Antibiotic Indication Review

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Never Appropriate via llm

Patient & Order Information

PATIENT MRN EVD10002
NAME N/A
LOCATION ED
SERVICE Emergency
MEDICATION Azithromycin
RXNORM 18631
ORDER DATE 2026-01-27 12:52

LLM Note Extraction

N Viral upper respiratory infection - antibiotics not indicated
Supporting Evidence with Sources:
PROGRESS_NOTE 2026-01-27 by Dr. Lisa Park
Explicitly states viral etiology and antibiotics not indicated
  • "Assessment: Viral upper respiratory infection"
  • "CXR clear, no infiltrates. Rapid flu negative."
  • "Antibiotics NOT indicated for viral illness"
NURSING_NOTE 2026-01-27 by RN Johnson
Documents antibiotics given despite clinical guidance
  • "Family very anxious, asking for antibiotics"
  • "Azithromycin given per parent request"
Confidence: 90% Model: llama3.2 Notes: 2/5

ICD-10 Assessment

N
ICD-10 Codes:
  • J06.9

Classification Comparison

Source Classification Indication
ICD-10 (Chua) N -
LLM (Notes) N Viral upper respiratory infection - antibiotics not indicated
Final N llm classification used

Review History

David Haslam 2026-01-28 19:20:09
Decision: Confirm Inappropriate

Review Complete

✓ This order has been reviewed

Classification: N

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