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#1
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farhananis005
- opened
- app.py +366 -0
- requirements.txt +4 -0
app.py
ADDED
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| 1 |
+
import os
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| 2 |
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import openai
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| 3 |
+
import langchain
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| 4 |
+
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langchain.debug = False
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| 6 |
+
os.environ["TOKENIZERS_PARALLELISM"] = "false"
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| 7 |
+
os.environ["OPENAI_API_KEY"]
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| 9 |
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| 10 |
+
def save_docs(docs):
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| 11 |
+
import shutil
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| 12 |
+
import os
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| 13 |
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| 14 |
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output_dir = "/home/user/app/docs/"
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| 15 |
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| 16 |
+
if os.path.exists(output_dir):
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| 17 |
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shutil.rmtree(output_dir)
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| 18 |
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| 19 |
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if not os.path.exists(output_dir):
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| 20 |
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os.makedirs(output_dir)
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| 21 |
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| 22 |
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for doc in docs:
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| 23 |
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shutil.copy(doc.name, output_dir)
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| 24 |
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| 25 |
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return "Successful!"
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| 26 |
+
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| 27 |
+
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| 28 |
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global mdm_value
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| 29 |
+
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| 30 |
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| 31 |
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def process_docs():
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| 32 |
+
from langchain.chat_models import ChatOpenAI
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| 33 |
+
from langchain.chains import ConversationChain
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| 34 |
+
import os
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| 35 |
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from docx import Document
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| 36 |
+
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| 37 |
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global mdm_value
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| 38 |
+
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| 39 |
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llm = ChatOpenAI(model_name="gpt-3.5-turbo-16k")
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| 40 |
+
agent = ConversationChain(llm=llm, verbose=True)
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| 41 |
+
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| 42 |
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folder_path = "/home/user/app/docs/"
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| 43 |
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for root, dirs, files in os.walk(folder_path):
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| 44 |
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for file in files:
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| 45 |
+
if file.endswith(".docx") or file.endswith(".docx"):
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| 46 |
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word_file_path = os.path.join(root, file)
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| 47 |
+
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| 48 |
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doc = Document(word_file_path)
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| 49 |
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text = []
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| 50 |
+
for paragraph in doc.paragraphs:
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| 51 |
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text.append(paragraph.text)
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| 52 |
+
doc_content = "\n".join(text)
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| 53 |
+
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| 54 |
+
one_word_propmt = """Classify into "MINIMAL", "LOW", "MODERATE", "HIGH". You should ALWAYS give only ONE option and NOTHING ELSE.
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| 55 |
+
ONLY return ONE option. AWAYS answer in ONLY one word. DO NOT give full sentences.
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| 56 |
+
ALWAYS give the answer in ALL UPPER CASE. DO NOT EVER give answer in any other case."""
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| 57 |
+
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| 58 |
+
#####################################################
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| 59 |
+
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| 60 |
+
instruction1 = """You are an expert at calculating the Risk of Complications and/or Morbidity or Mortality of the Patient Management Decisions Made at Visit (choose highest) You are provided with a detailed medical report. Classify it into "MINIMAL", "LOW", "MODERATE", and "HIGH" on the basis of the Given rules.
