fix: Corrections qualité Phase 1 — 261 fuites en moins, 0 régression
Audit sur 30 fichiers aléatoires (OGC 12-690) révélant un overfitting sur les 59 premiers OGC. Corrections appliquées avec test de non-régression à chaque étape : - NDA pieds de page Trackare : regex Episode N. (227→0 fuites) - ONDANSETRON : word boundary \b sur RE_NUMERO_DOSSIER (32→0) - RPPS isolés : détection 11 chiffres dans docs Trackare (3→0) - Stop words : retrait noms réels (ute, dogue, cambo, bains), ajout termes médicaux (AINS, ponction, hanche, burkitt, ORL, GDS, OAP...) - Pattern DR. Prénom NOM : capture prénoms médecins (Ute ×19, Tam...) - force_names : contextes structurés (DR., Signé, Note d'évolution) bypassent les stop words pour masquer les vrais noms de soignants - Phase 2b : PiiHit trackare (EPISODE, RPPS) appliqués au texte .txt - Framework de non-régression (regression_tests/) + batch audit 30 fichiers Résultat : 322→61 fuites détectées, 113→109 faux positifs, 0 régression. Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
This commit is contained in:
48
regression_tests/baseline/79_23187785 Dossier.audit.jsonl
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48
regression_tests/baseline/79_23187785 Dossier.audit.jsonl
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|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "03017203", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 06/06/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "VILLE", "original": "KENDIRA", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "Code Postal: 64250", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "6 AVENUE D ESPAGNE RES UDABERRI Ville de résidence", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Unité Médecine Ambulatoire HDJ Médecin courant", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Dorothée NIVET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05.59.93.72.74", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64250 CAMBO LES BAINS", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "José ZULAICA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "0615204864", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "6 AVENUE D ESPAGNE RES", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "06.15.20.48.64", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "06.15.20.48.64", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64250 CAMBO LES", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 06/06/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "SSR Annie ENia", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Mathilde", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Madeleine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Felix", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 06/06/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
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{"page": 2, "kind": "NOM", "original": "Boube", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Felix", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 2, "kind": "NOM", "original": "Mathilde", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 06/06/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 3, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 06/06/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "IPP", "original": "03017203", "placeholder": "[IPP]", "bbox_hint": null}
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 06/06/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "VILLE", "original": "KENDIRA", "placeholder": "[VILLE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "Code Postal: 64250", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
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{"page": 0, "kind": "ADRESSE", "original": "6 AVENUE D ESPAGNE RES UDABERRI\tVille de résidence", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Unité Médecine Ambulatoire HDJ\tMédecin courant", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Dorothée NIVET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05.59.93.72.74", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64250 CAMBO LES BAINS", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "0615204864", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "06.15.20.48.64", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "06.15.20.48.64", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "6 AVENUE D ESPAGNE RES\nUDABERRI ", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64250 CAMBO LES\nBAINS FRANCE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "SSR Annie ENia\nIctère", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Mathilde BOUBE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "NOM", "original": "Madeleine HAZARD", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 1, "kind": "NOM", "original": "Felix GOUTORBE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Boube", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Felix GOUTORBE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Mathilde BOUBE", "placeholder": "[NOM]", "bbox_hint": null}
|
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274
regression_tests/baseline/79_23187785 Dossier.pseudonymise.txt
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274
regression_tests/baseline/79_23187785 Dossier.pseudonymise.txt
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@@ -0,0 +1,274 @@
|
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[[VILLE]]
|
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*640N0° F0in0ess162*
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||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
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640000162
|
||||
POLE MEDECINE INTERNE - [MASK] : [NOM] IPP : [IPP]
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Nom et Prénom : [NOM] [NOM] [DATE_NAISSANCE]
|
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Sexe : Masculin Lieu de naissance: [VILLE]
|
||||
Nationalité : ALGERIE [CODE_POSTAL]
|
||||
Adresse : [ADRESSE]: [NOM]
|
||||
Détails épisode
|
||||
Episode No : [NDA]
|
||||
Localisation : [[VILLE]]: DR. [NOM]
|
||||
Date d'admission : 12/10/2023 Heure d'admission: 09:27
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||||
Date de sortie : 16/11/2023 Heure de sortie: 08:00
|
||||
Médecin traitant
|
||||
Nom Adresse Téléphone
|
||||
DR. [NOM] RUE DES BASQUES [CODE_POSTAL] [TEL]
|
||||
Liste des contacts
|
||||
Tél.
|
||||
Type de contact Relation Nom Prénom Adresse Tél. domicile Mobile
|
||||
professionel
|
||||
Personne à prévenir
|
||||
Epouse [NOM] [NOM] [TEL]
|
||||
(Trakcare)
|
||||
[ADRESSE]
|
||||
Personne à prévenir
|
||||
Epouse [NOM] [NOM] [CODE_POSTAL] [TEL] [TEL]
|
||||
(Clinicom)
|
||||
BAINS FRANCE
|
||||
Alertes
|
||||
Date
|
||||
Catégorie Alerte Date début Message
|
||||
expiration
|
||||
Staphylocoque
|
||||
Mettre en place les précautions complémentaires
|
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BMR doré résistant à la 03/04/2023
|
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contact"C"depistage réalisé le 30/03/2023
|
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méticilline (SARM)
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Antécédents (texte libre)
|
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Type de note Nom Date Heure Note
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Aucune donnée
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renseignée
|
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Antécédents habitus (texte libre)
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Type de note Nom Date Heure Note
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Aucune donnée
|
||||
renseignée
|
||||
Signes vitaux
|
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Item de 02/11/2023 02/11/2023 19/10/2023 19/10/2023 19/10/2023 19/10/2023 12/10/2023 12/10/2023
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surveillance 12 : 00 09:51 14:57 14:30 14:14 10:07 12:14 09:47
|
||||
Glycémie
|
||||
1,22 1,82 3 2,52 1,10
|
||||
capillaire
|
||||
Température 36,60 36,70 36,50 36,50
|
||||
Pouls 90 81 84 81
|
||||
PA
|
||||
133 139 129 141
|
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Systolique
|
||||
PA
|
||||
67 64 68 63
|
||||
Diastolique
|
||||
Saturation
|
||||
100 99 100 99
|
||||
O²
|
||||
Ventilation Ventilation Ventilation Ventilation
|
||||
spontanée spontanée spontanée spontanée
|
||||
Ventilation
|
||||
Air Air Air Air
|
||||
ambiant ambiant ambiant ambiant
|
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Poids/Taille
|
||||
Item de 02/11/2023 19/10/2023 12/10/2023 12/10/2023
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surveillance 09 : 43 14:24 13:48 09:48
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Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
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Episode N. : [NDA] ( POLE MEDECINE INTERNE - [MASK] ) - Taille: 168 cm - Poids: 97.8 kg - IMC: 34.651
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Le 04/12/2023 16 : 38 Page 1 de 4 Poids [kg] 97,80 86,20 84,80 94,70
|
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Taille [cm] 168 168 168
|
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Indice
|
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de masse 34,65 30,54 33,55
|
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corporelle
|
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Surface
|
||||
2,07 1,96 2,04
|
||||
corporelle
|
||||
Surv. Isolement et Contention
|
||||
Item de 02/11/2023 19/10/2023 19/10/2023 [DATE_NAISSANCE]
|
||||
surveillance 09 : 51 14:57 10:07 09:47
|
||||
Température 36,60 36,70 36,50 36,50
|
||||
Pouls 90 81 84 81
|
||||
PA
|
||||
[NIR]
|
||||
Systolique
|
||||
PA
|
||||
[TEL]
|
||||
Diastolique
|
||||
Saturation
|
||||
100 99 100 99
|
||||
O²
|
||||
Surv. Contention
|
||||
Item de 02/11/2023 02/11/2023 19/10/2023 19/10/2023 19/10/2023 19/10/2023 [DATE_NAISSANCE] [DATE_NAISSANCE]
|
||||
surveillance 12 : 00 09:51 14:57 14:30 14:14 10:07 12:14 09:47
|
||||
Glycémie
|
||||
1,22 1,82 3 2,52 1,10
|
||||
capillaire
|
||||
Température 36,60 36,70 36,50 36,50
|
||||
Pouls 90 81 84 81
|
||||
PA
|
||||
[NIR]
|
||||
Systolique
|
||||
PA
|
||||
[TEL]
|
||||
Diastolique
|
||||
Saturation
|
||||
100 99 100 99
|
||||
O²
|
||||
Observations médicales
|
||||
Type d'observation Nom Date Commentaires
|
||||
Ponction ascite évacuatrice d'un liquide citrin dans le cadre d'une décompensation oesdemto-
|
||||
ascite en lien avec un CHC sur cirrhose, hospitalisé au [ETABLISSEMENT]
|
||||
DR. [NOM] 02/11/2023
|
||||
Note d'évolution [NOM] conjonctival, pas d'encéphalopathie, cohérent, abomen tendu mais dépressible
|
||||
[NOM] 10 : 54
|
||||
3.5L il y 15 jours
|
||||
prochaine ponction dans 10 jours
|
||||
est toujours a [VILLE] en soins palliatif
|
||||
episode d'encephalopathie il y a qq jour car a eu du lexomyl
|
||||
DR. Tam [NOM] 19/10/2023
|
||||
Note d'évolution ce jour orienté, non encephalopathe
|
||||
[NOM] 10 : 08
|
||||
ponction d'ascite
|
||||
Pas d'argument clinique pour une gale.
|
||||
Pas de sillon, pas de sarcopte en dermosocpie.
|
||||
DR. [NOM] [DATE_NAISSANCE]
|
||||
Note d'évolution [NOM] imputable à l'ictere, pas de bilan complémentaire pour le moment.
|
||||
[NOM] 15 : 01
|
||||
Mise en place de soins locaux par sensinol lait apaisant , une fois par jour.
|
||||
Pas de mise en place de dermocorticoïdes dans l'immédiat.
|
||||
Le 12/10/23
|
||||
DR. [NOM] [DATE_NAISSANCE] Vient pour une nouvelle PLA évacuatrice dans le cadre de la prise en charge de sa cirrhose
|
||||
Note d'évolution
|
||||
[NOM] 11 : 17 associée à un CHC en soins palliatifs à [VILLE]
|
||||
Suspicion de galle : avis dermato demandé
|
||||
Surveillance Psychiatrie
|
||||
Item de 02/11/2023 19/10/2023 19/10/2023 [DATE_NAISSANCE]
|
||||
surveillance 09 : 51 14:57 10:07 09:47
|
||||
Température 36,60 36,70 36,50 36,50
|
||||
Pouls 90 81 84 81
|
||||
PA
|
||||
[NIR]
|
||||
Systolique
|
||||
PA
|
||||
[TEL]
|
||||
Diastolique
|
||||
Saturation
|
||||
100 99 100 99
|
||||
O²
|
||||
Notes paramédicales
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : [IPP] ( POLE MEDECINE INTERNE - [MASK] ) - Taille: 168 cm - Poids: 97.8 kg - IMC: 34.651
|
||||
Le 04/12/2023 16 : 38 Page 2 de 4 Type de note Nom Date Note
|
||||
HDJ GASTRO : DR [NOM].
|
||||
Pose d'une VVP surveillance, ablation,
|
||||
Ponction d'ascite = 9l d'ascite compensée par 3 flacons d'albumine 20g à 5l- 7l- 9l = bonne
|
||||
02/11/2023
|
||||
Note IDE [NOM] [NOM] tolérance,
|
||||
14 : 31
|
||||
CS IDE [NOM],
|
||||
RDV dans 10 jours donné.
|
||||
IDE éduc diabéto : Glycémies au dessus de l'objectif pendant une dizaine de jours mais à
|
||||
[NOM] 02/11/2023
|
||||
Note IDE l'objectif depuis 3 jours (TIR 38% sur 7 jours). Je ne modifie donc pas le protocole pour le
|
||||
[NOM] 10 : 40
|
||||
moment. A réévaluer lors d'une prochaine HDJ.
|
||||
hdj gastro
|
||||
vient pour ponction ascite
|
||||
vu par dr [NOM] [NOM]
|
||||
19/10/2023
|
||||
Note IDE [NOM] [NOM] évacuation de 3l700 d'ascite : pas de compensation
|
||||
16 : 07
|
||||
vu par IDE diabéto
|
||||
glycémie de 12 h faite : 10 ui insuline rapide faite suivant protocole
|
||||
prochain rendez vous donné dans 15 jours
|
||||
IDE [NOM]
|
||||
appel ce jour pour refaire le points sur son diabete
|
||||
Protocole changé par [NOM] au vu d'hypos et d'une perte d'appétit.
|
||||
Ce jour, l'établissement lui fait 15 ui de lente et 10 de rapide matin et midi et 14 le soir +
|
||||
protocole d'adaptation.
|
||||
19/10/2023
|
||||
Note IDE [NOM] [NOM] Sur sons FSL2 depuis le changement de protocole les glycémies sont en amélioration avec une
|
||||
11 : 45
|
||||
cible à 72 % et pas d'hypos.
|
||||
Je préconise de baisser la lente à 14 car encore un peu limite par moment la nuit .
|
||||
On continue ce protocole et on le revoit dans 15j
|
||||
hdj gastro
|
||||
vient pour ponction ascite
|
||||
vu par dr [NOM]
|
||||
9 l évacué
|
||||
pose vvp
|
||||
12/10/2023 compensation albumine faite suivant protocole
|
||||
Note IDE [NOM] [NOM]
|
||||
14 : 38 surv cstes
|
||||
surv poids
|
||||
rdv la semaine prochaine donné
|
||||
vient d'[NOM] qui suspecte une gale : vu par dermato : pas de gale : transmissions faite pour
|
||||
[NOM] [NOM]
|
||||
patient diabétique : surv glyclémie : insuline rapide faite à midi
|
||||
Traitements médicamenteux
|
||||
Date de dernière
|
||||
Prescription Dose Fréquence Date de début Note Docteur
|
||||
administration
|
||||
Voie d`administration : INTRAVEINEUSE
|
||||
Statut des prescriptions : Réalisé
|
||||
Le débit a été
|
||||
VIALEBEX 200MG/
|
||||
- 1 seule fois 1 seule modifié. Le débit DR. [NOM]
|
||||
ML SOL INJ 100ML [1] 1 Flacon(s) 12/10/2023 10 : 56 12/10/2023 14:33
|
||||
fois en cours est : 200 [NOM]
|
||||
Flacon(s)
|
||||
par .
|
||||
Le débit a été
|
||||
modifié. Le débit
|
||||
VIALEBEX 200MG/ en cours est : 400
|
||||
DR. [NOM]
|
||||
ML SOL INJ 100ML [1] 2 FLACON - URGENT Urgent 02/11/2023 10 : 54 02/11/2023 14:27 par . Notes du
|
||||
[NOM]
|
||||
Flacon(s) professionel de
|
||||
santé : à partir de
|
||||
5L
|
||||
Prescriptions de soins
|
||||
Prescription Dose Statut Fréquence Date de début Quantité administrée Note Docteur
|
||||
[NOM] - 1 seule fois 1 seule 19/10/2023 [NOM]
|
||||
Signé
|
||||
IDENTIFICATION fois 10 : 07 DOGUE
|
||||
DESINFECTION
|
||||
- 1 seule fois 1 seule 12/10/2023 [NOM]
|
||||
ENVIRONNEMENT Signé
|
||||
fois 09 : 48 [NOM]
|
||||
PATIENT
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23187785 ( POLE MEDECINE INTERNE - [MASK] ) - Taille: 168 cm - Poids: 97.8 kg - IMC: 34.651
|
||||
Le 04/12/2023 16 : 38 Page 3 de 4 DESINFECTION
|
||||
- 1 seule fois 1 seule 19/10/2023 [NOM]
|
||||
ENVIRONNEMENT Signé
|
||||
fois 10 : 07 DOGUE
|
||||
PATIENT
|
||||
- 1 seule fois 1 seule 19/10/2023 [NOM]
|
||||
REPAS : AUTONOME Signé
|
||||
fois 10 : 07 DOGUE
|
||||
BRACELET - 1 seule fois 1 seule 12/10/2023 [NOM]
|
||||
Réalisé
|
||||
IDENTIFICATION fois 09 : 48 [NOM]
|
||||
BRACELET - 1 seule fois 1 seule 02/11/2023 [NOM]
|
||||
Réalisé
|
||||
IDENTIFICATION fois 09 : 43 [NOM]
|
||||
DESINFECTION
|
||||
- 1 seule fois 1 seule 02/11/2023 [NOM]
|
||||
ENVIRONNEMENT Réalisé
|
||||
fois 09 : 43 [NOM]
|
||||
PATIENT
|
||||
INSTALLATION DU - 1 seule fois 1 seule 12/10/2023 [NOM]
|
||||
Réalisé
|
||||
PATIENT (arrivée) fois 09 : 48 [NOM]
|
||||
INSTALLATION DU - 1 seule fois 1 seule 19/10/2023 [NOM]
|
||||
Réalisé
|
||||
PATIENT (arrivée) fois 10 : 07 DOGUE
|
||||
INSTALLATION DU - 1 seule fois 1 seule 02/11/2023 [NOM]
|
||||
Réalisé
|
||||
PATIENT (arrivée) fois 09 : 43 [NOM]
|
||||
- 1 seule fois 1 seule 12/10/2023 [NOM]
|
||||
REPAS : AUTONOME Réalisé
|
||||
fois 09 : 48 [NOM]
|
||||
- 1 seule fois 1 seule 02/11/2023 [NOM]
|
||||
REPAS : AUTONOME Réalisé
|
||||
fois 09 : 43 [NOM]
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : [IPP] ( POLE MEDECINE INTERNE - [MASK] ) - Taille: 168 cm - Poids: 97.8 kg - IMC: 34.651
|
||||
Le 04/12/2023 16 : 38 Page 4 de 4
|
||||
81
regression_tests/baseline/CRH 23066188.audit.jsonl
Normal file
81
regression_tests/baseline/CRH 23066188.audit.jsonl
Normal file
@@ -0,0 +1,81 @@
|
||||
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|
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|
||||
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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": 0, "kind": "DATE_NAISSANCE", "original": "né le 15/01/2017", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Mathilde LE GALL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
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|
||||
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|
||||
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|
||||
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|
||||
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|
||||
{"page": 0, "kind": "NOM", "original": "Leire ETCHANDY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
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|
||||
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|
||||
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|
||||
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|
||||
{"page": 0, "kind": "NOM", "original": "Julie ALSUGUREN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Leïla LAZARO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Charlotte PETRIAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sabrina DUBOIS-ZUAZO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Véronique OYHARCABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Agnès PUEL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Valérie TERRIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "SKILBECQ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "JUZAN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
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|
||||
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|
||||
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|
||||
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||||
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|
||||
{"page": 1, "kind": "ETAB", "original": "Service de Néonatologie - Réanimation Néonatale - Soins Continus Pédiatriques", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Aurélie VALADE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Céline BELLEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Catherine DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Hélène LANGLOIS MEURINNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Claudine EMBAREK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Mathilde LE GALL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Aurélie VALADE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Alice MANAUD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Leire ETCHANDY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Céline BELLEAU DR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Leire ETCHANDY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Fanny HENAFF", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Violette SUC", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Kaiet ECHEVERRIA-ARRUTY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Philippe JOUVENCEL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Hélène LANGLOIS MEURINNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Gaël MAZEIRAS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Justine LABAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Chloé LAPEYRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Camille OGER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Caroline DE BARBEYRAC", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Maeva GRONDARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Catherine DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Claudine EMBAREK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Julie ALSUGUREN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Leïla LAZARO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Serge RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Marie-Elise PICAMILH", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Léna MARIOTTE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Charlotte PETRIAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Pierre-Marie DUBOUE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Christel BUZENET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Sabrina DUBOIS-ZUAZO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Sophie NAUDION", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Marine LEGENDRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Julien VAN-GILS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Véronique OYHARCABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Agnès PUEL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Stéphane DEBELLEIX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Valérie TERRIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "SKILBECQ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "JUZAN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "IPP", "original": "17001141", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EPISODE", "original": "N° Episode 23066188", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
227
regression_tests/baseline/CRH 23066188.pseudonymise.txt
Normal file
227
regression_tests/baseline/CRH 23066188.pseudonymise.txt
Normal file
@@ -0,0 +1,227 @@
|
||||
N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
[MASK]
|
||||
Chef de Pôle : Bayonne, le 05/04/2023
|
||||
Dr [NOM]
|
||||
C eth Pe éf dd ie a tS re ier v Gic ée n - é rU ar leg e en t c Ne és oP né ad ti oa lt or giq ieu : es DR [NOM]
|
||||
Dr [NOM] – Urgences [ADRESSE]
|
||||
D Dr [NOM] Ha ét lh èner ei n Le A D NI GD LA OIL ISL E MR E - U P Ré Id Nia Ntr Eie - [CODE_POSTAL]
|
||||
[NOM]
|
||||
Pédiatrie de Maternité : Mon cher confrère,
|
||||
Dr [NOM]
|
||||
Consultation d’Endocrino-Diabétologie : Votre patient [NOM] [NOM] [DATE_NAISSANCE] a été hospitalisé dans le service du 02/04/2023 au 05/04/2023 pour le motif
|
||||
Dr [NOM]
|
||||
Dr [NOM] [NOM] suivant :
|
||||
Consultation [NOM] :
|
||||
Dr [NOM] - Méningite à Entérovirus
|
||||
Consultation d’Hémato-Cancérologie :
|
||||
Dr [NOM]
|
||||
Dr [NOM] [NOM] Antécédents personnels :
|
||||
Consultation de Rhumatologie : Migraine frontale, environ 2 épisodes par mois cédant à la prise de paracétamol et [NOM]
|
||||
Dr [NOM]
|
||||
Consultation de Médecine de l'Adolescent : Antécédents familiaux :
|
||||
Dr [NOM] migraineux chez le père et la mère. Traitement de fond auparavant chez la mère arrêté, prend [NOM] et triptans en
|
||||
Urgences Pédiatriques cas de crise. [NOM] simple chez le père
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM] [NOM] Allergies : non.
|
||||
D Dr r V Ki ao il ee tt Ete C S HU EC VERRIA-ARRUTY Vaccination : rappel des 6 ans à faire.
|
||||
[NOM], Réanimation Néonatale :
|
||||
Dr [NOM] [NOM] [NOM] habituels :
|
||||
D Dr r H Gé al ëè ln Me ALA ZEN IG RL AO SIS [NOM] - Paracétamol et [NOM] si céphalées.
|
||||
Dr [NOM]
|
||||
D Dr [NOM] Ch amlo ié l lL e A OP GE EY RRE [NOM] reçus en hospitalisation :
|
||||
Dr [NOM] - Réhydratation parentérale IV par Bionolyte G5 pendant 48h.
|
||||
Dr [NOM]
|
||||
- Traitement antalgique par paracétamol, Nubain et Advil.
|
||||
C Do r n Cs au thlt ea rt ii no en D d Ie D N Aé Ip Lh Lr Eo Rpédiatrie : - Traitement par 1 injection de Caféine dans le cadre d'un syndrome post-PL d'évolution favorable.
|
||||
Dr [NOM] - Une antibiothérapie a été mise en place par Cefotaxime par voie iv pendant 48 heures, interrompue après réception des
|
||||
Dr [NOM] résultats de la [NOM] lombaire.
|
||||
Consultation de Neuropédiatrie :
|
||||
Dr [NOM]
|
||||
Dr [NOM] [NOM] [NOM] complémentaires pertinents :
|
||||
D Dr [NOM] [NOM] nr aie [NOM] [NOM] Rse I OPI TC TA EMILH Biologie du 02/04 : leucocytes 8.7 G/L, CRP 53 mg/l, ionogramme normal.
|
||||
Hémoculture sur VVP du 02/04 : negative à H48
|
||||
Consultation de Pneumopédiatrie :
|
||||
Dr [NOM]
|
||||
[NOM] lombaire : Glycorachie 0.67 g/L, protéinorachie 0.33 g/L, 14 éléments, culture négative à 48h.
|
||||
Consultation de Cardiopédiatrie :
|
||||
Dr [NOM] [NOM] Analyse du LCR :
|
||||
A Dt rt Cac hh rié ss tel [NOM] - Dermatologie
|
||||
*
|
||||
*
|
||||
P PC CR
|
||||
R
|
||||
H ES nV
|
||||
té
|
||||
r : on vé ig ra ut siv :e
|
||||
positive
|
||||
Dr [NOM] - Maternité
|
||||
D et r D S ro Jp uh li ie e nN VA AU ND -I GO IN LS, D - r G M éna ér ti in qe u L eEGENDRE Synthèse du séjour : méningite à Entérovirus d'évolution favorable après antalgie par paracétamol, Nubain et
|
||||
Dr [NOM] - [NOM].
|
||||
Rhumato-immunologie
|
||||
Dr [NOM] - Gynécopédiatrie/Maternité
|
||||
D Cr
|
||||
a
|
||||
dS rté ep Ih na fn ire
|
||||
m
|
||||
D iE erB SE uL pL éE rI ieX
|
||||
u
|
||||
-
|
||||
r
|
||||
P dn ue Pum ôlo el : ogie Décision d’un retour à domicile. Poids de sortie : 19.4 Kgs.
|
||||
Mme [NOM]
|
||||
Cadres Infirmiers : Traitement de sortie : Doliprane et advil si besoin.
|
||||
Mr K. GLADELPédiatrie Générale
|
||||
Mme C. [NOM] Urgences UHCD et HDJ
|
||||
Mme J. [NOM] - [NOM] A Prévoir : contrôle clinique par le médecin traitant.
|
||||
Psychomotricienne :
|
||||
M
|
||||
O
|
||||
Mrm mthe
|
||||
e o
|
||||
A Mp.
|
||||
h -
|
||||
A
|
||||
Lo
|
||||
.nS MiP sE
|
||||
t
|
||||
AeC Ts : T H- IC EL UAIREFOND P Da or ce un mts ei nn tf o rerm mé iss ed ne mla
|
||||
a
|
||||
d iné sm pa rr oc ph re
|
||||
e
|
||||
d
|
||||
s
|
||||
i aa ug xn o ps at ri eq nu te
|
||||
s
|
||||
e let t jh oé ur ra p de eu lt ai q su oe rt.
|
||||
ie.
|
||||
Mme M. [NOM]
|
||||
Psychologues : Evènements indésirables :
|
||||
Mme E. [NOM]
|
||||
Mme C. [NOM] - Transfusions : non
|
||||
M
|
||||
N
|
||||
Mem mue
|
||||
er
|
||||
oL Np.
|
||||
.s
|
||||
P GyI
|
||||
c
|
||||
UE hR YolA AoG UguN XeO s : LO -
|
||||
-
|
||||
P Br Mod Ru i /t s
|
||||
B
|
||||
d Hé Rri ev é
|
||||
/
|
||||
s
|
||||
L
|
||||
d Hu
|
||||
R
|
||||
s a
|
||||
:
|
||||
n ng
|
||||
o
|
||||
n : non
|
||||
Mme M.[NOM] - Découverte de BMR / BHRe / BHR : non
|
||||
Assistantes Sociales : - Pose DMI : non
|
||||
Mme Z. [NOM]
|
||||
Mme M. [NOM]
|
||||
Mme J. [NOM]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PEDIATRIE GENERALE)
|
||||
V1 - Imprimé le 08/04/2025 à 10 : 21 par Page(s): 1 sur 2 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
[MASK]
|
||||
Chef de Pôle :
|
||||
Dr [NOM]
|
||||
Chef de Service - Urgences Pédiatriques Les consignes d'usage ont été remises.
