wyhhey commited on
Commit
53ae75e
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1 Parent(s): 8b87e29

Remove multimodal rebuild scripts from dataset repo

Browse files
rebuild/mm_bench/README.md DELETED
@@ -1,157 +0,0 @@
1
- # Rebuilding ClinSeek-MM-Bench
2
-
3
- This directory contains the reconstruction scripts for the multimodal part of
4
- ClinSeek-Bench. The released file `inputs/mm_bench.jsonl` is the source of
5
- truth for the evaluated `qid`s, questions, labels, and image/report pointers.
6
- Protected MIMIC-derived patient databases, CXR JPG files, and report text are
7
- not redistributed. The scripts below use the manifest plus locally downloaded
8
- PhysioNet/source datasets to rebuild the `data/mm_bench` tree on an authorized
9
- machine.
10
-
11
- The scripts build two artifacts:
12
-
13
- 1. Source-aligned subsets that preserve each upstream benchmark's own format
14
- and pairing metadata for audit.
15
- 2. The ClinSeek-MM-Bench runtime package used by the evaluation code.
16
-
17
- The source-aligned subsets are provenance artifacts only. They may include
18
- upstream labels and listfile metadata, so do not use them as model input.
19
- Use the final `ClinSeek-MM-Bench` package for evaluation.
20
-
21
- ## Required source data
22
-
23
- Download the following datasets under your own PhysioNet credentials and data
24
- use agreements:
25
-
26
- - MIMIC-IV, latest available local release.
27
- - MIMIC-CXR, with the `files/` and `mimic-cxr-reports/` folders.
28
- - MIMIC-CXR-JPG, either v2.0.0 or v2.1.0 layout is acceptable if the JPG files
29
- resolve by subject/study/DICOM path.
30
- - EHRXQA release from PhysioNet, used for the EHRXQA-derived rows.
31
- - MIMIC-IV-Note is optional for this build; the released EHRXQA rows use CXR
32
- report text from MIMIC-CXR.
33
-
34
- For MedMod-derived rows, clone the official MedMod repository because the
35
- scripts verify the released rows against its task listfiles:
36
-
37
- ```bash
38
- git clone https://github.com/nyuad-cai/MedMod.git /path/to/MedMod
39
- ```
40
-
41
- ## Configure paths
42
-
43
- Use paths on your machine. The examples below intentionally use placeholders.
44
-
45
- ```bash
46
- export CLINSEEK_BENCH=/path/to/ClinSeek-Bench
47
- export BUILD_ROOT=/path/to/clinseek-mm-rebuild
48
-
49
- export EHRXQA_ROOT=/path/to/ehrxqa/1.0.0
50
- export MIMIC_CXR_ROOT=/path/to/mimic-cxr/2.0.0
51
- export MIMIC_CXR_JPG_ROOT=/path/to/mimic-cxr-jpg
52
- export MIMICIV_ROOT=/path/to/mimiciv
53
- export MIMIC_IV_NOTE_ROOT=/path/to/mimic-iv-note
54
-
55
- export MEDMOD_REPO_ROOT=/path/to/MedMod
56
- ```
57
-
58
- ## Build source-aligned subsets
59
-
60
- ```bash
61
- python "$CLINSEEK_BENCH/rebuild/mm_bench/build_ehrxqa_release_original_subset.py" \
62
- --input "$CLINSEEK_BENCH/inputs/mm_bench.jsonl" \
63
- --output-root "$BUILD_ROOT/source/EHRXQA" \
64
- --ehrxqa-root "$EHRXQA_ROOT" \
65
- --cxr-root "$MIMIC_CXR_ROOT" \
66
- --cxr-jpg-root "$MIMIC_CXR_JPG_ROOT" \
67
- --mimiciv-root "$MIMICIV_ROOT" \
68
- --mimic-iv-note-root "$MIMIC_IV_NOTE_ROOT" \
69
- --overwrite
70
-
71
- python "$CLINSEEK_BENCH/rebuild/mm_bench/build_medmod_release_original_subset.py" \
72
- --input "$CLINSEEK_BENCH/inputs/mm_bench.jsonl" \
73
- --output-root "$BUILD_ROOT/source/MedMod" \
74
- --medmod-repo-root "$MEDMOD_REPO_ROOT" \
75
- --cxr-jpg-root "$MIMIC_CXR_JPG_ROOT" \
76
- --cxr-meta-root "$MIMIC_CXR_ROOT" \
77
- --mimiciv-root "$MIMICIV_ROOT" \
78
- --overwrite
79
- ```
80
-
81
- The MedMod script intentionally rebuilds only the rows present in
82
- `inputs/mm_bench.jsonl`; it does not rebuild the full MedMod benchmark.
83
- It also writes audit warnings when a frozen released row differs from the
84
- script's latest-AP CXR pairing check. These warnings are preserved in metadata;
85
- use `--strict-official-match` if you want such rows to fail reconstruction.
86
-
87
- ## Convert to ClinSeek-MM-Bench format
88
-
89
- ```bash
90
- python "$CLINSEEK_BENCH/rebuild/mm_bench/build_ehrxqa_clinseek_mm_subset.py" \
91
- --original-root "$BUILD_ROOT/source/EHRXQA" \
92
- --output-root "$BUILD_ROOT/runtime/EHRXQA" \
93
- --overwrite
94
-
95
- python "$CLINSEEK_BENCH/rebuild/mm_bench/build_medmod_clinseek_mm_subset.py" \
96
- --original-root "$BUILD_ROOT/source/MedMod" \
97
- --output-root "$BUILD_ROOT/runtime/MedMod" \
98
- --overwrite
99
-
100
- python "$CLINSEEK_BENCH/rebuild/mm_bench/combine_clinseek_mm_bench.py" \
101
- --reference-input "$CLINSEEK_BENCH/inputs/mm_bench.jsonl" \
102
- --ehrxqa-root "$BUILD_ROOT/runtime/EHRXQA" \
103
- --medmod-root "$BUILD_ROOT/runtime/MedMod" \
104
- --output-root "$BUILD_ROOT/final/ClinSeek-MM-Bench" \
105
- --overwrite
106
- ```
107
-
108
- The final package will be:
109
-
110
- ```text
111
- $BUILD_ROOT/final/ClinSeek-MM-Bench/
112
- ├── inputs/mm_bench.jsonl
113
- └── data/mm_bench/
114
- ├── ehrxqa/
115
- └── medmod/
116
- ```
117
-
118
- The source-only `inputs/mm_bench.jsonl` does not store pre-rendered
119
- `input_text`, because that field contains MIMIC-derived EHR table rows. During
120
- conversion, the scripts render `input_text` locally from the rebuilt patient
121
- databases and CXR asset pointers.
122
-
123
- ## Validate
124
-
125
- Validate either a local rebuilt package:
126
-
127
- ```bash
128
- python "$CLINSEEK_BENCH/rebuild/mm_bench/validate_multimodal_release.py" \
129
- --bench-root "$BUILD_ROOT/final/ClinSeek-MM-Bench"
130
- ```
131
-
132
- Validate this source-only Hugging Face checkout without requiring protected
133
- assets:
134
-
135
- ```bash
136
- python "$CLINSEEK_BENCH/rebuild/mm_bench/validate_multimodal_release.py" \
137
- --bench-root "$CLINSEEK_BENCH" \
138
- --manifest-only
139
- ```
140
-
141
- If you have a local checkout that also materializes rebuilt assets, you can
142
- validate by file names in the git tree:
143
-
144
- ```bash
145
- python "$CLINSEEK_BENCH/rebuild/mm_bench/validate_multimodal_release.py" \
146
- --bench-root "$CLINSEEK_BENCH" \
147
- --use-git-tree
148
- ```
149
-
150
- Expected release counts:
151
-
152
- - 989 total rows.
153
- - 497 EHRXQA-derived rows and 492 MedMod-derived rows.
154
- - 165 EHRXQA patient DBs and 395 MedMod patient DBs.
155
- - 350 EHRXQA JPG files and 477 MedMod JPG files.
156
- - 356 EHRXQA CXR report text files.
157
- - 0 missing DB/image/report references.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
rebuild/mm_bench/build_ehrxqa_clinseek_mm_subset.py DELETED
@@ -1,744 +0,0 @@
1
- #!/usr/bin/env python3
2
- """Convert a source-aligned EHRXQA subset into ClinSeek-MM-Bench format."""
3
-
4
- from __future__ import annotations
5
-
6
- import argparse
7
- import csv
8
- import json
9
- import os
10
- import shutil
11
- import sqlite3
12
- import sys
13
- from collections import Counter
14
- from pathlib import Path
15
- from typing import Any
16
-
17
- import pandas as pd
18
-
19
-
20
- REPO_ROOT = Path(__file__).resolve().parents[2]
21
- SRC_ROOT = REPO_ROOT / "src"
22
- if str(SRC_ROOT) not in sys.path:
23
- sys.path.insert(0, str(SRC_ROOT))
24
-
25
- DEFAULT_ORIGINAL_ROOT = Path(
26
- os.environ.get(
27
- "EHRXQA_ORIGINAL_SUBSET_ROOT",
28
- "data/build/ClinSeek-MM-Bench-EHRXQA-source",
29
- )
30
- )
31
- DEFAULT_OUTPUT_ROOT = Path(
32
- os.environ.get(
33
- "CLINSEEK_EHRXQA_MM_ROOT",
34
- "data/build/ClinSeek-MM-Bench-EHRXQA",
35
- )
36
- )
37
-
38
- TIME_COLUMNS = {
39
- "admissions": "admittime",
40
- "chartevents": "charttime",
41
- "cost": "chargetime",
42
- "diagnoses_icd": "charttime",
43
- "icustays": "intime",
44
- "inputevents": "starttime",
45
- "labevents": "charttime",
46
- "microbiologyevents": "charttime",
47
- "outputevents": "charttime",
48
- "prescriptions": "starttime",
49
- "procedures_icd": "charttime",
50
- "tb_cxr": "studydatetime",
51
- "transfers": "intime",
52
- }
53
-
54
- LEAKAGE_POLICY = {
55
- "sanitize_datetime_columns": True,
56
- "mask_future_datetime_columns": True,
57
- "row_timestamp_columns": TIME_COLUMNS,
58
- "datetime_columns": {
59
- "admissions": ["admittime", "dischtime"],
60
- "chartevents": ["charttime"],
61
- "cost": ["chargetime"],
62
- "diagnoses_icd": ["charttime"],
63
- "icustays": ["intime", "outtime"],
64
- "inputevents": ["starttime"],
65
- "labevents": ["charttime"],
66
- "microbiologyevents": ["charttime"],
67
- "outputevents": ["charttime"],
68
- "patients": ["dod"],
69
- "prescriptions": ["starttime", "stoptime"],
70
- "procedures_icd": ["charttime"],
71
- "tb_cxr": ["studydatetime"],
72
- "transfers": ["intime", "outtime"],
73
- },
74
- }
75
-
76
- REFERENCE_TABLES = {"d_icd_diagnoses", "d_icd_procedures", "d_items", "d_labitems"}
77
-
78
-
79
- def parse_args() -> argparse.Namespace:
80
- parser = argparse.ArgumentParser(description=__doc__)
81
- parser.add_argument("--original-root", type=Path, default=DEFAULT_ORIGINAL_ROOT)
82
- parser.add_argument("--output-root", type=Path, default=DEFAULT_OUTPUT_ROOT)
83
- parser.add_argument("--asset-prefix", default="EHRXQAOriginalLinked_v1")
84
- parser.add_argument("--max-table-rows", type=int, default=80)
85
- parser.add_argument(
86
- "--render-input-text",
87
- action="store_true",
88
- help="Render input_text from the rebuilt patient DB instead of preserving the released HF JSONL field.",
89
- )
90
- parser.add_argument(
91
- "--copy-cxr-context",
92
- choices=("linked", "all"),
93
- default="linked",
94
- help="Copy only JSONL-linked assets or all CXR assets packaged by the source-aligned subset.",
95
- )
96
- parser.add_argument("--overwrite", action="store_true")
97
- return parser.parse_args()
98
-
99
-
100
- def ensure_dir(path: Path) -> None:
101
- path.mkdir(parents=True, exist_ok=True)
102
-
103
-
104
- def reset_dir(path: Path, overwrite: bool) -> None:
105
- if path.exists():
106
- if not overwrite:
107
- raise FileExistsError(f"Output root already exists: {path}")
108
- shutil.rmtree(path)
109
- path.mkdir(parents=True, exist_ok=True)
110
-
111
-
112
- def link_or_copy(src: Path, dst: Path) -> None:
113
- src = src.resolve()
114
- ensure_dir(dst.parent)
115
- if dst.exists():
116
- return
117
- try:
118
- os.link(src, dst)
119
- except OSError:
120
- shutil.copy2(src, dst)
121
-
122
-
123
- def copytree_links(src: Path, dst: Path) -> None:
124
- if not src.exists():
125
- return
126
- if dst.exists():
127
- return
128
- shutil.copytree(src, dst, copy_function=lambda s, d: (link_or_copy(Path(s), Path(d)) or str(d)))
129
-
130
-
131
- def write_json(path: Path, payload: Any) -> None:
132
- ensure_dir(path.parent)
133
- path.write_text(json.dumps(payload, ensure_ascii=False, indent=2) + "\n", encoding="utf-8")
134
-
135
-
136
- def read_jsonl(path: Path) -> list[dict[str, Any]]:
137
- rows: list[dict[str, Any]] = []
138
- with path.open("r", encoding="utf-8") as handle:
139
- for line in handle:
140
- if line.strip():
141
- rows.append(json.loads(line))
142
- return rows
143
-
144
-
145
- def safe_int(value: Any) -> int | None:
146
- if value is None or value == "":
147
- return None
148
- try:
149
- if pd.isna(value):
150
- return None
151
- except TypeError:
152
- pass
153
- try:
154
- return int(float(str(value).strip()))
155
- except ValueError:
156
- return None
157
-
158
-
159
- def compact_value(value: Any) -> Any:
160
- try:
161
- if pd.isna(value):
162
- return ""
163
- except TypeError:
164
- pass
165
- if hasattr(value, "isoformat"):
166
- return value.isoformat(sep=" ")
167
- return value
168
-
169
-
170
- def table_to_text(table_name: str, frame: pd.DataFrame, max_rows: int) -> str:
171
- total = len(frame)
172
- if total == 0:
173
- return f"### {table_name}\nRows visible before cutoff: 0\n"
174
- display = frame
175
- sort_col = TIME_COLUMNS.get(table_name)
176
- if sort_col and sort_col in display.columns:
177
- display = display.sort_values(sort_col, kind="stable")
178
- if max_rows and len(display) > max_rows:
179
- display = display.tail(max_rows)
180
- shown = f"latest {len(display)} of {total}"
181
- else:
182
- shown = f"{total} of {total}"
183
- clean = display.copy()
184
- for column in clean.columns:
185
- clean[column] = clean[column].map(compact_value)
186
- return (
187
- f"### {table_name}\n"
188
- f"Rows visible before cutoff: {total}; rows included below: {shown}\n"
189
- f"{clean.to_csv(index=False)}"
190
- )
191
-
192
-
193
- def render_ehr_context_from_manager(manager: Any, sample: dict[str, Any], max_table_rows: int) -> str:
194
- manager.load_ehr_for_sample(str(sample["subject_id"]), sample["prediction_time"])
195
- blocks = []
196
- for table_name in sorted(manager.ehr_data):
197
- blocks.append(table_to_text(table_name, manager.ehr_data[table_name], max_table_rows))
198
- return "\n".join(blocks).strip()
199
-
200
-
201
- def parse_datetime(value: Any) -> pd.Timestamp | None:
202
- if value in (None, ""):
203
- return None
204
- try:
205
- parsed = pd.Timestamp(value)
206
- except (TypeError, ValueError):
207
- return None
208
- if pd.isna(parsed):
209
- return None
210
- return parsed
211
-
212
-
213
- def filter_by_cutoff(table_name: str, frame: pd.DataFrame, cutoff: pd.Timestamp | None) -> pd.DataFrame:
214
- if cutoff is None:
215
- return frame
216
- time_column = TIME_COLUMNS.get(table_name)
217
- if not time_column or time_column not in frame.columns:
218
- return frame
219
- parsed = pd.to_datetime(frame[time_column], errors="coerce")
220
- return frame.loc[parsed.notna() & (parsed <= cutoff)].copy()
221
-
222
-
223
- def render_ehr_context(db_path: Path, prediction_time: str, max_table_rows: int) -> str:
224
- cutoff = parse_datetime(prediction_time)
225
- blocks: list[str] = []
226
- with sqlite3.connect(db_path) as conn:
227
- table_names = [
228
- row[0]
229
- for row in conn.execute("SELECT name FROM sqlite_master WHERE type='table' ORDER BY name")
230
- ]
231
- for table_name in table_names:
232
- frame = pd.read_sql_query(f'SELECT * FROM "{table_name}"', conn)
233
- visible = filter_by_cutoff(table_name, frame, cutoff)
234
- blocks.append(table_to_text(table_name, visible, max_table_rows))
235
- return "\n".join(blocks).strip()
236
-
237
-
238
- def build_input_text(sample: dict[str, Any], image_paths: list[str], ehr_text: str) -> str:
239
- return "\n\n".join(
240
- [
241
- str(sample.get("question") or "").strip(),
242
- "<ehr_context>",
243
- ehr_text,
244
- "</ehr_context>",
245
- "<image_inputs>",
246
- "\n".join(f"- {path}" for path in image_paths) if image_paths else "NONE",
247
- "</image_inputs>",
248
- ]
249
- )
250
-
251
-
252
- def strip_asset_prefix(path: str) -> str:
253
- text = str(path).replace("\\", "/")
254
- if "/" in text and text.split("/", 1)[0].endswith("OriginalLinked_v1"):
255
- return text.split("/", 1)[1]
256
- return text
257
-
258
-
259
- def load_manifest(original_root: Path) -> list[dict[str, Any]]:
260
- manifest = original_root / "linked_manifests" / "test.jsonl"
261
- if not manifest.exists():
262
- raise FileNotFoundError(f"Missing source manifest: {manifest}")
263
- return read_jsonl(manifest)
264
-
265
-
266
- def source_tables_dir(original_root: Path) -> Path:
267
- path = original_root / "source_release" / "1.0.0" / "ehrxqa" / "database" / "gold"
268
- if not path.is_dir():
269
- raise FileNotFoundError(f"Missing EHRXQA gold table root: {path}")
270
- return path
271
-
272
-
273
- def table_is_reference(table_name: str) -> bool:
274
- return table_name in REFERENCE_TABLES or table_name.startswith("d_")
275
-
276
-
277
- def write_frame(conn: sqlite3.Connection, table_name: str, frame: pd.DataFrame, *, append: bool = False) -> None:
278
- clean = frame.where(pd.notna(frame), None)
279
- clean.to_sql(table_name, conn, if_exists="append" if append else "replace", index=False)
280
-
281
-
282
- def quote_identifier(name: str) -> str:
283
- return '"' + name.replace('"', '""') + '"'
284
-
285
-
286
- def list_sqlite_tables(conn: sqlite3.Connection) -> list[str]:
287
- return [
288
- row[0]
289
- for row in conn.execute("SELECT name FROM sqlite_master WHERE type='table' ORDER BY name")
290
- ]
291
-
292
-
293
- def list_attached_sqlite_tables(conn: sqlite3.Connection, schema: str) -> list[str]:
294
- q_schema = quote_identifier(schema)
295
- return [
296
- row[0]
297
- for row in conn.execute(f"SELECT name FROM {q_schema}.sqlite_master WHERE type='table' ORDER BY name")
298
- ]
299
-
300
-
301
- def sqlite_table_columns(conn: sqlite3.Connection, table_name: str) -> list[str]:
302
- return [row[1] for row in conn.execute(f"PRAGMA table_info({quote_identifier(table_name)})")]
303
-
304
-
305
- def source_sqlite_path(original_root: Path) -> Path:
306
- return source_tables_dir(original_root) / "mimic_iv_cxr.sqlite"
307
-
308
-
309
- def build_reference_database(tables_dir: Path, output_db: Path) -> list[str]:
310
- written: list[str] = []
311
- if output_db.exists():
312
- output_db.unlink()
