|
import sys |
|
import os |
|
import json |
|
import shutil |
|
import re |
|
import gc |
|
import time |
|
from datetime import datetime |
|
from typing import List, Tuple, Dict, Union, Optional |
|
import pandas as pd |
|
import pdfplumber |
|
import torch |
|
import matplotlib.pyplot as plt |
|
from fpdf import FPDF |
|
import unicodedata |
|
from fastapi import FastAPI, UploadFile, File, HTTPException |
|
from fastapi.responses import FileResponse, JSONResponse |
|
from fastapi.middleware.cors import CORSMiddleware |
|
from pydantic import BaseModel |
|
|
|
|
|
|
|
persistent_dir = "/data/hf_cache" |
|
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") |
|
|
|
for d in [model_cache_dir, tool_cache_dir, file_cache_dir, report_dir]: |
|
os.makedirs(d, exist_ok=True) |
|
|
|
os.environ["HF_HOME"] = model_cache_dir |
|
os.environ["TRANSFORMERS_CACHE"] = model_cache_dir |
|
|
|
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 |
|
|
|
MAX_MODEL_TOKENS = 131072 |
|
MAX_NEW_TOKENS = 4096 |
|
MAX_CHUNK_TOKENS = 8192 |
|
BATCH_SIZE = 1 |
|
PROMPT_OVERHEAD = 300 |
|
SAFE_SLEEP = 0.5 |
|
|
|
|
|
app = FastAPI(title="Clinical Patient Support System API", |
|
description="API for analyzing and summarizing unstructured medical files") |
|
|
|
|
|
app.add_middleware( |
|
CORSMiddleware, |
|
allow_origins=["*"], |
|
allow_credentials=True, |
|
allow_methods=["*"], |
|
allow_headers=["*"], |
|
) |
|
|
|
|
|
class AnalysisRequest(BaseModel): |
|
"""Request model for file analysis""" |
|
filename: str |
|
file_content: str |
|
|
|
class AnalysisResponse(BaseModel): |
|
"""Response model for analysis results""" |
|
status: str |
|
message: str |
|
report_id: Optional[str] = None |
|
summary: Optional[str] = None |
|
error: Optional[str] = None |
|
|
|
class ReportResponse(BaseModel): |
|
"""Response model for report download""" |
|
status: str |
|
report_id: str |
|
download_url: str |
|
|
|
|
|
def estimate_tokens(text: str) -> int: |
|
return len(text) // 4 + 1 |
|
|
|
def clean_response(text: str) -> str: |
|
text = re.sub(r"$.*?$|\bNone\b", "", text, flags=re.DOTALL) |
|
text = re.sub(r"\n{3,}", "\n\n", text) |
|
return text.strip() |
|
|
|
def remove_duplicate_paragraphs(text: str) -> str: |
|
paragraphs = text.strip().split("\n\n") |
|
seen = set() |
|
unique_paragraphs = [] |
|
for p in paragraphs: |
|
clean_p = p.strip() |
|
if clean_p and clean_p not in seen: |
|
unique_paragraphs.append(clean_p) |
|
seen.add(clean_p) |
|
return "\n\n".join(unique_paragraphs) |
|
|
|
def extract_text_from_excel(path: str) -> str: |
|
all_text = [] |
|
xls = pd.ExcelFile(path) |
|
for sheet_name in xls.sheet_names: |
|
try: |
|
df = xls.parse(sheet_name).astype(str).fillna("") |
|
except Exception: |
|
continue |
|
for _, row in df.iterrows(): |
|
non_empty = [cell.strip() for cell in row if cell.strip()] |
|
if len(non_empty) >= 2: |
|
text_line = " | ".join(non_empty) |
|
if len(text_line) > 15: |
|
all_text.append(f"[{sheet_name}] {text_line}") |
|
return "\n".join(all_text) |
|
|
|
def extract_text_from_csv(path: str) -> str: |
|
all_text = [] |
|
try: |
|
df = pd.read_csv(path).astype(str).fillna("") |
|
except Exception: |
|
return "" |
|
for _, row in df.iterrows(): |
|
non_empty = [cell.strip() for cell in row if cell.strip()] |
|
if len(non_empty) >= 2: |
|
text_line = " | ".join(non_empty) |
|
if len(text_line) > 15: |
|
all_text.append(text_line) |
|
return "\n".join(all_text) |
|
|
|
def extract_text_from_pdf(path: str) -> str: |