|
||||
et Pédiatrie Générale et [NOM] :
|
||||
Dr [NOM] – Urgences
|
||||
Dr [NOM] - Pédiatrie
|
||||
Dr [NOM] -
|
||||
[NOM]
|
||||
Bien confraternellement,
|
||||
Pédiatrie de Maternité :
|
||||
Dr [NOM]
|
||||
Consultation d’Endocrino-Diabétologie :
|
||||
Dr [NOM]
|
||||
Dr [NOM] Docteur [NOM] [NOM]
|
||||
Consultation [NOM] : *[TEL]*
|
||||
Dr [NOM]
|
||||
Consultation d’Hémato-Cancérologie :
|
||||
D Dr r E Mli as re ie B DA UD BO RU ER L [TEL]
|
||||
Consultation de Rhumatologie :
|
||||
Dr [NOM]
|
||||
Consultation de Médecine de l'Adolescent :
|
||||
Dr [NOM] [NOM] Liste des destinataires :
|
||||
Urgences Pédiatriques
|
||||
Dr [NOM]. [NOM] [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
[NOM], Réanimation Néonatale :
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Consultation de Néphropédiatrie :
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Consultation de Neuropédiatrie :
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Consultation de Pneumopédiatrie :
|
||||
Dr [NOM]
|
||||
Consultation de Cardiopédiatrie :
|
||||
Dr [NOM]
|
||||
[NOM]
|
||||
Dr [NOM] - Dermatologie
|
||||
Dr [NOM] - Maternité
|
||||
Dr [NOM], Dr [NOM]
|
||||
et Dr [NOM] - Génétique
|
||||
Dr [NOM] -
|
||||
Rhumato-immunologie
|
||||
Dr [NOM] - Gynécopédiatrie/Maternité
|
||||
Dr [NOM] - Pneumologie
|
||||
Cadre Infirmier Supérieur du Pôle :
|
||||
Mme [NOM]
|
||||
Cadres Infirmiers :
|
||||
Mr K. [NOM] Générale
|
||||
Mme C. [NOM] Urgences UHCD et HDJ
|
||||
Mme J. [NOM] - [NOM]
|
||||
Psychomotricienne :
|
||||
Mme A. [NOM]
|
||||
Orthophonistes :
|
||||
Mme M-L. [NOM]
|
||||
Mme M. [NOM]
|
||||
Psychologues :
|
||||
Mme E. [NOM]
|
||||
Mme C. [NOM]
|
||||
Mme L. [NOM]
|
||||
Neuropsychologues :
|
||||
Mme N. [NOM]
|
||||
Mme M.[NOM]
|
||||
Assistantes Sociales :
|
||||
Mme Z. [NOM]
|
||||
Mme M. [NOM]
|
||||
Mme J. [NOM]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PEDIATRIE GENERALE)
|
||||
V1 - Imprimé le 08/04/2025 à 10 : 21 par Page(s): 2 sur 2
|
||||
76
regression_tests/baseline/CRH 23079402.audit.jsonl
Normal file
76
regression_tests/baseline/CRH 23079402.audit.jsonl
Normal file
@@ -0,0 +1,76 @@
|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Pôle Femme - Mère - Enfant", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Service de Pédiatrie Générale - HDJ - Urgences Pédiatriques - UHCD", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Service de Néonatologie - Réanimation Néonatale - Soins Continus Pédiatriques", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Aurélie VALADE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "12 PLACE GRAMONT", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Céline BELLEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64000 PAU", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Claudine EMBAREK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 18/01/2008", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Mathilde LE GALL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Alice MANAUD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Elise BADOUR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Fanny HENAFF", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Philippe JOUVENCEL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Hélène LANGLOIS MEURINNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Gaël MAZEIRAS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Caroline DE BARBEYRAC", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Maeva GRONDARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Claudine EMBAREK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Julie ALSUGUREN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Leïla LAZARO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Serge RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre-Marie DUBOUE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sabrina DUBOIS-ZUAZO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Agnès PUEL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "23009267", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EPISODE", "original": "N° Episode 23079402", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Pôle Femme - Mère - Enfant", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Service de Pédiatrie Générale - HDJ - Urgences Pédiatriques - UHCD", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Service de Néonatologie - Réanimation Néonatale - Soins Continus Pédiatriques", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Aurélie VALADE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Catherine DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Hélène LANGLOIS MEURINNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Claudine EMBAREK Parents", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Mathilde LE GALL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Aurélie VALADE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Marie DUBREL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Fanny HENAFF", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Leire ETCHANDY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Fanny HENAFF", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Violette SUC", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Kaiet ECHEVERRIA-ARRUTY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Hélène LANGLOIS MEURINNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Gaël MAZEIRAS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Justine LABAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Chloé LAPEYRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Camille OGER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Caroline DE BARBEYRAC", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "PICAMILH Marie-Elise", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Maeva GRONDARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Catherine DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Claudine EMBAREK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Julie ALSUGUREN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Leïla LAZARO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Serge RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Marie-Elise PICAMILH", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Léna MARIOTTE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "PORTET Guillaume", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Charlotte PETRIAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Pierre-Marie DUBOUE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Christel BUZENET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Sabrina DUBOIS-ZUAZO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "TOULOUZET JOSH", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Sophie NAUDION", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Marine LEGENDRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Julien VAN-GILS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Véronique OYHARCABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Agnès PUEL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Stéphane DEBELLEIX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Valérie TERRIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "SKILBECQ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "JUZAN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "IPP", "original": "23009267", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EPISODE", "original": "N° Episode 23079402", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
262
regression_tests/baseline/CRH 23079402.pseudonymise.txt
Normal file
262
regression_tests/baseline/CRH 23079402.pseudonymise.txt
Normal file
@@ -0,0 +1,262 @@
|
||||
N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
[MASK]
|
||||
Chef de Pôle : Bayonne, le 25/04/2023
|
||||
Dr [NOM]
|
||||
C eth Pe éf dd ie a tS re ier v Gic ée n - é rU ar leg e en t c Ne és oP né ad ti oa lt or giq ieu : es M [NOM] [NOM]
|
||||
Dr [NOM] – Urgences [ADRESSE]
|
||||
D Dr r C Ha ét lh èner ei n Le A D NI GD LA OIL ISL E MR E - U P Ré Id Nia Ntr Eie - [CODE_POSTAL]
|
||||
Néonatologie
|
||||
Pédiatrie de [NOM] : Mon cher confrère,
|
||||
Dr [NOM]
|
||||
Consultation d’Endocrino-Diabétologie : Votre patient [NOM] [NOM] [DATE_NAISSANCE] a été hospitalisé dans le service du 22/04/2023 au 25/04/2023 pour le motif
|
||||
Dr [NOM]
|
||||
Dr [NOM] [NOM] suivant :
|
||||
Consultation [NOM] :
|
||||
Dr [NOM] - Découverte de syndrome néphrotique impur.
|
||||
Consultation d’Hémato-Cancérologie :
|
||||
Dr [NOM]
|
||||
Dr [NOM] [NOM] Antécédents personnels : aucun
|
||||
Consultation de Rhumatologie : Antécédents familiaux : aucun
|
||||
Dr [NOM] [NOM] Allergies : non.
|
||||
Consultation de Médecine de l'Adolescent : Vaccination : à jour
|
||||
Dr [NOM] [NOM] [NOM] habituels : aucun
|
||||
Urgences Pédiatriques
|
||||
D Dr r C Leé il rin e e E B TE CL HL AE NA DU Y Histoire de la maladie : Adolescent de 15.5 ans sans antécédent, adressé aux urgences le 22/04 pour syndrome œdémateux
|
||||
Dr [NOM] d'évolution aigue. Début la semaine précédente par œdèmes des paupières, puis, œdèmes des MI et abdominal depuis le
|
||||
D Dr r V Ki ao il ee tt Ete C S HU EC VERRIA-ARRUTY 17/04.
|
||||
AEG depuis 5 jours avec dyspnée modérée à l'effort.
|
||||
Néonatologie, Réanimation Néonatale :
|
||||
Dr [NOM] Pas de notion d'hyperthermie, ni vaccination. [NOM] il y a 10 jours sous ttt symptomatique.
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM] [NOM] A l'examen clinique aux urgences le 22/04 :
|
||||
D Dr r C Ch amlo ié l lL e A OP GE EY RRE Poids habituel : 64kg; poids à l'arrivée aux urgences le 22/04 : 82.5 kg (+ 18.5 kg)
|
||||
Dr [NOM] apyrétique, pas de syndrome infectieux
|
||||
Dr [NOM]
|
||||
syndrome œdémateux avec œdèmes déclives prenant le godet remontant jusqu'aux genoux et œdèmes des lombes
|
||||
C Do r n Cs au thlt ea rt ii no en D d Ie D N Aé Ip Lh Lr Eo Rpédiatrie : auscultation CP : pas de crépitants, pas de diminution du MV
|
||||
Dr [NOM] BDC réguliers, pas de souffle
|
||||
Dr [NOM] pas de signe d'[NOM], pas de signe de [NOM]
|
||||
Consultation de Neuropédiatrie : pas de douleur lombaire, pas d'hématurie macro
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
D Dr r M Léa nr aie [NOM] Ali Rse I OPI TC TA EMILH Examens complémentaires pertinents :
|
||||
* Biologie :
|
||||
C Do r n Cs hu al rt la ot ti to en P d Ee T P Rn IAeu Tmopédiatrie : Na 134mmol/l, K 3.9 mmol/L
|
||||
créatininémie à 88 µmol/L
|
||||
Consultation de Cardiopédiatrie :
|
||||
Dr [NOM] albumine 23.7 g/L
|
||||
A Dt rt Cac hh rié ss tel [NOM] - Dermatologie
|
||||
p Nr Fo Sté : i n Gu 1r 0ie ./ 3c r Ge /a Lt i Hni bn u 15ri ge /:
|
||||
d
|
||||
L60
|
||||
,
|
||||
0
|
||||
p
|
||||
l :
|
||||
a
|
||||
qp uro ett té en 3iu 4r 5i e
|
||||
G
|
||||
s /Lur échantillon 11.5 g/L
|
||||
Dr [NOM] - [NOM] bilan hépatique normal, proBNP 455 ng/L
|
||||
D et r D S ro Jp uh li ie e nN VA AU ND -I GO IN LS, D - r G M éna ér ti in qe u L eEGENDRE hypertriglycéridémie à 2.69 g/L.
|
||||
Dr [NOM] [NOM] - Critères d'anticoagulation préventive : DDimères > 1000, fibrinogène > 6 g/L , AT3 77%
|
||||
Rhumato-immunologie
|
||||
Dr [NOM] - Gynécopédiatrie/[NOM]
|
||||
D
|
||||
C
|
||||
Mr
|
||||
a m
|
||||
dS ert é
|
||||
e
|
||||
Vp
|
||||
I
|
||||
ah
|
||||
n
|
||||
la éfn
|
||||
rir
|
||||
ie
|
||||
em
|
||||
D TiE
|
||||
e
|
||||
ErB
|
||||
R
|
||||
SE RuL
|
||||
Ip
|
||||
EL
|
||||
é
|
||||
RE rI ieX
|
||||
u
|
||||
-
|
||||
r
|
||||
P dn ue Pum ôlo el : ogie *
|
||||
-
|
||||
R Ea cd hi oo -l do og piq pu le e :
|
||||
r des reins : N° d'examen : RAD[TEL]
|
||||
Cadres Infirmiers : Les reins sont mesurés à 11 cm à droite, 11,8 cm à gauche. Leurs contours sont réguliers. La différenciation
|
||||
M Mr m K e . C G . L PA ISD AE RL SP Ké Id i Uat rr gi ee n G ceé sn é Ura Hle CD et HDJ corticomédullaire est visualisée de façon bilatérale, atténuée. Absence d'anomalie parenchymateuse focale. Absence de
|
||||
Mme J. [NOM] - Néonatologie modification du volume des systèmes excréteurs. L'enregistrement doppler met en évidence un spectre artériel de type
|
||||
Psychomotricienne : basse résistance tant en intrarénal qu'au niveau du hile. L'enregistrement veineux est correct tant en intrarénal qu'au
|
||||
M
|
||||
O
|
||||
Mrm mthe
|
||||
e o
|
||||
A Mp.
|
||||
h -
|
||||
A
|
||||
Lo
|
||||
.nS MiP sE
|
||||
t
|
||||
AeC Ts : T H- IC EL UAIREFOND n di 'uv ne a éu
|
||||
p
|
||||
ad nu
|
||||
c
|
||||
h hi el me.
|
||||
e
|
||||
C nto pn lf ei urm raa
|
||||
l
|
||||
t eio
|
||||
t
|
||||
n
|
||||
péritonéal significatif.
|
||||
Mme M. [NOM] CONCLUSION : Absence d'argument en faveur d'une thrombose veineuse rénale
|
||||
Psychologues :
|
||||
Mme E. [NOM]
|
||||
Mme C. [NOM] [NOM] reçus en hospitalisation :
|
||||
M
|
||||
N
|
||||
Mem mue
|
||||
er
|
||||
oL Np.
|
||||
.s
|
||||
P GyI
|
||||
c
|
||||
UE hR YolA AoG UguN XeO s : LO D
|
||||
-
|
||||
Céb ou rtt
|
||||
i
|
||||
cd ou
|
||||
th
|
||||
p ér rao pto iec o pl ae
|
||||
r
|
||||
d Pe
|
||||
R
|
||||
p Er Dis Ne Ie Sn
|
||||
O
|
||||
c Nh Ea r 6g 0e mdu
|
||||
g
|
||||
S paN
|
||||
r
|
||||
p joé ud ri a sotr ui sq cu oe
|
||||
u
|
||||
l ve
|
||||
e
|
||||
2 rt3 d/0 'u4
|
||||
n
|
||||
a ev pe rc
|
||||
o
|
||||
:
|
||||
tection gastrique par INEXIUM 20 mg.
|
||||
Mme M.[NOM] - Mise en place d'antihypertenseur devant l'HTA par RAMIPRIL 2.5 mg .
|
||||
Assistantes Sociales : - Anticoagulation préventive par LOVENOX SC 0.4 mL/j
|
||||
M Mm me e Z M. .B JA UP ZT AI NSTON - FUROSEMIDE 40 mg IVD administrer une fois relancer la diurèse.
|
||||
Mme J. [NOM] - Régime hypo-sodé/ hypo-sucré et restriction hydrique à 500 mL /jour.
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (Pédia Surv continue (hors Nné))
|
||||
V1 - Imprimé le 11/04/2025 à 09 : 19 par Page(s): 1 sur 2 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
[MASK]
|
||||
Chef de Pôle : - Antalgie par Doliprane.
|
||||
Dr [NOM]
|
||||
Chef de Service - Urgences Pédiatriques Synthèse du séjour : Syndrome néphrotique impur avec HTA et hématurie microcospique.
|
||||
e Dt r P Cé éd li ia nt er Bie E G Lé Ln Eé Ara Ule – e Ut N rgé eo nn ca et sologie : Début de la corticothérapie le 23/04
|
||||
Dr [NOM] - Pédiatrie
|
||||
Dr [NOM] -
|
||||
Néonatologie Décision d’un transfert dans le service de néphrologie pédiatrique 25/04 à [VILLE] pour rapprochement familial.
|
||||
Poids de sortie le 25/4 : 77.7 Kgs.
|
||||
Pédiatrie de [NOM] :
|
||||
Dr [NOM] informés de la démarche diagnostique et thérapeutique.
|
||||
Consultation d’Endocrino-Diabétologie : Document remis en mains propres aux [NOM] le jour de la sortie.
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Consultation [NOM] : Evènements indésirables :
|
||||
Dr [NOM] [NOM] - Transfusions : non
|
||||
Consultation d’Hémato-Cancérologie : - Produits dérivés du sang : non
|
||||
Dr [NOM] [NOM] - BMR / BHRe / LHR : non
|
||||
Dr [NOM]
|
||||
- Découverte de BMR / BHRe / BHR : non
|
||||
C Do r n Ls eu irl eta Eti To Cn Hd Ae NR Dhu Ymatologie : - Pose DMI : non
|
||||
Consultation de Médecine de l'Adolescent :
|
||||
Dr [NOM]
|
||||
U Dr r g Ce én lc ine es BPé Ed Li Lat Er Aiq Uues Les consignes d'usage ont été remises.
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
N Dé r o Pn ha ilt io pl po eg i Je O, UR Véa En Nim Ca Et Lion Néonatale : Bien confraternellement,
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM] Docteur [NOM]
|
||||
Dr [NOM]
|
||||
*[TEL]*
|
||||
Consultation de Néphropédiatrie :
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM] [TEL]
|
||||
Consultation de Neuropédiatrie :
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
Dr [NOM]
|
||||
[NOM] par [NOM]
|
||||
Consultation de Pneumopédiatrie :
|
||||
Dr [NOM]
|
||||
Consultation de Cardiopédiatrie :
|
||||
Dr [NOM]
|
||||
[NOM]
|
||||
Liste des destinataires :
|
||||
Dr [NOM] - Dermatologie
|
||||
Dr [NOM] - [NOM] Monsieur [NOM]
|
||||
Dr [NOM], Dr [NOM]
|
||||
et Dr [NOM] - Génétique
|
||||
Dr [NOM] -
|
||||
Rhumato-immunologie
|
||||
Dr [NOM] - Gynécopédiatrie/[NOM]
|
||||
Dr [NOM] - Pneumologie
|
||||
Cadre Infirmier Supérieur du Pôle :
|
||||
Mme [NOM]
|
||||
Cadres Infirmiers :
|
||||
Mr K. [NOM] Générale
|
||||
Mme C. [NOM] Urgences UHCD et HDJ
|
||||
Mme J. [NOM] - Néonatologie
|
||||
Psychomotricienne :
|
||||
Mme A. [NOM]
|
||||
Orthophonistes :
|
||||
Mme M-L. [NOM]
|
||||
Mme M. [NOM]
|
||||
Psychologues :
|
||||
Mme E. [NOM]
|
||||
Mme C. [NOM]
|
||||
Mme L. [NOM]
|
||||
Neuropsychologues :
|
||||
Mme N. [NOM]
|
||||
Mme M.[NOM]
|
||||
Assistantes Sociales :
|
||||
Mme Z. [NOM]
|
||||
Mme M. [NOM]
|
||||
Mme J. [NOM]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (Pédia Surv continue (hors Nné))
|
||||
V1 - Imprimé le 11/04/2025 à 09 : 19 par Page(s): 2 sur 2
|
||||
64
regression_tests/baseline/CRH 23127286.audit.jsonl
Normal file
64
regression_tests/baseline/CRH 23127286.audit.jsonl
Normal file
@@ -0,0 +1,64 @@
|
||||
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|
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{"page": 0, "kind": "NOM", "original": "Christelle Béraut", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Thomas Grellety", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "EMAIL", "original": "faudemar@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "BOUBE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "EMAIL", "original": "mboube@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "BRUGEL", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "EMAIL", "original": "mcboudier@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "GOUTORBE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Absce", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "EMAIL", "original": "fgoutorbe@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
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{"page": 0, "kind": "EMAIL", "original": "aguilngar@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
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{"page": 0, "kind": "EMAIL", "original": "dnivet@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 0, "kind": "EMAIL", "original": "oui@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10100532760", "placeholder": "[RPPS]", "bbox_hint": null}
|
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{"page": 0, "kind": "EMAIL", "original": "fprevost@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 0, "kind": "IPP", "original": "21020800", "placeholder": "[IPP]", "bbox_hint": null}
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{"page": 1, "kind": "ETAB", "original": "Service de Gastro-Entérologie - Oncologie Digestive", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Christelle Béraut", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "PELLERIN-GUIGNARD Aude", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "audemar@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "BOUBE Anthibiothérapie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "mboube@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "BRUGEL ATB", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "brugel@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "mcboudier@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "fgoutorbe@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "PUJOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "aguilngar@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "tkhuong-huu@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "dnivet@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 1, "kind": "EMAIL", "original": "boui@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "RPPS", "original": "10100532760", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "fprevost@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "PUJOS Marion", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "IPP", "original": "21020800", "placeholder": "[IPP]", "bbox_hint": null}
|
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{"page": 1, "kind": "EPISODE", "original": "N° Episode 23127286", "placeholder": "[EPISODE]", "bbox_hint": null}
|
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|
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{"page": 2, "kind": "ETAB", "original": "Pôle Spécialités Médicales", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "ETAB", "original": "Service de Gastro-Entérologie - Oncologie Digestive", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Christelle Béraut", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Thomas Grellety", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "AUDEMAR Franck", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EMAIL", "original": "faudemar@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "BOUBE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EMAIL", "original": "mboube@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "BRUGEL Rédigé", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EMAIL", "original": "mbrugel@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EMAIL", "original": "mcboudier@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 2, "kind": "EMAIL", "original": "fgoutorbe@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
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{"page": 2, "kind": "EMAIL", "original": "aguilngar@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
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{"page": 2, "kind": "EMAIL", "original": "tkhuong-huu@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 2, "kind": "EMAIL", "original": "dnivet@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EMAIL", "original": "boui@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "RPPS", "original": "10100532760", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EMAIL", "original": "fprevost@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "IPP", "original": "21020800", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EPISODE", "original": "N° Episode 23127286", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
254
regression_tests/baseline/CRH 23127286.pseudonymise.txt
Normal file
254
regression_tests/baseline/CRH 23127286.pseudonymise.txt
Normal file
@@ -0,0 +1,254 @@
|
||||
N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie Bayonne, le 04/07/2023
|
||||
Navarre Côte Basque
|
||||
Mme [NOM], cadre de
|
||||
fédération
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération Mon cher confrère,
|
||||
Chef de [MASK]. [NOM] Votre patient [NOM] [NOM] né le [DATE_NAISSANCE] a été hospitalisé dans le service du 01/07/2023 au 04/07/2023 pour le motif suivant :
|
||||
A. Interne Hôpitaux Strasbourg
|
||||
A D. E C Sh Ce Of C ncli on li oq gu ie e – D A igs es s. t iH vô epitaux - MH : douleur anale
|
||||
Hépato-gastro-entérologue
|
||||
Oncologue Digestif ATCD : non
|
||||
[EMAIL]
|
||||
P raticiens Hospitaliers TTT : non
|
||||
Dr M. [NOM]
|
||||
A. In. Hôpitaux [ETABLISSEMENT]
|
||||
A. Chef de clinique - Ass Hôpitaux Allergie : NC
|
||||
Hépato-gastro-entérologue
|
||||
[EMAIL] HdM : A consulté il y a 2 jours sur douleur anale avec dysurie.
|
||||
Dr M. [NOM] Douleur brutale anale après séance de sport mercredi dans la journée
|
||||
A A. . I An ste s.r n He ô H piô tap uit xa u Rx e R ime sims HSH - dernier rapport datant d'il y a 7 jours, pas d'insertion de CE
|
||||
DESC Cancérologie Nous avions conclu à une prostatite et débuté la Levofloxacine et une antalgie palier 1 et 3.
|
||||
Hépato-gastro-entérologue
|
||||
O mn bc ruo glo eg l@ue c d hi -g ce os tt ei bf [EMAIL] Depuis majoration des symptômes, fébrile à 39, anorexie.
|
||||
Dr C. [NOM]
|
||||
A. Interne Hôpitaux [ETABLISSEMENT] Examen clinique :
|
||||
A. Chef Clinique – Ass. Hôpitaux Douleur EN 9/
|
||||
Hépato-gastro-entérologue Febrile 39°C, TA 13/8 mmHg, FC 120bpm, SpO2 98% en AA
|
||||
Proctologue
|
||||
Explorations Fonct. Digestives Bdc regulier pas de souffle
|
||||
[EMAIL] MV+/+ pas de bruit surajouté
|
||||
Dr F. [NOM] Abdomen souple dépressible, non dl. [NOM] de transit depuis 3j.
|
||||
A. In. Hôpitaux [ETABLISSEMENT] SFU brulures.
|
||||
A D. E C Sh Ce Of d ne c oc ll oin gi iq eu De i- g A ess ts iv H [ETABLISSEMENT] PAs découlement urteral
|
||||
Proctologue
|
||||
[EMAIL] Examen complémentaires :
|
||||
Dr A.[NOM] Biologie :
|
||||
A.Interne Hôpitaux Bordeaux Majoration SIB, GB 15G/L, CRP 168
|
||||
DESC Oncologie Digestive
|
||||
Hépato-gastro-entérologue Bilan hépatique subnormal
|
||||
Oncologue Digestif Fonction rénale normale
|
||||
[EMAIL] Ionogramme sgx normal
|
||||
Dr T. [NOM]
|
||||
A A. . I Cn h. eH f ô Cp li it na iu qx u eC –le Arm sso .n Ht F ôper itr aa un xd Bladder : 600cc
|
||||
Hépato-gastro-entérologue
|
||||
Proctologue BU : leuco neg
|
||||
Explorations Fonct. Digestives
|
||||
[EMAIL]
|
||||
ECBU : en cours
|
||||
Dr D. [NOM]
|
||||
A. Interne Hôpitaux Bordeaux - Ass.
|
||||
Hôpitaux Hémocultures : en cours
|
||||
Hépato-gastro-entérologue
|
||||
[EMAIL]
|
||||
SCANNER ABDOMINO-PELVIEN :
|
||||
D Ar
|
||||
.
|
||||
IB nt. eO rnU
|
||||
e
|
||||
I
|
||||
Hôpitaux Bordeaux
|
||||
A. Chef Clinique - Ass. Hôpitaux Indication :
|
||||
Hépato-gastro-entérologue Suspicion d'abcès prostatique.
|
||||
b [EMAIL] Protocole :
|
||||
Dr F. [NOM] Examen réalisé avec injection de produit de contraste.
|
||||
RPPS : [RPPS]
|
||||
Hépato-gastro-entérologue et assistante
|
||||
nutritive RESULTATS :
|
||||
[EMAIL] Mise en évidence d'une collection péri rectale mesurée à 3cm associée à une infiltration ?démateuse périrectale.
|
||||
Unité d’Hospitalisation Prostate de volume préservée. Pas de collection visible prostatique.
|
||||
T Fe al
|
||||
x
|
||||
[TEL]
|
||||
5
|
||||
Cadre Infirmier Le foie est homogène et non dysmorphique.
|
||||
Mme S. [NOM] Il n'y a pas d'anomalie significative de la vésicule biliaire. Les voies biliaires intra et extra hépatiques sont fines.
|
||||
Secrétariat et R.V. Pas d'anomalie du système porte.
|
||||
Tel [TEL] Pas d'anomalie du pancréas, de la rate, des reins et des surrénales.
|
||||
Fax [TEL] Pas d'adénopathie rétropéritonéale ou coelio-mésentérique de taille significative.
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (MEDECINE GASTRO B2 HC)
|
||||
V1 - Imprimé le 17/04/2025 à 08 : 31 par Page(s): 1 sur 3 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie Pas d'épanchement péritonéal.
|
||||
Navarre Côte Basque Pas d'anomalie des structures pelviennes.
|
||||
Mme [NOM], cadre de
|
||||
f Dé rd é Tr ha oti mon
|
||||
as [NOM], coordonnateur CONCLUSION :
|
||||
médical de fédération Aspect TDM en faveur d'une collection abcédée péri rectale.
|
||||
Chef de [MASK]. [NOM]
|
||||
A. Interne Hôpitaux Strasbourg Dr [NOM]
|
||||
A. Chef Clinique – Ass. Hôpitaux
|
||||
DESC Oncologie Digestive
|
||||
Hépato-gastro-entérologue
|
||||
Oncologue Digestif Prise en charge évolution :
|
||||
f [EMAIL] Hydratation Nacl
|
||||
Praticiens Hospitaliers Antalgie : paracetamol + Morphine
|
||||
Dr M. [NOM] par Ceftriaxone + Flagyl débuté pour abcès péri rectal
|
||||
A. In. Hôpitaux Clermont Ferrand SU ?
|
||||
A. Chef de clinique - Ass Hôpitaux
|
||||
Hépato-gastro-entérologue
|
||||
[EMAIL] AU TOTAL : Abcès peri rectal
|
||||
Dr M. [NOM] C3G Flagyl
|
||||
A. Interne Hôpitaux [ETABLISSEMENT] Suite de la prise en charge en infectiologie. Faute de place hébergé par la Gastroentérologie
|
||||
A. Ass. Hôpitaux [ETABLISSEMENT]
|
||||
DESC Cancérologie
|
||||
Hépato-gastro-entérologue
|
||||
Oncologue digestif
|
||||
m [EMAIL] Evolution :
|
||||
Dr C. [NOM]
|
||||
A. Interne Hôpitaux [ETABLISSEMENT] Bloc ce jour :
|
||||
A. Chef Clinique – Ass. Hôpitaux Volumineux abcès en fer à cheval péri-anal, développé au dépens d'une fistule avec le canal anal située à 6h
|
||||
Hépato-gastro-entérologue Prélèvement bactério réalisé
|
||||
Proctologue
|
||||
Explorations Fonct. Digestives Evacuation de pus en quantité importante
|
||||
[EMAIL] Elastique dans le trajet fistuleux afin de l'abaisser
|
||||
Dr F. [NOM]
|
||||
A. In. Hôpitaux Clermont Ferrand - Sur le plan urologique : reprise mictionnelle sans difficultés, retrait du KT sus-pubien le 04/07 sans complication.
|
||||
A. Chef de clinique - Ass Hôpitaux
|
||||
DESC Oncologie Digestive
|
||||
Proctologue - Sur le plan digestif : abdomen souple, dépressible et indolore. Difficultés à l'exonération, mise en place de laxatifs.
|
||||
[EMAIL] Réévaluation en consultation dans 2 semaines par le Dr [NOM].
|
||||
Dr A.[NOM]
|
||||
A.Interne Hôpitaux Bordeaux - Sur le plan infectieux : analyse du pus en cours, hémocultures toujours en cours à la sortie. Relai de l'antibiothérapie par
|
||||
DESC Oncologie Digestive
|
||||
Hépato-gastro-entérologue Rocéphine + Flagyl débutée le 01/07 par Augmentin pour 7 jours au total (fin le 08/07/2023).
|
||||
Oncologue Digestif Décroissance de la CRP à 174 mg/L lors de la sortie (vs 291 à l'entrée).
|
||||
[EMAIL] Surveillance biologique hebdomadaire pour surveiller décroissance CRP.
|
||||
Dr T. [NOM]
|
||||
A A. . I Cn h. eH f ô Cp li it na iu qx u eC –le Arm sso .n Ht F ôper itr aa un xd Sortie le 04/07 du service avec les consignes devant amener à faire reconsulter en urgence : fièvre, douleurs abdominales
|
||||
Hépato-gastro-entérologue intenses, écoulements, rétention aigue d'urine.
|
||||
Proctologue
|
||||
Explorations Fonct. Digestives
|
||||
[EMAIL]
|
||||
Dr D. [NOM]
|
||||
A. Interne Hôpitaux Bordeaux - Ass.
|
||||
Hôpitaux Votre patient(e) quitte le service avec :
|
||||
Hépato-gastro-entérologue
|
||||
[EMAIL] - Pharmacie :
|
||||
PARACETAMOL ARW 500MG GELULE [12] Gelule(s) 2 GELULE (ORALE) toutes les 6 heures jusqu'au 14/07/2023 à
|
||||
Dr B. OUI
|
||||
A. Interne Hôpitaux Bordeaux 6h04
|
||||
A. Chef Clinique - Ass. Hôpitaux TRAMADOL - TOPALGIC 50MG GELULE 50MG gelule 1 GELULE (ORALE) toutes les 6 heures jusqu'au 11/07/2023
|
||||
Hépato-gastro-entérologue à 6h04
|
||||
[EMAIL]
|
||||
AMOX/AC CLAV SDZ 1G/125MG AD SACH [12] Sachet(s) 1 G (ORALE) matin midi soir
|
||||
Dr F. [NOM]
|
||||
RPPS : [RPPS] MACROGOL - TRANSIPEG 5,9G PDR [NOM] 5,9G poudre 2 SACHET(S) (ORALE) matin [8h]
|
||||
Hépato-gastro-entérologue et assistante
|
||||
nutritive
|
||||
[EMAIL] Conclusion :
|
||||
U Ten l i 0té 5 .d 5’ 9H .4o 4s .p 3i 7ta .2li 3sation - Draînage d'un abcès péri-rectal avec fistule anale, suites simples.
|
||||
Fax [TEL] Sera revu en consultation par le Dr [NOM] le 20 Juillet 2023 à 15h30 avec un bilan biologique à réaliser au
|
||||
Cadre Infirmier
|
||||
Mme S. [NOM] préalable.
|
||||
Poursuite de l'antibiothérapie jusqu'au 08/07/2023 pour 7 jours au total.
|
||||
Secrétariat et R.V.
|
||||
Tel [TEL]
|
||||
Fax [TEL]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (MEDECINE GASTRO B2 HC)
|
||||
V1 - Imprimé le 17/04/2025 à 08 : 31 par Page(s): 2 sur 3 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie Les consignes d'usage ont été remises.
