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Update app.py
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app.py
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| 1 |
+
# app.py — Spine Coder (Chatbot + Feedback + Session Logs) — Gradio 4.x
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| 2 |
+
# ------------------------------------------------------------------------------
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| 3 |
+
# Stable build: FINAL-v2.0 core wired, transitional regions, flags, laterality,
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| 4 |
+
# structured logs, graceful errors, and a clean UI.
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| 5 |
+
# ------------------------------------------------------------------------------
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| 6 |
+
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| 7 |
+
import os
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| 8 |
+
import json
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| 9 |
+
import uuid
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| 10 |
+
import pathlib
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| 11 |
+
import traceback
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| 12 |
+
from datetime import datetime, timezone
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| 13 |
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from typing import Any, Dict, List, Tuple
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| 14 |
+
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| 15 |
+
import pandas as pd
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| 16 |
+
import gradio as gr
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| 17 |
+
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| 18 |
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# ---- Core import --------------------------------------------------------------
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| 19 |
+
import os as _os, sys as _sys, inspect as _inspect
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| 20 |
+
_sys.path.insert(0, _os.path.abspath(".")) # ensure repo root is first on sys.path
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| 21 |
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| 22 |
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try:
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| 23 |
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# If your package layout is spine_coder/spine_coder/spine_coder_core.py
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| 24 |
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from spine_coder.spine_coder.spine_coder_core import suggest_with_cpt_billing
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| 25 |
+
except ImportError:
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| 26 |
+
# Fallback to flat layout if you later flatten the folder tree
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| 27 |
+
from spine_coder.spine_coder_core import suggest_with_cpt_billing
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| 28 |
+
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| 29 |
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# Prove which file is actually loaded (shows in Space logs)
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| 30 |
+
try:
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| 31 |
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print("[CORE] loaded from:", _inspect.getsourcefile(suggest_with_cpt_billing))
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| 32 |
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except Exception:
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| 33 |
+
pass
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| 34 |
+
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| 35 |
+
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| 36 |
+
# ==== Config ==================================================================
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| 37 |
+
os.environ.setdefault("GRADIO_ANALYTICS_ENABLED", "False")
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| 38 |
+
DEBUG = os.environ.get("DEBUG", "0") == "1"
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| 39 |
+
PAYER_CHOICES = ["Medicare", "BCBS", "Aetna", "Cigna", "UnitedHealthcare", "Other"]
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| 40 |
+
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| 41 |
+
# ==== Logging =================================================================
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| 42 |
+
LOG_DIR = os.environ.get("LOG_DIR", "logs")
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| 43 |
+
pathlib.Path(LOG_DIR).mkdir(parents=True, exist_ok=True)
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| 44 |
+
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| 45 |
+
def _log_path(session_id: str) -> str:
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| 46 |
+
return os.path.join(LOG_DIR, f"{session_id}.jsonl")
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| 47 |
+
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| 48 |
+
def _utcnow_iso() -> str:
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| 49 |
+
return datetime.now(timezone.utc).isoformat(timespec="seconds")
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| 50 |
+
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| 51 |
+
def _append_log(session_id: str, entry: Dict[str, Any]) -> None:
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| 52 |
+
entry = {"ts": _utcnow_iso(), "session_id": session_id, **entry}
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| 53 |
+
with open(_log_path(session_id), "a", encoding="utf-8") as f:
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| 54 |
+
f.write(json.dumps(entry, ensure_ascii=False) + "\n")
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| 55 |
+
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| 56 |
+
def export_session(session_id: str) -> str:
|
| 57 |
+
src = _log_path(session_id)
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| 58 |
+
data: List[Dict[str, Any]] = []
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| 59 |
+
if os.path.exists(src):
|
| 60 |
+
with open(src, "r", encoding="utf-8") as f:
|
| 61 |
+
data = [json.loads(l) for l in f if l.strip()]
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| 62 |
+
out_path = os.path.join(LOG_DIR, f"export_{session_id}.json")
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| 63 |
+
with open(out_path, "w", encoding="utf-8") as f:
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| 64 |
+
json.dump(data, f, indent=2, ensure_ascii=False)
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| 65 |
+
return out_path
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| 66 |
+
|
| 67 |
+
# ==== UI helpers ==============================================================
|
| 68 |
+
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| 69 |
+
TABLE_COLS = [
|
| 70 |
+
"CPT","Modifier","Modifiers","Description","Rationale",
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| 71 |
+
"Confidence","Primary","Category","Laterality","Units"
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| 72 |
+
]
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| 73 |
+
EMPTY_DF = pd.DataFrame(columns=TABLE_COLS)
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| 74 |
+
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| 75 |
+
def _coalesce_suggestions(result: Dict[str, Any]) -> Tuple[List[Dict[str, Any]], Dict[str, Any]]:
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| 76 |
+
"""
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| 77 |
+
Return (rows_for_table, meta_badges) from core result.
