Complete Dog
Patient: Rocky (dog)
Resources included:
- encounters: 5
- conditions: 2
- observations: 3
- immunizations: 4
- procedures: 1
- allergy intolerances: 1
- medication statements: 2
Full Document
Section titled “Full Document”{ "format_version": "1.0.0", "exported_at": "2026-03-30T15:00:00Z", "exporter": { "name": "VetNote", "version": "2.0.0" }, "patient": { "resource_type": "Patient", "id": "pat-dog-001", "name": "Rocky", "species": "dog", "breed": "French Bulldog", "breed_code": { "system": "fci", "value": "101" }, "date_of_birth": "2024-01-10", "sex": "male", "gender_status": "neutered", "color": "Brindle", "weight": { "value": 12.3, "unit": "kg" }, "identifiers": [ { "system": "iso-microchip-11784", "value": "616093900112233" }, { "system": "eu-pet-passport", "value": "PL-987654321" }, { "system": "safe-animal", "value": "SA-2024-00112233" } ], "owner": { "name": "Jan Kowalski", "phone": "+48 600 123 456", "email": "jan.kowalski@example.com", "address": "ul. Marszałkowska 10, 00-001 Warszawa, Poland" }, "is_active": true, "is_deceased": false, "notes": "Friendly but anxious during examinations. Prefers treats as reward." }, "practitioners": [ { "resource_type": "Practitioner", "id": "pract-001", "name": "Dr. Anna Kowalska", "license_number": "PL-VET-12345", "clinic": "Klinika Weterynaryjna Łapa" }, { "resource_type": "Practitioner", "id": "pract-002", "name": "Dr. Piotr Nowak", "license_number": "PL-VET-67890", "clinic": "Klinika Weterynaryjna Łapa" } ], "encounters": [ { "resource_type": "Encounter", "id": "enc-dog-001", "patient_id": "pat-dog-001", "status": "completed", "type": "vaccination", "date": "2024-03-15T10:00:00Z", "reason": "Primary vaccination course — first visit", "practitioner_id": "pract-001", "notes": "Puppy in good health. Weight 4.2 kg. Started primary vaccination course." }, { "resource_type": "Encounter", "id": "enc-dog-002", "patient_id": "pat-dog-001", "status": "completed", "type": "vaccination", "date": "2024-04-15T10:00:00Z", "reason": "Primary vaccination — second dose", "practitioner_id": "pract-001" }, { "resource_type": "Encounter", "id": "enc-dog-003", "patient_id": "pat-dog-001", "status": "completed", "type": "surgery", "date": "2024-09-20T08:00:00Z", "end_date": "2024-09-20T10:30:00Z", "reason": "Elective castration", "practitioner_id": "pract-002", "diagnoses": [ "cond-dog-001" ], "diagnoses_display": [ "Cryptorchidism (unilateral)" ], "notes": "Pre-op bloodwork normal. Smooth recovery.", "cost": { "amount": 1200, "currency": "PLN" } }, { "resource_type": "Encounter", "id": "enc-dog-004", "patient_id": "pat-dog-001", "status": "completed", "type": "consultation", "date": "2025-02-10T14:00:00Z", "reason": "Skin irritation on belly — owner reports itching for 2 weeks", "practitioner_id": "pract-001", "diagnoses": [ "cond-dog-002" ], "diagnoses_display": [ "Atopic dermatitis — food-related" ] }, { "resource_type": "Encounter", "id": "enc-dog-005", "patient_id": "pat-dog-001", "status": "completed", "type": "consultation", "date": "2026-01-15T09:30:00Z", "reason": "Annual checkup + booster vaccination", "practitioner_id": "pract-001", "notes": "Healthy. Weight stable. Skin allergy well managed with diet." } ], "conditions": [ { "resource_type": "Condition", "id": "cond-dog-001", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-003", "name": "Cryptorchidism (unilateral)", "clinical_status": "resolved", "severity": "mild", "onset_date": "2024-09-20", "abatement_date": "2024-09-20", "notes": "Right testicle retained inguinally. Removed during castration." }, { "resource_type": "Condition", "id": "cond-dog-002", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-004", "name": "Atopic dermatitis — food-related", "code": { "system": "icd-10-vet", "value": "L30.9", "display": "Dermatitis, unspecified" }, "clinical_status": "active", "severity": "moderate", "onset_date": "2025-01-25", "notes": "Suspected chicken protein allergy. Started elimination diet." } ], "observations": [ { "resource_type": "Observation", "id": "obs-dog-001", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-005", "category": "vital-signs", "name": "Body Weight", "effective_date": "2026-01-15T09:30:00Z", "value": 12.3, "value_type": "quantity", "unit": "kg", "interpretation": "normal", "notes": "Stable weight — ideal for breed" }, { "resource_type": "Observation", "id": "obs-dog-002", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-005", "category": "vital-signs", "name": "Heart