C10019281 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):5
Diagnosis or signs:Appointment
Consult notes
12/03/2026 SUBJECTIVE: recheck ears 

OBJECTIVE:
still itching left ear 

ASSESSMENT:cytopoint 
left and right yeast ongoing L>R
PLAN:

COMMUNICATION:
suggest gabapentin 20 mg/kg for anxiety and catapress/ clonidine if ineffective 

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 10:08:12
SUBJECTIVE: recheck ears 

OBJECTIVE:
still itching left ear 

ASSESSMENT:cytopoint 
left and right yeast ongoing L>R
PLAN:

COMMUNICATION:
suggest gabapentin 20 mg/kg for anxiety and catapress/ clonidine if ineffective 
2026-02-26T00:00:00Z 15:38:50
SUBJECTIVE: 
periocular alopecia R>L
bilateral ear disease
due for grooming tomorrow 
OBJECTIVE:

ASSESSMENT:
bilateral yeast otitis externa
periocular dermaitis ddx dysticiasis other 
dental furcation 206/106
fit for vaccination C5 for kennels 
PLAN:

COMMUNICATION:
specialist appointment booked for April 
2025-12-31T00:00:00Z 13:16:19
History:
Allergies with ears and eyes for last 3.5yrs. Going to vet every 2 months
Eating/drinking normal
Defaecating/urinating normal

Objective: Hr normal Rr normal Temp normal MMpink CRT2sec
Eyes normal, Ears normal,  Oral cavity normal,
Abd palp nsf
Gait-normal, no lameness, nonpainful
Skin normal, Rectal palp-nsf
No lymph node enlargement

Assessment:

Treatment:

Client Communication:

Previous claim history (14)

DateClaim #Diagnosis
2026-02-26C09959852OTITIS EXTERNA : BIL
2026-02-26C09959852HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-02-26C09959852KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
2025-06-02C8850455OTITIS EXTERNA : BIL
2025-05-12C8701561KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
2025-05-05C8667449HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-05-05C8667449KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
2025-05-05C8667449EAR INFECTION
2025-02-04C8288957HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-02-04C8288957EAR INFECTION
2024-08-28C7638675CONJUNCTIVITIS
2024-06-12C7340853HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-05-22C6806010CONJUNCTIVITIS
2021-07-09C6806010VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit90.002026-03-12
20000tstarc_skin_medication_-_cytopoint246.592026-03-12
30000tstarc_diagnostic_test_-_cytology40.002026-03-12
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal48.922026-03-12

UPM+

  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.490
Threshold: 0.38
Above:
Correct?
Reason (correct)