4e2b4bd946
- Réorganisation data/referentiels/ : pdfs/, dicts/, user/ (structure unifiée) - Fix badges "Source absente" sur page admin référentiels - Ré-indexation COCOA 2025 (555 → 1451 chunks, couverture 94%) - Fix VRAM OOM : embeddings forcés CPU via T2A_EMBED_CPU - Nouveaux modules : document_router, docx_extractor, image_extractor, ocr_engine - Module complétude (quality/completude.py + config YAML) - Template DIM (synthèse dimensionnelle) - Gunicorn config + systemd service t2a-viewer - Suppression t2a_install_rag_cleanup/ (copie obsolète) - Suppression scripts/ et scripts_t2a_v2/ (anciens benchmarks) - Suppression 81 fichiers _doc.txt de test - Cache Ollama : TTL configurable, corrections loader YAML - Dashboard : améliorations templates (base, index, detail, cpam, validation) Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
244 lines
9.6 KiB
Python
244 lines
9.6 KiB
Python
"""Tests unitaires pour les règles ATIH (veto engine).
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Couvre : VETO-20 (Z en DP), VETO-21 (R en DP), VETO-22 (même catégorie DP+DAS),
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VETO-23 (exclusions mutuelles), VETO-24 (traumatisme sans cause externe).
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"""
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import pytest
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from src.config import Diagnostic, DossierMedical, Sejour
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from src.quality.veto_engine import apply_vetos
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def _make_dossier(dp_code=None, das_codes=None, dp_texte="test", das_textes=None):
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"""Helper : crée un DossierMedical minimal avec DP + DAS."""
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dossier = DossierMedical(sejour=Sejour())
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if dp_code:
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dossier.diagnostic_principal = Diagnostic(
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texte=dp_texte, cim10_suggestion=dp_code,
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source_excerpt="preuve test", cim10_confidence="medium",
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)
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for i, code in enumerate(das_codes or []):
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texte = (das_textes[i] if das_textes and i < len(das_textes)
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else f"das test {code}")
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dossier.diagnostics_associes.append(Diagnostic(
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texte=texte, cim10_suggestion=code,
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source_excerpt="preuve test", cim10_confidence="medium",
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))
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return dossier
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# ================================================================
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# VETO-20 : Z code interdit en DP
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# ================================================================
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class TestVeto20ZCodeDP:
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def test_z_code_forbidden_dp(self):
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"""Z00 en DP doit déclencher VETO-20."""
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d = _make_dossier(dp_code="Z00.8", das_codes=["I10"])
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report = apply_vetos(d)
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v20 = [i for i in report.issues if i.veto == "VETO-20"]
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assert len(v20) == 1
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assert "Z00" in v20[0].message
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def test_z51_whitelist_dp(self):
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"""Z51 (chimiothérapie) est autorisé en DP — pas de VETO-20."""
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d = _make_dossier(dp_code="Z51.1", das_codes=["C50.9"])
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report = apply_vetos(d)
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v20 = [i for i in report.issues if i.veto == "VETO-20"]
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assert len(v20) == 0
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def test_z09_whitelist_dp(self):
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"""Z09 (suivi post-traitement) est autorisé en DP."""
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d = _make_dossier(dp_code="Z09.0", das_codes=["C50.9"])
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report = apply_vetos(d)
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v20 = [i for i in report.issues if i.veto == "VETO-20"]
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assert len(v20) == 0
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def test_z54_whitelist_dp(self):
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"""Z54 (convalescence) est autorisé en DP."""
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d = _make_dossier(dp_code="Z54.0")
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report = apply_vetos(d)
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v20 = [i for i in report.issues if i.veto == "VETO-20"]
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assert len(v20) == 0
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def test_z_in_das_no_veto(self):
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"""Z code en DAS ne déclenche PAS VETO-20."""
