Add GPU training script
Browse files- train_icd10_gpu.py +375 -0
train_icd10_gpu.py
ADDED
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|
| 1 |
+
"""
|
| 2 |
+
ICD-10-CM Clinical Coding Fine-tuning Script
|
| 3 |
+
=============================================
|
| 4 |
+
Fine-tunes Qwen2.5-1.5B-Instruct with LoRA on synthetic EHR data
|
| 5 |
+
for ICD-10-CM code classification from clinical text.
|
| 6 |
+
|
| 7 |
+
Based on:
|
| 8 |
+
- Recipe 3 from literature review (Lenz et al., arxiv:2510.13624)
|
| 9 |
+
- FiscaAI/synth-ehr-icd10cm-prompt dataset (366K rows, 5071 codes)
|
| 10 |
+
- TRL SFTTrainer with prompt/completion format (loss on codes only)
|
| 11 |
+
"""
|
| 12 |
+
|
| 13 |
+
import os
|
| 14 |
+
import re
|
| 15 |
+
import json
|
| 16 |
+
import random
|
| 17 |
+
import numpy as np
|
| 18 |
+
from collections import Counter
|
| 19 |
+
|
| 20 |
+
import torch
|
| 21 |
+
import trackio
|
| 22 |
+
from datasets import load_dataset, Dataset
|
| 23 |
+
from peft import LoraConfig
|
| 24 |
+
from transformers import AutoModelForCausalLM, AutoTokenizer
|
| 25 |
+
from trl import SFTConfig, SFTTrainer
|
| 26 |
+
|
| 27 |
+
# ============================================================================
|
| 28 |
+
# Configuration
|
| 29 |
+
# ============================================================================
|
| 30 |
+
MODEL_NAME = "Qwen/Qwen2.5-1.5B-Instruct"
|
| 31 |
+
HUB_MODEL_ID = "Rakshithch/qwen2.5-1.5b-icd10cm-coder"
|
| 32 |
+
DATASET_NAME = "FiscaAI/synth-ehr-icd10cm-prompt"
|
| 33 |
+
OUTPUT_DIR = "./qwen2.5-1.5b-icd10cm-lora"
|
| 34 |
+
|
| 35 |
+
# Training hyperparameters (from literature: LoRA SFT recipe)
|
| 36 |
+
LEARNING_RATE = 2e-4 # LoRA ~10x base LR
|
| 37 |
+
NUM_EPOCHS = 3
|
| 38 |
+
BATCH_SIZE = 4
|
| 39 |
+
GRAD_ACCUM = 8 # effective batch = 32
|
| 40 |
+
MAX_SEQ_LENGTH = 1024 # P95 of user+assistant text fits in ~512 tokens
|
| 41 |
+
LORA_R = 16
|
| 42 |
+
LORA_ALPHA = 32
|
| 43 |
+
|
| 44 |
+
# Data splits
|
| 45 |
+
TRAIN_SIZE = 0.90
|
| 46 |
+
VAL_SIZE = 0.05
|
| 47 |
+
TEST_SIZE = 0.05
|
| 48 |
+
|
| 49 |
+
SEED = 42
|
| 50 |
+
|
| 51 |
+
# ============================================================================
|
| 52 |
+
# Initialize trackio
|
| 53 |
+
# ============================================================================
|
| 54 |
+
trackio.init(
|
| 55 |
+
project="icd10-clinical-coding",
|
| 56 |
+
name="qwen2.5-1.5b-lora-r16-full",
|
| 57 |
+
config={
|
| 58 |
+
"model": MODEL_NAME,
|
| 59 |
+
"dataset": DATASET_NAME,
|
| 60 |
+
"lora_r": LORA_R,
|
| 61 |
+
"lora_alpha": LORA_ALPHA,
|
| 62 |
+
"lr": LEARNING_RATE,
|
| 63 |
+
"epochs": NUM_EPOCHS,
|
| 64 |
+
"batch_size": BATCH_SIZE,
|
| 65 |
+
"grad_accum": GRAD_ACCUM,
|
| 66 |
+
"max_seq_length": MAX_SEQ_LENGTH,
|
| 67 |
+
},
|
| 68 |
+
)
|
| 69 |
+
|
| 70 |
+
# ============================================================================
|
| 71 |
+
# 1. Load and prepare dataset
|
| 72 |
+
# ============================================================================
|
| 73 |
+
print("=" * 70)
|
| 74 |
+
print("Loading dataset...")