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| 61 |
+
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| 62 |
+
MINIMAL
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| 63 |
+
Minimal risk of morbidity from additional diagnostic testing or treatment
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| 64 |
+
Examples only
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| 65 |
+
• Rest
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| 66 |
+
• Gargles
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| 67 |
+
• Elastic bandages
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| 68 |
+
Superficial dressings
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| 69 |
+
|
| 70 |
+
LOW
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| 71 |
+
Low risk of morbidity from additional diagnostic testing or treatment
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| 72 |
+
Examples only
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| 73 |
+
OTC drugs
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| 74 |
+
• Minor surgery w/no identified risk factors
|
| 75 |
+
• Physical/Occtherapy
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| 76 |
+
|
| 77 |
+
MODERATE
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| 78 |
+
MODERATE risk of morbidity from additional diagnostic testing or treatment
|
| 79 |
+
Examples only
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| 80 |
+
Prescription drug management
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| 81 |
+
Decision regarding minor surgery with identified patient or procedure risk factors
|
| 82 |
+
Decision regarding elective major surgery without identified patient or procedure risk factors
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| 83 |
+
Diagnosis or treatment significantly limited by social determinants of health
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| 84 |
+
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| 85 |
+
HIGH
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| 86 |
+
HIGH risk of morbidity from additional diagnostic testing or treatment
|
| 87 |
+
Examples only
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| 88 |
+
Parenteral controlled substances (DEA controlled substance given by route other than digestive tract)
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| 89 |
+
Drug therapy requiring intensive monitoring for toxicity
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| 90 |
+
Decision regarding elective major surgery with identified patient or procedure risk factors
|
| 91 |
+
Decision regarding emergency major surgery
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| 92 |
+
Decision regarding hospitalization or escalation of hospital level care (i.e. transfer to ICU)
|
| 93 |
+
Decision not to resuscitate or to deescalate care because of poor prognosis
|
| 94 |
+
|
| 95 |
+
|
| 96 |
+
Here is the Report """
|
| 97 |
+
|
| 98 |
+
instruction1 += "\n\n"
|
| 99 |
+
instruction1 += doc_content
|
| 100 |
+
instruction1 += "\n\n"
|
| 101 |
+
instruction1 += "Study it and just provide your answer"
|
| 102 |
+
response1 = agent.predict(input=instruction1)
|
| 103 |
+
|
| 104 |
+
instruction2 = one_word_propmt
|
| 105 |
+
instruction2 += "\n\n"
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| 106 |
+
instruction2 += response1
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| 107 |
+
response2 = agent.predict(input=instruction2) # main
|
| 108 |
+
|
| 109 |
+
#####################################################
|
| 110 |
+
|
| 111 |
+
instruction3 = """Calculate Amount and/or Complexity of Data to be Reviewed & Analyzed (choose highest criteria met). You are provided with a detailed medical report. Classify it into "MINIMAL", "LOW", "MODERATE", and "HIGH" on the basis of the Given rules.
|
| 112 |
+
|
| 113 |
+
|
| 114 |
+
CATEGORY 1
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| 115 |
+
