adding pdf script to fill out prior auth info

scripts/README-fill-pdf.md

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+# Filling PDF Forms - Jane Doe Example
+
+This directory contains scripts to fill out the Colorado Prescription Drug Prior Authorization Request Form with mock patient data for Jane Doe.
+
+## Jane Doe's Profile
+
+**Patient:** Jane Doe, Age 42
+**Occupation:** Marketing Director
+**Location:** Denver, Colorado
+**Personality:** Professional, detail-oriented, health-conscious, active lifestyle
+**Condition:** Chronic migraines with aura, diagnosed 3 years ago
+**Medication Needed:** Aimovig (erenumab-aooe) - CGRP inhibitor for migraine prevention
+
+## Files
+
+1. **`fill_pdf_form.py`** - Python script to automatically fill the PDF form
+2. **`../assets/pdf-templates/jane-doe-filled-form-reference.txt`** - Text reference showing all filled information
+
+## Installation
+
+To run the PDF filling script, you need to install PyMuPDF:
+
+```bash
+pip install pymupdf
+```
+
+Or if you prefer pypdf:
+
+```bash
+pip install pypdf
+```
+
+## Usage
+
+Run the script:
+
+```bash
+python3 scripts/fill_pdf_form.py
+```
+
+This will:
+- Read the original PDF template from `assets/pdf-templates/co-prescription-drug-prior-authorization-request-form.pdf`
+- Fill it with Jane Doe's information
+- Save the filled PDF to `assets/pdf-templates/co-prescription-drug-prior-authorization-request-form-filled-jane-doe.pdf`
+
+## Manual Filling
+
+If you prefer to fill the form manually or the script doesn't work perfectly, refer to:
+- `assets/pdf-templates/jane-doe-filled-form-reference.txt` for all the information organized by field
+
+## Alternative Methods
+
+If Python libraries aren't available, you can:
+1. Open the PDF in Adobe Acrobat or another PDF editor
+2. Use the reference document to fill each field manually
+3. Or use online PDF fillers like PDFescape, PDFfiller, etc.

scripts/fill_pdf_form.py

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+#!/usr/bin/env python3
+"""
+Fill out the Colorado Prescription Drug Prior Authorization Request Form
+with mock patient data for Jane Doe.
+
+This script requires pypdf to be installed:
+    pip install pypdf
+
+Or install PyMuPDF for better text positioning:
+    pip install pymupdf
+"""
+
+import sys
+from pathlib import Path
+from datetime import datetime
+
+USE_PYMUPDF = False
+USE_PYPDF = False
+
+# Try to import PDF libraries
+try:
+    import fitz  # PyMuPDF
+    USE_PYMUPDF = True
+except ImportError:
+    try:
+        from pypdf import PdfReader, PdfWriter
+        USE_PYPDF = True
+    except ImportError:
+        print("Error: No PDF library found. Please install one of:")
+        print("  pip install pymupdf  (recommended)")
+        print("  pip install pypdf")
+        sys.exit(1)
+
+
+# Jane Doe's Profile
+# Age: 42, Marketing Director, lives in Denver, CO
+# Condition: Chronic migraines with aura, diagnosed 3 years ago
+# Medication: Aimovig (erenumab-aooe) - a CGRP inhibitor for migraine prevention
+# Personality: Professional, detail-oriented, health-conscious, active lifestyle
+
+PATIENT_DATA = {
+    # Request Type
+    "urgent": False,  # Non-urgent
+
+    # Drug Information
+    "drug_name": "Aimovig (erenumab-aooe)",
+    "drug_scientific": "erenumab-aooe",
+    "opioid_dependence": False,
+
+    # Patient Information
+    "patient_name": "Jane Doe",
+    "member_number": "AET123456789",
+    "policy_group_number": "GRP-2024-001",
+    "date_of_birth": "1982-03-15",  # Age 42
+    "patient_address": "2847 Elm Street, Apt 4B, Denver, CO 80202",
+    "patient_phone": "(303) 555-0147",
+    "patient_email": "jane.doe.email@example.com",
+
+    # Prescription Date
+    "prescription_date": "2026-02-20",
+
+    # Prescriber Information
+    "prescriber_name": "Dr. Sarah Chen, MD",
+    "prescriber_fax": "(303) 555-0198",
+    "prescriber_phone": "(303) 555-0197",
