{
  "source_file": "BACTERIO 23018396.pdf",
  "document_type": "crh",
  "sejour": {},
  "diagnostics_associes": [
    {
      "texte": "Leucémie monocytaire",
      "cim10_suggestion": "C96.0",
      "cim10_confidence": "high",
      "justification": "Leucémie monocytaire identifiée comme DAS, nécessitant une prise en charge spécifique.",
      "sources_rag": [],
      "preuves_cliniques": [],
      "niveau_severite": "non_evalue",
      "niveau_cma": 1,
      "source": "llm_das"
    }
  ],
  "actes_ccam": [],
  "antecedents": [],
  "traitements_sortie": [],
  "biologie_cle": [],
  "imagerie": [],
  "complications": [],
  "alertes_codage": [],
  "source_files": [],
  "ghm_estimation": {
    "type_ghm": "M",
    "severite": 1,
    "cma_count": 0,
    "cms_count": 0,
    "alertes": [
      "DP absent — CMD non déterminable"
    ]
  },
  "controles_cpam": [],
  "processing_time_s": 46.98
}