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import sys
import os
import pandas as pd
import pdfplumber
import json
import gradio as gr
from typing import List
from concurrent.futures import ThreadPoolExecutor, as_completed
import hashlib
import shutil
import re
import psutil
import subprocess
import multiprocessing
from functools import partial
import time
# Persistent directory
persistent_dir = "/data/hf_cache"
os.makedirs(persistent_dir, exist_ok=True)
model_cache_dir = os.path.join(persistent_dir, "txagent_models")
tool_cache_dir = os.path.join(persistent_dir, "tool_cache")
file_cache_dir = os.path.join(persistent_dir, "cache")
report_dir = os.path.join(persistent_dir, "reports")
vllm_cache_dir = os.path.join(persistent_dir, "vllm_cache")
for directory in [model_cache_dir, tool_cache_dir, file_cache_dir, report_dir, vllm_cache_dir]:
os.makedirs(directory, exist_ok=True)
os.environ["HF_HOME"] = model_cache_dir
os.environ["TRANSFORMERS_CACHE"] = model_cache_dir
os.environ["VLLM_CACHE_DIR"] = vllm_cache_dir
os.environ["TOKENIZERS_PARALLELISM"] = "false"
os.environ["CUDA_LAUNCH_BLOCKING"] = "1"
current_dir = os.path.dirname(os.path.abspath(__file__))
src_path = os.path.abspath(os.path.join(current_dir, "src"))
sys.path.insert(0, src_path)
from txagent.txagent import TxAgent
def sanitize_utf8(text: str) -> str:
return text.encode("utf-8", "ignore").decode("utf-8")
def file_hash(path: str) -> str:
with open(path, "rb") as f:
return hashlib.md5(f.read()).hexdigest()
def extract_page_range(file_path: str, start_page: int, end_page: int) -> str:
"""Extract text from a range of PDF pages."""
try:
text_chunks = []
with pdfplumber.open(file_path) as pdf:
for page in pdf.pages[start_page:end_page]:
page_text = page.extract_text() or ""
text_chunks.append(f"=== Page {start_page + pdf.pages.index(page) + 1} ===\n{page_text.strip()}")
return "\n\n".join(text_chunks)
except Exception:
return ""
def extract_all_pages(file_path: str, progress_callback=None) -> str:
"""Extract text from all pages of a PDF using parallel processing."""
try:
with pdfplumber.open(file_path) as pdf:
total_pages = len(pdf.pages)
if total_pages == 0:
return ""
# Use 6 processes (adjust based on CPU cores)
num_processes = min(6, multiprocessing.cpu_count())
pages_per_process = max(1, total_pages // num_processes)
# Create page ranges for parallel processing
ranges = [(i * pages_per_process, min((i + 1) * pages_per_process, total_pages))
for i in range(num_processes)]
if ranges[-1][1] != total_pages:
ranges[-1] = (ranges[-1][0], total_pages)
# Process page ranges in parallel
with multiprocessing.Pool(processes=num_processes) as pool:
extract_func = partial(extract_page_range, file_path)
results = []
for idx, result in enumerate(pool.starmap(extract_func, ranges)):
results.append(result)
if progress_callback:
processed_pages = min((idx + 1) * pages_per_process, total_pages)
progress_callback(processed_pages, total_pages)
return "\n\n".join(filter(None, results))
except Exception as e:
return f"PDF processing error: {str(e)}"
def convert_file_to_json(file_path: str, file_type: str, progress_callback=None) -> str:
try:
h = file_hash(file_path)
cache_path = os.path.join(file_cache_dir, f"{h}.json")
if os.path.exists(cache_path):
with open(cache_path, "r", encoding="utf-8") as f:
return f.read()
if file_type == "pdf":
text = extract_all_pages(file_path, progress_callback)
result = json.dumps({"filename": os.path.basename(file_path), "content": text, "status": "initial"})
elif file_type == "csv":
df = pd.read_csv(file_path, encoding_errors="replace", header=None, dtype=str,
