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