Spaces:
Sleeping
Sleeping
YanBoChen
commited on
Commit
·
5fb5e09
1
Parent(s):
2f35ee2
Update query file references for full evaluation and improve user prompts in evaluation scripts (before optimized_general_pipeline)
Browse files
evaluation/direct_llm_evaluator.py
CHANGED
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@@ -448,8 +448,8 @@ if __name__ == "__main__":
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| 448 |
query_file = sys.argv[1]
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else:
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# Default to evaluation/single_test_query.txt for consistency
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| 451 |
-
# TODO: Change to pre_user_query_evaluate.txt for full evaluation
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-
query_file = Path(__file__).parent / "
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if not os.path.exists(query_file):
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print(f"❌ Query file not found: {query_file}")
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query_file = sys.argv[1]
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else:
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# Default to evaluation/single_test_query.txt for consistency
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+
# TODO: Change to pre_user_query_evaluate.txt for full evaluation, user_query.txt for formal evaluation
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+
query_file = Path(__file__).parent / "user_query.txt"
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if not os.path.exists(query_file):
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print(f"❌ Query file not found: {query_file}")
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evaluation/fixed_judge_evaluator.py
ADDED
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@@ -0,0 +1,394 @@
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| 1 |
+
#!/usr/bin/env python3
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| 2 |
+
"""
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| 3 |
+
Fixed version of metric5_6_llm_judge_evaluator.py with batch processing
|
| 4 |
+
Splits large evaluation requests into smaller batches to avoid API limits
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| 5 |
+
"""
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| 6 |
+
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| 7 |
+
import sys
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| 8 |
+
import os
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| 9 |
+
import json
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| 10 |
+
import time
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| 11 |
+
import glob
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| 12 |
+
from pathlib import Path
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| 13 |
+
from datetime import datetime
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| 14 |
+
from typing import Dict, List, Any
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| 15 |
+
import re
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| 16 |
+
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| 17 |
+
# Add src directory to path
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| 18 |
+
sys.path.insert(0, str(Path(__file__).parent.parent / "src"))
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| 19 |
+
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| 20 |
+
from llm_clients import llm_Llama3_70B_JudgeClient
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| 21 |
+
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| 22 |
+
class FixedLLMJudgeEvaluator:
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| 23 |
+
"""
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| 24 |
+
Fixed LLM Judge Evaluator with batch processing for large evaluations
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| 25 |
+
"""
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| 26 |
+
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| 27 |
+
def __init__(self, batch_size: int = 2):
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| 28 |
+
"""
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| 29 |
+
Initialize with configurable batch size
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| 30 |
+
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| 31 |
+
Args:
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| 32 |
+
batch_size: Number of queries to evaluate per batch (default: 2)
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| 33 |
+
"""
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| 34 |
+
self.judge_llm = llm_Llama3_70B_JudgeClient()
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| 35 |
+
self.evaluation_results = []
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| 36 |
+
self.batch_size = batch_size
