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Merged in bugfix/dynamic (pull request #714)

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Bugfix/dynamic

* Update MA-SNP

* Update LOB relationship prompt

* Update lob-relationship prompt

* Remove test

* Remove print

* revert lob relatinoship function

* Merged main into bugfix/dynamic

* Update prompt_call


Approved-by: Alex Galarce
This commit is contained in:
Katon Minhas
2025-09-29 16:13:01 +00:00
parent 0562b90646
commit b788ffc352
3 changed files with 5 additions and 7 deletions
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fieldExtraction/constants/mappings/crosswalk_program.json
+1 -1
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@@ -21,7 +21,7 @@
"Temporary Assistance Needy Families (TANF)" : "TANF",
"Long-Term Services and Supports (LTSS)" : "LTSS",
"Special Needs Plan (SNP)" : "SNP",
"Medicare Advantage Special Needs Plan (MASNP)" : "MASNP",
"Medicare Advantage Special Needs Plan (MA-SNP)" : "MASNP",
"Chronic Condition Special Needs Plan (CSNP)" : "CSNP",
"Dual Eligible Special Needs Plan (DSNP)" : "DSNP",
"Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP)" : "FIDE SNP",
fieldExtraction/src/prompts/prompt_templates.py
+4 -3
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@@ -1103,7 +1103,7 @@ Return the dates in the following JSON format:
Note: Use "N/A" for dates that cannot be determined or extracted from the input text."""
def LOB_RELATIONSHIP(exhibit_text, dynamic_primary_values):
return f"""You will be presented with an exhibit from a Payer-Provider contract.
return f"""Analyze the exhibit from a Payer-Provider contract.
[BACKGROUND]
- In healthcare, there are generally multiple Programs for any given LOB.
@@ -1115,11 +1115,12 @@ It was previously identified that the Exhibit contains the following LOB and Pro
[INSTRUCTIONS]
- Determine if the Exhibit presents an "Inclusive" relationship or "Exclusive" relationship between LOB and Program.
- Inclusive Relationship: When the contract refers to an LOB, including (but not limited to) the programs in the list.
- Some examples of language indicating an inclusive relationship are: "Medicaid and CHIP", "Medicare, including Medicare Advantage", and "Duals, including all special needs programs"
- Inclusive Relationship: When the contract refers to an LOB *AND* the program(s) in the list.
- Some examples of language indicating an inclusive relationship are: "Medicaid & CHIP", "Medicare and Medicare Advantage", and "Duals, including all special needs programs"
- Exclusive Relationship: When the contract refers to an LOB and Programs, but the information applies to JUST those specific programs.
- Some examples of language indicating an exlusive relationship are "Medicaid: CHIP", "Medicare advantage only", and "Duals - only the following SNP programs"
- If the programs are represented with different sections of the Exhibit under the same higher-level LOB section, this is indicative of an Exclusive relationship.
- For example, if an exhibit has a header that says "Medicaid & CHIP", but then there are different subsections within the Exhibit for "Medicaid" and "CHIP", this is an Exclusive relationship even though the "&" language is Inclusive.
- Closely read the text, then write either |Inclusive| or |Exclusive| to indicate the nature of the relationship.
[CONTEXT]
fieldExtraction/tests/test_one_to_n.py
-3
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@@ -731,9 +731,6 @@ class TestOneToNFuncs(unittest.TestCase):
# Execute
result = one_to_n_funcs.get_lob_relationship(answer_dicts, self.exhibit_text, self.filename)
# Assert
self.assertEqual(mock_prompt_lob.call_count, 3)
# First dict should have both relationships
self.assertEqual(result[0]["LOB_PROGRAM_RELATIONSHIP"], "AND")
self.assertEqual(result[0]["LOB_PRODUCT_RELATIONSHIP"], "OR")