Evidence Snapshot

Evidence Snapshot v1
Version
v@Model.VersionNumber
Generated
06/14/2026 10:21:59
Reasoning Status
Not run
DAMNIT-V Evidence Prioritisation
Intent: All DAMNIT-V domains remain visible, but each is interpreted from the evidence actually collected. Low-evidence domains are retained for completeness without being over-prioritised.
Case Summary
Case Title: Client Portal Intake - Eddy
Primary Complaint: Diet concern
Status: Open
Date Opened: 14/06/2026
CLINICAL NARRATIVE
CLIENT PRE-VISIT PORTAL SUBMISSION
IMPORTANT: Client-submitted information is unverified until clinician review.
Physical food, treat, supplement and medication samples/packages were requested for RAC testing and label verification.
OWNER / PATIENT
Owner: Bright
Evidence Status
Clinical intake documents: 1
Nutrition assessments: 1
Accepted food / commercial diet entries: 2
Accepted treat entries: 1
Accepted supplement entries: 1
Nutrition calculation: 1165 kcal/day, 129.7% of estimated requirement
Nutrition matched items: 3 / 16
Nutrition micronutrient confidence: Partial / incomplete
RAC / Audiomixer documents: 0
Pathology / laboratory reports: 0
Imaging reports: 0
HTMA reports: 0
Microbiome reports: 0
Supplement reviews: 0
RAC / Audiomixer Evidence Summary
RAC / AUDIOMIXER EVIDENCE SUMMARY
RAC reports attached: 0
Positive RAC markers used for scoring: 0
No positive classified RAC markers currently available for this case.
Domain-Source Weighted Priorities

Derived from current source scores: Clinical Intake, Nutrition, RAC, Pathology/Lab, Imaging, HTMA and Microbiome.

