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EHRGym GRPO Reinforcement Learning Script (Unsloth)
=====================================================
Trains a model with GRPO to interact with the live EHRGym environment.
The model learns to navigate the EHR, place orders, and write notes
by receiving reward signals from the rubric evaluator.
Prerequisites:
1. EHRGym running: npm run dev (Next.js + env server)
2. Dependencies: pip install -r requirements-train.txt
Usage (on H100):
python scripts/train_grpo.py \
--model unsloth/Qwen2.5-7B-Instruct \
--output runs/checkpoints/ehrgym-grpo \
--max-steps 500 --num-generations 4
Quick smoke test:
python scripts/train_grpo.py \
--model unsloth/Qwen2.5-0.5B-Instruct \
--output runs/checkpoints/ehrgym-grpo-tiny \
--max-steps 20 --num-generations 2 --lora-r 16
"""
from __future__ import annotations
import argparse
import json
import logging
import os
from pathlib import Path
logging.basicConfig(level=logging.INFO, format="%(asctime)s %(levelname)s %(message)s")
log = logging.getLogger(__name__)
# ---------------------------------------------------------------------------
# Constants
# ---------------------------------------------------------------------------
SYSTEM_PROMPT = (
"You are a clinical computer-use agent operating an Epic-like EHR. "
"Given the current screenshot description, URL, activity, task goal, and state metadata, "
"return exactly one valid next action as strict JSON.\n\n"
"Valid action types: click, fill, keypress, goto, wait.\n"
"Examples:\n"
' {"type": "click", "selector": "[data-testid=\'order-btn\']"}\n'
' {"type": "fill", "selector": "#note-body", "value": "Patient improving..."}\n'
' {"type": "goto", "url": "http://127.0.0.1:3000/patient/pat-1001"}\n'
)
ENV_SERVER = "http://127.0.0.1:8000"
TASK_ID = "aki-chart-review" # default task
# ---------------------------------------------------------------------------
# CLI
# ---------------------------------------------------------------------------
def parse_args() -> argparse.Namespace:
p = argparse.ArgumentParser(description="EHRGym GRPO RL training (Unsloth)")
p.add_argument("--model", default="unsloth/Qwen2.5-7B-Instruct")
p.add_argument("--output", default="runs/checkpoints/ehrgym-grpo")
p.add_argument("--max-steps", type=int, default=500)
p.add_argument("--num-generations", type=int, default=4,
help="Number of completions to sample per prompt (GRPO group size)")
p.add_argument("--max-seq-len", type=int, default=2048)
p.add_argument("--lora-r", type=int, default=64)
p.add_argument("--lora-alpha", type=int, default=128)
p.add_argument("--lr", type=float, default=5e-5)
p.add_argument("--batch-size", type=int, default=1)
p.add_argument("--grad-accum", type=int, default=4)
p.add_argument("--no-4bit", action="store_true")
p.add_argument("--env-server", default=ENV_SERVER)
p.add_argument("--task-id", default=TASK_ID)
p.add_argument("--max-episode-steps", type=int, default=25,
help="Max env steps per episode before termination")
p.add_argument("--seed", type=int, default=3407)
p.add_argument("--wandb-project", default=None)
p.add_argument("--save-method", default="lora",
choices=["lora", "merged_16bit", "merged_4bit"])
return p.parse_args()
# ---------------------------------------------------------------------------
# Environment interaction helpers
# ---------------------------------------------------------------------------
def env_reset(base_url: str, task_id: str) -> dict:
"""Reset the EHRGym environment and return the initial observation."""
import httpx
resp = httpx.post(f"{base_url}/reset", json={"task_id": task_id}, timeout=30)
resp.raise_for_status()
return resp.json()
def env_step(base_url: str, action: dict) -> dict:
"""Take an action in the EHRGym environment."""
import httpx
resp = httpx.post(f"{base_url}/step", json=action, timeout=30)
resp.raise_for_status()
return resp.json()
def obs_to_text(obs: dict) -> str:
"""Convert an EHRGym observation to a text prompt (no screenshot b64)."""
payload = {
"goal": obs.get("goal", ""),
"current_url": obs.get("current_url", ""),
"active_activity": obs.get("active_activity", ""),
"state": obs.get("state", {}),
}
return json.dumps(payload, ensure_ascii=False)
# ---------------------------------------------------------------------------
# Reward functions
# ---------------------------------------------------------------------------
def valid_json_reward(completions: list, **kwargs) -> list[float]:
"""Reward: is the model output valid JSON with a 'type' field?
Scale: [-1.0, +0.5] (format correctness is a prerequisite, not the goal)
"""
scores = []
for completion in completions:
text = completion[0]["content"] if isinstance(completion, list) else completion
try:
parsed = json.loads(text)
if "type" in parsed:
scores.append(0.5)
else:
scores.append(-0.5)
except (json.JSONDecodeError, TypeError):
scores.append(-1.0)
return scores
def action_type_reward(completions: list, **kwargs) -> list[float]:
"""Reward: does the action use a valid type AND include required fields?
Scale: [-0.5, +0.5] (valid action structure is necessary but not sufficient)
"""
valid_types = {"click", "fill", "keypress", "goto", "wait"}
required_fields = {
"click": ["selector"], "fill": ["selector", "text"],
"keypress": ["key"], "goto": ["url"], "wait": [],
}
scores = []
for completion in completions:
text = completion[0]["content"] if isinstance(completion, list) else completion
try:
parsed = json.loads(text)
action_type = parsed.get("type")
if action_type not in valid_types:
scores.append(-0.5)
continue
# Check that required fields are present and non-empty
fields = required_fields.get(action_type, [])
if all(parsed.get(f) for f in fields):
scores.append(0.5)
else:
scores.append(0.0) # right type but incomplete
except Exception:
scores.append(-0.5)
return scores
def rubric_progress_reward(completions: list, **kwargs) -> list[float]:
"""
Reward: execute the action against the live env and return rubric reward.
