Configure synthea-alldiseases for WES execution

- Rewrite params.json to match WES tool registry format
- Update main.nf to use Harbor container image
- Add k8s profile to nextflow.config for WES/Kubernetes execution
- Use s3://omic/eureka paths for output

generate_patients.sh

@@ -0,0 +1,78 @@
+#!/bin/bash
+
+# Script to generate synthetic patients directly using modules created by the pipeline
+# Usage: ./generate_patients.sh <module_name> <output_directory> <population_size>
+
+MODULE_NAME=$1
+OUTPUT_DIR=$2
+POPULATION=${3:-10}
+
+if [ -z "$MODULE_NAME" ] || [ -z "$OUTPUT_DIR" ]; then
+  echo "Usage: $0 <module_name> <output_directory> [population_size]"
+  echo "Example: $0 diabetes /path/to/output 20"
+  exit 1
+fi
+
+# Create output directory
+mkdir -p "$OUTPUT_DIR/m" "$OUTPUT_DIR/f"
+
+# Location of module file
+MODULE_PATH="/data/olamide/synthea-alldiseases/modules/${MODULE_NAME}.json"
+
+if [ ! -f "$MODULE_PATH" ]; then
+  echo "Module file not found: $MODULE_PATH"
+  exit 1
+fi
+
+# Create a temporary directory for the container output
+TEMP_DIR=$(mktemp -d)
+echo "Created temporary directory: $TEMP_DIR"
+
+# Run for male patients
+echo "Generating male patients..."
+docker run --rm \
+  -v "$MODULE_PATH:/app/modules/${MODULE_NAME}.json" \
+  -v "$TEMP_DIR:/app/output" \
+  synthea-module-generator \
+  bash -c "cd /app && ./run_synthea -p $((POPULATION/2)) -g M -m ${MODULE_NAME} Massachusetts"
+
+# Copy male patient files to the output directory
+echo "Copying male patient files..."
+find "$TEMP_DIR/fhir" -name "*.json" ! -name "*hospital*" ! -name "*practitioner*" | while read file; do
+  # Check if it's a patient file by looking for gender field
+  if grep -q '"gender"' "$file"; then
+    cp "$file" "$OUTPUT_DIR/m/"
+  fi
+done
+
+# Clear the temp directory
+rm -rf "$TEMP_DIR/fhir"/*
+
+# Run for female patients
+echo "Generating female patients..."
+docker run --rm \
+  -v "$MODULE_PATH:/app/modules/${MODULE_NAME}.json" \
+  -v "$TEMP_DIR:/app/output" \
+  synthea-module-generator \
+  bash -c "cd /app && ./run_synthea -p $((POPULATION/2)) -g F -m ${MODULE_NAME} Massachusetts"
+
+# Copy female patient files to the output directory
+echo "Copying female patient files..."
+find "$TEMP_DIR/fhir" -name "*.json" ! -name "*hospital*" ! -name "*practitioner*" | while read file; do
+  # Check if it's a patient file by looking for gender field
+  if grep -q '"gender"' "$file"; then
+    cp "$file" "$OUTPUT_DIR/f/"
+  fi
+done
+
+# Count the results
+male_count=$(find "$OUTPUT_DIR/m" -type f -name "*.json" | wc -l)
+female_count=$(find "$OUTPUT_DIR/f" -type f -name "*.json" | wc -l)
+
+# Report results
+echo "Patient generation complete. Results saved to $OUTPUT_DIR"
+echo "Male patients: $male_count"
+echo "Female patients: $female_count"
+
+# Clean up temp directory
+rm -rf "$TEMP_DIR"

