Merge pull request #5 from Kenearos/claude/fix-latex-form-filling-GbQtu

Add LaTeX template support for form generation
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Kenearos 2026-01-29 19:47:11 +01:00 committed by GitHub
commit e84752fff5
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GPG key ID: B5690EEEBB952194
10 changed files with 1557 additions and 32 deletions

67
Dockerfile Normal file
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@ -0,0 +1,67 @@
# Multi-stage Dockerfile for AutoForm AI with LaTeX support
# Stage 1: Build Frontend
FROM node:20-alpine AS frontend-builder
WORKDIR /app
# Copy package files
COPY package*.json ./
# Install dependencies
RUN npm ci
# Copy source files
COPY . .
# Build the frontend
RUN npm run build
# Stage 2: Production image with Python and LaTeX
FROM python:3.11-slim
# Install TeX Live (minimal installation for form generation)
RUN apt-get update && apt-get install -y --no-install-recommends \
texlive-latex-base \
texlive-latex-recommended \
texlive-latex-extra \
texlive-fonts-recommended \
texlive-lang-german \
texlive-plain-generic \
nodejs \
npm \
&& rm -rf /var/lib/apt/lists/*
WORKDIR /app
# Copy Python requirements and install
COPY requirements.txt ./
RUN pip install --no-cache-dir -r requirements.txt
# Install serve for static file serving
RUN npm install -g serve
# Copy the built frontend
COPY --from=frontend-builder /app/dist ./dist
# Copy Python backend and LaTeX templates
COPY latex_service.py ./
COPY server.py ./
COPY templates ./templates
# Create startup script
RUN echo '#!/bin/bash\n\
python server.py &\n\
serve dist -l ${PORT:-3000}\n\
' > /app/start.sh && chmod +x /app/start.sh
# Expose ports
EXPOSE 3000 5000
# Environment variables
ENV PORT=3000
ENV FLASK_DEBUG=false
ENV VITE_LATEX_API_URL=http://localhost:5000
# Start both services
CMD ["/app/start.sh"]

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@ -1,7 +1,8 @@
import React, { useState, useEffect, useMemo } from 'react';
import React, { useState, useEffect, useMemo, useCallback } from 'react';
import { ExtractedField, FileData } from '../types';
import { Check, Edit2, Download, RefreshCw, FileText, AlertTriangle, XCircle, ArrowRight, PenTool, CheckCircle2, Circle } from 'lucide-react';
import { Check, Edit2, Download, RefreshCw, FileText, AlertTriangle, XCircle, ArrowRight, PenTool, CheckCircle2, Circle, FileCode, Loader2 } from 'lucide-react';
import { createFilledPdf } from '../services/pdfService';
import { generateLatexPdf, isLatexServiceAvailable, detectTemplate, base64ToBlob } from '../services/latexService';
import { jsPDF } from "jspdf";
interface ReviewPanelProps {
@ -13,18 +14,40 @@ interface ReviewPanelProps {
onReset: () => void;
}
export const ReviewPanel: React.FC<ReviewPanelProps> = ({
fields: initialFields,
formFile,
type PdfMode = 'overlay' | 'fillable' | 'latex';
export const ReviewPanel: React.FC<ReviewPanelProps> = ({
fields: initialFields,
formFile,
sourceFile,
summary,
isFillablePdf,
onReset
onReset
}) => {
const [fields, setFields] = useState(initialFields);
const [activeField, setActiveField] = useState<number | null>(null);
const [previewUrl, setPreviewUrl] = useState<string | null>(null);
const [filterMode, setFilterMode] = useState<'ALL' | 'ATTENTION'>('ALL');
const [latexAvailable, setLatexAvailable] = useState<boolean | null>(null);
const [pdfMode, setPdfMode] = useState<PdfMode>(isFillablePdf ? 'fillable' : 'overlay');
const [isGenerating, setIsGenerating] = useState(false);
const [latexPdfBase64, setLatexPdfBase64] = useState<string | null>(null);
// Detect template from form file name
const detectedTemplate = useMemo(() => detectTemplate(formFile.file.name), [formFile.file.name]);
// Check LaTeX service availability on mount
useEffect(() => {
const checkLatex = async () => {
const available = await isLatexServiceAvailable();
setLatexAvailable(available);
// Auto-switch to LaTeX mode if available and template detected
if (available && detectedTemplate && !isFillablePdf) {
setPdfMode('latex');
}
};
checkLatex();
}, [detectedTemplate, isFillablePdf]);
// Derived state for progress
const verifiedCount = fields.filter(f => f.isVerified).length;
@ -35,12 +58,46 @@ export const ReviewPanel: React.FC<ReviewPanelProps> = ({
fields.filter(f => f.validation?.status !== 'VALID'),
[fields]);
// Generate LaTeX PDF
const generateLatexPreview = useCallback(async () => {
if (!detectedTemplate || pdfMode !== 'latex') return;
setIsGenerating(true);
try {
const result = await generateLatexPdf(detectedTemplate, fields);
if (result.success && result.pdf) {
setLatexPdfBase64(result.pdf);
const blob = base64ToBlob(result.pdf);
const url = URL.createObjectURL(blob);
setPreviewUrl(url);
} else {
console.error('LaTeX generation failed:', result.error);
// Fallback to overlay mode
setPdfMode('overlay');
}
} catch (e) {
console.error('LaTeX generation error:', e);
setPdfMode('overlay');
} finally {
setIsGenerating(false);
}
}, [detectedTemplate, fields, pdfMode]);
// Generate preview
useEffect(() => {
const updatePreview = async () => {
// LaTeX mode - handled separately with button click
if (pdfMode === 'latex') {
// Only auto-generate if we don't have a preview yet
if (!latexPdfBase64) {
generateLatexPreview();
}
return;
}
if (formFile.type === 'application/pdf') {
try {
const filledPdfBytes = await createFilledPdf(formFile.base64, fields, isFillablePdf);
const filledPdfBytes = await createFilledPdf(formFile.base64, fields, pdfMode === 'fillable');
const blob = new Blob([filledPdfBytes], { type: 'application/pdf' });
const url = URL.createObjectURL(blob);
setPreviewUrl(url);
@ -52,11 +109,11 @@ export const ReviewPanel: React.FC<ReviewPanelProps> = ({
setPreviewUrl(formFile.previewUrl);
}
};
// Debounce slightly to avoid rapid updates on typing
const timer = setTimeout(updatePreview, 600);
return () => clearTimeout(timer);
}, [fields, isFillablePdf, formFile.base64, formFile.type]);
}, [fields, pdfMode, formFile.base64, formFile.type, latexPdfBase64, generateLatexPreview]);
const handleUpdate = (index: number, newValue: string) => {
const newFields = [...fields];
@ -87,6 +144,30 @@ export const ReviewPanel: React.FC<ReviewPanelProps> = ({
};
const handleDownload = async () => {
// LaTeX mode - regenerate fresh PDF for download
if (pdfMode === 'latex' && detectedTemplate) {
setIsGenerating(true);
try {
const result = await generateLatexPdf(detectedTemplate, fields);
if (result.success && result.pdf) {
const blob = base64ToBlob(result.pdf);
const url = URL.createObjectURL(blob);
const a = document.createElement('a');
a.href = url;
a.download = `${detectedTemplate}_filled.pdf`;
document.body.appendChild(a);
a.click();
document.body.removeChild(a);
URL.revokeObjectURL(url);
} else {
alert(`PDF generation failed: ${result.error}`);
}
} finally {
setIsGenerating(false);
}
return;
}
if (formFile.type === 'application/pdf' && previewUrl) {
const a = document.createElement('a');
a.href = previewUrl;
@ -106,6 +187,12 @@ export const ReviewPanel: React.FC<ReviewPanelProps> = ({
}
};