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| 37 |
+
print(f"✅ Fixed LLM Judge Evaluator initialized with batch_size={batch_size}")
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| 38 |
+
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| 39 |
+
def load_systems_outputs(self, systems: List[str]) -> Dict[str, List[Dict]]:
|
| 40 |
+
"""Load outputs from multiple systems for comparison"""
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| 41 |
+
results_dir = Path(__file__).parent / "results"
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| 42 |
+
system_files = {}
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| 43 |
+
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| 44 |
+
for system in systems:
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| 45 |
+
if system == "rag":
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| 46 |
+
pattern = str(results_dir / "medical_outputs_[0-9]*.json")
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| 47 |
+
elif system == "direct":
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| 48 |
+
pattern = str(results_dir / "medical_outputs_direct_*.json")
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| 49 |
+
else:
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| 50 |
+
pattern = str(results_dir / f"medical_outputs_{system}_*.json")
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| 51 |
+
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| 52 |
+
print(f"🔍 Searching for {system} with pattern: {pattern}")
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| 53 |
+
output_files = glob.glob(pattern)
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| 54 |
+
print(f"🔍 Found files for {system}: {output_files}")
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| 55 |
+
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| 56 |
+
if not output_files:
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| 57 |
+
raise FileNotFoundError(f"No output files found for system: {system}")
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| 58 |
+
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| 59 |
+
# Use most recent file
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| 60 |
+
latest_file = max(output_files, key=os.path.getctime)
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| 61 |
+
print(f"📁 Using latest file for {system}: {latest_file}")
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| 62 |
+
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| 63 |
+
with open(latest_file, 'r', encoding='utf-8') as f:
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| 64 |
+
data = json.load(f)
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| 65 |
+
system_files[system] = data['medical_outputs']
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| 66 |
+
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| 67 |
+
return system_files
|
| 68 |
+
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| 69 |
+
def create_batch_evaluation_prompt(self, batch_queries: List[Dict], system_names: List[str]) -> str:
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| 70 |
+
"""
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| 71 |
+
Create evaluation prompt for a small batch of queries
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| 72 |
+
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| 73 |
+
Args:
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| 74 |
+
batch_queries: Small batch of queries (2-3 queries)
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| 75 |
+
system_names: Names of systems being compared
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| 76 |
+
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| 77 |
+
Returns:
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| 78 |
+
Formatted evaluation prompt
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| 79 |
+
"""
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| 80 |
+
prompt_parts = [
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| 81 |
+
"MEDICAL AI EVALUATION - BATCH ASSESSMENT",
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| 82 |
+
"",
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| 83 |
+
f"You are evaluating {len(system_names)} medical AI systems on {len(batch_queries)} queries.",
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| 84 |
+
"Rate each response on a scale of 1-10 for:",
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| 85 |
+
"1. Clinical Actionability: Can healthcare providers immediately act on this advice?",
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| 86 |
+
"2. Clinical Evidence Quality: Is the advice evidence-based and follows medical standards?",
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| 87 |
+
"",
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| 88 |
+
"SYSTEMS:"
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| 89 |
+
]
|
| 90 |
+
