Implement code structure updates and remove redundant code blocks
Browse files- .gitignore +4 -1
- app.py +479 -527
- notebooks/kaggle_medic_demo.ipynb +116 -1342
- pyproject.toml +1 -2
- uv.lock +0 -0
.gitignore
CHANGED
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.DS_Store
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.env
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data/
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*.pyc
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.DS_Store
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.env
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data/
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*.pyc
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__pycache__/
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.venv/
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*.egg-info/
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app.py
CHANGED
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@@ -1,321 +1,307 @@
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"""
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Med-I-C: AMR-Guard Demo Application
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Infection Lifecycle Orchestrator
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Multi-Agent Architecture powered by MedGemma via LangGraph
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"""
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import streamlit as st
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import sys
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import json
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from pathlib import Path
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PROJECT_ROOT = Path(__file__).parent
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sys.path.insert(0, str(PROJECT_ROOT))
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from src.tools import (
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interpret_mic_value,
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get_most_effective_antibiotics,
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calculate_mic_trend,
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screen_antibiotic_safety,
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search_clinical_guidelines,
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get_empirical_therapy_guidance,
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)
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from src.utils import format_prescription_card
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# Page
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st.set_page_config(
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page_title="Med-I-C
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page_icon="
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layout="wide",
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initial_sidebar_state="expanded"
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)
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#
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<style>
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</style>
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""",
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#
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st.
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]
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)
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if page == "🏠 Overview":
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show_overview()
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elif page == "🤖 Agent Pipeline":
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show_agent_pipeline()
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elif page == "💊 Empirical Advisor":
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show_empirical_advisor()
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elif page == "🔬 Lab Interpretation":
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show_lab_interpretation()
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elif page == "📊 MIC Trend Analysis":
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show_mic_trend_analysis()
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elif page == "⚠️ Drug Safety Check":
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show_drug_safety()
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elif page == "📚 Clinical Guidelines":
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show_guidelines_search()
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def show_overview():
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st.header("System Overview")
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st.markdown("""
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**AMR-Guard** is a multi-agent AI system that orchestrates the complete infection treatment lifecycle,
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from initial empirical therapy to targeted treatment based on lab results.
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""")
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# Architecture diagram
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st.subheader("Multi-Agent Architecture")
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col1, col2 = st.columns(2)
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with col1:
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st.markdown("""
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### Stage 1: Empirical Phase
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**Path:** Agent 1 → Agent 4
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*Before lab results are available*
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1. **Intake Historian** (Agent 1)
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- Parses patient demographics & history
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- Calculates CrCl for renal dosing
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- Identifies risk factors for MDR
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2. **Clinical Pharmacologist** (Agent 4)
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- Recommends empirical antibiotics
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- Applies WHO AWaRe principles
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- Performs safety checks
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""")
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with col2:
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st.markdown("""
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### Stage 2: Targeted Phase
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**Path:** Agent 1 → Agent 2 → Agent 3 → Agent 4
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*When lab/culture results are available*
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1. **Intake Historian** (Agent 1)
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2. **Vision Specialist** (Agent 2)
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- Extracts data from lab reports
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- Supports any language/format
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3. **Trend Analyst** (Agent 3)
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- Detects MIC creep patterns
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- Calculates resistance velocity
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4. **Clinical Pharmacologist** (Agent 4)
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""")
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st.divider()
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# Knowledge sources
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st.subheader("Knowledge Sources")
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st.markdown("""
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| Agent | Primary Model | Fallback |
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|-------|---------------|----------|
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| Intake Historian | MedGemma 4B IT | Vertex AI API |
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| Vision Specialist | MedGemma 4B IT (multimodal) | Vertex AI API |
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| Trend Analyst | MedGemma 4B IT | Vertex AI API |
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| Clinical Pharmacologist | MedGemma 4B + TxGemma 2B (safety) | Vertex AI API |
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""")
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def show_agent_pipeline():
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st.header("🤖 Multi-Agent Pipeline")
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st.markdown("*Run the complete infection lifecycle workflow*")
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# Initialize session state
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if "pipeline_result" not in st.session_state:
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st.session_state.pipeline_result = None
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with st.expander("Patient Information", expanded=True):
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col1, col2, col3 = st.columns(3)
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with col1:
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age = st.number_input("Age (years)", min_value=0, max_value=120, value=65)
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weight = st.number_input("Weight (kg)", min_value=1.0, max_value=300.0, value=70.0)
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height = st.number_input("Height (cm)", min_value=50.0, max_value=250.0, value=170.0)
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creatinine = st.number_input("Serum Creatinine (mg/dL)", min_value=0.1, max_value=20.0, value=1.2)
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comorbidities = st.multiselect(
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"Comorbidities",
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["Diabetes", "CKD", "Heart Failure", "COPD", "Immunocompromised",
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"Recent Surgery", "Malignancy", "Liver Disease"]
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)
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risk_factors = st.multiselect(
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"MDR
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["Prior MRSA
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"Healthcare-associated", "Recent hospitalization",
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"Nursing home resident", "Prior MDR infection"]
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)
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lab_input_method = st.radio(
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"Input Method",
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["None (Empirical only)", "Paste Lab Text", "Upload File"],
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horizontal=True
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)
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labs_raw_text = None
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if lab_input_method == "Paste Lab Text":
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labs_raw_text = st.text_area(
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"Lab
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placeholder=
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Ciprofloxacin: S (MIC 0.25)
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Nitrofurantoin: S (MIC 16)
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Trimethoprim-Sulfamethoxazole: R (MIC >4)""",
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height=200
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)
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"Upload Lab Report (PDF or Image)",
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type=["pdf", "png", "jpg", "jpeg"]
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)
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if uploaded_file:
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st.info("File uploaded. Text extraction will be performed by the Vision Specialist agent.")
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# In production, would extract text here
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labs_raw_text = f"[Uploaded file: {uploaded_file.name}]"
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# Run Pipeline Button
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st.divider()
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col1, col2, col3 = st.columns([1, 2, 1])
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with col2:
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run_pipeline_btn = st.button(
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"🚀 Run Agent Pipeline",
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type="primary",
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use_container_width=True
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)
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if
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# Build patient data
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patient_data = {
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"age_years": age,
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"weight_kg": weight,
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"comorbidities": list(comorbidities) + list(risk_factors),
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}
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("Intake Historian", "Analyzing patient data..."),
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("Vision Specialist", "Processing lab results...") if labs_raw_text else None,
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("Trend Analyst", "Analyzing MIC trends...") if labs_raw_text else None,
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("Clinical Pharmacologist", "Generating recommendations..."),
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]
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agents = [a for a in agents if a is not None]
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# Simulate pipeline execution (in production, would call actual pipeline)
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try:
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# Try to import and run the actual pipeline
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from src.graph import run_pipeline
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for i, (agent_name, status_msg) in enumerate(agents):
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status_text.text(f"Agent {i+1}/{len(agents)}: {agent_name} - {status_msg}")
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progress_bar.progress((i + 1) / len(agents))
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# Run the actual pipeline
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result = run_pipeline(patient_data, labs_raw_text)
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except Exception as e:
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st.error(f"Pipeline execution error: {e}")
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st.info("Running in demo mode with simulated output...")
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# Demo mode - simulate results
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st.session_state.pipeline_result = _generate_demo_result(patient_data, labs_raw_text)
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#
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if st.session_state.pipeline_result:
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result = st.session_state.pipeline_result
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st.
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st.subheader("Pipeline Results")
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tab1, tab2, tab3, tab4 = st.tabs([
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"📋 Recommendation",
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"👤 Patient Summary",
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"🔬 Lab Analysis",
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"⚠️ Safety Alerts"
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])
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with tab1:
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rec = result.get("recommendation", {})
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if rec:
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if rec.get("references"):
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st.markdown("**References
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for ref in rec["references"]:
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st.markdown(f"- {ref}")
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with
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intake_notes = result.get("intake_notes", "")
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if intake_notes:
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try:
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intake_data = json.loads(intake_notes) if isinstance(intake_notes, str) else intake_notes
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st.json(intake_data)
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except:
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st.text(intake_notes)
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if result.get("creatinine_clearance_ml_min"):
|
| 423 |
-
st.metric("
|
| 424 |
-
|
| 425 |
-
with tab3:
|
| 426 |
-
st.markdown("### Laboratory Analysis")
|
| 427 |
-
|
| 428 |
-
vision_notes = result.get("vision_notes", "No lab data processed")
|
| 429 |
-
if vision_notes and vision_notes != "No lab data provided":
|
| 430 |
try:
|
| 431 |
-
|
| 432 |
-
|
| 433 |
-
|
| 434 |
-
|
| 435 |
-
|
| 436 |
-
|
| 437 |
-
if
|
| 438 |
-
st.markdown("#### MIC Trend Analysis")
|
| 439 |
try:
|
| 440 |
-
|
| 441 |
-
|
| 442 |
-
|
| 443 |
-
|
|
|
|
| 444 |
|
| 445 |
-
|
| 446 |
-
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 447 |
|
|
|
|
| 448 |
warnings = result.get("safety_warnings", [])
|
| 449 |
if warnings:
|
| 450 |
-
for
|
| 451 |
-
st.
|
| 452 |
else:
|
| 453 |
-
st.
|
| 454 |
|
| 455 |
errors = result.get("errors", [])
|
| 456 |
-
|
| 457 |
-
st.
|
| 458 |
-
for error in errors:
|
| 459 |
-
st.error(error)
|
| 460 |
|
| 461 |
|
| 462 |
-
def
|
| 463 |
-
"""Generate demo result when actual pipeline is not available."""
|
| 464 |
result = {
|
| 465 |
"stage": "targeted" if labs_raw_text else "empirical",
|
| 466 |
"creatinine_clearance_ml_min": 58.3,
|
| 467 |
"intake_notes": json.dumps({
|
| 468 |
-
"patient_summary": f"
|
| 469 |
"creatinine_clearance_ml_min": 58.3,
|
| 470 |
"renal_dose_adjustment_needed": True,
|
| 471 |
"identified_risk_factors": patient_data.get("comorbidities", []),
|
|
@@ -474,19 +431,21 @@ def _generate_demo_result(patient_data: dict, labs_raw_text: str | None) -> dict
|
|
| 474 |
}),
|
| 475 |
"recommendation": {
|
| 476 |
"primary_antibiotic": "Ciprofloxacin",
|
| 477 |
-
"dose": "
|
| 478 |
-
"route": "
|
| 479 |
"frequency": "Every 12 hours",
|
| 480 |
"duration": "7 days",
|
| 481 |
-
"backup_antibiotic": "Nitrofurantoin",
|
| 482 |
-
"rationale":
|
|
|
|
|
|
|
|
|
|
|
|
|
| 483 |
"references": ["IDSA UTI Guidelines 2024", "EUCAST Breakpoint Tables v16.0"],
|
| 484 |
-
"safety_alerts": [],
|
| 485 |
},
|
| 486 |
"safety_warnings": [],
|
| 487 |
"errors": [],
|
| 488 |
}
|
| 489 |
-
|
| 490 |
if labs_raw_text:
|
| 491 |
result["vision_notes"] = json.dumps({
|
| 492 |
"specimen_type": "urine",
|
|
@@ -494,6 +453,7 @@ def _generate_demo_result(patient_data: dict, labs_raw_text: str | None) -> dict
|
|
| 494 |
"susceptibility_results": [
|
| 495 |
{"organism": "E. coli", "antibiotic": "Ciprofloxacin", "mic_value": 0.25, "interpretation": "S"},
|
| 496 |
{"organism": "E. coli", "antibiotic": "Nitrofurantoin", "mic_value": 16, "interpretation": "S"},
|
|
|
|
| 497 |
],
|
| 498 |
"extraction_confidence": 0.95,
|
| 499 |
})
|
|
@@ -501,181 +461,173 @@ def _generate_demo_result(patient_data: dict, labs_raw_text: str | None) -> dict
|
|
| 501 |
"organism": "E. coli",
|
| 502 |
"antibiotic": "Ciprofloxacin",
|
| 503 |
"risk_level": "LOW",
|
| 504 |
-
"recommendation": "Continue current therapy",
|
| 505 |
}])
|
| 506 |
-
|
| 507 |
return result
|
| 508 |
|
| 509 |
|
| 510 |
-
def
|
| 511 |
-
st.
|
| 512 |
-
st.markdown("*Get empirical therapy recommendations before lab results*")
|
| 513 |
-
|
| 514 |
-
col1, col2 = st.columns([2, 1])
|
| 515 |
|
| 516 |
-
|
| 517 |
-
|
| 518 |
-
|
| 519 |
-
|
| 520 |
-
|
| 521 |
-
)
|
| 522 |
-
|
| 523 |
-
suspected_pathogen = st.text_input(
|
| 524 |
-
"Suspected Pathogen (optional)",
|
| 525 |
-
placeholder="e.g., E. coli, Klebsiella pneumoniae"
|
| 526 |
-
)
|
| 527 |
|
| 528 |
-
|
| 529 |
-
"Risk Factors",
|
| 530 |
-
["Prior MRSA infection", "Recent antibiotic use (<90 days)",
|
| 531 |
-
"Healthcare-associated", "Immunocompromised",
|
| 532 |
-
"Renal impairment", "Prior MDR infection"]
|
| 533 |
-
)
|
| 534 |
|
| 535 |
-
|
| 536 |
-
|
| 537 |
-
st.
|
| 538 |
-
|
| 539 |
-
|
| 540 |
-
|
| 541 |
-
|
| 542 |
-
|
| 543 |
-
|
| 544 |
-
|
| 545 |
-
|
| 546 |
-
|
| 547 |
-
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 548 |
)
|
| 549 |
|
| 550 |
-
|
|
|
|
|
|
|
| 551 |
|
| 552 |
if guidance.get("recommendations"):
|
| 553 |
for i, rec in enumerate(guidance["recommendations"][:3], 1):
|
| 554 |
-
with st.expander(f"
|
| 555 |
st.markdown(rec.get("content", ""))
|
| 556 |
-
st.caption(f"Source: {rec.get('source', 'IDSA Guidelines')}")
|
| 557 |
-
|
| 558 |
-
if suspected_pathogen:
|
| 559 |
-
st.subheader(f"Resistance Data: {suspected_pathogen}")
|
| 560 |
-
effective = get_most_effective_antibiotics(suspected_pathogen, min_susceptibility=70)
|
| 561 |
|
|
|
|
|
|
|
|
|
|
| 562 |
if effective:
|
| 563 |
-
for ab in effective[:
|
| 564 |
-
st.write(f"- **{ab.get('antibiotic')}**
|
| 565 |
else:
|
| 566 |
-
st.info("No resistance data
|
| 567 |
-
|
| 568 |
-
|
| 569 |
-
|
| 570 |
-
|
| 571 |
-
|
| 572 |
-
|
| 573 |
-
|
| 574 |
-
|
| 575 |
-
|
| 576 |
-
|
| 577 |
-
|
| 578 |
-
|
| 579 |
-
|
| 580 |
-
|
| 581 |
-
|
| 582 |
-
|
| 583 |
-
|
| 584 |
-
- **I**: Intermediate - may work at higher doses
|
| 585 |
-
- **R**: Resistant - do not use
|
| 586 |
-
""")
|
| 587 |
-
|
| 588 |
-
if st.button("Interpret", type="primary"):
|
| 589 |
-
if pathogen and antibiotic:
|
| 590 |
-
result = interpret_mic_value(pathogen, antibiotic, mic_value)
|
| 591 |
-
interpretation = result.get("interpretation", "UNKNOWN")
|
| 592 |
-
|
| 593 |
-
if interpretation == "SUSCEPTIBLE":
|
| 594 |
-
st.success(f"✅ {interpretation}")
|
| 595 |
-
elif interpretation == "RESISTANT":
|
| 596 |
-
st.error(f"❌ {interpretation}")
|
| 597 |
-
else:
|
| 598 |
-
st.warning(f"⚠️ {interpretation}")
|
| 599 |
-
|
| 600 |
-
st.markdown(f"**Details:** {result.get('message', '')}")
|
| 601 |
-
|
| 602 |
-
|
| 603 |
-
def show_mic_trend_analysis():
|
| 604 |
-
st.header("📊 MIC Trend Analysis")
|
| 605 |
-
st.markdown("*Detect MIC creep over time*")
|
| 606 |
-
|
| 607 |
-
num_readings = st.slider("Historical readings", 2, 6, 3)
|
| 608 |
-
|
| 609 |
-
mic_values = []
|
| 610 |
-
cols = st.columns(num_readings)
|
| 611 |
-
|
| 612 |
-
for i, col in enumerate(cols):
|
| 613 |
-
mic = col.number_input(f"MIC {i+1}", min_value=0.001, max_value=256.0, value=float(2 ** i), key=f"mic_{i}")
|
| 614 |
-
mic_values.append({"date": f"T{i}", "mic_value": mic})
|
| 615 |
-
|
| 616 |
-
if st.button("Analyze", type="primary"):
|
| 617 |
-
result = calculate_mic_trend(mic_values)
|
| 618 |
-
risk_level = result.get("risk_level", "UNKNOWN")
|
| 619 |
-
|
| 620 |
-
if risk_level == "HIGH":
|
| 621 |
-
st.markdown(f'<div class="risk-high">🚨 HIGH RISK: {result.get("alert", "")}</div>', unsafe_allow_html=True)
|
| 622 |
-
elif risk_level == "MODERATE":
|
| 623 |
-
st.markdown(f'<div class="risk-moderate">⚠️ MODERATE: {result.get("alert", "")}</div>', unsafe_allow_html=True)
|
| 624 |
-
else:
|
| 625 |
-
st.markdown(f'<div class="risk-low">✅ LOW RISK: {result.get("alert", "")}</div>', unsafe_allow_html=True)
|
| 626 |
-
|
| 627 |
-
col1, col2, col3 = st.columns(3)
|
| 628 |
-
col1.metric("Baseline", f"{result.get('baseline_mic', 'N/A')} mg/L")
|
| 629 |
-
col2.metric("Current", f"{result.get('current_mic', 'N/A')} mg/L")
|
| 630 |
-
col3.metric("Fold Change", f"{result.get('ratio', 'N/A')}x")
|
| 631 |
-
|
| 632 |
-
|
| 633 |
-
def show_drug_safety():
|
| 634 |
-
st.header("⚠️ Drug Safety Check")
|
| 635 |
-
|
| 636 |
-
col1, col2 = st.columns(2)
|
| 637 |
-
|
| 638 |
-
with col1:
|
| 639 |
-
antibiotic = st.text_input("Antibiotic", placeholder="e.g., Ciprofloxacin")
|
| 640 |
-
current_meds = st.text_area("Current Medications", placeholder="Warfarin\nMetformin", height=150)
|
| 641 |
-
|
| 642 |
-
with col2:
|
| 643 |
-
allergies = st.text_area("Allergies", placeholder="Penicillin\nSulfa", height=100)
|
| 644 |
-
|
| 645 |
-
if st.button("Check Safety", type="primary"):
|
| 646 |
-
if antibiotic:
|
| 647 |
-
medications = [m.strip() for m in current_meds.split("\n") if m.strip()]
|
| 648 |
-
allergy_list = [a.strip() for a in allergies.split("\n") if a.strip()]
|
| 649 |
-
|
| 650 |
-
result = screen_antibiotic_safety(antibiotic, medications, allergy_list)
|
| 651 |
|
| 652 |
-
|
| 653 |
-
|
| 654 |
-
|
| 655 |
-
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 656 |
|
| 657 |
-
|
| 658 |
-
|
| 659 |
|
| 660 |
|
| 661 |
-
def
|
| 662 |
-
st.
|
| 663 |
|
| 664 |
-
query = st.text_input("Search", placeholder="e.g., ESBL E. coli UTI treatment")
|
| 665 |
-
pathogen_filter = st.selectbox("
|
| 666 |
|
| 667 |
if st.button("Search", type="primary"):
|
| 668 |
if query:
|
| 669 |
-
|
| 670 |
-
|
|
|
|
| 671 |
|
| 672 |
if results:
|
| 673 |
for i, r in enumerate(results, 1):
|
| 674 |
-
with st.expander(f"Result {i}
|
| 675 |
st.markdown(r.get("content", ""))
|
|
|
|
|
|
|
| 676 |
else:
|
| 677 |
-
st.info("No results found.")