// Regenerate LaTeX preview
const handleRegenerateLatex = () => {
setLatexPdfBase64(null);
generateLatexPreview();
};
// Sort: Unverified/Issues first, then verified
const displayedFields = fields.map((f, i) => ({ ...f, originalIndex: i }))
.sort((a, b) => {
@ -154,11 +241,16 @@ export const ReviewPanel: React.FC<ReviewPanelProps> = ({
Start Over
</button>
<button
<button
onClick={handleDownload}
className={`flex items-center px-4 py-2 text-sm font-medium text-white rounded-lg transition-colors shadow-sm bg-indigo-600 hover:bg-indigo-700`}
disabled={isGenerating}
className={`flex items-center px-4 py-2 text-sm font-medium text-white rounded-lg transition-colors shadow-sm ${isGenerating ? 'bg-indigo-400 cursor-wait' : 'bg-indigo-600 hover:bg-indigo-700'}`}
>
<Download className="w-4 h-4 mr-2" />
{isGenerating ? (
<Loader2 className="w-4 h-4 mr-2 animate-spin" />
) : (
<Download className="w-4 h-4 mr-2" />
)}
Download PDF
</button>
</div>
@ -170,29 +262,73 @@ export const ReviewPanel: React.FC<ReviewPanelProps> = ({
<div className="p-3 bg-slate-800 border-b border-slate-700 flex justify-between items-center">
<div className="flex items-center space-x-2">
<span className="text-xs font-medium text-slate-300 uppercase tracking-wider">Preview</span>
{!isFillablePdf && (
{pdfMode === 'latex' && (
<span className="flex items-center text-[10px] bg-emerald-500/20 text-emerald-300 px-1.5 py-0.5 rounded border border-emerald-500/30">
<FileCode className="w-3 h-3 mr-1" />
LaTeX Template Mode
</span>
)}
{pdfMode === 'overlay' && (
<span className="flex items-center text-[10px] bg-indigo-500/20 text-indigo-300 px-1.5 py-0.5 rounded border border-indigo-500/30">
<PenTool className="w-3 h-3 mr-1" />
Visual Overlay Mode
</span>
)}
{pdfMode === 'fillable' && (
<span className="flex items-center text-[10px] bg-blue-500/20 text-blue-300 px-1.5 py-0.5 rounded border border-blue-500/30">
<FileText className="w-3 h-3 mr-1" />
Fillable PDF Mode
</span>
)}
</div>
<div className="flex items-center space-x-2">
{/* Mode Switcher */}
{latexAvailable && detectedTemplate && (
<button
onClick={() => {
const newMode = pdfMode === 'latex' ? 'overlay' : 'latex';
setPdfMode(newMode);
if (newMode === 'latex') {
setLatexPdfBase64(null);
}
}}
className="text-[10px] bg-slate-700 hover:bg-slate-600 text-slate-300 px-2 py-1 rounded transition-colors"
>
{pdfMode === 'latex' ? 'Use Overlay' : 'Use LaTeX'}
</button>
)}
{pdfMode === 'latex' && (
<button
onClick={handleRegenerateLatex}
disabled={isGenerating}
className="text-[10px] bg-emerald-700 hover:bg-emerald-600 text-emerald-100 px-2 py-1 rounded transition-colors disabled:opacity-50"
>
{isGenerating ? 'Generating...' : 'Regenerate'}
</button>
)}
<span className="text-xs text-slate-400">{formFile.file.name}</span>
</div>
<span className="text-xs text-slate-400">{formFile.file.name}</span>
</div>
<div className="flex-1 bg-slate-900 relative">
{previewUrl ? (
formFile.type === 'application/pdf' ? (
<iframe
src={previewUrl}
{isGenerating && pdfMode === 'latex' ? (
<div className="flex flex-col items-center justify-center h-full text-emerald-400">
<Loader2 className="w-16 h-16 mb-4 animate-spin" />
<p className="font-medium">Generating LaTeX PDF...</p>
<p className="text-sm text-slate-500 mt-1">Compiling template with your data</p>
</div>
) : previewUrl ? (
formFile.type === 'application/pdf' || pdfMode === 'latex' ? (
<iframe
src={previewUrl}
title="Form PDF Preview"
className="w-full h-full border-none"
/>
) : (
<div className="w-full h-full overflow-auto flex items-center justify-center p-4">
<img
src={previewUrl}
alt="Form Document"
className="max-w-full shadow-lg border border-slate-700"
<img
src={previewUrl}
alt="Form Document"
className="max-w-full shadow-lg border border-slate-700"
/>
</div>
)
@ -230,12 +366,24 @@ export const ReviewPanel: React.FC<ReviewPanelProps> = ({
</div>
</div>
{!isFillablePdf && (
{pdfMode === 'latex' && detectedTemplate && (
<div className="flex items-start space-x-2 bg-emerald-50 text-emerald-800 p-3 rounded-md border border-emerald-100 text-xs">
<FileCode className="w-4 h-4 flex-shrink-0 text-emerald-600 mt-0.5" />
<div>
<p className="font-semibold">LaTeX Template Mode: {detectedTemplate}</p>
<p>Using precise LaTeX template. All fields will be positioned correctly in the generated PDF.</p>
</div>
</div>
)}
{pdfMode === 'overlay' && (
<div className="flex items-start space-x-2 bg-indigo-50 text-indigo-800 p-3 rounded-md border border-indigo-100 text-xs">
<PenTool className="w-4 h-4 flex-shrink-0 text-indigo-600 mt-0.5" />
<div>
<p className="font-semibold">Visual Overlay Mode</p>
<p>AI is visually estimating field positions. Please verify text alignment in the preview.</p>
{latexAvailable && detectedTemplate && (
<p className="mt-1 text-emerald-700 font-medium">Tip: LaTeX template available! Click "Use LaTeX" for better results.</p>
)}
</div>
</div>
)}

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latex_service.py Normal file
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@ -0,0 +1,249 @@
#!/usr/bin/env python3
"""
LaTeX Form Generation Service
This service generates filled PDF forms using LaTeX templates.
It takes extracted field data and compiles a LaTeX template into a PDF.
"""
import json
import os
import subprocess
import tempfile
import base64
import sys
import shutil
from pathlib import Path
from typing import Dict, Any, Optional
# Template directory
TEMPLATE_DIR = Path(__file__).parent / "templates"
def escape_latex(text: str) -> str:
"""Escape special LaTeX characters in text."""
if not text:
return ""
# LaTeX special characters that need escaping
replacements = [
('\\', r'\textbackslash{}'),
('&', r'\&'),
('%', r'\%'),
('$', r'\$'),
('#', r'\#'),
('_', r'\_'),
('{', r'\{'),
('}', r'\}'),
('~', r'\textasciitilde{}'),
('^', r'\textasciicircum{}'),
]
result = text
for old, new in replacements:
result = result.replace(old, new)
return result
def checkbox(value: str) -> str:
"""Return LaTeX checkbox symbol based on value."""
if not value:
return r'$\square$'
val_lower = value.lower().strip()
if val_lower in ('true', 'yes', 'ja', 'x', '1', 'checked'):
return r'$\boxtimes$'
return r'$\square$'
def format_date(date_str: str) -> str:
"""Ensure date is in DD.MM.YYYY format."""
if not date_str:
return ""
# Already in correct format
if len(date_str) == 10 and date_str[2] == '.' and date_str[5] == '.':
return escape_latex(date_str)
# Try to parse ISO format
try:
from datetime import datetime
for fmt in ['%Y-%m-%d', '%d/%m/%Y', '%m/%d/%Y']:
try:
dt = datetime.strptime(date_str, fmt)
return dt.strftime('%d.%m.%Y')
except ValueError:
continue
except:
pass
return escape_latex(date_str)
def load_template(template_name: str) -> str:
"""Load a LaTeX template file."""
template_path = TEMPLATE_DIR / f"{template_name}.tex"
if not template_path.exists():
raise FileNotFoundError(f"Template not found: {template_path}")
return template_path.read_text(encoding='utf-8')
def fill_template(template: str, fields: Dict[str, Any]) -> str:
"""
Fill a LaTeX template with field values.
