C10003632 / invoice 10000

Reviewer

Species:CANINE

Breed:Labrador Retriever

Age (years):4

Diagnosis or signs:Wellness check and Lepto vaccination | B12 supplement

Consult notes

06/03/2026 Reason: Wellness check and Lepto vaccination

History:
On Simparica Trio monthly and Milbemax 3-monthly.
Has switched back from Lyka to Meals for Mutts chicken hypoallergenic.
Noticed grass eating and skin itchiness. Redness on belly.
On Protexin Synbiotic DC

Physical Examination:
BAR, shy, HR 96

Treatment:
1) Nobivac Lepto2 (B A002A01) given
2) Vit B12 given SC by SP

Plan:
1) Next lepto booster in 1 month | 06/03/2026 Reason: Wellness check and Lepto vaccination

History:
On Simparica Trio monthly and Milbemax 3-monthly.
Has switched back from Lyka to Meals for Mutts chicken hypoallergenic.
Noticed grass eating and skin itchiness. Redness on belly.
On Protexin Synbiotic DC

Physical Examination:
BAR, shy, HR 96

Treatment:
1) Nobivac Lepto2 (B A002A01) given
2) Vit B12 given SC by SP

Plan:
1) Next lepto booster in 1 month

Animal clinical history (3 most recent)

2026-03-07T00:00:00Z 09:39:02

O: Doing all good post vx

2026-03-06T00:00:00Z 11:42:37

Reason: Wellness check and Lepto vaccination

History:
On Simparica Trio monthly and Milbemax 3-monthly.
Has switched back from Lyka to Meals for Mutts chicken hypoallergenic.
Noticed grass eating and skin itchiness. Redness on belly.
On Protexin Synbiotic DC

Physical Examination:
BAR, shy, HR 96

Treatment:
1) Nobivac Lepto2 (B A002A01) given
2) Vit B12 given SC by SP

Plan:
1) Next lepto booster in 1 month

2026-03-05T00:00:00Z 10:00:09

Mandy emailed on 2/3 electing to proceed with monthly B12 inj. Informed cosmo itching increased and enquired if vitalpaws multivitamin chew supplement probiotics.

Previous claim history (3)

Date	Claim #	Diagnosis
2026-01-23	C09817092	GASTROENTERITIS
2025-12-19	C09658758	VACCINATIONS OR HEALTH CHECKS
2025-12-19	C09658758	GASTROENTERITIS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_vaccination_(canine)	110.00	2026-03-06	upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000	tstarc_vitamin_b	25.60	2026-03-06	—

UPM+

DG02932VACCINATIONS OR HEALTH CHECKSDSTP_routine_care_-_vaccinations_or_health_checks
DG00986GASTROENTERITISDSTP_gastroenteritis

Variant (sleepy_king)

GASTROENTERITIS

DSTP_gastroenteritis

Conf: 0.320

Threshold: 0.68

Above: ✗

Correct?

Yes No