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import time
from langgraph.graph import StateGraph, END
from src.core.state import AgentState
from src.agents.agent_instances import (
role_classifier, patient_llm, caregiver_llm, validator, safety_check,
intent_classifier, diagnosis_assist, treatment_assist,
monitoring_assist, general_assist, output_merger, research_agent,
dietary_assist
)
from langchain_core.messages import AIMessage, ToolMessage
from langgraph.prebuilt import ToolNode
from src.tools.web_tools import web_search_tool
from src.utils.logger import setup_logger
from src.tools.fhir_memory import save_chat_as_fhir
logger = setup_logger("MedicalPipeline")
MAX_RECOVERY_ATTEMPTS = 3
EMERGENCY_PATTERNS = [
r"\b(unconscious|passed out|not breathing|seizure|seizing|stroke|heart attack|chest pain|coma)\b",
r"\b(dka|ketoacidosis|hypoglycemic emergency|hyperglycemic emergency|insulin overdose)\b",
]
def log_step(name: str, output: str = None):
"""Utility to log both to terminal and return a state update for the logs list."""
logger.info(f"Executing: {name}")
log_msg = f"➔ Executing Node: {name}"
if output:
log_msg += f"\nOutput: {output}"
return {"logs": [log_msg]}
def _extract_message_content(message) -> str:
if getattr(message, "content", None):
return message.content
return str(getattr(message, "tool_calls", ""))
def _set_latest_clinician_output(res: dict):
latest_output = ""
if res.get("messages"):
latest_output = _extract_message_content(res["messages"][-1])
if latest_output:
res["clinician_outputs"] = [latest_output]
else:
res["clinician_outputs"] = []
return res
def detect_emergency(state: AgentState) -> bool:
last_message = state.get("messages")[-1] if state.get("messages") else None
if not last_message:
return False
content = getattr(last_message, "content", "")
if not content:
return False
normalized = content.lower()
return any(re.search(pattern, normalized) for pattern in EMERGENCY_PATTERNS)
async def role_classifier_node(state: AgentState):
res = await role_classifier.run(state)
log = log_step("Role Classifier", f"Detected Role: {res.get('user_role')}")
res.update(log)
# Intent is only needed for the clinician pathway.
if res.get('user_role') != "clinician":
res['intent_type'] = "general"
return res
from langchain_core.runnables.config import RunnableConfig
async def patient_llm_node(state: AgentState, config: RunnableConfig):
res = await patient_llm.run(state, config=config)
last_msg = res["messages"][-1]
content = last_msg.content if getattr(last_msg, "content", "") else str(getattr(last_msg, "tool_calls", ""))
log = log_step("Patient LLM", content)
return {"messages": res["messages"], "logs": log["logs"]}
async def caregiver_llm_node(state: AgentState, config: RunnableConfig):
res = await caregiver_llm.run(state, config=config)
last_msg = res["messages"][-1]
content = last_msg.content if getattr(last_msg, "content", "") else str(getattr(last_msg, "tool_calls", ""))
log = log_step("Caregiver LLM", content)
return {"messages": res["messages"], "logs": log["logs"]}
async def validator_node(state: AgentState):
res = await validator.run(state)
log = log_step("Response Validator", f"Valid: {res.get('is_valid')}")
res.update(log)
return res
async def safety_check_node(state: AgentState):
res = await safety_check.run(state)
log = log_step("Safety Check", f"Safe: {res.get('is_safe')}")
res.update(log)
return res
async def recovery_loop_node(state: AgentState):
attempts = state.get("attempts", 0) + 1
log = log_step("Recovery Loop", f"Attempt {attempts}")
return {
"attempts": attempts,
"messages": [AIMessage(content="[RECOVERY] Let me try rephrasing or improving my previous response.")],
"logs": log["logs"]
}
async def emergency_response_node(state: AgentState):
response = (
"This appears to be a possible medical emergency. Seek urgent medical assistance now "
"and do not delay care. If the person is unconscious, not breathing, or having a seizure, "
"call emergency services immediately."
