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"""
Queue Doctor β OpenEnv MCPEnvironment.
A genuine multi-step reinforcement learning environment for hospital
emergency department triage. The agent makes sequential decisions
each step β which patient to serve β and the environment state changes
meaningfully in response (new arrivals, wait time increases, deterioration).
This is a true Markov Decision Process: the agent's action at step N
changes the state available at step N+1. A better policy produces
measurably better outcomes across all three tasks.
Stochasticity:
start_task() accepts an optional seed parameter. When provided, small
random perturbations are applied to patient attributes (severity Β±1
with 15% probability, arrival step Β±1 with 10% probability). This
ensures each episode is distinct, prevents solution memorization, and
produces non-zero score variance across runs (required by Phase 2).
Episode workflow:
list_tasks()
β start_task(task_id, seed=<int>) # seed optional
β get_queue_state()
β [serve_patient(patient_id) | wait()] Γ N steps
β finalize_episode()
"""
import json
from typing import Optional
from uuid import uuid4
try:
from openenv.core.env_server.mcp_environment import MCPEnvironment
from openenv.core.env_server.types import Action, Observation, State
except ImportError:
from openenv.core.env_server.mcp_environment import MCPEnvironment
from openenv.core.env_server.types import Action, Observation, State
from fastmcp import FastMCP
from .tasks import TASKS
from .queue_engine import QueueEngine
from .graders import GRADERS
class QueueDoctorEnvironment(MCPEnvironment):
"""
Queue Doctor β Hospital Triage RL Environment.
Three tasks of increasing difficulty:
task_1_easy β Static queue, 1 doctor, 10 steps
task_2_medium β Dynamic arrivals, 2 doctors, 20 steps
task_3_hard β Mass casualty, deterioration, ICU, 3 doctors, 30 steps
MCP tools:
list_tasks() β task catalogue with metadata
start_task(task_id, seed) β init episode (seed optional for stochasticity)
get_queue_state() β observe current state (no time advance)
serve_patient(patient_id) β treat patient, advance 1 step
wait() β skip step (penalized), advance 1 step
finalize_episode() β compute final normalized score
get_current_state() β environment-level metadata
"""
def __init__(self):
mcp = FastMCP("queue_doctor")
@mcp.tool
def list_tasks() -> str:
"""
List all available triage tasks with metadata.
Returns task IDs, names, difficulty, resources, and descriptions.
"""
return json.dumps([
{
"task_id": tid,
"task_name": t["task_name"],
"difficulty": t["difficulty"],
"max_steps": t["max_steps"],
"num_doctors": t["num_doctors"],
"icu_beds": t.get("icu_beds", 0),
"total_patients": len(t["arrivals"]),
"description": t["description"],
}
for tid, t in TASKS.items()
], indent=2)
@mcp.tool
def start_task(task_id: str, seed: int = None) -> str:
"""
Initialize a task episode. Must be called before any actions.
Args:
task_id: One of 'task_1_easy', 'task_2_medium', 'task_3_hard'
seed: Optional integer seed for episode randomization.
When provided, small stochastic perturbations are
applied to patient attributes (severity Β±1 with 15%
probability, arrival step Β±1 with 10% probability).
Use different seeds across runs to get score variance.
Omit for the deterministic baseline episode.
Returns task description, rules, initial queue state, and workflow.
"""
if task_id not in TASKS:
return json.dumps({
"error": f"Unknown task_id '{task_id}'. "
f"Valid: {list(TASKS.keys())}"
})
self._active_task_id = task_id
self._engine = QueueEngine(TASKS[task_id], seed=seed)
self._state.step_count += 1
task = TASKS[task_id]
initial_state = self._engine.get_state()
return json.dumps({
"task_id": task_id,
"task_name": task["task_name"],
"difficulty": task["difficulty"],
"description": task["description"],
"max_steps": task["max_steps"],
"num_doctors": task["num_doctors"],
"icu_beds": task.get("icu_beds", 0),
"seed": seed,
"initial_queue": initial_state["queue"],
"queue_length": initial_state["queue_length"],
"triage_advisory": initial_state["triage_advisory"],
"workflow": (
"1. Call get_queue_state() to observe current patients.\n"
"2. Call serve_patient(patient_id) to treat a patient "
" β this advances time by 1 step.\n"
"3. OR call wait() to skip a step "
" (penalized if patients are waiting).\n"
"4. Repeat until done=true.\n"
"5. Call finalize_episode() to get your final score."
),
}, indent=2)
@mcp.tool
def get_queue_state() -> str:
"""
Observe the current emergency department state. Does NOT advance time.
Returns:
- Current step and steps remaining
- All patients sorted by priority (severity, then wait time)
- can_serve_now flag per patient (resource availability check)
- Available doctors and ICU beds
- Patients served and missed emergencies
- Cumulative reward
- Triage advisory (for inspection β not used by the inference agent)
- done flag
"""
if self._engine is None:
return json.dumps({
"error": "No active task. Call start_task(task_id) first."
})
self._state.step_count += 1
return json.dumps(self._engine.get_state(), indent=2)
@mcp.tool
def serve_patient(patient_id: str) -> str:
"""
Assign a doctor to treat a patient. ADVANCES SIMULATION BY 1 STEP.