Fields can be accessed in template as:
- {{field_name}} for escaped text values
- {{field_name|raw}} for raw values (no escaping)
- {{field_name|checkbox}} for checkbox symbols
- {{field_name|date}} for date formatting
"""
result = template
# Process each field
for key, value in fields.items():
value_str = str(value) if value is not None else ""
# Replace with different formatters
# Raw (no escaping)
result = result.replace(f'{{{{{key}|raw}}}}', value_str)
# Checkbox
result = result.replace(f'{{{{{key}|checkbox}}}}', checkbox(value_str))
# Date
result = result.replace(f'{{{{{key}|date}}}}', format_date(value_str))
# Default (escaped)
result = result.replace(f'{{{{{key}}}}}', escape_latex(value_str))
# Clean up any remaining placeholders (unfilled fields)
import re
result = re.sub(r'\{\{[^}]+\}\}', '', result)
return result
def compile_latex(latex_content: str, output_format: str = 'pdf') -> bytes:
"""
Compile LaTeX content to PDF.
Returns the PDF as bytes.
"""
with tempfile.TemporaryDirectory() as tmpdir:
tex_file = Path(tmpdir) / "document.tex"
tex_file.write_text(latex_content, encoding='utf-8')
# Copy any additional files (images, etc.) if needed
# For now, we just compile the main document
# Run pdflatex twice (for references)
for _ in range(2):
result = subprocess.run(
['pdflatex', '-interaction=nonstopmode', '-output-directory', tmpdir, str(tex_file)],
capture_output=True,
text=True,
timeout=60
)
if result.returncode != 0:
# Check for common errors
error_log = Path(tmpdir) / "document.log"
if error_log.exists():
log_content = error_log.read_text(encoding='utf-8', errors='ignore')
# Extract error lines
errors = [line for line in log_content.split('\n') if line.startswith('!')]
if errors:
raise RuntimeError(f"LaTeX compilation failed: {'; '.join(errors[:3])}")
raise RuntimeError(f"LaTeX compilation failed: {result.stderr[:500]}")
pdf_file = Path(tmpdir) / "document.pdf"
if not pdf_file.exists():
raise RuntimeError("PDF file was not created")
return pdf_file.read_bytes()
def generate_form(template_name: str, fields: Dict[str, Any]) -> bytes:
"""
Generate a filled PDF form from a template and field data.
Args:
template_name: Name of the template (without .tex extension)
fields: Dictionary of field names to values
Returns:
PDF content as bytes
"""
template = load_template(template_name)
filled = fill_template(template, fields)
return compile_latex(filled)
def list_templates() -> list:
"""List available templates."""
if not TEMPLATE_DIR.exists():
return []
return [f.stem for f in TEMPLATE_DIR.glob("*.tex")]
# CLI Interface
if __name__ == "__main__":
import argparse
parser = argparse.ArgumentParser(description='LaTeX Form Generation Service')
parser.add_argument('command', choices=['generate', 'list', 'preview'],
help='Command to execute')
parser.add_argument('--template', '-t', help='Template name')
parser.add_argument('--fields', '-f', help='JSON string or file path with field data')
parser.add_argument('--output', '-o', help='Output file path')
args = parser.parse_args()
if args.command == 'list':
templates = list_templates()
print(json.dumps(templates))
elif args.command == 'preview':
# Output the filled LaTeX source (for debugging)
if not args.template or not args.fields:
print("Error: --template and --fields required", file=sys.stderr)
sys.exit(1)
if args.fields.startswith('{'):
fields = json.loads(args.fields)
else:
with open(args.fields, 'r') as f:
fields = json.load(f)
template = load_template(args.template)
filled = fill_template(template, fields)
print(filled)
elif args.command == 'generate':
if not args.template or not args.fields:
print("Error: --template and --fields required", file=sys.stderr)
sys.exit(1)
# Parse fields
if args.fields.startswith('{'):
fields = json.loads(args.fields)
else:
with open(args.fields, 'r') as f:
fields = json.load(f)
try:
pdf_bytes = generate_form(args.template, fields)
if args.output:
with open(args.output, 'wb') as f:
f.write(pdf_bytes)
print(f"PDF written to {args.output}", file=sys.stderr)
else:
# Output base64 encoded PDF to stdout
print(base64.b64encode(pdf_bytes).decode('ascii'))
except Exception as e:
print(f"Error: {e}", file=sys.stderr)
sys.exit(1)

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@ -11,7 +11,9 @@
"test": "vitest",
"test:ui": "vitest --ui",
"test:coverage": "vitest --coverage",
"test:run": "vitest run"
"test:run": "vitest run",
"latex:server": "python3 server.py",
"dev:all": "concurrently \"npm run dev\" \"npm run latex:server\""
},
"dependencies": {
"react-dom": "^19.2.4",

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@ -1,9 +1,9 @@
[build]
builder = "nixpacks"
builder = "dockerfile"
dockerfilePath = "Dockerfile"
[deploy]
startCommand = "npm start"
healthcheckPath = "/"
healthcheckTimeout = 100
healthcheckTimeout = 300
restartPolicyType = "on_failure"
restartPolicyMaxRetries = 3

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@ -1 +1,3 @@
pypdf>=4.0.0
flask>=3.0.0
flask-cors>=4.0.0

337
server.py Normal file
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@ -0,0 +1,337 @@
#!/usr/bin/env python3
"""
Flask server for LaTeX form generation.
Provides API endpoints for compiling LaTeX templates with field data.