313
- with sqlite3.connect(output_db) as conn:
314
- for csv_path in sorted(tables_dir.glob("*.csv")):
315
- table_name = csv_path.stem
316
- if not table_is_reference(table_name):
317
- continue
318
- write_frame(conn, table_name, pd.read_csv(csv_path, low_memory=False))
319
- written.append(table_name)
320
- return written
321
-
322
-
323
- def create_text_table(
324
- conn: sqlite3.Connection,
325
- table_name: str,
326
- columns: list[str],
327
- rows: list[list[Any]],
328
- ) -> None:
329
- q_table = quote_identifier(table_name)
330
- column_sql = ", ".join(f"{quote_identifier(column)} TEXT" for column in columns)
331
- conn.execute(f"CREATE TABLE {q_table} ({column_sql})")
332
- if not rows:
333
- return
334
- placeholders = ", ".join(["?"] * len(columns))
335
- conn.executemany(f"INSERT INTO {q_table} VALUES ({placeholders})", rows)
336
-
337
-
338
- def csv_value(value: Any) -> Any:
339
- if value is None or value == "":
340
- return None
341
- return value
342
-
343
-
344
- def build_reference_database_from_csvs(tables_dir: Path, output_db: Path) -> list[str]:
345
- written: list[str] = []
346
- if output_db.exists():
347
- output_db.unlink()
348
- with sqlite3.connect(output_db) as conn:
349
- for csv_path in sorted(tables_dir.glob("*.csv")):
350
- table_name = csv_path.stem
351
- if not table_is_reference(table_name):
352
- continue
353
- with csv_path.open("r", encoding="utf-8", newline="") as handle:
354
- reader = csv.reader(handle)
355
- columns = next(reader)
356
- rows = [[csv_value(value) for value in row] for row in reader]
357
- create_text_table(conn, table_name, columns, rows)
358
- written.append(table_name)
359
- conn.commit()
360
- return written
361
-
362
-
363
- def build_patient_databases_from_source_csvs(
364
- *,
365
- original_root: Path,
366
- database_root: Path,
367
- subject_ids: set[int],
368
- ) -> dict[str, Any]:
369
- tables_dir = source_tables_dir(original_root)
370
- subject_lookup = {str(subject_id): subject_id for subject_id in subject_ids}
371
- subject_tables: dict[int, list[tuple[str, list[str], list[list[Any]]]]] = {
372
- subject_id: [] for subject_id in subject_ids
373
- }
374
- built_tables: list[str] = []
375
- for csv_path in sorted(tables_dir.glob("*.csv")):
376
- table_name = csv_path.stem
377
- if table_is_reference(table_name):
378
- continue
379
- with csv_path.open("r", encoding="utf-8", newline="") as handle:
380
- reader = csv.DictReader(handle)
381
- if not reader.fieldnames or "subject_id" not in reader.fieldnames:
382
- continue
383
- columns = list(reader.fieldnames)
384
- if table_name == "patients":
385
- columns = [column for column in columns if column != "dod"]
386
- grouped: dict[int, list[list[Any]]] = {}
387
- for row in reader:
388
- subject_id = subject_lookup.get(str(row.get("subject_id") or ""))
389
- if subject_id is None:
390
- continue
391
- grouped.setdefault(subject_id, []).append([csv_value(row.get(column)) for column in columns])
392
- if not grouped:
393
- continue
394
- built_tables.append(table_name)
395
- for subject_id, rows in grouped.items():
396
- subject_tables[subject_id].append((table_name, columns, rows))
397
-
398
- built_subjects = {subject_id for subject_id, tables in subject_tables.items() if tables}
399
- missing = sorted(subject_ids - built_subjects)
400
- if missing:
401
- raise FileNotFoundError(f"Missing built patient DBs for subjects: {missing[:20]}")
402
- ensure_dir(database_root)
403
- for subject_id, tables in sorted(subject_tables.items()):
404
- db_path = database_root / f"patient_{subject_id}.db"
405
- if db_path.exists():
406
- db_path.unlink()
407
- with sqlite3.connect(db_path) as conn:
408
- conn.execute("PRAGMA journal_mode=OFF")
409
- conn.execute("PRAGMA synchronous=OFF")
410
- for table_name, columns, rows in tables:
411
- create_text_table(conn, table_name, columns, rows)
412
- conn.commit()
413
- reference_tables = build_reference_database_from_csvs(tables_dir, database_root / "reference_table.db")
414
- return {
415
- "patient_db_source": "source_aligned_subset_csv",
416
- "source_table_root": "source_release/1.0.0/ehrxqa/database/gold",
417
- "built_subjects": len(built_subjects),
418
- "built_tables": built_tables,
419
- "reference_tables": reference_tables,
420
- }
421
-
422
-
423
- def build_reference_database_from_sqlite(source_db: Path, output_db: Path) -> list[str]:
424
- written: list[str] = []
425
- if output_db.exists():
426
- output_db.unlink()
427
- with sqlite3.connect(output_db) as conn:
428
- conn.execute("ATTACH DATABASE ? AS src", (str(source_db),))
429
- for table_name in list_attached_sqlite_tables(conn, "src"):
430
- if not table_is_reference(table_name):
431
- continue
432
- q_table = quote_identifier(table_name)
433
- conn.execute(f"CREATE TABLE {q_table} AS SELECT * FROM src.{q_table}")
434
- written.append(table_name)
435
- conn.commit()
436
- return written
437
-
438
-
439
- def build_patient_databases_from_source_sqlite(
440
- *,
441
- original_root: Path,
442
- database_root: Path,
443
- subject_ids: set[int],
444
- ) -> dict[str, Any]:
445
- source_db = source_sqlite_path(original_root)
446
- if not source_db.exists():
447
- raise FileNotFoundError(f"Missing EHRXQA source SQLite: {source_db}")
448
- ensure_dir(database_root)
449
- with sqlite3.connect(source_db) as src_conn:
450
- table_names = list_sqlite_tables(src_conn)
451
- patient_tables = [
452
- table_name
453
- for table_name in table_names
454
- if not table_is_reference(table_name)
455
- and "subject_id" in sqlite_table_columns(src_conn, table_name)
456
- ]
457
-
458
- built_subjects = set()
459
- for subject_id in sorted(subject_ids):
460
- db_path = database_root / f"patient_{subject_id}.db"
461
- if db_path.exists():
462
- db_path.unlink()
463
- with sqlite3.connect(db_path) as dst_conn:
464
- dst_conn.execute("PRAGMA journal_mode=OFF")
465
- dst_conn.execute("PRAGMA synchronous=OFF")
466
- dst_conn.execute("ATTACH DATABASE ? AS src", (str(source_db),))
467
- rows_written = 0
468
- for table_name in patient_tables:
469
- q_table = quote_identifier(table_name)
470
- row_count = dst_conn.execute(
471
- f"SELECT COUNT(*) FROM src.{q_table} WHERE subject_id = ?",
472
- (subject_id,),
473
- ).fetchone()[0]
474
- if row_count == 0:
475
- continue
476
- columns = [
477
- row[1]
478
- for row in dst_conn.execute(f"PRAGMA src.table_info({quote_identifier(table_name)})")
479
- ]
480
- if table_name == "patients":
481
- columns = [column for column in columns if column != "dod"]
482
- select_columns = ", ".join(quote_identifier(column) for column in columns)
483
- dst_conn.execute(
484
- f"CREATE TABLE {q_table} AS SELECT {select_columns} FROM src.{q_table} WHERE subject_id = ?",
485
- (subject_id,),
486
- )
487
- rows_written += row_count
488
- dst_conn.commit()
489
- if rows_written:
490
- built_subjects.add(subject_id)
491
-
492
- missing = sorted(subject_ids - built_subjects)
493
- if missing:
494
- raise FileNotFoundError(f"Missing built patient DBs for subjects: {missing[:20]}")
495
- reference_tables = build_reference_database_from_sqlite(source_db, database_root / "reference_table.db")
496
- return {
497
- "patient_db_source": "source_aligned_subset_sqlite",
498
- "source_sqlite": "source_release/1.0.0/ehrxqa/database/gold/mimic_iv_cxr.sqlite",
499
- "built_subjects": len(built_subjects),
500
- "built_tables": patient_tables,
501
- "reference_tables": reference_tables,
502
- }
503
-
504
-
505
- def build_patient_databases_from_source(
506
- *,
507
- original_root: Path,
508
- database_root: Path,
509
- subject_ids: set[int],
510
- ) -> dict[str, Any]:
511
- tables_dir = source_tables_dir(original_root)
512
- if any(tables_dir.glob("*.csv")):
513
- return build_patient_databases_from_source_csvs(
514
- original_root=original_root,
515
- database_root=database_root,
516
- subject_ids=subject_ids,
517
- )
518
-
519
- sqlite_path = source_sqlite_path(original_root)
520
- if sqlite_path.exists():
521
- return build_patient_databases_from_source_sqlite(
522
- original_root=original_root,
523
- database_root=database_root,
524
- subject_ids=subject_ids,
525
- )
526
-
527
- built_tables: list[str] = []
528
- subject_frames: dict[int, list[tuple[str, pd.DataFrame]]] = {subject_id: [] for subject_id in subject_ids}
529
- for csv_path in sorted(tables_dir.glob("*.csv")):
530
- table_name = csv_path.stem
531
- if table_is_reference(table_name):
532
- continue
533
- header = pd.read_csv(csv_path, nrows=0)
534
- if "subject_id" not in header.columns:
535
- continue
536
- built_tables.append(table_name)
537
- frame = pd.read_csv(csv_path, low_memory=False)
538
- subset = frame[frame["subject_id"].isin(subject_ids)]
539
- if subset.empty:
540
- continue
541
- for subject_id, group in subset.groupby("subject_id", sort=True):
542
- subject_frames[int(subject_id)].append((table_name, group.copy()))
543
-
544
- built_subjects = {subject_id for subject_id, frames in subject_frames.items() if frames}
545
- missing = sorted(subject_ids - built_subjects)
546
- if missing:
547
- raise FileNotFoundError(f"Missing built patient DBs for subjects: {missing[:20]}")
548
- ensure_dir(database_root)
549
- for subject_id, frames in sorted(subject_frames.items()):
550
- db_path = database_root / f"patient_{subject_id}.db"
551
- if db_path.exists():
552
- db_path.unlink()
553
- with sqlite3.connect(db_path) as conn:
554
- for table_name, frame in frames:
555
- write_frame(conn, table_name, frame)
556
- reference_tables = build_reference_database(tables_dir, database_root / "reference_table.db")
557
- return {
558
- "patient_db_source": "source_aligned_subset",
559
- "built_subjects": len(built_subjects),
560
- "built_tables": built_tables,
561
- "reference_tables": reference_tables,
562
- }
563
-
564
-
565
- def write_runtime_metadata(bench_root: Path) -> None:
566
- write_json(
567
- bench_root / "metadata.json",
568
- {
569
- "package_name": "ClinSeek-MM-Bench-EHRXQA-runtime",
570
- "leakage_policy": LEAKAGE_POLICY,
571
- "path_contract": {
572
- "db_path_hint": "relative_to_benchmark_root",
573
- "image_paths": "relative_to_benchmark_root",
574
- "report_paths": "relative_to_benchmark_root",
575
- "tb_cxr.image_path": "relative_to_benchmark_root",
576
- "tb_cxr.report_path": "relative_to_benchmark_root",
577
- },
578
- },
579
- )
580
-
581
-
582
- def copy_linked_assets(original_root: Path, bench_root: Path, row: dict[str, Any]) -> tuple[list[str], list[str]]:
583
- rel_images = [strip_asset_prefix(path) for path in row.get("packaged_image_relpaths") or []]
584
- rel_reports = [strip_asset_prefix(path) for path in row.get("packaged_report_relpaths") or []]
585
- for relpath in rel_images + rel_reports:
586
- link_or_copy(original_root / relpath, bench_root / relpath)
587
- return rel_images, rel_reports
588
-
589
-
590
- def copy_all_cxr_context(original_root: Path, bench_root: Path) -> None:
591
- copytree_links(original_root / "mimic-cxr", bench_root / "mimic-cxr")
592
-
593
-
594
- def write_table_descriptions(bench_root: Path) -> None:
595
- dst = bench_root / "table_description"
596
- ensure_dir(dst)
597
- (dst / "link_information.json").write_text("", encoding="utf-8")
598
- (dst / "shorten_description.json").write_text("", encoding="utf-8")
599
-
600
-
601
- def main() -> None:
602
- args = parse_args()
603
- reset_dir(args.output_root, args.overwrite)
604
- manifest_rows = load_manifest(args.original_root)
605
-
606
- bench_root = args.output_root / "data" / "mm_bench" / "ehrxqa"
607
- database_root = bench_root / "database"
608
- inputs_root = args.output_root / "inputs"
609
- ensure_dir(database_root)
610
- ensure_dir(inputs_root)
611
-
612
- by_subject: dict[int, dict[str, Any]] = {}
613
- for row in manifest_rows:
614
- subject_id = safe_int(row.get("subject_id"))
615
- if subject_id is None:
616
- raise ValueError(f"Missing subject_id: {row.get('qid')}")
617
- by_subject.setdefault(subject_id, row)
618
-
619
- db_build_summary = build_patient_databases_from_source(
620
- original_root=args.original_root,
621
- database_root=database_root,
622
- subject_ids=set(by_subject),
623
- )
624
- write_table_descriptions(bench_root)
625
- ehr_manager_root = bench_root
626
- write_runtime_metadata(bench_root)
627
-
628
- if args.copy_cxr_context == "all":
629
- copy_all_cxr_context(args.original_root, bench_root)
630
-
631
- ehr_manager = None
632
- need_rendered_input_text = args.render_input_text or any(
633
- not row.get("released_input_text") for row in manifest_rows
634
- )
635
- if need_rendered_input_text:
636
- try:
637
- from agentlite.commons.EHRManager import EHRManager # type: ignore
638
-
639
- ehr_manager = EHRManager(str(ehr_manager_root))
640
- except Exception as exc: # pragma: no cover - fallback for portable envs
641
- print({"ehr_manager_unavailable": repr(exc)}, flush=True)
642
- output_rows: list[dict[str, Any]] = []
643
- stats = Counter()
644
- linked_image_count = 0
645
- linked_report_count = 0
646
- for index, row in enumerate(manifest_rows):
647
- rel_images, rel_reports = copy_linked_assets(args.original_root, bench_root, row)
648
- linked_image_count += len(rel_images)
649
- linked_report_count += len(rel_reports)
650
- prefixed_images = [f"{args.asset_prefix}/{relpath}" for relpath in rel_images]
651
- prefixed_reports = [f"{args.asset_prefix}/{relpath}" for relpath in rel_reports]
652
- if args.render_input_text or not row.get("released_input_text"):
653
- if ehr_manager is not None:
654
- ehr_text = render_ehr_context_from_manager(ehr_manager, row, args.max_table_rows)
655
- else:
656
- subject_id = safe_int(row.get("subject_id"))
657
- if subject_id is None:
658
- raise ValueError(f"Missing subject_id: {row.get('qid')}")
659
- ehr_text = render_ehr_context(
660
- database_root / f"patient_{subject_id}.db",
661
- str(row.get("prediction_time")),
662
- args.max_table_rows,
663
- )
664
- input_text = build_input_text(row, prefixed_images, ehr_text)
665
- else:
666
- input_text = row.get("released_input_text")
667
- output_rows.append(
668
- {
669
- "qid": row.get("qid"),
670
- "source_index": row.get("source_index"),
671
- "source_benchmark": "ehrxqa",
672
- "task": row.get("task"),
673
- "source_split": row.get("source_split"),
674
- "subject_id": row.get("subject_id"),
675
- "hadm_id": row.get("hadm_id"),
676
- "stay_id": row.get("stay_id"),
677
- "prediction_time": row.get("prediction_time"),
678
- "question": row.get("question"),
679
- "input_text": input_text,
680
- "image_paths": prefixed_images,
681
- "report_paths": prefixed_reports,
682
- "ground_truth": row.get("ground_truth"),
683
- "answer_type": row.get("answer_type"),
684
- "modalities": row.get("modalities") or ["cxr_table", "cxr_image"],
685
- }
686
- )
687
- stats[f"task:{row.get('task')}"] += 1
688
- if (index + 1) % 100 == 0:
689
- print({"rendered_rows": index + 1, "total": len(manifest_rows)}, flush=True)
690
-
691
- output_path = inputs_root / "mm_bench_ehrxqa.jsonl"
692
- with output_path.open("w", encoding="utf-8") as handle:
693
- for row in output_rows:
694
- handle.write(json.dumps(row, ensure_ascii=False, separators=(",", ":")) + "\n")
695
-
696
- metadata = {
697
- "package_name": "ClinSeek-MM-Bench-EHRXQA",
698
- "original_root": "EHRXQA_ORIGINAL_SUBSET_ROOT",
699
- "records": len(output_rows),
700
- "subjects": len(by_subject),
701
- "patient_dbs": len(list(database_root.glob("patient_*.db"))),
702
- "db_build_summary": db_build_summary,
703
- "unique_linked_images": len({p for row in output_rows for p in row["image_paths"]}),
704
- "unique_linked_reports": len({p for row in output_rows for p in row["report_paths"]}),
705
- "linked_image_refs": linked_image_count,
706
- "linked_report_refs": linked_report_count,
707
- "copy_cxr_context": args.copy_cxr_context,
708
- "input_text_source": "rendered_from_db" if need_rendered_input_text else "released_hf_jsonl",
709
- "input_file": "inputs/mm_bench_ehrxqa.jsonl",
710
- "bench_root": "data/mm_bench/ehrxqa",
711
- "asset_prefix": args.asset_prefix,
712
- "stats": dict(sorted(stats.items())),
713
- "path_contract": {
714
- "image_paths": "strip asset_prefix, then resolve relative to bench_root",
715
- "report_paths": "strip asset_prefix, then resolve relative to bench_root",
716
- "patient_db": "data/mm_bench/ehrxqa/database/patient_<subject_id>.db",
717
- },
718
- "leakage_policy": {
719
- "ground_truth": "kept only in output JSONL field, never in input_text",
720
- "patient_db_source": db_build_summary.get("patient_db_source"),
721
- "runtime_policy": "EHRManager uses benchmark metadata leakage_policy at load time",
722
- },
723
- }
724
- write_json(args.output_root / "metadata.json", metadata)
725
-
726
- readme = """# ClinSeek-MM-Bench-EHRXQA
727
-
728
- This directory contains the EHRXQA-derived portion of ClinSeek-MM-Bench.