After this action:
- Patient removed from queue
- Wait times increase for all remaining patients
- New patients may arrive (deterministic or seeded schedule)
- Deteriorating patients' countdowns decrease (Task 3)
- Step counter increments
Resource errors (no ICU bed, insufficient doctors) do NOT advance
time β the agent receives an error message and must choose again.
Args:
patient_id: Patient ID (e.g. 'P001', 'P007')
Returns step reward, updated queue state, and events log.
"""
if self._engine is None:
return json.dumps({
"error": "No active task. Call start_task(task_id) first."
})
if self._engine.step >= self._engine.max_steps:
return json.dumps({
"error": "Episode complete. Call finalize_episode().",
"done": True,
})
reward, new_state, events = self._engine.serve_patient(patient_id)
self._cumulative_reward += reward
self._state.step_count += 1
return json.dumps({
"action": f"serve_patient({patient_id})",
"step_reward": round(reward, 4),
"events": events,
"state": new_state,
"done": new_state["done"],
"hint": (
"Call finalize_episode() to get your final score."
if new_state["done"] else
"Continue serving patients or call finalize_episode() anytime."
),
}, indent=2)
@mcp.tool
def wait() -> str:
"""
Skip this step without serving any patient. ADVANCES SIMULATION BY 1 STEP.
Penalties:
Emergency (severity 1) in queue: -0.30 per patient
Urgent (severity 2-3) in queue: -0.10
Any patient in queue: -0.05
Empty queue: 0.00
Returns step penalty, updated queue state, and events log.
"""
if self._engine is None:
return json.dumps({
"error": "No active task. Call start_task(task_id) first."
})
if self._engine.step >= self._engine.max_steps:
return json.dumps({
"error": "Episode complete. Call finalize_episode().",
"done": True,
})
penalty, new_state, events = self._engine.wait()
self._cumulative_reward += penalty
self._state.step_count += 1
return json.dumps({
"action": "wait()",
"step_reward": round(penalty, 4),
"events": events,
"state": new_state,
"done": new_state["done"],
}, indent=2)
@mcp.tool
def finalize_episode() -> str:
"""
Finalize the current task and compute the final normalized score.
Applies the principled grader to produce a score in [0, 1].
Grader weights are derived from published clinical literature β
not tuned to hit target scores.
Returns final score, component scores, and full episode statistics.
"""
if self._engine is None:
return json.dumps({
"error": "No active task. Call start_task(task_id) first."
})
task_id = self._active_task_id
task = TASKS[task_id]
result = GRADERS[task["grader"]](self._engine)
self._finalized_tasks[task_id] = result["score"]
done = len(self._finalized_tasks) >= len(TASKS)
self._done = done
self._state.step_count += 1
return json.dumps({
"task_id": task_id,
"task_name": task["task_name"],
"difficulty": task["difficulty"],
**result,
"episode_steps": self._engine.step,
"patients_served": len(self._engine.served),
"served_detail": self._engine.served,
"tasks_completed": len(self._finalized_tasks),
"tasks_total": len(TASKS),
"all_done": done,
}, indent=2)
@mcp.tool
def get_current_state() -> str:
"""Get environment-level metadata (episode state, not queue state)."""
return json.dumps({
"episode_id": self._state.episode_id,
"step_count": self._state.step_count,
"active_task": self._active_task_id,
"finalized_scores": self._finalized_tasks,
"cumulative_reward": round(self._cumulative_reward, 4),
"done": self._done,
"tasks_available": list(TASKS.keys()),
}, indent=2)
super().__init__(mcp)
self._state = State(episode_id=str(uuid4()), step_count=0)
self._cumulative_reward: float = 0.0
self._done: bool = False
self._active_task_id: Optional[str] = None
self._engine: Optional[QueueEngine] = None
self._finalized_tasks: dict = {}
def reset(self, seed=None, episode_id=None, **kwargs) -> Observation:
self._state = State(episode_id=episode_id or str(uuid4()), step_count=0)
self._cumulative_reward = 0.0
self._done = False
self._active_task_id = None
self._engine = None
self._finalized_tasks = {}
return Observation(
done=False,
reward=0.0,
metadata={
"status": "ready",
"message": (
"Queue Doctor ready. "
"Workflow: list_tasks() β start_task(task_id, seed=<int>) β "
"get_queue_state() β "
"[serve_patient(patient_id) or wait()] Γ N β "
"finalize_episode()"
),
"tasks_available": list(TASKS.keys()),
},
)
def _step_impl(self, action, timeout_s=None, **kwargs) -> Observation:
return Observation(
done=False, reward=0.0,
metadata={
"error": f"Unknown action: {type(action).__name__}. Use MCP tools."
},
)
def step(self, action, timeout_s=None, **kwargs) -> Observation:
self._state.step_count += 1
return super().step(action, timeout_s=timeout_s, **kwargs)
async def step_async(self, action, timeout_s=None, **kwargs) -> Observation:
self._state.step_count += 1
return await super().step_async(action, timeout_s=timeout_s, **kwargs)
@property
def state(self) -> State:
return self._state |