|
||||
Navarre Côte Basque
|
||||
Mme [NOM], cadre de
|
||||
fédération
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération
|
||||
Chef de [MASK],
|
||||
Dr F. [NOM]
|
||||
A. Interne Hôpitaux Strasbourg
|
||||
A. Chef Clinique – Ass. Hôpitaux
|
||||
D HE épS aC to O -gn ac so trlo og -eie n tD éri og le os gti uv ee Docteur [NOM]
|
||||
Oncologue Digestif *[TEL]*
|
||||
[EMAIL]
|
||||
Praticiens Hospitaliers
|
||||
Dr M. [NOM] [TEL]
|
||||
A. In. Hôpitaux [VILLE]
|
||||
A. Chef de clinique - Ass Hôpitaux
|
||||
Hépato-gastro-entérologue
|
||||
[EMAIL]
|
||||
Dr M. [NOM] par [NOM] [NOM]
|
||||
A. Interne Hôpitaux Reims
|
||||
A. Ass. Hôpitaux Reims
|
||||
DESC Cancérologie
|
||||
Hépato-gastro-entérologue
|
||||
Oncologue digestif
|
||||
[EMAIL]
|
||||
Dr C. [NOM]
|
||||
A. Interne Hôpitaux Limoges
|
||||
A. Chef Clinique – Ass. Hôpitaux
|
||||
Hépato-gastro-entérologue
|
||||
Proctologue
|
||||
Explorations Fonct. Digestives
|
||||
[EMAIL]
|
||||
Dr F. [NOM]
|
||||
A. In. Hôpitaux [VILLE]
|
||||
A. Chef de clinique - Ass Hôpitaux
|
||||
DESC Oncologie Digestive
|
||||
Proctologue
|
||||
[EMAIL]
|
||||
Dr A.[NOM]
|
||||
A.Interne Hôpitaux Bordeaux
|
||||
DESC Oncologie Digestive
|
||||
Hépato-gastro-entérologue
|
||||
Oncologue Digestif
|
||||
[EMAIL]
|
||||
Dr T. [NOM]
|
||||
A. In. Hôpitaux [VILLE]
|
||||
A. Chef Clinique – Ass. Hôpitaux
|
||||
Hépato-gastro-entérologue
|
||||
Proctologue
|
||||
Explorations Fonct. Digestives
|
||||
[EMAIL]
|
||||
Dr D. [NOM]
|
||||
A. Interne Hôpitaux Bordeaux - Ass.
|
||||
Hôpitaux
|
||||
Hépato-gastro-entérologue
|
||||
[EMAIL]
|
||||
Dr B. OUI
|
||||
A. Interne Hôpitaux Bordeaux
|
||||
A. Chef Clinique - Ass. Hôpitaux
|
||||
Hépato-gastro-entérologue
|
||||
[EMAIL]
|
||||
Dr F. [NOM]
|
||||
RPPS : [RPPS]
|
||||
Hépato-gastro-entérologue et assistante
|
||||
nutritive
|
||||
[EMAIL]
|
||||
Unité d’Hospitalisation
|
||||
Tel [TEL]
|
||||
Fax [TEL]
|
||||
Cadre Infirmier
|
||||
Mme S. [NOM]
|
||||
Secrétariat et R.V.
|
||||
Tel [TEL]
|
||||
Fax [TEL]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (MEDECINE GASTRO B2 HC)
|
||||
V1 - Imprimé le 17/04/2025 à 08 : 31 par Page(s): 3 sur 3
|
||||
215
regression_tests/baseline/CRH 23132490.audit.jsonl
Normal file
215
regression_tests/baseline/CRH 23132490.audit.jsonl
Normal file
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|
||||
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|
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|
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{"page": 0, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
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|
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|
||||
{"page": 0, "kind": "NOM", "original": "Stéphane MARCE", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10002815024", "placeholder": "[RPPS]", "bbox_hint": null}
|
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 14/04/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
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{"page": 0, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "PERNAUT", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10102272209", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "LACRAZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10102268702", "placeholder": "[RPPS]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10100858090", "placeholder": "[RPPS]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "Visal KEO", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "Hilaire CHARLANNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Kevin DEVE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10101639580", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Suzanne DEVAUX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Clinique des Hôpitaux Début", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10100163277", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Elisabeth GUINARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10101096005", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Alice MARNEFFE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10110601324", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Anne BARTEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "secr.medint@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "07009798", "placeholder": "[IPP]", "bbox_hint": null}
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{"page": 1, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Alexia HOURDILLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Clinique des Hôpitaux Pas", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "RPPS", "original": "10002815024", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Léa LOPEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Clinique des Hôpitaux Vitamine", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "RPPS", "original": "10102268702", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "RPPS", "original": "10100858090", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "CASAYUS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Visal KEO", "placeholder": "[NOM]", "bbox_hint": null}
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||||
{"page": 1, "kind": "RPPS", "original": "10101480506", "placeholder": "[RPPS]", "bbox_hint": null}
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||||
{"page": 1, "kind": "NOM", "original": "Hilaire CHARLANNE", "placeholder": "[NOM]", "bbox_hint": null}
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||||
{"page": 1, "kind": "ETAB", "original": "Clinique des Hôpitaux Indication", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
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||||
{"page": 1, "kind": "RPPS", "original": "10004606595", "placeholder": "[RPPS]", "bbox_hint": null}
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||||
{"page": 1, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "NOM", "original": "Kevin DEVE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "RPPS", "original": "10101639580", "placeholder": "[RPPS]", "bbox_hint": null}
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||||
{"page": 1, "kind": "NOM", "original": "Suzanne DEVAUX", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
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{"page": 1, "kind": "RPPS", "original": "10100163277", "placeholder": "[RPPS]", "bbox_hint": null}
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{"page": 1, "kind": "NOM", "original": "Elisabeth GUINARD", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 1, "kind": "RPPS", "original": "10101096005", "placeholder": "[RPPS]", "bbox_hint": null}
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{"page": 1, "kind": "NOM", "original": "Alice MARNEFFE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "RPPS", "original": "10110601324", "placeholder": "[RPPS]", "bbox_hint": null}
|
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{"page": 1, "kind": "NOM", "original": "Anne BARTEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "EMAIL", "original": "secr.medint@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
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{"page": 1, "kind": "NOM", "original": "LOPEZ Léa", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 1, "kind": "IPP", "original": "07009798", "placeholder": "[IPP]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Alexia HOURDILLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "RPPS", "original": "10100817005", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Stéphane MARCE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "RPPS", "original": "10002815024", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "PERNAUT Chrystelle", "placeholder": "[NOM]", "bbox_hint": null}
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||||
{"page": 2, "kind": "NOM", "original": "Léa LOPEZ DR", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "RPPS", "original": "10101856135", "placeholder": "[RPPS]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Itsaso ODRIOZOLA", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
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{"page": 2, "kind": "RPPS", "original": "10102272209", "placeholder": "[RPPS]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Thomas CLAVERIE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "RPPS", "original": "10102268702", "placeholder": "[RPPS]", "bbox_hint": null}
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{"page": 2, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 2, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
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|
||||
{"page": 2, "kind": "RPPS", "original": "10101096005", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Alice MARNEFFE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "RPPS", "original": "10110601324", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Anne BARTEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EMAIL", "original": "secr.medint@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "IPP", "original": "07009798", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "EPISODE", "original": "N° Episode 23132490", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Alexia HOURDILLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "DELPHINE MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Stéphane MARCE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10002815024", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "DATE_NAISSANCE", "original": "né le 14/04/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "PERNAUT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10102272209", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "LACRAZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10102268702", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10100858090", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Visal KEO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Hilaire CHARLANNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Kevin DEVE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10101639580", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Suzanne DEVAUX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "Clinique des Hôpitaux Début", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10100163277", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Elisabeth GUINARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10101096005", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Alice MARNEFFE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "RPPS", "original": "10110601324", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Anne BARTEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "EMAIL", "original": "secr.medint@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "IPP", "original": "07009798", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "EPISODE", "original": "N° Episode 23132490", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Alexia HOURDILLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "Clinique des Hôpitaux Pas", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10002815024", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Léa LOPEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "Clinique des Hôpitaux Vitamine", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10102268702", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10100858090", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "CASAYUS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Visal KEO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10101480506", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Hilaire CHARLANNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "Clinique des Hôpitaux Indication", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10004606595", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Kevin DEVE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10101639580", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Suzanne DEVAUX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10100163277", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Elisabeth GUINARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "MARTINEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10101096005", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Alice MARNEFFE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "RPPS", "original": "10110601324", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Anne BARTEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "EMAIL", "original": "secr.medint@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "LOPEZ Léa", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "IPP", "original": "07009798", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "EPISODE", "original": "N° Episode 23132490", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Alexia HOURDILLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10100817005", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Stéphane MARCE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10002815024", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "PERNAUT Chrystelle", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Léa LOPEZ DR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10101856135", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Itsaso ODRIOZOLA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10102272209", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas CLAVERIE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10102268702", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10100858090", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Visal KEO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10101480506", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Hilaire CHARLANNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10004606595", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Kevin DEVE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10101639580", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Suzanne DEVAUX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "ETAB", "original": "Clinique des Hôpitaux", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10100163277", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Elisabeth GUINARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10101096005", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Alice MARNEFFE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "RPPS", "original": "10110601324", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Anne BARTEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Irène MACHELART", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "EMAIL", "original": "secr.medint@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "IPP", "original": "07009798", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "EPISODE", "original": "N° Episode 23132490", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
539
regression_tests/baseline/CRH 23132490.pseudonymise.txt
Normal file
539
regression_tests/baseline/CRH 23132490.pseudonymise.txt
Normal file
@@ -0,0 +1,539 @@
|
||||
N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
PÔLE MÉDECINE INTERNE
|
||||
SERVICE RHUMATOLOGIE - MEDECINE INTERNE
|
||||
ET IMMUNOLOGIE CLINIQUE - DERMATOLOGIE
|
||||
RHUMATOLOGIE Bayonne, le 31/07/2023
|
||||
Dr [NOM]
|
||||
Chef de [MASK] [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Paris [ADRESSE]
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 1p 0i 0ta 8l 1ie 7r 005 [CODE_POSTAL]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Mon cher confrère,
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Votre patient [NOM] [NOM] [DATE_NAISSANCE] a été hospitalisé dans le service du 24/07/2023 au 27/07/2023 pour le motif
|
||||
Dr [NOM] [NOM] suivant :
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 1p 0i 1ta 8l 5ie 6r 135 - Médecin traitant : Dr [NOM]
|
||||
Dr [NOM] [NOM] Hématologue : Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
d Pe ra B tio cir ed ne a hu ox spitalier Motif d'entrée : Cimentoplastie
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM] [NOM] Antécédents :
|
||||
A Prn ac tii ce in e nA hss oi ss pta itn at l id ee rs c H onô tp rait ca tu ux e lde Lyon Lithiase rénale sur hypercalciurie suivi par Dr [NOM]
|
||||
RPPS : [RPPS] Pic monoclonal IgG Kappa 8.5 g/L suivi par Dr [NOM] en cours de bilan
|
||||
Secrétariat : [TEL] Fracture T5
|
||||
MEDECINE INTERNE ET
|
||||
IMMUNOLOGIE CLINIQUE Chirurgicaux : Lithotritie per cutanée
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT] : Œdème de Quincke a l’amoxicilline
|
||||
de Bordeaux
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS] Mode de vie :
|
||||
Vit avec sa femme, patient autonome
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de [VILLE] 5/6 cig par jour. OH occasionnel
|
||||
Bordeaux et Bayonne
|
||||
P Nr °a t Ric Pi Pen S H 10o 1sp 0i 1t 4al 8i 0er 506 Traitements :
|
||||
ALLOPURINOL 100mg 1.0.0
|
||||
Dr [NOM] NEBIVOLOL 5mg 1/2.0.0
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Lille KARDEGIC 75mg 1.0.0
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 0p 0i 4ta 6l 0ie 6r 595 HYDROCHLOROTHIAZIDE 25mg 1.0.1
|
||||
ZYMAD 10000UI 2gt tous les jours
|
||||
Dr [NOM] MECIR LP 0.4mg 0.1.1
|
||||
Assistant spécialiste
|
||||
RPPS : [RPPS] CITRATE de K 1g 1.1.1
|
||||
Secrétariat : [TEL] Histoire de la maladie :
|
||||
DERMATOLOGIE Patient suivi pour une MGUS IgG Kappa à 8.5 g/dL par le Dr [NOM] en surveillance sans traitement pour le
|
||||
Dr [NOM] moment.
|
||||
Ancien Chef de [ETABLISSEMENT] mai le patient se plaint de douleur dorsal sans notion de chute ni de traumatisme.
|
||||
d Pe ra T tio cu ielo nu hs oe spitalier Une radio et un scanner puis une IRM sont réalisées au cours du moi de mai :
|
||||
RPPS : [RPPS] - Le scanner du 16/05/23 retrouve : Fracture compression d’allure non strictement consolidée étagée du plateau vertébral
|
||||
Dr [NOM]
|
||||
supérieur de la pièce du corps vertébrale T5 sans recul du mur postérieur.
|
||||
Ancien Assistant des Hôpitaux de - L'IRM du Rachis réalisé le 31/05/23 : Fracture T5 sur os non pathologique.
|
||||
Toulouse
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS] Patient douloureux mais non hyperalgique, ne prend pas d’antalgique.
|
||||
Dr [NOM]
|
||||
Pas de sciatalgie ni d'argument pour un syndrome de la queue de cheval.
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS] Dans le contexte son hématologue souhaite réaliser une biopsie afin d’éliminer définitivement l’origine myélomateuse de la
|
||||
Dr [NOM] lésion, une cimentoplastie est organisé dans le même temps a but antalgique.
|
||||
Praticien Hospitalier contractuel
|
||||
Hospitalisé en rhumatologie pour cimentoplastie + bilan ostéopathie fragilisante.
|
||||
Secrétariat : [TEL]
|
||||
CENTRE DE COMPETENCES
|
||||
D ETE S A M [NOM] OL -A IND FIE LS A A MU MT AO T I OM IRM EU [NOM] Examen clinique :
|
||||
SYSTEMIQUES RARES : Apyrétique, pas de défaillance hémodynamique.
|
||||
Médecin coordonnateur : BDC régulier, pas de souffle perçu, pas d'omi, pas de douleur thoracique.
|
||||
D Ser c I rr éè tn ae ri aM t : A 0C 5.H 33E .L 78A .8R 1T .89 MV +/+ pas de bruit surajouté, pas de toux.
|
||||
[EMAIL] Abdomen souple depressible, indolore a la palpation, pas de trouble du transit, pas de SFU.
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (RHUMATOLOGIE)
|
||||
V1 - Imprimé le 17/04/2025 à 11 : 24 par Page(s): 1 sur 3 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
PÔLE MÉDECINE INTERNE
|
||||
SERVICE RHUMATOLOGIE - MEDECINE INTERNE
|
||||
ET IMMUNOLOGIE CLINIQUE - DERMATOLOGIE
|
||||
RHUMATOLOGIE Douleur élective a la palpation de T5 et des muscle paravertebraux. Pas de déficit sensitivo-moteur ou de paresthésies. Pas
|
||||
Dr [NOM] d'irradiation de la douleur.
|
||||
Chef de [MASK], pas de raideur méningée.
|
||||
A [NOM] is Chef de [ETABLISSEMENT] de trouble vésico-sphinctérien.
|
||||
Praticien hospitalier
|
||||
N D°
|
||||
r
|
||||
R SP tP éS
|
||||
p
|
||||
h10 a1 n0 e0 8 M17 A00 R5
|
||||
CE
|
||||
Examens complémentaires :
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Biologie :
|
||||
Praticien Hospitalier Hb 14.5 g/dL, plaquettes 206 G/L, PNN 4.17 G/L
|
||||
RPPS : [RPPS]
|
||||
Ionogramme normal en dehors d'une discrète hyponatrémie à 134 mmol/L, calcémie nomrale à 2.25 mmol/L,
|
||||
Dr [NOM] hypomagnésémie à 0.67 mmol/L, phosphore normal à 1.12 mmol/L
|
||||
A den Bci oe rn d C eah ue xf de [ETABLISSEMENT] D normale à 44 ng/mL
|
||||
Praticien hospitalier PTH normale
|
||||
N
|
||||
D
|
||||
A°
|
||||
nr
|
||||
c
|
||||
R
|
||||
I
|
||||
ieP
|
||||
t
|
||||
nsP
|
||||
a
|
||||
CS
|
||||
s
|
||||
h1
|
||||
o
|
||||
e0 fO1 d0
|
||||
D
|
||||
e1 8 CR5 lI6 inO1 i3 qZ5
|
||||
ueO dL esA
|
||||
Hôpitaux
|
||||
C Cr Ré Pat 1in min gém /Lie 49 umol/L avec DFG 103 ml/min
|
||||
de Bordeaux Bilan hépatique normal
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 1p 0i 2ta 2l 7ie 2r 209 TP 94 %, TCA ratio 0.94
|
||||
Dr [NOM] [NOM] [NOM] : pic monoclonal connu et stable à 8.1 g/L
|
||||
Ancien Assistant des Hôpitaux de Lyon
|
||||
Praticien hospitalier contractuel Evolution dans le service :
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
Patient hospitalisé dans le service pour biopsie et cimentoplastie de T5 suite à une fracture vertébrale de T5 dans un
|
||||
MEDECINE INTERNE ET contexte de gammapathie monoclonale (MGUS IgG kappa) actuellement sous surveillance.
|
||||
IMMUNOLOGIE CLINIQUE
|
||||
Dr [NOM] [NOM] [NOM] des images IRM : en faveur d'une origine ostéoporotique de la lésion.
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Par ailleurs, dans ce contexte de gammapathie monoclonale : pas d'anémie, fonction rénale normale et pas d'hypercalcémie.
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Vertébroplastie de T5 et biopsie réalisée le 25/07/23 sans complication par le Dr [NOM].
|
||||
Dr [NOM] Bien soulagé par vertébroplastie.
|
||||
A Bon rc die en au A xs es ti s Bta an yt o d ne ns e Hôpitaux de Réalisation d'un bilan d'ostéopathie fragilisante : pas de carence en vitamine D, bilan phosphocalcique sans particularité,
|
||||
Praticien Hospitalier gammapathie monoclonale connue, TSH normale.
|
||||
RPPS : [RPPS] Facteur de risque ostéopathie fragilisante: tabagisme, gammapathie monoclonale, hypercalciurie primitive, pas d'ATCD de
|
||||
Dr [NOM] corticothérapie au long cours, pas dATCD personnel ou familiaux de fracture.
|
||||
Ancien Chef de [ETABLISSEMENT] à l'initiation d'un traitement anti-ostréoporotique et réalisation d'un perfusion d'ACLASTA le 26/07.
|
||||
de Lille
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS] La patient sera revu en consultation dans un mois par le Dr [NOM] avec les résultats de la biopsie osseuse.
|
||||
Dr [NOM]
|
||||
Assistant spécialiste Conclusion :
|
||||
RPPS : [RPPS] Réalisation d'une cimentoplastie et biopsie de T5.
|
||||
Secrétariat : [TEL] Lésion d'allure ostéoporotique.
|
||||
Bilan d'ostéopathie fragilisante normal.
|
||||
DERMATOLOGIE
|
||||
Réalisation d'une première perfusion d'Aclasta 5 mg IV.
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Toulouse Suite et devenir :
|
||||
Praticien hospitalier DMO à réaliser en externe
|
||||
RPPS : [RPPS]
|
||||
Injection d'ACLASTA une fois par an pendant les deux prochaines années puis nouvelle DMO.
|
||||
Dr [NOM] Consultation Dr [NOM] avec les résultats de la biopsie osseuse dans un mois.
|
||||
Ancien Assistant des Hôpitaux de
|
||||
Toulouse
|
||||
Praticien Hospitalier contractuel Traitement de sortie :
|
||||
RPPS : [RPPS]
|
||||
inchangé
|
||||
Dr [NOM]
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM] Les consignes d'usage ont été remises.
|
||||
Praticien Hospitalier contractuel
|
||||
Secrétariat : [TEL]
|
||||
CENTRE DE COMPETENCES
|
||||
DES MALADIES AUTO IMMUNES Bien confraternellement,
|
||||
ET AUTO-INFLAMMATOIRES
|
||||
SYSTEMIQUES RARES :
|
||||
Médecin coordonnateur :
|
||||
Dr [NOM]
|
||||
Secrétariat : [TEL]
|
||||
[EMAIL] Docteur [NOM]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (RHUMATOLOGIE)
|
||||
V1 - Imprimé le 17/04/2025 à 11 : 24 par Page(s): 2 sur 3 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
PÔLE MÉDECINE INTERNE
|
||||
SERVICE RHUMATOLOGIE - MEDECINE INTERNE
|
||||
ET IMMUNOLOGIE CLINIQUE - DERMATOLOGIE
|
||||
RHUMATOLOGIE *[TEL]*
|
||||
Dr [NOM]
|
||||
Chef de [MASK] [ETABLISSEMENT] [TEL]
|
||||
de Paris
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Liste des destinataires :
|
||||
Praticien Hospitalier
|
||||
N ° RPPS : [RPPS] DR. [NOM]
|
||||
Dr [NOM]. [NOM] [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de Lyon
|
||||
Praticien hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
MEDECINE INTERNE ET
|
||||
IMMUNOLOGIE CLINIQUE
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de
|
||||
Bordeaux et Bayonne
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Lille
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Assistant spécialiste
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
DERMATOLOGIE
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Toulouse
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de
|
||||
Toulouse
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Praticien Hospitalier contractuel
|
||||
Secrétariat : [TEL]
|
||||
CENTRE DE COMPETENCES
|
||||
DES MALADIES AUTO IMMUNES
|
||||
ET AUTO-INFLAMMATOIRES
|
||||
SYSTEMIQUES RARES :
|
||||
Médecin coordonnateur :
|
||||
Dr [NOM]
|
||||
Secrétariat : [TEL]
|
||||
[EMAIL]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (RHUMATOLOGIE)
|
||||
V1 - Imprimé le 17/04/2025 à 11 : 24 par Page(s): 3 sur 3 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
PÔLE MÉDECINE INTERNE
|
||||
SERVICE RHUMATOLOGIE - MEDECINE INTERNE
|
||||
ET IMMUNOLOGIE CLINIQUE - DERMATOLOGIE
|
||||
RHUMATOLOGIE Bayonne, le 31/07/2023
|
||||
Dr [NOM]
|
||||
Chef de [MASK] [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Paris SERVICE D'HEMATOLOGIE
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 1p 0i 0ta 8l 1ie 7r 005 [CODE_POSTAL]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Mon cher confrère,
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Votre patient [NOM] [NOM] [DATE_NAISSANCE] a été hospitalisé dans le service du 24/07/2023 au 27/07/2023 pour le motif
|
||||
Dr [NOM] [NOM] suivant :
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 1p 0i 1ta 8l 5ie 6r 135 - Médecin traitant : Dr [NOM]
|
||||
Dr [NOM] [NOM] Hématologue : Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
d Pe ra B tio cir ed ne a hu ox spitalier Motif d'entrée : Cimentoplastie
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM] [NOM] Antécédents :
|
||||
A Prn ac tii ce in e nA hss oi ss pta itn at l id ee rs c H onô tp rait ca tu ux e lde Lyon Lithiase rénale sur hypercalciurie suivi par Dr [NOM]
|
||||
RPPS : [RPPS] Pic monoclonal IgG Kappa 8.5 g/L suivi par Dr [NOM] en cours de bilan
|
||||
Secrétariat : [TEL] Fracture T5
|
||||
MEDECINE INTERNE ET
|
||||
IMMUNOLOGIE CLINIQUE Chirurgicaux : Lithotritie per cutanée
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT] : Œdème de Quincke a l’amoxicilline
|
||||
de Bordeaux
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS] Mode de vie :
|
||||
Vit avec sa femme, patient autonome
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de [VILLE] 5/6 cig par jour. OH occasionnel
|
||||
Bordeaux et Bayonne
|
||||
P Nr °a t Ric Pi Pen S H 10o 1sp 0i 1t 4al 8i 0er 506 Traitements :
|
||||
ALLOPURINOL 100mg 1.0.0
|
||||
Dr [NOM] NEBIVOLOL 5mg 1/2.0.0
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Lille KARDEGIC 75mg 1.0.0
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 0p 0i 4ta 6l 0ie 6r 595 HYDROCHLOROTHIAZIDE 25mg 1.0.1
|
||||
ZYMAD 10000UI 2gt tous les jours
|
||||
Dr [NOM] MECIR LP 0.4mg 0.1.1
|
||||
Assistant spécialiste
|
||||
RPPS : [RPPS] CITRATE de K 1g 1.1.1
|
||||
Secrétariat : [TEL] Histoire de la maladie :
|
||||
DERMATOLOGIE Patient suivi pour une MGUS IgG Kappa à 8.5 g/dL par le Dr [NOM] en surveillance sans traitement pour le
|
||||
Dr [NOM] moment.
|
||||
Ancien Chef de [ETABLISSEMENT] mai le patient se plaint de douleur dorsal sans notion de chute ni de traumatisme.
|
||||
d Pe ra T tio cu ielo nu hs oe spitalier Une radio et un scanner puis une IRM sont réalisées au cours du moi de mai :
|
||||
RPPS : [RPPS] - Le scanner du 16/05/23 retrouve : Fracture compression d’allure non strictement consolidée étagée du plateau vertébral
|
||||
Dr [NOM]
|
||||
supérieur de la pièce du corps vertébrale T5 sans recul du mur postérieur.
|
||||
Ancien Assistant des Hôpitaux de - L'IRM du Rachis réalisé le 31/05/23 : Fracture T5 sur os non pathologique.
|
||||
Toulouse
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS] Patient douloureux mais non hyperalgique, ne prend pas d’antalgique.
|
||||
Dr [NOM]
|
||||
Pas de sciatalgie ni d'argument pour un syndrome de la queue de cheval.
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS] Dans le contexte son hématologue souhaite réaliser une biopsie afin d’éliminer définitivement l’origine myélomateuse de la
|
||||
Dr [NOM] lésion, une cimentoplastie est organisé dans le même temps a but antalgique.
|
||||
Praticien Hospitalier contractuel
|
||||
Hospitalisé en rhumatologie pour cimentoplastie + bilan ostéopathie fragilisante.
|
||||
Secrétariat : [TEL]
|
||||
CENTRE DE COMPETENCES
|
||||
D ETE S A M [NOM] OL -A IND FIE LS A A MU MT AO T I OM IRM EU [NOM] Examen clinique :
|
||||
SYSTEMIQUES RARES : Apyrétique, pas de défaillance hémodynamique.
|
||||
Médecin coordonnateur : BDC régulier, pas de souffle perçu, pas d'omi, pas de douleur thoracique.
|
||||
D Ser c I rr éè tn ae ri aM t : A 0C 5.H 33E .L 78A .8R 1T .89 MV +/+ pas de bruit surajouté, pas de toux.
|
||||
[EMAIL] Abdomen souple depressible, indolore a la palpation, pas de trouble du transit, pas de SFU.
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (RHUMATOLOGIE)
|
||||
V1 - Imprimé le 17/04/2025 à 11 : 24 par Page(s): 1 sur 3 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
PÔLE MÉDECINE INTERNE
|
||||
SERVICE RHUMATOLOGIE - MEDECINE INTERNE
|
||||
ET IMMUNOLOGIE CLINIQUE - DERMATOLOGIE
|
||||
RHUMATOLOGIE Douleur élective a la palpation de T5 et des muscle paravertebraux. Pas de déficit sensitivo-moteur ou de paresthésies. Pas
|
||||
Dr [NOM] d'irradiation de la douleur.
|
||||
Chef de [MASK], pas de raideur méningée.
|
||||
A [NOM] is Chef de [ETABLISSEMENT] de trouble vésico-sphinctérien.
|
||||
Praticien hospitalier
|
||||
N D°
|
||||
r
|
||||
R SP tP éS
|
||||
p
|
||||
h10 a1 n0 e0 8 M17 A00 R5
|
||||
CE
|
||||
Examens complémentaires :
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Biologie :
|
||||
Praticien Hospitalier Hb 14.5 g/dL, plaquettes 206 G/L, PNN 4.17 G/L
|
||||
RPPS : [RPPS]
|
||||
Ionogramme normal en dehors d'une discrète hyponatrémie à 134 mmol/L, calcémie nomrale à 2.25 mmol/L,
|
||||
Dr [NOM] hypomagnésémie à 0.67 mmol/L, phosphore normal à 1.12 mmol/L
|
||||
A den Bci oe rn d C eah ue xf de [ETABLISSEMENT] D normale à 44 ng/mL
|
||||
Praticien hospitalier PTH normale
|
||||
N
|
||||
D
|
||||
A°
|
||||
nr
|
||||
c
|
||||
R
|
||||
I
|
||||
ieP
|
||||
t
|
||||
nsP
|
||||
a
|
||||
CS
|
||||
s
|
||||
h1
|
||||
o
|
||||
e0 fO1 d0
|
||||
D
|
||||
e1 8 CR5 lI6 inO1 i3 qZ5
|
||||
ueO dL esA
|
||||
Hôpitaux
|
||||
C Cr Ré Pat 1in min gém /Lie 49 umol/L avec DFG 103 ml/min
|
||||
de Bordeaux Bilan hépatique normal
|
||||
P Nr °a t Ric Pi Pen S h 1o 0s 1p 0i 2ta 2l 7ie 2r 209 TP 94 %, TCA ratio 0.94
|
||||
Dr [NOM] [NOM] [NOM] : pic monoclonal connu et stable à 8.1 g/L
|
||||
Ancien Assistant des Hôpitaux de Lyon
|
||||
Praticien hospitalier contractuel Evolution dans le service :
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
Patient hospitalisé dans le service pour biopsie et cimentoplastie de T5 suite à une fracture vertébrale de T5 dans un
|
||||
MEDECINE INTERNE ET contexte de gammapathie monoclonale (MGUS IgG kappa) actuellement sous surveillance.
|
||||
IMMUNOLOGIE CLINIQUE
|
||||
Dr [NOM] [NOM] [NOM] des images IRM : en faveur d'une origine ostéoporotique de la lésion.
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Par ailleurs, dans ce contexte de gammapathie monoclonale : pas d'anémie, fonction rénale normale et pas d'hypercalcémie.