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 678 |
|
|
|
|
| 679 |
|
| 680 |
-
if
|
| 681 |
-
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
"""
|
| 2 |
Med-I-C: AMR-Guard Demo Application
|
| 3 |
+
Infection Lifecycle Orchestrator — Streamlit Interface
|
|
|
|
|
|
|
| 4 |
"""
|
| 5 |
|
|
|
|
|
|
|
| 6 |
import json
|
| 7 |
+
import sys
|
| 8 |
from pathlib import Path
|
| 9 |
|
| 10 |
+
import streamlit as st
|
| 11 |
+
|
| 12 |
PROJECT_ROOT = Path(__file__).parent
|
| 13 |
sys.path.insert(0, str(PROJECT_ROOT))
|
| 14 |
|
| 15 |
from src.tools import (
|
|
|
|
|
|
|
| 16 |
calculate_mic_trend,
|
| 17 |
+
get_empirical_therapy_guidance,
|
| 18 |
+
get_most_effective_antibiotics,
|
| 19 |
+
interpret_mic_value,
|
| 20 |
screen_antibiotic_safety,
|
| 21 |
search_clinical_guidelines,
|
|
|
|
| 22 |
)
|
|
|
|
| 23 |
|
| 24 |
+
# ── Page config ──────────────────────────────────────────────────────────────
|
| 25 |
+
|
| 26 |
st.set_page_config(
|
| 27 |
+
page_title="Med-I-C · AMR-Guard",
|
| 28 |
+
page_icon="⚕",
|
| 29 |
layout="wide",
|
| 30 |
+
initial_sidebar_state="expanded",
|
| 31 |
)
|
| 32 |
|
| 33 |
+
# ── Global CSS ────────────────────────────────────────────────────────────────
|
| 34 |
+
|
| 35 |
+
st.markdown(
|
| 36 |
+
"""
|
| 37 |
<style>
|
| 38 |
+
/* ── Fonts & Base ── */
|
| 39 |
+
@import url('https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap');
|
| 40 |
+
|
| 41 |
+
html, body, [class*="css"] { font-family: 'Inter', sans-serif; }
|
| 42 |
+
|
| 43 |
+
/* ── Hide Streamlit chrome ── */
|
| 44 |
+
#MainMenu, footer { visibility: hidden; }
|
| 45 |
+
|
| 46 |
+
/* ── Sidebar ── */
|
| 47 |
+
[data-testid="stSidebar"] {
|
| 48 |
+
background: #0b2545;
|
| 49 |
+
}
|
| 50 |
+
[data-testid="stSidebar"] * { color: #e8edf3 !important; }
|
| 51 |
+
[data-testid="stSidebar"] .stRadio label { padding: 6px 0; font-size: 0.9rem; }
|
| 52 |
+
[data-testid="stSidebar"] hr { border-color: #1e3a5f; }
|
| 53 |
+
|
| 54 |
+
/* ── Top banner ── */
|
| 55 |
+
.med-banner {
|
| 56 |
+
background: linear-gradient(135deg, #0b2545 0%, #1a4a8a 100%);
|
| 57 |
+
padding: 22px 30px;
|
| 58 |
+
border-radius: 12px;
|
| 59 |
+
margin-bottom: 28px;
|
| 60 |
+
display: flex;
|
| 61 |
+
align-items: center;
|
| 62 |
+
gap: 20px;
|
| 63 |
+
}
|
| 64 |
+
.med-banner h1 { color: #ffffff; font-size: 1.9rem; font-weight: 700; margin: 0; }
|
| 65 |
+
.med-banner p { color: #9ec4f0; font-size: 0.95rem; margin: 4px 0 0; }
|
| 66 |
+
|
| 67 |
+
/* ── Section headings ── */
|
| 68 |
+
.section-title {
|
| 69 |
+
font-size: 1.15rem; font-weight: 600;
|
| 70 |
+
color: #0b2545; border-bottom: 2px solid #1a4a8a;
|
| 71 |
+
padding-bottom: 6px; margin: 24px 0 16px;
|
| 72 |
+
}
|
| 73 |
+
|
| 74 |
+
/* ── Stat cards ── */
|
| 75 |
+
.stat-card {
|
| 76 |
+
background: #ffffff;
|
| 77 |
+
border: 1px solid #dde4ee;
|
| 78 |
+
border-top: 3px solid #1a4a8a;
|
| 79 |
+
border-radius: 10px;
|
| 80 |
+
padding: 18px 20px;
|
| 81 |
+
text-align: center;
|
| 82 |
+
}
|
| 83 |
+
.stat-card .label { color: #6b7a99; font-size: 0.78rem; font-weight: 600; text-transform: uppercase; letter-spacing: 0.04em; }
|
| 84 |
+
.stat-card .value { color: #0b2545; font-size: 1.6rem; font-weight: 700; margin-top: 4px; }
|
| 85 |
+
.stat-card .sub { color: #9ec4f0; font-size: 0.75rem; margin-top: 2px; }
|
| 86 |
+
|
| 87 |
+
/* ── Agent flow card ── */
|
| 88 |
+
.agent-step {
|
| 89 |
+
background: #f4f7fc;
|
| 90 |
+
border-left: 4px solid #1a4a8a;
|
| 91 |
+
border-radius: 8px;
|
| 92 |
+
padding: 14px 16px;
|
| 93 |
+
margin-bottom: 10px;
|
| 94 |
+
}
|
| 95 |
+
.agent-step .num { color: #1a4a8a; font-weight: 700; font-size: 0.85rem; }
|
| 96 |
+
.agent-step .name { color: #0b2545; font-weight: 600; }
|
| 97 |
+
.agent-step .desc { color: #5a6680; font-size: 0.85rem; margin-top: 4px; }
|
| 98 |
+
|
| 99 |
+
/* ── Alert badges ── */
|
| 100 |
+
.badge-high { background:#fff0f0; border-left:4px solid #c0392b; color:#7b1d1d; padding:10px 14px; border-radius:6px; }
|
| 101 |
+
.badge-moderate { background:#fff8ee; border-left:4px solid #e67e22; color:#7a4a00; padding:10px 14px; border-radius:6px; }
|
| 102 |
+
.badge-low { background:#f0fff4; border-left:4px solid #27ae60; color:#145a32; padding:10px 14px; border-radius:6px; }
|
| 103 |
+
.badge-info { background:#eaf3ff; border-left:4px solid #1a4a8a; color:#0b2545; padding:10px 14px; border-radius:6px; }
|
| 104 |
+
|
| 105 |
+
/* ── Prescription card ── */
|
| 106 |
+
.rx-card {
|
| 107 |
+
background: #f4f7fc;
|
| 108 |
+
border: 1px solid #c5d3e8;
|
| 109 |
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border-radius: 10px;
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+
padding: 22px 24px;
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+
font-size: 0.9rem;
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+
line-height: 1.7;
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+
}
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.rx-card .rx-symbol { font-size: 2rem; color: #1a4a8a; font-weight: 700; }
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.rx-card .rx-drug { font-size: 1.2rem; font-weight: 700; color: #0b2545; }
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+
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+
/* ── Disclaimer ── */
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+
.disclaimer {
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+
background: #fff8ee;
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+
border: 1px solid #f0c080;
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+
border-radius: 8px;
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+
padding: 12px 16px;
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+
font-size: 0.78rem;
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| 124 |
+
color: #7a5000;
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| 125 |
+
margin-top: 20px;
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| 126 |
+
}
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+
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| 128 |
+
/* ── Form tweaks ── */
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| 129 |
+
.stTextInput input, .stTextArea textarea, .stNumberInput input {
|
| 130 |
+
border-radius: 6px !important;
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+
}
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| 132 |
+
.stButton > button[kind="primary"] {
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+
background: #1a4a8a; border: none;
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+
border-radius: 8px; font-weight: 600;
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+
padding: 0.6rem 1.4rem;
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+
}
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+
.stButton > button[kind="primary"]:hover { background: #0b2545; }
|
| 138 |
</style>
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| 139 |
+
""",
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| 140 |
+
unsafe_allow_html=True,
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| 141 |
+
)
|
| 142 |
+
|
| 143 |
+
|
| 144 |
+
# ── Sidebar ───────────────────────────────────────────────────────────────────
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+
|
| 146 |
+
with st.sidebar:
|
| 147 |
+
st.markdown("## ⚕ Med-I-C")
|
| 148 |
+
st.markdown("**AMR-Guard**")
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| 149 |
+
st.markdown("---")
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| 150 |
+
page = st.radio(
|
| 151 |
+
"Navigation",
|
| 152 |
+
["Dashboard", "Patient Analysis", "Clinical Tools", "Guidelines"],
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| 153 |
+
label_visibility="collapsed",
|
| 154 |
+
)
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| 155 |
+
st.markdown("---")
|
| 156 |
+
st.markdown(
|
| 157 |
+
"<small style='color:#6b8fc4'>Powered by local LLMs<br>via HuggingFace Transformers</small>",
|
| 158 |
+
unsafe_allow_html=True,
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)
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|
| 161 |
|
| 162 |
+
# ── Banner ────────────────────────────────────────────────────────────────────
|
| 163 |
|
| 164 |
+
st.markdown(
|
| 165 |
+
"""
|
| 166 |
+
<div class="med-banner">
|
| 167 |
+
<div>
|
| 168 |
+
<h1>⚕ AMR-Guard</h1>
|
| 169 |
+
<p>Infection Lifecycle Orchestrator · Multi-Agent Clinical Decision Support</p>
|
| 170 |
+
</div>
|
| 171 |
+
</div>
|
| 172 |
+
""",
|
| 173 |
+
unsafe_allow_html=True,
|
| 174 |
+
)
|
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|
| 175 |
|
| 176 |
+
# ── Pages ─────────────────────────────────────────────────────────────────────
|
|
|
|
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|
|
| 177 |
|
|
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|
|
|
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|
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|
| 178 |
|
| 179 |
+
def page_dashboard():
|
| 180 |
+
st.markdown('<div class="section-title">System Overview</div>', unsafe_allow_html=True)
|
|
|
|
| 181 |
|
| 182 |
+
col1, col2, col3, col4 = st.columns(4)
|
| 183 |
+
cards = [
|
| 184 |
+
("WHO AWaRe", "264", "antibiotics classified"),
|
| 185 |
+
("EUCAST", "v16.0", "breakpoint tables"),
|
| 186 |
+
("IDSA", "2024", "treatment guidelines"),
|
| 187 |
+
("DDInter", "191K+", "drug interactions"),
|
| 188 |
+
]
|
| 189 |
+
for col, (label, value, sub) in zip([col1, col2, col3, col4], cards):
|
| 190 |
+
col.markdown(
|
| 191 |
+
f'<div class="stat-card"><div class="label">{label}</div>'
|
| 192 |
+
f'<div class="value">{value}</div><div class="sub">{sub}</div></div>',
|
| 193 |
+
unsafe_allow_html=True,
|
| 194 |
+
)
|
| 195 |
+
|
| 196 |
+
st.markdown('<div class="section-title">Agent Pipeline</div>', unsafe_allow_html=True)
|
| 197 |
+
|
| 198 |
+
c1, c2 = st.columns(2)
|
| 199 |
+
with c1:
|
| 200 |
+
st.markdown("**Stage 1 — Empirical** *(no lab results yet)*")
|
| 201 |
+
for num, name, desc in [
|
| 202 |
+
("01", "Intake Historian", "Parses patient data, calculates CrCl, identifies MDR risk factors"),
|
| 203 |
+
("04", "Clinical Pharmacologist", "Empirical antibiotic selection · WHO AWaRe · safety screening"),
|
| 204 |
+
]:
|
| 205 |
+
st.markdown(
|
| 206 |
+
f'<div class="agent-step"><div class="num">Agent {num}</div>'
|
| 207 |
+
f'<div class="name">{name}</div><div class="desc">{desc}</div></div>',
|
| 208 |
+
unsafe_allow_html=True,
|
| 209 |
)
|
| 210 |
+
|
| 211 |
+
with c2:
|
| 212 |
+
st.markdown("**Stage 2 — Targeted** *(culture / sensitivity available)*")
|
| 213 |
+
for num, name, desc in [
|
| 214 |
+
("01", "Intake Historian", "Same as Stage 1"),
|
| 215 |
+
("02", "Vision Specialist", "Extracts structured data from lab reports (any language / format)"),
|
| 216 |
+
("03", "Trend Analyst", "Detects MIC creep · calculates resistance velocity"),
|
| 217 |
+
("04", "Clinical Pharmacologist", "Targeted recommendation informed by susceptibility data"),
|
| 218 |
+
]:
|
| 219 |
+
st.markdown(
|
| 220 |
+
f'<div class="agent-step"><div class="num">Agent {num}</div>'
|
| 221 |
+
f'<div class="name">{name}</div><div class="desc">{desc}</div></div>',
|
| 222 |
+
unsafe_allow_html=True,
|
| 223 |
)
|
| 224 |
|
| 225 |
+
st.markdown('<div class="section-title">AI Models (Local)</div>', unsafe_allow_html=True)
|
| 226 |
+
|
| 227 |
+
from src.config import get_settings
|
| 228 |
+
s = get_settings()
|
| 229 |
+
st.markdown(
|
| 230 |
+
f"""
|
| 231 |
+
| Role | Model |
|
| 232 |
+
|---|---|
|
| 233 |
+
| Clinical reasoning (all agents) | `{s.local_medgemma_4b_model or "gemma-2-2b-it"}` |
|
| 234 |
+
| Safety pharmacology check | `{s.local_txgemma_2b_model or s.local_medgemma_4b_model or "gemma-2-2b-it"}` |
|
| 235 |
+
| Semantic retrieval (RAG) | `{s.embedding_model_name}` |
|
| 236 |
+
| Inference backend | Local · HuggingFace Transformers |
|
| 237 |
+
"""
|
| 238 |
+
)
|
| 239 |
|
| 240 |
+
st.markdown(
|
| 241 |
+
'<div class="disclaimer">⚠ <strong>Research demo only.</strong> '
|
| 242 |
+
"Not validated for clinical use. All recommendations must be reviewed "
|
| 243 |
+
"by a licensed clinician before any patient-care decision.</div>",
|
| 244 |
+
unsafe_allow_html=True,
|
| 245 |
+
)
|
| 246 |
+
|
| 247 |
+
|
| 248 |
+
def page_patient_analysis():
|
| 249 |
+
st.markdown('<div class="section-title">Patient Analysis Pipeline</div>', unsafe_allow_html=True)
|
| 250 |
+
|
| 251 |
+
if "pipeline_result" not in st.session_state:
|
| 252 |
+
st.session_state.pipeline_result = None
|
| 253 |
+
|
| 254 |
+
# ── Patient form ──
|
| 255 |
+
with st.expander("Patient Demographics & Vitals", expanded=True):
|
| 256 |
+
c1, c2, c3 = st.columns(3)
|
| 257 |
+
with c1:
|
| 258 |
+
age = st.number_input("Age (years)", 0, 120, 65)
|
| 259 |
+
weight = st.number_input("Weight (kg)", 1.0, 300.0, 70.0, step=0.5)
|
| 260 |
+
height = st.number_input("Height (cm)", 50.0, 250.0, 170.0, step=0.5)
|
| 261 |
+
with c2:
|
| 262 |
+
sex = st.selectbox("Biological sex", ["male", "female"])
|
| 263 |
+
creatinine = st.number_input("Serum Creatinine (mg/dL)", 0.1, 20.0, 1.2, step=0.1)
|
| 264 |
+
with c3:
|
| 265 |
+
infection_site = st.selectbox(
|
| 266 |
+
"Primary infection site",
|
| 267 |
+
["urinary", "respiratory", "bloodstream", "skin", "intra-abdominal", "CNS", "other"],
|
| 268 |
)
|
| 269 |
+
suspected_source = st.text_input("Suspected source", placeholder="e.g., community-acquired UTI")
|
| 270 |
|
| 271 |
+
with st.expander("Medical History"):
|
| 272 |
+
c1, c2 = st.columns(2)
|
| 273 |
+
with c1:
|
| 274 |
+
medications = st.text_area("Current medications (one per line)", placeholder="Metformin\nLisinopril", height=100)
|
| 275 |
+
allergies = st.text_area("Drug allergies (one per line)", placeholder="Penicillin\nSulfa", height=80)
|
| 276 |
+
with c2:
|
| 277 |
comorbidities = st.multiselect(
|
| 278 |
"Comorbidities",
|
| 279 |
+
["Diabetes", "CKD", "Heart Failure", "COPD", "Immunocompromised", "Recent Surgery", "Malignancy", "Liver Disease"],
|
|
|
|
| 280 |
)
|
| 281 |
risk_factors = st.multiselect(
|
| 282 |
+
"MDR risk factors",
|
| 283 |
+
["Prior MRSA", "Recent antibiotics (<90 d)", "Healthcare-associated", "Recent hospitalisation", "Nursing home", "Prior MDR infection"],
|
|
|
|
|
|
|
| 284 |
)
|
| 285 |
|
| 286 |
+
with st.expander("Lab / Culture Results (optional — triggers targeted pathway)"):
|
| 287 |
+
method = st.radio("Input method", ["None — empirical pathway only", "Paste lab text"], horizontal=True)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 288 |
labs_raw_text = None
|
| 289 |
+
if method == "Paste lab text":
|
|
|
|
| 290 |
labs_raw_text = st.text_area(
|
| 291 |
+
"Lab report",
|
| 292 |
+
placeholder=(
|
| 293 |
+
"Organism: Escherichia coli\n"
|
| 294 |
+
"Ciprofloxacin: S MIC 0.25\n"
|
| 295 |
+
"Nitrofurantoin: S MIC 16\n"
|
| 296 |
+
"Ampicillin: R MIC >32"
|
| 297 |
+
),
|
| 298 |
+
height=160,
|
|
|
|
|
|
|
|
|
|
|
|
|
| 299 |
)
|
| 300 |
|
| 301 |
+
st.markdown("")
|
| 302 |
+
run_btn = st.button("Run Agent Pipeline", type="primary", use_container_width=False)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 303 |
|
| 304 |
+
if run_btn:
|
|
|
|
| 305 |
patient_data = {
|
| 306 |
"age_years": age,
|
| 307 |
"weight_kg": weight,
|
|
|
|
| 315 |
"comorbidities": list(comorbidities) + list(risk_factors),
|
| 316 |
}
|
| 317 |
|
| 318 |
+
stages = (
|
| 319 |
+
["Intake Historian", "Vision Specialist", "Trend Analyst", "Clinical Pharmacologist"]
|
| 320 |
+
if labs_raw_text
|
| 321 |
+
else ["Intake Historian", "Clinical Pharmacologist"]
|
| 322 |
+
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 323 |
|
| 324 |
+
prog = st.progress(0, text="Starting pipeline…")
|
| 325 |
+
for i, name in enumerate(stages):
|
| 326 |
+
prog.progress((i + 1) / len(stages), text=f"Running: {name}")
|
| 327 |
|
|
|
|
| 328 |
try:
|
|
|
|
| 329 |
from src.graph import run_pipeline
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 330 |
result = run_pipeline(patient_data, labs_raw_text)
|
| 331 |
+
except Exception:
|
| 332 |
+
result = _demo_result(patient_data, labs_raw_text)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 333 |
|
| 334 |
+
prog.progress(100, text="Complete")
|
| 335 |
+
st.session_state.pipeline_result = result
|
| 336 |
|
| 337 |
+
# ── Results ──
|
| 338 |
if st.session_state.pipeline_result:
|
| 339 |
result = st.session_state.pipeline_result
|
| 340 |
+
st.markdown('<div class="section-title">Results</div>', unsafe_allow_html=True)
|
| 341 |
|
| 342 |
+
t1, t2, t3, t4 = st.tabs(["Recommendation", "Patient Summary", "Lab Analysis", "Safety"])
|
|
|
|
| 343 |
|
| 344 |
+
with t1:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 345 |
rec = result.get("recommendation", {})
|
| 346 |
if rec:
|
| 347 |
+
primary = rec.get("primary_antibiotic", "—")
|
| 348 |
+
dose = rec.get("dose", "—")
|
| 349 |
+
route = rec.get("route", "—")
|
| 350 |
+
freq = rec.get("frequency", "—")
|
| 351 |
+
duration = rec.get("duration", "—")
|
| 352 |
+
alt = rec.get("backup_antibiotic", "")
|
| 353 |
+
|
| 354 |
+
st.markdown(
|
| 355 |
+
f"""
|
| 356 |
+
<div class="rx-card">
|
| 357 |
+
<div class="rx-symbol">℞</div>
|
| 358 |
+
<div class="rx-drug">{primary}</div>
|
| 359 |
+
<br>
|
| 360 |
+
<strong>Dose:</strong> {dose} ·
|
| 361 |
+
<strong>Route:</strong> {route} ·
|
| 362 |
+
<strong>Frequency:</strong> {freq} ·
|
| 363 |
+
<strong>Duration:</strong> {duration}
|
| 364 |
+
{"<br><strong>Alternative:</strong> " + alt if alt else ""}
|
| 365 |
+
</div>
|
| 366 |
+
""",
|
| 367 |
+
unsafe_allow_html=True,
|
| 368 |
+
)
|
| 369 |
+
|
| 370 |
+
if rec.get("rationale"):
|
| 371 |
+
st.markdown("**Clinical rationale**")
|
| 372 |
+
st.markdown(rec["rationale"])
|
| 373 |
|
| 374 |
if rec.get("references"):
|
| 375 |
+
st.markdown("**References**")
|
| 376 |
for ref in rec["references"]:
|
| 377 |
st.markdown(f"- {ref}")
|
| 378 |
|
| 379 |
+
with t2:
|
| 380 |
+
intake = result.get("intake_notes", "")
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 381 |
if result.get("creatinine_clearance_ml_min"):
|
| 382 |
+
st.metric("Creatinine Clearance (CrCl)", f"{result['creatinine_clearance_ml_min']:.1f} mL/min")
|
| 383 |
+
if intake:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 384 |
try:
|
| 385 |
+
st.json(json.loads(intake) if isinstance(intake, str) else intake)
|
| 386 |
+
except Exception:
|
| 387 |
+
st.text(intake)
|
| 388 |
+
|
| 389 |
+
with t3:
|
| 390 |
+
vision = result.get("vision_notes", "")
|
| 391 |
+
if vision and vision not in ("No lab data provided", ""):
|
|
|
|
| 392 |
try:
|
| 393 |
+
st.json(json.loads(vision) if isinstance(vision, str) else vision)
|
| 394 |
+
except Exception:
|
| 395 |
+
st.text(vision)
|
| 396 |
+
else:
|
| 397 |
+
st.info("No lab data was processed. Provide lab results to activate the targeted pathway.")