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| 91 |
+
for i, system in enumerate(system_names, 1):
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| 92 |
+
if system == "rag":
|
| 93 |
+
prompt_parts.append(f"SYSTEM {i} (RAG): Uses medical guidelines + LLM")
|
| 94 |
+
elif system == "direct":
|
| 95 |
+
prompt_parts.append(f"SYSTEM {i} (Direct): Uses LLM only without external guidelines")
|
| 96 |
+
else:
|
| 97 |
+
prompt_parts.append(f"SYSTEM {i} ({system.upper()}): {system} medical AI system")
|
| 98 |
+
|
| 99 |
+
prompt_parts.extend([
|
| 100 |
+
"",
|
| 101 |
+
"QUERIES TO EVALUATE:",
|
| 102 |
+
""
|
| 103 |
+
])
|
| 104 |
+
|
| 105 |
+
# Add each query with all system responses
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| 106 |
+
for i, query_batch in enumerate(batch_queries, 1):
|
| 107 |
+
query = query_batch['query']
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| 108 |
+
category = query_batch['category']
|
| 109 |
+
|
| 110 |
+
prompt_parts.extend([
|
| 111 |
+
f"=== QUERY {i} ({category.upper()}) ===",
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| 112 |
+
f"Patient Query: {query}",
|
| 113 |
+
""
|
| 114 |
+
])
|
| 115 |
+
|
| 116 |
+
# Add each system's response
|
| 117 |
+
for j, system in enumerate(system_names, 1):
|
| 118 |
+
advice = query_batch[f'{system}_advice']
|
| 119 |
+
|
| 120 |
+
# Truncate very long advice to avoid token limits
|
| 121 |
+
if len(advice) > 1500:
|
| 122 |
+
advice = advice[:1500] + "... [truncated for evaluation]"
|
| 123 |
+
|
| 124 |
+
prompt_parts.extend([
|
| 125 |
+
f"SYSTEM {j} Response: {advice}",
|
| 126 |
+
""
|
| 127 |
+
])
|
| 128 |
+
|
| 129 |
+
prompt_parts.extend([
|
| 130 |
+
"RESPONSE FORMAT (provide exactly this format):",
|
| 131 |
+
""
|
| 132 |
+
])
|
| 133 |
+
|
| 134 |
+
# Add response format template
|
| 135 |
+
for i in range(1, len(batch_queries) + 1):
|
| 136 |
+
for j, system in enumerate(system_names, 1):
|
| 137 |
+
prompt_parts.append(f"Query {i} System {j}: Actionability=X, Evidence=Y")
|
| 138 |
+
|
| 139 |
+
return '\n'.join(prompt_parts)
|
| 140 |
+
|
| 141 |
+
def parse_batch_evaluation_response(self, response_text: str, batch_queries: List[Dict], system_names: List[str]) -> List[Dict]:
|
| 142 |
+
"""Parse evaluation response for a batch of queries"""
|
| 143 |
+
results = []
|
| 144 |
+
lines = response_text.strip().split('\n')
|
| 145 |
+
|
| 146 |
+
for line in lines:
|
| 147 |
+
# Parse format: "Query X System Y: Actionability=Z, Evidence=W"
|
| 148 |
+
match = re.search(r'Query\s+(\d+)\s+System\s+(\d+):\s*Actionability\s*=\s*(\d+(?:\.\d+)?),?\s*Evidence\s*=\s*(\d+(?:\.\d+)?)', line, re.IGNORECASE)
|
| 149 |
+
|
| 150 |
+
if match:
|
| 151 |
+
query_num = int(match.group(1)) - 1
|
| 152 |
+
system_num = int(match.group(2)) - 1
|
| 153 |
+
actionability = float(match.group(3))
|
| 154 |
+
evidence = float(match.group(4))
|
| 155 |
+
|
| 156 |
+
if (0 <= query_num < len(batch_queries) and
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| 157 |
+
0 <= system_num < len(system_names) and
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| 158 |
+
1 <= actionability <= 10 and
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| 159 |
+
1 <= evidence <= 10):
|
| 160 |
+
|
| 161 |
+
result = {
|
| 162 |
+
"query": batch_queries[query_num]['query'],
|
| 163 |
+
"category": batch_queries[query_num]['category'],
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| 164 |
+
"system_type": system_names[system_num],
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| 165 |
+
"actionability_score": actionability / 10, # Normalize to 0-1
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| 166 |
+
"evidence_score": evidence / 10, # Normalize to 0-1
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| 167 |
+
"evaluation_success": True,
|
| 168 |
+
"timestamp": datetime.now().isoformat()
|
| 169 |
+
}
|
| 170 |
+
results.append(result)
|
| 171 |
+
|
| 172 |
+
return results
|
| 173 |
+
|
| 174 |
+
def evaluate_systems_in_batches(self, systems: List[str]) -> Dict[str, List[Dict]]:
|
| 175 |
+
"""
|
| 176 |
+
Evaluate multiple systems using batch processing
|
| 177 |
+
|
| 178 |
+
Args:
|
| 179 |
+
systems: List of system names to compare
|
| 180 |
+
|
| 181 |
+
Returns:
|
| 182 |
+
Dict with results for each system
|
| 183 |
+
"""
|
| 184 |
+
print(f"🚀 Starting batch evaluation for systems: {systems}")
|
| 185 |
+
|
| 186 |
+
# Load system outputs
|
| 187 |
+
systems_outputs = self.load_systems_outputs(systems)
|
| 188 |
+
|
| 189 |
+
# Verify all systems have same number of queries
|
| 190 |
+
query_counts = [len(outputs) for outputs in systems_outputs.values()]
|
| 191 |
+
if len(set(query_counts)) > 1:
|
| 192 |
+
print(f"⚠️ Warning: Systems have different query counts: {dict(zip(systems, query_counts))}")
|
| 193 |
+
|
| 194 |
+
total_queries = min(query_counts)
|
| 195 |
+
print(f"📊 Evaluating {total_queries} queries across {len(systems)} systems...")