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Vertébroplastie de T5 et biopsie réalisée le 25/07/23 sans complication par le Dr [NOM].
|
||||
Dr [NOM] Bien soulagé par vertébroplastie.
|
||||
A Bon rc die en au A xs es ti s Bta an yt o d ne ns e Hôpitaux de Réalisation d'un bilan d'ostéopathie fragilisante : pas de carence en vitamine D, bilan phosphocalcique sans particularité,
|
||||
Praticien Hospitalier gammapathie monoclonale connue, TSH normale.
|
||||
RPPS : [RPPS] Facteur de risque ostéopathie fragilisante: tabagisme, gammapathie monoclonale, hypercalciurie primitive, pas d'ATCD de
|
||||
Dr [NOM] corticothérapie au long cours, pas dATCD personnel ou familiaux de fracture.
|
||||
Ancien Chef de [ETABLISSEMENT] à l'initiation d'un traitement anti-ostréoporotique et réalisation d'un perfusion d'ACLASTA le 26/07.
|
||||
de Lille
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS] La patient sera revu en consultation dans un mois par le Dr [NOM] avec les résultats de la biopsie osseuse.
|
||||
Dr [NOM]
|
||||
Assistant spécialiste Conclusion :
|
||||
RPPS : [RPPS] Réalisation d'une cimentoplastie et biopsie de T5.
|
||||
Secrétariat : [TEL] Lésion d'allure ostéoporotique.
|
||||
Bilan d'ostéopathie fragilisante normal.
|
||||
DERMATOLOGIE
|
||||
Réalisation d'une première perfusion d'Aclasta 5 mg IV.
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Toulouse Suite et devenir :
|
||||
Praticien hospitalier DMO à réaliser en externe
|
||||
RPPS : [RPPS]
|
||||
Injection d'ACLASTA une fois par an pendant les deux prochaines années puis nouvelle DMO.
|
||||
Dr [NOM] Consultation Dr [NOM] avec les résultats de la biopsie osseuse dans un mois.
|
||||
Ancien Assistant des Hôpitaux de
|
||||
Toulouse
|
||||
Praticien Hospitalier contractuel Traitement de sortie :
|
||||
RPPS : [RPPS]
|
||||
inchangé
|
||||
Dr [NOM]
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM] Les consignes d'usage ont été remises.
|
||||
Praticien Hospitalier contractuel
|
||||
Secrétariat : [TEL]
|
||||
CENTRE DE COMPETENCES
|
||||
DES MALADIES AUTO IMMUNES Bien confraternellement,
|
||||
ET AUTO-INFLAMMATOIRES
|
||||
SYSTEMIQUES RARES :
|
||||
Médecin coordonnateur :
|
||||
Dr [NOM]
|
||||
Secrétariat : [TEL]
|
||||
[EMAIL] Docteur [NOM]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (RHUMATOLOGIE)
|
||||
V1 - Imprimé le 17/04/2025 à 11 : 24 par Page(s): 2 sur 3 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
PÔLE MÉDECINE INTERNE
|
||||
SERVICE RHUMATOLOGIE - MEDECINE INTERNE
|
||||
ET IMMUNOLOGIE CLINIQUE - DERMATOLOGIE
|
||||
RHUMATOLOGIE *[TEL]*
|
||||
Dr [NOM]
|
||||
Chef de [MASK] [ETABLISSEMENT] [TEL]
|
||||
de Paris
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux Liste des destinataires :
|
||||
Praticien Hospitalier
|
||||
N ° RPPS : [RPPS] DR. [NOM]
|
||||
Dr [NOM]. [NOM] [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de Lyon
|
||||
Praticien hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
MEDECINE INTERNE ET
|
||||
IMMUNOLOGIE CLINIQUE
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Bordeaux
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de
|
||||
Bordeaux et Bayonne
|
||||
Praticien Hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Lille
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Assistant spécialiste
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
DERMATOLOGIE
|
||||
Dr [NOM]
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
de Toulouse
|
||||
Praticien hospitalier
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Ancien Assistant des Hôpitaux de
|
||||
Toulouse
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Praticien Hospitalier contractuel
|
||||
RPPS : [RPPS]
|
||||
Dr [NOM]
|
||||
Praticien Hospitalier contractuel
|
||||
Secrétariat : [TEL]
|
||||
CENTRE DE COMPETENCES
|
||||
DES MALADIES AUTO IMMUNES
|
||||
ET AUTO-INFLAMMATOIRES
|
||||
SYSTEMIQUES RARES :
|
||||
Médecin coordonnateur :
|
||||
Dr [NOM]
|
||||
Secrétariat : [TEL]
|
||||
[EMAIL]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (RHUMATOLOGIE)
|
||||
V1 - Imprimé le 17/04/2025 à 11 : 24 par Page(s): 3 sur 3
|
||||
27
regression_tests/baseline/CRH 23173599.audit.jsonl
Normal file
27
regression_tests/baseline/CRH 23173599.audit.jsonl
Normal file
@@ -0,0 +1,27 @@
|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Pôle Spécialités Médicales", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Service d'Oncologie Médicale et Oncogénétique", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "LASSERRE SENNE BRIGITTE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "150 ALLEE DE BIELLENAVE", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64200 BASSUSSARRY", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Thomas Grellety", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 01/02/1980", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MAJOUFRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Toulmonde", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "secr.onco@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "secr.oncogenetique@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "secr.hdjcancero@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "23018342", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EPISODE", "original": "N° Episode 23173599", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Pôle Spécialités Médicales", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Service d'Oncologie Médicale et Oncogénétique", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Thomas Grellety", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "DA SILVA Fabio", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "FRANCOIS Louis", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "secr.onco@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "LASSERRE SENNE Brigitte", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "secr.oncogenetique@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EMAIL", "original": "secr.hdjcancero@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "IPP", "original": "23018342", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EPISODE", "original": "N° Episode 23173599", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
141
regression_tests/baseline/CRH 23173599.pseudonymise.txt
Normal file
141
regression_tests/baseline/CRH 23173599.pseudonymise.txt
Normal file
@@ -0,0 +1,141 @@
|
||||
N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Bayonne, le 17/09/2023
|
||||
Cancérologie Navarre Côte
|
||||
B Ma msq eu Ce
|
||||
[NOM] [NOM], [NOM] de
|
||||
DR [NOM]
|
||||
fédération [ADRESSE]
|
||||
Dr [NOM], [CODE_POSTAL]
|
||||
coordonnateur médical de
|
||||
fédération
|
||||
Mon cher confrère,
|
||||
Praticiens Hospitaliers :
|
||||
Dr T. [NOM] Votre patiente [NOM] [NOM] [DATE_NAISSANCE] a été hospitalisée dans le service du 13/09/2023 au 17/09/2023 pour le motif
|
||||
Oncologie médicale suivant :
|
||||
Chef de [MASK]. [NOM] - Motif d'hospitalisation :
|
||||
Oncologie médicale C3 d’IVADO (sans vincristine) en néoadjuvant d’un rabdomyosarcome de la gencive maxillaire gauche.
|
||||
Dr G. [NOM] Antécédents :
|
||||
Oncologie médicale Médicaux : Tumeur du péroné gauche traitée par chirurgie et ZOMETA en 2006.
|
||||
Dr F. [NOM]
|
||||
[NOM] habituels :
|
||||
Oncologie médicale
|
||||
SERESTA 10 mg
|
||||
Dr F. DA [NOM] PARACETAMOL 1g : si besoin
|
||||
Oncologie médicale OXYCONTIN LP 10 mg : 1-0-1
|
||||
OXYNORMORO 5mg : si besoin
|
||||
Dr A. [NOM]
|
||||
Soins de support oncologiques Allergies :
|
||||
Soins palliatifs
|
||||
Aucune
|
||||
Dr T. [NOM]
|
||||
Oncologie Mode de vie :
|
||||
Tel : [TEL] (secrétariat) Patiente travaillant dans l’informatique. Vit seul à [VILLE], 1 sœur qui vit à [VILLE]. Pas d’enfant.
|
||||
Activités : Randonnées (dernières semaines seulement quelques balades de 15 minutes devant asthénie), vélo électrique
|
||||
Oncogénétique :
|
||||
Dr S. [NOM] Histoire de la maladie :
|
||||
Médecin généticien Juillet 2023 : Diagnostic d’un rhabdomyosarcome TFCP2 réarrangé de la gencive maxillaire gauche rapidement évolutif.
|
||||
Chimiothérapie 1ère par IVADo avant chirurgie par le Pr [NOM] avec C1 le 02/08.
|
||||
Mme A. [NOM]
|
||||
Août 2023 : réévaluation par IRM après 2 cures : début d’ébauche thérapeutique. Neuropathie de grade 2. Poursuite pour
|
||||
Conseillère en génétique
|
||||
deux cures supplémentaires avant geste chirurgical prévu le 23/10/2023.
|
||||
[NOM] de Service : Par la suite, 5 cures d’IVA seront réalisées (idéalement début 2-3 semaines après l’exérèse chirurgicale).
|
||||
Mme F. [NOM]
|
||||
Tel : [TEL] Intercure :
|
||||
Neuropathie de grade 2 : arrêt de la vincristine au J8 et J15.
|
||||
Hospitalisation conventionnelle : Nausées grade 1 les 3 jours suivant la chimiothérapie.
|
||||
Renseignements familles
|
||||
Mucite grade 2 d’évolution favorable sous fungizone.
|
||||
Tel : [TEL]
|
||||
Douleurs gingivales prédominant la nuit, avec 2 interdoses la nuit.
|
||||
Secrétariat Oncologie : Consultation avec le Dr [NOM] (cf histoire de la maladie).
|
||||
[NOM] et RDV - Consultations
|
||||
Tel : [TEL] Examen clinique :
|
||||
[EMAIL] Patiente OMS 1, poids relativement stable à 49.8kg
|
||||
Tachycardie régulière
|
||||
Secrétariat Oncogénétique :
|
||||
Pas de signe de décompensation cardiaque
|
||||
Tel : [TEL]
|
||||
[EMAIL] Tumeur bourgeonante de la gencive gauche
|
||||
Reste de l’examen sans particularité
|
||||
[ETABLISSEMENT] :
|
||||
Acceuil et Programmation Examens complémentaires :
|
||||
Tel : [TEL] Bilan biologique du 11/09/2023 :
|
||||
[EMAIL] Hb 9.7g/dl, PNN 9.8G/L, plq 420G/L
|
||||
Bilan hépatique normal
|
||||
Créatinine 64.6µmol/l
|
||||
Evolution dans le service :
|
||||
Validation le 13/09 du C3J1 IVADO. Pas de J8 et J15 de Vincristine devant neuropathie grade 2.
|
||||
Prévention des nausées et vomissements par EMEND tripack, SOLUPRED 5 jours, PRIMPERAN si besoin.
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (ONCOLOGIE HC)
|
||||
V1 - Imprimé le 22/04/2025 à 10 : 53 par Page(s): 1 sur 2 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Prévention primaire de la neutropénie fébrile par une injection de PELMEG à J5.
|
||||
Cancérologie Navarre Côte
|
||||
Basque Tachycarde à 120 en fin d'hospitalisation sans signe clinique associé. ECG : tachycardie sinusale.
|
||||
Mme [NOM] [NOM], [NOM] de BS de contrôle 17/09 Hb 8.9 gdl-1 : 1 CGR le 17/09
|
||||
fédération
|
||||
Dr [NOM],
|
||||
[NOM] de sortie :
|
||||
coordonnateur médical de
|
||||
fédération Inchangé sauf :
|
||||
-Majoration OXYCONTIN LP à 15mg le soir, maintien 10mg le matin.
|
||||
Praticiens Hospitaliers : -Bains de bouche bicarbonate de sodium avec SOLUPRED 60mg dans la bouteille
|
||||
Dr T. [NOM]
|
||||
Oncologie médicale Conclusion :
|
||||
Chef de service C3 d’IVADO (sans vincristine) en néoadjuvant d’un rabdomyosarcome de la gencive maxillaire gauche.
|
||||
Bonne tolérance immédiate.
|
||||
Dr L. [NOM] Transfusion d'un 1 CGR le 17/09
|
||||
Oncologie médicale
|
||||
Prochaine venue dans 3 semaines pour le C4.
|
||||
Dr G. [NOM]
|
||||
Oncologie médicale Prochains rendez-vous :
|
||||
C4 le 04/10.
|
||||
Dr F. [NOM] Chirurgie le 23/10.
|
||||
Oncologie médicale Prévoir reprise chimiothérapie par IVA 2-3 semaines maximum après la chirurgie.
|
||||
Dr F. DA [NOM]
|
||||
Oncologie médicale
|
||||
Dr A. [NOM]
|
||||
Soins de support oncologiques
|
||||
Soins palliatifs
|
||||
Dr T. [NOM] Les consignes d'usage ont été remises.
|
||||
Oncologie
|
||||
Tel : [TEL] (secrétariat)
|
||||
Oncogénétique :
|
||||
Dr S. [NOM] Bien confraternellement,
|
||||
Médecin généticien
|
||||
Mme A. [NOM]
|
||||
Conseillère en génétique
|
||||
Docteur [NOM]
|
||||
[NOM] de Service : *[TEL]*
|
||||
Mme F. [NOM]
|
||||
Tel : [TEL]
|
||||
[TEL]
|
||||
Hospitalisation conventionnelle :
|
||||
Renseignements familles
|
||||
Tel : [TEL]
|
||||
Secrétariat Oncologie : Rédigé par [NOM]
|
||||
[NOM] et RDV - Consultations
|
||||
Tel : [TEL]
|
||||
[EMAIL]
|
||||
Secrétariat Oncogénétique : Liste des destinataires:
|
||||
Tel : [TEL]
|
||||
DR. [NOM]
|
||||
[EMAIL]
|
||||
[ETABLISSEMENT] :
|
||||
Acceuil et Programmation
|
||||
Tel : [TEL]
|
||||
[EMAIL]
|
||||
Patient(e) : [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (ONCOLOGIE HC)
|
||||
V1 - Imprimé le 22/04/2025 à 10 : 53 par Page(s): 2 sur 2
|
||||
232
regression_tests/baseline/CRH 23194278.audit.jsonl
Normal file
232
regression_tests/baseline/CRH 23194278.audit.jsonl
Normal file
@@ -0,0 +1,232 @@
|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
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{"page": 0, "kind": "ETAB", "original": "Pôle Spécialités Médicales", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Service des Maladies Respiratoires et Allergiques", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Christelle Béraut", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "KRIEGER ANA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "10 RUE DE TORCY", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Thomas Grellety", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "77360 VAIRES SUR MARNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Emmanuel ELLIE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "eellie@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 17/05/1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Christelle BERAUT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Elise ABRAHAM", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "eabraham@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "RIDEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Kabany Jamal", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "dbonnet@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Claire LETHROSNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "clethrosne@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurence MASSE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "lmasse@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jean Pierre MATHIEU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "jpmathieu@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Cécilia NOCENT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "cnocent@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre RIGAUD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "prigaud@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Marielle SABATINI", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "msabatini@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sophie SCHNEIDER Récemment", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "sschneider@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "secr.pneumo@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "23026373", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EPISODE", "original": "N° Episode 23194278", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "ETAB", "original": "Pôle Spécialités Médicales", "placeholder": "[MASK]", "bbox_hint": null}
|
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|
||||
{"page": 6, "kind": "EPISODE", "original": "N° Episode 23194278", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "ETAB", "original": "Pôle Spécialités Médicales", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "ETAB", "original": "Service des Maladies Respiratoires et Allergiques", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Christelle Béraut", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Thomas Grellety", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Emmanuel ELLIE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "eellie@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Christelle BERAUT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Elise ABRAHAM", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "NOCENT Cécilia", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "eabraham@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Daniel BONNET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "dbonnet@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Claire LETHROSNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "clethrosne@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Laurence MASSE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "lmasse@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Jean Pierre MATHIEU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "jpmathieu@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Cécilia NOCENT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "cnocent@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Pierre RIGAUD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "prigaud@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Marielle SABATINI", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "msabatini@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Sophie SCHNEIDER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "sschneider@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Marilyn DAVANT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EMAIL", "original": "secr.pneumo@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "IPP", "original": "23026373", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "EPISODE", "original": "N° Episode 23194278", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
714
regression_tests/baseline/CRH 23194278.pseudonymise.txt
Normal file
714
regression_tests/baseline/CRH 23194278.pseudonymise.txt
Normal file
@@ -0,0 +1,714 @@
|
||||
N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie Bayonne, le 12/10/2023
|
||||
Navarre Côte Basque
|
||||
Mme [NOM], cadre de
|
||||
fédération MME [NOM]
|
||||
Dr [NOM], coordonnateur [ADRESSE]
|
||||
médical de fédération [CODE_POSTAL]
|
||||
Chef de [MASK] [NOM] Mon cher confrère,
|
||||
[NOM]
|
||||
[EMAIL]
|
||||
Votre patiente [NOM] [NOM] [DATE_NAISSANCE] a été hospitalisée dans le service du 09/10/2023 au 10/10/2023 pour le motif
|
||||
Cadre de [MASK] [NOM]
|
||||
suivant :
|
||||
Chef de Service - [NOM]
|
||||
Dr [NOM]
|
||||
Pneumologue - Motif d'hospitalisation : exacerbation de BPCO
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Correspondants :
|
||||
P Dr ra Dtic ai nen ies
|
||||
l
|
||||
H Bo Osp Nit Nal Eie Trs Médecin traitant : Dr [NOM] (Vaires sur Marne)
|
||||
Pneumologue Pneumologue : Dr [NOM] (Chesse)
|
||||
DESC [NOM]
|
||||
[EMAIL] Antécédents :
|
||||
Dr [NOM] - BPCO
|
||||
Pneumologue - Dyslipidémie
|
||||
DESC Cancérologie - Dépression
|
||||
[EMAIL] - fractures orteils à droite
|
||||
Dr [NOM]
|
||||
Pneumologue Allergies :
|
||||
DESC Cancérologie
|
||||
[EMAIL] Aucunes connues
|
||||
Dr [NOM]
|
||||
Pneumologue [NOM] habituels :
|
||||
Médecin du Sport - [NOM] [TEL]
|
||||
[EMAIL] - Lamictal 50 1-0-1
|
||||
Dr [NOM] - Sertraline 50 1-1-0
|
||||
Pneumologue - Allergologue - Theralene 5 2-0-0
|
||||
DESC Réanimation Médicale - simvastatine 10 0-0-1
|
||||
[EMAIL] - tedralan LP 200 1-0-1
|
||||
Dr [NOM] - oxazepam 10 0-0-1
|
||||
Pneumologue - [TEL]
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
- ventoline 2/j
|
||||
Pneumologue
|
||||
DESC Cancérologie Mode de vie :
|
||||
[EMAIL] A la retraite , travaillait à la bourse américaine
|
||||
Dr [NOM] en vacances au [NOM], était sur le trajet pour rentrer chez elle en région parisienne
|
||||
Pneumologue Vit avec son marie , sédentarité importante depuis 6/7 mois dans un contexte d'asthénie : c'est son mari qui s'occupe des
|
||||
DESC Cancérologie courses de la cuisine et du ménage
|
||||
[EMAIL] A des enfants
|
||||
Cadre de Santé :
|
||||
Mme [NOM] [NOM] Toxiques :
|
||||
Tel : [TEL] Tabac sevré depuis janvier 2023 , commencé à 17 ans : 30 PA
|
||||
Secrétariat Médical Pas de canabis
|
||||
Tel : [TEL]
|
||||
Tel : [TEL] Histoire de la maladie :
|
||||
[EMAIL] Se sent asthénique depuis 6 mois associée à une anorexie sans perte de poids
|
||||
Hospitalisation Etait en vacances au [NOM] avec son mari
|
||||
Chambres 3760 à 3772 Présente une dyspnée progressive depuis plusieurs jours sans notion de fièvre mais avec une toux et des crachats
|
||||
Tel : [TEL] qui deviennent plus abondants et colorés
|
||||
Chambres 3773 à 3783
|
||||
Tel : [TEL]
|
||||
Cliniquement aux urgences :
|
||||
Explorations Endoscopies
|
||||
Tel : [TEL] A l arrivée FR 32 signes de luttes respi pas de sueurs
|
||||
finit ses phrases
|
||||
Centre de Lutte Anti Tuberculeuse
|
||||
C.L.A.T.
|
||||
expiration à lèvres pincées
|
||||
Tel : [TEL] abdo souple indolore
|
||||
sibilants bilatéraux+++ pas de crépitants
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 1 sur 4 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie
|
||||
Navarre Côte Basque PEC initiale aux urgences
|
||||
Mme [NOM], cadre de --> série de 3 aérosols + Augmentin + solumedrol
|
||||
fédération
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération [NOM] complémentaires aux urgences :
|
||||
Chef de [MASK] :
|
||||
Dr [NOM] [NOM] Hb 13.4 : plaquettes 290 ; leuco 10.2 dont PNN 8.33
|
||||
[NOM] Pas de troubles ioniques
|
||||
[EMAIL]
|
||||
CRP 149
|
||||
C
|
||||
M
|
||||
a mdr ee Cd he rP iô stle
|
||||
elle [NOM]
|
||||
P AC ST
|
||||
A
|
||||
T0 . 50 89
|
||||
: ALAT 32
|
||||
Chef de [MASK] 253 : PAL 130
|
||||
Dr [NOM] [NOM] tropo 44 : T pro BNP 273
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL] [NOM] sous 2L : pH 7.4 ; pO2 102 pCO2 43 bicar 26.5
|
||||
Praticiens Hospitaliers
|
||||
Dr [NOM] [NOM] [NOM] :
|
||||
Pneumologue PCR covid grippe et VRS négative
|
||||
DESC [NOM]
|
||||
[EMAIL] Radio de thorax :
|
||||
Dr [NOM] ne met pas en évidence de foyer infectieux parenchymateux.
|
||||
Pneumologue Pas de signe d'épanchement pleural.
|
||||
DESC Cancérologie Aspect normal de la silhouette cardio-médiastinale. Lésion nodulaire d'allure spiculée en projection de la base droite :
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
lésion parenchymateuse versus mammaire à confronter à distance un scanner dédiée. De la base droite
|
||||
Pneumologue
|
||||
DESC Cancérologie ECG : RRS qrs fins pas de trouble de repolarisation pas de s1q3
|
||||
[EMAIL]
|
||||
Dr [NOM] [NOM] en pneumologie pour la suite de la prise en charge
|
||||
Pneumologue
|
||||
Médecin du Sport
|
||||
[EMAIL]
|
||||
Dr [NOM] [NOM] Evolution :
|
||||
Pneumologue - Allergologue Interrogatoire :
|
||||
DESC Réanimation Médicale
|
||||
[EMAIL] M'explique qu'une dyspnée avec majoration de la quantité et la purulence des crachats depuis quelques jours mais n'y a pas
|
||||
Dr [NOM]
|
||||
trop prête attention car elle était en vacances
|
||||
Pneumologue Consulte aux urgences devant la dyspnée qui est devenue trop importante
|
||||
[EMAIL]
|
||||
Dr [NOM] Elle m'explique aussi qu'elle présente depuis 6/7 mois une asthénie importante l'empêchant de réaliser seule les AVQ
|
||||
Pneumologue En parallèle : anorexie sans perte de poids objectivée
|
||||
DESC Cancérologie
|
||||
[EMAIL] Cliniquement à l'arrivée en pneumologie :
|
||||
Dr [NOM] 100% sous 1 L aux lunettes
|
||||
Pneumologue Non dyspnéique au repos
|
||||
DESC Cancérologie Dyspnée au moindre effort dans un contexte de probable déconditionnement cardio respi
|
||||
[EMAIL]
|
||||
C Ma mdr ee Mde
|
||||
a
|
||||
S ria ln yt né :
|
||||
[NOM]
|
||||
P [NOM]
|
||||
u
|
||||
xd e
|
||||
e
|
||||
ts i cg rn ace hs ad te
|
||||
s
|
||||
d saé lt ere ssse respiratoire, non polypnéique , pas de tirage
|
||||
Tel : [TEL]
|
||||
Pas d'hémoptysie
|
||||
Secrétariat Médical Auscultation : sibilants avec frein expiratoire
|
||||
Tel : [TEL]
|
||||
Tel : [TEL]
|
||||
[EMAIL] Pas de douleurs thoraciques
|
||||
Légers OMI prenant le godet
|
||||
Hospitalisation
|
||||
Chambres 3760 à 3772
|
||||
Mollets souples et non douloureux
|
||||
Tel : [TEL]
|
||||
Chambres 3773 à 3783 Pas de plaintes abdominales ni urinaires
|
||||
Tel : [TEL]
|
||||
Explorations Endoscopies CAT :
|
||||
Tel : [TEL] Tentative de diminution de l'O2 pour sevrage rapide
|
||||
Centre de Lutte Anti Tuberculeuse Poursuite aérosol, Augmentin 1g x 3 et Solupred 40 mg
|
||||
C.L.A.T. Intérêt à consulter son pneumologue dans le mois qui arrive avec un scanner thoracique
|
||||
Tel : [TEL]
|
||||
93% en AA, apyrétique
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 2 sur 4 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [[TEL]] - Fax : [[TEL]]
|
||||
[[TEL]]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie Expectoration sale, encombrement prédominant aux bases, non spastique, pas de signes de luttes
|
||||
Navarre Côte Basque Autonome dans les AVQ sans désaturation
|
||||
Mme [NOM], cadre de transit et appétit conservé
|
||||
fédération
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération Pas de plaintes
|
||||
Chef de [MASK] (ordo imprimés dans le dossier)
|
||||
Dr [NOM]
|
||||
[NOM] Poursuite AUGMENTIN/ CTC/ Aerosol
|
||||
[EMAIL]
|
||||
[NOM] drainage
|
||||
C
|
||||
M
|
||||
a mdr ee Cd he rP iô stle
|
||||
elle [NOM]
|
||||
T vaD cM
|
||||
cin
|
||||
t h go rir pa px
|
||||
e
|
||||
et consult pneumo
|
||||
Chef de Service 11/10/23 CNE
|
||||
Dr [NOM] exacerbation de BPCO aujourd'hui pas encore bien contrôlée
|
||||
Pneumologue apyrétique, [NOM] correcte
|
||||
DESC Cancérologie
|
||||
[EMAIL] poursuite de la même prise en charge
|
||||
le mari de la patiente souhaite un rapatriement => doit contacter son assurance pour qu'ils nous appellent
|
||||
Praticiens Hospitaliers
|
||||
Dr [NOM] [DATE_NAISSANCE] CNE
|
||||
Pneumologue lettre Dr [NOM] : emphysème sur le scanner avec syndrome obstructif (VEMS à 48% soit 660 ml), distension vraie
|
||||
DESC [NOM] associée (CPT : 130%, VR : 230%)
|
||||
[EMAIL] ttt par trimbow nexthaler : 2bX2/j
|
||||
Dr [NOM]
|
||||
Pneumologue ce jour la patiente va bien
|
||||
DESC Cancérologie auscultation : RAS
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
retour à domicile avec rapatriement demain
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Votre patient(e) quitte le service avec :
|
||||
Pneumologue - Pharmacie :
|
||||
Médecin du Sport LACTEOL 340MG PDR [NOM] [10] Sachet(s) 1 SACHET (ORALE) matin midi soir
|
||||
j Dpm
|
||||
r
|
||||
[EMAIL] L AO MX OE XN
|
||||
/A
|
||||
L CP C50 LM [NOM] SG DE ZL U 1GL /E
|
||||
1
|
||||
2[6 50 M] GG e Alu Dle S(s A) C1 HG E [1L 2U
|
||||
]
|
||||
SL aE
|
||||
c
|
||||
h(O etR (sA
|
||||
)
|
||||
L
|
||||
1
|
||||
E G) (m Oa Rti An Lso Ei )r m(8 ah
|
||||
t
|
||||
i-
|
||||
n
|
||||
1 m9h id)
|
||||
i soir
|
||||
Pneumologue - Allergologue LAMICTAL 25MG CPR DISP [30] COMPRIME(S) 2 COMPRIME (ORALE) matin soir (8h - 19h)
|
||||
DESC Réanimation Médicale
|
||||
[EMAIL] LOSARTAN EG 50MG CPR [90] COMPRIME(S) 1 COMPRIME (ORALE) matin [8h]
|
||||
Dr [NOM]
|
||||
SERESTA 10MG CPR [30] COMPRIME(S) 1 COMPRIME (ORALE) nuit [21h]
|
||||
Pneumologue SIMVASTATINE AHL 20MG CPR [28] COMPRIME(S) .5 COMPRIME (ORALE) soir [19h]
|
||||
[EMAIL] THERALENE 5MG CPR [50] COMPRIME(S) 2 COMPRIME (ORALE) matin [8h]
|
||||
Dr [NOM] [NOM] 5/7.2MCG INH 120 D [120] REC. UNIDOSE(s) 2 UNIDOSE (INHALEE) en direct matin soir
|
||||
Pneumologue (8h - 19h)
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Dr [NOM] [NOM] Conclusion :
|
||||
Pneumologue - Exacerbation aigue d'une BPCO post tabagique chez une [AGE] sur probable surinfection bronchique
|
||||
DESC Cancérologie
|
||||
[EMAIL] sans documentation microbiologique d'évolution favorable.
|
||||
Cadre de Santé :
|
||||
Mme [NOM]
|
||||
Traitement de sortie :
|
||||
Tel : [[TEL]] -AUGMENTIN 1g/8h jusqu’au 16/10 inclus
|
||||
-PARACETAMOL 1g/6h si douleurs
|
||||
Secrétariat Médical
|
||||
Tel : [[TEL]]
|
||||
-SOLUPRED 40mg le matin jusqu’au 13/10
|
||||
Tel : [[TEL]]
|
||||
[EMAIL] Ventoline 5mg/2mL solution inhalée 1 aérosol 3 fois par jour si besoin
|
||||
Hospitalisation Atrovent 0.5mg/1mL solution inhalée 1 aérosol 3 fois par jour si besoin
|
||||
Chambres 3760 à 3772 Location d’appareil pour aérosol pneumatique
|
||||
Tel : [[TEL]]
|
||||
Chambres 3773 à 3783 Poursuit du traitement habituel par ailleurs
|
||||
Tel : [[TEL]]
|
||||
Explorations Endoscopies Suite de prise en charge :
|
||||
Tel : [TEL] Kinésithérapie drainage
|
||||
Centre de Lutte Anti Tuberculeuse Vaccination anti grippale
|
||||
C.L.A.T. TDM thoracique non injecté low dose
|
||||
Tel : [[TEL]] Consultation pneumologue
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 3 sur 4 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [[TEL]] - Fax : [[TEL]]
|
||||
[[TEL]]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie
|
||||
Navarre Côte Basque
|
||||
Mme [NOM], cadre de
|
||||
fédération Les consignes d'usage ont été remises.
