{ "fichier": "OGC 74", "pdf_hash": "58076293464e9771", "pages": [ { "page": 1, "type": "recueil", "header": "Here's the transcription of the image:\n\nFICHE MEDICALE DE RECUEIL DU PRATICIEN CONSEIL (une fiche par RUM)\n(à transmettre au médecin du DIM avant concertation)\n\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\nLibellé champ de contrôle : Champ 1 : séjours ayant des caractéristiques communes\nséjours de niveau 2, 3 et 4 mono RUM\nN° OGC : 74", "elapsed_s": 8.02, "ocr_raw": "```json\n{\n \"etablissement\": \"CLINIQUE D'ARCACHON\",\n \"finess\": \"330780206\",\n \"date_debut_controle\": \"13/02/2018\",\n \"n_ogc\": \"74\",\n \"n_champ\": \"1\",\n \"dates_sejour\": \"08/04/2016 au 13/04/2016\",\n \"sejour_etab\": {\n \"age\": \"52\", \"sexe\": \"1\", \"duree_sejour\": \"5\",\n \"mode_entree\": \"1\", \"provenance\": \"8\", \"mode_sortie\": \"1\", \"destination\": \"8\"\n },\n \"sejour_reco\": {\n \"age\": \"52\", \"sexe\": \"1\", \"duree_sejour\": \"5\",\n \"mode_entree\": \"1\", \"provenance\": \"8\", \"mode_sortie\": \"1\", \"destination\": \"8\"\n },\n \"rum_etab\": {\"um\": \"40 C\", \"igs\": \"II\", \"duree\": \"5\", \"dates\": \"du 08/04/2016 au 13/04/2016\"},\n \"codage_etab\": {\n \"dp\": \"A099\", \"dp_libelle\": \"GASTROENTERITE COLITE ORIGINE SAI\", \"dr\": \"C795 * 2\", \"das\": []\n },\n \"codage_reco\": {\n \"dp\": \"A099\", \"dr\": \"C795 * 2\", \"das\": []\n },\n \"actes_etab\": [], \"actes_reco\": [],\n \"ghm_etab\": \"06M032\", \"ghs_etab\": \"2130\",\n \"ghm_reco\": \"18M041\", \"ghs_reco\": \"6772\",\n \"recodage_impactant\": \"1\", \"ghs_injustifie\": \"0\", \"praticien_conseil\": \"DR JP VIGNAU\"\n}\n```", "parsed": { "etablissement": "CLINIQUE D'ARCACHON", "finess": "330780206", "date_debut_controle": "13/02/2018", "n_ogc": "74", "n_champ": "1", "dates_sejour": "08/04/2016 au 13/04/2016", "sejour_etab": { "age": "52", "sexe": "1", "duree_sejour": "5", "mode_entree": "1", "provenance": "8", "mode_sortie": "1", "destination": "8" }, "sejour_reco": { "age": "52", "sexe": "1", "duree_sejour": "5", "mode_entree": "1", "provenance": "8", "mode_sortie": "1", "destination": "8" }, "rum_etab": { "um": "40 C", "igs": "II", "duree": "5", "dates": "du 08/04/2016 au 13/04/2016" }, "codage_etab": { "dp": "A099", "dp_libelle": "GASTROENTERITE COLITE ORIGINE SAI", "dr": "C795 * 2", "das": [] }, "codage_reco": { "dp": "A099", "dr": "C795 * 2", "das": [] }, "actes_etab": [], "actes_reco": [], "ghm_etab": "06M032", "ghs_etab": "2130", "ghm_reco": "18M041", "ghs_reco": "6772", "recodage_impactant": "1", "ghs_injustifie": "0", "praticien_conseil": "DR JP VIGNAU", "accord_desaccord": "désaccord", "_checkbox_debug": { "decision": "désaccord", "ratio_accord": 0.1111, "ratio_desaccord": 0.1422, "diff": -0.0311 } } }, { "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": 14.45, "ocr_raw": "```json\n{\n \"date\": \"2023/01/18\",\n \"praticien_controleur\": [\"Dr RADZIKOWSKI\", \"Dr DELAYE-PHULPIN\", \"Dr TURBAN\", \"Dr DUVAL\", \"Dr VIGNAU\", \"Dr PROMAX\"],\n \"medecin_dim\": \"Dr ETTORCHI-TARDY\",\n \"pieces\": [\n {\n \"intitule\": \"Compte-rendu d'acte : TDP TAP TRN\",\n \"present\": true,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Compte-rendu opératoire\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Compte-rendu d'accouchement\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Compte-rendu d'examen complémentaire :\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Compte-rendu d'imagerie :\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Compte-rendu d'anatomopathologie\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Observations médicales\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Dossier de transfusion\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Dossier d'anesthésie\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Administration thérapeutique\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Compte-rendu