feat: méthode TIM experte CPAM + moteur de règles étendu

CPAM — Méthode TIM (mémoire en défense) :
- Réécriture CPAM_ARGUMENTATION avec raisonnement 5 passes TIM
  (contexte admin → motif réel → confrontation bio → hiérarchie → validation défensive)
- _BIO_THRESHOLDS (19 entrées) + _build_bio_confrontation() pour
  confrontation biologie/diagnostic avec seuils chiffrés et verdicts
- _format_response() dual format : nouveau TIM (moyens numérotés, tableau
  bio, codes non défendables, conclusion dispositive) + rétrocompat legacy
- CPAM_ADVERSARIAL mis à jour pour vérifier honnêteté intellectuelle
- Tests adaptés + 12 nouveaux tests (bio confrontation, format TIM)

Moteur de règles :
- Nouvelles règles YAML : demographic, diagnostic_conflicts,
  procedure_diagnosis, temporal, parcours
- Bio extraction FAISS (synonymes vectoriels)
- Veto engine enrichi (citations, Trackare skip, règles démographiques)
- Decision engine : _apply_bio_rules_gen() + matchers analytiques

Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>

src/viewer/templates/detail.html

@@ -49,6 +49,64 @@
   {% endif %}
 </div>
 
+{# ---- Synthèse Expert (Refonte) ---- #}
+<div style="display: grid; grid-template-columns: repeat(auto-fit, minmax(300px, 1fr)); gap: 1rem; margin-top: 1rem; margin-bottom: 1.5rem;">
+  
+  {# 1. Sécurité & Conformité (Vetos) #}
+  <div class="card" style="margin:0; border-top: 4px solid #ef4444; background: #fff1f2;">
+    <h3 style="color:#991b1b; font-size: 1rem; margin-bottom: 0.75rem;">🛡️ Sécurité & Conformité</h3>
+    <div style="font-size: 0.85rem; color: #7f1d1d;">
+      {% if dossier.veto_report and dossier.veto_report.issues %}
+        {% for issue in dossier.veto_report.issues if issue.severity in ['HARD', 'MEDIUM'] %}
+          <div style="margin-bottom: 0.5rem; border-bottom: 1px solid #fecaca; padding-bottom: 0.25rem;">
+            <strong>[{{ issue.severity|replace('HARD', 'Bloquant')|replace('MEDIUM', 'À vérifier') }}]</strong> {{ issue.message }}
+            {% if issue.citation %}<br><em style="font-size:0.75rem; opacity:0.8;">ATIH: {{ issue.citation }}</em>{% endif %}
+          </div>
+        {% endfor %}
+      {% else %}
+        <div style="color: #059669; font-weight: 600;">✅ Aucune anomalie majeure détectée.</div>
+      {% endif %}
+    </div>
+  </div>
+
+  {# 2. Optimisation de la Recette (CMA) #}
+  <div class="card" style="margin:0; border-top: 4px solid #10b981; background: #ecfdf5;">
+    <h3 style="color:#065f46; font-size: 1rem; margin-bottom: 0.75rem;">💰 Valorisation (CMA)</h3>
+    <div style="font-size: 0.85rem; color: #064e3b;">
+      {% set cma_alerts = [] %}
+      {% for alerte in dossier.alertes_codage if alerte.startswith('CMA') %}{% set _ = cma_alerts.append(alerte) %}{% endfor %}
+      {% if cma_alerts %}
+        <ul style="margin:0; padding-left: 1.2rem;">
+          {% for alerte in cma_alerts %}
+            <li style="margin-bottom: 0.25rem;">{{ alerte }}</li>
+          {% endfor %}
+        </ul>
+      {% else %}
+        <div style="opacity: 0.7;">Aucune comorbidité (CMA) détectée.</div>
+      {% endif %}
+    </div>
+  </div>
+
+  {# 3. Audit & Analyse IA (QC) #}
+  <div class="card" style="margin:0; border-top: 4px solid #3b82f6; background: #eff6ff;">
+    <h3 style="color:#1e40af; font-size: 1rem; margin-bottom: 0.75rem;">🔍 Audit de l'Expert IA</h3>
+    <div style="font-size: 0.85rem; color: #1e3a8a;">
+      {% set qc_alerts = [] %}
+      {% for alerte in dossier.alertes_codage if alerte.startswith('QC:') %}{% set _ = qc_alerts.append(alerte) %}{% endfor %}
+      {% if qc_alerts %}
+        {% for alerte in qc_alerts %}
+          <div style="margin-bottom: 0.5rem; border-bottom: 1px solid #bfdbfe; padding-bottom: 0.25rem; font-style: italic;">
+            {{ alerte|replace('QC: ', '') }}
+          </div>
+        {% endfor %}
+      {% else %}
+        <div style="opacity: 0.7;">Aucune recommandation particulière.</div>
+      {% endif %}
+    </div>
+  </div>
+
+</div>
+
 {# ---- Séjour ---- #}
 {% set s = dossier.sejour %}
 {% if s.sexe or s.age or s.date_entree or s.date_sortie or s.duree_sejour is not none or s.imc or s.poids or s.taille %}
@@ -301,22 +359,6 @@
 </div>
 {% endif %}
 
