FMLA HCP Certification — Simple OCR Prompt Builder (Dates + Specialists Summary)
De-identified only. No PHI. Clinician/staff must review before use.
Inputs
Paste screenshot → OCR → summary auto-built
Patient Slot Memory
Patient Slot
Saved locally in your browser (IndexedDB). Not synced.
Optional Slot Label (de-identified)
Avoid names/MRN/DOB.
Status: ready
Last saved: —
Load
Save
Clear Slot
Safety Gate
I confirm everything here is de-identified (no PHI).
Leave Timing
Start Date (first unable to work)
Leave Requested Duration
6 months (default)
1 year
Custom (months)
Used only if Custom is selected.
Estimated End Date (auto-calculated)
California employee?
Unknown
Yes
No
If Yes: Question 2 must be blank.
Paste Screenshot(s) → OCR (max 2)
Paste the screenshot with the date list / specialists / plan.
Tip:
crop tightly around the list for best OCR.
Paste screenshot here
(Ctrl+V) • Drag & drop • Or Upload
Auto-OCR is ON by default.
Remove Images
Run OCR
Auto-OCR on paste/upload
OCR: idle
Chart Text (from OCR; editable)
Detected dates (quick check)
Auto-extracted “Dates & Specialists Summary” (best-effort; editable below via OCR text)
No summary yet (run OCR or paste text).
Paste De-identified Note
Words: 0
Chars: 0
Est. tokens: 0
Patient Answers (optional)
How to Use
Paste screenshot(s) in
Paste Screenshot → OCR
.
Confirm
De-identified
.
Enter
Start Date
(duration defaults to
6 months
).
Paste note + optional patient answers.
Generate Prompt
→
Copy & Open
.
In the LLM, turn on
Thinking / Reasoning
mode if available, then paste + run.
Save to patient slot if you want to reload later.
Generated Prompt
Generate Prompt
Copy & Open
No prompt yet. Paste screenshot (OCR) + note, then Generate.
OK