d'hospitalisation\",\n \"present\": true,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Lettre de sortie\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Eléments de surveillance du dossier infirmier\",\n \"present\": true,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Prise en charge psychologique\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Prise en charge kinésithérapeute\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Prise en charge diététique\",\n \"present\": false,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n },\n {\n \"intitule\": \"Autre : b-c\",\n \"present\": true,\n \"photocopie\": false,\n \"absent_date\": \"\",\n \"date_obtention\": \"\"\n }\n ]\n}\n```", "parsed": { "date": "2023/01/18", "praticien_controleur": [ "Dr RADZIKOWSKI", "Dr DELAYE-PHULPIN", "Dr TURBAN", "Dr DUVAL", "Dr VIGNAU", "Dr PROMAX" ], "medecin_dim": "Dr ETTORCHI-TARDY", "pieces": [ { "intitule": "Compte-rendu d'acte : TDP TAP TRN", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu opératoire", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'accouchement", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'examen complémentaire :", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'imagerie :", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'anatomopathologie", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Observations médicales", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Dossier de transfusion", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Dossier d'anesthésie", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Administration thérapeutique", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'hospitalisation", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Lettre de sortie", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Eléments de surveillance du dossier infirmier", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Prise en charge psychologique", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Prise en charge kinésithérapeute", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Prise en charge diététique", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Autre : b-c", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" } ] } }, { "page": 5, "type": "concertation_2", "header": "", "elapsed_s": 1.51, "ocr_raw": "```json\n{\n \"ghs_initial\": \"\",\n \"ghs_avant_concertation\": \"\",\n \"ghs_final\": \"\",\n \"decision\": \"\",\n \"date_concertation\": \"2-3\",\n \"praticien_controleur\": \"\",\n \"medecin_dim\": \"\"\n}\n```", "parsed": { "ghs_initial": "", "ghs_avant_concertation": "", "ghs_final": "", "decision": "", "date_concertation": "2-3", "praticien_controleur": "", "medecin_dim": "" } }, { "page": 6, "type": "concertation_1", "header": "", "elapsed_s": 1.68, "ocr_raw": "```json\n{\n \"date_concertation\": \"2.3.18\",\n \"argumentaire\": \"Atteste avoir pris connaissance des éléments du dossier y compris ceux couverts par le secret médical et des arguments soutenus par les médecins contrôleurs et avoir eu l'opportunité d'en débattre contradictoirement\"\n}\n```", "parsed": { "date_concertation": "2.3.18", "argumentaire": "Atteste avoir pris connaissance des éléments du dossier y compris ceux couverts par le secret médical et des arguments soutenus par les médecins contrôleurs et avoir eu l'opportunité d'en débattre contradictoirement" } } ], "extraction": { "recueil": { "etablissement": "CLINIQUE D'ARCACHON", "finess": "330780206", "date_debut_controle": "13/02/2018", "n_ogc": "74", "n_champ": "1", "dates_sejour": "08/04/2016 au 13/04/2016", "sejour_etab": { "age": "52", "sexe": "1", "duree_sejour": "5", "mode_entree": "1", "provenance": "8", "mode_sortie": "1", "destination": "8" }, "sejour_reco": { "age": "52", "sexe": "1", "duree_sejour": "5", "mode_entree": "1", "provenance": "8", "mode_sortie": "1", "destination": "8" }, "rum_etab": { "um": "40 