clinical-nlp-api / scripts /train_severity_classifier.py
Ayodeji Akande
Clinical NLP Pipeline API
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"""
scripts/train_severity_classifier.py
────────────────────────────────────────────────────────────────
Retrains the severity classifier with the two fixes that were
deferred on 2026-06-25 (see project memory):
1. Class-weighted loss -- "critical" is ~15% of the data and
was getting recall 0.486. ClinicalClassifier.train() now
supports weighted_loss=True to counter this.
2. Corrected weak-supervision labels -- src/etl/transform.py's
`\\bacute\\b` rule was matching negated phrases like "no acute
complaints". Fixed to `(?<!no )\\bacute\\b`, but the model was
never retrained on the corrected labels. This script re-derives
severity fresh via derive_severity_labels() rather than trusting
the (possibly stale) severity column already stored in Supabase,
so the fix is guaranteed to be reflected in training data
regardless of when each note was originally loaded.
Trains from the base model (resume=False) rather than warm-starting
from the old checkpoint, since the loss function, label corrections,
and (on a GPU) batch/sequence length are all different from whatever
produced the existing checkpoint -- a clean run gives an unambiguous
before/after comparison.
Usage
─────
python scripts/train_severity_classifier.py # full run
python scripts/train_severity_classifier.py --limit 300 # quick smoke test
────────────────────────────────────────────────────────────────
"""
from __future__ import annotations
import argparse
import shutil
from pathlib import Path
import pandas as pd
from sqlalchemy import select
from src.db.connection import get_session
from src.db.models import ClinicalNote, ModelRun
from src.db.repository import ModelRunRepository
from src.etl.transform import derive_severity_labels
from src.nlp.classifier import ClinicalClassifier
from src.utils.config import ModelConfig, Paths, TrainingConfig
from src.utils.logger import get_logger
logger = get_logger(__name__)
# Smoke-test runs (--limit) default to this scratch directory instead of
# the real ModelConfig.fine_tuned_dir -- train() saves a checkpoint on
# the very first epoch that beats val_f1=0.0, which is nearly guaranteed,
# so a real run's checkpoint must never share a path with a test run.
_SMOKE_TEST_DIR = Paths.models / "severity_classifier_smoketest"
def _load_notes(limit: int | None) -> pd.DataFrame:
"""Fetch note text from Supabase and derive fresh severity labels.
Args:
limit: Maximum number of notes to fetch, or None for all.
Returns:
DataFrame with ``transcription`` and freshly-derived
``severity`` columns.
"""
with get_session() as session:
stmt = select(ClinicalNote.transcription)
if limit:
stmt = stmt.limit(limit)
rows = session.execute(stmt).all()
df = pd.DataFrame({"transcription": [r.transcription for r in rows]})
logger.info("Loaded %d notes from Supabase", len(df))
df = derive_severity_labels(df)
logger.info(
"Severity distribution (freshly derived): %s",
df["severity"].value_counts().to_dict(),
)
return df
_ATTEMPT_DIR_TEMPLATE = "severity_classifier_attempt_{i}"
def main() -> None:
parser = argparse.ArgumentParser(
description="Retrain the severity classifier with class-weighted loss and corrected labels."
