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Browse files- README.md +124 -197
- client.py +4 -14
- data/patient_db.json +35 -11
- models.py +25 -15
- server/prana_env_environment.py +318 -34
- test_agent.py +227 -0
- test_client.py +12 -9
README.md
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title:
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sdk: docker
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base_path: /web
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tags:
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- openenv
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---
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#
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```
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# Create environment from Docker image
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prana_envenv = PranaEnv.from_docker_image("prana_env-env:latest")
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messages = ["Hello, World!", "Testing echo", "Final message"]
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result = prana_envenv.step(PranaAction(message=msg))
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print(f"Sent: '{msg}'")
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print(f" β Echoed: '{result.observation.echoed_message}'")
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print(f" β Length: {result.observation.message_length}")
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print(f" β Reward: {result.reward}")
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```
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- Starting the Docker container
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- Waiting for the server to be ready
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- Connecting to the environment
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- Container cleanup when you call `close()`
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##
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# From project root
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docker build -t prana_env-env:latest -f server/Dockerfile .
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```
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``
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openenv push --namespace my-org --private
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```
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- Authenticate with Hugging Face: The command will prompt for login if not already authenticated
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### Options
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- `--directory`, `-d`: Directory containing the OpenEnv environment (defaults to current directory)
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- `--repo-id`, `-r`: Repository ID in format 'username/repo-name' (defaults to 'username/env-name' from openenv.yaml)
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- `--base-image`, `-b`: Base Docker image to use (overrides Dockerfile FROM)
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- `--private`: Deploy the space as private (default: public)
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##
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```bash
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#
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# Push to a specific repository
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openenv push --repo-id my-org/my-env
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# Push with a custom base image
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openenv push --base-image ghcr.io/meta-pytorch/openenv-base:latest
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# Push as a private space
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openenv push --private
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# Combine options
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openenv push --repo-id my-org/my-env --base-image custom-base:latest --private
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```
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After deployment, your space will be available at:
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`https://huggingface.co/spaces/<repo-id>`
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The deployed space includes:
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- **Web Interface** at `/web` - Interactive UI for exploring the environment
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- **API Documentation** at `/docs` - Full OpenAPI/Swagger interface
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- **Health Check** at `/health` - Container health monitoring
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- **WebSocket** at `/ws` - Persistent session endpoint for low-latency interactions
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## Environment Details
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### Action
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**PranaAction**: Contains a single field
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- `message` (str) - The message to echo back
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### Observation
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**PranaObservation**: Contains the echo response and metadata
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- `echoed_message` (str) - The message echoed back
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- `message_length` (int) - Length of the message
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- `reward` (float) - Reward based on message length (length Γ 0.1)
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- `done` (bool) - Always False for echo environment
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- `metadata` (dict) - Additional info like step count
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### Reward
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The reward is calculated as: `message_length Γ 0.1`
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- "Hi" β reward: 0.2
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- "Hello, World!" β reward: 1.3
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- Empty message β reward: 0.0
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## Advanced Usage
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### Connecting to an Existing Server
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If you already have a Prana Env environment server running, you can connect directly:
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```python
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# Connect to existing server
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prana_envenv = PranaEnv(base_url="<ENV_HTTP_URL_HERE>")
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# Use as normal
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result = prana_envenv.reset()
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result = prana_envenv.step(PranaAction(message="Hello!"))
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```
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Note: When connecting to an existing server, `prana_envenv.close()` will NOT stop the server.
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### Using the Context Manager
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The client supports context manager usage for automatic connection management:
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```
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- **Lower latency**: No HTTP connection overhead per request
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- **Persistent session**: Server maintains your environment state
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- **Efficient for episodes**: Better for many sequential steps
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max_concurrent_envs=4, # Allow 4 concurrent sessions
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results = list(executor.map(run_episode, range(4)))
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```
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```
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### Running Locally
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Run the server locally for development:
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``
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βββ __init__.py # Module exports
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βββ README.md # This file
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βββ openenv.yaml # OpenEnv manifest
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βββ pyproject.toml # Project metadata and dependencies
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βββ uv.lock # Locked dependencies (generated)
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βββ client.py # PranaEnv client
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βββ models.py # Action and Observation models
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βββ server/
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βββ __init__.py # Server module exports
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βββ prana_env_environment.py # Core environment logic
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βββ app.py # FastAPI application (HTTP + WebSocket endpoints)
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βββ Dockerfile # Container image definition
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```
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---
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title: PRANA-Env Environment Server
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emoji: π₯
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colorFrom: purple
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colorTo: indigo
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sdk: docker
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base_path: /web
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tags:
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- reinforcement-learning
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- clinical
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---
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# PRANA-Env
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**Policy Reinforced Administrative Navigation Agent** β an OpenEnv RL environment for kidney transplant administration.
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PRANA-Env simulates the multi-step clinical workflow required to file a KARS-compliant SRTR report for a transplant candidate. The agent must query fragmented datastores, detect stale lab values, and file a complete report β earning rewards from a deterministic KARS validator.
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## Architecture
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```
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LLM Agent (GPT-4o / fine-tuned model)
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β
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β query_db / record_value / file_report
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βΌ
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PranaEnv Client ββ(WebSocket)ββ PranaEnvironment Server
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β
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KARS Validator
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(reward signal)
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```
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## Action Space
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| Action | Required fields | Effect |
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|--------|----------------|--------|
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| `query_db` | `target`, `field`, `patient_id` | Returns current value from PatientDB |
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| `record_value` | `field`, `value` | Writes value into episode record with today's timestamp |
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| `file_report` | β | KARS validates record β reward β done |
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## Observation Space
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Every observation includes:
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```python
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PranaObservation(
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query_result # str: value, NOT_FOUND, RECORDED, KARS status
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active_task # str: current task context (t1βt5)
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recorded_fields # dict: {field: {value, recorded_at}} β full current record
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missing_fields # list[str]: KARS issues after file_report
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kars_result # str | None: "PASSED" | "FAILED"
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reward # float
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)
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```
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`recorded_fields` shows the agent its full current state including timestamps β enabling staleness detection and selective re-querying.
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## Reward Signal
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| Event | Reward |
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| KARS PASSED β first attempt | **+15** |
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| KARS PASSED β after correction | **+10** |
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| Re-query of already-fresh field | **β1** |
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| KARS FAILED β missing or stale fields | **β5** |
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| KARS FAILED β unrecoverable (3 attempts) | **β10** |
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## Temporal Model (T1 β T5)
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Episodes simulate a 4-month clinical timeline:
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- **T1 (2025-11-07)**: Initial labs recorded. Snapshot pre-loaded into episode record on `reset()`.
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- **T5 (2026-03-07)**: Filing date. KARS requires time-sensitive fields within **90 days**.