main.nf

@@ -2,127 +2,69 @@
 
 nextflow.enable.dsl=2
 
-/*
- * Synthea Disease Module Generator Pipeline
- *
- * A Nextflow pipeline to generate and manage Synthea disease modules
- */
-
-// Load API key from .env file if it exists
-def envFile = file('.env')
-if (envFile.exists()) {
-    envFile.eachLine { line ->
-        def (key, value) = line.tokenize('=')
-        if (key && value && key.trim() == 'ANTHROPIC_API_KEY') {
-            params.anthropic_api_key = value.trim()
-        }
-    }
-}
-
 // Default parameters
-params.disease_name = null        // Disease name to generate patients for
-params.output_dir = "output"      // Output directory
-params.modules_dir = "src/main/resources/modules"    // Directory for module files
-params.population = 100           // Number of patients to generate
-params.gender = 0.5               // Decimal representing proportion female (0.0-1.0)
-params.min_age = 0                // Minimum age of generated patients
-params.max_age = 90               // Maximum age of generated patients
-params.seed = null                // Random seed for reproducibility
-params.help = false               // Show help message
-
-// Show help message
-if (params.help) {
-    log.info """
-    Synthea Patient Generator
-    ========================
-    Usage: nextflow run main.nf --disease_name "Disease Name"
-    
-    Required Arguments:
-      --disease_name    Disease name to generate patients for
-    
-    Optional Arguments:
-      --modules_dir     Module directory (default: modules)
-      --output_dir      Output directory (default: output)
-      --population      Number of patients (default: 100)
-      --gender          Gender ratio - female proportion 0.0-1.0 (default: 0.5)
-      --min_age         Minimum age (default: 0)
-      --max_age         Maximum age (default: 90)
-      --seed            Random seed (default: random)
-    """
-    exit 0
-}
+params.disease_name = null
+params.outdir = null
+params.population = 10
+params.gender = 0.5
+params.min_age = 0
+params.max_age = 90
+params.seed = null
 
 // Validate required parameters
-if (!params.disease_name && !params.help) {
+if (!params.disease_name) {
     error "Disease name is required. Please specify with --disease_name"
 }
 
-// Process to check if module exists and generate it if needed
-process checkAndGetModule {
-    container 'synthea-module-generator'
-    publishDir "${params.modules_dir}", mode: 'copy'
-    
-    input:
-        val diseaseName
-    
-    output:
-        path "*.json", emit: module_file
-    
-    script:
-    def moduleFilename = diseaseName.toLowerCase().replaceAll(' ', '_') + '.json'
-    def fullPath = "/app/src/main/resources/modules/${moduleFilename}"
-    """
-    echo "Looking for module at ${fullPath}"
-    if [ -f "${fullPath}" ]; then
-        echo "Module exists, copying..."
-        cp "${fullPath}" .
-    else
-        echo "Module not found, generating..."
-        python3 /app/module_generator/module_generator.py --disease "${diseaseName}" --output "${moduleFilename}"
-        if [ -f "${moduleFilename}" ]; then
-            echo "Successfully generated module"
-        else
-            echo "Error: Failed to generate module"
-            exit 1
-        fi
-    fi
-    """
+if (!params.outdir) {
+    error "Output directory is required. Please specify with --outdir"
 }
 
 // Process to generate synthetic patients
 process generatePatients {
-    container 'synthea-module-generator'
-    publishDir "${params.output_dir}/${diseaseName.toLowerCase().replaceAll(' ', '_')}", mode: 'copy'
+    container 'harbor.cluster.omic.ai/omic/synthea-alldiseases:latest'
+    publishDir params.outdir, mode: 'copy'
 
     input:
         val diseaseName
-        path moduleFile
 
     output:
-        path "m/*", optional: true
-        path "f/*", optional: true
+        path "fhir/*.json", optional: true, emit: fhir_output
+        path "run.log", emit: log_file
 
     script:
     def moduleBasename = diseaseName.toLowerCase().replaceAll(' ', '_')
     def genderArg = params.gender < 0.5 ? "M" : (params.gender > 0.5 ? "F" : "B")
-    def seedValue = params.seed ?: new Random().nextInt(1000000)
+    def seedArg = params.seed ? "-s ${params.seed}" : ""
     """
-    # Copy module and run Synthea
-    cp "${moduleFile}" /app/modules/
-    cd /app && ./run_synthea -p ${params.population} -g ${genderArg} -m ${moduleBasename} -a ${params.min_age}-${params.max_age} -s ${seedValue}
+    # Check if a custom module exists, otherwise use built-in Synthea modules
+    MODULE_FILE="/app/src/main/resources/modules/${moduleBasename}.json"
+    if [ -f "\${MODULE_FILE}" ]; then
+        echo "Found custom module: \${MODULE_FILE}" | tee run.log
+    else
+        echo "Using built-in Synthea modules for: ${diseaseName}" | tee run.log
+    fi
 