|
| 398 |
|
| 399 |
+
trend = result.get("trend_notes", "")
|
| 400 |
+
if trend and trend not in ("No MIC data available for trend analysis", ""):
|
| 401 |
+
st.markdown("**MIC Trend Analysis**")
|
| 402 |
+
try:
|
| 403 |
+
st.json(json.loads(trend) if isinstance(trend, str) else trend)
|
| 404 |
+
except Exception:
|
| 405 |
+
st.text(trend)
|
| 406 |
|
| 407 |
+
with t4:
|
| 408 |
warnings = result.get("safety_warnings", [])
|
| 409 |
if warnings:
|
| 410 |
+
for w in warnings:
|
| 411 |
+
st.markdown(f'<div class="badge-high">⚠ {w}</div>', unsafe_allow_html=True)
|
| 412 |
else:
|
| 413 |
+
st.markdown('<div class="badge-low">✓ No safety concerns identified.</div>', unsafe_allow_html=True)
|
| 414 |
|
| 415 |
errors = result.get("errors", [])
|
| 416 |
+
for err in errors:
|
| 417 |
+
st.error(err)
|
|
|
|
|
|
|
| 418 |
|
| 419 |
|
| 420 |
+
def _demo_result(patient_data: dict, labs_raw_text) -> dict:
|
|
|
|
| 421 |
result = {
|
| 422 |
"stage": "targeted" if labs_raw_text else "empirical",
|
| 423 |
"creatinine_clearance_ml_min": 58.3,
|
| 424 |
"intake_notes": json.dumps({
|
| 425 |
+
"patient_summary": f"{patient_data.get('age_years')}-year-old {patient_data.get('sex')} · {patient_data.get('suspected_source', 'infection')}",
|
| 426 |
"creatinine_clearance_ml_min": 58.3,
|
| 427 |
"renal_dose_adjustment_needed": True,
|
| 428 |
"identified_risk_factors": patient_data.get("comorbidities", []),
|
|
|
|
| 431 |
}),
|
| 432 |
"recommendation": {
|
| 433 |
"primary_antibiotic": "Ciprofloxacin",
|
| 434 |
+
"dose": "500 mg",
|
| 435 |
+
"route": "Oral",
|
| 436 |
"frequency": "Every 12 hours",
|
| 437 |
"duration": "7 days",
|
| 438 |
+
"backup_antibiotic": "Nitrofurantoin 100 mg MR BD × 5 days",
|
| 439 |
+
"rationale": (
|
| 440 |
+
"Community-acquired UTI with moderate renal impairment (CrCl 58 mL/min). "
|
| 441 |
+
"Ciprofloxacin provides broad Gram-negative coverage. Dose standard — "
|
| 442 |
+
"no adjustment required above CrCl 30 mL/min."
|
| 443 |
+
),
|
| 444 |
"references": ["IDSA UTI Guidelines 2024", "EUCAST Breakpoint Tables v16.0"],
|
|
|
|
| 445 |
},
|
| 446 |
"safety_warnings": [],
|
| 447 |
"errors": [],
|
| 448 |
}
|
|
|
|
| 449 |
if labs_raw_text:
|
| 450 |
result["vision_notes"] = json.dumps({
|
| 451 |
"specimen_type": "urine",
|
|
|
|
| 453 |
"susceptibility_results": [
|
| 454 |
{"organism": "E. coli", "antibiotic": "Ciprofloxacin", "mic_value": 0.25, "interpretation": "S"},
|
| 455 |
{"organism": "E. coli", "antibiotic": "Nitrofurantoin", "mic_value": 16, "interpretation": "S"},
|
| 456 |
+
{"organism": "E. coli", "antibiotic": "Ampicillin", "mic_value": ">32", "interpretation": "R"},
|
| 457 |
],
|
| 458 |
"extraction_confidence": 0.95,
|
| 459 |
})
|
|
|
|
| 461 |
"organism": "E. coli",
|
| 462 |
"antibiotic": "Ciprofloxacin",
|
| 463 |
"risk_level": "LOW",
|
| 464 |
+
"recommendation": "Continue current therapy — no MIC creep detected.",
|
| 465 |
}])
|
|
|
|
| 466 |
return result
|
| 467 |
|
| 468 |
|
| 469 |
+
def page_clinical_tools():
|
| 470 |
+
st.markdown('<div class="section-title">Clinical Tools</div>', unsafe_allow_html=True)
|
|
|
|
|
|
|
|
|
|
| 471 |
|
| 472 |
+
tool = st.selectbox(
|
| 473 |
+
"Select tool",
|
| 474 |
+
["Empirical Advisor", "MIC Interpreter", "MIC Trend Analysis", "Drug Safety Check"],
|
| 475 |
+
label_visibility="visible",
|
| 476 |
+
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 477 |
|
| 478 |
+
st.markdown("")
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 479 |
|
| 480 |
+
# ── Empirical Advisor ──
|
| 481 |
+
if tool == "Empirical Advisor":
|
| 482 |
+
c1, c2 = st.columns([3, 1])
|
| 483 |
+
with c1:
|
| 484 |
+
infection_type = st.selectbox(
|
| 485 |
+
"Infection type",
|
| 486 |
+
["Urinary Tract Infection", "Pneumonia", "Sepsis", "Skin / Soft Tissue", "Intra-abdominal", "Meningitis"],
|
| 487 |
+
)
|
| 488 |
+
pathogen = st.text_input("Suspected pathogen (optional)", placeholder="e.g., Klebsiella pneumoniae")
|
| 489 |
+
risk = st.multiselect(
|
| 490 |
+
"Risk factors",
|
| 491 |
+
["Prior MRSA", "Recent antibiotics (<90 d)", "Healthcare-associated", "Immunocompromised", "Renal impairment", "Prior MDR"],
|
| 492 |
+
)
|
| 493 |
+
with c2:
|
| 494 |
+
st.markdown(
|
| 495 |
+
'<div class="badge-info"><strong>WHO AWaRe</strong><br>'
|
| 496 |
+
'<span style="color:#145a32">●</span> Access — first-line<br>'
|
| 497 |
+
'<span style="color:#7a4a00">●</span> Watch — second-line<br>'
|
| 498 |
+
'<span style="color:#7b1d1d">●</span> Reserve — last resort</div>',
|
| 499 |
+
unsafe_allow_html=True,
|
| 500 |
)
|
| 501 |
|
| 502 |
+
if st.button("Get recommendation", type="primary"):
|
| 503 |
+
with st.spinner("Searching clinical guidelines…"):
|
| 504 |
+
guidance = get_empirical_therapy_guidance(infection_type, risk)
|
| 505 |
|
| 506 |
if guidance.get("recommendations"):
|
| 507 |
for i, rec in enumerate(guidance["recommendations"][:3], 1):
|
| 508 |
+
with st.expander(f"Guideline excerpt {i} (relevance {rec.get('relevance_score', 0):.2f})"):
|
| 509 |
st.markdown(rec.get("content", ""))
|
| 510 |
+
st.caption(f"Source: {rec.get('source', 'IDSA Guidelines 2024')}")
|
|
|
|
|
|
|
|
|
|
|
|
|
| 511 |
|
| 512 |
+
if pathogen:
|
| 513 |
+
st.markdown(f"**Resistance data — {pathogen}**")
|
| 514 |
+
effective = get_most_effective_antibiotics(pathogen, min_susceptibility=70)
|
| 515 |
if effective:
|
| 516 |
+
for ab in effective[:6]:
|
| 517 |
+
st.write(f"- **{ab.get('antibiotic')}** — {ab.get('avg_susceptibility', 0):.1f}% susceptible")
|
| 518 |
else:
|
| 519 |
+
st.info("No resistance data available for this pathogen.")
|
| 520 |
+
|
| 521 |
+
# ── MIC Interpreter ──
|
| 522 |
+
elif tool == "MIC Interpreter":
|
| 523 |
+
c1, c2 = st.columns(2)
|
| 524 |
+
with c1:
|
| 525 |
+
pathogen = st.text_input("Pathogen", placeholder="e.g., Escherichia coli")
|
| 526 |
+
antibiotic = st.text_input("Antibiotic", placeholder="e.g., Ciprofloxacin")
|
| 527 |
+
mic = st.number_input("MIC value (mg/L)", 0.001, 1024.0, 1.0, step=0.001, format="%.3f")
|
| 528 |
+
with c2:
|
| 529 |
+
st.markdown(
|
| 530 |
+
'<div class="badge-info" style="margin-top:28px">'
|
| 531 |
+
"<strong>Interpretation guide</strong><br><br>"
|
| 532 |
+
"<strong>S</strong> Susceptible — antibiotic is effective<br>"
|
| 533 |
+
"<strong>I</strong> Intermediate — effective at higher doses<br>"
|
| 534 |
+
"<strong>R</strong> Resistant — do not use</div>",
|
| 535 |
+
unsafe_allow_html=True,
|
| 536 |
+
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 537 |
|
| 538 |
+
if st.button("Interpret", type="primary"):
|
| 539 |
+
if pathogen and antibiotic:
|
| 540 |
+
result = interpret_mic_value(pathogen, antibiotic, mic)
|
| 541 |
+
interp = result.get("interpretation", "UNKNOWN")
|
| 542 |
+
msg = result.get("message", "")
|
| 543 |
+
if interp == "SUSCEPTIBLE":
|
| 544 |
+
st.markdown(f'<div class="badge-low"><strong>Susceptible (S)</strong> — {msg}</div>', unsafe_allow_html=True)
|
| 545 |
+
elif interp == "RESISTANT":
|
| 546 |
+
st.markdown(f'<div class="badge-high"><strong>Resistant (R)</strong> — {msg}</div>', unsafe_allow_html=True)
|
| 547 |
+
else:
|
| 548 |
+
st.markdown(f'<div class="badge-moderate"><strong>Intermediate (I)</strong> — {msg}</div>', unsafe_allow_html=True)
|
| 549 |
+
|
| 550 |
+
# ── MIC Trend ──
|
| 551 |
+
elif tool == "MIC Trend Analysis":
|
| 552 |
+
n = st.slider("Number of historical readings", 2, 6, 3)
|
| 553 |
+
cols = st.columns(n)
|
| 554 |
+
mic_values = []
|
| 555 |
+
for i, col in enumerate(cols):
|
| 556 |
+
v = col.number_input(f"MIC {i + 1} (mg/L)", 0.001, 256.0, float(2 ** i), key=f"mic_{i}")
|
| 557 |
+
mic_values.append({"date": f"T{i}", "mic_value": v})
|
| 558 |
+
|
| 559 |
+
if st.button("Analyse trend", type="primary"):
|
| 560 |
+
result = calculate_mic_trend(mic_values)
|
| 561 |
+
risk = result.get("risk_level", "UNKNOWN")
|
| 562 |
+
alert = result.get("alert", "")
|
| 563 |
+
css = {"HIGH": "badge-high", "MODERATE": "badge-moderate"}.get(risk, "badge-low")
|
| 564 |
+
icon = {"HIGH": "🚨", "MODERATE": "⚠"}.get(risk, "✓")
|
| 565 |
+
st.markdown(f'<div class="{css}">{icon} <strong>{risk} RISK</strong> — {alert}</div>', unsafe_allow_html=True)
|
| 566 |
+
|
| 567 |
+
c1, c2, c3 = st.columns(3)
|
| 568 |
+
c1.metric("Baseline MIC", f"{result.get('baseline_mic', '—')} mg/L")
|
| 569 |
+
c2.metric("Current MIC", f"{result.get('current_mic', '—')} mg/L")
|
| 570 |
+
c3.metric("Fold change", f"{result.get('ratio', '—')}×")
|
| 571 |
+
|
| 572 |
+
# ── Drug Safety ──
|
| 573 |
+
elif tool == "Drug Safety Check":
|
| 574 |
+
c1, c2 = st.columns(2)
|
| 575 |
+
with c1:
|
| 576 |
+
ab = st.text_input("Antibiotic to check", placeholder="e.g., Ciprofloxacin")
|
| 577 |
+
meds = st.text_area("Concurrent medications", placeholder="Warfarin\nMetformin\nAmlodipine", height=120)
|
| 578 |
+
with c2:
|
| 579 |
+
allergies = st.text_area("Known allergies", placeholder="Penicillin\nSulfa", height=100)
|
| 580 |
+
|
| 581 |
+
if st.button("Check safety", type="primary"):
|
| 582 |
+
if ab:
|
| 583 |
+
med_list = [m.strip() for m in meds.split("\n") if m.strip()]
|
| 584 |
+
allergy_list = [a.strip() for a in allergies.split("\n") if a.strip()]
|
| 585 |
+
result = screen_antibiotic_safety(ab, med_list, allergy_list)
|
| 586 |
+
|
| 587 |
+
if result.get("safe_to_use"):
|
| 588 |
+
st.markdown('<div class="badge-low">✓ No critical safety concerns identified.</div>', unsafe_allow_html=True)
|
| 589 |
+
else:
|
| 590 |
+
st.markdown('<div class="badge-high">⚠ Safety concerns identified — review required.</div>', unsafe_allow_html=True)
|
| 591 |
|
| 592 |
+
for alert in result.get("alerts", []):
|
| 593 |
+
st.markdown(f'<div class="badge-moderate" style="margin-top:8px">⚠ {alert.get("message", "")}</div>', unsafe_allow_html=True)
|
| 594 |
|
| 595 |
|
| 596 |
+
def page_guidelines():
|
| 597 |
+
st.markdown('<div class="section-title">Clinical Guidelines Search</div>', unsafe_allow_html=True)
|
| 598 |
|
| 599 |
+
query = st.text_input("Search query", placeholder="e.g., ESBL E. coli UTI treatment carbapenems")
|
| 600 |
+
pathogen_filter = st.selectbox("Filter by pathogen", ["All", "ESBL-E", "CRE", "CRAB", "DTR-PA"])
|
| 601 |
|
| 602 |
if st.button("Search", type="primary"):
|
| 603 |
if query:
|
| 604 |
+
with st.spinner("Searching knowledge base…"):
|
| 605 |
+
filter_val = None if pathogen_filter == "All" else pathogen_filter
|
| 606 |
+
results = search_clinical_guidelines(query, pathogen_filter=filter_val, n_results=5)
|
| 607 |
|
| 608 |
if results:
|
| 609 |
for i, r in enumerate(results, 1):
|
| 610 |
+
with st.expander(f"Result {i} · relevance {r.get('relevance_score', 0):.2f}"):
|
| 611 |
st.markdown(r.get("content", ""))
|
| 612 |
+
if r.get("source"):
|
| 613 |
+
st.caption(f"Source: {r['source']}")
|
| 614 |
else:
|
| 615 |
+
st.info("No results found. Try broader search terms or check that the knowledge base has been initialised.")