|
| 75 |
+
print("=" * 70)
|
| 76 |
+
|
| 77 |
+
raw_ds = load_dataset(DATASET_NAME, split="train")
|
| 78 |
+
print(f"Total rows: {len(raw_ds)}")
|
| 79 |
+
|
| 80 |
+
# Remove empty/null user fields
|
| 81 |
+
raw_ds = raw_ds.filter(lambda x: x["user"] and x["user"].strip() != "")
|
| 82 |
+
print(f"After filtering empties: {len(raw_ds)}")
|
| 83 |
+
|
| 84 |
+
# Improved system prompt for ICD-10-CM coding in healthcare claims context
|
| 85 |
+
SYSTEM_PROMPT = (
|
| 86 |
+
"You are an expert medical coder specializing in ICD-10-CM coding for "
|
| 87 |
+
"healthcare claims processing (X12 EDI 837 format). Given a clinical "
|
| 88 |
+
"note or symptom description, identify the correct ICD-10-CM diagnosis "
|
| 89 |
+
"code. Provide the code followed by a brief explanation."
|
| 90 |
+
)
|
| 91 |
+
|
| 92 |
+
def format_to_prompt_completion(example):
|
| 93 |
+
"""Convert to prompt/completion format for loss on completion only."""
|
| 94 |
+
prompt = [
|
| 95 |
+
{"role": "system", "content": SYSTEM_PROMPT},
|
| 96 |
+
{"role": "user", "content": example["user"]},
|
| 97 |
+
]
|
| 98 |
+
# Extract just the ICD code and explanation from assistant
|
| 99 |
+
completion = [
|
| 100 |
+
{"role": "assistant", "content": example["assistant"]},
|
| 101 |
+
]
|
| 102 |
+
return {"prompt": prompt, "completion": completion}
|
| 103 |
+
|
| 104 |
+
print("Formatting dataset to prompt/completion...")
|
| 105 |
+
formatted_ds = raw_ds.map(
|
| 106 |
+
format_to_prompt_completion,
|
| 107 |
+
remove_columns=raw_ds.column_names,
|
| 108 |
+
num_proc=4,
|
| 109 |
+
desc="Formatting",
|
| 110 |
+
)
|
| 111 |
+
|
| 112 |
+
# Split into train/val/test
|
| 113 |
+
print("Splitting dataset...")
|
| 114 |
+
ds_split = formatted_ds.train_test_split(test_size=(VAL_SIZE + TEST_SIZE), seed=SEED)
|
| 115 |
+
val_test = ds_split["test"].train_test_split(test_size=TEST_SIZE / (VAL_SIZE + TEST_SIZE), seed=SEED)
|
| 116 |
+
|
| 117 |
+
train_ds = ds_split["train"]
|
| 118 |
+
val_ds = val_test["train"]
|
| 119 |
+
test_ds = val_test["test"]
|
| 120 |
+
|
| 121 |
+
print(f"Train: {len(train_ds)}, Val: {len(val_ds)}, Test: {len(test_ds)}")
|
| 122 |
+
|
| 123 |
+
# ============================================================================
|
| 124 |
+
# 2. Model & LoRA setup
|
| 125 |
+
# ============================================================================
|
| 126 |
+
print("\n" + "=" * 70)
|
| 127 |
+
print("Loading model...")
|
| 128 |
+
print("=" * 70)
|
| 129 |
+
|
| 130 |
+
model = AutoModelForCausalLM.from_pretrained(
|
| 131 |
+
MODEL_NAME,
|
| 132 |
+
dtype=torch.bfloat16,
|
| 133 |
+
attn_implementation="flash_attention_2",
|
| 134 |
+
device_map="auto",
|
| 135 |
+
)
|
| 136 |
+
tokenizer = AutoTokenizer.from_pretrained(MODEL_NAME)
|
| 137 |
+
|
| 138 |
+
if tokenizer.pad_token is None:
|
| 139 |
+
tokenizer.pad_token = tokenizer.eos_token
|
| 140 |
+
|
| 141 |
+
print(f"Model loaded: {MODEL_NAME}")
|
| 142 |
+
print(f"Model dtype: {model.dtype}")
|
| 143 |
+
print(f"Parameters: {sum(p.numel() for p in model.parameters()) / 1e9:.2f}B")
|
| 144 |
+
|
| 145 |
+
peft_config = LoraConfig(
|
| 146 |
+
r=LORA_R,
|
| 147 |
+
lora_alpha=LORA_ALPHA,
|
| 148 |
+
lora_dropout=0.05,
|
| 149 |
+
bias="none",
|
| 150 |
+
task_type="CAUSAL_LM",
|
| 151 |
+
target_modules=["q_proj", "k_proj", "v_proj", "o_proj",
|
| 152 |
+
"gate_proj", "up_proj", "down_proj"], # all attention + MLP
|
| 153 |
+
)
|
| 154 |
+
|
| 155 |
+
# ============================================================================
|
| 156 |
+
# 3. Training
|
| 157 |
+
# ============================================================================
|
| 158 |
+
print("\n" + "=" * 70)
|
| 159 |
+
print("Setting up training...")