"""
from flask import Flask, request, jsonify, send_file
from flask_cors import CORS
import base64
import io
import json
import os
import sys
from pathlib import Path
# Add parent directory to path for imports
sys.path.insert(0, str(Path(__file__).parent))
from latex_service import generate_form, list_templates, load_template, fill_template, escape_latex
app = Flask(__name__)
CORS(app) # Enable CORS for frontend access
# Field mapping for G2210-11 template
# Maps extracted field labels to LaTeX template variables
G2210_FIELD_MAPPING = {
# Patient data
"versicherungsnummer": ["versicherungsnummer", "vers.nr.", "vers-nr", "rentenversicherungsnummer", "rvnr"],
"abt_nr": ["abt.-nr.", "abt-nr", "abteilungsnummer", "aktenzeichen"],
"name_vorname": ["name, vorname", "name vorname", "patient", "patientenname", "name des versicherten"],
"geburtsdatum": ["geburtsdatum", "geb.", "geb.datum", "geboren am", "geburtstag"],
"geschlecht": ["geschlecht", "sex", "m/w/d"],
"strasse": ["straße", "strasse", "anschrift", "adresse"],
"plz": ["plz", "postleitzahl"],
"ort": ["ort", "wohnort", "stadt"],
"telefon": ["telefon", "tel.", "tel", "telefonnummer", "rufnummer"],
"krankenkasse": ["krankenkasse", "krankenversicherung", "kk", "versicherung"],
# Employment
"beruf_taetigkeit": ["beruf", "tätigkeit", "derzeitige tätigkeit", "beschäftigung", "arbeit"],
"arbeitgeber": ["arbeitgeber", "firma", "unternehmen"],
"au_seit": ["arbeitsunfähig seit", "au seit", "arbeitsunfähigkeit seit", "krankgeschrieben seit"],
"letzte_arbeit": ["letzte arbeitsaufnahme", "letzter arbeitstag", "zuletzt gearbeitet"],
# Diagnoses
"diagnose_1": ["diagnose 1", "hauptdiagnose", "1. diagnose"],
"diagnose_1_icd": ["icd 1", "icd-10 1", "diagnose 1 icd"],
"diagnose_2": ["diagnose 2", "nebendiagnose 1", "2. diagnose"],
"diagnose_2_icd": ["icd 2", "icd-10 2", "diagnose 2 icd"],
"diagnose_3": ["diagnose 3", "nebendiagnose 2", "3. diagnose"],
"diagnose_3_icd": ["icd 3", "icd-10 3", "diagnose 3 icd"],
"diagnose_4": ["diagnose 4", "nebendiagnose 3", "4. diagnose"],
"diagnose_4_icd": ["icd 4", "icd-10 4", "diagnose 4 icd"],
"diagnose_5": ["diagnose 5", "nebendiagnose 4", "5. diagnose"],
"diagnose_5_icd": ["icd 5", "icd-10 5", "diagnose 5 icd"],
"diagnose_6": ["diagnose 6", "nebendiagnose 5", "6. diagnose"],
"diagnose_6_icd": ["icd 6", "icd-10 6", "diagnose 6 icd"],
# Anamnesis
"anamnese_beschwerden": ["anamnese", "beschwerden", "eigenanamnese", "aktuelle beschwerden", "symptome"],
"krankheitsverlauf": ["krankheitsverlauf", "verlauf", "bisherige behandlung", "behandlungsverlauf"],
"koerperlicher_befund": ["befund", "körperlicher befund", "aktueller befund", "untersuchungsbefund"],
# Functional limitations (checkboxes)
"mobilitaet_keine": ["mobilität keine", "mobilität: keine"],
"mobilitaet_gering": ["mobilität gering", "mobilität: gering"],
"mobilitaet_erheblich": ["mobilität erheblich", "mobilität: erheblich"],
"selbstversorgung_keine": ["selbstversorgung keine"],
"selbstversorgung_gering": ["selbstversorgung gering"],
"selbstversorgung_erheblich": ["selbstversorgung erheblich"],
"haushalt_keine": ["haushaltsführung keine", "haushalt keine"],
"haushalt_gering": ["haushaltsführung gering", "haushalt gering"],
"haushalt_erheblich": ["haushaltsführung erheblich", "haushalt erheblich"],
"erwerb_keine": ["erwerbstätigkeit keine", "erwerb keine"],
"erwerb_gering": ["erwerbstätigkeit gering", "erwerb gering"],
"erwerb_erheblich": ["erwerbstätigkeit erheblich", "erwerb erheblich"],
"kommunikation_keine": ["kommunikation keine"],
"kommunikation_gering": ["kommunikation gering"],
"kommunikation_erheblich": ["kommunikation erheblich"],
"psyche_keine": ["psychische belastbarkeit keine", "psyche keine"],
"psyche_gering": ["psychische belastbarkeit gering", "psyche gering"],
"psyche_erheblich": ["psychische belastbarkeit erheblich", "psyche erheblich"],
"beeintraechtigungen_erlaeuterung": ["beeinträchtigungen erläuterung", "erläuterungen beeinträchtigungen"],
# Medication
"medikament_1": ["medikament 1", "medikation 1"],
"medikament_1_dosis": ["dosis 1", "medikament 1 dosis"],
"medikament_1_seit": ["seit 1", "medikament 1 seit"],
"medikament_2": ["medikament 2", "medikation 2"],
"medikament_2_dosis": ["dosis 2", "medikament 2 dosis"],
"medikament_2_seit": ["seit 2", "medikament 2 seit"],
"medikament_3": ["medikament 3", "medikation 3"],
"medikament_3_dosis": ["dosis 3", "medikament 3 dosis"],
"medikament_3_seit": ["seit 3", "medikament 3 seit"],
"medikament_4": ["medikament 4", "medikation 4"],
"medikament_4_dosis": ["dosis 4", "medikament 4 dosis"],
"medikament_4_seit": ["seit 4", "medikament 4 seit"],
"medikament_5": ["medikament 5", "medikation 5"],
"medikament_5_dosis": ["dosis 5", "medikament 5 dosis"],
"medikament_5_seit": ["seit 5", "medikament 5 seit"],
"physikalische_therapie": ["physikalische therapie", "heilmittel", "physiotherapie", "krankengymnastik"],
# Previous rehab
"reha_1_zeitraum": ["reha 1 zeitraum", "frühere reha 1 zeitraum"],
"reha_1_einrichtung": ["reha 1 einrichtung", "frühere reha 1 einrichtung"],
"reha_1_erfolg": ["reha 1 erfolg", "frühere reha 1 erfolg"],
"reha_2_zeitraum": ["reha 2 zeitraum", "frühere reha 2 zeitraum"],
"reha_2_einrichtung": ["reha 2 einrichtung", "frühere reha 2 einrichtung"],
"reha_2_erfolg": ["reha 2 erfolg", "frühere reha 2 erfolg"],
# Assessment
"leistungsvermoegen_checkbox_vollschichtig": ["vollschichtig", "leistungsvermögen vollschichtig", "6 stunden und mehr"],
"leistungsvermoegen_checkbox_teilschichtig": ["teilschichtig", "leistungsvermögen 3-6", "3-6 stunden"],
"leistungsvermoegen_checkbox_unter3": ["unter 3 stunden", "leistungsvermögen unter 3"],
"reha_beduerftig_begruendung": ["rehabilitationsbedürftigkeit", "reha begründung", "reha bedürftigkeit"],
"reha_ziel": ["rehabilitationsziel", "reha ziel", "therapieziel"],
"reha_stationaer": ["stationär", "stationäre reha"],
"reha_ambulant": ["ambulant", "ambulante reha"],
"reha_ganztaegig": ["ganztägig ambulant", "teilstationär"],
"reha_einrichtung_empfehlung": ["empfohlene einrichtung", "reha einrichtung", "klinikempfehlung"],
# Travel capability
"reisefaehig_ja": ["reisefähig ja", "öffentliche verkehrsmittel ja"],
"reisefaehig_nein": ["reisefähig nein", "öffentliche verkehrsmittel nein"],
"reisefaehig_begruendung": ["reisefähigkeit begründung", "nicht reisefähig weil"],
"begleitperson_ja": ["begleitperson ja", "begleitperson erforderlich"],
"begleitperson_nein": ["begleitperson nein", "keine begleitperson"],
# Additional
"ergaenzende_angaben": ["ergänzende angaben", "zusätzliche informationen", "bemerkungen", "sonstiges"],
# Attachments
"anlage_laborbefunde": ["anlage laborbefunde", "laborbefunde"],
"anlage_roentgen": ["anlage röntgen", "bildgebende befunde", "röntgenbefunde"],
"anlage_arztbriefe": ["anlage arztbriefe", "arztbriefe"],
"anlage_krankenhausberichte": ["anlage krankenhausberichte", "krankenhausberichte", "entlassungsberichte"],
"anlage_sonstige": ["anlage sonstige", "sonstige anlagen"],
"anlage_sonstige_text": ["sonstige anlagen text", "anlage sonstige bezeichnung"],
# Signature
"unterschrift_datum": ["unterschrift datum", "datum unterschrift", "ausstellungsdatum"],
"arzt_name": ["arzt name", "name des arztes", "behandelnder arzt"],
"arzt_fachrichtung": ["facharztbezeichnung", "fachrichtung", "facharzt"],
"praxis_anschrift": ["praxis anschrift", "praxisadresse", "arztpraxis"],
"praxis_telefon": ["praxis telefon", "praxis tel"],
"bsnr": ["bsnr", "betriebsstättennummer"],
"lanr": ["lanr", "lebenslange arztnummer"],
}
def normalize_label(label: str) -> str:
"""Normalize a label for matching."""
return label.lower().strip().replace(':', '').replace('_', ' ')
def map_fields_to_template(extracted_fields: list, template_mapping: dict) -> dict:
"""
Map extracted fields to template variables using fuzzy matching.
