ICD-10-GM models the 4th/5th sub-digits of many groups (incl. all E10-E14
diabetes) via <Modifier>/<ModifierClass> referenced by ordered <ModifiedBy>
on the parent <Class>, not as nested <Class> elements. load() previously
returned nothing for codes like E11.90/E11.72/I10.91, so ~1.7k corpus
codes (incl. ~1.2k billable) fell back to the non-billable 3-digit root
and were silently dropped under --billable-only.
Collect per-Class ModifiedBy refs and all ModifierClass defs during the
existing single stream, then expand: cartesian product of the referenced
modifiers' ModifierClass codes in ModifiedBy order, concatenated verbatim
onto the parent code (E11 + .9 + 0 = E11.90), matching the Alpha-ID
corpus format exactly. Terminal leaves are billable (Para295/Para301=P);
description = parent label + each ModifierClass label joined by ' - ';
chapter/group/exotic/ifsg/content inherited from parent. Purely additive:
explicit <Class> entries always win. Generic over every modifier group.
Map size 12334 -> 17249 (+4915 synthesized).
Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
Implement Pipeline::load/suggest for Mode C: lexical search per segment,
cross-segment dedup via fusion, tag derivation, filter application.
Add meta_lookup fallback (exact → strip trailing 0 → 3-char root) to
bridge the ICD code granularity gap between the corpus (E11.90-style
6-char codes) and ClaML (which only stores E11, E11.0-style entries).
Brainstormed design: free-text dictation (marker-segmented by
doctate) -> single prioritized top-10 ICD-10-GM list with tag
filtering. Two modes (C lexical baseline, A hybrid retrieval +
IONOS bge-m3 + Qwen3-VL-Reranker-8B), eval harness via synthetic
transcription errors, one-time cost-guarded embedding.
Licensed BfArM data dirs and local settings are gitignored.
Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
Brummel