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import os
from ast import List
from fastapi.middleware.cors import CORSMiddleware
from pydantic import BaseModel
import io
import traceback
import pandas as pd
import logging
import base64
import json
import re
import asyncio
import functools
from typing import Any, Optional
from datetime import datetime
import uvicorn
import google.generativeai as genai
from fastapi import FastAPI, UploadFile, File, Form, HTTPException, APIRouter, Request
from fastapi.responses import JSONResponse, RedirectResponse
from fastapi.staticfiles import StaticFiles
import firebase_admin
from firebase_admin import credentials, firestore
from google.generativeai import generative_models
from pydantic import BaseModel
from past_reports import router as reports_router, db_fetch_reports, db_insert_report, db_get_report
GEMINI_API_KEY="AIzaSyAK0HJWN-WLuG5BxkHawu6_qFpcXU71cT0"
logger = logging.getLogger(__name__)
logging.basicConfig(level=logging.INFO)
class Config:
DEBUG = True
app = FastAPI()
api = APIRouter(prefix="/api")
app.include_router(api)
EXTRACTED_TEXT_CACHE = ""
app.mount("/app", StaticFiles(directory="web", html=True), name="web")
app.include_router(reports_router)
app.add_middleware(
CORSMiddleware,
allow_origins=["*"],
allow_credentials=True,
allow_methods=["*"],
allow_headers=["*"],
)
@app.get("/")
def root():
return RedirectResponse(url="/app/")
class AnalyzeRequest(BaseModel):
image_base64: str
prompt: Optional[str] = None
genai.configure(api_key=GEMINI_API_KEY)
generation_config = {
"temperature": 0.1,
"top_p": 0.8,
"top_k": 20,
"max_output_tokens": 4096,
}
safety_settings = [
{"category": "HARM_CATEGORY_HARASSMENT", "threshold": "BLOCK_MEDIUM_AND_ABOVE"},
{"category": "HARM_CATEGORY_HATE_SPEECH", "threshold": "BLOCK_MEDIUM_AND_ABOVE"},
{"category": "HARM_CATEGORY_SEXUALLY_EXPLICIT", "threshold": "BLOCK_MEDIUM_AND_ABOVE"},
{"category": "HARM_CATEGORY_DANGEROUS_CONTENT", "threshold": "BLOCK_MEDIUM_AND_ABOVE"},
]
class ChatRequest(BaseModel):
user_id: Optional[str] = "anonymous"
question: str
class ChatResponse(BaseModel):
answer: str
class TextRequest(BaseModel):
text: str
system_prompt = """You are a highly skilled medical practitioner specializing in medical image and document analysis. You will be given either a medical image or a PDF.
Your responsibilities are:
1. **Extract Text**: If the input is a PDF or image, first extract all the text content (lab values, notes, measurements, etc.). Do not summarize — keep the extracted text verbatim.
2. **Detailed Analysis**: Use both the extracted text and the visual features of the image to identify any anomalies, diseases, or health issues.
3. **Output Format**: You MUST return ONLY a valid JSON object with this EXACT structure (no additional text, no markdown, no code blocks):
{
"ocr_text": "<<<FULL VERBATIM TEXT FROM THE PDF/IMAGE>>>",
"measurements": [
{
"type": "HbA1c",
"value": 8.5,
"unit": "%",
"min": "4.0",
"max": "5.6",
"status": "HIGH",
"severity": "SEVERE"
},
{
"type": "Total Cholesterol",
"value": 280,
"unit": "mg/dL",
"min": "0",
"max": "200",
"status": "HIGH",
"severity": "SEVERE"
}
],
"analysis": [
{
"findings": "DIABETES. Elevated HbA1c indicates poor glucose control over past 2-3 months.",
"severity": "SEVERE",
"recommendations": ["Consult endocrinologist immediately", "Review medication regimen"],
"treatment_suggestions": ["Adjust insulin dosage", "Consider metformin"],
"home_care_guidance": ["Monitor blood sugar 4x daily", "Follow diabetic diet"]
}
]
}
4. **Measurement Extraction Rules**:
- Extract EVERY numerical health measurement found in the document
- Include lab values, vital signs, body measurements, test results
- For each measurement provide: type, value, unit, min, max, status, severity
- To provide the min and max, first check the document for a provided min or max, if not just use your AI knowledge to provide the min and max for that specific measurement type
- Status should be LOW, NORMAL, BORDER-LINE HIGH, and HIGH based on min and max.
