{
  "source_file": "CRO 23028431.pdf",
  "document_type": "crh",
  "sejour": {},
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    "verdict": "REVIEW",
    "evidence": [],
    "reason": "Aucun candidat DP identifié",
    "candidates": []
  },
  "dp_crh_only": {
    "verdict": "REVIEW",
    "evidence": [],
    "reason": "Aucun candidat DP identifié",
    "candidates": []
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    "verdict": "REVIEW",
    "evidence": [],
    "reason": "Aucun candidat DP identifié",
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  "actes_ccam": [
    {
      "texte": "Cholécystectomie",
      "code_ccam_suggestion": "HMFC004",
      "sources_rag": [],
      "validite": "valide",
      "alertes": [],
      "source_page": 1,
      "source_excerpt": "...on du kyste à l’ultracision 5 mm avant le parenchyme hépatique permettant d’enlever les ¾ du kyste.\nCholécystectomie mono bloc avec ligature de l’artère cystique entre clips Hemolock et section du cystique ent\nLe fon..."
    }
  ],
  "antecedents": [],
  "traitements_sortie": [],
  "biologie_cle": [],
  "biologie_discarded": [],
  "imagerie": [],
  "complications": [],
  "alertes_codage": [
    "QUALITE DEGRADEE : erreur RAG — codage sans référentiels",
    "NUKE-3 REVIEW: DP ambigu — Aucun candidat DP identifié"
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  "ghm_estimation": {
    "type_ghm": "C",
    "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": [
      {
        "code": "HMFC004",
        "libelle": "Acte chirurgical nécessitant un CRO",
        "type_diag": "Acte",
        "items": [
          {
            "categorie": "document",
            "element": "CRO",
            "statut": "absent",
            "importance": "obligatoire",
            "impact_cpam": "Compte-rendu opératoire obligatoire pour tout acte chirurgical"
          }
        ],
        "score": 30,
        "verdict": "indefendable",
        "resume": "0/1 obligatoires"
      }
    ],
    "score_global": 30,
    "verdict_global": "indefendable",
    "documents_presents": [
      "crh"
    ],
    "documents_manquants": [
      "CRO"
    ]
  },
  "processing_time_s": 7.14,
  "metrics": {
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    "das_active": 0,
    "das_excluded": 0,
    "das_removed": 0,
    "das_ruled_out": 0,
    "das_no_code": 0,
    "actes_total": 1,
    "actes_with_code": 1,
    "dp_has_code": false
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    "mode": "strict",
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}