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| 78 |
+
Robust to minor schema differences (list vs dict for levels/flags).
|
| 79 |
+
"""
|
| 80 |
+
if not isinstance(result, dict):
|
| 81 |
+
return [], {}
|
| 82 |
+
|
| 83 |
+
# ---------- rows ----------
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| 84 |
+
sugg = result.get("suggestions") or []
|
| 85 |
+
rows: List[Dict[str, Any]] = []
|
| 86 |
+
case_lat = (result.get("laterality") or "").strip().lower()
|
| 87 |
+
|
| 88 |
+
for s in sugg:
|
| 89 |
+
if not isinstance(s, dict):
|
| 90 |
+
continue
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| 91 |
+
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| 92 |
+
# derive row laterality from explicit field, LT/RT modifiers, or case-level fallback
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| 93 |
+
row_lat = (s.get("laterality") or "").strip().lower()
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| 94 |
+
mods = s.get("modifiers", []) or []
|
| 95 |
+
if not row_lat:
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| 96 |
+
if isinstance(mods, list) and "LT" in mods:
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| 97 |
+
row_lat = "left"
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| 98 |
+
elif isinstance(mods, list) and "RT" in mods:
|
| 99 |
+
row_lat = "right"
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| 100 |
+
elif case_lat in ("left", "right", "bilateral"):
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| 101 |
+
row_lat = case_lat
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| 102 |
+
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| 103 |
+
conf_val = s.get("confidence")
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| 104 |
+
conf_out = round(float(conf_val), 2) if isinstance(conf_val, (int, float)) else (conf_val or "")
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| 105 |
+
|
| 106 |
+
rows.append({
|
| 107 |
+
"CPT": s.get("cpt", ""),
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| 108 |
+
"Modifier": s.get("modifier") or "",
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| 109 |
+
"Modifiers": ", ".join(mods) if isinstance(mods, list) else (s.get("modifiers") or ""),
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| 110 |
+
"Description": s.get("desc", ""),
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| 111 |
+
"Rationale": s.get("rationale", ""),
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| 112 |
+
"Confidence": conf_out,
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| 113 |
+
"Primary": "✓" if s.get("primary") else "",
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| 114 |
+
"Category": s.get("category", ""),
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| 115 |
+
"Laterality": row_lat,
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| 116 |
+
"Units": s.get("units", 1),
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| 117 |
+
})
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| 118 |
+
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| 119 |
+
# ---------- normalize levels ----------
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| 120 |
+
segs: List[str] = []
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| 121 |
+
inters_list: List[str] = []
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| 122 |
+
lvl_lat: str = ""
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| 123 |
+
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| 124 |
+
levels_obj = result.get("levels")
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| 125 |
+
if isinstance(levels_obj, dict):
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| 126 |
+
segs = list(levels_obj.get("segments") or [])
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| 127 |
+
inters_list = list(levels_obj.get("interspaces") or [])
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| 128 |
+
lvl_lat = levels_obj.get("laterality", "") or ""
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| 129 |
+
elif isinstance(levels_obj, list):
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| 130 |
+
segs = [str(x) for x in levels_obj]
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| 131 |
+
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| 132 |
+
# ---------- normalize flags ----------
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| 133 |
+
flags_obj = result.get("flags")
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| 134 |
+
if isinstance(flags_obj, list):
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| 135 |
+
flags_list = [str(x) for x in flags_obj]
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| 136 |
+
elif isinstance(flags_obj, dict):
|
| 137 |
+
flags_list = [k for k, v in flags_obj.items() if v]
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| 138 |
