import streamlit as st import streamlit.components as components from annotated_text import annotated_text, annotation from htbuilder import h3 import pandas as pd import numpy as np from math import ceil from collections import Counter from string import punctuation import spacy from negspacy.negation import Negex from spacy import displacy from spacy.lang.en import English from spacy.matcher import PhraseMatcher from spacy.tokens import Span #import en_ner_bc5cdr_md import re from streamlit.components.v1 import html import pickle from functools import reduce import operator import itertools from itertools import chain from collections import Counter from collections import OrderedDict ### ========== Loading Dataset ========== ## ======== Loading dataset ======== ## Loading in Admission Dataset ## df = Admission ## df2 = Admission Chief Complaint and Diagnosis ## df3 = Discharge History ## df4 = Daily Narrative # #================================= nlp = spacy.load("en_ner_bc5cdr_md") df = pd.read_csv('shpi25nov.csv') df.sort_values(by='SUBJECT_ID',ascending = True, inplace=True) df2 = pd.read_csv('cohort_cc_adm_diag.csv') df3 = pd.read_csv('cohort_past_history_12072022.csv') df3.sort_values(by='CHARTDATE',ascending = False, inplace=True) df4 = pd.read_csv('24houreventsFulltextwdifference.csv') #df4.sort_values(by=['hadmid','DATETIME'],ascending = True, inplace=True) # Loading in Daily Narrative - refreshed full 24 hr text df5 = pd.read_csv('24hourevents10Jan.csv') df5.sort_values(by=['hadmid','DATETIME'],ascending = True, inplace=True) #Append the updated 24 hr text and changes column df5.rename(columns={'hadmid':'HADM_ID', 'DATETIME':'STORETIME'}, inplace = True) df4 = pd.merge(df4[['HADM_ID','DESCRIPTION','SUBJECT_ID','CHARTTIME','STORETIME','CGID','TEXT','checks','_24_Hour_Events','Full_24_Hour_Events']],df5[['HADM_ID','STORETIME','full_24 Hour Events:','24 Hour Events:']], on = ['HADM_ID','STORETIME'], how = 'left') hr24event_pattern = re.compile('((24 Hour Events):\\n(?s).*?Allergies:)') #there are some records with full_24 Hour Events: null, hence replaced these text with the extracted text from the progress note df4['hr24event_extracted'] = '' for (idx, row) in df4.iterrows(): try: text = df4['TEXT'][idx] df4['hr24event_extracted'][idx] = re.findall(hr24event_pattern,text) df4['hr24event_extracted'][idx] = [x for x in chain.from_iterable(df4['hr24event_extracted'][idx])] except: df4['hr24event_extracted'][idx] = '' df4 = df4.reset_index(drop=True) df4['hr24event_extracted'] = df4['hr24event_extracted'].apply(' '.join) df4['hr24event_extracted'] = df4['hr24event_extracted'].str.replace('\s+[a-z]+:\\n', ' ') df4['hr24event_extracted'] = df4['hr24event_extracted'].str.replace('24 Hour Events:|24 Hour Events|Allergies:', '') df4['hr24event_extracted'] = df4['hr24event_extracted'].str.replace('\s+', ' ') df4['hr24event_extracted'] = df4['hr24event_extracted'].str.replace('\.\s+\.', '.') df4['hr24event_extracted'] = df4['hr24event_extracted'].replace(r"^ +| +$", r"", regex=True) df4.loc[df4['full_24 Hour Events:'].isnull(),'full_24 Hour Events:'] = df4['hr24event_extracted'] df4.loc[df4['24 Hour Events:'].isnull(),'24 Hour Events:'] = df4['_24_Hour_Events'] # combining both data into one df = pd.merge(df, df2, on=['HADM_ID','SUBJECT_ID']) # Deleting admission chief complaint and diagnosis after combining del df2 # Remove decimal point from Admission ID and format words df['HADM_ID'] = df['HADM_ID'].astype(str).apply(lambda x: x.replace('.0','')) df3['HADM_ID'] = df3['HADM_ID'].astype(str).apply(lambda x: x.replace('.0','')) df4['HADM_ID'] = df4['HADM_ID'].astype(str).apply(lambda x: x.replace('.0','')) df3['INDEX_HADM_ID'] = df3['INDEX_HADM_ID'].astype(str).apply(lambda x: x.replace('.0','')) df3["CHARTDATE_HADM_ID"] = df3["CHARTDATE"].astype(str) +' ('+ df3["HADM_ID"] +')' df3["DIAGNOSIS"] = df3["DIAGNOSIS"].str.capitalize() df3["DISCHARGE_LOCATION"] = df3["DISCHARGE_LOCATION"].str.capitalize() df3["Diagnosis_Description"] =df3["Diagnosis_Description"].replace(r'\n',' \n ', regex=True) df3["TEXT"] =df3["TEXT"].replace(r'\n',' \n ', regex=True) df3["TEXT"] =df3["TEXT"].replace(r'#',' ', regex=True) df3["BertSummarizer"] =df3["BertSummarizer"].replace(r'#',' ', regex=True) #Renaming column df.rename(columns={'SUBJECT_ID':'Patient_ID', 'HADM_ID':'Admission_ID', 'hpi_input_text':'Original_Text', 'hpi_reference_summary':'Reference_text'}, inplace = True) df3.rename(columns={'SUBJECT_ID':'Patient_ID', 'HADM_ID':'PAST_Admission_ID', 'INDEX_HADM_ID':'Admission_ID'}, inplace = True) df4.rename(columns={'HADM_ID':'Admission_ID', 'full_24 Hour Events:':'Full Text', '24 Hour Events:':'Change_Note', 'past_24 Hour Events:':'Past_Change_Note'}, inplace = True) df4["Full Text"] =df4["Full Text"].replace('["[','').replace(']"]','') ## ========== Setting up Streamlit Sidebar ========== st.set_page_config(page_title ='Patient Inpatient Progression Dashboard', #page_icon= "Notes", layout='wide') st.title('Patient Inpatient Progression Dashboard') st.markdown( """ """, unsafe_allow_html=True, ) st.sidebar.markdown('Using transformer model') #Filter selection st.sidebar.header("Search for Patient:") # ===== Initial filter for patient and admission id ===== patientid = df['Patient_ID'].unique() patient = st.sidebar.selectbox('Select Patient ID:', patientid) #Filter Patient admissionid = df['Admission_ID'].loc[df['Patient_ID'] == patient] #Filter available Admission id for patient HospitalAdmission = st.sidebar.selectbox(' ', admissionid) pastHistoryEpDate = df3['CHARTDATE_HADM_ID'].loc[(df3['Patient_ID'] == patient) & (df3['Admission_ID']== HospitalAdmission)] countOfAdmission = len(pastHistoryEpDate) # List of Model available #model = st.sidebar.selectbox('Select Model', ('BertSummarizer','BertGPT2','t5seq2eq','t5','gensim','pysummarizer')) model = 'BertSummarizer' st.sidebar.markdown('Model: ' + model) original_text = df.query( "Patient_ID == @patient & Admission_ID == @HospitalAdmission" ) original_text2 = original_text['Original_Text'].values AdmissionChiefCom = original_text['Admission_Chief_Complaint'].values diagnosis =original_text['DIAGNOSIS'].values reference_text = original_text['Reference_text'].values dailyNoteChange =df4[['STORETIME','Change_Note','Full Text']].loc[(df4['Admission_ID']==HospitalAdmission) & df4['_24_Hour_Events'].notnull()] dailyNoteFull =df4[['STORETIME','Change_Note','Full Text']].loc[(df4['Admission_ID']==HospitalAdmission) & df4['_24_Hour_Events'].notnull()] dailyNoteChange.rename(columns={'STORETIME':'Time of Record', 'Change_Note':'Note Changes'}, inplace = True) #dailyNoteChange['Time of Record'] = pd.to_datetime(dailyNoteChange['Time of Record']) dailyNoteChange['TimeDiff'] = pd.to_datetime(dailyNoteChange["Time of Record"], format='%Y/%m/%d %H:%M') #dailyNoteChange['TimeDiff'] = pd.to_datetime(dailyNoteChange["Time of Record"], format='%d/%m/%Y %H:%M') dailyNoteChange['TimeDiff'] = dailyNoteChange['TimeDiff'] -dailyNoteChange['TimeDiff'].shift() dailyNoteChange['TimeDiff'] = dailyNoteChange['TimeDiff'].fillna(pd.Timedelta(seconds=0)) dailyNoteChange['TimeDiff']= dailyNoteChange['TimeDiff'].dt.total_seconds().div(60).astype(int) dailyNoteChange['Hour'] = dailyNoteChange['TimeDiff'] // 60 dailyNoteChange['Mins'] = dailyNoteChange['TimeDiff']- dailyNoteChange['Hour'] * 60 dailyNoteChange["TimeDiff"] = dailyNoteChange['Hour'].astype(str) + " hours " + dailyNoteChange['Mins'].astype(str) + " Mins" del dailyNoteChange['Hour'] del dailyNoteChange['Mins'] dailyNoteChange["PreviousRecord"] = dailyNoteChange["Time of Record"].shift() dailyNoteChange.sort_values(by=['Time of Record'],ascending = False, inplace=True) dailyNoteFull.rename(columns={'STORETIME':'Time of Record', 'Change_Note':'Note Changes'}, inplace = True) dailyNote = df4['Full Text'].loc[(df4['Admission_ID']==HospitalAdmission)] dailyNote = dailyNote.unique() try: mindate = min(dailyNoteFull['Time of Record']) except: mindate = '' # ===== to display selected patient and admission id on main page col3,col4 = st.columns(2) patientid = col3.write(f"Patient ID: {patient} ") admissionid =col4.write(f"Admission ID: {HospitalAdmission} ") ##========= Buttons to the 3 tabs ======== Temp disabled Discharge Plan and Social Notes col1, col2, col3 = st.columns([1,1,1]) #col6, col7 =st.columns([2,2]) with st.container(): with col1: btnAdmission = st.button("๐Ÿฅ Admission") with col2: btnDailyNarrative = st.button('๐Ÿ“†Daily Narrative') with col3: btnPastHistory = st.button('๐Ÿ“‡Past History (6 Mths)') ##======================== Start of NER Tagging ======================== #lemmatizing the notes to capture all forms of negation(e.g., deny: denies, denying) def lemmatize(note, nlp): doc = nlp(note) lemNote = [wd.lemma_ for wd in doc] return " ".join(lemNote) #function to modify options for displacy NER visualization def get_entity_options(): entities = ["DISEASE", "CHEMICAL", "NEG_ENTITY"] colors = {'DISEASE': 'pink', 'CHEMICAL': 'orange', "NEG_ENTITY":'white'} options = {"ents": entities, "colors": colors} return options #adding a new pipeline component to identify negation def neg_model(): nlp.add_pipe('sentencizer') nlp.add_pipe( "negex", config={ "chunk_prefix": ["no"], }, last=True) return nlp def negation_handling(note, neg_model): results = [] nlp = neg_model() note = note.split(".") #sentence tokenizing based on delimeter note = [n.strip() for n in note] #removing extra spaces at the begining and end of sentence for t in note: doc = nlp(t) for e in doc.ents: rs = str(e._.negex) if rs == "True": results.append(e.text) return results #function to identify span objects of matched negative phrases from text def match(nlp,terms,label): patterns = [nlp.make_doc(text) for text in terms] matcher = PhraseMatcher(nlp.vocab) matcher.add(label, None, *patterns) return matcher #replacing the labels for identified negative entities def overwrite_ent_lbl(matcher, doc): matches = matcher(doc) seen_tokens = set() new_entities = [] entities = doc.ents for match_id, start, end in matches: if start not in seen_tokens and end - 1 not in seen_tokens: new_entities.append(Span(doc, start, end, label=match_id)) entities = [e for e in entities if not (e.start < end and e.end > start)] seen_tokens.update(range(start, end)) doc.ents = tuple(entities) + tuple(new_entities) return doc #deduplicate repeated entities def dedupe(items): seen = set() for item in items: item = str(item).strip() if item not in seen: yield item seen.add(item) ##======================== End of NER Tagging ======================== def run_model(input_text): if model == "BertSummarizer": output = original_text['BertSummarizer2s'].values st.write('Summary') elif model == "BertGPT2": output = original_text['BertGPT2'].values st.write('Summary') elif model == "t5seq2eq": output = original_text['t5seq2eq'].values st.write('Summary') elif model == "t5": output = original_text['t5'].values st.write('Summary') elif model == "gensim": output = original_text['gensim'].values st.write('Summary') elif model == "pysummarizer": output = original_text['pysummarizer'].values st.write('Summary') st.success(output) def Admission(): with st.container(): runtext =st.text_area('History of presenting illnesses at admission', str(original_text2)[1:-1], height=300) lem_clinical_note= lemmatize(runtext, nlp) #creating a doc object using BC5CDR model doc = nlp(lem_clinical_note) options = get_entity_options() #list of negative concepts from clinical note identified by negspacy results0 = negation_handling(lem_clinical_note, neg_model) matcher = match(nlp, results0,"NEG_ENTITY") #doc0: new doc object with added "NEG_ENTITY label" doc0 = overwrite_ent_lbl(matcher,doc) #visualizing identified Named Entities in clinical input text ent_html = displacy.render(doc0, style='ent', options=options) col1, col2 = st.columns([1,1]) with st.container(): with col1: st.button('Summarize') run_model(runtext) with col2: st.button('NER') # ===== Adding the Disease/Chemical into a list ===== problem_entities = list(dedupe([t for t in doc0.ents if t.label_ == 'DISEASE'])) medication_entities = list(dedupe([t for t in doc0.ents if t.label_ == 'CHEMICAL'])) st.markdown('**CHIEF COMPLAINT:**') st.write(str(AdmissionChiefCom)[1:-1]) st.markdown('**ADMISSION DIAGNOSIS:**') st.markdown(str(diagnosis)[1:-1].capitalize()) st.markdown('**PROBLEM/ISSUE**') #st.markdown(problem_entities) st.markdown(f'