)
parser.add_argument(
"--limit", type=int, default=None,
help="Max number of notes to train on (default: all notes). "
"Implies --output-dir points at a scratch directory unless "
"overridden, so a smoke test can never touch the real checkpoint.",
)
parser.add_argument(
"--output-dir", type=str, default=None,
help="Where to save the checkpoint (default: the real model dir for "
"a full run, or a smoke-test scratch dir when --limit is set)",
)
parser.add_argument(
"--n-seeds", type=int, default=1,
help="Train this many attempts with different seeds and keep "
"only the one with the best critical-class F1 (default: 1, "
"i.e. a single run). Fine-tuning a small classification "
"head on a small dataset is sensitive to random init -- "
"running several seeds and selecting the best is more "
"reliable than trusting a single arbitrary run.",
)
args = parser.parse_args()
df = _load_notes(args.limit)
output_dir = Path(args.output_dir) if args.output_dir else None
if output_dir is None and args.limit is not None:
output_dir = _SMOKE_TEST_DIR
logger.warning(
"--limit set without --output-dir -- saving to scratch dir %s "
"instead of the real checkpoint.", output_dir,
)
elif output_dir is None:
output_dir = ModelConfig.fine_tuned_dir
n_seeds = max(1, args.n_seeds)
attempts: list[tuple[int, dict, Path]] = []
for i in range(n_seeds):
seed = TrainingConfig.random_seed + i
attempt_dir = Paths.models / _ATTEMPT_DIR_TEMPLATE.format(i=i)
logger.info("=" * 60)
logger.info("Attempt %d/%d -- seed=%d", i + 1, n_seeds, seed)
clf = ClinicalClassifier(task="severity", output_dir=attempt_dir)
results = clf.train(df, resume=False, weighted_loss=True, seed=seed)
critical = results["per_class"]["critical"]
logger.info(
"Attempt %d: critical precision=%.3f recall=%.3f f1=%.3f | "
"test_acc=%.4f test_f1=%.4f",
i + 1, critical["precision"], critical["recall"], critical["f1"],
results["test_accuracy"], results["test_f1"],
)
attempts.append((seed, results, attempt_dir))
best_seed, best_results, best_dir = max(
attempts, key=lambda a: a[1]["per_class"]["critical"]["f1"]
)
logger.info("=" * 60)
logger.info("Attempt comparison (sorted by critical F1):")
for seed, results, _ in sorted(
attempts, key=lambda a: a[1]["per_class"]["critical"]["f1"], reverse=True
):
c = results["per_class"]["critical"]
marker = " <- best" if seed == best_seed else ""
logger.info(
" seed=%-4d critical: precision=%.3f recall=%.3f f1=%.3f%s",
seed, c["precision"], c["recall"], c["f1"], marker,
)
# Promote the winning attempt's checkpoint to the real output_dir,
# then discard every attempt directory (including the winner's,
# now duplicated at output_dir).
if output_dir != best_dir:
shutil.copytree(best_dir, output_dir, dirs_exist_ok=True)
for _, _, attempt_dir in attempts:
shutil.rmtree(attempt_dir, ignore_errors=True)
results = best_results
logger.info("=" * 60)
logger.info(
"Best: seed=%d val_acc=%.4f val_f1=%.4f test_acc=%.4f test_f1=%.4f",
best_seed, results["val_accuracy"], results["val_f1"],
results["test_accuracy"], results["test_f1"],
)
critical = results["per_class"]["critical"]
logger.info(
"Critical class: precision=%.3f recall=%.3f f1=%.3f",
critical["precision"], critical["recall"], critical["f1"],
)
# Record this run in the DB -- what the dashboard's Model Metrics
# page and the /model/metrics API endpoint actually read from.
# Skipped for smoke-test runs (--limit set): a tiny/partial run
# shouldn't overwrite the real deployed model's recorded metrics.
if args.limit is None:
with get_session() as session:
session.query(ModelRun).filter_by(
task="severity", is_deployed=True
).update({"is_deployed": False})
ModelRunRepository.create(
session,
model_name = ModelConfig.classifier_model,
task = "severity",
training_samples = len(df),
val_accuracy = results["val_accuracy"],
val_f1 = results["val_f1"],
test_accuracy = results["test_accuracy"],
test_f1 = results["test_f1"],
per_class = results["per_class"],
confusion_matrix = results["confusion_matrix"],
history = results["history"],
epochs = len(results["history"]),
is_deployed = True,
run_notes = (
f"Class-weighted loss, corrected acute-negation labels. "
f"Best of {n_seeds} seed(s) (seed={best_seed}), selected by critical-class F1."
),
)
logger.info("Run recorded in model_runs (is_deployed=True)")
else:
logger.info("--limit set -- skipping model_runs DB record (smoke test)")
if __name__ == "__main__":
main()