+
else:
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| 139 |
+
flags_list = []
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| 140 |
+
|
| 141 |
+
# ---------- meta ----------
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| 142 |
+
meta = {
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| 143 |
+
"payer": result.get("payer", ""),
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| 144 |
+
"region": result.get("region", ""),
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| 145 |
+
"laterality": result.get("laterality", "") or lvl_lat,
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| 146 |
+
"levels_segments": ", ".join(segs),
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| 147 |
+
# Prefer numeric estimate if present; else join the interspaces list
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| 148 |
+
"levels_interspaces": (
|
| 149 |
+
str(result.get("interspaces_est", "")) if "interspaces_est" in result
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| 150 |
+
else ", ".join(inters_list)
|
| 151 |
+
),
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| 152 |
+
"flags": ", ".join(sorted(flags_list)),
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| 153 |
+
"build": result.get("build", ""),
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| 154 |
+
"mode": result.get("mode", ""),
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| 155 |
+
}
|
| 156 |
+
return rows, meta
|
| 157 |
+
|
| 158 |
+
def _summary_md(meta: Dict[str, Any]) -> str:
|
| 159 |
+
chips = []
|
| 160 |
+
if meta.get("region"): chips.append(f"`Region: {meta['region']}`")
|
| 161 |
+
if meta.get("laterality"): chips.append(f"`Laterality: {meta['laterality']}`")
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| 162 |
+
if meta.get("levels_segments"): chips.append(f"`Segments: {meta['levels_segments']}`")
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| 163 |
+
if meta.get("levels_interspaces"): chips.append(f"`Interspaces: {meta['levels_interspaces']}`")
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| 164 |
+
if meta.get("flags"): chips.append(f"`Flags: {meta['flags']}`")
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| 165 |
+
if meta.get("build"): chips.append(f"`Build: {meta['build']}`")
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| 166 |
+
if meta.get("mode"): chips.append(f"`Mode: {meta['mode']}`")
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| 167 |
+
return " ".join(chips) if chips else "—"
|
| 168 |
+
|
| 169 |
+
def new_session() -> str:
|
| 170 |
+
return str(uuid.uuid4())[:8]
|
| 171 |
+
|
| 172 |
+
# ==== Core actions ============================================================
|
| 173 |
+
|
| 174 |
+
def run_inference(note: str, payer: str, top_k: int, session_id: str):
|
| 175 |
+
if not note.strip():
|
| 176 |
+
return EMPTY_DF, "—", "", "", session_id
|
| 177 |
+
|
| 178 |
+
_append_log(session_id, {"event": "request", "payer": payer, "top_k": top_k, "note": note})
|
| 179 |
+
warn_text = ""
|
| 180 |
+
try:
|
| 181 |
+
result = suggest_with_cpt_billing(note=note, payer=payer, top_k=top_k)
|
| 182 |
+
if DEBUG:
|
| 183 |
+
print("[DEBUG] build/region/laterality/flags:",
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| 184 |
+
result.get("build"), result.get("region"),
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| 185 |
+
result.get("laterality"), result.get("flags"))
|
| 186 |
+
except Exception as e:
|
| 187 |
+
tb = traceback.format_exc()
|
| 188 |
+
_append_log(session_id, {"event": "error", "error": repr(e), "traceback": tb})
|
| 189 |
+
warn = f"⚠️ Error: {e}"
|
| 190 |
+
if DEBUG:
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| 191 |
+
warn += f"\n\n```traceback\n{tb}\n```"
|
| 192 |
+
return EMPTY_DF, "—", "", warn, session_id
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| 193 |
+
|
| 194 |
+
rows, meta = _coalesce_suggestions(result)
|
| 195 |
+
df = EMPTY_DF if not rows else pd.DataFrame(rows)
|
| 196 |
+
if not df.empty:
|
| 197 |
+
# ensure consistent column order
|
| 198 |
+
for col in TABLE_COLS:
|
| 199 |
+
if col not in df.columns:
|
| 200 |
+
df[col] = ""
|
| 201 |
+
df = df[TABLE_COLS]
|
| 202 |
+
|
| 203 |
+
summary = _summary_md(meta)
|
| 204 |
+
json_pretty = json.dumps(result, indent=2, ensure_ascii=False)
|
| 205 |
+
|
| 206 |
+
_append_log(session_id, {"event": "response", "meta": meta, "rows_len": len(rows)})
|
| 207 |
+
return df, summary, json_pretty, warn_text, session_id
|
| 208 |
+
|
| 209 |
+
def record_feedback(session_id: str, vote: str, text: str):
|
| 210 |
+
if not vote and not text:
|
| 211 |
+
return "Please choose 👍/👎 or add a short note."
|
| 212 |
+
_append_log(session_id, {"event": "feedback", "vote": vote, "text": text})
|
| 213 |
+
return "Thanks! Your feedback was recorded."
