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README.md

@@ -1,8 +1,16 @@
----
-license: apache-2.0
-title: MediAssist v14.3 — Chat + RAG + PDF
-sdk: streamlit
-colorFrom: purple
-colorTo: indigo
-short_description: The MedicalAI system combines **ClinicalBERT**, **RAG retrie
----
+# MediAssist v14.4 — Stable (Router-powered)
+- Uses HF Router text-generation endpoint (default: GPT-OSS-120B)
+- Robust chat handler with non-JSON and 404 handling
+- RAG with unique IDs to prevent Chroma DuplicateIDError
+- OPD + Citations + PDF export
+- Diagnostics page for quick endpoint tests
+
+## HF Space Setup
+1. Create Space (SDK: Streamlit) and upload this ZIP.
+2. Settings → Secrets: `HF_API_TOKEN`
+3. Settings → Variables (optional): 
+   - `HF_CHAT_ENDPOINT` = https://router.huggingface.co/hf-inference/text-generation/openai/gpt-oss-120b
+4. Sidebar → Seed / Refresh RAG Index (once)
+5. Chat, generate OPD, and export PDF.
+
+Generated: 2025-12-06

app.py

@@ -1,47 +1,48 @@
-import os, json, time, streamlit as st
+import os, json, streamlit as st
 from backend.rag_engine import get_embedder, get_chroma, retrieve, seed_index
 from backend.soap_generator import compose_soap
 from backend.pdf_utils import generate_pdf
 from backend.chat_endpoint import chat
 from utils.constants import DOCS_DIR, RETRIEVAL_K_DEFAULT
 
-st.set_page_config(page_title="MediAssist v14.3 — Clinical AI", page_icon="🩺", layout="wide")
+st.set_page_config(page_title="MediAssist v14.4 — Clinical AI (Stable)", page_icon="🩺", layout="wide")
 
 @st.cache_resource(show_spinner=False)
 def _embedder(): return get_embedder()
-
 @st.cache_resource(show_spinner=False)
 def _col(): return get_chroma()[1]
 
 with st.sidebar:
     st.subheader("Controls")
     if st.button("Seed / Refresh RAG Index"):
-        with st.spinner("Indexing..."):
+        with st.spinner("Indexing guidelines..."):
             n = seed_index(_col(), _embedder(), DOCS_DIR)
-        st.success(f"Indexed {n} chunks from {DOCS_DIR}")
-    st.caption("Upload .txt/.md to data/guidelines/<specialty>/ then reseed.")
+        st.success(f"Indexed {n} chunks.")
+    st.caption("Upload .txt/.md into data/guidelines/<specialty>/ and reseed.")
 
-st.title("🩺 MediAssist v14.3 — Clinical AI for Doctors")
-st.caption("Chat + RAG + PDF · Uses HF Endpoint (set HF_API_TOKEN & HF_CHAT_ENDPOINT).")
+st.title("🩺 MediAssist v14.4 — Clinical AI (Stable)")
+st.caption("HF Router endpoint + RAG + PDF.")
 
 narrative = st.text_area("Patient narrative", height=140, placeholder="e.g., 10 days period delay, nausea, mild cramps")
 k = st.slider("🔍 Results to retrieve", 1, 10, RETRIEVAL_K_DEFAULT)
 
-col1, col2 = st.columns(2)
+c1, c2 = st.columns(2)
 
 if st.button("🧾 Generate OPD + Citations"):
     with st.spinner("Composing..."):
         items = retrieve(_col(), _embedder(), narrative, k=k)
         soap = compose_soap(narrative, items)
-    with col1:
+    with c1:
         st.subheader("SOAP JSON")
         st.code(json.dumps(soap, indent=2), language="json")
-    with col2:
+    with c2:
         st.subheader("Citations")
-        if not items: st.info("No citations retrieved.")
-        for i,it in enumerate(items,1):
-            st.markdown(f"**{i}. {it['title']}**  \n`{it['source']}`  \n> {it['text'][:400]}...")
-            st.divider()
+        if not items:
+            st.info("No citations retrieved.")
+        else:
+            for idx,it in enumerate(items,1):
+                st.markdown(f"**{idx}. {it['title']}**  \n`{it['source']}`  \n> {it['text'][:400]}...")
+                st.divider()
 
 st.markdown("---")
 st.subheader("💬 AI Chat")

backend/chat_endpoint.py

@@ -9,86 +9,45 @@ def _headers():
     tok = os.getenv("HF_API_TOKEN")
     return {"Authorization": f"Bearer {tok}","Content-Type":"application/json"} if tok else {}
 
-
 def chat(user_message: str, mode: str = "patient"):
     url = active_chat_endpoint()
     headers = _headers()
     if not headers:
         return "⚠ Add HF_API_TOKEN in Settings → Secrets."
 