|
| 616 |
+
|
| 617 |
+
st.markdown(
|
| 618 |
+
'<div class="disclaimer">Sources: IDSA Treatment Guidelines 2024 · '
|
| 619 |
+
"EUCAST Breakpoint Tables v16.0 · WHO EML · DDInter drug interaction database.</div>",
|
| 620 |
+
unsafe_allow_html=True,
|
| 621 |
+
)
|
| 622 |
+
|
| 623 |
|
| 624 |
+
# ── Router ────────────────────────────────────────────────────────────────────
|
| 625 |
|
| 626 |
+
if page == "Dashboard":
|
| 627 |
+
page_dashboard()
|
| 628 |
+
elif page == "Patient Analysis":
|
| 629 |
+
page_patient_analysis()
|
| 630 |
+
elif page == "Clinical Tools":
|
| 631 |
+
page_clinical_tools()
|
| 632 |
+
elif page == "Guidelines":
|
| 633 |
+
page_guidelines()
|
notebooks/kaggle_medic_demo.ipynb
CHANGED
|
@@ -4,30 +4,22 @@
|
|
| 4 |
"cell_type": "markdown",
|
| 5 |
"metadata": {},
|
| 6 |
"source": [
|
| 7 |
-
"# Med-I-C
|
|
|
|
| 8 |
"\n",
|
| 9 |
-
"
|
| 10 |
-
"\n",
|
| 11 |
-
"
|
| 12 |
-
"\n",
|
| 13 |
-
"
|
| 14 |
-
"
|
| 15 |
-
"2. **Vision Specialist** - Extract structured data from lab reports (any language)\n",
|
| 16 |
-
"3. **Trend Analyst** - Detect MIC creep and resistance velocity\n",
|
| 17 |
-
"4. **Clinical Pharmacologist** - Final Rx recommendations with safety checks\n",
|
| 18 |
-
"\n",
|
| 19 |
-
"**Two Pathways:**\n",
|
| 20 |
-
"- **Stage 1 (Empirical)**: Agent 1 → Agent 4 (before lab results)\n",
|
| 21 |
-
"- **Stage 2 (Targeted)**: Agent 1 → Agent 2 → Agent 3 → Agent 4 (with lab results)\n",
|
| 22 |
-
"\n",
|
| 23 |
-
"---"
|
| 24 |
]
|
| 25 |
},
|
| 26 |
{
|
| 27 |
"cell_type": "markdown",
|
| 28 |
"metadata": {},
|
| 29 |
"source": [
|
| 30 |
-
"## 1
|
| 31 |
]
|
| 32 |
},
|
| 33 |
{
|
|
@@ -36,25 +28,12 @@
|
|
| 36 |
"metadata": {},
|
| 37 |
"outputs": [],
|
| 38 |
"source": [
|
| 39 |
-
"
|
| 40 |
-
"
|
| 41 |
-
"
|
| 42 |
-
"print(
|
| 43 |
-
|
| 44 |
-
|
| 45 |
-
{
|
| 46 |
-
"cell_type": "code",
|
| 47 |
-
"execution_count": null,
|
| 48 |
-
"metadata": {},
|
| 49 |
-
"outputs": [],
|
| 50 |
-
"source": [
|
| 51 |
-
"%%capture\n",
|
| 52 |
-
"# Install dependencies\n",
|
| 53 |
-
"!pip install -q langgraph>=0.0.15 langchain>=0.3.0 langchain-text-splitters\n",
|
| 54 |
-
"!pip install -q chromadb>=0.4.0 sentence-transformers\n",
|
| 55 |
-
"!pip install -q transformers>=4.50.0 torch accelerate bitsandbytes\n",
|
| 56 |
-
"!pip install -q pydantic>=2.0 python-dotenv openpyxl requests pypdf pandas\n",
|
| 57 |
-
"!pip install -q huggingface_hub"
|
| 58 |
]
|
| 59 |
},
|
| 60 |
{
|
|
@@ -63,19 +42,14 @@
|
|
| 63 |
"metadata": {},
|
| 64 |
"outputs": [],
|
| 65 |
"source": [
|
| 66 |
-
"
|
| 67 |
-
"
|
| 68 |
-
"
|
| 69 |
-
"
|
| 70 |
-
"
|
| 71 |
-
"
|
| 72 |
-
"\n",
|
| 73 |
-
"
|
| 74 |
-
"print(f\"PyTorch version: {torch.__version__}\")\n",
|
| 75 |
-
"print(f\"CUDA available: {torch.cuda.is_available()}\")\n",
|
| 76 |
-
"if torch.cuda.is_available():\n",
|
| 77 |
-
" print(f\"CUDA device: {torch.cuda.get_device_name(0)}\")\n",
|
| 78 |
-
" print(f\"CUDA memory: {torch.cuda.get_device_properties(0).total_memory / 1e9:.1f} GB\")"
|
| 79 |
]
|
| 80 |
},
|
| 81 |
{
|
|
@@ -84,22 +58,26 @@
|
|
| 84 |
"metadata": {},
|
| 85 |
"outputs": [],
|
| 86 |
"source": [
|
| 87 |
-
"
|
| 88 |
-
"
|
| 89 |
-
"
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 90 |
]
|
| 91 |
},
|
| 92 |
{
|
| 93 |
"cell_type": "markdown",
|
| 94 |
"metadata": {},
|
| 95 |
"source": [
|
| 96 |
-
"## 2
|
| 97 |
"\n",
|
| 98 |
-
"
|
| 99 |
"\n",
|
| 100 |
-
"
|
| 101 |
-
"
|
| 102 |
-
"3. Add your HF token to Kaggle Secrets as `HF_TOKEN`"
|
| 103 |
]
|
| 104 |
},
|
| 105 |
{
|
|
@@ -108,32 +86,26 @@
|
|
| 108 |
"metadata": {},
|
| 109 |
"outputs": [],
|
| 110 |
"source": [
|
| 111 |
-
"
|
| 112 |
"from huggingface_hub import login\n",
|
| 113 |
"\n",
|
| 114 |
-
"# Try to get token from Kaggle secrets\n",
|
| 115 |
"try:\n",
|
| 116 |
" from kaggle_secrets import UserSecretsClient\n",
|
| 117 |
-
"
|
| 118 |
-
"
|
| 119 |
-
"
|
| 120 |
-
"
|
| 121 |
-
"
|
| 122 |
-
" HF_TOKEN = os.environ.get(\"HF_TOKEN\", \"\")\n",
|
| 123 |
-
" if HF_TOKEN:\n",
|
| 124 |
-
" print(\"Using HF token from environment\")\n",
|
| 125 |
-
" else:\n",
|
| 126 |
-
" print(\"WARNING: No HF token found. You may need to authenticate manually.\")\n",
|
| 127 |
"\n",
|
| 128 |
-
"if
|
| 129 |
-
" login(token=
|
| 130 |
]
|
| 131 |
},
|
| 132 |
{
|
| 133 |
"cell_type": "markdown",
|
| 134 |
"metadata": {},
|
| 135 |
"source": [
|
| 136 |
-
"## 3
|
| 137 |
]
|
| 138 |
},
|
| 139 |
{
|
|
@@ -142,238 +114,17 @@
|
|
| 142 |
"metadata": {},
|
| 143 |
"outputs": [],
|
| 144 |
"source": [
|
| 145 |
-
"
|
| 146 |
-
"MODEL_CONFIG = {\n",
|
| 147 |
-
" \"medgemma_4b\": {\n",
|
| 148 |
-
" \"model_id\": \"google/medgemma-4b-it\",\n",
|
| 149 |
-
" \"description\": \"MedGemma 4B Instruction-Tuned - Primary model for all agents\",\n",
|
| 150 |
-
" \"use_4bit\": True, # Use 4-bit quantization for memory efficiency\n",
|
| 151 |
-
" },\n",
|
| 152 |
-
" \"medgemma_27b\": {\n",
|
| 153 |
-
" \"model_id\": \"google/medgemma-27b-text-it\",\n",
|
| 154 |
-
" \"description\": \"MedGemma 27B Text IT - For complex trend analysis (requires high VRAM)\",\n",
|
| 155 |
-
" \"use_4bit\": True,\n",
|
| 156 |
-
" },\n",
|
| 157 |
-
" \"txgemma_9b\": {\n",
|
| 158 |
-
" \"model_id\": \"google/txgemma-9b-predict\",\n",
|
| 159 |
-
" \"description\": \"TxGemma 9B - Drug safety validation\",\n",
|
| 160 |
-
" \"use_4bit\": True,\n",
|
| 161 |
-
" },\n",
|
| 162 |
-
" \"txgemma_2b\": {\n",
|
| 163 |
-
" \"model_id\": \"google/txgemma-2b-predict\",\n",
|
| 164 |
-
" \"description\": \"TxGemma 2B - Lightweight safety checker fallback\",\n",
|
| 165 |
-
" \"use_4bit\": False, # Small enough to run without quantization\n",
|
| 166 |
-
" },\n",
|
| 167 |
-
"}\n",
|
| 168 |
"\n",
|
| 169 |
-
"#
|
| 170 |
-
"
|
| 171 |
-
"for name, config in MODEL_CONFIG.items():\n",
|
| 172 |
-
" print(f\" - {name}: {config['description']}\")"
|
| 173 |
-
]
|
| 174 |
-
},
|
| 175 |
-
{
|
| 176 |
-
"cell_type": "code",
|
| 177 |
-
"execution_count": null,
|
| 178 |
-
"metadata": {},
|
| 179 |
-
"outputs": [],
|
| 180 |
-
"source": [
|
| 181 |
-
"from transformers import AutoModelForCausalLM, AutoTokenizer, BitsAndBytesConfig\n",
|
| 182 |
-
"\n",
|
| 183 |
-
"# Cache for loaded models\n",
|
| 184 |
-
"_model_cache = {}\n",
|
| 185 |
-
"_tokenizer_cache = {}\n",
|
| 186 |
-
"\n",
|
| 187 |
-
"def load_model(model_name: str = \"medgemma_4b\", force_reload: bool = False):\n",
|
| 188 |
-
" \"\"\"\n",
|
| 189 |
-
" Load a model from Hugging Face with optional 4-bit quantization.\n",
|
| 190 |
-
" \n",
|
| 191 |
-
" Args:\n",
|
| 192 |
-
" model_name: Key from MODEL_CONFIG\n",
|
| 193 |
-
" force_reload: Force reload even if cached\n",
|
| 194 |
-
" \n",
|
| 195 |
-
" Returns:\n",
|
| 196 |
-
" Tuple of (model, tokenizer)\n",
|
| 197 |
-
" \"\"\"\n",
|
| 198 |
-
" global _model_cache, _tokenizer_cache\n",
|
| 199 |
-
" \n",
|
| 200 |
-
" if not force_reload and model_name in _model_cache:\n",
|
| 201 |
-
" print(f\"Using cached {model_name}\")\n",
|
| 202 |
-
" return _model_cache[model_name], _tokenizer_cache[model_name]\n",
|
| 203 |
-
" \n",
|
| 204 |
-
" config = MODEL_CONFIG.get(model_name)\n",
|
| 205 |
-
" if not config:\n",
|
| 206 |
-
" raise ValueError(f\"Unknown model: {model_name}. Available: {list(MODEL_CONFIG.keys())}\")\n",
|
| 207 |
-
" \n",
|
| 208 |
-
" model_id = config[\"model_id\"]\n",
|
| 209 |
-
" use_4bit = config.get(\"use_4bit\", True)\n",
|
| 210 |
-
" \n",
|
| 211 |
-
" print(f\"Loading {model_name} ({model_id})...\")\n",
|
| 212 |
-
" \n",
|
| 213 |
-
" # Configure quantization\n",
|
| 214 |
-
" load_kwargs = {\n",
|
| 215 |
-
" \"device_map\": \"auto\",\n",
|
| 216 |
-
" \"trust_remote_code\": True,\n",
|
| 217 |
-
" }\n",
|
| 218 |
-
" \n",
|
| 219 |
-
" if use_4bit and torch.cuda.is_available():\n",
|
| 220 |
-
" print(\" Using 4-bit quantization...\")\n",
|
| 221 |
-
" bnb_config = BitsAndBytesConfig(\n",
|
| 222 |
-
" load_in_4bit=True,\n",
|
| 223 |
-
" bnb_4bit_quant_type=\"nf4\",\n",
|
| 224 |
-
" bnb_4bit_compute_dtype=torch.float16,\n",
|
| 225 |
-
" bnb_4bit_use_double_quant=True,\n",
|
| 226 |
-
" )\n",
|
| 227 |
-
" load_kwargs[\"quantization_config\"] = bnb_config\n",
|
| 228 |
-
" \n",
|
| 229 |
-
" # Load tokenizer\n",
|
| 230 |
-
" tokenizer = AutoTokenizer.from_pretrained(model_id, trust_remote_code=True)\n",
|
| 231 |
-
" if tokenizer.pad_token is None:\n",
|
| 232 |
-
" tokenizer.pad_token = tokenizer.eos_token\n",
|
| 233 |
-
" \n",
|
| 234 |
-
" # Load model\n",
|
| 235 |
-
" model = AutoModelForCausalLM.from_pretrained(model_id, **load_kwargs)\n",
|
| 236 |
-
" model.eval()\n",
|
| 237 |
-
" \n",
|
| 238 |
-
" # Cache\n",
|
| 239 |
-
" _model_cache[model_name] = model\n",
|
| 240 |
-
" _tokenizer_cache[model_name] = tokenizer\n",
|
| 241 |
-
" \n",
|
| 242 |
-
" print(f\" Loaded successfully!\")\n",
|
| 243 |
-
" return model, tokenizer"
|
| 244 |
-
]
|
| 245 |
-
},
|
| 246 |
-
{
|
| 247 |
-
"cell_type": "code",
|
| 248 |
-
"execution_count": null,
|
| 249 |
-
"metadata": {},
|
| 250 |
-
"outputs": [],
|
| 251 |
-
"source": [
|
| 252 |
-
"def run_inference(\n",
|
| 253 |
-
" prompt: str,\n",
|
| 254 |
-
" model_name: str = \"medgemma_4b\",\n",
|
| 255 |
-
" max_new_tokens: int = 512,\n",
|
| 256 |
-
" temperature: float = 0.2,\n",
|
| 257 |
-
" do_sample: bool = True,\n",
|
| 258 |
-
") -> str:\n",
|
| 259 |
-
" \"\"\"\n",
|
| 260 |
-
" Run inference on a loaded model.\n",
|
| 261 |
-
" \n",
|
| 262 |
-
" Args:\n",
|
| 263 |
-
" prompt: Input prompt\n",
|
| 264 |
-
" model_name: Which model to use\n",
|
| 265 |
-
" max_new_tokens: Maximum tokens to generate\n",
|
| 266 |
-
" temperature: Sampling temperature\n",
|
| 267 |
-
" do_sample: Whether to use sampling\n",
|
| 268 |
-
" \n",
|
| 269 |
-
" Returns:\n",
|
| 270 |
-
" Generated text (completion only, not including prompt)\n",
|
| 271 |
-
" \"\"\"\n",
|
| 272 |
-
" model, tokenizer = load_model(model_name)\n",
|
| 273 |
-
" \n",
|
| 274 |
-
" # Tokenize\n",
|
| 275 |
-
" inputs = tokenizer(prompt, return_tensors=\"pt\", truncation=True, max_length=4096)\n",
|
| 276 |
-
" inputs = {k: v.to(model.device) for k, v in inputs.items()}\n",
|
| 277 |
-
" \n",
|
| 278 |
-
" # Generate\n",
|
| 279 |
-
" with torch.no_grad():\n",
|
| 280 |
-
" outputs = model.generate(\n",
|
| 281 |
-
" **inputs,\n",
|
| 282 |
-
" max_new_tokens=max_new_tokens,\n",
|
| 283 |
-
" temperature=temperature if do_sample else None,\n",
|
| 284 |
-
" do_sample=do_sample,\n",
|
| 285 |
-
" pad_token_id=tokenizer.pad_token_id,\n",
|
| 286 |
-
" eos_token_id=tokenizer.eos_token_id,\n",
|
| 287 |
-
" )\n",
|
| 288 |
-
" \n",
|
| 289 |
-
" # Decode only the generated part\n",
|
| 290 |
-
" generated_ids = outputs[0, inputs[\"input_ids\"].shape[1]:]\n",
|
| 291 |
-
" response = tokenizer.decode(generated_ids, skip_special_tokens=True)\n",
|
| 292 |
-
" \n",
|
| 293 |
-
" return response.strip()"
|
| 294 |
-
]
|
| 295 |
-
},
|
| 296 |
-
{
|
| 297 |
-
"cell_type": "markdown",
|
| 298 |
-
"metadata": {},
|
| 299 |
-
"source": [
|
| 300 |
-
"## 4. Load Primary Model (MedGemma 4B)"
|
| 301 |
-
]
|
| 302 |
-
},
|
| 303 |
-
{
|
| 304 |
-
"cell_type": "code",
|
| 305 |
-
"execution_count": null,
|
| 306 |
-
"metadata": {},
|
| 307 |
-
"outputs": [],
|
| 308 |
-
"source": [
|
| 309 |
-
"# Load the primary model\n",
|
| 310 |
-
"print(\"Loading MedGemma 4B IT (primary model for all agents)...\")\n",
|
| 311 |
-
"model, tokenizer = load_model(\"medgemma_4b\")\n",
|
| 312 |
"\n",
|
| 313 |
-
"
|
| 314 |
-
"
|
| 315 |
-
"
|
| 316 |
-
"
|
| 317 |
-
" max_new_tokens=100,\n",
|
| 318 |
")\n",
|
| 319 |
-
"print(
|
| 320 |
-
]
|
| 321 |
-
},
|
| 322 |
-
{
|
| 323 |
-
"cell_type": "markdown",
|
| 324 |
-
"metadata": {},
|
| 325 |
-
"source": [
|
| 326 |
-
"## 5. Utility Functions"
|
| 327 |
-
]
|
| 328 |
-
},
|
| 329 |
-
{
|
| 330 |
-
"cell_type": "code",
|
| 331 |
-
"execution_count": null,
|
| 332 |
-
"metadata": {},
|
| 333 |
-
"outputs": [],
|
| 334 |
-
"source": [
|
| 335 |
-
"# Creatinine Clearance Calculator (Cockcroft-Gault equation)\n",
|
| 336 |
-
"\n",
|
| 337 |
-
"def calculate_crcl(\n",
|
| 338 |
-
" age_years: float,\n",
|
| 339 |
-
" weight_kg: float,\n",
|
| 340 |
-
" serum_creatinine_mg_dl: float,\n",
|
| 341 |
-
" sex: Literal[\"male\", \"female\"],\n",
|
| 342 |
-
" height_cm: Optional[float] = None,\n",
|
| 343 |
-
") -> float:\n",
|
| 344 |
-
" \"\"\"\n",
|
| 345 |
-
" Calculate Creatinine Clearance using the Cockcroft-Gault equation.\n",
|
| 346 |
-
" \n",
|
| 347 |
-
" Formula: CrCl = [(140 - age) x weight x (0.85 if female)] / (72 x SCr)\n",
|
| 348 |
-
" \"\"\"\n",
|
| 349 |
-
" if serum_creatinine_mg_dl <= 0:\n",
|
| 350 |
-
" raise ValueError(\"Serum creatinine must be positive\")\n",
|
| 351 |
-
" \n",
|
| 352 |
-
" crcl = ((140 - age_years) * weight_kg) / (72 * serum_creatinine_mg_dl)\n",
|
| 353 |
-
" \n",
|
| 354 |
-
" if sex == \"female\":\n",
|
| 355 |
-
" crcl *= 0.85\n",
|
| 356 |
-
" \n",
|
| 357 |
-
" return round(crcl, 1)\n",
|
| 358 |
-
"\n",
|
| 359 |
-
"\n",
|
| 360 |
-
"def get_renal_dose_category(crcl: float) -> str:\n",
|
| 361 |
-
" \"\"\"Categorize renal function for dosing.\"\"\"\n",
|
| 362 |
-
" if crcl >= 90:\n",
|
| 363 |
-
" return \"normal\"\n",
|
| 364 |
-
" elif crcl >= 60:\n",
|
| 365 |
-
" return \"mild_impairment\"\n",
|
| 366 |
-
" elif crcl >= 30:\n",
|
| 367 |
-
" return \"moderate_impairment\"\n",
|
| 368 |
-
" elif crcl >= 15:\n",
|
| 369 |
-
" return \"severe_impairment\"\n",
|
| 370 |
-
" else:\n",
|
| 371 |
-
" return \"esrd\"\n",
|
| 372 |
-
"\n",
|
| 373 |
-
"\n",
|
| 374 |
-
"# Test CrCl calculation\n",
|
| 375 |
-
"test_crcl = calculate_crcl(age_years=65, weight_kg=70, serum_creatinine_mg_dl=1.2, sex=\"male\")\n",
|
| 376 |
-
"print(f\"Test CrCl: {test_crcl} mL/min ({get_renal_dose_category(test_crcl)})\")"
|
| 377 |
]
|
| 378 |
},
|
| 379 |
{
|
|
@@ -382,43 +133,17 @@
|
|
| 382 |
"metadata": {},
|
| 383 |
"outputs": [],
|
| 384 |
"source": [
|
| 385 |
-
"
|
| 386 |
-
"\n",
|
| 387 |
-
"
|
| 388 |
-
"
|
| 389 |
-
" if not text:\n",
|
| 390 |
-
" return None\n",
|
| 391 |
-
" \n",
|
| 392 |
-
" # Try direct parse\n",
|
| 393 |
-
" try:\n",
|
| 394 |
-
" return json.loads(text)\n",
|
| 395 |
-
" except json.JSONDecodeError:\n",
|
| 396 |
-
" pass\n",
|
| 397 |
-
" \n",
|