+    "prescriber_pager": "",
+    "prescriber_address": "1234 Medical Center Drive, Suite 200, Denver, CO 80218",
+    "prescriber_office_contact": "Maria Rodriguez",
+    "prescriber_npi": "1234567890",
+    "prescriber_dea": "BC1234567",
+    "prescriber_tax_id": "12-3456789",
+    "specialty_facility": "Denver Neurology Associates",
+    "prescriber_email": "schen@denverneuro.com",
+
+    # Prior Authorization Type
+    "pa_type": "New Request",  # New Request or Reauthorization
+
+    # Diagnosis
+    "diagnosis": "Chronic migraine with aura, intractable, with status migrainosus",
+    "icd_code": "G43.109",
+
+    # Drug Details
+    "drug_requested": "Aimovig (erenumab-aooe)",
+    "strength_route_frequency": "70 mg subcutaneous injection monthly",
+    "unit_volume": "1 autoinjector pen (70 mg/1 mL)",
+    "start_date": "2026-03-01",
+    "length_of_therapy": "12 months",
+
+    # Treatment Location
+    "treatment_location": "Patient's Home - Self-administered subcutaneous injection",
+    "location_npi": "",
+    "location_address": "2847 Elm Street, Apt 4B, Denver, CO 80202",
+    "location_tax_id": "",
+
+    # Clinical Justification
+    "clinical_criteria": """Patient is a 42-year-old female with a 3-year history of chronic migraines 
+(15-18 headache days per month). Patient has failed multiple preventive therapies including:
+- Topiramate 100mg BID for 6 months (discontinued due to cognitive side effects)
+- Propranolol ER 120mg daily for 8 months (ineffective, minimal reduction in frequency)
+- Amitriptyline 50mg at bedtime for 4 months (discontinued due to excessive sedation)
+
+Patient has tried acute treatments including:
+- Sumatriptan 100mg tablets (partial relief, frequent use)
+- Rizatriptan 10mg (inconsistent response)
+
+Current headache diary shows average of 16 migraine days per month over the past 3 months. 
+Migraines significantly impact patient's ability to work and maintain daily activities. 
+Patient is a marketing director and headaches cause frequent work absences.
+
+Aimovig (erenumab-aooe) is a CGRP monoclonal antibody indicated for the preventive treatment 
+of migraine in adults. This medication is appropriate given patient's treatment-resistant chronic 
+migraine and need for a well-tolerated preventive option that does not require daily dosing.
+
+Patient has been counseled on proper injection technique and storage requirements.""",
+
+    "additional_info": "Patient has no contraindications to CGRP inhibitors. No history of cardiovascular disease.",
+    "clinical_trial": False,
+
+    # Prescription Details
+    "dose": "70 mg",
+    "route": "Subcutaneous",
+    "frequency": "Monthly (once every 28 days)",
+    "quantity": "1 autoinjector pen",
+    "refills": "11",
+
+    # Delivery
+    "delivery_location": "Patient's Home",
+
+    # Signature
+    "signature_date": "2026-02-20",
+
+    # Pharmacy
+    "pharmacy_name": "HealthMart Pharmacy",
+    "pharmacy_phone": "(303) 555-0200",
+}
+
+
+def format_date(date_str: str) -> str:
+    """Convert YYYY-MM-DD to MM/DD/YYYY"""
+    dt = datetime.strptime(date_str, "%Y-%m-%d")
+    return dt.strftime("%m/%d/%Y")
+
+
+def fill_pdf_with_pymupdf(input_pdf_path: str, output_pdf_path: str) -> None:
+    """Fill PDF form fields using PyMuPDF."""
+    with fitz.open(input_pdf_path) as doc:
+        page = doc[0]
+        widgets = list(page.widgets())
+
+        # Track widgets that need to be updated
+        widgets_to_update = []
+
+        def set_widget_value(widget, value):
+            """Set widget value and track it for update."""
+            if widget:
+                widget.field_value = value
+                widgets_to_update.append(widget)
+                return True
+            return False
+
+        def set_checkbox(widgets_list, index, checked=True):
+            """Set checkbox value and track it."""