|
| 160 |
+
print("=" * 70)
|
| 161 |
+
|
| 162 |
+
training_args = SFTConfig(
|
| 163 |
+
output_dir=OUTPUT_DIR,
|
| 164 |
+
num_train_epochs=NUM_EPOCHS,
|
| 165 |
+
per_device_train_batch_size=BATCH_SIZE,
|
| 166 |
+
per_device_eval_batch_size=BATCH_SIZE,
|
| 167 |
+
gradient_accumulation_steps=GRAD_ACCUM,
|
| 168 |
+
learning_rate=LEARNING_RATE,
|
| 169 |
+
lr_scheduler_type="cosine",
|
| 170 |
+
warmup_ratio=0.05,
|
| 171 |
+
optim="adamw_torch_fused",
|
| 172 |
+
bf16=True,
|
| 173 |
+
max_length=MAX_SEQ_LENGTH,
|
| 174 |
+
gradient_checkpointing=True,
|
| 175 |
+
gradient_checkpointing_kwargs={"use_reentrant": False},
|
| 176 |
+
|
| 177 |
+
# Logging
|
| 178 |
+
logging_steps=25,
|
| 179 |
+
logging_first_step=True,
|
| 180 |
+
disable_tqdm=True,
|
| 181 |
+
report_to="trackio",
|
| 182 |
+
run_name="qwen2.5-1.5b-icd10cm-lora-r16",
|
| 183 |
+
|
| 184 |
+
# Evaluation
|
| 185 |
+
eval_strategy="steps",
|
| 186 |
+
eval_steps=500,
|
| 187 |
+
save_strategy="steps",
|
| 188 |
+
save_steps=500,
|
| 189 |
+
save_total_limit=3,
|
| 190 |
+
load_best_model_at_end=True,
|
| 191 |
+
metric_for_best_model="eval_loss",
|
| 192 |
+
|
| 193 |
+
# Push to Hub
|
| 194 |
+
push_to_hub=True,
|
| 195 |
+
hub_model_id=HUB_MODEL_ID,
|
| 196 |
+
hub_strategy="every_save",
|
| 197 |
+
)
|
| 198 |
+
|
| 199 |
+
trainer = SFTTrainer(
|
| 200 |
+
model=model,
|
| 201 |
+
args=training_args,
|
| 202 |
+
train_dataset=train_ds,
|
| 203 |
+
eval_dataset=val_ds,
|
| 204 |
+
peft_config=peft_config,
|
| 205 |
+
processing_class=tokenizer,
|
| 206 |
+
)
|
| 207 |
+
|
| 208 |
+
print(f"Trainable parameters: {trainer.model.print_trainable_parameters()}")
|
| 209 |
+
print(f"\nStarting training for {NUM_EPOCHS} epochs...")
|
| 210 |
+
train_result = trainer.train()
|
| 211 |
+
|
| 212 |
+
print("\n" + "=" * 70)
|
| 213 |
+
print("Training complete!")
|
| 214 |
+
print(f"Train loss: {train_result.training_loss:.4f}")
|
| 215 |
+
print("=" * 70)
|
| 216 |
+
|
| 217 |
+
# Save final model
|
| 218 |
+
trainer.save_model(OUTPUT_DIR)
|
| 219 |
+
trainer.push_to_hub()
|
| 220 |
+
|
| 221 |
+
# ============================================================================
|
| 222 |
+
# 4. Evaluation on test set
|
| 223 |
+
# ============================================================================
|
| 224 |
+
print("\n" + "=" * 70)
|
| 225 |
+
print("Evaluating on test set...")
