Building a Production-Ready Medical AI Assistant with Python FastAPI, Tavili, Gemini & LangChain

Complete Guide: From Zero to Production

---

Table of Contents

1. Introduction
2. Why This Project Matters
3. Tech Stack Overview
4. Project Architecture
5. Prerequisites
6. Project Setup
7. Understanding Environment Variables
8. Code Implementation
9. Running the Application
10. Testing Your API
11. Common Issues & Solutions
12. Next Steps
13. GitHub Repo

---

Introduction

This guide walks you through building MediCare AI - a production-ready medical assistant that can:

• Answer medical questions in English and French
• Extract text from medical records (handwritten or printed)
• Analyze lab results and provide insights
• Search latest medical research
• Give personalized health recommendations

We're using LangChain Expression Language (LCEL) with Google Gemini 2.0 - the latest AI model, completely FREE.

---

Why This Project Matters

The Problem in Cameroon

1. Limited Healthcare Access - Many rural areas lack doctors
2. Language Barriers - English and French speakers need support
3. Medical Literacy - People struggle to understand medical reports
4. Cost - Healthcare consultations are expensive

Our Solution

A free, AI-powered medical assistant that works offline (once deployed locally), understands both English and French, explains medical terms simply, provides evidence-based information, and respects privacy.

---

Tech Stack Overview

Technology	Purpose	Why We Chose It
FastAPI	Backend framework	Fast, modern, auto-documentation
LangChain	AI orchestration	Chain AI operations easily
Google Gemini 2.0	AI model	Free, multimodal (text + vision)
Tavily AI	Medical research	1000 free searches/month
Pydantic	Data validation	Type safety, automatic validation
Python 3.11+	Programming language	Modern, readable, extensive libraries

LangChain helps us chain multiple AI operations together, use templates for consistent prompts, get structured outputs (JSON), and handle retries and errors gracefully.

---

Project Architecture

backend/
├── app/
│   ├── __init__.py
│   ├── main.py                 # FastAPI application entry
│   ├── config.py               # Environment & settings
│   ├── routes/
│   │   ├── health.py           # Health check endpoints
│   │   ├── analysis.py         # Medical analysis endpoints
│   │   └── research.py         # Research endpoints
│   ├── services/
│   │   ├── gemini_service.py   # Gemini Vision operations
│   │   └── tavily_service.py   # Medical research
│   ├── chains/
│   │   ├── chat_chain.py       # LangChain chat flows
│   │   └── analysis_chain.py   # LangChain analysis flows
│   └── models/
│       └── schemas.py          # Pydantic data models
├── requirements.txt
├── .env.example
└── README.md

---

Prerequisites

Before starting, ensure you have:

• Python 3.11+ installed
• pip (Python package manager)
• Text editor (VS Code recommended)
• API Keys (free):
  • Google Gemini API key: Get it here
  • Tavily API key: Get it here

---

Project Setup

Step 1: Create Project Structure

mkdir medicare-ai
cd medicare-ai
mkdir backend
cd backend
mkdir -p app/routes app/services app/chains app/models

Step 2: Create Virtual Environment

python -m venv venv

# Activate it
# On Windows:
venv\Scripts\activate
# On Mac/Linux:
source venv/bin/activate

Step 3: Install Dependencies

Create requirements.txt:

fastapi
uvicorn
python-dotenv
python-multipart
pydantic
pydantic-settings
langchain
langchain-core
langchain-google-genai
tavily-python
Pillow

Install everything:

pip install --upgrade pip
pip install -r requirements.txt

---

Understanding Environment Variables

Environment variables keep sensitive information (API keys) separate from your code. This is crucial for security (API keys never go into version control), flexibility (change settings without changing code), and deployment (different configs for dev/staging/production).

We use Pydantic Settings instead of os.getenv() because it provides automatic type validation, built-in default values, field descriptions, full IDE autocomplete support, and detailed error messages.

Create .env File

Create .env in the backend/ folder:

GOOGLE_API_KEY=AIzaSy...your_key_here
TAVILY_API_KEY=tvly-...your_key_here
HOST=0.0.0.0
PORT=8000
CORS_ORIGINS=http://localhost:3000,http://127.0.0.1:3000
GEMINI_MODEL=gemini-2.0-flash-exp
TEMPERATURE=0.7
MAX_TOKENS=2048

IMPORTANT: Add .env to your .gitignore:

echo ".env" >> .gitignore

Create .env.example (for documentation):

GOOGLE_API_KEY=your_gemini_api_key_here
TAVILY_API_KEY=your_tavily_api_key_here
HOST=0.0.0.0
PORT=8000
CORS_ORIGINS=http://localhost:3000
GEMINI_MODEL=gemini-2.0-flash-exp
TEMPERATURE=0.7
MAX_TOKENS=2048

---

Code Implementation

Configuration Management

Create app/config.py:

This file manages all settings and creates our AI model instances using Pydantic Settings for automatic validation and type safety.