+            if widgets_list and len(widgets_list) > index:
+                widgets_list[index].field_value = checked
+                widgets_to_update.append(widgets_list[index])
+                return True
+            return False
+
+        # Urgent/Non-Urgent checkboxes (cb1) - Y=128
+        # First checkbox is Urgent, second is Non-Urgent
+        urgent_widgets = [w for w in widgets if w.field_name == "cb1" and abs(w.rect.y0 - 128) < 5]
+        if len(urgent_widgets) >= 2:
+            if not PATIENT_DATA["urgent"]:
+                urgent_widgets[1].field_value = True  # Non-Urgent
+                widgets_to_update.append(urgent_widgets[1])
+            else:
+                urgent_widgets[0].field_value = True  # Urgent
+                widgets_to_update.append(urgent_widgets[0])
+
+        # Requested Drug Name (T3) - Y=146
+        drug_name_widget = next((w for w in widgets if w.field_name == "T3"), None)
+        if drug_name_widget:
+            drug_name_widget.field_value = PATIENT_DATA["drug_name"]
+            widgets_to_update.append(drug_name_widget)
+
+        # Opioid dependence checkboxes (cb2) - Y=165
+        # First is Yes, second is No
+        opioid_widgets = [w for w in widgets if w.field_name == "cb2" and abs(w.rect.y0 - 165) < 5]
+        if len(opioid_widgets) >= 2:
+            if not PATIENT_DATA["opioid_dependence"]:
+                opioid_widgets[1].field_value = True  # No
+                widgets_to_update.append(opioid_widgets[1])
+            else:
+                opioid_widgets[0].field_value = True  # Yes
+                widgets_to_update.append(opioid_widgets[0])
+
+        # Patient Information fields (left column) - T4 through T11
+        set_widget_value(next((w for w in widgets if w.field_name == "T4"), None), PATIENT_DATA["patient_name"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T5"), None), PATIENT_DATA["member_number"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T6"), None), PATIENT_DATA["policy_group_number"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T7"), None), format_date(PATIENT_DATA["date_of_birth"]))
+        set_widget_value(next((w for w in widgets if w.field_name == "T8"), None), PATIENT_DATA["patient_address"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T9"), None), PATIENT_DATA["patient_phone"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T10"), None), PATIENT_DATA["patient_email"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T11"), None), format_date(PATIENT_DATA["prescription_date"]))
+
+        # Prescriber Information fields (right column) - T12 through T22
+        set_widget_value(next((w for w in widgets if w.field_name == "T12"), None), PATIENT_DATA["prescriber_name"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T13"), None), PATIENT_DATA["prescriber_fax"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T14"), None), PATIENT_DATA["prescriber_phone"])
+        if PATIENT_DATA["prescriber_pager"]:
+            set_widget_value(next((w for w in widgets if w.field_name == "T15"), None), PATIENT_DATA["prescriber_pager"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T16"), None), PATIENT_DATA["prescriber_address"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T17"), None), PATIENT_DATA["prescriber_office_contact"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T18"), None), PATIENT_DATA["prescriber_npi"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T19"), None), PATIENT_DATA["prescriber_dea"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T20"), None), PATIENT_DATA["prescriber_tax_id"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T21"), None), PATIENT_DATA["specialty_facility"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T22"), None), PATIENT_DATA["prescriber_email"])
+
+        # Prior Authorization Type checkboxes (cb23) - Y=437
+        pa_widgets = [w for w in widgets if w.field_name == "cb23" and abs(w.rect.y0 - 437) < 5]
+        if len(pa_widgets) >= 2:
+            if PATIENT_DATA["pa_type"] == "New Request":
+                set_checkbox(pa_widgets, 0)
+            else:
+                set_checkbox(pa_widgets, 1)
+
+        # Clinical information fields
+        set_widget_value(next((w for w in widgets if w.field_name == "T25"), None),
+                         f"{PATIENT_DATA['diagnosis']} (ICD-10: {PATIENT_DATA['icd_code']})")
+        set_widget_value(next((w for w in widgets if w.field_name == "T26"), None), PATIENT_DATA["drug_requested"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T27"), None), PATIENT_DATA["strength_route_frequency"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T28"), None), PATIENT_DATA["unit_volume"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T30"), None),