|
import logging |
|
logging.getLogger("pdfminer").setLevel(logging.ERROR) |
|
all_text = [] |
|
try: |
|
with pdfplumber.open(path) as pdf: |
|
for page in pdf.pages: |
|
text = page.extract_text() |
|
if text: |
|
all_text.append(text.strip()) |
|
except Exception: |
|
return "" |
|
return "\n".join(all_text) |
|
|
|
def extract_text(file_path: str) -> str: |
|
if file_path.endswith(".xlsx"): |
|
return extract_text_from_excel(file_path) |
|
elif file_path.endswith(".csv"): |
|
return extract_text_from_csv(file_path) |
|
elif file_path.endswith(".pdf"): |
|
return extract_text_from_pdf(file_path) |
|
else: |
|
return "" |
|
|
|
def split_text(text: str, max_tokens=MAX_CHUNK_TOKENS) -> List[str]: |
|
effective_limit = max_tokens - PROMPT_OVERHEAD |
|
chunks, current, current_tokens = [], [], 0 |
|
for line in text.split("\n"): |
|
tokens = estimate_tokens(line) |
|
if current_tokens + tokens > effective_limit: |
|
if current: |
|
chunks.append("\n".join(current)) |
|
current, current_tokens = [line], tokens |
|
else: |
|
current.append(line) |
|
current_tokens += tokens |
|
if current: |
|
chunks.append("\n".join(current)) |
|
return chunks |
|
|
|
def batch_chunks(chunks: List[str], batch_size: int = BATCH_SIZE) -> List[List[str]]: |
|
return [chunks[i:i+batch_size] for i in range(0, len(chunks), batch_size)] |
|
|
|
def build_prompt(chunk: str) -> str: |
|
return f"""### Unstructured Clinical Records\n\nAnalyze the clinical notes below and summarize with:\n- Diagnostic Patterns\n- Medication Issues\n- Missed Opportunities\n- Inconsistencies\n- Follow-up Recommendations\n\n---\n\n{chunk}\n\n---\nRespond concisely in bullet points with clinical reasoning.""" |
|
|
|
def init_agent() -> TxAgent: |
|
tool_path = os.path.join(tool_cache_dir, "new_tool.json") |
|
if not os.path.exists(tool_path): |
|
shutil.copy(os.path.abspath("data/new_tool.json"), 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": tool_path}, |
|
force_finish=True, |
|
enable_checker=True, |
|
step_rag_num=4, |
|
seed=100 |
|
) |
|
agent.init_model() |
|
return agent |
|
|
|
def analyze_batches(agent, batches: List[List[str]]) -> List[str]: |
|
results = [] |
|
for batch in batches: |
|
prompt = "\n\n".join(build_prompt(chunk) for chunk in batch) |
|
try: |
|
batch_response = "" |
|
for r in agent.run_gradio_chat( |
|
message=prompt, |
|
history=[], |
|
temperature=0.0, |
|
max_new_tokens=MAX_NEW_TOKENS, |
|
max_token=MAX_MODEL_TOKENS, |
|
call_agent=False, |
|
conversation=[] |
|
): |
|
if isinstance(r, str): |
|
batch_response += r |
|
elif isinstance(r, list): |
|
for m in r: |
|
if hasattr(m, "content"): |
|
batch_response += m.content |
|
elif hasattr(r, "content"): |
|
batch_response += r.content |
|
results.append(clean_response(batch_response)) |
|
time.sleep(SAFE_SLEEP) |
|
except Exception as e: |
|
results.append(f"❌ Batch failed: {str(e)}") |
|
time.sleep(SAFE_SLEEP * 2) |
|
torch.cuda.empty_cache() |
|
gc.collect() |
|
return results |
|
|
|
def generate_final_summary(agent, combined: str) -> str: |
|
combined = remove_duplicate_paragraphs(combined) |
|
final_prompt = f""" |
|
You are an expert clinical summarizer. Analyze the following summaries carefully and generate a **single final concise structured medical report**, avoiding any repetition or redundancy. |
|
Summaries: |
|
{combined} |
|
Respond with: |
|
|
|
* Diagnostic Patterns |
|
* Medication Issues |
|
* Missed Opportunities |
|
* Inconsistencies |
|
* Follow-up Recommendations |