{str(problem_entities)[1:-1]}

', unsafe_allow_html=True) #genEntities(trans_df, 'DISEASE') st.markdown('**MEDICATION**') st.markdown(f'

{str(medication_entities)[1:-1]}

', unsafe_allow_html=True) #genEntities(trans_df, 'CHEMICAL') #st.table(trans_df) st.markdown('**NER**') with st.expander("See NER Details"): st.markdown(ent_html, unsafe_allow_html=True) alphabets= "([A-Za-z])" prefixes = "(mr|st|mrs|ms|dr)[.]" suffixes = "(inc|ltd|jr|sr|co)" starters = "(mr|mrs|ms|dr|he\s|she\s|it\s|they\s|their\s|our\s|we\s|but\s|however\s|that\s|this\s|wherever)" acronyms = "([A-Z][.][A-Z][.](?:[A-Z][.])?)" websites = "[.](com|net|org|io|gov)" digits = "([0-9])" def split_into_sentences(text): # text = str(text) text = " " + text + " " text = text.replace("\n"," ") # text = text.replace("[0-9]{4}-[0-9]{1,2}-[0-9]{1,2} [0-9]{2}:[0-9]{2}:[0-9]{2}"," ") text = re.sub(prefixes,"\\1",text) text = re.sub(websites,"\\1",text) text = re.sub(digits + "[.]" + digits,"\\1\\2",text) if "..." in text: text = text.replace("...","") if "Ph.D" in text: text = text.replace("Ph.D.","PhD") text = re.sub("\s" + alphabets + "[.] "," \\1 ",text) text = re.sub(acronyms+" "+starters,"\\1 \\2",text) text = re.sub(alphabets + "[.]" + alphabets + "[.]" + alphabets + "[.]","\\1\\2\\3",text) text = re.sub(alphabets + "[.]" + alphabets + "[.]","\\1\\2",text) text = re.sub(" "+suffixes+"[.] "+starters," \\1 \\2",text) text = re.sub(" "+suffixes+"[.]"," \\1",text) text = re.sub(" " + alphabets + "[.]"," \\1",text) if "โ€" in text: text = text.replace(".โ€","โ€.") if "\"" in text: text = text.replace(".\"","\".") if "!" in text: text = text.replace("!\"","\"!") if "?" in text: text = text.replace("?\"","\"?") text = text.replace(".",".") text = text.replace("?","?") text = text.replace("!","!") text = text.replace("[0-9]{2}:[0-9]{2}:[0-9]{2}:","[0-9]{2}:[0-9]{2}:[0-9]{2}:") text = text.replace("[0-9]{4}-[0-9]{1,2}-[0-9]{1,2}\s[0-9]{2}:[0-9]{2}:[0-9]{2}","[0-9]{4}-[0-9]{1,2}-[0-9]{1,2}\s[0-9]{2}:[0-9]{2}:[0-9]{2}") # text = text.replace("-","-") # text = text.replace("- -","- -") text = text.replace("

","

