{
  "fichier": "OGC 20",
  "pdf_hash": "eb280d07819ff75d",
  "pages": [
    {
      "page": 1,
      "type": "recueil",
      "header": "Here is the transcription of the text in the image:\n\nFICHE MEDICALE DE RECUEIL DU PRATICIEN CONSEIL (une fiche par RUM)\n(à transmettre au médecin du DIM avant concertation)\nSeul le recodage impactant la facturation est renseigné\n\nEtablissement : CLINIQUE D'ARCACHON\nFINESS : 330780206\nDate début contrôle : 13/02/2018\n\nN° champ : 1 Libellé champ de contrôle : Champ 1 : séjours ayant des caractéristiques communes séjours de niveau 2, 3 et 4 mono RUM\nN° OGC : 20",
      "elapsed_s": 8.99,
      "ocr_raw": "```json\n{\n  \"etablissement\": \"CLINIQUE D'ARCACHON\",\n  \"finess\": \"330780206\",\n  \"date_debut_controle\": \"13/02/2018\",\n  \"n_ogc\": \"20\",\n  \"n_champ\": \"1\",\n  \"dates_sejour\": \"09/03/2016 au 18/03/2016\",\n  \"sejour_etab\": {\n    \"age\": \"57\", \"sexe\": \"1\", \"duree_sejour\": \"9\",\n    \"mode_entree\": \"8\", \"provenance\": \"8\",\n    \"mode_sortie\": \"8\", \"destination\": \"\"\n  },\n  \"sejour_reco\": {\n    \"age\": \"57\", \"sexe\": \"1\", \"duree_sejour\": \"9\",\n    \"mode_entree\": \"8\", \"provenance\": \"8\",\n    \"mode_sortie\": \"8\", \"destination\": \"\"\n  },\n  \"rum_etab\": {\"um\": \"0\", \"igs\": \"53 C\", \"duree\": \"9\", \"dates\": \"du 09/03/2016 au 18/03/2016\"},\n  \"codage_etab\": {\n    \"dp\": \"D374\", \"dr\": \"I022\", \"das\": [\n      {\"code\": \"T814\", \"position\": \"3\", \"libelle\": \"INFECT. APRES UN ACTE, NCA\"}\n    ]\n  },\n  \"codage_reco\": {\n    \"dp\": \"D374\", \"dr\": \"I022\", \"das\": [\n      {\"code\": \"T814\", \"position\": \"3\", \"libelle\": \"INFECT. APRES UN ACTE, NCA\"}\n    ]\n  },\n  \"actes_etab\": [], \"actes_reco\": [],\n  \"ghm_etab\": \"06C043\", \"ghs_etab\": \"1941\",\n  \"ghm_reco\": \"06C042\", \"ghs_reco\": \"1940\",\n  \"recodage_impactant\": \"1\",\n  \"ghs_injustifie\": \"0 SE 1 2 3 4 ATU FFM FSD\",\n  \"praticien_conseil\": \"DR VIGNAÚ\"\n}\n```",
      "parsed": {
        "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 SE 1 2 3 4 ATU FFM FSD",
        "praticien_conseil": "DR VIGNAÚ",
        "accord_desaccord": "désaccord",
        "_checkbox_debug": {
          "decision": "désaccord",
          "ratio_accord": 0.1185,
          "ratio_desaccord": 0.1659,
          "diff": -0.0474
        }
      }
    },
    {
      "page": 2,
      "type": "concertation_med",
      "header": "",
      "elapsed_s": 0.0
    },
    {
      "page": 3,
      "type": "hospitalisation",
      "header": "",
      "elapsed_s": 0.0
    },
    {
      "page": 4,
      "type": "preuves",
      "header": "",
      "elapsed_s": 4.6,
      "ocr_raw": "```json\n{\n  \"date\": \"\",\n  \"praticien_controleur\": \"\",\n  \"medecin_dim\": \"\",\n  \"pieces\": [\n    {\n      \"intitule\": \"Patient de 57 ans, puis en charge pour une colo-rectalgie et l'anapath. Confirme le Kc du colon.\",\n      \"present\": true,\n      \"photocopie\": false,\n      \"absent_date\": \"\",\n      \"date_obtention\": \"\"\n    },\n    {\n      \"intitule\": \"En post-op, présence d'un escoulement au niveau du bas de la muqueuse ; retrait d'un aquafili et luchage.\",\n      \"present\": true,\n      \"photocopie\": false,\n      \"absent_date\": \"\",\n      \"date_obtention\": \"\"\n    },\n    {\n      \"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.\",\n      \"present\": true,\n      \"photocopie\": false,\n      \"absent_date\": \"\",\n      \"date_obtention\": \"\"\n    }\n  ]\n}\n```",
      "parsed": {
        "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": ""
          }
        ]
      }
    },
    {
      "page": 5,
      "type": "concertation_2",
      "header": "",
      "elapsed_s": 1.63,
