C10003984 / invoice 10000
Species:CANINE
Breed:Cavoodle
Age (years):9
Diagnosis or signs:Ears
Consult notes
Animal clinical history (3 most recent)
2026-03-09T00:00:00Z 12:35 PM
Reason: Recheck Ears Appointment Notes: Overdue remindersHere for otitis externa recheck. O unsure when last dermotic applied. Finished 10d course. No scratching or redness noted. No swimming.BAREars:- RHS: mild discharge, NAD on cytology, TM intact - LHS: moderate discharge, NAD on cytology, TM intact on OEBoth ears cleaned w Otoflush.Otoflush: Please instil 1ml into both ears once a week for 4 weeks. If the ears are clean, you may extend the ear cleaning to once a fortnight. See back if any redness, increased discharge, itchiness or foul smell.Verified: NoBased on the provided transcript, there is insufficient clinical information to generate a comprehensive SOAP format medical record. The transcript contains only brief conversational fragments (Okay. Sorry. That was the one. Okay. Yeah. Okay.) without any substantive medical content regarding the patient's history, physical examination findings, assessment, or treatment plan.To create a proper veterinary medical record, I would need a transcript that includes:- Patient presentation and chief complaint- Medical history and clinical signs- Physical examination findings- Diagnostic results- Veterinary assessment and diagnosis- Treatment recommendations and client discussionsWithout this essential clinical information, I cannot produce the requested SOAP format record. Vital Signs Weight: 12.2;
Previous claim history (27)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-18 | C09921993 | OTITIS EXTERNA |
| 2026-02-18 | C09921993 | FLEA/TICK/WORM CONTROL |
| 2026-01-05 | C09707281 | PANCREATITIS |
| 2025-12-12 | C09616310 | INAPPETANCE |
| 2025-12-12 | C09616310 | VACCINATIONS OR HEALTH CHECKS |
| 2022-05-03 | C4712660 | BLOOD SCREEN |
| 2022-05-03 | C4712660 | TEETH CLEANING |
| 2021-09-15 | C4078973 | EAR INFECTION |
| 2021-07-26 | C3947388 | EAR INFECTION |
| 2021-07-09 | C3901915 | EAR INFECTION |
| 2021-05-24 | C3787419 | EAR INFECTION |
| 2021-05-24 | C3787419 | SCOOTING |
| 2021-05-24 | C3787423 | VACCINATIONS OR HEALTH CHECKS |
| 2021-02-21 | C3551929 | INSECT BITE/STING |
| 2021-01-18 | C3465238 | Assessment - Non Routine |
| 2020-12-10 | C3390318 | URINARY TRACT INFECTION (UTI) |
| 2020-12-10 | C3390318 | HEARTWORM CONTROL |
| 2020-12-10 | C3390318 | FLEA/TICK/WORM CONTROL |
| 2020-05-11 | C2893441 | DENTAL (TOOTH) DISORDER |
| 2020-03-30 | C2817397 | SCOOTING |
| 2020-03-30 | C2817397 | FLEA/TICK/WORM CONTROL |
| 2020-03-30 | C2817397 | HEARTWORM CONTROL |
| 2020-03-09 | C2817409 | KENNEL COUGH |
| 2019-10-14 | C2500003 | VACCINATIONS OR HEALTH CHECKS |
| 2019-09-21 | C2634146 | CONJUNCTIVITIS |
| 2018-09-25 | C1853961 | VACCINATIONS OR HEALTH CHECKS |
| 2018-09-25 | C1853961 | PRESCRIPTION DIETS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 65.00 | 2026-03-09 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 49.00 | 2026-03-09 | — |
| 30000 | tstarc_ear_cleaner | 51.90 | 2026-03-09 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.990
Threshold: 0.07
Above: ✓
Correct?