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# integrated_medical_system.py - Production Ready Single File
"""
Integrated Medical Information System
Combines disease queries, medicine information, and image analysis
"""
import os
import io
import uuid
import json
import time
from datetime import datetime, timedelta
from flask import Flask, request, jsonify, send_from_directory
from werkzeug.utils import secure_filename
from PIL import Image
import google.generativeai as genai
from dotenv import load_dotenv
from flask_cors import CORS
import logging
from functools import wraps
import threading
# Configure logging
logging.basicConfig(
level=logging.INFO,
format='%(asctime)s - %(levelname)s - %(message)s'
)
logger = logging.getLogger(__name__)
# Load environment variables
load_dotenv()
# Configuration
CONFIG = {
'GOOGLE_API_KEY': os.getenv("GOOGLE_API_KEY"),
'MODEL': os.getenv("MODEL", "gemini-2.0-flash-exp"),
'DISEASE_FACT_SHEETS_DIR': "Text_Files",
'MEDICINE_KNOWLEDGE_DIR': "MEDICINE_TXT",
'ALLOWED_EXTENSIONS': {'png', 'jpg', 'jpeg', 'gif', 'bmp', 'webp', 'txt'},
'MAX_FILE_SIZE': 16 * 1024 * 1024, # 16MB
'SESSION_TIMEOUT': 300, # 5 minutes
'RATE_LIMIT_PER_MINUTE': 60
}
# Validate API key
if not CONFIG['GOOGLE_API_KEY']:
logger.error("GOOGLE_API_KEY not found in environment variables")
raise ValueError("GOOGLE_API_KEY is required. Please set it in your .env file")
# Configure Gemini AI
try:
genai.configure(api_key=CONFIG['GOOGLE_API_KEY'])
logger.info("β
Gemini AI configured successfully")
except Exception as e:
logger.error(f"β Error configuring Gemini AI: {e}")
raise
# Initialize Flask app
app = Flask(__name__, static_folder='.', static_url_path='')
CORS(app)
app.config['MAX_CONTENT_LENGTH'] = CONFIG['MAX_FILE_SIZE']
# Global storage
SESSIONS = {}
RATE_LIMITS = {}
# Create necessary directories
for directory in [CONFIG['DISEASE_FACT_SHEETS_DIR'], CONFIG['MEDICINE_KNOWLEDGE_DIR']]:
os.makedirs(directory, exist_ok=True)
# System Instructions
SYSTEM_INSTRUCTIONS = {
'disease': """
You are a helpful Health Fact Sheet Assistant. Answer questions about diseases
based on provided fact sheets or general medical knowledge.
- Use fact sheet content when available
- Provide clear, accurate medical information
- Include disclaimers when using general knowledge
- Keep responses concise and helpful
- Respond in the same language as the user query
""",
'medicine': """
You are a Medicine Information Assistant. Provide accurate information about
medications, their uses, dosages, and side effects.
- Use knowledge base when available
- Provide dosage and usage instructions
- Include important warnings and side effects
- Add medical disclaimers
- Keep responses under 300 words
- Respond in the same language as the user query
""",
'classifier': """
You are a medical query classifier. Classify queries into these categories:
- disease_query: General questions about diseases, symptoms, causes, treatments
- medicine_info: Questions about medicines, drugs, medications, pills
- skin_disease: Questions about skin conditions, rashes, moles, visible skin issues
- report_reading: Questions about interpreting medical reports, lab results, test results
Also determine if an image is essential for accurate diagnosis/analysis.