  1. M - Metabolic / Nutritional Score: 3 Low-Moderate
    • Source Scores: Clinical 0; Nutrition 3; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 3.
    • Nutrition:
    • - Nutrition assessment evidence is present as supporting context.
    • - Accepted Review Centre diet entries are available for nutrition calculation.
    • - Accepted diet calculation: 1165 kcal/day, 129.7% of estimated requirement.
    • - Calculated energy intake is above estimated maintenance requirement.
DAMNIT-V Evidence-Conditioned Possibility Map
D - Degenerative / Structural
Score: 0 Currently unsupported / retained for completeness
Evidence Found
  • Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
  • Pathology / Lab:
  • - Not yet added or no domain-specific evidence recognised.
  • Imaging:
  • - Not yet added or no domain-specific evidence recognised.
  • HTMA:
  • - Not yet added or no domain-specific evidence recognised.
  • Microbiome:
  • - Not yet added or no domain-specific evidence recognised.
Evidence Source
  • Clinical Intake
  • Accepted Nutrition Review Centre Entries
  • RAC Ontology Classification
Current Interpretation
  • None currently supported beyond DAMNIT-V completeness.
Missing Confirmation
  • No direct imaging or structural confirmation has been added to this snapshot.
RAC Correlation Targets
  • Structural obstruction / restriction signal
  • Regional tissue integrity
  • Pain or mechanical stress localisation
Physical Confirmation Targets
  • Physical examination and palpation
  • Imaging if structural disease is clinically suspected
  • Serial monitoring if signs are mild or improving
A - Allergic / Reactive
Score: 0 Currently unsupported / retained for completeness
Evidence Found
  • Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
  • Pathology / Lab:
  • - Not yet added or no domain-specific evidence recognised.
  • Imaging:
  • - Not yet added or no domain-specific evidence recognised.
  • HTMA:
  • - Not yet added or no domain-specific evidence recognised.
  • Microbiome:
  • - Not yet added or no domain-specific evidence recognised.
Evidence Source
  • Clinical Intake
  • Accepted Nutrition Review Centre Entries
  • RAC Ontology Classification
Current Interpretation
  • None currently supported beyond DAMNIT-V completeness.
Missing Confirmation
  • No allergy testing, skin cytology, biopsy, RAC reactivity screen or challenge result is yet attached.
RAC Correlation Targets
  • Current foods against allergic / reactive burden
  • Owner-reactive foods
  • Histamine / mast-cell pattern
  • Atopy / environmental allergen pattern
  • Contact irritant pattern
Physical Confirmation Targets
  • Skin cytology if lesions are active
  • Controlled elimination / challenge logic if clinically appropriate
  • Environmental and contact exposure review
  • Secondary infection assessment if pruritus or lesions persist
M - Metabolic / Nutritional
Score: 3 Low-Moderate
Evidence Found
  • Source Scores: Clinical 0; Nutrition 3; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 3.
  • Nutrition:
  • - Nutrition assessment evidence is present as supporting context.
  • - Accepted Review Centre diet entries are available for nutrition calculation.
  • - Accepted diet calculation: 1165 kcal/day, 129.7% of estimated requirement.
  • - Calculated energy intake is above estimated maintenance requirement.
  • - Nutrition calculation contains 13 unmatched item(s).
  • - Micronutrient evidence is partial or incomplete.
  • Pathology / Lab:
  • - Not yet added or no domain-specific evidence recognised.
  • Imaging:
  • - Not yet added or no domain-specific evidence recognised.
  • HTMA:
  • - Not yet added or no domain-specific evidence recognised.
  • Microbiome:
  • - Not yet added or no domain-specific evidence recognised.
Evidence Source
  • Clinical Intake
  • Accepted Nutrition Review Centre Entries
  • RAC Ontology Classification
Current Interpretation
  • Nutritional excess / overfeeding risk based on accepted diet calculation.
  • Incomplete micronutrient certainty; deficiencies or excesses cannot be fully excluded.
  • Accepted diet contains unmatched items requiring database completion before full interpretation.
Missing Confirmation
  • No pathology, endocrine testing, HTMA or complete micronutrient confirmation is currently attached.
RAC Correlation Targets
  • Zinc / copper / selenium / vitamin A / vitamin E pattern
  • Essential fatty acid sufficiency
  • Liver / endocrine metabolic stress
  • Energy balance and protein utilisation
Physical Confirmation Targets
  • Review unmatched diet items and incomplete micronutrient fields
  • Pathology if systemic or endocrine signs are present
  • HTMA if mineral/toxic patterning is clinically relevant
  • Diet correction and longitudinal response tracking
N - Neoplastic / Nutrition
Score: 0 Currently unsupported / retained for completeness
Evidence Found
  • Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
  • Pathology / Lab:
  • - Not yet added or no domain-specific evidence recognised.
  • Imaging:
  • - Not yet added or no domain-specific evidence recognised.
  • HTMA:
  • - Not yet added or no domain-specific evidence recognised.
  • Microbiome:
  • - Not yet added or no domain-specific evidence recognised.
Evidence Source
  • Clinical Intake
  • Accepted Nutrition Review Centre Entries
  • RAC Ontology Classification
Current Interpretation
  • None currently supported beyond DAMNIT-V completeness.
Missing Confirmation
  • No mass, imaging, pathology, cytology or RAC neoplasia evidence has been collected in this snapshot.
RAC Correlation Targets
  • Mass / nodule signal if any lesion is palpable
  • Mast cell / inflammatory nodule distinction
  • Neoplasia versus inflammatory / nutritional mimic clarification where relevant
Physical Confirmation Targets
  • Clinical examination of any lump or lesion
  • FNA / cytology if a discrete mass is present
  • Biopsy or imaging only if clinically justified
I - Infectious / Inflammatory / Immune
Score: 0 Currently unsupported / retained for completeness
Evidence Found
  • Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
  • Pathology / Lab:
  • - Not yet added or no domain-specific evidence recognised.
  • Imaging:
  • - Not yet added or no domain-specific evidence recognised.
  • HTMA:
  • - Not yet added or no domain-specific evidence recognised.
  • Microbiome:
  • - Not yet added or no domain-specific evidence recognised.
Evidence Source
  • Clinical Intake
  • Accepted Nutrition Review Centre Entries
  • RAC Ontology Classification
Current Interpretation
  • None currently supported beyond DAMNIT-V completeness.
Missing Confirmation
  • No cytology, culture, CBC, biopsy, pathology or RAC infection/inflammation screen is yet attached.
RAC Correlation Targets
  • Bacterial burden
  • Yeast / Malassezia burden
  • Immune dysregulation
  • Inflammatory cytokine / tissue inflammation pattern
  • Barrier breakdown pattern
Physical Confirmation Targets
  • Skin cytology
  • Tape prep / impression smear where lesions are active
  • CBC / biochemistry if systemic signs are present
  • Culture or biopsy if recurrent, severe or non-responsive
T - Toxic / Traumatic
Score: 0 Currently unsupported / retained for completeness
Evidence Found
  • Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
  • Pathology / Lab:
  • - Not yet added or no domain-specific evidence recognised.
  • Imaging:
  • - Not yet added or no domain-specific evidence recognised.
  • HTMA:
  • - Not yet added or no domain-specific evidence recognised.
  • Microbiome:
  • - Not yet added or no domain-specific evidence recognised.
Evidence Source
  • Clinical Intake
  • Accepted Nutrition Review Centre Entries
  • RAC Ontology Classification
Current Interpretation
  • None currently supported beyond DAMNIT-V completeness.
Missing Confirmation
  • No toxicology, exposure confirmation, trauma imaging or RAC toxic/trauma screen is currently attached.
RAC Correlation Targets
  • Chemical / toxin burden
  • Drug reaction burden
  • Environmental irritant
  • Trauma localisation
  • Tick / envenomation pattern if regionally relevant
Physical Confirmation Targets
  • Exposure history
  • Physical examination of affected region
  • Pathology or toxicology only where clinically indicated
  • Imaging if penetrating injury, foreign body or deeper trauma is suspected
V - Vascular / Neurological
Score: 0 Currently unsupported / retained for completeness
Evidence Found
  • Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
  • Pathology / Lab:
  • - Not yet added or no domain-specific evidence recognised.
  • Imaging:
  • - Not yet added or no domain-specific evidence recognised.
  • HTMA:
  • - Not yet added or no domain-specific evidence recognised.
  • Microbiome:
  • - Not yet added or no domain-specific evidence recognised.
Evidence Source
  • Clinical Intake
  • Accepted Nutrition Review Centre Entries
  • RAC Ontology Classification
Current Interpretation
  • None currently supported beyond DAMNIT-V completeness.
Missing Confirmation
  • No neurological examination, imaging, blood pressure, coagulation or RAC vascular/neurological screen is currently attached.
RAC Correlation Targets
  • Vestibular / neurological axis
  • Autonomic dysregulation
  • Vascular compromise
  • Coagulation / perfusion pattern
Physical Confirmation Targets
  • Neurological examination if signs are present
  • Blood pressure and perfusion assessment if clinically indicated
  • Advanced imaging or referral only if justified by signs
Show original detailed snapshot
DAMNIT-V COMBINED EVIDENCE SNAPSHOT v1
==================================================