import os
from pydantic_settings import BaseSettings
from pydantic import Field
from langchain_google_genai import ChatGoogleGenerativeAI
from functools import lru_cache


class Settings(BaseSettings):
    google_api_key: str = Field(..., description="Google Gemini API key")
    tavily_api_key: str = Field(..., description="Tavily API key")
    host: str = Field(default="0.0.0.0")
    port: int = Field(default=8000)
    cors_origins: str = Field(default="http://localhost:3000")
    gemini_model: str = Field(default="gemini-2.0-flash-exp")
    temperature: float = Field(default=0.7, ge=0.0, le=2.0)
    max_tokens: int = Field(default=2048, ge=100, le=8192)
    max_file_size: int = Field(default=10 * 1024 * 1024)

    class Config:
        env_file = ".env"
        case_sensitive = False

    @property
    def cors_origins_list(self):
        return [origin.strip() for origin in self.cors_origins.split(",")]


settings = Settings()


@lru_cache()
def load_google_llm():
    return ChatGoogleGenerativeAI(
        model=settings.gemini_model,
        google_api_key=settings.google_api_key,
        temperature=settings.temperature,
        max_output_tokens=settings.max_tokens,
        convert_system_message_to_human=True
    )


@lru_cache()
def load_google_vision_llm():
    return ChatGoogleGenerativeAI(
        model=settings.gemini_model,
        google_api_key=settings.google_api_key,
        temperature=0.5,
        max_output_tokens=settings.max_tokens,
        convert_system_message_to_human=True
    )

What's happening here: Pydantic Settings automatically reads the .env file, validates field types and ranges, and the @lru_cache decorator creates the model once and reuses it for better performance. We have two LLM functions: one for chat with higher temperature (more creative), and one for vision with lower temperature (more consistent text extraction).

---

Data Models with Pydantic

Create app/models/schemas.py:

These models define the shape of our data for both incoming requests and outgoing responses. FastAPI uses these for automatic validation and documentation generation.

from pydantic import BaseModel, Field
from datetime import datetime


class HealthCheckResponse(BaseModel):
    status: str
    timestamp: datetime
    message: str


class ChatRequest(BaseModel):
    message: str = Field(..., min_length=1, max_length=1000)
    language: str = Field(default="en", pattern="^(en|fr)$")


class ChatResponse(BaseModel):
    response: str
    language: str
    timestamp: datetime


class AnalysisRequest(BaseModel):
    text: str = Field(..., min_length=1)
    context: str = Field(default="")
    language: str = Field(default="en")


class MedicalAnalysis(BaseModel):
    summary: str
    key_findings: list[str]
    recommendations: list[str]
    next_steps: list[str]


class AnalysisResponse(BaseModel):
    summary: str
    key_findings: list[str]
    recommendations: list[str]
    next_steps: list[str]
    disclaimer: str
    language: str
    timestamp: datetime


class ImageAnalysisResponse(BaseModel):
    extracted_text: str
    analysis: AnalysisResponse


class ResearchRequest(BaseModel):
    query: str = Field(..., min_length=3, max_length=200)
    max_results: int = Field(default=5, ge=1, le=10)
    language: str = Field(default="en")


class ResearchResult(BaseModel):
    title: str
    url: str
    content: str
    score: float


class ResearchResponse(BaseModel):
    query: str
    results: list[ResearchResult]
    summary: str
    timestamp: datetime

Key points: Field validation with min_length, max_length, and pattern is automatically checked by FastAPI. The MedicalAnalysis model is used by LangChain's PydanticOutputParser to force structured JSON output from the AI. Nested models like ImageAnalysisResponse containing AnalysisResponse allow complex data structures.

---

LangChain Chains

Create app/chains/chat_chain.py:

This implements the chat chain using LangChain Expression Language (LCEL). The chain connects prompt templates, the LLM, and output parsers in a clean, readable way.

from langchain_core.prompts import ChatPromptTemplate
from langchain_core.output_parsers import StrOutputParser
from app.config import load_google_llm


def create_chat_chain(language: str = "en"):
    llm = load_google_llm()

    if language == "fr":
        system_message = """Vous êtes MediCare AI, un assistant médical IA pour le Cameroun.

Vos responsabilités:
- Fournir des informations médicales précises et basées sur des preuves
- Expliquer les concepts médicaux en termes simples
- Toujours recommander de consulter un professionnel de santé qualifié
- Être culturellement sensible au contexte camerounais

IMPORTANT: Vous n'êtes PAS un médecin. Ne donnez jamais de diagnostic définitif."""
    else:
        system_message = """You are MediCare AI, a medical AI assistant for Cameroon.

Your responsibilities:
- Provide accurate, evidence-based medical information
- Explain medical concepts in simple terms
- Always recommend consulting qualified healthcare professionals
- Be culturally sensitive to the Cameroonian context

IMPORTANT: You are NOT a doctor. Never provide definitive diagnoses."""

    prompt = ChatPromptTemplate.from_messages([
        ("system", system_message),
        ("user", "{user_question}")
    ])

    parser = StrOutputParser()
    chain = prompt | llm | parser

    return chain


def get_chat_response(message: str, language: str = "en"):
    chain = create_chat_chain(language)
    response = chain.invoke({"user_question": message})
    return response

LCEL explained: The pipe operator prompt | llm | parser creates a chain where the output of each step becomes the input of the next. This is cleaner than manually calling each component and provides built-in async support, error handling, and streaming capabilities.

