1262 lines
34 KiB
JSON
1262 lines
34 KiB
JSON
{
|
|
"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",
|
|
"new_label": "Diabète gestationnel",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: O24.4 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "O24.4",
|
|
"label": "Diabète gestationnel",
|
|
"section": "llm_oneshot (conclusion)",
|
|
"score": 3,
|
|
"details": {
|
|
"llm_confidence": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "176_23124187",
|
|
"crh": "CRH_23124187",
|
|
"gold_code": "I10",
|
|
"gold_label": "Hta",
|
|
"gold_conf": "low",
|
|
"new_code": "I50.9",
|
|
"new_label": "Insuffisance cardiaque, sans précision",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: I50.9 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "I50.9",
|
|
"label": "Insuffisance cardiaque, sans précision",
|
|
"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": "178_23124458",
|
|
"crh": "CRH_23124458",
|
|
"gold_code": "J01.0",
|
|
"gold_label": "Du sinus maxillaire",
|
|
"gold_conf": "high",
|
|
"new_code": "J36",
|
|
"new_label": "Sinusite maxillaire aiguë",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: J36 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "J36",
|
|
"label": "Sinusite maxillaire aiguë",
|
|
"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,
|
|
"negation": -4,
|
|
"comorbidity_weak": -3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "17_23100690",
|
|
"crh": "CRH_23100690",
|
|
"gold_code": "K85.0",
|
|
"gold_label": "Pancréatite aiguë",
|
|
"gold_conf": "high",
|
|
"new_code": "K85.9",
|
|
"new_label": "Pancréatite aiguë",
|
|
"new_source": "motif_hospitalisation",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "candidat unique",
|
|
"candidates": [
|
|
{
|
|
"code": "K85.9",
|
|
"label": "Pancréatite aiguë",
|
|
"section": "motif_hospitalisation",
|
|
"score": 2,
|
|
"details": {
|
|
"section": 3,
|
|
"proof_excerpt": 2,
|
|
"conditional": -3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": true
|
|
},
|
|
{
|
|
"dir": "181_23127286",
|
|
"crh": "CRH_23127286",
|
|
"gold_code": "R30.0",
|
|
"gold_label": "Dysurie",
|
|
"gold_conf": "high",
|
|
"new_code": "K61.2",
|
|
"new_label": "Abcès péri-rectal",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: K61.2 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "K61.2",
|
|
"label": "Abcès péri-rectal",
|
|
"section": "llm_oneshot (conclusion)",
|
|
"score": 3,
|
|
"details": {
|
|
"llm_confidence": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "184_23119008",
|
|
"crh": "CRH_23119008",
|
|
"gold_code": "F43.1",
|
|
"gold_label": "État de stress post",
|
|
"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": "185_23128579",
|
|
"crh": "CRH_23128579",
|
|
"gold_code": "R06.0",
|
|
"gold_label": "Dyspnée",
|
|
"gold_conf": "high",
|
|
"new_code": "G12.2",
|
|
"new_label": "Sclérose latérale amyotrophique avec atteinte bulbaire",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: G12.2 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "G12.2",
|
|
"label": "Sclérose latérale amyotrophique avec atteinte bulbaire",
|
|
"section": "llm_oneshot (conclusion)",
|
|
"score": 3,
|
|
"details": {
|
|
"llm_confidence": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "187_23133268",
|
|
"crh": "CRH_23133268",
|
|
"gold_code": "H15.1",
|
|
"gold_label": "Épisclerite",
|
|
"gold_conf": "low",
|
|
"new_code": "R10.4",
|
|
"new_label": "Douleur abdominale",
|
|
"new_source": "motif_hospitalisation",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "score 3 vs 1 (delta 2)",
|
|
"candidates": [
|
|
{
|
|
"code": "R10.4",
|
|
"label": "Douleur abdominale",
|
|
"section": "motif_hospitalisation",
|
|
"score": 3,
|
|
"details": {
|
|
"section": 3,
|
|
"proof_excerpt": 2,
|
|
"r_code_dp": -2
|
|
}
|
|
},
|
|
{
|
|
"code": "I10",
|
|
"label": "Hta",
|
|
"section": "conclusion",
|
|
"score": 1,
|
|
"details": {
|
|
"section": 2,
|
|
"proof_excerpt": 2,
|
|
"comorbidity_weak": -3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "189_23138778",
|
|
"crh": "CRH_23138778",
|
|
"gold_code": "S90.0",
|
|
"gold_label": "De la cheville",
|
|
"gold_conf": "high",
|
|
"new_code": "M79.7",
|
|
"new_label": "Myalgie et polymyalgie non spécifiées",
|
|
"new_source": "llm_oneshot (motif_hospitalisation)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: M79.7 (high, motif_hospitalisation)",
|
|
"candidates": [
|
|
{
|
|
"code": "M79.7",
|
|
"label": "Myalgie et polymyalgie non spécifiées",
|
|
"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": "192_23132490",
|
|
"crh": "CRH_23132490",
|
|
"gold_code": "Z03.8",
|
|
"gold_label": "À 8.5",
|
|
"gold_conf": "low",
|
|
"new_code": "M81.0",
|
|
