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"""
CardioQA FastAPI Backend - PRODUCTION VERSION
AI-powered cardiac diagnostic assistant with RAG
Author: Novonil Basak
"""
import os
import logging
import time
from pathlib import Path
from typing import List, Optional
from contextlib import asynccontextmanager
from fastapi import FastAPI, HTTPException
from fastapi.middleware.cors import CORSMiddleware
from pydantic import BaseModel, Field
import chromadb
from sentence_transformers import SentenceTransformer
import google.generativeai as genai
# Setup logging
logging.basicConfig(level=logging.INFO)
logger = logging.getLogger(__name__)
# Global variables
collection = None
embedding_model = None
gemini_model = None
safety_validator = None
# Pydantic models
class QueryRequest(BaseModel):
query: str = Field(..., min_length=5, max_length=500)
include_metadata: bool = Field(default=True)
class QueryResponse(BaseModel):
response: str
safety_score: int
confidence: str
knowledge_sources: int
top_similarity: float
warnings: List[str]
response_time: float
class MedicalSafetyValidator:
"""Medical safety validation system"""
def __init__(self):
self.emergency_keywords = [
'heart attack', 'chest pain', 'shortness of breath', 'stroke',
'severe pain', 'bleeding', 'unconscious', 'emergency', 'crushing pain'
]
def validate_response(self, response_text: str, user_query: str) -> dict:
"""Validate medical safety of AI response"""
safety_score = 85
warnings = []
# Check for emergency situations
if any(keyword in user_query.lower() for keyword in self.emergency_keywords):
if 'seek immediate medical attention' not in response_text.lower():
warnings.append("CRITICAL: Emergency situation detected")
safety_score -= 20
else:
safety_score += 10
# Check for professional consultation recommendation
consult_phrases = ['consult', 'doctor', 'physician', 'healthcare provider']
if any(phrase in response_text.lower() for phrase in consult_phrases):
safety_score += 10
else:
warnings.append("Added professional consultation recommendation")
safety_score -= 15
# Check response quality
if len(response_text) > 200:
safety_score += 5
# Check for dangerous statements
dangerous_phrases = ['you definitely have', 'this is certainly', 'never see a doctor']
if any(phrase in response_text.lower() for phrase in dangerous_phrases):
warnings.append("Contains potentially dangerous medical statements")
safety_score -= 25
safety_score = min(100, max(50, safety_score))
return {
'safety_score': safety_score,
'warnings': warnings,
'is_safe': safety_score >= 70
}
def add_safety_disclaimers(self, response_text: str, safety_check: dict) -> str:
"""Add medical disclaimers"""
disclaimers = "\n\nβ οΈ **MEDICAL DISCLAIMER**: Educational purposes only.\nπ¨ββοΈ **RECOMMENDATION**: Consult healthcare professionals."
if safety_check['safety_score'] < 80:
disclaimers += "\nπ¨ **IMPORTANT**: For severe symptoms, seek immediate medical attention."
return response_text + disclaimers
@asynccontextmanager
async def lifespan(app: FastAPI):
"""Initialize and cleanup application resources"""
global collection, embedding_model, gemini_model, safety_validator
logger.info("π« Starting CardioQA API...")
try:
# FIXED: Force ChromaDB to create new compatible database
possible_paths = [
"./chroma_db",
"chroma_db",
"/opt/render/project/src/chroma_db",
Path.cwd() / "chroma_db",
Path(__file__).parent.parent.parent / "chroma_db"
]
db_path = None
for path in possible_paths:
path_obj = Path(path)
logger.info(f"π Checking: {path_obj.absolute()}")
if path_obj.exists() and path_obj.is_dir():
db_path = str(path_obj)
logger.info(f"β
Found ChromaDB at: {db_path}")
break
if not db_path:
# Create new ChromaDB if not found
logger.info("π Creating new ChromaDB...")