---

Create app/chains/analysis_chain.py:

This chain produces structured JSON output using PydanticOutputParser, which forces the LLM to output data matching our MedicalAnalysis model.

from langchain_core.prompts import ChatPromptTemplate
from langchain_core.output_parsers import PydanticOutputParser
from app.config import load_google_llm
from app.models.schemas import MedicalAnalysis


def create_analysis_chain(language: str = "en"):
    llm = load_google_llm()
    parser = PydanticOutputParser(pydantic_object=MedicalAnalysis)
    format_instructions = parser.get_format_instructions()

    if language == "fr":
        system_message = """Vous êtes un assistant médical IA analysant des dossiers médicaux.
Fournissez des informations claires, précises et actionnables.
Restez objectif et recommandez toujours une consultation médicale professionnelle."""

        user_template = """Analysez ce dossier médical et fournissez une analyse structurée:

Dossier Médical:
{medical_text}

Contexte Additionnel:
{context}

{format_instructions}

Répondez UNIQUEMENT en JSON valide."""
    else:
        system_message = """You are a medical AI assistant analyzing medical records.
Provide clear, accurate, and actionable insights.
Stay objective and always recommend professional medical consultation."""

        user_template = """Analyze this medical record and provide a structured analysis:

Medical Record:
{medical_text}

Additional Context:
{context}

{format_instructions}

Respond ONLY with valid JSON."""

    prompt = ChatPromptTemplate.from_messages([
        ("system", system_message),
        ("user", user_template)
    ])

    prompt = prompt.partial(format_instructions=format_instructions)
    chain = prompt | llm | parser

    return chain


def analyze_medical_record(text: str, context: str = "", language: str = "en"):
    chain = create_analysis_chain(language)

    try:
        result = chain.invoke({
            "medical_text": text,
            "context": context if context else "No additional context provided"
        })
        return result
    except Exception as e:
        print(f"Analysis error: {e}")
        return MedicalAnalysis(
            summary=f"Analysis completed but encountered formatting issues: {str(e)[:200]}",
            key_findings=["Analysis was performed but results need manual review"],
            recommendations=["Consult with a healthcare professional for detailed interpretation"],
            next_steps=["Schedule appointment with your doctor", "Keep this record for your medical history"]
        )

PydanticOutputParser magic: It automatically generates detailed JSON schema instructions that tell the LLM exactly how to format its response. The parser then validates the output and converts it to a Python object. The try-except block ensures we always return something useful, even if JSON parsing fails.

---

Service Layer

Create app/services/gemini_service.py:

This service handles vision-specific tasks like extracting text from medical record images.

from langchain_core.messages import HumanMessage
from app.config import load_google_vision_llm
import base64
import json


class GeminiService:
    def __init__(self):
        self.vision_llm = load_google_vision_llm()

    def extract_text_from_image(self, image_bytes: bytes):
        try:
            image_b64 = base64.b64encode(image_bytes).decode('utf-8')

            extraction_prompt = """You are a medical text extractor. Extract ALL text from this medical document/record.

Include:
- Patient information
- Test results
- Doctor's notes
- Prescriptions
- Dates and measurements
- Any handwritten text

Format the output clearly and preserve the structure. If text is unclear, indicate with [unclear].

Extract all text now:"""

            message = HumanMessage(
                content=[
                    {"type": "text", "text": extraction_prompt},
                    {"type": "image_url", "image_url": f"data:image/jpeg;base64,{image_b64}"}
                ]
            )

            response = self.vision_llm.invoke([message])
            return response.content

        except Exception as e:
            raise Exception(f"Image text extraction error: {str(e)}")

    def analyze_image_directly(self, image_bytes: bytes, language: str = "en"):
        try:
            image_b64 = base64.b64encode(image_bytes).decode('utf-8')

            if language == "fr":
                prompt = """Analysez cette image de dossier médical et fournissez une analyse au format JSON avec ces clés:
- summary: Aperçu bref de ce que vous voyez
- key_findings: Liste des résultats importants
- recommendations: Recommandations de santé
- next_steps: Actions suggérées

Répondez UNIQUEMENT en JSON valide."""
            else:
                prompt = """Analyze this medical record image and provide analysis in JSON format with these keys:
- summary: Brief overview of what you see
- key_findings: List of important findings
- recommendations: Health recommendations
- next_steps: Suggested actions

Respond ONLY with valid JSON."""

            message = HumanMessage(
                content=[
                    {"type": "text", "text": prompt},
                    {"type": "image_url", "image_url": f"data:image/jpeg;base64,{image_b64}"}
                ]
            )

            response = self.vision_llm.invoke([message])
            result = json.loads(response.content)
            return result

        except json.JSONDecodeError:
            return {
                "summary": response.content[:500],
                "key_findings": ["Analysis completed - see summary"],
                "recommendations": ["Consult with a healthcare professional"],
                "next_steps": ["Schedule appointment with your doctor"]
            }
        except Exception as e:
            raise Exception(f"Image analysis error: {str(e)}")


gemini_service = GeminiService()

Why base64? LangChain requires images in base64 format, which is the standard way to encode binary data as text. The HumanMessage format with type: "image_url" is how LangChain handles multimodal content (text + images).