|
| 214 |
+
|
| 215 |
+
def do_export(session_id: str):
|
| 216 |
+
path = export_session(session_id)
|
| 217 |
+
_append_log(session_id, {"event": "export", "path": path})
|
| 218 |
+
return path
|
| 219 |
+
|
| 220 |
+
def on_clear():
|
| 221 |
+
return "", "Medicare", 10, EMPTY_DF, "—", "", "", new_session()
|
| 222 |
+
|
| 223 |
+
# ==== Examples ================================================================
|
| 224 |
+
|
| 225 |
+
EXAMPLES = [
|
| 226 |
+
["Left-sided TLIF L4–L5 with pedicle screws and interbody cage; posterolateral fusion performed. Navigation used.", "Medicare", 10],
|
| 227 |
+
["ACDF C5–C6 with PEEK cage and anterior plate; microscope and neuromonitoring used.", "Medicare", 10],
|
| 228 |
+
["Posterior cervical foraminotomy right C6–C7; no fusion or instrumentation.", "Medicare", 10],
|
| 229 |
+
["ALIF L5–S1 with structural allograft; non-segmental instrumentation placed.", "Medicare", 10],
|
| 230 |
+
["Removal of posterior segmental instrumentation T10–L2; no new hardware placed.", "Medicare", 10],
|
| 231 |
+
]
|
| 232 |
+
|
| 233 |
+
# ==== Theme / CSS =============================================================
|
| 234 |
+
|
| 235 |
+
THEME = gr.themes.Soft(
|
| 236 |
+
primary_hue="indigo",
|
| 237 |
+
secondary_hue="blue",
|
| 238 |
+
neutral_hue="slate",
|
| 239 |
+
).set(
|
| 240 |
+
body_text_color="#0f172a",
|
| 241 |
+
background_fill_primary="#ffffff",
|
| 242 |
+
button_primary_background_fill="#4f46e5",
|
| 243 |
+
input_background_fill="#ffffff",
|
| 244 |
+
)
|
| 245 |
+
|
| 246 |
+
# Wider, more readable table (no Dataframe.height arg; do it via CSS)
|
| 247 |
+
CUSTOM_CSS = """
|
| 248 |
+
:root { --radius-lg: 16px; }
|
| 249 |
+
.gradio-container { font-family: ui-sans-serif, system-ui, -apple-system; }
|
| 250 |
+
.header-card {
|
| 251 |
+
border-radius: 18px;
|
| 252 |
+
padding: 18px;
|
| 253 |
+
border: 1px solid #e5e7eb;
|
| 254 |
+
background: linear-gradient(180deg,#fafafa,#ffffff);
|
| 255 |
+
}
|
| 256 |
+
.badge-row code {
|
| 257 |
+
margin-right: 8px;
|
| 258 |
+
border-radius: 12px;
|
| 259 |
+
padding: 2px 8px;
|
| 260 |
+
background: #f1f5f9;
|
| 261 |
+
}
|
| 262 |
+
|
| 263 |
+
/* Make the dataframe area taller & scrollable */
|
| 264 |
+
.table-wrap { max-height: 420px; overflow: auto; }
|
| 265 |
+
|
| 266 |
+
/* Improve readability inside the table */
|
| 267 |
+
.table-wrap .dataframe {
|
| 268 |
+
font-size: 14px;
|
| 269 |
+
width: 100% !important;
|
| 270 |
+
table-layout: fixed !important;
|
| 271 |
+
border-collapse: collapse;
|
| 272 |
+
}
|
| 273 |
+
.table-wrap .dataframe th,
|
| 274 |
+
.table-wrap .dataframe td {
|
| 275 |
+
white-space: normal !important;
|
| 276 |
+
word-wrap: break-word !important;
|
| 277 |
+
max-width: 240px !important;
|
| 278 |
+
text-align: left;
|
| 279 |
+
vertical-align: top;
|
| 280 |
+
padding: 6px 8px;
|
| 281 |
+
}
|
| 282 |
+
|
| 283 |
+
.footer-note { color:#64748b; font-size:12px; }
|
| 284 |
+
"""
|
| 285 |
+
|
| 286 |
+
# ==== App Layout ==============================================================
|
| 287 |
+
with gr.Blocks(theme=THEME, css=CUSTOM_CSS, title="Spine Coder — CPT Billing") as demo:
|
| 288 |
+
session_id = gr.State(new_session())
|
| 289 |
+
|
| 290 |
+
with gr.Row():
|
| 291 |
+
with gr.Column():
|
| 292 |
+
gr.Markdown("### 🦴 Spine Coder — CPT Billing & Operative Note NLP")
|
| 293 |
+
gr.Markdown(
|
| 294 |
+