5. **Finding Analysis**:
- Document all observed anomalies or diseases in the analysis section
- UPPERCASE the main concern in each finding
- Link findings to relevant measurements when applicable
- If a disease is family history or previously recovered, mark severity as: "severity of anomaly (Past Anomaly but Still Under Risk)"
- Provide actionable recommendations and treatment suggestions
CRITICAL: Return ONLY the JSON object. No explanatory text, no markdown formatting, no code blocks. Also make sure to check all your information twice before sending.
"""
system_prompt_chat = """
*** Role: Medical Chat Assistant ***
You are a concise and empathetic medical chatbot. Your job is to give clear, short answers (max 3-4 sentences) based only on the provided medical report text.
Rules:
- Avoid repeating the entire report; focus only on what is directly relevant to the user’s question.
- Give top 2 actionable steps if needed.
- If condition is serious, suggest consulting a doctor immediately.
- Always end with: "Check with your physician before acting."
Input:
Report Text: {document_text}
User Question: {user_question}
Response:
"""
model = genai.GenerativeModel(model_name="gemini-2.5-flash-lite")
async def _call_model_blocking(request_inputs, generation_cfg, safety_cfg):
fn = functools.partial(
model.generate_content,
request_inputs,
generation_config=generation_cfg,
safety_settings=safety_cfg,
)
loop = asyncio.get_event_loop()
return await loop.run_in_executor(None, fn)
def extract_measurements_from_gemini_structured(measurements_data):
measurements = []
if not measurements_data:
logger.warning("No measurements data provided")
return measurements
for measurement in measurements_data:
try:
measurement_type = measurement.get("type") or measurement.get("measurement_type", "Unknown")
value = measurement.get("value", 0)
unit = measurement.get("unit", "")
ref_range = ""
if measurement.get("reference_range"):
ref_range = measurement.get("reference_range")
elif measurement.get("min") and measurement.get("max"):
ref_range = f"{measurement.get('min')}-{measurement.get('max')}"
elif measurement.get("min"):
ref_range = f">{measurement.get('min')}"
elif measurement.get("max"):
ref_range = f"<{measurement.get('max')}"
measurements.append({
"measurement_type": measurement_type,
"value": float(value) if value else 0.0,
"unit": unit,
"min": measurement.get('min'),
"max": measurement.get('max'),
"status": measurement.get("status", "UNKNOWN"),
"severity": measurement.get("severity", "UNKNOWN"),
})
except Exception as e:
logger.error(f"Error processing measurement: {measurement}, error: {e}")
continue
return measurements
async def analyze_image(image_bytes: bytes, mime_type: str, prompt: Optional[str] = None) -> tuple:
base64_img = base64.b64encode(image_bytes).decode("utf-8")
text_prompt = (prompt or system_prompt).strip()
request_inputs = [
{"inline_data": {"mime_type": mime_type, "data": base64_img}},
{"text": text_prompt},
]
try:
response = await _call_model_blocking(request_inputs, generation_config, safety_settings)
except Exception as e:
logger.error(f"Model call failed: {e}")
raise RuntimeError(f"Model call failed: {e}")
text = getattr(response, "text", None)
if not text and isinstance(response, dict):
candidates = response.get("candidates") or []
if candidates:
text = candidates[0].get("content") or candidates[0].get("text")
if not text:
text = str(response)
logger.info(f"Raw Gemini response: {text[:500]}...")
clean = re.sub(r'```(?:json)?\s*', '', text).strip()
clean = re.sub(r'```\s*$', '', clean).strip()
logger.info(f"Cleaned response: {clean[:500]}...")
try:
parsed = json.loads(clean)
if "ocr_text" in parsed and "measurements" in parsed and "analysis" in parsed:
ocr_text = parsed.get("ocr_text", "")
measurements = parsed.get("measurements", [])
analysis = parsed.get("analysis", [])
logger.info(f"Successfully parsed structured response with {len(measurements)} measurements and {len(analysis)} analyses")
return analysis, ocr_text, measurements
logger.warning("Response not in expected format, attempting to extract...")
except json.JSONDecodeError as e:
logger.error(f"Initial JSON decode error: {e}")
json_match = re.search(r'\{[\s\S]*"ocr_text"[\s\S]*"measurements"[\s\S]*"analysis"[\s\S]*\}', clean)
if json_match:
try:
logger.info("Found structured JSON in response, attempting to parse...")