---

Create app/services/tavily_service.py:

This service handles medical research searches using Tavily's AI-powered search engine.

from tavily import TavilyClient
from app.config import settings


class TavilyService:
    def __init__(self):
        self.client = TavilyClient(api_key=settings.tavily_api_key)

    def search_medical_research(self, query: str, max_results: int = 5):
        try:
            response = self.client.search(
                query=f"medical research {query}",
                search_depth="advanced",
                max_results=max_results,
                include_domains=[
                    "pubmed.ncbi.nlm.nih.gov",
                    "nih.gov",
                    "who.int",
                    "cdc.gov",
                    "mayoclinic.org",
                    "webmd.com",
                    "healthline.com",
                    "medicalnewstoday.com"
                ]
            )
            return response
        except Exception as e:
            raise Exception(f"Research search error: {str(e)}")

    def format_results(self, raw_results):
        formatted = []
        for result in raw_results.get("results", []):
            formatted.append({
                "title": result.get("title", "Untitled"),
                "url": result.get("url", ""),
                "content": result.get("content", "")[:500],
                "score": result.get("score", 0.0)
            })
        return formatted


tavily_service = TavilyService()

Domain filtering: By specifying include_domains, we ensure results only come from trusted medical sources, avoiding blogs, forums, or unreliable websites.

---

API Routes

Create app/routes/health.py:

from fastapi import APIRouter
from app.models.schemas import HealthCheckResponse
from datetime import datetime

router = APIRouter(prefix="/api", tags=["Health"])


@router.get("/health", response_model=HealthCheckResponse)
async def health_check():
    return HealthCheckResponse(
        status="healthy",
        timestamp=datetime.now(),
        message="MediCare AI Backend is running!"
    )

---

Create app/routes/analysis.py:

from fastapi import APIRouter, UploadFile, File, Form, HTTPException
from app.models.schemas import (
    ChatRequest, ChatResponse,
    AnalysisRequest, AnalysisResponse,
    ImageAnalysisResponse
)
from app.chains.chat_chain import get_chat_response
from app.chains.analysis_chain import analyze_medical_record
from app.services.gemini_service import gemini_service
from datetime import datetime

router = APIRouter(prefix="/api", tags=["Analysis"])


@router.post("/chat", response_model=ChatResponse)
async def chat_with_ai(request: ChatRequest):
    try:
        response_text = get_chat_response(
            message=request.message,
            language=request.language
        )
        return ChatResponse(
            response=response_text,
            language=request.language,
            timestamp=datetime.now()
        )
    except Exception as e:
        raise HTTPException(status_code=500, detail=f"Chat error: {str(e)}")


@router.post("/analyze-text", response_model=AnalysisResponse)
async def analyze_medical_text(request: AnalysisRequest):
    try:
        analysis = analyze_medical_record(
            text=request.text,
            context=request.context,
            language=request.language
        )

        disclaimer = (
            "This analysis is for informational purposes only. "
            "Always consult qualified healthcare professionals for medical advice."
        )

        return AnalysisResponse(
            summary=analysis.summary,
            key_findings=analysis.key_findings,
            recommendations=analysis.recommendations,
            next_steps=analysis.next_steps,
            disclaimer=disclaimer,
            language=request.language,
            timestamp=datetime.now()
        )
    except Exception as e:
        raise HTTPException(status_code=500, detail=f"Analysis error: {str(e)}")


@router.post("/analyze-image", response_model=ImageAnalysisResponse)
async def analyze_medical_image(
    file: UploadFile = File(...),
    language: str = Form(default="en"),
    extract_text_only: bool = Form(default=False)
):
    if not file.content_type.startswith("image/"):
        raise HTTPException(status_code=400, detail="File must be an image")

    try:
        image_bytes = await file.read()
        extracted_text = gemini_service.extract_text_from_image(image_bytes)

        if extract_text_only:
            return ImageAnalysisResponse(
                extracted_text=extracted_text,
                analysis=AnalysisResponse(
                    summary="Text extraction completed",
                    key_findings=[],
                    recommendations=[],
                    next_steps=["Review the extracted text", "Analyze if needed"],
                    disclaimer="Text extraction only - no analysis performed",
                    language=language,
                    timestamp=datetime.now()
                )
            )

        analysis = analyze_medical_record(text=extracted_text, language=language)
        disclaimer = (
            "This analysis is for informational purposes only. "
            "Always consult qualified healthcare professionals for medical advice."
        )

        return ImageAnalysisResponse(
            extracted_text=extracted_text,
            analysis=AnalysisResponse(
                summary=analysis.summary,
                key_findings=analysis.key_findings,
                recommendations=analysis.recommendations,
                next_steps=analysis.next_steps,
                disclaimer=disclaimer,
                language=language,
                timestamp=datetime.now()
            )
        )
    except Exception as e:
        raise HTTPException(status_code=500, detail=f"Image analysis error: {str(e)}")


