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import logging
import math
import re
from collections import Counter, defaultdict
from dataclasses import dataclass
from pathlib import Path
from typing import Any
import joblib
import numpy as np
import pandas as pd
import torch
from torch import nn
from training.feature_pipeline import transform_pair_features as transform_pair_features_legacy
from training.feature_pipeline_multisource import transform_pair_features as transform_pair_features_multisource
from training.ensemble import EnsemblePredictor
from training.calibration import SafetyCalibrationConfig, risk_adjusted_prediction
from chemistry.smiles_recovery import resolve_drug_name_to_smiles
try:
from chemistry.drug_synonyms import load_drugbank_name_to_smiles_index, lookup_drugbank_smiles, normalize_drug_name
except Exception: # pragma: no cover - optional DrugBank index
load_drugbank_name_to_smiles_index = None # type: ignore
lookup_drugbank_smiles = None # type: ignore
normalize_drug_name = None # type: ignore
logger = logging.getLogger('medcare_ddi.predictor')
BASE_DIR = Path(__file__).resolve().parents[2]
DATA_PATH = BASE_DIR / 'data' / 'processed' / 'ddinter_combined.parquet'
MODEL_DIR = BASE_DIR / 'models'
MODEL_PATH = MODEL_DIR / 'ddi_mlp_best.pt'
PRODUCTION_MODEL_PATH = MODEL_DIR / 'ddi_mlp_production.pt' # Healthcare-grade production model
FEATURE_PIPELINE_PATH = MODEL_DIR / 'feature_pipeline.pkl'
FEATURE_PIPELINE_MULTISOURCE_PATH = MODEL_DIR / 'feature_pipeline_multisource.pkl'
CALIBRATION_PATH = MODEL_DIR / 'calibration_artifacts.pkl'
PRODUCTION_CALIBRATION_PATH = MODEL_DIR / 'calibration_artifacts_production.pkl' # Production calibration
ENSEMBLE_DIR = MODEL_DIR / 'ensemble'
DRUGBANK_TO_DDINTER = {
'DB01048': 'Abacavir',
'DB01097': 'Leflunomide',
'DB00331': 'Metformin',
'DB00682': 'Warfarin',
'DB00945': 'Acetylsalicylic acid',
'DB01050': 'Ibuprofen',
'DB00338': 'Omeprazole',
'DB01076': 'Atorvastatin',
'DB00722': 'Lisinopril',
'DB00381': 'Amlodipine',
'DB00758': 'Clopidogrel',
'DB00641': 'Simvastatin',
'DB00537': 'Ciprofloxacin',
'DB00196': 'Fluconazole',
'DB01045': 'Rifampicin',
}
LABEL_NAMES = ['unknown', 'minor', 'moderate', 'major']
LABEL_TO_INDEX = {label: index for index, label in enumerate(LABEL_NAMES)}
INDEX_TO_LABEL = {index: label for label, index in LABEL_TO_INDEX.items()}
SEVERITY_ADVICE = {
'major': 'Avoid the combination when possible. If there is no alternative, use specialist oversight and close monitoring.',
'moderate': 'Use with caution. Consider monitoring, dose adjustment, and review of safer alternatives.',
'minor': 'The combination is generally acceptable with routine clinical monitoring.',
'unknown': 'The local DDInter table does not provide a clear severity signal for this pair.',
}
def normalize_name(value: str) -> str:
return ' '.join(value.strip().lower().split())
def resolve_input_name(value: str) -> str:
if not value:
raise ValueError('Drug input is required')
cleaned_value = value.strip()
if re.fullmatch(r'DB\d{5}', cleaned_value, flags=re.IGNORECASE):
return DRUGBANK_TO_DDINTER.get(cleaned_value.upper(), cleaned_value.upper())
return cleaned_value
def _load_frontend_alias_map() -> dict[str, str]:
"""Load a lightweight alias map from the frontend `src/lib/drugAliases.js`.
This provides a fallback mapping for common marketing names and ATC codes
defined in the React UI when the DrugBank index is unavailable or missing
those aliases.
