Antibiotic Indication Review

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Sometimes via llm

Patient & Order Information

PATIENT MRN EVD10004
NAME N/A
LOCATION 3 East
SERVICE Hospitalist
MEDICATION Ceftriaxone
RXNORM 309090
ORDER DATE 2026-01-31 04:31

LLM Note Extraction

S Urinary tract infection, pending culture
Extracted Indications:
  • Urinary tract infection
Supporting Evidence with Sources:
PROGRESS_NOTE 2026-01-31 by Dr. Jennifer Walsh
Documents UTI diagnosis and empiric antibiotic choice
  • "2 year old with fever x3 days, foul-smelling urine"
  • "UA: positive nitrites, >50 WBC/hpf, bacteria present"
  • "Started Ceftriaxone 50mg/kg for presumed pyelonephritis"
  • "Urine culture pending - will narrow based on sensitivities"
Confidence: 70% Model: llama3.2 Notes: 2/6

ICD-10 Assessment

A
ICD-10 Codes:
  • N39.0

Classification Comparison

Source Classification Indication
ICD-10 (Chua) A -
LLM (Notes) S Urinary tract infection, pending culture
Final S 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

Review Complete

✓ This order has been reviewed

Classification: S

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