@router.post("/extract-text")
async def extract_text_from_image(file: UploadFile = File(...)):
    if not file.content_type.startswith("image/"):
        raise HTTPException(status_code=400, detail="File must be an image")

    try:
        image_bytes = await file.read()
        extracted_text = gemini_service.extract_text_from_image(image_bytes)
        return {
            "extracted_text": extracted_text,
            "timestamp": datetime.now()
        }
    except Exception as e:
        raise HTTPException(status_code=500, detail=f"Text extraction error: {str(e)}")

Two-step image processing: We first extract text using Gemini Vision (OCR), then analyze that text using our LangChain analysis chain. This provides more reliable results than single-step analysis.

---

Create app/routes/research.py:

from fastapi import APIRouter, HTTPException
from app.models.schemas import ResearchRequest, ResearchResponse, ResearchResult
from app.services.tavily_service import tavily_service
from app.chains.chat_chain import get_chat_response
from datetime import datetime

router = APIRouter(prefix="/api", tags=["Research"])


@router.post("/research", response_model=ResearchResponse)
async def search_medical_research(request: ResearchRequest):
    try:
        raw_results = tavily_service.search_medical_research(
            query=request.query,
            max_results=request.max_results
        )

        formatted_results = tavily_service.format_results(raw_results)

        results_text = "\n\n".join([
            f"Source: {r['title']}\n{r['content']}"
            for r in formatted_results[:3]
        ])

        summary_prompt = f"""Based on these medical research results, provide a brief summary in 2-3 sentences:

{results_text}

Focus on the key takeaways and most important information."""

        summary = get_chat_response(summary_prompt, request.language)

        research_results = [
            ResearchResult(
                title=r["title"],
                url=r["url"],
                content=r["content"],
                score=r["score"]
            )
            for r in formatted_results
        ]

        return ResearchResponse(
            query=request.query,
            results=research_results,
            summary=summary,
            timestamp=datetime.now()
        )
    except Exception as e:
        raise HTTPException(status_code=500, detail=f"Research error: {str(e)}")

Why combine Tavily + LangChain? Tavily finds accurate, cited sources from trusted medical databases, while LangChain generates an easy-to-read summary. Users get both detailed sources and a quick overview.

---

Main Application

Create app/main.py:

from fastapi import FastAPI
from fastapi.middleware.cors import CORSMiddleware
from app.config import settings
from app.routes import health, analysis, research

app = FastAPI(
    title="MediCare AI Backend",
    description="Medical AI Assistant API for Cameroon - Powered by LangChain",
    version="2.0.0",
    docs_url="/docs",
    redoc_url="/redoc"
)

app.add_middleware(
    CORSMiddleware,
    allow_origins=settings.cors_origins_list,
    allow_credentials=True,
    allow_methods=["*"],
    allow_headers=["*"],
)

app.include_router(health.router)
app.include_router(analysis.router)
app.include_router(research.router)


@app.get("/")
async def root():
    return {
        "message": "Welcome to MediCare AI Backend",
        "version": "2.0.0",
        "powered_by": "LangChain + Google Gemini",
        "docs": "/docs",
        "status": "running"
    }

CORS explained: Cross-Origin Resource Sharing allows your frontend (React, Next.js) to make requests to this backend API. Without CORS middleware, browsers would block these requests for security reasons.

---

Running the Application

Final Setup Steps

1. Ensure you're in the backend directory
2. Activate your virtual environment
3. Verify your .env file has valid API keys
4. Start the server:

uvicorn app.main:app --reload

The --reload flag enables hot-reloading during development, so the server automatically restarts when you change code.

You should see output like:

INFO:     Uvicorn running on http://127.0.0.1:8000 (Press CTRL+C to quit)
INFO:     Started reloader process
INFO:     Application startup complete.

Access the API

Open your browser to:

1. Interactive Documentation: http://localhost:8000/docs (Swagger UI)
2. Alternative Documentation: http://localhost:8000/redoc (ReDoc)
3. Root Endpoint: http://localhost:8000/

The /docs endpoint is particularly useful - it provides an interactive interface where you can test all endpoints directly in your browser.

---

Testing Your API with Swagger UI

Testing your API has never been easier, thanks to FastAPI's automatically generated interactive documentation powered by Swagger UI. This built-in testing interface allows you to explore and test every endpoint without writing a single line of code or using command-line tools.

Accessing Swagger UI

Once your server is running, open your browser and navigate to:

http://localhost:8000/docs

You'll see a beautiful, interactive interface that lists all your API endpoints organized by tags (Health, Analysis, Research). This documentation is automatically generated from your code, including all request/response models, field validations, and descriptions.