)
log = log_step("Emergency Fast Path", response)
return {
"messages": [AIMessage(content=response)],
"logs": log["logs"],
"is_valid": True,
"is_safe": True,
}
async def intent_classifier_node(state: AgentState):
res = await intent_classifier.run(state)
log = log_step("Intent Classifier", f"Intent: {res.get('intent_type')}")
res.update(log)
return res
async def diagnosis_assist_node(state: AgentState, config: RunnableConfig):
res = _set_latest_clinician_output(await diagnosis_assist.run(state, config=config))
log = log_step("Diagnosis Assistant", res.get('clinician_outputs', [""])[-1] if res.get('clinician_outputs') else "")
res.update(log)
clinician_outputs = (state.get("clinician_outputs") or []) + (res.get("clinician_outputs") or [])
res["clinician_outputs"] = clinician_outputs
return res
async def treatment_assist_node(state: AgentState, config: RunnableConfig):
res = _set_latest_clinician_output(await treatment_assist.run(state, config=config))
log = log_step("Treatment Assistant", res.get('clinician_outputs', [""])[-1] if res.get('clinician_outputs') else "")
res.update(log)
clinician_outputs = (state.get("clinician_outputs") or []) + (res.get("clinician_outputs") or [])
res["clinician_outputs"] = clinician_outputs
return res
async def monitoring_assist_node(state: AgentState, config: RunnableConfig):
res = _set_latest_clinician_output(await monitoring_assist.run(state, config=config))
log = log_step("Monitoring Assistant", res.get('clinician_outputs', [""])[-1] if res.get('clinician_outputs') else "")
res.update(log)
clinician_outputs = (state.get("clinician_outputs") or []) + (res.get("clinician_outputs") or [])
res["clinician_outputs"] = clinician_outputs
return res
async def general_assist_node(state: AgentState, config: RunnableConfig):
res = _set_latest_clinician_output(await general_assist.run(state, config=config))
log = log_step("General Clinical Assistant", res.get('clinician_outputs', [""])[-1] if res.get('clinician_outputs') else "")
res.update(log)
clinician_outputs = (state.get("clinician_outputs") or []) + (res.get("clinician_outputs") or [])
res["clinician_outputs"] = clinician_outputs
return res
async def merge_outputs_node(state: AgentState, config: RunnableConfig):
# Prepare state with context about the specialist outputs for the OutputMerger
clinician_outputs = state.get("clinician_outputs", [])
if clinician_outputs:
# Add specialist outputs summary to messages for context
outputs_context = "\n\n".join([f"Specialist Output {i+1}:\n{output}" for i, output in enumerate(clinician_outputs)])
state_with_context = dict(state)
state_with_context["messages"] = state["messages"] + [AIMessage(content=outputs_context)]
res = await output_merger.run(state_with_context, config=config)
else:
res = await output_merger.run(state, config=config)
log = log_step("Output Merger", "Merged outputs successfully.")
res.update(log)
return res
async def research_agent_node(state: AgentState, config: RunnableConfig):
res = await research_agent.run(state, config=config)
log = log_step("Research Assistant", res.get('research_output', ''))
res.update(log)
return res
async def dietary_assist_node(state: AgentState, config: RunnableConfig):
res = await dietary_assist.run(state, config=config)
last_msg = res["messages"][-1]
content = last_msg.content if getattr(last_msg, "content", "") else str(getattr(last_msg, "tool_calls", ""))
log = log_step("Dietary Specialist", content)
res.update(log)
return res
async def tool_node_with_logging(state: AgentState):
start_time = time.time()
res = await tool_node.ainvoke(state)
end_time = time.time()
output_summary = f"{len(res)} tool(s) executed." if isinstance(res, list) else "Tool executed."
log = log_step("Executing Tools (RAG/Web Search)", output_summary)
metrics = {
"agent": "ToolsNode",
"tokens": 0, # Tools don't use tokens directly in their logic here
"time": round(end_time - start_time, 3)
}
if isinstance(res, list):
return {"messages": res, "logs": log["logs"], "metrics": [metrics]}
res.update(log)
res.update({"metrics": [metrics]})
return res
async def persistence_node(state: AgentState):
"""Save the current chat history to Supabase in FHIR format."""
patient_id = state.get("patient_id", "anonymous")
session_id = state.get("session_id")
# Convert LangChain messages to a simple list of dicts for the tool
formatted_messages = []
for msg in state["messages"]:
role = "user" if msg.type == "human" else "assistant"
formatted_messages.append({"role": role, "content": msg.content})