PATIENT
-------
Name: Eddy
Owner: Bright
Species: Canine
Breed: Border Collie
Sex: Male
Desexed Status: 
Life Stage: 
Activity Level: 
Current Weight kg: 23.00
Ideal Weight kg: 
BCS: 7.00

CASE
----
Case Title: Client Portal Intake - Eddy
Primary Complaint: Diet concern
Status: Open
Date Opened: 14/06/2026

CLINICAL NARRATIVE
------------------
CLIENT PRE-VISIT PORTAL SUBMISSION

IMPORTANT: Client-submitted information is unverified until clinician review.
Physical food, treat, supplement and medication samples/packages were requested for RAC testing and label verification.

OWNER / PATIENT
Owner: Bright
Email: brightsinnoosa@gmail.com
Phone: 0435565909
Patient: Eddy
Species: Dog
Breed: Border Collie
Sex / desexed status: Male /Desexed
Age: 13yrs
Weight kg: 

EXISTING CLIENT / PATIENT MATCHING DETAILS
Previous client?: Yes
Alternate / partner owner name: 
Possible registered owner: 
Previous patient name: 

PRIMARY CONCERN
Diet concern

HISTORY / TIMELINE
Changed his diet - Is it okay?

DIET
Inner Wolf Kangaroo 500 grams daily

TREATS / CHEWS / SNACKS
Liver treat 50 grams

SUPPLEMENTS
1 multivitamin cenovis

MEDICATIONS / HERBS / TOPICAL PRODUCTS


ENVIRONMENT / EXPOSURES


LABEL / SAMPLE / RAC STATUS
Label review: Awaiting review
Physical sample: Bring physical label/sample required
RAC sample: RAC sample pending
Clinic notes: 

INITIAL DIFFERENTIAL NOTES
--------------------------
Created from client pre-visit portal submission. Client-submitted information is unverified until clinician review.

LOCAL / REGIONAL CLINICAL CONTEXT
---------------------------------
No matching active local/regional clinical context entries found for the recorded species and presenting signs.

