C10031320 / invoice 10000

Species:FELINE
Breed:Burmese
Age (years):9
Diagnosis or signs:recheck
Consult notes
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Animal clinical history (3 most recent)

2026-03-14T00:00:00Z 10:33:00
recheck. is up and down. eating better slowly. today tiny bit more enegertic but yesterday wanted to euth. o; drain another 100ml serosang flui R side chest. L side <0.5cm fluid. electrolytes OK. a: end stage CHF, started Pimobendan 5 days ago. P; give it another go, see if fuyrther care and medications can show improvement.INB, likely euth soon. 
2026-03-11T00:00:00Z 17:09:00
been OK. respiratory better, inc effort slightly. 30ish rr. meds currecntly frusemide 10mg SID. Pimobendan 1.25mg BID. mirtazipine 1.8mg SID O; slight inc resp effort. thor scan: pleural effusion present bilateral 0.5cm pocket surrounding heart. abdo wuick look > effusion present. massively dilated L and R atriums. CREAT 455lytes wnl. a: end stage CHF likely. P; euthanasia is likely the best option, but keen to persist abit more. inc frusemide BID, recheck saturaday +/- thoracocenteisis or euthanasia. 
2026-03-06T00:00:00Z 17:31:00
renal paramteres done. see prev hx. 

Previous claim history (7)

DateClaim #Diagnosis
2026-03-06C09998451HEART (CARDIAC) VALVE DISORDER
2026-02-27C09966268HEART (CARDIAC) VALVE DISORDER
2026-02-27C09970552HEART (CARDIAC) VALVE DISORDER
2026-02-16C09943921INFLAMMATORY BOWEL DISEASE (IBD)
2026-02-11C09904300INFLAMMATORY BOWEL DISEASE (IBD)
2026-02-09C09904300HYDRONEPHROSIS
2026-01-21C09873182DIABETIC KETOACIDOSIS (DKA)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit79.052026-03-14
20000tstarc_procedure_fee_-_centesis385.202026-03-14
30000tstarc_diagnostic_test_-_biochemistry21.982026-03-14
40000tstarc_diagnostic_test_-_blood_test49.102026-03-14

UPM+

  • DG02221HEART (CARDIAC) VALVE DISORDERDSTP_heart_condition_-_valve_disorder

Variant (sleepy_king)

HEART (CARDIAC) FAILURE, CONGESTIVE
DSTP_heart_condition_-_heart_failure
Conf: 0.440
Threshold: 0.21
Above:
Correct?
Reason (correct)