7d45018139
Qwen renvoie typiquement le libellé complet `0 SE 1 2 3 4 ATU FFM FSD` dans le champ ghs_injustifie alors qu'une seule valeur 0/1 est attendue. Ajout de `pipeline.checkboxes.parse_ghs_injustifie` qui extrait le premier chiffre 0/1 via regex, ou "" si illisible. Post-traitement appliqué à chaque extraction recueil et aux 18 JSONs V2 existants (10 fichiers corrigés en place — les 8 autres avaient déjà ghs_injustifie absent ou vide). Note sur les 7 cases SE1-4/ATU/FFM/FSD : zones trop petites pour être calibrées à l'œil et aucun cas positif (`ghs_injustifie=1`) dans l'échantillon 2018 pour valider visuellement. La détection est en placeholder, à recalibrer sur un cas positif réel. Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
380 lines
13 KiB
JSON
380 lines
13 KiB
JSON
{
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"fichier": "OGC 20",
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"pdf_hash": "eb280d07819ff75d",
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"pages": [
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{
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"page": 1,
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"type": "recueil",
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"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",
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"elapsed_s": 8.99,
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"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```",
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"parsed": {
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"etablissement": "CLINIQUE D'ARCACHON",
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"finess": "330780206",
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"date_debut_controle": "13/02/2018",
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"n_ogc": "20",
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"n_champ": "1",
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"dates_sejour": "09/03/2016 au 18/03/2016",
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"sejour_etab": {
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"age": "57",
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"sexe": "1",
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"duree_sejour": "9",
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"mode_entree": "8",
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"provenance": "8",
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"mode_sortie": "8",
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"destination": ""
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},
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"sejour_reco": {
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"age": "57",
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"sexe": "1",
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"duree_sejour": "9",
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"mode_entree": "8",
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"provenance": "8",
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"mode_sortie": "8",
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"destination": ""
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},
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"rum_etab": {
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"um": "0",
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"igs": "53 C",
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"duree": "9",
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"dates": "du 09/03/2016 au 18/03/2016"
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},
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"codage_etab": {
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"dp": "D374",
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"dr": "I022",
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"das": [
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{
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"code": "T814",
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"position": "3",
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"libelle": "INFECT. APRES UN ACTE, NCA"
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}
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]
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},
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"codage_reco": {
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"dp": "D374",
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"dr": "I022",
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"das": [
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{
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"code": "T814",
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"position": "3",
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"libelle": "INFECT. APRES UN ACTE, NCA"
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}
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]
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},
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"actes_etab": [],
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"actes_reco": [],
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"ghm_etab": "06C043",
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"ghs_etab": "1941",
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"ghm_reco": "06C042",
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"ghs_reco": "1940",
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"recodage_impactant": "1",
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"ghs_injustifie": "0 SE 1 2 3 4 ATU FFM FSD",
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"praticien_conseil": "DR VIGNAÚ",
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"accord_desaccord": "désaccord",
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"_checkbox_debug": {
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"decision": "désaccord",
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"ratio_accord": 0.1185,
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"ratio_desaccord": 0.1659,
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"diff": -0.0474
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}
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}
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},
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{
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"page": 2,
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"type": "concertation_med",
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"header": "",
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"elapsed_s": 0.0
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},
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{
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"page": 3,
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"type": "hospitalisation",
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"header": "",
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"elapsed_s": 0.0
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},
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{
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"page": 4,
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"type": "preuves",
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"header": "",
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"elapsed_s": 4.6,
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"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```",
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"parsed": {
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"date": "",
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"praticien_controleur": "",
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"medecin_dim": "",
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"pieces": [
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{
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"intitule": "Patient de 57 ans, puis en charge pour une colo-rectalgie et l'anapath. Confirme le Kc du colon.",
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"present": true,
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"photocopie": false,
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"absent_date": "",
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"date_obtention": ""
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},
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{
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"intitule": "En post-op, présence d'un escoulement au niveau du bas de la muqueuse ; retrait d'un aquafili et luchage.",
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"present": true,
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"photocopie": false,
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"absent_date": "",
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"date_obtention": ""
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},
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{
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"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.",
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"present": true,
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"photocopie": false,
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"absent_date": "",
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"date_obtention": ""
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}
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]
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}
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},
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{
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"page": 5,
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"type": "concertation_2",
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"header": "",
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"elapsed_s": 1.63,
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"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```",
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"parsed": {
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"ghs_initial": "",
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"ghs_avant_concertation": "",
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"ghs_final": "",
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"decision": "",
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"date_concertation": "2.3.18",
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"praticien_controleur": "",
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"medecin_dim": ""
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}
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},
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{
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"page": 6,
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"type": "concertation_1",
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"header": "",
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"elapsed_s": 1.38,
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"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```",
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"parsed": {
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"date_concertation": "2.3.18",
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"argumentaire": "Désaccord : (les éléments couverts par le secret médical sont à mentionner sur la fiche médicale de concertation)"
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}
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}
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],
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"extraction": {
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"recueil": {
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"etablissement": "CLINIQUE D'ARCACHON",
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"finess": "330780206",
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"date_debut_controle": "13/02/2018",
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"n_ogc": "20",
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"n_champ": "1",
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"dates_sejour": "09/03/2016 au 18/03/2016",
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"sejour_etab": {
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"age": "57",
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"sexe": "1",
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"duree_sejour": "9",
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"mode_entree": "8",
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"provenance": "8",
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"mode_sortie": "8",
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"destination": ""
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},
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"sejour_reco": {
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"age": "57",
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"sexe": "1",
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"duree_sejour": "9",
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"mode_entree": "8",
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"provenance": "8",
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"mode_sortie": "8",
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"destination": ""
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},