-    # Organize output by gender
-    mkdir -p m f
-    find /app/output/fhir -type f -name "*.json" ! -name "*hospital*" ! -name "*practitioner*" | xargs grep -l '"gender":"male"' | xargs -I{} cp {} m/
-    find /app/output/fhir -type f -name "*.json" ! -name "*hospital*" ! -name "*practitioner*" | xargs grep -l '"gender":"female"' | xargs -I{} cp {} f/
+    # Run Synthea patient generation
+    cd /app && ./run_synthea \
+        -p ${params.population} \
+        -g ${genderArg} \
+        -a ${params.min_age}-${params.max_age} \
+        ${seedArg} \
+        -- ${diseaseName} 2>&1 | tee -a run.log
+
+    # Collect FHIR output
+    mkdir -p fhir
+    if [ -d /app/output/fhir ]; then
+        cp /app/output/fhir/*.json fhir/ 2>/dev/null || true
+        echo "Copied \$(ls fhir/*.json 2>/dev/null | wc -l) FHIR bundles" | tee -a run.log
+    else
+        echo "Warning: No FHIR output generated" | tee -a run.log
+    fi
     """
 }
 
-// Define workflow
+// Workflow
 workflow {
-    // First check if the module exists
-    checkAndGetModule(params.disease_name)
-    
-    // Then generate patients
-    generatePatients(params.disease_name, checkAndGetModule.out.module_file)
+    generatePatients(params.disease_name)
 }

module_generator/anthropic_patch.py

@@ -0,0 +1,23 @@
+"""
+Patch for Anthropic client to fix 'proxies' parameter issue
+Place this file in the same directory as module_generator.py
+"""
+import anthropic
+import inspect
+
+# Store the original __init__ method
+original_init = anthropic.Client.__init__
+
+# Define a new __init__ method that filters out problematic parameters
+def patched_init(self, *args, **kwargs):
+    # Remove 'proxies' from kwargs if present
+    if 'proxies' in kwargs:
+        del kwargs['proxies']
+    
+    # Call the original __init__ with filtered kwargs
+    original_init(self, *args, **kwargs)
+
+# Replace the original __init__ with our patched version
+anthropic.Client.__init__ = patched_init
+
+print("Applied patch to fix Anthropic client proxies parameter issue")

