{
  "fichier": "OGC 20",
  "pdf_hash": "eb280d07819ff75d",
  "schema_version": "2.0",
  "extraction": {
    "recueil": {
      "etablissement": "CLINIQUE D'ARCACHON",
      "finess": "330780206",
      "date_debut_controle": "13/02/2018",
      "n_ogc": "20",
      "n_champ": "1",
      "dates_sejour": "09/03/2016 au 18/03/2016",
      "sejour_etab": {
        "age": "57",
        "sexe": "1",
        "duree_sejour": "9",
        "mode_entree": "8",
        "provenance": "8",
        "mode_sortie": "8",
        "destination": ""
      },
      "sejour_reco": {
        "age": "57",
        "sexe": "1",
        "duree_sejour": "9",
        "mode_entree": "8",
        "provenance": "8",
        "mode_sortie": "8",
        "destination": ""
      },
      "rum_etab": {
        "um": "0",
        "igs": "53 C",
        "duree": "9",
        "dates": "du 09/03/2016 au 18/03/2016"
      },
      "codage_etab": {
        "dp": "D374",
        "dr": "I022",
        "das": [
          {
            "code": "T814",
            "position": "3",
            "libelle": "INFECT. APRES UN ACTE, NCA"
          }
        ]
      },
      "codage_reco": {
        "dp": "D374",
        "dr": "I022",
        "das": [
          {
            "code": "T814",
            "position": "3",
            "libelle": "INFECT. APRES UN ACTE, NCA"
          }
        ]
      },
      "actes_etab": [],
      "actes_reco": [],
      "ghm_etab": "06C043",
      "ghs_etab": "1941",
      "ghm_reco": "06C042",
      "ghs_reco": "1940",
      "recodage_impactant": "1",
      "ghs_injustifie": "0",
      "accord_desaccord": "désaccord",
      "praticien_conseil": "DR VIGNAÚ",
      "_validation": {
        "summary": {
          "valid": 8,
          "invalid": 2,
          "empty": 0,
          "total_codes": 10,
          "ghm_ghs_incoherents": 0
        },
        "codage_etab": {
          "dp": {
            "valid": true,
            "libelle_ref": "Côlon"
          },
          "dr": {
            "valid": false,
            "suggestion": "A022"
          },
          "das": [
            {
              "valid": true,
              "libelle_ref": "Infection après un acte à visée diagnostique et thérapeutique, non classée ailleurs"
            }
          ]
        },
        "codage_reco": {
          "dp": {
            "valid": true,
            "libelle_ref": "Côlon"
          },
          "dr": {
            "valid": false,
            "suggestion": "A022"
          },
          "das": [
            {
              "valid": true,
              "libelle_ref": "Infection après un acte à visée diagnostique et thérapeutique, non classée ailleurs"
            }
          ]
        },
        "ghm_etab": {
          "valid": true
        },
        "ghs_etab": {
          "valid": true
        },
        "ghm_reco": {
          "valid": true
        },
        "ghs_reco": {
          "valid": true
        },
        "cross_checks": {
          "etab_ghm_ghs_coherent": true,
          "reco_ghm_ghs_coherent": true
        }
      }
    },
    "concertation_2": {
      "ghs_initial": "",
      "ghs_avant_concertation": "",
      "ghs_final": "",
      "decision": "",
      "date_concertation": "2.3.18",
      "praticien_controleur": "",
      "medecin_dim": "",
      "_validation": {
        "ghs_initial": {
          "code": "",
          "valid": null
        },
        "ghs_avant_concertation": {
          "code": "",
          "valid": null
        },
        "ghs_final": {
          "code": "",
          "valid": null
        }
      }
    },
    "concertation_1": {
      "date_concertation": "2.3.18",
      "argumentaire": "Désaccord : (les éléments couverts par le secret médical sont à mentionner sur la fiche médicale de concertation)"
    },
    "preuves": {
      "date": "",
      "praticien_controleur": "",
      "medecin_dim": "",
      "pieces": [
        {
          "intitule": "Patient de 57 ans, puis en charge pour une colo-rectalgie et l'anapath. Confirme le Kc du colon.",
          "present": true,
          "photocopie": false,
          "absent_date": "",
          "date_obtention": ""
        },
        {
          "intitule": "En post-op, présence d'un escoulement au niveau du bas de la muqueuse ; retrait d'un aquafili et luchage.",
          "present": true,
          "photocopie": false,
          "absent_date": "",
          "date_obtention": ""
        },
        {
          "intitule": "Il n'a pas d'abcès : une déficatga. Des JAS en T81.8. Pas de moton. Disphagie restaurée, pas de prétendu ad. de l'escoulement.",
          "present": true,
          "photocopie": false,
          "absent_date": "",
          "date_obtention": ""
        }
      ]
    }
  },
  "_meta": {
    "pipeline_version": "v1",
    "ocr_model": "zai-org/GLM-OCR",
    "generated_at": "2026-04-24T12:11:05+00:00"
  }
}