729
-
730
- Use:
731
-
732
- - `inputs/mm_bench_ehrxqa.jsonl`
733
- - `data/mm_bench/ehrxqa`
734
-
735
- The JSONL contains both agentic fields (`question`, `image_paths`, `subject_id`)
736
- and curated-input fields (`input_text`, `image_paths`). Patient SQLite DBs are
737
- under `data/mm_bench/ehrxqa/database`.
738
- """
739
- (args.output_root / "README.md").write_text(readme, encoding="utf-8")
740
- print(json.dumps(metadata, ensure_ascii=False, indent=2))
741
-
742
-
743
- if __name__ == "__main__":
744
- main()
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
rebuild/mm_bench/build_ehrxqa_release_original_subset.py DELETED
@@ -1,570 +0,0 @@
1
- #!/usr/bin/env python3
2
- """Build the source-aligned EHRXQA subset used by ClinSeek MM-Bench.
3
-
4
- This script rebuilds only the EHRXQA rows present in the released
5
- inputs/mm_bench.jsonl. It keeps the official EHRXQA schema, writes subset
6
- CSV/SQLite tables, and packages the CXR files needed by the selected patients
7
- using relative paths.
8
- """
9
-
10
- from __future__ import annotations
11
-
12
- import argparse
13
- import json
14
- import os
15
- import re
16
- import shutil
17
- import sqlite3
18
- from collections import Counter
19
- from pathlib import Path
20
- from typing import Any
21
-
22
- import pandas as pd
23
-
24
-
25
- DEFAULT_INPUT = Path(
26
- os.environ.get(
27
- "CLINSEEK_MM_BENCH_JSONL",
28
- "data/ClinSeek-Bench/inputs/mm_bench.jsonl",
29
- )
30
- )
31
- DEFAULT_OUTPUT_ROOT = Path(
32
- os.environ.get(
33
- "EHRXQA_ORIGINAL_SUBSET_ROOT",
34
- "data/build/ClinSeek-MM-Bench-EHRXQA-source",
35
- )
36
- )
37
- DEFAULT_EHRXQA_ROOT = Path(
38
- os.environ.get("EHRXQA_ROOT", "external/ehrxqa/1.0.0")
39
- )
40
- DEFAULT_CXR_ROOT = Path(
41
- os.environ.get("MIMIC_CXR_ROOT", "external/mimic-cxr/2.0.0")
42
- )
43
- DEFAULT_CXR_JPG_ROOT = Path(
44
- os.environ.get("MIMIC_CXR_JPG_ROOT", "external/mimic-cxr-jpg")
45
- )
46
- DEFAULT_MIMICIV_ROOT = Path(os.environ.get("MIMICIV_ROOT", "external/mimiciv/3.1"))
47
- DEFAULT_MIMIC_IV_NOTE_ROOT = Path(
48
- os.environ.get("MIMIC_IV_NOTE_ROOT", "external/mimic-iv-note/2.2")
49
- )
50
-
51
- QID_RE = re.compile(r"^ehrxqa_(?P<split>[a-zA-Z0-9-]+)_(?P<source_id>\d+)$")
52
- IMAGE_RE = re.compile(
53
- r"(?:^|/)files/p\d+/p(?P<subject_id>\d+)/s(?P<study_id>\d+)/(?P<dicom_id>[^/]+)\.jpg$"
54
- )
55
-
56
- REFERENCE_TABLE_PREFIXES = ("d_",)
57
- REFERENCE_TABLES = {"d_icd_diagnoses", "d_icd_procedures", "d_items", "d_labitems"}
58
-
59
-
60
- def parse_args() -> argparse.Namespace:
61
- parser = argparse.ArgumentParser(description=__doc__)
62
- parser.add_argument("--input", type=Path, default=DEFAULT_INPUT)
63
- parser.add_argument("--output-root", type=Path, default=DEFAULT_OUTPUT_ROOT)
64
- parser.add_argument("--ehrxqa-root", type=Path, default=DEFAULT_EHRXQA_ROOT)
65
- parser.add_argument(
66
- "--cxr-root",
67
- type=Path,
68
- default=DEFAULT_CXR_ROOT,
69
- help="MIMIC-CXR root containing files/ and mimic-cxr-reports/.",
70
- )
71
- parser.add_argument(
72
- "--cxr-jpg-root",
73
- type=Path,
74
- default=DEFAULT_CXR_JPG_ROOT,
75
- help="Optional MIMIC-CXR-JPG root or flat mimic-cxr2 export used as an image fallback.",
76
- )
77
- parser.add_argument("--mimiciv-root", type=Path, default=DEFAULT_MIMICIV_ROOT)
78
- parser.add_argument(
79
- "--mimic-iv-note-root",
80
- type=Path,
81
- default=DEFAULT_MIMIC_IV_NOTE_ROOT,
82
- help="Optional MIMIC-IV-Note root kept for provenance; this EHRXQA build uses CXR report TXT files.",
83
- )
84
- parser.add_argument("--overwrite", action="store_true")
85
- parser.add_argument(
86
- "--allow-missing-nonlinked-assets",
87
- action="store_true",
88
- help=(
89
- "Deprecated compatibility flag. Non-linked patient-context CXR assets "
90
- "are optional; linked benchmark assets are still required."
91
- ),
92
- )
93
- return parser.parse_args()
94
-
95
-
96
- def ensure_dir(path: Path) -> None:
97
- path.mkdir(parents=True, exist_ok=True)
98
-
99
-
100
- def reset_dir(path: Path, overwrite: bool) -> None:
101
- if path.exists():
102
- if not overwrite:
103
- raise FileExistsError(f"Output root already exists: {path}")
104
- shutil.rmtree(path)
105
- path.mkdir(parents=True, exist_ok=True)
106
-
107
-
108
- def link_or_copy(src: Path, dst: Path) -> None:
109
- src = src.resolve()
110
- ensure_dir(dst.parent)
111
- if dst.exists():
112
- return
113
- try:
114
- os.link(src, dst)
115
- except OSError:
116
- shutil.copy2(src, dst)
117
-
118
-
119
- def write_json(path: Path, payload: Any, *, compact: bool = False) -> None:
120
- ensure_dir(path.parent)
121
- kwargs = {"ensure_ascii": False}
122
- if not compact:
123
- kwargs["indent"] = 2
124
- path.write_text(json.dumps(payload, **kwargs) + "\n", encoding="utf-8")
125
-
126
-
127
- def write_jsonl(path: Path, rows: list[dict[str, Any]]) -> None:
128
- ensure_dir(path.parent)
129
- with path.open("w", encoding="utf-8") as handle:
130
- for row in rows:
131
- handle.write(json.dumps(row, ensure_ascii=False, separators=(",", ":")) + "\n")
132
-
133
-
134
- def safe_int(value: Any) -> int | None:
135
- if value is None or value == "":
136
- return None
137
- try:
138
- if pd.isna(value):
139
- return None
140
- except TypeError:
141
- pass
142
- try:
143
- return int(float(str(value).strip()))
144
- except ValueError:
145
- return None
146
-
147
-
148
- def normalize_ehrxqa_root(path: Path) -> tuple[Path, Path]:
149
- """Return (release_root, ehrxqa_dir)."""
150
- if (path / "ehrxqa" / "dataset").is_dir():
151
- return path, path / "ehrxqa"
152
- if (path / "dataset").is_dir() and (path / "database").is_dir():
153
- return path.parent, path
154
- raise FileNotFoundError(
155
- f"Could not find EHRXQA dataset/database under {path}. "
156
- "Pass either the 1.0.0 root or the 1.0.0/ehrxqa directory."
157
- )
158
-
159
-
160
- def load_release_rows(input_path: Path) -> list[dict[str, Any]]:
161
- rows: list[dict[str, Any]] = []
162
- with input_path.open("r", encoding="utf-8") as handle:
163
- for line_index, line in enumerate(handle):
164
- if not line.strip():
165
- continue
166
- row = json.loads(line)
167
- if row.get("source_benchmark") != "ehrxqa":
168
- continue
169
- match = QID_RE.match(str(row.get("qid") or ""))
170
- if not match:
171
- raise ValueError(f"Cannot parse EHRXQA qid: {row.get('qid')}")
172
- row["_source_line_index"] = line_index
173
- row["_source_split_from_qid"] = match.group("split")
174
- row["_source_id_from_qid"] = int(match.group("source_id"))
175
- rows.append(row)
176
- return rows
177
-
178
-
179
- def strip_asset_prefix(path: str) -> str:
180
- text = path.replace("\\", "/")
181
- if "/" in text and text.split("/", 1)[0].endswith("OriginalLinked_v1"):
182
- return text.split("/", 1)[1]
183
- return text
184
-
185
-
186
- def parse_image_ref(path: str) -> dict[str, Any]:
187
- stripped = strip_asset_prefix(path)
188
- match = IMAGE_RE.search(stripped)
189
- if not match:
190
- raise ValueError(f"Cannot parse EHRXQA image path: {path}")
191
- subject_id = int(match.group("subject_id"))
192
- study_id = int(match.group("study_id"))
193
- dicom_id = match.group("dicom_id")
194
- nested_relpath = (
195
- f"mimic-cxr/2.0.0/files/p{str(subject_id)[:2]}/p{subject_id}/"
196
- f"s{study_id}/{dicom_id}.jpg"
197
- )
198
- report_relpath = (
199
- f"mimic-cxr/2.0.0/mimic-cxr-reports/files/p{str(subject_id)[:2]}/"
200
- f"p{subject_id}/s{study_id}.txt"
201
- )
202
- return {
203
- "subject_id": subject_id,
204
- "study_id": study_id,
205
- "dicom_id": dicom_id,
206
- "image_relpath": nested_relpath,
207
- "report_relpath": report_relpath,
208
- }
209
-
210
-
211
- def nested_file_relpath(subject_id: int, study_id: int, dicom_id: str) -> str:
212
- return (
213
- f"mimic-cxr/2.0.0/files/p{str(subject_id)[:2]}/p{subject_id}/"
214
- f"s{study_id}/{dicom_id}.jpg"
215
- )
216
-
217
-
218
- def nested_report_relpath(subject_id: int, study_id: int) -> str:
219
- return (
220
- f"mimic-cxr/2.0.0/mimic-cxr-reports/files/p{str(subject_id)[:2]}/"
221
- f"p{subject_id}/s{study_id}.txt"
222
- )
223
-
224
-
225
- def find_cxr_image(
226
- cxr_root: Path,
227
- cxr_jpg_root: Path,
228
- subject_id: int,
229
- study_id: int,
230
- dicom_id: str,
231
- ) -> Path | None:
232
- nested = Path(nested_file_relpath(subject_id, study_id, dicom_id)).relative_to("mimic-cxr/2.0.0")
233
- flat_name = f"p{str(subject_id)[:2]}_p{subject_id}_s{study_id}_{dicom_id}.jpg"
234
- candidates = [
235
- cxr_root / nested,
236
- cxr_root / "files" / nested.relative_to("files"),
237
- cxr_root / "mimic-cxr" / "2.0.0" / nested,
238
- cxr_root / "2.0.0" / nested,
239
- cxr_root / "2.1.0" / nested,
240
- cxr_root / "2.1.0-lite" / nested,
241
- cxr_root / "2.1.0-working-subset" / nested,
242
- cxr_root / "mimic-cxr2" / flat_name,
243
- cxr_root / flat_name,
244
- cxr_jpg_root / nested,
245
- cxr_jpg_root / "files" / nested.relative_to("files"),
246
- cxr_jpg_root / "2.0.0" / nested,
247
- cxr_jpg_root / "2.1.0" / nested,
248
- cxr_jpg_root / "2.1.0-lite" / nested,
249
- cxr_jpg_root / "2.1.0-working-subset" / nested,
250
- cxr_jpg_root / "mimic-cxr2" / flat_name,
251
- cxr_jpg_root / flat_name,
252
- ]
253
- for candidate in candidates:
254
- if candidate.exists():
255
- return candidate
256
- return None
257
-
258
-
259
- def find_cxr_report(cxr_root: Path, subject_id: int, study_id: int) -> Path | None:
260
- nested = Path(nested_report_relpath(subject_id, study_id)).relative_to("mimic-cxr/2.0.0")
261
- candidates = [
262
- cxr_root / nested,
263
- cxr_root / "mimic-cxr-reports" / nested.relative_to("mimic-cxr-reports"),
264
- cxr_root / "mimic-cxr" / "2.0.0" / nested,
265
- cxr_root / "2.0.0" / nested,
266
- ]
267
- for candidate in candidates:
268
- if candidate.exists():
269
- return candidate
270
- return None
271
-
272
-
273
- def table_is_reference(table_name: str) -> bool:
274
- return table_name in REFERENCE_TABLES or table_name.startswith(REFERENCE_TABLE_PREFIXES)
275
-
276
-
277
- def load_source_records(ehrxqa_dir: Path, split: str, source_ids: set[int]) -> dict[int, dict[str, Any]]:
278
- path = ehrxqa_dir / "dataset" / f"{split}.json"
279
- rows = json.loads(path.read_text(encoding="utf-8"))
280
- by_id = {int(row["id"]): row for row in rows if int(row["id"]) in source_ids}
281
- missing = sorted(source_ids - set(by_id))
282
- if missing:
283
- raise ValueError(f"Missing EHRXQA source ids in {path}: {missing[:20]}")
284
- return by_id
285
-
286
-
287
- def load_tb_cxr(
288
- table_path: Path,
289
- selected_subjects: set[int],
290
- cxr_root: Path,
291
- cxr_jpg_root: Path,
292
- ) -> pd.DataFrame:
293
- frame = pd.read_csv(table_path)
294
- frame = frame[frame["subject_id"].isin(selected_subjects)].copy()
295
- frame = frame.where(pd.notna(frame), None)
296
- image_paths: list[str | None] = []
297
- report_paths: list[str | None] = []
298
- for row in frame.to_dict(orient="records"):
299
- subject_id = safe_int(row.get("subject_id"))
300
- study_id = safe_int(row.get("study_id"))
301
- dicom_id = str(row.get("image_id") or "").strip()
302
- if subject_id is None or study_id is None or not dicom_id:
303
- image_paths.append(None)
304
- report_paths.append(None)
305
- continue
306
- image_paths.append(
307
- nested_file_relpath(subject_id, study_id, dicom_id)
308
- if find_cxr_image(cxr_root, cxr_jpg_root, subject_id, study_id, dicom_id) is not None
309
- else None
310
- )
311
- report_paths.append(nested_report_relpath(subject_id, study_id))
312
- frame["image_path"] = image_paths
313
- frame["report_path"] = report_paths
314
- return frame
315
-
316
-
317
- def write_subset_tables(
318
- *,
319
- source_tables_dir: Path,
320
- output_tables_dir: Path,
321
- selected_subjects: set[int],
322
- selected_tb_cxr: pd.DataFrame,
323
- ) -> list[str]:
324
- ensure_dir(output_tables_dir)
325
- written: list[str] = []
326
- for csv_path in sorted(source_tables_dir.glob("*.csv")):
327
- table_name = csv_path.stem
328
- if table_name == "tb_cxr":
329
- frame = selected_tb_cxr
330
- else:
331
- header = pd.read_csv(csv_path, nrows=0)
332
- if table_is_reference(table_name) or "subject_id" not in header.columns:
333
- frame = pd.read_csv(csv_path)
334
- else:
335
- chunks = []
336
- for chunk in pd.read_csv(csv_path, chunksize=200_000):
337
- chunks.append(chunk[chunk["subject_id"].isin(selected_subjects)])
338
- frame = pd.concat(chunks, ignore_index=True) if chunks else header
339
- frame = frame.where(pd.notna(frame), None)
340
- out_path = output_tables_dir / csv_path.name
341
- frame.to_csv(out_path, index=False)
342
- written.append(table_name)
343
- for extra_name in ("mimic_iv_cxr.sql", "index.html"):
344
- src = source_tables_dir / extra_name
345
- if src.exists():
346
- link_or_copy(src, output_tables_dir / extra_name)
347
- return written
348
-
349
-
350
- def write_sqlite_from_csvs(tables_dir: Path, sqlite_path: Path) -> None:
351
- if sqlite_path.exists():
352
- sqlite_path.unlink()
353
- with sqlite3.connect(sqlite_path) as conn:
354
- for csv_path in sorted(tables_dir.glob("*.csv")):
355
- frame = pd.read_csv(csv_path)
356
- frame = frame.where(pd.notna(frame), None)
357
- frame.to_sql(csv_path.stem, conn, if_exists="replace", index=False)
358
-
359
-
360
- def copy_asset(src: Path | None, dst: Path, *, required: bool, label: str) -> bool:
361
- if src is None:
362
- if required:
363
- raise FileNotFoundError(f"Missing required {label}: {dst}")
364
- return False
365
- link_or_copy(src, dst)
366
- return True
367
-
368
-
369
- def main() -> None:
370
- args = parse_args()
371
- reset_dir(args.output_root, args.overwrite)
372
-
373
- release_root, ehrxqa_dir = normalize_ehrxqa_root(args.ehrxqa_root)
374
- rows = load_release_rows(args.input)
375
- if not rows:
376
- raise ValueError(f"No EHRXQA rows found in {args.input}")
377
-
378
- split_ids: dict[str, set[int]] = {}
379
- for row in rows:
380
- split_ids.setdefault(row["_source_split_from_qid"], set()).add(row["_source_id_from_qid"])
381
- if set(split_ids) != {"test"}:
382
- raise ValueError(f"This release subset expects only EHRXQA test rows, got {sorted(split_ids)}")
383
- source_by_id = load_source_records(ehrxqa_dir, "test", split_ids["test"])
384
-
385
- linked_study_ids: set[int] = set()
386
- linked_image_refs: dict[tuple[int, int, str], dict[str, Any]] = {}
387
- for row in rows:
388
- for image_path in row.get("image_paths") or []:
389
- ref = parse_image_ref(image_path)
390
- linked_study_ids.add(ref["study_id"])
391
- linked_image_refs[(ref["subject_id"], ref["study_id"], ref["dicom_id"])] = ref
392
-
393
- selected_subjects = {int(row["subject_id"]) for row in rows}
394
- source_tables_dir = ehrxqa_dir / "database" / "gold"
395
- selected_tb_cxr = load_tb_cxr(
396
- source_tables_dir / "tb_cxr.csv",
397
- selected_subjects,
398
- args.cxr_root,
399
- args.cxr_jpg_root,
400
- )
401
- tb_cxr_by_study = {
402
- int(record["study_id"]): record
403
- for record in selected_tb_cxr.to_dict(orient="records")
404
- if safe_int(record.get("study_id")) is not None
405
- }
406
-
407
- output_ehrxqa_dir = args.output_root / "source_release" / "1.0.0" / "ehrxqa"
408
- output_dataset_dir = output_ehrxqa_dir / "dataset"
409
- output_tables_dir = output_ehrxqa_dir / "database" / "gold"
410
- subset_source_rows = [source_by_id[row["_source_id_from_qid"]] for row in rows]
411
- write_json(output_dataset_dir / "test.json", subset_source_rows)
412
- written_tables = write_subset_tables(
413
- source_tables_dir=source_tables_dir,
414
- output_tables_dir=output_tables_dir,
415
- selected_subjects=selected_subjects,
416
- selected_tb_cxr=selected_tb_cxr,
417
- )
418
- sqlite_relpath = "source_release/1.0.0/ehrxqa/database/gold/mimic_iv_cxr.sqlite"
419
- write_sqlite_from_csvs(output_tables_dir, args.output_root / sqlite_relpath)
420
-
421
- for rel in ("index.html", "LICENSE.txt", "SHA256SUMS.txt"):
422
- src = release_root / rel
423
- if src.exists():
424
