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chore: mise à jour output pipeline (anonymized + structured)

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Résultats de re-traitement pipeline v2 sur 261 dossiers.

Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
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dom
2026-03-07 23:14:42 +01:00
parent c73515ac89
commit 13fe9fa666
734 changed files with 157158 additions and 304963 deletions
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328
output/structured/161_23098838/CRO_23098838_cim10.json
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@@ -4,289 +4,23 @@
"sejour": {
"sexe": "M"
},
"diagnostic_principal": {
"texte": "Suspicion de carcinome urothélial",
"cim10_suggestion": "C67.9",
"cim10_confidence": "low",
"cim10_final": "C67.9",
"sources_rag": [],
"preuves_cliniques": [],
"niveau_severite": "non_evalue",
"niveau_cma": 1,
"source": "nuke3"
},
"dp_selection": {
"chosen_index": 3,
"chosen_term": "Suspicion de carcinome urothélial",
"chosen_code": "C67.9",
"confidence": "medium",
"verdict": "CONFIRMED",
"evidence": [
"Le contexte clinique suggère une lésion vésicale identifiée.",
"Le code C67.9 (Lésion polypoïde de la vessie) est le plus précis et reflète la prise en charge initiale."
],
"reason": "La lésion polypoïde est le motif principal de la consultation et de l'investigation.",
"candidates": [
{
"index": 1,
"term": "Lésion polypoïde de la vessie",
"code": "C67.9",
"confidence": "high",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 6.0,
"score_details": {
"section": 1,
"confidence": 3,
"occurrences": 2
}
},
{
"index": 3,
"term": "Suspicion de carcinome urothélial",
"code": "C67.9",
"confidence": "high",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 6.0,
"score_details": {
"section": 1,
"confidence": 3,
"occurrences": 2
}
},
{
"index": 2,
"term": "Carcinome in situ de la vessie",
"code": "C67.9",
"confidence": "medium",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 4.0,
"score_details": {
"section": 1,
"confidence": 1,
"occurrences": 2
}
},
{
"index": 0,
"term": "Gynécologique",
"code": "D26.0",
"confidence": "medium",
"source": "edsnlp",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 2,
"num_occurrences": 1,
"score": 3.0,
"score_details": {
"section": 2,
"confidence": 1
}
}
],
"debug_scores": {
"top1": 6.0,
"top2": 6.0,
"delta": 0.0,
"llm": true
}
"verdict": "REVIEW",
"evidence": [],
"reason": "Aucun candidat DP identifié",
"candidates": []
},
"dp_crh_only": {
"chosen_index": 3,
"chosen_term": "Suspicion de carcinome urothélial",
"chosen_code": "C67.9",
"confidence": "medium",
"verdict": "CONFIRMED",
"evidence": [
"Le contexte clinique suggère une lésion vésicale identifiée.",
"Le code C67.9 (Lésion polypoïde de la vessie) est le plus précis et reflète la prise en charge initiale."
],
"reason": "La lésion polypoïde est le motif principal de la consultation et de l'investigation.",
"candidates": [
{
"index": 1,
"term": "Lésion polypoïde de la vessie",
"code": "C67.9",
"confidence": "high",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 6.0,
"score_details": {
"section": 1,
"confidence": 3,
"occurrences": 2
}
},
{
"index": 3,
"term": "Suspicion de carcinome urothélial",
"code": "C67.9",
"confidence": "high",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 6.0,
"score_details": {
"section": 1,
"confidence": 3,
"occurrences": 2
}
},
{
"index": 2,
"term": "Carcinome in situ de la vessie",
"code": "C67.9",
"confidence": "medium",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 4.0,
"score_details": {
"section": 1,
"confidence": 1,
"occurrences": 2
}
},
{
"index": 0,
"term": "Gynécologique",
"code": "D26.0",
"confidence": "medium",
"source": "edsnlp",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 2,
"num_occurrences": 1,
"score": 3.0,
"score_details": {
"section": 2,
"confidence": 1
}
}
],
"debug_scores": {
"top1": 6.0,
"top2": 6.0,
"delta": 0.0,
"llm": true
}
"verdict": "REVIEW",
"evidence": [],
"reason": "Aucun candidat DP identifié",
"candidates": []
},
"dp_final": {
"chosen_index": 3,
"chosen_term": "Suspicion de carcinome urothélial",
"chosen_code": "C67.9",
"confidence": "medium",
"verdict": "CONFIRMED",
"evidence": [
"Le contexte clinique suggère une lésion vésicale identifiée.",
"Le code C67.9 (Lésion polypoïde de la vessie) est le plus précis et reflète la prise en charge initiale."