Args:
extracted_fields: List of {label, value, ...} dicts from AI extraction
template_mapping: Dict mapping template vars to possible label variations
Returns:
Dict of template variables to values
"""
result = {}
# Build reverse mapping: normalized label -> template var
reverse_map = {}
for template_var, possible_labels in template_mapping.items():
for label in possible_labels:
reverse_map[normalize_label(label)] = template_var
# Map each extracted field
for field in extracted_fields:
label = normalize_label(field.get('label', ''))
value = field.get('value', '')
if not label or not value:
continue
# Direct match
if label in reverse_map:
result[reverse_map[label]] = value
continue
# Fuzzy match: check if any mapping label is contained in the extracted label
for possible_label, template_var in reverse_map.items():
if possible_label in label or label in possible_label:
result[template_var] = value
break
return result
@app.route('/api/health', methods=['GET'])
def health_check():
"""Health check endpoint."""
return jsonify({'status': 'ok', 'service': 'latex-form-generator'})
@app.route('/api/templates', methods=['GET'])
def get_templates():
"""List available LaTeX templates."""
templates = list_templates()
return jsonify({'templates': templates})
@app.route('/api/generate', methods=['POST'])
def generate_pdf():
"""
Generate a filled PDF from a template and field data.
Request body:
{
"template": "G2210-11",
"fields": [
{"label": "Name, Vorname", "value": "Müller, Hans"},
{"label": "Geburtsdatum", "value": "01.01.1970"},
...
]
}
Returns: PDF file or base64-encoded PDF
"""
try:
data = request.get_json()
if not data:
return jsonify({'error': 'No JSON data provided'}), 400
template_name = data.get('template', 'G2210-11')
extracted_fields = data.get('fields', [])
return_format = data.get('format', 'base64') # 'base64' or 'file'
# Get the appropriate field mapping
if template_name == 'G2210-11':
field_mapping = G2210_FIELD_MAPPING
else:
# For other templates, try direct field names
field_mapping = {}
# Map extracted fields to template variables
if field_mapping:
template_fields = map_fields_to_template(extracted_fields, field_mapping)
else:
# Direct mapping: use label as key
template_fields = {normalize_label(f['label']).replace(' ', '_'): f['value']
for f in extracted_fields if f.get('value')}
# Generate PDF
pdf_bytes = generate_form(template_name, template_fields)
if return_format == 'file':
return send_file(
io.BytesIO(pdf_bytes),
mimetype='application/pdf',
as_attachment=True,
download_name=f'{template_name}_filled.pdf'
)
else:
# Return base64
pdf_base64 = base64.b64encode(pdf_bytes).decode('ascii')
return jsonify({
'success': True,
'pdf': pdf_base64,
'mapped_fields': template_fields
})
except FileNotFoundError as e:
return jsonify({'error': str(e)}), 404
except Exception as e:
return jsonify({'error': f'Generation failed: {str(e)}'}), 500
@app.route('/api/preview', methods=['POST'])
def preview_latex():
"""
Preview the filled LaTeX source (for debugging).
Same request format as /api/generate.
Returns the LaTeX source instead of compiled PDF.
"""
try:
data = request.get_json()
if not data:
return jsonify({'error': 'No JSON data provided'}), 400
template_name = data.get('template', 'G2210-11')
extracted_fields = data.get('fields', [])
# Get the appropriate field mapping
if template_name == 'G2210-11':
field_mapping = G2210_FIELD_MAPPING
else:
field_mapping = {}
# Map extracted fields to template variables
if field_mapping:
template_fields = map_fields_to_template(extracted_fields, field_mapping)
else:
template_fields = {normalize_label(f['label']).replace(' ', '_'): f['value']
for f in extracted_fields if f.get('value')}
# Load and fill template
template = load_template(template_name)
filled = fill_template(template, template_fields)
return jsonify({
'success': True,
'latex': filled,
'mapped_fields': template_fields
})
except Exception as e:
return jsonify({'error': str(e)}), 500
@app.route('/api/field-mapping/<template_name>', methods=['GET'])
def get_field_mapping(template_name):
"""Get the field mapping for a specific template."""
if template_name == 'G2210-11':
return jsonify({
'template': template_name,
'fields': list(G2210_FIELD_MAPPING.keys()),
'mapping': G2210_FIELD_MAPPING
})
else:
return jsonify({'error': 'Unknown template'}), 404
if __name__ == '__main__':
port = int(os.environ.get('PORT', 5000))
debug = os.environ.get('FLASK_DEBUG', 'false').lower() == 'true'
app.run(host='0.0.0.0', port=port, debug=debug)

View file

@ -2,6 +2,7 @@ import { GoogleGenAI, Type, Schema } from "@google/genai";
import { FileData, FormResponse } from "../types";
import { PdfFieldInfo } from "./pdfService";
import { getApiKey } from "./apiKeyService";
import { detectTemplate, getExpectedFields } from "./latexService";
const getAI = () => {
const apiKey = getApiKey();
@ -75,12 +76,98 @@ const responseSchema: Schema = {
required: ["fields", "summary"]
};
// G2210-11 specific field definitions for better extraction
const G2210_FIELDS = `
REQUIRED FIELDS FOR G2210-11 (Ärztlicher Befundbericht):
Extract ALL of the following fields from the source document:
PATIENT DATA:
- Versicherungsnummer (e.g., "12 345678 A 123")
- ABT.-Nr. (Aktenzeichen/Abteilungsnummer)
- Name, Vorname (Full name: "Nachname, Vorname")
- Geburtsdatum (format: DD.MM.YYYY)
- Geschlecht (männlich/weiblich/divers)
- Straße, Hausnummer
- PLZ
- Ort
- Telefon
- Krankenkasse
EMPLOYMENT:
- Derzeitige Tätigkeit (Beruf)
- Arbeitgeber
- Arbeitsunfähig seit (date: DD.MM.YYYY)
- Letzte Arbeitsaufnahme
DIAGNOSES (up to 6, with ICD-10 codes):
- Diagnose 1 + Diagnose 1 ICD
- Diagnose 2 + Diagnose 2 ICD
- Diagnose 3 + Diagnose 3 ICD
- Diagnose 4 + Diagnose 4 ICD
- Diagnose 5 + Diagnose 5 ICD
- Diagnose 6 + Diagnose 6 ICD
ANAMNESIS:
- Anamnese/Beschwerden (patient symptoms and history)
- Krankheitsverlauf (disease progression, previous treatments)
- Körperlicher Befund (physical examination findings)
FUNCTIONAL LIMITATIONS (mark as "keine", "gering", or "erheblich"):
- Mobilität keine/gering/erheblich
- Selbstversorgung keine/gering/erheblich
- Haushaltsführung keine/gering/erheblich
- Erwerbstätigkeit keine/gering/erheblich
- Kommunikation keine/gering/erheblich
- Psychische Belastbarkeit keine/gering/erheblich
- Beeinträchtigungen Erläuterung
MEDICATION (up to 5):
- Medikament 1 + Medikament 1 Dosis + Medikament 1 Seit
- Medikament 2 + Medikament 2 Dosis + Medikament 2 Seit
- Medikament 3 + Medikament 3 Dosis + Medikament 3 Seit
- Medikament 4 + Medikament 4 Dosis + Medikament 4 Seit
- Medikament 5 + Medikament 5 Dosis + Medikament 5 Seit
- Physikalische Therapie
PREVIOUS REHABILITATION:
- Reha 1 Zeitraum + Reha 1 Einrichtung + Reha 1 Erfolg
- Reha 2 Zeitraum + Reha 2 Einrichtung + Reha 2 Erfolg
ASSESSMENT:
- Leistungsvermögen (vollschichtig/3-6 Stunden/unter 3 Stunden)
- Rehabilitationsbedürftigkeit (reasoning for rehab need)
- Rehabilitationsziel
- Rehabilitationsform (stationär/ambulant/ganztägig ambulant)
- Reha Einrichtung Empfehlung
TRAVEL:
- Reisefähig (ja/nein)
- Reisefähig Begründung (if no)
- Begleitperson (ja/nein)
ADDITIONAL:
- Ergänzende Angaben
DOCTOR INFORMATION:
- Arzt Name
- Facharztbezeichnung
- Praxis Anschrift
- Praxis Telefon
- BSNR
- LANR
- Unterschrift Datum
`;
export const processDocuments = async (
blankForm: FileData,
sourceDocument: FileData,
pdfFields: PdfFieldInfo[] = []
): Promise<FormResponse> => {
// Detect if we have a known template
const detectedTemplate = detectTemplate(blankForm.file?.name || '');
const expectedFields = detectedTemplate ? getExpectedFields(detectedTemplate) : [];
const formPart = {
inlineData: {
data: blankForm.base64,
@ -98,11 +185,34 @@ export const processDocuments = async (
let systemPrompt = `
ROLE: Intelligent Document Processing AI (Verification Expert).