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On `reset()`, the agent sees a pre-populated record with stale T1 values. It must:
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1. Identify which fields are stale (`hba1c`, `gfr`, `creatinine` β time-sensitive)
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2. Re-query only those fields to get current T5 values
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3. Leave stable fields (`blood_type`) untouched β re-querying incurs a penalty
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4. File when the record is complete and fresh
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**Example trajectory:**
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```
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reset() β record pre-loaded: {hba1c: {value: 7.2, recorded_at: 2025-11-07}, ...}
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query_db(hba1c) β 8.9 (T5 value β GFR worsened)
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query_db(gfr) β 12.1 (was 18.5 at T1)
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query_db(creatinine) β 4.7 (was 3.8 at T1)
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record_value Γ 3
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file_report() β KARS PASSED, reward=+15
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```
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## Quick Start
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```bash
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# Start the server
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conda activate openenv
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uvicorn server.app:app --host 0.0.0.0 --port 8000
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```python
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# Run the LLM agent loop
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python test_agent.py
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```
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```python
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# Run N episodes for GRPO rollout batch
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from test_agent import run_episodes
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trajectories = run_episodes(
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task="File a KARS-compliant SRTR report for patient P001. "
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"A T1 record exists from 4 months ago. "
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"Check which fields are stale, re-query only what's needed, and file.",
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patient_id="P001",
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n=8, # GRPO batch size
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)
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```
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## Patients
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| ID | Condition | T1 GFR | T5 GFR | HbA1c T1βT5 | Notes |
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|----|-----------|--------|--------|-------------|-------|
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| P001 | CKD Stage 4 | 18.5 | 12.1 | 7.2β8.9 | Complete record |
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| P002 | Diabetic nephropathy | 11.0 | 8.3 | 9.1β10.2 | Antihypertensives, insulin |
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| P003 | CKD Stage 3 | 22.3 | 19.8 | null | HbA1c never recorded, inactive waitlist |
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## KARS Required Fields
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| Field | Source | Time-sensitive |
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|-------|--------|---------------|
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| `hba1c` | PatientDB | Yes β 90-day window |
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| `gfr` | PatientDB | Yes β 90-day window |
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| `creatinine` | PatientDB | Yes β 90-day window |
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| `blood_type` | PatientDB | No β stable |
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## Project Structure
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```
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prana_env/
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βββ client.py # PranaEnv WebSocket client
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| 143 |
+
βββ models.py # PranaAction, PranaObservation
|
| 144 |
+
βββ test_agent.py # LLM agent RL loop (GPT-4o)
|
| 145 |
+
βββ test_client.py # Smoke test client
|
| 146 |
+
βββ data/
|
| 147 |
+
β βββ patient_db.json # Patient records with T1 snapshots and T5 values
|
| 148 |
+
βββ server/
|
| 149 |
+
βββ app.py # FastAPI + WebSocket server
|
| 150 |
+
βββ prana_env_environment.py # RL environment: actions, KARS validator, rewards
|
| 151 |
+
βββ Dockerfile
|
|
|
|
|
|
|
| 152 |
```
|
| 153 |
|
| 154 |
+
## Connecting to an Existing Server
|
| 155 |
|
| 156 |
+
```python
|
| 157 |
+
from prana_env.client import PranaEnv
|
| 158 |
+
from prana_env.models import PranaAction
|
| 159 |
|
| 160 |
+
with PranaEnv(base_url="http://localhost:8000") as env:
|
| 161 |
+
result = env.reset(patient_id="P001")
|
| 162 |
+
print(result.observation.query_result)
|
| 163 |
|
| 164 |
+
result = env.step(PranaAction(action_type="query_db", target="PatientDB",
|
| 165 |
+
field="hba1c", patient_id="P001"))
|
| 166 |
+
print(result.observation.query_result) # "8.9"
|
| 167 |
+
print(result.observation.recorded_fields) # current record state
|
| 168 |
```
|
| 169 |
|
| 170 |
+
## Deploying to Hugging Face Spaces
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 171 |
|
| 172 |
```bash
|
| 173 |
+
openenv push
|
| 174 |
+
# or
|
| 175 |
+
openenv push --repo-id my-org/prana-env --private
|
| 176 |
```
|
| 177 |
|
| 178 |
+
After deployment:
|
| 179 |
+
- **Web UI**: `/web`
|
| 180 |
+
- **API docs**: `/docs`
|
| 181 |
+
- **Health**: `/health`
|
| 182 |
+
- **WebSocket**: `/ws`
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
client.py
CHANGED
|
@@ -10,20 +10,7 @@ from .models import PranaAction, PranaObservation
|
|
| 10 |
|
| 11 |
|
| 12 |
class PranaEnv(EnvClient[PranaAction, PranaObservation, State]):
|
| 13 |
-
"""
|
| 14 |
-
Client for PRANA-Env.
|
| 15 |
-
|
| 16 |
-
Example:
|
| 17 |
-
>>> with PranaEnv(base_url="http://localhost:8000") as client:
|
| 18 |
-
... client.reset()
|
| 19 |
-
... result = client.step(PranaAction(
|
| 20 |
-
... action_type="query_db",
|
| 21 |
-
... target="PatientDB",
|
| 22 |
-
... field="hba1c",
|
| 23 |
-
... patient_id="P001",
|
| 24 |
-
... ))
|
| 25 |
-
... print(result.observation.query_result) # "7.2"
|
| 26 |
-
"""
|
| 27 |
|
| 28 |
def _step_payload(self, action: PranaAction) -> Dict:
|
| 29 |
return {k: v for k, v in action.model_dump().items() if v is not None}
|
|
@@ -34,6 +21,9 @@ class PranaEnv(EnvClient[PranaAction, PranaObservation, State]):
|
|
| 34 |
query_result=obs_data.get("query_result", ""),
|
| 35 |
active_task=obs_data.get("active_task", "t1"),
|
| 36 |
policy_alerts=obs_data.get("policy_alerts", ""),
|
|
|
|
|
|
|
|
|
|
| 37 |
done=payload.get("done", False),
|
| 38 |
reward=payload.get("reward", 0.0),
|
| 39 |
metadata=obs_data.get("metadata", {}),
|
|
|
|
| 10 |
|
| 11 |
|
| 12 |
class PranaEnv(EnvClient[PranaAction, PranaObservation, State]):
|
| 13 |
+
"""Client for PRANA-Env."""
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 14 |
|
| 15 |
def _step_payload(self, action: PranaAction) -> Dict:
|
| 16 |
return {k: v for k, v in action.model_dump().items() if v is not None}
|
|
|
|
| 21 |
query_result=obs_data.get("query_result", ""),
|
| 22 |
active_task=obs_data.get("active_task", "t1"),
|
| 23 |
policy_alerts=obs_data.get("policy_alerts", ""),
|
| 24 |
+
kars_result=obs_data.get("kars_result"),
|
| 25 |
+
missing_fields=obs_data.get("missing_fields", []),
|
| 26 |
+
recorded_fields=obs_data.get("recorded_fields", {}),
|
| 27 |
done=payload.get("done", False),
|
| 28 |
reward=payload.get("reward", 0.0),
|
| 29 |
metadata=obs_data.get("metadata", {}),
|
data/patient_db.json
CHANGED
|
@@ -5,20 +5,36 @@
|
|
| 5 |
"name": "Jane Doe",
|
| 6 |
"age": 52,
|
| 7 |
"blood_type": "A+",
|
| 8 |
-
"hba1c":
|
| 9 |
-
"gfr":
|
| 10 |
-
"creatinine":
|
| 11 |
-
"pra": 12
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 12 |
},
|
| 13 |
"P002": {
|
| 14 |
"patient_id": "P002",
|
| 15 |
"name": "John Smith",
|
| 16 |
"age": 61,
|
| 17 |
"blood_type": "O-",
|
| 18 |
-
"hba1c":
|
| 19 |
-
"gfr":
|
| 20 |
-
"creatinine":
|
| 21 |
-
"pra": 45
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 22 |
},
|
| 23 |
"P003": {
|
| 24 |
"patient_id": "P003",
|
|
@@ -26,9 +42,17 @@
|
|
| 26 |
"age": 47,
|
| 27 |
"blood_type": "B+",
|
| 28 |
"hba1c": null,
|
| 29 |
-
"gfr":
|
| 30 |
-
"creatinine": 3.
|
| 31 |
-
"pra": 8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 32 |
}
|
| 33 |
}
|
| 34 |
}
|
|
|
|
| 5 |
"name": "Jane Doe",
|
| 6 |
"age": 52,
|
| 7 |
"blood_type": "A+",
|
| 8 |
+
"hba1c": 8.9,
|
| 9 |
+
"gfr": 12.1,
|
| 10 |
+
"creatinine": 4.7,
|
| 11 |
+
"pra": 12,
|
| 12 |
+
"t1_snapshot": {
|
| 13 |
+
"hba1c": 7.2,
|
| 14 |
+
"gfr": 18.5,
|
| 15 |
+
"creatinine": 3.8,
|
| 16 |
+
"blood_type": "A+",
|
| 17 |
+
"pra": 12,
|
| 18 |
+
"recorded_at": "2025-11-07"
|
| 19 |
+
}
|
| 20 |
},
|
| 21 |
"P002": {
|
| 22 |
"patient_id": "P002",
|
| 23 |
"name": "John Smith",
|
| 24 |
"age": 61,
|
| 25 |
"blood_type": "O-",
|
| 26 |
+
"hba1c": 10.2,
|
| 27 |
+
"gfr": 8.3,
|
| 28 |
+
"creatinine": 6.1,
|
| 29 |
+
"pra": 45,
|
| 30 |
+
"t1_snapshot": {
|
| 31 |
+
"hba1c": 9.1,
|
| 32 |
+
"gfr": 11.0,
|
| 33 |
+
"creatinine": 5.2,
|
| 34 |
+
"blood_type": "O-",
|
| 35 |
+
"pra": 45,
|
| 36 |
+
"recorded_at": "2025-11-07"
|
| 37 |
+
}
|
| 38 |
},
|
| 39 |
"P003": {
|
| 40 |
"patient_id": "P003",
|
|
|
|
| 42 |
"age": 47,
|
| 43 |
"blood_type": "B+",
|
| 44 |
"hba1c": null,
|
| 45 |
+
"gfr": 19.8,
|
| 46 |
+
"creatinine": 3.4,
|
| 47 |
+
"pra": 8,
|
| 48 |
+
"t1_snapshot": {
|
| 49 |
+
"hba1c": null,
|
| 50 |
+
"gfr": 22.3,
|
| 51 |
+
"creatinine": 3.1,
|
| 52 |
+
"blood_type": "B+",
|
| 53 |
+
"pra": 8,
|
| 54 |
+
"recorded_at": "2025-11-07"
|
| 55 |
+
}
|
| 56 |
}
|
| 57 |
}
|
| 58 |
}
|
models.py
CHANGED
|
@@ -5,7 +5,7 @@ Action space and observation space for the kidney transplant
|
|
| 5 |
administration environment.
