Febrile Infant Bundle (0-60 days) Episode
Back to Active EpisodesPatient Information
- MRN
- FI-2024-004
- Patient ID
- 2059
- Location
- Pediatric Emergency
- Age at Trigger
- 10 days
Bundle Information
- Bundle
- Febrile Infant Bundle (0-60 days)
- Trigger
- Fever, unspecified
- Trigger Time
- 2026-01-31 16:08
- Adherence
- 100.0%
LLM Assessment
Guideline Appropriate
HIGH confidence
2026-01-31 22:08
Reasoning:
Clinical appearance: ill_appearing; Confidence: HIGH; Concerning signs: Lethargy documented, Mottling documented, Poor feeding documented; Elements: 7 met, 0 not met, 0 pending
Supporting Evidence:
- Ill-appearing, lethargic infant. Poor tone.
- Baby is very sleepy, difficult to wake for assessments.
- Color pale with mottling on legs and trunk.
View extraction details
Concerning Signs:
- Lethargy documented
- Mottling documented
- Poor feeding documented
- 8 concerning sign(s) identified
Raw JSON
{
"appearance": "ill_appearing",
"concerning_signs": [
"Lethargy documented",
"Mottling documented",
"Poor feeding documented",
"8 concerning sign(s) identified"
],
"confidence": "HIGH",
"is_high_risk": true,
"model_used": "qwen2.5:7b (triage)",
"reassuring_signs": [],
"response_time_ms": 1997,
"supporting_findings": [
"Lethargy documented",
"Mottling documented",
"Poor feeding documented",
"8 concerning sign(s) identified"
],
"supporting_quotes": [
"Ill-appearing, lethargic infant. Poor tone.",
"Baby is very sleepy, difficult to wake for assessments.",
"Color pale with mottling on legs and trunk."
]
}
Bundle Elements
Parenteral antibiotics (8-21 days)
Value: Ampicillin + Gentamicin + Acyclovir
Given at 08:30
Deadline: 2026-01-31 18:08
Required
Hospital admission (8-21 days)
Value: Admitted to PICU
Critical care
Deadline: 2026-01-31 18:08
Required
Blood culture obtained
Value: Collected 08:15
Before antibiotics
Deadline: 2026-01-31 18:08
Required
HSV risk assessment
Value: Acyclovir added empirically
Ill appearance
Deadline: 2026-01-31 18:08
Required
Inflammatory markers obtained
Value: ANC 15000, CRP 8.5
Elevated
Deadline: 2026-01-31 18:08
Required
LP performed (8-21 days)
Value: WBC 45, protein 120
Concerning CSF
Deadline: 2026-01-31 18:08
Required
Urinalysis obtained
Value: Pending
Cath specimen
Deadline: 2026-01-31 18:08
Required