skip_blank_lines=False, on_bad_lines="skip")
content = df.fillna("").astype(str).values.tolist()
result = json.dumps({"filename": os.path.basename(file_path), "rows": content})
elif file_type in ["xls", "xlsx"]:
try:
df = pd.read_excel(file_path, engine="openpyxl", header=None, dtype=str)
except Exception:
df = pd.read_excel(file_path, engine="xlrd", header=None, dtype=str)
content = df.fillna("").astype(str).values.tolist()
result = json.dumps({"filename": os.path.basename(file_path), "rows": content})
else:
result = json.dumps({"error": f"Unsupported file type: {file_type}"})
with open(cache_path, "w", encoding="utf-8") as f:
f.write(result)
return result
except Exception as e:
return json.dumps({"error": f"Error processing {os.path.basename(file_path)}: {str(e)}"})
def log_system_usage(tag=""):
try:
cpu = psutil.cpu_percent(interval=1)
mem = psutil.virtual_memory()
print(f"[{tag}] CPU: {cpu}% | RAM: {mem.used // (1024**2)}MB / {mem.total // (1024**2)}MB")
result = subprocess.run(
["nvidia-smi", "--query-gpu=memory.used,memory.total,utilization.gpu", "--format=csv,nounits,noheader"],
capture_output=True, text=True
)
if result.returncode == 0:
used, total, util = result.stdout.strip().split(", ")
print(f"[{tag}] GPU: {used}MB / {total}MB | Utilization: {util}%")
except Exception as e:
print(f"[{tag}] GPU/CPU monitor failed: {e}")
def clean_response(text: str) -> str:
"""Clean TxAgent response to group findings under tool-derived headings."""
text = sanitize_utf8(text)
# Remove tool call artifacts, None, and reasoning
text = re.sub(r"\[.*?\]|\bNone\b|To analyze the patient record excerpt.*?medications\.|Since the previous attempts.*?\.|I need to.*?medications\.|Retrieving tools.*?\.", "", text, flags=re.DOTALL)
# Remove extra whitespace and non-markdown content
text = re.sub(r"\n{3,}", "\n\n", text)
text = re.sub(r"[^\n#\-\*\w\s\.\,\:\(\)]+", "", text) # Keep markdown-relevant characters
# Define tool-to-heading mapping
tool_to_heading = {
"get_abuse_info_by_drug_name": "Drugs",
"get_dependence_info_by_drug_name": "Drugs",
"get_abuse_types_and_related_adverse_reactions_and_controlled_substance_status_by_drug_name": "Drugs",
"get_info_for_patients_by_drug_name": "Drugs",
# Add other tools from new_tool.json if applicable
}
# Parse sections and findings
sections = {}
current_section = None
current_tool = None
lines = text.splitlines()
for line in lines:
line = line.strip()
if not line:
continue
# Detect tool tag
tool_match = re.match(r"\[TOOL:\s*(\w+)\]", line)
if tool_match:
current_tool = tool_match.group(1)
continue
# Detect section heading
section_match = re.match(r"###\s*(Missed Diagnoses|Medication Conflicts|Incomplete Assessments|Urgent Follow-up)", line)
if section_match:
current_section = section_match.group(1)
if current_section not in sections:
sections[current_section] = []
continue
# Detect finding
finding_match = re.match(r"-\s*.+", line)
if finding_match and current_section and not re.match(r"-\s*No issues identified", line):
# Assign to tool-derived heading if tool is specified
if current_tool and current_tool in tool_to_heading:
heading = tool_to_heading[current_tool]
if heading not in sections:
sections[heading] = []
sections[heading].append(line)
else:
sections[current_section].append(line)
# Combine non-empty sections
cleaned = []
for heading, findings in sections.items():
if findings: # Only include sections with findings
cleaned.append(f"### {heading}\n" + "\n".join(findings))
text = "\n\n".join(cleaned).strip()
if not text:
text = "" # Return empty string if no valid findings
return text
def init_agent():
print("π Initializing model...")