|
| 196 |
+
|
| 197 |
+
# Prepare combined queries for batching
|
| 198 |
+
combined_queries = []
|
| 199 |
+
system_outputs_list = list(systems_outputs.values())
|
| 200 |
+
|
| 201 |
+
for i in range(total_queries):
|
| 202 |
+
batch_query = {
|
| 203 |
+
'query': system_outputs_list[0][i]['query'],
|
| 204 |
+
'category': system_outputs_list[0][i]['category']
|
| 205 |
+
}
|
| 206 |
+
|
| 207 |
+
# Add advice from each system
|
| 208 |
+
for j, system_name in enumerate(systems):
|
| 209 |
+
batch_query[f'{system_name}_advice'] = systems_outputs[system_name][i]['medical_advice']
|
| 210 |
+
|
| 211 |
+
combined_queries.append(batch_query)
|
| 212 |
+
|
| 213 |
+
# Process in small batches
|
| 214 |
+
all_results = []
|
| 215 |
+
num_batches = (total_queries + self.batch_size - 1) // self.batch_size
|
| 216 |
+
|
| 217 |
+
for batch_num in range(num_batches):
|
| 218 |
+
start_idx = batch_num * self.batch_size
|
| 219 |
+
end_idx = min(start_idx + self.batch_size, total_queries)
|
| 220 |
+
batch_queries = combined_queries[start_idx:end_idx]
|
| 221 |
+
|
| 222 |
+
print(f"\n📦 Processing batch {batch_num + 1}/{num_batches} (queries {start_idx + 1}-{end_idx})...")
|
| 223 |
+
|
| 224 |
+
try:
|
| 225 |
+
# Create batch evaluation prompt
|
| 226 |
+
batch_prompt = self.create_batch_evaluation_prompt(batch_queries, systems)
|
| 227 |
+
|
| 228 |
+
print(f"📝 Batch prompt created ({len(batch_prompt)} characters)")
|
| 229 |
+
print(f"🔄 Calling judge LLM for batch {batch_num + 1}...")
|
| 230 |
+
|
| 231 |
+
# Call LLM for this batch
|
| 232 |
+
eval_start = time.time()
|
| 233 |
+
response = self.judge_llm.batch_evaluate(batch_prompt)
|
| 234 |
+
eval_time = time.time() - eval_start
|
| 235 |
+
|
| 236 |
+
# Extract response text
|
| 237 |
+
response_text = response.get('content', '') if isinstance(response, dict) else str(response)
|
| 238 |
+
|
| 239 |
+
print(f"✅ Batch {batch_num + 1} completed in {eval_time:.2f}s")
|
| 240 |
+
print(f"📄 Response length: {len(response_text)} characters")
|
| 241 |
+
|
| 242 |
+
# Parse batch response
|
| 243 |
+
batch_results = self.parse_batch_evaluation_response(response_text, batch_queries, systems)
|
| 244 |
+
all_results.extend(batch_results)
|
| 245 |
+
|
| 246 |
+
print(f"📊 Batch {batch_num + 1}: {len(batch_results)} evaluations parsed")
|
| 247 |
+
|
| 248 |
+
# Small delay between batches to avoid rate limiting
|
| 249 |
+
if batch_num < num_batches - 1:
|
| 250 |
+
time.sleep(2)
|
| 251 |
+
|
| 252 |
+
except Exception as e:
|
| 253 |
+
print(f"❌ Batch {batch_num + 1} failed: {e}")
|
| 254 |
+
# Continue with next batch rather than stopping
|
| 255 |
+
continue
|
| 256 |
+
|
| 257 |
+
# Group results by system
|
| 258 |
+
results_by_system = {}
|
| 259 |
+
for system in systems:
|
| 260 |
+
results_by_system[system] = [r for r in all_results if r['system_type'] == system]
|
| 261 |
+
|
| 262 |
+
self.evaluation_results.extend(all_results)
|
| 263 |
+
|
| 264 |
+
return results_by_system
|
| 265 |
+
|
| 266 |
+
def save_comparison_results(self, systems: List[str], filename: str = None) -> str:
|
| 267 |
+
"""Save comparison evaluation results"""
|
| 268 |
+
if filename is None:
|
| 269 |
+