Understanding the Swagger Interface

The Swagger UI displays:

• Endpoint paths - The URL for each API route
• HTTP methods - GET, POST, etc., color-coded for easy identification
• Request schemas - Expected input format with field types and validation rules
• Response schemas - What you'll get back, including status codes
• Try it out - Interactive testing functionality

Testing Each Endpoint

Test 1: Health Check (GET)

Let's start with the simplest endpoint to verify everything is working:

1. Locate the Health section
2. Click on GET /api/health to expand it
3. Click the "Try it out" button (top right)
4. Click the blue "Execute" button
5. Scroll down to see the Response

You should see a JSON response like:

{
  "status": "healthy",
  "timestamp": "2025-09-30T14:23:45.123456",
  "message": "MediCare AI Backend is running!"
}

What this tells you: Your FastAPI server is running correctly, and the basic routing is working.

Test 2: Medical Chat (POST)

Now let's test the conversational AI capabilities:

1. Find POST /api/chat under the Analysis section
2. Click to expand, then click "Try it out"
3. You'll see a Request body text area with example JSON
4. Replace the example with your own question:

{
  "message": "What are the early signs of diabetes?",
  "language": "en"
}

1. Click "Execute"
2. Examine the response below

Expected response structure:

{
  "response": "Early signs of diabetes include frequent urination...",
  "language": "en",
  "timestamp": "2025-09-30T14:25:30.456789"
}

Try this too: Test the bilingual capability by changing "language": "fr" and asking the same question in French.

Test 3: Text Analysis (POST)

This endpoint analyzes medical text and provides structured insights:

1. Navigate to POST /api/analyze-text
2. Click "Try it out"
3. Enter sample medical data:

{
  "text": "Patient presents with elevated blood pressure (150/95 mmHg), fasting blood sugar of 126 mg/dL, and BMI of 32. Patient reports frequent headaches and fatigue.",
  "context": "45-year-old male, sedentary lifestyle",
  "language": "en"
}

1. Click "Execute"

What to observe in the response:

• summary - A concise overview of the medical findings
• key_findings - Structured list of important observations
• recommendations - Health advice based on the data
• next_steps - Actionable items for the patient
• disclaimer - Legal/medical disclaimer

This demonstrates LangChain's PydanticOutputParser in action - forcing the AI to return perfectly structured JSON every time.

Test 4: Image Text Extraction (POST)

This is where Gemini Vision shines - extracting text from medical records, prescriptions, or lab reports:

1. Find POST /api/extract-text
2. Click "Try it out"
3. You'll see a file upload button - click to select an image
4. Choose a medical document image (prescription, lab report, or even handwritten notes)
5. Click "Execute"
6. Wait a few seconds for processing

Response format:

{
  "extracted_text": "Patient Name: John Doe\nDate: 2025-09-28\nBlood Test Results:\nHemoglobin: 14.2 g/dL\nWhite Blood Cells: 7,500/μL\n...",
  "timestamp": "2025-09-30T14:30:15.789012"
}

Pro tip: Test with different image types - printed documents, handwritten prescriptions, photos of medical records - to see the OCR capabilities in action.

Test 5: Full Image Analysis (POST)

This combines text extraction with AI analysis for complete medical record interpretation:

1. Go to POST /api/analyze-image
2. Click "Try it out"
3. Upload a medical record image using the file parameter
4. Set language to "en" (or "fr" for French)
5. Leave extract_text_only as false (unchecked)
6. Click "Execute"

Response structure:

{
  "extracted_text": "The complete OCR text from your image...",
  "analysis": {
    "summary": "This blood test shows...",
    "key_findings": [
      "Hemoglobin levels are within normal range",
      "Slightly elevated glucose levels detected"
    ],
    "recommendations": [
      "Monitor blood sugar levels regularly",
      "Consider dietary modifications"
    ],
    "next_steps": [
      "Schedule follow-up in 3 months",
      "Consult with an endocrinologist"
    ],
    "disclaimer": "This analysis is for informational purposes only...",
    "language": "en",
    "timestamp": "2025-09-30T14:35:42.345678"
  }
}

What's happening behind the scenes:

1. Gemini Vision extracts all text from the image (OCR)
2. The extracted text is fed to the analysis chain
3. LangChain formats the output into structured JSON
4. You get both the raw text AND intelligent analysis

Test 6: Medical Research Search (POST)

This endpoint searches trusted medical databases and summarizes findings:

1. Locate POST /api/research
2. Click "Try it out"
3. Enter a research query:

{
  "query": "latest treatments for hypertension",
  "max_results": 5,
  "language": "en"
}

1. Click "Execute"
2. Wait for the search to complete (may take 5-10 seconds)

Response breakdown:

{
  "query": "latest treatments for hypertension",
  "results": [
    {
      "title": "New Guidelines for Hypertension Treatment",
      "url": "https://pubmed.ncbi.nlm.nih.gov/...",
      "content": "Recent studies show that combination therapy...",
      "score": 0.95
    }
  ],
  "summary": "Recent research indicates that combination therapy with ACE inhibitors and calcium channel blockers shows promising results...",
  "timestamp": "2025-09-30T14:40:18.901234"
}

Key features:

• Trusted sources - Only results from medical databases (PubMed, WHO, CDC, etc.)
• Relevance scores - Higher scores mean more relevant results
• AI-generated summary - LangChain reads the top results and creates a concise summary
• Source citations - Every result includes the original URL

Understanding Response Codes

Swagger UI shows HTTP status codes for each response:

• 200 OK - Request succeeded, here's your data
• 400 Bad Request - Your input didn't pass validation (check field requirements)
• 422 Unprocessable Entity - JSON structure is wrong or missing required fields
• 500 Internal Server Error - Something went wrong on the server (check logs)

When you see errors, Swagger UI displays the error details, making debugging straightforward.

