Spaces:
Sleeping
Sleeping
File size: 13,947 Bytes
d78adb0 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 | from fastapi import APIRouter, UploadFile, File, HTTPException, Query, Header, Depends
from typing import Any, List
from .ingest import ingest_csv_file
from .fhir import build_codesystem, build_conceptmap
from .storage import terminology_store
from .who_api import who_client
from .snomed_loinc import snomed_service, loinc_service, get_semantic_coding
from .fhir_resources import (
create_problem_list_entry, create_encounter, create_patient,
create_practitioner, create_consent, create_audit_event, create_provenance
)
from .iso_22600 import check_resource_access, load_consent_from_fhir, access_control
from datetime import datetime
from fastapi.staticfiles import StaticFiles
from fastapi.responses import FileResponse
from pathlib import Path
import json
router = APIRouter()
def _ensure_loaded() -> None:
# Auto-load default dataset if store is empty
if len(terminology_store.namaste) == 0:
data_path = Path(__file__).resolve().parents[1] / 'data' / 'namaste_200.csv'
if data_path.exists():
try:
ingest_csv_file(data_path.read_bytes())
except Exception:
pass
@router.post('/ingest-csv')
async def ingest_csv(file: UploadFile = File(...)) -> Any:
if not file.filename.lower().endswith('.csv'):
raise HTTPException(status_code=400, detail='Only CSV files are supported')
content = await file.read()
try:
count = ingest_csv_file(content)
except Exception as exc: # keep broad for hackathon demo
raise HTTPException(status_code=400, detail=str(exc))
return {'ingested': count}
@router.get('/codesystem')
def get_codesystem() -> Any:
_ensure_loaded()
return build_codesystem()
@router.get('/conceptmap')
def get_conceptmap() -> Any:
_ensure_loaded()
return build_conceptmap()
@router.get('/search')
def search_terms(q: str = Query(..., min_length=1)) -> Any:
_ensure_loaded()
return terminology_store.search(q)
@router.get('/translate')
async def translate(code: str = Query(...), system: str = Query(..., pattern='^(namaste|icd11)$')) -> Any:
_ensure_loaded()
raw = terminology_store.translate(code, system)
# Normalize, de-duplicate and enrich with titles
def norm_icd(c: str) -> str:
return c.replace('ICD-11:', '').strip()
# Basic demo title map (would come from WHO API/cache in production)
title_map = {
'TM2-AY134': 'Acid dyspepsia (TM2)',
'K29.7': 'Gastritis, unspecified',
'5A11': 'Type 2 diabetes mellitus',
'TM2-AY999': 'Vata imbalance (TM2)'
}
matches = raw.get('matches', [])
if system == 'namaste':
# Return ICD targets with titles
seen: set[str] = set()
targets: list[dict[str, Any]] = []
for m in matches:
code_only = norm_icd(m.get('code', ''))
if not code_only or code_only in seen:
continue
seen.add(code_only)
targets.append({
'code': code_only,
'title': title_map.get(code_only, code_only),
'system': 'ICD-11'
})
# Try to enrich using WHO mock data if still missing titles
if any(t['title'] == t['code'] for t in targets):
tm2 = await who_client.get_tm2_entities()
bio = await who_client.get_biomedicine_entities()
full = {e['id']: e.get('title') for e in tm2}
full.update({e['id']: e.get('title') for e in bio})
for t in targets:
if t['title'] == t['code'] and t['code'] in full:
t['title'] = full[t['code']]
return { 'targets': targets }
else:
# system == icd11 → return NAMASTE codes with labels
seen: set[str] = set()
targets: list[dict[str, Any]] = []
for m in matches:
c = m.get('code')
if not c or c in seen:
continue
seen.add(c)
term = terminology_store.namaste.get(c)
targets.append({
'code': c,
'title': term.label if term else c,
'system': 'NAMASTE'
})
return { 'targets': targets }
@router.get('/suggest')
def suggest(q: str = Query(..., min_length=1)) -> Any:
_ensure_loaded()
return terminology_store.suggest_with_confidence(q)
# --- Mock ABHA OAuth ---
@router.post('/auth')
def auth(abha_id: str = Query(...)) -> Any:
if not abha_id or len(abha_id) < 6:
raise HTTPException(status_code=400, detail='Invalid ABHA ID')
# simple mock token
token = f"mock.{abha_id}.token"
exp = int(datetime.utcnow().timestamp()) + 3600
return {'access_token': token, 'token_type': 'bearer', 'expires_at': exp}
def _require_auth(authorization: str | None) -> None:
if not authorization or not authorization.startswith('Bearer mock.'):
raise HTTPException(status_code=401, detail='Unauthorized')
# --- FHIR Bundle ingest with Audit/Provenance ---
AUDIT_LOG: list[dict[str, Any]] = []
PROV_LOG: list[dict[str, Any]] = []
@router.post('/ingest-bundle')
def ingest_bundle(bundle: dict[str, Any], authorization: str | None = Header(default=None)) -> Any:
_require_auth(authorization)
if bundle.get('resourceType') != 'Bundle':
raise HTTPException(status_code=400, detail='Invalid Bundle')
entries = bundle.get('entry') or []
has_condition = any((e.get('resource') or {}).get('resourceType') == 'Condition' for e in entries)
if not has_condition:
raise HTTPException(status_code=400, detail='Bundle missing Condition resource')
now = datetime.utcnow().isoformat() + 'Z'
AUDIT_LOG.append({
'resourceType': 'AuditEvent',
'type': {'code': 'rest'},
'action': 'C',
'recorded': now,
'outcome': '0',
'agent': [{'requestor': True}],
'source': {'site': 'ayush-fhir'},
})
PROV_LOG.append({
'resourceType': 'Provenance',
'recorded': now,
'agent': [{'type': {'text': 'system'}, 'who': {'display': 'ayush-fhir'}}],
'target': [{'reference': 'Bundle/new'}],
})
return {'status': 'accepted'}
@router.get('/audit')
def get_audit() -> Any:
return {'entries': AUDIT_LOG}
@router.get('/provenance')
def get_provenance() -> Any:
return {'entries': PROV_LOG}
# --- Simple stats for dashboard ---
@router.get('/stats/top-terms')
def top_terms() -> Any:
# frequency based on presence; in real apps, count occurrences. Here, return top 5 by code order
items = [
{'code': t.code, 'label': t.label, 'count': 1}
for t in list(terminology_store.namaste.values())[:5]
]
return {'items': items}
@router.get('/stats/dual-coding-rate')
def dual_coding_rate() -> Any:
total = len(terminology_store.namaste)
dual = sum(1 for t in terminology_store.namaste.values() if t.icd11_tm2_codes)
rate = (dual / total * 100.0) if total else 0.0
return {'total_terms': total, 'dual_coded_terms': dual, 'rate_percent': round(rate, 2)}
@router.post('/ingest-default')
def ingest_default() -> Any:
# Load the default 200-record CSV from data/namaste_200.csv
data_path = Path(__file__).resolve().parents[1] / 'data' / 'namaste_200.csv'
if not data_path.exists():
raise HTTPException(status_code=404, detail='Default dataset not found')
content = data_path.read_bytes()
count = ingest_csv_file(content)
return {'ingested': count, 'source': str(data_path.name)}
# --- WHO ICD-11 API Integration ---
@router.get('/who/tm2/search')
async def search_tm2(
q: str | None = Query(default=None),
query: str | None = Query(default=None)
) -> Any:
"""Search WHO ICD-11 TM2 entities"""
_ensure_loaded()
term = q or query
if not term:
raise HTTPException(status_code=422, detail="Missing ?q= or ?query=")
try:
entities = await who_client.get_tm2_entities()
# Filter by query
filtered = [
e for e in entities
if term.lower() in e.get('title', '').lower() or
term.lower() in ' '.join(e.get('synonyms', [])).lower()
]
return {'entities': filtered, 'count': len(filtered)}
except Exception as e:
raise HTTPException(status_code=500, detail=f"WHO API error: {str(e)}")
@router.get('/who/biomedicine/search')
async def search_biomedicine(query: str = Query(..., min_length=1)) -> Any:
"""Search WHO ICD-11 Biomedicine entities"""
_ensure_loaded()
try:
entities = await who_client.get_biomedicine_entities(query)
return {'entities': entities, 'count': len(entities)}
except Exception as e:
raise HTTPException(status_code=500, detail=f"WHO API error: {str(e)}")
# --- SNOMED CT / LOINC Integration ---
@router.get('/snomed/search')
def search_snomed(
q: str | None = Query(default=None),