1. Review of prior external note(s) from each unique source (each unique source counted once, regardless of # of notes reviewed)
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| 116 |
+
2. Review of the result(s) of each unique test
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| 117 |
+
3. Ordering of each unique test (includes review of result, do not count in #2)
|
| 118 |
+
4. Assessment requiring an Independent historian
|
| 119 |
+
|
| 120 |
+
CATEGORY 2
|
| 121 |
+
Independent interpretation of tests performed by another physician/other qualified healthcare professional (not separately reported)
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| 122 |
+
Do not count independent interpretation for a test billed or ordered by a colleague in the same specialty
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| 123 |
+
|
| 124 |
+
CATEGORY 3
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| 125 |
+
Discussion of management or test interpretation- with external physician/other qualified health care professional/ appropriate source (not separately reported)
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| 126 |
+
Requires direct interactive exchange (not via intermediaries or notes)
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| 127 |
+
|
| 128 |
+
|
| 129 |
+
|
| 130 |
+
MINIMAL
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| 131 |
+
If Minimal or No Data Reviewed
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| 132 |
+
|
| 133 |
+
|
| 134 |
+
LOW
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| 135 |
+
if it meets any combination of 2 from items 1-3 Or Meet item 4 (independent historian)
|
| 136 |
+
1. Review of prior external note(s) from each unique source (each unique source counted once, regardless of # of notes reviewed)
|
| 137 |
+
2. Review of the result(s) of each unique test
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| 138 |
+
3. Ordering of each unique test (includes review of result, do not count in #2)
|
| 139 |
+
4. Assessment requiring an Independent historian
|
| 140 |
+
|
| 141 |
+
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| 142 |
+
MODERATE
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| 143 |
+
Meet 1 of 3 categories below
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| 144 |
+
Category 1: Meet any combination of 3 from items 1-4
|
| 145 |
+
Category 2: Independent interpretation of test
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| 146 |
+
Category 3: Discussion management, or test interpretation (external)
|
| 147 |
+
|
| 148 |
+
|
| 149 |
+
HIGH
|
| 150 |
+
Meet 2 of 3 categories below
|
| 151 |
+
Category 1: Meet any combination of 3 from items 1-4
|
| 152 |
+
Category 2: Independent interpretation of test
|
| 153 |
+
Category 3: Discussion management, or test interpretation (external)
|
| 154 |
+
|
| 155 |
+
|
| 156 |
+
Here is the Report """
|
| 157 |
+
|
| 158 |
+
instruction3 += "\n\n"
|
| 159 |
+
instruction3 += doc_content
|
| 160 |
+
instruction3 += "\n\n"
|
| 161 |
+
instruction3 += "Study it and just provide your answer"
|
| 162 |
+
response3 = agent.predict(input=instruction3)
|
| 163 |
+
|
| 164 |
+
instruction4 = one_word_propmt
|
| 165 |
+
instruction4 += "\n\n"
|
| 166 |
+
instruction4 += response3
|
| 167 |
+
response4 = agent.predict(input=instruction4) # main
|
| 168 |
+
|
| 169 |
+
#####################################################
|
| 170 |
+
|
| 171 |
+
instruction5 = """You are an expert at calculating the complexity of medical problems based on Medical reports. You are provided with a detailed medical report. Classify it into "MINIMAL", "LOW", "MODERATE", and "HIGH" on the basis of the Given rules.
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| 172 |
+
|
| 173 |
+
MINIMAL
|
| 174 |
+
1 self- limited or minor problem
|
| 175 |
+
(runs a definite or prescribed course, is transient in nature, and is not likely to permanently alter health status)
|
| 176 |
+
|
| 177 |
+
LOW
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| 178 |