"""
}
# Utility Functions
def cleanup_expired_sessions():
"""Remove expired sessions"""
current_time = time.time()
expired_sessions = [
session_id for session_id, data in SESSIONS.items()
if current_time - data.get('created', 0) > CONFIG['SESSION_TIMEOUT']
]
for session_id in expired_sessions:
del SESSIONS[session_id]
if expired_sessions:
logger.info(f"Cleaned up {len(expired_sessions)} expired sessions")
def rate_limit_check(client_ip):
"""Simple rate limiting"""
current_time = time.time()
minute_ago = current_time - 60
if client_ip not in RATE_LIMITS:
RATE_LIMITS[client_ip] = []
# Clean old requests
RATE_LIMITS[client_ip] = [
req_time for req_time in RATE_LIMITS[client_ip]
if req_time > minute_ago
]
# Check limit
if len(RATE_LIMITS[client_ip]) >= CONFIG['RATE_LIMIT_PER_MINUTE']:
return False
RATE_LIMITS[client_ip].append(current_time)
return True
def allowed_file(filename, file_type='image'):
"""Check if file extension is allowed"""
if not filename or '.' not in filename:
return False
extension = filename.rsplit('.', 1)[1].lower()
if file_type == 'image':
return extension in {'png', 'jpg', 'jpeg', 'gif', 'bmp', 'webp'}
elif file_type == 'text':
return extension == 'txt'
return extension in CONFIG['ALLOWED_EXTENSIONS']
def safe_gemini_call(model_name, prompt, image=None, max_retries=3):
"""Make safe Gemini API calls with retries"""
for attempt in range(max_retries):
try:
model = genai.GenerativeModel(model_name)
if image:
response = model.generate_content([prompt, image])
else:
response = model.generate_content(prompt)
return response.text.strip()
except Exception as e:
logger.warning(f"Gemini API attempt {attempt + 1} failed: {e}")
if attempt == max_retries - 1:
raise
time.sleep(1 * (attempt + 1)) # Exponential backoff
# Core Functions
def get_available_diseases():
"""Get list of available disease fact sheets"""
try:
if not os.path.isdir(CONFIG['DISEASE_FACT_SHEETS_DIR']):
return []
return [
os.path.splitext(f)[0].replace('_', ' ')
for f in os.listdir(CONFIG['DISEASE_FACT_SHEETS_DIR'])
if f.endswith('.txt')
]
except Exception as e:
logger.error(f"Error getting available diseases: {e}")
return []
def get_disease_fact_sheet(disease_name):
"""Read disease fact sheet content"""
try:
filename = disease_name.replace(' ', '_') + '.txt'
filepath = os.path.join(CONFIG['DISEASE_FACT_SHEETS_DIR'], filename)
if os.path.exists(filepath):
with open(filepath, 'r', encoding='utf-8') as f:
content = f.read()
logger.info(f"Found fact sheet for: {disease_name}")
return {"disease": disease_name, "content": content}
else:
logger.warning(f"No fact sheet found for: {disease_name}")
return {"error": f"Fact sheet not found for: {disease_name}"}
except Exception as e:
logger.error(f"Error reading fact sheet for {disease_name}: {e}")
return {"error": f"Error reading fact sheet: {str(e)}"}
def get_available_medicine_files():
"""Get available medicine knowledge base files"""
try:
if not os.path.isdir(CONFIG['MEDICINE_KNOWLEDGE_DIR']):
return []
return [
f for f in os.listdir(CONFIG['MEDICINE_KNOWLEDGE_DIR'])
if f.endswith('.txt')
]
except Exception as e:
logger.error(f"Error getting medicine files: {e}")
return []
def find_relevant_medicine_file(topic):
"""Find most relevant medicine file for topic"""
available_files = get_available_medicine_files()
if not available_files:
return None
try:
prompt = f"""
From these files, which is most relevant for: "{topic}"?
Respond with ONLY the filename, nothing else.
Files: {', '.join(available_files)}
"""
response = safe_gemini_call(CONFIG['MODEL'], prompt)
filename = response.replace('`', '').replace('"', '').strip()
return filename if filename in available_files else None
except Exception as e:
logger.error(f"Error finding relevant medicine file: {e}")
return None
def get_medicine_context(filename):
"""Read medicine knowledge base file"""
if not filename:
return None
try:
filepath = os.path.join(CONFIG['MEDICINE_KNOWLEDGE_DIR'], filename)
with open(filepath, 'r', encoding='utf-8') as f:
return f.read()
except Exception as e:
logger.error(f"Error reading medicine file {filename}: {e}")
return None
def classify_query(query):
"""Classify user query using Gemini"""
try:
prompt = f"""
{SYSTEM_INSTRUCTIONS['classifier']}
User query: "{query}"
Output ONLY valid JSON with "category" (string) and "image_required" (boolean).