This is the main task reward — it actually steps the environment.
For each completion we reset the env first so every candidate starts from
the same state (critical for GRPO where multiple completions share the same
prompt). The env now returns an incremental reward and a breakdown in info.
"""
env_url = kwargs.get("env_url", ENV_SERVER)
task_id = kwargs.get("task_id", TASK_ID)
scores = []
for completion in completions:
text = completion[0]["content"] if isinstance(completion, list) else completion
try:
action = json.loads(text)
except Exception:
scores.append(-2.0)
continue
try:
# Reset before each completion so state is clean
env_reset(env_url, task_id)
# Step the environment with this single action
result = env_step(env_url, action)
# The env now returns a well-calibrated incremental reward
reward = result.get("reward", 0.0)
# Amplify to make the rubric signal dominant over format rewards
scores.append(reward * 5.0)
except Exception as e:
log.warning("Env step failed: %s", e)
scores.append(-1.0)
return scores
# ---------------------------------------------------------------------------
# Dataset: generate prompts by resetting env
# ---------------------------------------------------------------------------
def build_prompt_dataset(env_url: str, task_id: str, n_prompts: int = 100):
"""Create a dataset of prompts by resetting the env multiple times."""
from datasets import Dataset
rows = []
for i in range(n_prompts):
try:
obs = env_reset(env_url, task_id)
observation = obs.get("observation", obs)
user_content = obs_to_text(observation)
rows.append({
"prompt": [
{"role": "system", "content": SYSTEM_PROMPT},
{"role": "user", "content": user_content},
],
})
except Exception as e:
log.warning("Failed to reset env (prompt %d): %s", i, e)
continue
if not rows:
raise RuntimeError(f"Could not get any prompts from {env_url}")
log.info("Built %d prompts from env resets", len(rows))
return Dataset.from_list(rows)
# ---------------------------------------------------------------------------
# Main
# ---------------------------------------------------------------------------
def main() -> None:
args = parse_args()
from unsloth import FastLanguageModel
from unsloth.chat_templates import get_chat_template
from trl import GRPOConfig, GRPOTrainer
# ---- W&B ----
if args.wandb_project:
os.environ["WANDB_PROJECT"] = args.wandb_project
report_to = "wandb"
else:
report_to = "none"
# ---- Load model ----
load_in_4bit = not args.no_4bit
model, tokenizer = FastLanguageModel.from_pretrained(
model_name=args.model,
max_seq_length=args.max_seq_len,
load_in_4bit=load_in_4bit,
dtype=None,
)
model = FastLanguageModel.get_peft_model(
model,
r=args.lora_r,
lora_alpha=args.lora_alpha,
lora_dropout=0.0,
target_modules=[
"q_proj", "k_proj", "v_proj", "o_proj",
"gate_proj", "up_proj", "down_proj",
],
use_gradient_checkpointing="unsloth",
random_state=args.seed,
)
model.print_trainable_parameters()
# Chat template
model_lower = args.model.lower()
if "qwen" in model_lower:
chat_template = "qwen-2.5"
elif "llama" in model_lower:
chat_template = "llama-3.1"
else:
chat_template = "chatml"
tokenizer = get_chat_template(tokenizer, chat_template=chat_template)
# ---- Dataset (prompts from env) ----
dataset = build_prompt_dataset(args.env_server, args.task_id, n_prompts=200)
# ---- GRPO config ----
max_prompt_length = args.max_seq_len // 2
max_completion_length = args.max_seq_len - max_prompt_length
output_dir = Path(args.output)
output_dir.mkdir(parents=True, exist_ok=True)
training_args = GRPOConfig(
output_dir=str(output_dir),
max_steps=args.max_steps,
per_device_train_batch_size=args.batch_size,
gradient_accumulation_steps=args.grad_accum,
num_generations=args.num_generations,
max_prompt_length=max_prompt_length,
max_completion_length=max_completion_length,
learning_rate=args.lr,
lr_scheduler_type="linear",
warmup_ratio=0.1,
weight_decay=0.01,
optim="adamw_8bit",
bf16=True,
logging_steps=1,
save_steps=100,
save_total_limit=3,
seed=args.seed,
report_to=report_to,
temperature=1.0,
)
trainer = GRPOTrainer(
model=model,
processing_class=tokenizer,
args=training_args,
train_dataset=dataset,
reward_funcs=[
valid_json_reward, # [-1.0, +0.5] format correctness
action_type_reward, # [-0.5, +0.5] valid type + required fields
rubric_progress_reward, # [-2.0, +5.0] actual task rubric (dominant)
],
)
# ---- Train ----
log.info("Starting GRPO training (max_steps=%d, num_generations=%d) …",
args.max_steps, args.num_generations)
trainer.train()
# ---- Save ----
if args.save_method == "lora":
save_dir = str(output_dir / "lora_adapter")
model.save_pretrained(save_dir)
tokenizer.save_pretrained(save_dir)
log.info("Saved LoRA adapter → %s", save_dir)
else:
save_dir = str(output_dir / "merged")
model.save_pretrained_merged(save_dir, tokenizer, save_method=args.save_method)
log.info("Saved merged model → %s", save_dir)
log.info("Done ✓")
if __name__ == "__main__":
main()
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