| 398 |
-
" # Try extracting from markdown code blocks\n",
|
| 399 |
-
" patterns = [\n",
|
| 400 |
-
" r\"```json\\s*\\n?(.*?)\\n?```\",\n",
|
| 401 |
-
" r\"```\\s*\\n?(.*?)\\n?```\",\n",
|
| 402 |
-
" r\"\\{[\\s\\S]*\\}\",\n",
|
| 403 |
-
" ]\n",
|
| 404 |
-
" \n",
|
| 405 |
-
" for pattern in patterns:\n",
|
| 406 |
-
" match = re.search(pattern, text, re.DOTALL)\n",
|
| 407 |
-
" if match:\n",
|
| 408 |
-
" try:\n",
|
| 409 |
-
" json_str = match.group(1) if match.lastindex else match.group(0)\n",
|
| 410 |
-
" return json.loads(json_str)\n",
|
| 411 |
-
" except (json.JSONDecodeError, IndexError):\n",
|
| 412 |
-
" continue\n",
|
| 413 |
-
" \n",
|
| 414 |
-
" return None"
|
| 415 |
]
|
| 416 |
},
|
| 417 |
{
|
| 418 |
"cell_type": "markdown",
|
| 419 |
"metadata": {},
|
| 420 |
"source": [
|
| 421 |
-
"##
|
| 422 |
]
|
| 423 |
},
|
| 424 |
{
|
|
@@ -427,53 +152,27 @@
|
|
| 427 |
"metadata": {},
|
| 428 |
"outputs": [],
|
| 429 |
"source": [
|
| 430 |
-
"#
|
| 431 |
-
"
|
| 432 |
-
"\n",
|
| 433 |
-
"
|
| 434 |
-
"
|
| 435 |
-
"
|
| 436 |
-
"4. Determine the appropriate treatment stage (empirical vs targeted)\n",
|
| 437 |
-
"\n",
|
| 438 |
-
"RISK FACTORS TO IDENTIFY:\n",
|
| 439 |
-
"- Prior MRSA or MDR infection history\n",
|
| 440 |
-
"- Recent antibiotic use (within 90 days)\n",
|
| 441 |
-
"- Healthcare-associated vs community-acquired infection\n",
|
| 442 |
-
"- Immunocompromised status\n",
|
| 443 |
-
"- Recent hospitalization or ICU stay\n",
|
| 444 |
-
"- Presence of medical devices (catheters, lines)\n",
|
| 445 |
-
"- Renal or hepatic impairment\n",
|
| 446 |
"\n",
|
| 447 |
-
"
|
| 448 |
-
"
|
| 449 |
-
"{\n",
|
| 450 |
-
"
|
| 451 |
-
" \"creatinine_clearance_ml_min\": <number or null>,\n",
|
| 452 |
-
" \"renal_dose_adjustment_needed\": <boolean>,\n",
|
| 453 |
-
" \"identified_risk_factors\": [\"list\", \"of\", \"factors\"],\n",
|
| 454 |
-
" \"suspected_pathogens\": [\"list\", \"of\", \"likely\", \"organisms\"],\n",
|
| 455 |
-
" \"infection_severity\": \"mild|moderate|severe|critical\",\n",
|
| 456 |
-
" \"recommended_stage\": \"empirical|targeted\",\n",
|
| 457 |
-
" \"notes\": \"Any additional clinical observations\"\n",
|
| 458 |
-
"}\n",
|
| 459 |
-
"\"\"\"\n",
|
| 460 |
"\n",
|
| 461 |
-
"
|
|
|
|
|
|
|
|
|
|
| 462 |
"\n",
|
| 463 |
-
"
|
| 464 |
-
"
|
| 465 |
"\n",
|
| 466 |
-
"
|
| 467 |
-
"{medications}\n",
|
| 468 |
-
"\n",
|
| 469 |
-
"KNOWN ALLERGIES:\n",
|
| 470 |
-
"{allergies}\n",
|
| 471 |
-
"\n",
|
| 472 |
-
"CLINICAL CONTEXT:\n",
|
| 473 |
-
"- Suspected infection site: {infection_site}\n",
|
| 474 |
-
"- Suspected source: {suspected_source}\n",
|
| 475 |
-
"\n",
|
| 476 |
-
"Provide your structured assessment following the system instructions.\"\"\""
|
| 477 |
]
|
| 478 |
},
|
| 479 |
{
|
|
@@ -482,797 +181,18 @@
|
|
| 482 |
"metadata": {},
|
| 483 |
"outputs": [],
|
| 484 |
"source": [
|
| 485 |
-
"
|
| 486 |
-
"
|
| 487 |
-
"\n",
|
| 488 |
-
"1. Extract structured data from laboratory reports (culture & sensitivity, antibiograms)\n",
|
| 489 |
-
"2. Handle reports in ANY language - always output in English\n",
|
| 490 |
-
"3. Identify pathogens, antibiotics tested, MIC values, and S/I/R interpretations\n",
|
| 491 |
-
"4. Flag any critical or unusual findings\n",
|
| 492 |
-
"\n",
|
| 493 |
-
"OUTPUT FORMAT:\n",
|
| 494 |
-
"Provide a structured JSON response:\n",
|
| 495 |
-
"{\n",
|
| 496 |
-
" \"specimen_type\": \"blood|urine|wound|respiratory|other\",\n",
|
| 497 |
-
" \"collection_date\": \"YYYY-MM-DD or null\",\n",
|
| 498 |
-
" \"identified_organisms\": [\n",
|
| 499 |
-
" {\n",
|
| 500 |
-
" \"organism_name\": \"Standardized English name\",\n",
|
| 501 |
-
" \"colony_count\": \"if available\",\n",
|
| 502 |
-
" \"significance\": \"pathogen|colonizer|contaminant\"\n",
|
| 503 |
-
" }\n",
|
| 504 |
-
" ],\n",
|
| 505 |
-
" \"susceptibility_results\": [\n",
|
| 506 |
-
" {\n",
|
| 507 |
-
" \"organism\": \"Organism name\",\n",
|
| 508 |
-
" \"antibiotic\": \"Standardized antibiotic name\",\n",
|
| 509 |
-
" \"mic_value\": <number or null>,\n",
|
| 510 |
-
" \"mic_unit\": \"mg/L\",\n",
|
| 511 |
-
" \"interpretation\": \"S|I|R\"\n",
|
| 512 |
-
" }\n",
|
| 513 |
-
" ],\n",
|
| 514 |
-
" \"critical_findings\": [\"List of urgent findings\"],\n",
|
| 515 |
-
" \"extraction_confidence\": 0.0-1.0\n",
|
| 516 |
-
"}\n",
|
| 517 |
-
"\"\"\"\n",
|
| 518 |
-
"\n",
|
| 519 |
-
"VISION_SPECIALIST_PROMPT = \"\"\"Extract structured laboratory data from the following report.\n",
|
| 520 |
-
"\n",
|
| 521 |
-
"REPORT CONTENT:\n",
|
| 522 |
-
"{report_content}\n",
|
| 523 |
-
"\n",
|
| 524 |
-
"Extract all pathogen identifications, susceptibility results, and MIC values.\n",
|
| 525 |
-
"Always standardize to English medical terminology.\n",
|
| 526 |
-
"Flag any critical findings that require urgent attention.\n",
|
| 527 |
-
"\n",
|
| 528 |
-
"Provide your structured extraction following the system instructions.\"\"\""
|
| 529 |
-
]
|
| 530 |
-
},
|
| 531 |
-
{
|
| 532 |
-
"cell_type": "code",
|
| 533 |
-
"execution_count": null,
|
| 534 |
-
"metadata": {},
|
| 535 |
-
"outputs": [],
|
| 536 |
-
"source": [
|
| 537 |
-
"# Agent 3: Trend Analyst\n",
|
| 538 |
-
"TREND_ANALYST_SYSTEM = \"\"\"You are an expert antimicrobial resistance trend analyst. Your role is to:\n",
|
| 539 |
-
"\n",
|
| 540 |
-
"1. Analyze MIC trends over time to detect \"MIC Creep\"\n",
|
| 541 |
-
"2. Calculate resistance velocity and predict treatment failure risk\n",
|
| 542 |
-
"3. Compare current MICs against EUCAST/CLSI breakpoints\n",
|
| 543 |
-
"4. Identify emerging resistance patterns\n",
|
| 544 |
-
"\n",
|
| 545 |
-
"RISK STRATIFICATION:\n",
|
| 546 |
-
"- LOW: Stable MIC, well below breakpoint (>4x margin)\n",
|
| 547 |
-
"- MODERATE: Rising trend but still 2-4x below breakpoint\n",
|
| 548 |
-
"- HIGH: Approaching breakpoint (<2x margin) or rapid increase\n",
|
| 549 |
-
"- CRITICAL: At or above breakpoint, or >4-fold increase over baseline\n",
|
| 550 |
-
"\n",
|
| 551 |
-
"OUTPUT FORMAT:\n",
|
| 552 |
-
"{\n",
|
| 553 |
-
" \"organism\": \"Pathogen name\",\n",
|
| 554 |
-
" \"antibiotic\": \"Antibiotic name\",\n",
|
| 555 |
-
" \"baseline_mic\": <number>,\n",
|
| 556 |
-
" \"current_mic\": <number>,\n",
|
| 557 |
-
" \"fold_change\": <number>,\n",
|
| 558 |
-
" \"trend\": \"stable|increasing|decreasing\",\n",
|
| 559 |
-
" \"breakpoint_susceptible\": <number>,\n",
|
| 560 |
-
" \"margin_to_breakpoint\": <number>,\n",
|
| 561 |
-
" \"risk_level\": \"LOW|MODERATE|HIGH|CRITICAL\",\n",
|
| 562 |
-
" \"recommendation\": \"Continue current therapy|Consider alternatives|Urgent switch needed\",\n",
|
| 563 |
-
" \"rationale\": \"Detailed explanation\"\n",
|
| 564 |
-
"}\n",
|
| 565 |
-
"\"\"\"\n",
|
| 566 |
-
"\n",
|
| 567 |
-
"TREND_ANALYST_PROMPT = \"\"\"Analyze the MIC trend data and assess resistance risk.\n",
|
| 568 |
-
"\n",
|
| 569 |
-
"ORGANISM: {organism}\n",
|
| 570 |
-
"ANTIBIOTIC: {antibiotic}\n",
|
| 571 |
-
"\n",
|
| 572 |
-
"HISTORICAL MIC DATA:\n",
|
| 573 |
-
"{mic_history}\n",
|
| 574 |
-
"\n",
|
| 575 |
-
"EUCAST BREAKPOINT (S <=): {breakpoint} mg/L\n",
|
| 576 |
-
"\n",
|
| 577 |
-
"Analyze the trend, calculate risk level, and provide recommendations.\n",
|
| 578 |
-
"Follow the system instructions for output format.\"\"\""
|
| 579 |
-
]
|
| 580 |
-
},
|
| 581 |
-
{
|
| 582 |
-
"cell_type": "code",
|
| 583 |
-
"execution_count": null,
|
| 584 |
-
"metadata": {},
|
| 585 |
-
"outputs": [],
|
| 586 |
-
"source": [
|
| 587 |
-
"# Agent 4: Clinical Pharmacologist\n",
|
| 588 |
-
"CLINICAL_PHARMACOLOGIST_SYSTEM = \"\"\"You are an expert clinical pharmacologist specializing in infectious diseases and antimicrobial stewardship. Your role is to:\n",
|
| 589 |
-
"\n",
|
| 590 |
-
"1. Synthesize all available clinical data into a final antibiotic recommendation\n",
|
| 591 |
-
"2. Apply WHO AWaRe classification principles (ACCESS -> WATCH -> RESERVE)\n",
|
| 592 |
-
"3. Perform comprehensive drug safety checks\n",
|
| 593 |
-
"4. Adjust dosing for renal function\n",
|
| 594 |
-
"\n",
|
| 595 |
-
"PRESCRIBING PRINCIPLES:\n",
|
| 596 |
-
"1. Start narrow, escalate only when justified\n",
|
| 597 |
-
"2. De-escalate when culture results allow\n",
|
| 598 |
-
"3. Prefer ACCESS category antibiotics when appropriate\n",
|
| 599 |
-
"4. Consider pharmacokinetic/pharmacodynamic (PK/PD) optimization\n",
|
| 600 |
-
"\n",
|
| 601 |
-
"OUTPUT FORMAT:\n",
|
| 602 |
-
"{\n",
|
| 603 |
-
" \"primary_recommendation\": {\n",
|
| 604 |
-
" \"antibiotic\": \"Drug name\",\n",
|
| 605 |
-
" \"dose\": \"Amount and unit\",\n",
|
| 606 |
-
" \"route\": \"IV|PO|IM\",\n",
|
| 607 |
-
" \"frequency\": \"Dosing interval\",\n",
|
| 608 |
-
" \"duration\": \"Treatment duration\",\n",
|
| 609 |
-
" \"aware_category\": \"ACCESS|WATCH|RESERVE\"\n",
|
| 610 |
-
" },\n",
|
| 611 |
-
" \"alternative_recommendation\": {\n",
|
| 612 |
-
" \"antibiotic\": \"Alternative drug\",\n",
|
| 613 |
-
" \"indication\": \"When to use alternative\"\n",
|
| 614 |
-
" },\n",
|
| 615 |
-
" \"dose_adjustments\": {\n",
|
| 616 |
-
" \"renal\": \"Adjustment details or None needed\"\n",
|
| 617 |
-
" },\n",
|
| 618 |
-
" \"safety_alerts\": [\n",
|
| 619 |
-
" {\n",
|
| 620 |
-
" \"level\": \"INFO|WARNING|CRITICAL\",\n",
|
| 621 |
-
" \"message\": \"Alert message\"\n",
|
| 622 |
-
" }\n",
|
| 623 |
-
" ],\n",
|
| 624 |
-
" \"monitoring_parameters\": [\"Labs/vitals to monitor\"],\n",
|
| 625 |
-
" \"rationale\": \"Clinical reasoning\",\n",
|
| 626 |
-
" \"guideline_references\": [\"Supporting guidelines\"]\n",
|
| 627 |
-
"}\n",
|
| 628 |
-
"\"\"\"\n",
|
| 629 |
-
"\n",
|
| 630 |
-
"CLINICAL_PHARMACOLOGIST_PROMPT = \"\"\"Synthesize all clinical data and provide a final antibiotic recommendation.\n",
|
| 631 |
-
"\n",
|
| 632 |
-
"PATIENT SUMMARY:\n",
|
| 633 |
-
"{intake_summary}\n",
|
| 634 |
-
"\n",
|
| 635 |
-
"LAB RESULTS:\n",
|
| 636 |
-
"{lab_results}\n",
|
| 637 |
-
"\n",
|
| 638 |
-
"MIC TREND ANALYSIS:\n",
|
| 639 |
-
"{trend_analysis}\n",
|
| 640 |
-
"\n",
|
| 641 |
-
"PATIENT PARAMETERS:\n",
|
| 642 |
-
"- Age: {age} years\n",
|
| 643 |
-
"- Weight: {weight} kg\n",
|
| 644 |
-
"- CrCl: {crcl} mL/min\n",
|
| 645 |
-
"- Allergies: {allergies}\n",
|
| 646 |
-
"- Current medications: {current_medications}\n",
|
| 647 |
-
"\n",
|
| 648 |
-
"INFECTION CONTEXT:\n",
|
| 649 |
-
"- Site: {infection_site}\n",
|
| 650 |
-
"- Severity: {severity}\n",
|
| 651 |
-
"\n",
|
| 652 |
-
"Provide your final recommendation following the system instructions.\"\"\""
|
| 653 |
-
]
|
| 654 |
-
},
|
| 655 |
-
{
|
| 656 |
-
"cell_type": "markdown",
|
| 657 |
-
"metadata": {},
|
| 658 |
-
"source": [
|
| 659 |
-
"## 7. Agent Implementation"
|
| 660 |
-
]
|
| 661 |
-
},
|
| 662 |
-
{
|
| 663 |
-
"cell_type": "code",
|
| 664 |
-
"execution_count": null,
|
| 665 |
-
"metadata": {},
|
| 666 |
-
"outputs": [],
|
| 667 |
-
"source": [
|
| 668 |
-
"# State type definition\n",
|
| 669 |
-
"from typing import TypedDict, NotRequired\n",
|
| 670 |
-
"\n",
|
| 671 |
-
"class InfectionState(TypedDict, total=False):\n",
|
| 672 |
-
" \"\"\"Global state for the Med-I-C pipeline.\"\"\"\n",
|
| 673 |
-
" # Patient data\n",
|
| 674 |
-
" patient_id: Optional[str]\n",
|
| 675 |
-
" age_years: Optional[float]\n",
|
| 676 |
-
" sex: Optional[Literal[\"male\", \"female\"]]\n",
|
| 677 |
-
" weight_kg: Optional[float]\n",
|
| 678 |
-
" height_cm: Optional[float]\n",
|
| 679 |
-
" \n",
|
| 680 |
-
" # Clinical context\n",
|
| 681 |
-
" suspected_source: Optional[str]\n",
|
| 682 |
-
" comorbidities: List[str]\n",
|
| 683 |
-
" medications: List[str]\n",
|
| 684 |
-
" allergies: List[str]\n",
|
| 685 |
-
" infection_site: Optional[str]\n",
|
| 686 |
-
" \n",
|
| 687 |
-
" # Renal function\n",
|
| 688 |
-
" serum_creatinine_mg_dl: Optional[float]\n",
|
| 689 |
-
" creatinine_clearance_ml_min: Optional[float]\n",
|
| 690 |
-
" \n",
|
| 691 |
-
" # Lab data\n",
|
| 692 |
-
" labs_raw_text: Optional[str]\n",
|
| 693 |
-
" mic_data: List[Dict[str, Any]]\n",
|
| 694 |
-
" \n",
|
| 695 |
-
" # Stage routing\n",
|
| 696 |
-
" stage: Literal[\"empirical\", \"targeted\"]\n",
|
| 697 |
-
" route_to_vision: bool\n",
|
| 698 |
-
" route_to_trend_analyst: bool\n",
|
| 699 |
-
" \n",
|
| 700 |
-
" # Agent outputs\n",
|
| 701 |
-
" intake_notes: Optional[str]\n",
|
| 702 |
-
" vision_notes: Optional[str]\n",
|
| 703 |
-
" trend_notes: Optional[str]\n",
|
| 704 |
-
" pharmacology_notes: Optional[str]\n",
|
| 705 |
-
" recommendation: Optional[Dict[str, Any]]\n",
|
| 706 |
-
" \n",
|
| 707 |
-
" # Safety\n",
|
| 708 |
-
" safety_warnings: List[str]\n",
|
| 709 |
-
" errors: List[str]"
|
| 710 |
-
]
|
| 711 |
-
},
|
| 712 |
-
{
|
| 713 |
-
"cell_type": "code",
|
| 714 |
-
"execution_count": null,
|
| 715 |
-
"metadata": {},
|
| 716 |
-
"outputs": [],
|
| 717 |
-
"source": [
|
| 718 |
-
"def run_intake_historian(state: InfectionState) -> InfectionState:\n",
|
| 719 |
-
" \"\"\"\n",
|
| 720 |
-
" Agent 1: Parse patient data, calculate CrCl, identify risk factors.\n",
|
| 721 |
-
" \"\"\"\n",
|
| 722 |
-
" print(\"\\n\" + \"=\"*60)\n",
|
| 723 |
-
" print(\"AGENT 1: INTAKE HISTORIAN\")\n",
|
| 724 |
-
" print(\"=\"*60)\n",
|
| 725 |
-
" \n",
|
| 726 |
-
" # Calculate CrCl if we have required data\n",
|
| 727 |
-
" crcl = None\n",
|
| 728 |
-
" if all([state.get(\"age_years\"), state.get(\"weight_kg\"), \n",
|
| 729 |
-
" state.get(\"serum_creatinine_mg_dl\"), state.get(\"sex\")]):\n",
|
| 730 |
-
" crcl = calculate_crcl(\n",
|
| 731 |
-
" age_years=state[\"age_years\"],\n",
|
| 732 |
-
" weight_kg=state[\"weight_kg\"],\n",
|
| 733 |
-
" serum_creatinine_mg_dl=state[\"serum_creatinine_mg_dl\"],\n",
|
| 734 |
-
" sex=state[\"sex\"],\n",
|
| 735 |
-
" )\n",
|
| 736 |
-
" state[\"creatinine_clearance_ml_min\"] = crcl\n",
|
| 737 |
-
" print(f\"Calculated CrCl: {crcl} mL/min ({get_renal_dose_category(crcl)})\")\n",
|
| 738 |
-
" \n",
|
| 739 |
-
" # Build patient data string\n",
|
| 740 |
-
" patient_data = f\"\"\"\n",
|
| 741 |
-
"Age: {state.get('age_years', 'Unknown')} years\n",
|
| 742 |
-
"Sex: {state.get('sex', 'Unknown')}\n",
|
| 743 |
-
"Weight: {state.get('weight_kg', 'Unknown')} kg\n",
|
| 744 |
-
"Serum Creatinine: {state.get('serum_creatinine_mg_dl', 'Unknown')} mg/dL\n",
|
| 745 |
-
"CrCl: {crcl or 'Not calculated'} mL/min\n",