TASK: Extract data from the SOURCE DOCUMENT and map it to the BLANK TARGET FORM.
CRITICAL INSTRUCTION: You must verify every extraction. If a value is ambiguous, plausibility is low, or you are guessing, set validation.status to 'WARNING' and explain why in validation.message.
`;
if (pdfFields.length > 0) {
// Add template-specific instructions
if (detectedTemplate === 'G2210-11') {
systemPrompt += `
DETECTED FORM: G2210-11 (Ärztlicher Befundbericht der DRV Westfalen)
${G2210_FIELDS}
IMPORTANT INSTRUCTIONS:
1. Extract ALL fields listed above, even if they are empty in the source.
2. Use the EXACT label names as listed above for each field.
3. For multi-value fields like diagnoses and medications, create separate field entries.
4. For checkbox fields (Mobilität, Selbstversorgung, etc.), return separate fields for each option.
Example: If mobility is "erheblich", return:
- "Mobilität keine" with value ""
- "Mobilität gering" with value ""
- "Mobilität erheblich" with value "true"
5. ICD-10 codes must be in standard format (e.g., "M54.5", "F32.1")
6. Dates must be in DD.MM.YYYY format.
7. For Leistungsvermögen, return separate checkbox fields:
- "Leistungsvermögen vollschichtig" (true/false)
- "Leistungsvermögen 3-6 Stunden" (true/false)
- "Leistungsvermögen unter 3 Stunden" (true/false)
`;
} else if (pdfFields.length > 0) {
const fieldList = pdfFields.map(f => `"${f.name}" (${f.type})`).join(", ");
systemPrompt += `
MODE: FILLABLE PDF (AcroForm).
@ -110,12 +220,18 @@ export const processDocuments = async (
Map extracted data to these exact field IDs: [${fieldList}].
Return the 'key' property matching the field ID.
`;
} else if (expectedFields.length > 0) {
systemPrompt += `
MODE: TEMPLATE-BASED EXTRACTION.
Extract the following specific fields: [${expectedFields.join(", ")}].
Use these exact label names in your response.
`;
} else {
systemPrompt += `
MODE: VISUAL FILLING (Flat/XFA/Scan).
The target form DOES NOT have accessible digital fields.
You must VISUALLY locate where the text should be written.
For every field you identify on the TARGET FORM:
1. Extract the corresponding value from the SOURCE DOCUMENT.
2. Estimate the VISUAL COORDINATES [pageIndex, x, y] where the text should start.
@ -123,7 +239,7 @@ export const processDocuments = async (
- (0,0) is the top-left corner of the page.
- (1000,1000) is the bottom-right corner.
- Align text slightly above lines or inside boxes.
For checkboxes: If true/yes, the value should be "X" placed inside the box.
`;
}

251
services/latexService.ts Normal file
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@ -0,0 +1,251 @@
/**
* LaTeX Form Generation Service
*
* This service communicates with the Python LaTeX backend to generate
* filled PDF forms using LaTeX templates.
*/
import { ExtractedField } from '../types';
// Backend API URL - can be configured via environment variable
const API_BASE_URL = import.meta.env.VITE_LATEX_API_URL || 'http://localhost:5000';
export interface LatexGenerationResult {
success: boolean;
pdf?: string; // base64 encoded PDF
mappedFields?: Record<string, string>;
error?: string;
}
export interface TemplateInfo {
name: string;
fields: string[];
}
/**
* Check if the LaTeX backend is available
*/
export const isLatexServiceAvailable = async (): Promise<boolean> => {
try {
const response = await fetch(`${API_BASE_URL}/api/health`, {
method: 'GET',
signal: AbortSignal.timeout(3000),
});
return response.ok;
} catch {
return false;
}
};
/**
* Get list of available LaTeX templates
*/
export const getAvailableTemplates = async (): Promise<string[]> => {
try {
const response = await fetch(`${API_BASE_URL}/api/templates`);
if (!response.ok) {
throw new Error('Failed to fetch templates');
}
const data = await response.json();
return data.templates || [];
} catch (error) {
console.warn('Could not fetch templates:', error);
return [];
}
};
/**
* Get field mapping for a specific template
*/
export const getTemplateFieldMapping = async (templateName: string): Promise<Record<string, string[]> | null> => {
try {
const response = await fetch(`${API_BASE_URL}/api/field-mapping/${templateName}`);
if (!response.ok) {
return null;
}
const data = await response.json();
return data.mapping || null;
} catch (error) {
console.warn('Could not fetch field mapping:', error);
return null;
}
};
/**
* Generate a filled PDF using LaTeX template
*/
export const generateLatexPdf = async (
templateName: string,
fields: ExtractedField[]
): Promise<LatexGenerationResult> => {
try {
const response = await fetch(`${API_BASE_URL}/api/generate`, {
method: 'POST',
headers: {
'Content-Type': 'application/json',
},
body: JSON.stringify({
template: templateName,
fields: fields.map(f => ({
label: f.label,
value: f.value,
key: f.key,
})),
format: 'base64',
}),
});
if (!response.ok) {
const errorData = await response.json().catch(() => ({}));
throw new Error(errorData.error || `HTTP ${response.status}`);
}
const data = await response.json();
return {
success: true,
pdf: data.pdf,
mappedFields: data.mapped_fields,
};
} catch (error) {
console.error('LaTeX PDF generation failed:', error);
return {
success: false,
error: error instanceof Error ? error.message : 'Unknown error',
};
}
};
/**
* Preview the filled LaTeX source (for debugging)
*/
export const previewLatexSource = async (
templateName: string,
fields: ExtractedField[]
): Promise<{ latex?: string; error?: string }> => {
try {
const response = await fetch(`${API_BASE_URL}/api/preview`, {
method: 'POST',
headers: {
'Content-Type': 'application/json',
},
body: JSON.stringify({
template: templateName,
fields: fields.map(f => ({
label: f.label,
value: f.value,
key: f.key,
})),
}),
});
if (!response.ok) {
const errorData = await response.json().catch(() => ({}));
throw new Error(errorData.error || `HTTP ${response.status}`);
}
const data = await response.json();