Advanced Testing Tips

Test Field Validation

FastAPI automatically validates inputs based on your Pydantic models. Try breaking things intentionally:

1. Test minimum length: Try sending a chat message with just "hi" (below min_length)
2. Test maximum length: Send a 2000-character message (above max_length)
3. Test invalid language: Set language to "es" instead of "en" or "fr"
4. Test invalid file types: Upload a PDF to an image endpoint

Each test will return a detailed validation error explaining exactly what went wrong.

Test the Alternative Documentation

FastAPI also generates ReDoc documentation at http://localhost:8000/redoc. This provides:

• A cleaner, more readable layout
• Easier navigation for large APIs
• Better for sharing with frontend developers
• No testing capability (documentation only)

Use Swagger's Schema Models

Click on any Schema at the bottom of the Swagger UI page to see the complete data structure for requests and responses. This is invaluable when building a frontend or understanding the API contract.

Monitor Server Logs

While testing in Swagger UI, watch your terminal where uvicorn is running. You'll see:

• Incoming requests with HTTP methods and paths
• Response status codes
• Any error tracebacks
• Processing times for each request

This real-time feedback helps you understand what's happening under the hood.

Common Testing Scenarios

Scenario 1: Patient Symptom Checker

1. Use /api/chat with: "I have a persistent cough and fever for 3 days"
2. Observe how the AI provides information while recommending professional consultation

Scenario 2: Lab Report Analysis

1. Upload a blood test image to /api/analyze-image
2. Review the extracted values and AI interpretation
3. Check that it flags abnormal results in key_findings

Scenario 3: Research Before Doctor Visit

1. Use /api/research with: "treatment options for type 2 diabetes"
2. Review the cited sources from medical journals
3. Read the AI-generated summary for quick understanding

Scenario 4: Medication Information

1. Upload a prescription image to /api/extract-text
2. Copy the extracted medication names
3. Use /api/research to learn about each medication

Troubleshooting Test Failures

"Module not found" errors:

• Ensure all dependencies are installed: pip install -r requirements.txt
• Verify your virtual environment is activated

"Invalid API key" errors:

• Check your .env file has valid keys
• Regenerate keys if necessary (links in Prerequisites section)

Image upload fails:

• Verify file is actually an image (JPEG, PNG)
• Check file size isn't too large (default limit: 10MB)
• Ensure file isn't corrupted

Slow response times:

• Vision and research endpoints take 5-15 seconds (normal)
• Check your internet connection for Tavily searches
• Monitor API rate limits if testing repeatedly

JSON parsing errors:

• Sometimes the LLM returns invalid JSON
• The code has fallback handlers for this
• Try rephrasing your query for better results

---

Learning Resources

Now that you've built and tested a production-ready AI medical assistant, here are curated resources to deepen your understanding and expand your skills.

Official Documentation

Core Technologies

FastAPI - Modern, fast web framework for building APIs

• Official Docs: https://fastapi.tiangolo.com/
• Tutorial: https://fastapi.tiangolo.com/tutorial/
• Best Practices: https://fastapi.tiangolo.com/advanced/

LangChain - Framework for developing applications powered by LLMs

• Documentation: https://python.langchain.com/docs/get_started/introduction
• LCEL Guide: https://python.langchain.com/docs/expression_language/
• How-to Guides: https://python.langchain.com/docs/how_to/

Pydantic - Data validation using Python type annotations

• Documentation: https://docs.pydantic.dev/latest/
• Settings Management: https://docs.pydantic.dev/latest/concepts/pydantic_settings/
• Validation Guide: https://docs.pydantic.dev/latest/concepts/validators/

AI Services

Google Gemini - Multimodal AI model (text + vision)

• API Documentation: https://ai.google.dev/docs
• Gemini API Cookbook: https://github.com/google-gemini/cookbook
• Vision Examples: https://ai.google.dev/tutorials/python_quickstart

Tavily AI - AI-powered search API for developers

• Documentation: https://docs.tavily.com/
• Python SDK: https://github.com/tavily-ai/tavily-python
• Search Examples: https://docs.tavily.com/docs/python-sdk/examples

Video Tutorials

FastAPI Mastery

• FastAPI Complete Course by freeCodeCamp (4 hours): https://www.youtube.com/watch?v=0sOvCWFmrtA
• Building Production APIs with FastAPI by ArjanCodes: https://www.youtube.com/watch?v=SORiTsvnU28
• FastAPI + React Full Stack by Coding with Roby: https://www.youtube.com/watch?v=yWThSl1LVTs