],
"reason": "La lésion polypoïde est le motif principal de la consultation et de l'investigation.",
"candidates": [
{
"index": 1,
"term": "Lésion polypoïde de la vessie",
"code": "C67.9",
"confidence": "high",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 6.0,
"score_details": {
"section": 1,
"confidence": 3,
"occurrences": 2
}
},
{
"index": 3,
"term": "Suspicion de carcinome urothélial",
"code": "C67.9",
"confidence": "high",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 6.0,
"score_details": {
"section": 1,
"confidence": 3,
"occurrences": 2
}
},
{
"index": 2,
"term": "Carcinome in situ de la vessie",
"code": "C67.9",
"confidence": "medium",
"source": "llm_das",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 1,
"num_occurrences": 3,
"score": 4.0,
"score_details": {
"section": 1,
"confidence": 1,
"occurrences": 2
}
},
{
"index": 0,
"term": "Gynécologique",
"code": "D26.0",
"confidence": "medium",
"source": "edsnlp",
"is_comorbidity_like": false,
"is_symptom_like": false,
"is_act_only": false,
"section_strength": 2,
"num_occurrences": 1,
"score": 3.0,
"score_details": {
"section": 2,
"confidence": 1
}
}
],
"debug_scores": {
"top1": 6.0,
"top2": 6.0,
"delta": 0.0,
"llm": true
}
"verdict": "REVIEW",
"evidence": [],
"reason": "Aucun candidat DP identifié",
"candidates": []
},
"quality_flags": {
"crh_only_mode": true
@@ -300,36 +34,34 @@
"imagerie": [],
"complications": [],
"alertes_codage": [
"QC: DP C67.9 confiance medium→low — Le code C67.9 (Suspicion de carcinome urothélial) est inapproprié sans confirmation diagnostique. La justification 'Preuves: aucune' indique clairement qu'il s'agit d'une suspicion et non d'un diagnostic confirmé. Un code plus approprié serait X99.9 (État suspecté d'une tumeur maligne, non confirmé), qui reflète l'état actuel de la suspicion. Il est crucial de ne coder que ce qui est diagnostiqué, et non les suspicions.",
"QC: Le codage actuel semble basé sur une suspicion diagnostique. Il est impératif de revoir le dossier clinique pour confirmer ou infirmer le diagnostic et ajuster le codage en conséquence. L'utilisation de codes de suspicion doit être limitée et justifiée.",
"VETOS[PDF]: FAIL (score=70)",
"VETO-02 [HARD] diagnostic_principal: DP C67.9 sans preuve exploitable"
"NUKE-3 REVIEW: DP ambigu — Aucun candidat DP identifié"
],
"source_files": [],
"ghm_estimation": {
"cmd": "17",
"cmd_libelle": "Tumeurs malignes",
"type_ghm": "M",
"severite": 1,
"ghm_approx": "17M??1",
"cma_count": 0,
"cms_count": 0,
"alertes": []
"alertes": [
"DP absent — CMD non déterminable"
]
},
"controles_cpam": [],
"veto_report": {
"verdict": "FAIL",
"score_contestabilite": 70,
"issues": [
{
"veto": "VETO-02",
"severity": "HARD",
"where": "diagnostic_principal",
"message": "DP C67.9 sans preuve exploitable"
}
]
"verdict": "PASS",
"score_contestabilite": 100,
"issues": []
},
"processing_time_s": 53.53,
"completude": {
"checks": [],
"score_global": 100,
"verdict_global": "defendable",
"documents_presents": [
"crh"
],
"documents_manquants": []
},
"processing_time_s": 70.69,
"metrics": {
"das_total": 0,
"das_active": 0,
@@ -339,7 +71,7 @@
"das_no_code": 0,
"actes_total": 0,
"actes_with_code": 0,
"dp_has_code": true
"dp_has_code": false
},
"rules_runtime": {
"router_version": 1,