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vips_classifier.py
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"""
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VoiceNote AI - VIPS Classifier
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Classifies patient information into VIPS categories using three prompt strategies.
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Input: English-translated anonymized text (via DeepL)
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Output: VIPS dict for each of zero_shot / few_shot / chain_of_thought
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"""
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import logging
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logger = logging.getLogger(__name__)
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Classify patient-nurse conversations into the four VIPS categories below.
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VIPS categories:
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- V (Wellbeing / Välbefinnande): Subjective symptoms — pain, fatigue, nausea, mood, sleep, appetite
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- I (Integrity / Integritet): Autonomy, personal habits, living situation, social relations, preferences
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- P (Prevention / Prevention): Risk factors, preventive measures, lifestyle (smoking, diet, exercise)
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- S (Safety / Säkerhet): Allergies, fall risk, medication, infection risk, safety concerns
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Rules:
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1. ONLY include information explicitly stated in the conversation.
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2. NEVER invent or assume information that was not mentioned.
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3. If a category has no relevant information, write exactly: Ingen relevant information.
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4. Keep each category concise and clinical."""
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# 1. ZERO-SHOT
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# ══════════════════════════════════════════════════════════
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"""
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Zero-shot: no examples — pure instruction only.
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Reference: Sivarajkumar et al. (2022), HealthPrompt
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"""
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return f"""{_SYSTEM}
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Patient-nurse conversation:
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\"\"\"{english_text}\"\"\"
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I:
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P:
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S:"""
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# ══════════════════════════════════════════════════════════
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# 2. FEW-SHOT
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# ══════════════════════════════════════════════════════════
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def build_prompt_few_shot(english_text: str) -> str:
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"""
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--- EXAMPLE 1 ---
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Conversation: "I have a headache and feel very tired. I haven't slept well in three days."
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V: Headache reported. Severe fatigue. Sleep disturbance for three days.
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I: Ingen relevant information.
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P: Ingen relevant information.
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S: Ingen relevant information.
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--- EXAMPLE 2 ---
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Conversation: "I take Metoprolol every day. I smoke about ten cigarettes a day
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V:
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I:
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P: Smoking cessation
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S: Known allergy to penicillin. Daily medication: Metoprolol.
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--- EXAMPLE 3 ---
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Conversation: "I have chest pain and difficulty breathing. I
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V: Chest pain and dyspnea reported.
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I: Lives alone. No social support available.
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P:
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S: Acute symptoms
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---
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Conversation: \"\"\"{english_text}\"\"\"
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V:
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I:
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P:
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S:"""
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# ══════════════════════════════════════════════════════════
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# 3. CHAIN-OF-THOUGHT
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# ══════════════════════════════════════════════════════════
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def build_prompt_chain_of_thought(english_text: str) -> str:
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"""
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Chain-of-Thought: explicit step-by-step reasoning before output.
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Reference: Wei et al. (2022), Chain-of-Thought Prompting Elicits Reasoning
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"""
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return f"""{_SYSTEM}
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STEP 2 — Assign each detail to the correct VIPS category.
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STEP 3 — Verify: Does every item come directly from the conversation? Remove hallucinated content.
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STEP 4 — Write the final VIPS note.
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Patient-nurse conversation:
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\"\"\"{english_text}\"\"\"
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(list all relevant information)
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STEP
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STEP
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STEP
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V:
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I:
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P:
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S:"""
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# ══════════════════════════════════════════════════════════
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# PARSER
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# ══════════════════════════════════════════════════════════
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def parse_vips_response(response: str) -> dict:
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"""
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Parse raw LLM response into a VIPS dict.
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Handles both 'V:' and 'V (Wellbeing):' label formats.
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Returns:
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{"V": "...", "I": "...", "P": "...", "S": "..."}
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"""
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default = "Ingen relevant information."
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vips = {"V": default, "I": default, "P": default, "S": default}
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# Only parse the STEP 4 section if Chain-of-Thought
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if "STEP 4" in response:
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response = response.split("STEP 4")[-1]
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for line in response.strip().splitlines():
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line = line.strip()
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for key in ["V", "I", "P", "S"]:
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if line.startswith(f"{key}
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# Extract content after the first colon
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content = line.split(":", 1)[-1].strip()
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if content:
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vips[key] = content
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return vips
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def classify_all(english_text: str, mistral_client) -> dict:
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"""
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Run all three prompt strategies against the same English text.
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Args:
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english_text: DeepL-translated, GDPR-anonymized text
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mistral_client: MistralClient instance
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Returns:
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{
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"zero_shot": {"V":..., "I":..., "P":..., "S":...},
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"few_shot": {"V":..., "I":..., "P":..., "S":...},
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"chain_of_thought":{"V":..., "I":..., "P":..., "S":...},
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}
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"""
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strategies = {
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"zero_shot": (build_prompt_zero_shot, Config.LLM_MAX_TOKENS_ZERO_SHOT),
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"few_shot": (build_prompt_few_shot, Config.LLM_MAX_TOKENS_FEW_SHOT),
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"""
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VoiceNote AI - VIPS Classifier
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"""
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import logging
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logger = logging.getLogger(__name__)
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_VIPS_DEFINITIONS = """VIPS categories — extract ANY mention of:
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V (Wellbeing): pain levels, fatigue, nausea, dizziness, sleep quality, mood, anxiety, appetite, physical symptoms
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I (Integrity): living situation, mobility needs, personal habits, social support, preferences, independence level
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P (Prevention): mobilization plans, exercises, lifestyle factors (smoking, diet), follow-up plans, physiotherapy
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S (Safety): fall risk, allergies, medications, postoperative risks, clot risk, infection risk, safety equipment needed"""
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_RULES = """CRITICAL RULES:
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1. Read EVERY sentence carefully — extract ALL clinical details mentioned.