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération
|
||||
Chef de [MASK] [NOM] Bien confraternellement,
|
||||
[NOM]
|
||||
[EMAIL]
|
||||
Cadre de [MASK] [NOM]
|
||||
Docteur [NOM]
|
||||
Chef de [MASK] [NOM] *[[TEL]]*
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL] [[TEL]]
|
||||
Praticiens Hospitaliers
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
DESC [NOM]
|
||||
[EMAIL] Liste des destinataires :
|
||||
Dr [NOM] Madame [NOM] [NOM]
|
||||
Pneumologue Dr [NOM]
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
Médecin du Sport
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue - Allergologue
|
||||
DESC Réanimation Médicale
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Cadre de Santé :
|
||||
Mme [NOM]
|
||||
Tel : [[TEL]]
|
||||
Secrétariat Médical
|
||||
Tel : [[TEL]]
|
||||
Tel : [[TEL]]
|
||||
[EMAIL]
|
||||
Hospitalisation
|
||||
Chambres 3760 à 3772
|
||||
Tel : [[TEL]]
|
||||
Chambres 3773 à 3783
|
||||
Tel : [[TEL]]
|
||||
Explorations Endoscopies
|
||||
Tel : [TEL]
|
||||
Centre de Lutte Anti Tuberculeuse
|
||||
C.L.A.T.
|
||||
Tel : [[TEL]]
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 4 sur 4 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie Bayonne, le 12/10/2023
|
||||
Navarre Côte Basque
|
||||
Mme [NOM], cadre de
|
||||
fédération DR [NOM]
|
||||
Dr [NOM], coordonnateur [ADRESSE]
|
||||
médical de fédération [CODE_POSTAL]
|
||||
DR [NOM]
|
||||
Chef de [MASK] [NOM]
|
||||
[ADRESSE]
|
||||
[NOM] [CODE_POSTAL]
|
||||
[EMAIL]
|
||||
C Ma mdr ee Cd he rP iô stle
|
||||
elle [NOM]
|
||||
Mon cher confrère,
|
||||
Chef de [MASK] [NOM] [NOM] [DATE_NAISSANCE] a été hospitalisée dans le service du 09/10/2023 au 10/10/2023 pour le motif
|
||||
Dr [NOM] [NOM] suivant :
|
||||
Pneumologue
|
||||
DESC Cancérologie - Dyspnée
|
||||
[EMAIL]
|
||||
P Dr ra Dtic ai nen ies
|
||||
l
|
||||
H Bo Osp Nit Nal Eie Trs - Motif d'hospitalisation : exacerbation de BPCO
|
||||
Pneumologue
|
||||
DESC [NOM] Correspondants :
|
||||
[EMAIL] Médecin traitant : Dr [NOM] (Vaires sur Marne)
|
||||
Dr [NOM] [NOM] Pneumologue : Dr [NOM] (Chesse)
|
||||
Pneumologue
|
||||
DESC Cancérologie Antécédents :
|
||||
[EMAIL] - BPCO
|
||||
Dr [NOM] - Dyslipidémie
|
||||
Pneumologue - Dépression
|
||||
DESC Cancérologie
|
||||
[EMAIL] - fractures orteils à droite
|
||||
Dr [NOM]
|
||||
Pneumologue Allergies :
|
||||
Médecin du Sport Aucunes connues
|
||||
[EMAIL]
|
||||
Dr [NOM] [NOM] [NOM] habituels :
|
||||
Pneumologue - Allergologue - [NOM] [TEL]
|
||||
DESC Réanimation Médicale - Lamictal 50 1-0-1
|
||||
[EMAIL] - Sertraline 50 1-1-0
|
||||
Dr [NOM] - Theralene [TEL]
|
||||
Pneumologue - simvastatine 10 0-0-1
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
-
|
||||
-
|
||||
t oe xd ar za ela pn
|
||||
a
|
||||
mL P
|
||||
[TEL]
|
||||
-
|
||||
[TEL]
|
||||
Pneumologue
|
||||
DESC Cancérologie - cozaar 50 1-0-0
|
||||
[EMAIL] - ventoline 2/j
|
||||
Dr [NOM]
|
||||
Pneumologue Mode de vie :
|
||||
DESC Cancérologie A la retraite , travaillait à la bourse américaine
|
||||
[EMAIL] [NOM] en vacances au [NOM], était sur le trajet pour rentrer chez elle en région parisienne
|
||||
Cadre de Santé : Vit avec son marie , sédentarité importante depuis 6/7 mois dans un contexte d'asthénie : c'est son mari qui s'occupe des
|
||||
Mme [NOM] courses de la cuisine et du ménage
|
||||
Tel : [TEL] A des enfants
|
||||
Secrétariat Médical
|
||||
Tel : [TEL] Toxiques :
|
||||
Tel : [TEL] Tabac sevré depuis janvier 2023 , commencé à 17 ans : 30 PA
|
||||
[EMAIL] Pas de canabis
|
||||
Hospitalisation
|
||||
Chambres 3760 à 3772 Histoire de la maladie :
|
||||
Tel : [TEL] Se sent asthénique depuis 6 mois associée à une anorexie sans perte de poids
|
||||
Chambres 3773 à 3783
|
||||
Tel : [TEL] Etait en vacances au [NOM] avec son mari
|
||||
Présente une dyspnée progressive depuis plusieurs jours sans notion de fièvre mais avec une toux et des crachats
|
||||
Explorations Endoscopies
|
||||
Tel : [TEL] qui deviennent plus abondants et colorés
|
||||
Centre de Lutte Anti Tuberculeuse
|
||||
C.L.A.T.
|
||||
Cliniquement aux urgences :
|
||||
Tel : [TEL] A l arrivée FR 32 signes de luttes respi pas de sueurs
|
||||
finit ses phrases
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 1 sur 4 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie expiration à lèvres pincées
|
||||
Navarre Côte Basque abdo souple indolore
|
||||
Mme [NOM], cadre de sibilants bilatéraux+++ pas de crépitants
|
||||
fédération
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération PEC initiale aux urgences
|
||||
--> série de 3 aérosols + Augmentin + solumedrol
|
||||
Chef de [MASK] [NOM] [NOM] [NOM] complémentaires aux urgences :
|
||||
[NOM]
|
||||
[EMAIL]
|
||||
Bio :
|
||||
C
|
||||
M
|
||||
a mdr ee Cd he rP iô stle
|
||||
elle [NOM]
|
||||
H Pab
|
||||
s
|
||||
1 d3 e. 4
|
||||
tr
|
||||
o : up bla leq su e iott ne is
|
||||
q
|
||||
2 u9 es0 : leuco 10.2 dont PNN 8.33
|
||||
Chef de [MASK] 149
|
||||
Dr [NOM] 0.09
|
||||
Pneumologue ASAT 58 : ALAT 32
|
||||
DESC Cancérologie
|
||||
[EMAIL] Cholestase avec GGT 253 : PAL 130
|
||||
tropo 44 : T pro BNP 273
|
||||
Praticiens Hospitaliers
|
||||
Dr [NOM]
|
||||
Pneumologue [NOM] sous 2L : pH 7.4 ; pO2 102 pCO2 43 bicar 26.5
|
||||
DESC [NOM]
|
||||
[EMAIL] [NOM] :
|
||||
Dr [NOM] PCR covid grippe et VRS négative
|
||||
Pneumologue
|
||||
DESC Cancérologie Radio de thorax :
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
O Pan
|
||||
s
|
||||
n de
|
||||
e
|
||||
m sie gt
|
||||
n
|
||||
p ea ds
|
||||
'
|
||||
ée pn
|
||||
a
|
||||
é nv ci hd ee mnc ee
|
||||
n
|
||||
td pe
|
||||
l
|
||||
efo uy rae lr
|
||||
.
|
||||
infectieux parenchymateux.
|
||||
Pneumologue
|
||||
DESC Cancérologie Aspect normal de la silhouette cardio-médiastinale. Lésion nodulaire d'allure spiculée en projection de la base droite :
|
||||
[EMAIL] lésion parenchymateuse versus mammaire à confronter à distance un scanner dédiée. De la base droite
|
||||
Dr [NOM]
|
||||
Pneumologue ECG : RRS qrs fins pas de trouble de repolarisation pas de s1q3
|
||||
Médecin du Sport
|
||||
[EMAIL] [NOM] en pneumologie pour la suite de la prise en charge
|
||||
Dr [NOM]
|
||||
Pneumologue - Allergologue
|
||||
DESC Réanimation Médicale
|
||||
c Dn ro c [NOM] [EMAIL] Evolution :
|
||||
Pneumologue Interrogatoire :
|
||||
[EMAIL] M'explique qu'une dyspnée avec majoration de la quantité et la purulence des crachats depuis quelques jours mais n'y a pas
|
||||
Dr [NOM] trop prête attention car elle était en vacances
|
||||
Pneumologue Consulte aux urgences devant la dyspnée qui est devenue trop importante
|
||||
DESC Cancérologie
|
||||
[EMAIL] Elle m'explique aussi qu'elle présente depuis 6/7 mois une asthénie importante l'empêchant de réaliser seule les AVQ
|
||||
Dr [NOM] [NOM] En parallèle : anorexie sans perte de poids objectivée
|
||||
Pneumologue
|
||||
DESC Cancérologie Cliniquement à l'arrivée en pneumologie :
|
||||
[EMAIL]
|
||||
[NOM] 100% sous 1 L aux lunettes
|
||||
C Ma mdr ee Mde
|
||||
a
|
||||
S ria ln yt né :
|
||||
[NOM]
|
||||
N [NOM] sn
|
||||
p
|
||||
d ny és ep an ué i mqu oe
|
||||
in
|
||||
a du
|
||||
r
|
||||
er e ep fo fos
|
||||
rt dans un contexte de probable déconditionnement cardio respi
|
||||
Tel : [TEL]
|
||||
Secrétariat Médical Pas de signes de détresse respiratoire, non polypnéique , pas de tirage
|
||||
Tel : [TEL] Toux et crachats sales
|
||||
Tel : [TEL]
|
||||
[EMAIL] Pas d'hémoptysie
|
||||
Auscultation : sibilants avec frein expiratoire
|
||||
Hospitalisation
|
||||
Chambres 3760 à 3772
|
||||
Tel : [TEL] Pas de douleurs thoraciques
|
||||
Chambres 3773 à 3783 Légers OMI prenant le godet
|
||||
Tel : [TEL] Mollets souples et non douloureux
|
||||
Explorations Endoscopies
|
||||
Tel : Poste [TEL] Pas de plaintes abdominales ni urinaires
|
||||
Centre de Lutte Anti Tuberculeuse
|
||||
C.L.A.T. CAT :
|
||||
Tel : [TEL] Tentative de diminution de l'O2 pour sevrage rapide
|
||||
Poursuite aérosol, Augmentin 1g x 3 et Solupred 40 mg
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 2 sur 4 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [[TEL]] - Fax : [[TEL]]
|
||||
[[TEL]]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie Intérêt à consulter son pneumologue dans le mois qui arrive avec un scanner thoracique
|
||||
Navarre Côte Basque
|
||||
Mme [NOM], cadre de 93% en AA, apyrétique
|
||||
fédération Expectoration sale, encombrement prédominant aux bases, non spastique, pas de signes de luttes
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération Autonome dans les AVQ sans désaturation
|
||||
transit et appétit conservé
|
||||
Chef de [MASK] [NOM] Pas de plaintes
|
||||
[NOM]
|
||||
[EMAIL]
|
||||
RAD Paris demain si évolution favorable (ordo imprimés dans le dossier)
|
||||
Cadre de Pôle
|
||||
M me [NOM] [NOM] Poursuite AUGMENTIN/ CTC/ Aerosol
|
||||
Chef de [MASK] [NOM] TDM thorax et consult pneumo
|
||||
Pneumologue vaccin grippe
|
||||
DESC Cancérologie
|
||||
[EMAIL] 11/10/23 CNE
|
||||
exacerbation de BPCO aujourd'hui pas encore bien contrôlée
|
||||
Praticiens Hospitaliers
|
||||
Dr [NOM] apyrétique, [NOM] correcte
|
||||
Pneumologue poursuite de la même prise en charge
|
||||
DESC [NOM] le mari de la patiente souhaite un rapatriement => doit contacter son assurance pour qu'ils nous appellent
|
||||
[EMAIL] 12/10/23 CNE
|
||||
Dr [NOM] [NOM] lettre Dr [NOM] : emphysème sur le scanner avec syndrome obstructif (VEMS à 48% soit 660 ml), distension vraie
|
||||
Pneumologue associée (CPT : 130%, VR : 230%)
|
||||
DESC Cancérologie ttt par trimbow nexthaler : 2bX2/j
|
||||
[EMAIL]
|
||||
Dr [NOM] ce jour la patiente va bien
|
||||
Pneumologue
|
||||
DESC Cancérologie auscultation : RAS
|
||||
[EMAIL] retour à domicile avec rapatriement demain
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
Médecin du Sport
|
||||
[EMAIL] Votre patient(e) quitte le service avec :
|
||||
Dr [NOM] [NOM] - Pharmacie :
|
||||
Pneumologue - Allergologue LACTEOL 340MG PDR [NOM] [10] Sachet(s) 1 SACHET (ORALE) matin midi soir
|
||||
DESC Réanimation Médicale
|
||||
[EMAIL] LOXEN LP 50MG GELULE [60] Gelule(s) 1 GELULE (ORALE) matin soir (8h - 19h)
|
||||
Dr [NOM]
|
||||
AMOX/AC CLAV SDZ 1G/125MG AD SACH [12] Sachet(s) 1 G (ORALE) matin midi soir
|
||||
Pneumologue LAMICTAL 25MG CPR DISP [30] COMPRIME(S) 2 COMPRIME (ORALE) matin soir (8h - 19h)
|
||||
[EMAIL] LOSARTAN EG 50MG CPR [90] COMPRIME(S) 1 COMPRIME (ORALE) matin [8h]
|
||||
Dr [NOM] SERESTA 10MG CPR [30] COMPRIME(S) 1 COMPRIME (ORALE) nuit [21h]
|
||||
Pneumologue SIMVASTATINE AHL 20MG CPR [28] COMPRIME(S) .5 COMPRIME (ORALE) soir [19h]
|
||||
DESC Cancérologie THERALENE 5MG CPR [50] COMPRIME(S) 2 COMPRIME (ORALE) matin [8h]
|
||||
[EMAIL] [NOM] [NOM] 5/7.2MCG INH 120 D [120] REC. UNIDOSE(s) 2 UNIDOSE (INHALEE) en direct matin soir
|
||||
Dr [NOM] (8h - 19h)
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
s [EMAIL] Conclusion :
|
||||
Cadre de Santé :
|
||||
Mme [NOM]
|
||||
- Exacerbation aigue d'une BPCO post tabagique chez une [AGE] sur probable surinfection bronchique
|
||||
Tel : [[TEL]] sans documentation microbiologique d'évolution favorable.
|
||||
Secrétariat Médical
|
||||
Tel : [[TEL]]
|
||||
Traitement de sortie :
|
||||
Tel : [[TEL]] -AUGMENTIN 1g/8h jusqu’au 16/10 inclus
|
||||
[EMAIL] -PARACETAMOL 1g/6h si douleurs
|
||||
Hospitalisation -SOLUPRED 40mg le matin jusqu’au 13/10
|
||||
Chambres 3760 à 3772
|
||||
Tel : [[TEL]] Ventoline 5mg/2mL solution inhalée 1 aérosol 3 fois par jour si besoin
|
||||
Chambres 3773 à 3783 Atrovent 0.5mg/1mL solution inhalée 1 aérosol 3 fois par jour si besoin
|
||||
Tel : [[TEL]] Location d’appareil pour aérosol pneumatique
|
||||
Explorations Endoscopies
|
||||
Tel : [TEL] Poursuit du traitement habituel par ailleurs
|
||||
Centre de Lutte Anti Tuberculeuse
|
||||
C.L.A.T. Suite de prise en charge :
|
||||
Tel : [[TEL]] Kinésithérapie drainage
|
||||
Vaccination anti grippale
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 3 sur 4 N° Finess [MASK]
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
☎ [TEL] - Fax : [TEL]
|
||||
[TEL]
|
||||
[MASK]
|
||||
[MASK]
|
||||
ICANCE - Institut de Cancérologie TDM thoracique non injecté low dose
|
||||
Navarre Côte Basque Consultation pneumologue
|
||||
Mme [NOM], cadre de
|
||||
fédération
|
||||
Dr [NOM], coordonnateur
|
||||
médical de fédération
|
||||
Chef de [MASK].
|
||||
Dr [NOM]
|
||||
[NOM]
|
||||
[EMAIL]
|
||||
Cadre de [MASK] [NOM]
|
||||
Bien confraternellement,
|
||||
Chef de [MASK] [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie Docteur [NOM]
|
||||
[EMAIL] *[TEL]*
|
||||
Praticiens Hospitaliers
|
||||
Dr [NOM]
|
||||
Pneumologue [TEL]
|
||||
DESC [NOM]
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie Liste des destinataires :
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
M [NOM] kd aa bm be
|
||||
a
|
||||
nK [NOM] [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
Médecin du Sport
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue - Allergologue
|
||||
DESC Réanimation Médicale
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Dr [NOM]
|
||||
Pneumologue
|
||||
DESC Cancérologie
|
||||
[EMAIL]
|
||||
Cadre de Santé :
|
||||
Mme [NOM]
|
||||
Tel : [TEL]
|
||||
Secrétariat Médical
|
||||
Tel : [TEL]
|
||||
Tel : [TEL]
|
||||
[EMAIL]
|
||||
Hospitalisation
|
||||
Chambres 3760 à 3772
|
||||
Tel : [TEL]
|
||||
Chambres 3773 à 3783
|
||||
Tel : [TEL]
|
||||
Explorations Endoscopies
|
||||
Tel : [TEL]
|
||||
Centre de Lutte Anti Tuberculeuse
|
||||
C.L.A.T.
|
||||
Tel : [TEL]
|
||||
Patient(e) : [NOM] [NOM] [NOM] [NOM] [NOM] Né(e) le [DATE_NAISSANCE]
|
||||
IPP : [IPP] / [EPISODE] (PNEUMOLOGIE PHTISIOLOGIE HC)
|
||||
V1 - Imprimé le 23/04/2025 à 14 : 29 par Page(s): 4 sur 4
|
||||
22
regression_tests/baseline/CRH 321_23066387.audit.jsonl
Normal file
22
regression_tests/baseline/CRH 321_23066387.audit.jsonl
Normal file
@@ -0,0 +1,22 @@
|
||||
{"page": 0, "kind": "ETAB", "original": "Pôle Spécialités Médicales", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Service Hématologie", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Anne BANOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Clinique des Hôpitaux de Bordeaux Docteur Pierre COUDANNE", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64240 URT", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Frédéric BAUDUER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sophie BERNARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 20/02/1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "COUDANNE Pierre", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Louise BOUARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Claudie CAPDUPUY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Julie GAY Lumbago", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Marielle LE-MECHEC", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Corinne MONNIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent DAVID", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "secr.hema@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "hospi.hemato@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "DATE_NAISSANCE", "original": "né le 20/02/1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "COUDANNE Pierre", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "DATE_NAISSANCE", "original": "né le 20/02/1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "COUDANNE Pierre", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Sophie BERNARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
150
regression_tests/baseline/CRH 321_23066387.pseudonymise.txt
Normal file
150
regression_tests/baseline/CRH 321_23066387.pseudonymise.txt
Normal file
@@ -0,0 +1,150 @@
|
||||
C E N T R E H O S P I T A L I E R D E L A C ÔT E B A S Q U E
|
||||
[ADRESSE]’Interne [ETABLISSEMENT] - B.P. 8 – [CODE_POSTAL]
|
||||
[MASK]
|
||||
[TEL]
|
||||
*[TEL]* [MASK]
|
||||
Secrétariat : [TEL]/34 - Télécopie : [TEL]
|
||||
Secteur Conventionnel- [TEL] - Secteur protégé : [TEL].
|
||||
[ETABLISSEMENT] : Secrétariat [TEL] Télécopie [TEL]
|
||||
Médecin Chef de [MASK] : SB/LL
|
||||
Dr [NOM] Bayonne, le [DATE_NAISSANCE]
|
||||
Ancien Interne des Hôpitaux de Lille
|
||||
Ancien Chef de [ETABLISSEMENT]
|
||||
AVENUE [NOM]
|
||||
[CODE_POSTAL]
|
||||
Praticiens Hospitaliers
|
||||
Dr [NOM]
|
||||
Cher Confrère,
|
||||
Dr [NOM]
|
||||
Monsieur [NOM], [DATE_NAISSANCE], a été hospitalisé dans le service
|
||||
d'hématologie du 27 mars au [DATE_NAISSANCE] pour 1ère cure de R-CYVE pour un lymphome de
|
||||
Dr [NOM]
|
||||
[NOM].
|
||||
Dr [NOM] ANTECEDENTS
|
||||
Dr [NOM] [NOM] [NOM] :
|
||||
Maladie d’Hashimoto non traitée
|
||||
Dr [NOM] il y a 5ans
|
||||
Dr [NOM] [NOM] Allergies : NC
|
||||
Dr [NOM] [NOM] [NOM] habituels :
|
||||
BACTRIM FORTE : 1cp/j Lun Me Ve
|
||||
LEDERFOLINE 25 : 1/sem
|
||||
VALACICLOVIR 500 : 2/jour
|
||||
SYMBICORT.
|
||||
Cadres de santé
|
||||
Mme [NOM] Bilan pré-thérapeutique
|
||||
Cadre de [MASK] 19 : Vaccination à jour dont covid x 3 et infection en juillet 2022
|
||||
VIH – VHB – VHC : négatives le 10/02/23.
|
||||
Mme [NOM]
|
||||
Cadre Infirmier ETT : FEVG 63%, sans anomalie retrouvé
|
||||
Secteur Conventionnel
|
||||
MODE DE VIE
|
||||
Mr [NOM] Médecin généraliste à [VILLE]
|
||||
Cadre Infirmier
|
||||
Hospitalisation de Jour Marié, 3 enfants (jumeaux de 10ans, fille de 3ans)
|
||||
2 chats au domicile, pas de contact avec autre animal
|
||||
Pas de voyage récent
|
||||
Pas d’intoxication alcoolo-tabagique, pas de drogue
|
||||
Secrétariat Médical
|
||||
Loisirs : tennis
|
||||
Consultations :
|
||||
: [TEL] HISTOIRE DE LA MALADIE
|
||||
Fax : [TEL] Notion de soins dentaires le 18/01 (détartrage, carie).
|
||||
[EMAIL] Apparition le 21/01 de douleurs lombaires de type sciatalgie tronquée bilatérale d’horaire
|
||||
inflammatoire, non soulagées par AINS.
|
||||
Secr.Hospitalisation Hématologie : Douleur dentaire gauche automédiquée par AUGMENTIN depuis le 26/01. Mise sous
|
||||
: [TEL] antalgiques pallier 3.
|
||||
Fax : [TEL] Le 28/01 au soir, sensation de sueurs avec frissons, subfébrile à 38°C.
|
||||
[EMAIL] Majoration des douleurs osseuses.
|
||||
Accueil / Programmation Le patient consulte aux urgences pour suspicion de spondylodiscite. Aux urgences :
|
||||
[ETABLISSEMENT] :
|
||||
- sur le plan biologique : LDH 1100UI/l, CRP 120mg/l, myélémie à 6%, CMF B sans
|
||||
: [TEL]
|
||||
anomalie, marqueurs tumoraux négatifs. Monsieur [NOM], [DATE_NAISSANCE] – 2
|
||||
- IRM rachis thoraco-lombaire 01/02 : Il n'y a pas d'atteinte spondylodiscale
|
||||
d’allure infectieuse. Mise en évidence d'un aspect très hétérogène de la trame osseuse de
|
||||
l'ensemble du rachis. Il existe de multiples lésions se présente en hypersignal en pondération
|
||||
T2 et se rehaussant après injection. Ces lésions doivent faire rechercher une pathologie
|
||||
hématologique ou oncologique. Il n'est pas décelé de tassement vertébral. Pas d'épidurite
|
||||
visible. Pas de compression de la moelle épinière ou des racines de la queue de
|
||||
cheval. CONCLUSION : L'examen met en évidence de multiples lésions du rachis à
|
||||
confronter à un bilan étiologique oncologique et hématologique.
|
||||
- TDM TAP 01/02 : Présence d'un épaississement pariétal de l'iléon situé à environ 10 cm de la
|
||||
valvule terminale, étendue sur environ 10 cm, concentrique, assez peu sténosante. L'aspect
|
||||
peut faire évoquer deux étiologies : adénocarcinome de l'iléon ou lymphome. Lésions
|
||||
ganglionnaires mésentériques associées
|
||||
Biopsie iléale 03/02/23 (relecture Bordeaux OK) : Lymphome de burkitt avec expression
|
||||
diffuse et inhabituelle de MUM1.
|
||||
Réarrangement de MYC en FISH, sans réarrangement de BCL2/BCL6.
|
||||
Myélogramme (10/02/23) : localisation médullaire d'un lymphome B de haut grade de
|
||||
malignité, dont l'aspect cytologique est compatible avec un lymphome type Burkitt/ Burkitt
|
||||
like.
|
||||
Caryotype médullaire : t(2;8) dans 1 mitose sur 27.
|
||||
PL (10/02/23) : prot = 0.53 - 2 éléments - Anapth négatif
|
||||
Le diagnostic de lymphome de Burkitt est posé sur la clinique, l'anatomopathologie, la présence
|
||||
d'une t(2 : 8) sur la caryotype et d'un réarrangement MYC en FISH.
|
||||
Au total, Lymphome de Burkitt stade IV, moelle +, SNC-. Traitement selon le protocole
|
||||
LMB02, bras C3.
|
||||
COP - J1 = 10/02/23 (1PL)
|
||||
TDM TAP J7 (16/02/23) : Diminution de la masse tumorale en rapport avec le lymphome de
|
||||
Burkitt : au niveau de l'atteinte de l'iléon terminal et des adénomégalies ilio caecales satellites.
|
||||
R-COPADEM J0 = 16/02/23 - Pas de complication en dehors d'une aplasie fébrile non
|
||||
documentée.
|
||||
(2PL à J0 et J6)
|
||||
R-COPADEM n2 J0 = 06/03/23 - (2PL à J0 et J6) - Pas de complication.
|
||||
Bilan évaluation :
|
||||
TEP scanner (24/03/23) : Régression de l'atteinte iléale et de l'atteinte ganglionnaire satellite.
|
||||
Petite régression de l'hépato-splénomégalie sans anomalie métabolique.
|
||||
Métabolisme ostéomédullaire homogène d'intensité nettement diminuée, d'allure post-
|
||||
thérapeutique ce jour. Persistance d'un hypermétabolisme focal intense en avant de l'angle
|
||||
mandibulaire gauche, déjà présent sur l'examen TEP initial et non caractérisable sur les images
|
||||
TDM non injectées : discuter IRM centrée pour caractérisation.
|
||||
Myélogramme (27/03/23) : aspect de RC cytologique
|
||||
IRM [NOM] (28/03/23 - Dr [NOM]) : Lésion de 9-10 mm centrée sur la commissure
|
||||
intermaxillaire gauche bien limitée sans infiltration des structures adjacentes, non évolutive
|
||||
comparativement aux imageries antérieures dont la caractérisation est difficile mais paraissant
|
||||
atypique pour de l'atteinte lymphomateuse au vu de l'évolutivité. L'hypothèse d'une tumeur
|
||||
nerveuse reste possible (schwannome). À confronter à l'évolution
|
||||
INTERCURE
|
||||
Fièvre vespérale du 22 au 25/03/23 - associée à des diarrhées
|
||||
Introduction d'Augmentin le 25/03/23 en HDJ
|
||||
Prélèvement microbio négatifs.
|
||||
Se sent beaucoup mieux depuis hier. Monsieur [NOM], [DATE_NAISSANCE] – 3
|
||||
BILAN BIOLOGIQUE
|
||||
27/03/23
|
||||
Hb = 9.6 - plqt = 418 - GB = 10.4
|
||||
LDH normales - BHC normal - Préalb = 0.17 - Alb = 39
|
||||
Créat = 67
|
||||
EXAMEN PHYSIQUE
|
||||
PS = 0
|
||||
Pas de syndrome tumoral palpable
|
||||
Examen neurologique normal
|
||||
Auscultation cardiopulmonaire normale.
|
||||
EVOLUTION HOSPITALISATION
|
||||
Sur le plan hématologique :
|
||||
J1C1 R-CYVE le 28/03/23
|
||||
Rituximab 375 mg/m2 soit 750 mg DT J1
|
||||
Cytarabine 100mg/12h J1 à J5
|
||||
Cytarabine HD 2000 mg/m2 soit 4000 mg DT J2 à J5
|
||||
Etoposide 200mg/m2 soit 400 mg J2 à J5
|
||||
PL triple (rattrapage COP) le 29/03/23 : 1 élément.
|
||||
Bonne tolérance de la chimiothérapie.
|
||||
Sur le plan infectieux
|
||||
Pas de récidive fébrile en hospitalisation.
|
||||
TRAITEMENT DE SORTIE
|
||||
BACTRIM FORTE : 1cp/j Lun Me Ve
|
||||
LEDERFOLINE 25 : 1/sel
|
||||
VALACICLOVIR 500 : 2/jour
|
||||
LANSOPRAZOLE 15 : 1/jour
|
||||
Duphalac et Paracetamol si besoin
|
||||
SYMBICORT
|
||||
CONCLUSION : 1ère cure de R-CYVE pour un lymphome de Burkitt traité dans le
|
||||
groupe C3 du LMB02.
|
||||
PROCHAIN RDV :
|
||||
RAD
|
||||
HDJ transfusionnels demandés avec fiche de consigne transfusionnelle.
|
||||
R-CYVE n2 en hospitalisation le 24/04/2023
|
||||
TEP + IRM post R-CYVE n2 demandés.
|
||||
Patient informé de la prise en charge thérapeutique et ou sa personne de confiance.
|
||||
Bien confraternellement.
|
||||
Docteur [NOM]
|
||||
Courrier lu et validé par le médecin
|
||||
@@ -0,0 +1 @@
|
||||
|
||||
5
regression_tests/baseline/CRO 23084754.audit.jsonl
Normal file
5
regression_tests/baseline/CRO 23084754.audit.jsonl
Normal file
@@ -0,0 +1,5 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Caroline DOMBRIZ FRADIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "15 BIS RUE AMEDEE DUFOURG", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE-THEREZE AGUIRRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 12/02/1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
53
regression_tests/baseline/CRO 23084754.pseudonymise.txt
Normal file
53
regression_tests/baseline/CRO 23084754.pseudonymise.txt
Normal file
@@ -0,0 +1,53 @@
|
||||
CROp [NOM] - [NOM], [NOM] [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
>>>1 CRO type chirurgie viscérale 06/05/23 10 : 32 (mod. le 12/05/23 12:23 par [NOM] An
|
||||
LE/ AA
|
||||
Bayonne, le 11 mai 2023
|
||||
Docteur [NOM]
|
||||
[ADRESSE]
|
||||
[CODE_POSTAL]
|
||||
Madame [NOM]
|
||||
[DATE_NAISSANCE]
|
||||
CHOLECYSTECTOMIE SOUS COELIOSCOPIE
|
||||
DIAGNOSTIC : Cholécystite aiguë. Patiente admise aux urgences sur des douleurs fébriles de l’hypochondre.
|
||||
cholécystite.
|
||||
Compte rendu opératoire du 01/05/2023 :
|
||||
Opérateur : Docteur L. [NOM]
|
||||
Anesthésiste(s) Docteur J. [NOM]
|
||||
Aide(s) : L'interne
|
||||
VOIE D’ADORD : Laparoscopie
|
||||
CONSTATATIONS OPERATOIRES :
|
||||
La vésicule est en réplétion, inflammatoire :
|
||||
Le foie est d’aspect normal,
|
||||
Le canal cystique est court, mais facilement individualisable
|
||||
Cholangiographie per-opératoire : non
|
||||
GESTES EFFECTUES :
|
||||
Création d’un pneumopéritoine par open laparoscopie péri-ombilicale. Introduction d’un trocart de 10 mm sous
|
||||
pour insufflation du pneumopéritoine jusqu’à 12 mm de Hg.
|
||||
Introduction sous contrôle de la vue d’un trocart de 5 mm dans le flanc droit. D’un trocart de 10 mm dans l’hyp
|
||||
d’un trocart de 5 mm en position sous-xiphoïdienne pénétrant dans la cavité abdominale à gauche du ligamen
|
||||
Ponction vésiculaire.
|
||||
Abord et dissection du triangle de Callot et de l’infundibulum vésiculaire permettant d’individualiser le canal cy
|
||||
du collet vésiculaire ainsi que l'artère cystique.
|
||||
Section du canal cystique après contrôle du moignon cystique restant par trois clips (HEMOLOCK 10) Section
|
||||
entre trois (HEMOLOCK 10). Cholécystectomie rétrograde. Extériorisation de la vésicule dans un endosac intr
|
||||
de 10 mm.
|
||||
Vérification du lit vésiculaire et réalisation d'hémostase complémentaire ponctuelle.
|
||||
Vérification de l'artère et du canal cystique clipés qui retrouve une bonne hémostase et l'absence de fuite bilia
|
||||
Ablation de tous les trocarts sous contrôle la vue ce qui permet de vérifier l'absence de saignement au niveau
|
||||
ponction.