") text = text.replace("",".") sentences = text.split("") # sentences = text.split('-') # sentences = sentences[:-1] sentences = [s.strip() for s in sentences] return sentences def DailyNarrative(): with st.container(): dailyNarrativeTime= st.selectbox('',dailyNoteChange['Time of Record']) if df4[['Change_Note']].loc[(df4['Admission_ID']==HospitalAdmission) & (df4['STORETIME'] == dailyNarrativeTime)].size != 0: changeNote = df4[['Change_Note']].loc[(df4['Admission_ID']==HospitalAdmission) & (df4['STORETIME'] == dailyNarrativeTime)].values[0] else: changeNote = 'No records' if dailyNoteChange['TimeDiff'].loc[(dailyNoteChange['Time of Record']==dailyNarrativeTime)].empty: changeNoteTime = 'No records' previousRecord = ' ' else: changeNoteTime =dailyNoteChange['TimeDiff'].loc[(dailyNoteChange['Time of Record']==dailyNarrativeTime)].values[0] previousRecord =dailyNoteChange['PreviousRecord'].loc[(dailyNoteChange['Time of Record']==dailyNarrativeTime)].values[0] if dailyNarrativeTime == mindate: changeNote = 'Nil' else: changeNote = str(changeNote).replace('["[','').replace(']"]','').replace("'","").replace('"','').replace(',','').replace('\\','').replace('[','').replace(']','').replace('\\','') changeNote = changeNote.strip("[-,]").strip("") changeNote = ' '.join(changeNote.split()) # changeNote_split = re.split(r'(?<=[^A-Z].[.?]) +(?=[A-Z])|-', changeNote) # changeNote_split = [x.strip(' ') for x in changeNote_split] changeNote_split = split_into_sentences(changeNote) changeNote_split = [x for x in changeNote_split if x] latestRecord = dailyNoteChange['Time of Record'].max() st.markdown('Changes: ' + changeNote) st.markdown('Changes recorded from previous record at ' + str(previousRecord) + ' , ' + str(changeNoteTime) + ' ago') if df4[['Full Text']].loc[(df4['Admission_ID']==HospitalAdmission) & (df4['STORETIME'] == dailyNarrativeTime)].empty: dailyNarrativeText = 'No Records' else: dailyNoteChange.sort_values(by='Time of Record',ascending = True, inplace=True) dailyNoteChange["Combined"] = '' count = 0 text ='' for index, row in dailyNoteChange.iterrows(): text = '[**' + str(row['Time of Record']) + '**]' + ': ' + row['Full Text'] + '
' + '
' + text dailyNoteChange['Combined'].iloc[count] = text count = count + 1 dailyNarrativeText =dailyNoteChange[['Combined']].loc[(dailyNoteChange['Time of Record'] == dailyNarrativeTime)].values[0] #dailyNarrativeText =df4[['Full Text']].loc[(df4['Admission_ID']==HospitalAdmission) & (df4['DATETIME'] == dailyNarrativeTime)].values[0] dailyNarrativeText = str(dailyNarrativeText).replace('["[','').replace(']"]','').replace("'","").replace(',','').replace('"','').replace('[','').replace(']','').replace('\\','') dailyNarrativeText = dailyNarrativeText.strip("[-,]").strip(" ") dailyNarrativeText = ' '.join(dailyNarrativeText.split()) # dailyNarrativeText_split = re.split(r'(?<=[^A-Z].[.?]) +(?=[A-Z])|-|

', dailyNarrativeText) # dailyNarrativeText_split = [x.strip(' ') for x in dailyNarrativeText_split] dailyNarrativeText_split = split_into_sentences(dailyNarrativeText) #st.table(dailyNoteChange) # testing to see if data calculate correctly annt_ls = [] for sent in dailyNarrativeText_split: if '