- link_or_copy(src, args.output_root / "source_release" / "1.0.0" / rel)
425
-
426
- copied_images = 0
427
- copied_reports = 0
428
- missing_nonlinked_assets = 0
429
- asset_rows = selected_tb_cxr.to_dict(orient="records")
430
- for asset_row in asset_rows:
431
- subject_id = safe_int(asset_row.get("subject_id"))
432
- study_id = safe_int(asset_row.get("study_id"))
433
- dicom_id = str(asset_row.get("image_id") or "").strip()
434
- if subject_id is None or study_id is None or not dicom_id:
435
- continue
436
- linked = (subject_id, study_id, dicom_id) in linked_image_refs
437
- image_rel = nested_file_relpath(subject_id, study_id, dicom_id)
438
- report_rel = nested_report_relpath(subject_id, study_id)
439
- image_src = find_cxr_image(args.cxr_root, args.cxr_jpg_root, subject_id, study_id, dicom_id)
440
- report_src = find_cxr_report(args.cxr_root, subject_id, study_id)
441
- if copy_asset(image_src, args.output_root / image_rel, required=linked, label="CXR image"):
442
- copied_images += 1
443
- else:
444
- missing_nonlinked_assets += 1
445
- if copy_asset(report_src, args.output_root / report_rel, required=linked, label="CXR report"):
446
- copied_reports += 1
447
- else:
448
- missing_nonlinked_assets += 1
449
-
450
- manifest_rows: list[dict[str, Any]] = []
451
- for row in rows:
452
- source_id = row["_source_id_from_qid"]
453
- source_row = source_by_id[source_id]
454
- packaged_images = [strip_asset_prefix(path) for path in row.get("image_paths") or []]
455
- packaged_reports = [strip_asset_prefix(path) for path in row.get("report_paths") or []]
456
- study_ids = []
457
- dicom_ids = []
458
- raw_images = []
459
- raw_reports = []
460
- for image_path in packaged_images:
461
- ref = parse_image_ref(image_path)
462
- study_ids.append(ref["study_id"])
463
- dicom_ids.append(ref["dicom_id"])
464
- raw_images.append(str(Path("files") / Path(ref["image_relpath"]).relative_to("mimic-cxr/2.0.0/files")))
465
- for report_path in packaged_reports:
466
- raw_reports.append(
467
- str(Path("mimic-cxr-reports") / Path(report_path).relative_to("mimic-cxr/2.0.0/mimic-cxr-reports"))
468
- )
469
- manifest_rows.append(
470
- {
471
- "qid": row.get("qid"),
472
- "source_line_index": row.get("_source_line_index"),
473
- "source_index": row.get("source_index"),
474
- "source_benchmark": "ehrxqa",
475
- "task": row.get("task"),
476
- "source_split": row.get("source_split"),
477
- "source_id": source_id,
478
- "variant": "gold",
479
- "subject_id": row.get("subject_id"),
480
- "hadm_id": row.get("hadm_id"),
481
- "stay_id": row.get("stay_id"),
482
- "prediction_time": row.get("prediction_time"),
483
- "question": row.get("question"),
484
- "released_input_text": row.get("input_text"),
485
- "source_question": source_row.get("question"),
486
- "source_sql": source_row.get("query"),
487
- "source_template": source_row.get("template"),
488
- "source_value": source_row.get("value"),
489
- "source_answer": source_row.get("answer"),
490
- "ground_truth": row.get("ground_truth"),
491
- "answer_type": row.get("answer_type"),
492
- "modalities": row.get("modalities") or ["cxr_table", "cxr_image"],
493
- "study_ids": study_ids,
494
- "dicom_ids": dicom_ids,
495
- "packaged_db_relpath": sqlite_relpath,
496
- "packaged_table_root_relpath": "source_release/1.0.0/ehrxqa/database/gold",
497
- "packaged_image_relpaths": packaged_images,
498
- "packaged_report_relpaths": packaged_reports,
499
- "raw_image_source_relpaths": raw_images,
500
- "raw_report_source_relpaths": raw_reports,
501
- "source_dataset_relpath": "source_release/1.0.0/ehrxqa/dataset/test.json",
502
- "tb_cxr_context_rows": len(
503
- [record for record in asset_rows if safe_int(record.get("subject_id")) == row.get("subject_id")]
504
- ),
505
- }
506
- )
507
-
508
- write_jsonl(args.output_root / "linked_manifests" / "test.jsonl", manifest_rows)
509
-
510
- readme = """# ClinSeek-MM-Bench-EHRXQA-source
511
-
512
- This package is the source-aligned EHRXQA subset used by ClinSeek MM-Bench.
513
- It contains only the EHRXQA rows present in `inputs/mm_bench.jsonl`.
514
-
515
- Required source downloads:
516
-
517
- - EHRXQA 1.0.0 answered release: `$EHRXQA_ROOT`
518
- - MIMIC-CXR / MIMIC-CXR-JPG files and reports: `$MIMIC_CXR_ROOT`
519
- - MIMIC-CXR-JPG fallback root: `$MIMIC_CXR_JPG_ROOT`
520
- - MIMIC-IV latest local release kept for provenance: `$MIMICIV_ROOT`
521
- - MIMIC-IV-Note kept for provenance when local notes are inspected: `$MIMIC_IV_NOTE_ROOT`
522
-
523
- Contents:
524
-
525
- - `source_release/1.0.0/ehrxqa/dataset/test.json`: official EHRXQA rows selected by ClinSeek.
526
- - `source_release/1.0.0/ehrxqa/database/gold/`: official-schema subset tables.
527
- - `source_release/1.0.0/ehrxqa/database/gold/mimic_iv_cxr.sqlite`: SQLite materialization of the subset tables.
528
- - `linked_manifests/test.jsonl`: row-level provenance and package-relative asset paths.
529
- - `mimic-cxr/2.0.0/...`: packaged CXR JPG and report TXT assets for selected patient context.
530
-
531
- The linked manifest is a provenance artifact. It contains gold answers and the
532
- original EHRXQA SQL fields, so it must not be used as the runtime model input.
533
- """
534
- (args.output_root / "README.md").write_text(readme, encoding="utf-8")
535
-
536
- metadata = {
537
- "package_name": "ClinSeek-MM-Bench-EHRXQA-source",
538
- "input": "CLINSEEK_MM_BENCH_JSONL",
539
- "records": len(manifest_rows),
540
- "subjects": len(selected_subjects),
541
- "variant": "gold",
542
- "source_splits": dict(Counter(row["source_split"] for row in manifest_rows)),
543
- "written_tables": written_tables,
544
- "tb_cxr_context_rows": len(asset_rows),
545
- "unique_linked_images": len({p for row in manifest_rows for p in row["packaged_image_relpaths"]}),
546
- "unique_linked_reports": len({p for row in manifest_rows for p in row["packaged_report_relpaths"]}),
547
- "copied_images": copied_images,
548
- "copied_reports": copied_reports,
549
- "missing_nonlinked_context_assets": missing_nonlinked_assets,
550
- "source_path_env_vars": {
551
- "ehrxqa_root": "EHRXQA_ROOT",
552
- "cxr_root": "MIMIC_CXR_ROOT",
553
- "cxr_jpg_root": "MIMIC_CXR_JPG_ROOT",
554
- "mimiciv_root": "MIMICIV_ROOT",
555
- "mimic_iv_note_root": "MIMIC_IV_NOTE_ROOT",
556
- },
557
- "path_contract": {
558
- "manifest_paths": "relative_to_package_root",
559
- "packaged_image_relpaths": "relative_to_package_root",
560
- "packaged_report_relpaths": "relative_to_package_root",
561
- "raw_image_source_relpaths": "relative_to_MIMIC_CXR_ROOT_or_MIMIC_CXR_JPG_ROOT",
562
- "raw_report_source_relpaths": "relative_to_MIMIC_CXR_ROOT",
563
- },
564
- }
565
- write_json(args.output_root / "metadata.json", metadata)
566
- print(json.dumps(metadata, ensure_ascii=False, indent=2))
567
-
568
-
569
- if __name__ == "__main__":
570
- main()
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
rebuild/mm_bench/build_medmod_clinseek_mm_subset.py DELETED
@@ -1,679 +0,0 @@
1
- #!/usr/bin/env python3
2
- """Convert a source-aligned MedMod subset into ClinSeek-MM-Bench format.
3
-
4
- Input is the package produced by build_medmod_release_original_subset.py.
5
- Output is a compact release tree with:
6
-
7
- - inputs/mm_bench_medmod.jsonl
8
- - data/mm_bench/medmod/database/patient_<subject_id>.db
9
- - data/mm_bench/medmod/mimic-cxr/2.0.0/files/...
10
- - data/mm_bench/medmod/table_description/*
11
- """
12
-
13
- from __future__ import annotations
14
-
15
- import argparse
16
- import csv
17
- import json
18
- import os
19
- import shutil
20
- import sqlite3
21
- import sys
22
- from collections import Counter, defaultdict
23
- from datetime import datetime
24
- from pathlib import Path
25
- from typing import Any
26
-
27
- import pandas as pd
28
-
29
-
30
- REPO_ROOT = Path(__file__).resolve().parents[2]
31
- SRC_ROOT = REPO_ROOT / "src"
32
- if str(SRC_ROOT) not in sys.path:
33
- sys.path.insert(0, str(SRC_ROOT))
34
-
35
- DEFAULT_ORIGINAL_ROOT = Path(
36
- os.environ.get(
37
- "MEDMOD_ORIGINAL_SUBSET_ROOT",
38
- "data/build/ClinSeek-MM-Bench-MedMod-source",
39
- )
40
- )
41
- DEFAULT_OUTPUT_ROOT = Path(
42
- os.environ.get(
43
- "CLINSEEK_MEDMOD_MM_ROOT",
44
- "data/build/ClinSeek-MM-Bench-MedMod",
45
- )
46
- )
47
-
48
- LEAKY_STAY_COLUMNS = {
49
- "outtime",
50
- "los",
51
- "dischtime",
52
- "deathtime",
53
- "dod",
54
- "mortality_inunit",
55
- "mortality",
56
- "mortality_inhospital",
57
- }
58
-
59
- TIME_COLUMNS = {
60
- "events": "charttime",
61
- "stays": "intime",
62
- "tb_cxr": "studydatetime",
63
- }
64
-
65
-
66
- def parse_args() -> argparse.Namespace:
67
- parser = argparse.ArgumentParser(description=__doc__)
68
- parser.add_argument("--original-root", type=Path, default=DEFAULT_ORIGINAL_ROOT)
69
- parser.add_argument("--output-root", type=Path, default=DEFAULT_OUTPUT_ROOT)
70
- parser.add_argument("--asset-prefix", default="MedModOriginalLinked_v1")
71
- parser.add_argument("--max-table-rows", type=int, default=80)
72
- parser.add_argument(
73
- "--patient-db-scope",
74
- choices=("selected_stays", "full_subject"),
75
- default="selected_stays",
76
- help=(
77
- "Build patient DBs from only the official stays selected by the release manifest, or from the "
78
- "whole extracted subject folder."
79
- ),
80
- )
81
- parser.add_argument("--overwrite", action="store_true")
82
- parser.add_argument(
83
- "--render-input-text",
84
- action="store_true",
85
- help="Render input_text from the rebuilt patient DB instead of preserving the released HF JSONL field.",
86
- )
87
- return parser.parse_args()
88
-
89
-
90
- def ensure_dir(path: Path) -> None:
91
- path.mkdir(parents=True, exist_ok=True)
92
-
93
-
94
- def reset_dir(path: Path, overwrite: bool) -> None:
95
- if path.exists():
96
- if not overwrite:
97
- raise FileExistsError(f"Output root already exists: {path}")
98
- shutil.rmtree(path)
99
- path.mkdir(parents=True, exist_ok=True)
100
-
101
-
102
- def link_or_copy(src: Path, dst: Path) -> None:
103
- src = src.resolve()
104
- ensure_dir(dst.parent)
105
- if dst.exists():
106
- return
107
- try:
108
- os.link(src, dst)
109
- except OSError:
110
- shutil.copy2(src, dst)
111
-
112
-
113
- def write_json(path: Path, payload: Any) -> None:
114
- ensure_dir(path.parent)
115
- path.write_text(json.dumps(payload, ensure_ascii=False, indent=2) + "\n", encoding="utf-8")
116
-
117
-
118
- def read_jsonl(path: Path) -> list[dict[str, Any]]:
119
- rows = []
120
- with path.open("r", encoding="utf-8") as handle:
121
- for line in handle:
122
- rows.append(json.loads(line))
123
- return rows
124
-
125
-
126
- def safe_int(value: Any) -> int | None:
127
- if value is None or value == "":
128
- return None
129
- try:
130
- if pd.isna(value):
131
- return None
132
- except TypeError:
133
- pass
134
- try:
135
- return int(float(str(value).strip()))
136
- except ValueError:
137
- return None
138
-
139
-
140
- def compact_value(value: Any) -> Any:
141
- try:
142
- if pd.isna(value):
143
- return ""
144
- except TypeError:
145
- pass
146
- if hasattr(value, "isoformat"):
147
- return value.isoformat(sep=" ")
148
- return value
149
-
150
-
151
- def parse_datetime(value: Any) -> datetime | None:
152
- if not value:
153
- return None
154
- if isinstance(value, datetime):
155
- return value
156
- text = str(value)
157
- for fmt in ("%Y-%m-%d %H:%M:%S", "%Y-%m-%d %H:%M:%S.%f"):
158
- try:
159
- return datetime.strptime(text, fmt)
160
- except ValueError:
161
- pass
162
- return None
163
-
164
-
165
- def study_datetime_from_metadata(record: dict[str, Any]) -> str | None:
166
- date = record.get("StudyDate")
167
- time = record.get("StudyTime")
168
- if date in (None, "") or time in (None, ""):
169
- return None
170
- try:
171
- time_text = f"{int(float(time)):06d}"
172
- dt = datetime.strptime(f"{int(float(date))} {time_text}", "%Y%m%d %H%M%S")
173
- return dt.strftime("%Y-%m-%d %H:%M:%S")
174
- except (TypeError, ValueError):
175
- return None
176
-
177
-
178
- def load_manifest(original_root: Path) -> list[dict[str, Any]]:
179
- manifest = original_root / "linked_manifests" / "all.jsonl"
180
- if not manifest.exists():
181
- raise FileNotFoundError(f"Missing source manifest: {manifest}")
182
- return read_jsonl(manifest)
183
-
184
-
185
- def load_cxr_metadata(original_root: Path) -> tuple[dict[str, dict[str, Any]], dict[str, str]]:
186
- meta_root = original_root / "source_release" / "cxr_metadata"
187
- metadata_path = meta_root / "mimic-cxr-2.0.0-metadata.csv"
188
- if not metadata_path.exists():
189
- raise FileNotFoundError(f"Missing packaged CXR metadata: {metadata_path}")
190
- metadata_df = pd.read_csv(metadata_path)
191
- metadata_by_dicom = {
192
- str(record["dicom_id"]): record for record in metadata_df.to_dict(orient="records")
193
- }
194
-
195
- split_by_dicom: dict[str, str] = {}
196
- split_path = meta_root / "mimic-cxr-2.0.0-split.csv"
197
- if split_path.exists():
198
- split_df = pd.read_csv(split_path)
199
- if {"dicom_id", "split"}.issubset(split_df.columns):
200
- split_by_dicom = {
201
- str(record["dicom_id"]): str(record["split"])
202
- for record in split_df.to_dict(orient="records")
203
- }
204
- return metadata_by_dicom, split_by_dicom
205
-
206
-
207
- def build_tb_cxr_rows(
208
- manifest_rows: list[dict[str, Any]],
209
- metadata_by_dicom: dict[str, dict[str, Any]],
210
- split_by_dicom: dict[str, str],
211
- ) -> dict[int, pd.DataFrame]:
212
- rows_by_subject: dict[int, list[dict[str, Any]]] = defaultdict(list)
213
- seen: set[tuple[int, int, str, int | None]] = set()
214
- for sample in manifest_rows:
215
- subject_id = safe_int(sample.get("subject_id"))
216
- hadm_id = safe_int(sample.get("hadm_id"))
217
- stay_id = safe_int(sample.get("stay_id"))
218
- if subject_id is None:
219
- continue
220
- for study_id, dicom_id, image_relpath in zip(
221
- sample.get("study_ids") or [],
222
- sample.get("dicom_ids") or [],
223
- sample.get("packaged_image_relpaths") or [],
224
- ):
225
- study_id_int = safe_int(study_id)
226
- if study_id_int is None:
227
- continue
228
- key = (subject_id, study_id_int, str(dicom_id), stay_id)
229
- if key in seen:
230
- continue
231
- seen.add(key)
232
- metadata = metadata_by_dicom.get(str(dicom_id), {})
233
- rows_by_subject[subject_id].append(
234
- {
235
- "subject_id": subject_id,
236
- "study_id": study_id_int,
237
- "studydatetime": study_datetime_from_metadata(metadata)
238
- or sample.get("prediction_time"),
239
- "split": split_by_dicom.get(str(dicom_id), sample.get("source_split") or "test"),
240
- "image_id": str(dicom_id),
241
- "image_path": image_relpath,
242
- "viewposition": str(metadata.get("ViewPosition") or "AP"),
243
- "hadm_id": hadm_id,
244
- "stay_id": stay_id,
245
- }
246
- )
247
- return {
248
- subject_id: pd.DataFrame(rows).sort_values(["studydatetime", "study_id", "image_id"])
249
- for subject_id, rows in rows_by_subject.items()
250
- }
251
-
252
-
253
- def sanitize_stays(frame: pd.DataFrame) -> pd.DataFrame:
254
- drop_cols = [col for col in frame.columns if col.lower() in LEAKY_STAY_COLUMNS]
255
- return frame.drop(columns=drop_cols) if drop_cols else frame
256
-
257
-
258
- def write_frame(conn: sqlite3.Connection, table_name: str, frame: pd.DataFrame) -> None:
259
- clean = frame.where(pd.notna(frame), None)
260
- clean.to_sql(table_name, conn, if_exists="replace", index=False)
261
-
262
-
263
- def quote_identifier(name: str) -> str:
264
- return '"' + name.replace('"', '""') + '"'
265
-
266
-
267
- def csv_value(value: Any) -> Any:
268
- if value is None or value == "":
269
- return None
270
- return value
271
-
272
-
273
- def create_text_table(
274
- conn: sqlite3.Connection,
275
- table_name: str,
276
- columns: list[str],
277
- rows: list[list[Any]],
278
- ) -> None:
279
- q_table = quote_identifier(table_name)
280
- column_sql = ", ".join(f"{quote_identifier(column)} TEXT" for column in columns)
281
- conn.execute(f"CREATE TABLE {q_table} ({column_sql})")
282
- if not rows:
