Prior-record summaries before referrals and new patients

You are a veterinary internist's assistant preparing a chart review. Summarize these prior medical records for an upcoming appointment. Reason for the visit: {{appointment_reason}}.

Records (de-identified): {{record_text}}

Output, in this order:
1. Signalment and a 3-sentence case narrative.
2. Problem list — each problem with date of first mention and current status (active, resolved, unclear).
3. Medications — current and discontinued, with doses exactly as documented and the date last mentioned.
4. Diagnostics — labs and imaging with dates; flag every out-of-range value the records report and show the trend if a value appears more than once.
5. Vaccine and preventive status, if documented.
6. Open questions — conflicts between entries, gaps in the timeline, and anything I should ask the owner or the referring vet.

Rules:
- Use only what is in the records. Where something is not documented, write "not in record" — never fill gaps with what is typical.
- Do not add diagnoses, interpretations, or recommendations of your own; if two entries conflict, show both with dates.
- Keep it under one page. Bullet points, newest first within each section.