log_system_usage("Before Load")
default_tool_path = os.path.abspath("data/new_tool.json")
target_tool_path = os.path.join(tool_cache_dir, "new_tool.json")
if not os.path.exists(target_tool_path):
shutil.copy(default_tool_path, target_tool_path)
agent = TxAgent(
model_name="mims-harvard/TxAgent-T1-Llama-3.1-8B",
rag_model_name="mims-harvard/ToolRAG-T1-GTE-Qwen2-1.5B",
tool_files_dict={"new_tool": target_tool_path},
force_finish=True,
enable_checker=True,
step_rag_num=4,
seed=100,
additional_default_tools=[],
)
agent.init_model()
log_system_usage("After Load")
print("β
Agent Ready")
return agent
def create_ui(agent):
with gr.Blocks(theme=gr.themes.Soft()) as demo:
gr.Markdown("<h1 style='text-align: center;'>π©Ί Clinical Oversight Assistant</h1>")
chatbot = gr.Chatbot(label="Analysis", height=600, type="messages")
file_upload = gr.File(file_types=[".pdf", ".csv", ".xls", ".xlsx"], file_count="multiple")
msg_input = gr.Textbox(placeholder="Ask about potential oversights...", show_label=False)
send_btn = gr.Button("Analyze", variant="primary")
download_output = gr.File(label="Download Full Report")
def analyze(message: str, history: List[dict], files: List):
history.append({"role": "user", "content": message})
history.append({"role": "assistant", "content": "β³ Extracting text from files..."})
yield history, None
extracted = ""
file_hash_value = ""
if files:
# Progress callback for extraction
total_pages = 0
processed_pages = 0
def update_extraction_progress(current, total):
nonlocal processed_pages, total_pages
processed_pages = current
total_pages = total
animation = ["π", "π", "βοΈ", "π"][(int(time.time() * 2) % 4)]
history[-1] = {"role": "assistant", "content": f"Extracting text... {animation} Page {processed_pages}/{total_pages}"}
return history, None
with ThreadPoolExecutor(max_workers=6) as executor:
futures = [executor.submit(convert_file_to_json, f.name, f.name.split(".")[-1].lower(), update_extraction_progress) for f in files]
results = [sanitize_utf8(f.result()) for f in as_completed(futures)]
extracted = "\n".join(results)
file_hash_value = file_hash(files[0].name) if files else ""
history.pop() # Remove extraction message
history.append({"role": "assistant", "content": "β
Text extraction complete."})
yield history, None
# Split extracted text into chunks of ~6,000 characters
chunk_size = 6000
chunks = [extracted[i:i + chunk_size] for i in range(0, len(extracted), chunk_size)]
combined_response = ""
prompt_template = """
You are a medical analysis assistant. Analyze the following patient record excerpt for clinical oversights and provide a concise, evidence-based summary in markdown format. Group findings under appropriate headings based on the tool used (e.g., drug-related findings under 'Drugs'). For each finding, include:
- Clinical context (why the issue was missed or relevant details from the record).
- Potential risks if unaddressed (e.g., disease progression, adverse events).
- Actionable recommendations (e.g., tests, referrals, medication adjustments).
Output ONLY the markdown-formatted findings, with bullet points under each heading. Precede each finding with a tool tag (e.g., [TOOL: get_abuse_info_by_drug_name]) to indicate the tool used. Do NOT include reasoning, tool calls, or intermediate steps. If no issues are found for a tool or category, state "No issues identified" for that section. Ensure the output is specific to the provided text and avoids generic responses.
Example Output:
### Drugs
[TOOL: get_abuse_info_by_drug_name]
- Opioid use disorder not addressed. Missed due to lack of screening. Risks: overdose. Recommend: addiction specialist referral.
### Missed Diagnoses
- Elevated BP noted without diagnosis. Missed due to inconsistent visits. Risks: stroke. Recommend: BP monitoring, antihypertensives.