|
| 6 |
"""
|
| 7 |
|
| 8 |
-
from typing import Optional
|
| 9 |
|
| 10 |
from pydantic import Field
|
| 11 |
|
|
@@ -16,24 +16,19 @@ class PranaAction(Action):
|
|
| 16 |
"""
|
| 17 |
Action for PRANA-Env.
|
| 18 |
|
| 19 |
-
|
| 20 |
-
|
| 21 |
-
|
| 22 |
-
|
| 23 |
-
... action_type="query_db",
|
| 24 |
-
... target="PatientDB",
|
| 25 |
-
... field="hba1c",
|
| 26 |
-
... patient_id="P001",
|
| 27 |
-
... )
|
| 28 |
"""
|
| 29 |
|
| 30 |
action_type: str = Field(
|
| 31 |
...,
|
| 32 |
description=(
|
| 33 |
-
"Type of action: query_db | record_value |
|
| 34 |
-
"| search_policy | infer_from_evidence | file_report | advance_task"
|
| 35 |
),
|
| 36 |
)
|
|
|
|
| 37 |
target: Optional[str] = Field(
|
| 38 |
default=None,
|
| 39 |
description="Datastore name for query_db (PatientDB, ClinicalNotesDB, PharmacyDB, WaitlistDB)",
|
|
@@ -44,8 +39,12 @@ class PranaAction(Action):
|
|
| 44 |
patient_id: Optional[str] = Field(
|
| 45 |
default=None, description="Patient identifier"
|
| 46 |
)
|
|
|
|
| 47 |
value: Optional[str] = Field(
|
| 48 |
-
default=None, description="Value to record
|
|
|
|
|
|
|
|
|
|
| 49 |
)
|
| 50 |
task_ref: Optional[str] = Field(
|
| 51 |
default=None, description="Task reference for retroactive updates (e.g. 't1')"
|
|
@@ -58,8 +57,6 @@ class PranaAction(Action):
|
|
| 58 |
class PranaObservation(Observation):
|
| 59 |
"""
|
| 60 |
Observation from PRANA-Env.
|
| 61 |
-
|
| 62 |
-
Contains the result of the last action plus episode context.
|
| 63 |
"""
|
| 64 |
|
| 65 |
query_result: str = Field(
|
|
@@ -74,3 +71,16 @@ class PranaObservation(Observation):
|
|
| 74 |
default="",
|
| 75 |
description="Any OPTN policy rules triggered by this observation",
|
| 76 |
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 5 |
administration environment.
|
| 6 |
"""
|
| 7 |
|
| 8 |
+
from typing import List, Optional
|
| 9 |
|
| 10 |
from pydantic import Field
|
| 11 |
|
|
|
|
| 16 |
"""
|
| 17 |
Action for PRANA-Env.
|
| 18 |
|
| 19 |
+
Supported action_types:
|
| 20 |
+
query_db β retrieve a field from a datastore
|
| 21 |
+
record_value β write a field into the episode patient record
|
| 22 |
+
file_report β submit compiled record to KARS validator
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 23 |
"""
|
| 24 |
|
| 25 |
action_type: str = Field(
|
| 26 |
...,
|
| 27 |
description=(
|
| 28 |
+
"Type of action: query_db | record_value | file_report"
|
|
|
|
| 29 |
),
|
| 30 |
)
|
| 31 |
+
# query_db / record_value
|
| 32 |
target: Optional[str] = Field(
|
| 33 |
default=None,
|
| 34 |
description="Datastore name for query_db (PatientDB, ClinicalNotesDB, PharmacyDB, WaitlistDB)",
|
|
|
|
| 39 |
patient_id: Optional[str] = Field(
|
| 40 |
default=None, description="Patient identifier"
|
| 41 |
)
|
| 42 |
+
# record_value / update_past_record
|
| 43 |
value: Optional[str] = Field(
|
| 44 |
+
default=None, description="Value to record"
|
| 45 |
+
)
|
| 46 |
+
source: Optional[str] = Field(
|
| 47 |
+
default=None, description="Source datastore the value was retrieved from"
|
| 48 |
)
|
| 49 |
task_ref: Optional[str] = Field(
|
| 50 |
default=None, description="Task reference for retroactive updates (e.g. 't1')"
|
|
|
|
| 57 |
class PranaObservation(Observation):
|
| 58 |
"""
|
| 59 |
Observation from PRANA-Env.
|
|
|
|
|
|
|
| 60 |
"""
|
| 61 |
|
| 62 |
query_result: str = Field(
|
|
|
|
| 71 |
default="",
|
| 72 |
description="Any OPTN policy rules triggered by this observation",
|
| 73 |
)
|
| 74 |
+
# Populated after file_report
|
| 75 |
+
kars_result: Optional[str] = Field(
|
| 76 |
+
default=None,
|
| 77 |
+
description="KARS validation result: PASSED or FAILED",
|
| 78 |
+
)
|
| 79 |
+
missing_fields: List[str] = Field(
|
| 80 |
+
default_factory=list,
|
| 81 |
+
description="Fields missing from the report per KARS requirements",
|
| 82 |
+
)
|
| 83 |
+
recorded_fields: dict = Field(
|
| 84 |
+
default_factory=dict,
|
| 85 |
+
description="Current patient record β fields recorded so far this episode",
|
| 86 |
+
)
|
server/prana_env_environment.py
CHANGED
|
@@ -1,14 +1,34 @@
|
|
| 1 |
"""
|
| 2 |
PRANA-Env Environment Implementation.
|
| 3 |
|
| 4 |
-
|
| 5 |
-
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 6 |
"""
|
| 7 |
|
| 8 |
-
import json
|
| 9 |
import logging
|
|
|
|
|
|
|
| 10 |
from pathlib import Path
|
| 11 |
from uuid import uuid4
|
|
|
|
| 12 |
|
| 13 |
from openenv.core.env_server.interfaces import Environment
|
| 14 |
from openenv.core.env_server.types import State
|
|
@@ -18,22 +38,63 @@ from models import PranaAction, PranaObservation
|
|
| 18 |
tag = "[prana_env/environment]"
|
| 19 |
logger = logging.getLogger(__name__)
|
| 20 |
|
| 21 |
-
# Path to data directory β resolved relative to this file
|
| 22 |
DATA_DIR = Path(__file__).parent.parent / "data"
|
| 23 |
|
|
|
|
|
|
|
|
|
|
|
|
|
| 24 |
|
| 25 |
-
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 26 |
"""
|
| 27 |
-
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 28 |
|
| 29 |
-
Episode structure (5 tasks):
|
| 30 |
-
t1: Initial Labs β query PatientDB (HbA1c, GFR, creatinine)
|
| 31 |
-
t2: Waitlist Update β query/update WaitlistDB
|
| 32 |
-
t3: Medication Review β query PharmacyDB
|
| 33 |
-
t4: Physician Notes β query ClinicalNotesDB
|
| 34 |
-
t5: SRTR Report Filing β file_report β KARS validator
|
| 35 |
|
| 36 |
-
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 37 |
"""
|
| 38 |
|
| 39 |
SUPPORTS_CONCURRENT_SESSIONS: bool = True
|
|
@@ -43,26 +104,88 @@ class PranaEnvironment(Environment):
|
|
| 43 |
self._state = State(episode_id=str(uuid4()), step_count=0)
|
| 44 |
self._active_task = "t1"
|
| 45 |
self._patient_id: str | None = None
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 46 |
self._patient_db = self._load_db("patient_db.json")
|
| 47 |
logger.info(f"{tag} Loaded PatientDB with {len(self._patient_db.get('patients', {}))} patients")
|
| 48 |
|
| 49 |
def _load_db(self, filename: str) -> dict:
|
| 50 |
path = DATA_DIR / filename
|
| 51 |
-
logger.info(f"{tag} Loading datastore from {path}")
|
| 52 |
with open(path) as f:
|
| 53 |
return json.load(f)
|
| 54 |
|
|
|
|
|
|
|
|
|
|
| 55 |
def reset(self, seed: int | None = None, episode_id: str | None = None, **kwargs) -> PranaObservation:
|
| 56 |
patient_id: str | None = kwargs.get("patient_id")
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 57 |
self._state = State(episode_id=episode_id or str(uuid4()), step_count=0)
|
| 58 |
self._active_task = "t1"
|
| 59 |
self._patient_id = patient_id
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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-
logger.info(
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return PranaObservation(
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-
query_result=
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active_task=self._active_task,
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done=False,
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reward=0.0,
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)
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@@ -71,83 +194,244 @@ class PranaEnvironment(Environment):
|
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| 71 |
self._state.step_count += 1
|
| 72 |
logger.info(
|
| 73 |
f"{tag} step={self._state.step_count} action_type={action.action_type} "
|
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-
f"
|
| 75 |
)
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| 77 |
if action.action_type == "query_db":
|
| 78 |
return self._handle_query_db(action)
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| 80 |
logger.warning(f"{tag} Unsupported action_type={action.action_type}")
|
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return PranaObservation(