Examples:
{{"category": "disease_query", "image_required": false}}
{{"category": "medicine_info", "image_required": true}}
{{"category": "skin_disease", "image_required": true}}
{{"category": "report_reading", "image_required": true}}
"""
response = safe_gemini_call(CONFIG['MODEL'], prompt)
cleaned_text = response.replace('```json', '').replace('```', '').strip()
result = json.loads(cleaned_text)
# Validate result
valid_categories = ['disease_query', 'medicine_info', 'skin_disease', 'report_reading']
if result.get('category') not in valid_categories:
result['category'] = 'disease_query'
logger.info(f"Query classified as: {result}")
return result
except Exception as e:
logger.error(f"Classification error: {e}")
return {"category": "disease_query", "image_required": False}
def process_disease_query(query):
"""Process disease-related queries"""
try:
available_diseases = get_available_diseases()
# Try to find relevant disease in query
relevant_disease = None
for disease in available_diseases:
if disease.lower() in query.lower():
relevant_disease = disease
break
context = ""
source = "general_knowledge"
if relevant_disease:
fact_sheet = get_disease_fact_sheet(relevant_disease)
if 'content' in fact_sheet:
context = f"FACT SHEET FOR {relevant_disease}:\n{fact_sheet['content']}"
source = f"fact_sheet_{relevant_disease}"
prompt = f"""
{SYSTEM_INSTRUCTIONS['disease']}
{context}
User question: "{query}"
Available diseases with fact sheets: {', '.join(available_diseases) if available_diseases else 'None'}
Provide a helpful, accurate response. If using general knowledge, include appropriate disclaimers.
"""
response = safe_gemini_call(CONFIG['MODEL'], prompt)
return {
"status": "success",
"response": response,
"source": source,
"available_diseases": len(available_diseases)
}
except Exception as e:
logger.error(f"Error processing disease query: {e}")
return {"error": f"Failed to process disease query: {str(e)}"}
def process_medicine_query(query, image=None):
"""Process medicine-related queries"""
try:
medicine_topic = None
# If image provided, analyze it first
if image:
vision_prompt = """
Identify the medicine from this image. Look for:
- Medicine name or brand
- Active ingredients
- Any text on packaging or pills
Respond with just the medicine name or main component.
"""
medicine_topic = safe_gemini_call(CONFIG['MODEL'], vision_prompt, image)
logger.info(f"Medicine identified from image: {medicine_topic}")
# If no medicine from image, extract from query
if not medicine_topic:
extract_prompt = f"""
From this query: "{query}"
Extract the main medicine or medical topic being asked about.
Respond with ONLY the medicine/topic name.
"""
medicine_topic = safe_gemini_call(CONFIG['MODEL'], extract_prompt)
# Find relevant knowledge base file
context = None
source_file = find_relevant_medicine_file(medicine_topic)
if source_file:
context = get_medicine_context(source_file)
# Build prompt
if context:
prompt = f"""
{SYSTEM_INSTRUCTIONS['medicine']}
KNOWLEDGE BASE CONTEXT:
{context}
IDENTIFIED MEDICINE/TOPIC: {medicine_topic}
USER QUESTION: {query}
Answer based on the knowledge base context when available.
"""
else:
prompt = f"""
{SYSTEM_INSTRUCTIONS['medicine']}
MEDICINE/TOPIC: {medicine_topic}
USER QUESTION: {query}
Provide accurate medical information about this medicine/topic.
"""
response = safe_gemini_call(CONFIG['MODEL'], prompt)
return {
"status": "success",
"response": response,
"identified_topic": medicine_topic,
"source_file": source_file or "general_knowledge",
"knowledge_base_files": len(get_available_medicine_files())
}
except Exception as e:
logger.error(f"Error processing medicine query: {e}")
return {"error": f"Failed to process medicine query: {str(e)}"}
def process_skin_disease_query(query, image=None):
"""Process skin disease queries (placeholder for future implementation)"""
try:
if image:
prompt = f"""
You are a dermatology assistant. Analyze this skin image and the user's query: "{query}"
Provide information about possible skin conditions, but always include:
- This is not a medical diagnosis
- Recommend seeing a dermatologist
- General skin care advice
Keep response under 250 words.