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d = _make_dossier(dp_code="I10", das_codes=["Z87.1"])
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report = apply_vetos(d)
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v20 = [i for i in report.issues if i.veto == "VETO-20"]
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assert len(v20) == 0
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def test_z45_forbidden(self):
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"""Z45 (ajustement de dispositif) n'est pas dans la whitelist."""
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d = _make_dossier(dp_code="Z45.0")
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report = apply_vetos(d)
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v20 = [i for i in report.issues if i.veto == "VETO-20"]
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assert len(v20) == 1
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# ================================================================
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# VETO-21 : Code R (symptôme) en DP
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# ================================================================
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class TestVeto21RCodeDP:
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def test_r_code_dp_no_precise_das(self):
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"""R code en DP sans diagnostic précis en DAS → MEDIUM."""
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d = _make_dossier(dp_code="R10.9", das_codes=["R50.9", "Z87.1"])
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report = apply_vetos(d)
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v21 = [i for i in report.issues if i.veto == "VETO-21"]
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assert len(v21) == 1
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assert v21[0].severity == "MEDIUM"
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def test_r_code_dp_with_precise_das(self):
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"""R code en DP avec diagnostic précis en DAS → LOW (informatif)."""
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d = _make_dossier(dp_code="R10.9", das_codes=["K35.8"])
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report = apply_vetos(d)
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v21 = [i for i in report.issues if i.veto == "VETO-21"]
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assert len(v21) == 1
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assert v21[0].severity == "LOW"
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def test_non_r_dp_no_veto(self):
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"""DP hors chapitre R → pas de VETO-21."""
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d = _make_dossier(dp_code="K35.8", das_codes=["R10.9"])
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report = apply_vetos(d)
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v21 = [i for i in report.issues if i.veto == "VETO-21"]
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assert len(v21) == 0
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# ================================================================
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# VETO-22 : Même catégorie 3 chars DP + DAS
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# ================================================================
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class TestVeto22SameCategory:
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def test_same_3char_dp_das(self):
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"""J45.0 en DP + J45.9 en DAS → VETO-22."""
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d = _make_dossier(dp_code="J45.0", das_codes=["J45.9", "I10"])
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report = apply_vetos(d)
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v22 = [i for i in report.issues if i.veto == "VETO-22"]
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assert len(v22) == 1
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assert "J45" in v22[0].message
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def test_exact_duplicate_no_veto22(self):
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"""Code identique DP=DAS est VETO-06, pas VETO-22."""
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d = _make_dossier(dp_code="J45.0", das_codes=["J45.0"])
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report = apply_vetos(d)
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v22 = [i for i in report.issues if i.veto == "VETO-22"]
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assert len(v22) == 0 # traité par VETO-06
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def test_different_categories(self):
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"""Catégories différentes → pas de VETO-22."""
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d = _make_dossier(dp_code="K35.8", das_codes=["I10", "E11.9"])
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report = apply_vetos(d)
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v22 = [i for i in report.issues if i.veto == "VETO-22"]
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assert len(v22) == 0
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# ================================================================
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# VETO-25 : Exclusions mutuelles (ex-VETO-23, refactorisé via diagnostic_conflicts.yaml)
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# ================================================================
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class TestVeto25MutualExclusions:
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def test_e10_e11_mutual(self):
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"""E10 + E11 = diabète type 1 et 2 → VETO-25."""
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d = _make_dossier(dp_code="E10.9", das_codes=["E11.9", "I10"])
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report = apply_vetos(d)
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v25 = [i for i in report.issues if i.veto == "VETO-25"]
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assert len(v25) == 1
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assert "Diabète" in v25[0].message
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def test_i10_i11_mutual(self):
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"""I10 + I11 = HTA essentielle + secondaire → VETO-25."""
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d = _make_dossier(dp_code="I10", das_codes=["I11.9"])
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report = apply_vetos(d)
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v25 = [i for i in report.issues if i.veto == "VETO-25"]
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assert len(v25) == 1
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assert "HTA" in v25[0].message
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def test_i10_i13_mutual(self):
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"""I10 + I13 (HTA cardiorénale) → VETO-25."""
