app.py

from fastapi import FastAPI, HTTPException, Request
from pydantic import BaseModel
from typing import List, Optional, Dict
import gradio as gr
import json
from enum import Enum
import re
import os
import time
import gc
from huggingface_hub import hf_hub_download
from llama_cpp import Llama

# Configuration variables that can be set through environment variables
MODEL_REPO_ID = os.getenv("MODEL_REPO_ID", "mradermacher/Llama3-Med42-8B-GGUF")
MODEL_FILENAME = os.getenv("MODEL_FILENAME", "Llama3-Med42-8B.Q5_K_M.gguf")
N_THREADS = int(os.getenv("N_THREADS", "4"))

# Define our data models for API requests and responses
class ConsultationState(Enum):
    INITIAL = "initial"
    GATHERING_INFO = "gathering_info"
    DIAGNOSIS = "diagnosis"

class Message(BaseModel):
    role: str
    content: str

class ChatRequest(BaseModel):
    messages: List[Message]

class ChatResponse(BaseModel):
    response: str
    finished: bool

# Define our standard health assessment questions
HEALTH_ASSESSMENT_QUESTIONS = [
    "What are your current symptoms and how long have you been experiencing them?",
    "Do you have any pre-existing medical conditions or chronic illnesses?",
    "Are you currently taking any medications? If yes, please list them.",
    "Is there any relevant family medical history I should know about?",
    "Have you had any similar symptoms in the past? If yes, what treatments worked?"
]

# Define the AI assistant's identity and role
NURSE_OGE_IDENTITY = """
You are Nurse Oge, a medical AI assistant focused on serving patients in Nigeria. Always be empathetic, 
professional, and thorough in your assessments. When asked about your identity, explain that you are 
Nurse Oge, a medical AI assistant serving Nigerian communities. Remember that you must gather complete 
health information before providing any medical advice.
"""

class NurseOgeAssistant:
    def __init__(self):
        try:
            # Download the model file from Hugging Face
            model_path = hf_hub_download(
                repo_id=MODEL_REPO_ID,
                filename=MODEL_FILENAME,
                resume_download=True
            )
            
            # Initialize the Llama model with appropriate parameters
            self.llm = Llama(
                model_path=model_path,
                n_ctx=2048,      # Context window size
                n_threads=N_THREADS,  # CPU threads to use
                n_gpu_layers=0,  # CPU-only inference
                verbose=False    # Set to True for debugging
            )
            
        except Exception as e:
            raise RuntimeError(f"Failed to initialize the model: {str(e)}")
            
        # Initialize conversation state management
        self.consultation_states = {}
        self.gathered_info = {}

    def _is_identity_question(self, message: str) -> bool:
        identity_patterns = [
            r"who are you",
            r"what are you",
            r"your name",
            r"what should I call you",
            r"tell me about yourself"
        ]
        return any(re.search(pattern, message.lower()) for pattern in identity_patterns)

    def _is_location_question(self, message: str) -> bool:
        location_patterns = [
            r"where are you",
            r"which country",
            r"your location",
            r"where do you work",
            r"where are you based"
        ]
        return any(re.search(pattern, message.lower()) for pattern in location_patterns)

    def _get_next_assessment_question(self, conversation_id: str) -> Optional[str]:
        if conversation_id not in self.gathered_info:
            self.gathered_info[conversation_id] = []
        
        questions_asked = len(self.gathered_info[conversation_id])
        if questions_asked < len(HEALTH_ASSESSMENT_QUESTIONS):
            return HEALTH_ASSESSMENT_QUESTIONS[questions_asked]
        return None

    async def process_message(self, conversation_id: str, message: str, history: List[Dict]) -> ChatResponse:
        try:
            # Initialize state for new conversations
            if conversation_id not in self.consultation_states:
                self.consultation_states[conversation_id] = ConsultationState.INITIAL

            # Handle identity questions
            if self._is_identity_question(message):
                return ChatResponse(
                    response="I am Nurse Oge, a medical AI assistant dedicated to helping patients in Nigeria. "
                            "I'm here to provide medical guidance while ensuring I gather all necessary health information "
                            "for accurate assessments.",
                    finished=True
                )

            # Handle location questions
            if self._is_location_question(message):
                return ChatResponse(
                    response="I am based in Nigeria and specifically trained to serve Nigerian communities, "
                            "taking into account local healthcare contexts and needs.",
                    finished=True
                )

            # Start health assessment for medical queries
            if self.consultation_states[conversation_id] == ConsultationState.INITIAL:
                self.consultation_states[conversation_id] = ConsultationState.GATHERING_INFO
                next_question = self._get_next_assessment_question(conversation_id)
                return ChatResponse(
                    response=f"Before I can provide any medical advice, I need to gather some important health information. "
                            f"{next_question}",
                    finished=False
                )