Rate", "effective_date": "2026-01-15T09:35:00Z", "value": 110, "value_type": "quantity", "unit": "bpm", "reference_range": { "low": 60, "high": 140, "text": "60-140 bpm (dog)" }, "interpretation": "normal" }, { "resource_type": "Observation", "id": "obs-dog-003", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-005", "category": "vital-signs", "name": "Body Temperature", "effective_date": "2026-01-15T09:35:00Z", "value": 38.6, "value_type": "quantity", "unit": "°C", "reference_range": { "low": 38, "high": 39.2, "text": "38.0-39.2°C (dog)" }, "interpretation": "normal" } ], "immunizations": [ { "resource_type": "Immunization", "id": "imm-dog-001", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-001", "vaccine_name": "Nobivac Puppy DP", "occurrence_date": "2024-03-15", "lot_number": "PDP-2024-A1", "manufacturer": "MSD Animal Health", "route": "subcutaneous", "site": "Right shoulder", "practitioner_id": "pract-001", "is_primary_course": true }, { "resource_type": "Immunization", "id": "imm-dog-002", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-002", "vaccine_name": "Nobivac DHPPi + L4", "occurrence_date": "2024-04-15", "expiration_date": "2025-04-15", "next_dose_date": "2025-04-15", "lot_number": "DHP-2024-B2", "manufacturer": "MSD Animal Health", "route": "subcutaneous", "practitioner_id": "pract-001", "is_primary_course": true }, { "resource_type": "Immunization", "id": "imm-dog-003", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-002", "vaccine_name": "Nobivac Rabies", "occurrence_date": "2024-04-15", "expiration_date": "2027-04-15", "next_dose_date": "2027-04-15", "lot_number": "RAB-2024-C3", "manufacturer": "MSD Animal Health", "route": "intramuscular", "site": "Left thigh", "practitioner_id": "pract-001", "is_primary_course": true, "notes": "Required for EU Pet Passport" }, { "resource_type": "Immunization", "id": "imm-dog-004", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-005", "vaccine_name": "Nobivac DHPPi + L4", "occurrence_date": "2026-01-15", "expiration_date": "2027-01-15", "next_dose_date": "2027-01-15", "lot_number": "DHP-2026-D4", "manufacturer": "MSD Animal Health", "route": "subcutaneous", "practitioner_id": "pract-001", "is_primary_course": false, "notes": "Annual booster" } ], "procedures": [ { "resource_type": "Procedure", "id": "proc-dog-001", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-003", "name": "Castration with cryptorchid testicle removal", "status": "completed", "category": "surgery", "performed_date": "2024-09-20T08:30:00Z", "end_date": "2024-09-20T09:45:00Z", "practitioner_id": "pract-002", "anesthesia": { "type": "general", "agent": "Isoflurane + Propofol induction" }, "outcome": "Successful. Both testicles removed. Clean incisions.", "notes": "Right inguinal testicle found and removed. Standard scrotal approach for left. Absorbable sutures used.", "cost": { "amount": 1200, "currency": "PLN" } } ], "allergy_intolerances": [ { "resource_type": "AllergyIntolerance", "id": "allergy-dog-001", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-004", "type": "allergy", "category": "food", "substance": "Chicken protein", "clinical_status": "active", "criticality": "low", "onset_date": "2025-01-25", "reaction": { "manifestation": "Skin rash, itching on ventral abdomen and inner thighs", "severity": "moderate" }, "notes": "Confirmed via 8-week elimination diet. Symptoms resolved with hydrolyzed protein diet." } ], "medication_statements": [ { "resource_type": "MedicationStatement", "id": "med-dog-001", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-004", "medication_name": "Apoquel (oclacitinib)", "status": "completed", "date_started": "2025-02-10", "date_ended": "2025-03-10", "dosage": { "value": 5.4, "unit": "mg", "frequency": "Twice daily for 14 days, then once daily", "route": "oral" }, "reason": "Atopic dermatitis — symptomatic relief during elimination diet", "prescriber_id": "pract-001" }, { "resource_type": "MedicationStatement", "id": "med-dog-002", "patient_id": "pat-dog-001", "encounter_id": "enc-dog-004", "medication_name": "Royal Canin Hypoallergenic", "status": "active", "date_started": "2025-02-10", "dosage": { "value": 200, "unit": "g", "frequency": "Twice daily", "route": "oral" }, "reason": "Hydrolyzed protein diet for food allergy management", "prescriber_id": "pract-001", "notes": "Long-term dietary management. No chicken-based treats allowed." } ]}