CLINICAL INTAKE DOCUMENTS
-------------------------

DOCUMENT: Client Pre-Visit Intake
Type: Client Portal Intake
Source: Client Portal / Owner Submitted
Uploaded: 14/06/2026 01:22

CLIENT PRE-VISIT PORTAL SUBMISSION

IMPORTANT: Client-submitted information is unverified until clinician review.
Physical food, treat, supplement and medication samples/packages were requested for RAC testing and label verification.

OWNER / PATIENT
Owner: Bright
Email: brightsinnoosa@gmail.com
Phone: 0435565909
Patient: Eddy
Species: Dog
Breed: Border Collie
Sex / desexed status: Male /Desexed
Age: 13yrs
Weight kg: 

EXISTING CLIENT / PATIENT MATCHING DETAILS
Previous client?: Yes
Alternate / partner owner name: 
Possible registered owner: 
Previous patient name: 

PRIMARY CONCERN
Diet concern

HISTORY / TIMELINE
Changed his diet - Is it okay?

DIET
Inner Wolf Kangaroo 500 grams daily

TREATS / CHEWS / SNACKS
Liver treat 50 grams

SUPPLEMENTS
1 multivitamin cenovis

MEDICATIONS / HERBS / TOPICAL PRODUCTS


ENVIRONMENT / EXPOSURES


LABEL / SAMPLE / RAC STATUS
Label review: Awaiting review
Physical sample: Bring physical label/sample required
RAC sample: RAC sample pending
Clinic notes: 

NUTRITION ASSESSMENTS
---------------------
Total nutrition assessments for this case: 1

LATEST NUTRITION ASSESSMENT
---------------------------
Assessment ID: 95
Title: Client Portal Nutrition Draft
Date: 14/06/2026
Feeding Goal: Client-submitted pre-visit nutrition history for clinician review.
Current Diet Type: Client submitted / unverified
Body Weight kg: 
Ideal Weight kg: 
BCS: 
Muscle Condition: 
Appetite: 
Owner Goals: Diet concern
Diet Concerns: Client-submitted diet, treat and supplement information. Verify labels and physical samples before accepting as clinical evidence.
Skin / Coat Notes: 
Digestive Notes: 
Stool Quality: 
Owner-Reactive Foods: 
Owner-Tolerated Foods: 

NUTRITION EVIDENCE SNAPSHOT
---------------------------
Latest Assessment ID: 95
Assessment Date: 14/06/2026
Energy Intake: 1165 kcal/day
Estimated Requirement: 898.45 kcal/day
Energy Percent: 129.7%
Energy Status: High / above estimated requirement
Protein: 113 g/day
Fat: 25 g/day
Carbohydrate: 118.5 g/day
Matched Diet Items: 3 / 16
Unmatched Diet Items: 13
Micronutrient Confidence: Partial / incomplete
Nutrition Confidence: Moderate / partial evidence

Owner-Reactive / Avoid Foods:
None recorded.

Owner-Tolerated Foods:
None recorded.

Ingredient-Derived Reactive Groups:
beef, copper_rich, fodmap, histamine_possible, iodine_source, organ_meat, oxalate_possible, purine, sulphur, vitamin_a_rich

RAC-Reactive Foods:
Not yet connected. Future build will compare RAC-reactive foods against current diet, owner-reactive foods and tolerated foods.

EVIDENCE INCLUDED
-----------------
Clinical intake documents: 1
Nutrition assessments: 1
Accepted food / commercial diet entries: 2
Accepted treat entries: 1
Accepted supplement entries: 1
Nutrition calculation: 1165 kcal/day, 129.7% of estimated requirement
Nutrition matched items: 3 / 16
Nutrition micronutrient confidence: Partial / incomplete
RAC / Audiomixer documents: 0
Pathology / laboratory reports: 0
Imaging reports: 0
HTMA reports: 0
Microbiome reports: 0
Supplement reviews: 0

EVIDENCE PENDING / NOT YET ADDED
--------------------------------
- Accepted nutrition entries are present and used for nutrition calculations.
- RAC / Audiomixer DOCX reports
- Pathology / laboratory reports
- Imaging reports
- HTMA report if requested
- Microbiome report if requested
- Supplement review

EVIDENCE STATUS
---------------

Evidence Used In This Snapshot:
- Clinical Intake: Used
- Nutrition: Used

Additional Evidence Available If Clinically Indicated:
- RAC / Audiomixer screening: may help prioritise which physical tests or evidence domains should be pursued next.
- Pathology / laboratory testing: available if clinical signs, risk assessment, or response to treatment justify testing.
- Imaging: available if obstruction, foreign body, mass, trauma or structural disease remains a concern.
- HTMA: available if mineral/toxic element patterning is clinically relevant.
- Microbiome: available if chronic gastrointestinal, immune, dermatological or inflammatory patterns require deeper investigation.