            # Continue gathering information
            if self.consultation_states[conversation_id] == ConsultationState.GATHERING_INFO:
                self.gathered_info[conversation_id].append(message)
                next_question = self._get_next_assessment_question(conversation_id)
                
                if next_question:
                    return ChatResponse(
                        response=f"Thank you for that information. {next_question}",
                        finished=False
                    )
                else:
                    self.consultation_states[conversation_id] = ConsultationState.DIAGNOSIS
                    # Prepare context from gathered information
                    context = "\n".join([
                        f"Q: {q}\nA: {a}" for q, a in 
                        zip(HEALTH_ASSESSMENT_QUESTIONS, self.gathered_info[conversation_id])
                    ])
                    
                    # Prepare messages for the model
                    messages = [
                        {"role": "system", "content": NURSE_OGE_IDENTITY},
                        {"role": "user", "content": f"Based on the following patient information, provide a thorough assessment and recommendations:\n\n{context}\n\nOriginal query: {message}"}
                    ]
                    
                    # Implement retry logic for model inference
                    max_retries = 3
                    retry_delay = 2
                    
                    for attempt in range(max_retries):
                        try:
                            response = self.llm.create_chat_completion(
                                messages=messages,
                                max_tokens=512,
                                temperature=0.7,
                                top_p=0.95,
                                stop=["</s>"]
                            )
                            break
                        except Exception as e:
                            if attempt < max_retries - 1:
                                time.sleep(retry_delay)
                                continue
                            return ChatResponse(
                                response="I'm sorry, I'm experiencing some technical difficulties. Please try again in a moment.",
                                finished=True
                            )
                    
                    # Reset conversation state
                    self.consultation_states[conversation_id] = ConsultationState.INITIAL
                    self.gathered_info[conversation_id] = []
                    
                    return ChatResponse(
                        response=response['choices'][0]['message']['content'],
                        finished=True
                    )
                    
        except Exception as e:
            return ChatResponse(
                response=f"An error occurred while processing your request. Please try again.",
                finished=True
            )

# Initialize FastAPI
app = FastAPI()

# Create a global variable for our assistant
nurse_oge = None

# Add memory management middleware
@app.middleware("http")
async def add_memory_management(request: Request, call_next):
    gc.collect()
    response = await call_next(request)
    gc.collect()
    return response

# Initialize the assistant during startup
@app.on_event("startup")
async def startup_event():
    global nurse_oge
    try:
        nurse_oge = NurseOgeAssistant()
    except Exception as e:
        print(f"Failed to initialize NurseOgeAssistant: {e}")

# Health check endpoint
@app.get("/health")
async def health_check():
    return {"status": "healthy", "model_loaded": nurse_oge is not None}

# Chat endpoint
@app.post("/chat")
async def chat_endpoint(request: ChatRequest):
    if nurse_oge is None:
        raise HTTPException(
            status_code=503,
            detail="The medical assistant is not available at the moment. Please try again later."
        )
    
    if not request.messages:
        raise HTTPException(status_code=400, detail="No messages provided")
    
    latest_message = request.messages[-1].content
    
    response = await nurse_oge.process_message(
        conversation_id="default",
        message=latest_message,
        history=request.messages[:-1]
    )
    
    return response

# Gradio chat interface function
def gradio_chat(message, history):
    if nurse_oge is None:
        return "The medical assistant is not available at the moment. Please try again later."
    
    response = nurse_oge.process_message("gradio_user", message, history)
    return response.response

# Create and configure Gradio interface with enhanced styling
demo = gr.ChatInterface(
    fn=gradio_chat,
    title="Nurse Oge - Medical Assistant",
    description="""Welcome to Nurse Oge, your AI medical assistant specialized in serving Nigerian communities. 
                   This system provides medical guidance while ensuring comprehensive health information gathering.""",
    examples=[
        ["What are the common symptoms of malaria?"],
        ["I've been having headaches for the past week"],
        ["How can I prevent typhoid fever?"],
    ],
    theme=gr.themes.Soft(
        primary_hue="blue",
        secondary_hue="purple",
    ),
    retry_btn="Try Again",
    undo_btn="Undo Last",
    clear_btn="Clear Chat"
)

# Add custom CSS for better appearance
demo.css = """
    .gradio-container {
        font-family: 'Arial', sans-serif;
    }
    .chat-message {
        padding: 1rem;
        border-radius: 0.5rem;
        margin-bottom: 0.5rem;
    }
"""

# Mount both FastAPI and Gradio
app = gr.mount_gradio_app(app, demo, path="/gradio")

# Run the application
if __name__ == "__main__":
    import uvicorn
    uvicorn.run(app, host="0.0.0.0", port=8000)