chore: add .gitignore
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{
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"source_file": "trackare-16014215-23215994_16014215_23215994.pdf",
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"document_type": "trackare",
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"sejour": {
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"sexe": "F",
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"age": 71,
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"date_entree": "10/11/2023",
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"date_sortie": "17/11/2023",
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"duree_sejour": 7,
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"imc": 21.0,
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"poids": 47.0,
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"taille": 147.0
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},
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"diagnostic_principal": {
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"texte": "Urticaire",
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"cim10_suggestion": "L50",
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"cim10_confidence": "high",
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"sources_rag": [],
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"preuves_cliniques": [],
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"niveau_severite": "non_evalue",
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"niveau_cma": 1,
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"source": "edsnlp",
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"source_page": 1,
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"source_excerpt": "...gies\nCatégorie Allergène Sévérité Date Nature de la réaction Commentaires\nACIDE Réaction localisée (Urticaire /\nMédicament ingrédient Modérée\nCLAVULANIQUE Oedème / Rash)\nMédicament ingrédient PIROXICAM Modérée..."
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},
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"diagnostics_associes": [
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{
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"texte": "Insuffisance rénale",
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"cim10_suggestion": "N19",
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"cim10_confidence": "high",
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"sources_rag": [],
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"preuves_cliniques": [],
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"niveau_severite": "non_evalue",
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"niveau_cma": 1,
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"source": "regex",
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"source_page": 3,
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"source_excerpt": "...mentaire bilirubine totale fractions conjuguée\net non conjugée non\nréalisé.\nNon-applicable en cas\nd'insuffisance rénale\naigue. Estimation du\nDFG non validée dans\nles situations suivantes:\n- patients âgés > 75\nans - p..."
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},
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{
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"texte": "Anémie",
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"cim10_suggestion": "D64.9",
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"cim10_confidence": "high",
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"sources_rag": [],
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"preuves_cliniques": [],
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"est_cma": true,
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"niveau_severite": "non_evalue",
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"niveau_cma": 2,
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"source": "regex",
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"source_page": 2,
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"source_excerpt": "...vrisme huméral\n10/11/2023 gauche post pose de VVP.\nNote d'évolution DR. Anne BANOS\n12:15\nDécouverte anémie par carence martiale et folate, supplémentée.\nMyélo le 17/11 pour forte suspicion de LMMC avec 16 G..."
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},
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{
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"texte": "Anémie par carence",
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"cim10_suggestion": "D50",
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"cim10_confidence": "high",
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"sources_rag": [],
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"preuves_cliniques": [],
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"niveau_severite": "non_evalue",
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"niveau_cma": 1,
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"source": "edsnlp",
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"source_page": 2,
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"source_excerpt": "...vrisme huméral\n10/11/2023 gauche post pose de VVP.\nNote d'évolution DR. Anne BANOS\n12:15\nDécouverte anémie par carence martiale et folate, supplémentée.\nMyélo le 17/11 pour forte suspicion de LMMC avec 16 G de GB et 4..."
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},
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{
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"texte": "Blastose",
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"cim10_suggestion": "B40",
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"cim10_confidence": "high",
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"sources_rag": [],
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"preuves_cliniques": [],
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"niveau_severite": "non_evalue",
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"niveau_cma": 1,
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"source": "edsnlp",
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"source_page": 4,
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"source_excerpt": "...logramme\n(à noter le contexte\nde traitement par\ncorticoïdes) ainsi\nqu'un excès de blastes,\navec une blastose\nmédullaire évaluée\nà 10% des éléménts\n(blastes indifférenciés\n+ myéloblastes +\npromonocytes).\nCONCL..."
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},
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{
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"texte": "Tétraparésie spastique",
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"cim10_suggestion": "G82.1",
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"cim10_confidence": "high",
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"justification": "Le diagnostic principal est une tétraparésie spastique, ce qui nécessite une prise en charge spécifique et mobilise des ressources supplémentaires.",
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"sources_rag": [],
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"preuves_cliniques": [],
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"niveau_severite": "non_evalue",
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"niveau_cma": 1,
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"source": "llm_das"
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}
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],
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"actes_ccam": [],
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"antecedents": [],
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"traitements_sortie": [],
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"biologie_cle": [
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{
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"test": "CRP",
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"valeur": "49",
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"anomalie": true
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},
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{
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"test": "ASAT",
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"valeur": "19",
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"anomalie": false
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},
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{
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"test": "ALAT",
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"valeur": "12",
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"anomalie": false
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},
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{
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"test": "Hémoglobine",
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"valeur": "11,0",
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"anomalie": true
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},
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{
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"test": "Plaquettes",
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"valeur": "154",
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"anomalie": false
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},
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{
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"test": "Leucocytes",
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"valeur": "10",
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"anomalie": false
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},
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{
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"test": "Créatinine",
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"valeur": "101",
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"anomalie": false
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}
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],
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"imagerie": [],
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"complications": [],
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"alertes_codage": [
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"CMA niveau 2 : 'Anémie' (D64.9) — sévérité non_evalue"
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],
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"source_files": [],
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"ghm_estimation": {
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"cmd": "09",
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"cmd_libelle": "Affections de la peau",
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"type_ghm": "M",
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"severite": 2,
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"ghm_approx": "09M??2",
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"cma_count": 1,
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"cms_count": 0,
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"alertes": []
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},
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"controles_cpam": [],
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"processing_time_s": 19.0
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}
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