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from __future__ import annotations
import asyncio
import json
import os
import textwrap
from typing import Dict, List, Optional, Tuple
from openai import OpenAI
try:
from clinical_trial_env import ClinicalTrialAction, ClinicalTrialEnvClient
except ImportError:
from client import ClinicalTrialEnv as ClinicalTrialEnvClient
from models import ClinicalTrialAction
LOCAL_IMAGE_NAME = os.getenv("LOCAL_IMAGE_NAME") or os.getenv("IMAGE_NAME")
API_KEY = os.getenv("HF_TOKEN") or os.getenv("API_KEY")
API_BASE_URL = os.getenv("API_BASE_URL", "https://router.huggingface.co/v1")
MODEL_NAME = os.getenv("MODEL_NAME", "Qwen/Qwen2.5-72B-Instruct")
TASK_NAME = os.getenv("CLINICAL_TRIAL_TASK", "easy")
BENCHMARK = os.getenv("CLINICAL_TRIAL_BENCHMARK", "clinical_trial_env")
ENV_BASE_URL = os.getenv("ENV_BASE_URL")
MAX_STEPS = int(os.getenv("MAX_STEPS", "20"))
TEMPERATURE = float(os.getenv("TEMPERATURE", "0.1"))
MAX_TOKENS = int(os.getenv("MAX_TOKENS", "220"))
SUCCESS_SCORE_THRESHOLD = float(os.getenv("SUCCESS_SCORE_THRESHOLD", "0.8"))
MIN_STRICT_SCORE = 0.01
MAX_STRICT_SCORE = 0.99
SYSTEM_PROMPT = textwrap.dedent(
"""
You are operating a clinical trial screening environment.
Return exactly one compact JSON object with keys:
action_type, field_name, value, ranking, deviations, final_decision, rationale.
Use only supported action_type values:
extract_data, rank_patients, flag_deviation, submit_decision.
Do not add markdown, commentary, or code fences.
"""
).strip()
def log_start(task: str, env: str, model: str) -> None:
print(f"[START] task={task} env={env} model={model}", flush=True)
def log_step(step: int, action: str, reward: float, done: bool, error: Optional[str]) -> None:
error_text = error if error is not None else "null"
print(
f"[STEP] step={step} action={action} reward={reward:.2f} "
f"done={str(done).lower()} error={error_text}",
flush=True,
)
def log_end(success: bool, steps: int, rewards: List[float]) -> None:
rewards_str = ",".join(f"{reward:.2f}" for reward in rewards)
print(
f"[END] success={str(success).lower()} steps={steps} rewards={rewards_str}",
flush=True,
)
def sanitize_error(error: Optional[str]) -> Optional[str]:
if error is None:
return None
cleaned = " ".join(error.split())
return cleaned or "null"
def build_user_prompt(task_name: str, step: int, observation_payload: Dict, history: List[str]) -> str:
history_text = "\n".join(history[-4:]) if history else "None"
return textwrap.dedent(
f"""
Task: {task_name}
Step: {step}
Observation:
{json.dumps(observation_payload, indent=2, sort_keys=True)}
Recent history:
{history_text}
Return the next best JSON action.