return { latex: data.latex };
} catch (error) {
return { error: error instanceof Error ? error.message : 'Unknown error' };
}
};
/**
* Convert base64 PDF to Blob URL for preview/download
*/
export const base64ToBlob = (base64: string, mimeType: string = 'application/pdf'): Blob => {
const byteCharacters = atob(base64);
const byteNumbers = new Array(byteCharacters.length);
for (let i = 0; i < byteCharacters.length; i++) {
byteNumbers[i] = byteCharacters.charCodeAt(i);
}
const byteArray = new Uint8Array(byteNumbers);
return new Blob([byteArray], { type: mimeType });
};
/**
* Detect which template to use based on form file name or content
*/
export const detectTemplate = (fileName: string): string | null => {
const lowerName = fileName.toLowerCase();
// G2210-11 Ärztlicher Befundbericht
if (lowerName.includes('g2210') ||
lowerName.includes('befundbericht') ||
lowerName.includes('aerztlicher') ||
lowerName.includes('ärztlicher')) {
return 'G2210-11';
}
// Add more template detection patterns here
// if (lowerName.includes('s0051')) return 'S0051';
return null;
};
/**
* Get expected fields for a known form type
* This helps the AI extraction know what fields to look for
*/
export const getExpectedFields = (templateName: string): string[] => {
const fieldMappings: Record<string, string[]> = {
'G2210-11': [
'Versicherungsnummer',
'ABT.-Nr.',
'Name, Vorname',
'Geburtsdatum',
'Geschlecht',
'Straße, Hausnummer',
'PLZ',
'Ort',
'Telefon',
'Krankenkasse',
'Derzeitige Tätigkeit',
'Arbeitgeber',
'Arbeitsunfähig seit',
'Diagnose 1',
'Diagnose 1 ICD',
'Diagnose 2',
'Diagnose 2 ICD',
'Diagnose 3',
'Diagnose 3 ICD',
'Diagnose 4',
'Diagnose 4 ICD',
'Diagnose 5',
'Diagnose 5 ICD',
'Diagnose 6',
'Diagnose 6 ICD',
'Anamnese/Beschwerden',
'Krankheitsverlauf',
'Körperlicher Befund',
'Mobilität (keine/gering/erheblich)',
'Selbstversorgung (keine/gering/erheblich)',
'Haushaltsführung (keine/gering/erheblich)',
'Erwerbstätigkeit (keine/gering/erheblich)',
'Medikament 1',
'Medikament 1 Dosis',
'Medikament 2',
'Medikament 2 Dosis',
'Medikament 3',
'Medikament 3 Dosis',
'Physikalische Therapie',
'Frühere Reha Zeitraum',
'Frühere Reha Einrichtung',
'Leistungsvermögen',
'Rehabilitationsbedürftigkeit',
'Rehabilitationsziel',
'Rehabilitationsform (stationär/ambulant)',
'Reisefähig (ja/nein)',
'Begleitperson erforderlich (ja/nein)',
'Ergänzende Angaben',
'Arzt Name',
'Facharztbezeichnung',
'Praxis Anschrift',
'Praxis Telefon',
'BSNR',
'LANR',
],
};
return fieldMappings[templateName] || [];
};

353
templates/G2210-11.tex Normal file
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@ -0,0 +1,353 @@
\documentclass[a4paper,10pt]{article}
\usepackage[utf8]{inputenc}
\usepackage[T1]{fontenc}
\usepackage[ngerman]{babel}
\usepackage[margin=1.5cm,top=1cm,bottom=1.5cm]{geometry}
\usepackage{array}
\usepackage{tabularx}
\usepackage{booktabs}
\usepackage{multirow}
\usepackage{graphicx}
\usepackage{xcolor}
\usepackage{helvet}
\usepackage{amssymb}
\usepackage{tikz}
\usepackage{fancyhdr}
\usepackage{lastpage}
\usepackage{enumitem}
\renewcommand{\familydefault}{\sfdefault}
\setlength{\parindent}{0pt}
\setlength{\parskip}{0.3em}
% Custom colors
\definecolor{drvblue}{RGB}{0,51,102}
\definecolor{lightgray}{RGB}{240,240,240}
\definecolor{bordergray}{RGB}{180,180,180}
% Header and Footer
\pagestyle{fancy}
\fancyhf{}
\renewcommand{\headrulewidth}{0pt}
\fancyfoot[C]{\footnotesize Seite \thepage\ von \pageref{LastPage}}
\fancyfoot[R]{\footnotesize G2210-11 (01.2025)}
% Custom commands
\newcommand{\formfield}[2]{\textbf{#1:} #2}
\newcommand{\formbox}[1]{\fbox{\parbox{0.95\linewidth}{#1}}}
\newcommand{\sectionheader}[1]{\colorbox{lightgray}{\parbox{\dimexpr\linewidth-2\fboxsep}{\textbf{#1}}}}
\begin{document}
% === HEADER ===
\begin{center}
{\Large\bfseries\color{drvblue} Deutsche Rentenversicherung Westfalen}\\[0.3em]
{\large Ärztlicher Befundbericht}\\[0.2em]
{\small zum Antrag auf Leistungen zur medizinischen Rehabilitation}\\[0.5em]
\hrule
\end{center}
\vspace{0.5em}
% === PATIENT DATA ===
\sectionheader{1. Angaben zur versicherten Person}
\vspace{0.3em}
\begin{tabularx}{\linewidth}{|p{4cm}|X|p{4cm}|X|}
\hline
\textbf{Versicherungsnummer:} & {{versicherungsnummer}} & \textbf{ABT.-Nr.:} & {{abt_nr}} \\
\hline
\textbf{Name, Vorname:} & \multicolumn{3}{l|}{{{name_vorname}}} \\
\hline
\textbf{Geburtsdatum:} & {{geburtsdatum|date}} & \textbf{Geschlecht:} & {{geschlecht}} \\
\hline
\textbf{Straße, Hausnummer:} & \multicolumn{3}{l|}{{{strasse}}} \\
\hline
\textbf{PLZ, Ort:} & \multicolumn{3}{l|}{{{plz}} {{ort}}} \\
\hline
\textbf{Telefon:} & {{telefon}} & \textbf{Krankenkasse:} & {{krankenkasse}} \\
\hline
\end{tabularx}
\vspace{0.5em}
% === EMPLOYMENT ===
\sectionheader{2. Angaben zur beruflichen Situation}
\vspace{0.3em}
\begin{tabularx}{\linewidth}{|p{5cm}|X|}
\hline
\textbf{Derzeitige Tätigkeit:} & {{beruf_taetigkeit}} \\
\hline
\textbf{Arbeitgeber:} & {{arbeitgeber}} \\
\hline
\textbf{Arbeitsunfähig seit:} & {{au_seit|date}} \\
\hline
\textbf{Letzte Arbeitsaufnahme:} & {{letzte_arbeit|date}} \\
\hline
\end{tabularx}
\vspace{0.5em}
% === DIAGNOSES ===
\sectionheader{3. Diagnosen (mit ICD-10-Schlüssel)}
\vspace{0.3em}
\begin{tabularx}{\linewidth}{|p{1cm}|X|p{2.5cm}|}
\hline
\textbf{Nr.} & \textbf{Diagnose} & \textbf{ICD-10} \\
\hline
1. & {{diagnose_1}} & {{diagnose_1_icd}} \\
\hline
2. & {{diagnose_2}} & {{diagnose_2_icd}} \\
\hline
3. & {{diagnose_3}} & {{diagnose_3_icd}} \\
\hline
4. & {{diagnose_4}} & {{diagnose_4_icd}} \\
\hline
5. & {{diagnose_5}} & {{diagnose_5_icd}} \\
\hline
6. & {{diagnose_6}} & {{diagnose_6_icd}} \\
\hline
\end{tabularx}
\vspace{0.5em}
% === ANAMNESIS ===
\sectionheader{4. Anamnese und aktueller Befund}
\vspace{0.3em}
\textbf{4.1 Eigenanamnese / Beschwerden des Patienten:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{anamnese_beschwerden}} \\[4em]
\hline