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d = _make_dossier(dp_code="K35.8", das_codes=["I10", "I13.0"])
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report = apply_vetos(d)
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v25 = [i for i in report.issues if i.veto == "VETO-25"]
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assert len(v25) == 1
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def test_no_mutual_exclusion(self):
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"""Pas de conflit → pas de VETO-25."""
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d = _make_dossier(dp_code="E11.9", das_codes=["I10", "K35.8"])
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report = apply_vetos(d)
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v25 = [i for i in report.issues if i.veto == "VETO-25"]
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assert len(v25) == 0
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def test_e10_alone_no_veto(self):
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"""E10 seul → pas de VETO-25."""
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d = _make_dossier(dp_code="E10.9", das_codes=["I10"])
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report = apply_vetos(d)
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v25 = [i for i in report.issues if i.veto == "VETO-25"]
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assert len(v25) == 0
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# ================================================================
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# VETO-24 : Traumatisme sans cause externe
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# ================================================================
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class TestVeto24InjuryExternalCause:
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def test_injury_without_external(self):
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"""S72.0 sans V/W/X/Y → VETO-24."""
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d = _make_dossier(dp_code="S72.0", das_codes=["I10"])
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report = apply_vetos(d)
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v24 = [i for i in report.issues if i.veto == "VETO-24"]
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assert len(v24) == 1
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def test_injury_with_external(self):
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"""S72.0 + W19 → pas de VETO-24."""
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d = _make_dossier(dp_code="S72.0", das_codes=["W19.0"])
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report = apply_vetos(d)
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v24 = [i for i in report.issues if i.veto == "VETO-24"]
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assert len(v24) == 0
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def test_t_complication_no_veto(self):
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"""T82 (complication de dispositif) n'est PAS un traumatisme → pas de VETO-24."""
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d = _make_dossier(dp_code="T82.1", das_codes=["I10"])
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report = apply_vetos(d)
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v24 = [i for i in report.issues if i.veto == "VETO-24"]
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assert len(v24) == 0
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def test_no_injury_no_veto(self):
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"""Pas de code S/T → pas de VETO-24."""
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d = _make_dossier(dp_code="K35.8", das_codes=["I10"])
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report = apply_vetos(d)
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v24 = [i for i in report.issues if i.veto == "VETO-24"]
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assert len(v24) == 0
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def test_injury_in_das_without_external(self):
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"""Code S en DAS sans externe → VETO-24."""
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d = _make_dossier(dp_code="K35.8", das_codes=["S06.0"])
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report = apply_vetos(d)
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v24 = [i for i in report.issues if i.veto == "VETO-24"]
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assert len(v24) == 1
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# ================================================================
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# Tests de non-régression : verdicts globaux
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# ================================================================
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class TestVerdictIntegration:
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def test_clean_dossier_pass(self):
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"""Dossier propre → PASS (ou NEED_INFO si VETO-02 capte)."""
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d = _make_dossier(dp_code="K35.8", das_codes=["I10", "E11.9"])
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report = apply_vetos(d)
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# Pas de HARD → pas de FAIL
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assert report.verdict != "FAIL"
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def test_multiple_atih_vetos(self):
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"""Plusieurs vetos ATIH combinés."""
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d = _make_dossier(dp_code="Z45.0", das_codes=["E10.9", "E11.9", "S72.0"])
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report = apply_vetos(d)
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veto_ids = {i.veto for i in report.issues}
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# Z45 interdit en DP → VETO-20
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assert "VETO-20" in veto_ids
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# E10+E11 → VETO-25 (ex-VETO-23, via diagnostic_conflicts.yaml)
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assert "VETO-25" in veto_ids
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# S72 sans externe → VETO-24
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assert "VETO-24" in veto_ids
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