      "ocr_raw": "```json\n{\n  \"ghs_initial\": \"\",\n  \"ghs_avant_concertation\": \"\",\n  \"ghs_final\": \"\",\n  \"decision\": \"\",\n  \"date_concertation\": \"2.3.18\",\n  \"praticien_controleur\": \"\",\n  \"medecin_dim\": \"\"\n}\n```",
      "parsed": {
        "ghs_initial": "",
        "ghs_avant_concertation": "",
        "ghs_final": "",
        "decision": "",
        "date_concertation": "2.3.18",
        "praticien_controleur": "",
        "medecin_dim": ""
      }
    },
    {
      "page": 6,
      "type": "concertation_1",
      "header": "",
      "elapsed_s": 1.38,
      "ocr_raw": "```json\n{\n  \"date_concertation\": \"2.3.18\",\n  \"argumentaire\": \"Désaccord : (les éléments couverts par le secret médical sont à mentionner sur la fiche médicale de concertation)\"\n}\n```",
      "parsed": {
        "date_concertation": "2.3.18",
        "argumentaire": "Désaccord : (les éléments couverts par le secret médical sont à mentionner sur la fiche médicale de concertation)"
      }
    }
  ],
  "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 SE 1 2 3 4 ATU FFM FSD",
      "praticien_conseil": "DR VIGNAÚ",
      "accord_desaccord": "désaccord",
      "_checkbox_debug": {
        "decision": "désaccord",
        "ratio_accord": 0.1185,
        "ratio_desaccord": 0.1659,
        "diff": -0.0474
      },
      "_validation": {
        "codage_etab": {
          "dp": {
            "code": "D374",
            "valid": true,
            "libelle_ref": "Côlon"
          },
          "dr": {
            "code": "I022",
            "valid": false,
            "suggestion": "A022",
            "suggestion_libelle": "Infection localisée à Salmonella"
          },
          "das": [
            {
              "code": "T814",
              "valid": true,
              "libelle_ref": "Infection après un acte à visée diagnostique et thérapeutique, non classée ailleurs"
            }
          ]
        },
        "codage_reco": {
          "dp": {
            "code": "D374",
            "valid": true,
            "libelle_ref": "Côlon"
          },
          "dr": {
            "code": "I022",
            "valid": false,
            "suggestion": "A022",
            "suggestion_libelle": "Infection localisée à Salmonella"
          },
          "das": [
            {
              "code": "T814",
              "valid": true,
              "libelle_ref": "Infection après un acte à visée diagnostique et thérapeutique, non classée ailleurs"
            }
          ]
        },
        "actes_etab": [],
        "actes_reco": [],
        "ghm_etab": {
          "code": "06C043",
          "valid": true,
          "ghs_possibles": [
            "1941"
          ]
        },
        "ghs_etab": {
          "code": "1941",
          "valid": true
        },
        "ghm_reco": {
          "code": "06C042",
          "valid": true,
          "ghs_possibles": [
            "1940"
          ]
        },
        "ghs_reco": {
          "code": "1940",
          "valid": true
        },
        "cross_checks": {
          "etab": {
            "checked": true,
            "coherent": true,
            "ghs_extrait": "1941",
            "ghs_possibles": [
              "1941"
            ]
          },
          "reco": {
            "checked": true,
            "coherent": true,
            "ghs_extrait": "1940",
            "ghs_possibles": [
              "1940"
            ]
          }
        },
        "summary": {
          "valid": 8,
          "invalid": 2,
          "empty": 0,
          "total_codes": 10,
          "ghm_ghs_incoherents": 0
        }
      }
    },
    "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": ""
        }
      ]
    },
    "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)"
    }
  },
  "_meta": {
    "pipeline_version": "v1",
    "ocr_model": "zai-org/GLM-OCR",
    "generated_at": "2026-04-24T12:11:05+00:00"
  }
}