{
  "mode": "déterministe + LLM fallback",
  "total": 50,
  "evaluable": 48,
  "gold_none": 2,
  "exact_match": 3,
  "exact_match_pct": 6.2,
  "family4": 3,
  "family4_pct": 6.2,
  "family3": 9,
  "family3_pct": 18.8,
  "coverage_dp": 47,
  "coverage_dp_pct": 94.0,
  "review_count": 10,
  "review_pct": 20.0,
  "confirmed_count": 40,
  "comorbidity_fallback_count": 11,
  "comorbidity_fallback_pct": 22.0,
  "errors": [
    {
      "dir": "115_23066188",
      "crh": "CRH_23066188",
      "gold_code": "A87.0",
      "gold_label": "Méningite à entérovirus",
      "gold_conf": "high",
      "new_code": "B95.1",
      "new_label": "Méningite virale due à un entérovirus",
      "new_source": "llm_oneshot (synthese)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: B95.1 (high, synthese)",
      "candidates": [
        {
          "code": "B95.1",
          "label": "Méningite virale due à un entérovirus",
          "section": "llm_oneshot (synthese)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "123_23071970",
      "crh": "CRH_23071970",
      "gold_code": "R06.0",
      "gold_label": "Dyspnée",
      "gold_conf": "high",
      "new_code": "J90",
      "new_label": "Pneumothorax spontané",
      "new_source": "llm_oneshot (conclusion)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: J90 (high, conclusion)",
      "candidates": [
        {
          "code": "J90",
          "label": "Pneumothorax spontané",
          "section": "llm_oneshot (conclusion)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "126_23075530",
      "crh": "CRH_23075530",
      "gold_code": "E03.9",
      "gold_label": "Hypopthyroïdie",
      "gold_conf": "high",
      "new_code": "L50.1",
      "new_label": "Angio-œdème héréditaire",
      "new_source": "llm_oneshot (conclusion)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: L50.1 (high, conclusion)",
      "candidates": [
        {
          "code": "L50.1",
          "label": "Angio-œdème héréditaire",
          "section": "llm_oneshot (conclusion)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        },
        {
          "code": "E66.0",
          "label": "Obésité",
          "section": "conclusion",
          "score": 1,
          "details": {
            "section": 2,
            "proof_excerpt": 2,
            "comorbidity_weak": -3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "127_23048705",
      "crh": "CRH_23048705",
      "gold_code": "M17.9",
      "gold_label": "Gonarthrose",
      "gold_conf": "high",
      "new_code": "K80",
      "new_label": "Cholélithiase avec cholécystite aiguë",
      "new_source": "llm_oneshot (actes)",
      "verdict": "review",
      "winner_reason": "LLM fallback: K80 — section faible (actes)",
      "candidates": [
        {
          "code": "K80",
          "label": "Cholélithiase avec cholécystite aiguë",
          "section": "llm_oneshot (actes)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "128_23076141",
      "crh": "CRH_23076141",
      "gold_code": "E11",
      "gold_label": "Diabète de type 2",
      "gold_conf": "high",
      "new_code": "R17",
      "new_label": "Ictère",
      "new_source": "motif_hospitalisation",
      "verdict": "confirmed",
      "winner_reason": "score 3 vs 0 (delta 3)",
      "candidates": [
        {
          "code": "R17",
          "label": "Ictère",
          "section": "motif_hospitalisation",
          "score": 3,
          "details": {
            "section": 3,
            "proof_excerpt": 2,
            "r_code_dp": -2
          }
        },
        {
          "code": "K83.0",
          "label": "Angiocholite",
          "section": "conclusion",
          "score": 0,
          "details": {
            "section": 2,
            "proof_excerpt": 2,
            "negation": -4
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "130_23077240",
      "crh": "CRH_23077240",
      "gold_code": "J90",
      "gold_label": "Epanchement pleural",
      "gold_conf": "high",
      "new_code": "I50.9",
      "new_label": "Insuffisance cardiaque, non précisée",
      "new_source": "llm_oneshot (motif_hospitalisation)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: I50.9 (high, motif_hospitalisation)",
      "candidates": [
        {
          "code": "I50.9",
          "label": "Insuffisance cardiaque, non précisée",
          "section": "llm_oneshot (motif_hospitalisation)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        },
        {
          "code": "E66.0",
          "label": "Obésité",
          "section": "motif_hospitalisation",
          "score": 2,
          "details": {
            "section": 3,
            "proof_excerpt": 2,
            "comorbidity_weak": -3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "131_23079402",
      "crh": "CRH_23079402",
      "gold_code": "R06.0",
      "gold_label": "Dyspnée",
      "gold_conf": "high",
      "new_code": "(aucun)",
      "new_label": "(aucun)",
      "new_source": "",
      "verdict": "review",