+
2 or more self-limited or minor problems; or
|
| 179 |
+
1 stable chronic illness (chronic illness which is at treatment goal for the specific patient); or
|
| 180 |
+
1 acute, uncomplicated illness or injury (full recovery w/out functional impairment is expected); or
|
| 181 |
+
Stable, acute illness (treatment newly or recently initiated, resolution may not be complete, but condition stable); or
|
| 182 |
+
Acute, uncomplicated illness or injury requiring hospital inpatient or observation level care (little to no risk of mortality with treatment, but treatment required is delivered in inpt or obs setting)
|
| 183 |
+
|
| 184 |
+
MODERATE
|
| 185 |
+
1 or more chronic illnesses with ex- acerbation, progression, or side effects of treatment (requires supportive care or attention to treatment for side effects); or
|
| 186 |
+
2 or more stable chronic illnesses; or
|
| 187 |
+
1 undiagnosed new problem with uncertain prognosis (likely to result in high risk of morbidity w/out tx); or
|
| 188 |
+
1 acute illness with systemic symptoms (illness that causes systemic symptoms and has high risk of morbidity without treatment); or
|
| 189 |
+
1 acute complicated injury (eval of body systems not part of injured organ, extensive injury, or multiple tx options are multiple and/ or associated with risk of morbidity
|
| 190 |
+
|
| 191 |
+
|
| 192 |
+
HIGH
|
| 193 |
+
• 1 or more chronic illness- es with severe exacerbation, progression, or side effects of treatment (significant risk of morbidity: may require escalation in level of care); or
|
| 194 |
+
1 acute or chronic illness or injury that poses a threat to life or bodily
|
| 195 |
+
function (in the near term without treatment e.g. AMI, pulmonary embolus, severe respiratory distress psychiatric illness with potential threat to self or others, peritonitis, acute renal failure)
|
| 196 |
+
|
| 197 |
+
Here is the Report """
|
| 198 |
+
|
| 199 |
+
instruction5 += "\n\n"
|
| 200 |
+
instruction5 += doc_content
|
| 201 |
+
instruction5 += "\n\n"
|
| 202 |
+
instruction5 += "Study it and just provide your answer"
|
| 203 |
+
response5 = agent.predict(input=instruction5)
|
| 204 |
+
|
| 205 |
+
instruction6 = one_word_propmt
|
| 206 |
+
instruction6 += "\n\n"
|
| 207 |
+
instruction6 += response5
|
| 208 |
+
response6 = agent.predict(input=instruction6) # main
|
| 209 |
+
|
| 210 |
+
######################################################
|
| 211 |
+
|
| 212 |
+
inputs = [response2, response4, response6]
|
| 213 |
+
sorted_inputs = sorted(
|
| 214 |
+
inputs, key=lambda x: ["MINIMAL", "LOW", "MODERATE", "HIGH"].index(x)
|
| 215 |
+
)
|
| 216 |
+
mdm_value = sorted_inputs[1]
|
| 217 |
+
print(mdm_value)
|
| 218 |
+
|
| 219 |
+
return (
|
| 220 |
+
"Successful!",
|
| 221 |
+
response1,
|
| 222 |
+
response2,
|
| 223 |
+
response3,
|
| 224 |
+
response4,
|
| 225 |
+
response5,
|
| 226 |
+
response6,
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| 227 |
+
)
|
| 228 |
+
|
| 229 |
+
|
| 230 |
+
def get_code1(input):
|
| 231 |
+
global mdm_value
|
| 232 |
+
mdm_value = mdm_value
|
| 233 |
+
|
| 234 |
+
if input == "NEW" and mdm_value == "MINIMAL":
|
| 235 |
+
hcpcs_code = "99202"
|
| 236 |
+
elif input == "NEW" and mdm_value == "LOW":
|
| 237 |
+
hcpcs_code = "99203"
|
| 238 |
+
elif input == "NEW" and mdm_value == "MODERATE":
|
| 239 |
+
hcpcs_code = "99204"
|
| 240 |
+
elif input == "NEW" and mdm_value == "HIGH":
|
| 241 |
+
hcpcs_code = "99205"
|
| 242 |
+
|
| 243 |
+
elif input == "ESTABLISHED" and mdm_value == "MINIMAL":
|
| 244 |
+
hcpcs_code = "99212"
|
| 245 |
+
elif input == "ESTABLISHED" and mdm_value == "LOW":
|
| 246 |
+
hcpcs_code = "99213"
|
| 247 |
+
elif input == "ESTABLISHED" and mdm_value == "MODERATE":
|
| 248 |
+
hcpcs_code = "99214"
|
| 249 |
+
elif input == "ESTABLISHED" and mdm_value == "HIGH":
|
| 250 |
+
hcpcs_code = "99215"
|
| 251 |
+
|
| 252 |
+
return hcpcs_code
|
| 253 |
+
|
| 254 |
+
|
| 255 |
+
def get_code2(input):
|
| 256 |
+
if input == "20 min":