|
| 226 |
+
print("=" * 70)
|
| 227 |
+
|
| 228 |
+
from transformers import pipeline
|
| 229 |
+
|
| 230 |
+
# Load fine-tuned model for inference
|
| 231 |
+
pipe = pipeline(
|
| 232 |
+
"text-generation",
|
| 233 |
+
model=OUTPUT_DIR,
|
| 234 |
+
tokenizer=tokenizer,
|
| 235 |
+
device_map="auto",
|
| 236 |
+
max_new_tokens=128,
|
| 237 |
+
)
|
| 238 |
+
|
| 239 |
+
# Evaluation metrics
|
| 240 |
+
correct_exact = 0
|
| 241 |
+
correct_partial = 0
|
| 242 |
+
correct_chapter = 0
|
| 243 |
+
correct_category = 0 # first 3 chars (e.g., J18)
|
| 244 |
+
total = 0
|
| 245 |
+
results = []
|
| 246 |
+
|
| 247 |
+
# Sample test set for evaluation (max 2000 for speed)
|
| 248 |
+
eval_size = min(2000, len(test_ds))
|
| 249 |
+
eval_indices = random.sample(range(len(test_ds)), eval_size)
|
| 250 |
+
|
| 251 |
+
print(f"Evaluating on {eval_size} test examples...")
|
| 252 |
+
|
| 253 |
+
for idx, i in enumerate(eval_indices):
|
| 254 |
+
example = test_ds[i]
|
| 255 |
+
|
| 256 |
+
# Build the prompt messages
|
| 257 |
+
messages = example["prompt"]
|
| 258 |
+
|
| 259 |
+
# Generate
|
| 260 |
+
output = pipe(messages, max_new_tokens=128, do_sample=False, temperature=None)
|
| 261 |
+
generated = output[0]["generated_text"][-1]["content"]
|
| 262 |
+
|
| 263 |
+
# Extract predicted ICD code from generated text
|
| 264 |
+
# Pattern: look for ICD-10-CM code format (letter + digits + optional dot + more chars)
|
| 265 |
+
pred_codes = re.findall(r'\b([A-Z]\d{2}(?:\.\d{1,4})?(?:[A-Z])?)\b', generated)
|
| 266 |
+
|
| 267 |
+
# Extract ground truth code from completion
|
| 268 |
+
gt_text = example["completion"][0]["content"]
|
| 269 |
+
gt_codes = re.findall(r'\b([A-Z]\d{2}(?:\.\d{1,4})?(?:[A-Z])?)\b', gt_text)
|
| 270 |
+
|
| 271 |
+
if gt_codes and pred_codes:
|
| 272 |
+
gt_code = gt_codes[0]
|
| 273 |
+
pred_code = pred_codes[0]
|
| 274 |
+
|
| 275 |
+
# Exact match
|
| 276 |
+
if pred_code == gt_code:
|
| 277 |
+
correct_exact += 1
|
| 278 |
+
|
| 279 |
+
# Partial match (code without laterality suffix)
|
| 280 |
+
gt_base = gt_code.split('.')[0] + ('.' + gt_code.split('.')[1][:2] if '.' in gt_code else '')
|
| 281 |
+
pred_base = pred_code.split('.')[0] + ('.' + pred_code.split('.')[1][:2] if '.' in pred_code else '')
|
| 282 |
+
if pred_base == gt_base:
|
| 283 |
+
correct_partial += 1
|
| 284 |
+
|
| 285 |
+
# Category match (first 3 chars, e.g., J18, M24)
|
| 286 |
+
if pred_code[:3] == gt_code[:3]:
|
| 287 |
+
correct_category += 1
|
| 288 |
+
|
| 289 |
+
# Chapter match (first letter)
|
| 290 |
+
if pred_code[0] == gt_code[0]:
|
| 291 |
+
correct_chapter += 1
|
| 292 |
+
|
| 293 |
+
results.append({
|
| 294 |
+
"gt_code": gt_code,
|
| 295 |
+
"pred_code": pred_code,
|
| 296 |
+
"exact_match": pred_code == gt_code,
|
| 297 |
+
"category_match": pred_code[:3] == gt_code[:3],
|
| 298 |
+
})
|
| 299 |
+
else:
|
| 300 |
+
results.append({
|
| 301 |
+
"gt_code": gt_codes[0] if gt_codes else "NONE",
|
| 302 |
+
"pred_code": pred_codes[0] if pred_codes else "NONE",
|
| 303 |
+
"exact_match": False,
|
| 304 |
+