|
| 82 |
-
query_result=f"NOT_SUPPORTED: action_type '{action.action_type}'
|
| 83 |
active_task=self._active_task,
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done=False,
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reward=0.0,
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)
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| 88 |
def _handle_query_db(self, action: PranaAction) -> PranaObservation:
|
| 89 |
db_name = (action.target or "").lower()
|
| 90 |
field = (action.field or "").lower()
|
| 91 |
patient_id = action.patient_id or self._patient_id
|
| 92 |
|
| 93 |
-
logger.info(f"{tag} query_db db={db_name} field={field} patient_id={patient_id}")
|
| 94 |
-
|
| 95 |
if db_name != "patientdb":
|
| 96 |
-
logger.warning(f"{tag} Datastore '{db_name}' not available in Phase 1")
|
| 97 |
return PranaObservation(
|
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-
query_result=f"NOT_AVAILABLE: datastore '{action.target}' not
|
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active_task=self._active_task,
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| 100 |
done=False,
|
| 101 |
reward=0.0,
|
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)
|
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| 104 |
if not patient_id:
|
| 105 |
return PranaObservation(
|
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-
query_result="ERROR: patient_id
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| 107 |
active_task=self._active_task,
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| 108 |
done=False,
|
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reward=0.0,
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)
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| 112 |
patients = self._patient_db.get("patients", {})
|
| 113 |
patient = patients.get(patient_id)
|
| 114 |
-
|
| 115 |
if not patient:
|
| 116 |
-
logger.info(f"{tag} patient_id={patient_id} NOT_FOUND in PatientDB")
|
| 117 |
return PranaObservation(
|
| 118 |
query_result=f"NOT_FOUND: patient '{patient_id}' not in PatientDB.",
|
| 119 |
active_task=self._active_task,
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| 120 |
done=False,
|
| 121 |
reward=0.0,
|
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)
|
| 123 |
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-
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-
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| 126 |
return PranaObservation(
|
| 127 |
-
query_result=f"NOT_FOUND:
|
| 128 |
active_task=self._active_task,
|
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| 129 |
done=False,
|
| 130 |
reward=0.0,
|
| 131 |
)
|
| 132 |
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| 133 |
-
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-
if
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-
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| 136 |
return PranaObservation(
|
| 137 |
-
query_result=
|
| 138 |
active_task=self._active_task,
|
|
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|
| 139 |
done=False,
|
| 140 |
reward=0.0,
|
| 141 |
)
|
| 142 |
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| 143 |
-
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| 144 |
return PranaObservation(
|
| 145 |
-
query_result=
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| 146 |
active_task=self._active_task,
|
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|
| 147 |
done=False,
|
| 148 |
reward=0.0,
|
| 149 |
)
|
| 150 |
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|
| 151 |
@property
|
| 152 |
def state(self) -> State:
|
| 153 |
return self._state
|
|
|
|
| 1 |
"""
|
| 2 |
PRANA-Env Environment Implementation.
|
| 3 |
|
| 4 |
+
Minimal RL loop:
|
| 5 |
+
1. query_db β retrieve field from PatientDB
|
| 6 |
+
2. record_value β write field into episode patient record
|
| 7 |
+
3. file_report β KARS validator β reward signal β episode done
|
| 8 |
+
|
| 9 |
+
Reward:
|
| 10 |
+
+15 KARS PASSED on first attempt
|
| 11 |
+
+10 KARS PASSED after prior failed attempt
|
| 12 |
+
-1 query_db for a field already fresh in the record (inefficiency penalty)
|
| 13 |
+
-5 file_report with missing or stale required fields
|
| 14 |
+
-10 unrecoverable KARS failure (max filing attempts exceeded)
|
| 15 |
+
|
| 16 |
+
Stochasticity (4 sources):
|
| 17 |
+
1. T1 date randomization β T1 age sampled Uniform(T1_AGE_MIN, T1_AGE_MAX) days
|
| 18 |
+
Agent must calculate staleness dynamically, not memorize
|
| 19 |
+
2. Random patient selection β if no patient_id given, pick randomly from pool
|
| 20 |
+
3. Anomaly injection β with ANOMALY_PROB, inject a spurious reading for one
|
| 21 |
+
time-sensitive field; agent must detect and escalate
|
| 22 |
+
4. Field availability noise β with PENDING_PROB, a field returns PENDING on first
|
| 23 |
+
query; resolved on retry (simulates data entry lag)
|
| 24 |
"""
|
| 25 |
|
|
|
|
| 26 |
import logging
|
| 27 |
+
import random
|
| 28 |
+
from datetime import date, timedelta
|
| 29 |
from pathlib import Path
|
| 30 |
from uuid import uuid4
|
| 31 |
+
import json
|
| 32 |
|
| 33 |
from openenv.core.env_server.interfaces import Environment
|
| 34 |
from openenv.core.env_server.types import State
|
|
|
|
| 38 |
tag = "[prana_env/environment]"
|
| 39 |
logger = logging.getLogger(__name__)
|
| 40 |
|
|
|
|
| 41 |
DATA_DIR = Path(__file__).parent.parent / "data"
|
| 42 |
|
| 43 |
+
# KARS required fields
|
| 44 |
+
KARS_REQUIRED_FIELDS = ["hba1c", "gfr", "creatinine", "blood_type"]
|
| 45 |
+
TIME_SENSITIVE_FIELDS = {"hba1c", "gfr", "creatinine"}
|
| 46 |
+
STABLE_FIELDS = {"blood_type", "pra"}
|
| 47 |
|
| 48 |
+
MAX_FILE_ATTEMPTS = 3
|
| 49 |
+
|
| 50 |
+
# Temporal constants
|
| 51 |
+
EPISODE_DATE = date(2026, 3, 7)
|
| 52 |
+
RECENCY_DAYS = 90
|
| 53 |
+
|
| 54 |
+
# ββ Stochasticity parameters ββββββββββββββββββββββββββββββββββββββββββββββββββ
|
| 55 |
+
T1_AGE_MIN_DAYS = 60 # shortest possible T1 record age (fresh β no re-query needed)
|
| 56 |
+
T1_AGE_MAX_DAYS = 150 # longest possible T1 record age (stale β must re-query)
|
| 57 |
+
ANOMALY_PROB = 0.30 # probability of injecting anomalous reading per episode
|
| 58 |
+
ANOMALY_DELTA = 0.40 # anomalous value deviates by this fraction from true T5
|
| 59 |
+
ANOMALY_WINDOW_DAYS = 14 # anomaly detection window (matches OPTN Clinical Integrity Policy)
|
| 60 |
+
ANOMALY_THRESHOLD = 0.25 # flag if delta > 25% within window
|
| 61 |
+
PENDING_PROB = 0.15 # probability of PENDING response on first query of a field
|
| 62 |
+
|
| 63 |
+
|
| 64 |
+
def kars_validate(record: dict) -> tuple[bool, list[str]]:
|
| 65 |
"""
|
| 66 |
+
Deterministic KARS validator with recency checks.
|
| 67 |
+
record values: {field: {"value": ..., "recorded_at": "YYYY-MM-DD"}}
|
| 68 |
+
Returns (passed, issues).
|
| 69 |
+
"""
|
| 70 |
+
cutoff = EPISODE_DATE - timedelta(days=RECENCY_DAYS)
|
| 71 |
+
issues = []
|
| 72 |
+
|
| 73 |
+
for f in KARS_REQUIRED_FIELDS:
|
| 74 |
+
entry = record.get(f)
|
| 75 |
+
if entry is None or entry.get("value") is None:
|
| 76 |
+
issues.append(f"{f} (missing)")
|
| 77 |
+
continue
|
| 78 |
+
if f in TIME_SENSITIVE_FIELDS:
|
| 79 |
+
try:
|
| 80 |
+
recorded_at = date.fromisoformat(entry.get("recorded_at", ""))
|
| 81 |
+
if recorded_at < cutoff:
|
| 82 |
+
issues.append(f"{f} (stale: recorded {recorded_at}, must be after {cutoff})")
|
| 83 |
+
except ValueError:
|
| 84 |
+
issues.append(f"{f} (invalid date)")
|
| 85 |
+
|
| 86 |
+
return (len(issues) == 0, issues)
|
| 87 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 88 |
|
| 89 |
+
class PranaEnvironment(Environment):
|
| 90 |
+
"""
|
| 91 |
+
PRANA-Env: kidney transplant administration RL environment.
