{ "source_file": "trackare-07026002-23061319_07026002_23061319.pdf", "document_type": "trackare", "sejour": { "sexe": "F", "age": 37, "date_entree": "28/03/2023", "date_sortie": "31/03/2023", "duree_sejour": 3, "imc": 21.193, "poids": 57.0, "taille": 164.0 }, "dp_final": { "verdict": "REVIEW", "evidence": [], "reason": "Aucun DP disponible", "candidates": [] }, "quality_flags": { "no_dp_source": true }, "diagnostics_associes": [], "actes_ccam": [], "antecedents": [], "traitements_sortie": [ { "medicament": "ML INJ SER", "source_page": 6, "source_excerpt": "...Sortie\nVoie d`administration: SOUS-CUTANEE\nStatut des prescriptions: Signé\nLOVENOX 4000UI\n1\nAXa/0,4ML INJ SER DR. Juliette\nSERINGUE(S) - Matin [8h] Normal 28/03/2023 14:56 31/03/2023 08:42\n+S [2] SERINGUE(S) L..." } ], "biologie_cle": [], "biologie_discarded": [], "imagerie": [], "complications": [], "alertes_codage": [ "Aucun DP extrait (ni Trackare ni CRH)" ], "source_files": [], "ghm_estimation": { "type_ghm": "M", "severite": 1, "cma_count": 0, "cms_count": 0, "alertes": [ "DP absent — CMD non déterminable" ] }, "controles_cpam": [], "veto_report": { "verdict": "PASS", "score_contestabilite": 100, "issues": [] }, "completude": { "checks": [], "score_global": 100, "verdict_global": "defendable", "documents_presents": [ "trackare" ], "documents_manquants": [] }, "processing_time_s": 16.06, "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": false }, "rules_runtime": { "router_version": 1, "mode": "strict", "enabled_packs": [ "decisions_core", "vetos_core" ], "always_on_rules": [], "triggers_fired": [] } }