-    system = AI_GYNO_PERSONA_V2 + (
-        "\nUse simple, reassuring language." if mode=="patient"
-        else "\nUse clinical language, differentials, and red flags."
-    )
-
-    payload = {
-        "inputs": [
-            {"role": "system", "content": system},
-            {"role": "user", "content": user_message}
-        ],
-        "parameters": {
-            "max_new_tokens": 400,
-            "temperature": 0.2,
-            "return_full_text": False
-        }
-    }
-
-    try:
-        r = requests.post(url, headers=headers, json=payload, timeout=60)
-    except Exception as e:
-        return f"⚠ Network error: {str(e)}"
+    system = AI_GYNO_PERSONA_V2 + ("\nUse simple, supportive language." if mode=='patient' else "\nProvide differentials, initial workup, and red flags.")
+    prompt = f"""{system}
 
-    # --- SAFER PARSER ---
-    txt = r.text
+Patient narrative:
+{user_message}
 
-    # HTML → clear signal model is loading or wrong
-    if "<html" in txt.lower():
-        if "loading" in txt.lower():
-            return "⏳ Model is loading on HuggingFace… try again in 20–30 sec."
-        return f"⚠ Endpoint returned HTML instead of JSON:\n\n{txt[:500]}"
-
-    # Try normal JSON
-    try:
-        data = r.json()
-    except:
-        return f"⚠ Non-JSON content returned:\n\n{txt[:500]}"
-
-    # Standard HF generation
-    if isinstance(data, list) and len(data) and "generated_text" in data[0]:
-        return data[0]["generated_text"]
-    if isinstance(data, dict) and "generated_text" in data:
-        return data["generated_text"]
-
-    return f"⚠ Unexpected JSON:\n{json.dumps(data)[:800]}"
+Assistant:"""
 
+    payload = {
+        "inputs": prompt,
+        "parameters": {"max_new_tokens": 400, "temperature": 0.2, "return_full_text": False}
+    }
 
-# def chat(user_message: str, mode: str = "patient"):
-#     url = active_chat_endpoint()
-#     if not _headers():
-#         return "⚠ Add HF_API_TOKEN in Settings → Secrets."
-#     system = AI_GYNO_PERSONA_V2 + ("\nPrefer plain-language for patients." if mode=='patient' else "\nProvide differentials, workup, and red flags.")
-#     payload = {
-#         "inputs": [
-#             {"role":"system","content": system},
-#             {"role":"user","content": user_message}
-#         ],
-#         "parameters": {"max_new_tokens": 400, "temperature": 0.2, "return_full_text": False}
-#     }
-#     for attempt in range(1, RETRIES_DEFAULT+1):
-#         try:
-#             r = requests.post(url, headers=_headers(), json=payload, timeout=REQUEST_TIMEOUT_SECONDS_DEFAULT)
-#             try:
-#                 data = r.json()
-#             except Exception:
-#                 txt = r.text
-#                 if "loading" in txt.lower():
-#                     time.sleep(BACKOFF_SECONDS_DEFAULT * attempt); continue
-#                 return f"⚠ Non-JSON response:\n\n{txt[:1500]}"
-#             if isinstance(data, list) and data and "generated_text" in data[0]:
-#                 return data[0]["generated_text"]
-#             if isinstance(data, dict) and "generated_text" in data:
-#                 return data["generated_text"]
-#             return "⚠ Unexpected response:\n" + json.dumps(data)[:1200]
-#         except Exception as e:
-#             time.sleep(BACKOFF_SECONDS_DEFAULT * attempt)
-#     return "❌ Endpoint unavailable after retries."
+    for attempt in range(1, RETRIES_DEFAULT+1):
+        try:
+            r = requests.post(url, headers=headers, json=payload, timeout=REQUEST_TIMEOUT_SECONDS_DEFAULT)
+            text = r.text
+            try:
+                data = r.json()
+                if isinstance(data, list) and data and "generated_text" in data[0]:
+                    return data[0]["generated_text"]
+                if isinstance(data, dict) and "generated_text" in data:
+                    return data["generated_text"]
+                if isinstance(data, dict) and "outputs" in data and isinstance(data["outputs"], list) and data["outputs"]:
+                    gt = data["outputs"][0].get("generated_text")
+                    if gt: return gt
+                return json.dumps(data)[:1500]
+            except Exception:
+                if "loading" in text.lower():
+                    time.sleep(BACKOFF_SECONDS_DEFAULT * attempt); continue
+                if r.status_code == 404:
+                    return "❌ 404 from router. Check model path: /hf-inference/text-generation/<MODEL>"
+                return f"⚠ Non-JSON response:\n{text[:1000]}"
+        except Exception as e:
+            time.sleep(BACKOFF_SECONDS_DEFAULT * attempt)
+    return "❌ Endpoint unavailable after retries."