283
- return
284
- placeholders = ", ".join(["?"] * len(columns))
285
- conn.executemany(f"INSERT INTO {q_table} VALUES ({placeholders})", rows)
286
-
287
-
288
- def sample_stay_ids(samples: list[dict[str, Any]]) -> set[int]:
289
- stay_ids: set[int] = set()
290
- for sample in samples:
291
- for candidate in (
292
- sample.get("stay_id"),
293
- (sample.get("official_data_full_row") or {}).get("stay_id")
294
- if isinstance(sample.get("official_data_full_row"), dict)
295
- else None,
296
- (sample.get("official_listfile_row") or {}).get("stay_id")
297
- if isinstance(sample.get("official_listfile_row"), dict)
298
- else None,
299
- ):
300
- stay_id = safe_int(candidate)
301
- if stay_id is not None:
302
- stay_ids.add(stay_id)
303
- return stay_ids
304
-
305
-
306
- def filter_frame_to_stays(frame: pd.DataFrame, stay_ids: set[int]) -> pd.DataFrame:
307
- if not stay_ids or "stay_id" not in frame.columns:
308
- return frame
309
- numeric_stay_ids = pd.to_numeric(frame["stay_id"], errors="coerce").astype("Int64")
310
- return frame[numeric_stay_ids.isin(stay_ids)].copy()
311
-
312
-
313
- def write_csv_table(
314
- conn: sqlite3.Connection,
315
- table_name: str,
316
- csv_path: Path,
317
- *,
318
- stay_ids: set[int],
319
- drop_lower_columns: set[str] | None = None,
320
- ) -> None:
321
- drop_lower_columns = drop_lower_columns or set()
322
- with csv_path.open("r", encoding="utf-8", newline="") as handle:
323
- reader = csv.reader(handle)
324
- source_columns = next(reader)
325
- keep_indexes = [
326
- index
327
- for index, column in enumerate(source_columns)
328
- if column.lower() not in drop_lower_columns
329
- ]
330
- columns = [source_columns[index] for index in keep_indexes]
331
- stay_index = source_columns.index("stay_id") if "stay_id" in source_columns else None
332
- rows: list[list[Any]] = []
333
- for row in reader:
334
- if stay_ids and stay_index is not None:
335
- stay_id = safe_int(row[stay_index] if stay_index < len(row) else None)
336
- if stay_id not in stay_ids:
337
- continue
338
- rows.append([csv_value(row[index]) if index < len(row) else None for index in keep_indexes])
339
- create_text_table(conn, table_name, columns, rows)
340
-
341
-
342
- def build_patient_db(
343
- *,
344
- original_root: Path,
345
- samples: list[dict[str, Any]],
346
- output_db: Path,
347
- tb_cxr: pd.DataFrame | None,
348
- patient_db_scope: str,
349
- ) -> None:
350
- ensure_dir(output_db.parent)
351
- if not samples:
352
- raise ValueError("Cannot build MedMod patient DB from an empty sample list")
353
- sample = samples[0]
354
- subject_dirs = sample.get("ehr_subject_relpaths") or []
355
- if not subject_dirs:
356
- raise FileNotFoundError(f"Sample has no EHR subject path: {sample.get('qid')}")
357
- subject_dir = original_root / subject_dirs[0]
358
- if not subject_dir.is_dir():
359
- raise FileNotFoundError(f"Missing EHR subject dir: {subject_dir}")
360
- stay_ids = sample_stay_ids(samples) if patient_db_scope == "selected_stays" else set()
361
- with sqlite3.connect(output_db) as conn:
362
- conn.execute("PRAGMA journal_mode=OFF")
363
- conn.execute("PRAGMA synchronous=OFF")
364
- events_path = subject_dir / "events.csv"
365
- stays_path = subject_dir / "stays.csv"
366
- if events_path.exists():
367
- write_csv_table(conn, "events", events_path, stay_ids=stay_ids)
368
- if stays_path.exists():
369
- write_csv_table(
370
- conn,
371
- "stays",
372
- stays_path,
373
- stay_ids=stay_ids,
374
- drop_lower_columns=LEAKY_STAY_COLUMNS,
375
- )
376
- if tb_cxr is not None and not tb_cxr.empty:
377
- write_frame(conn, "tb_cxr", filter_frame_to_stays(tb_cxr, stay_ids))
378
- conn.commit()
379
-
380
-
381
- def materialize_patient_db(
382
- *,
383
- original_root: Path,
384
- samples: list[dict[str, Any]],
385
- output_db: Path,
386
- tb_cxr: pd.DataFrame | None,
387
- patient_db_scope: str,
388
- ) -> str:
389
- if not samples:
390
- raise ValueError("Cannot materialize MedMod patient DB from an empty sample list")
391
- sample = samples[0]
392
- subject_id = safe_int(sample.get("subject_id"))
393
- if subject_id is None:
394
- raise ValueError(f"Missing subject_id for {sample.get('qid')}")
395
- build_patient_db(
396
- original_root=original_root,
397
- samples=samples,
398
- output_db=output_db,
399
- tb_cxr=tb_cxr,
400
- patient_db_scope=patient_db_scope,
401
- )
402
- return f"source_aligned_{patient_db_scope}"
403
-
404
-
405
- def filter_by_cutoff(table_name: str, frame: pd.DataFrame, cutoff: datetime | None) -> pd.DataFrame:
406
- if cutoff is None:
407
- return frame.copy()
408
- column = TIME_COLUMNS.get(table_name)
409
- if not column or column not in frame.columns:
410
- return frame.copy()
411
- parsed = pd.to_datetime(frame[column], errors="coerce")
412
- return frame[parsed.isna() | (parsed <= pd.Timestamp(cutoff))].copy()
413
-
414
-
415
- def table_to_text(table_name: str, frame: pd.DataFrame, max_rows: int) -> str:
416
- total = len(frame)
417
- if total == 0:
418
- return f"### {table_name}\nRows visible before cutoff: 0\n"
419
- sort_col = TIME_COLUMNS.get(table_name)
420
- display = frame
421
- if sort_col and sort_col in display.columns:
422
- display = display.sort_values(sort_col, kind="stable")
423
- if max_rows and len(display) > max_rows:
424
- display = display.tail(max_rows)
425
- shown = f"latest {len(display)} of {total}"
426
- else:
427
- shown = f"{total} of {total}"
428
- clean = display.copy()
429
- for column in clean.columns:
430
- clean[column] = clean[column].map(compact_value)
431
- return (
432
- f"### {table_name}\n"
433
- f"Rows visible before cutoff: {total}; rows included below: {shown}\n"
434
- f"{clean.to_csv(index=False)}"
435
- )
436
-
437
-
438
- def render_ehr_context_from_manager(manager: Any, sample: dict[str, Any], max_table_rows: int) -> str:
439
- manager.load_ehr_for_sample(str(sample["subject_id"]), sample["prediction_time"])
440
- blocks = []
441
- for table_name in sorted(manager.ehr_data):
442
- blocks.append(table_to_text(table_name, manager.ehr_data[table_name], max_table_rows))
443
- return "\n".join(blocks).strip()
444
-
445
-
446
- def render_ehr_context(db_path: Path, prediction_time: str, max_table_rows: int) -> str:
447
- cutoff = parse_datetime(prediction_time)
448
- blocks: list[str] = []
449
- with sqlite3.connect(db_path) as conn:
450
- table_names = [
451
- row[0]
452
- for row in conn.execute("SELECT name FROM sqlite_master WHERE type='table' ORDER BY name")
453
- ]
454
- for table_name in table_names:
455
- frame = pd.read_sql_query(f'SELECT * FROM "{table_name}"', conn)
456
- visible = filter_by_cutoff(table_name, frame, cutoff)
457
- blocks.append(table_to_text(table_name, visible, max_table_rows))
458
- return "\n".join(blocks).strip()
459
-
460
-
461
- def build_input_text(sample: dict[str, Any], image_paths: list[str], ehr_text: str) -> str:
462
- return "\n\n".join(
463
- [
464
- str(sample.get("question") or "").strip(),
465
- "<ehr_context>",
466
- ehr_text,
467
- "</ehr_context>",
468
- "<image_inputs>",
469
- "\n".join(f"- {path}" for path in image_paths) if image_paths else "NONE",
470
- "</image_inputs>",
471
- ]
472
- )
473
-
474
-
475
- def write_table_descriptions(benchmark_root: Path) -> None:
476
- database_root = benchmark_root / "database"
477
- table_desc_root = benchmark_root / "table_description"
478
- ensure_dir(table_desc_root)
479
- schemas: dict[str, list[str]] = {}
480
- for db_path in sorted(database_root.glob("patient_*.db"))[:50]:
481
- with sqlite3.connect(db_path) as conn:
482
- for (table_name,) in conn.execute("SELECT name FROM sqlite_master WHERE type='table'"):
483
- columns = [row[1] for row in conn.execute(f'PRAGMA table_info("{table_name}")')]
484
- known = schemas.setdefault(table_name, [])
485
- for column in columns:
486
- if column not in known:
487
- known.append(column)
488
- desc_records = [
489
- {
490
- "file_name": table_name,
491
- "class": "ehr",
492
- "description": f"Schema extracted from MedMod subset table '{table_name}'.",
493
- "columns": [
494
- {
495
- "column_name": column,
496
- "description": f"Column '{column}' in table '{table_name}'.",
497
- }
498
- for column in columns
499
- ],
500
- }
501
- for table_name, columns in sorted(schemas.items())
502
- ]
503
- with (table_desc_root / "shorten_description.json").open("w", encoding="utf-8") as handle:
504
- for record in desc_records:
505
- handle.write(json.dumps(record, ensure_ascii=False) + "\n")
506
- (table_desc_root / "link_information.json").write_text("", encoding="utf-8")
507
-
508
-
509
- def write_runtime_metadata(benchmark_root: Path) -> None:
510
- write_json(
511
- benchmark_root / "metadata.json",
512
- {
513
- "package_name": "ClinSeek-MM-Bench-MedMod-runtime",
514
- "leakage_policy": {
515
- "sanitize_datetime_columns": True,
516
- "mask_future_datetime_columns": True,
517
- "row_timestamp_columns": TIME_COLUMNS,
518
- "datetime_columns": {
519
- "events": ["charttime"],
520
- "stays": ["intime", "admittime"],
521
- "tb_cxr": ["studydatetime"],
522
- },
523
- "drop_columns": {
524
- "stays": sorted(LEAKY_STAY_COLUMNS),
525
- },
526
- },
527
- "path_contract": {
528
- "db_path_hint": "relative_to_benchmark_root",
529
- "image_paths": "relative_to_benchmark_root",
530
- "report_paths": "relative_to_benchmark_root",
531
- "tb_cxr.image_path": "relative_to_benchmark_root",
532
- },
533
- },
534
- )
535
-
536
-
537
- def main() -> None:
538
- args = parse_args()
539
- reset_dir(args.output_root, args.overwrite)
540
- manifest_rows = load_manifest(args.original_root)
541
- metadata_by_dicom, split_by_dicom = load_cxr_metadata(args.original_root)
542
- tb_cxr_by_subject = build_tb_cxr_rows(manifest_rows, metadata_by_dicom, split_by_dicom)
543
-
544
- bench_root = args.output_root / "data" / "mm_bench" / "medmod"
545
- database_root = bench_root / "database"
546
- inputs_root = args.output_root / "inputs"
547
- ensure_dir(database_root)
548
- ensure_dir(inputs_root)
549
-
550
- by_subject: dict[int, list[dict[str, Any]]] = defaultdict(list)
551
- for sample in manifest_rows:
552
- subject_id = safe_int(sample.get("subject_id"))
553
- if subject_id is not None:
554
- by_subject[subject_id].append(sample)
555
-
556
- db_source_counts = Counter()
557
- for subject_id, samples in sorted(by_subject.items()):
558
- source = materialize_patient_db(
559
- original_root=args.original_root,
560
- samples=samples,
561
- output_db=database_root / f"patient_{subject_id}.db",
562
- tb_cxr=tb_cxr_by_subject.get(subject_id),
563
- patient_db_scope=args.patient_db_scope,
564
- )
565
- db_source_counts[source] += 1
566
-
567
- write_table_descriptions(bench_root)
568
- write_runtime_metadata(bench_root)
569
-
570
- ehr_manager = None
571
- need_rendered_input_text = args.render_input_text or any(
572
- not sample.get("released_input_text") for sample in manifest_rows
573
- )
574
- if need_rendered_input_text:
575
- try:
576
- from agentlite.commons.EHRManager import EHRManager # type: ignore
577
-
578
- ehr_manager = EHRManager(str(bench_root))
579
- except Exception as exc: # pragma: no cover - fallback for portable envs
580
- print({"ehr_manager_unavailable": repr(exc)}, flush=True)
581
-
582
- output_rows: list[dict[str, Any]] = []
583
- stats = Counter()
584
- for index, sample in enumerate(manifest_rows):
585
- subject_id = safe_int(sample.get("subject_id"))
586
- if subject_id is None:
587
- raise ValueError(f"Missing subject_id: {sample.get('qid')}")
588
- rel_images = list(sample.get("packaged_image_relpaths") or [])
589
- rel_reports = list(sample.get("packaged_report_relpaths") or [])
590
- for relpath in rel_images + rel_reports:
591
- link_or_copy(args.original_root / relpath, bench_root / relpath)
592
- prefixed_images = [f"{args.asset_prefix}/{relpath}" for relpath in rel_images]
593
- prefixed_reports = [f"{args.asset_prefix}/{relpath}" for relpath in rel_reports]
594
- db_path = database_root / f"patient_{subject_id}.db"
595
- if args.render_input_text or not sample.get("released_input_text"):
596
- if ehr_manager is not None:
597
- ehr_text = render_ehr_context_from_manager(ehr_manager, sample, args.max_table_rows)
598
- else:
599
- ehr_text = render_ehr_context(db_path, str(sample.get("prediction_time")), args.max_table_rows)
600
- input_text = build_input_text(sample, prefixed_images, ehr_text)
601
- else:
602
- input_text = sample.get("released_input_text")
603
- output_rows.append(
604
- {
605
- "qid": sample.get("qid"),
606
- "source_index": sample.get("source_index"),
607
- "source_benchmark": "medmod",
608
- "task": sample.get("source_task"),
609
- "source_split": sample.get("source_split"),
610
- "subject_id": sample.get("subject_id"),
611
- "hadm_id": sample.get("hadm_id"),
612
- "stay_id": sample.get("stay_id"),
613
- "prediction_time": sample.get("prediction_time"),
614
- "question": sample.get("question"),
615
- "input_text": input_text,
616
- "image_paths": prefixed_images,
617
- "report_paths": prefixed_reports,
618
- "ground_truth": sample.get("ground_truth"),
619
- "answer_type": sample.get("answer_type"),
620
- "modalities": sample.get("modalities") or ["ehr", "cxr"],
621
- }
622
- )
623
- stats[f"task:{sample.get('source_task')}"] += 1
624
- if (index + 1) % 100 == 0:
625
- print({"rendered_rows": index + 1, "total": len(manifest_rows)}, flush=True)
626
-
627
- output_path = inputs_root / "mm_bench_medmod.jsonl"
628
- with output_path.open("w", encoding="utf-8") as handle:
629
- for row in output_rows:
630
- handle.write(json.dumps(row, ensure_ascii=False, separators=(",", ":")) + "\n")
631
-
632
- metadata = {
633
- "package_name": "ClinSeek-MM-Bench-MedMod",
634
- "original_root": "MEDMOD_ORIGINAL_SUBSET_ROOT",
635
- "records": len(output_rows),
636
- "subjects": len(by_subject),
637
- "patient_dbs": len(list(database_root.glob("patient_*.db"))),
638
- "patient_db_sources": dict(sorted(db_source_counts.items())),
639
- "patient_db_scope": args.patient_db_scope,
640
- "unique_images": len({p for row in output_rows for p in row["image_paths"]}),
641
- "unique_reports": len({p for row in output_rows for p in row["report_paths"]}),
642
- "input_file": "inputs/mm_bench_medmod.jsonl",
643
- "bench_root": "data/mm_bench/medmod",
644
- "asset_prefix": args.asset_prefix,
645
- "input_text_source": "rendered_from_db" if need_rendered_input_text else "released_hf_jsonl",
646
- "stats": dict(sorted(stats.items())),
647
- "path_contract": {
648
- "image_paths": "strip asset_prefix, then resolve relative to bench_root",
649
- "report_paths": "strip asset_prefix, then resolve relative to bench_root",
650
- "patient_db": "data/mm_bench/medmod/database/patient_<subject_id>.db",
651
- },
652
- "leakage_policy": {
653
- "ground_truth": "kept only in output JSONL field, never in input_text",
654
- "stays_dropped_columns": sorted(LEAKY_STAY_COLUMNS),
655
- "diagnoses_table": "not materialized in patient DB",
656
- "runtime_cutoff_columns": TIME_COLUMNS,
657
- },
658
- }
659
- write_json(args.output_root / "metadata.json", metadata)
660
-
661
- readme = f"""# ClinSeek-MM-Bench-MedMod
662
-
663
- This directory contains the MedMod-derived portion of ClinSeek-MM-Bench.
664
-
665
- Use:
666
-
667
- - `inputs/mm_bench_medmod.jsonl`
668
- - `data/mm_bench/medmod`
669
-
670
- The JSONL contains both agentic fields (`question`, `image_paths`, `subject_id`)
671
- and one-shot fields (`input_text`, `image_paths`). Patient SQLite DBs are under
672
- `data/mm_bench/medmod/database`.
673
- """
674
- (args.output_root / "README.md").write_text(readme, encoding="utf-8")
675
- print(json.dumps(metadata, ensure_ascii=False, indent=2))
676
-
677
-
678
- if __name__ == "__main__":
679
- main()
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
rebuild/mm_bench/build_medmod_release_original_subset.py DELETED
@@ -1,929 +0,0 @@
1
- #!/usr/bin/env python3
2
- """Build the source-aligned MedMod subset used by ClinSeek MM-Bench.