timestamp = datetime.now().strftime("%Y%m%d_%H%M%S")
|
| 270 |
+
systems_str = "_vs_".join(systems)
|
| 271 |
+
filename = f"judge_evaluation_comparison_{systems_str}_{timestamp}.json"
|
| 272 |
+
|
| 273 |
+
results_dir = Path(__file__).parent / "results"
|
| 274 |
+
results_dir.mkdir(exist_ok=True)
|
| 275 |
+
filepath = results_dir / filename
|
| 276 |
+
|
| 277 |
+
# Calculate statistics
|
| 278 |
+
successful_results = [r for r in self.evaluation_results if r['evaluation_success']]
|
| 279 |
+
|
| 280 |
+
if successful_results:
|
| 281 |
+
actionability_scores = [r['actionability_score'] for r in successful_results]
|
| 282 |
+
evidence_scores = [r['evidence_score'] for r in successful_results]
|
| 283 |
+
|
| 284 |
+
overall_stats = {
|
| 285 |
+
"average_actionability": sum(actionability_scores) / len(actionability_scores),
|
| 286 |
+
"average_evidence": sum(evidence_scores) / len(evidence_scores),
|
| 287 |
+
"successful_evaluations": len(successful_results),
|
| 288 |
+
"total_queries": len(self.evaluation_results)
|
| 289 |
+
}
|
| 290 |
+
else:
|
| 291 |
+
overall_stats = {
|
| 292 |
+
"average_actionability": 0.0,
|
| 293 |
+
"average_evidence": 0.0,
|
| 294 |
+
"successful_evaluations": 0,
|
| 295 |
+
"total_queries": len(self.evaluation_results)
|
| 296 |
+
}
|
| 297 |
+
|
| 298 |
+
# System-specific results
|
| 299 |
+
detailed_system_results = {}
|
| 300 |
+
for system in systems:
|
| 301 |
+
system_results = [r for r in successful_results if r.get('system_type') == system]
|
| 302 |
+
if system_results:
|
| 303 |
+
detailed_system_results[system] = {
|
| 304 |
+
"results": system_results,
|
| 305 |
+
"query_count": len(system_results),
|
| 306 |
+
"avg_actionability": sum(r['actionability_score'] for r in system_results) / len(system_results),
|
| 307 |
+
"avg_evidence": sum(r['evidence_score'] for r in system_results) / len(system_results)
|
| 308 |
+
}
|
| 309 |
+
else:
|
| 310 |
+
detailed_system_results[system] = {
|
| 311 |
+
"results": [],
|
| 312 |
+
"query_count": 0,
|
| 313 |
+
"avg_actionability": 0.0,
|
| 314 |
+
"avg_evidence": 0.0
|
| 315 |
+
}
|
| 316 |
+
|
| 317 |
+
# Save results
|
| 318 |
+
results_data = {
|
| 319 |
+
"category_results": {}, # Would need category analysis
|
| 320 |
+
"overall_results": overall_stats,
|
| 321 |
+
"timestamp": datetime.now().isoformat(),
|
| 322 |
+
"comparison_metadata": {
|
| 323 |
+
"systems_compared": systems,
|
| 324 |
+
"comparison_type": "multi_system_batch",
|
| 325 |
+
"batch_size": self.batch_size,
|
| 326 |
+
"timestamp": datetime.now().isoformat()
|
| 327 |
+
},
|
| 328 |
+
"detailed_system_results": detailed_system_results
|
| 329 |
+
}
|
| 330 |
+
|
| 331 |
+
with open(filepath, 'w', encoding='utf-8') as f:
|
| 332 |
+
json.dump(results_data, f, indent=2, ensure_ascii=False)
|
| 333 |
+
|
| 334 |
+
print(f"📊 Comparison evaluation results saved to: {filepath}")
|
| 335 |
+
return str(filepath)
|
| 336 |
+
|
| 337 |
+
|
| 338 |
+
def main():
|
| 339 |
+
"""Main execution function"""
|
| 340 |
+
print("🧠 Fixed OnCall.ai LLM Judge Evaluator - Batch Processing Version")
|
| 341 |
+
|
| 342 |
+
if len(sys.argv) < 2:
|
| 343 |
+
print("Usage: python fixed_judge_evaluator.py [system1,system2,...]")