"""
alias_map: dict[str, str] = {}
try:
js_path = BASE_DIR / 'src' / 'lib' / 'drugAliases.js'
if not js_path.exists():
return alias_map
text = js_path.read_text(encoding='utf-8')
# Find objects inside DRUG_DATABASE array
entries = re.findall(r"\{([^}]+)\}", text[text.find('DRUG_DATABASE'):])
for entry in entries:
try:
name_m = re.search(r"name\s*:\s*[\"']([^\"']+)[\"']", entry)
atc_m = re.search(r"atc\s*:\s*[\"']([^\"']+)[\"']", entry)
markets_m = re.search(r"marketingNames\s*:\s*\[([^\]]+)\]", entry, flags=re.S)
if not name_m:
continue
canonical = name_m.group(1).strip()
if atc_m:
key = normalize_name(atc_m.group(1))
alias_map[key] = canonical
if markets_m:
markets = re.findall(r"[\"']([^\"']+)[\"']", markets_m.group(1))
for mkt in markets:
alias_map[normalize_name(mkt)] = canonical
# also map ingredient name
alias_map[normalize_name(canonical)] = canonical
except Exception:
continue
except Exception:
return {}
return alias_map
def canonical_pair_key(drug_a: str, drug_b: str) -> tuple[str, str]:
return tuple(sorted((normalize_name(drug_a), normalize_name(drug_b))))
def severity_rank(value: str) -> int:
return {'unknown': 0, 'minor': 1, 'moderate': 2, 'major': 3}.get(value.lower(), 0)
def lookup_confidence(severity: str, support_count: int) -> float:
base = {
'major': 0.94,
'moderate': 0.84,
'minor': 0.72,
'unknown': 0.58,
}.get(severity, 0.60)
support_bonus = min(0.06, round(math.log2(max(support_count, 1)) * 0.01, 3))
return round(min(0.99, base + support_bonus), 3)
def confidence_band(confidence: float) -> str:
if confidence < 0.55:
return 'low'
if confidence < 0.75:
return 'medium'
return 'high'
def load_ddinter_lookup() -> tuple[dict[tuple[str, str], list[dict[str, str]]], dict[str, Counter]]:
from preprocessing.artifact_manager import manager
try:
df = manager.load_artifact('ddinter_combined')
except Exception as e:
raise FileNotFoundError(f'Failed to load ddinter_combined artifact: {e}')
pair_index: dict[tuple[str, str], list[dict[str, str]]] = defaultdict(list)
drug_profiles: dict[str, Counter] = defaultdict(Counter)
for _, row in df.iterrows():
# Ensure row represents dictionary properly (handle pandas types)
row_dict = {k: str(v) for k, v in row.to_dict().items() if v is not None and not pd.isna(v)}
try:
a_can = str(row_dict.get('canonical_drug_a') or row_dict.get('Drug_A', '')).strip().upper()
b_can = str(row_dict.get('canonical_drug_b') or row_dict.get('Drug_B', '')).strip().upper()
except:
a_can = str(row_dict.get('Drug_A', '')).strip().upper()
b_can = str(row_dict.get('Drug_B', '')).strip().upper()
if not a_can or not b_can:
continue
pair_key = tuple(sorted([a_can, b_can]))
pair_index[pair_key].append(row_dict)
try:
level = str(row_dict.get('Level') or row_dict.get('level', 'Unknown')).strip()
except:
level = 'Unknown'
if level in ('Major', 'Moderate', 'Minor'):
drug_profiles[a_can][level] += 1
drug_profiles[b_can][level] += 1
return pair_index, drug_profiles
class DDIEmbeddingMLP(nn.Module):
def __init__(
self,
vocab_size: int,
embedding_dim: int,
hidden_dim: int,
num_classes: int,
dropout: float = 0.2,
) -> None:
super().__init__()
self.embedding = nn.Embedding(vocab_size, embedding_dim, padding_idx=0)
self.network = nn.Sequential(
nn.Linear(embedding_dim * 4, hidden_dim),
nn.ReLU(),
nn.Dropout(dropout),
nn.Linear(hidden_dim, hidden_dim // 2),
nn.ReLU(),
nn.Dropout(dropout),
nn.Linear(hidden_dim // 2, num_classes),
)
def forward(self, drug_a_ids: torch.Tensor, drug_b_ids: torch.Tensor) -> torch.Tensor:
embedding_a = self.embedding(drug_a_ids)
embedding_b = self.embedding(drug_b_ids)
features = torch.cat(
[embedding_a, embedding_b, torch.abs(embedding_a - embedding_b), embedding_a * embedding_b],
dim=-1,
)
return self.network(features)
class FeatureMLP(nn.Module):
def __init__(self, input_dim: int, hidden_dim: int, num_classes: int, dropout: float = 0.2) -> None:
super().__init__()
self.network = nn.Sequential(
nn.Linear(input_dim, hidden_dim),
nn.ReLU(),
nn.Dropout(dropout),
nn.Linear(hidden_dim, max(8, hidden_dim // 2)),
nn.ReLU(),
nn.Dropout(dropout),
nn.Linear(max(8, hidden_dim // 2), num_classes),
)