Clinical Context:
A veterinary assessment is commonly made using the evidence that is clinically justified and practically available. This section records what was used and what could be added later, without implying that every possible test is required for every patient.

RAC / AUDIOMIXER EVIDENCE SUMMARY
---------------------------------
RAC reports attached: 0
Positive RAC markers used for scoring: 0
No positive classified RAC markers currently available for this case.

EVIDENCE WEIGHTING ENGINE v1
----------------------------
Domain weights used in this snapshot:
- Imaging: 5
- Pathology / Laboratory: 5
- Clinical Examination: 4
- Clinical History / Intake: 4
- Nutrition: 3
- HTMA: 2
- Microbiome: 2
- RAC / Audiomixer: 1
- Supplement Review: 1

Current snapshot contains Clinical Intake and Nutrition evidence only. Imaging, pathology, HTMA, microbiome and RAC are pending.

DIFFERENTIAL PRIORITIES v2 - WEIGHTED
-------------------------------------

1. Concurrent metabolic / nutritional patient-state issue
Weighted Evidence Score: 7
Weighted Confidence: Low-Moderate
Evidence:
- [M - Nutrition / Patient-State +3] Accepted diet calculation shows energy intake 129.7% of estimated requirement.
- [M - Nutrition / Patient-State +2] Accepted diet calculation has partial / incomplete micronutrient confidence.
- [M - Nutrition / Patient-State +2] Accepted diet calculation includes 13 unmatched item(s).

DAMNIT-V EVIDENCE-CONDITIONED POSSIBILITY MAP v2
------------------------------------------------
All DAMNIT-V domains remain visible, but each domain is interpreted according to the evidence actually collected in this snapshot. Low-evidence domains are retained for completeness without being over-prioritised.


UNIFIED DAMNIT-V DOMAIN SCORES v1
---------------------------------
These scores integrate clinical intake, accepted nutrition calculations and RAC ontology classification where available.

M - Metabolic / Nutritional
Clinical Score: 0
Nutrition / Patient-State Score: 8
RAC Score: 0
Total Unified Score: 8
Evidence:
- Accepted nutrition calculation shows energy intake 129.7% of estimated requirement.
- Accepted nutrition calculation has partial / incomplete micronutrient confidence.
- Accepted nutrition calculation includes 13 unmatched item(s).

A - Allergic / Reactive
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 0
Evidence:
- No direct case-specific evidence currently recognised.

D - Degenerative / Structural
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 0
Evidence:
- No direct case-specific evidence currently recognised.

I - Infectious / Inflammatory / Immune
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 0
Evidence:
- No direct case-specific evidence currently recognised.

N - Neoplastic
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 0
Evidence:
- No direct case-specific evidence currently recognised.

T - Toxic / Traumatic
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 0
Evidence:
- No direct case-specific evidence currently recognised.

V - Vascular / Neurological
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 0
Evidence:
- No direct case-specific evidence currently recognised.

DOMAIN-SCORED CLINICAL PRIORITIES v1
------------------------------------
- M - Metabolic / Nutritional: unified score 8