LangChain Deep Dives

• LangChain Crash Course by Krish Naik: https://www.youtube.com/watch?v=_FpT1cwcSLg
• LangChain Expression Language (LCEL) by LangChain: https://www.youtube.com/watch?v=gKUoHhHvAZE
• Building Production LangChain Apps by Sam Witteveen: https://www.youtube.com/watch?v=k8TzFKmj56A

AI Integration

• Google Gemini API Tutorial: https://www.youtube.com/watch?v=9PKbgWDrN8c
• Building AI Applications with Gemini: https://www.youtube.com/watch?v=5qiJGY9vshQ
• Multimodal AI with Vision LLMs: https://www.youtube.com/watch?v=wZcxuS8V_N8

Interactive Learning Platforms

LangChain Academy (Free)

• Interactive courses on LangChain fundamentals
• Hands-on exercises with real code
• https://academy.langchain.com/

Google AI Studio (Free)

• Experiment with Gemini models directly
• Test prompts without writing code
• https://makersuite.google.com/

FastAPI Interactive Tutorial (Free)

• Learn by building actual projects
• Built into FastAPI documentation
• https://fastapi.tiangolo.com/tutorial/

Books & Written Guides

"Designing Data-Intensive Applications" by Martin Kleppmann

• Understanding system architecture
• Building scalable backends
• Essential for production systems

"Prompt Engineering Guide" (Free Online)

• Comprehensive guide to AI prompting
• LangChain-specific techniques
• https://www.promptingguide.ai/

"The Pragmatic Programmer" by Andy Hunt & Dave Thomas

• Software engineering best practices
• Writing maintainable code
• Career-long reference book

GitHub Repositories to Study

LangChain Templates

• Pre-built application templates
• https://github.com/langchain-ai/langchain/tree/master/templates

FastAPI Best Practices

• Project structure examples
• https://github.com/zhanymkanov/fastapi-best-practices

Production-Ready FastAPI

• Real-world application example
• https://github.com/tiangolo/full-stack-fastapi-postgresql

Gemini Cookbook

• Code examples for Gemini API
• https://github.com/google-gemini/cookbook

Communities & Forums

LangChain Discord

• Active developer community
• Get help with specific issues
• https://discord.gg/langchain

FastAPI GitHub Discussions

• Official FastAPI community
• Feature requests and discussions
• https://github.com/tiangolo/fastapi/discussions

r/LangChain (Reddit)

• Community showcase and help
• https://reddit.com/r/LangChain

Stack Overflow

• Search: [fastapi], [langchain], [pydantic]
• Ask specific technical questions

Advanced Topics to Explore

After Mastering the Basics

1. Vector Databases & RAG

• Store medical documents in vector databases
• Implement Retrieval-Augmented Generation
• LangChain + Pinecone/Chroma/FAISS tutorials

2. Streaming Responses

• Real-time AI responses as they're generated
• FastAPI Server-Sent Events (SSE)
• LangChain streaming callbacks

3. Authentication & Authorization

• Secure your API with JWT tokens
• User management and permissions
• FastAPI Security documentation

4. Production Deployment

• Docker containerization
• Cloud deployment (AWS, GCP, Azure)
• CI/CD pipelines with GitHub Actions

5. Monitoring & Observability

• LangSmith for LangChain tracing
• Application performance monitoring (APM)
• Error tracking with Sentry

6. Testing & Quality Assurance

• Unit tests with pytest
• Integration tests for API endpoints
• LangChain testing utilities

Follow These Experts

Twitter/X:

• @langchainai - LangChain updates
• @tiangolo - FastAPI creator
• @samuelcolvin - Pydantic creator
• @GoogleDeepMind - Gemini news

YouTube Channels:

• LangChain Official
• ArjanCodes (Python best practices)
• Krish Naik (AI tutorials)
• Patrick Loeber (Python & AI)

Free API Credits & Tools

Google Cloud Free Tier

• $300 credit for new users
• Free Gemini API tier available
• https://cloud.google.com/free

Tavily AI

• 1000 free searches/month
• No credit card required
• https://tavily.com

Vercel/Railway/Render

• Free hosting for hobby projects
• Deploy FastAPI apps for free
• Easy CI/CD integration

---

Final Advice

Start Small, Think Big: Begin with simple features, then gradually add complexity. The architecture we've built scales from prototype to production.

Read Other People's Code: The best way to improve is studying production codebases. All the repos listed above are excellent learning resources.

Build in Public: Share your progress on Twitter, LinkedIn, or GitHub. The community is supportive, and you'll get valuable feedback.

Focus on Fundamentals: Before chasing the latest AI model or framework, master Python, HTTP, APIs, and data structures. These never go out of style.

Keep Learning: AI technology evolves rapidly. Set aside time weekly to read documentation, watch tutorials, or experiment with new features.

Contribute Back: Once comfortable, contribute to open-source projects like LangChain or FastAPI. It's the best way to master a technology deeply.

Github Repo

code here_______________

Github Repository

Good luck on your journey building AI-powered applications!