' in sent: break # one item didn't complete the condition, get out of this loop else: end_index = dailyNarrativeText_split.index(sent) + 1 annt_ls.append(sent) non_annt_ls = dailyNarrativeText_split[end_index:] with st.expander("See in detail"): ls = [] for sent in annt_ls: if sent in changeNote_split: sent = sent.replace(str(sent),str(annotation(sent))) ls.append(sent) else: ls.append(sent) ls2 = ls + non_annt_ls highlight = ' '.join(ls2) st.markdown(highlight, unsafe_allow_html=True) def PastHistory(): col6, col7 =st.columns([2,2]) with st.container(): with col6: st.markdown('**No. of admission past 6 months:**') st.markdown(countOfAdmission) with col7: #st.date_input('Select Admission Date') # To replace with a dropdown filter instead #st.selectbox('Past Episodes',pastHistoryEp) pastHistory = st.selectbox('Select Past History Admission', pastHistoryEpDate, format_func=lambda x: 'Select an option' if x == '' else x) historyAdmission = df3.query( "Patient_ID == @patient & CHARTDATE_HADM_ID == @pastHistory" ) if historyAdmission.shape[0] == 0: runtext = "No past episodes" else: #runtext = historyAdmission['hospital_course_processed'].values[0] runtext = historyAdmission['hospital_course_processed'].values[0] lem_clinical_note= lemmatize(runtext, nlp) #creating a doc object using BC5CDR model doc = nlp(lem_clinical_note) options = get_entity_options() #list of negative concepts from clinical note identified by negspacy results0 = negation_handling(lem_clinical_note, neg_model) matcher = match(nlp, results0,"NEG_ENTITY") #doc0: new doc object with added "NEG_ENTITY label" doc0 = overwrite_ent_lbl(matcher,doc) #visualizing identified Named Entities in clinical input text ent_html = displacy.render(doc0, style='ent', options=options) # ===== Adding the Disease/Chemical into a list ===== problem_entities = list(dedupe([t for t in doc0.ents if t.label_ == 'DISEASE'])) medication_entities = list(dedupe([t for t in doc0.ents if t.label_ == 'CHEMICAL'])) if historyAdmission.shape[0] == 0: st.markdown('Admission Date: NA') st.markdown('Date of Discharge: NA') st.markdown('Days from current admission: NA') else: st.markdown('Admission Date: ' + historyAdmission['ADMITTIME'].values[0]) st.markdown('Date of Discharge: ' + historyAdmission['DISCHTIME'].values[0]) st.markdown('Days from current admission: ' + str(historyAdmission['days_from_index'].values[0]) +' days') #st.markdown('Summary: ') st.markdown(f'

Summary:

', unsafe_allow_html=True) if model == "BertSummarizer": if historyAdmission.shape[0] == 0: st.markdown('NA') else: st.markdown(str(historyAdmission['BertSummarizer'].values[0])) elif model == "t5seq2eq": if historyAdmission.shape[0] == 0: st.markdown('NA') else: st.markdown(str(historyAdmission['t5seq2eq'].values[0])) st.markdown(f'

Diagnosis:

', unsafe_allow_html=True) if historyAdmission.shape[0] == 0: st.markdown('NA') else: st.markdown(str(historyAdmission['Diagnosis_Description'].values[0])) st.markdown('**PROBLEM/ISSUE**') st.markdown(f'

{str(problem_entities)[1:-1]}

', unsafe_allow_html=True) st.markdown('**MEDICATION**') st.markdown(f'

{str(medication_entities)[1:-1]}

', unsafe_allow_html=True) st.markdown('Discharge Disposition: ' + str(historyAdmission['DISCHARGE_LOCATION'].values[0])) with st.expander('Full Discharge Summary'): #st.write("line 1 \n line 2 \n line 3") fulldischargesummary = historyAdmission['TEXT'].values[0] st.write(fulldischargesummary) if "load_state" not in st.session_state: st.session_state.load_state = False if "button_clicked" not in st.session_state: st.session_state.button_clicked = False if "admission_button_clicked" not in st.session_state: st.session_state.admission_button_clicked = False if "daily_button_clicked" not in st.session_state: st.session_state.daily_button_clicked = False if "past_button_clicked" not in st.session_state: st.session_state.past_button_clicked = False if btnAdmission or st.session_state["admission_button_clicked"] and not btnDailyNarrative and not btnPastHistory: st.session_state["admission_button_clicked"] = True st.session_state["daily_button_clicked"] = False st.session_state["past_button_clicked"] = False Admission() if btnDailyNarrative or st.session_state["daily_button_clicked"] and not btnAdmission and not btnPastHistory: st.session_state["daily_button_clicked"] = True st.session_state["admission_button_clicked"] = False st.session_state["past_button_clicked"] = False DailyNarrative() if btnPastHistory or st.session_state["past_button_clicked"] and not btnDailyNarrative and not btnAdmission: st.session_state["past_button_clicked"] = True st.session_state["admission_button_clicked"] = False st.session_state["daily_button_clicked"] = False PastHistory()