C10004107 / invoice 10000
Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):2
Diagnosis or signs:script
Consult notes
Animal clinical history (3 most recent)
2026-03-08T00:00:00Z 1:17 PM
Reason: Medication Refill .EzAppointment Notes: O would like refill of Apoquel 3.6 mg -giving daily 1 tablet once daily. O would like a written prescription for 100 tablet.APOQUEL (OCLACITINIB MALEATE) 3.6MG X 100 TABLETSGIVE 1 TABLET DAILY ONGOING Vital Signs
Previous claim history (3)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-11 | C09890419 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-12-13 | C09625160 | VACCINATIONS OR HEALTH CHECKS |
| 2025-02-14 | C8344889 | GASTROINTESTINAL PROBLEMS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_prescription_fee | 48.50 | 2026-03-08 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.990
Threshold: 0.38
Above: ✓
Correct?