235 lines
6.5 KiB
JSON
235 lines
6.5 KiB
JSON
{
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"source_file": "BACTERIO 23168633.pdf",
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"document_type": "crh",
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"sejour": {},
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"diagnostic_principal": {
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"texte": "Infection à Escherichia coli",
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"cim10_suggestion": "A04.4",
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"cim10_confidence": "high",
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"cim10_final": "A04.4",
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"sources_rag": [],
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"preuves_cliniques": [],
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"est_cma": true,
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"niveau_severite": "non_evalue",
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"niveau_cma": 2,
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"source": "nuke3"
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},
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"dp_selection": {
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"chosen_index": 1,
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"chosen_term": "Infection à Escherichia coli",
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"chosen_code": "A04.4",
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"confidence": "high",
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"verdict": "CONFIRMED",
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"evidence": [
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"L'infection à Escherichia coli est une étiologie spécifique.",
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"La pénicillinase est un mécanisme de résistance, pas une infection en soi."
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],
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"reason": "Une infection est un motif de prise en charge plus direct qu'un mécanisme de résistance bactérienne.",
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"candidates": [
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{
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"index": 0,
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"term": "Pénicillinase",
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"code": "U82.0",
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"confidence": "high",
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"source": "edsnlp",
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"is_comorbidity_like": false,
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"is_symptom_like": false,
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"is_act_only": false,
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"section_strength": 2,
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"num_occurrences": 1,
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"score": 5.0,
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"score_details": {
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"section": 2,
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"confidence": 3
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}
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},
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{
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"index": 1,
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"term": "Infection à Escherichia coli",
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"code": "A04.4",
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"confidence": "high",
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"source": "llm_das",
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"is_comorbidity_like": false,
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"is_symptom_like": false,
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"is_act_only": false,
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"section_strength": 1,
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"num_occurrences": 1,
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"score": 4.0,
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"score_details": {
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"section": 1,
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"confidence": 3
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}
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}
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],
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"debug_scores": {
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"top1": 5.0,
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"top2": 4.0,
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"delta": 1.0,
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"llm": true
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}
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},
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"dp_crh_only": {
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"chosen_index": 1,
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"chosen_term": "Infection à Escherichia coli",
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"chosen_code": "A04.4",
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"confidence": "high",
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"verdict": "CONFIRMED",
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"evidence": [
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"L'infection à Escherichia coli est une étiologie spécifique.",
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"La pénicillinase est un mécanisme de résistance, pas une infection en soi."
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],
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"reason": "Une infection est un motif de prise en charge plus direct qu'un mécanisme de résistance bactérienne.",
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"candidates": [
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{
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"index": 0,
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"term": "Pénicillinase",
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"code": "U82.0",
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"confidence": "high",
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"source": "edsnlp",
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"is_comorbidity_like": false,
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"is_symptom_like": false,
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"is_act_only": false,
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"section_strength": 2,
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"num_occurrences": 1,
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"score": 5.0,
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"score_details": {
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"section": 2,
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"confidence": 3
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}
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},
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{
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"index": 1,
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"term": "Infection à Escherichia coli",
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"code": "A04.4",
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"confidence": "high",
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"source": "llm_das",
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"is_comorbidity_like": false,
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"is_symptom_like": false,
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"is_act_only": false,
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"section_strength": 1,
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"num_occurrences": 1,
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"score": 4.0,
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"score_details": {
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"section": 1,
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"confidence": 3
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}
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}
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],
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"debug_scores": {
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"top1": 5.0,
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"top2": 4.0,
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"delta": 1.0,
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"llm": true
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}
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},
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"dp_final": {
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"chosen_index": 1,
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"chosen_term": "Infection à Escherichia coli",
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"chosen_code": "A04.4",
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"confidence": "high",
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"verdict": "CONFIRMED",
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"evidence": [
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"L'infection à Escherichia coli est une étiologie spécifique.",
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"La pénicillinase est un mécanisme de résistance, pas une infection en soi."
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],
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"reason": "Une infection est un motif de prise en charge plus direct qu'un mécanisme de résistance bactérienne.",
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"candidates": [
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{
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"index": 0,
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"term": "Pénicillinase",
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"code": "U82.0",
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"confidence": "high",
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"source": "edsnlp",
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"is_comorbidity_like": false,
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"is_symptom_like": false,
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"is_act_only": false,
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"section_strength": 2,
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"num_occurrences": 1,
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"score": 5.0,
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"score_details": {
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"section": 2,
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"confidence": 3
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}
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},
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{
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"index": 1,
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"term": "Infection à Escherichia coli",
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"code": "A04.4",
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"confidence": "high",
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"source": "llm_das",
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"is_comorbidity_like": false,
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"is_symptom_like": false,
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"is_act_only": false,
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"section_strength": 1,
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"num_occurrences": 1,
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"score": 4.0,
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"score_details": {
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"section": 1,
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"confidence": 3
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}
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}
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],
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"debug_scores": {
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"top1": 5.0,
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"top2": 4.0,
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"delta": 1.0,
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"llm": true
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}
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},
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"quality_flags": {
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"crh_only_mode": true
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},
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"diagnostics_associes": [],
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"actes_ccam": [],
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"antecedents": [],
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"traitements_sortie": [],
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"biologie_cle": [],
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"biologie_discarded": [],
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"imagerie": [],
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"complications": [
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{
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"texte": "Infection",
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"source_page": 1,
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"source_excerpt": "...nation\nAssez nombreuses colonies de Escherichia coli\nBéta-lactamines : Pénicillinase de bas niveau. Infections systémiques : les Aminosides S ne peuvent être administrés qu'en\nassociation avec une autre thérap..."
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}
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],
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"alertes_codage": [
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"CMA niveau 2 : 'Infection à Escherichia coli' (A04.4) — sévérité non_evalue",
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"QC: L'absence de preuve clinique pour le code A04.4 est un problème majeur. Il est impératif de rechercher des informations plus précises dans le dossier clinique avant de pouvoir attribuer un code d'infection.",
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"QC: Le terme 'complication : infection' est trop vague. Il nécessite une description plus détaillée pour permettre un codage précis et justifié."
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],
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"source_files": [],
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"ghm_estimation": {
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"cmd": "18",
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"cmd_libelle": "Maladies infectieuses et parasitaires",
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"type_ghm": "M",
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"severite": 1,
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"ghm_approx": "18M??1",
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"cma_count": 0,
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"cms_count": 0,
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"alertes": []
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},
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"controles_cpam": [],
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"processing_time_s": 15.36,
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"metrics": {
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"das_total": 0,
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"das_active": 0,
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"das_excluded": 0,
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"das_removed": 0,
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"das_ruled_out": 0,
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"das_no_code": 0,
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"actes_total": 0,
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"actes_with_code": 0,
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"dp_has_code": true
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},
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"rules_runtime": {
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"router_version": 1,
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"mode": "strict",
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"enabled_packs": [
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"decisions_core",
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"vetos_core"
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],
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"always_on_rules": [],
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"triggers_fired": []
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}
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} |