def forward(self, features: torch.Tensor) -> torch.Tensor:
return self.network(features)
@dataclass(slots=True)
class InferenceResult:
source: str
confidence: float
severity: str
explanation: str
warning: str | None
model_version: str
mechanism: str
affected_systems: str
smiles_a: str
smiles_b: str
clinical_advice: str
additional_notes: str
drug_a_name: str
drug_b_name: str
drug_a_id: str
drug_b_id: str
source_dataset: str
exact_match: bool
evidence_count: int | None = None
confidence_band: str | None = None
probabilities: dict[str, float] | None = None
def to_dict(self) -> dict[str, Any]:
return {
'source': self.source,
'confidence': self.confidence,
'severity': self.severity,
'explanation': self.explanation,
'warning': self.warning,
'model_version': self.model_version,
'mechanism': self.mechanism,
'affected_systems': self.affected_systems,
'smiles_a': self.smiles_a,
'smiles_b': self.smiles_b,
'clinical_advice': self.clinical_advice,
'additional_notes': self.additional_notes,
'drug_a_name': self.drug_a_name,
'drug_b_name': self.drug_b_name,
'drug_a_id': self.drug_a_id,
'drug_b_id': self.drug_b_id,
'source_dataset': self.source_dataset,
'exact_match': self.exact_match,
'evidence_count': self.evidence_count,
'confidence_band': self.confidence_band,
'probabilities': self.probabilities,
}
class HybridDDIPredictor:
def __init__(self, checkpoint: dict[str, Any], calibration: dict[str, Any] | None = None) -> None:
self.checkpoint = checkpoint
self.model_version = str(checkpoint.get('model_version', 'ddi-mlp-v1'))
self.embedding_dim = int(checkpoint.get('embedding_dim', 64))
self.hidden_dim = int(checkpoint.get('hidden_dim', 128))
self.model_type = str(checkpoint.get('model_type', 'ddi_embedding_mlp'))
self.input_dim = checkpoint.get('input_dim')
self.temperature = float(checkpoint.get('temperature', 1.0))
self.vocab = checkpoint.get('drug_vocab', {})
self.label_names = list(checkpoint.get('label_names', LABEL_NAMES))
self.label_to_index = dict(checkpoint.get('label_to_index', LABEL_TO_INDEX))
self.index_to_label = {int(index): label for index, label in checkpoint.get('index_to_label', {}).items()}
if not self.index_to_label:
self.index_to_label = {index: label for label, index in self.label_to_index.items()}
# Load calibration artifacts (temperature scaling, threshold tuning)
self.calibration = calibration or {}
if self.calibration:
self.temperature = float(self.calibration.get('temperature', self.temperature))
self.major_threshold = float(self.calibration.get('major_threshold', 0.5))
logger.info(f'Loaded calibration: temperature={self.temperature:.4f}, major_threshold={self.major_threshold:.4f}')
else:
self.major_threshold = 0.5
self.safety_calibration_cfg = SafetyCalibrationConfig(
severe_class_index=self.label_to_index.get('major', 3),
low_confidence_threshold=float(self.calibration.get('low_confidence_threshold', 0.55)),
medium_confidence_threshold=float(self.calibration.get('medium_confidence_threshold', 0.75)),
severe_alert_threshold=float(self.calibration.get('severe_alert_threshold', 0.45)),
entropy_high_threshold=float(self.calibration.get('entropy_high_threshold', 1.0)),
top2_margin_low_threshold=float(self.calibration.get('top2_margin_low_threshold', 0.15)),
)
self.pair_index, self.drug_profiles = load_ddinter_lookup()
self.ensemble: EnsemblePredictor | None = None
self.feature_pipeline = None
if self.model_type in {'feature_mlp', 'feature_mlp_multisource'}:
feature_pipeline_path = FEATURE_PIPELINE_MULTISOURCE_PATH if self.model_type == 'feature_mlp_multisource' else FEATURE_PIPELINE_PATH
if not feature_pipeline_path.exists():
raise FileNotFoundError(f'Feature pipeline artifact not found at {feature_pipeline_path}')
self.feature_pipeline = joblib.load(feature_pipeline_path)
artifact_dim = int(self.feature_pipeline.get('metadata', {}).get('vector_dim', self.feature_pipeline.get('metadata', {}).get('feature_dim', 0)))
if self.input_dim is not None and int(self.input_dim) != artifact_dim:
raise ValueError(
f'Checkpoint input_dim={self.input_dim} does not match feature pipeline dim={artifact_dim}. '
'Refusing to infer with a mismatched schema.'