|
| 344 |
+
print("Examples:")
|
| 345 |
+
print(" python fixed_judge_evaluator.py rag,direct")
|
| 346 |
+
print(" python fixed_judge_evaluator.py rag,direct --batch-size 3")
|
| 347 |
+
return 1
|
| 348 |
+
|
| 349 |
+
# Parse systems
|
| 350 |
+
systems_arg = sys.argv[1]
|
| 351 |
+
systems = [s.strip() for s in systems_arg.split(',')]
|
| 352 |
+
|
| 353 |
+
# Parse batch size
|
| 354 |
+
batch_size = 2
|
| 355 |
+
if "--batch-size" in sys.argv:
|
| 356 |
+
batch_idx = sys.argv.index("--batch-size")
|
| 357 |
+
if batch_idx + 1 < len(sys.argv):
|
| 358 |
+
batch_size = int(sys.argv[batch_idx + 1])
|
| 359 |
+
|
| 360 |
+
print(f"🎯 Systems to evaluate: {systems}")
|
| 361 |
+
print(f"📦 Batch size: {batch_size}")
|
| 362 |
+
|
| 363 |
+
try:
|
| 364 |
+
# Initialize evaluator
|
| 365 |
+
evaluator = FixedLLMJudgeEvaluator(batch_size=batch_size)
|
| 366 |
+
|
| 367 |
+
# Run batch evaluation
|
| 368 |
+
results = evaluator.evaluate_systems_in_batches(systems)
|
| 369 |
+
|
| 370 |
+
# Save results
|
| 371 |
+
results_file = evaluator.save_comparison_results(systems)
|
| 372 |
+
|
| 373 |
+
# Print summary
|
| 374 |
+
print(f"\n✅ Fixed batch evaluation completed!")
|
| 375 |
+
print(f"📊 Results saved to: {results_file}")
|
| 376 |
+
|
| 377 |
+
# Show system comparison
|
| 378 |
+
for system, system_results in results.items():
|
| 379 |
+
if system_results:
|
| 380 |
+
avg_actionability = sum(r['actionability_score'] for r in system_results) / len(system_results)
|
| 381 |
+
avg_evidence = sum(r['evidence_score'] for r in system_results) / len(system_results)
|
| 382 |
+
print(f" 🏥 {system.upper()}: Actionability={avg_actionability:.3f}, Evidence={avg_evidence:.3f} ({len(system_results)} queries)")
|
| 383 |
+
else:
|
| 384 |
+
print(f" ❌ {system.upper()}: No successful evaluations")
|
| 385 |
+
|
| 386 |
+
return 0
|
| 387 |
+
|
| 388 |
+
except Exception as e:
|
| 389 |
+
print(f"❌ Fixed judge evaluation failed: {e}")
|
| 390 |
+
return 1
|
| 391 |
+
|
| 392 |
+
|
| 393 |
+
if __name__ == "__main__":
|
| 394 |
+
exit(main())
|
evaluation/latency_evaluator.py
CHANGED
|
@@ -796,8 +796,8 @@ if __name__ == "__main__":
|
|
| 796 |
query_file = sys.argv[1]
|
| 797 |
else:
|
| 798 |
# Default to evaluation/single_test_query.txt for initial testing
|
| 799 |
-
# TODO: Change to pre_user_query_evaluate.txt for full evaluation
|
| 800 |
-
query_file = Path(__file__).parent / "
|
| 801 |
|
| 802 |
if not os.path.exists(query_file):
|
| 803 |
print(f"❌ Query file not found: {query_file}")
|
|
|
|
| 796 |
query_file = sys.argv[1]
|
| 797 |
else:
|
| 798 |
# Default to evaluation/single_test_query.txt for initial testing
|
| 799 |
+
# TODO: Change to pre_user_query_evaluate.txt for full evaluation, user_query.txt for formal evaluation
|
| 800 |
+
query_file = Path(__file__).parent / "user_query.txt"
|
| 801 |
|
| 802 |
if not os.path.exists(query_file):
|
| 803 |
print(f"❌ Query file not found: {query_file}")
|
evaluation/user_query.txt
CHANGED
|
@@ -1,34 +1,14 @@
|
|
| 1 |
-
以下是九個以「我在問你」口吻設計的快速諮詢 prompts,分為三類,每類三題:
|
| 2 |
|
| 3 |
|
| 4 |
-
1.