      "winner_reason": "code invalide N08.3",
      "candidates": [],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "132_23080179",
      "crh": "CRH_23080179",
      "gold_code": "R59.9",
      "gold_label": "Adénopathie",
      "gold_conf": "high",
      "new_code": "C88.0",
      "new_label": "Lymphome diffus à grandes cellules B",
      "new_source": "llm_oneshot (conclusion)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: C88.0 (high, conclusion)",
      "candidates": [
        {
          "code": "C88.0",
          "label": "Lymphome diffus à grandes cellules B",
          "section": "llm_oneshot (conclusion)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "134_23050890",
      "crh": "CRH_23050890",
      "gold_code": "Q64.0",
      "gold_label": "Épispadias",
      "gold_conf": "high",
      "new_code": "R51",
      "new_label": "Céphalée",
      "new_source": "llm_oneshot (aucune section forte)",
      "verdict": "review",
      "winner_reason": "LLM fallback: R51 — section faible (aucune section forte) + confidence low",
      "candidates": [
        {
          "code": "R51",
          "label": "Céphalée",
          "section": "llm_oneshot (aucune section forte)",
          "score": 1,
          "details": {
            "llm_confidence": 1
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "137_23083269",
      "crh": "CRH_23083269",
      "gold_code": "G40.9",
      "gold_label": "Épilepsie",
      "gold_conf": "high",
      "new_code": "R50.9",
      "new_label": "Vertige et étourdissements non spécifiés",
      "new_source": "llm_oneshot (motif_hospitalisation)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: R50.9 (high, motif_hospitalisation)",
      "candidates": [
        {
          "code": "R50.9",
          "label": "Vertige et étourdissements non spécifiés",
          "section": "llm_oneshot (motif_hospitalisation)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "140_23090475",
      "crh": "CRH_23090475",
      "gold_code": "C10.9",
      "gold_label": "J10",
      "gold_conf": "medium",
      "new_code": "R93.1",
      "new_label": "Anomalies constatées à l'imagerie diagnostique des autres organes",
      "new_source": "llm_oneshot (actes)",
      "verdict": "review",
      "winner_reason": "LLM fallback: R93.1 — section faible (actes) + confidence medium",
      "candidates": [
        {
          "code": "R93.1",
          "label": "Anomalies constatées à l'imagerie diagnostique des autres organes",
          "section": "llm_oneshot (actes)",
          "score": 2,
          "details": {
            "llm_confidence": 2
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "141_23090597",
      "crh": "CRH_23090597",
      "gold_code": "K85.0",
      "gold_label": "Pancreatite aigue",
      "gold_conf": "high",
      "new_code": "K85.9",
      "new_label": "Pancréatite",
      "new_source": "motif_hospitalisation",
      "verdict": "confirmed",
      "winner_reason": "candidat unique",
      "candidates": [
        {
          "code": "K85.9",
          "label": "Pancréatite",
          "section": "motif_hospitalisation",
          "score": 5,
          "details": {
            "section": 3,
            "proof_excerpt": 2
          }
        }
      ],
      "is_f4": false,
      "is_f3": true
    },
    {
      "dir": "142_23093202",
      "crh": "CRH_23093202",
      "gold_code": "K83.0",
      "gold_label": "Angiocholite",
      "gold_conf": "high",
      "new_code": "R93.1",
      "new_label": "Anomalies constatées à l'imagerie diagnostique des autres organes",
      "new_source": "llm_oneshot (actes)",
      "verdict": "review",
      "winner_reason": "LLM fallback: R93.1 — section faible (actes) + confidence medium",
      "candidates": [
        {
          "code": "R93.1",
          "label": "Anomalies constatées à l'imagerie diagnostique des autres organes",
          "section": "llm_oneshot (actes)",
          "score": 2,
          "details": {
            "llm_confidence": 2
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "144_23097531",
      "crh": "CRH_23097531",
      "gold_code": "D86.9",
      "gold_label": "Sarcoïdose",
      "gold_conf": "high",
      "new_code": "J44.9",
      "new_label": "Maladie pulmonaire obstructive chronique, non précisée",
      "new_source": "llm_oneshot (motif_hospitalisation)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: J44.9 (high, motif_hospitalisation)",
      "candidates": [
        {
          "code": "J44.9",
          "label": "Maladie pulmonaire obstructive chronique, non précisée",
          "section": "llm_oneshot (motif_hospitalisation)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        },
        {
          "code": "E66.0",
          "label": "Obésité",
          "section": "motif_hospitalisation",
          "score": 2,
          "details": {
            "section": 3,
            "proof_excerpt": 2,
            "comorbidity_weak": -3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "151_23102469",
