| {% extends "base.html" %} | |
| {% block content %} | |
| <h2>One-Click Discharge Summary</h2> | |
| <form method="POST"> | |
| <input type="text" name="patient_id" placeholder="Patient ID (Optional)"> | |
| <input type="text" name="first_name" placeholder="First Name (Optional)"> | |
| <input type="text" name="last_name" placeholder="Last Name (Optional)"><br> | |
| <input type="submit" value="Generate with AI" class="cyberpunk-button"> | |
| </form> | |
| {% if status %} | |
| <div>{{ status }}</div> | |
| {% endif %} | |
| {% endblock %} |