### Incomplete Assessments
- Chest pain not evaluated. Time constraints likely cause. Risks: cardiac issues. Recommend: ECG, stress test.
### Urgent Follow-up
- Abnormal creatinine not addressed. Delayed lab review. Risks: renal failure. Recommend: nephrology referral.
Patient Record Excerpt (Chunk {0} of {1}):
{chunk}
"""
try:
# Process each chunk and stream results in real-time
for chunk_idx, chunk in enumerate(chunks, 1):
# Update UI with chunk progress
animation = ["π", "π", "π§ ", "π"][(int(time.time() * 2) % 4)]
history.append({"role": "assistant", "content": f"Analyzing records... {animation} Chunk {chunk_idx}/{len(chunks)}"})
yield history, None
prompt = prompt_template.format(chunk_idx, len(chunks), chunk=chunk[:4000]) # Truncate to avoid token limits
chunk_response = ""
for chunk_output in agent.run_gradio_chat(
message=prompt,
history=[],
temperature=0.2,
max_new_tokens=1024,
max_token=4096,
call_agent=False,
conversation=[],
):
if chunk_output is None:
continue
if isinstance(chunk_output, list):
for m in chunk_output:
if hasattr(m, 'content') and m.content:
cleaned = clean_response(m.content)
if cleaned and re.search(r"###\s*\w+", cleaned):
chunk_response += cleaned + "\n\n"
# Update UI with partial response
if history[-1]["content"].startswith("Analyzing"):
history[-1] = {"role": "assistant", "content": f"--- Analysis for Chunk {chunk_idx} ---\n{chunk_response.strip()}"}
else:
history[-1]["content"] = f"--- Analysis for Chunk {chunk_idx} ---\n{chunk_response.strip()}"
yield history, None
elif isinstance(chunk_output, str) and chunk_output.strip():
cleaned = clean_response(chunk_output)
if cleaned and re.search(r"###\s*\w+", cleaned):
chunk_response += cleaned + "\n\n"
# Update UI with partial response
if history[-1]["content"].startswith("Analyzing"):
history[-1] = {"role": "assistant", "content": f"--- Analysis for Chunk {chunk_idx} ---\n{chunk_response.strip()}"}
else:
history[-1]["content"] = f"--- Analysis for Chunk {chunk_idx} ---\n{chunk_response.strip()}"
yield history, None
# Append completed chunk response to combined response
if chunk_response:
combined_response += f"--- Analysis for Chunk {chunk_idx} ---\n{chunk_response}\n"
else:
combined_response += f"--- Analysis for Chunk {chunk_idx} ---\nNo oversights identified for this chunk.\n\n"
# Finalize UI with complete response
if combined_response.strip() and not all("No oversights identified" in chunk for chunk in combined_response.split("--- Analysis for Chunk")):
history[-1]["content"] = combined_response.strip()
else:
history.append({"role": "assistant", "content": "No oversights identified in the provided records."})
# Generate report file
report_path = os.path.join(report_dir, f"{file_hash_value}_report.txt") if file_hash_value else None
if report_path:
with open(report_path, "w", encoding="utf-8") as f:
f.write(combined_response)
yield history, report_path if report_path and os.path.exists(report_path) else None
except Exception as e:
print("π¨ ERROR:", e)
history.append({"role": "assistant", "content": f"β Error occurred: {str(e)}"})
yield history, None
send_btn.click(analyze, inputs=[msg_input, gr.State([]), file_upload], outputs=[chatbot, download_output])
msg_input.submit(analyze, inputs=[msg_input, gr.State([]), file_upload], outputs=[chatbot, download_output])
return demo
if __name__ == "__main__":
print("π Launching app...")
agent = init_agent()
demo = create_ui(agent)
demo.queue(api_open=False).launch(
server_name="0.0.0.0",
server_port=7860,
show_error=True,
allowed_paths=[report_dir],
share=False
) |