)
if self.input_dim is None:
self.input_dim = artifact_dim
self.model = FeatureMLP(
input_dim=int(self.input_dim or self.feature_pipeline['metadata']['vector_dim']),
hidden_dim=self.hidden_dim,
num_classes=len(self.label_names),
dropout=float(checkpoint.get('dropout', 0.2)),
)
else:
self.model = DDIEmbeddingMLP(
vocab_size=len(self.vocab) + 1,
embedding_dim=self.embedding_dim,
hidden_dim=self.hidden_dim,
num_classes=len(self.label_names),
)
self.model.load_state_dict(checkpoint['model_state_dict'])
self.model.eval()
# Optional ensemble backend for feature-based models.
if self.model_type in {'feature_mlp', 'feature_mlp_multisource'} and ENSEMBLE_DIR.exists():
try:
self.ensemble = EnsemblePredictor(ENSEMBLE_DIR)
logger.info('Loaded optional ensemble artifacts from %s', ENSEMBLE_DIR)
except Exception as exc:
logger.warning('Failed to load ensemble artifacts: %s', exc)
@classmethod
def from_default_paths(cls, use_production: bool = True) -> 'HybridDDIPredictor':
"""Load predictor from default model paths.
Args:
use_production: If True, try loading production model first; fall back to standard model
Returns:
HybridDDIPredictor instance
"""
# Prefer production model if it exists
model_path = PRODUCTION_MODEL_PATH if (use_production and PRODUCTION_MODEL_PATH.exists()) else MODEL_PATH
if not model_path.exists():
raise FileNotFoundError(
f'Model checkpoint not found at {model_path}. '
f'Run src/training/train_healthcare_production.py or src/inference/train_model.py to create it.'
)
logger.info(f'Loading checkpoint from {model_path}')
checkpoint = torch.load(model_path, map_location='cpu')
# Try to load calibration artifacts (optional)
calibration = None
calibration_path = PRODUCTION_CALIBRATION_PATH if (use_production and PRODUCTION_CALIBRATION_PATH.exists()) else CALIBRATION_PATH
if calibration_path.exists():
logger.info(f'Loading calibration artifacts from {calibration_path}')
try:
calibration = joblib.load(calibration_path)
except Exception as e:
logger.warning(f'Failed to load calibration artifacts: {e}')
return cls(checkpoint, calibration=calibration)
def health(self) -> dict[str, Any]:
return {
'status': 'healthy',
'mode': 'hybrid',
'model_loaded': True,
'pipeline_loaded': True,
'calibration_loaded': bool(self.calibration),
'ensemble_loaded': self.ensemble is not None,
'model_version': self.model_version,
'model_type': self.model_type,
'pairs_loaded': len(self.pair_index),
'records_loaded': sum(len(records) for records in self.pair_index.values()),
'vocab_size': len(self.vocab),
'label_names': self.label_names,
'temperature': self.temperature,
'major_threshold': self.major_threshold,
'feature_schema': {
'input_dim': self.input_dim,
'temperature': self.temperature,
'feature_pipeline_path': str(FEATURE_PIPELINE_MULTISOURCE_PATH if self.model_type == 'feature_mlp_multisource' else FEATURE_PIPELINE_PATH) if self.model_type in {'feature_mlp', 'feature_mlp_multisource'} else None,
'available': self.feature_pipeline is not None,
'group_slices': self.feature_pipeline.get('group_slices', {}) if self.feature_pipeline else {},
},
}
def _resolve_drug_name(self, drug_value: str) -> str:
"""Resolve input which may be a DrugBank ID, active ingredient, marketing name, or ATC code.