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"rum_etab": {
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"um": "0",
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"igs": "53 C",
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"duree": "9",
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"dates": "du 09/03/2016 au 18/03/2016"
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},
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"codage_etab": {
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"dp": "D374",
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"dr": "I022",
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"das": [
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{
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"code": "T814",
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"position": "3",
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"libelle": "INFECT. APRES UN ACTE, NCA"
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}
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]
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},
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"codage_reco": {
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"dp": "D374",
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"dr": "I022",
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"das": [
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{
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"code": "T814",
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"position": "3",
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"libelle": "INFECT. APRES UN ACTE, NCA"
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}
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]
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},
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"actes_etab": [],
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"actes_reco": [],
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"ghm_etab": "06C043",
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"ghs_etab": "1941",
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"ghm_reco": "06C042",
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"ghs_reco": "1940",
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"recodage_impactant": "1",
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"ghs_injustifie": "0",
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"praticien_conseil": "DR VIGNAÚ",
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"accord_desaccord": "désaccord",
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"_checkbox_debug": {
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"decision": "désaccord",
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"ratio_accord": 0.1185,
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"ratio_desaccord": 0.1659,
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"diff": -0.0474
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},
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"_validation": {
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"codage_etab": {
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"dp": {
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"code": "D374",
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"valid": true,
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"libelle_ref": "Côlon"
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},
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"dr": {
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"code": "I022",
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"valid": false,
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"suggestion": "A022",
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"suggestion_libelle": "Infection localisée à Salmonella"
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},
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"das": [
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{
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"code": "T814",
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"valid": true,
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"libelle_ref": "Infection après un acte à visée diagnostique et thérapeutique, non classée ailleurs"
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}
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]
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},
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"codage_reco": {
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"dp": {
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"code": "D374",
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"valid": true,
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"libelle_ref": "Côlon"
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},
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"dr": {
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"code": "I022",
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"valid": false,
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"suggestion": "A022",
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"suggestion_libelle": "Infection localisée à Salmonella"
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},
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"das": [
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{
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"code": "T814",
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"valid": true,
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"libelle_ref": "Infection après un acte à visée diagnostique et thérapeutique, non classée ailleurs"
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}
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]
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},
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"actes_etab": [],
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"actes_reco": [],
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"ghm_etab": {
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"code": "06C043",
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"valid": true,
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"ghs_possibles": [
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"1941"
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]
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},
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"ghs_etab": {
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"code": "1941",
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"valid": true
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},
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"ghm_reco": {
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"code": "06C042",
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"valid": true,
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"ghs_possibles": [
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"1940"
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]
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},
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"ghs_reco": {
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"code": "1940",
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"valid": true
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},
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"cross_checks": {
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"etab": {
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"checked": true,
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"coherent": true,
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"ghs_extrait": "1941",
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"ghs_possibles": [
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"1941"
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]
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},
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"reco": {
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"checked": true,
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"coherent": true,
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"ghs_extrait": "1940",
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"ghs_possibles": [
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"1940"
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]
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}
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},
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"summary": {
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"valid": 8,
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"invalid": 2,
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"empty": 0,
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"total_codes": 10,
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"ghm_ghs_incoherents": 0
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}
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}
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},
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"preuves": {
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"date": "",
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"praticien_controleur": "",
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"medecin_dim": "",
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"pieces": [
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{
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"intitule": "Patient de 57 ans, puis en charge pour une colo-rectalgie et l'anapath. Confirme le Kc du colon.",
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"present": true,
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"photocopie": false,
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"absent_date": "",
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"date_obtention": ""
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},
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{
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"intitule": "En post-op, présence d'un escoulement au niveau du bas de la muqueuse ; retrait d'un aquafili et luchage.",
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"present": true,
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"photocopie": false,
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"absent_date": "",
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"date_obtention": ""
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},
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{
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"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.",
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"present": true,
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"photocopie": false,
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"absent_date": "",
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"date_obtention": ""
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}
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]
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},
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"concertation_2": {
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"ghs_initial": "",
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"ghs_avant_concertation": "",
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"ghs_final": "",
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"decision": "",
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"date_concertation": "2.3.18",
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"praticien_controleur": "",
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"medecin_dim": "",
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"_validation": {
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"ghs_initial": {
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"code": "",
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"valid": null
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},
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"ghs_avant_concertation": {
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"code": "",
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"valid": null
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},
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"ghs_final": {
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"code": "",
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"valid": null
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}
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}
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},
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"concertation_1": {
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"date_concertation": "2.3.18",
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"argumentaire": "Désaccord : (les éléments couverts par le secret médical sont à mentionner sur la fiche médicale de concertation)"
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}
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},
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"_meta": {
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"pipeline_version": "v1",
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"ocr_model": "zai-org/GLM-OCR",
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"generated_at": "2026-04-24T12:11:05+00:00"
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}
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} |