"""
).strip()
def heuristic_action(task_name: str, step: int) -> ClinicalTrialAction:
heuristics: Dict[Tuple[str, int], ClinicalTrialAction] = {
("easy", 1): ClinicalTrialAction(action_type="extract_data", field_name="age", value="56"),
("easy", 2): ClinicalTrialAction(
action_type="extract_data", field_name="egfr_mutation", value="L858R positive"
),
("easy", 3): ClinicalTrialAction(action_type="submit_decision", final_decision="eligible"),
("medium", 1): ClinicalTrialAction(
action_type="extract_data", field_name="BC-101_her2_status", value="IHC 3+"
),
("medium", 2): ClinicalTrialAction(
action_type="extract_data", field_name="BC-102_trastuzumab_exposure", value="none"
),
("medium", 3): ClinicalTrialAction(
action_type="rank_patients", ranking=["BC-101", "BC-103", "BC-102"]
),
("hard", 1): ClinicalTrialAction(action_type="extract_data", field_name="biomarker", value="FLT3-ITD"),
("hard", 2): ClinicalTrialAction(
action_type="flag_deviation",
deviations=[
"neutropenic fever",
"qtc greater than 480 ms",
"recent strong CYP3A4 inhibitor",
],
),
("hard", 3): ClinicalTrialAction(action_type="submit_decision", final_decision="ineligible"),
}
return heuristics.get((task_name, step), ClinicalTrialAction(action_type="submit_decision", final_decision="ineligible"))
def parse_action(raw_text: str) -> ClinicalTrialAction:
payload = json.loads(raw_text)
return ClinicalTrialAction.model_validate(payload)
def get_model_action(
client: OpenAI,
task_name: str,
step: int,
observation_payload: Dict,
history: List[str],
) -> ClinicalTrialAction:
user_prompt = build_user_prompt(task_name, step, observation_payload, history)
try:
completion = client.chat.completions.create(
model=MODEL_NAME,
messages=[
{"role": "system", "content": SYSTEM_PROMPT},
{"role": "user", "content": user_prompt},
],
temperature=TEMPERATURE,
max_tokens=MAX_TOKENS,
stream=False,
)
content = (completion.choices[0].message.content or "").strip()
return parse_action(content)
except Exception:
return heuristic_action(task_name, step)
def format_action(action: ClinicalTrialAction) -> str:
payload = {
"action_type": action.action_type,
"field_name": action.field_name,
"value": action.value,
"ranking": action.ranking,
"deviations": action.deviations,
"final_decision": action.final_decision,
}
return json.dumps(payload, separators=(",", ":"), sort_keys=True)
async def create_env() -> ClinicalTrialEnvClient:
if LOCAL_IMAGE_NAME:
return await ClinicalTrialEnvClient.from_docker_image(LOCAL_IMAGE_NAME)
if ENV_BASE_URL:
env = ClinicalTrialEnvClient(base_url=ENV_BASE_URL)
await env.connect()
return env
raise RuntimeError("Set LOCAL_IMAGE_NAME for Docker execution or ENV_BASE_URL for an existing server.")
async def main() -> None:
client = OpenAI(base_url=API_BASE_URL, api_key=API_KEY)
env: Optional[ClinicalTrialEnvClient] = None
rewards: List[float] = []
steps_taken = 0
score = 0.5
success = False
history: List[str] = []
last_error: Optional[str] = None
log_start(task=TASK_NAME, env=BENCHMARK, model=MODEL_NAME)
try:
env = await create_env()
result = await env.reset(task_id=TASK_NAME)
for step in range(1, MAX_STEPS + 1):
if result.done:
break
action = get_model_action(
client=client,
task_name=TASK_NAME,
step=step,
observation_payload=result.observation.model_dump(mode="json"),
history=history,
)
try:
result = await env.step(action)
reward = float(result.reward or 0.0)
done = bool(result.done)
last_error = None
except Exception as exc:
reward = 0.0
done = True
last_error = sanitize_error(str(exc))
rewards.append(reward)
steps_taken = step
log_step(
step=step,
action=format_action(action),
reward=reward,
done=done,
error=sanitize_error(last_error),
)
history.append(f"step={step} action={format_action(action)} reward={reward:.2f}")
if last_error is not None or done:
break
if last_error is None and "result" in locals():
score = float(result.observation.reward_details.grader_score)
score = min(max(score, MIN_STRICT_SCORE), MAX_STRICT_SCORE)
success = last_error is None and score >= SUCCESS_SCORE_THRESHOLD
finally:
if env is not None:
try:
await env.close()
except Exception as exc:
last_error = last_error or sanitize_error(str(exc))
log_end(success=success, steps=steps_taken, rewards=rewards)
if __name__ == "__main__":
asyncio.run(main())
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