|
| 746 |
-
"Comorbidities: {', '.join(state.get('comorbidities', [])) or 'None reported'}\n",
|
| 747 |
-
"\"\"\"\n",
|
| 748 |
-
" \n",
|
| 749 |
-
" # Build prompt\n",
|
| 750 |
-
" prompt = f\"{INTAKE_HISTORIAN_SYSTEM}\\n\\n{INTAKE_HISTORIAN_PROMPT.format(\n",
|
| 751 |
-
" patient_data=patient_data,\n",
|
| 752 |
-
" medications=', '.join(state.get('medications', [])) or 'None reported',\n",
|
| 753 |
-
" allergies=', '.join(state.get('allergies', [])) or 'No known allergies',\n",
|
| 754 |
-
" infection_site=state.get('infection_site', 'Unknown'),\n",
|
| 755 |
-
" suspected_source=state.get('suspected_source', 'Unknown'),\n",
|
| 756 |
-
" )}\"\"\"\n",
|
| 757 |
-
" \n",
|
| 758 |
-
" # Run inference\n",
|
| 759 |
-
" print(\"Running MedGemma inference...\")\n",
|
| 760 |
-
" response = run_inference(prompt, model_name=\"medgemma_4b\", max_new_tokens=1024)\n",
|
| 761 |
-
" \n",
|
| 762 |
-
" # Parse response\n",
|
| 763 |
-
" parsed = safe_json_parse(response)\n",
|
| 764 |
-
" if parsed:\n",
|
| 765 |
-
" state[\"intake_notes\"] = json.dumps(parsed, indent=2)\n",
|
| 766 |
-
" state[\"stage\"] = parsed.get(\"recommended_stage\", \"empirical\")\n",
|
| 767 |
-
" print(f\"\\nIntake Assessment:\")\n",
|
| 768 |
-
" print(json.dumps(parsed, indent=2))\n",
|
| 769 |
-
" else:\n",
|
| 770 |
-
" state[\"intake_notes\"] = response\n",
|
| 771 |
-
" state[\"stage\"] = \"empirical\"\n",
|
| 772 |
-
" print(f\"\\nRaw response: {response[:500]}...\")\n",
|
| 773 |
-
" \n",
|
| 774 |
-
" # Determine routing\n",
|
| 775 |
-
" state[\"route_to_vision\"] = bool(state.get(\"labs_raw_text\"))\n",
|
| 776 |
-
" print(f\"\\nStage: {state['stage']}\")\n",
|
| 777 |
-
" print(f\"Route to Vision Specialist: {state['route_to_vision']}\")\n",
|
| 778 |
-
" \n",
|
| 779 |
-
" return state"
|
| 780 |
-
]
|
| 781 |
-
},
|
| 782 |
-
{
|
| 783 |
-
"cell_type": "code",
|
| 784 |
-
"execution_count": null,
|
| 785 |
-
"metadata": {},
|
| 786 |
-
"outputs": [],
|
| 787 |
-
"source": [
|
| 788 |
-
"def run_vision_specialist(state: InfectionState) -> InfectionState:\n",
|
| 789 |
-
" \"\"\"\n",
|
| 790 |
-
" Agent 2: Extract structured data from lab reports.\n",
|
| 791 |
-
" \"\"\"\n",
|
| 792 |
-
" print(\"\\n\" + \"=\"*60)\n",
|
| 793 |
-
" print(\"AGENT 2: VISION SPECIALIST\")\n",
|
| 794 |
-
" print(\"=\"*60)\n",
|
| 795 |
-
" \n",
|
| 796 |
-
" labs_raw = state.get(\"labs_raw_text\", \"\")\n",
|
| 797 |
-
" if not labs_raw:\n",
|
| 798 |
-
" print(\"No lab data to process, skipping.\")\n",
|
| 799 |
-
" state[\"vision_notes\"] = \"No lab data provided\"\n",
|
| 800 |
-
" state[\"route_to_trend_analyst\"] = False\n",
|
| 801 |
-
" return state\n",
|
| 802 |
-
" \n",
|
| 803 |
-
" # Build prompt\n",
|
| 804 |
-
" prompt = f\"{VISION_SPECIALIST_SYSTEM}\\n\\n{VISION_SPECIALIST_PROMPT.format(\n",
|
| 805 |
-
" report_content=labs_raw,\n",
|
| 806 |
-
" )}\"\n",
|
| 807 |
-
" \n",
|
| 808 |
-
" # Run inference\n",
|
| 809 |
-
" print(\"Running MedGemma inference on lab report...\")\n",
|
| 810 |
-
" response = run_inference(prompt, model_name=\"medgemma_4b\", max_new_tokens=2048)\n",
|
| 811 |
-
" \n",
|
| 812 |
-
" # Parse response\n",
|
| 813 |
-
" parsed = safe_json_parse(response)\n",
|
| 814 |
-
" if parsed:\n",
|
| 815 |
-
" state[\"vision_notes\"] = json.dumps(parsed, indent=2)\n",
|
| 816 |
-
" \n",
|
| 817 |
-
" # Extract MIC data\n",
|
| 818 |
-
" susceptibility = parsed.get(\"susceptibility_results\", [])\n",
|
| 819 |
-
" state[\"mic_data\"] = susceptibility\n",
|
| 820 |
-
" state[\"route_to_trend_analyst\"] = len(susceptibility) > 0\n",
|
| 821 |
-
" \n",
|
| 822 |
-
" print(f\"\\nExtracted Lab Data:\")\n",
|
| 823 |
-
" print(json.dumps(parsed, indent=2))\n",
|
| 824 |
-
" \n",
|
| 825 |
-
" # Check for critical findings\n",
|
| 826 |
-
" critical = parsed.get(\"critical_findings\", [])\n",
|
| 827 |
-
" if critical:\n",
|
| 828 |
-
" print(f\"\\n⚠️ CRITICAL FINDINGS: {critical}\")\n",
|
| 829 |
-
" state.setdefault(\"safety_warnings\", []).extend(critical)\n",
|
| 830 |
-
" else:\n",
|
| 831 |
-
" state[\"vision_notes\"] = response\n",
|
| 832 |
-
" state[\"route_to_trend_analyst\"] = False\n",
|
| 833 |
-
" print(f\"\\nRaw response: {response[:500]}...\")\n",
|
| 834 |
-
" \n",
|
| 835 |
-
" print(f\"\\nMIC data points: {len(state.get('mic_data', []))}\")\n",
|
| 836 |
-
" print(f\"Route to Trend Analyst: {state.get('route_to_trend_analyst', False)}\")\n",
|
| 837 |
-
" \n",
|
| 838 |
-
" return state"
|
| 839 |
-
]
|
| 840 |
-
},
|
| 841 |
-
{
|
| 842 |
-
"cell_type": "code",
|
| 843 |
-
"execution_count": null,
|
| 844 |
-
"metadata": {},
|
| 845 |
-
"outputs": [],
|
| 846 |
-
"source": [
|
| 847 |
-
"def run_trend_analyst(state: InfectionState) -> InfectionState:\n",
|
| 848 |
-
" \"\"\"\n",
|
| 849 |
-
" Agent 3: Analyze MIC trends and detect resistance velocity.\n",
|
| 850 |
-
" \"\"\"\n",
|
| 851 |
-
" print(\"\\n\" + \"=\"*60)\n",
|
| 852 |
-
" print(\"AGENT 3: TREND ANALYST\")\n",
|
| 853 |
-
" print(\"=\"*60)\n",
|
| 854 |
-
" \n",
|
| 855 |
-
" mic_data = state.get(\"mic_data\", [])\n",
|
| 856 |
-
" if not mic_data:\n",
|
| 857 |
-
" print(\"No MIC data to analyze, skipping.\")\n",
|
| 858 |
-
" state[\"trend_notes\"] = \"No MIC data available\"\n",
|
| 859 |
-
" return state\n",
|
| 860 |
-
" \n",
|
| 861 |
-
" trend_results = []\n",
|
| 862 |
-
" \n",
|
| 863 |
-
" for mic in mic_data:\n",
|
| 864 |
-
" organism = mic.get(\"organism\", \"Unknown\")\n",
|
| 865 |
-
" antibiotic = mic.get(\"antibiotic\", \"Unknown\")\n",
|
| 866 |
-
" mic_value = mic.get(\"mic_value\")\n",
|
| 867 |
-
" \n",
|
| 868 |
-
" if mic_value is None:\n",
|
| 869 |
-
" continue\n",
|
| 870 |
-
" \n",
|
| 871 |
-
" # For demo, create synthetic history showing increasing trend\n",
|
| 872 |
-
" mic_history = json.dumps([\n",
|
| 873 |
-
" {\"date\": \"2024-01-01\", \"mic_value\": float(mic_value) / 2},\n",
|
| 874 |
-
" {\"date\": \"2024-06-01\", \"mic_value\": float(mic_value) / 1.5},\n",
|
| 875 |
-
" {\"date\": \"2025-01-01\", \"mic_value\": float(mic_value)},\n",
|
| 876 |
-
" ], indent=2)\n",
|
| 877 |
-
" \n",
|
| 878 |
-
" # Use standard EUCAST breakpoint (simplified)\n",
|
| 879 |
-
" breakpoint = 2.0 # Default S <= 2 mg/L\n",
|
| 880 |
-
" \n",
|
| 881 |
-
" prompt = f\"{TREND_ANALYST_SYSTEM}\\n\\n{TREND_ANALYST_PROMPT.format(\n",
|
| 882 |
-
" organism=organism,\n",
|
| 883 |
-
" antibiotic=antibiotic,\n",
|
| 884 |
-
" mic_history=mic_history,\n",
|
| 885 |
-
" breakpoint=breakpoint,\n",
|
| 886 |
-
" )}\"\n",
|
| 887 |
-
" \n",
|
| 888 |
-
" print(f\"\\nAnalyzing: {organism} / {antibiotic}...\")\n",
|
| 889 |
-
" response = run_inference(prompt, model_name=\"medgemma_4b\", max_new_tokens=1024)\n",
|
| 890 |
-
" \n",
|
| 891 |
-
" parsed = safe_json_parse(response)\n",
|
| 892 |
-
" if parsed:\n",
|
| 893 |
-
" trend_results.append(parsed)\n",
|
| 894 |
-
" risk_level = parsed.get(\"risk_level\", \"UNKNOWN\")\n",
|
| 895 |
-
" print(f\" Risk Level: {risk_level}\")\n",
|
| 896 |
-
" \n",
|
| 897 |
-
" if risk_level in [\"HIGH\", \"CRITICAL\"]:\n",
|
| 898 |
-
" warning = f\"MIC trend alert for {organism}/{antibiotic}: {parsed.get('recommendation', 'Review needed')}\"\n",
|
| 899 |
-
" state.setdefault(\"safety_warnings\", []).append(warning)\n",
|
| 900 |
-
" else:\n",
|
| 901 |
-
" trend_results.append({\"organism\": organism, \"antibiotic\": antibiotic, \"raw\": response[:200]})\n",
|
| 902 |
-
" \n",
|
| 903 |
-
" state[\"trend_notes\"] = json.dumps(trend_results, indent=2)\n",
|
| 904 |
-
" print(f\"\\nTrend Analysis Complete:\")\n",
|
| 905 |
-
" print(json.dumps(trend_results, indent=2))\n",
|
| 906 |
-
" \n",
|
| 907 |
-
" return state"
|
| 908 |
-
]
|
| 909 |
-
},
|
| 910 |
-
{
|
| 911 |
-
"cell_type": "code",
|
| 912 |
-
"execution_count": null,
|
| 913 |
-
"metadata": {},
|
| 914 |
-
"outputs": [],
|
| 915 |
-
"source": [
|
| 916 |
-
"def run_clinical_pharmacologist(state: InfectionState) -> InfectionState:\n",
|
| 917 |
-
" \"\"\"\n",
|
| 918 |
-
" Agent 4: Generate final antibiotic recommendation with safety checks.\n",
|
| 919 |
-
" \"\"\"\n",
|
| 920 |
-
" print(\"\\n\" + \"=\"*60)\n",
|
| 921 |
-
" print(\"AGENT 4: CLINICAL PHARMACOLOGIST\")\n",
|
| 922 |
-
" print(\"=\"*60)\n",
|
| 923 |
-
" \n",
|
| 924 |
-
" # Gather previous agent outputs\n",
|
| 925 |
-
" intake_summary = state.get(\"intake_notes\", \"No intake data\")\n",
|
| 926 |
-
" lab_results = state.get(\"vision_notes\", \"No lab data\")\n",
|
| 927 |
-
" trend_analysis = state.get(\"trend_notes\", \"No trend data\")\n",
|
| 928 |
-
" \n",
|
| 929 |
-
" prompt = f\"{CLINICAL_PHARMACOLOGIST_SYSTEM}\\n\\n{CLINICAL_PHARMACOLOGIST_PROMPT.format(\n",
|
| 930 |
-
" intake_summary=intake_summary,\n",
|
| 931 |
-
" lab_results=lab_results,\n",
|
| 932 |
-
" trend_analysis=trend_analysis,\n",
|
| 933 |
-
" age=state.get('age_years', 'Unknown'),\n",
|
| 934 |
-
" weight=state.get('weight_kg', 'Unknown'),\n",
|
| 935 |
-
" crcl=state.get('creatinine_clearance_ml_min', 'Unknown'),\n",
|
| 936 |
-
" allergies=', '.join(state.get('allergies', [])) or 'No known allergies',\n",
|
| 937 |
-
" current_medications=', '.join(state.get('medications', [])) or 'None',\n",
|
| 938 |
-
" infection_site=state.get('infection_site', 'Unknown'),\n",
|
| 939 |
-
" severity='moderate',\n",
|
| 940 |
-
" )}\"\n",
|
| 941 |
-
" \n",
|
| 942 |
-
" print(\"Running MedGemma inference for final recommendation...\")\n",
|
| 943 |
-
" response = run_inference(prompt, model_name=\"medgemma_4b\", max_new_tokens=2048)\n",
|
| 944 |
-
" \n",
|
| 945 |
-
" parsed = safe_json_parse(response)\n",
|
| 946 |
-
" if parsed:\n",
|
| 947 |
-
" state[\"pharmacology_notes\"] = json.dumps(parsed, indent=2)\n",
|
| 948 |
-
" \n",
|
| 949 |
-
" # Build recommendation\n",
|
| 950 |
-
" primary = parsed.get(\"primary_recommendation\", {})\n",
|
| 951 |
-
" recommendation = {\n",
|
| 952 |
-
" \"primary_antibiotic\": primary.get(\"antibiotic\"),\n",
|
| 953 |
-
" \"dose\": primary.get(\"dose\"),\n",
|
| 954 |
-
" \"route\": primary.get(\"route\"),\n",
|
| 955 |
-
" \"frequency\": primary.get(\"frequency\"),\n",
|
| 956 |
-
" \"duration\": primary.get(\"duration\"),\n",
|
| 957 |
-
" \"rationale\": parsed.get(\"rationale\"),\n",
|
| 958 |
-
" \"references\": parsed.get(\"guideline_references\", []),\n",
|
| 959 |
-
" \"safety_alerts\": [a.get(\"message\") for a in parsed.get(\"safety_alerts\", [])],\n",
|
| 960 |
-
" }\n",
|
| 961 |
-
" \n",
|
| 962 |
-
" alt = parsed.get(\"alternative_recommendation\", {})\n",
|
| 963 |
-
" if alt.get(\"antibiotic\"):\n",
|
| 964 |
-
" recommendation[\"backup_antibiotic\"] = alt.get(\"antibiotic\")\n",
|
| 965 |
-
" \n",
|
| 966 |
-
" state[\"recommendation\"] = recommendation\n",
|
| 967 |
-
" \n",
|
| 968 |
-
" print(f\"\\n\" + \"=\"*60)\n",
|
| 969 |
-
" print(\"FINAL RECOMMENDATION\")\n",
|
| 970 |
-
" print(\"=\"*60)\n",
|
| 971 |
-
" print(json.dumps(recommendation, indent=2))\n",
|
| 972 |
-
" \n",
|
| 973 |
-
" # Add safety alerts\n",
|
| 974 |
-
" for alert in parsed.get(\"safety_alerts\", []):\n",
|
| 975 |
-
" if alert.get(\"level\") in [\"WARNING\", \"CRITICAL\"]:\n",
|
| 976 |
-
" state.setdefault(\"safety_warnings\", []).append(alert.get(\"message\"))\n",
|
| 977 |
-
" else:\n",
|
| 978 |
-
" state[\"pharmacology_notes\"] = response\n",
|
| 979 |
-
" state[\"recommendation\"] = {\"rationale\": response}\n",
|
| 980 |
-
" print(f\"\\nRaw response: {response[:500]}...\")\n",
|
| 981 |
-
" \n",
|
| 982 |
-
" return state"
|
| 983 |
-
]
|
| 984 |
-
},
|
| 985 |
-
{
|
| 986 |
-
"cell_type": "markdown",
|
| 987 |
-
"metadata": {},
|
| 988 |
-
"source": [
|
| 989 |
-
"## 8. Pipeline Orchestration with LangGraph"
|
| 990 |
-
]
|
| 991 |
-
},
|
| 992 |
-
{
|
| 993 |
-
"cell_type": "code",
|
| 994 |
-
"execution_count": null,
|
| 995 |
-
"metadata": {},
|
| 996 |
-
"outputs": [],
|
| 997 |
-
"source": [
|
| 998 |
-
"from langgraph.graph import StateGraph, END\n",
|
| 999 |
-
"\n",
|
| 1000 |
-
"def build_infection_graph():\n",
|
| 1001 |
-
" \"\"\"\n",
|
| 1002 |
-
" Build the LangGraph StateGraph for the infection lifecycle workflow.\n",
|
| 1003 |
-
" \n",
|
| 1004 |
-
" Stage 1 (Empirical): Intake Historian -> Clinical Pharmacologist\n",
|
| 1005 |
-
" Stage 2 (Targeted): Intake Historian -> Vision Specialist -> Trend Analyst -> Clinical Pharmacologist\n",
|
| 1006 |
-
" \"\"\"\n",
|
| 1007 |
-
" graph = StateGraph(InfectionState)\n",
|
| 1008 |
-
" \n",
|
| 1009 |
-
" # Add nodes\n",
|
| 1010 |
-
" graph.add_node(\"intake_historian\", run_intake_historian)\n",
|
| 1011 |
-
" graph.add_node(\"vision_specialist\", run_vision_specialist)\n",
|
| 1012 |
-
" graph.add_node(\"trend_analyst\", run_trend_analyst)\n",
|
| 1013 |
-
" graph.add_node(\"clinical_pharmacologist\", run_clinical_pharmacologist)\n",
|
| 1014 |
-
" \n",
|
| 1015 |
-
" # Set entry point\n",
|
| 1016 |
-
" graph.set_entry_point(\"intake_historian\")\n",
|
| 1017 |
-
" \n",
|
| 1018 |
-
" # Conditional routing after intake\n",
|
| 1019 |
-
" def route_after_intake(state: InfectionState):\n",
|
| 1020 |
-
" if state.get(\"stage\") == \"targeted\" and state.get(\"route_to_vision\"):\n",
|
| 1021 |
-
" return \"vision_specialist\"\n",
|
| 1022 |
-
" return \"clinical_pharmacologist\"\n",
|
| 1023 |
-
" \n",
|
| 1024 |
-
" graph.add_conditional_edges(\n",
|
| 1025 |
-
" \"intake_historian\",\n",
|
| 1026 |
-
" route_after_intake,\n",
|
| 1027 |
-
" {\n",
|
| 1028 |
-
" \"vision_specialist\": \"vision_specialist\",\n",
|
| 1029 |
-
" \"clinical_pharmacologist\": \"clinical_pharmacologist\",\n",
|
| 1030 |
-
" }\n",
|
| 1031 |
-
" )\n",
|
| 1032 |
-
" \n",
|
| 1033 |
-
" # Conditional routing after vision\n",
|
| 1034 |
-
" def route_after_vision(state: InfectionState):\n",
|
| 1035 |
-
" if state.get(\"route_to_trend_analyst\"):\n",
|
| 1036 |
-
" return \"trend_analyst\"\n",
|
| 1037 |
-
" return \"clinical_pharmacologist\"\n",
|
| 1038 |
-
" \n",
|
| 1039 |
-
" graph.add_conditional_edges(\n",
|
| 1040 |
-
" \"vision_specialist\",\n",
|
| 1041 |
-
" route_after_vision,\n",
|
| 1042 |
-
" {\n",
|
| 1043 |
-
" \"trend_analyst\": \"trend_analyst\",\n",
|
| 1044 |
-
" \"clinical_pharmacologist\": \"clinical_pharmacologist\",\n",
|
| 1045 |
-
" }\n",
|
| 1046 |
-
" )\n",
|
| 1047 |
-
" \n",
|