# Persist patient-facing and caregiver-facing conversations for the active patient.
if state.get("user_role") in ("patient", "caregiver"):
start_time = time.time()
res = save_chat_as_fhir.invoke({
"patient_id": patient_id,
"messages": formatted_messages,
"session_id": session_id,
})
end_time = time.time()
log = log_step("FHIR Persistence", res)
metrics = {
"agent": "PersistenceNode",
"tokens": 0,
"time": round(end_time - start_time, 3)
}
return {"logs": log["logs"], "metrics": [metrics]}
return {}
# Define routing functions
def route_after_role(state: AgentState):
role = state["user_role"]
if role in {"patient", "caregiver"} and detect_emergency(state):
return "emergency_response"
if role == "patient":
return "patient_llm"
elif role == "caregiver":
return "caregiver_llm"
elif role == "clinician":
return "intent_classifier"
elif role == "researcher":
return "research_agent"
elif role == "dietary":
return "dietary_assist"
return END
def route_research_agent(state: AgentState):
# Determine if the last message has tool calls
last_message = state["messages"][-1]
if hasattr(last_message, "tool_calls") and last_message.tool_calls:
return "tools_node"
return END
def route_patient_llm(state: AgentState):
# Determine if the last message has tool calls
last_message = state["messages"][-1]
if hasattr(last_message, "tool_calls") and last_message.tool_calls:
return "tools_node"
return "validator"
def route_after_tools(state: AgentState):
role = state.get("user_role")
if role == "researcher":
return "research_agent"
elif role == "dietary":
return "dietary_assist"
elif role == "caregiver":
return "caregiver_llm"
return "patient_llm"
def route_after_validator(state: AgentState):
if state.get("is_valid", False):
return "safety_check"
return "recovery_loop"
def route_after_safety(state: AgentState):
if state.get("is_safe", False):
return "persistence_node"
return "recovery_loop"
def route_after_persistence(state: AgentState):
return END
def route_after_recovery(state: AgentState):
attempts = state.get("attempts", 0)
if attempts >= MAX_RECOVERY_ATTEMPTS:
return "persistence_node"
role = state.get("user_role")
if role == "dietary":
return "dietary_assist"
elif role == "caregiver":
return "caregiver_llm"
elif role == "patient":
return "patient_llm"
return "persistence_node"
def route_after_intent(state: AgentState):
intent = state.get("intent_type", "general")
if intent == "diagnosis":
return "diagnosis_assist"
elif intent == "treatment":
return "treatment_assist"
elif intent == "monitoring":
return "monitoring_assist"
else:
return "general_assist"
from src.tools.dietary_tools import page_indexed_retrieval, search_guidelines, get_nutritional_data
# Updated Tool Node to include page indexing RAG
tools = [web_search_tool, page_indexed_retrieval, search_guidelines, get_nutritional_data]
tool_node = ToolNode(tools)
# Build the graph
builder = StateGraph(AgentState)
# Add nodes
builder.add_node("role_classifier", role_classifier_node)
builder.add_node("patient_llm", patient_llm_node)
builder.add_node("caregiver_llm", caregiver_llm_node)
builder.add_node("validator", validator_node)
builder.add_node("safety_check", safety_check_node)
builder.add_node("recovery_loop", recovery_loop_node)
builder.add_node("emergency_response", emergency_response_node)
builder.add_node("intent_classifier", intent_classifier_node)
builder.add_node("diagnosis_assist", diagnosis_assist_node)
builder.add_node("treatment_assist", treatment_assist_node)
builder.add_node("monitoring_assist", monitoring_assist_node)
builder.add_node("general_assist", general_assist_node)
builder.add_node("merge_outputs", merge_outputs_node)
builder.add_node("research_agent", research_agent_node)
builder.add_node("tools_node", tool_node_with_logging)
builder.add_node("dietary_assist", dietary_assist_node)
builder.add_node("persistence_node", persistence_node)
# Set entry point
builder.set_entry_point("role_classifier")
# Define edges
builder.add_conditional_edges("role_classifier", route_after_role, {
"patient_llm": "patient_llm",
"caregiver_llm": "caregiver_llm",
"intent_classifier": "intent_classifier",
"research_agent": "research_agent",
"dietary_assist": "dietary_assist",
"emergency_response": "emergency_response",
END: END
})
# Patient and Caregiver Pathways
builder.add_conditional_edges("patient_llm", route_patient_llm, {
"tools_node": "tools_node",
"validator": "validator"
})
builder.add_conditional_edges("caregiver_llm", route_patient_llm, {
"tools_node": "tools_node",
"validator": "validator"
})
builder.add_conditional_edges("validator", route_after_validator, {
"safety_check": "safety_check",
"recovery_loop": "recovery_loop"
})
builder.add_conditional_edges("safety_check", route_after_safety, {
"persistence_node": "persistence_node",
"recovery_loop": "recovery_loop"
})
builder.add_edge("persistence_node", END)
builder.add_conditional_edges("recovery_loop", route_after_recovery, {
"dietary_assist": "dietary_assist",
"caregiver_llm": "caregiver_llm",
"patient_llm": "patient_llm",
"persistence_node": "persistence_node"
})
builder.add_edge("emergency_response", "persistence_node")
# Clinician Pathway
builder.add_conditional_edges("intent_classifier", route_after_intent, {
"diagnosis_assist": "diagnosis_assist",
"treatment_assist": "treatment_assist",
"monitoring_assist": "monitoring_assist",
"general_assist": "general_assist"
})
builder.add_edge("diagnosis_assist", "merge_outputs")
builder.add_edge("treatment_assist", "merge_outputs")
builder.add_edge("monitoring_assist", "merge_outputs")
builder.add_edge("general_assist", "merge_outputs")
builder.add_edge("merge_outputs", END)
# Researcher Pathway
builder.add_conditional_edges("research_agent", route_research_agent, {
"tools_node": "tools_node",
END: END
})
# Shared Tool Pathway
builder.add_conditional_edges("tools_node", route_after_tools, {
"research_agent": "research_agent",
"patient_llm": "patient_llm",
"caregiver_llm": "caregiver_llm",
"dietary_assist": "dietary_assist"
})
# Dietary Pathway
def route_dietary_assist(state: AgentState):
# If the last message has tool calls, go to tools
last_message = state["messages"][-1]
if hasattr(last_message, "tool_calls") and last_message.tool_calls:
return "tools_node"
return "validator"
builder.add_conditional_edges("dietary_assist", route_dietary_assist, {
"tools_node": "tools_node",
"validator": "validator"
})
# Compile the graph
medical_pipeline = builder.compile()
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