db_path = "./chroma_db_render"
# Initialize new ChromaDB and recreate collection
client = chromadb.PersistentClient(path=db_path)
try:
collection = client.get_collection(name="cardiac_knowledge")
logger.info(f"β
Using existing collection: {collection.count()} documents")
except:
logger.info("Creating new collection with sample data...")
collection = client.create_collection(name="cardiac_knowledge")
# Add sample cardiac Q&A data for demo
sample_data = [
{
"question": "What are the symptoms of heart attack?",
"answer": "Common heart attack symptoms include chest pain or discomfort, shortness of breath, pain in arms/back/neck/jaw, cold sweat, nausea, and lightheadedness. Seek immediate medical attention if experiencing these symptoms.",
"qtype": "symptoms"
},
{
"question": "How can I prevent heart disease?",
"answer": "Heart disease prevention includes regular exercise, healthy diet low in saturated fats, not smoking, limiting alcohol, managing stress, controlling blood pressure and cholesterol, and regular medical checkups.",
"qtype": "prevention"
},
{
"question": "What causes high blood pressure?",
"answer": "High blood pressure can be caused by genetics, age, diet high in sodium, lack of exercise, obesity, excessive alcohol consumption, stress, and certain medical conditions. Regular monitoring is important.",
"qtype": "causes"
}
]
for i, item in enumerate(sample_data):
collection.add(
documents=[item["answer"]],
metadatas=[{
"question": item["question"],
"answer": item["answer"],
"qtype": item["qtype"]
}],
ids=[f"cardiac_{i}"]
)
logger.info(f"β
Created collection with {len(sample_data)} sample documents")
else:
# Try to use existing database
try:
client = chromadb.PersistentClient(path=db_path)
collection = client.get_collection(name="cardiac_knowledge")
logger.info(f"β
Loaded existing database: {collection.count()} documents")
except Exception as e:
logger.error(f"β ChromaDB compatibility issue: {e}")
# Fallback: create new database
logger.info("Creating fallback database...")
client = chromadb.PersistentClient(path="./chroma_db_fallback")
collection = client.create_collection(name="cardiac_knowledge")
# Add sample data (same as above)
sample_data = [
{
"question": "What are the symptoms of heart attack?",
"answer": "Common heart attack symptoms include chest pain or discomfort, shortness of breath, pain in arms/back/neck/jaw, cold sweat, nausea, and lightheadedness. Seek immediate medical attention.",
"qtype": "symptoms"
}
]
collection.add(
documents=[sample_data[0]["answer"]],
metadatas=[sample_data[0]],
ids=["cardiac_0"]
)
logger.info("β
Created fallback database")
# Load embedding model
embedding_model = SentenceTransformer('all-MiniLM-L6-v2')
logger.info("β
Loaded embedding model")
# Configure Gemini API
api_key = os.getenv("GEMINI_API_KEY")
if not api_key:
raise Exception("β GEMINI_API_KEY environment variable not set")
genai.configure(api_key=api_key)
gemini_model = genai.GenerativeModel('gemini-2.0-flash')
# Test Gemini connection
test_response = gemini_model.generate_content("Say 'CardioQA ready!'")
logger.info(f"β
Gemini test: {test_response.text}")
# Initialize safety validator
safety_validator = MedicalSafetyValidator()
logger.info("β
Safety validator ready")
logger.info("π CardioQA API fully initialized!")
yield
except Exception as e:
logger.error(f"β Startup failed: {str(e)}")
raise
# Cleanup
logger.info("π Shutting down CardioQA API...")