3
-
4
- This script intentionally does not rebuild the full MedMod benchmark. It reads
5
- the released ClinSeek multimodal input file, keeps only the MedMod rows that are
6
- actually evaluated, verifies them against the official MedMod listfiles and
7
- MIMIC-CXR labels/metadata, and packages the required source-format EHR folders
8
- and CXR files with relative paths.
9
- """
10
-
11
- from __future__ import annotations
12
-
13
- import argparse
14
- import json
15
- import os
16
- import re
17
- import shutil
18
- import sqlite3
19
- from collections import Counter, defaultdict
20
- from datetime import datetime
21
- from pathlib import Path
22
- from typing import Any
23
-
24
- import pandas as pd
25
-
26
-
27
- DEFAULT_INPUT = Path(
28
- os.environ.get(
29
- "CLINSEEK_MM_BENCH_JSONL",
30
- "data/ClinSeek-Bench/inputs/mm_bench.jsonl",
31
- )
32
- )
33
- DEFAULT_OUTPUT_ROOT = Path(
34
- os.environ.get(
35
- "MEDMOD_ORIGINAL_SUBSET_ROOT",
36
- "data/build/ClinSeek-MM-Bench-MedMod-source",
37
- )
38
- )
39
- DEFAULT_MEDMOD_REPO = Path(os.environ.get("MEDMOD_REPO_ROOT", "external/MedMod"))
40
- DEFAULT_CXR_JPG_ROOT = Path(
41
- os.environ.get("MIMIC_CXR_JPG_ROOT", "external/mimic-cxr-jpg")
42
- )
43
- DEFAULT_CXR_META_ROOT = Path(
44
- os.environ.get("MIMIC_CXR_META_ROOT", "external/mimic-cxr/2.0.0")
45
- )
46
- DEFAULT_MIMICIV_ROOT = Path(os.environ.get("MIMICIV_ROOT", "external/mimiciv/3.1"))
47
-
48
- IMAGE_RE = re.compile(
49
- r"(?:^|/)files/p\d+/p(?P<subject_id>\d+)/s(?P<study_id>\d+)/(?P<dicom_id>[^/]+)\.jpg$"
50
- )
51
-
52
- TASK_MAP = {
53
- "medmod_decompensation": "decompensation",
54
- "medmod_in_hospital_mortality": "in-hospital-mortality",
55
- "medmod_length_of_stay": "length-of-stay",
56
- "medmod_phenotyping": "phenotyping",
57
- "medmod_radiology": "radiology",
58
- "decompensation": "decompensation",
59
- "in-hospital-mortality": "in-hospital-mortality",
60
- "length-of-stay": "length-of-stay",
61
- "phenotyping": "phenotyping",
62
- "radiology": "radiology",
63
- }
64
-
65
- PHENOTYPE_CLASSES = [
66
- "Acute and unspecified renal failure",
67
- "Acute cerebrovascular disease",
68
- "Acute myocardial infarction",
69
- "Cardiac dysrhythmias",
70
- "Chronic kidney disease",
71
- "Chronic obstructive pulmonary disease and bronchiectasis",
72
- "Complications of surgical procedures or medical care",
73
- "Conduction disorders",
74
- "Congestive heart failure; nonhypertensive",
75
- "Coronary atherosclerosis and other heart disease",
76
- "Diabetes mellitus with complications",
77
- "Diabetes mellitus without complication",
78
- "Disorders of lipid metabolism",
79
- "Essential hypertension",
80
- "Fluid and electrolyte disorders",
81
- "Gastrointestinal hemorrhage",
82
- "Hypertension with complications and secondary hypertension",
83
- "Other liver diseases",
84
- "Other lower respiratory disease",
85
- "Other upper respiratory disease",
86
- "Pleurisy; pneumothorax; pulmonary collapse",
87
- "Pneumonia (except that caused by tuberculosis or sexually transmitted disease)",
88
- "Respiratory failure; insufficiency; arrest (adult)",
89
- "Septicemia (except in labor)",
90
- "Shock",
91
- ]
92
-
93
- RADIOLOGY_CLASSES = [
94
- "Atelectasis",
95
- "Cardiomegaly",
96
- "Consolidation",
97
- "Edema",
98
- "Enlarged Cardiomediastinum",
99
- "Fracture",
100
- "Lung Lesion",
101
- "Lung Opacity",
102
- "No Finding",
103
- "Pleural Effusion",
104
- "Pleural Other",
105
- "Pneumonia",
106
- "Pneumothorax",
107
- "Support Devices",
108
- ]
109
-
110
- LEAKY_STAY_COLUMNS = {
111
- "outtime",
112
- "los",
113
- "dischtime",
114
- "deathtime",
115
- "dod",
116
- "mortality_inunit",
117
- "mortality",
118
- "mortality_inhospital",
119
- }
120
-
121
-
122
- def parse_args() -> argparse.Namespace:
123
- parser = argparse.ArgumentParser(description=__doc__)
124
- parser.add_argument("--input", type=Path, default=DEFAULT_INPUT)
125
- parser.add_argument("--output-root", type=Path, default=DEFAULT_OUTPUT_ROOT)
126
- parser.add_argument("--medmod-repo-root", type=Path, default=DEFAULT_MEDMOD_REPO)
127
- parser.add_argument("--cxr-jpg-root", type=Path, default=DEFAULT_CXR_JPG_ROOT)
128
- parser.add_argument("--cxr-meta-root", type=Path, default=DEFAULT_CXR_META_ROOT)
129
- parser.add_argument("--mimiciv-root", type=Path, default=DEFAULT_MIMICIV_ROOT)
130
- parser.add_argument("--overwrite", action="store_true")
131
- parser.add_argument(
132
- "--include-reports",
133
- action="store_true",
134
- help="Also package CXR report TXT files. Keep disabled for the ClinSeek MedMod release.",
135
- )
136
- parser.add_argument(
137
- "--allow-warnings",
138
- action="store_true",
139
- help="Deprecated compatibility flag; warnings are non-fatal unless --strict-official-match is set.",
140
- )
141
- parser.add_argument(
142
- "--strict-official-match",
143
- action="store_true",
144
- help="Exit non-zero if official pairing/label validation warnings are found.",
145
- )
146
- return parser.parse_args()
147
-
148
-
149
- def ensure_dir(path: Path) -> None:
150
- path.mkdir(parents=True, exist_ok=True)
151
-
152
-
153
- def reset_dir(path: Path, overwrite: bool) -> None:
154
- if path.exists():
155
- if not overwrite:
156
- raise FileExistsError(f"Output root already exists: {path}")
157
- shutil.rmtree(path)
158
- path.mkdir(parents=True, exist_ok=True)
159
-
160
-
161
- def link_or_copy(src: Path, dst: Path) -> None:
162
- src = src.resolve()
163
- ensure_dir(dst.parent)
164
- if dst.exists():
165
- return
166
- try:
167
- os.link(src, dst)
168
- except OSError:
169
- shutil.copy2(src, dst)
170
-
171
-
172
- def copytree_links(src: Path, dst: Path) -> None:
173
- if dst.exists():
174
- return
175
- shutil.copytree(src, dst, copy_function=lambda s, d: (link_or_copy(Path(s), Path(d)) or str(d)))
176
-
177
-
178
- def relpath_or_name(path: Path, root: Path) -> str:
179
- try:
180
- return str(path.resolve().relative_to(root.resolve()))
181
- except ValueError:
182
- return path.name
183
-
184
-
185
- def write_json(path: Path, payload: Any) -> None:
186
- ensure_dir(path.parent)
187
- path.write_text(json.dumps(payload, ensure_ascii=False, indent=2) + "\n", encoding="utf-8")
188
-
189
-
190
- def write_jsonl(path: Path, rows: list[dict[str, Any]]) -> None:
191
- ensure_dir(path.parent)
192
- with path.open("w", encoding="utf-8") as handle:
193
- for row in rows:
194
- handle.write(json.dumps(row, ensure_ascii=False, separators=(",", ":")) + "\n")
195
-
196
-
197
- def safe_int(value: Any) -> int | None:
198
- if value is None or value == "":
199
- return None
200
- try:
201
- if pd.isna(value):
202
- return None
203
- except TypeError:
204
- pass
205
- try:
206
- return int(float(str(value).strip()))
207
- except ValueError:
208
- return None
209
-
210
-
211
- def safe_float(value: Any) -> float | None:
212
- if value is None or value == "":
213
- return None
214
- try:
215
- if pd.isna(value):
216
- return None
217
- except TypeError:
218
- pass
219
- try:
220
- return float(str(value).strip())
221
- except ValueError:
222
- return None
223
-
224
-
225
- def normalize_split(split: str) -> str:
226
- return "valid" if split in {"val", "validate", "validation"} else split
227
-
228
-
229
- def medmod_listfile_name(split: str, *, mml_ssl: bool) -> str:
230
- split = normalize_split(split)
231
- if split == "valid":
232
- return "validate_listfile.csv" if mml_ssl else "val_listfile.csv"
233
- return f"{split}_listfile.csv"
234
-
235
-
236
- def canonical_task(task: str) -> str:
237
- if task not in TASK_MAP:
238
- raise ValueError(f"Unsupported MedMod task: {task}")
239
- return TASK_MAP[task]
240
-
241
-
242
- def ground_truth_names(row: dict[str, Any]) -> list[str]:
243
- values = row.get("ground_truth")
244
- if values is None:
245
- values = row.get("label")
246
- if isinstance(values, list):
247
- names = []
248
- for item in values:
249
- if isinstance(item, dict) and item.get("name") is not None:
250
- names.append(str(item["name"]))
251
- elif item is not None:
252
- names.append(str(item))
253
- return names
254
- if values is None:
255
- return []
256
- return [str(values)]
257
-
258
-
259
- def parse_image_ref(path: str) -> dict[str, Any]:
260
- stripped = path
261
- if "/" in stripped and stripped.split("/", 1)[0].endswith("OriginalLinked_v1"):
262
- stripped = stripped.split("/", 1)[1]
263
- match = IMAGE_RE.search(stripped)
264
- if not match:
265
- raise ValueError(f"Cannot parse CXR image path: {path}")
266
- subject_id = int(match.group("subject_id"))
267
- study_id = int(match.group("study_id"))
268
- dicom_id = match.group("dicom_id")
269
- nested_relpath = (
270
- f"mimic-cxr/2.0.0/files/p{str(subject_id)[:2]}/p{subject_id}/"
271
- f"s{study_id}/{dicom_id}.jpg"
272
- )
273
- return {
274
- "subject_id": subject_id,
275
- "study_id": study_id,
276
- "dicom_id": dicom_id,
277
- "nested_relpath": nested_relpath,
278
- }
279
-
280
-
281
- def parse_stay_period_from_qid(qid: str, task: str) -> tuple[int | None, float | None]:
282
- if task == "radiology":
283
- return None, None
284
- try:
285
- _, stay_text, period_text = qid.rsplit("_", 2)
286
- except ValueError:
287
- return None, None
288
- return safe_int(stay_text), safe_float(period_text)
289
-
290
-
291
- def load_medmod_rows(input_path: Path) -> list[dict[str, Any]]:
292
- rows: list[dict[str, Any]] = []
293
- with input_path.open("r", encoding="utf-8") as handle:
294
- for line_index, line in enumerate(handle):
295
- row = json.loads(line)
296
- if row.get("source_benchmark") != "medmod":
297
- continue
298
- task = canonical_task(str(row.get("task")))
299
- stay_from_qid, period_from_qid = parse_stay_period_from_qid(str(row.get("qid")), task)
300
- image_refs = [parse_image_ref(path) for path in row.get("image_paths") or []]
301
- row["_source_line_index"] = line_index
302
- row["_canonical_task"] = task
303
- row["_stay_id_from_qid"] = stay_from_qid
304
- row["_period_length_from_qid"] = period_from_qid
305
- row["_image_refs"] = image_refs
306
- rows.append(row)
307
- return rows
308
-
309
-
310
- def row_key(row: dict[str, Any], task: str) -> tuple[int, float | None]:
311
- stay_id = safe_int(row.get("stay_id"))
312
- if stay_id is None:
313
- raise ValueError(f"Listfile row missing stay_id: {row}")
314
- if task in {"decompensation", "length-of-stay", "phenotyping"}:
315
- period = safe_float(row.get("period_length"))
316
- return stay_id, period
317
- return stay_id, None
318
-
319
-
320
- def sample_key(sample: dict[str, Any]) -> tuple[int, float | None]:
321
- task = sample["_canonical_task"]
322
- stay_id = safe_int(sample.get("stay_id")) or sample.get("_stay_id_from_qid")
323
- if stay_id is None:
324
- raise ValueError(f"Sample missing stay_id: {sample.get('qid')}")
325
- if task in {"decompensation", "length-of-stay", "phenotyping"}:
326
- return int(stay_id), safe_float(sample.get("_period_length_from_qid"))
327
- return int(stay_id), None
328
-
329
-
330
- def load_filtered_csv_index(
331
- path: Path,
332
- *,
333
- task: str,
334
- needed_keys: set[tuple[int, float | None]],
335
- ) -> tuple[dict[tuple[int, float | None], dict[str, Any]], list[str]]:
336
- if not path.exists():
337
- return {}, []
338
- rows: dict[tuple[int, float | None], dict[str, Any]] = {}
339
- columns: list[str] = []
340
- for chunk in pd.read_csv(path, chunksize=200_000):
341
- if not columns:
342
- columns = list(chunk.columns)
343
- for record in chunk.to_dict(orient="records"):
344
- key = row_key(record, task)
345
- if key in needed_keys and key not in rows:
346
- rows[key] = record
347
- if len(rows) == len(needed_keys):
348
- break
349
- return rows, columns
350
-
351
-
352
- def load_listfile_index(
353
- repo_root: Path,
354
- task: str,
355
- split: str,
356
- needed_keys: set[tuple[int, float | None]],
357
- ) -> dict[str, Any]:
358
- split_name = normalize_split(split)
359
- mml_path = repo_root / "mml-ssl-full" / task / medmod_listfile_name(split_name, mml_ssl=True)
360
- data_path = repo_root / "data_full" / task / medmod_listfile_name(split_name, mml_ssl=False)
361
- if not mml_path.exists():
362
- raise FileNotFoundError(f"Missing official MedMod mml-ssl listfile: {mml_path}")
363
- mml_by_key, mml_columns = load_filtered_csv_index(
364
- mml_path,
365
- task=task,
366
- needed_keys=needed_keys,
367
- )
368
- data_by_key, data_columns = load_filtered_csv_index(
369
- data_path,
370
- task=task,
371
- needed_keys=needed_keys,
372
- )
373
-
374
- return {
375
- "mml_path": mml_path,
376
- "data_path": data_path if data_path.exists() else None,
377
- "mml_by_key": mml_by_key,
378
- "data_by_key": data_by_key,
379
- "mml_columns": mml_columns,
380
- "data_columns": data_columns,
381
- }
382
-
383
-
384
- def expected_label_from_listfile(task: str, record: dict[str, Any]) -> list[str]:
385
- if task in {"decompensation", "in-hospital-mortality"}:
386
- return ["yes" if safe_int(record.get("y_true")) == 1 else "no"]
387
- if task == "phenotyping":
388
- return [label for label in PHENOTYPE_CLASSES if safe_int(record.get(label)) == 1]
389
- if task == "length-of-stay":
390
- value = safe_float(record.get("y_true"))
391
- return [] if value is None else [str(value)]
392
- raise ValueError(f"No listfile label parser for task: {task}")
393
-
394
-
395
- def find_subject_dir(repo_root: Path, subject_id: int) -> tuple[Path, str]:
396
- for split in ("test", "train"):
397
- path = repo_root / "data_full" / "root" / split / str(subject_id)
398
- if path.is_dir():
399
- return path, split
400
- raise FileNotFoundError(f"Missing MedMod subject directory for subject_id={subject_id}")
401
-
402
-
403
- def local_episode_filename(subject_id: int, official_stay: str | None) -> str | None:
404
- if not official_stay:
405
- return None
406
- prefix = f"{subject_id}_"
407
- if official_stay.startswith(prefix):
408
- return official_stay[len(prefix) :]
409
- return official_stay
410
-
411
-
412
- def task_data_split_dir(split: str) -> str:
413
- split = normalize_split(split)
414
- if split == "valid":
415
- return "train"
416
- return split
417
-
418
-
419
- def find_cxr_file(cxr_jpg_root: Path, image_ref: dict[str, Any], suffix: str) -> Path | None:
420
- subject_id = image_ref["subject_id"]
421
- study_id = image_ref["study_id"]
422
- dicom_id = image_ref["dicom_id"]
423
- flat_name = f"p{str(subject_id)[:2]}_p{subject_id}_s{study_id}_{dicom_id}.{suffix}"
424
- nested = Path(image_ref["nested_relpath"]).with_suffix(f".{suffix}")
425
- candidates = [
426
- cxr_jpg_root / "mimic-cxr2" / flat_name,
427
- cxr_jpg_root / nested.relative_to("mimic-cxr/2.0.0"),
428
- cxr_jpg_root / "2.1.0-lite" / nested.relative_to("mimic-cxr/2.0.0"),
429
- cxr_jpg_root / "2.1.0-working-subset" / nested.relative_to("mimic-cxr/2.0.0"),
430
- cxr_jpg_root / nested,
431
- ]
432
- for candidate in candidates:
433
- if candidate.exists():
434
- return candidate
435
- return None
436
-
437
-
438
- def read_csv_subset(path: Path, column: str, values: set[Any]) -> pd.DataFrame:
439
- if not path.exists():
440
- return pd.DataFrame()
441
- df = pd.read_csv(path)
442
- if column not in df.columns:
443
- return df.iloc[0:0].copy()
444
- return df[df[column].isin(values)].copy()
445
-
446
-
447
- def build_metadata_indexes(cxr_meta_root: Path) -> dict[str, Any]:
448
- metadata_path = cxr_meta_root / "mimic-cxr-2.0.0-metadata.csv"
449
- chexpert_path = cxr_meta_root / "mimic-cxr-2.0.0-chexpert.csv"
450
- if not metadata_path.exists():
451
- raise FileNotFoundError(f"Missing MIMIC-CXR metadata: {metadata_path}")
452
- if not chexpert_path.exists():
453
- raise FileNotFoundError(f"Missing MIMIC-CXR CheXpert labels: {chexpert_path}")
454
-
455
- metadata_df = pd.read_csv(metadata_path)
456
- chexpert_df = pd.read_csv(chexpert_path)
457
- chexpert_df[RADIOLOGY_CLASSES] = chexpert_df[RADIOLOGY_CLASSES].fillna(0)
458
- chexpert_df = chexpert_df.replace(-1.0, 0.0)
459
- metadata_by_dicom = {
460
- str(record["dicom_id"]): record for record in metadata_df.to_dict(orient="records")
461
- }
462
- ap_rows_by_subject: dict[int, list[dict[str, Any]]] = defaultdict(list)
463
- for record in metadata_df.to_dict(orient="records"):
464
- if str(record.get("ViewPosition") or "").upper() != "AP":
465
- continue
466
- subject_id = safe_int(record.get("subject_id"))
467
- study_id = safe_int(record.get("study_id"))
468
- if subject_id is None or study_id is None:
469
- continue
470
- study_datetime = parse_cxr_datetime(record)
471
- if study_datetime is None:
472
- continue
473
- ap_rows_by_subject[subject_id].append(
474
- {
475
- "subject_id": subject_id,
476
- "study_id": study_id,
477
- "dicom_id": str(record.get("dicom_id") or ""),
478