Strategy:
1. Basic cleaning and DB ID mapping via `resolve_input_name`.
2. If available, consult DrugBank alias index (`load_drugbank_name_to_smiles_index`) for
direct alias -> canonical name, ATC code matches, and canonical lookup.
3. Use `lookup_drugbank_smiles` as a fuzzy fallback when available.
4. Fall back to the frontend alias map defined in `src/lib/drugAliases.js`.
5. Return the cleaned value if no mapping found.
"""
# 1) Basic resolution (handles DBxxxxx -> mapped name)
try:
resolved = resolve_input_name(drug_value)
except Exception:
resolved = str(drug_value or '').strip()
# 2) Consult DrugBank index if available
try:
index = load_drugbank_name_to_smiles_index() if load_drugbank_name_to_smiles_index else None
except Exception:
index = None
if index:
# Precomputed alias map: alias -> canonical name
name_to_record = index.get('name_to_record_key', {}) or {}
canonical_map = index.get('canonical_name_to_record', {}) or {}
# Normalize input for direct alias lookup
norm_key = None
try:
norm_key = normalize_drug_name(drug_value) if normalize_drug_name else normalize_name(str(drug_value or ''))
except Exception:
norm_key = normalize_name(str(drug_value or ''))
if norm_key in name_to_record:
return name_to_record.get(norm_key) or resolved
# ATC code pattern (e.g., C09AA05)
up = str(drug_value or '').strip().upper()
if re.fullmatch(r'[A-Z]\d{2}[A-Z]{2}\d{2}', up):
for record in canonical_map.values():
atcs = record.get('atc_codes') or []
for code in atcs:
if code and up == str(code).upper():
return record.get('canonical_name') or resolved
# Try expanded variants (brands, synonyms)
try:
variants = drug_name_variants(drug_value) if 'drug_name_variants' in globals() or 'drug_name_variants' in locals() else []
except Exception:
variants = []
for var in variants:
if var in name_to_record:
return name_to_record.get(var) or resolved
# 3) Fuzzy lookup via `lookup_drugbank_smiles` if available
if lookup_drugbank_smiles:
try:
lookup = lookup_drugbank_smiles(drug_value)
if lookup and lookup.get('matched') and lookup.get('matched_name'):
return lookup.get('matched_name')
except Exception:
pass
# 4) Frontend alias map fallback
try:
frontend_aliases = _load_frontend_alias_map()
key = normalize_name(str(drug_value or ''))
if key in frontend_aliases:
return frontend_aliases[key]
except Exception:
pass
# 5) Final fallback
return resolved
def _find_vocab_id(self, drug_name: str) -> int:
if self.model_type == 'feature_mlp':
return 0
normalized_name = normalize_name(drug_name)
return int(self.vocab.get(normalized_name, 0))
def _resolve_smiles(self, drug_name: str) -> str:
try:
resolved = resolve_drug_name_to_smiles(drug_name)
except Exception as exc:
logger.warning('smiles_resolution_failed drug=%s error=%s', drug_name, exc)
resolved = None
return resolved or 'N/A'
def _normalize_clinical_severity(self, probabilities: dict[str, float], fallback_severity: str) -> tuple[str, float]:
clinical_labels = ('minor', 'moderate', 'major')
clinical_probs = {label: float(probabilities.get(label, 0.0) or 0.0) for label in clinical_labels}
total = sum(clinical_probs.values())
if total > 0:
normalized_probs = {label: value / total for label, value in clinical_probs.items()}
chosen_label = max(normalized_probs, key=normalized_probs.get)
return chosen_label, round(float(normalized_probs[chosen_label]), 3)
fallback = fallback_severity if fallback_severity in clinical_labels else 'minor'
return fallback, round(float(clinical_probs.get(fallback, 0.0)), 3)
def _lookup_exact(self, drug_a_name: str, drug_b_name: str, drug_a_id: str, drug_b_id: str) -> InferenceResult | None:
key = canonical_pair_key(drug_a_name, drug_b_name)
records = self.pair_index.get(key, [])
if not records:
return None
top_record = max(records, key=lambda record: severity_rank(record['severity']))
top_severity = top_record['severity']
confidence = lookup_confidence(top_severity, len(records))
warning = None
if confidence < 0.75:
warning = 'Exact DDInter evidence exists, but the support is limited and confidence is below the high-confidence threshold.'
