Grouped alarm features (as coded in the GPC-database)	Total selection of alarm features
Parental concern	Parental concern
Ill appearance	Clinician’s instinct something is wrong Clinically ill appearance
ABC-instability	Respiratory or circulatory insufficiency
Unconsciousness	Unconsciousness
Drowsy	Child is drowsy Somnolence Reactivity/functional status (decreased) Hypotonia
Inconsolable	Child is inconsolable Irritability Changed crying pattern Child is moaning
Abnormal circulation	Abnormal skin colour (pale, mottled, ashen) Capillary refill time >2 sec Tachycardia (APLS)
Cyanosis	Cyanosis Oxygen saturation <95%
Shortness of breath	Shortness of breath Nasal flaring Rapid breathing Changed breathing pattern
Meningeal irritation	Neck stiffness Bulging fontanelle
Neurological signs	Focal neurological signs Paresis/paralysis Seizures/fits
Vomiting & diarrhoea	Vomiting (>2x in disease period) Diarrhoea (>2x in disease period)
Dehydration	Dry mucous membranes Sunken eyes Decreased skin elasticity Reduced urine output Hypotension (APLS) Poor feeding
Joint or limb problems	Swelling of limb or joint Non-weight bearing limb Not using an extremity
Signs of urinary tract infection	Urinary frequency Dysuria Tummy ache (without other focus for fever)
Petechial rash	Petechial rash Purpura
Temperature ≥40°C	Measured at home or at GPC
Duration of fever	Duration of fever (>38.0°C) in days