNCTIVITISDSTP_eyelid_-_conjunctivitis

Variant (sleepy_king)

CONJUNCTIVITIS
DSTP_eyelid_-_conjunctivitis
Conf: 0.620
Threshold: 0.25
Above:
Correct?