parsed = json.loads(json_match.group(0))
ocr_text = parsed.get("ocr_text", "")
measurements = parsed.get("measurements", [])
analysis = parsed.get("analysis", [])
logger.info(f"Successfully extracted structured data with {len(measurements)} measurements and {len(analysis)} analyses")
return analysis, ocr_text, measurements
except json.JSONDecodeError as e:
logger.error(f"Failed to parse extracted JSON: {e}")
if "raw_found_json" in clean:
try:
temp_parsed = json.loads(clean)
if "raw_found_json" in temp_parsed:
inner_json = temp_parsed["raw_found_json"]
if isinstance(inner_json, str):
inner_parsed = json.loads(inner_json)
else:
inner_parsed = inner_json
ocr_text = inner_parsed.get("ocr_text", "")
measurements = inner_parsed.get("measurements", [])
analysis = inner_parsed.get("analysis", [])
logger.info(f"Successfully unwrapped raw_found_json with {len(measurements)} measurements")
return analysis, ocr_text, measurements
except (json.JSONDecodeError, KeyError) as e:
logger.error(f"Failed to unwrap raw_found_json: {e}")
logger.warning("Using fallback parsing - structured data extraction failed")
return [{"findings": "Failed to parse structured response", "raw_output": clean[:1000]}], "", []
def save_analysis_with_measurements(user_id, ocr_text, analysis_data, measurements_data, report_date=None):
measurements = extract_measurements_from_gemini_structured(measurements_data)
report_data = {
"user_id": user_id,
"report_date": report_date or datetime.now().strftime("%Y-%m-%d"),
"ocr_text": ocr_text,
"anomalies": json.dumps(analysis_data) if analysis_data else None,
"measurements": json.dumps(measurements)
}
try:
logger.info(f"Saving report for user {user_id} with {len(measurements)} measurements")
report_id = db_insert_report(report_data)
logger.info(f"Report saved with ID: {report_id}")
for measurement in measurements:
status_indicator = "WARNING" if measurement['status'] in ['HIGH', 'LOW', 'CRITICAL'] else "OK"
logger.info(f" {status_indicator} {measurement['measurement_type']}: {measurement['value']} {measurement['unit']} ({measurement['status']})")
return report_id, measurements
except Exception as e:
logger.error(f"Failed to save report: {e}")
logger.error(f"Report data: {report_data}")
return None, measurements
def get_past_reports_from_sqllite(user_id: str):
try:
reports = db_fetch_reports(user_id=user_id, limit=10, offset=0)
history_text = ""
for report in reports:
history_text += f"Report from {report.get('report_date', 'N/A')}:\n{report.get('ocr_text', 'No OCR text found')}\n\n"
logger.info(f"Retrieved {len(reports)} past reports for user {user_id}")
return history_text
except Exception as e:
logger.error(f"Error fetching past reports: {e}")
return "No past reports found for this user."
@app.post("/chat/", response_model=ChatResponse)
async def chat_endpoint(request: ChatRequest):
global result
logger.info(f"Received chat request for user: {request.user_id}")
full_document_text = get_past_reports_from_sqllite(request.user_id.strip())
full_document_text = EXTRACTED_TEXT_CACHE + "\n\n" + "PAST REPORTS:\n" + full_document_text
logger.info(f"Full document text length: {len(full_document_text)}")
if not full_document_text.strip():
raise HTTPException(status_code=400, detail="No past reports or current data exists for this user")
try:
full_prompt = system_prompt_chat.format(
document_text=full_document_text,
user_question=request.question
)
logger.info(f"Generated chat prompt length: {len(full_prompt)}")
response = model.generate_content(full_prompt)
return ChatResponse(answer=response.text)
except Exception as e:
logger.error(f"Chat error: {e}")
raise HTTPException(status_code=500, detail=f"Chat error: {e}")
@app.post("/analyze")
async def analyze_endpoint(
file: UploadFile = File(...),
prompt: str = Form(None),
user_id: str = Form("anonymous")
):
global result, EXTRACTED_TEXT_CACHE
filename = file.filename.lower()
logger.info(f"Received analyze request for file {filename} from user {user_id}")
contents = await file.read()
mime = file.content_type or "image/png"
try:
analysis_result, ocr_text, measurements_data = await analyze_image(contents, mime, prompt)
EXTRACTED_TEXT_CACHE = ocr_text
result = analysis_result
report_id, measurements = save_analysis_with_measurements(
user_id=user_id,
ocr_text=ocr_text,
analysis_data=analysis_result,
measurements_data=measurements_data
)
response_data = {
"report_id": report_id,
"ocr_text": ocr_text,
"Detected_Anomolies": analysis_result,
"measurements": measurements,
"measurement_count": len(measurements)
}
logger.info(f"Analysis complete. Report ID: {report_id}, Measurements: {len(measurements)}")
return JSONResponse(content=response_data)
except Exception as e:
logger.error(f"Analysis error: {e}")
logger.error(f"Traceback: {traceback.format_exc()}")
raise HTTPException(status_code=500, detail=str(e))
