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feat: règles métier T2A Phase 1 — exclusions diagnostiques, sévérité CMA et alertes codage

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Ajout des règles d'exclusion symptôme (R00-R99) vs diagnostic précis (Chapitres I-XIV),
détection heuristique de sévérité CMA sur 25 racines CIM-10, et affichage des alertes
de codage dans le viewer Flask. 153 tests, 0 régression.

Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
This commit is contained in:
dom
2026-02-11 08:53:14 +01:00
parent 12f4479cd2
commit 9df4465fef
8 changed files with 911 additions and 42 deletions
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6
src/config.py
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@@ -74,12 +74,17 @@ class Diagnostic(BaseModel):
justification: Optional[str] = None
raisonnement: Optional[str] = None
sources_rag: list[RAGSource] = Field(default_factory=list)
est_cma: Optional[bool] = None
est_cms: Optional[bool] = None
niveau_severite: Optional[str] = None # "leger" | "modere" | "severe" | "non_evalue"
class ActeCCAM(BaseModel):
texte: str
code_ccam_suggestion: Optional[str] = None
date: Optional[str] = None
validite: Optional[str] = None # "valide" | "obsolete" | "non_verifie"
alertes: list[str] = Field(default_factory=list)
class Traitement(BaseModel):
@@ -112,6 +117,7 @@ class DossierMedical(BaseModel):
biologie_cle: list[BiologieCle] = Field(default_factory=list)
imagerie: list[Imagerie] = Field(default_factory=list)
complications: list[str] = Field(default_factory=list)
alertes_codage: list[str] = Field(default_factory=list)
processing_time_s: float | None = None