1. M - Metabolic / Nutritional
Evidence Score: 3
Evidence Strength: Low-Moderate
Evidence found in this snapshot:
- Source Scores: Clinical 0; Nutrition 3; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 3.
- Nutrition:
- - Nutrition assessment evidence is present as supporting context.
- - Accepted Review Centre diet entries are available for nutrition calculation.
- - Accepted diet calculation: 1165 kcal/day, 129.7% of estimated requirement.
- - Calculated energy intake is above estimated maintenance requirement.
- - Nutrition calculation contains 13 unmatched item(s).
- - Micronutrient evidence is partial or incomplete.
- Pathology / Lab:
- - Not yet added or no domain-specific evidence recognised.
- Imaging:
- - Not yet added or no domain-specific evidence recognised.
- HTMA:
- - Not yet added or no domain-specific evidence recognised.
- Microbiome:
- - Not yet added or no domain-specific evidence recognised.
Possibilities supported by current evidence:
- Nutritional excess / overfeeding risk based on accepted diet calculation.
- Incomplete micronutrient certainty; deficiencies or excesses cannot be fully excluded.
- Accepted diet contains unmatched items requiring database completion before full interpretation.
Possibilities not currently supported / missing evidence:
- No pathology, endocrine testing, HTMA or complete micronutrient confirmation is currently attached.
Suggested RAC screen if this domain remains clinically relevant:
- Zinc / copper / selenium / vitamin A / vitamin E pattern
- Essential fatty acid sufficiency
- Liver / endocrine metabolic stress
- Energy balance and protein utilisation
Suggested physical confirmation if justified:
- Review unmatched diet items and incomplete micronutrient fields
- Pathology if systemic or endocrine signs are present
- HTMA if mineral/toxic patterning is clinically relevant
- Diet correction and longitudinal response tracking

2. A - Allergic / Reactive
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
- Pathology / Lab:
- - Not yet added or no domain-specific evidence recognised.
- Imaging:
- - Not yet added or no domain-specific evidence recognised.
- HTMA:
- - Not yet added or no domain-specific evidence recognised.
- Microbiome:
- - Not yet added or no domain-specific evidence recognised.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No allergy testing, skin cytology, biopsy, RAC reactivity screen or challenge result is yet attached.
Suggested RAC screen if this domain remains clinically relevant:
- Current foods against allergic / reactive burden
- Owner-reactive foods
- Histamine / mast-cell pattern
- Atopy / environmental allergen pattern
- Contact irritant pattern
Suggested physical confirmation if justified:
- Skin cytology if lesions are active
- Controlled elimination / challenge logic if clinically appropriate
- Environmental and contact exposure review
- Secondary infection assessment if pruritus or lesions persist

3. D - Degenerative / Structural
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
- Pathology / Lab:
- - Not yet added or no domain-specific evidence recognised.
- Imaging:
- - Not yet added or no domain-specific evidence recognised.
- HTMA:
- - Not yet added or no domain-specific evidence recognised.
- Microbiome:
- - Not yet added or no domain-specific evidence recognised.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No direct imaging or structural confirmation has been added to this snapshot.
Suggested RAC screen if this domain remains clinically relevant:
- Structural obstruction / restriction signal
- Regional tissue integrity
- Pain or mechanical stress localisation
Suggested physical confirmation if justified:
- Physical examination and palpation
- Imaging if structural disease is clinically suspected
- Serial monitoring if signs are mild or improving

4. I - Infectious / Inflammatory / Immune
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
- Pathology / Lab:
- - Not yet added or no domain-specific evidence recognised.
- Imaging:
- - Not yet added or no domain-specific evidence recognised.
- HTMA:
- - Not yet added or no domain-specific evidence recognised.
- Microbiome:
- - Not yet added or no domain-specific evidence recognised.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No cytology, culture, CBC, biopsy, pathology or RAC infection/inflammation screen is yet attached.
Suggested RAC screen if this domain remains clinically relevant:
- Bacterial burden
- Yeast / Malassezia burden
- Immune dysregulation
- Inflammatory cytokine / tissue inflammation pattern
- Barrier breakdown pattern
Suggested physical confirmation if justified:
- Skin cytology
- Tape prep / impression smear where lesions are active
- CBC / biochemistry if systemic signs are present
- Culture or biopsy if recurrent, severe or non-responsive

5. N - Neoplastic
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
- Pathology / Lab:
- - Not yet added or no domain-specific evidence recognised.
- Imaging:
- - Not yet added or no domain-specific evidence recognised.
- HTMA:
- - Not yet added or no domain-specific evidence recognised.
- Microbiome:
- - Not yet added or no domain-specific evidence recognised.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No mass, imaging, pathology, cytology or RAC neoplasia evidence has been collected in this snapshot.
Suggested RAC screen if this domain remains clinically relevant:
- Mass / nodule signal if any lesion is palpable
- Mast cell / inflammatory nodule distinction
- Neoplasia versus inflammatory / nutritional mimic clarification where relevant
Suggested physical confirmation if justified:
- Clinical examination of any lump or lesion
- FNA / cytology if a discrete mass is present
- Biopsy or imaging only if clinically justified