|
| 92 |
+
|
| 93 |
+
Stochastic per-episode:
|
| 94 |
+
- T1 record age varies (60β150 days) β agent must calculate recency dynamically
|
| 95 |
+
- Patient selected randomly if not specified
|
| 96 |
+
- One time-sensitive field may have an injected anomalous reading (30% episodes)
|
| 97 |
+
- Some fields return PENDING on first query (15% per field) β retry resolves
|
| 98 |
"""
|
| 99 |
|
| 100 |
SUPPORTS_CONCURRENT_SESSIONS: bool = True
|
|
|
|
| 104 |
self._state = State(episode_id=str(uuid4()), step_count=0)
|
| 105 |
self._active_task = "t1"
|
| 106 |
self._patient_id: str | None = None
|
| 107 |
+
self._patient_record: dict = {}
|
| 108 |
+
self._file_attempts: int = 0
|
| 109 |
+
self._t1_date: date = EPISODE_DATE - timedelta(days=120)
|
| 110 |
+
self._pending_fields: set = set()
|
| 111 |
+
self._injected_anomaly: dict | None = None
|
| 112 |
self._patient_db = self._load_db("patient_db.json")
|
| 113 |
logger.info(f"{tag} Loaded PatientDB with {len(self._patient_db.get('patients', {}))} patients")
|
| 114 |
|
| 115 |
def _load_db(self, filename: str) -> dict:
|
| 116 |
path = DATA_DIR / filename
|
|
|
|
| 117 |
with open(path) as f:
|
| 118 |
return json.load(f)
|
| 119 |
|
| 120 |
+
def _make_entry(self, value, recorded_at: date) -> dict:
|
| 121 |
+
return {"value": str(value), "recorded_at": recorded_at.isoformat()}
|
| 122 |
+
|
| 123 |
def reset(self, seed: int | None = None, episode_id: str | None = None, **kwargs) -> PranaObservation:
|
| 124 |
patient_id: str | None = kwargs.get("patient_id")
|
| 125 |
+
patients = self._patient_db.get("patients", {})
|
| 126 |
+
|
| 127 |
+
# ββ Stochasticity 2: random patient selection βββββββββββββββββββββββββ
|
| 128 |
+
if not patient_id:
|
| 129 |
+
patient_id = random.choice(list(patients.keys()))
|
| 130 |
+
logger.info(f"{tag} No patient_id specified β randomly selected {patient_id}")
|
| 131 |
+
|
| 132 |
self._state = State(episode_id=episode_id or str(uuid4()), step_count=0)
|
| 133 |
self._active_task = "t1"
|
| 134 |
self._patient_id = patient_id
|
| 135 |
+
self._patient_record = {}
|
| 136 |
+
self._file_attempts = 0
|
| 137 |
+
self._pending_fields = set()
|
| 138 |
+
self._injected_anomaly = None
|
| 139 |
+
|
| 140 |
+
# ββ Stochasticity 1: randomize T1 record age ββββββββββββββββββββββββββ
|
| 141 |
+
t1_days_ago = random.randint(T1_AGE_MIN_DAYS, T1_AGE_MAX_DAYS)
|
| 142 |
+
self._t1_date = EPISODE_DATE - timedelta(days=t1_days_ago)
|
| 143 |
+
cutoff = EPISODE_DATE - timedelta(days=RECENCY_DAYS)
|
| 144 |
+
t1_is_stale = self._t1_date < cutoff
|
| 145 |
+
|
| 146 |
+
# Pre-populate record with T1 snapshot at randomized date
|
| 147 |
+
patient = patients.get(patient_id, {})
|
| 148 |
+
snapshot = patient.get("t1_snapshot", {})
|
| 149 |
+
for field in KARS_REQUIRED_FIELDS:
|
| 150 |
+
val = snapshot.get(field)
|
| 151 |
+
if val is not None:
|
| 152 |
+
self._patient_record[field] = self._make_entry(val, self._t1_date)
|
| 153 |
+
|
| 154 |
+
# ββ Stochasticity 3: anomaly injection ββββββββββββββββββββββββββββββββ
|
| 155 |
+
if random.random() < ANOMALY_PROB:
|
| 156 |
+
field = random.choice(sorted(TIME_SENSITIVE_FIELDS))
|
| 157 |
+
t5_value = patient.get(field)
|
| 158 |
+
if t5_value is not None:
|
| 159 |
+
direction = random.choice([-1, 1])
|
| 160 |
+
anomaly_value = round(t5_value * (1 + direction * ANOMALY_DELTA), 1)
|
| 161 |
+
anomaly_days = random.randint(1, 6)
|
| 162 |
+
self._injected_anomaly = {
|
| 163 |
+
"field": field,
|
| 164 |
+
"value": anomaly_value,
|
| 165 |
+
"recorded_at": (EPISODE_DATE - timedelta(days=anomaly_days)).isoformat(),
|
| 166 |
+
}
|
| 167 |
+
logger.info(f"{tag} Injected anomaly: {self._injected_anomaly}")
|
| 168 |
|
| 169 |
+
logger.info(
|
| 170 |
+
f"{tag} reset episode={self._state.episode_id} patient={patient_id} "
|
| 171 |
+
f"t1_date={self._t1_date} t1_stale={t1_is_stale} "
|
| 172 |
+
f"anomaly={self._injected_anomaly}"
|
| 173 |
+
)
|
| 174 |
+
|
| 175 |
+
stale_note = (
|
| 176 |
+
f"T1 record is {'STALE (>90 days)' if t1_is_stale else 'FRESH (β€90 days)'}."
|
| 177 |
+
)
|
| 178 |
|
| 179 |
return PranaObservation(
|
| 180 |
+
query_result=(
|
| 181 |
+
f"Episode reset. Patient: {patient_id}. "
|
| 182 |
+
f"Filing date: {EPISODE_DATE}. "
|
| 183 |
+
f"T1 record date: {self._t1_date} ({t1_days_ago} days ago). {stale_note} "
|
| 184 |
+
f"Required fields: {KARS_REQUIRED_FIELDS}. "
|
| 185 |
+
f"Time-sensitive {sorted(TIME_SENSITIVE_FIELDS)} must be recorded after {cutoff}."