explanation = (
f'Exact DDInter evidence match found for {drug_a_name} and {drug_b_name}. '
f'{len(records)} supporting record(s) were retrieved and the highest observed severity is {top_severity}.'
)
return InferenceResult(
source='ddinter_lookup',
confidence=confidence,
severity=top_severity,
explanation=explanation,
warning=warning,
model_version='ddinter-evidence-v1',
mechanism='Evidence-backed lookup from the processed DDInter table',
affected_systems='Not available in the local DDInter table',
smiles_a=self._resolve_smiles(drug_a_name),
smiles_b=self._resolve_smiles(drug_b_name),
clinical_advice=SEVERITY_ADVICE[top_severity],
additional_notes=explanation if warning is None else f'{explanation} {warning}',
drug_a_name=drug_a_name,
drug_b_name=drug_b_name,
drug_a_id=drug_a_id,
drug_b_id=drug_b_id,
source_dataset='ddinter_combined.parquet',
exact_match=True,
evidence_count=len(records),
confidence_band=confidence_band(confidence),
probabilities=None,
)
def _predict_with_model(self, drug_a_name: str, drug_b_name: str, drug_a_id: str, drug_b_id: str) -> InferenceResult:
if self.model_type == 'feature_mlp':
if self.feature_pipeline is None:
raise RuntimeError('Feature pipeline artifacts are not loaded')
features = transform_pair_features_legacy(drug_a_name, drug_b_name, self.feature_pipeline)
input_features = torch.tensor([features], dtype=torch.float32)
with torch.no_grad():
logits = self.model(input_features) / max(self.temperature, 1e-6)
probabilities = torch.softmax(logits, dim=-1).squeeze(0)
elif self.model_type == 'feature_mlp_multisource':
if self.feature_pipeline is None:
raise RuntimeError('Feature pipeline artifacts are not loaded')
features = transform_pair_features_multisource(drug_a_name, drug_b_name, self.feature_pipeline)
input_features = torch.tensor([features], dtype=torch.float32)
with torch.no_grad():
logits = self.model(input_features) / max(self.temperature, 1e-6)
probabilities = torch.softmax(logits, dim=-1).squeeze(0)
# Ensemble override when available.
if self.ensemble is not None:
try:
probs = self.ensemble.predict_proba(np.array([features], dtype=np.float32))[0]
probabilities = torch.tensor(probs, dtype=torch.float32)
except Exception as exc:
logger.warning('Ensemble inference failed; falling back to base model: %s', exc)
else:
drug_a_vocab_id = self._find_vocab_id(drug_a_name)
drug_b_vocab_id = self._find_vocab_id(drug_b_name)
input_a = torch.tensor([drug_a_vocab_id], dtype=torch.long)
input_b = torch.tensor([drug_b_vocab_id], dtype=torch.long)
with torch.no_grad():
logits = self.model(input_a, input_b)
probabilities = torch.softmax(logits, dim=-1).squeeze(0)
probability_values = probabilities.tolist()
probability_array = np.array(probability_values, dtype=np.float32)
safety = risk_adjusted_prediction(probability_array, cfg=self.safety_calibration_cfg)
best_index = int(safety['pred_index'])
predicted_severity = self.index_to_label.get(best_index, self.label_names[best_index])
confidence = round(float(safety['max_probability']), 3)
confidence_band_value = str(safety['confidence_band'])
probabilities_map = {
self.index_to_label.get(index, self.label_names[index]): round(float(value), 3)
for index, value in enumerate(probability_values)
}
clinical_severity, clinical_confidence = self._normalize_clinical_severity(probabilities_map, predicted_severity)
if clinical_severity != predicted_severity:
predicted_severity = clinical_severity
confidence = clinical_confidence
warning = None
if confidence_band_value == 'low':
warning = 'Low-confidence deep learning prediction. Please review this result carefully and consider expert validation.'