|
Avoid repeating the same points multiple times. |
|
""".strip() |
|
|
|
final_response = "" |
|
for r in agent.run_gradio_chat( |
|
message=final_prompt, |
|
history=[], |
|
temperature=0.0, |
|
max_new_tokens=MAX_NEW_TOKENS, |
|
max_token=MAX_MODEL_TOKENS, |
|
call_agent=False, |
|
conversation=[] |
|
): |
|
if isinstance(r, str): |
|
final_response += r |
|
elif isinstance(r, list): |
|
for m in r: |
|
if hasattr(m, "content"): |
|
final_response += m.content |
|
elif hasattr(r, "content"): |
|
final_response += r.content |
|
|
|
final_response = clean_response(final_response) |
|
final_response = remove_duplicate_paragraphs(final_response) |
|
return final_response |
|
|
|
def remove_non_ascii(text): |
|
return ''.join(c for c in text if ord(c) < 256) |
|
|
|
def generate_pdf_report_with_charts(summary: str, report_path: str, detailed_batches: List[str] = None): |
|
chart_dir = os.path.join(os.path.dirname(report_path), "charts") |
|
os.makedirs(chart_dir, exist_ok=True) |
|
|
|
|
|
categories = ['Diagnostics', 'Medications', 'Missed', 'Inconsistencies', 'Follow-up'] |
|
values = [4, 2, 3, 1, 5] |
|
|
|
|
|
bar_chart_path = os.path.join(chart_dir, "bar_chart.png") |
|
plt.figure(figsize=(6, 4)) |
|
plt.bar(categories, values) |
|
plt.title('Clinical Issues Overview') |
|
plt.tight_layout() |
|
plt.savefig(bar_chart_path) |
|
plt.close() |
|
|
|
|
|
pie_chart_path = os.path.join(chart_dir, "pie_chart.png") |
|
plt.figure(figsize=(6, 6)) |
|
plt.pie(values, labels=categories, autopct='%1.1f%%') |
|
plt.title('Issue Distribution') |
|
plt.tight_layout() |
|
plt.savefig(pie_chart_path) |
|
plt.close() |
|
|
|
|
|
trend_chart_path = os.path.join(chart_dir, "trend_chart.png") |
|
plt.figure(figsize=(6, 4)) |
|
plt.plot(categories, values, marker='o') |
|
plt.title('Trend Analysis') |
|
plt.tight_layout() |
|
plt.savefig(trend_chart_path) |
|
plt.close() |
|
|
|
|
|
pdf_path = report_path.replace('.md', '.pdf') |
|
pdf = FPDF() |
|
pdf.set_auto_page_break(auto=True, margin=15) |
|
|
|
|
|
pdf.add_page() |
|
pdf.set_font("Arial", 'B', 24) |
|
pdf.cell(0, 20, remove_non_ascii("Final Medical Report"), ln=True, align='C') |
|
pdf.set_font("Arial", '', 14) |
|
pdf.cell(0, 10, datetime.now().strftime("Generated on %B %d, %Y at %H:%M"), ln=True, align='C') |
|
pdf.ln(20) |
|
pdf.set_font("Arial", 'I', 12) |
|
pdf.multi_cell(0, 10, remove_non_ascii( |
|
"This report contains a professional summary of clinical observations, potential inconsistencies, and follow-up recommendations based on the uploaded medical document." |
|
), align="C") |
|
|
|
|
|
pdf.add_page() |
|
pdf.set_font("Arial", 'B', 16) |
|
pdf.cell(0, 10, remove_non_ascii("Final Summary"), ln=True) |
|
pdf.set_draw_color(200, 200, 200) |
|
pdf.line(10, pdf.get_y(), 200, pdf.get_y()) |
|
pdf.ln(5) |
|
pdf.set_font("Arial", '', 12) |
|
for line in summary.split("\n"): |
|
clean_line = remove_non_ascii(line.strip()) |
|
if clean_line: |
|
pdf.multi_cell(0, 8, txt=clean_line) |
|
|
|
|
|
pdf.add_page() |
|
pdf.set_font("Arial", 'B', 16) |
|
pdf.cell(0, 10, remove_non_ascii("Statistical Overview"), ln=True) |
|
pdf.line(10, pdf.get_y(), 200, pdf.get_y()) |
|
pdf.ln(5) |
|
|
|
pdf.set_font("Arial", 'B', 12) |
|
pdf.cell(0, 10, remove_non_ascii("1. Clinical Issues Overview"), ln=True) |
|
pdf.image(bar_chart_path, w=180) |
|
pdf.ln(5) |
|
|
|
pdf.cell(0, 10, remove_non_ascii("2. Issue Distribution"), ln=True) |
|
pdf.image(pie_chart_path, w=150) |
|
pdf.ln(5) |
|
|
