C10030131 / invoice 10000
Species:CANINE
Breed:Maltese Cross
Age (years):11
Diagnosis or signs:see hx
Consult notes
Tacrolimus eye drops arrived Recheck Hx:- Examination Findings:- Hydration: normal General demeanour: QAR BCS: 6/9 TPR - wnl, nil murmur auscultated Respiratory: clear lung sounds and normal effort. Abdomen: Soft and comfortable, no masses or fluid wave palpated. Ophthalmic Examination: Discharge: Right eye: slightly creamy; Left eye: same Vision test: Menace +ve OU Reflexes: Normal reflexes. Globe/orbit: Right eye: globe + orbit nsf; Left eye: same Eyelids: Right eye: no spasm; Left eye: same Conjunctiva: Right eye: Normal; Left eye: same Sclera/episclera: Right eye: Normal; Left eye: same Cornea: Right eye: nsf; Left eye: same Anterior Chamber: Right eye: clear; Left eye: same Intraocular Pressure: Right eye: not measured (mmHg); Left eye: not measured (mmHg) Lens: Right eye: nsf; Left eye: same Vitreous: Right eye: nsf; Left eye: same Fundus:nsf General comments: Right eye: Normal. Blood vessels look normal. Optic disc looks normal; Left eye: same Fluorescein stain: Right eye -ve; Left eye: same Ears: evidnce of otitis Diagnosis: Atopy Conjuctivitis OE Plan: Clinical Reasoning: potentially dry eyes Client Communication: will benefit for amacin and on-going tacrolimus Informed Consent: yes Rx:- Tacrolimus
Animal clinical history (3 most recent)
2026-03-14T00:00:00Z 08:00:00
Recheck Hx:- Examination Findings:- Hydration: normal General demeanour: QAR BCS: 6/9 TPR - wnl, nil murmur auscultated Respiratory: clear lung sounds and normal effort. Abdomen: Soft and comfortable, no masses or fluid wave palpated. Ophthalmic Examination: Discharge: Right eye: slightly creamy; Left eye: same Vision test: Menace +ve OU Reflexes: Normal reflexes. Globe/orbit: Right eye: globe + orbit nsf; Left eye: same Eyelids: Right eye: no spasm; Left eye: same Conjunctiva: Right eye: Normal; Left eye: same Sclera/episclera: Right eye: Normal; Left eye: same Cornea: Right eye: nsf; Left eye: same Anterior Chamber: Right eye: clear; Left eye: same Intraocular Pressure: Right eye: not measured (mmHg); Left eye: not measured (mmHg) Lens: Right eye: nsf; Left eye: same Vitreous: Right eye: nsf; Left eye: same Fundus:nsf General comments: Right eye: Normal. Blood vessels look normal. Optic disc looks normal; Left eye: same Fluorescein stain: Right eye -ve; Left eye: same Ears: evidnce of otitis Diagnosis: Atopy Conjuctivitis OE Plan: Clinical Reasoning: potentially dry eyes Client Communication: will benefit for amacin and on-going tacrolimus Informed Consent: yes Rx:- Tacrolimus
2026-03-14T00:00:00Z 08:00:00
Recheck Hx:- Examination Findings:- Hydration: normal General demeanour: QAR BCS: 6/9 TPR - wnl, nil murmur auscultated Respiratory: clear lung sounds and normal effort. Abdomen: Soft and comfortable, no masses or fluid wave palpated. Ophthalmic Examination: Discharge: Right eye: slightly creamy; Left eye: same Vision test: Menace +ve OU Reflexes: Normal reflexes. Globe/orbit: Right eye: globe + orbit nsf; Left eye: same Eyelids: Right eye: no spasm; Left eye: same Conjunctiva: Right eye: Normal; Left eye: same Sclera/episclera: Right eye: Normal; Left eye: same Cornea: Right eye: nsf; Left eye: same Anterior Chamber: Right eye: clear; Left eye: same Intraocular Pressure: Right eye: not measured (mmHg); Left eye: not measured (mmHg) Lens: Right eye: nsf; Left eye: same Vitreous: Right eye: nsf; Left eye: same Fundus:nsf General comments: Right eye: Normal. Blood vessels look normal. Optic disc looks normal; Left eye: same Fluorescein stain: Right eye -ve; Left eye: same Ears: evidnce of otitis Diagnosis: Atopy Conjuctivitis OE Plan: Clinical Reasoning: potentially dry eyes Client Communication: will benefit for amacin and on-going tacrolimus Informed Consent: yes Rx:- Tacrolimus
2026-03-10T00:00:00Z 12:37:00
Tacrolimus eye drops arrived
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-07 | C10000091 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2026-01-24 | C09805643 | VACCINATIONS OR HEALTH CHECKS |
| 2026-01-24 | C09805643 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-12-13 | C09621243 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 2025-12-13 | C09621243 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-12-13 | C09621243 | EAR INFECTION |
| 2025-11-22 | C09568044 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 47.90 | 2026-03-14 | — |
UPM+
- DG02531KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)DSTP_eye_-_dry_eye
Variant (sleepy_king)
KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
DSTP_eye_-_dry_eye
Conf: 0.500
Threshold: 0.20
Above: ✓
Correct?