- "study_datetime": study_datetime,
479
- "view_position": "AP",
480
- }
481
- )
482
- for rows in ap_rows_by_subject.values():
483
- rows.sort(key=lambda item: item["study_datetime"])
484
- chexpert_by_study: dict[int, list[str]] = {}
485
- for record in chexpert_df.to_dict(orient="records"):
486
- study_id = safe_int(record.get("study_id"))
487
- if study_id is None:
488
- continue
489
- chexpert_by_study[study_id] = [
490
- label for label in RADIOLOGY_CLASSES if safe_float(record.get(label)) == 1.0
491
- ]
492
- return {
493
- "metadata_path": metadata_path,
494
- "chexpert_path": chexpert_path,
495
- "metadata_df": metadata_df,
496
- "chexpert_df": chexpert_df,
497
- "metadata_by_dicom": metadata_by_dicom,
498
- "ap_rows_by_subject": ap_rows_by_subject,
499
- "chexpert_by_study": chexpert_by_study,
500
- }
501
-
502
-
503
- def parse_cxr_datetime(record: dict[str, Any]) -> pd.Timestamp | None:
504
- date = record.get("StudyDate")
505
- time = record.get("StudyTime")
506
- if date in (None, "") or time in (None, ""):
507
- return None
508
- try:
509
- time_text = f"{int(float(time)):06d}"
510
- return pd.Timestamp(datetime.strptime(f"{int(float(date))} {time_text}", "%Y%m%d %H%M%S"))
511
- except (TypeError, ValueError):
512
- return None
513
-
514
-
515
- def parse_timestamp(value: Any) -> pd.Timestamp | None:
516
- if value in (None, ""):
517
- return None
518
- try:
519
- parsed = pd.Timestamp(value)
520
- except (TypeError, ValueError):
521
- return None
522
- if pd.isna(parsed):
523
- return None
524
- return parsed
525
-
526
-
527
- def validate_latest_ap_pairing(
528
- sample: dict[str, Any],
529
- official_row: dict[str, Any] | None,
530
- cxr_indexes: dict[str, Any],
531
- ) -> list[str]:
532
- if official_row is None:
533
- return []
534
- task = sample["_canonical_task"]
535
- if task == "radiology":
536
- return []
537
-
538
- subject_id = safe_int(sample.get("subject_id"))
539
- selected_study_ids = {ref["study_id"] for ref in sample["_image_refs"]}
540
- intime = parse_timestamp(official_row.get("intime"))
541
- prediction_time = parse_timestamp(sample.get("prediction_time") or official_row.get("prediction_time"))
542
- if subject_id is None or intime is None or prediction_time is None or not selected_study_ids:
543
- return ["pairing_window_unverifiable"]
544
-
545
- in_window = [
546
- row
547
- for row in cxr_indexes["ap_rows_by_subject"].get(subject_id, [])
548
- if row["study_datetime"] >= intime and row["study_datetime"] <= prediction_time
549
- ]
550
- if not in_window:
551
- return ["official_pairing_no_ap_in_window"]
552
- latest_time = max(row["study_datetime"] for row in in_window)
553
- latest_studies = {row["study_id"] for row in in_window if row["study_datetime"] == latest_time}
554
- if selected_study_ids.isdisjoint(latest_studies):
555
- return [
556
- "official_pairing_latest_ap_mismatch "
557
- f"expected_study_ids={sorted(latest_studies)} got={sorted(selected_study_ids)}"
558
- ]
559
- return []
560
-
561
-
562
- def same_label_set(left: list[str], right: list[str]) -> bool:
563
- return set(left) == set(right)
564
-
565
-
566
- def validate_sample(
567
- sample: dict[str, Any],
568
- *,
569
- list_indexes: dict[tuple[str, str], dict[str, Any]],
570
- cxr_indexes: dict[str, Any],
571
- ) -> tuple[dict[str, Any], list[str], dict[str, Any] | None, dict[str, Any] | None]:
572
- task = sample["_canonical_task"]
573
- split = normalize_split(str(sample.get("source_split") or "test"))
574
- gt = ground_truth_names(sample)
575
- warnings: list[str] = []
576
- official_row = None
577
- official_source_row = None
578
-
579
- if task == "radiology":
580
- study_ids = [ref["study_id"] for ref in sample["_image_refs"]]
581
- expected = sorted({label for study_id in study_ids for label in cxr_indexes["chexpert_by_study"].get(study_id, [])})
582
- if not same_label_set(gt, expected):
583
- warnings.append(f"radiology_label_mismatch expected={expected} got={gt}")
584
- else:
585
- index = list_indexes[(task, split)]
586
- key = sample_key(sample)
587
- official_row = index["mml_by_key"].get(key)
588
- official_source_row = index["data_by_key"].get(key)
589
- if official_row is None:
590
- warnings.append(f"missing_official_listfile_row key={key}")
591
- else:
592
- expected = expected_label_from_listfile(task, official_row)
593
- if not same_label_set(gt, expected):
594
- warnings.append(f"listfile_label_mismatch expected={expected} got={gt}")
595
- for field in ("subject_id", "hadm_id", "prediction_time"):
596
- if field in official_row and sample.get(field) is not None:
597
- if str(official_row.get(field)) != str(sample.get(field)):
598
- warnings.append(
599
- f"{field}_mismatch official={official_row.get(field)} got={sample.get(field)}"
600
- )
601
- warnings.extend(validate_latest_ap_pairing(sample, official_row, cxr_indexes))
602
-
603
- for image_ref in sample["_image_refs"]:
604
- metadata = cxr_indexes["metadata_by_dicom"].get(image_ref["dicom_id"])
605
- if metadata is None:
606
- warnings.append(f"missing_cxr_metadata dicom_id={image_ref['dicom_id']}")
607
- continue
608
- if safe_int(metadata.get("study_id")) != image_ref["study_id"]:
609
- warnings.append(f"cxr_metadata_study_mismatch dicom_id={image_ref['dicom_id']}")
610
- if str(metadata.get("ViewPosition") or "").upper() != "AP":
611
- warnings.append(f"cxr_not_ap dicom_id={image_ref['dicom_id']}")
612
-
613
- validation = {
614
- "official_match_ok": not warnings,
615
- "warnings": warnings,
616
- }
617
- return validation, warnings, official_row, official_source_row
618
-
619
-
620
- def write_subset_csvs(
621
- *,
622
- output_root: Path,
623
- medmod_repo_root: Path,
624
- rows_by_task_split: dict[tuple[str, str], list[dict[str, Any]]],
625
- list_indexes: dict[tuple[str, str], dict[str, Any]],
626
- ) -> None:
627
- for (task, split), rows in sorted(rows_by_task_split.items()):
628
- if task == "radiology":
629
- continue
630
- index = list_indexes[(task, split)]
631
- mml_rows = [row["official_listfile_row"] for row in rows if row.get("official_listfile_row")]
632
- data_rows = [row["official_data_full_row"] for row in rows if row.get("official_data_full_row")]
633
- mml_out = (
634
- output_root
635
- / "source_release"
636
- / "mml-ssl-full"
637
- / task
638
- / medmod_listfile_name(split, mml_ssl=True)
639
- )
640
- ensure_dir(mml_out.parent)
641
- pd.DataFrame(mml_rows, columns=index["mml_columns"]).to_csv(mml_out, index=False)
642
- if data_rows:
643
- data_out = (
644
- output_root
645
- / "source_release"
646
- / "data_full"
647
- / task
648
- / medmod_listfile_name(split, mml_ssl=False)
649
- )
650
- ensure_dir(data_out.parent)
651
- pd.DataFrame(data_rows, columns=index["data_columns"]).to_csv(data_out, index=False)
652
-
653
- for name in ("README.md", "LICENSE"):
654
- src = medmod_repo_root / name
655
- if src.exists():
656
- link_or_copy(src, output_root / "source_release" / "repo_docs" / name)
657
-
658
-
659
- def write_root_table_subsets(output_root: Path, repo_root: Path, subject_ids: set[int], stay_ids: set[int]) -> None:
660
- root_out = output_root / "source_release" / "root_tables"
661
- ensure_dir(root_out)
662
- for table_name in ("all_stays.csv", "all_diagnoses.csv", "diagnosis_counts.csv", "phenotype_labels.csv"):
663
- src = repo_root / "data_full" / "root" / table_name
664
- if not src.exists():
665
- continue
666
- df = pd.read_csv(src)
667
- if "subject_id" in df.columns:
668
- df = df[df["subject_id"].isin(subject_ids)].copy()
669
- if "stay_id" in df.columns and stay_ids:
670
- stay_filtered = df[df["stay_id"].isin(stay_ids)].copy()
671
- if not stay_filtered.empty:
672
- df = stay_filtered
673
- df.to_csv(root_out / table_name, index=False)
674
-
675
-
676
- def write_cxr_metadata_subsets(output_root: Path, cxr_meta_root: Path, cxr_indexes: dict[str, Any], image_refs: list[dict[str, Any]]) -> None:
677
- meta_out = output_root / "source_release" / "cxr_metadata"
678
- ensure_dir(meta_out)
679
- dicom_ids = {ref["dicom_id"] for ref in image_refs}
680
- study_ids = {ref["study_id"] for ref in image_refs}
681
-
682
- cxr_indexes["metadata_df"][cxr_indexes["metadata_df"]["dicom_id"].isin(dicom_ids)].to_csv(
683
- meta_out / "mimic-cxr-2.0.0-metadata.csv", index=False
684
- )
685
- cxr_indexes["chexpert_df"][cxr_indexes["chexpert_df"]["study_id"].isin(study_ids)].to_csv(
686
- meta_out / "mimic-cxr-2.0.0-chexpert.csv", index=False
687
- )
688
-
689
- optional_specs = [
690
- ("mimic-cxr-2.0.0-split.csv", "dicom_id", dicom_ids),
691
- ("mimic-cxr-ehr-split.csv", "dicom_id", dicom_ids),
692
- ]
693
- for filename, column, values in optional_specs:
694
- subset = read_csv_subset(cxr_meta_root / filename, column, values)
695
- if not subset.empty:
696
- subset.to_csv(meta_out / filename, index=False)
697
-
698
-
699
- def main() -> None:
700
- args = parse_args()
701
- reset_dir(args.output_root, args.overwrite)
702
-
703
- rows = load_medmod_rows(args.input)
704
- if not rows:
705
- raise ValueError(f"No MedMod rows found in {args.input}")
706
-
707
- needed_keys_by_index: dict[tuple[str, str], set[tuple[int, float | None]]] = defaultdict(set)
708
- for row in rows:
709
- task = row["_canonical_task"]
710
- if task == "radiology":
711
- continue
712
- split = normalize_split(str(row.get("source_split") or "test"))
713
- needed_keys_by_index[(task, split)].add(sample_key(row))
714
-
715
- list_indexes = {
716
- key: load_listfile_index(
717
- args.medmod_repo_root,
718
- key[0],
719
- key[1],
720
- needed_keys=needed_keys,
721
- )
722
- for key, needed_keys in sorted(needed_keys_by_index.items())
723
- }
724
- cxr_indexes = build_metadata_indexes(args.cxr_meta_root)
725
-
726
- manifest_rows: list[dict[str, Any]] = []
727
- rows_by_task_split: dict[tuple[str, str], list[dict[str, Any]]] = defaultdict(list)
728
- subject_ids: set[int] = set()
729
- stay_ids: set[int] = set()
730
- all_image_refs: list[dict[str, Any]] = []
731
- stats = Counter()
732
- warning_rows: list[dict[str, Any]] = []
733
-
734
- for row in rows:
735
- task = row["_canonical_task"]
736
- split = normalize_split(str(row.get("source_split") or "test"))
737
- validation, warnings, official_row, official_source_row = validate_sample(
738
- row,
739
- list_indexes=list_indexes,
740
- cxr_indexes=cxr_indexes,
741
- )
742
- if warnings:
743
- stats["rows_with_warnings"] += 1
744
- warning_rows.append({"qid": row.get("qid"), "warnings": warnings})
745
-
746
- subject_id = safe_int(row.get("subject_id"))
747
- stay_id = safe_int(row.get("stay_id"))
748
- if subject_id is None:
749
- raise ValueError(f"Sample missing subject_id: {row.get('qid')}")
750
- subject_ids.add(subject_id)
751
- if stay_id is not None:
752
- stay_ids.add(stay_id)
753
-
754
- subject_dir, subject_partition = find_subject_dir(args.medmod_repo_root, subject_id)
755
- subject_rel = f"source_release/data_full/root/{subject_partition}/{subject_id}"
756
- copytree_links(subject_dir, args.output_root / subject_rel)
757
-
758
- official_stay = None
759
- if official_row is not None:
760
- official_stay = official_row.get("stay")
761
- if official_stay is None and official_source_row is not None:
762
- official_stay = official_source_row.get("stay")
763
- official_stay = str(official_stay) if official_stay not in (None, "") else None
764
- official_period = None
765
- if official_row is not None:
766
- official_period = official_row.get("period_length")
767
- if official_period is None and official_source_row is not None:
768
- official_period = official_source_row.get("period_length")
769
- local_stay = local_episode_filename(subject_id, official_stay)
770
- ehr_timeseries_relpath = f"{subject_rel}/{local_stay}" if local_stay else None
771
- ehr_episode_relpath = None
772
- if local_stay and local_stay.endswith("_timeseries.csv"):
773
- candidate_episode = f"{subject_rel}/{local_stay.replace('_timeseries.csv', '.csv')}"
774
- if (args.output_root / candidate_episode).exists():
775
- ehr_episode_relpath = candidate_episode
776
- ehr_task_timeseries_relpath = None
777
- if official_stay and task != "radiology":
778
- split_dir = task_data_split_dir(split)
779
- task_src = args.medmod_repo_root / "data_full" / task / split_dir / official_stay
780
- if task_src.exists():
781
- ehr_task_timeseries_relpath = (
782
- f"source_release/data_full/{task}/{split_dir}/{official_stay}"
783
- )
784
- link_or_copy(task_src, args.output_root / ehr_task_timeseries_relpath)
785
-
786
- packaged_images: list[str] = []
787
- packaged_reports: list[str] = []
788
- raw_images: list[str] = []
789
- raw_reports: list[str] = []
790
- for image_ref in row["_image_refs"]:
791
- all_image_refs.append(image_ref)
792
- jpg_src = find_cxr_file(args.cxr_jpg_root, image_ref, "jpg")
793
- if jpg_src is None:
794
- raise FileNotFoundError(f"Missing CXR JPG for {row.get('qid')}: {image_ref}")
795
- jpg_rel = image_ref["nested_relpath"]
796
- link_or_copy(jpg_src, args.output_root / jpg_rel)
797
- packaged_images.append(jpg_rel)
798
- raw_images.append(relpath_or_name(jpg_src, args.cxr_jpg_root))
799
-
800
- txt_src = find_cxr_file(args.cxr_jpg_root, image_ref, "txt") if args.include_reports else None
801
- if txt_src is not None:
802
- txt_rel = str(Path(jpg_rel).with_suffix(".txt"))
803
- link_or_copy(txt_src, args.output_root / txt_rel)
804
- packaged_reports.append(txt_rel)
805
- raw_reports.append(relpath_or_name(txt_src, args.cxr_jpg_root))
806
-
807
- sidecar = {
808
- "qid": row.get("qid"),
809
- "source_line_index": row.get("_source_line_index"),
810
- "source_index": row.get("source_index"),
811
- "task": task,
812
- "source_task": row.get("task"),
813
- "source_split": split,
814
- "subject_id": row.get("subject_id"),
815
- "hadm_id": row.get("hadm_id"),
816
- "stay_id": row.get("stay_id"),
817
- "prediction_time": row.get("prediction_time"),
818
- "question": row.get("question"),
819
- "released_input_text": row.get("input_text"),
820
- "ground_truth": row.get("ground_truth"),
821
- "answer_type": row.get("answer_type"),
822
- "modalities": row.get("modalities") or ["ehr", "cxr"],
823
- "study_ids": [ref["study_id"] for ref in row["_image_refs"]],
824
- "dicom_ids": [ref["dicom_id"] for ref in row["_image_refs"]],
825
- "packaged_image_relpaths": packaged_images,
826
- "packaged_report_relpaths": packaged_reports,
827
- "raw_image_source_relpaths": raw_images,
828
- "raw_report_source_relpaths": raw_reports,
829
- "ehr_subject_relpaths": [subject_rel],
830
- "official_stay": official_stay,
831
- "official_period_length": official_period,
832
- "ehr_timeseries_relpath": ehr_timeseries_relpath,
833
- "ehr_episode_relpath": ehr_episode_relpath,
834
- "ehr_task_timeseries_relpath": ehr_task_timeseries_relpath,
835
- "official_listfile_row": official_row,
836
- "official_data_full_row": official_source_row,
837
- "official_validation": validation,
838
- "raw_join_key": {
839
- "stay_id": row.get("stay_id"),
840
- "period_length_hours": row.get("_period_length_from_qid"),
841
- },
842
- }
843
- manifest_rows.append(sidecar)
844
- rows_by_task_split[(task, split)].append(sidecar)
845
- stats[f"task:{task}"] += 1
846
- stats[f"split:{split}"] += 1
847
-
848
- write_subset_csvs(
849
- output_root=args.output_root,
850
- medmod_repo_root=args.medmod_repo_root,
851
- rows_by_task_split=rows_by_task_split,
852
- list_indexes=list_indexes,
853
- )
854
- write_root_table_subsets(args.output_root, args.medmod_repo_root, subject_ids, stay_ids)
855
- write_cxr_metadata_subsets(args.output_root, args.cxr_meta_root, cxr_indexes, all_image_refs)
856
-
857
- write_jsonl(args.output_root / "linked_manifests" / "all.jsonl", manifest_rows)
858
- for (task, split), task_rows in sorted(rows_by_task_split.items()):
859
- write_jsonl(args.output_root / "linked_manifests" / task / f"{split}.jsonl", task_rows)
860
-
861
- readme = f"""# ClinSeek-MM-Bench-MedMod-source
862
-
863
- This package is the source-aligned MedMod subset used by ClinSeek MM-Bench.
864
- It contains only the MedMod rows present in `$CLINSEEK_MM_BENCH_JSONL`.
865
-
866
- The layout preserves the official MedMod task/listfile style where possible:
867
-
868
- - `source_release/mml-ssl-full/<task>/*_listfile.csv`: subset of official MedMod rows.
869
- - `source_release/data_full/<task>/*_listfile.csv`: subset of original task listfiles when available.
870
- - `source_release/data_full/root/<split>/<subject_id>/`: official extracted MedMod EHR folders.
871
- - `source_release/root_tables/`: filtered MedMod root tables kept only for provenance.
872
- Some files in this directory contain labels and must not be mounted as runtime
873
- EHR tables for agent inference.
