{
  "source_file": "anapath 53_23224186.pdf",
  "document_type": "crh",
  "sejour": {},
  "dp_selection": {
    "verdict": "REVIEW",
    "evidence": [],
    "reason": "Aucun candidat DP identifié",
    "candidates": []
  },
  "dp_crh_only": {
    "verdict": "REVIEW",
    "evidence": [],
    "reason": "Aucun candidat DP identifié",
    "candidates": []
  },
  "dp_final": {
    "verdict": "REVIEW",
    "evidence": [],
    "reason": "Aucun candidat DP identifié",
    "candidates": []
  },
  "quality_flags": {
    "crh_only_mode": true
  },
  "diagnostics_associes": [],
  "actes_ccam": [],
  "antecedents": [],
  "traitements_sortie": [],
  "biologie_cle": [],
  "biologie_discarded": [],
  "imagerie": [],
  "complications": [],
  "alertes_codage": [
    "NUKE-3 REVIEW: DP ambigu — Aucun candidat DP identifié"
  ],
  "source_files": [],
  "ghm_estimation": {
    "type_ghm": "M",
    "severite": 1,
    "cma_count": 0,
    "cms_count": 0,
    "alertes": [
      "DP absent — CMD non déterminable"
    ]
  },
  "controles_cpam": [],
  "processing_time_s": 0.04,
  "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": []
  }
}