"category_match": False,
|
| 305 |
+
})
|
| 306 |
+
|
| 307 |
+
total += 1
|
| 308 |
+
|
| 309 |
+
if (idx + 1) % 200 == 0:
|
| 310 |
+
print(f" Evaluated {idx+1}/{eval_size} | "
|
| 311 |
+
f"Exact: {correct_exact/total*100:.1f}% | "
|
| 312 |
+
f"Category: {correct_category/total*100:.1f}%")
|
| 313 |
+
|
| 314 |
+
# Final metrics
|
| 315 |
+
print("\n" + "=" * 70)
|
| 316 |
+
print("EVALUATION RESULTS")
|
| 317 |
+
print("=" * 70)
|
| 318 |
+
exact_acc = correct_exact / total * 100
|
| 319 |
+
partial_acc = correct_partial / total * 100
|
| 320 |
+
category_acc = correct_category / total * 100
|
| 321 |
+
chapter_acc = correct_chapter / total * 100
|
| 322 |
+
|
| 323 |
+
print(f" Exact Match Accuracy: {exact_acc:.2f}% ({correct_exact}/{total})")
|
| 324 |
+
print(f" Partial Match Accuracy: {partial_acc:.2f}% ({correct_partial}/{total})")
|
| 325 |
+
print(f" Category (3-char) Acc: {category_acc:.2f}% ({correct_category}/{total})")
|
| 326 |
+
print(f" Chapter (1st letter): {chapter_acc:.2f}% ({correct_chapter}/{total})")
|
| 327 |
+
|
| 328 |
+
# Log to trackio
|
| 329 |
+
trackio.log({
|
| 330 |
+
"eval/exact_match_accuracy": exact_acc,
|
| 331 |
+
"eval/partial_match_accuracy": partial_acc,
|
| 332 |
+
"eval/category_accuracy": category_acc,
|
| 333 |
+
"eval/chapter_accuracy": chapter_acc,
|
| 334 |
+
"eval/total_samples": total,
|
| 335 |
+
})
|
| 336 |
+
|
| 337 |
+
# Error analysis: which chapters have lowest accuracy
|
| 338 |
+
print("\n--- Per-Chapter Accuracy ---")
|
| 339 |
+
chapter_stats = {}
|
| 340 |
+
for r in results:
|
| 341 |
+
ch = r["gt_code"][0] if r["gt_code"] != "NONE" else "?"
|
| 342 |
+
if ch not in chapter_stats:
|
| 343 |
+
chapter_stats[ch] = {"total": 0, "correct": 0}
|
| 344 |
+
chapter_stats[ch]["total"] += 1
|
| 345 |
+
if r["exact_match"]:
|
| 346 |
+
chapter_stats[ch]["correct"] += 1
|
| 347 |
+
|
| 348 |
+
for ch in sorted(chapter_stats.keys()):
|
| 349 |
+
s = chapter_stats[ch]
|
| 350 |
+
acc = s["correct"] / s["total"] * 100 if s["total"] > 0 else 0
|
| 351 |
+
print(f" Chapter {ch}: {acc:.1f}% ({s['correct']}/{s['total']})")
|
| 352 |
+
|
| 353 |
+
# Save results
|
| 354 |
+
with open(os.path.join(OUTPUT_DIR, "eval_results.json"), "w") as f:
|
| 355 |
+
json.dump({
|
| 356 |
+
"exact_match_accuracy": exact_acc,
|
| 357 |
+
"partial_match_accuracy": partial_acc,
|
| 358 |
+
"category_accuracy": category_acc,
|
| 359 |
+
"chapter_accuracy": chapter_acc,
|
| 360 |
+
"total_evaluated": total,
|
| 361 |
+
"per_chapter": chapter_stats,
|
| 362 |
+
}, f, indent=2)
|
| 363 |
+
|
| 364 |
+
# Sample predictions
|
| 365 |
+
print("\n--- Sample Predictions ---")
|
| 366 |
+
for r in results[:10]:
|
| 367 |
+
status = "✅" if r["exact_match"] else ("🟡" if r["category_match"] else "❌")
|
| 368 |
+
print(f" {status} GT: {r['gt_code']:<12} Pred: {r['pred_code']}")
|
| 369 |
+
|
| 370 |
+
trackio.finish()
|
| 371 |
+
|
| 372 |
+
print("\n" + "=" * 70)
|
| 373 |
+
print(f"Model saved to Hub: https://hf.co/{HUB_MODEL_ID}")
|
| 374 |
+
print(f"Training dashboard: trackio")
|
| 375 |
+
print("=" * 70)
|