app.py

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 logging
import torch
import gc
from diskcache import Cache
import time

# Configure logging
logging.basicConfig(level=logging.INFO)
logger = logging.getLogger(__name__)

# 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

# Initialize cache with 10GB limit
cache = Cache(file_cache_dir, size_limit=10 * 1024**3)

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_all_pages(file_path: str, progress_callback=None) -> str:
    try:
        with pdfplumber.open(file_path) as pdf:
            total_pages = len(pdf.pages)
            if total_pages == 0:
                return ""

        batch_size = 10
        batches = [(i, min(i + batch_size, total_pages)) for i in range(0, total_pages, batch_size)]
        text_chunks = [""] * total_pages
        processed_pages = 0

        def extract_batch(start: int, end: int) -> List[tuple]:
            results = []
            with pdfplumber.open(file_path) as pdf:
                for page in pdf.pages[start:end]:
                    page_num = start + pdf.pages.index(page)
                    page_text = page.extract_text() or ""
                    results.append((page_num, f"=== Page {page_num + 1} ===\n{page_text.strip()}"))
            return results

        with ThreadPoolExecutor(max_workers=6) as executor:
            futures = [executor.submit(extract_batch, start, end) for start, end in batches]
            for future in as_completed(futures):
                for page_num, text in future.result():
                    text_chunks[page_num] = text
                processed_pages += batch_size
                if progress_callback:
                    progress_callback(min(processed_pages, total_pages), total_pages)

        return "\n\n".join(filter(None, text_chunks))
    except Exception as e:
        logger.error("PDF processing error: %s", e)
        return f"PDF processing error: {str(e)}"

def convert_file_to_json(file_path: str, file_type: str, progress_callback=None) -> str:
    try:
        file_h = file_hash(file_path)
        cache_key = f"{file_h}_{file_type}"
        if cache_key in cache:
            return cache[cache_key]

        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}"})

        cache[cache_key] = result
        return result
    except Exception as e:
        logger.error("Error processing %s: %s", os.path.basename(file_path), 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()
        logger.info("[%s] CPU: %.1f%% | RAM: %dMB / %dMB", tag, cpu, mem.used // (1024**2), mem.total // (1024**2))
        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(", ")
            logger.info("[%s] GPU: %sMB / %sMB | Utilization: %s%%", tag, used, total, util)
    except Exception as e:
        logger.error("[%s] GPU/CPU monitor failed: %s", tag, e)

def clean_response(text: str) -> str:
    text = sanitize_utf8(text)
    # Remove unwanted patterns and tool call artifacts
    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)
    # Extract only missed diagnoses, ignoring other categories
    diagnoses = []
    lines = text.splitlines()
    in_diagnoses_section = False
    for line in lines:
        line = line.strip()
        if not line:
            continue
        if re.match(r"###\s*Missed Diagnoses", line):
            in_diagnoses_section = True
            continue
        if re.match(r"###\s*(Medication Conflicts|Incomplete Assessments|Urgent Follow-up)", line):
            in_diagnoses_section = False
            continue
        if in_diagnoses_section and re.match(r"-\s*.+", line):
            diagnosis = re.sub(r"^\-\s*", "", line).strip()
            if diagnosis and not re.match(r"No issues identified", diagnosis, re.IGNORECASE):
                diagnoses.append(diagnosis)
    # Join diagnoses into a plain text paragraph
    text = " ".join(diagnoses)
    # Clean up extra whitespace and punctuation
    text = re.sub(r"\s+", " ", text).strip()
    text = re.sub(r"[^\w\s\.\,\(\)\-]", "", text)
    return text if text else ""

def summarize_findings(combined_response: str) -> str:
    # Split response by chunk analyses
    chunks = combined_response.split("--- Analysis for Chunk")
    diagnoses = []
    for chunk in chunks:
        chunk = chunk.strip()
        if not chunk or "No oversights identified" in chunk:
            continue
        # Extract missed diagnoses from chunk
        lines = chunk.splitlines()
        in_diagnoses_section = False
        for line in lines:
            line = line.strip()
            if not line:
                continue
            if re.match(r"###\s*Missed Diagnoses", line):
                in_diagnoses_section = True
                continue
            if re.match(r"###\s*(Medication Conflicts|Incomplete Assessments|Urgent Follow-up)", line):
                in_diagnoses_section = False
                continue
            if in_diagnoses_section and re.match(r"-\s*.+", line):
                diagnosis = re.sub(r"^\-\s*", "", line).strip()
                if diagnosis and not re.match(r"No issues identified", diagnosis, re.IGNORECASE):
                    diagnoses.append(diagnosis)

    # Remove duplicates while preserving order
    seen = set()
    unique_diagnoses = [d for d in diagnoses if not (d in seen or seen.add(d))]
    
    if not unique_diagnoses:
        return "No missed diagnoses were identified in the provided records."

