notes.py

# app.py
from flask import Flask, render_template, request, send_file, redirect, url_for
import os
import logging
from utils.meldrx import MeldRxAPI
from utils.oneclick import generate_discharge_paper_one_click

logging.basicConfig(level=logging.INFO)
logger = logging.getLogger(__name__)

app = Flask(__name__)

# Configuration from environment variables
CLIENT_ID = os.getenv("MELDRX_CLIENT_ID", "04bdc9f9a23d488a868b93d594ee5a4a")
CLIENT_SECRET = os.getenv("MELDRX_CLIENT_SECRET", None)
WORKSPACE_ID = os.getenv("MELDRX_WORKSPACE_ID", "09ed4f76-b5ac-42bf-92d5-496933203dbe")
SPACE_URL = os.getenv("SPACE_URL", "https://multitransformer-tonic-discharge-guard.hf.space")
REDIRECT_URI = f"{SPACE_URL}/auth/callback"

# Initialize MeldRx API
meldrx_api = MeldRxAPI(
    client_id=CLIENT_ID,
    client_secret=CLIENT_SECRET,
    workspace_id=WORKSPACE_ID,
    redirect_uri=REDIRECT_URI
)

@app.route('/')
def index():
    return render_template('index.html')

@app.route('/auth', methods=['GET', 'POST'])
def auth():
    if request.method == 'POST':
        auth_code = request.form.get('auth_code')
        if auth_code and meldrx_api.authenticate_with_code(auth_code):
            return redirect(url_for('dashboard'))
        return render_template('auth.html', auth_url=meldrx_api.get_authorization_url(), auth_result="Authentication failed")
    return render_template('auth.html', auth_url=meldrx_api.get_authorization_url())

@app.route('/auth/callback', methods=['GET'])
def auth_callback():
    auth_code = request.args.get('code')
    if auth_code and meldrx_api.authenticate_with_code(auth_code):
        return redirect(url_for('dashboard'))
    return render_template('auth.html', auth_url=meldrx_api.get_authorization_url(), auth_result="Callback failed")

@app.route('/dashboard', methods=['GET'])
def dashboard():
    if not meldrx_api.access_token:
        return redirect(url_for('auth'))
    patients_data = meldrx_api.get_patients()
    if not patients_data or "entry" not in patients_data:
        return render_template('dashboard.html', error="Failed to fetch patient data")
    patients = [entry['resource'] for entry in patients_data.get('entry', [])]
    return render_template('dashboard.html', patients=patients, authenticated=True)

@app.route('/oneclick', methods=['GET', 'POST'])
def one_click():
    if not meldrx_api.access_token:
        return redirect(url_for('auth'))
    
    if request.method == 'POST':
        patient_id = request.form.get('patient_id', '').strip()
        first_name = request.form.get('first_name', '').strip()
        last_name = request.form.get('last_name', '').strip()
        action = request.form.get('action', '')

        pdf_path, status, display_summary = generate_discharge_paper_one_click(
            meldrx_api, patient_id, first_name, last_name
        )

        if action == "Display Summary" and display_summary:
            return render_template('oneclick.html', 
                                status=status, 
                                summary=display_summary.replace('\n', '<br>'))
        elif action == "Generate PDF" and pdf_path:
            return send_file(pdf_path, 
                           as_attachment=True, 
                           download_name=f"discharge_summary_{patient_id or 'patient'}.pdf")
        return render_template('oneclick.html', 
                            status=status, 
                            summary=display_summary.replace('\n', '<br>') if display_summary else None)

    return render_template('oneclick.html')

if __name__ == '__main__':
    port = int(os.getenv("PORT", 7860))
    app.run(debug=False, host='0.0.0.0', port=port)


# utils/oneclick.py
from typing import Tuple, Optional
from .meldrx import MeldRxAPI
from .responseparser import PatientDataExtractor
from .pdfutils import PDFGenerator
import logging
import json

logger = logging.getLogger(__name__)

def generate_discharge_paper_one_click(
    api: MeldRxAPI,
    patient_id: str = "",
    first_name: str = "",
    last_name: str = ""
) -> Tuple[Optional[str], str, Optional[str]]:
    """
    Generate a discharge summary PDF and upload it to MeldRx patient data.
    