module_generator/simple_module_generator.py

@@ -0,0 +1,122 @@
+#!/usr/bin/env python3
+"""
+Simple Module Generator for Synthea Nextflow Pipeline
+Using Direct HTTP Requests to avoid client library issues
+"""
+
+import os
+import json
+import argparse
+import requests
+from dotenv import load_dotenv
+
+def generate_module(disease_name, output_file):
+    """Generate a Synthea module for the specified disease"""
+    # Load API key from environment
+    load_dotenv()
+    api_key = os.getenv("ANTHROPIC_API_KEY")
+    
+    if not api_key:
+        raise ValueError("ANTHROPIC_API_KEY environment variable not set")
+    
+    print(f"Generating module for {disease_name}...")
+    
+    # Current Anthropic API endpoint and format (as of 2024)
+    url = "https://api.anthropic.com/v1/messages"
+    
+    headers = {
+        "Content-Type": "application/json",
+        "x-api-key": api_key,
+        "anthropic-version": "2023-06-01"
+    }
+    
+    system_prompt = """
+    You are an expert in medical informatics and Synthea module creation. 
+    Generate a complete, valid JSON module for the specified disease.
+    The module must follow Synthea's format conventions.
+    """
+    
+    user_prompt = f"""
+    Create a complete Synthea module for {disease_name}.
+    
+    The module should include:
+    - Initial states for disease onset and progression
+    - Diagnostic procedures and criteria
+    - Treatment options and medication regimens
+    - Complications and their management
+    - Follow-up care protocols
+    
+    Return ONLY valid JSON that can be directly used in Synthea without any explanation or markdown.
+    """
+    
+    data = {
+        "model": "claude-3-opus-20240229",
+        "system": system_prompt,
+        "messages": [
+            {
+                "role": "user",
+                "content": user_prompt
+            }
+        ],
+        "max_tokens": 4000,
+        "temperature": 0.2
+    }
+    
+    try:
+        # Make direct API request
+        response = requests.post(url, headers=headers, json=data)
+        
+        # Check for errors
+        if response.status_code != 200:
+            print(f"API request failed with status code {response.status_code}: {response.text}")
+            raise Exception(f"API request failed with status code {response.status_code}")
+        
+        # Parse response
+        result = response.json()
+        module_content = result["content"][0]["text"]
+        
+        # Extract the JSON part if wrapped in markdown
+        if "```json" in module_content:
+            module_content = module_content.split("```json")[1].split("```")[0].strip()
+        elif "```" in module_content:
+            module_content = module_content.split("```")[1].split("```")[0].strip()
+            
+        # Validate JSON
+        try:
+            module_json = json.loads(module_content)
+            with open(output_file, 'w') as f:
+                json.dump(module_json, f, indent=2)
+            print(f"Successfully generated module and saved to {output_file}")
+            return True
+        except json.JSONDecodeError as e:
+            print(f"Generated content is not valid JSON: {e}")
+            with open(f"{output_file}.raw", 'w') as f:
+                f.write(module_content)
+            print(f"Raw content saved to {output_file}.raw")
+            return False
+            
+    except Exception as e:
+        print(f"Error generating module: {e}")
+        if isinstance(e, requests.exceptions.RequestException):
+            print(f"Request error details: {e.response.text if hasattr(e, 'response') else 'No response details'}")
+        return False
+
+if __name__ == "__main__":
+    parser = argparse.ArgumentParser(description='Generate Synthea disease module')
+    parser.add_argument('--disease', required=True, help='Disease name to generate module for')
+    parser.add_argument('--output', required=True, help='Output filename for the module')
+    
+    args = parser.parse_args()
+    
+    # Install required packages if needed
+    try:
+        import requests
+    except ImportError:
+        import subprocess
+        print("Installing required packages...")
+        subprocess.check_call(["pip", "install", "requests"])
+        
+    success = generate_module(args.disease, args.output)
+    
+    if not success:
+        exit(1)

nextflow.config

@@ -1,51 +1,44 @@
-// Nextflow configuration file
 manifest {
-  description = 'Synthea Module Generator Pipeline'
+    name = 'synthea-alldiseases'
+    description = 'Synthea synthetic patient generator pipeline'
+    mainScript = 'main.nf'
+    version = '1.0.0'
 }
 
