Update app.py

app.py

@@ -39,90 +39,69 @@ class PDFTextExtractor:
                             "role": "system",
                             "content": """You are a doctor at a hospital. You can understand sloppy handwriting and convert it to readable text. Extract all the data from the form according to the markdown structure given below.
                             Follow this exact markdown structure:
-                            # PATIENT ADMISSION FORM
+                            # ER - DOCTORS INITIAL ASSESSMENT FORM
                             ## DR.KAMAKSHI MEMORIAL HOSPITAL, PALLIKARANAI, CHENNAI.
                             
                             ### PATIENT PROFILE
                             *Please paste the sticker within the box*
                             
                             * UHID: ______
+                            * Date: [DD/MM/YYYY]
                             * Patient Name: ______
                             * Age/Gender: ______
                             * Doctor Name: ______
                             
-                            ### BASIC INFORMATION
-                            * Date & Time of Admission: [DD/MM/YYYY]
-                            * Date of Birth: [DD/MM/YYYY]
-                            
-                            ### IDENTIFICATION
-                            **ID Proof Already Registered**: □ Yes □ No
-                            
-                            **Type of ID**:
-                            * □ Aadhar
-                            * □ Passport
-                            * □ Voter ID
-                            * □ Driving License
-                            * □ Others
-                            
-                            ID No.: ________________
-                            Contact No.: ________________
-                            
-                            ### MEDICAL DETAILS
-                            * Provisional Diagnosis:
-                            * Reason for Admission:
-                            * Plan of Care:
-                            * Expected Outcome*:
-                            
-                            ### CONSULTANT DETAILS
-                            * Primary Consultant Name:
-                            * Speciality:
-                            
-                            ### PATIENT REFERENCE INFORMATION
-                            *(To be filled by Front Office)*
-                            
-                            **Reference Via**:
-                            * □ Doctor
-                            * □ Hospital
-                            * □ Ambulance
-                            * □ DRKMH Employee
-                            * □ Self / Walk In
-                            
-                            **Referrer Details**:
-                            * Name: ________________
-                            * Contact No.: ________________
-                            
-                            ### TYPE OF ADMISSION
-                            * □ Emergency
-                            * □ Elective
-                            * □ MLC
-                            * □ Surgery
-                            * □ Medical
-                            * □ Others: ________________
-                            
-                            ### TREATMENT TYPE
-                            * □ In Patient
-                            * □ Day Care
-                            * Transfer To: ________________
-                            
-                            ### CONTACT DETAILS
-                            **Person to Contact (Next of Kin)**:
-                            * Name: ________________
-                            * Relationship with Patient: ________________
-                            * Address: ________________
-                            * Pincode: ________________
-                            * Mobile: ________________
-                            * Email: ________________
-                            
-                            ### OFFICIAL USE
-                            * Front Office Executive Name:
-                            * Front Office Executive Signature:
-                            * Advance Amount Paid:
-                            * ICD-10 Code (For Medical Records Section):
-                            
-                            *\\* Subject to change during the course of diseases*
-                            
-                            ---
-                            *Form No: KMHIPF002V3*
+                            ### CASE INFORMATION
+                            * MLC: □ No □ Yes, AR No.: ________________
+                            * Information Provided By: □ Self □ Care Taker
+                            * Ambulation: □ Walking □ Wheelchair □ Stretcher
+                            * Triage Code: □ Red □ Orange □ Yellow □ Green □ Blue
+                            
+                            ### ALLERGIES / INTOLERANCES
+                            * □ Nil Known / □ Yes (See below)
+                            * Drug & description of allergy / intolerance: ________________
+                            
+                            ### CHIEF COMPLAINTS:
+                            ________________
+                            ________________
+                            ________________
+                            
+                            ### ASSESSMENT
+                            * Pain Score: ______ □ NRS □ NPRS-R
+                            
+                            ### PAST MEDICAL HISTORY:
+                            * □ SHTN □ DM □ CAD □ CKD □ STROKE □ ASTHMA □ COPD □ SEIZURE □ HYPOTHYROIDISM
+                            * □ OTHERS: ________________
+                            
+                            ### PAST SURGERIES:
+                            ________________
+                            ________________
+                            
+                            ### CURRENT MEDICATIONS:
+                            * □ Regular □ Irregular □ Nil □ AYUSH: ________________
+                            
+                            ### GENERAL EXAMINATION
+                            * Weight: ______ kgs
+                            * CBG: ______ mg/dL
+                            * □ Pallor □ Icterus □ Cyanosis □ Clubbing □ Lymphadenopathy □ Edema
+                            
+                            ### VITALS
+                            * Temp: ______ °F
+                            * BP: ______/______ mmHg
+                            * HR: ______/min
+                            * RR: ______/min
+                            * SpO₂: ______%
+                            * NEWS: ______
+                            
+                            ### SYSTEMIC EXAMINATION
+                            * RS: ________________
+                            * CVS: ________________
+                            * P/A: ________________
+                            * CNS: ________________
+                            * GCS: E____ V____ M____
+                            * Local O/E: ________________
+                            
+                            *Form No: KMHPF190V1*
                             """
                         },
                         {