AI-Assisted-Smart-Data-Entry-PoC/backend/schemas.py

from pydantic import BaseModel, Field
from typing import List, Optional
from uuid import UUID
from datetime import datetime

class UserAccount(BaseModel):
    id: str = Field(description="Unique identifier for the user.")
    name: str = Field(description="Full name of the employee.")
    department: str = Field(description="Department name.")
    medical_allowance: float = Field(description="Remaining annual medical allowance in MYR.")

class ExtractionResponse(BaseModel):
    provider_name: str = Field(description="The name of the clinic or hospital.")
    visit_date: str = Field(description="The date of service in YYYY-MM-DD format.")
    total_amount: float = Field(description="The total amount paid.")
    currency: str = Field(description="3-letter currency code (e.g. USD, SGD).")
    items: List[str] = Field(description="Simplified list of services (e.g. 'Consultation', 'Medicine').")
    confidence_score: float = Field(description="Model's confidence from 0.0 to 1.0.")
    needs_manual_review: bool = Field(description="Set to true if text is blurry or data is ambiguous.")
    ai_reasoning: str = Field(description="A brief explanation of how the data was identified.")
    receipt_ref_no: Optional[str] = Field(default=None, description="The reference number or invoice number on the receipt.")
    clinic_reg_no: Optional[str] = Field(default=None, description="The clinic's official registration number (SSM/MOH).")
    claim_category: Optional[str] = Field(default=None, description="Category: General, Dental, Optical, Specialist.")
    diagnosis_brief: Optional[str] = Field(default=None, description="A very short summary of the diagnosis or items seen.")

class ClaimSubmission(BaseModel):
    provider_name: str = Field(description="The name of the clinic or hospital.")
    visit_date: str = Field(description="The date of service in YYYY-MM-DD format.")
    amount_spent: float = Field(description="The manual or validated total amount spent.")
    currency: str = Field(description="3-letter currency code (e.g. USD, MYR).")
    treatment_type: str = Field(description="Type of treatment (Outpatient, Dental, etc.).")
    cost_center: str = Field(description="Internal cost center code.")
    declaration_signed: bool = Field(description="Whether the user signed the compliance declaration.")
    extraction_data: Optional[ExtractionResponse] = Field(default=None, description="Optional AI extraction data if used.")

class ClaimRecord(BaseModel):
    id: str = Field(description="Unique identifier for the claim record.")
    timestamp: str = Field(description="ISO format timestamp of submission.")
    submitted_by: str = Field(description="Name of the user who submitted the claim.")
    department: str = Field(description="Department of the user.")
    amount_spent: float = Field(description="The raw total amount from the form/receipt.")
    amount_claimed: float = Field(description="The actual amount credited after policy capping.")
    provider_name: str = Field(description="The name of the clinic or hospital.")
    visit_date: str = Field(description="The date of service in YYYY-MM-DD format.")
    treatment_type: str = Field(description="Type of treatment.")
    cost_center: str = Field(description="Internal cost center code.")
    declaration_signed: bool = Field(description="Whether the user signed the compliance declaration.")
    extraction_data: Optional[ExtractionResponse] = Field(default=None, description="The optional AI-extracted data for this claim.")