version: 1 packs: vetos_core: enabled: true rules: VETO-02: enabled: true description: Code sans preuve exploitable VETO-03: enabled: true description: Conditionnel / négation / contradictions dans la preuve VETO-06: enabled: true description: DP dupliqué dans les DAS VETO-07: enabled: true description: Doublons DAS VETO-09: enabled: true description: Contradiction biologique (plaquettes/créat) VETO-12: enabled: true description: Sur-confiance (high sans preuve) VETO-15: enabled: true description: Preuve issue d'un score/test (risque de sur-codage) VETO-16: enabled: true description: Heuristique libellé→code (hors-sujet probable) VETO-17: enabled: true description: Preuve biologique manquante => NEED_INFO (non bloquant) decisions_core: enabled: true rules: RULE-D50-NEEDS-IRON: enabled: true description: D50 sans preuve martiale => downgrade D64.9 + NEED_INFO RULE-D69.6-PLT-NORMAL: enabled: true description: D69.6 incompatible avec plaquettes normales => ruled_out (barré) RULE-DAS-TO-DP: enabled: true description: DAS promu en DP si aucun DP extrait — sélection par pertinence/confiance/spécificité RULE-CPAM-CORRECTION-LOOP: enabled: true description: Boucle de correction quand validation adversariale score ≤ 5/10 bio_electrolytes: enabled: true rules: RULE-E87.1-NA-NORMAL: enabled: true description: E87.1 suggérée mais Na normal => ruled_out RULE-E87.1-MISSING-NA: enabled: true description: E87.1 suggérée mais Na absent => NEED_INFO RULE-E87.5-K-NORMAL: enabled: true description: E87.5 suggérée mais K normal => ruled_out RULE-E87.5-MISSING-K: enabled: true description: E87.5 suggérée mais K absent => NEED_INFO RULE-E87.6-K-NORMAL: enabled: true description: E87.6 suggérée mais K normal => ruled_out RULE-E87.6-MISSING-K: enabled: true description: E87.6 suggérée mais K absent => NEED_INFO atih_core: enabled: true rules: VETO-20: enabled: true description: Z code interdit en DP (sauf whitelist Z09/Z51/Z54/Z75/Z03/Z04/Z38/Z50/Z08) VETO-21: enabled: true description: Code R (symptôme) en DP → CMD 23, tarification faible VETO-22: enabled: true description: Même catégorie CIM-10 3 chars en DP + DAS (redondance) VETO-23: enabled: true description: Exclusions mutuelles (E10/E11 diabète, I10/I11-I13 HTA) VETO-24: enabled: true description: Lésion traumatique (S/T) sans cause externe (V/W/X/Y) placeholders_future: enabled: false rules: RULE-PDF-PROTECTED-NEED_INFO: enabled: false description: PDF protégé => NEED_INFO (à implémenter si besoin)