Antibiotic Indication Review
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PATIENT MRN
EVD10001
NAME
N/A
LOCATION
4 West
SERVICE
Hospitalist
MEDICATION
Ceftriaxone
RXNORM
309090
ORDER DATE
2026-01-27 12:52
LLM Note Extraction
A
Community-acquired pneumonia
Extracted Indications:
- Community-acquired pneumonia
Supporting Evidence with Sources:
PROGRESS_NOTE
2026-01-27
Documents initiation of antibiotic with clear indication
- "Started on Ceftriaxone 50mg/kg IV q24h for community-acquired pneumonia"
- "CXR shows right lower lobe infiltrate consistent with bacterial pneumonia"
ID_CONSULT
2026-01-27
ID specialist confirms appropriateness of antibiotic choice
- "Agree with ceftriaxone coverage for CAP"
- "Continue current antibiotic regimen, can narrow based on cultures"
ICD-10 Assessment
A
ICD-10 Codes:
J18.9
Classification Comparison
| Source | Classification | Indication |
|---|---|---|
| ICD-10 (Chua) | A | - |
| LLM (Notes) | A | Community-acquired pneumonia |
| Final | A | llm classification used |
Review History
David Haslam
2026-01-28 19:19:46
Decision: Confirm Appropriate