874
- - `source_release/cxr_metadata/`: subset MIMIC-CXR metadata and CheXpert labels.
875
- - `mimic-cxr/2.0.0/files/...`: packaged JPG files. TXT reports are only included
876
- when `--include-reports` is explicitly set.
877
- - `linked_manifests/`: row-level sidecar manifests with questions, gold labels, and relative paths.
878
-
879
- Important: each manifest row records `official_stay`, `ehr_timeseries_relpath`,
880
- and `ehr_episode_relpath` so downstream rendering can use the exact MedMod
881
- episode from the official listfile instead of all episodes for the same subject.
882
-
883
- Input root contract:
884
-
885
- - ClinSeek multimodal input: `$CLINSEEK_MM_BENCH_JSONL`
886
- - MedMod repository: `$MEDMOD_REPO_ROOT`
887
- - Raw MIMIC-CXR JPG root: `$MIMIC_CXR_JPG_ROOT`
888
- - Raw MIMIC-CXR metadata root: `$MIMIC_CXR_META_ROOT`
889
- - Raw MIMIC-IV latest local release kept for provenance: `$MIMICIV_ROOT`
890
- """
891
- (args.output_root / "README.md").write_text(readme, encoding="utf-8")
892
-
893
- metadata = {
894
- "package_name": "ClinSeek-MM-Bench-MedMod-source",
895
- "input": "CLINSEEK_MM_BENCH_JSONL",
896
- "records": len(manifest_rows),
897
- "subjects": len(subject_ids),
898
- "unique_images": len({p for row in manifest_rows for p in row["packaged_image_relpaths"]}),
899
- "unique_reports": len({p for row in manifest_rows for p in row["packaged_report_relpaths"]}),
900
- "reports_included": bool(args.include_reports),
901
- "stats": dict(sorted(stats.items())),
902
- "warning_rows": warning_rows,
903
- "source_path_env_vars": {
904
- "medmod_repo_root": "MEDMOD_REPO_ROOT",
905
- "cxr_jpg_root": "MIMIC_CXR_JPG_ROOT",
906
- "cxr_meta_root": "MIMIC_CXR_META_ROOT",
907
- "mimiciv_root": "MIMICIV_ROOT",
908
- },
909
- "path_contract": {
910
- "manifest_paths": "relative_to_package_root",
911
- "packaged_image_relpaths": "relative_to_package_root",
912
- "packaged_report_relpaths": "relative_to_package_root",
913
- "ehr_subject_relpaths": "relative_to_package_root",
914
- "raw_image_source_relpaths": "relative_to_MIMIC_CXR_JPG_ROOT",
915
- "raw_report_source_relpaths": "relative_to_MIMIC_CXR_JPG_ROOT",
916
- },
917
- }
918
- write_json(args.output_root / "metadata.json", metadata)
919
-
920
- if warning_rows and args.strict_official_match and not args.allow_warnings:
921
- raise SystemExit(
922
- f"Built package but found {len(warning_rows)} validation warning rows. "
923
- "Inspect metadata.json or rerun without --strict-official-match."
924
- )
925
- print(json.dumps(metadata, ensure_ascii=False, indent=2))
926
-
927
-
928
- if __name__ == "__main__":
929
- main()
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
rebuild/mm_bench/combine_clinseek_mm_bench.py DELETED
@@ -1,169 +0,0 @@
1
- #!/usr/bin/env python3
2
- """Combine EHRXQA and MedMod subsets into the ClinSeek-MM-Bench package."""
3
-
4
- from __future__ import annotations
5
-
6
- import argparse
7
- import json
8
- import os
9
- import shutil
10
- from pathlib import Path
11
- from typing import Any
12
-
13
-
14
- REPO_ROOT = Path(__file__).resolve().parents[2]
15
- DEFAULT_REFERENCE_INPUT = Path(
16
- os.environ.get(
17
- "CLINSEEK_MM_BENCH_JSONL",
18
- str(REPO_ROOT / "inputs" / "mm_bench.jsonl"),
19
- )
20
- )
21
- DEFAULT_EHRXQA_SUBSET_ROOT = Path(
22
- os.environ.get("CLINSEEK_EHRXQA_MM_ROOT", "data/build/ClinSeek-MM-Bench-EHRXQA")
23
- )
24
- DEFAULT_MEDMOD_SUBSET_ROOT = Path(
25
- os.environ.get("CLINSEEK_MEDMOD_MM_ROOT", "data/build/ClinSeek-MM-Bench-MedMod")
26
- )
27
- DEFAULT_OUTPUT_ROOT = Path(
28
- os.environ.get("CLINSEEK_MM_RELEASE_ROOT", "data/build/ClinSeek-MM-Bench")
29
- )
30
-
31
-
32
- def parse_args() -> argparse.Namespace:
33
- parser = argparse.ArgumentParser(description=__doc__)
34
- parser.add_argument("--reference-input", type=Path, default=DEFAULT_REFERENCE_INPUT)
35
- parser.add_argument("--ehrxqa-root", type=Path, default=DEFAULT_EHRXQA_SUBSET_ROOT)
36
- parser.add_argument("--medmod-root", type=Path, default=DEFAULT_MEDMOD_SUBSET_ROOT)
37
- parser.add_argument("--output-root", type=Path, default=DEFAULT_OUTPUT_ROOT)
38
- parser.add_argument("--overwrite", action="store_true")
39
- return parser.parse_args()
40
-
41
-
42
- def ensure_dir(path: Path) -> None:
43
- path.mkdir(parents=True, exist_ok=True)
44
-
45
-
46
- def reset_dir(path: Path, overwrite: bool) -> None:
47
- if path.exists():
48
- if not overwrite:
49
- raise FileExistsError(f"Output root already exists: {path}")
50
- shutil.rmtree(path)
51
- path.mkdir(parents=True, exist_ok=True)
52
-
53
-
54
- def link_or_copy(src: Path, dst: Path) -> None:
55
- src = src.resolve()
56
- ensure_dir(dst.parent)
57
- if dst.exists():
58
- return
59
- try:
60
- os.link(src, dst)
61
- except OSError:
62
- shutil.copy2(src, dst)
63
-
64
-
65
- def copytree_links(src: Path, dst: Path) -> None:
66
- if not src.exists():
67
- raise FileNotFoundError(f"Missing source directory: {src}")
68
- if dst.exists():
69
- return
70
- shutil.copytree(src, dst, copy_function=lambda s, d: (link_or_copy(Path(s), Path(d)) or str(d)))
71
-
72
-
73
- def drop_runtime_sidecars(output_root: Path) -> None:
74
- """Keep final data/mm_bench file layout aligned with the HF release tree."""
75
- for relpath in (
76
- "data/mm_bench/ehrxqa/database/reference_table.db",
77
- "data/mm_bench/ehrxqa/metadata.json",
78
- "data/mm_bench/medmod/metadata.json",
79
- ):
80
- path = output_root / relpath
81
- if path.exists():
82
- path.unlink()
83
-
84
-
85
- def read_jsonl(path: Path) -> list[dict[str, Any]]:
86
- rows: list[dict[str, Any]] = []
87
- with path.open("r", encoding="utf-8") as handle:
88
- for line in handle:
89
- if line.strip():
90
- rows.append(json.loads(line))
91
- return rows
92
-
93
-
94
- def write_json(path: Path, payload: Any) -> None:
95
- ensure_dir(path.parent)
96
- path.write_text(json.dumps(payload, ensure_ascii=False, indent=2) + "\n", encoding="utf-8")
97
-
98
-
99
- def write_jsonl(path: Path, rows: list[dict[str, Any]]) -> None:
100
- ensure_dir(path.parent)
101
- with path.open("w", encoding="utf-8") as handle:
102
- for row in rows:
103
- handle.write(json.dumps(row, ensure_ascii=False, separators=(",", ":")) + "\n")
104
-
105
-
106
- def load_subset_rows(root: Path, filename: str) -> dict[str, dict[str, Any]]:
107
- path = root / "inputs" / filename
108
- rows = read_jsonl(path)
109
- return {str(row["qid"]): row for row in rows}
110
-
111
-
112
- def main() -> None:
113
- args = parse_args()
114
- reset_dir(args.output_root, args.overwrite)
115
-
116
- reference_rows = read_jsonl(args.reference_input)
117
- ehrxqa_by_qid = load_subset_rows(args.ehrxqa_root, "mm_bench_ehrxqa.jsonl")
118
- medmod_by_qid = load_subset_rows(args.medmod_root, "mm_bench_medmod.jsonl")
119
- by_qid = {**ehrxqa_by_qid, **medmod_by_qid}
120
-
121
- missing = [row["qid"] for row in reference_rows if row.get("qid") not in by_qid]
122
- extra = sorted(set(by_qid) - {row.get("qid") for row in reference_rows})
123
- if missing or extra:
124
- raise ValueError({"missing": missing[:20], "extra": extra[:20]})
125
-
126
- output_rows = [by_qid[str(row["qid"])] for row in reference_rows]
127
- write_jsonl(args.output_root / "inputs" / "mm_bench.jsonl", output_rows)
128
-
129
- copytree_links(
130
- args.ehrxqa_root / "data" / "mm_bench" / "ehrxqa",
131
- args.output_root / "data" / "mm_bench" / "ehrxqa",
132
- )
133
- copytree_links(
134
- args.medmod_root / "data" / "mm_bench" / "medmod",
135
- args.output_root / "data" / "mm_bench" / "medmod",
136
- )
137
- drop_runtime_sidecars(args.output_root)
138
-
139
- metadata = {
140
- "package_name": "ClinSeek-MM-Bench",
141
- "reference_input": "CLINSEEK_MM_BENCH_JSONL",
142
- "ehrxqa_root": "CLINSEEK_EHRXQA_MM_ROOT",
143
- "medmod_root": "CLINSEEK_MEDMOD_MM_ROOT",
144
- "records": len(output_rows),
145
- "source_counts": {
146
- "ehrxqa": len(ehrxqa_by_qid),
147
- "medmod": len(medmod_by_qid),
148
- },
149
- "input_file": "inputs/mm_bench.jsonl",
150
- "bench_root": "data/mm_bench",
151
- }
152
- write_json(args.output_root / "metadata.json", metadata)
153
-
154
- readme = """# ClinSeek-MM-Bench
155
-
156
- This package combines the EHRXQA-derived and MedMod-derived subsets into the
157
- final ClinSeek multimodal benchmark layout.
158
-
159
- Use:
160
-
161
- - `inputs/mm_bench.jsonl`
162
- - `data/mm_bench`
163
- """
164
- (args.output_root / "README.md").write_text(readme, encoding="utf-8")
165
- print(json.dumps(metadata, ensure_ascii=False, indent=2))
166
-
167
-
168
- if __name__ == "__main__":
169
- main()
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
rebuild/mm_bench/validate_multimodal_release.py DELETED
@@ -1,207 +0,0 @@
1
- #!/usr/bin/env python3
2
- """Validate the released ClinSeek multimodal benchmark manifest or package.
3
-
4
- The validator checks the ClinSeek-MM-Bench release tree:
5
-
6
- - every row in inputs/mm_bench.jsonl has an expected source/task distribution;
7
- - in package mode, every referenced patient database exists;
8
- - in package mode, every referenced image/report path resolves under data/mm_bench/<source>/;
9
- - in manifest-only mode, protected MIMIC-derived assets are not required;
10
- - optional git-tree mode can validate a Hugging Face repository checkout without
11
- downloading all LFS file contents.
12
- """
13
-
14
- from __future__ import annotations
15
-
16
- import argparse
17
- import json
18
- import subprocess
19
- import sys
20
- from collections import Counter, defaultdict
21
- from pathlib import Path
22
- from typing import Any
23
-
24
-
25
- EXPECTED_SOURCE_COUNTS = {"ehrxqa": 497, "medmod": 492}
26
- EXPECTED_TASK_COUNTS = {
27
- "ehrxqa_image": 497,
28
- "medmod_decompensation": 125,
29
- "medmod_in_hospital_mortality": 125,
30
- "medmod_phenotyping": 120,
31
- "medmod_radiology": 122,
32
- }
33
-
34
-
35
- def parse_args() -> argparse.Namespace:
36
- parser = argparse.ArgumentParser(description=__doc__)
37
- parser.add_argument(
38
- "--bench-root",
39
- type=Path,
40
- default=Path("data/ClinSeek-Bench"),
41
- help="Root of the ClinSeek-Bench repository or downloaded package.",
42
- )
43
- parser.add_argument(
44
- "--input",
45
- type=Path,
46
- default=None,
47
- help="Optional explicit mm_bench.jsonl path. Defaults to <bench-root>/inputs/mm_bench.jsonl.",
48
- )
49
- parser.add_argument(
50
- "--use-git-tree",
51
- action="store_true",
52
- help="Validate file presence against git ls-tree instead of local filesystem contents.",
53
- )
54
- parser.add_argument(
55
- "--manifest-only",
56
- action="store_true",
57
- help="Validate only inputs/mm_bench.jsonl counts/schema and referenced path strings. Do not require DB/JPG/report files.",
58
- )
59
- parser.add_argument(
60
- "--allow-unexpected-counts",
61
- action="store_true",
62
- help="Do not fail if source/task counts differ from the frozen release counts.",
63
- )
64
- return parser.parse_args()
65
-
66
-
67
- def read_jsonl(path: Path) -> list[dict[str, Any]]:
68
- rows: list[dict[str, Any]] = []
69
- with path.open("r", encoding="utf-8") as handle:
70
- for line in handle:
71
- if line.strip():
72
- rows.append(json.loads(line))
73
- return rows
74
-
75
-
76
- def safe_int(value: Any) -> int | None:
77
- if value is None or value == "":
78
- return None
79
- try:
80
- return int(float(str(value)))
81
- except ValueError:
82
- return None
83
-
84
-
85
- def git_tree_paths(root: Path) -> set[str]:
86
- output = subprocess.check_output(
87
- ["git", "-C", str(root), "ls-tree", "-r", "--name-only", "HEAD"],
88
- text=True,
89
- )
90
- return {line.strip() for line in output.splitlines() if line.strip()}
91
-
92
-
93
- def release_asset_relpath(source: str, raw_path: str) -> str:
94
- """Map JSONL asset paths to their release-relative locations.
95
-
96
- The JSONL preserves original package prefixes such as
97
- EHRXQAOriginalLinked_v1/ or MedModOriginalLinked_v1/. The released HF tree
98
- stores the actual assets under data/mm_bench/<source>/.
99
- """
100
- parts = Path(raw_path).parts
101
- if parts and parts[0].endswith("OriginalLinked_v1"):
102
- parts = parts[1:]
103
- return str(Path("data") / "mm_bench" / source / Path(*parts))
104
-
105
-
106
- def exists(path: str, *, root: Path, tree: set[str] | None) -> bool:
107
- if tree is not None:
108
- return path in tree
109
- return (root / path).exists()
110
-
111
-
112
- def validate(args: argparse.Namespace) -> tuple[dict[str, Any], list[dict[str, Any]]]:
113
- bench_root = args.bench_root
114
- input_path = args.input or bench_root / "inputs" / "mm_bench.jsonl"
115
- rows = read_jsonl(input_path)
116
- tree = git_tree_paths(bench_root) if args.use_git_tree and not args.manifest_only else None
117
-
118
- source_counts = Counter(row.get("source_benchmark") for row in rows)
119
- task_counts = Counter(row.get("task") for row in rows)
120
- subjects_by_source: dict[str, set[int]] = defaultdict(set)
121
- images_by_source: dict[str, set[str]] = defaultdict(set)
122
- reports_by_source: dict[str, set[str]] = defaultdict(set)
123
-
124
- errors: list[dict[str, Any]] = []
125
- missing_by_kind = Counter()
126
-
127
- for row in rows:
128
- qid = row.get("qid")
129
- source = str(row.get("source_benchmark") or "")
130
- subject_id = safe_int(row.get("subject_id"))
131
- if source not in {"ehrxqa", "medmod"}:
132
- errors.append({"qid": qid, "kind": "bad_source", "value": source})
133
- continue
134
- if subject_id is None:
135
- errors.append({"qid": qid, "kind": "missing_subject_id"})
136
- continue
137
-
138
- subjects_by_source[source].add(subject_id)
139
- db_rel = str(Path("data") / "mm_bench" / source / "database" / f"patient_{subject_id}.db")
140
- if not args.manifest_only and not exists(db_rel, root=bench_root, tree=tree):
141
- missing_by_kind["database"] += 1
142
- errors.append({"qid": qid, "kind": "missing_database", "path": db_rel})
143
-
144
- for raw_path in row.get("image_paths") or []:
145
- rel = release_asset_relpath(source, str(raw_path))
146
- images_by_source[source].add(rel)
147
- if not args.manifest_only and not exists(rel, root=bench_root, tree=tree):
148
- missing_by_kind["image"] += 1
149
- errors.append({"qid": qid, "kind": "missing_image", "path": rel})
150
-
151
- for raw_path in row.get("report_paths") or []:
152
- rel = release_asset_relpath(source, str(raw_path))
153
- reports_by_source[source].add(rel)
154
- if not args.manifest_only and not exists(rel, root=bench_root, tree=tree):
155
- missing_by_kind["report"] += 1
156
- errors.append({"qid": qid, "kind": "missing_report", "path": rel})
157
-
158
- if not args.allow_unexpected_counts:
159
- if dict(source_counts) != EXPECTED_SOURCE_COUNTS:
160
- errors.append(
161
- {
162
- "kind": "unexpected_source_counts",
163
- "actual": dict(source_counts),
164
- "expected": EXPECTED_SOURCE_COUNTS,
165
- }
166
- )
167
- if dict(task_counts) != EXPECTED_TASK_COUNTS:
168
- errors.append(
169
- {
170
- "kind": "unexpected_task_counts",
171
- "actual": dict(task_counts),
172
- "expected": EXPECTED_TASK_COUNTS,
173
- }
174
- )
175
-
176
- summary = {
177
- "rows": len(rows),
178
- "source_counts": dict(source_counts),
179
- "task_counts": dict(task_counts),
180
- "subjects": {key: len(value) for key, value in subjects_by_source.items()},
181
- "unique_images": {key: len(value) for key, value in images_by_source.items()},
182
- "unique_reports": {key: len(value) for key, value in reports_by_source.items()},
183
- "missing_by_kind": dict(missing_by_kind),
184
- "error_count": len(errors),
185
- "validated_against": "manifest_only"
186
- if args.manifest_only
187
- else ("git_tree" if args.use_git_tree else "filesystem"),
188
- "bench_root": str(bench_root),
189
- "input": str(input_path),
190
- }
191
- return summary, errors
192
-
193
-
194
- def main() -> int:
195
- args = parse_args()
196
- summary, errors = validate(args)
197
- print(json.dumps(summary, ensure_ascii=False, indent=2))
198
- if errors:
199
- print("First errors:", file=sys.stderr)
200
- for error in errors[:20]:
201
- print(json.dumps(error, ensure_ascii=False), file=sys.stderr)
202
- return 1
203
- return 0
204
-
205
-
206
- if __name__ == "__main__":
207
- raise SystemExit(main())