# Initialize FastAPI with lifespan
app = FastAPI(
title="CardioQA API",
description="AI-powered cardiac diagnostic assistant with RAG",
version="1.0.0",
lifespan=lifespan
)
# Add CORS middleware
app.add_middleware(
CORSMiddleware,
allow_origins=["*"],
allow_credentials=True,
allow_methods=["GET", "POST"],
allow_headers=["*"],
)
@app.get("/")
async def root():
"""API root endpoint"""
return {
"message": "CardioQA API - AI-Powered Cardiac Diagnostic Assistant",
"version": "1.0.0",
"status": "running",
"endpoints": {
"health": "/health",
"query": "/query",
"docs": "/docs",
"stats": "/stats"
}
}
@app.get("/health")
async def health_check():
"""Health check endpoint"""
try:
db_count = collection.count() if collection else 0
model_status = "ready" if gemini_model else "not loaded"
return {
"status": "healthy",
"database_count": db_count,
"model_status": model_status,
"api_version": "1.0.0",
"deployment": "render-production"
}
except Exception as e:
raise HTTPException(status_code=500, detail=str(e))
@app.post("/query", response_model=QueryResponse)
async def query_cardioqa(request: QueryRequest):
"""Main CardioQA query endpoint"""
start_time = time.time()
try:
if not collection or not gemini_model or not safety_validator:
raise HTTPException(status_code=503, detail="System not fully initialized")
logger.info(f"Processing query: {request.query[:100]}...")
# Search knowledge base
results = collection.query(
query_texts=[request.query],
n_results=3
)
if not results['documents'][0]:
raise HTTPException(status_code=404, detail="No relevant cardiac information found")
# Format knowledge context
knowledge_context = []
for doc, metadata, distance in zip(
results['documents'][0],
results['metadatas'][0],
results['distances'][0]
):
knowledge_context.append({
'question': metadata['question'],
'answer': metadata['answer'],
'similarity': 1 - distance
})
# Create medical prompt
context_text = f"Medical Evidence:\nQ: {knowledge_context[0]['question']}\nA: {knowledge_context[0]['answer']}"
prompt = f"""You are CardioQA, a specialized cardiac health assistant.
MEDICAL RESPONSE RULES:
- Never provide definitive diagnoses
- Always recommend consulting healthcare professionals
- Use **bold** for important medical points
- Be educational and evidence-based
- Include appropriate medical caution
USER QUESTION: {request.query}
{context_text}
Provide a helpful, evidence-based response with proper **bold** formatting:"""
# Generate AI response
response = gemini_model.generate_content(
prompt,
generation_config={
'temperature': 0.1,
'max_output_tokens': 800,
}
)
ai_response = response.text
# Apply safety validation
safety_check = safety_validator.validate_response(ai_response, request.query)
safe_response = safety_validator.add_safety_disclaimers(ai_response, safety_check)
# Calculate confidence level
similarity = knowledge_context[0]['similarity']
if similarity > 0.6:
confidence = 'High'
elif similarity > 0.4:
confidence = 'Medium'
elif similarity > 0.2:
confidence = 'Low'
else:
confidence = 'Very Low'
response_time = time.time() - start_time
return QueryResponse(
response=safe_response,
safety_score=safety_check['safety_score'],
confidence=confidence,
knowledge_sources=len(knowledge_context),
top_similarity=knowledge_context[0]['similarity'],
warnings=safety_check['warnings'],
response_time=round(response_time, 2)
)
except HTTPException:
raise
except Exception as e:
logger.error(f"Query processing error: {str(e)}")
raise HTTPException(status_code=500, detail=f"Processing error: {str(e)}")
@app.get("/stats")
async def get_system_stats():
"""System statistics endpoint"""
try:
return {
"total_documents": collection.count() if collection else 0,
"embedding_model": "all-MiniLM-L6-v2",
"llm_model": "gemini-2.0-flash",
"specialty": "cardiology",
"safety_features": [
"emergency_detection",
"professional_consultation",
"medical_disclaimers",
"confidence_scoring"
],
"deployment": "render-production",
"chromadb_version": "compatible"
}
except Exception as e:
raise HTTPException(status_code=500, detail=str(e))
# FIXED: Proper port binding for Render deployment
if __name__ == "__main__":
import uvicorn
# Railway uses PORT environment variable
port = int(os.environ.get("PORT", 7860))
logger.info(f"π Starting CardioQA on port {port}")
uvicorn.run(
app,
host="0.0.0.0",
port=port,
log_level="info"
)
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