9df4465fef
Ajout des règles d'exclusion symptôme (R00-R99) vs diagnostic précis (Chapitres I-XIV), détection heuristique de sévérité CMA sur 25 racines CIM-10, et affichage des alertes de codage dans le viewer Flask. 153 tests, 0 régression. Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
110 lines
3.8 KiB
Python
110 lines
3.8 KiB
Python
"""Tests pour le module de sévérité heuristique (CMA/CMS)."""
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import pytest
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from src.config import Diagnostic
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from src.medical.severity import (
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evaluate_severity,
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enrich_dossier_severity,
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_detect_severity_markers,
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_is_heuristic_cma,
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)
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class TestDetectSeverityMarkers:
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def test_severe_markers(self):
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niveau, marqueurs = _detect_severity_markers("Pancréatite aiguë sévère")
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assert niveau == "severe"
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assert any(m in ("severe", "aigue") for m in marqueurs)
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def test_moderate_markers(self):
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niveau, marqueurs = _detect_severity_markers("Insuffisance rénale modérée")
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assert niveau == "modere"
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assert "modere" in marqueurs or "moderee" in marqueurs
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def test_mild_markers(self):
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niveau, marqueurs = _detect_severity_markers("Anémie chronique bénigne")
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assert niveau == "leger"
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assert any(m in ("chronique", "benin", "benigne") for m in marqueurs)
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def test_no_markers(self):
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niveau, marqueurs = _detect_severity_markers("Hypertension artérielle")
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assert niveau == "non_evalue"
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assert marqueurs == []
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def test_severe_overrides_mild(self):
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"""Si 'sévère' et 'chronique' sont présents, 'severe' l'emporte."""
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niveau, marqueurs = _detect_severity_markers("Insuffisance cardiaque chronique décompensée")
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assert niveau == "severe"
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class TestHeuristicCMA:
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def test_e11_is_cma(self):
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assert _is_heuristic_cma("E11.9") is True
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def test_i48_is_cma(self):
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assert _is_heuristic_cma("I48.9") is True
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def test_a41_is_cma(self):
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assert _is_heuristic_cma("A41.9") is True
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def test_k85_not_cma(self):
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assert _is_heuristic_cma("K85.1") is False
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def test_i10_not_cma(self):
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assert _is_heuristic_cma("I10") is False
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def test_empty(self):
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assert _is_heuristic_cma("") is False
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assert _is_heuristic_cma(None) is False
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class TestEvaluateSeverity:
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def test_cma_code_detected(self):
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diag = Diagnostic(texte="Diabète type 2", cim10_suggestion="E11.9")
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info = evaluate_severity(diag)
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assert info.est_cma_probable is True
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def test_non_cma_code(self):
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diag = Diagnostic(texte="Pancréatite aiguë biliaire", cim10_suggestion="K85.1")
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info = evaluate_severity(diag)
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assert info.est_cma_probable is False
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def test_severity_from_text(self):
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diag = Diagnostic(texte="Sepsis sévère", cim10_suggestion="A41.9")
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info = evaluate_severity(diag)
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assert info.niveau_severite == "severe"
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assert info.est_cma_probable is True
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def test_combined_text_and_dict_label(self):
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"""Le label du dictionnaire CIM-10 enrichit la détection de sévérité."""
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diag = Diagnostic(texte="Embolie pulmonaire", cim10_suggestion="I26.9")
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info = evaluate_severity(diag)
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assert info.est_cma_probable is True
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class TestEnrichDossierSeverity:
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def test_enriches_das_in_place(self):
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dp = Diagnostic(texte="Pancréatite aiguë biliaire", cim10_suggestion="K85.1")
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das = [
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Diagnostic(texte="Fibrillation auriculaire", cim10_suggestion="I48.9"),
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Diagnostic(texte="Obésité", cim10_suggestion="E66.0"),
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]
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alertes = enrich_dossier_severity(dp, das)
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# I48.9 = CMA probable
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assert das[0].est_cma is True
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assert das[0].niveau_severite is not None
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# E66.0 = non CMA
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assert das[1].est_cma is None
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# Au moins une alerte CMA
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assert any("CMA" in a for a in alertes)
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def test_dp_severity_set(self):
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dp = Diagnostic(texte="Sepsis sévère", cim10_suggestion="A41.9")
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alertes = enrich_dossier_severity(dp, [])
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assert dp.niveau_severite == "severe"
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assert dp.est_cma is True
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