"""
response = safe_gemini_call(CONFIG['MODEL'], prompt, image)
else:
response = f"""
Regarding your skin concern: "{query}"
For accurate diagnosis of skin conditions, a visual examination is usually necessary.
I recommend:
- Consulting with a dermatologist
- Taking clear photos in good lighting if seeking online consultation
- Noting any changes, symptoms, or triggers
If this is urgent (rapid changes, pain, bleeding), please seek immediate medical attention.
"""
return {
"status": "success",
"response": response,
"category": "skin_disease",
"disclaimer": "This is not medical diagnosis. Consult a dermatologist."
}
except Exception as e:
logger.error(f"Error processing skin disease query: {e}")
return {"error": f"Failed to process skin disease query: {str(e)}"}
def process_report_reading_query(query, image=None):
"""Process medical report reading queries (placeholder for future implementation)"""
try:
if image:
prompt = f"""
You are a medical report analysis assistant. The user asks: "{query}"
Analyze this medical report/lab result image and provide:
- Key findings in simple language
- What the values typically indicate
- Important notes or abnormalities
Always include:
- This is not a medical interpretation
- Results should be discussed with healthcare provider
- Context and medical history are important for interpretation
Keep response under 300 words.
"""
response = safe_gemini_call(CONFIG['MODEL'], prompt, image)
else:
response = f"""
To help interpret medical reports or lab results, I would need to see the actual report image.
However, please remember:
- Medical reports should always be discussed with your healthcare provider
- Lab values can vary by laboratory and individual circumstances
- Context, symptoms, and medical history are crucial for proper interpretation
If you have urgent concerns about your results, contact your healthcare provider immediately.
"""
return {
"status": "success",
"response": response,
"category": "report_reading",
"disclaimer": "This is not medical interpretation. Consult your healthcare provider."
}
except Exception as e:
logger.error(f"Error processing report reading query: {e}")
return {"error": f"Failed to process report reading query: {str(e)}"}
# Background cleanup task
def background_cleanup():
"""Background task to clean up expired sessions"""
while True:
try:
cleanup_expired_sessions()
time.sleep(60) # Run every minute
except Exception as e:
logger.error(f"Cleanup task error: {e}")
# Start background thread
cleanup_thread = threading.Thread(target=background_cleanup, daemon=True)
cleanup_thread.start()
# API Routes
@app.route('/')
def serve_index():
"""Serve main page"""
try:
return send_from_directory('.', 'index.html')
except:
return jsonify({
"service": "Integrated Medical Information System",
"status": "running",
"endpoints": {
"/start_session": "POST - Start new session",
"/process_query": "POST - Process text query",
"/process_with_image": "POST - Process query with image",
"/upload_fact_sheet": "POST - Upload disease fact sheet",
"/upload_medicine_info": "POST - Upload medicine info",
"/health": "GET - Health check",
"/stats": "GET - System statistics"
}
})
@app.route('/<path:path>')
def serve_static(path):
"""Serve static files"""
return send_from_directory('.', path)
@app.route('/start_session', methods=['POST'])
def start_session():
"""Start a new session"""
# Rate limiting
client_ip = request.remote_addr
if not rate_limit_check(client_ip):
return jsonify({"error": "Rate limit exceeded"}), 429
session_id = str(uuid.uuid4())
SESSIONS[session_id] = {
"status": "started",
"created": time.time(),
"ip": client_ip
}
logger.info(f"Session started: {session_id} from {client_ip}")
return jsonify({"session_id": session_id}), 200
@app.route('/process_query', methods=['POST'])
def process_query():
"""Process text-only queries"""
try:
data = request.get_json()
session_id = data.get('session_id')
query = data.get('query')
if not session_id or session_id not in SESSIONS:
return jsonify({"error": "Invalid or missing session_id"}), 400