@app.post("/analyze_json")
async def analyze_json(req: AnalyzeRequest):
import base64
image_bytes = base64.b64decode(req.image_base64)
result, ocr_text, measurements = await analyze_image(image_bytes, "image/png", req.prompt)
return {
"result": result,
"ocr_text": ocr_text,
"measurements": measurements
}
@app.get("/measurements/{report_id}")
async def get_report_measurements(report_id: int):
try:
report = db_get_report(report_id)
if not report:
raise HTTPException(status_code=404, detail="Report not found")
measurements_json = report.get('measurements', '[]')
if isinstance(measurements_json, str):
measurements = json.loads(measurements_json)
else:
measurements = measurements_json or []
logger.info(f"Retrieved {len(measurements)} measurements for report {report_id}")
return JSONResponse(content={
"report_id": report_id,
"measurements": measurements,
"measurement_count": len(measurements)
})
except Exception as e:
logger.error(f"Error getting measurements for report {report_id}: {e}")
raise HTTPException(status_code=500, detail=str(e))
@app.get("/user_measurements/")
async def get_user_measurements(user_id: str):
try:
reports = db_fetch_reports(user_id=user_id, limit=100, offset=0)
all_measurements = []
for report in reports:
measurements_json = report.get('measurements', '[]')
if isinstance(measurements_json, str):
measurements = json.loads(measurements_json)
else:
measurements = measurements_json or []
if measurements:
for measurement in measurements:
measurement['report_id'] = report['id']
measurement['report_date'] = report['report_date']
measurement['created_at'] = report['created_at']
all_measurements.append(measurement)
all_measurements.sort(key=lambda x: x.get('created_at', ''), reverse=True)
logger.info(f"Retrieved {len(all_measurements)} total measurements for user {user_id}")
return JSONResponse(content={
"user_id": user_id,
"total_measurements": len(all_measurements),
"measurements": all_measurements
})
except Exception as e:
logger.error(f"Error getting user measurements for {user_id}: {e}")
raise HTTPException(status_code=500, detail=str(e))
@app.get("/measurement_trends/")
async def get_measurement_trends(user_id: str, measurement_type: str = None):
try:
reports = db_fetch_reports(user_id=user_id, limit=100, offset=0)
trends = {}
for report in reports:
measurements_json = report.get('measurements', '[]')
if isinstance(measurements_json, str):
measurements = json.loads(measurements_json)
else:
measurements = measurements_json or []
if measurements:
for measurement in measurements:
m_type = measurement['measurement_type']
if measurement_type and m_type.lower() != measurement_type.lower():
continue
if m_type not in trends:
trends[m_type] = []
trends[m_type].append({
"date": report['report_date'] or report['created_at'],
"value": measurement['value'],
"unit": measurement['unit'],
"status": measurement['status'],
"severity": measurement['severity'],
"report_id": report['id']
})
for m_type in trends:
trends[m_type].sort(key=lambda x: x['date'])
logger.info(f"Retrieved trends for {len(trends)} measurement types for user {user_id}")
return JSONResponse(content={
"user_id": user_id,
"measurement_type_filter": measurement_type,
"trends": trends
})
except Exception as e:
logger.error(f"Error getting measurement trends for {user_id}: {e}")
raise HTTPException(status_code=500, detail=str(e))
@app.get("/test_db")
async def test_database():
try:
test_reports = db_fetch_reports(user_id="test_user", limit=5, offset=0)
test_data = {
"user_id": "test_user",
"report_date": datetime.now().strftime("%Y-%m-%d"),
"ocr_text": "Test OCR text",
"anomalies": json.dumps([{"test": "data"}]),
"measurements": json.dumps([{"measurement_type": "Test", "value": 100, "unit": "mg/dL", "status": "NORMAL"}])
}
test_report_id = db_insert_report(test_data)
return JSONResponse(content={
"database_status": "connected",
"existing_reports": len(test_reports),
"test_report_id": test_report_id,
"test_successful": True
})
except Exception as e:
logger.error(f"Database test failed: {e}")
return JSONResponse(content={
"database_status": "error",
"error": str(e),
"test_successful": False
}, status_code=500)
@app.get("/health/")
def health():
return {"response": "ok"}
@app.on_event("startup")
def _log_routes():
from fastapi.routing import APIRoute
print("Mounted routes:")
for r in app.routes:
if isinstance(r, APIRoute):
print(" ", r.path, r.methods)
def main():
try:
logger.info(f"Starting server on 8000")
logger.info(f"Debug mode: true")
if Config.DEBUG:
uvicorn.run(
"main:app",
host="localhost",
port=8000,
reload=True,
log_level="debug"
)
else:
uvicorn.run(
app,
host="localhost",
port=8000,
reload=False,
log_level="info"
)
except Exception as e:
logger.error(f"Failed to start server: {e}")
raise
if __name__ == "__main__":
main() |