backend/rag_engine.py

@@ -27,6 +27,7 @@ def seed_index(col, model, root_folder: str) -> int:
     ids, docs, metas = [], [], []
     for p in sorted(paths):
         title = os.path.splitext(os.path.basename(p))[0]
+        rel = os.path.relpath(p, DOCS_DIR).replace(os.sep, "_")  # guarantee uniqueness
         try:
             with open(p, "r", encoding="utf-8") as f:
                 txt = f.read()
@@ -34,7 +35,7 @@ def seed_index(col, model, root_folder: str) -> int:
             continue
         chunks = splitter.split_text(txt)
         for i, ch in enumerate(chunks):
-            ids.append(f"{title}-{i}")
+            ids.append(f"{rel}-{i}")
             docs.append(ch)
             metas.append({"title": title, "source": p})
     if not docs:

backend/soap_generator.py

@@ -5,12 +5,12 @@ def compose_soap(narrative: str, retrieved: List[Dict]) -> Dict:
     assessment, plan = [], ["Safety-net advice and red-flag education.", "Follow-up in 3–7 days or earlier if worse."]
     if any(k in text for k in ["bleed","spotting","period","menorrhagia","aub"]):
         assessment.append("Abnormal uterine bleeding — structural vs hormonal.")
-        plan.append("Urine pregnancy test if appropriate; CBC; pelvic US if indicated.")
+        plan.append("Urine pregnancy test; CBC; pelvic ultrasound if indicated.")
     if any(k in text for k in ["pelvic pain","cramp","lower abdominal pain"]):
-        assessment.append("Pelvic pain — rule out infection/cyst/endometriosis.")
+        assessment.append("Pelvic pain — r/o infection/cyst/endometriosis.")
         plan.append("Trial NSAIDs; pelvic exam/US if persistent.")
     if any(k in text for k in ["chest pain","shortness of breath","sob"]):
-        assessment.append("Chest pain — consider ACS/PE; triage red flags immediately.")
+        assessment.append("Chest pain — consider ACS/PE; triage immediately if red flags.")
         plan.append("ECG, vitals; urgent review if high risk.")
     if any(k in text for k in ["knee pain","joint","sprain","swelling","injury"]):
         assessment.append("MSK complaint — ortho evaluation.")

data/guidelines/internal_med/001_Hypertension.txt

@@ -0,0 +1,6 @@
+Title: Chest Pain — Internal Medicine Guideline (1)
+Summary: Evidence-aligned triage and management for chest pain in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/002_Hypertension.txt

@@ -0,0 +1,6 @@
+Title: Asthma — Internal Medicine Guideline (2)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/003_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,6 @@
+Title: Asthma — Internal Medicine Guideline (3)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/004_Asthma.txt

@@ -0,0 +1,6 @@
+Title: Fever of Unknown Origin — Internal Medicine Guideline (4)
+Summary: Evidence-aligned triage and management for fever of unknown origin in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/005_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,6 @@
+Title: Hypertension — Internal Medicine Guideline (5)
+Summary: Evidence-aligned triage and management for hypertension in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/006_COPD_Exacerbation.txt

@@ -0,0 +1,6 @@
+Title: UTI — Internal Medicine Guideline (6)
+Summary: Evidence-aligned triage and management for uti in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/007_Asthma.txt

@@ -0,0 +1,6 @@
+Title: UTI — Internal Medicine Guideline (7)
+Summary: Evidence-aligned triage and management for uti in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/008_Thyroid_Dysfunction.txt

@@ -0,0 +1,6 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (8)
+Summary: Evidence-aligned triage and management for copd exacerbation in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/009_Diabetes_Mellitus.txt