"new_label": "Ostéoporose avec fracture pathologique",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: M81.0 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "M81.0",
|
|
"label": "Ostéoporose avec fracture pathologique",
|
|
"section": "llm_oneshot (conclusion)",
|
|
"score": 3,
|
|
"details": {
|
|
"llm_confidence": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "194_23142891",
|
|
"crh": "CRH_23142891",
|
|
"gold_code": "K10.3",
|
|
"gold_label": "Ostéolyse",
|
|
"gold_conf": "medium",
|
|
"new_code": "H66.9",
|
|
"new_label": "Mastoïdite non spécifiée",
|
|
"new_source": "llm_oneshot (motif_hospitalisation)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: H66.9 (high, motif_hospitalisation)",
|
|
"candidates": [
|
|
{
|
|
"code": "H66.9",
|
|
"label": "Mastoïdite non spécifiée",
|
|
"section": "llm_oneshot (motif_hospitalisation)",
|
|
"score": 3,
|
|
"details": {
|
|
"llm_confidence": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "195_23144210",
|
|
"crh": "CRH_23144210",
|
|
"gold_code": "K85.0",
|
|
"gold_label": "Pancreatite aigue",
|
|
"gold_conf": "high",
|
|
"new_code": "K85.9",
|
|
"new_label": "Pancréatite aiguë",
|
|
"new_source": "motif_hospitalisation",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "candidat unique",
|
|
"candidates": [
|
|
{
|
|
"code": "K85.9",
|
|
"label": "Pancréatite aiguë",
|
|
"section": "motif_hospitalisation",
|
|
"score": 5,
|
|
"details": {
|
|
"section": 3,
|
|
"proof_excerpt": 2
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": true
|
|
},
|
|
{
|
|
"dir": "196_ 23140080",
|
|
"crh": "CRH_23140080",
|
|
"gold_code": "K85.0",
|
|
"gold_label": "Pancréatite",
|
|
"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": 1,
|
|
"details": {
|
|
"section": 3,
|
|
"proof_excerpt": 2,
|
|
"negation": -4
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": true
|
|
},
|
|
{
|
|
"dir": "197_23149133",
|
|
"crh": "CRH_23149133",
|
|
"gold_code": "M25.5",
|
|
"gold_label": "Douleurs articulaires",
|
|
"gold_conf": "high",
|
|
"new_code": "(aucun)",
|
|
"new_label": "(aucun)",
|
|
"new_source": "",
|
|
"verdict": "review",
|
|
"winner_reason": "code invalide M07.3",
|
|
"candidates": [],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "199_23149905",
|
|
"crh": "CRH_23149905",
|
|
"gold_code": "I25.1",
|
|
"gold_label": "Cardiopathie ischémique",
|
|
"gold_conf": "high",
|
|
"new_code": "R50.9",
|
|
"new_label": "Fièvre d'origine inconnue",
|
|
"new_source": "llm_oneshot (evolution)",
|
|
"verdict": "review",
|
|
"winner_reason": "LLM fallback: R50.9 — section faible (evolution) + confidence medium",
|
|
"candidates": [
|
|
{
|
|
"code": "R50.9",
|
|
"label": "Fièvre d'origine inconnue",
|
|
"section": "llm_oneshot (evolution)",
|
|
"score": 2,
|
|
"details": {
|
|
"llm_confidence": 2
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "203_23151182",
|
|
"crh": "CRH_23151182",
|
|
"gold_code": "M60.9",
|
|
"gold_label": "Myosite",
|
|
"gold_conf": "high",
|
|
"new_code": "M79.7",
|
|
"new_label": "Douleur localisée dans les membres inférieurs",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: M79.7 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "M79.7",
|
|
"label": "Douleur localisée dans les membres inférieurs",
|
|
"section": "llm_oneshot (conclusion)",
|
|
"score": 3,
|
|
"details": {
|
|
"llm_confidence": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "205_23151283",
|
|
"crh": "CRH_23151283",
|
|
"gold_code": "F30",
|
|
"gold_label": "Episode [episode",
|
|
"gold_conf": "",
|
|
"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": "206_23152027",
|
|
"crh": "CRH_23152027",
|
|
"gold_code": "R65.9",
|
|
"gold_label": "Syndrome de",
|
|
"gold_conf": "low",
|
|
"new_code": "I10",
|
|
"new_label": "Hta",
|
|
"new_source": "motif_hospitalisation",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "candidat unique",
|
|
"candidates": [
|
|
{
|
|
"code": "I10",
|
|
"label": "Hta",
|
|
"section": "motif_hospitalisation",
|
|
"score": 5,
|
|
"details": {
|
|
"section": 3,
|
|
"proof_excerpt": 2,
|
|
"comorbidity_weak": -3,
|
|
"comorbidity_pec_proof": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": false
|
|
},
|
|
{
|
|
"dir": "211_23155556",
|
|
"crh": "CRH_23155556",
|
|
"gold_code": "M10.9",
|
|
"gold_label": "Goutte",
|
|
"gold_conf": "high",
|
|
"new_code": "M10.0",
|
|
"new_label": "Goutte avec tophus",
|
|
"new_source": "llm_oneshot (conclusion)",
|
|
"verdict": "confirmed",
|
|
"winner_reason": "LLM fallback: M10.0 (high, conclusion)",
|
|
"candidates": [
|
|
{
|
|
"code": "M10.0",
|
|
"label": "Goutte avec tophus",
|
|
"section": "llm_oneshot (conclusion)",
|
|
"score": 3,
|
|
"details": {
|
|
"llm_confidence": 3
|
|
}
|
|
}
|
|
],
|
|
"is_f4": false,
|
|
"is_f3": true
|
|
}
|
|
]
|
|
} |