if not query:
return jsonify({"error": "Query is required"}), 400
logger.info(f"Session {session_id}: Processing query: '{query}'")
# Classify query
classification = classify_query(query)
category = classification['category']
image_required = classification.get('image_required', False)
# Store classification in session
SESSIONS[session_id].update({
'classification': classification,
'query': query,
'last_activity': time.time()
})
if image_required:
return jsonify({
"status": "image_required",
"message": "Please upload an image for better analysis",
"category": category,
"session_id": session_id
}), 200
# Process query based on category
if category == 'disease_query':
result = process_disease_query(query)
elif category == 'medicine_info':
result = process_medicine_query(query)
elif category == 'skin_disease':
result = process_skin_disease_query(query)
elif category == 'report_reading':
result = process_report_reading_query(query)
else:
result = {"error": f"Unknown category: {category}"}
# Clean up session
del SESSIONS[session_id]
logger.info(f"Session {session_id} completed successfully")
result['category'] = category
return jsonify(result)
except Exception as e:
logger.error(f"Error processing query: {e}")
return jsonify({"error": f"Failed to process query: {str(e)}"}), 500
@app.route('/process_with_image', methods=['POST'])
def process_with_image():
"""Process queries with image upload"""
try:
session_id = request.form.get('session_id')
if not session_id or session_id not in SESSIONS:
return jsonify({"error": "Invalid or missing session_id"}), 400
if 'photo' not in request.files:
return jsonify({"error": "No photo file found"}), 400
file = request.files['photo']
if file.filename == '' or not allowed_file(file.filename, 'image'):
return jsonify({"error": "Invalid image file"}), 400
# Get session data
session = SESSIONS[session_id]
query = session.get('query')
classification = session.get('classification', {})
category = classification.get('category', 'disease_query')
logger.info(f"Session {session_id}: Processing image for category '{category}'")
# Process image
try:
image = Image.open(file.stream)
# Convert to RGB if needed
if image.mode != 'RGB':
image = image.convert('RGB')
except Exception as e:
logger.error(f"Error processing image: {e}")
return jsonify({"error": "Invalid image format"}), 400
# Process based on category
if category == 'medicine_info':
result = process_medicine_query(query, image)
elif category == 'skin_disease':
result = process_skin_disease_query(query, image)
elif category == 'report_reading':
result = process_report_reading_query(query, image)
else:
# Fallback to disease query
result = process_disease_query(query)
# Clean up session
del SESSIONS[session_id]
logger.info(f"Session {session_id} with image completed successfully")
result['category'] = category
return jsonify(result)
except Exception as e:
logger.error(f"Error processing query with image: {e}")
return jsonify({"error": f"Failed to process query with image: {str(e)}"}), 500
@app.route('/upload_fact_sheet', methods=['POST'])
def upload_fact_sheet():
"""Upload disease fact sheet"""
try:
if 'file' not in request.files:
return jsonify({"error": "No file provided"}), 400
file = request.files['file']
if not file.filename or not allowed_file(file.filename, 'text'):
return jsonify({"error": "Invalid file. Must be a .txt file"}), 400
# Secure filename
filename = secure_filename(file.filename)
filepath = os.path.join(CONFIG['DISEASE_FACT_SHEETS_DIR'], filename)
file.save(filepath)
logger.info(f"Disease fact sheet uploaded: {filename}")
return jsonify({
"status": "success",
"message": f"Fact sheet '{filename}' uploaded successfully",
"total_fact_sheets": len(get_available_diseases())
})
except Exception as e:
logger.error(f"Error uploading fact sheet: {e}")
return jsonify({"error": f"Failed to upload: {str(e)}"}), 500
@app.route('/upload_medicine_info', methods=['POST'])
def upload_medicine_info():
"""Upload medicine knowledge base file"""
try:
if 'file' not in request.files:
