Neonatal HSV Bundle Episode
Back to Active EpisodesPatient Information
- MRN
- HSV-2024-003
- Patient ID
- 2055
- Location
- NICU
- Age at Trigger
- 10 days
Bundle Information
- Bundle
- Neonatal HSV Bundle
- Trigger
- Herpesviral infection suspected
- Trigger Time
- 2026-01-31 14:08
- Adherence
- 83.33333333333334%
LLM Assessment
Pending
HIGH confidence
2026-01-31 22:08
Reasoning:
Clinical appearance: ill_appearing; Confidence: HIGH; Concerning signs: Lethargy documented, 4 concerning sign(s) identified; Elements: 5 met, 1 not met, 2 pending
Supporting Evidence:
- Irritable infant, intermittently lethargic
- Suspected neonatal HSV - vesicular rash with seizure activity.
View extraction details
Concerning Signs:
- Lethargy documented
- 4 concerning sign(s) identified
Raw JSON
{
"appearance": "ill_appearing",
"concerning_signs": [
"Lethargy documented",
"4 concerning sign(s) identified"
],
"confidence": "HIGH",
"is_high_risk": true,
"model_used": "qwen2.5:7b (triage)",
"reassuring_signs": [],
"response_time_ms": 1798,
"supporting_findings": [
"Lethargy documented",
"4 concerning sign(s) identified"
],
"supporting_quotes": [
"Irritable infant, intermittently lethargic",
"Suspected neonatal HSV - vesicular rash with seizure activity."
]
}
Bundle Elements
Acyclovir 60 mg/kg/day Q8H
Awaiting acyclovir start
Deadline: 2026-01-31 18:08
Required
Acyclovir started
NOT GIVEN - 3 HOURS ELAPSED
Deadline: 2026-01-31 15:08
Required
Blood HSV PCR
Value: Sent
Collected with blood cx
Deadline: 2026-01-31 18:08
Required
CSF HSV PCR
Value: Sent
LP done at 15:30
Deadline: 2026-01-31 18:08
Required
ID consult
Value: Placed
ID to see within 2h
Deadline: 2026-02-01 14:08
Required
LFTs obtained
Value: ALT 45, AST 52
Mildly elevated
Deadline: 2026-01-31 18:08
Required
Neuroimaging (CNS suspected)
MRI scheduled
Deadline: 2026-02-02 14:08
Required
Surface cultures (SEM)
Value: Collected
Conjunctiva, mouth, rectum
Deadline: 2026-01-31 18:08
Required