C10004248 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel Cross
Age (years):6
Diagnosis or signs:Vaccination
Consult notes
09/03/2026 GHC + vacc

OR is overall v BAR, DUDE, active. Good appetite, no V/D+/coughing/sneezing. Good energy levels. Normal drinking and urinating.  
No concerns. 
Prev hx with AG issues, has increased dietary fibre and O seen good improvement 
Current meds: none

UTD with parasite prevention - due Bravecto and Milpro today. 
Declined PH-12 - reportedly done at more local clinic end of last year

Due yr 1 KC vacc today 

CE:- 
Demeanour: BAR
BCS 5/9,  
Eyes: all wnls, moderate epiphora wnls for breed, full ophthalmic exam not performed 
Nose: clear, no discharge
Coat and skin: good coat quality, skin exam NAD, no ectoparasites detected
mm p+m CRT 1.5s, no skin tent euhydrated,
Oral exam: dental assessment - very headshy - dental grade: 2/4, 2/4 gingivitis, **recomm dental procedure**
Chest ausc NAD, HR 128, RR pant no murmurs or arrhythmias detected, normal pulmonary ausc all lung fields, peripheral pulses strong and synchronous 
Abdo palp wnls, soft + comfortable, no pain or nausea, no organomegaly, 
LN wnls. 
Temperature: not performed as no clinical indication 
MSK exam: wnls, no specific exam performed 


ASSESSMENT: 
Safe to proceed with vaccination today. 

TREATMENT: 
 

Nobivac BB/Pi *injectable* given SC interscapular region - Batch 2534203 Exp 06-2027, next due 2ND YEAR KC in 12m with a vet 


Dental recommended:YES - estimate given:emailed 

Emptied AGs - bilaterally small volume, v thick, paste-like but easily expressed. 

PLAN: 

Next vaccinations: 
In 12 months - due DHP / KC 
Book in for dental procedure

09/03/2026 Date insurance claim completed:
Date/s of treatment:
Have all previous vet visits been claimed (check file) Y/N:
Is this a GAP claim?:
If so, benefit amount that insurance is covering: $
Sent via: Petsure vethub

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 13:47:14
Date insurance claim completed:
Date/s of treatment:
Have all previous vet visits been claimed (check file) Y/N:
Is this a GAP claim?:
If so, benefit amount that insurance is covering: $
Sent via: Petsure vethub
2026-03-09T00:00:00Z 12:31:17
GHC + vacc

OR is overall v BAR, DUDE, active. Good appetite, no V/D+/coughing/sneezing. Good energy levels. Normal drinking and urinating.  
No concerns. 
Prev hx with AG issues, has increased dietary fibre and O seen good improvement 
Current meds: none

UTD with parasite prevention - due Bravecto and Milpro today. 
Declined PH-12 - reportedly done at more local clinic end of last year

Due yr 1 KC vacc today 

CE:- 
Demeanour: BAR
BCS 5/9,  
Eyes: all wnls, moderate epiphora wnls for breed, full ophthalmic exam not performed 
Nose: clear, no discharge
Coat and skin: good coat quality, skin exam NAD, no ectoparasites detected
mm p+m CRT 1.5s, no skin tent euhydrated,
Oral exam: dental assessment - very headshy - dental grade: 2/4, 2/4 gingivitis, **recomm dental procedure**
Chest ausc NAD, HR 128, RR pant no murmurs or arrhythmias detected, normal pulmonary ausc all lung fields, peripheral pulses strong and synchronous 
Abdo palp wnls, soft + comfortable, no pain or nausea, no organomegaly, 
LN wnls. 
Temperature: not performed as no clinical indication 
MSK exam: wnls, no specific exam performed 


ASSESSMENT: 
Safe to proceed with vaccination today. 

TREATMENT: 
 

Nobivac BB/Pi *injectable* given SC interscapular region - Batch 2534203 Exp 06-2027, next due 2ND YEAR KC in 12m with a vet 


Dental recommended:YES - estimate given:emailed 

Emptied AGs - bilaterally small volume, v thick, paste-like but easily expressed. 

PLAN: 

Next vaccinations: 
In 12 months - due DHP / KC 
Book in for dental procedure

Previous claim history (9)

DateClaim #Diagnosis
2024-09-26C7794183VACCINATIONS OR HEALTH CHECKS
2024-09-26C7794183HEARTWORM CONTROL
2024-02-12C6881024ANAL SAC ABSCESS
2023-02-11C5579060CONJUNCTIVITIS
2022-01-22C5134684ANAL SAC ABSCESS
2022-01-22C5134684FLEA/TICK/WORM CONTROL
2022-01-22C5134684HEARTWORM CONTROL
2022-01-22C6890005ANAL SAC ABSCESS
2022-01-22C6890005EPIPHORA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_flea_and_tick_control79.002026-03-09
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication
20000tstarc_flea,_intestinal_worm_and_heartworm_control15.992026-03-09
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication
30000tstarc_procedure_fee_-_anal_sac_expression39.502026-03-09
40000tstarc_vaccination_(canine)169.002026-03-09
upstreamDSTP_routine_care_-_vaccinations_or_health_checks

UPM+

  • DG00182ANAL SAC DISORDERDSTP_anal_sac_disorder

Variant (sleepy_king)

ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.570
Threshold: 0.54
Above:
Correct?