\end{tabularx}
\vspace{0.3em}
\textbf{4.2 Krankheitsverlauf / bisherige Behandlungen:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{krankheitsverlauf}} \\[4em]
\hline
\end{tabularx}
\vspace{0.3em}
\textbf{4.3 Aktueller körperlicher Befund:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{koerperlicher_befund}} \\[4em]
\hline
\end{tabularx}
\newpage
% === FUNCTIONAL LIMITATIONS ===
\sectionheader{5. Nicht nur vorübergehende Beeinträchtigungen der Aktivitäten und Teilhabe}
\vspace{0.3em}
\begin{tabularx}{\linewidth}{|X|c|c|c|}
\hline
\textbf{Beeinträchtigungsbereich} & \textbf{Keine} & \textbf{Gering} & \textbf{Erheblich} \\
\hline
Mobilität (Gehen, Treppensteigen, Fortbewegung) & {{mobilitaet_keine|checkbox}} & {{mobilitaet_gering|checkbox}} & {{mobilitaet_erheblich|checkbox}} \\
\hline
Selbstversorgung (Waschen, Ankleiden, Essen) & {{selbstversorgung_keine|checkbox}} & {{selbstversorgung_gering|checkbox}} & {{selbstversorgung_erheblich|checkbox}} \\
\hline
Haushaltsführung & {{haushalt_keine|checkbox}} & {{haushalt_gering|checkbox}} & {{haushalt_erheblich|checkbox}} \\
\hline
Erwerbstätigkeit & {{erwerb_keine|checkbox}} & {{erwerb_gering|checkbox}} & {{erwerb_erheblich|checkbox}} \\
\hline
Kommunikation & {{kommunikation_keine|checkbox}} & {{kommunikation_gering|checkbox}} & {{kommunikation_erheblich|checkbox}} \\
\hline
Psychische Belastbarkeit & {{psyche_keine|checkbox}} & {{psyche_gering|checkbox}} & {{psyche_erheblich|checkbox}} \\
\hline
\end{tabularx}
\vspace{0.3em}
\textbf{Erläuterungen zu den Beeinträchtigungen:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{beeintraechtigungen_erlaeuterung}} \\[3em]
\hline
\end{tabularx}
\vspace{0.5em}
% === THERAPY ===
\sectionheader{6. Bisherige und aktuelle Therapie}
\vspace{0.3em}
\textbf{6.1 Aktuelle Medikation:}
\begin{tabularx}{\linewidth}{|X|p{2cm}|p{2.5cm}|}
\hline
\textbf{Medikament} & \textbf{Dosis} & \textbf{Seit wann} \\
\hline
{{medikament_1}} & {{medikament_1_dosis}} & {{medikament_1_seit}} \\
\hline
{{medikament_2}} & {{medikament_2_dosis}} & {{medikament_2_seit}} \\
\hline
{{medikament_3}} & {{medikament_3_dosis}} & {{medikament_3_seit}} \\
\hline
{{medikament_4}} & {{medikament_4_dosis}} & {{medikament_4_seit}} \\
\hline
{{medikament_5}} & {{medikament_5_dosis}} & {{medikament_5_seit}} \\
\hline
\end{tabularx}
\vspace{0.3em}
\textbf{6.2 Physikalische Therapie / Heilmittel:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{physikalische_therapie}} \\[2em]
\hline
\end{tabularx}
\vspace{0.5em}
% === PREVIOUS REHAB ===
\sectionheader{7. Frühere Rehabilitationsmaßnahmen}
\vspace{0.3em}
\begin{tabularx}{\linewidth}{|p{3cm}|X|p{2.5cm}|}
\hline
\textbf{Zeitraum} & \textbf{Einrichtung / Art} & \textbf{Erfolg} \\
\hline
{{reha_1_zeitraum}} & {{reha_1_einrichtung}} & {{reha_1_erfolg}} \\
\hline
{{reha_2_zeitraum}} & {{reha_2_einrichtung}} & {{reha_2_erfolg}} \\
\hline
\end{tabularx}
\vspace{0.5em}
% === ASSESSMENT ===
\sectionheader{8. Ärztliche Beurteilung}
\vspace{0.3em}
\textbf{8.1 Leistungsvermögen im bisherigen Beruf:}\\
{{leistungsvermoegen_checkbox_vollschichtig|checkbox}} Vollschichtig (6 Std. und mehr) \quad
{{leistungsvermoegen_checkbox_teilschichtig|checkbox}} 3-6 Stunden \quad
{{leistungsvermoegen_checkbox_unter3|checkbox}} Unter 3 Stunden
\vspace{0.3em}
\textbf{8.2 Rehabilitationsbedürftigkeit:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{reha_beduerftig_begruendung}} \\[3em]
\hline
\end{tabularx}
\vspace{0.3em}
\textbf{8.3 Rehabilitationsziel:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{reha_ziel}} \\[2em]
\hline
\end{tabularx}
\vspace{0.3em}
\textbf{8.4 Empfohlene Rehabilitationsform:}\\
{{reha_stationaer|checkbox}} Stationär \quad
{{reha_ambulant|checkbox}} Ambulant \quad
{{reha_ganztaegig|checkbox}} Ganztägig ambulant
\vspace{0.3em}
\textbf{8.5 Empfohlene Rehabilitationseinrichtung (falls bekannt):}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{reha_einrichtung_empfehlung}} \\[1em]
\hline
\end{tabularx}
\newpage
% === TRAVEL CAPABILITY ===
\sectionheader{9. Reisefähigkeit}
\vspace{0.3em}
\textbf{Kann der Patient mit öffentlichen Verkehrsmitteln reisen?}\\
{{reisefaehig_ja|checkbox}} Ja \quad
{{reisefaehig_nein|checkbox}} Nein
\vspace{0.2em}
\textbf{Falls nein, Begründung:}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{reisefaehig_begruendung}} \\[2em]
\hline
\end{tabularx}
\vspace{0.3em}
\textbf{Begleitperson erforderlich?}\\
{{begleitperson_ja|checkbox}} Ja \quad
{{begleitperson_nein|checkbox}} Nein
\vspace{0.5em}
% === ADDITIONAL INFO ===
\sectionheader{10. Ergänzende Angaben}
\vspace{0.3em}
\begin{tabularx}{\linewidth}{|X|}
\hline
{{ergaenzende_angaben}} \\[4em]
\hline
\end{tabularx}
\vspace{0.5em}
% === ATTACHMENTS ===
\sectionheader{11. Anlagen}
\vspace{0.3em}
{{anlage_laborbefunde|checkbox}} Laborbefunde \quad
{{anlage_roentgen|checkbox}} Röntgen-/Bildgebende Befunde \quad
{{anlage_arztbriefe|checkbox}} Arztbriefe\\
{{anlage_krankenhausberichte|checkbox}} Krankenhausberichte \quad
{{anlage_sonstige|checkbox}} Sonstige: {{anlage_sonstige_text}}
\vspace{1em}
% === SIGNATURE ===
\sectionheader{12. Unterschrift des behandelnden Arztes}
\vspace{0.5em}
\begin{tabularx}{\linewidth}{|p{5cm}|X|}
\hline
\textbf{Datum:} & {{unterschrift_datum|date}} \\
\hline
\textbf{Name des Arztes:} & {{arzt_name}} \\
\hline
\textbf{Facharztbezeichnung:} & {{arzt_fachrichtung}} \\
\hline
\textbf{Anschrift Praxis:} & {{praxis_anschrift}} \\
\hline
\textbf{Telefon:} & {{praxis_telefon}} \\
\hline
\textbf{BSNR/LANR:} & {{bsnr}} / {{lanr}} \\
\hline
\end{tabularx}
\vspace{1.5em}
\begin{tabularx}{\linewidth}{X X}
\hrulefill & \hrulefill \\
Ort, Datum & Unterschrift und Stempel \\
\end{tabularx}
\vspace{1em}
\footnotesize
\textit{Hinweis: Die Angaben werden vertraulich behandelt und unterliegen dem Sozialgeheimnis nach § 35 SGB I.}
\end{document}