+                         f"Start: {format_date(PATIENT_DATA['start_date'])}, Duration: {PATIENT_DATA['length_of_therapy']}")
+        set_widget_value(next((w for w in widgets if w.field_name == "T29"), None), PATIENT_DATA["treatment_location"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T31"), None), PATIENT_DATA["clinical_criteria"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T32"), None), PATIENT_DATA["additional_info"])
+
+        # Drug details
+        set_widget_value(next((w for w in widgets if w.field_name == "T33.0"), None),
+                         f"{PATIENT_DATA['drug_name']} {PATIENT_DATA['dose']}")
+        set_widget_value(next((w for w in widgets if w.field_name == "T34"), None), PATIENT_DATA["dose"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T35"), None), PATIENT_DATA["route"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T36"), None), PATIENT_DATA["frequency"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T37"), None), PATIENT_DATA["quantity"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T38"), None), PATIENT_DATA["refills"])
+
+        # Delivery location checkboxes (cb39, cb40, cb41) - Y=645.7
+        delivery_widgets = [w for w in widgets if w.field_name in ["cb39", "cb40", "cb41"] and abs(w.rect.y0 - 645.7) < 5]
+        if delivery_widgets:
+            if PATIENT_DATA["delivery_location"] == "Patient's Home":
+                cb39 = next((w for w in delivery_widgets if w.field_name == "cb39"), None)
+                if cb39:
+                    set_checkbox([cb39], 0)
+            elif PATIENT_DATA["delivery_location"] == "Physician Office":
+                cb40 = next((w for w in delivery_widgets if w.field_name == "cb40"), None)
+                if cb40:
+                    set_checkbox([cb40], 0)
+
+        # Signature and pharmacy
+        set_widget_value(next((w for w in widgets if w.field_name == "Signature3"), None), PATIENT_DATA["prescriber_name"])
+        set_widget_value(next((w for w in widgets if w.field_name == "T43"), None), format_date(PATIENT_DATA["signature_date"]))
+        set_widget_value(next((w for w in widgets if w.field_name == "T44"), None),
+                         f"{PATIENT_DATA['pharmacy_name']}, {PATIENT_DATA['pharmacy_phone']}")
+
+        # Update all modified widgets
+        for widget in widgets_to_update:
+            try:
+                widget.update()
+            except Exception as e:
+                print(f"Warning: Could not update widget {widget.field_name}: {e}")
+
+        # Save the filled PDF
+        doc.save(output_pdf_path, incremental=False, encryption=fitz.PDF_ENCRYPT_KEEP)
+
+
+def fill_pdf_with_pypdf(input_pdf_path: str, output_pdf_path: str) -> None:
+    """Fill PDF using pypdf (limited - field mapping not yet implemented)."""
+    reader = PdfReader(input_pdf_path)
+    writer = PdfWriter()
+
+    # Copy pages
+    for page in reader.pages:
+        writer.add_page(page)
+
+    print("Warning: pypdf field mapping is not yet implemented. Output will be a copy of the original.")
+
+    # Save
+    with open(output_pdf_path, "wb") as output_file:
+        writer.write(output_file)
+
+
+def main():
+    """Main function."""
+    script_dir = Path(__file__).parent
+    project_root = script_dir.parent
+    input_pdf = project_root / "assets" / "pdf-templates" / "co-prescription-drug-prior-authorization-request-form.pdf"
+    output_pdf = project_root / "assets" / "pdf-templates" / "co-prescription-drug-prior-authorization-request-form-filled-jane-doe.pdf"
+
+    if not input_pdf.exists():
+        print(f"Error: Input PDF not found at {input_pdf}")
+        sys.exit(1)
+
+    print(f"Filling PDF form for Jane Doe...")
+    print(f"Patient: {PATIENT_DATA['patient_name']}")
+    print(f"Drug: {PATIENT_DATA['drug_name']}")
+    print(f"Diagnosis: {PATIENT_DATA['diagnosis']}")
+    print()
+
+    try:
+        if USE_PYMUPDF:
+            print("Using PyMuPDF...")
+            fill_pdf_with_pymupdf(str(input_pdf), str(output_pdf))
+        elif USE_PYPDF:
+            print("Using pypdf...")
+            fill_pdf_with_pypdf(str(input_pdf), str(output_pdf))
+    except Exception as e:
+        print(f"\n✗ Failed to fill PDF form: {e}")
+        sys.exit(1)
+
+    print(f"\n✓ Successfully filled PDF form!")
+    print(f"  Input:  {input_pdf}")
+    print(f"  Output: {output_pdf}")
+
+
+if __name__ == "__main__":
+    main()