Antibiotic Indication Review
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PATIENT MRN
EVD10003
NAME
N/A
LOCATION
PICU
SERVICE
Critical Care
MEDICATION
Meropenem
RXNORM
29561
ORDER DATE
2026-01-31 04:31
LLM Note Extraction
A
Sepsis with suspected intra-abdominal source
Extracted Indications:
- Sepsis
- Suspected intra-abdominal infection
Supporting Evidence with Sources:
ADMISSION_NOTE
2026-01-31
Documents severe sepsis requiring immediate broad spectrum coverage
- "8 year old transferred from OSH with septic shock"
- "Lactate 4.8, requiring norepinephrine"
- "Initiated Meropenem for broad spectrum coverage pending source identification"
ID_CONSULT
2026-01-31
ID confirms appropriateness and identifies likely source
- "Agree with meropenem given clinical severity"
- "CT abdomen shows possible appendicitis with perforation"
- "Appropriate empiric coverage for presumed intra-abdominal sepsis"
SURGERY_CONSULT
2026-01-31
Confirms surgical source of infection
- "Perforated appendicitis confirmed on CT"
- "Will proceed to OR after stabilization"
ICD-10 Assessment
A
ICD-10 Codes:
A41.9R65.20
Classification Comparison
| Source | Classification | Indication |
|---|---|---|
| ICD-10 (Chua) | A | - |
| LLM (Notes) | A | Sepsis with suspected intra-abdominal source |
| Final | A | llm classification used |
Review History
Auto accepted
2026-01-31 17:44:42
Decision: Confirm Appropriate
Notes: Auto-accepted after 0 hours without human review