|
| 5 |
-
|
| 6 |
-
|
| 7 |
|
| 8 |
-
|
| 9 |
-
|
| 10 |
-
|
| 11 |
|
| 12 |
-
3.
|
| 13 |
-
20 y/f , porphyria, sudden seizure. What are possible causes and complete management workflow?
|
| 14 |
|
| 15 |
-
|
| 16 |
-
|
| 17 |
-
|
| 18 |
-
### 一、Diagnosis-Focused(診斷為主)
|
| 19 |
-
|
| 20 |
-
1. I have a 68-year-old man with atrial fibrillation presenting with sudden slurred speech and right-sided weakness. what are the possible diagnoses, and how would you evaluate them?
|
| 21 |
-
2. A 40-year-old woman reports fever, urinary frequency, and dysuria. what differential diagnoses should I consider, and which tests would you order?
|
| 22 |
-
3. A 50-year-old patient has progressive dyspnea on exertion and orthopnea over two weeks. what are the likely causes, and what diagnostic steps should I take?
|
| 23 |
-
|
| 24 |
-
### 二、Treatment-Focused(治療為主)
|
| 25 |
-
|
| 26 |
-
4. ECG shows a suspected acute STEMI. what immediate interventions should I initiate in the next five minutes?
|
| 27 |
-
5. I have a patient diagnosed with bacterial meningitis. What empiric antibiotic regimen and supportive measures should I implement?
|
| 28 |
-
6. A patient is in septic shock with BP 80/50 mmHg and HR 120 bpm—what fluid resuscitation and vasopressor strategy would you recommend?
|
| 29 |
-
|
| 30 |
-
### 三、Mixed(診斷+治療綜合)
|
| 31 |
-
|
| 32 |
-
7. A 75-year-old diabetic presents with a non-healing foot ulcer and fever—what differential for osteomyelitis, diagnostic workup, and management plan do you suggest?
|
| 33 |
-
8. A 60-year-old COPD patient has worsening dyspnea and hypercapnia on ABG. How would you confirm the diagnosis, and what is your stepwise treatment approach?
|
| 34 |
-
9. A 28-year-old woman is experiencing postpartum hemorrhage. what are the possible causes, what immediate resuscitation steps should I take, and how would you proceed with definitive management?
|
|
|
|
|
|
|
| 1 |
|
| 2 |
|
| 3 |
+
1.diagnosis: I have a 68-year-old man with atrial fibrillation presenting with sudden slurred speech and right-sided weakness. what are the possible diagnoses, and how would you evaluate them?
|
| 4 |
+
2.diagnosis: A 40-year-old woman reports fever, urinary frequency, and dysuria. what differential diagnoses should I consider, and which tests would you order?
|
| 5 |
+
3.diagnosis: A 50-year-old patient has progressive dyspnea on exertion and orthopnea over two weeks. what are the likely causes, and what diagnostic steps should I take?
|
| 6 |
|
| 7 |
+
4.treatment: ECG shows a suspected acute STEMI. what immediate interventions should I initiate in the next five minutes?
|
| 8 |
+
5.treatment: I have a patient diagnosed with bacterial meningitis. What empiric antibiotic regimen and supportive measures should I implement?
|
| 9 |
+
6.treatment: A patient is in septic shock with BP 80/50 mmHg and HR 120 bpm—what fluid resuscitation and vasopressor strategy would you recommend?
|
| 10 |
|
|
|
|
|
|
|
| 11 |
|
| 12 |
+
7.mixed/complicated: A 75-year-old diabetic presents with a non-healing foot ulcer and fever—what differential for osteomyelitis, diagnostic workup, and management plan do you suggest?
|
| 13 |
+
8.mixed/complicated: A 60-year-old COPD patient has worsening dyspnea and hypercapnia on ABG. How would you confirm the diagnosis, and what is your stepwise treatment approach?
|
| 14 |
+
9.mixed/complicated: A 28-year-old woman is experiencing postpartum hemorrhage. what are the possible causes, what immediate resuscitation steps should I take, and how would you proceed with definitive management?
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|