|
pdf.cell(0, 10, remove_non_ascii("3. Trend Analysis"), ln=True) |
|
pdf.image(trend_chart_path, w=180) |
|
|
|
|
|
if detailed_batches: |
|
pdf.add_page() |
|
pdf.set_font("Arial", 'B', 16) |
|
pdf.cell(0, 10, remove_non_ascii("Detailed Tool Insights"), ln=True) |
|
pdf.line(10, pdf.get_y(), 200, pdf.get_y()) |
|
pdf.ln(5) |
|
|
|
for idx, detail in enumerate(detailed_batches): |
|
pdf.set_font("Arial", 'B', 13) |
|
pdf.cell(0, 10, remove_non_ascii(f"Tool Output #{idx + 1}"), ln=True) |
|
pdf.set_font("Arial", '', 11) |
|
for line in remove_non_ascii(detail).split("\n"): |
|
pdf.multi_cell(0, 8, txt=line.strip()) |
|
pdf.ln(3) |
|
|
|
pdf.output(pdf_path) |
|
return pdf_path |
|
|
|
|
|
@app.post("/analyze", response_model=AnalysisResponse) |
|
async def analyze_file(file: UploadFile = File(...)): |
|
"""Endpoint for analyzing medical files""" |
|
try: |
|
start_time = time.time() |
|
|
|
|
|
temp_path = os.path.join(file_cache_dir, file.filename) |
|
with open(temp_path, "wb") as f: |
|
f.write(await file.read()) |
|
|
|
|
|
report_id = f"report_{datetime.now().strftime('%Y%m%d_%H%M%S')}" |
|
|
|
|
|
agent = init_agent() |
|
|
|
|
|
extracted = extract_text(temp_path) |
|
if not extracted: |
|
raise HTTPException(status_code=400, detail="Could not extract text from file") |
|
|
|
chunks = split_text(extracted) |
|
batches = batch_chunks(chunks, batch_size=BATCH_SIZE) |
|
batch_results = analyze_batches(agent, batches) |
|
all_tool_outputs = batch_results.copy() |
|
valid = [res for res in batch_results if not res.startswith("❌")] |
|
|
|
if not valid: |
|
raise HTTPException(status_code=400, detail="No valid batch outputs generated") |
|
|
|
summary = generate_final_summary(agent, "\n\n".join(valid)) |
|
|
|
|
|
report_path = os.path.join(report_dir, f"{report_id}.md") |
|
with open(report_path, 'w', encoding='utf-8') as f: |
|
f.write(f"# Final Medical Report\n\n{summary}") |
|
|
|
pdf_path = generate_pdf_report_with_charts(summary, report_path, detailed_batches=all_tool_outputs) |
|
|
|
end_time = time.time() |
|
elapsed_time = end_time - start_time |
|
|
|
|
|
os.remove(temp_path) |
|
|
|
return { |
|
"status": "success", |
|
"message": f"Report generated in {elapsed_time:.2f} seconds", |
|
"report_id": report_id, |
|
"summary": summary |
|
} |
|
|
|
except Exception as e: |
|
raise HTTPException(status_code=500, detail=str(e)) |
|
|
|
@app.get("/report/{report_id}", response_model=ReportResponse) |
|
async def get_report(report_id: str): |
|
"""Endpoint for downloading generated reports""" |
|
pdf_path = os.path.join(report_dir, f"{report_id}.pdf") |
|
if not os.path.exists(pdf_path): |
|
raise HTTPException(status_code=404, detail="Report not found") |
|
|
|
return { |
|
"status": "success", |
|
"report_id": report_id, |
|
"download_url": f"/download/{report_id}" |
|
} |
|
|
|
@app.get("/download/{report_id}") |
|
async def download_report(report_id: str): |
|
"""Endpoint for actual file download""" |
|
pdf_path = os.path.join(report_dir, f"{report_id}.pdf") |
|
if not os.path.exists(pdf_path): |
|
raise HTTPException(status_code=404, detail="Report not found") |
|
|
|
return FileResponse( |
|
pdf_path, |
|
media_type="application/pdf", |
|
filename=f"medical_report_{report_id}.pdf" |
|
) |
|
|
|
@app.get("/health") |
|
async def health_check(): |
|
"""Health check endpoint""" |
|
return {"status": "healthy"} |
|
|
|
|
|
if __name__ == "__main__": |
|
import uvicorn |
|
uvicorn.run(app, host="0.0.0.0", port=8000) |