chore: add .gitignore
This commit is contained in:
dom
250
output/structured/104/104_23001083_CRO_23001083_cim10.json
Normal file
250
output/structured/104/104_23001083_CRO_23001083_cim10.json
Normal file
@@ -0,0 +1,250 @@
|
||||
{
|
||||
"source_file": "104_23001083_CRO 23001083.pdf",
|
||||
"document_type": "crh",
|
||||
"sejour": {
|
||||
"sexe": "M"
|
||||
},
|
||||
"diagnostic_principal": {
|
||||
"texte": "Thromboembolie veineuse",
|
||||
"cim10_suggestion": "I82",
|
||||
"cim10_confidence": "high",
|
||||
"cim10_final": "I82",
|
||||
"sources_rag": [],
|
||||
"preuves_cliniques": [],
|
||||
"niveau_severite": "non_evalue",
|
||||
"niveau_cma": 1,
|
||||
"source": "nuke3"
|
||||
},
|
||||
"dp_selection": {
|
||||
"chosen_index": 1,
|
||||
"chosen_term": "Thromboembolie veineuse",
|
||||
"chosen_code": "I82",
|
||||
"confidence": "medium",
|
||||
"verdict": "CONFIRMED",
|
||||
"evidence": [
|
||||
"Score 4.0 — source: llm_das",
|
||||
"Delta +3.0 vs Chimiothérapie, (Z51.1)"
|
||||
],
|
||||
"reason": "Écart score 3.0 >= seuil 3.0",
|
||||
"candidates": [
|
||||
{
|
||||
"index": 1,
|
||||
"term": "Thromboembolie veineuse",
|
||||
"code": "I82",
|
||||
"confidence": "high",
|
||||
"source": "llm_das",
|
||||
"is_comorbidity_like": false,
|
||||
"is_symptom_like": false,
|
||||
"is_act_only": false,
|
||||
"section_strength": 1,
|
||||
"num_occurrences": 1,
|
||||
"score": 4.0,
|
||||
"score_details": {
|
||||
"section": 1,
|
||||
"confidence": 3
|
||||
}
|
||||
},
|
||||
{
|
||||
"index": 0,
|
||||
"term": "Chimiothérapie,",
|
||||
"code": "Z51.1",
|
||||
"confidence": "high",
|
||||
"source": "edsnlp",
|
||||
"is_comorbidity_like": false,
|
||||
"is_symptom_like": false,
|
||||
"is_act_only": true,
|
||||
"section_strength": 2,
|
||||
"num_occurrences": 1,
|
||||
"score": 1.0,
|
||||
"score_details": {
|
||||
"section": 2,
|
||||
"confidence": 3,
|
||||
"act_only_malus": -4
|
||||
}
|
||||
}
|
||||
],
|
||||
"debug_scores": {
|
||||
"top1": 4.0,
|
||||
"top2": 1.0,
|
||||
"delta": 3.0
|
||||
}
|
||||
},
|
||||
"dp_crh_only": {
|
||||
"chosen_index": 1,
|
||||
"chosen_term": "Thromboembolie veineuse",
|
||||
"chosen_code": "I82",
|
||||
"confidence": "medium",
|
||||
"verdict": "CONFIRMED",
|
||||
"evidence": [
|
||||
"Score 4.0 — source: llm_das",
|
||||
"Delta +3.0 vs Chimiothérapie, (Z51.1)"
|
||||
],
|
||||
"reason": "Écart score 3.0 >= seuil 3.0",
|
||||
"candidates": [
|
||||
{
|
||||
"index": 1,
|
||||
"term": "Thromboembolie veineuse",
|
||||
"code": "I82",
|
||||
"confidence": "high",
|
||||
"source": "llm_das",
|
||||
"is_comorbidity_like": false,
|
||||
"is_symptom_like": false,
|
||||
"is_act_only": false,
|
||||
"section_strength": 1,
|
||||
"num_occurrences": 1,
|
||||
"score": 4.0,
|
||||
"score_details": {
|
||||
"section": 1,
|
||||
"confidence": 3
|
||||
}
|
||||
},
|
||||
{
|
||||
"index": 0,
|
||||
"term": "Chimiothérapie,",
|
||||
"code": "Z51.1",
|
||||
"confidence": "high",
|
||||
"source": "edsnlp",
|
||||
"is_comorbidity_like": false,
|
||||
"is_symptom_like": false,
|
||||
"is_act_only": true,
|
||||
"section_strength": 2,
|
||||
"num_occurrences": 1,
|
||||
"score": 1.0,
|
||||
"score_details": {
|
||||
"section": 2,
|
||||
"confidence": 3,
|
||||
"act_only_malus": -4
|
||||
}
|
||||
}
|
||||
],
|
||||
"debug_scores": {
|
||||
"top1": 4.0,
|
||||
"top2": 1.0,
|
||||
"delta": 3.0
|
||||
}
|
||||
},
|
||||
"dp_final": {
|
||||
"chosen_index": 1,
|
||||
"chosen_term": "Thromboembolie veineuse",
|
||||
"chosen_code": "I82",
|
||||
"confidence": "medium",