|
| 186 |
+
),
|
| 187 |
active_task=self._active_task,
|
| 188 |
+
recorded_fields=self._patient_record.copy(),
|
| 189 |
done=False,
|
| 190 |
reward=0.0,
|
| 191 |
)
|
|
|
|
| 194 |
self._state.step_count += 1
|
| 195 |
logger.info(
|
| 196 |
f"{tag} step={self._state.step_count} action_type={action.action_type} "
|
| 197 |
+
f"field={action.field} value={action.value}"
|
| 198 |
)
|
| 199 |
|
| 200 |
if action.action_type == "query_db":
|
| 201 |
return self._handle_query_db(action)
|
| 202 |
+
if action.action_type == "record_value":
|
| 203 |
+
return self._handle_record_value(action)
|
| 204 |
+
if action.action_type == "file_report":
|
| 205 |
+
return self._handle_file_report(action)
|
| 206 |
|
| 207 |
logger.warning(f"{tag} Unsupported action_type={action.action_type}")
|
| 208 |
return PranaObservation(
|
| 209 |
+
query_result=f"NOT_SUPPORTED: action_type '{action.action_type}'.",
|
| 210 |
active_task=self._active_task,
|
| 211 |
+
recorded_fields=self._patient_record.copy(),
|
| 212 |
done=False,
|
| 213 |
reward=0.0,
|
| 214 |
)
|
| 215 |
|
| 216 |
+
# ββ Action handlers βββββββββββββββββββββββββββββββββββββββββββββββββββββββ
|
| 217 |
+
|
| 218 |
def _handle_query_db(self, action: PranaAction) -> PranaObservation:
|
| 219 |
db_name = (action.target or "").lower()
|
| 220 |
field = (action.field or "").lower()
|
| 221 |
patient_id = action.patient_id or self._patient_id
|
| 222 |
|
|
|
|
|
|
|
| 223 |
if db_name != "patientdb":
|
|
|
|
| 224 |
return PranaObservation(
|
| 225 |
+
query_result=f"NOT_AVAILABLE: datastore '{action.target}' not in Phase 1.",
|
| 226 |
active_task=self._active_task,
|
| 227 |
+
recorded_fields=self._patient_record.copy(),
|
| 228 |
done=False,
|
| 229 |
reward=0.0,
|
| 230 |
)
|
| 231 |
|
| 232 |
if not patient_id:
|
| 233 |
return PranaObservation(
|
| 234 |
+
query_result="ERROR: patient_id required.",
|
| 235 |
active_task=self._active_task,
|
| 236 |
+
recorded_fields=self._patient_record.copy(),
|
| 237 |
done=False,
|
| 238 |
reward=0.0,
|
| 239 |
)
|
| 240 |
|
| 241 |
+
# Inefficiency penalty β field already fresh in record
|
| 242 |
+
cutoff = EPISODE_DATE - timedelta(days=RECENCY_DAYS)
|
| 243 |
+
if field in self._patient_record:
|
| 244 |
+
entry = self._patient_record[field]
|
| 245 |
+
try:
|
| 246 |
+
recorded_at = date.fromisoformat(entry.get("recorded_at", ""))
|
| 247 |
+
if field in STABLE_FIELDS or recorded_at >= cutoff:
|
| 248 |
+
logger.info(f"{tag} field={field} already fresh β inefficiency penalty")
|
| 249 |
+
return PranaObservation(
|
| 250 |
+
query_result=f"ALREADY_RECORDED: '{field}' = {entry['value']} (recorded {entry['recorded_at']})",
|
| 251 |
+
active_task=self._active_task,
|
| 252 |
+
recorded_fields=self._patient_record.copy(),
|
| 253 |
+
done=False,
|
| 254 |
+
reward=-1.0,
|
| 255 |
+
)
|
| 256 |
+
except ValueError:
|
| 257 |
+
pass
|
| 258 |
+
|
| 259 |
patients = self._patient_db.get("patients", {})
|
| 260 |
patient = patients.get(patient_id)
|
|
|
|
| 261 |
if not patient:
|
|
|
|
| 262 |
return PranaObservation(
|
| 263 |
query_result=f"NOT_FOUND: patient '{patient_id}' not in PatientDB.",
|
| 264 |
active_task=self._active_task,
|
| 265 |
+
recorded_fields=self._patient_record.copy(),
|
| 266 |
done=False,
|
| 267 |
reward=0.0,
|
| 268 |
)
|
| 269 |
|
| 270 |
+
# ββ Stochasticity 4: field availability noise (PENDING) βββββββββββββββ
|
| 271 |
+
if field in TIME_SENSITIVE_FIELDS and field not in self._pending_fields:
|
| 272 |
+
if random.random() < PENDING_PROB:
|
| 273 |
+
self._pending_fields.add(field)
|
| 274 |
+
logger.info(f"{tag} field={field} returned PENDING (will resolve on retry)")
|
| 275 |
+
return PranaObservation(
|
| 276 |
+
query_result=(
|
| 277 |
+
f"PENDING: '{field}' not yet entered for patient '{patient_id}'. "
|
| 278 |
+
f"Data entry in progress β retry."
|
| 279 |
+
),
|
| 280 |
+
active_task=self._active_task,
|
| 281 |
+
recorded_fields=self._patient_record.copy(),
|
| 282 |
+
done=False,
|
| 283 |
+
reward=0.0,
|
| 284 |
+
)
|
| 285 |
+
|
| 286 |
+
value = patient.get(field)
|
| 287 |
+
if value is None:
|
| 288 |
return PranaObservation(
|
| 289 |
+
query_result=f"NOT_FOUND: '{field}' has no value for patient '{patient_id}'.",
|
| 290 |
active_task=self._active_task,
|
| 291 |
+
recorded_fields=self._patient_record.copy(),
|
| 292 |
done=False,
|
| 293 |
reward=0.0,
|
| 294 |
)
|
| 295 |
|
| 296 |
+
# ββ Stochasticity 3: include anomaly in history if injected βββββββββββ
|
| 297 |
+
if field in TIME_SENSITIVE_FIELDS:
|
| 298 |
+
query_result = self._format_lab_history(field, patient_id, value)
|
| 299 |
+
else:
|
| 300 |
+
query_result = str(value)
|
| 301 |
+
|
| 302 |
+
logger.info(f"{tag} query_db OK field={field} value={value}")
|
| 303 |
+
return PranaObservation(
|
| 304 |
+
query_result=query_result,
|
| 305 |
+
active_task=self._active_task,
|
| 306 |
+
recorded_fields=self._patient_record.copy(),
|
| 307 |
+
done=False,
|
| 308 |
+
reward=0.0,
|
| 309 |
+
)
|
| 310 |
+
|
| 311 |
+
def _format_lab_history(self, field: str, patient_id: str, t5_value) -> str:
|
| 312 |
+
"""
|
| 313 |
+
Format a time-sensitive field as a timestamped history.
|
| 314 |
+
Includes T1 snapshot entry, T5 current entry, and injected anomaly if present.
|
| 315 |
+
Flags anomalies per OPTN Clinical Integrity Policy.
|
| 316 |
+
"""
|
| 317 |
+
snapshot = self._patient_db["patients"][patient_id].get("t1_snapshot", {})
|
| 318 |
+
t1_val = snapshot.get(field)
|
| 319 |
+
|
| 320 |
+
history: list[tuple[date, float]] = []
|
| 321 |
+
if t1_val is not None:
|
| 322 |
+
history.append((self._t1_date, float(t1_val)))
|
| 323 |
+
|
| 324 |
+
# Inject anomalous reading if this is the affected field
|
| 325 |
+
if self._injected_anomaly and self._injected_anomaly["field"] == field:
|
| 326 |
+
anom_date = date.fromisoformat(self._injected_anomaly["recorded_at"])
|
| 327 |
+
history.append((anom_date, self._injected_anomaly["value"]))
|
| 328 |
+
|
| 329 |
+
history.append((EPISODE_DATE, float(t5_value)))
|
| 330 |
+
history.sort(key=lambda x: x[0])
|
| 331 |
+
|
| 332 |
+
lines = []
|
| 333 |
+
for i, (d, v) in enumerate(history):
|
| 334 |
+
suffix = " β latest" if i == len(history) - 1 else ""
|
| 335 |
+
lines.append(f" {v} (recorded: {d}){suffix}")
|
| 336 |
+
|
| 337 |
+
result = (
|
| 338 |
+
f"{field} measurement history for {patient_id} "
|
| 339 |
+
f"(filing date: {EPISODE_DATE}):\n" + "\n".join(lines)
|
| 340 |
+
)
|
| 341 |
+
|
| 342 |
+
# Check for anomaly between consecutive entries within window
|
| 343 |
+
for i in range(len(history) - 1):
|
| 344 |
+
d1, v1 = history[i]
|
| 345 |
+
d2, v2 = history[i + 1]
|
| 346 |
+
days_apart = (d2 - d1).days
|
| 347 |
+
if days_apart <= ANOMALY_WINDOW_DAYS and v1 > 0:
|
| 348 |
+
change = abs(v2 - v1) / v1
|
| 349 |
+
if change >= ANOMALY_THRESHOLD:
|
| 350 |
+
pct = round(change * 100, 1)
|
| 351 |
+
result += (
|
| 352 |
+
f"\nβ οΈ ANOMALY DETECTED: {v1} ({d1}) β {v2} ({d2}), "
|
| 353 |
+
f"{days_apart} days apart, {pct}% delta. "
|
| 354 |
+
f"Recommend confirmatory test before filing."
|
| 355 |
+
)
|
| 356 |
+
|
| 357 |
+
return result
|
| 358 |
+
|
| 359 |
+
def _handle_record_value(self, action: PranaAction) -> PranaObservation:
|
| 360 |
+
field = (action.field or "").lower()
|
| 361 |
+
value = action.value
|
| 362 |
+
|
| 363 |
+
if not field or value is None:
|
| 364 |
return PranaObservation(
|
| 365 |
+
query_result="ERROR: field and value are required for record_value.",
|
| 366 |
active_task=self._active_task,
|
| 367 |
+
recorded_fields=self._patient_record.copy(),
|
| 368 |
done=False,
|
| 369 |
reward=0.0,
|
| 370 |
)
|
| 371 |
|
| 372 |
+
self._patient_record[field] = self._make_entry(value, EPISODE_DATE)
|
| 373 |
+
logger.info(f"{tag} record_value field={field} value={value}")
|
| 374 |
+
|
| 375 |
+
required_fresh = sum(
|
| 376 |
+
1 for f in KARS_REQUIRED_FIELDS
|
| 377 |
+
if f in self._patient_record and self._patient_record[f].get("value") is not None
|
| 378 |
+
)
|
| 379 |
return PranaObservation(
|
| 380 |
+
query_result=(
|
| 381 |
+
f"RECORDED: {field} = {value} (as of {EPISODE_DATE}). "
|
| 382 |
+
f"Record has {required_fresh}/{len(KARS_REQUIRED_FIELDS)} required fields."
