Fix report structure: require all sections (biopsy, findings, diagnostics, management) with explicit formatting

backend/app.py

@@ -298,24 +298,80 @@ async def generate_report_endpoint(request: ReportGenerationRequest):
     try:
         # Use system prompt or default
         system_prompt = request.system_prompt or """You are an expert colposcopy AI assistant acting as a specialist gynaecologist.
-Analyse ALL the clinical data and the attached colposcopy images to generate a professional, evidence-based colposcopy report conclusion."""
+Generate comprehensive, structured colposcopy reports with ALL provided clinical data and examination findings."""
         
-        # Build prompt with patient data and findings
+        # Build comprehensive structured prompt with all required sections
         prompt_parts = []
         
-        # Add patient data
         prompt_parts.append("PATIENT DATA:")
         prompt_parts.append(json.dumps(request.patient_data, indent=2))
         
-        # Add exam findings
-        prompt_parts.append("\nEXAMINATION FINDINGS:")
+        prompt_parts.append("\n\nEXAMINATION FINDINGS & OBSERVATIONS:")
         prompt_parts.append(json.dumps(request.exam_findings, indent=2))
         
-        # Add instruction
-        prompt_parts.append("\nBased on the above data, generate a professional colposcopy report with:")
-        prompt_parts.append("1. Summary of findings")
-        prompt_parts.append("2. Clinical impression")
-        prompt_parts.append("3. Recommendations")
+        prompt_parts.append("\n\n" + "="*80)
+        prompt_parts.append("GENERATE A COMPLETE STRUCTURED COLPOSCOPY REPORT WITH ALL SECTIONS:")
+        prompt_parts.append("="*80)
+        
+        prompt_parts.append("""
+
+## 1. PATIENT DEMOGRAPHICS & CLINICAL HISTORY
+- Patient age, indication for colposcopy, relevant risk factors, HPV status, Pap smear results
+- Medical history including immunosuppression, smoking, sexual history
+
+## 2. COLPOSCOPY ADEQUACY ASSESSMENT
+- Transformation zone type (Type 1, 2, or 3)
+- Visibility of squamocolumnar junction (SCJ)
+- Any visual obstructions or examination limitations
+
+## 3. NATIVE VIEW FINDINGS
+- Cervical appearance, growths, contact bleeding, surface characteristics
+- Grossly visible lesions or abnormalities
+- General cervical health assessment
+
+## 4. ACETIC ACID APPLICATION FINDINGS
+- Acetowhite lesions (location, size, extent, characteristics)
+- Abnormal vascular patterns (punctuation, mosaicism, atypical vessels)
+- Size and distribution of acetowhite areas
+- Extent of disease if present
+
+## 5. LUGOL'S IODINE APPLICATION FINDINGS
+- Iodine non-staining areas and their locations
+- Staining patterns and significance
+- Areas not staining indicating possible dysplasia
+
+## 6. BIOPSY MARKING & FINDINGS
+- Specific locations of biopsies taken (if any)
+- Detailed descriptions of biopsied areas
+- Number of biopsies taken
+- Expected histologic findings or impression
+
+## 7. SWEDE SCORE (if applicable)
+- Major findings score
+- Minor findings assessment
+- Overall risk stratification
+
+## 8. DIAGNOSTIC IMPRESSION
+- Overall colposcopic impression (normal/CIN1/CIN2/3/cancer/other)
+- Adequacy of examination
+- Severity assessment if lesions present
+- Correlation with cytology and HPV status
+
+## 9. MANAGEMENT PLAN & RECOMMENDATIONS
+- Treatment recommendations (observation/colposcopy/LEEP/other)
+- Follow-up testing schedule (colposcopy timing, repeat cytology, HPV testing)
+- Biopsy management and expected next steps
+- Surveillance intervals based on findings
+- Patient counseling points
+
+CRITICAL INSTRUCTIONS:
+- MUST include ALL 9 sections above
+- USE ALL patient data provided
+- INCLUDE ALL examination findings from the data
+- DO NOT consolidate or omit sections
+- DO NOT drop information to "recommendations only"
+- Provide detailed, clinical, evidence-based assessments
+- Format clearly with headers for each section""")
         
         full_prompt = "\n".join(prompt_parts)