elif confidence_band_value == 'medium':
warning = 'Moderate-confidence prediction. Treat this result as advisory rather than definitive.'
if bool(safety.get('escalated_for_safety', False)):
escalated_warning = 'Prediction was conservatively escalated to major due to uncertainty and elevated severe-class probability.'
warning = escalated_warning if warning is None else f'{warning} {escalated_warning}'
explanation = (
f'Deep learning model predicted {predicted_severity} interaction severity with {confidence:.3f} confidence. '
f'The prediction used learned embeddings for {drug_a_name} and {drug_b_name} from the trained MEDCARE-DDI MLP. '
f'Uncertainty={safety.get("uncertainty", "normal")}, top2_margin={float(safety.get("top2_margin", 0.0)):.3f}, '
f'severe_probability={float(safety.get("severe_probability", 0.0)):.3f}.'
)
return InferenceResult(
source='deep_learning_prediction',
confidence=confidence,
severity=predicted_severity,
explanation=explanation,
warning=warning,
model_version=self.model_version,
mechanism='Deep learning inference from the trained MEDCARE-DDI PyTorch model',
affected_systems='Learned from DDInter interaction patterns',
smiles_a=self._resolve_smiles(drug_a_name),
smiles_b=self._resolve_smiles(drug_b_name),
clinical_advice=SEVERITY_ADVICE.get(predicted_severity, SEVERITY_ADVICE['unknown']),
additional_notes=explanation if warning is None else f'{explanation} {warning}',
drug_a_name=drug_a_name,
drug_b_name=drug_b_name,
drug_a_id=drug_a_id,
drug_b_id=drug_b_id,
source_dataset='ddi_mlp_best.pt',
exact_match=False,
evidence_count=None,
confidence_band=confidence_band_value,
probabilities=probabilities_map,
)
def predict(self, drug_a_value: str, drug_b_value: str) -> dict[str, Any]:
drug_a_name = self._resolve_drug_name(drug_a_value)
drug_b_name = self._resolve_drug_name(drug_b_value)
drug_a_id = drug_a_value.strip().upper()
drug_b_id = drug_b_value.strip().upper()
if not drug_a_name or not drug_b_name:
raise ValueError('Both drugs must be provided')
exact_result = self._lookup_exact(drug_a_name, drug_b_name, drug_a_id, drug_b_id)
if exact_result is not None:
# When DDInter has an exact pair but only "unknown" severity, use the model
# to provide a more actionable estimate while preserving evidence context.
if exact_result.severity == 'unknown':
model_result = self._predict_with_model(drug_a_name, drug_b_name, drug_a_id, drug_b_id)
evidence_note = (
f'Exact DDInter match exists ({exact_result.evidence_count or 0} record(s)) '
'but reported severity is unknown; using ML fallback for a more informative estimate.'
)
model_result.warning = (
f'{evidence_note} {model_result.warning}' if model_result.warning else evidence_note
)
model_result.additional_notes = (
f'{model_result.additional_notes} {evidence_note}'.strip()
)
logger.info(
'lookup_unknown_fallback drug_a=%s drug_b=%s evidence_count=%s model_severity=%s model_confidence=%.3f',
drug_a_name,
drug_b_name,
exact_result.evidence_count,
model_result.severity,
model_result.confidence,
)
return model_result.to_dict()
logger.info(
'lookup_hit drug_a=%s drug_b=%s severity=%s confidence=%.3f',
drug_a_name,
drug_b_name,
exact_result.severity,
exact_result.confidence,
)
return exact_result.to_dict()
model_result = self._predict_with_model(drug_a_name, drug_b_name, drug_a_id, drug_b_id)
logger.info(
'model_fallback drug_a=%s drug_b=%s severity=%s confidence=%.3f confidence_band=%s',
drug_a_name,
drug_b_name,
model_result.severity,
model_result.confidence,
model_result.confidence_band,
)
return model_result.to_dict()
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