6. T - Toxic / Traumatic
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
- Pathology / Lab:
- - Not yet added or no domain-specific evidence recognised.
- Imaging:
- - Not yet added or no domain-specific evidence recognised.
- HTMA:
- - Not yet added or no domain-specific evidence recognised.
- Microbiome:
- - Not yet added or no domain-specific evidence recognised.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No toxicology, exposure confirmation, trauma imaging or RAC toxic/trauma screen is currently attached.
Suggested RAC screen if this domain remains clinically relevant:
- Chemical / toxin burden
- Drug reaction burden
- Environmental irritant
- Trauma localisation
- Tick / envenomation pattern if regionally relevant
Suggested physical confirmation if justified:
- Exposure history
- Physical examination of affected region
- Pathology or toxicology only where clinically indicated
- Imaging if penetrating injury, foreign body or deeper trauma is suspected

7. V - Vascular / Neurological
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- Source Scores: Clinical 0; Nutrition 0; RAC 0; Lab 0; Imaging 0; HTMA 0; Microbiome 0; Total 0.
- Pathology / Lab:
- - Not yet added or no domain-specific evidence recognised.
- Imaging:
- - Not yet added or no domain-specific evidence recognised.
- HTMA:
- - Not yet added or no domain-specific evidence recognised.
- Microbiome:
- - Not yet added or no domain-specific evidence recognised.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No neurological examination, imaging, blood pressure, coagulation or RAC vascular/neurological screen is currently attached.
Suggested RAC screen if this domain remains clinically relevant:
- Vestibular / neurological axis
- Autonomic dysregulation
- Vascular compromise
- Coagulation / perfusion pattern
Suggested physical confirmation if justified:
- Neurological examination if signs are present
- Blood pressure and perfusion assessment if clinically indicated
- Advanced imaging or referral only if justified by signs

SNAPSHOT INTERPRETATION NOTE
----------------------------
This section does not remove any DAMNIT-V domain. It prevents all domains being displayed as equally likely by separating evidence-supported possibilities from framework-completeness possibilities.

RAC-GUIDED NEXT EVIDENCE v1
---------------------------
RAC is treated here as a screening and prioritisation layer. A positive RAC signal does not replace physical diagnosis, but it can increase the justification for targeted physical testing when cost, risk, or uncertainty make broad testing difficult.

Suggested workflow:
1. Generate broad differential possibility map.
2. Run RAC screening against the most plausible branches.
3. Compare RAC positives with clinical history, nutrition, examination and owner observations.
4. Increase priority for physical confirmation where RAC and clinical evidence converge.
5. Record later confirmation and outcome so RAC predictions can be validated longitudinally.

INTERPRETIVE CAUTION
--------------------
This evidence snapshot is not a final diagnosis. It represents the evidence currently available at the time of generation. Later laboratory, imaging, HTMA, microbiome, RAC, nutrition, or supplement evidence may change the interpretation.

CASE EVIDENCE BUNDLE v1
=======================

PATIENT
-------
Name: Eddy
Owner: Bright
Species: Canine
Breed: Border Collie
Sex: Male
Desexed Status: 
Life Stage: 
Activity Level: 
Current Weight kg: 23.00
Ideal Weight kg: 
BCS: 7.00

CASE
----
Case ID: 32
Title: Client Portal Intake - Eddy
Primary Complaint: Diet concern
Status: Open
Date Opened: 14/06/2026

CLINICAL NARRATIVE
------------------
CLIENT PRE-VISIT PORTAL SUBMISSION

IMPORTANT: Client-submitted information is unverified until clinician review.
Physical food, treat, supplement and medication samples/packages were requested for RAC testing and label verification.

OWNER / PATIENT
Owner: Bright
Email: brightsinnoosa@gmail.com
Phone: 0435565909
Patient: Eddy
Species: Dog
Breed: Border Collie
Sex / desexed status: Male /Desexed
Age: 13yrs
Weight kg: 

EXISTING CLIENT / PATIENT MATCHING DETAILS
Previous client?: Yes
Alternate / partner owner name: 
Possible registered owner: 
Previous patient name: 

PRIMARY CONCERN
Diet concern

HISTORY / TIMELINE
Changed his diet - Is it okay?