'<div class="header-card">Structured CPT suggestions from spine operative notes — with payer-aware '
|
| 295 |
+
'modifiers, laterality detection, and rationales.<br/>'
|
| 296 |
+
'<span class="footer-note">No PHI is stored; inputs are session-scoped and ephemeral.</span></div>'
|
| 297 |
+
)
|
| 298 |
+
|
| 299 |
+
with gr.Row():
|
| 300 |
+
# Inputs
|
| 301 |
+
with gr.Column(scale=5):
|
| 302 |
+
note_in = gr.Textbox(
|
| 303 |
+
label="Operative Note",
|
| 304 |
+
placeholder="Paste an operative note here…",
|
| 305 |
+
lines=14,
|
| 306 |
+
autofocus=True,
|
| 307 |
+
)
|
| 308 |
+
with gr.Row():
|
| 309 |
+
payer_dd = gr.Dropdown(PAYER_CHOICES, value="Medicare", label="Payer")
|
| 310 |
+
topk = gr.Slider(1, 15, value=10, step=1, label="Top-K suggestions")
|
| 311 |
+
with gr.Row():
|
| 312 |
+
run_btn = gr.Button("Analyze Note", variant="primary")
|
| 313 |
+
clear_btn = gr.Button("Clear")
|
| 314 |
+
|
| 315 |
+
with gr.Accordion("Quick Examples", open=False):
|
| 316 |
+
gr.Examples(
|
| 317 |
+
examples=EXAMPLES,
|
| 318 |
+
inputs=[note_in, payer_dd, topk],
|
| 319 |
+
label="Click a row to load an example"
|
| 320 |
+
)
|
| 321 |
+
|
| 322 |
+
with gr.Accordion("Feedback", open=False):
|
| 323 |
+
fb_choice = gr.Radio(choices=["👍", "👎"], label="Was this helpful?")
|
| 324 |
+
fb_text = gr.Textbox(label="Optional comment", lines=2, placeholder="Tell us what worked or what missed…")
|
| 325 |
+
fb_submit = gr.Button("Submit Feedback")
|
| 326 |
+
fb_status = gr.Markdown("")
|
| 327 |
+
|
| 328 |
+
with gr.Accordion("Session", open=False):
|
| 329 |
+
sid_show = gr.Textbox(label="Session ID", value="", interactive=False)
|
| 330 |
+
export_btn = gr.Button("Export Session as JSON")
|
| 331 |
+
export_file = gr.File(label="Download", interactive=False)
|
| 332 |
+
|
| 333 |
+
# Results
|
| 334 |
+
with gr.Column(scale=6):
|
| 335 |
+
gr.Markdown("#### Results")
|
| 336 |
+
summary_md = gr.Markdown("—", elem_classes=["badge-row"])
|
| 337 |
+
table = gr.Dataframe(
|
| 338 |
+
value=EMPTY_DF,
|
| 339 |
+
label="Suggestions",
|
| 340 |
+
interactive=False,
|
| 341 |
+
row_count=(0, "dynamic"),
|
| 342 |
+
wrap=True,
|
| 343 |
+
elem_classes=["table-wrap"], # CSS above makes it tall/scrollable
|
| 344 |
+
)
|
| 345 |
+
with gr.Accordion("Raw JSON", open=False):
|
| 346 |
+
json_out = gr.Code(language="json", value="", interactive=False)
|
| 347 |
+
warn_md = gr.Markdown("")
|
| 348 |
+
|
| 349 |
+
# ---- Events / Wiring ----
|
| 350 |
+
def _on_load():
|
| 351 |
+
sid = new_session()
|
| 352 |
+
return sid, sid
|
| 353 |
+
|
| 354 |
+
demo.load(_on_load, outputs=[session_id, sid_show])
|
| 355 |
+
|
| 356 |
+
run_inputs = [note_in, payer_dd, topk, session_id]
|
| 357 |
+
run_outputs = [table, summary_md, json_out, warn_md, session_id]
|
| 358 |
+
|
| 359 |
+
run_btn.click(run_inference, inputs=run_inputs, outputs=run_outputs)
|
| 360 |
+
note_in.submit(run_inference, inputs=run_inputs, outputs=run_outputs)
|
| 361 |
+
|
| 362 |
+
clear_btn.click(on_clear, outputs=[note_in, payer_dd, topk, table, summary_md, json_out, warn_md, session_id])
|
| 363 |
+
|
| 364 |
+
fb_submit.click(record_feedback, inputs=[session_id, fb_choice, fb_text], outputs=fb_status)
|
| 365 |
+
|
| 366 |
+
export_btn.click(do_export, inputs=[session_id], outputs=[export_file])
|
| 367 |
+
|
| 368 |
+
if __name__ == "__main__":
|
| 369 |
+
# If running locally: set server_name to 0.0.0.0 for external access; Space ignores.
|
| 370 |
+
demo.launch()
|