@@ -0,0 +1,6 @@
+Title: Anemia — Internal Medicine Guideline (9)
+Summary: Evidence-aligned triage and management for anemia in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/010_Thyroid_Dysfunction.txt

@@ -0,0 +1,6 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (10)
+Summary: Evidence-aligned triage and management for diabetes mellitus in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/011_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,6 @@
+Title: AKI — Internal Medicine Guideline (11)
+Summary: Evidence-aligned triage and management for aki in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/012_Diabetes_Mellitus.txt

@@ -0,0 +1,6 @@
+Title: AKI — Internal Medicine Guideline (12)
+Summary: Evidence-aligned triage and management for aki in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/013_UTI.txt

@@ -0,0 +1,6 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (13)
+Summary: Evidence-aligned triage and management for diabetes mellitus in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/014_Asthma.txt

@@ -0,0 +1,6 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (14)
+Summary: Evidence-aligned triage and management for diabetes mellitus in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/015_UTI.txt

@@ -0,0 +1,6 @@
+Title: AKI — Internal Medicine Guideline (15)
+Summary: Evidence-aligned triage and management for aki in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/016_Anemia.txt

@@ -1,34 +1,6 @@
-Title: Anemia — Internal Medicine Guideline (16)
-
-Clinical Summary:
-Evidence-aligned approach to anemia in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
-
-Symptoms:
-- Pattern, onset, severity, modifiers
-- Associated: fever, weight loss, bleeding, dyspnea
-- Risks: comorbidities, medications, family history
-
-Differentials:
-- Common
-- Less common
-- Must-not-miss (red flag)
-
-Investigations:
-- First-line labs
-- Imaging when indicated
-- Decision thresholds
-
-Management:
-- Conservative measures
-- Pharmacologic options
-- Escalation criteria
-
-Red Flags:
-- Syncope, severe pain, hemodynamic instability
-- New neurologic deficits
-- Rapid progression or systemic toxicity
-
-Follow-Up:
-- Time-bounded review
-- Safety-net advice
-- When to return earlier
+Title: Asthma — Internal Medicine Guideline (16)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/017_COPD_Exacerbation.txt

@@ -0,0 +1,6 @@
+Title: Thyroid Dysfunction — Internal Medicine Guideline (17)
+Summary: Evidence-aligned triage and management for thyroid dysfunction in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/018_COPD_Exacerbation.txt

@@ -0,0 +1,6 @@
+Title: Asthma — Internal Medicine Guideline (18)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/019_Asthma.txt

@@ -1,34 +1,6 @@
 Title: Hypertension — Internal Medicine Guideline (19)
-
-Clinical Summary:
-Evidence-aligned approach to hypertension in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
-
-Symptoms:
-- Pattern, onset, severity, modifiers
-- Associated: fever, weight loss, bleeding, dyspnea
-- Risks: comorbidities, medications, family history
-
-Differentials:
-- Common
-- Less common
-- Must-not-miss (red flag)
-
-Investigations:
-- First-line labs
-- Imaging when indicated
-- Decision thresholds
-
-Management:
-- Conservative measures
-- Pharmacologic options
-- Escalation criteria
-
-Red Flags:
-- Syncope, severe pain, hemodynamic instability
-- New neurologic deficits
-- Rapid progression or systemic toxicity
-
-Follow-Up:
-- Time-bounded review
-- Safety-net advice
-- When to return earlier
+Summary: Evidence-aligned triage and management for hypertension in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/internal_med/020_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,6 @@
+Title: UTI — Internal Medicine Guideline (20)
+Summary: Evidence-aligned triage and management for uti in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/001_AUB.txt

@@ -1,34 +1,6 @@
-Title: Infertility Workup — OBGYN Guideline (1)
-
-Clinical Summary:
-Evidence-aligned approach to infertility workup in OBGYN. Prioritize red flags, history, and targeted exam; use testing judiciously.
-
-Symptoms:
-- Pattern, onset, severity, modifiers
-- Associated: fever, weight loss, bleeding, dyspnea
-- Risks: comorbidities, medications, family history
-
-Differentials:
-- Common
-- Less common
-- Must-not-miss (red flag)
-
-Investigations:
-- First-line labs
-- Imaging when indicated
-- Decision thresholds
-
-Management:
-- Conservative measures
-- Pharmacologic options
-- Escalation criteria
-
-Red Flags:
-- Syncope, severe pain, hemodynamic instability
-- New neurologic deficits
-- Rapid progression or systemic toxicity
-
-Follow-Up:
-- Time-bounded review
-- Safety-net advice
-- When to return earlier
+Title: Antenatal Care — OBGYN Guideline (1)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/002_Fibroids.txt

