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§E 正畸减数位排除收紧:仅前磨牙(^[1-4][45])+ 纯前磨牙记录 + 对称成对 (14;24 或 34;44),避免把普通缺牙误判为正畸减数(张学军 24 误排修正)。 牙未拔除独立场景:EXTRACTION_RECOMMENDED 跨病种拔除动作不再硬归 K01 (毕强松动牙被误标"阻生牙未拔除")。新增 extraction_recommended 子场景 (中性"牙未拔除"),GAP_FLAGS deferToToothDx 让位同牙编码诊断,去重避免双召。 Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
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