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 1 08/04/2025 09 : 50:42 CROp [NOM] - [NOM], [NOM] [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
Exsufflation de l'ensemble du pneumopéritoine.
|
||||
Fermeture aponévrotique des orifices trocart de 10 mm par un point en X de Vicryl 0.
|
||||
Fermeture cutanée par agrafes
|
||||
Drainage : non
|
||||
Bactériologie : oui
|
||||
Ponction vésiculaire : oui
|
||||
Envoi de la pièce opératoire pour examen anatomopathologique : Aspect macroscopique : Présence de calcul
|
||||
Difficultés per-opératoires : non
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 2 08/04/2025 09 : 50:42
|
||||
13
regression_tests/baseline/CRO 23098838.audit.jsonl
Normal file
13
regression_tests/baseline/CRO 23098838.audit.jsonl
Normal file
@@ -0,0 +1,13 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Stephan GUILHEM-DUCLEON", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "15 BIS RUE AMEDEE DUFOURG", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Michel PRIOT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 09/06/1953", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Magali VERGEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Magali VERGEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
31
regression_tests/baseline/CRO 23098838.pseudonymise.txt
Normal file
31
regression_tests/baseline/CRO 23098838.pseudonymise.txt
Normal file
@@ -0,0 +1,31 @@
|
||||
CROp Epi - [NOM], [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
>>>1 CRO type chirurgie viscérale 06/06/23 15 : 58 (mod. le 06/06/23 16:03 par [NOM] [NOM] , statut : Rés
|
||||
LM / EP
|
||||
Docteur [NOM]
|
||||
[ADRESSE]
|
||||
[CODE_POSTAL]
|
||||
Monsieur [NOM]
|
||||
[DATE_NAISSANCE]
|
||||
RTV
|
||||
Histoire Clinique :
|
||||
- Patient initialement pris en charge par le Docteur [NOM] pour des hématuries macroscopiques.
|
||||
- Une échographie fait état d'une lésion polypoïde vésicale.
|
||||
- Du fait d'une récidive de ses hématuries macroscopiques, on décide d'avancer le geste d'intervention pour e
|
||||
exploration plus ou moins résection.
|
||||
Compte-rendu opératoire du 6 juin 2023 :
|
||||
Opérateur : Docteur [NOM]
|
||||
Anesthésiste : Docteur [NOM]
|
||||
Aide(s) [NOM] [NOM], Interne
|
||||
- Sous anesthésie générale, en position gynécologique, après antibiothérapie péri-opératoire.
|
||||
- Introduction du résecteur qui réalise une cystoscopie complète et retrouve des méats urétéraux normaux, av
|
||||
d’allure urothéliale près du méat urétéral gauche et d'autres lésions plus planes, suspectes de carcinome in si
|
||||
- Résections complète des lésions sauf celles du carcinome in situ planes qui sont très nombreuses.
|
||||
- On parvient néanmoins à réaliser de nombreux prélèvements pour examen histologique.
|
||||
- Hémostase soigneuse.
|
||||
- Mise en place d'une sonde Dufour charrière 18 pour irrigation-lavage.
|
||||
- Les urines sont claires.
|
||||
Docteur [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 1 15/04/2025 16 : 30:14
|
||||
15
regression_tests/baseline/CRO 23203642.audit.jsonl
Normal file
15
regression_tests/baseline/CRO 23203642.audit.jsonl
Normal file
@@ -0,0 +1,15 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Anne SEVILLA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64500 CIBOURE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Valerico SANCHEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "10, avenue Layats", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Polyclinique Côte Basque Sud", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64500 ST JEAN DE LUZ", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jean-Daniel BADIOLA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2 Avenue Pierre Larramendy", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64500 ST JEAN DE LUZ", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Andon LAZAROV", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 27/11/1958", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Alessandro FALCHETTI", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Estelle QUEANT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Alessandro FALCHETTI", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Estelle QUEANT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
68
regression_tests/baseline/CRO 23203642.pseudonymise.txt
Normal file
68
regression_tests/baseline/CRO 23203642.pseudonymise.txt
Normal file
@@ -0,0 +1,68 @@
|
||||
CROp Epi - [NOM], ANDON
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
>>>1 CRO type chirurgie viscérale 16/11/23 14 : 02 (mod. le 27/11/23 15:16 par [NOM] [NOM] , statut : Ré
|
||||
AL/AF
|
||||
Docteur [NOM]
|
||||
Cabinet Médical [NOM] [NOM]
|
||||
Place Du [NOM]
|
||||
[CODE_POSTAL]
|
||||
Docteur [NOM]
|
||||
[ADRESSE]
|
||||
[ETABLISSEMENT]
|
||||
[CODE_POSTAL]
|
||||
Docteur [NOM]
|
||||
[NOM]
|
||||
[ADRESSE]
|
||||
[CODE_POSTAL]
|
||||
Monsieur [NOM]
|
||||
[DATE_NAISSANCE]
|
||||
PONTAGE FEMORO-POPLITE SOUS ARTICULAIRE
|
||||
EN VEINE SAPHENE INVERSEE.
|
||||
Histoire Clinique :
|
||||
- Il s’agit d’un patient qui présente une thrombose d’anévrisme poplité gauche symptomatique avec une ischém
|
||||
inférieur gauche.
|
||||
- On propose la réalisation d’un pontage fémoro-poplité.
|
||||
Compte-rendu opératoire du 16.11.2023 :
|
||||
Opérateur : Docteur [NOM]
|
||||
Anesthésiste : Docteur [NOM]
|
||||
Aide(s) *
|
||||
- Sous anesthésie générale, après désinfection et mise en place de champs opératoires.
|
||||
- On réalise tout d’abord un abord poplité.
|
||||
- On met sur LAC l’artère poplitée en dessous de l’articulation.
|
||||
- On prélève la veine saphène qui est un peu grêle en dessous du genou, on remontera donc le prélèvement d
|
||||
jusqu’à la jonction tiers proximal – tiers moyen de cuisse.
|
||||
- On aborde ensuite l’artère fémorale au niveau de son segment II.
|
||||
- Mise sur LAC de cette artère.
|
||||
- Réalisation d’un trajet de tunnélisation entre l’incision poplitée et l’abord de l’artère fémorale superficielle pro
|
||||
- Héparinisation du patient par 3500Ui d’HEPARINE non fractionnée.
|
||||
- Vérification de la veine qui ne présente pas de fuite.
|
||||
- Les collatérales sont toutes liées au Vicryl 3/0.
|
||||
- Orientation de la veine par un feutrage.
|
||||
- On passe alors la veine dans le trajet de tunnélisation.
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 1 24/04/2025 10 : 03:34 CROp Epi - LAZAROV, [VILLE]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
- On réalise tout d’abord l’anastomose proximale.
|
||||
- Clampage de l’artère fémorale superficielle.
|
||||
- Artériotomie d’1cm.
|
||||
- Réalisation d’une anastomose termino-latérale entre la veine et l’artère au Prolène 5/0.
|
||||
- Mise en charge du pontage qui est bien pulsatile.
|
||||
- Purge de celui-ci au sérum hépariné.
|
||||
- Reclampage du pontage.
|
||||
- Découpe de la veine à la bonne longueur avec la jambe tendue.
|
||||
- Réalisation après clampage de l’artère poplitée d’une artériotomie à ce niveau de 1cm également.
|
||||
- Veinotomie correspondante.
|
||||
- Anastomose termino-latérale entre la veine et l’artère au Prolène 6/0.
|
||||
- Après purge, déclampage.
|
||||
- On réalise une bourse au Prolène 5/0 en amont de l’anastomose proximale sur l’artère fémorale superficielle
|
||||
- A ce niveau, mise en place d’un introducteur de 4French.
|
||||
- Par cet introducteur, on réalise une artériographie de contrôle qui montre la bonne perméabilité du pontage e
|
||||
vice anastomotique et la bonne perméabilité du lit distal.
|
||||
- Après retrait de l’introducteur, fermeture de la bourse.
|
||||
- Vérification de l’hémostase sur toutes les incisions.
|
||||
- Mise en place de deux Redons qui vont drainer toutes les incisions.
|
||||
- Fermeture de chaque incision par un Vicryl 0 en sous cutané et par des agrafes à la peau.
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 2 24/04/2025 10 : 03:34
|
||||
@@ -0,0 +1,18 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Anthony MURET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2, ALLÉE DE PLAISANCE", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "10 AVENUE MARECHAL SOULT", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Romain BILLON-GRAND", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance : 08/12/1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2, ALLÉE DE PLAISANCE\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "10 AVENUE MARECHAL SOULT\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET\nMme MARIE BARETS\nRES LE PARADOR", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE\nPatient", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Anthony MURET RÉSIDENCE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Romain BILLON-GRAND", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
@@ -0,0 +1,36 @@
|
||||
Courrier Epi - [NOM], [NOM] [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Courriers médicaux
|
||||
>>>A Lettre de sortie 10/04/23 14 : 19 (mod. le 13/04/23 15:58 par [NOM] [NOM], statut : complet)
|
||||
Ref : RBG/FL
|
||||
Bayonne, le 12 Avril 2023
|
||||
Dr [NOM]
|
||||
[NOM] [NOM] DES [NOM]
|
||||
[NOM] 9
|
||||
[ADRESSE]
|
||||
[CODE_POSTAL]
|
||||
Mme [NOM]
|
||||
[NOM] LE [NOM]
|
||||
[ADRESSE]
|
||||
[CODE_POSTAL]
|
||||
Patient(e) : Madame [NOM]
|
||||
Date de naissance : [DATE_NAISSANCE]
|
||||
COMPTE RENDU D’HOSPITALISATION
|
||||
Hospitalisation du 07/04/2023 au 10/04/2023
|
||||
Cher confrère,
|
||||
Madame [NOM] a été accueillie en urgence dans le service, pour hypertension intracrânienne, sur des héma
|
||||
sous-duraux chroniques.
|
||||
Des épisodes de vomissements, et chez nous une asthénie, une tendance confuse et des céphalées.
|
||||
On l’a finalement opérée en semi-urgence.
|
||||
Les suites sont extrêmement simples, avec d’emblée une patiente beaucoup plus confortable, bien consciente et sans
|
||||
focal.
|
||||
Elle sort donc avec de simples soins de pansements, et l’ablation des sutures à faire à une semaine de l’intervention, s
|
||||
vers le 15 avril.
|
||||
Je la reverrai dans un mois (le 11/05 à 11h50), munie d’un scanner qui est prescrit (rdv le 10/05 à 10h30).
|
||||
Pas de consigne particulière d’ici-là.
|
||||
Je vous remercie de votre confiance et reste à votre disposition.
|
||||
Mes respects.
|
||||
Docteur [NOM]
|
||||
Courrier lu et validé par le médecin
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 1 08/04/2025 10 : 29:37
|
||||
13
regression_tests/baseline/cr anesth 290_23025988.audit.jsonl
Normal file
13
regression_tests/baseline/cr anesth 290_23025988.audit.jsonl
Normal file
@@ -0,0 +1,13 @@
|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER DE LA COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "LAGARRIGUE Juliette", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "HARIZPE CAMINONDO Bernard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64120 ST JUST IBARRE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "0559378513", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "COMAT VINCENT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "QUEANT Estelle", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "LAGARRIGUE Juliette", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "HARIZPE CAMINONDO Bernard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "CODE_POSTAL", "original": "64120 ST JUST IBARRE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "TEL", "original": "0559378513", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "DE MONTAUDOUIN Jean", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "LAGARRIGUE Juliette", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
@@ -0,0 +1,274 @@
|
||||
[MASK]
|
||||
Anesthésiste : Dr [NOM]
|
||||
DOSSIER DE CONSULTATION
|
||||
(modifié le 23/02/2023)
|
||||
Date :
|
||||
17/02/23
|
||||
Nom :
|
||||
M. [NOM]
|
||||
N°Ipp :
|
||||
[TEL]
|
||||
Né(e) le :
|
||||
[DATE_NAISSANCE]
|
||||
79 ans
|
||||
Adresse :
|
||||
MAISON [NOM]
|
||||
[CODE_POSTAL]
|
||||
N? Csult : [IPP] /
|
||||
23025988
|
||||
N° Tél : [TEL]
|
||||
Poids : 65 kg
|
||||
Taille : 170 cm
|
||||
B.M.I. : 22.5
|
||||
Profession :
|
||||
Nom naiss. :
|
||||
Spécialiste :
|
||||
Médecin traitant :
|
||||
Date d'Intervention : 23/02/2023
|
||||
Opérateur : Dr [NOM]
|
||||
Motif d'admission : HOLEP
|
||||
à
|
||||
11 : 55
|
||||
CHIR.UROLOGIE C2
|
||||
Hospitalisé(e) le :
|
||||
à :
|
||||
Service :
|
||||
__ : __
|
||||
__/__/__
|
||||
Ambulatoire
|
||||
Urgence
|
||||
Entrée le jour de l'intervention
|
||||
Hospit. < 30 jours
|
||||
Anesthésiste en salle d'opération :
|
||||
Dr [NOM]
|
||||
Prévenir :
|
||||
Mémo :
|
||||
Obstétrique
|
||||
Allergie : [pyostacine]
|
||||
ATCD pulmonaires : Autres problèmes respiratoires : [H° en novembre pour pnp à pyocianique en réa iot, décupération
|
||||
quasiment ad intrégrum sur le plan respiratoire]
|
||||
Classe ASA : ASA3
|
||||
Etat dentaire : Edenté
|
||||
ATCD cardio-vasculaires : Valvulopathie, RAo : [grad moyen 25 02/25]
|
||||
Antécédents / Traitements
|
||||
Examen [ETABLISSEMENT] clinique :
|
||||
. Etat general/Altere fragile
|
||||
. Capacite d?effort/ 4 a 7 marche
|
||||
quotidienne
|
||||
. Cardio-vasculaire/
|
||||
Asymptomatique/Auscultation
|
||||
cardiaque/ Souffle systolique rao
|
||||
Hemostase clinique :
|
||||
. Anamnese normale
|
||||
. Pas d?indication a un bilan de
|
||||
coagulation
|
||||
Examen général :
|
||||
Homme, Poids : 65 Kg, Taille : 170 cm ,
|
||||
B.S.A. : 1.8 m², B.M.I. : 22.5
|
||||
. Jeûne : A jeun
|
||||
Etat dentaire / Prothèse :
|
||||
Etat dentaire : Edenté
|
||||
Informations données au patient :
|
||||
. Accord modalites d'anesthesie
|
||||
proposees
|
||||
. Brochure d'information remise au
|
||||
patient
|
||||
. Complications peri- et postoperatoires
|
||||
. Information Transfusion
|
||||
. Informations bien comprises
|
||||
. Rapport benefice/risque explique
|
||||
. Risque dentaire explique
|
||||
. Techniques Anesthesiques
|
||||
Technique d'anesthésie envisagée :
|
||||
Anesthésie : AG avec masque larynge
|
||||
Protocole : AG DIP-SUF
|
||||
Antibioprophylaxie : selon protocole
|
||||
Décisions / Prescriptions
|
||||
ATCD chirurgicaux :
|
||||
. Cataracte
|
||||
. Autres/1 phimosis
|
||||
ATCD cardio-vasculaires :
|
||||
. Valvulopathie /RAo grad moyen 25
|
||||
02/25
|
||||
. Insuffisance coronaire/Stent 2019 atc
|
||||
iva proximale , cd occluse
|
||||
. Trouble du rythme/AFCA clinique
|
||||
alternance fa et flutter
|
||||
. Arteriopathie/AOMI
|
||||
. Derniers examens/Echo fe N cinetique
|
||||
ok pas de valvulopathie mitro aortique
|
||||
prvg basses rao gradient moyen 25
|
||||
cavite droites non dilateees pas d'it vci
|
||||
souple/ECG 02/23 sinusal 96 bpm bav 1
|
||||
pr 240 bbdi gche
|
||||
. Consultation cardio 02/23
|
||||
ATCD pulmonaires :
|
||||
. Autres problemes respiratoires H?
|
||||
en novembre pour pnp a
|
||||
pyocianique en [ETABLISSEMENT]
|
||||
decuperation quasiment ad
|
||||
intregrum sur le plan respiratoire
|
||||
ATCD medicaux :
|
||||
. Autres/1 escarre pied droit en cours de
|
||||
cicatrisation
|
||||
. Endocrino-metabolique/Denutrition
|
||||
severe/Diabete/ Type 2 8.3% 02/23
|
||||
. Neurologique/AVC 2015 ischemique
|
||||
pas de sequelles
|
||||
Interrogatoire / Autorisation /
|
||||
Lateralite :
|
||||
. Vu seul
|
||||
. Patient apte a exprimer sa volonte et
|
||||
participe a la decision
|
||||
Dossier de consultation
|
||||
Le 28 Février 2023 11 : 28
|
||||
Page :
|
||||
1/2 Anesthésiste : Dr [NOM]
|
||||
DOSSIER DE CONSULTATION
|
||||
(modifié le 23/02/2023)
|
||||
Date :
|
||||
17/02/23
|
||||
Nom :
|
||||
M. [NOM]
|
||||
N°Ipp :
|
||||
[TEL]
|
||||
Né(e) le :
|
||||
[DATE_NAISSANCE]
|
||||
79 ans
|
||||
Adresse :
|
||||
MAISON [NOM]
|
||||
[CODE_POSTAL]
|
||||
N? Csult : [IPP] /
|
||||
23025988
|
||||
N° Tél : [TEL]
|
||||
Poids : 65 kg
|
||||
Taille : 170 cm
|
||||
B.M.I. : 22.5
|
||||
Profession :
|
||||
Nom naiss. :
|
||||
Intubation :
|
||||
. Mallampati 2
|
||||
. Distance Interincisive : >35mm
|
||||
. Distance thyromentonière : >65mm
|
||||
. Mobilité cervicale : normale
|
||||
Synthèse pré-opératoire :
|
||||
Programmation opératoire : maintenue
|
||||
Allergie : pyostacine
|
||||
Traitement(s) :
|
||||
Traitement(s) en cours :
|
||||
. xarelto 15 mg [suspendu le
|
||||
20/02/2023], Matin (1)
|
||||
. abasaglar (UI), Soir (30), A continuer
|
||||
jusqu'à la veille au soir
|
||||
. bisoprolol 1.25 mg (CP), Matin (1), A
|
||||
continuer le matin
|
||||
. forxiga 10 mg (CP), Midi (1)
|
||||
. inexium 20 mg (CP), Soir (1), A
|
||||
continuer jusqu'à la veille au soir
|
||||
. januvia 50 mg (CP), Matin (1)
|
||||
. kaleorid lp 1000 mg (CP), Matin (1),
|
||||
Soir (1), A continuer jusqu'à la veille au
|
||||
soir, A continuer le matin
|
||||
. lercan 20mg (CP), Matin (1), A
|
||||
continuer le matin
|
||||
. metformine 500 mg (CP), Matin (1),
|
||||
Soir (1)
|
||||
. seresta 10 mg (CP), Soir (1), A
|
||||
continuer jusqu'à la veille au soir
|
||||
Risques - classe ASA :
|
||||
. Classe ASA : ASA3
|
||||
. Intubation : RAS
|
||||
. Thrombo-embolique : Risque Moyen
|
||||
. Ventilation : A priori sans difficulte
|
||||
Prescription biologique :
|
||||
Résultat(s) récent(s) (N : Normal,
|
||||
A : Anormal) :
|
||||
- Ionogramme( N )
|
||||
- NFS / Hemoglobine( N )
|
||||
- Plaquettes( N )
|
||||
- Creat / DFG( A ) [dfg 38 02/22 (baisse
|
||||
xarelto en consequence)]
|
||||
Prescrit(s) :
|
||||
- E.C.B.U.
|
||||
- PCR COVID 19
|
||||
- R.A.I.
|
||||
- Groupe sanguin, Rh, 2 determinations
|
||||
[carte de groupe personnelle valide et
|
||||
verifiee]
|
||||
Transfusion :
|
||||
. Intervention a risque
|
||||
hemorragique/intermediaire
|
||||
. Carte de groupe/photocopie dans le
|
||||
dossier
|
||||
. RAI/prescrite + a recuperer neg 17/02
|
||||
. Information transfusion donnee
|
||||
Consigne(s) IDE :
|
||||
A jeun le 23/02/2023 à 00 : 00
|
||||
PCR COVID a recuperer
|
||||
Paracetamol 1gr per os en
|
||||
pre-medication
|
||||
Préparations :
|
||||
per-opératoire :
|
||||
. BIS
|
||||
. Baby-Noradrenaline
|
||||
VISITE PRE-ANESTHESIQUE
|
||||
Date :
|
||||
22/02/2023 16 : 59
|
||||
Anesthésiste :
|
||||
Dr [NOM]
|
||||
[NOM] / Eléments nouveaux (MAR)
|
||||
PCR COVID : neg 21/02
|
||||
Dossier transfu : gpe x2 ok, rai neg 17/02/23
|
||||
Cli : evolution favorable de l'escarre du talon selon le patient mais ATBttt par AUGMENTIN jusq'au 19/02 (8 jours au
|
||||
total) et radio prevue a distanc epour rechercher osteite...
|
||||
Exam comp : note cs
|
||||
Jeune : std
|
||||
Adaptation TTT : derniere prise Xarelto 20/02 - forxiga 22/02 (donc sur-risque theorique d'acidocetose euglicemique a
|
||||
garder en tete), presc pre-op signee.
|
||||
Dossier de consultation
|
||||
Le 28 Février 2023 11 : 28
|
||||
Page :
|
||||
2/2 Anesthésiste : Dr [NOM]
|
||||
[NOM]
|
||||
Date :
|
||||
17/02/2023 09 : 31
|
||||
Patient : [NOM] [NOM] [NOM] né(e) le :
|
||||
[DATE_NAISSANCE]
|
||||
I.P.P. : [TEL]
|
||||
N? Interv : [IPP]
|
||||
Né(e) le : [DATE_NAISSANCE]
|
||||
79 ans
|
||||
Consigne(s) IDE
|
||||
A jeun le 23/02/2023 à 00 : 00
|
||||
PCR COVID a recuperer
|
||||
Paracetamol 1gr per os en pre-medication
|
||||
PREPARATIONS
|
||||
- PER-Opératoires : BIS, Baby-Noradrenaline
|
||||
Adaptation du traitement personnel
|
||||
Nom du médicament, dosage, posologie
|
||||
Soir J-1
|
||||
Arrêt
|
||||
Matin J 0
|
||||
Prescription selon ordonnance du médecin traitant
|
||||
Midi J 0
|
||||
Coucher J-1
|
||||
abasaglar // UI, Soir : 30, A continuer jusqu'a la veille au soir
|
||||
30 UI
|
||||
bisoprolol 1.25 mg // CP, Matin : 1, A continuer le matin
|
||||
1 CP
|
||||
inexium 20 mg // CP, Soir : 1, A continuer jusqu'a la veille au soir
|
||||
1 CP
|
||||
kaleorid lp 1000 mg // CP, Matin : 1, Soir:1, A continuer jusqu'a la veille au soir, A
|
||||
continuer le matin
|
||||
1 CP
|
||||
1 CP
|
||||
lercan 20mg // CP, Matin : 1, A continuer le matin
|
||||
1 CP
|
||||
seresta 10 mg // CP, Soir : 1, A continuer jusqu'a la veille au soir
|
||||
1 CP
|
||||
Date / Heure
|
||||
Validation IDE
|
||||
Prémédication
|
||||
Le 28 Février 2023 11 : 28
|
||||
Page :
|
||||
1/1
|
||||
19
regression_tests/baseline/cro 478_23161697.audit.jsonl
Normal file
19
regression_tests/baseline/cro 478_23161697.audit.jsonl
Normal file
@@ -0,0 +1,19 @@
|
||||
{"page": 0, "kind": "NOM", "original": "BLANGIS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10100981090", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 35 12", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 13/12/1943", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10002828365", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 40 84", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10107546912", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Colette BRANA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 40 59", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10102402095", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patient de 79 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 35 17", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10004431168", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 31 35", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10101988433", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10101061272", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EMAIL", "original": "secr.chirortho@ch-cotebasque.fr", "placeholder": "[EMAIL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 35 13", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 35 14", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
85
regression_tests/baseline/cro 478_23161697.pseudonymise.txt
Normal file
85
regression_tests/baseline/cro 478_23161697.pseudonymise.txt
Normal file
@@ -0,0 +1,85 @@
|
||||
C E N T R E H O S P I T A L I E R D E L A C ÔT E B A S Q U E
|
||||
B.P.8 - [CODE_POSTAL] - Tél [TEL]
|
||||
[TEL] PÔLE DE CHIRURGIE – ANESTHÉSIE – BLOC OPÉRATOIRE
|
||||
*[TEL]*
|
||||
CHIRURGIE ORTHOPÉDI QUE – TRAUMATOLOGIE
|
||||
____________________________________________________________________________________________________________________________
|
||||
FINESS juridique : [IPP] FINESS géographique : [IPP]
|
||||
Bayonne, le 26/08/2023
|
||||
Dr M. [NOM]
|
||||
[NOM]
|
||||
[NOM] Réf_CRO : AD
|
||||
RPPS : [RPPS] COMPTE RENDU OPERATOIRE
|
||||
Secrétariat : [TEL]
|
||||
Dr P. [NOM] M [NOM] [NOM] [DATE_NAISSANCE]
|
||||
[NOM]
|
||||
[NOM]
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL] [ADRESSE]
|
||||
INTERVENTION : [NOM] [NOM] [NOM] (PIH)
|
||||
Dr P. [NOM]
|
||||
[NOM]
|
||||
[NOM] [NOM] [NOM] : Docteur A. [NOM]
|
||||
RPPS : [RPPS]
|
||||
Médecin Traitant : DR. [NOM]
|
||||
Secrétariat : [TEL] Aide : l'interne J. [NOM]
|
||||
Anesthésiste : Docteur B. [NOM]
|
||||
Dr A. [NOM]
|
||||
[NOM] /CHEVILLE
|
||||
[NOM] [NOM] RÉSUME CLINIQUE :
|
||||
RPPS : [RPPS] [AGE], ayant présenté une fracture déplacée Garden IV du col fémoral droit/gauche
|
||||
Secrétariat : [TEL] pour laquelle il est retenu une indication arthroplastie intermédiaire de [NOM].
|
||||
DISPOSITIF MÉDICAL IMPLANTÉ (DMI) :
|
||||
Dr S. [NOM]
|
||||
CHIRURGIE [NOM] [NOM] fémorale : HYPE taille 5 non cimentée, société SERF
|
||||
PEDIATRIQUE Cupule mobile : CHIBF diamètre 49/28 mm, société SERF
|
||||
RPPS : [RPPS] Tête : Inox diamètre 28 mm, col moyen 0 mm, cône 12/14
|
||||
Secrétariat : [TEL]
|
||||
PRÉPARATION :
|
||||
Installation : Décubitus latéral
|
||||
Dr C. [NOM]
|
||||
[NOM] Anesthésie : Anesthésie générale
|
||||
[NOM] Vérification des points d’appui
|
||||
RPPS : [RPPS] Préparation, désinfection et champage stérile selon protocole du CLIN
|
||||
Antibioprophylaxie par Céfazoline 2g
|
||||
Check list HAS avant incision
|
||||
Dr C. [NOM]
|
||||
MÉDECIN [NOM]
|
||||
RPPS : [RPPS] TECHNIQUE OPÉRATOIRE :
|
||||
Voie d’abord postérieure de Moore
|
||||
[EMAIL] Ouverture du fascia lata
|
||||
Discision du muscle gluteus maximus.