    Args:
        api: Initialized MeldRxAPI instance
        patient_id: Optional patient ID filter
        first_name: Optional first name filter
        last_name: Optional last name filter
    
    Returns:
        Tuple of (pdf_path, status_message, display_summary)
    """
    try:
        # Get patient data from MeldRx API
        patients_data = api.get_patients()
        if not patients_data or "entry" not in patients_data:
            return None, "Failed to fetch patient data", None

        # Create PatientDataExtractor instance
        extractor = PatientDataExtractor(patients_data, "json")
        
        # Filter patients based on input
        matching_patients = []
        matching_indices = []
        for i in range(len(extractor.patients)):
            extractor.set_patient_by_index(i)
            patient_data = extractor.get_patient_dict()
            
            if (not patient_id or patient_data["id"] == patient_id) and \
               (not first_name or patient_data["first_name"].lower() == first_name.lower()) and \
               (not last_name or patient_data["last_name"].lower() == last_name.lower()):
                matching_patients.append(patient_data)
                matching_indices.append(i)

        if not matching_patients:
            return None, "No matching patients found", None
        
        # Use the first matching patient
        patient_data = matching_patients[0]
        patient_index = matching_indices[0]
        extractor.set_patient_by_index(patient_index)
        
        # Format the discharge summary text
        summary_text = format_discharge_summary(patient_data)
        
        # Generate PDF
        pdf_gen = PDFGenerator()
        filename = f"discharge_{patient_data['id'] or 'summary'}_{patient_data['last_name']}.pdf"
        pdf_path = pdf_gen.generate_pdf_from_text(summary_text, filename)
        
        # Prepare and upload discharge summary to MeldRx
        if pdf_path:
            # Convert summary to escaped JSON
            discharge_summary_json = json.dumps(summary_text)
            
            # Get the original patient resource
            patient_resource = extractor.patients[patient_index]
            
            # Add discharge_summary as an extension
            if "extension" not in patient_resource:
                patient_resource["extension"] = []
            
            patient_resource["extension"].append({
                "url": "http://example.com/fhir/StructureDefinition/discharge-summary",
                "valueString": discharge_summary_json
            })
            
            # Update the patient in MeldRx
            update_success = api.update_fhir_patient(patient_data["id"], patient_resource)
            
            status_message = "Discharge summary generated and uploaded successfully" if update_success \
                else "Discharge summary generated but failed to upload to MeldRx"
            
            return pdf_path, status_message, summary_text
        
        return None, "Failed to generate PDF", summary_text

    except Exception as e:
        logger.error(f"Error in one-click discharge generation: {str(e)}")
        return None, f"Error: {str(e)}", None

def format_discharge_summary(patient_data: dict) -> str:
    """Format patient data into a discharge summary text."""
    summary = [
        "DISCHARGE SUMMARY",
        "",
        "PATIENT INFORMATION",
        f"Name: {patient_data['name_prefix']} {patient_data['first_name']} {patient_data['last_name']}",
        f"Date of Birth: {patient_data['dob']}",
        f"Age: {patient_data['age']}",
        f"Gender: {patient_data['sex']}",
        f"Patient ID: {patient_data['id']}",
        "",
        "CONTACT INFORMATION",
        f"Address: {patient_data['address']}",
        f"City: {patient_data['city']}, {patient_data['state']} {patient_data['zip_code']}",
        f"Phone: {patient_data['phone']}",
        "",
        "ADMISSION INFORMATION",
        f"Admission Date: {patient_data['admission_date']}",
        f"Discharge Date: {patient_data['discharge_date']}",
        f"Diagnosis: {patient_data['diagnosis']}",
        "",
        "MEDICATIONS",
        f"{patient_data['medications']}",
        "",
        "PHYSICIAN INFORMATION",
        f"Physician: Dr. {patient_data['doctor_first_name']} {patient_data['doctor_last_name']}",
        f"Hospital: {patient_data['hospital_name']}",
        f"Address: {patient_data['doctor_address']}",
        f"City: {patient_data['doctor_city']}, {patient_data['doctor_state']} {patient_data['doctor_zip']}",
    ]
    
    return "\n".join(line for line in summary if line.strip() or line == "")