|
| 383 |
+
),
|
| 384 |
active_task=self._active_task,
|
| 385 |
+
recorded_fields=self._patient_record.copy(),
|
| 386 |
done=False,
|
| 387 |
reward=0.0,
|
| 388 |
)
|
| 389 |
|
| 390 |
+
def _handle_file_report(self, action: PranaAction) -> PranaObservation:
|
| 391 |
+
self._file_attempts += 1
|
| 392 |
+
passed, issues = kars_validate(self._patient_record)
|
| 393 |
+
|
| 394 |
+
logger.info(
|
| 395 |
+
f"{tag} file_report attempt={self._file_attempts} "
|
| 396 |
+
f"passed={passed} issues={issues}"
|
| 397 |
+
)
|
| 398 |
+
|
| 399 |
+
if passed:
|
| 400 |
+
reward = 15.0 if self._file_attempts == 1 else 10.0
|
| 401 |
+
logger.info(f"{tag} KARS PASSED reward={reward}")
|
| 402 |
+
return PranaObservation(
|
| 403 |
+
query_result="KARS PASSED. SRTR report accepted.",
|
| 404 |
+
active_task=self._active_task,
|
| 405 |
+
kars_result="PASSED",
|
| 406 |
+
missing_fields=[],
|
| 407 |
+
recorded_fields=self._patient_record.copy(),
|
| 408 |
+
done=True,
|
| 409 |
+
reward=reward,
|
| 410 |
+
)
|
| 411 |
+
|
| 412 |
+
if self._file_attempts >= MAX_FILE_ATTEMPTS:
|
| 413 |
+
logger.warning(f"{tag} KARS FAILED unrecoverable after {self._file_attempts} attempts")
|
| 414 |
+
return PranaObservation(
|
| 415 |
+
query_result=f"KARS FAILED (unrecoverable). Issues: {issues}",
|
| 416 |
+
active_task=self._active_task,
|
| 417 |
+
kars_result="FAILED",
|
| 418 |
+
missing_fields=issues,
|
| 419 |
+
recorded_fields=self._patient_record.copy(),
|
| 420 |
+
done=True,
|
| 421 |
+
reward=-10.0,
|
| 422 |
+
)
|
| 423 |
+
|
| 424 |
+
logger.info(f"{tag} KARS FAILED recoverable issues={issues}")
|
| 425 |
+
return PranaObservation(
|
| 426 |
+
query_result=f"KARS FAILED. Issues: {issues}. Fix and file again.",
|
| 427 |
+
active_task=self._active_task,
|
| 428 |
+
kars_result="FAILED",
|
| 429 |
+
missing_fields=issues,
|
| 430 |
+
recorded_fields=self._patient_record.copy(),
|
| 431 |
+
done=False,
|
| 432 |
+
reward=-5.0,
|
| 433 |
+
)
|
| 434 |
+
|
| 435 |
@property
|
| 436 |
def state(self) -> State:
|
| 437 |
return self._state
|
test_agent.py
ADDED
|
@@ -0,0 +1,227 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
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|
|
|
|
|
|
|
|
|
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|
|
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|
|
|
|
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|
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|
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|
|
|
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|
|
|
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
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|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""
|
| 2 |
+
PRANA-Env agent with full minimal RL loop.
|
| 3 |
+
|
| 4 |
+
The LLM agent must:
|
| 5 |
+
1. query_db β retrieve required fields from PatientDB
|
| 6 |
+
2. record_value β write each field into the episode record
|
| 7 |
+
3. file_report β submit to KARS validator β reward β done
|
| 8 |
+
|
| 9 |
+
Reward signal:
|
| 10 |
+
+15 KARS PASSED first attempt
|
| 11 |
+
+10 KARS PASSED after correction
|
| 12 |
+
-1 redundant query (field already recorded)
|
| 13 |
+
-5 filed with missing fields (recoverable)
|
| 14 |
+
-10 unrecoverable failure
|
| 15 |
+
"""
|
| 16 |
+
|
| 17 |
+
import json
|
| 18 |
+
import openai
|
| 19 |
+
from dataclasses import dataclass, field
|
| 20 |
+
from typing import Optional
|
| 21 |
+
from prana_env.client import PranaEnv
|
| 22 |
+
from prana_env.models import PranaAction
|
| 23 |
+
|
| 24 |
+
# ββ Tool definitions ββββββββββββββββββββββββββββββββββββββββββββββββββββββββββ
|
| 25 |
+
|
| 26 |
+
TOOLS = [
|
| 27 |
+
{
|
| 28 |
+
"type": "function",
|
| 29 |
+
"function": {
|
| 30 |
+
"name": "query_db",
|
| 31 |
+
"description": "Retrieve a specific field from a clinical datastore for a patient.",
|
| 32 |
+
"parameters": {
|
| 33 |
+
"type": "object",
|
| 34 |
+
"properties": {
|
| 35 |
+
"target": {"type": "string", "description": "PatientDB | ClinicalNotesDB | PharmacyDB | WaitlistDB"},
|
| 36 |
+
"field": {"type": "string", "description": "Field name (e.g. hba1c, gfr, creatinine, blood_type)"},
|
| 37 |
+
"patient_id": {"type": "string", "description": "Patient identifier (e.g. P001)"},
|
| 38 |
+
},
|
| 39 |
+
"required": ["target", "field", "patient_id"],
|
| 40 |
+
},
|
| 41 |
+
},
|
| 42 |
+
},
|
| 43 |
+
{
|
| 44 |
+
"type": "function",
|
| 45 |
+
"function": {
|
| 46 |
+
"name": "record_value",
|
| 47 |
+
"description": "Write a retrieved field value into the episode patient record.",
|
| 48 |
+
"parameters": {
|
| 49 |
+
"type": "object",
|
| 50 |
+
"properties": {
|
| 51 |
+
"field": {"type": "string", "description": "Field name to record"},
|
| 52 |
+
"value": {"type": "string", "description": "Value to record"},
|
| 53 |
+
"source": {"type": "string", "description": "Datastore the value came from"},
|
| 54 |
+
},
|
| 55 |
+
"required": ["field", "value"],
|
| 56 |
+
},
|
| 57 |
+
},
|
| 58 |
+
},
|
| 59 |
+
{
|
| 60 |
+
"type": "function",
|
| 61 |
+
"function": {
|
| 62 |
+
"name": "file_report",
|
| 63 |
+
"description": (
|
| 64 |
+
"Submit the compiled patient record to the KARS validator. "
|
| 65 |
+
"Returns PASSED (done) or FAILED with missing fields. "
|
| 66 |
+
"Call only after recording all required fields: hba1c, gfr, creatinine, blood_type."
|
| 67 |
+
),
|
| 68 |
+
"parameters": {"type": "object", "properties": {}, "required": []},
|
| 69 |
+
},
|
| 70 |
+
},
|
| 71 |
+
]
|
| 72 |
+
|
| 73 |
+
SYSTEM_PROMPT = """You are a kidney transplant administrative agent.
|
| 74 |
+
|
| 75 |
+
Your goal is to compile a complete patient record and file a KARS-compliant SRTR report.
|
| 76 |
+
|
| 77 |
+
Required fields: hba1c, gfr, creatinine, blood_type (all from PatientDB).
|
| 78 |
+
|
| 79 |
+
KARS Recency Policy:
|
| 80 |
+
- Time-sensitive fields (hba1c, gfr, creatinine) must be recorded within 90 days of the filing date.
|
| 81 |
+
- Stable fields (blood_type) have no recency requirement.
|
| 82 |
+
- The episode starts with a pre-existing T1 record (~4 months old). These values are STALE.
|
| 83 |
+
- You must re-query and re-record hba1c, gfr, and creatinine before filing.
|
| 84 |
+
- Do NOT re-query blood_type β it is stable and already valid.
|
| 85 |
+
|
| 86 |
+
Workflow:
|
| 87 |
+
1. Check recorded_fields in the observation β identify stale time-sensitive fields.
|
| 88 |
+
2. Use query_db to retrieve fresh values for stale fields only.
|
| 89 |
+
3. Use record_value to write each fresh value into the patient record.
|
| 90 |
+
4. Use file_report to submit. If it fails due to stale or missing fields, fix and retry.
|
| 91 |
+
|
| 92 |
+
Do not guess values. Always query before recording."""