-{# ---- Alertes de codage ---- #}
-{% if dossier.alertes_codage %}
-<div class="card section" style="border-left:4px solid #f97316;background:#fff7ed;">
-  <h3 style="color:#c2410c;">Alertes de codage ({{ dossier.alertes_codage|length }})</h3>
-  <ul style="margin:0;padding-left:1.2rem;">
-    {% for alerte in dossier.alertes_codage %}
-      {% if alerte.startswith('NON-CUMUL') %}
-        <li class="alerte-noncumul" style="font-size:0.85rem;margin-bottom:0.25rem;">{{ alerte }}</li>
-      {% else %}
-        <li class="alerte-standard" style="font-size:0.85rem;margin-bottom:0.25rem;">{{ alerte }}</li>
-      {% endif %}
-    {% endfor %}
-  </ul>
-</div>
-{% endif %}
-
 {# ---- Contestabilité (VetoReport) ---- #}
 {% if dossier.veto_report %}
 {% set vr = dossier.veto_report %}
@@ -328,36 +370,37 @@
   {% set vr_color = '#ef4444' %}
 {% endif %}
 <div class="card section" style="border-left:4px solid {{ vr_color }};">
-  <h3>Contestabilité du dossier</h3>
+  <h3>Contestabilité du dossier (Qualité PMSI)</h3>
   <div style="display:flex;align-items:center;gap:1rem;">
     {% if vr.verdict == 'PASS' %}
-      <span class="badge" style="background:#d1fae5;color:#065f46;font-weight:700;">PASS</span>
+      <span class="badge" style="background:#d1fae5;color:#065f46;font-weight:700;">CONFORME</span>
     {% elif vr.verdict == 'NEED_INFO' %}
-      <span class="badge" style="background:#fef3c7;color:#92400e;font-weight:700;">NEED_INFO</span>
+      <span class="badge" style="background:#fef3c7;color:#92400e;font-weight:700;">À COMPLÉTER</span>
     {% else %}
-      <span class="badge" style="background:#fee2e2;color:#dc2626;font-weight:700;">FAIL</span>
+      <span class="badge" style="background:#fee2e2;color:#dc2626;font-weight:700;">NON CONFORME</span>
     {% endif %}
     <div style="flex:1;height:8px;background:#e2e8f0;border-radius:4px;">
       <div style="width:{{ vr.score_contestabilite }}%;height:100%;background:{{ vr_color }};border-radius:4px;"></div>
     </div>
-    <span style="font-weight:600;">{{ vr.score_contestabilite }}/100</span>
+    <span style="font-weight:600;">Score : {{ vr.score_contestabilite }}/100</span>
   </div>
   {% if vr.issues %}
   <details style="margin-top:0.5rem;">
-    <summary style="font-size:0.8rem;color:#64748b;">Problèmes détectés ({{ vr.issues|length }})</summary>
+    <summary style="font-size:0.8rem;color:#64748b;cursor:pointer;">Détail des anomalies détectées ({{ vr.issues|length }})</summary>
     <table style="margin-top:0.25rem;">
-      <thead><tr><th>Veto</th><th>Sévérité</th><th>Localisation</th><th>Message</th></tr></thead>
+      <thead><tr><th>Code Règle</th><th>Sévérité</th><th>Localisation</th><th>Message d'alerte</th><th>Référence ATIH</th></tr></thead>
       <tbody>
       {% for issue in vr.issues %}
       <tr>
         <td><code style="font-size:0.75rem;">{{ issue.veto }}</code></td>
         <td>
-          {% if issue.severity == 'HARD' %}<span class="badge" style="background:#fee2e2;color:#dc2626;">HARD</span>
-          {% elif issue.severity == 'MEDIUM' %}<span class="badge" style="background:#fef3c7;color:#92400e;">MEDIUM</span>
-          {% else %}<span class="badge" style="background:#f0fdf4;color:#166534;">LOW</span>{% endif %}
+          {% if issue.severity == 'HARD' %}<span class="badge" style="background:#fee2e2;color:#dc2626;">Bloquant</span>
+          {% elif issue.severity == 'MEDIUM' %}<span class="badge" style="background:#fef3c7;color:#92400e;">À vérifier</span>
+          {% else %}<span class="badge" style="background:#f0fdf4;color:#166534;">Optimisation</span>{% endif %}
         </td>
-        <td style="font-size:0.75rem;color:#64748b;">{{ issue.where }}</td>
+        <td style="font-size:0.75rem;color:#64748b;">{{ issue.where|human_where }}</td>
         <td style="font-size:0.8rem;">{{ issue.message }}</td>
+        <td style="font-size:0.75rem;color:#475569;font-style:italic;">{{ issue.citation or '—' }}</td>
       </tr>
       {% endfor %}
       </tbody>
@@ -506,7 +549,7 @@
           <details style="margin-top:0.3rem;"><summary style="font-size:0.7rem;color:#0369a1;cursor:pointer;">preuves ({{ das.preuves_cliniques|length }})</summary>
             <ul style="margin:0.15rem 0 0 0;padding-left:1rem;font-size:0.75rem;">
             {% for p in das.preuves_cliniques %}
-              <li><span style="font-weight:600;color:#0369a1;">[{{ p.type }}]</span> {{ p.element }} <span style="color:#64748b;">&rarr; {{ p.interpretation }}</span></li>
+              <li><span style="font-weight:600;{% if p.type == 'biologie' %}color:#0891b2;{% else %}color:#0369a1;{% endif %}">[{{ p.type }}]</span> {{ p.element }} <span style="color:#64748b;">&rarr; {{ p.interpretation }}</span></li>
             {% endfor %}
             </ul>
           </details>