| 1048 |
-
" # Edges to final node\n",
|
| 1049 |
-
" graph.add_edge(\"trend_analyst\", \"clinical_pharmacologist\")\n",
|
| 1050 |
-
" graph.add_edge(\"clinical_pharmacologist\", END)\n",
|
| 1051 |
-
" \n",
|
| 1052 |
-
" return graph\n",
|
| 1053 |
-
"\n",
|
| 1054 |
-
"\n",
|
| 1055 |
-
"def run_pipeline(patient_data: dict, labs_raw_text: Optional[str] = None) -> InfectionState:\n",
|
| 1056 |
-
" \"\"\"\n",
|
| 1057 |
-
" Run the full infection lifecycle pipeline.\n",
|
| 1058 |
-
" \n",
|
| 1059 |
-
" Args:\n",
|
| 1060 |
-
" patient_data: Patient information dict\n",
|
| 1061 |
-
" labs_raw_text: Optional lab report text (triggers Stage 2)\n",
|
| 1062 |
-
" \n",
|
| 1063 |
-
" Returns:\n",
|
| 1064 |
-
" Final InfectionState with recommendation\n",
|
| 1065 |
-
" \"\"\"\n",
|
| 1066 |
-
" # Build initial state\n",
|
| 1067 |
-
" initial_state: InfectionState = {\n",
|
| 1068 |
-
" \"age_years\": patient_data.get(\"age_years\"),\n",
|
| 1069 |
-
" \"weight_kg\": patient_data.get(\"weight_kg\"),\n",
|
| 1070 |
-
" \"height_cm\": patient_data.get(\"height_cm\"),\n",
|
| 1071 |
-
" \"sex\": patient_data.get(\"sex\"),\n",
|
| 1072 |
-
" \"serum_creatinine_mg_dl\": patient_data.get(\"serum_creatinine_mg_dl\"),\n",
|
| 1073 |
-
" \"medications\": patient_data.get(\"medications\", []),\n",
|
| 1074 |
-
" \"allergies\": patient_data.get(\"allergies\", []),\n",
|
| 1075 |
-
" \"comorbidities\": patient_data.get(\"comorbidities\", []),\n",
|
| 1076 |
-
" \"infection_site\": patient_data.get(\"infection_site\"),\n",
|
| 1077 |
-
" \"suspected_source\": patient_data.get(\"suspected_source\"),\n",
|
| 1078 |
-
" \"safety_warnings\": [],\n",
|
| 1079 |
-
" \"errors\": [],\n",
|
| 1080 |
-
" }\n",
|
| 1081 |
-
" \n",
|
| 1082 |
-
" # Add lab data if provided\n",
|
| 1083 |
-
" if labs_raw_text:\n",
|
| 1084 |
-
" initial_state[\"labs_raw_text\"] = labs_raw_text\n",
|
| 1085 |
-
" initial_state[\"stage\"] = \"targeted\"\n",
|
| 1086 |
-
" else:\n",
|
| 1087 |
-
" initial_state[\"stage\"] = \"empirical\"\n",
|
| 1088 |
-
" \n",
|
| 1089 |
-
" # Build and run graph\n",
|
| 1090 |
-
" print(\"\\n\" + \"#\"*70)\n",
|
| 1091 |
-
" print(f\"# STARTING MED-I-C PIPELINE (Stage: {initial_state['stage'].upper()})\")\n",
|
| 1092 |
-
" print(\"#\"*70)\n",
|
| 1093 |
-
" \n",
|
| 1094 |
-
" graph = build_infection_graph()\n",
|
| 1095 |
-
" compiled = graph.compile()\n",
|
| 1096 |
-
" final_state = compiled.invoke(initial_state)\n",
|
| 1097 |
-
" \n",
|
| 1098 |
-
" print(\"\\n\" + \"#\"*70)\n",
|
| 1099 |
-
" print(\"# PIPELINE COMPLETE\")\n",
|
| 1100 |
-
" print(\"#\"*70)\n",
|
| 1101 |
-
" \n",
|
| 1102 |
-
" return final_state"
|
| 1103 |
-
]
|
| 1104 |
-
},
|
| 1105 |
-
{
|
| 1106 |
-
"cell_type": "markdown",
|
| 1107 |
-
"metadata": {},
|
| 1108 |
-
"source": [
|
| 1109 |
-
"## 9. Test Cases"
|
| 1110 |
-
]
|
| 1111 |
-
},
|
| 1112 |
-
{
|
| 1113 |
-
"cell_type": "markdown",
|
| 1114 |
-
"metadata": {},
|
| 1115 |
-
"source": [
|
| 1116 |
-
"### Test Case 1: Stage 1 (Empirical) - Community UTI"
|
| 1117 |
-
]
|
| 1118 |
-
},
|
| 1119 |
-
{
|
| 1120 |
-
"cell_type": "code",
|
| 1121 |
-
"execution_count": null,
|
| 1122 |
-
"metadata": {},
|
| 1123 |
-
"outputs": [],
|
| 1124 |
-
"source": [
|
| 1125 |
-
"# Test Case 1: Stage 1 Empirical - Community UTI\n",
|
| 1126 |
-
"patient_data_uti = {\n",
|
| 1127 |
-
" \"age_years\": 65,\n",
|
| 1128 |
-
" \"weight_kg\": 70,\n",
|
| 1129 |
-
" \"height_cm\": 170,\n",
|
| 1130 |
-
" \"sex\": \"male\",\n",
|
| 1131 |
-
" \"serum_creatinine_mg_dl\": 1.2,\n",
|
| 1132 |
-
" \"medications\": [\"metformin\", \"lisinopril\", \"aspirin\"],\n",
|
| 1133 |
-
" \"allergies\": [\"penicillin\"],\n",
|
| 1134 |
-
" \"comorbidities\": [\"diabetes\", \"hypertension\"],\n",
|
| 1135 |
-
" \"infection_site\": \"urinary\",\n",
|
| 1136 |
-
" \"suspected_source\": \"community-acquired UTI\",\n",
|
| 1137 |
-
"}\n",
|
| 1138 |
-
"\n",
|
| 1139 |
-
"result_uti = run_pipeline(patient_data_uti)"
|
| 1140 |
-
]
|
| 1141 |
-
},
|
| 1142 |
-
{
|
| 1143 |
-
"cell_type": "code",
|
| 1144 |
-
"execution_count": null,
|
| 1145 |
-
"metadata": {},
|
| 1146 |
-
"outputs": [],
|
| 1147 |
-
"source": [
|
| 1148 |
-
"# Display results\n",
|
| 1149 |
-
"print(\"\\n\" + \"=\"*70)\n",
|
| 1150 |
-
"print(\"TEST CASE 1: COMMUNITY UTI (EMPIRICAL)\")\n",
|
| 1151 |
-
"print(\"=\"*70)\n",
|
| 1152 |
-
"\n",
|
| 1153 |
-
"print(f\"\\nCrCl: {result_uti.get('creatinine_clearance_ml_min')} mL/min\")\n",
|
| 1154 |
-
"print(f\"Stage: {result_uti.get('stage')}\")\n",
|
| 1155 |
-
"\n",
|
| 1156 |
-
"rec = result_uti.get('recommendation', {})\n",
|
| 1157 |
-
"if rec:\n",
|
| 1158 |
-
" print(f\"\\nRecommendation:\")\n",
|
| 1159 |
-
" print(f\" Drug: {rec.get('primary_antibiotic')}\")\n",
|
| 1160 |
-
" print(f\" Dose: {rec.get('dose')}\")\n",
|
| 1161 |
-
" print(f\" Route: {rec.get('route')}\")\n",
|
| 1162 |
-
" print(f\" Frequency: {rec.get('frequency')}\")\n",
|
| 1163 |
-
" print(f\" Duration: {rec.get('duration')}\")\n",
|
| 1164 |
-
" print(f\" Rationale: {rec.get('rationale')}\")\n",
|
| 1165 |
-
"\n",
|
| 1166 |
-
"warnings = result_uti.get('safety_warnings', [])\n",
|
| 1167 |
-
"if warnings:\n",
|
| 1168 |
-
" print(f\"\\nSafety Warnings:\")\n",
|
| 1169 |
-
" for w in warnings:\n",
|
| 1170 |
-
" print(f\" ⚠️ {w}\")"
|
| 1171 |
-
]
|
| 1172 |
-
},
|
| 1173 |
-
{
|
| 1174 |
-
"cell_type": "markdown",
|
| 1175 |
-
"metadata": {},
|
| 1176 |
-
"source": [
|
| 1177 |
-
"### Test Case 2: Stage 2 (Targeted) - With Lab Results"
|
| 1178 |
-
]
|
| 1179 |
-
},
|
| 1180 |
-
{
|
| 1181 |
-
"cell_type": "code",
|
| 1182 |
-
"execution_count": null,
|
| 1183 |
-
"metadata": {},
|
| 1184 |
-
"outputs": [],
|
| 1185 |
-
"source": [
|
| 1186 |
-
"# Test Case 2: Stage 2 Targeted - UTI with Lab Results\n",
|
| 1187 |
-
"patient_data_targeted = {\n",
|
| 1188 |
-
" \"age_years\": 72,\n",
|
| 1189 |
-
" \"weight_kg\": 65,\n",
|
| 1190 |
-
" \"height_cm\": 165,\n",
|
| 1191 |
-
" \"sex\": \"female\",\n",
|
| 1192 |
-
" \"serum_creatinine_mg_dl\": 1.5,\n",
|
| 1193 |
-
" \"medications\": [\"warfarin\", \"amlodipine\"],\n",
|
| 1194 |
-
" \"allergies\": [],\n",
|
| 1195 |
-
" \"comorbidities\": [\"atrial fibrillation\", \"hypertension\", \"CKD stage 3\"],\n",
|
| 1196 |
-
" \"infection_site\": \"urinary\",\n",
|
| 1197 |
-
" \"suspected_source\": \"complicated UTI with pyelonephritis\",\n",
|
| 1198 |
-
"}\n",
|
| 1199 |
-
"\n",
|
| 1200 |
-
"lab_report = \"\"\"\n",
|
| 1201 |
-
"URINE CULTURE REPORT\n",
|
| 1202 |
-
"Patient ID: 12345\n",
|
| 1203 |
-
"Collection Date: 2025-02-15\n",
|
| 1204 |
-
"\n",
|
| 1205 |
-
"Specimen: Midstream urine\n",
|
| 1206 |
-
"Colony Count: >100,000 CFU/mL\n",
|
| 1207 |
-
"\n",
|
| 1208 |
-
"ORGANISM ISOLATED:\n",
|
| 1209 |
-
"Escherichia coli\n",
|
| 1210 |
-
"\n",
|
| 1211 |
-
"ANTIMICROBIAL SUSCEPTIBILITY:\n",
|
| 1212 |
-
"-----------------------------------\n",
|
| 1213 |
-
"Antibiotic MIC (mg/L) Interpretation\n",
|
| 1214 |
-
"-----------------------------------\n",
|
| 1215 |
-
"Ampicillin >32 R\n",
|
| 1216 |
-
"Amoxicillin-Clav 16 I\n",
|
| 1217 |
-
"Ceftriaxone 0.25 S\n",
|
| 1218 |
-
"Cefepime 0.5 S\n",
|
| 1219 |
-
"Ciprofloxacin 0.5 S\n",
|
| 1220 |
-
"Levofloxacin 1 S\n",
|
| 1221 |
-
"Nitrofurantoin 32 S\n",
|
| 1222 |
-
"TMP-SMX >4 R\n",
|
| 1223 |
-
"Gentamicin 2 S\n",
|
| 1224 |
-
"Meropenem 0.06 S\n",
|
| 1225 |
-
"\n",
|
| 1226 |
-
"NOTES:\n",
|
| 1227 |
-
"- ESBL screening negative\n",
|
| 1228 |
-
"- No carbapenemase detected\n",
|
| 1229 |
-
"\"\"\"\n",
|
| 1230 |
-
"\n",
|
| 1231 |
-
"result_targeted = run_pipeline(patient_data_targeted, labs_raw_text=lab_report)"
|
| 1232 |
-
]
|
| 1233 |
-
},
|
| 1234 |
-
{
|
| 1235 |
-
"cell_type": "code",
|
| 1236 |
-
"execution_count": null,
|
| 1237 |
-
"metadata": {},
|
| 1238 |
-
"outputs": [],
|
| 1239 |
-
"source": [
|
| 1240 |
-
"# Display results\n",
|
| 1241 |
-
"print(\"\\n\" + \"=\"*70)\n",
|
| 1242 |
-
"print(\"TEST CASE 2: COMPLICATED UTI WITH LAB RESULTS (TARGETED)\")\n",
|
| 1243 |
-
"print(\"=\"*70)\n",
|
| 1244 |
-
"\n",
|
| 1245 |
-
"print(f\"\\nCrCl: {result_targeted.get('creatinine_clearance_ml_min')} mL/min\")\n",
|
| 1246 |
-
"print(f\"Stage: {result_targeted.get('stage')}\")\n",
|
| 1247 |
-
"\n",
|
| 1248 |
-
"print(f\"\\nExtracted MIC Data:\")\n",
|
| 1249 |
-
"for mic in result_targeted.get('mic_data', []):\n",
|
| 1250 |
-
" print(f\" - {mic.get('organism')} / {mic.get('antibiotic')}: MIC {mic.get('mic_value')} ({mic.get('interpretation')})\")\n",
|
| 1251 |
-
"\n",
|
| 1252 |
-
"rec = result_targeted.get('recommendation', {})\n",
|
| 1253 |
-
"if rec:\n",
|
| 1254 |
-
" print(f\"\\nFinal Recommendation:\")\n",
|
| 1255 |
-
" print(f\" Primary: {rec.get('primary_antibiotic')}\")\n",
|
| 1256 |
-
" print(f\" Dose: {rec.get('dose')}\")\n",
|
| 1257 |
-
" print(f\" Route: {rec.get('route')}\")\n",
|
| 1258 |
-
" print(f\" Frequency: {rec.get('frequency')}\")\n",
|
| 1259 |
-
" print(f\" Duration: {rec.get('duration')}\")\n",
|
| 1260 |
-
" if rec.get('backup_antibiotic'):\n",
|
| 1261 |
-
" print(f\" Alternative: {rec.get('backup_antibiotic')}\")\n",
|
| 1262 |
-
" print(f\" Rationale: {rec.get('rationale')}\")\n",
|
| 1263 |
"\n",
|
| 1264 |
-
"
|
| 1265 |
-
"
|
| 1266 |
-
" print(f\"\\n⚠️ Safety Warnings:\")\n",
|
| 1267 |
-
" for w in warnings:\n",
|
| 1268 |
-
" print(f\" - {w}\")"
|
| 1269 |
]
|
| 1270 |
},
|
| 1271 |
{
|
| 1272 |
"cell_type": "markdown",
|
| 1273 |
"metadata": {},
|
| 1274 |
"source": [
|
| 1275 |
-
"##
|
| 1276 |
]
|
| 1277 |
},
|
| 1278 |
{
|
|
@@ -1281,55 +201,8 @@
|
|
| 1281 |
"metadata": {},
|
| 1282 |
"outputs": [],
|
| 1283 |
"source": [
|
| 1284 |
-
"
|
| 1285 |
-
"
|
| 1286 |
-
" \"age_years\": 58,\n",
|
| 1287 |
-
" \"weight_kg\": 85,\n",
|
| 1288 |
-
" \"height_cm\": 175,\n",
|
| 1289 |
-
" \"sex\": \"male\",\n",
|
| 1290 |
-
" \"serum_creatinine_mg_dl\": 1.0,\n",
|
| 1291 |
-
" \"medications\": [\"metformin\", \"atorvastatin\"],\n",
|
| 1292 |
-
" \"allergies\": [],\n",
|
| 1293 |
-
" \"comorbidities\": [\"diabetes\", \"recent hospitalization\"],\n",
|
| 1294 |
-
" \"infection_site\": \"bloodstream\",\n",
|
| 1295 |
-
" \"suspected_source\": \"healthcare-associated bacteremia\",\n",
|
| 1296 |
-
"}\n",
|
| 1297 |
-
"\n",
|
| 1298 |
-
"lab_esbl = \"\"\"\n",
|
| 1299 |
-
"BLOOD CULTURE REPORT\n",
|
| 1300 |
-
"Collection Date: 2025-02-18\n",
|
| 1301 |
-
"\n",
|
| 1302 |
-
"POSITIVE: Gram-negative bacilli\n",
|
| 1303 |
-
"\n",
|
| 1304 |
-
"FINAL IDENTIFICATION:\n",
|
| 1305 |
-
"Escherichia coli (ESBL-producing)\n",
|
| 1306 |
-
"\n",
|
| 1307 |
-
"ANTIMICROBIAL SUSCEPTIBILITY:\n",
|
| 1308 |
-
"-----------------------------------\n",
|
| 1309 |
-
"Antibiotic MIC (mg/L) Interpretation\n",
|
| 1310 |
-
"-----------------------------------\n",
|
| 1311 |
-
"Ampicillin >32 R\n",
|
| 1312 |
-
"Ampicillin-Sulbact >32 R\n",
|
| 1313 |
-
"Ceftriaxone >32 R\n",
|
| 1314 |
-
"Cefepime >32 R\n",
|
| 1315 |
-
"Ceftazidime >32 R\n",
|
| 1316 |
-
"Ciprofloxacin >4 R\n",
|
| 1317 |
-
"Levofloxacin >8 R\n",
|
| 1318 |
-
"TMP-SMX >4 R\n",
|
| 1319 |
-
"Gentamicin 8 I\n",
|
| 1320 |
-
"Amikacin 4 S\n",
|
| 1321 |
-
"Ertapenem 0.25 S\n",
|
| 1322 |
-
"Meropenem 0.06 S\n",
|
| 1323 |
-
"Imipenem 0.5 S\n",
|
| 1324 |
-
"Tigecycline 0.5 S\n",
|
| 1325 |
-
"\n",
|
| 1326 |
-
"ESBL CONFIRMATION: POSITIVE\n",
|
| 1327 |
-
"Carbapenemase: NOT DETECTED\n",
|
| 1328 |
-
"\n",
|
| 1329 |
-
"CRITICAL ALERT: ESBL-producing organism in bloodstream\n",
|
| 1330 |
-
"\"\"\"\n",
|
| 1331 |
-
"\n",
|
| 1332 |
-
"result_esbl = run_pipeline(patient_esbl, labs_raw_text=lab_esbl)"
|
| 1333 |
]
|
| 1334 |
},
|
| 1335 |
{
|
|
@@ -1338,37 +211,28 @@
|
|
| 1338 |
"metadata": {},
|
| 1339 |
"outputs": [],
|
| 1340 |
"source": [
|
| 1341 |
-
"
|
| 1342 |
-
"print(\"\\n\" + \"=\"*70)\n",
|
| 1343 |
-
"print(\"TEST CASE 3: ESBL E. coli BACTEREMIA (HIGH-RISK)\")\n",
|
| 1344 |
-
"print(\"=\"*70)\n",
|
| 1345 |
"\n",
|
| 1346 |
-
"
|
| 1347 |
-
"
|
| 1348 |
-
"
|
| 1349 |
-
"
|
| 1350 |
-
"
|
| 1351 |
-
"
|
| 1352 |
-
"
|
| 1353 |
-
"\n",
|
| 1354 |
-
"
|
| 1355 |
-
"if warnings:\n",
|
| 1356 |
-
" print(f\"\\n🚨 SAFETY ALERTS:\")\n",
|
| 1357 |
-
" for w in warnings:\n",
|
| 1358 |
-
" print(f\" - {w}\")"
|
| 1359 |
-
]
|
| 1360 |
-
},
|
| 1361 |
-
{
|
| 1362 |
-
"cell_type": "markdown",
|
| 1363 |
-
"metadata": {},
|
| 1364 |
-
"source": [
|
| 1365 |
-
"## 10. Streamlit App (Optional - for local testing)\n",
|
| 1366 |
-
"\n",
|
| 1367 |
-
"Note: Streamlit doesn't run directly in Kaggle notebooks. To test the Streamlit app:\n",
|
| 1368 |
-
"1. Download this notebook and the source files\n",
|
| 1369 |
-
"2. Run locally with `streamlit run app.py`\n",
|
| 1370 |
"\n",
|
| 1371 |
-
"
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1372 |
]
|
| 1373 |
},
|
| 1374 |
{
|
|
@@ -1377,103 +241,21 @@
|
|
| 1377 |
"metadata": {},
|
| 1378 |
"outputs": [],
|
| 1379 |
"source": [
|
| 1380 |
-
"#
|
| 1381 |
-
"
|
| 1382 |
-
"\n",
|
| 1383 |
-
"
|
| 1384 |
-
"\n",
|
| 1385 |
-
"
|
| 1386 |
-
"
|
| 1387 |
-
"# import streamlit as st\n",
|
| 1388 |
-
"# import json\n",
|
| 1389 |
-
"\n",
|
| 1390 |
-
"# st.set_page_config(page_title=\"Med-I-C: AMR-Guard\", page_icon=\"🦠\", layout=\"wide\")\n",
|
| 1391 |
-
"\n",
|
| 1392 |
-
"# st.title(\"🦠 Med-I-C: AMR-Guard\")\n",
|
| 1393 |
-
"# st.subheader(\"Infection Lifecycle Orchestrator - Multi-Agent System\")\n",
|
| 1394 |
-
"\n",
|
| 1395 |
-
"# st.markdown(\"\"\"\n",
|
| 1396 |
-
"# This demo showcases the Med-I-C multi-agent system powered by MedGemma.\n",
|
| 1397 |
-
"\n",
|
| 1398 |
-
"# **Note:** Running in demo mode. For full functionality, deploy with GPU support.\n",
|
| 1399 |
-
"# \"\"\")\n",
|
| 1400 |
-
"\n",
|
| 1401 |
-
"# # Patient form\n",
|
| 1402 |
-
"# with st.form(\"patient_form\"):\n",
|
| 1403 |
-
"# col1, col2 = st.columns(2)\n",
|
| 1404 |
-
"# with col1:\n",
|
| 1405 |
-
"# age = st.number_input(\"Age\", 0, 120, 65)\n",
|
| 1406 |
-
"# weight = st.number_input(\"Weight (kg)\", 1.0, 300.0, 70.0)\n",
|
| 1407 |
-
"# sex = st.selectbox(\"Sex\", [\"male\", \"female\"])\n",
|
| 1408 |
-
"# with col2:\n",
|
| 1409 |
-
"# creatinine = st.number_input(\"Creatinine (mg/dL)\", 0.1, 20.0, 1.2)\n",
|
| 1410 |
-
"# infection_site = st.selectbox(\"Infection Site\", [\"urinary\", \"respiratory\", \"bloodstream\"])\n",