query: str | None = Query(default=None),
) -> Any:
"""Search SNOMED CT concepts"""
_ensure_loaded()
term = q or query
if not term:
raise HTTPException(status_code=422, detail="Missing ?q= or ?query=")
concepts = snomed_service.search_concepts(term)
return {
'concepts': [
{'code': c.code, 'display': c.display, 'system': c.system, 'category': c.category}
for c in concepts
],
'count': len(concepts)
}
@router.get('/loinc/search')
def search_loinc(
q: str | None = Query(default=None),
query: str | None = Query(default=None),
) -> Any:
"""Search LOINC codes"""
_ensure_loaded()
term = q or query
if not term:
raise HTTPException(status_code=422, detail="Missing ?q= or ?query=")
codes = loinc_service.search_codes(term)
return {
'codes': [
{'code': c.code, 'display': c.display, 'system': c.system, 'category': c.category}
for c in codes
],
'count': len(codes)
}
# --- FHIR Problem List with Dual Coding ---
@router.post('/fhir/problem-list')
def create_problem_list(
namaste_code: str = Query(...),
patient_id: str = Query(default="patient-001"),
practitioner_id: str = Query(default="practitioner-001"),
encounter_id: str = Query(default="encounter-001"),
authorization: str | None = Header(default=None)
) -> Any:
"""Create FHIR Problem List entry with dual coding"""
_ensure_loaded()
_require_auth(authorization)
# Get ICD-11 codes for the NAMASTE term
term = terminology_store.namaste.get(namaste_code)
if not term:
raise HTTPException(status_code=404, detail=f"NAMASTE code {namaste_code} not found")
icd11_codes = term.icd11_tm2_codes
try:
# Create Problem List entry
condition = create_problem_list_entry(
namaste_code=namaste_code,
icd11_codes=icd11_codes,
patient_id=patient_id,
practitioner_id=practitioner_id,
encounter_id=encounter_id
)
# Create audit event
audit_event = create_audit_event(
action="C",
outcome="0",
agent_name="Ayush FHIR Service",
resource_type="Condition"
)
# Create provenance
provenance = create_provenance(
target_reference=f"Condition/{condition['id']}",
agent_name="Ayush FHIR Service"
)
return {
'condition': condition,
'audit_event': audit_event,
'provenance': provenance,
'dual_coding': {
'namaste': {
'code': namaste_code,
'display': term.label
},
'icd11': [
{
'code': code,
'display': f"{code} (TM2)" if code.startswith("TM2-") else f"{code} (Biomedicine)"
}
for code in icd11_codes
]
}
}
except Exception as e:
raise HTTPException(status_code=500, detail=f"Error creating problem list: {str(e)}")
# --- ISO 22600 Access Control ---
@router.post('/consent')
def create_consent_resource(
patient_id: str = Query(...),
purpose: str = Query(default="TREATMENT"),
authorization: str | None = Header(default=None)
) -> Any:
"""Create FHIR Consent resource"""
_require_auth(authorization)
consent = create_consent(patient_id=patient_id, purpose=purpose)
# Load consent rules into access control
load_consent_from_fhir(consent)
return consent
@router.post('/access-check')
def check_access(
subject_id: str = Query(...),
subject_type: str = Query(...),
subject_roles: str = Query(...), # Comma-separated roles
action: str = Query(...),
resource_type: str = Query(...),
resource_id: str = Query(...),
purpose: str = Query(default="TREATMENT"),
patient_id: str | None = Query(default=None),
authorization: str | None = Header(default=None)
) -> Any:
"""Check resource access per ISO 22600"""
_require_auth(authorization)
roles = [role.strip() for role in subject_roles.split(',')]
allowed, reason = check_resource_access(
subject_id=subject_id,
subject_type=subject_type,
subject_roles=roles,
action=action,
resource_type=resource_type,
resource_id=resource_id,
purpose=purpose,
patient_id=patient_id
)
return {
'allowed': allowed,
'reason': reason,
'request': {
'subject_id': subject_id,
'subject_type': subject_type,
'subject_roles': roles,
'action': action,
'resource_type': resource_type,
'resource_id': resource_id,
'purpose': purpose,
'patient_id': patient_id
}
}
|