|
||||
Passage derrière le gluteus medius
|
||||
Rens. familles : [TEL] / 35 46
|
||||
Désinsertion trochantérienne des pelvi trochantériens avec respect total du piriforme et partiel du
|
||||
Prise de RDV : [TEL]
|
||||
carré fémoral.
|
||||
Capsulectomie
|
||||
Mise en évidence de la fracture et levée de l’hématome
|
||||
Recoupe du col fémoral à 1 cm du calcar
|
||||
Extraction de la tête fémorale
|
||||
Préparation du fût fémoral par des râpes de taille croissante
|
||||
Mise en place de la [NOM] définitive Mise en place de la cupule mobile sur un col court après essai et vérification de la longueur et de
|
||||
la stabilité
|
||||
Réduction
|
||||
Contrôle de la bonne souplesse de [NOM], de la stabilité et de l’absence d’inégalité de longueur
|
||||
Lavage abondant
|
||||
Infiltration selon le protocole du [MASK] : fermeture du fascia au Vicryl 2 (résorbable), fermeture sous-cutanée
|
||||
au Vicryl 0 (résorbable), fermeture cutanée par agrafes
|
||||
Pansement sec
|
||||
Durée opératoire : 39 min
|
||||
CONSIGNES POST-OPÉRATOIRES :
|
||||
Réfection du pansement : à J2, puis tous les 2 jours
|
||||
Radiographie post-op : à J0 – Bassin de face et [NOM] opérée de profil
|
||||
Immobilisation : NON
|
||||
Appui : COMPLET dès J0
|
||||
Anticoagulation préventive 35 jours
|
||||
Rééducation : OUI
|
||||
- réhabilitation à la marche et aux transferts,
|
||||
- apprentissage des mouvements luxants,
|
||||
- ré-autonomisation,
|
||||
- lutte contre le syndrome post-chute
|
||||
Sortie : J2-J3
|
||||
RDV en consultation : à 6 semaines avec radiographies de contrôle (bassin de face et profil de
|
||||
[NOM] opérée)
|
||||
Docteur A. [NOM]
|
||||
@@ -0,0 +1,111 @@
|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "01296746", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "VILLE", "original": "BAYONNE", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "Code Postal: 64600", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "13 RUE DU TILLEUL ARGENTE Ville de résidence", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 63 16 91", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "7 RUE DE LA PENA RESIDENCE ERLETEGUIA ", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "BERNARD GIMENEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "0770316127", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05.59.31.91.30", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "07.70.31.61.27", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "unité de Chirurgie hors SC", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Koneazny", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Pascale", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "David MATHIS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Rotarsky", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "ROTARSKI", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "ETAB", "original": "SSR", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "ETAB", "original": "SSR", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "ROTARSKI", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Pascale", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Edouard GAULT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Edouard", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 11, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 13, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 14, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 15, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 16, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 17, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 18, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 19, "kind": "NIR", "original": "136096410201724", "placeholder": "[NIR]", "bbox_hint": null}
|
||||
{"page": 19, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 20, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 21, "kind": "NOM", "original": "Anne Christine Dr", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 21, "kind": "NOM", "original": "Julien Dr", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 21, "kind": "NOM", "original": "David LEYSSENE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 21, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 13/09/1936", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
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||||
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||||
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||||
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||||
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|
||||
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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": 4, "kind": "TEL", "original": "05 59 29 77 31", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "DOSSIER", "original": "NDANSETRON", "placeholder": "[DOSSIER]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Thomas", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Dorothée NIVET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
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|
||||
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|
||||
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|
||||
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|
||||
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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": 12, "kind": "NOM", "original": "Fanny MENARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "NOM", "original": "Rémi SEGUES Dr", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "NOM", "original": "David LEYSSENE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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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": 0, "kind": "NOM", "original": "Franck AUDEMAR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
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|
||||
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|
||||
{"page": 0, "kind": "TEL", "original": "05 59 29 78\n34", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "0698691962", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
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|
||||
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|
||||
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|
||||
{"page": 5, "kind": "NOM", "original": "Thomas MOULIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas MOULIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Dorothée NIVET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas MOULIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas MOULIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Thomas MOULIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "NOM", "original": "Rémi SEGUES Dr", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "NOM", "original": "David LEYSSENE Dr", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
File diff suppressed because it is too large
Load Diff
@@ -0,0 +1,93 @@
|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "22028007", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "VILLE", "original": "BAYONNE", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "Code Postal: 64100", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2 AVENUE DIESSE Ville de résidence", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Fabio DA SILVA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "unité de Médecine hors SC", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Fabio DA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "Peant", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "AGE", "original": "Patient de 65 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Faddoul", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Fabio DA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "BRETON", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Constance", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Guillaume", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Guillaume", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "AGE", "original": "Patient de 65 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Guillaume", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Faddoul", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "Peant", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "AGE", "original": "Patient de 65 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Faddoul", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Marie SOULAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Guillaume Morel", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Marie SOULAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
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|
||||
{"page": 5, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "NOM", "original": "Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Marie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Guillaume", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Guillaume GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
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|
||||
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|
||||
{"page": 11, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "NOM", "original": "LAROSA Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 12, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 13, "kind": "NOM", "original": "LAROSA Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 13, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 14, "kind": "NOM", "original": "Julien", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 14, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 15, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "22028007", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "VILLE", "original": "BAYONNE", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "Code Postal: 64100", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2 AVENUE DIESSE\tVille de résidence", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Fabio DA SILVA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "06 83 99 59\n42", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "unité de Médecine hors SC", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Fabio DA SILVA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "BRETON", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Constance BRETON", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Guillaume GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Guillaume GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Marie SOULAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Guillaume Morel", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Marie SOULAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Marie SOULAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Guillaume GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Guillaume GOLDZAK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Emilie LAROSA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 13, "kind": "DATE_NAISSANCE", "original": "Date de naissance : 21/10/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 13, "kind": "DATE_NAISSANCE", "original": "Date de naissance : 21-10-1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 13, "kind": "VILLE", "original": "99999", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 13, "kind": "NOM", "original": "LAROSA Emilie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 14, "kind": "NOM", "original": "Julien GUILLEMAUD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
@@ -0,0 +1,971 @@
|
||||
[MASK]
|
||||
*640N0° F0in0ess162*
|
||||
✉ [ADRESSE]. [ADRESSE], [CODE_POSTAL]
|
||||
640000162
|
||||
ONCOLOGIE - ONCOLOGIE HC
|
||||
Dossier Patient
|
||||
Détails des patients
|
||||
Nom de naissance : [NOM] IPP : [IPP]
|
||||
Nom et Prénom : [NOM] [NOM] [DATE_NAISSANCE]
|
||||
Sexe : Masculin Lieu de naissance: [VILLE]
|
||||
Nationalité : FRANCE [CODE_POSTAL]
|
||||
Adresse : [ADRESSE]: BAYONNE
|
||||
Détails épisode
|
||||
Episode No : [NDA]
|
||||
Localisation : ONCOLOGIE HC Médecin courant: DR. [NOM]
|
||||
Date d'admission : 18/08/2023 Heure d'admission: 17:58
|
||||
Date de sortie : 21/08/2023 Heure de sortie: 14:15
|
||||
Liste des contacts
|
||||
Tél.
|
||||
Type de contact Relation Nom Prénom Adresse Tél. domicile Mobile
|
||||
professionel
|
||||
Personne à prévenir [TEL]
|
||||
Epouse [NOM] [NOM]
|
||||
(Trakcare) [ADRESSE]18/08/2023
|
||||
Episode - Heure 17 : 58
|
||||
Mode de transport à l'arrivée Véhicule personnel
|
||||
Médicalisation du transport Aucune médicalisation
|
||||
Mode d'entrée Autres admissions urgentes
|
||||
Date d'orientation 18/08/2023
|
||||
Heure d'orientation 18 : 05
|
||||
IAO [NOM] [NOM]
|
||||
Priorité Priorité 3
|
||||
Sous-type épisode URG - Circuit court
|
||||
Motif de prise en charge Faiblesse de membre / déficit / symptômes pouvant évoquer un AVC
|
||||
déficit MSG depuis le 4/08
|
||||
MAO au courant
|
||||
Observ. IDE Urg COVID le 30/07
|
||||
bi ok
|
||||
HTA
|
||||
Médecin de la prise en charge médicale [NOM] [NOM]
|
||||
Date de prise en charge médicale 18/08/2023
|
||||
Heure de prise en charge médicale 17 : 58
|
||||
Médecin de la décision médicale [NOM] [NOM]
|
||||
Date de décision médicale 19/08/2023
|
||||
Heure de décision médicale 00 : 03
|
||||
Décision médicale Hospitalisation MCO
|
||||
Orientation du patient hospitalisation dans une [MASK], SI, REA
|
||||
Date de sortie des urgences 19/08/2023
|
||||
Heure de sortie des Urgences 00 : 14
|
||||
US de destination US ONCOLOGIE
|
||||
UF de destination ONCOLOGIE HC
|
||||
Diagnostic aux urgences
|
||||
Type Etat Code Date
|
||||
Principal actif C71.1 Tumeur maligne du lobe frontal [CMA2] 19/08/2023 00 : 02
|
||||
Antécédents (texte libre)
|
||||
Type de note Nom Date Heure Note
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : [NDA] ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 1 de 16 Aucune donnée
|
||||
renseignée
|
||||
Antécédents habitus (texte libre)
|
||||
Type de note Nom Date Heure Note
|
||||
Aucune donnée
|
||||
renseignée
|
||||
Signes vitaux
|
||||
Item de [DATE_NAISSANCE] 20/08/2023 20/08/2023 [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] 18/08/2023 18/08/2023
|
||||
surveillance 08 : 24 20:02 08:16 18:16 16:13 08:27 01:24 00:03 21:59 18:30
|
||||
Température 37,40 37,60 36,90 37,10 37,40 37,30 37,30 37,50
|
||||
Pouls 82 94 84 101 94 87 99 99 99
|
||||
PA
|
||||
155 140 159 154 173 187 183 119 182 189
|
||||
Systolique
|
||||
PA
|
||||
95 84 101 91 102 108 103 74 108 103
|
||||
Diastolique
|
||||
Saturation
|
||||
99 98 99 97 99 97 99 98 97
|
||||
O²
|
||||
Ventilation Ventilation Ventilation Ventilation Ventilation Ventilation Ventilation Ventilation
|
||||
spontanée spontanée spontanée spontanée spontanée spontanée spontanée spontanée
|
||||
Ventilation
|
||||
Air Air Air Air Air Air Air Air
|
||||
ambiant ambiant ambiant ambiant ambiant ambiant ambiant ambiant
|
||||
Echelle
|
||||
EN EN EN EN EN EN EN
|
||||
douleur
|
||||
Score au
|
||||
0 0 0 0 0 0 0
|
||||
repos
|
||||
Glycémie
|
||||
0,99 1,04 1,52
|
||||
capillaire
|
||||
Transit Absence Normal Absence
|
||||
PA
|
||||
Gauche
|
||||
Latéralité
|
||||
Débit O²
|
||||
0
|
||||
[L/mn]
|
||||
Poids/Taille
|
||||
Item de [DATE_NAISSANCE]
|
||||
surveillance 11 : 29
|
||||
Poids [kg] 61
|
||||
Surv. Isolement et Contention
|
||||
Item de [DATE_NAISSANCE] 20/08/2023 20/08/2023 [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] 18/08/2023 18/08/2023
|
||||
surveillance 08 : 24 20:02 08:16 18:16 16:13 08:27 01:24 00:03 21:59 18:30
|
||||
Température 37,40 37,60 36,90 37,10 37,40 37,30 37,30 37,50
|
||||
Pouls 82 94 84 101 94 87 99 99 99
|
||||
PA
|
||||
155 140 159 154 173 187 183 119 182 189
|
||||
Systolique
|
||||
PA
|
||||
95 84 101 91 102 108 103 74 108 103
|
||||
Diastolique
|
||||
Saturation
|
||||
99 98 99 97 99 97 99 98 97
|
||||
O²
|
||||
Transit Absence Normal Absence
|
||||
Surv. Contention
|
||||
Item de [DATE_NAISSANCE] 20/08/2023 20/08/2023 [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] [DATE_NAISSANCE] 18/08/2023 18/08/2023
|
||||
surveillance 08 : 24 20:02 08:16 18:16 16:13 08:27 01:24 00:03 21:59 18:30
|
||||
Température 37,40 37,60 36,90 37,10 37,40 37,30 37,30 37,50
|
||||
Pouls 82 94 84 101 94 87 99 99 99
|
||||
PA
|
||||
155 140 159 154 173 187 183 119 182 189
|
||||
Systolique
|
||||
PA
|
||||
95 84 101 91 102 108 103 74 108 103
|
||||
Diastolique
|
||||
Saturation
|
||||
99 98 99 97 99 97 99 98 97
|
||||
O²
|
||||
Glycémie
|
||||
0,99 1,04 1,52
|
||||
capillaire
|
||||
Transit Absence Normal Absence
|
||||
Observations médicales
|
||||
Type d'observation Nom Date Commentaires
|
||||
Histoire de la DR. [NOM] [DATE_NAISSANCE]
|
||||
Motif d'hospitalisation :
|
||||
maladie [NOM] 12 : 43
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le [DATE_NAISSANCE] 15 : 11 Page 2 de 16 Prise en charge initiale d'une hémiparésie gauche d'installation insidieuse révélant une image
|
||||
suspecte d'une métastase d'un cancer frontale droite unique, dont les caractéristiques imageries
|
||||
pourraient orienter vers une tumeur d'origine mélanique.
|
||||
Mode de vie :
|
||||
Habite Bayonne, marié, 4 enfants ( 1 fille dans la région)
|
||||
Retraité, ancien officier de la marine marchande ( dont il reste réserviste)
|
||||
Passion : Couse à pied, rando, sport, ski
|
||||
Traitement en cours :
|
||||
Ramipril 5 mg
|
||||
Antécédents médicaux :
|
||||
HTA
|
||||
Antécédents chirurgicaux :
|
||||
Appendicectomie
|
||||
Antécédents familiaux de cancer :
|
||||
Cancer du sein chez sa mère
|
||||
Tabac : non fumeur
|
||||
Consommation d'alcool occasionnelle
|
||||
Pas d'allergie connue
|
||||
Latéralité : Gaucher, mais écrit de la main droite
|
||||
Taille 177 Poids 62 kg ( poids de forme)
|
||||
Histoire de la maladie :
|
||||
4 Aout 2023 : remarque une discrète faiblesse du membre supérieur gauche des difficultés de
|
||||
préhension de sa main dominante (gauche)
|
||||
08 Aout 2023 : Consultation auprès du Dr [NOM], son médecin traitant qui prescrit une IRM
|
||||
cérébrale (prévue initialement fin aout)
|
||||
18 Aout 2023 : Devant une aggravation des symptômes, consulte aux urgences
|
||||
IRM cérébrale N° d'examen : RAD001191393 : Prise de contraste nodulaire de 13 x 11 mm
|
||||
isolée du lobe frontal droit en région précentrale évocatrice d'une lésion secondaire compte tenu
|
||||
des caractéristiques morphologiques. À noter l'hypersignal T1 spontané pouvant faire évoquer
|
||||
une localisation secondaire de type mélanome.
|
||||
Un scanner [NOM] réalisé en suivant à la recherche d'un primitif également
|
||||
le 18/08 ne retrouvant pas de lésion suspecte d'être tumorale N° d'examen : RAD[TEL]
|
||||
Examen Clinique :
|
||||
PS0 Poids 62 kg
|
||||
TA 18/9 ( mais contexte de stress lié à l'annonce) FC 110
|
||||
Hémiparesie 4/5 membre supérieur gauche, en amélioration sous cortisone
|
||||
Aucun élément évocateur dans l'anamèse évoquant une crise d'épilepsie partielle ou généralisée
|
||||
Pas d'autre déficit.
|
||||
Examen cutané non spécialisé sans anomalie évidente.
|
||||
Biologie
|
||||
Pas d'anomalie cliniquement signioficative
|
||||
Imageries :
|
||||
IRM cérébrale N° d'examen : RAD001191393 : Prise de contraste nodulaire de 13 x 11 mm
|
||||
isolée du lobe frontal droit en région précentrale évocatrice d'une lésion secondaire compte tenu
|
||||
des caractéristiques morphologiques. À noter l'hypersignal T1 spontané pouvant faire évoquer
|
||||
une localisation secondaire de type mélanome.
|
||||
Un scanner [NOM] réalisé en suivant à la recherche d'un primitif également
|
||||
le 18/08 ne retrouvant pas de lésion suspecte d'être tumorale N° d'examen : RAD[TEL]
|
||||
NB : ETT octobre 2022 dans le cadre du bilan sportif FEVG 75% pas d'anomalie significative
|
||||
Evolution :
|
||||
Au total : [AGE] en excellent état général, de phototype clair, présentant une
|
||||
lésion cérébrale légèrement supra centimetrique, frontale droite, sans autre lésion cérébrale
|
||||
ou extracérébrale visible, dont les caractéristiques sont compatibles avec une lésion d'allure
|
||||
secondaire, potentiellement mélanique.
|
||||
[NOM] du patient de la suspicion diagnostique mais de l'absence de certitude sur le caractère
|
||||
cancéreux et encore moins le primitif.
|
||||
Proposition diagnostique :
|
||||
Demande de TEP scanner corps entier
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 3 de 16 Demande Examen dermatologique spécialisé à l'hopital
|
||||
Avis neurochirurgical (Dr [NOM]) : lésion profonde, à 3cm du cortex, dans une zone
|
||||
fonctionnelle, et de petite taille. Possibilité de biopsie si nécessaire au diagnostic, mais chirurgie
|
||||
d'exérèse à ne proposer qu'en deuxième intention ( on préfèrera une radiothérapie stéréotaxique si
|
||||
le diagnostic est confirmé). Nous validerons ceci en RCP neuro oncologique le 24/08.
|
||||
Anticipation CS d'anesth car étant donné TAP normal et dicussion avec le Dr [NOM] il est
|
||||
hautement probable que l'on retienne la biopsie stéréotaxique.
|
||||
Evolution dans le [MASK], amélioration partielle sous corticoïdes avec déficit uniquement de tout
|
||||
le MSD à 4+/5. Disparition du déficit du MID.
|
||||
=> poursuite corticothérapie aux mêmes doses pour la sortie
|
||||
Sur le plan oncologique, patient au clair sur la suspicion diagnostique.
|
||||
=> avis dermatologique Dr [NOM] : pas de primitif retrouvé
|
||||
=> courriers remis pour consultation ORL + ophtalmologique
|
||||
=> date du TEP TDM le 31/08
|
||||
=> cs Dr [NOM] demandée après TEP TDM pour anticiper biopsie cérébrale probable (si
|
||||
pas de lésion accessible retrouvé en TEP TDM)
|
||||
Conclusion
|
||||
Découverte d'une lésion cérébrale symptomatique unique d'allure tumorale, avec doute sur
|
||||
caractère mélanique, sans primitif cutané retrouvé. Scanner TAP normal.
|
||||
Complément de bilan par cs ORL + ophtalmologique + TEP scanner, avant de discuter une
|
||||
biopsie cérébrale.
|
||||
Traitement de sortie
|
||||
PREDNISONE 20mg : 4cp matin
|
||||
RAMIPRIL 5mg matin
|
||||
LANSOPRAZOLE 30mg : 1cp matin
|
||||
Prochains rendez-vous
|
||||
TEP TDM le 31/08 à 14h45
|
||||
Cs Dr [NOM] le
|
||||
Sur le plan neurologique, amélioration partielle sous corticoïdes avec déficit uniquement de tout
|
||||
le MSD à 4+/5. Disparition du déficit du MID.
|
||||
=> poursuite corticothérapie aux mêmes doses pour la sortie
|
||||
DR. [NOM] 21/08/2023 Sur le plan oncologique, patient au clair sur la suspicion diagnostique.
|
||||
Note d'évolution
|
||||
[NOM] 10 : 43 => avis dermatologique Dr [NOM] : pas de primitif retrouvé
|
||||
=> courriers remis pour consultation ORL + ophtalmologique
|
||||
=> date du TEP TDM le 31/08
|
||||
=> cs Dr [NOM] demandée après TEP TDM pour anticiper biopsie cérébrale probable (si
|
||||
pas de lésion accessible retrouvé en TEP TDM)
|
||||
Avis dermato :
|
||||
Avis demandé pour découverte de lésion cérébrale d'allure secondaire, recherche de primitif
|
||||
cutané.
|
||||
Photoexposition professionnelle + loisirs.
|
||||
Pas d'antécédent personnel ni familial de carcinome cutané ni de mélanome.
|
||||
Examen : rares naevi, un cuisse droite monochrome bien régulier, non suspect en dermoscopie.
|
||||
DR. [NOM] 21/08/2023
|
||||
Note d'évolution Pas de lésion cutanée suspecte sur l'ensemble du tégument à l'examen clinique et dermoscopique
|
||||
[NOM] 10 : 36
|
||||
corps entier. Pas de nodule sous-cutané palpé.
|
||||
Au total :
|
||||
Pas de lésion cutanée suspecte de mélanome à l'examen corps entier.
|
||||
Compléter le bilan par cs ophtalmo + ORL + TEP TDM.
|
||||
DR. [NOM] [DATE_NAISSANCE]
|
||||
Note d'évolution [NOM] sur la Contre indication conduite automobile
|
||||
[NOM] 10 : 30
|
||||
Vu et informé en présence de son gendre
|
||||
DR. [NOM] [DATE_NAISSANCE] Permission
|
||||
Note d'évolution
|
||||
[NOM] 10 : 25 Bio pré thérapeutique demandé demain matin
|
||||
Evolution :
|
||||
Au total : [AGE] en excellent état général, de phototype clair, présentant une
|
||||
lésion cérébrale légèrement supra centimetrique, frontale droite, sans autre lésion cérébrale
|
||||
ou extracérébrale visible, dont les caractéristiques sont compatibles avec une lésion d'allure
|
||||
DR. [NOM] [DATE_NAISSANCE]
|
||||
Note d'évolution secondaire, potentiellement mélanique.
|
||||
[NOM] 09 : 12
|
||||
[NOM] du patient de la suspicion diagnostique mais de l'absence de certitude sur le caractère
|
||||
cancéreux et encore moins le primitif.
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 4 de 16 Proposition diagnostique :
|
||||
Demande de TEP scanner corps entier
|
||||
Demande Examen dermatologique spécialisé à l'hopital
|
||||
Avis neurochirurgical (Dr [NOM]) : lésion profonde, à 3cm du cortex, dans une
|
||||
zone fonctionnelle, et de petite taille. Possibilité de biopsie si nécessaire au diagnostic,
|
||||
mais chirurgie d'exérèse à ne proposer qu'en deuxième intention ( on préfèrera une
|
||||
radiothérapie stéréotaxique si le diagnostic est confirmé). Nous validerons ceci en RCP
|
||||
neuro oncologique le 24/08.
|
||||
Anticipation CS d'anesth car étant donné TAP normal et dicussion avec le Dr [NOM] il est
|
||||
hautement probable que l'on retienne la biopsie stéréotaxique.
|
||||
Motif d'hospitalisation :
|
||||
Prise en charge initiale d'une hémiparésie gauche d'installation insidieuse révélant une image
|
||||
suspecte d'une métastase d'un cancer frontale droite unique, dont les caractéristiques imageries
|
||||
pourraient orienter vers une tumeur d'origine mélanique.
|
||||
Mode de vie :
|
||||
Habite Bayonne, marié, 4 enfants ( 1 fille dans la région)
|
||||
Retraité, ancien officier de la marine marchande ( dont il reste réserviste)
|
||||
Passion : Couse à pied, rando, sport, ski
|
||||
Traitement en cours :
|
||||
Ramipril 5 mg
|
||||
Antécédents médicaux :
|
||||
HTA
|
||||
Antécédents chirurgicaux :
|
||||
Appendicectomie
|
||||
Antécédents familiaux de cancer :
|
||||
Cancer du sein chez sa mère
|
||||
Tabac : non fumeur
|
||||
Consommation d'alcool occasionnelle
|
||||
Pas d'allergie connue
|
||||
Latéralité : Gaucher, mais écrit de la main droite
|
||||
Taille 177 Poids 62 kg ( poids de forme)
|
||||
Histoire de la maladie :
|
||||
Histoire de la DR. [NOM] 19/08/2023 4 Aout 2023 : remarque une discrète faiblesse du membre supérieur gauche des difficultés de
|
||||
maladie [NOM] 10 : 59 préhension de sa main dominante (gauche)
|
||||
08 Aout 2023 : Consultation auprès du Dr [NOM], son médecin traitant qui prescrit une IRM
|
||||
cérébrale (prévue initialement fin aout)
|
||||
18 Aout 2023 : Devant une aggravation des symptômes, consulte aux urgences
|
||||
IRM cérébrale N° d'examen : RAD001191393 : Prise de contraste nodulaire de 13 x 11 mm
|
||||
isolée du lobe frontal droit en région précentrale évocatrice d'une lésion secondaire compte tenu
|
||||
des caractéristiques morphologiques. À noter l'hypersignal T1 spontané pouvant faire évoquer
|
||||
une localisation secondaire de type mélanome.
|
||||
Un scanner [NOM] réalisé en suivant à la recherche d'un primitif également
|
||||
le 18/08 ne retrouvant pas de lésion suspecte d'être tumorale N° d'examen : RAD[TEL]
|
||||
Examen Clinique :
|
||||
PS0 Poids 62 kg
|
||||
TA 18/9 ( mais contexte de stress lié à l'annonce) FC 110
|
||||
Hémiparesie 4/5 membre supérieur gauche, en amélioration sous cortisone
|
||||
Aucun élément évocateur dans l'anamèse évoquant une crise d'épilepsie partielle ou généralisée
|
||||
Pas d'autre déficit.
|
||||
Examen cutané non spécialisé sans anomalie évidente.
|
||||
Biologie
|
||||
Pas d'anomalie cliniquement signioficative
|
||||
Imageries :
|
||||
IRM cérébrale N° d'examen : RAD001191393 : Prise de contraste nodulaire de 13 x 11 mm
|
||||
isolée du lobe frontal droit en région précentrale évocatrice d'une lésion secondaire compte tenu
|
||||
des caractéristiques morphologiques. À noter l'hypersignal T1 spontané pouvant faire évoquer
|
||||
une localisation secondaire de type mélanome.
|
||||
Un scanner [NOM] réalisé en suivant à la recherche d'un primitif également
|
||||
le 18/08 ne retrouvant pas de lésion suspecte d'être tumorale N° d'examen : RAD[TEL]
|
||||
NB : ETT octobre 2022 dans le cadre du bilan sportif FEVG 75% pas d'anomalie significative
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 5 de 16 Evolution :
|
||||
Au total : [AGE] en excellent état général, de phototype clair, présentant une
|
||||
lésion cérébrale légèrement supra centimetrique, frontale droite, sans autre lésion cérébrale
|
||||
ou extracérébrale visible, dont les caractéristiques sont compatibles avec une lésion d'allure
|
||||
secondaire, potentiellement mélanique.
|
||||
[NOM] du patient de la suspicion diagnostique mais de l'absence de certitude sur le caractère
|
||||
cancéreux et encore moins le primitif.
|
||||
Proposition diagnostique :
|
||||
Demande de TEP scanner corps entier
|
||||
Demande Examen dermatologique spécialisé à l'hopital
|
||||
Avis neurochirurgical (Dr [NOM]) : lésion profonde, à 3cm du cortex, dans une
|
||||
zone fonctionnelle, et de petite taille. Possibilité de biopsie si nécessaire au diagnostic,
|
||||
mais chirurgie d'exérèse à ne proposer qu'en deuxième intention ( on préfèrera une
|
||||
radiothérapie stéréotaxique si le diagnostic est confirmé). Nous validerons ceci en RCP
|
||||
neuro oncologique le 24/08.
|
||||
Anticipation CS d'anesth car étant donné TAP normal et dicussion avec le Dr [NOM] il est
|
||||
hautement probable que l'on retienne la biopsie stéréotaxique.
|
||||
Discussion avec oncologue d'astreinte :
|
||||
- 1mg solumedrol IV
|
||||
- Hospit en oncologie
|
||||
19/08/2023
|
||||
Note d'évolution DR. [NOM]
|
||||
00 : 05
|
||||
Patient et son épouse informés de la présence d'une lésion suspecte très probablement cancéreuse
|
||||
et de l'absence d'autre retrouvées au scanner. Informés de la nécessité de rencontre avec
|
||||
oncologue et d'autres examens complémentaires.
|
||||
Beau fils informé Dr [NOM]
|
||||
SCANNER [NOM]
|
||||
Indication :
|
||||
Recherche de lésion évolutive.
|
||||
Protocole :
|
||||
Examen réalisé avec injection de produit de contraste.
|
||||
RESULTATS :
|
||||
A l'étage thoracique :
|
||||
Absence de foyer parenchymateux systématisé.
|
||||
Absence de nodule pulmonaire suspect.
|
||||
Absence d'adénomégalie médiastino-hilaire ou axillaire.
|
||||
Absence d'épanchement pleuro péricardique.
|
||||
18/08/2023
|
||||
Note d'évolution DR. [NOM]
|
||||
23 : 52
|
||||
A l'étage sous diaphragmatique :
|
||||
Le foie est homogène et non dysmorphique.
|
||||
Il n'y a pas d'anomalie significative de la vésicule biliaire. Les voies biliaires intra et extra
|
||||
hépatiques sont fines.
|
||||
Pas d'anomalie du système porte.
|
||||
Pas d'anomalie du pancréas, de la rate, des reins et des surrénales. Athéromatose calcifiée
|
||||
de l'aorte abdominale sans dilatation anévrismale. Pas d'adénopathie rétropéritonéale ou coelio-
|
||||
mésentérique de taille significative.
|
||||
Pas d'épanchement péritonéal.
|
||||
Pas d'anomalie des structures pelviennes.
|
||||
CONCLUSION :
|
||||
Absence de lésion tumorale décelée à l'étage sous-diaphragmatique.
|
||||
IRM [NOM]
|
||||
Indication :
|
||||
Hémiparésie gauche d'apparition progressive dpeuis le 04/08/2023 chez une patient aux
|
||||
DR. [NOM] 18/08/2023 ATCD d'hta traité
|
||||
Note d'évolution
|
||||
[NOM] 21 : 41 Recherche : Syndrome de masse? autre?