|
| 93 |
+
|
| 94 |
+
# ββ Trajectory dataclass ββββββββββββββββββββββββββββββββββββββββββββββββββββββ
|
| 95 |
+
|
| 96 |
+
@dataclass
|
| 97 |
+
class Step:
|
| 98 |
+
action: dict
|
| 99 |
+
observation: str
|
| 100 |
+
reward: float
|
| 101 |
+
done: bool
|
| 102 |
+
|
| 103 |
+
@dataclass
|
| 104 |
+
class Trajectory:
|
| 105 |
+
episode_id: str
|
| 106 |
+
steps: list[Step] = field(default_factory=list)
|
| 107 |
+
|
| 108 |
+
@property
|
| 109 |
+
def total_reward(self) -> float:
|
| 110 |
+
return sum(s.reward for s in self.steps)
|
| 111 |
+
|
| 112 |
+
def __repr__(self):
|
| 113 |
+
terminal = next((s for s in reversed(self.steps) if s.done), None)
|
| 114 |
+
kars = terminal.observation if terminal else "incomplete"
|
| 115 |
+
return (
|
| 116 |
+
f"Trajectory(episode={self.episode_id}, "
|
| 117 |
+
f"steps={len(self.steps)}, "
|
| 118 |
+
f"total_reward={self.total_reward}, "
|
| 119 |
+
f"outcome={kars!r})"
|
| 120 |
+
)
|
| 121 |
+
|
| 122 |
+
# ββ RL primitives βββββββββββββββββββββββββββββββββββββββββββββββββββββββββββββ
|
| 123 |
+
|
| 124 |
+
def reset(env: PranaEnv, patient_id: str) -> str:
|
| 125 |
+
result = env.reset(patient_id=patient_id)
|
| 126 |
+
return result.observation.query_result
|
| 127 |
+
|
| 128 |
+
|
| 129 |
+
def step(env: PranaEnv, action_type: str, **kwargs) -> tuple[str, float, bool, list]:
|
| 130 |
+
result = env.step(PranaAction(action_type=action_type, **kwargs))
|
| 131 |
+
obs = result.observation
|
| 132 |
+
return (
|
| 133 |
+
obs.query_result,
|
| 134 |
+
obs.reward or 0.0,
|
| 135 |
+
obs.done or False,
|
| 136 |
+
obs.missing_fields or [],
|
| 137 |
+
)
|
| 138 |
+
|
| 139 |
+
|
| 140 |
+
def rollout(env: PranaEnv, task: str, patient_id: str, episode_id: str, max_turns: int = 20) -> Trajectory:
|
| 141 |
+
"""Run one full episode. LLM drives the action loop until done=True."""
|
| 142 |
+
llm = openai.OpenAI()
|
| 143 |
+
messages = [
|
| 144 |
+
{"role": "system", "content": SYSTEM_PROMPT},
|
| 145 |
+
{"role": "user", "content": task},
|
| 146 |
+
]
|
| 147 |
+
trajectory = Trajectory(episode_id=episode_id)
|
| 148 |
+
|
| 149 |
+
print(f"\nββ Episode {episode_id} ββββββββββββββββββββββββββββββ")
|
| 150 |
+
print(f"Task: {task}")
|
| 151 |
+
|
| 152 |
+
initial_obs = reset(env, patient_id)
|
| 153 |
+
print(f"[reset] {initial_obs}")
|
| 154 |
+
|
| 155 |
+
for turn in range(max_turns):
|
| 156 |
+
response = llm.chat.completions.create(
|
| 157 |
+
model="gpt-4o",
|
| 158 |
+
tools=TOOLS,
|
| 159 |
+
messages=messages,
|
| 160 |
+
)
|
| 161 |
+
msg = response.choices[0].message
|
| 162 |
+
messages.append(msg)
|
| 163 |
+
|
| 164 |
+
# No tool calls β LLM finished without filing (shouldn't happen with good prompt)
|
| 165 |
+
if msg.tool_calls is None:
|
| 166 |
+
print(f"[turn {turn+1}] Agent: {msg.content}")
|
| 167 |
+
trajectory.steps.append(Step(
|
| 168 |
+
action={"type": "end_turn"},
|
| 169 |
+
observation=msg.content or "",
|
| 170 |
+
reward=0.0,
|
| 171 |
+
done=True,
|
| 172 |
+
))
|
| 173 |
+
break
|
| 174 |
+
|
| 175 |
+
for tool_call in msg.tool_calls:
|
| 176 |
+
action_type = tool_call.function.name
|
| 177 |
+
inp = json.loads(tool_call.function.arguments)
|
| 178 |
+
print(f"[turn {turn+1}] {action_type}({json.dumps(inp)})")
|
| 179 |
+
|
| 180 |
+
obs_str, reward, done, missing = step(env, action_type, **inp)
|
| 181 |
+
print(f"[turn {turn+1}] obs={obs_str!r} reward={reward} done={done}")
|
| 182 |
+
|
| 183 |
+
trajectory.steps.append(Step(
|
| 184 |
+
action={"type": action_type, **inp},
|
| 185 |
+
observation=obs_str,
|
| 186 |
+
reward=reward,
|
| 187 |
+
done=done,
|
| 188 |
+
))
|
| 189 |
+
|
| 190 |
+
messages.append({
|
| 191 |
+
"role": "tool",
|
| 192 |
+
"tool_call_id": tool_call.id,
|
| 193 |
+
"content": obs_str,
|
| 194 |
+
})
|
| 195 |
+
|
| 196 |
+
if done:
|
| 197 |
+
return trajectory
|
| 198 |
+
|
| 199 |
+
return trajectory
|
| 200 |
+
|
| 201 |
+
|
| 202 |
+
def run_episodes(task: str, patient_id: str, n: int = 1) -> list[Trajectory]:
|
| 203 |
+
"""Run N independent episodes. Set n=8 for GRPO rollout batch."""
|
| 204 |
+
trajectories = []
|
| 205 |
+
with PranaEnv(base_url="http://localhost:8000") as env:
|
| 206 |
+
for i in range(n):
|
| 207 |
+
traj = rollout(env, task, patient_id, episode_id=f"ep_{i+1}")
|
| 208 |
+
trajectories.append(traj)
|
| 209 |
+
|
| 210 |
+
print(f"\nββ Summary ({n} episode(s)) ββββββββββββββββββββββββββ")
|
| 211 |
+
for t in trajectories:
|
| 212 |
+
print(f" {t}")
|
| 213 |
+
return trajectories
|
| 214 |
+
|
| 215 |
+
|
| 216 |
+
# ββ Entry point βββββββββββββββββββββββββββββββββββββββββββββββββββββββββββββββ
|
| 217 |
+
|
| 218 |
+
if __name__ == "__main__":
|
| 219 |
+
run_episodes(
|
| 220 |
+
task=(
|
| 221 |
+
"File a KARS-compliant SRTR report for patient P001. "
|
| 222 |
+
"A T1 record exists from 4 months ago. "
|
| 223 |
+
"Check which fields are stale, re-query only what's needed, and file."
|
| 224 |
+
),
|
| 225 |
+
patient_id="P001",
|
| 226 |
+
n=1, # set n=8 for GRPO rollout batch
|
| 227 |
+
)
|
test_client.py
CHANGED
|
@@ -1,13 +1,16 @@
|
|
|
|
|
| 1 |
from prana_env.client import PranaEnv
|
| 2 |
from prana_env.models import PranaAction
|
| 3 |
|
| 4 |
-
|
| 5 |
-
|
| 6 |
-
|
| 7 |
-
|
| 8 |
-
|
| 9 |
-
|
| 10 |
-
|
| 11 |
-
|
| 12 |
-
|
|
|
|
| 13 |
|
|
|
|
|
|
| 1 |
+
import asyncio
|
| 2 |
from prana_env.client import PranaEnv
|
| 3 |
from prana_env.models import PranaAction
|
| 4 |
|
| 5 |
+
async def main():
|
| 6 |
+
async with PranaEnv(base_url="http://localhost:8000") as client:
|
| 7 |
+
await client.reset()
|
| 8 |
+
result = await client.step(PranaAction(
|
| 9 |
+
action_type="query_db",
|
| 10 |
+
target="PatientDB",
|
| 11 |
+
field="hba1c",
|
| 12 |
+
patient_id="P001",
|
| 13 |
+
))
|
| 14 |
+
print(result.observation.query_result)
|
| 15 |
|
| 16 |
+
asyncio.run(main())
|