from typing import Dict, Any class ClinicalAssessmentEngine: """ Ithu thaan namba main Local AI Engine. Neenga kudutha ella list-aiyum (Depression types, Alleviation states, Attrition reasons, Patient Intent) ithulla exact-a train panna porom. """ def __init__(self): # Placeholder for loading actual BERT / LLM pipeline # e.g., self.model = pipeline('text-classification', model='medical-bert') # --- THE MASTER CLINICAL TAXONOMY (As strictly defined by you) --- self.master_categories = { "Main_Clinical_Types": [ "Major Depressive Disorder (MDD)", "Persistent Depressive Disorder (PDD / Dysthymia)", "Bipolar Disorder (Manic Depression)", "Postpartum (Perinatal) Depression", "Seasonal Affective Disorder (SAD)", "Psychotic Depression", "Premenstrual Dysphoric Disorder (PMDD)", "Atypical Depression" ], "Clinical_Sub_Types": [ "Disruptive Mood Dysregulation Disorder (DMDD)", "Treatment-Resistant Depression (TRD)", "Substance/Medication-Induced Depression", "Depression Due to Another Medical Condition", "Smiling Depression (High-Functioning)", "Melancholic Depression", "Agitated Depression", "Double Depression", "Minor Depression" ], "Rare_and_Specific_Origins": [ "Catatonic Depression", "Endogenous Depression", "Reactive (Exogenous) Depression", "Existential Depression", "Masked Depression", "Geriatric Depression", "Recurrent Brief Depression", "Unipolar Depression", "Vascular Depression" ], "Niche_Types": [ "Cyclothymia", "Mixed Anxiety-Depressive Disorder", "Perimenopausal Depression", "Post-Schizophrenic Depression", "Adjustment Disorder", "Antenatal (Prenatal) Depression", "Prolonged Grief Disorder", "Male Depressive Syndrome", "Burnout-Induced Depression", "Anergic Depression", "D-MER (Dysphoric Milk Ejection Reflex)", "Post-coital Dysphoria (PCD)" ], "Treatment_Alleviation_States": [ "Partial Response", "Residual Symptoms", "Tachyphylaxis (Poop-Out)", "Breakthrough Depression", "Treatment-Resistant (TRD)", "Full Remission", "Sustained Recovery", "Spontaneous Remission", "Placebo Effect", "Palliative Alleviation", "Nocebo Effect", "The Honeymoon Effect", "Relapse", "Recurrence", "Pseudo-Resistance", "Emotional Blunting (Apathy)", "Treatment-Emergent Affective Switch (TEAS)", "Discontinuation Syndrome (Withdrawal)" ], "Attrition_and_Loss_Of_FollowUp": [ # Attrition Domains "Corporate/HR Attrition", "Customer Churn", "Academic Attrition (Dropouts)", "Therapeutic/Clinical Trial Attrition", # Patient Intent Loss "Voluntary Withdrawal", "Intentional Non-compliance", "Cured Perception", "Unintentional Loss", # Reachability "Silent Loss", "Passive Dropout", "Active Dropout", # Clinical Outcomes "Mortality (Death)", "Severe Morbidity", # Barriers "Geographic Attrition", "Economic Attrition", "Social Stigma", # System Failures "Administrative Loss", "Provider Relocation", "Protocol Burden", # Timelines "Intermittent Loss", "Permanent Loss" ] } def evaluate_patient_state(self, patient_text: str) -> Dict[str, Any]: """ Patient chat pannumbothu intha function than antha Text-a read panni, mela irukkura antha categories-la etha match aaguthu nu theliva analyze pannum. """ # ========================================== # REAL AI LOGIC WILL BE IMPLEMENTED HERE # (Tokenizing, running through BERT, extracting exact category) # ========================================== # MOCK RETURN FOR NOW based on rule definitions return { "mapped_condition": "Smiling Depression (High-Functioning)", "mapped_treatment_state": "Incomplete Relief", "attrition_risk": "High (Possible Passive Dropout)", "requires_doctor": False, "extracted_feeling": "Hiding deep sadness while working normally." } # Initialize a global instance to be used by the FastAPI router analyzer_engine = ClinicalAssessmentEngine()