C", "igs": "II", "duree": "5", "dates": "du 08/04/2016 au 13/04/2016" }, "codage_etab": { "dp": "A099", "dp_libelle": "GASTROENTERITE COLITE ORIGINE SAI", "dr": "C795 * 2", "das": [] }, "codage_reco": { "dp": "A099", "dr": "C795 * 2", "das": [] }, "actes_etab": [], "actes_reco": [], "ghm_etab": "06M032", "ghs_etab": "2130", "ghm_reco": "18M041", "ghs_reco": "6772", "recodage_impactant": "1", "ghs_injustifie": "0", "praticien_conseil": "DR JP VIGNAU", "accord_desaccord": "désaccord", "_checkbox_debug": { "decision": "désaccord", "ratio_accord": 0.1111, "ratio_desaccord": 0.1422, "diff": -0.0311 }, "_validation": { "codage_etab": { "dp": { "code": "A099", "valid": true, "libelle_ref": "Gastroentérite et colite d’origine non précisée" }, "dr": { "code": "C795 * 2", "valid": true, "libelle_ref": "Tumeur maligne secondaire des os et de la moelle osseuse" }, "das": [] }, "codage_reco": { "dp": { "code": "A099", "valid": true, "libelle_ref": "Gastroentérite et colite d’origine non précisée" }, "dr": { "code": "C795 * 2", "valid": true, "libelle_ref": "Tumeur maligne secondaire des os et de la moelle osseuse" }, "das": [] }, "actes_etab": [], "actes_reco": [], "ghm_etab": { "code": "06M032", "valid": true, "ghs_possibles": [ "2130" ] }, "ghs_etab": { "code": "2130", "valid": true }, "ghm_reco": { "code": "18M041", "valid": true, "ghs_possibles": [ "6772" ] }, "ghs_reco": { "code": "6772", "valid": true }, "cross_checks": { "etab": { "checked": true, "coherent": true, "ghs_extrait": "2130", "ghs_possibles": [ "2130" ] }, "reco": { "checked": true, "coherent": true, "ghs_extrait": "6772", "ghs_possibles": [ "6772" ] } }, "summary": { "valid": 8, "invalid": 0, "empty": 0, "total_codes": 8, "ghm_ghs_incoherents": 0 } } }, "preuves": { "date": "2023/01/18", "praticien_controleur": [ "Dr RADZIKOWSKI", "Dr DELAYE-PHULPIN", "Dr TURBAN", "Dr DUVAL", "Dr VIGNAU", "Dr PROMAX" ], "medecin_dim": "Dr ETTORCHI-TARDY", "pieces": [ { "intitule": "Compte-rendu d'acte : TDP TAP TRN", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu opératoire", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'accouchement", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'examen complémentaire :", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'imagerie :", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'anatomopathologie", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Observations médicales", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Dossier de transfusion", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Dossier d'anesthésie", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Administration thérapeutique", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Compte-rendu d'hospitalisation", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Lettre de sortie", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Eléments de surveillance du dossier infirmier", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Prise en charge psychologique", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Prise en charge kinésithérapeute", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Prise en charge diététique", "present": false, "photocopie": false, "absent_date": "", "date_obtention": "" }, { "intitule": "Autre : b-c", "present": true, "photocopie": false, "absent_date": "", "date_obtention": "" } ] }, "concertation_2": { "ghs_initial": "", "ghs_avant_concertation": "", "ghs_final": "", "decision": "", "date_concertation": "2-3", "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": "Atteste avoir pris connaissance des éléments du dossier y compris ceux couverts par le secret médical et des arguments soutenus par les médecins contrôleurs et avoir eu l'opportunité d'en débattre contradictoirement" } }, "_meta": { "pipeline_version": "v1", "ocr_model": "zai-org/GLM-OCR", "generated_at": "2026-04-24T12:16:17+00:00" } }