|
||||
"verdict": "CONFIRMED",
|
||||
"evidence": [
|
||||
"Score 4.0 — source: llm_das",
|
||||
"Delta +3.0 vs Chimiothérapie, (Z51.1)"
|
||||
],
|
||||
"reason": "Écart score 3.0 >= seuil 3.0",
|
||||
"candidates": [
|
||||
{
|
||||
"index": 1,
|
||||
"term": "Thromboembolie veineuse",
|
||||
"code": "I82",
|
||||
"confidence": "high",
|
||||
"source": "llm_das",
|
||||
"is_comorbidity_like": false,
|
||||
"is_symptom_like": false,
|
||||
"is_act_only": false,
|
||||
"section_strength": 1,
|
||||
"num_occurrences": 1,
|
||||
"score": 4.0,
|
||||
"score_details": {
|
||||
"section": 1,
|
||||
"confidence": 3
|
||||
}
|
||||
},
|
||||
{
|
||||
"index": 0,
|
||||
"term": "Chimiothérapie,",
|
||||
"code": "Z51.1",
|
||||
"confidence": "high",
|
||||
"source": "edsnlp",
|
||||
"is_comorbidity_like": false,
|
||||
"is_symptom_like": false,
|
||||
"is_act_only": true,
|
||||
"section_strength": 2,
|
||||
"num_occurrences": 1,
|
||||
"score": 1.0,
|
||||
"score_details": {
|
||||
"section": 2,
|
||||
"confidence": 3,
|
||||
"act_only_malus": -4
|
||||
}
|
||||
}
|
||||
],
|
||||
"debug_scores": {
|
||||
"top1": 4.0,
|
||||
"top2": 1.0,
|
||||
"delta": 3.0
|
||||
}
|
||||
},
|
||||
"quality_flags": {
|
||||
"crh_only_mode": true
|
||||
},
|
||||
"diagnostics_associes": [],
|
||||
"actes_ccam": [],
|
||||
"antecedents": [],
|
||||
"traitements_sortie": [],
|
||||
"biologie_cle": [],
|
||||
"biologie_discarded": [],
|
||||
"imagerie": [],
|
||||
"complications": [],
|
||||
"alertes_codage": [
|
||||
"QC: DP I82 confiance medium→high — Le code I82 (Thromboembolie veineuse) nécessite une justification clinique précise. L'absence de preuves cliniques dans le dossier rend ce codage non justifié et doit être supprimé. Un code plus général pourrait être envisagé si une suspicion existe, mais sans preuve.",
|
||||
"QC: Absence de justification clinique pour le code I82. Vérifier le dossier clinique pour identifier la raison de ce codage et justifier ou supprimer le code.",
|
||||
"VETOS[PDF]: FAIL (score=40)",
|
||||
"VETO-02 [HARD] diagnostic_principal: DP I82 sans preuve exploitable",
|
||||
"VETO-12 [HARD] diagnostic_principal: DP I82 en high sans preuve"
|
||||
],
|
||||
"source_files": [],
|
||||
"ghm_estimation": {
|
||||
"cmd": "05",
|
||||
"cmd_libelle": "Affections de l'appareil circulatoire",
|
||||
"type_ghm": "M",
|
||||
"severite": 1,
|
||||
"ghm_approx": "05M??1",
|
||||
"cma_count": 0,
|
||||
"cms_count": 0,
|
||||
"alertes": []
|
||||
},
|
||||
"controles_cpam": [],
|
||||
"veto_report": {
|
||||
"verdict": "FAIL",
|
||||
"score_contestabilite": 40,
|
||||
"issues": [
|
||||
{
|
||||
"veto": "VETO-02",
|
||||
"severity": "HARD",
|
||||
"where": "diagnostic_principal",
|
||||
"message": "DP I82 sans preuve exploitable"
|
||||
},
|
||||
{
|
||||
"veto": "VETO-12",
|
||||
"severity": "HARD",
|
||||
"where": "diagnostic_principal",
|
||||
"message": "DP I82 en high sans preuve"
|
||||
}
|
||||
]
|
||||
},
|
||||
"processing_time_s": 34.31,
|
||||
"metrics": {
|
||||
"das_total": 0,
|
||||
"das_active": 0,
|
||||
"das_excluded": 0,
|
||||
"das_removed": 0,
|
||||
"das_ruled_out": 0,
|
||||
"das_no_code": 0,
|
||||
"actes_total": 0,
|
||||
"actes_with_code": 0,
|
||||
"dp_has_code": true
|
||||
},
|
||||
"rules_runtime": {
|
||||
"router_version": 1,
|
||||
"mode": "strict",
|
||||
"enabled_packs": [
|
||||
"decisions_core",
|
||||
"vetos_core"
|
||||
],
|
||||
"always_on_rules": [],
|
||||
"triggers_fired": []
|
||||
}
|
||||
}
|
||||
Reference in New Issue
Block a user