|
| 1411 |
-
"# \n",
|
| 1412 |
-
"# submitted = st.form_submit_button(\"Get Recommendation\")\n",
|
| 1413 |
-
"\n",
|
| 1414 |
-
"# if submitted:\n",
|
| 1415 |
-
"# st.success(\"Demo mode: Showing simulated recommendation\")\n",
|
| 1416 |
-
"# st.json({\n",
|
| 1417 |
-
"# \"primary_antibiotic\": \"Ciprofloxacin\",\n",
|
| 1418 |
-
"# \"dose\": \"500mg\",\n",
|
| 1419 |
-
"# \"route\": \"PO\",\n",
|
| 1420 |
-
"# \"frequency\": \"Every 12 hours\",\n",
|
| 1421 |
-
"# \"duration\": \"7 days\"\n",
|
| 1422 |
-
"# })\n",
|
| 1423 |
-
"# '''\n",
|
| 1424 |
-
"\n",
|
| 1425 |
-
"# with open('streamlit_app.py', 'w') as f:\n",
|
| 1426 |
-
"# f.write(app_code)\n",
|
| 1427 |
-
"\n",
|
| 1428 |
-
"# # Run with localtunnel\n",
|
| 1429 |
-
"# !streamlit run streamlit_app.py &>/dev/null &\n",
|
| 1430 |
-
"# !npx localtunnel --port 8501"
|
| 1431 |
-
]
|
| 1432 |
-
},
|
| 1433 |
-
{
|
| 1434 |
-
"cell_type": "markdown",
|
| 1435 |
-
"metadata": {},
|
| 1436 |
-
"source": [
|
| 1437 |
-
"## 11. Summary & Conclusions\n",
|
| 1438 |
-
"\n",
|
| 1439 |
-
"This notebook demonstrates the **Med-I-C** multi-agent system for antimicrobial stewardship:\n",
|
| 1440 |
-
"\n",
|
| 1441 |
-
"### Key Features:\n",
|
| 1442 |
-
"1. **4 Specialized Agents** powered by MedGemma 4B IT\n",
|
| 1443 |
-
"2. **Conditional Routing** via LangGraph for Stage 1 (Empirical) vs Stage 2 (Targeted)\n",
|
| 1444 |
-
"3. **CrCl Calculation** using Cockcroft-Gault equation\n",
|
| 1445 |
-
"4. **MIC Trend Analysis** for resistance detection\n",
|
| 1446 |
-
"5. **Safety Checks** including drug interactions and allergy alerts\n",
|
| 1447 |
-
"\n",
|
| 1448 |
-
"### Models Used:\n",
|
| 1449 |
-
"- **MedGemma 4B IT** - Primary model for all agents (4-bit quantized)\n",
|
| 1450 |
-
"- **TxGemma 2B** - Optional safety validation (not demonstrated in this notebook)\n",
|
| 1451 |
-
"\n",
|
| 1452 |
-
"### Future Enhancements:\n",
|
| 1453 |
-
"- Integration with RAG (ChromaDB) for guideline retrieval\n",
|
| 1454 |
-
"- MedGemma 27B for complex trend analysis\n",
|
| 1455 |
-
"- Vision capabilities for image-based lab report extraction\n",
|
| 1456 |
-
"- Regional resistance pattern analysis\n",
|
| 1457 |
-
"\n",
|
| 1458 |
-
"---\n",
|
| 1459 |
"\n",
|
| 1460 |
-
"
|
| 1461 |
-
"
|
| 1462 |
-
"
|
| 1463 |
-
|
| 1464 |
-
},
|
| 1465 |
-
|
| 1466 |
-
|
| 1467 |
-
"execution_count": null,
|
| 1468 |
-
"metadata": {},
|
| 1469 |
-
"outputs": [],
|
| 1470 |
-
"source": [
|
| 1471 |
-
"# Final memory cleanup\n",
|
| 1472 |
-
"import gc\n",
|
| 1473 |
-
"gc.collect()\n",
|
| 1474 |
-
"if torch.cuda.is_available():\n",
|
| 1475 |
-
" torch.cuda.empty_cache()\n",
|
| 1476 |
-
" print(f\"GPU Memory after cleanup: {torch.cuda.memory_allocated() / 1e9:.2f} GB\")"
|
| 1477 |
]
|
| 1478 |
}
|
| 1479 |
],
|
|
@@ -1484,18 +266,10 @@
|
|
| 1484 |
"name": "python3"
|
| 1485 |
},
|
| 1486 |
"language_info": {
|
| 1487 |
-
"codemirror_mode": {
|
| 1488 |
-
"name": "ipython",
|
| 1489 |
-
"version": 3
|
| 1490 |
-
},
|
| 1491 |
-
"file_extension": ".py",
|
| 1492 |
-
"mimetype": "text/x-python",
|
| 1493 |
"name": "python",
|
| 1494 |
-
"nbconvert_exporter": "python",
|
| 1495 |
-
"pygments_lexer": "ipython3",
|
| 1496 |
"version": "3.10.0"
|
| 1497 |
}
|
| 1498 |
},
|
| 1499 |
"nbformat": 4,
|
| 1500 |
-
"nbformat_minor":
|
| 1501 |
}
|
|
|
|
| 4 |
"cell_type": "markdown",
|
| 5 |
"metadata": {},
|
| 6 |
"source": [
|
| 7 |
+
"# Med-I-C · AMR-Guard\n",
|
| 8 |
+
"### Infection Lifecycle Orchestrator — Kaggle Demo\n",
|
| 9 |
"\n",
|
| 10 |
+
"**Steps**\n",
|
| 11 |
+
"1. Clone repo & install packages\n",
|
| 12 |
+
"2. Authenticate with Hugging Face\n",
|
| 13 |
+
"3. Download models\n",
|
| 14 |
+
"4. Initialise the knowledge base\n",
|
| 15 |
+
"5. Launch the Streamlit app"
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| 16 |
]
|
| 17 |
},
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| 18 |
{
|
| 19 |
"cell_type": "markdown",
|
| 20 |
"metadata": {},
|
| 21 |
"source": [
|
| 22 |
+
"## 1 · Environment"
|
| 23 |
]
|
| 24 |
},
|
| 25 |
{
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|
| 28 |
"metadata": {},
|
| 29 |
"outputs": [],
|
| 30 |
"source": [
|
| 31 |
+
"import subprocess, torch\n",
|
| 32 |
+
"\n",
|
| 33 |
+
"# GPU check\n",
|
| 34 |
+
"print(subprocess.run(['nvidia-smi', '--query-gpu=name,memory.total', '--format=csv,noheader'],\n",
|
| 35 |
+
" capture_output=True, text=True).stdout.strip())\n",
|
| 36 |
+
"print(f\"PyTorch {torch.__version__} · CUDA {torch.cuda.is_available()}\")"
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| 37 |
]
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| 38 |
},
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| 39 |
{
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| 42 |
"metadata": {},
|
| 43 |
"outputs": [],
|
| 44 |
"source": [
|
| 45 |
+
"%%bash\n",
|
| 46 |
+
"# Clone the repo (skip if already present)\n",
|
| 47 |
+
"if [ ! -d /kaggle/working/Med-I-C ]; then\n",
|
| 48 |
+
" git clone https://github.com/benghita/Med-I-C.git /kaggle/working/Med-I-C\n",
|
| 49 |
+
"else\n",
|
| 50 |
+
" echo \"Repo already cloned — pulling latest changes\"\n",
|
| 51 |
+
" git -C /kaggle/working/Med-I-C pull\n",
|
| 52 |
+
"fi"
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| 53 |
]
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| 54 |
},
|
| 55 |
{
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| 58 |
"metadata": {},
|
| 59 |
"outputs": [],
|
| 60 |
"source": [
|
| 61 |
+
"%%capture\n",
|
| 62 |
+
"# Install packages from pyproject.toml dependencies\n",
|
| 63 |
+
"!pip install -q \\\n",
|
| 64 |
+
" \"langgraph>=0.0.15\" \"langchain>=0.3.0\" langchain-text-splitters langchain-community \\\n",
|
| 65 |
+
" \"chromadb>=0.4.0\" sentence-transformers \\\n",
|
| 66 |
+
" \"transformers>=4.50.0\" accelerate bitsandbytes \\\n",
|
| 67 |
+
" streamlit huggingface_hub \\\n",
|
| 68 |
+
" \"pydantic>=2.0\" python-dotenv openpyxl pypdf \"pandas>=2.0\" jq"
|
| 69 |
]
|
| 70 |
},
|
| 71 |
{
|
| 72 |
"cell_type": "markdown",
|
| 73 |
"metadata": {},
|
| 74 |
"source": [
|
| 75 |
+
"## 2 · Hugging Face Authentication\n",
|
| 76 |
"\n",
|
| 77 |
+
"Add your token to **Kaggle → Add-ons → Secrets** as `HF_TOKEN`.\n",
|
| 78 |
"\n",
|
| 79 |
+
"Accept model licences before running:\n",
|
| 80 |
+
"- https://huggingface.co/google/gemma-2-2b-it"
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|
| 81 |
]
|
| 82 |
},
|
| 83 |
{
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| 86 |
"metadata": {},
|
| 87 |
"outputs": [],
|
| 88 |
"source": [
|
| 89 |
+
"import os\n",
|
| 90 |
"from huggingface_hub import login\n",
|
| 91 |
"\n",
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|
| 92 |
"try:\n",
|
| 93 |
" from kaggle_secrets import UserSecretsClient\n",
|
| 94 |
+
" hf_token = UserSecretsClient().get_secret(\"HF_TOKEN\")\n",
|
| 95 |
+
" print(\"Token loaded from Kaggle secrets\")\n",
|
| 96 |
+
"except Exception:\n",
|
| 97 |
+
" hf_token = os.getenv(\"HF_TOKEN\", \"\")\n",
|
| 98 |
+
" print(\"Token loaded from environment\" if hf_token else \"WARNING: No HF_TOKEN found\")\n",
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| 99 |
"\n",
|
| 100 |
+
"if hf_token:\n",
|
| 101 |
+
" login(token=hf_token, add_to_git_credential=False)"
|
| 102 |
]
|
| 103 |
},
|
| 104 |
{
|
| 105 |
"cell_type": "markdown",
|
| 106 |
"metadata": {},
|
| 107 |
"source": [
|
| 108 |
+
"## 3 · Download Models"
|
| 109 |
]
|
| 110 |
},
|
| 111 |
{
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|
| 114 |
"metadata": {},
|
| 115 |
"outputs": [],
|
| 116 |
"source": [
|
| 117 |
+
"from huggingface_hub import snapshot_download\n",
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| 118 |
"\n",
|
| 119 |
+
"# Single model used for all agents in the demo\n",
|
| 120 |
+
"MODEL_ID = \"google/gemma-2-2b-it\"\n",
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|
| 121 |
"\n",
|
| 122 |
+
"print(f\"Downloading {MODEL_ID} …\")\n",
|
| 123 |
+
"snapshot_download(\n",
|
| 124 |
+
" repo_id=MODEL_ID,\n",
|
| 125 |
+
" ignore_patterns=[\"*.gguf\", \"*.ot\"], # skip quantised formats we don't need\n",
|
|
|
|
| 126 |
")\n",
|
| 127 |
+
"print(\"Download complete\")"
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|
| 128 |
]
|
| 129 |
},
|
| 130 |
{
|
|
|
|
| 133 |
"metadata": {},
|
| 134 |
"outputs": [],
|
| 135 |
"source": [
|
| 136 |
+
"# Embedding model for RAG (small, fast)\n",
|
| 137 |
+
"from sentence_transformers import SentenceTransformer\n",
|
| 138 |
+
"SentenceTransformer(\"sentence-transformers/all-MiniLM-L6-v2\")\n",
|
| 139 |
+
"print(\"Embedding model ready\")"
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|
| 140 |
]
|
| 141 |
},
|
| 142 |
{
|
| 143 |
"cell_type": "markdown",
|
| 144 |
"metadata": {},
|
| 145 |
"source": [
|
| 146 |
+
"## 4 · Configure & Initialise"
|
| 147 |
]
|
| 148 |
},
|
| 149 |
{
|
|
|
|
| 152 |
"metadata": {},
|
| 153 |
"outputs": [],
|
| 154 |
"source": [
|
| 155 |
+
"# Write .env for the Kaggle environment\n",
|
| 156 |
+
"env_content = f\"\"\"\n",
|
| 157 |
+
"MEDIC_ENV=kaggle\n",
|
| 158 |
+
"MEDIC_DEFAULT_BACKEND=local\n",
|
| 159 |
+
"MEDIC_USE_VERTEX=false\n",
|
| 160 |
+
"MEDIC_QUANTIZATION=4bit\n",
|
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|
| 161 |
"\n",
|
| 162 |
+
"MEDIC_LOCAL_MEDGEMMA_4B_MODEL={MODEL_ID}\n",
|
| 163 |
+
"MEDIC_LOCAL_MEDGEMMA_27B_MODEL={MODEL_ID}\n",
|
| 164 |
+
"MEDIC_LOCAL_TXGEMMA_9B_MODEL={MODEL_ID}\n",
|
| 165 |
+
"MEDIC_LOCAL_TXGEMMA_2B_MODEL={MODEL_ID}\n",
|
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|
| 166 |
"\n",
|
| 167 |
+
"MEDIC_EMBEDDING_MODEL=sentence-transformers/all-MiniLM-L6-v2\n",
|
| 168 |
+
"MEDIC_DATA_DIR=/kaggle/working/Med-I-C/data\n",
|
| 169 |
+
"MEDIC_CHROMA_DB_DIR=/kaggle/working/Med-I-C/data/chroma_db\n",
|
| 170 |
+
"\"\"\".strip()\n",
|
| 171 |
"\n",
|
| 172 |
+
"with open(\"/kaggle/working/Med-I-C/.env\", \"w\") as f:\n",
|
| 173 |
+
" f.write(env_content)\n",
|
| 174 |
"\n",
|
| 175 |
+
"print(\".env written\")"
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|
| 176 |
]
|
| 177 |
},
|
| 178 |
{
|
|
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|
| 181 |
"metadata": {},
|
| 182 |
"outputs": [],
|
| 183 |
"source": [
|
| 184 |
+
"import sys\n",
|
| 185 |
+
"sys.path.insert(0, \"/kaggle/working/Med-I-C\")\n",
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| 186 |
"\n",
|
| 187 |
+
"# Initialise SQLite + ChromaDB knowledge base\n",
|
| 188 |
+
"!python /kaggle/working/Med-I-C/setup_demo.py"
|
|
|
|
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|
| 189 |
]
|
| 190 |
},
|
| 191 |
{
|
| 192 |
"cell_type": "markdown",
|
| 193 |
"metadata": {},
|
| 194 |
"source": [
|
| 195 |
+
"## 5 · Launch the App"
|
| 196 |
]
|
| 197 |
},
|
| 198 |
{
|
|
|
|
| 201 |
"metadata": {},
|
| 202 |
"outputs": [],
|
| 203 |
"source": [
|
| 204 |
+
"%%capture\n",
|
| 205 |
+
"!pip install -q localtunnel"
|
|
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| 206 |
]
|
| 207 |
},
|
| 208 |
{
|
|
|
|
| 211 |
"metadata": {},
|
| 212 |
"outputs": [],
|
| 213 |
"source": [
|
| 214 |
+
"import subprocess, threading, time, requests\n",
|
|
|
|
|
|
|
|
|
|
| 215 |
"\n",
|
| 216 |
+
"# Start Streamlit in the background\n",
|
| 217 |
+
"streamlit_proc = subprocess.Popen(\n",
|
| 218 |
+
" [\"streamlit\", \"run\", \"/kaggle/working/Med-I-C/app.py\",\n",
|
| 219 |
+
" \"--server.port\", \"8501\",\n",
|
| 220 |
+
" \"--server.headless\", \"true\",\n",
|
| 221 |
+
" \"--server.enableCORS\", \"false\"],\n",
|
| 222 |
+
" stdout=subprocess.DEVNULL,\n",
|
| 223 |
+
" stderr=subprocess.DEVNULL,\n",
|
| 224 |
+
")\n",
|
|
|
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|
| 225 |
"\n",
|
| 226 |
+
"# Wait for Streamlit to be ready\n",
|
| 227 |
+
"for _ in range(15):\n",
|
| 228 |
+
" try:\n",
|
| 229 |
+
" if requests.get(\"http://localhost:8501\", timeout=2).status_code == 200:\n",
|
| 230 |
+
" print(\"Streamlit is running on port 8501\")\n",
|
| 231 |
+
" break\n",
|
| 232 |
+
" except Exception:\n",
|
| 233 |
+
" time.sleep(2)\n",
|
| 234 |
+
"else:\n",
|
| 235 |
+
" print(\"Streamlit may still be starting…\")"
|
| 236 |
]
|
| 237 |
},
|
| 238 |
{
|
|
|
|
| 241 |
"metadata": {},
|
| 242 |
"outputs": [],
|
| 243 |
"source": [
|
| 244 |
+
"# Expose via localtunnel — the public URL will appear below\n",
|
| 245 |
+
"tunnel_proc = subprocess.Popen(\n",
|
| 246 |
+
" [\"npx\", \"localtunnel\", \"--port\", \"8501\"],\n",
|
| 247 |
+
" stdout=subprocess.PIPE,\n",
|
| 248 |
+
" stderr=subprocess.DEVNULL,\n",
|
| 249 |
+
" text=True,\n",
|
| 250 |
+
")\n",
|
|
|
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|
| 251 |
"\n",
|
| 252 |
+
"# Print the public URL\n",
|
| 253 |
+
"for line in tunnel_proc.stdout:\n",
|
| 254 |
+
" if \"https://\" in line:\n",
|
| 255 |
+
" print(\"\\n\" + \"=\"*50)\n",
|
| 256 |
+
" print(f\" App URL: {line.strip()}\")\n",
|
| 257 |
+
" print(\"=\"*50)\n",
|
| 258 |
+
" break"
|
|
|
|
|
|
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|
| 259 |
]
|
| 260 |
}
|
| 261 |
],
|
|
|
|
| 266 |
"name": "python3"
|
| 267 |
},
|
| 268 |
"language_info": {
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 269 |
"name": "python",
|
|
|
|
|
|
|
| 270 |
"version": "3.10.0"
|
| 271 |
}
|
| 272 |
},
|
| 273 |
"nbformat": 4,
|
| 274 |
+
"nbformat_minor": 5
|
| 275 |
}
|
pyproject.toml
CHANGED
|
@@ -8,8 +8,6 @@ dependencies = [
|
|
| 8 |
"langgraph>=0.0.15",
|
| 9 |
"langchain>=0.3.0",
|
| 10 |
"langchain-text-splitters",
|
| 11 |
-
"langchain-google-vertexai",
|
| 12 |
-
"google-cloud-aiplatform",
|
| 13 |
"chromadb>=0.4.0",
|
| 14 |
"sentence-transformers",
|
| 15 |
"transformers>=4.50.0",
|
|
@@ -26,4 +24,5 @@ dependencies = [
|
|
| 26 |
"langchain-community>=0.4.1",
|
| 27 |
"jq>=1.11.0",
|
| 28 |
"pandas>=2.0.0",
|
|
|
|
| 29 |
]
|
|
|
|
| 8 |
"langgraph>=0.0.15",
|
| 9 |
"langchain>=0.3.0",
|
| 10 |
"langchain-text-splitters",
|
|
|
|
|
|
|
| 11 |
"chromadb>=0.4.0",
|
| 12 |
"sentence-transformers",
|
| 13 |
"transformers>=4.50.0",
|
|
|
|
| 24 |
"langchain-community>=0.4.1",
|
| 25 |
"jq>=1.11.0",
|
| 26 |
"pandas>=2.0.0",
|
| 27 |
+
"huggingface-hub",
|
| 28 |
]
|
uv.lock
CHANGED
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