| import logging |
| from fastapi import APIRouter, HTTPException, UploadFile, File |
| from models.request_models import ProviderNotesRequest |
| from models.response_models import CodingResponse, FileUploadResponse |
| from services.groq_service import groq_service |
| from services.file_service import file_service |
| import re |
|
|
| router = APIRouter() |
| logger = logging.getLogger(__name__) |
|
|
|
|
| def is_likely_medical_text(text: str) -> bool: |
| """ |
| Pre-validate if text appears to be medical provider notes |
| Returns True if likely medical, False otherwise |
| """ |
| text_lower = text.lower() |
| |
| |
| medical_keywords = [ |
| 'patient', 'diagnosis', 'symptom', 'treatment', 'exam', 'history', |
| 'complaint', 'pain', 'fever', 'cough', 'prescribed', 'medication', |
| 'procedure', 'surgery', 'vital', 'blood', 'pressure', 'heart', |
| 'lung', 'breath', 'chronic', 'acute', 'assessment', 'plan', |
| 'condition', 'disease', 'injury', 'wound', 'fracture', 'infection' |
| ] |
| |
| |
| casual_phrases = [ |
| 'how are you', 'hello', 'hi there', 'good morning', 'good evening', |
| 'test test', 'sample text', 'doing fine', 'nice to meet', |
| 'what\'s up', 'how\'s it going' |
| ] |
| |
| |
| for phrase in casual_phrases: |
| if phrase in text_lower: |
| return False |
| |
| |
| medical_keyword_count = sum(1 for keyword in medical_keywords if keyword in text_lower) |
| |
| |
| return medical_keyword_count >= 1 and len(text.split()) >= 10 |
|
|
|
|
| @router.post("/coding", response_model=CodingResponse) |
| async def analyze_provider_notes(request: ProviderNotesRequest): |
| """ |
| Analyze provider notes and extract ICD-10 and CPT codes |
| |
| This endpoint accepts provider notes as text input and returns: |
| - ICD-10 diagnostic codes with explanations |
| - CPT procedure codes with explanations |
| - Overall encounter summary |
| """ |
| try: |
| logger.info(f"Received coding request (notes length: {len(request.provider_notes)})") |
| |
| |
| if not request.provider_notes or len(request.provider_notes.strip()) < 10: |
| raise HTTPException( |
| status_code=400, |
| detail="Provider notes must be at least 10 characters long" |
| ) |
| |
| |
| if not is_likely_medical_text(request.provider_notes): |
| logger.warning("Input rejected - does not appear to be medical provider notes") |
| return { |
| "icd_codes": [], |
| "cpt_codes": [], |
| "overall_summary": "No medical coding applicable - input does not appear to contain clinical provider notes. Please provide legitimate medical documentation." |
| } |
| |
| |
| result = groq_service.analyze_provider_notes(request.provider_notes) |
| |
| logger.info(f"Analysis complete: {len(result.get('icd_codes', []))} ICD codes, {len(result.get('cpt_codes', []))} CPT codes") |
| |
| return result |
| |
| except HTTPException: |
| raise |
| except ValueError as e: |
| logger.error(f"Validation error: {str(e)}") |
| raise HTTPException(status_code=400, detail=str(e)) |
| except Exception as e: |
| logger.error(f"Error processing request: {str(e)}", exc_info=True) |
| raise HTTPException(status_code=500, detail=f"Error processing request: {str(e)}") |
|
|
|
|
| @router.post("/upload-file", response_model=FileUploadResponse) |
| async def upload_provider_notes_file(file: UploadFile = File(...)): |
| """ |
| Upload a provider notes file (.txt), remove PII, and analyze |
| |
| Returns: |
| - File processing info (PII removal stats) |
| - ICD-10 codes with explanations |
| - CPT codes with explanations |
| - Overall summary |
| """ |
| try: |
| logger.info(f"Received file upload: {file.filename}") |
| |
| |
| if not file.filename.endswith('.txt'): |
| raise HTTPException( |
| status_code=400, |
| detail="Only .txt files are allowed" |
| ) |
| |
| |
| content = await file.read() |
| text = content.decode('utf-8') |
| |
| logger.info(f"File read successfully (length: {len(text)})") |
| |
| |
| try: |
| cleaned_text, pii_count = file_service.remove_pii(text) |
| logger.info(f"PII removal complete: {pii_count} entities removed") |
| except Exception as pii_error: |
| logger.error(f"WARNING: PII removal failed: {str(pii_error)}") |
| |
| cleaned_text = text |
| pii_count = 0 |
| |
| |
| result = groq_service.analyze_provider_notes(cleaned_text) |
| |
| |
| response = { |
| "success": True, |
| "filename": file.filename, |
| "extracted_text_length": len(text), |
| "pii_removed": pii_count > 0, |
| "pii_count": pii_count, |
| "icd_codes": result.get("icd_codes", []), |
| "cpt_codes": result.get("cpt_codes", []), |
| "overall_summary": result.get("overall_summary", "") |
| } |
| |
| logger.info(f"File processing complete") |
| |
| return response |
| |
| except HTTPException: |
| raise |
| except UnicodeDecodeError: |
| logger.error("File encoding error") |
| raise HTTPException(status_code=400, detail="File must be UTF-8 encoded text") |
| except Exception as e: |
| logger.error(f"Error processing uploaded file: {str(e)}", exc_info=True) |
| raise HTTPException(status_code=500, detail=f"Error processing uploaded file: {str(e)}") |