|
| 257 |
+
hcpcs_code = "99242"
|
| 258 |
+
elif input == "30 min":
|
| 259 |
+
hcpcs_code = "99243"
|
| 260 |
+
elif input == "40 min":
|
| 261 |
+
hcpcs_code = "99244"
|
| 262 |
+
elif input == "55 min":
|
| 263 |
+
hcpcs_code = "99245"
|
| 264 |
+
|
| 265 |
+
return hcpcs_code
|
| 266 |
+
|
| 267 |
+
|
| 268 |
+
import gradio as gr
|
| 269 |
+
|
| 270 |
+
css = """
|
| 271 |
+
.col{
|
| 272 |
+
max-width: 70%;
|
| 273 |
+
margin: 0 auto;
|
| 274 |
+
display: flex;
|
| 275 |
+
flex-direction: column;
|
| 276 |
+
justify-content: center;
|
| 277 |
+
align-items: center;
|
| 278 |
+
}
|
| 279 |
+
"""
|
| 280 |
+
|
| 281 |
+
with gr.Blocks(css=css) as demo:
|
| 282 |
+
gr.Markdown("## <center>Medical assistant bot</center>")
|
| 283 |
+
|
| 284 |
+
with gr.Tab("Get help with medical documents"):
|
| 285 |
+
with gr.Column(elem_classes="col"):
|
| 286 |
+
with gr.Tab("Upload and Process Document"):
|
| 287 |
+
with gr.Row():
|
| 288 |
+
with gr.Column():
|
| 289 |
+
docs_upload_input = gr.Files(label="Upload File")
|
| 290 |
+
docs_upload_button = gr.Button("Upload")
|
| 291 |
+
docs_upload_output = gr.Textbox(label="Output")
|
| 292 |
+
|
| 293 |
+
docs_process_button = gr.Button("Process")
|
| 294 |
+
docs_process_output = gr.Textbox(label="Output")
|
| 295 |
+
|
| 296 |
+
gr.ClearButton(
|
| 297 |
+
[docs_upload_input, docs_upload_output, docs_process_output]
|
| 298 |
+
)
|
| 299 |
+
|
| 300 |
+
with gr.Column():
|
| 301 |
+
ai_output1 = gr.Textbox(label="Output 1")
|
| 302 |
+
ai_output2 = gr.Textbox(label="Output 2")
|
| 303 |
+
ai_output3 = gr.Textbox(label="Output 3")
|
| 304 |
+
ai_output4 = gr.Textbox(label="Output 4")
|
| 305 |
+
ai_output5 = gr.Textbox(label="Output 5")
|
| 306 |
+
ai_output6 = gr.Textbox(label="Output 6")
|
| 307 |
+
|
| 308 |
+
gr.ClearButton(
|
| 309 |
+
[
|
| 310 |
+
ai_output1,
|
| 311 |
+
ai_output2,
|
| 312 |
+
ai_output3,
|
| 313 |
+
ai_output4,
|
| 314 |
+
ai_output5,
|
| 315 |
+
ai_output6,
|
| 316 |
+
]
|
| 317 |
+
)
|
| 318 |
+
|
| 319 |
+
with gr.Tab("Get HCPCS Code (Primary Care Exception)"):
|
| 320 |
+
with gr.Column():
|
| 321 |
+
code_type_input1 = gr.Dropdown(choices=["NEW", "ESTABLISHED"])
|
| 322 |
+
code_type_button1 = gr.Button("Submit")
|
| 323 |
+
code_type_output1 = gr.Textbox(label="Output")
|
| 324 |
+
|
| 325 |
+
gr.ClearButton([code_type_input1, code_type_output1])
|
| 326 |
+
|
| 327 |
+
with gr.Tab("Get HCPCS Code (CONSULTATION)"):
|
| 328 |
+
with gr.Column():
|
| 329 |
+
code_type_input2 = gr.Dropdown(
|
| 330 |
+
choices=["20 min", "30 min", "40 min", "55 min"]
|
| 331 |
+
)
|
| 332 |
+
code_type_button2 = gr.Button("Submit")
|
| 333 |
+
code_type_output2 = gr.Textbox(label="Output")
|
| 334 |
+
|
| 335 |
+
gr.ClearButton([code_type_input2, code_type_output2])
|
| 336 |
+
|
| 337 |
+
#########################################################################################################
|
| 338 |
+
|
| 339 |
+
docs_upload_button.click(
|
| 340 |
+
save_docs, inputs=docs_upload_input, outputs=docs_upload_output
|
| 341 |
+
)
|
| 342 |
+
docs_process_button.click(
|
| 343 |
+
process_docs,
|
| 344 |
+
inputs=None,
|
| 345 |
+
outputs=[
|
| 346 |
+
docs_process_output,
|
| 347 |
+
ai_output1,
|
| 348 |
+
ai_output2,
|
| 349 |
+
ai_output3,
|
| 350 |
+
ai_output4,
|
| 351 |
+
ai_output5,
|
| 352 |
+
ai_output6,
|
| 353 |
+
],
|
| 354 |
+
)
|
| 355 |
+
|
| 356 |
+
code_type_button1.click(
|
| 357 |
+
get_code1, inputs=code_type_input1, outputs=code_type_output1
|
| 358 |
+
)
|
| 359 |
+
code_type_button2.click(
|
| 360 |
+
get_code2, inputs=code_type_input2, outputs=code_type_output2
|
| 361 |
+
)
|
| 362 |
+
|
| 363 |
+
#########################################################################################################
|
| 364 |
+
|
| 365 |
+
demo.queue()
|
| 366 |
+
demo.launch(debug=True, share=True)
|
requirements.txt
ADDED
|
@@ -0,0 +1,4 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
langchain
|
| 2 |
+
python-docx
|
| 3 |
+
gradio
|
| 4 |
+
openai
|