Aivanov_scan_ogc/output/v2_clean/OGC 74.json

{
  "fichier": "OGC 74",
  "pdf_hash": "58076293464e9771",
  "schema_version": "2.0",
  "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",
      "accord_desaccord": "désaccord",
      "praticien_conseil": "DR JP VIGNAU",
      "_validation": {
        "summary": {
          "valid": 8,
          "invalid": 0,
          "empty": 0,
          "total_codes": 8,
          "ghm_ghs_incoherents": 0
        },
        "codage_etab": {
          "dp": {
            "valid": true,
            "libelle_ref": "Gastroentérite et colite d’origine non précisée"
          },
          "dr": {
            "valid": true,
            "libelle_ref": "Tumeur maligne secondaire des os et de la moelle osseuse"
          },
          "das": []
        },
        "codage_reco": {
          "dp": {
            "valid": true,
            "libelle_ref": "Gastroentérite et colite d’origine non précisée"
          },
          "dr": {
            "valid": true,
            "libelle_ref": "Tumeur maligne secondaire des os et de la moelle osseuse"
          },
          "das": []
        },
        "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",
      "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"
    },
    "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": ""
        }
      ]
    }
  },
  "_meta": {
    "pipeline_version": "v1",
    "ocr_model": "zai-org/GLM-OCR",
    "generated_at": "2026-04-24T12:16:17+00:00"
  }
}