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import gradio as gr |
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def display_form( |
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first_name, last_name, middle_initial, dob, age, sex, address, city, state, zip_code, |
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doctor_first_name, doctor_last_name, doctor_middle_initial, hospital_name, doctor_address, |
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doctor_city, doctor_state, doctor_zip, |
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admission_date, referral_source, admission_method, discharge_date, discharge_reason, date_of_death, |
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diagnosis, procedures, medications, preparer_name, preparer_job_title |
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): |
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form = f""" |
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**Patient Discharge Form** |
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**Patient Details:** |
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- Name: {first_name} {middle_initial} {last_name} |
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- Date of Birth: {dob}, Age: {age}, Sex: {sex} |
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- Address: {address}, {city}, {state}, {zip_code} |
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**Primary Healthcare Professional Details:** |
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- Name: {doctor_first_name} {doctor_middle_initial} {doctor_last_name} |
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- Hospital/Clinic: {hospital_name} |
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- Address: {doctor_address}, {doctor_city}, {doctor_state}, {doctor_zip} |
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**Admission and Discharge Details:** |
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- Date of Admission: {admission_date} |
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- Source of Referral: {referral_source} |
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- Method of Admission: {admission_method} |
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- Date of Discharge: {discharge_date} |
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- Discharge Reason: {discharge_reason} |
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- Date of Death (if applicable): {date_of_death} |
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**Diagnosis & Procedures:** |
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- Diagnosis: {diagnosis} |
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- Procedures: {procedures} |
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**Medication Details:** |
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- Medications on Discharge: {medications} |
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**Prepared By:** |
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- Name: {preparer_name}, Job Title: {preparer_job_title} |
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""" |
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return form |
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with gr.Blocks() as demo: |
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gr.Markdown("# Patient Discharge Form") |
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with gr.Row(): |
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first_name = gr.Textbox(label="First Name") |
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last_name = gr.Textbox(label="Last Name") |
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middle_initial = gr.Textbox(label="Middle Initial") |
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with gr.Row(): |
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dob = gr.Textbox(label="Date of Birth") |
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age = gr.Textbox(label="Age") |
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sex = gr.Textbox(label="Sex") |
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address = gr.Textbox(label="Address") |
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with gr.Row(): |
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city = gr.Textbox(label="City") |
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state = gr.Textbox(label="State") |
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zip_code = gr.Textbox(label="Zip Code") |
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gr.Markdown("## Primary Healthcare Professional Details") |
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with gr.Row(): |
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doctor_first_name = gr.Textbox(label="Doctor's First Name") |
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doctor_last_name = gr.Textbox(label="Doctor's Last Name") |
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doctor_middle_initial = gr.Textbox(label="Middle Initial") |
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hospital_name = gr.Textbox(label="Hospital/Clinic Name") |
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doctor_address = gr.Textbox(label="Address") |
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with gr.Row(): |
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doctor_city = gr.Textbox(label="City") |
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doctor_state = gr.Textbox(label="State") |
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doctor_zip = gr.Textbox(label="Zip Code") |
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gr.Markdown("## Admission and Discharge Details") |
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with gr.Row(): |
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admission_date = gr.Textbox(label="Date of Admission") |
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referral_source = gr.Textbox(label="Source of Referral") |
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admission_method = gr.Textbox(label="Method of Admission") |
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with gr.Row(): |
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discharge_date = gr.Textbox(label="Date of Discharge") |
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discharge_reason = gr.Radio(["Treated", "Transferred", "Discharge Against Advice", "Patient Died"], label="Discharge Reason") |
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date_of_death = gr.Textbox(label="Date of Death (if applicable)") |
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gr.Markdown("## Diagnosis & Procedures") |
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diagnosis = gr.Textbox(label="Diagnosis") |
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procedures = gr.Textbox(label="Operation & Procedures") |
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gr.Markdown("## Medication Details") |
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medications = gr.Textbox(label="Medication on Discharge") |
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gr.Markdown("## Prepared By") |
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with gr.Row(): |
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preparer_name = gr.Textbox(label="Name") |
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preparer_job_title = gr.Textbox(label="Job Title") |
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submit = gr.Button("Generate Form") |
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output = gr.Markdown() |
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submit.click( |
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display_form, |
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inputs=[ |
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first_name, last_name, middle_initial, dob, age, sex, address, city, state, zip_code, |
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doctor_first_name, doctor_last_name, doctor_middle_initial, hospital_name, doctor_address, |
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doctor_city, doctor_state, doctor_zip, |
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admission_date, referral_source, admission_method, discharge_date, discharge_reason, date_of_death, |
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diagnosis, procedures, medications, preparer_name, preparer_job_title |
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], |
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outputs=output |
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) |
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demo.launch() |
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