Antibiotic Indication Review

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Appropriate via llm

Patient & Order Information

PATIENT MRN EVD10003
NAME N/A
LOCATION PICU
SERVICE Critical Care
MEDICATION Meropenem
RXNORM 29561
ORDER DATE 2026-01-27 12:52

LLM Note Extraction

A Sepsis with suspected intra-abdominal source
Extracted Indications:
  • Sepsis
  • Suspected intra-abdominal infection
Supporting Evidence with Sources:
ADMISSION_NOTE 2026-01-27 by Dr. David Kim, PICU
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 2026-01-27 by Dr. Amanda Foster, ID
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 2026-01-27 by Dr. Robert Chang, Surgery
Confirms surgical source of infection
  • "Perforated appendicitis confirmed on CT"
  • "Will proceed to OR after stabilization"
Confidence: 90% Model: llama3.2 Notes: 4/12

ICD-10 Assessment

A
ICD-10 Codes:
  • A41.9
  • R65.20

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

David Haslam 2026-01-28 19:20:26
Decision: Confirm Appropriate

Review Complete

✓ This order has been reviewed

Classification: A

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