return jsonify({"error": "No file provided"}), 400
file = request.files['file']
if not file.filename or not allowed_file(file.filename, 'text'):
return jsonify({"error": "Invalid file. Must be a .txt file"}), 400
# Secure filename
filename = secure_filename(file.filename)
filepath = os.path.join(CONFIG['MEDICINE_KNOWLEDGE_DIR'], filename)
file.save(filepath)
logger.info(f"Medicine info file uploaded: {filename}")
return jsonify({
"status": "success",
"message": f"Medicine info '{filename}' uploaded successfully",
"total_medicine_files": len(get_available_medicine_files())
})
except Exception as e:
logger.error(f"Error uploading medicine info: {e}")
return jsonify({"error": f"Failed to upload: {str(e)}"}), 500
@app.route('/health', methods=['GET'])
def health_check():
"""System health check"""
try:
diseases = get_available_diseases()
medicine_files = get_available_medicine_files()
return jsonify({
"status": "β
Running",
"service": "Integrated Medical Information System",
"timestamp": datetime.now().isoformat(),
"gemini_configured": True,
"active_sessions": len(SESSIONS),
"disease_fact_sheets": len(diseases),
"medicine_knowledge_files": len(medicine_files),
"rate_limits_active": len(RATE_LIMITS),
"system_info": {
"max_file_size_mb": CONFIG['MAX_FILE_SIZE'] // (1024 * 1024),
"session_timeout_minutes": CONFIG['SESSION_TIMEOUT'] // 60,
"rate_limit_per_minute": CONFIG['RATE_LIMIT_PER_MINUTE']
}
})
except Exception as e:
logger.error(f"Health check error: {e}")
return jsonify({"status": "β Error", "error": str(e)}), 500
@app.route('/stats', methods=['GET'])
def get_stats():
"""Get system statistics"""
diseases = get_available_diseases()
medicine_files = get_available_medicine_files()
return jsonify({
"available_diseases": diseases,
"available_medicine_files": medicine_files,
"counts": {
"diseases": len(diseases),
"medicine_files": len(medicine_files),
"active_sessions": len(SESSIONS),
"rate_limited_ips": len(RATE_LIMITS)
},
"recent_sessions": len([
s for s in SESSIONS.values()
if time.time() - s.get('created', 0) < 300 # Last 5 minutes
])
})
@app.route('/diseases', methods=['GET'])
def list_diseases():
"""List available diseases"""
diseases = get_available_diseases()
return jsonify({
"available_diseases": diseases,
"count": len(diseases)
})
@app.route('/medicines', methods=['GET'])
def list_medicines():
"""List available medicine files"""
files = get_available_medicine_files()
return jsonify({
"available_medicine_files": files,
"count": len(files)
})
# Error handlers
@app.errorhandler(413)
def too_large(e):
return jsonify({"error": "File too large. Maximum size is 16MB"}), 413
@app.errorhandler(404)
def not_found(e):
return jsonify({"error": "Endpoint not found"}), 404
@app.errorhandler(500)
def internal_error(e):
return jsonify({"error": "Internal server error"}), 500
if __name__ == '__main__':
logger.info("=" * 60)
logger.info("π₯ Starting Integrated Medical Information System")
logger.info(f"π Disease fact sheets: {CONFIG['DISEASE_FACT_SHEETS_DIR']}/")
logger.info(f"π Medicine knowledge: {CONFIG['MEDICINE_KNOWLEDGE_DIR']}/")
# Check available knowledge base
diseases = get_available_diseases()
medicine_files = get_available_medicine_files()
if diseases:
logger.info(f"β
{len(diseases)} disease fact sheets loaded")
for disease in diseases[:3]:
logger.info(f" - {disease}")
if len(diseases) > 3:
logger.info(f" ... and {len(diseases) - 3} more")
else:
logger.warning(f"β οΈ No disease fact sheets found in '{CONFIG['DISEASE_FACT_SHEETS_DIR']}'")
if medicine_files:
logger.info(f"β
{len(medicine_files)} medicine files loaded")
for file in medicine_files[:3]:
logger.info(f" - {file}")
if len(medicine_files) > 3:
logger.info(f" ... and {len(medicine_files) - 3} more")
else:
logger.warning(f"β οΈ No medicine files found in '{CONFIG['MEDICINE_KNOWLEDGE_DIR']}'")
logger.info("=" * 60)
logger.info("π Server starting on http://localhost:5000")
logger.info("π Upload .txt files to knowledge directories for enhanced responses")
logger.info("=" * 60)
app.run(host='0.0.0.0', port=7860, debug=False) |