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2. Write "Ingen relevant information." ONLY if the category has ZERO mentions.
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3. Be specific (e.g. "Pain 3/10 at rest, 6/10 on movement" not just "pain reported").
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4. Never invent information not stated in the conversation."""
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def build_prompt_zero_shot(english_text: str) -> str:
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return f"""You are a Swedish clinical documentation specialist generating nursing notes in VIPS format.
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{_VIPS_DEFINITIONS}
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{_RULES}
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Patient-nurse conversation to document:
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\"\"\"{english_text}\"\"\"
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Extract all relevant clinical information and write the VIPS note now.
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Use this exact format — one line per category:
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V (Välbefinnande):
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I (Integritet):
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P (Prevention):
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S (Säkerhet):"""
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def build_prompt_few_shot(english_text: str) -> str:
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return f"""You are a Swedish clinical documentation specialist generating nursing notes in VIPS format.
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{_VIPS_DEFINITIONS}
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{_RULES}
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--- EXAMPLE 1 ---
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Conversation: "I have a headache and feel very tired. I haven't slept well in three days."
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V (Välbefinnande): Headache reported. Severe fatigue. Sleep disturbance for three days.
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I (Integritet): Ingen relevant information.
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P (Prevention): Ingen relevant information.
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S (Säkerhet): Ingen relevant information.
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--- EXAMPLE 2 ---
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Conversation: "I take Metoprolol every day. I smoke about ten cigarettes a day. I'm allergic to penicillin. I feel dizzy when I stand up."
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V (Välbefinnande): Dizziness on standing reported.
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I (Integritet): Active smoker (approx. 10 cigarettes/day).
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P (Prevention): Smoking cessation recommended. Daily medication management ongoing.
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S (Säkerhet): Known allergy to penicillin. Daily medication: Metoprolol. Fall risk due to dizziness on standing.
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--- EXAMPLE 3 ---
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Conversation: "I have chest pain and difficulty breathing. I live alone. The doctor said I need to start walking tomorrow."
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V (Välbefinnande): Chest pain and dyspnea reported.
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I (Integritet): Lives alone. No social support available at home.
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P (Prevention): Mobilization plan initiated — walking planned from tomorrow per physician order.
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S (Säkerhet): Acute cardiopulmonary symptoms require assessment. Elevated fall risk. Lives alone increases safety concern.
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--- YOUR TURN ---
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Conversation: \"\"\"{english_text}\"\"\"
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V (Välbefinnande):
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I (Integritet):
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P (Prevention):
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S (Säkerhet):"""
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def build_prompt_chain_of_thought(english_text: str) -> str:
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return f"""You are a Swedish clinical documentation specialist generating nursing notes in VIPS format.
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{_VIPS_DEFINITIONS}
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{_RULES}
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Patient-nurse conversation:
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\"\"\"{english_text}\"\"\"
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Follow these steps carefully:
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STEP 1 — List EVERY clinical detail from the conversation (pain, symptoms, medications, plans, risks, living situation, etc.):
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STEP 2 — Assign each detail to the correct VIPS category:
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V (Wellbeing) items:
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I (Integrity) items:
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P (Prevention) items:
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S (Safety) items:
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STEP 3 — Check: Is every item above directly from the conversation? Remove anything invented.
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STEP 4 — Write the final VIPS note:
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V (Välbefinnande):
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I (Integritet):
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P (Prevention):
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S (Säkerhet):"""
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def parse_vips_response(response: str) -> dict:
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default = "Ingen relevant information."
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vips = {"V": default, "I": default, "P": default, "S": default}
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if "STEP 4" in response:
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response = response.split("STEP 4")[-1]
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for line in response.strip().splitlines():
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line = line.strip()
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for key in ["V", "I", "P", "S"]:
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if line.startswith(f"{key} (") or line.startswith(f"{key}:"):
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content = line.split(":", 1)[-1].strip()
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if content:
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vips[key] = content
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return vips
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def format_vips_for_display(vips: dict) -> str:
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labels = {
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"V": "V (Välbefinnande)",
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"I": "I (Integritet)",
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"P": "P (Prevention)",
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"S": "S (Säkerhet)",
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}
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return "\n".join(f"{labels[k]}: {vips.get(k, 'Ingen relevant information.')}"
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for k in ["V", "I", "P", "S"])
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def classify_all(english_text: str, mistral_client) -> dict:
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strategies = {
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"zero_shot": (build_prompt_zero_shot, Config.LLM_MAX_TOKENS_ZERO_SHOT),
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"few_shot": (build_prompt_few_shot, Config.LLM_MAX_TOKENS_FEW_SHOT),
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