      "crh": "CRH_23102469",
      "gold_code": "N17.9",
      "gold_label": "Insuffisance rénale aigue",
      "gold_conf": "high",
      "new_code": "C64",
      "new_label": "Néoplasme malin du rein, non spécifié",
      "new_source": "llm_oneshot (motif_hospitalisation)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: C64 (high, motif_hospitalisation)",
      "candidates": [
        {
          "code": "C64",
          "label": "Néoplasme malin du rein, non spécifié",
          "section": "llm_oneshot (motif_hospitalisation)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "153_23102610",
      "crh": "CRH_23102610",
      "gold_code": "C94",
      "gold_label": "C 9.4",
      "gold_conf": "low",
      "new_code": "E11.9",
      "new_label": "Diabète sucré de type 2, sans complications",
      "new_source": "llm_oneshot (synthese)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: E11.9 (high, synthese)",
      "candidates": [
        {
          "code": "E11.9",
          "label": "Diabète sucré de type 2, sans complications",
          "section": "llm_oneshot (synthese)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        },
        {
          "code": "E11.9",
          "label": "Diabète de type 2",
          "section": "synthese",
          "score": 1,
          "details": {
            "section": 2,
            "proof_excerpt": 2,
            "comorbidity_weak": -3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "154_23096269",
      "crh": "CRH_23096269",
      "gold_code": "E11.8",
      "gold_label": "Diabète de type 2",
      "gold_conf": "high",
      "new_code": "E11.9",
      "new_label": "Diabète sucré de type 2, sans complications",
      "new_source": "llm_oneshot (conclusion)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: E11.9 (high, conclusion)",
      "candidates": [
        {
          "code": "E11.9",
          "label": "Diabète sucré de type 2, sans complications",
          "section": "llm_oneshot (conclusion)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        },
        {
          "code": "E66.0",
          "label": "Surpoids",
          "section": "motif_hospitalisation",
          "score": 2,
          "details": {
            "section": 3,
            "proof_excerpt": 2,
            "comorbidity_weak": -3
          }
        }
      ],
      "is_f4": false,
      "is_f3": true
    },
    {
      "dir": "155_23096278",
      "crh": "CRH_23096278",
      "gold_code": "J45.9",
      "gold_label": "Asthme",
      "gold_conf": "high",
      "new_code": "E11.9",
      "new_label": "Diabète sucré de type 2, sans complications",
      "new_source": "llm_oneshot (synthese)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: E11.9 (high, synthese)",
      "candidates": [
        {
          "code": "E11.9",
          "label": "Diabète sucré de type 2, sans complications",
          "section": "llm_oneshot (synthese)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "156_23104564",
      "crh": "CRH_23104564",
      "gold_code": "Z51.1",
      "gold_label": "Chimiothérapie",
      "gold_conf": "high",
      "new_code": "C79.3",
      "new_label": "Tumeur secondaire du cerveau",
      "new_source": "llm_oneshot (motif_hospitalisation)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: C79.3 (high, motif_hospitalisation)",
      "candidates": [
        {
          "code": "C79.3",
          "label": "Tumeur secondaire du cerveau",
          "section": "llm_oneshot (motif_hospitalisation)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        },
        {
          "code": "I10",
          "label": "Hta",
          "section": "motif_hospitalisation",
          "score": 2,
          "details": {
            "section": 3,
            "proof_excerpt": 2,
            "comorbidity_weak": -3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "157_23106204",
      "crh": "CRH_23106204",
      "gold_code": "M45",
      "gold_label": "Spondylarthrite",
      "gold_conf": "high",
      "new_code": "M54.5",
      "new_label": "Lombosciatique",
      "new_source": "llm_oneshot (conclusion)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: M54.5 (high, conclusion)",
      "candidates": [
        {
          "code": "M54.5",
          "label": "Lombosciatique",
          "section": "llm_oneshot (conclusion)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "158_23105874",
      "crh": "CRH_23105874",
      "gold_code": "R06.0",
      "gold_label": "Dyspnée",
      "gold_conf": "high",
      "new_code": "J15.0",
      "new_label": "Pneumonie à Haemophilus influenzae",
      "new_source": "llm_oneshot (conclusion)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: J15.0 (high, conclusion)",
      "candidates": [
        {
          "code": "J15.0",
          "label": "Pneumonie à Haemophilus influenzae",
          "section": "llm_oneshot (conclusion)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        },
        {
