C10020889 / invoice 10000

Species:CANINE
Breed:Jack Russell Terrier Cross
Age (years):13
Diagnosis or signs:Euthanasia
Consult notes
11/03/2026 Was booked in for euth today but O thinks he is doing much better. 
Much brighter and happier, has his attitude back and is eating much more happily. O has stopped giving medications and no deterioration. 
O thinks he is back to his usual self at the moment. 

O consented to bloodwork today to reassess kidney status etc. 
Will call O with results - certainly much more feisty for bloods today so feeling better!

Discussed results with O:
Non regenerative anemia persists
Neutrophilia resolved
Eosinophilia
Azotemia much improved - still a mild elevation but has halved
Elevation in amylase

Discussed results with O. 
Kidneys may deteriorate again and difficult to fully appreciate prognosis without further workup, but at this stage is doing well clinically and lab results reflect improvement
O happy to continue monitoring at home, if any deterioration can reassess and recommence ondansetron etc. O happy with this plan. 

Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 17:50:10
Was booked in for euth today but O thinks he is doing much better. 
Much brighter and happier, has his attitude back and is eating much more happily. O has stopped giving medications and no deterioration. 
O thinks he is back to his usual self at the moment. 

O consented to bloodwork today to reassess kidney status etc. 
Will call O with results - certainly much more feisty for bloods today so feeling better!

Discussed results with O:
Non regenerative anemia persists
Neutrophilia resolved
Eosinophilia
Azotemia much improved - still a mild elevation but has halved
Elevation in amylase

Discussed results with O. 
Kidneys may deteriorate again and difficult to fully appreciate prognosis without further workup, but at this stage is doing well clinically and lab results reflect improvement
O happy to continue monitoring at home, if any deterioration can reassess and recommence ondansetron etc. O happy with this plan. 
2026-03-11T00:00:00Z 09:29:33
When O called about rescheduling appointment, he was wondering if we could potentially do a blood test? Cause O thinks that Rex seems to be back to normal? - AC
2026-03-06T00:00:00Z 11:17:23
F/up O said much more energy, wanting to go for a walk, happier in himself

Previous claim history (7)

DateClaim #Diagnosis
2026-03-02C09982517CHRONIC KIDNEY (RENAL) DISEASE (CRF, CKD) (AZOTAEMIA UNSPECIFIED)
2025-03-25C8497253VACCINATIONS OR HEALTH CHECKS
2025-03-25C8497253FLEA/TICK/WORM CONTROL
2024-05-11C7225069CHRONIC KIDNEY (RENAL) DISEASE (CRF, CKD) (AZOTAEMIA UNSPECIFIED)
2024-05-11C7225069TEETH CLEANING
2023-04-27C5832399TORN DEW CLAW
2021-08-26C4035250MASS LESION - SKIN (CUTANEOUS)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit87.502026-03-11
20000tstarc_diagnostic_test_-_blood_test290.502026-03-11

UPM+

  • DG00472CHRONIC KIDNEY (RENAL) DISEASE (CRF, CKD) (AZOTAEMIA UNSPECIFIED)DSTP_renal_disease_-_chronic

Variant (sleepy_king)

RENAL (KIDNEY) DISORDER
DSTP_renal_disease_-_chronic
Conf: 0.980
Threshold: 0.17
Above:
Correct?