pilayar commited on
Commit
98f489e
·
verified ·
1 Parent(s): 071f24e

Update app.py

Browse files
Files changed (1) hide show
  1. app.py +53 -16
app.py CHANGED
@@ -1,28 +1,65 @@
1
  from fastapi import FastAPI
2
  from pydantic import BaseModel
3
  import uuid
 
4
 
5
  app = FastAPI()
6
 
7
- class PARequest(BaseModel):
8
- procedure_code: str
9
- summary: str
10
- dysphagia: bool
11
- weight_loss: bool
12
- ppi_weeks: int
 
 
 
13
 
14
  @app.get("/")
15
  def read_root():
16
  return {"status": "Payer API is Live"}
17
 
18
- @app.post("/evaluate")
19
- async def evaluate(request: PARequest):
20
- # Payer Logic
21
- approved = request.dysphagia or request.weight_loss or request.ppi_weeks >= 8
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
22
 
23
- return {
24
- "status": "APPROVED" if approved else "DENIED",
25
- "auth_id": str(uuid.uuid4()) if approved else None,
26
- "reason": "Criteria met via alarm symptoms or PPI trial" if approved else "Insufficient clinical evidence",
27
- "payer_system": "Vim-Internal-Payer-Alpha"
28
- }
 
1
  from fastapi import FastAPI
2
  from pydantic import BaseModel
3
  import uuid
4
+ import os
5
 
6
  app = FastAPI()
7
 
8
+ #class PARequest(BaseModel):
9
+ # procedure_code: str
10
+ # summary: str
11
+ # dysphagia: bool
12
+ # weight_loss: bool
13
+ # ppi_weeks: int
14
+
15
+ class AgentMessage(BaseModel):
16
+ message: str
17
 
18
  @app.get("/")
19
  def read_root():
20
  return {"status": "Payer API is Live"}
21
 
22
+ from fastapi import FastAPI
23
+ from pydantic import BaseModel
24
+ import os
25
+
26
+ app = FastAPI()
27
+
28
+ class AgentMessage(BaseModel):
29
+ message: str
30
+
31
+ # This would ideally call an LLM (OpenAI/Mistral) to 'think' like a Payer
32
+ @app.post("/agent-chat")
33
+ async def agent_chat(payload: AgentMessage):
34
+ incoming_text = payload.message
35
+
36
+ # SYSTEM PROMPT FOR THE PAYER AGENT
37
+ # "You are a Payer Adjudication Agent. You strictly follow MED-772 policy for EGD.
38
+ # Policy: Requires Weight Loss OR Dysphagia OR 8 weeks of failed PPI.
39
+ # If the provider gives evidence of these, respond with 'APPROVED: [Reason]'.
40
+ # If evidence is missing, ask a clinical question."
41
+
42
+ # SIMULATED AGENT REASONING LOGIC
43
+ # In a real version, you'd pass 'incoming_text' to an LLM here.
44
+
45
+ # Example logic for the demo:
46
+ if "weight loss" in incoming_text.lower() or "12 lbs" in incoming_text.lower():
47
+ return {"agent_response": "APPROVED: Clinical evidence of unintentional weight loss verified. Auth ID: PA-9982"}
48
+
49
+ elif "dysphagia" in incoming_text.lower() or "swallow" in incoming_text.lower():
50
+ return {"agent_response": "APPROVED: Dysphagia documented. Auth ID: PA-4551"}
51
+
52
+ else:
53
+ return {"agent_response": "The initial summary lacks specific alarm symptoms. Has the patient experienced unintended weight loss or dysphagia?"}
54
+
55
+ #@app.post("/evaluate")
56
+ #async def evaluate(request: PARequest):
57
+ # # Payer Logic
58
+ # approved = request.dysphagia or request.weight_loss or request.ppi_weeks >= 8
59
 
60
+ # return {
61
+ # "status": "APPROVED" if approved else "DENIED",
62
+ # "auth_id": str(uuid.uuid4()) if approved else None,
63
+ # "reason": "Criteria met via alarm symptoms or PPI trial" if approved else "Insufficient clinical evidence",
64
+ # "payer_system": "Vim-Internal-Payer-Alpha"
65
+ # }