Complete Cat
Patient: Mruczka (cat)
Resources included:
- encounters: 3
- conditions: 1
- observations: 6
- immunizations: 1
- medication statements: 1
Full Document
Section titled “Full Document”{ "format_version": "1.0.0", "exported_at": "2026-03-30T16:00:00Z", "exporter": { "name": "VetNote", "version": "2.0.0" }, "patient": { "resource_type": "Patient", "id": "pat-cat-001", "name": "Mruczka", "species": "cat", "breed": "British Shorthair", "breed_code": { "system": "fife", "value": "BRI" }, "date_of_birth": "2018-04-12", "sex": "female", "gender_status": "spayed", "color": "Blue (solid)", "weight": { "value": 4.8, "unit": "kg" }, "identifiers": [ { "system": "iso-microchip-11784", "value": "616098100445566" }, { "system": "safe-animal", "value": "SA-2018-00445566" } ], "owner": { "name": "Katarzyna Zielińska", "phone": "+48 501 234 567", "email": "kasia.z@example.com" }, "is_active": true, "is_deceased": false, "notes": "Indoor-only cat. Calm temperament. Prefers feliway diffuser during visits." }, "practitioners": [ { "resource_type": "Practitioner", "id": "pract-001", "name": "Dr. Ewa Majewska", "license_number": "PL-VET-33333", "clinic": "Felis Veterinary Clinic" } ], "encounters": [ { "resource_type": "Encounter", "id": "enc-cat-001", "patient_id": "pat-cat-001", "status": "completed", "type": "consultation", "date": "2025-04-10T10:00:00Z", "reason": "Annual checkup", "practitioner_id": "pract-001", "diagnoses": [ "cond-cat-001" ], "notes": "Routine exam. Weight slightly increased. Blood panel ordered — elevated creatinine." }, { "resource_type": "Encounter", "id": "enc-cat-002", "patient_id": "pat-cat-001", "status": "completed", "type": "follow-up", "date": "2025-05-15T10:00:00Z", "reason": "Renal values follow-up — repeat blood panel", "practitioner_id": "pract-001", "notes": "Creatinine stable. SDMA elevated. IRIS Stage 2 CKD confirmed. Started renal diet." }, { "resource_type": "Encounter", "id": "enc-cat-003", "patient_id": "pat-cat-001", "status": "completed", "type": "vaccination", "date": "2026-01-20T09:00:00Z", "reason": "Annual vaccination", "practitioner_id": "pract-001" } ], "conditions": [ { "resource_type": "Condition", "id": "cond-cat-001", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-001", "name": "Chronic Kidney Disease — IRIS Stage 2", "code": { "system": "icd-10-vet", "value": "N18.2", "display": "Chronic kidney disease, stage 2" }, "clinical_status": "active", "severity": "moderate", "onset_date": "2025-04-10", "notes": "Early CKD detected on routine screening. Creatinine 2.1 mg/dL, SDMA 18 µg/dL. Urine SG 1.025. Non-proteinuric. IRIS Stage 2 based on creatinine + SDMA." } ], "observations": [ { "resource_type": "Observation", "id": "obs-cat-001", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-001", "category": "laboratory", "name": "Creatinine", "effective_date": "2025-04-10T12:00:00Z", "value": 2.1, "unit": "mg/dL", "reference_range": { "low": 0.8, "high": 1.8, "text": "0.8-1.8 mg/dL" }, "interpretation": "high", "notes": "Mildly elevated — repeat in 4 weeks" }, { "resource_type": "Observation", "id": "obs-cat-002", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-001", "category": "laboratory", "name": "SDMA", "effective_date": "2025-04-10T12:00:00Z", "value": 18, "unit": "µg/dL", "reference_range": { "low": 0, "high": 14, "text": "0-14 µg/dL" }, "interpretation": "high", "notes": "Elevated — supports early CKD diagnosis" }, { "resource_type": "Observation", "id": "obs-cat-003", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-001", "category": "laboratory", "name": "BUN", "effective_date": "2025-04-10T12:00:00Z", "value": 35, "unit": "mg/dL", "reference_range": { "low": 16, "high": 36, "text": "16-36 mg/dL" }, "interpretation": "normal" }, { "resource_type": "Observation", "id": "obs-cat-004", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-001", "category": "laboratory", "name": "Urine Specific Gravity", "effective_date": "2025-04-10T12:00:00Z", "value": 1.025, "unit": "SG", "reference_range": { "low": 1.035, "high": 1.06, "text": "1.035-1.060 (cat)" }, "interpretation": "low", "notes": "Inadequate concentrating ability for a cat — supports CKD" }, { "resource_type": "Observation", "id": "obs-cat-005", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-002", "category": "laboratory", "name": "Creatinine (follow-up)", "effective_date": "2025-05-15T12:00:00Z", "value": 2, "unit": "mg/dL", "reference_range": { "low": 0.8, "high": 1.8, "text": "0.8-1.8 mg/dL" }, "interpretation": "high", "notes": "Stable compared to April. Confirms persistent mild azotemia." }, { "resource_type": "Observation", "id": "obs-cat-006", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-003", "category": "vital-signs", "name": "Body Weight", "effective_date": "2026-01-20T09:00:00Z", "value": 4.8, "unit": "kg", "interpretation": "normal", "notes": "Stable weight — good sign for CKD management" } ], "immunizations": [ { "resource_type": "Immunization", "id": "imm-cat-001", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-003", "vaccine_name": "Purevax RCPCh", "occurrence_date": "2026-01-20", "expiration_date": "2027-01-20", "next_dose_date": "2027-01-20", "lot_number": "PVX-2026-E1", "manufacturer": "Boehringer Ingelheim", "route": "subcutaneous", "site": "Right lateral thorax", "practitioner_id": "pract-001", "is_primary_course": false, "notes": "Annual booster — indoor-only protocol (no FeLV)" } ], "medication_statements": [ { "resource_type": "MedicationStatement", "id": "med-cat-001", "patient_id": "pat-cat-001", "encounter_id": "enc-cat-002", "medication_name": "Royal Canin Renal Select", "status": "active", "date_started": "2025-05-15", "dosage": { "value": 55, "unit": "g", "frequency": "Twice daily", "route": "oral" }, "reason": "CKD IRIS Stage 2 — phosphorus-restricted renal diet", "prescriber_id": "pract-001", "notes": "Long-term. Monitor weight and kidney values every 3-4 months." } ]}