    # Combine into a single paragraph
    summary = "Missed diagnoses include " + ", ".join(unique_diagnoses[:-1])
    if len(unique_diagnoses) > 1:
        summary += f", and {unique_diagnoses[-1]}"
    elif len(unique_diagnoses) == 1:
        summary = "Missed diagnoses include " + unique_diagnoses[0]
    summary += ", all of which require urgent clinical review to prevent potential adverse outcomes."
    
    return summary.strip()

def init_agent():
    logger.info("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=False,
        step_rag_num=4,
        seed=100,
        additional_default_tools=[],
    )
    agent.init_model()
    log_system_usage("After Load")
    logger.info("Agent Ready")
    return agent

def create_ui(agent):
    with gr.Blocks(theme=gr.themes.Soft()) as demo:
        gr.Markdown("<h1 style='text-align: center;'>🩺 Clinical Oversight Assistant</h1>")
        chatbot = gr.Chatbot(label="Detailed Analysis", height=600, type="messages")
        final_summary = gr.Markdown(label="Summary of Missed Diagnoses")
        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")
        progress_bar = gr.Progress()

        prompt_template = """
Analyze the patient record excerpt for missed diagnoses only. Provide a concise, evidence-based summary as a single paragraph without headings or bullet points. Include specific clinical findings (e.g., 'elevated blood pressure (160/95) on page 10'), their potential implications (e.g., 'may indicate untreated hypertension'), and a recommendation for urgent review. Do not include other oversight categories like medication conflicts. If no missed diagnoses are found, state 'No missed diagnoses identified' in a single sentence.
Patient Record Excerpt (Chunk {0} of {1}):
{chunk}
"""

        def analyze(message: str, history: List[dict], files: List, progress=gr.Progress()):
            history.append({"role": "user", "content": message})
            yield history, None, ""

            extracted = ""
            file_hash_value = ""
            if files:
                def update_extraction_progress(current, total):
                    progress(current / total, desc=f"Extracting text... Page {current}/{total}")
                    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.append({"role": "assistant", "content": "✅ Text extraction complete."})
                yield history, None, ""

            chunk_size = 6000
            chunks = [extracted[i:i + chunk_size] for i in range(0, len(extracted), chunk_size)]
            combined_response = ""
            batch_size = 2

            try:
                for batch_idx in range(0, len(chunks), batch_size):
                    batch_chunks = chunks[batch_idx:batch_idx + batch_size]
                    batch_prompts = [prompt_template.format(i + 1, len(chunks), chunk=chunk[:4000]) for i, chunk in enumerate(batch_chunks)]
                    batch_responses = []

                    progress((batch_idx + 1) / len(chunks), desc=f"Analyzing chunks {batch_idx + 1}-{min(batch_idx + batch_size, len(chunks))}/{len(chunks)}")

                    with ThreadPoolExecutor(max_workers=len(batch_chunks)) as executor:
                        futures = [executor.submit(agent.run_gradio_chat, prompt, [], 0.2, 512, 2048, False, []) for prompt in batch_prompts]
                        for future in as_completed(futures):
                            chunk_response = ""
                            for chunk_output in future.result():
                                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:
                                                chunk_response += cleaned + " "
                                elif isinstance(chunk_output, str) and chunk_output.strip():
                                    cleaned = clean_response(chunk_output)
                                    if cleaned:
                                        chunk_response += cleaned + " "
                            batch_responses.append(chunk_response.strip())
                            torch.cuda.empty_cache()
                            gc.collect()

                    for chunk_idx, chunk_response in enumerate(batch_responses, batch_idx + 1):
                        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 missed diagnoses identified.\n"
                        history[-1] = {"role": "assistant", "content": combined_response.strip()}
                        yield history, None, ""

                if combined_response.strip() and not all("No missed diagnoses 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 missed diagnoses identified in the provided records."})

                summary = summarize_findings(combined_response)
                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 + "\n\n" + summary)
                yield history, report_path if report_path and os.path.exists(report_path) else None, summary

            except Exception as e:
                logger.error("Analysis error: %s", e)
                history.append({"role": "assistant", "content": f"❌ Error occurred: {str(e)}"})
                yield history, None, f"Error occurred during analysis: {str(e)}"

        send_btn.click(analyze, inputs=[msg_input, gr.State([]), file_upload], outputs=[chatbot, download_output, final_summary])
        msg_input.submit(analyze, inputs=[msg_input, gr.State([]), file_upload], outputs=[chatbot, download_output, final_summary])
    return demo

if __name__ == "__main__":
    try:
        logger.info("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
        )
    finally:
        if torch.distributed.is_initialized():
            torch.distributed.destroy_process_group()