          "code": "I10",
          "label": "Hta",
          "section": "motif_hospitalisation",
          "score": 2,
          "details": {
            "section": 3,
            "proof_excerpt": 2,
            "comorbidity_weak": -3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "160_23099448",
      "crh": "CRH_23099448",
      "gold_code": "C63",
      "gold_label": "C 6.3",
      "gold_conf": "low",
      "new_code": "Z88.0",
      "new_label": "Surveillance après traitement pour troubles métaboliques et endocriniens",
      "new_source": "llm_oneshot (synthese)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: Z88.0 (high, synthese)",
      "candidates": [
        {
          "code": "Z88.0",
          "label": "Surveillance après traitement pour troubles métaboliques et endocriniens",
          "section": "llm_oneshot (synthese)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "162_23109279",
      "crh": "CRH_23109279",
      "gold_code": "C81.9",
      "gold_label": "Lymphome de hodgkin",
      "gold_conf": "high",
      "new_code": "C71.1",
      "new_label": "Tumeur maligne du lobe frontal du cerveau",
      "new_source": "llm_oneshot (motif_hospitalisation)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: C71.1 (high, motif_hospitalisation)",
      "candidates": [
        {
          "code": "C71.1",
          "label": "Tumeur maligne du lobe frontal du cerveau",
          "section": "llm_oneshot (motif_hospitalisation)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "165_23104930",
      "crh": "CRH_23104930",
      "gold_code": "Z22.9",
      "gold_label": "Maladie de",
      "gold_conf": "low",
      "new_code": "E11.9",
      "new_label": "Diabète sucré de type 2, sans complications",
      "new_source": "llm_oneshot (synthese)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: E11.9 (high, synthese)",
      "candidates": [
        {
          "code": "E11.9",
          "label": "Diabète sucré de type 2, sans complications",
          "section": "llm_oneshot (synthese)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "168_23113717",
      "crh": "CRH_23113717",
      "gold_code": "R06.0",
      "gold_label": "Dyspnée",
      "gold_conf": "high",
      "new_code": "J18.9",
      "new_label": "Pneumonie, non spécifiée",
      "new_source": "llm_oneshot (conclusion)",
      "verdict": "confirmed",
      "winner_reason": "LLM fallback: J18.9 (high, conclusion)",
      "candidates": [
        {
          "code": "J18.9",
          "label": "Pneumonie, non spécifiée",
          "section": "llm_oneshot (conclusion)",
          "score": 3,
          "details": {
            "llm_confidence": 3
          }
        }
      ],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "169_23115483",
      "crh": "CRH_23115483",
      "gold_code": "E87.2",
      "gold_label": "Acidose",
      "gold_conf": "high",
      "new_code": "(aucun)",
      "new_label": "(aucun)",
      "new_source": "",
      "verdict": "review",
      "winner_reason": "code invalide E08.3",
      "candidates": [],
      "is_f4": false,
      "is_f3": false
    },
    {
      "dir": "175_23116191",
      "crh": "CRH_23116191",
      "gold_code": "J45.9",
      "gold_label": "Asthme",
      "gold_conf": "high",
      "new_code": "O24.4",
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        {
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    {
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    {
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    {
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        {
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    {
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        },
        {
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    {
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      "new_code": "M81.0",
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    {
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    {
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    },
    {
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    {
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      "new_label": "(aucun)",
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    {
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    {
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    {
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      "gold_label": "Episode [episode",
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    {
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      "new_label": "Hta",
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          "label": "Hta",
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    {
      "dir": "211_23155556",
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      "gold_code": "M10.9",
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      "new_label": "Goutte avec tophus",
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