@@ -0,0 +1,6 @@
+Title: Antenatal Care — OBGYN Guideline (2)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/003_PCOS.txt

@@ -0,0 +1,6 @@
+Title: Fibroids — OBGYN Guideline (3)
+Summary: Evidence-aligned triage and management for fibroids in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/004_Antenatal_Care.txt

@@ -0,0 +1,6 @@
+Title: Ectopic Pregnancy — OBGYN Guideline (4)
+Summary: Evidence-aligned triage and management for ectopic pregnancy in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/005_Endometriosis.txt

@@ -0,0 +1,6 @@
+Title: Endometriosis — OBGYN Guideline (5)
+Summary: Evidence-aligned triage and management for endometriosis in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/006_Miscarriage.txt

@@ -0,0 +1,6 @@
+Title: Antenatal Care — OBGYN Guideline (6)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/007_Dysmenorrhea.txt

@@ -0,0 +1,6 @@
+Title: AUB — OBGYN Guideline (7)
+Summary: Evidence-aligned triage and management for aub in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/008_Infertility_Workup.txt

@@ -0,0 +1,6 @@
+Title: PCOS — OBGYN Guideline (8)
+Summary: Evidence-aligned triage and management for pcos in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/009_Infertility_Workup.txt

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+Title: Infertility Workup — OBGYN Guideline (9)
+Summary: Evidence-aligned triage and management for infertility workup in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/010_Miscarriage.txt

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+Title: PCOS — OBGYN Guideline (10)
+Summary: Evidence-aligned triage and management for pcos in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/011_Fibroids.txt

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+Title: Ectopic Pregnancy — OBGYN Guideline (11)
+Summary: Evidence-aligned triage and management for ectopic pregnancy in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/012_Dysmenorrhea.txt

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+Title: Infertility Workup — OBGYN Guideline (12)
+Summary: Evidence-aligned triage and management for infertility workup in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/013_Antenatal_Care.txt

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+Title: Dysmenorrhea — OBGYN Guideline (13)
+Summary: Evidence-aligned triage and management for dysmenorrhea in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/014_Adenomyosis.txt

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+Title: Antenatal Care — OBGYN Guideline (14)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/015_Infertility_Workup.txt

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+Title: Endometriosis — OBGYN Guideline (15)
+Summary: Evidence-aligned triage and management for endometriosis in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/016_Ectopic_Pregnancy.txt

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+Title: Endometriosis — OBGYN Guideline (16)
+Summary: Evidence-aligned triage and management for endometriosis in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/017_Endometriosis.txt

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+Title: Antenatal Care — OBGYN Guideline (17)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/018_Miscarriage.txt

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+Title: Infertility Workup — OBGYN Guideline (18)
+Summary: Evidence-aligned triage and management for infertility workup in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/019_AUB.txt

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+Title: Miscarriage — OBGYN Guideline (19)
+Summary: Evidence-aligned triage and management for miscarriage in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/obgyn/020_Adenomyosis.txt

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+Title: AUB — OBGYN Guideline (20)
+Summary: Evidence-aligned triage and management for aub in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/orthopedics/001_ACL_Injury.txt

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+Title: Hip Fracture — Orthopedics Guideline (1)
+Summary: Evidence-aligned triage and management for hip fracture in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/orthopedics/002_Rotator_Cuff_Tear.txt

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+Title: Rotator Cuff Tear — Orthopedics Guideline (2)
+Summary: Evidence-aligned triage and management for rotator cuff tear in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/orthopedics/003_Frozen_Shoulder.txt

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+Title: Frozen Shoulder — Orthopedics Guideline (3)
+Summary: Evidence-aligned triage and management for frozen shoulder in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/orthopedics/004_Low_Back_Pain.txt

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+Title: Cervical Spondylosis — Orthopedics Guideline (4)
+Summary: Evidence-aligned triage and management for cervical spondylosis in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.

data/guidelines/orthopedics/005_Knee_Osteoarthritis.txt

@@ -0,0 +1,6 @@
+Title: Knee Osteoarthritis — Orthopedics Guideline (5)
+Summary: Evidence-aligned triage and management for knee osteoarthritis in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.