|
||||
Protocole :
|
||||
Séquence 3D T1 SE, 3D FLAIR et 3D T1 SE après injection de Gadolinium.
|
||||
Séquences axiales diffusion, T2* et de perfusion.
|
||||
RESULTATS :
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : [IPP] ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 6 de 16 Mise en évidence d'une prise de contraste nodulaire en cocarde mesurée à 13 x 11 mm du
|
||||
lobe frontal droit en région précentrale. Il s'y associé à un volumineux ?dème périlésionnel sans
|
||||
effet de masse significatif. La lésion apparaît en hypersignal T1 spontané et hyposignal T2*
|
||||
(localisation secondaire de mélanome ?).
|
||||
Pas d'autre prise de contraste décelée
|
||||
Pas de déviation des structures médianes, pas d'engagement. Hypersignaux punctiformes de la
|
||||
substance blanche profonde en faveur de lésions de microangiopathie (face et cassent I).
|
||||
Sur la séquence de perfusion, augmentation du CBV en regard de la lésion nodulaire
|
||||
précentrale droite évoquant une néoangiogenèse.
|
||||
CONCLUSION :
|
||||
Prise de contraste nodulaire de 13 x 11 mm isolée du lobe frontal droit en région précentrale
|
||||
évocatrice d'une lésion secondaire compte tenu des caractéristiques morphologiques. À noter
|
||||
l'hypersignal T1 spontané pouvant faire évoquer une localisation secondaire de type mélanome.
|
||||
Un scanner [NOM] réalisé en suivant à la recherche d'un primitif.
|
||||
[NOM] [NOM], interne
|
||||
MA : hémiparésie gauche
|
||||
ATCD : HTA
|
||||
Allergie : 0
|
||||
TTT en cours : Ramipril 5mg 1cp le matin
|
||||
Mode de vie : retraité pilote maritime, autonome à domicile
|
||||
HDM :
|
||||
Infection COVID le 30/07/2023.
|
||||
Asthénie +++ au décours.
|
||||
Sensation de faiblesse membre sup gauche débutant la 04 août 2023 associée à une faiblesse
|
||||
membre inf gauche depuis quelques jours.
|
||||
Pas de céphalée.
|
||||
Pas d'AEG.
|
||||
Histoire de la DR. [NOM] [DATE_NAISSANCE]
|
||||
Pas de notion de traumatisme.
|
||||
maladie [NOM] 18 : 25
|
||||
FDR CV : HTA traitée
|
||||
Cliniquement :
|
||||
TA189/103, FC 99/min, sat à 97% aa
|
||||
Apyrexie
|
||||
G15, pupilles sir, hémiparésie gauche prédominance brachiale à 4/5, pas de déficit sensitif
|
||||
associé, pas de synd pyramidal, pas de PF, pas de trouble visuel, pas de céphalée/vomissement
|
||||
Bdc reg, pas de souffle/frottement, pouls+/+, pas de signes de décomp cardiaque
|
||||
MV+/+, pas de bsa
|
||||
Abdomen souple, dépressible et indolore
|
||||
CAT
|
||||
Bio/ECG/IRM cérébral (radiologue ok)
|
||||
Surveillance Psychiatrie
|
||||
Item de 21/08/2023 20/08/2023 20/08/2023 19/08/2023 19/08/2023 19/08/2023 19/08/2023 19/08/2023 [DATE_NAISSANCE] [DATE_NAISSANCE]
|
||||
surveillance 08 : 24 20:02 08:16 18:16 16:13 08:27 01:24 00:03 21:59 18:30
|
||||
Température 37,40 37,60 36,90 37,10 37,40 37,30 37,30 37,50
|
||||
Pouls 82 94 84 101 94 87 99 99 99
|
||||
PA
|
||||
155 140 159 154 173 187 183 119 182 189
|
||||
Systolique
|
||||
PA
|
||||
95 84 101 91 102 108 103 74 108 103
|
||||
Diastolique
|
||||
Saturation
|
||||
99 98 99 97 99 97 99 98 97
|
||||
O²
|
||||
Transit Absence Normal Absence
|
||||
Notes paramédicales
|
||||
Type de note Nom Date Note
|
||||
Neuro :
|
||||
Amélioration des hémiparésies sous CTC
|
||||
Suivi onco :
|
||||
21/08/2023
|
||||
Note IDE [NOM] [NOM] A eu consult dermato ce matin
|
||||
12 : 45
|
||||
aura consult ORL
|
||||
TEP scan prévu le 31/08
|
||||
Devenir :
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 7 de 16 RAD ce jour
|
||||
20/08/2023
|
||||
Note IDE [NOM] [NOM] Neuro : stabilité neurologique
|
||||
23 : 20
|
||||
[NOM] 20/08/2023
|
||||
Note IDE RAS en perm toute la journée
|
||||
[NOM] 18 : 59
|
||||
neuro :
|
||||
Hémiparésie stable
|
||||
20/08/2023 Risque d'hyperglycémie :
|
||||
Note IDE [NOM] [NOM]
|
||||
10 : 51 Hgt à 1.04 ce matin
|
||||
Permission :
|
||||
Patient partit en permission pour la journée, VVP retirée à la demande du patient
|
||||
19/08/2023
|
||||
Note IDE [NOM] [NOM] Neuro : hémiparésie G en régression
|
||||
23 : 43
|
||||
[NOM] 19/08/2023 Hémodynamique :
|
||||
Note IDE
|
||||
[NOM] 20 : 23 > Patient hypertendu en début d'AM, non ressenti = > contrôle TA par la suite, mieux
|
||||
Neuro :
|
||||
Diminution de l'hémiparésie G ce matin
|
||||
Suivi onco :
|
||||
TEP scan ddé
|
||||
19/08/2023
|
||||
Note IDE [NOM] [NOM] Avis neuro chir ddé
|
||||
11 : 03
|
||||
Consult dermato ddé
|
||||
Hypertension :
|
||||
HTA à 18 persistante, bien tolérée --> médecin prévenu , à surveiller
|
||||
Patient entrant pour hémiparésie G d'abord au niveau du MSG débutée le
|
||||
04/08/23 évoluant par la suite au MIG.
|
||||
ATCD d'HTA.
|
||||
Neuro : a passé un IRMc qui a montré une lésion suspecte
|
||||
19/08/2023
|
||||
Note IDE [NOM] [NOM] > éveillé, cohérent, orienté dans le T/E
|
||||
01 : 42
|
||||
> hémiparésie G
|
||||
> chute L de l'hémicorps G avec main creuse et perte de force
|
||||
> CTCthérapie débutée
|
||||
PEC : a passé un scanTAP qui n'a pas retrouvé de primitif au premier abord
|
||||
> patient au courant du diagnostic probablement cancéreuse
|
||||
19/08/2023 Prise de constanteInventaire ok
|
||||
Note [NOM] [NOM]
|
||||
[TEL]
|
||||
A eu IRM.
|
||||
[NOM] en faveur de lésions suspectes au niveau cérébral, annonce faite par le médecin au
|
||||
18/08/2023 patient ainsi qu'à son épouse.
|
||||
Note IDE [NOM] [NOM]
|
||||
20 : 55 Corticoïdes IV débutés selon PM.
|
||||
[NOM] :
|
||||
Hospitalisation en oncologie pour suite prise en charge, transmissions IDE faites.
|
||||
18/08/2023 ecg fait et montré
|
||||
Note [NOM] [NOM]
|
||||
18 : 35 F [NOM] AS
|
||||
entre pour déficit MSG depuis le 4/8 progressif au MIG
|
||||
18/08/2023
|
||||
Note IDE [NOM] [NOM] COVID le 30/07BS+KTOECGIRM en attente pré médic donné en per os
|
||||
18 : 29
|
||||
Traitements médicamenteux
|
||||
Date de dernière
|
||||
Prescription Dose Fréquence Date de début Note Docteur
|
||||
administration
|
||||
Voie d`administration : INTRAVEINEUSE
|
||||
Statut des prescriptions : Réalisé
|
||||
Le débit a été
|
||||
METHYLPREDNISOLONE modifié. Le débit
|
||||
- 1 seule fois 1 seule DR. [NOM]
|
||||
MYL 120MG PDR INJ [10] 80 mg 18/08/2023 23 : 50 19/08/2023 00:08 en cours est :
|
||||
fois [NOM]
|
||||
Flacon(s) 1.3333333333333332
|
||||
par .
|
||||
Voie d`administration : ORALE
|
||||
Statut des prescriptions : Signé
|
||||
RAMIPRIL ACT 10MG CPR DR. [NOM]
|
||||
0,5 CPR - 1xJour [8h] Normal 18/08/2023 21 : 05 21/08/2023 08:17
|
||||
[30] COMPRIME(S) [NOM]
|
||||
SOLUPRED 20MG
|
||||
DR. [NOM]
|
||||
CPR ORODISP [20] 4 CPR - Matin [8h] Normal 19/08/2023 08 : 58 21/08/2023 08:15
|
||||
[NOM]
|
||||
COMPRIME(S)
|
||||
Statut des prescriptions : Réalisé
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 8 de 16 SERESTA 10MG CPR [30] - 1 seule fois 1 seule DR. [NOM]
|
||||
1 CPR 18/08/2023 18 : 17 18/08/2023 18:31
|
||||
COMPRIME(S) fois [NOM]
|
||||
Prescriptions de radiologie
|
||||
Heure Date Heure
|
||||
Date début Prescription Statut Docteur [NOM]
|
||||
début exécution exécution
|
||||
IRM Cérébrale +AngioIRM
|
||||
18/08/2023 19 : 57 18/08/2023 20:14 Réalisé DR. [NOM]
|
||||
des Troncs Supra-Aortiques
|
||||
Scanner Thoraco Abdomino
|
||||
18/08/2023 20 : 39 18/08/2023 20:48 Réalisé DR. [NOM]
|
||||
Pelvien
|
||||
31/08/2023 15 : 30 TEP au [ETABLISSEMENT] RDV pris DR. [NOM]
|
||||
Prescriptions de laboratoire
|
||||
Date de
|
||||
Date Heure Prescription Docteur [NOM]
|
||||
collection
|
||||
18/08/2023
|
||||
18/08/2023 18 : 15 Ionogramme ( Na, K, CL ) DR. [NOM]
|
||||
18 : 31
|
||||
Prescriptions de soins
|
||||
Prescription Dose Statut Fréquence Date de début Quantité administrée Note Docteur
|
||||
[NOM]
|
||||
18/08/2023 [NOM] [NOM]
|
||||
ENVIRONNEMENT Réalisé - Matin [8h] Normal
|
||||
11 : 08 [NOM]
|
||||
PATIENT
|
||||
LIT : REFECTION 18/08/2023 [NOM] [NOM]
|
||||
Réalisé - Matin [8h] Normal
|
||||
COMPLETE 11 : 08 [NOM]
|
||||
- Matin midi goûter 18/08/2023 [NOM] [NOM]
|
||||
REPAS : AUTONOME Réalisé
|
||||
soir Normal 11 : 08 [NOM]
|
||||
- 3x/Nuit (22h 2h 6h) 21/08/2023 [NOM]
|
||||
SOMMEIL : SURV. Réalisé
|
||||
Normal 00 : 06 [NOM]
|
||||
18/08/2023 [NOM] [NOM]
|
||||
TOILETTE : AUTONOME Réalisé - Matin [8h] Normal
|
||||
11 : 08 [NOM]
|
||||
Notes du
|
||||
professionel
|
||||
- 1 seule fois 1 seule 18/08/2023 DR. [NOM]
|
||||
ECG (FAIRE RELEVÉ) Réalisé de santé :
|
||||
fois 18 : 15 [NOM]
|
||||
ECG 12
|
||||
dérivations
|
||||
- 1 seule fois 1 seule 18/08/2023 DR. [NOM]
|
||||
VVP : BOUCHON Réalisé
|
||||
fois 18 : 15 [NOM]
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 9 de 16 Plan de soins Jour J du 21/08/2023 07h00 au 22/08/2023 07h00
|
||||
Prescriptions Matin (07h-12h) Midi (12h-16h) Soir (16h-21h) Soir (21h-07h)
|
||||
[NOM] [NOM]
|
||||
Signé — RAMIPRIL [NOM] 10MG CPR - 10MG Début le 18/08/2023 à
|
||||
comprime - Dose 0,5 CPR - ORALE - 1xJour [8h] 21 : 05 08:17 * 0.5
|
||||
- 1ère dose : 19/08/2023 @ 08:00 Fin le 25/08/2023 à CPR
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 17
|
||||
[NOM] [NOM]
|
||||
Signé — SOLUPRED 20MG CPR ORODISP - Début le 19/08/2023 à
|
||||
20MG comprime - Dose 4 CPR - ORALE - Matin 08 : 58 08:15 * 4
|
||||
[8h] - 1ère dose : 20/08/2023 @ 08:00 Fin le 18/09/2023 à CPR
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 15
|
||||
[NOM] [NOM]
|
||||
Réalisé — DESINFECTION [NOM]
|
||||
ENVIRONNEMENT PATIENT - Matin [8h] - Début le 18/08/2023 à
|
||||
pendant 7 Jour(s)- Date Début : 18/08/2023 @ 11:08 08:00 * 1
|
||||
11 : 08 Fin le 25/08/2023 à
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — LIT : REFECTION COMPLETE Début le 18/08/2023 à
|
||||
- Matin [8h] - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 08:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 16:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 19:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 08:56 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 12:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
Réalisé — SOMMEIL : SURV. - 3x/Nuit (22h 2h Début le 21/08/2023 à
|
||||
6h) - pendant 7 Jour(s)- Date Début : 21/08/2023 00:06
|
||||
@ 00 : 06 Fin le 27/08/2023 à 22:00 * 1
|
||||
22 : 00
|
||||
Admin le 21/08/2023 à
|
||||
06 : 41
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 10 de 16 [NOM] [NOM]
|
||||
Réalisé — SOMMEIL : SURV. - 3x/Nuit (22h 2h Début le 21/08/2023 à
|
||||
6h) - pendant 7 Jour(s)- Date Début : 21/08/2023 00:06
|
||||
@ 00 : 06 Fin le 27/08/2023 à 02:00 * 1
|
||||
22 : 00
|
||||
Admin le 21/08/2023 à
|
||||
06 : 41
|
||||
[NOM] [NOM]
|
||||
Réalisé — SOMMEIL : SURV. - 3x/Nuit (22h 2h Début le 21/08/2023 à
|
||||
6h) - pendant 7 Jour(s)- Date Début : 21/08/2023 00:06
|
||||
@ 00 : 06 Fin le 27/08/2023 à 06:00 * 1
|
||||
22 : 00
|
||||
Admin le 21/08/2023 à
|
||||
06 : 41
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — TOILETTE : AUTONOME - Matin Début le 18/08/2023 à
|
||||
[8h] - pendant 7 Jour(s)- Date Début : 18/08/2023 11:08
|
||||
@ 11 : 08 Fin le 25/08/2023 à 11:48 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
11 : 48
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 11 de 16 Plan de soins Jour J + 1 du 22/08/2023 07h00 au 23/08/2023 07h00
|
||||
Prescriptions Matin (07h-12h) Midi (12h-16h) Soir (16h-21h) Soir (21h-07h)
|
||||
[NOM] [NOM]
|
||||
Signé — RAMIPRIL [NOM] 10MG CPR - 10MG Début le 18/08/2023 à
|
||||
comprime - Dose 0,5 CPR - ORALE - 1xJour [8h] 21 : 05 08:00 * 0.5
|
||||
- 1ère dose : 19/08/2023 @ 08:00 Fin le 25/08/2023 à CPR
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 17
|
||||
[NOM] [NOM]
|
||||
Signé — SOLUPRED 20MG CPR ORODISP - Début le 19/08/2023 à
|
||||
20MG comprime - Dose 4 CPR - ORALE - Matin 08 : 58 08:00 * 4
|
||||
[8h] - 1ère dose : 20/08/2023 @ 08:00 Fin le 18/09/2023 à CPR
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 15
|
||||
[NOM] [NOM]
|
||||
Réalisé — DESINFECTION [NOM]
|
||||
ENVIRONNEMENT PATIENT - Matin [8h] - Début le 18/08/2023 à
|
||||
pendant 7 Jour(s)- Date Début : 18/08/2023 @ 11:08 08:00 * 1
|
||||
11 : 08 Fin le 25/08/2023 à
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — LIT : REFECTION COMPLETE Début le 18/08/2023 à
|
||||
- Matin [8h] - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 08:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
08 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 08:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 12:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 16:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — REPAS : AUTONOME - Matin midi Début le 18/08/2023 à
|
||||
goûter soir - pendant 7 Jour(s)- Date Début : 11:08
|
||||
18/08/2023 @ 11 : 08 Fin le 25/08/2023 à 19:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
12 : 00
|
||||
[NOM] [NOM]
|
||||
Réalisé — SOMMEIL : SURV. - 3x/Nuit (22h 2h Début le 21/08/2023 à
|
||||
6h) - pendant 7 Jour(s)- Date Début : 21/08/2023 00:06
|
||||
@ 00 : 06 Fin le 27/08/2023 à 22:00 * 1
|
||||
22 : 00
|
||||
Admin le 21/08/2023 à
|
||||
06 : 41
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 12 de 16 [NOM] [NOM]
|
||||
Réalisé — SOMMEIL : SURV. - 3x/Nuit (22h 2h Début le 21/08/2023 à
|
||||
6h) - pendant 7 Jour(s)- Date Début : 21/08/2023 00:06
|
||||
@ 00 : 06 Fin le 27/08/2023 à 02:00 * 1
|
||||
22 : 00
|
||||
Admin le 21/08/2023 à
|
||||
06 : 41
|
||||
[NOM] [NOM]
|
||||
Réalisé — SOMMEIL : SURV. - 3x/Nuit (22h 2h Début le 21/08/2023 à
|
||||
6h) - pendant 7 Jour(s)- Date Début : 21/08/2023 00:06
|
||||
@ 00 : 06 Fin le 27/08/2023 à 06:00 * 1
|
||||
22 : 00
|
||||
Admin le 21/08/2023 à
|
||||
06 : 41
|
||||
[NOM] [NOM]
|
||||
[NOM]
|
||||
Réalisé — TOILETTE : AUTONOME - Matin Début le 18/08/2023 à
|
||||
[8h] - pendant 7 Jour(s)- Date Début : 18/08/2023 11:08
|
||||
@ 11 : 08 Fin le 25/08/2023 à 08:00 * 1
|
||||
08 : 00
|
||||
Admin le 21/08/2023 à
|
||||
11 : 48
|
||||
Résultats de radiologie
|
||||
Prescription Date Résultat
|
||||
Compte rendu au format texte
|
||||
Bayonne, le 18/08/2023
|
||||
Docteur [NOM]
|
||||
Nom de naissance : [NOM]
|
||||
Nom utilisé : [NOM]
|
||||
Prénom de naissance : [NOM]
|
||||
Prénom utilisé : [NOM]
|
||||
Date de naissance : [DATE_NAISSANCE]
|
||||
Lieu de naissance : [VILLE]
|
||||
Sexe : M
|
||||
Matricule INS :
|
||||
Examen du : 18/08/2023
|
||||
Compte-rendu validé électroniquement par [NOM] [NOM] le 18/08/2023
|
||||
IRM [NOM]
|
||||
Indication :
|
||||
Hémiparésie gauche d'apparition progressive dpeuis le 04/08/2023 chez une patient aux ATCD d'hta traité
|
||||
Recherche : Syndrome de masse? autre?
|
||||
Protocole :
|
||||
Séquence 3D T1 SE, 3D FLAIR et 3D T1 SE après injection de Gadolinium.
|
||||
Séquences axiales diffusion, T2* et de perfusion.
|
||||
18/08/2023
|
||||
CR IRM RESULTATS :
|
||||
19 : 57
|
||||
Mise en évidence d'une prise de contraste nodulaire en cocarde mesurée à 13 x 11 mm du lobe frontal droit en région précentrale. Il
|
||||
s'y associé à un volumineux ?dème périlésionnel sans effet de masse significatif. La lésion apparaît en hypersignal T1 spontané et
|
||||
hyposignal T2* (localisation secondaire de mélanome ?).
|
||||
Pas d'autre prise de contraste décelée
|
||||
Pas de déviation des structures médianes, pas d'engagement. Hypersignaux punctiformes de la substance blanche profonde en
|
||||
faveur de lésions de microangiopathie (face et cassent I).
|
||||
Sur la séquence de perfusion, augmentation du CBV en regard de la lésion nodulaire précentrale droite évoquant une
|
||||
néoangiogenèse.
|
||||
CONCLUSION :
|
||||
Prise de contraste nodulaire de 13 x 11 mm isolée du lobe frontal droit en région précentrale évocatrice d'une lésion secondaire
|
||||
compte tenu des caractéristiques morphologiques. À noter l'hypersignal T1 spontané pouvant faire évoquer une localisation
|
||||
secondaire de type mélanome.
|
||||
Un scanner [NOM] réalisé en suivant à la recherche d'un primitif.
|
||||
[NOM] [NOM], interne
|
||||
Technique :
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 13 de 16 Cet examen rendu anonyme est accessible sur le site WEB de l'établissement pour une durée de 10 mois : www.ch-cote-basque.fr
|
||||
« accès examens d'imagerie »
|
||||
N° d'examen : RAD[TEL]
|
||||
Date de naissance : [DATE_NAISSANCE]
|
||||
Compte rendu au format texte
|
||||
Bayonne, le 18/08/2023
|
||||
Docteur [NOM]
|
||||
Nom de naissance : [NOM]
|
||||
Nom utilisé : [NOM]
|
||||
Prénom de naissance : [NOM]
|
||||
Prénom utilisé : [NOM]
|
||||
Date de naissance : [DATE_NAISSANCE]
|
||||
Lieu de naissance : [VILLE]
|
||||
Sexe : M
|
||||
Matricule INS :
|
||||
Examen du : 18/08/2023
|
||||
Compte-rendu validé électroniquement par [NOM] [NOM] le 18/08/2023
|
||||
SCANNER [NOM]
|
||||
Indication :
|
||||
Recherche de lésion évolutive.
|
||||
Protocole :
|
||||
Examen réalisé avec injection de produit de contraste.
|
||||
RESULTATS :
|
||||
A l'étage thoracique :
|
||||
Absence de foyer parenchymateux systématisé.
|
||||
Absence de nodule pulmonaire suspect.
|
||||
Absence d'adénomégalie médiastino-hilaire ou axillaire.
|
||||
Absence d'épanchement pleuro péricardique.
|
||||
18/08/2023
|
||||
CR Scanner
|
||||
20 : 39 A l'étage sous diaphragmatique :
|
||||
Le foie est homogène et non dysmorphique.
|
||||
Il n'y a pas d'anomalie significative de la vésicule biliaire. Les voies biliaires intra et extra hépatiques sont fines.
|
||||
Pas d'anomalie du système porte.
|
||||
Pas d'anomalie du pancréas, de la rate, des reins et des surrénales. Athéromatose calcifiée de l'aorte abdominale sans dilatation
|
||||
anévrismale. Pas d'adénopathie rétropéritonéale ou coelio-mésentérique de taille significative.
|
||||
Pas d'épanchement péritonéal.
|
||||
Pas d'anomalie des structures pelviennes.
|
||||
CONCLUSION :
|
||||
Absence de lésion tumorale décelée à l'étage sous-diaphragmatique.
|
||||
[NOM] [NOM], interne
|
||||
Technique :
|
||||
PDL : 421.72 mGy.cm CTDI : 5.42 mGy
|
||||
Protocole d'acquisition : 5.7 TAP Portal
|
||||
XENETIX 350 200mL 23wf017d01 95.00 ml
|
||||
Cet examen rendu anonyme est accessible sur le site WEB de l'établissement pour une durée de 10 mois : www.ch-cote-basque.fr
|
||||
« accès examens d'imagerie »
|
||||
N° d'examen : RAD[TEL]
|
||||
Date de naissance : [DATE_NAISSANCE]
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : [IPP] ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 14 de 16 Résultats de laboratoire
|
||||
18/08/2023 18 : 31
|
||||
Résultat de labo
|
||||
(6030672)
|
||||
Non-applicable en cas
|
||||
d'insuffisance rénale
|
||||
aigue. Estimation du
|
||||
DFG non validée dans
|
||||
les situations suivantes :
|
||||
- patients âgés > : 75
|
||||
ans - poids extrêmes
|
||||
Commentaire CKD-EPI
|
||||
et variations de la
|
||||
masse musculaire -
|
||||
alimentation pauvre
|
||||
en protéines animales
|
||||
et patients dénutris -
|
||||
patients d'origine non
|
||||
caucasienne
|
||||
Calcium 2,34 mmol/l
|
||||
Estimation du DFG (CKD-
|
||||
97 ml/mn/1.73 m2
|
||||
EPI)
|
||||
Chlore 105 mmol/l
|
||||
Créatinine 66 µmol/l
|
||||
CRP 1 mg/l
|
||||
Compte-rendu laboratoire Labo230819001606-1.pdf
|
||||
Polynucléaires neutrophiles
|
||||
76,1 %
|
||||
(%)
|
||||
Polynucléaires neutrophiles
|
||||
7,50 10.9/l
|
||||
(#)
|
||||
Polynucléaires éosinophiles
|
||||
0,0 %
|
||||
(%)
|
||||
Polynucléaires éosinophiles
|
||||
0,00 10.9/l
|
||||
(#)
|
||||
Polynucléaires basophiles (%) 0,2 %
|
||||
Polynucléaires basophiles (#) 0,02 10.9/l
|
||||
Lymphocytes (%) 13,8 %
|
||||
Lymphocytes (#) 1,36 10.9/l
|
||||
Monocytes (%) 9,9 %
|
||||
Monocytes (#) 0,98 10.9/l
|
||||
Glucose 5,6 mmol/l
|
||||
réalisée sur automate
|
||||
Formule sanguine
|
||||
XN (Sysmex)
|
||||
Hématocrite (%) 42,5 %
|
||||
Indice de distribution des
|
||||
13,3 %
|
||||
hématies
|
||||
Absence de traitement
|
||||
Traitement anticoagulant
|
||||
anticoagulant
|
||||
Potassium 3,6 mmol/l
|
||||
Leucocytes 9,86 10.9/l
|
||||
Hématies 4,92 10.12/l (t/l)
|
||||
Hémoglobine 14,7 g/dl
|
||||
VGM 86,4 fl
|
||||
TCMH 29,9 pg
|
||||
CCMH 34,6 g/dl
|
||||
Sodium 141 mmol/l
|
||||
Osmolarité sang 288 mOSM/l
|
||||
Plaquettes 229 10.9/l
|
||||
Protéines 78 g/l
|
||||
Réserve alcaline 25 mmol/l
|
||||
Validation et diffusion sous la Dr. [NOM]
|
||||
responsabilité du biologiste [NOM]
|
||||
Trou anionique 15
|
||||
TCA 26,3 secondes
|
||||
TCA ratio 0,87
|
||||
TP 85 %
|
||||
Temps de Quick 12,7 secondes
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 15 de 16 Volume plaquettaire moyen 11,5 fl
|
||||
Patient : [NOM] [NOM] [NOM] - [DATE_NAISSANCE] ([IPP] )
|
||||
Episode N. : 23158603 ( ONCOLOGIE - ONCOLOGIE HC ) - Poids: 61 kg
|
||||
Le 21/08/2023 15 : 11 Page 16 de 16
|
||||
@@ -0,0 +1,204 @@
|
||||
{"page": 0, "kind": "force_term", "original": "CENTRE HOSPITALIER COTE BASQUE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "23005591", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "VILLE", "original": "ORTHEZ", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "Code Postal: 64300", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "250 ROUTE VIEILLE DE CASTETARBE Ville de résidence", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sophie BERNARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2, rue du Pesqué ", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64300 ORTHEZ", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre RICHIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "250 ROUTE VIEILLE DE", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64300 ORTHEZ", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "NOM", "original": "ISSARTEL Thierry", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 2, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "DATE_NAISSANCE", "original": "né le 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "NOM", "original": "ISSARTEL Thierry", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 5, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "DATE_NAISSANCE", "original": "né le 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "NOM", "original": "ISSARTEL Thierry", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 6, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/07/1964", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Prune", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Delphine", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 10, "kind": "NOM", "original": "Sophie", "placeholder": "[NOM]", "bbox_hint": null}
|
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File diff suppressed because it is too large
Load Diff
@@ -0,0 +1,114 @@
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{"page": 21, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 22, "kind": "NIR", "original": "254094027200584", "placeholder": "[NIR]", "bbox_hint": null}
|
||||
{"page": 22, "kind": "NOM", "original": "BERGOUGNOUX Brice", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 22, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 23, "kind": "NOM", "original": "BERGOUGNOUX Brice", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 23, "kind": "NIR", "original": "254094027200584", "placeholder": "[NIR]", "bbox_hint": null}
|
||||
{"page": 23, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 24, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "NOM", "original": "Marie-Laure", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "NOM", "original": "Rémi SEGUES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "NOM", "original": "Lucie DECOEUR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "DATE_NAISSANCE", "original": "née le 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "ETAB", "original": "Service Madame FOIS CLAUDETTE", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 26, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 26, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "BA102259", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 23/09/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "VILLE", "original": "ST MARTIN DE HINX", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "Code Postal: 64100", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "3 IMPASSE DU TÉNÉ APT ", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "VILLE", "original": "BAYONNE", "placeholder": "[VILLE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "12 rue de l'industrie ", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "0670194026", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "06.68.18.96.02", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE FRANCE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Gontier", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "unité de Chirurgie hors SC", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "SSR", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "ETAB", "original": "SSR\nBloc", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Marie LACLAU- LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Marie LACLAU- LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Julie LARRIEU- NARZABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 3, "kind": "NOM", "original": "Laclau", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "SSR Les Terrasses", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 4, "kind": "ETAB", "original": "SSR Les Terrasses", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Julie LARRIEU- NARZABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Julie LARRIEU- NARZABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 7, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Julie LARRIEU- NARZABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 8, "kind": "NOM", "original": "Julie LARRIEU-NARZABAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 9, "kind": "NOM", "original": "Lucie", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "NOM", "original": "Rémi SEGUES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "NOM", "original": "Marie-Laure CURUTCHET BURTIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 25, "kind": "NOM", "original": "Lucie DECOEUR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
File diff suppressed because it is too large
Load Diff
Reference in New Issue
Block a user