DIET
Inner Wolf Kangaroo 500 grams daily

TREATS / CHEWS / SNACKS
Liver treat 50 grams

SUPPLEMENTS
1 multivitamin cenovis

MEDICATIONS / HERBS / TOPICAL PRODUCTS


ENVIRONMENT / EXPOSURES


LABEL / SAMPLE / RAC STATUS
Label review: Awaiting review
Physical sample: Bring physical label/sample required
RAC sample: RAC sample pending
Clinic notes: 

INITIAL DIFFERENTIAL NOTES
--------------------------
Created from client pre-visit portal submission. Client-submitted information is unverified until clinician review.

CLINICAL INTAKE DOCUMENTS
-------------------------
Count: 1

Document: Client Pre-Visit Intake
Type: Client Portal Intake
Source: Client Portal / Owner Submitted
Uploaded: 14/06/2026 01:22
CLIENT PRE-VISIT PORTAL SUBMISSION

IMPORTANT: Client-submitted information is unverified until clinician review.
Physical food, treat, supplement and medication samples/packages were requested for RAC testing and label verification.

OWNER / PATIENT
Owner: Bright
Email: brightsinnoosa@gmail.com
Phone: 0435565909
Patient: Eddy
Species: Dog
Breed: Border Collie
Sex / desexed status: Male /Desexed
Age: 13yrs
Weight kg: 

EXISTING CLIENT / PATIENT MATCHING DETAILS
Previous client?: Yes
Alternate / partner owner name: 
Possible registered owner: 
Previous patient name: 

PRIMARY CONCERN
Diet concern

HISTORY / TIMELINE
Changed his diet - Is it okay?

DIET
Inner Wolf Kangaroo 500 grams daily

TREATS / CHEWS / SNACKS
Liver treat 50 grams

SUPPLEMENTS
1 multivitamin cenovis

MEDICATIONS / HERBS / TOPICAL PRODUCTS


ENVIRONMENT / EXPOSURES


LABEL / SAMPLE / RAC STATUS
Label review: Awaiting review
Physical sample: Bring physical label/sample required
RAC sample: RAC sample pending
Clinic notes: 

NUTRITION EVIDENCE
------------------
Nutrition source rule: calculations must use accepted Review Centre food, treat and supplement entries, not raw clinical intake text.
Nutrition assessments: 1
Latest Assessment ID: 95
Date: 14/06/2026
Feeding Goal: Client-submitted pre-visit nutrition history for clinician review.
Current Diet Type: Client submitted / unverified
Body Weight kg: 
Ideal Weight kg: 
BCS: 
Appetite: 
Digestive Notes: 
Stool Quality: 
Skin / Coat Notes: 
Owner Reactive Foods: 
Owner Tolerated Foods: 

Nutrition Calculation Summary:
Energy: 1165 kcal/day
Protein: 113 g/day
Fat: 25 g/day
Carbohydrate: 118.5 g/day

Accepted Review Centre Calculation Lines:
- Inner Wolf Kangaroo  daily | 500 g/day | 543 kcal | Match: Matched | DAMNIT-V reactive groups: fodmap|histamine_possible|iodine_source|organ_meat|oxalate_possible|purine|sulphur
- QUINOA | 150 g/day | 540 kcal | Match: Matched | DAMNIT-V reactive groups: 
- Treat: Liver treat | 20 g/day | 82 kcal | Match: Matched | DAMNIT-V reactive groups: beef|organ_meat|purine|vitamin_a_rich|copper_rich
- Supplement: Multivitamin Men - Cenovis - Calcium | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Zinc | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Vitamin E | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Magnesium | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Manganese | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Vitamin C | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Vitamin B1 | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Vitamin B2 | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Vitamin B3 | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Vitamin B5 | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Vitamin B6 | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Citrus Bioflavonoids | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 
- Supplement: Multivitamin Men - Cenovis - Betacarotene | 0 g/day | 0 kcal | Match: Supplement - within reference range | DAMNIT-V reactive groups: 

RAC / AUDIOMIXER EVIDENCE
-------------------------
RAC reports: 0
Positive classified RAC markers: 0

RAC MARKERS BY DAMNIT-V DOMAIN
------------------------------
No positive classified RAC marker results currently attached to this case.

PATHOLOGY / LABORATORY EVIDENCE
--------------------------------
Pathology reports: 0

IMAGING EVIDENCE
----------------
Imaging reports: 0

EVIDENCE BUNDLE NOTE
--------------------
This bundle is the shared evidence source for Snapshot and Multi-Model review. Case-specific DAMNIT-V reasoning should be generated from this bundle, not from isolated keyword rules.

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