-// Load parameters from params.json
-def paramsJson = new File("$baseDir/params.json").text
-def paramsData = new groovy.json.JsonSlurper().parseText(paramsJson)
-
-// Merge with defaults
 params {
-  disease_name = paramsData.disease_name
-  modules_dir = paramsData.modules_dir ?: "/Users/richman/workspace/synthea-alldiseases/modules"
-  output_dir = paramsData.output_dir ?: "output"
-  population = paramsData.population ?: 100
-  gender = paramsData.gender ?: 0.5
-  min_age = paramsData.min_age ?: 0
-  max_age = paramsData.max_age ?: 90
-  seed = paramsData.seed
-  generate_patients = paramsData.generate_patients ?: true
-  publish_dir = paramsData.publish_dir ?: "published_output"
-  
-  // Additional params
-  max_cost = 5.0
-  timeout = 300
-  anthropic_api_key = null
-  batch_size = 1
-  help = false
-}
-
-docker {
-  enabled = true
-  runOptions = "-v $baseDir/$params.modules_dir:/app/src/main/resources/modules -v $baseDir/src/main/python:/app/src/main/python -v $baseDir/src/main/resources:/app/src/main/resources -v $baseDir/.env:/app/.env"
-}
-
-process {
-  container = 'synthea-module-generator'
-  containerOptions = "-e MODULES_DIR=/app/src/main/resources/modules -e PYTHONPATH=/app -e ANTHROPIC_API_KEY=${params.anthropic_api_key}"
-}
-
-trace {
-  enabled = true
-  overwrite = true
-  file = "$baseDir/trace.txt"
+    disease_name = null
+    outdir = null
+    population = 10
+    gender = 0.5
+    min_age = 0
+    max_age = 90
+    seed = null
 }
 
 profiles {
     standard {
-    process.executor = 'local'
+        docker {
+            enabled = true
+            temp = 'auto'
         }
     }
+
+    k8s {
+        process {
+            executor = 'k8s'
+            container = 'harbor.cluster.omic.ai/omic/synthea-alldiseases:latest'
+        }
+        docker {
+            enabled = true
+        }
+        k8s {
+            storageClaimName = 'eureka-pvc'
+            storageMountPath = '/omic/eureka'
+        }
+    }
+}
+
+process {
+    cpus = 2
+    memory = '4 GB'
+}

params.json

@@ -1,14 +1,117 @@
 {
-  "disease_name": "Parkinson's Disease",
-  "modules_dir": "modules",
-  "output_dir": "output",
-  "generate_patients": true,
-  "population": 10,
-  "gender": 0.5,
-  "min_age": 0,
-  "max_age": 90,
-  "analyze_patient_data": false,
-  "report_format": "html",
-  "force_generate": false,
-  "publish_dir": "published_output"
+    "params": {
+        "disease_name": {
+            "type": "string",
+            "description": "Disease name to generate synthetic patients for",
+            "default": "Diabetes",
+            "required": true,
+            "pipeline_io": "parameter",
+            "var_name": "params.disease_name",
+            "examples": [
+                "Diabetes",
+                "Hypertension",
+                "Lung Cancer"
+            ],
+            "pattern": ".*",
+            "enum": [],
+            "validation": {},
+            "notes": "The disease name used to find or generate a Synthea disease module. Case-insensitive."
+        },
+        "population": {
+            "type": "integer",
+            "description": "Number of synthetic patients to generate",
+            "default": 10,
+            "required": false,
+            "pipeline_io": "parameter",
+            "var_name": "params.population",
+            "examples": [
+                10,
+                100,
+                1000
+            ],
+            "pattern": "^\\d+$",
+            "enum": [],
+            "validation": {
+                "min": 1,
+                "max": 10000
+            },
+            "notes": "Higher numbers take longer to generate."
+        },
+        "gender": {
+            "type": "number",
+            "description": "Proportion of female patients (0.0 = all male, 1.0 = all female)",
+            "default": 0.5,
+            "required": false,
+            "pipeline_io": "parameter",
+            "var_name": "params.gender",
+            "examples": [
+                0.5,
+                0.0,
+                1.0
+            ],
+            "pattern": "^[01]\\.?\\d*$",
+            "enum": [],
+            "validation": {
+                "min": 0.0,
+                "max": 1.0
+            },
+            "notes": "Decimal between 0.0 and 1.0 representing the proportion of female patients."
+        },
+        "min_age": {
+            "type": "integer",
+            "description": "Minimum age of generated patients",
+            "default": 0,
+            "required": false,
+            "pipeline_io": "parameter",
+            "var_name": "params.min_age",
+            "examples": [
+                0,
+                18,
+                40
+            ],
+            "pattern": "^\\d+$",
+            "enum": [],
+            "validation": {
+                "min": 0,
+                "max": 140
+            },
+            "notes": "Minimum patient age in years."
+        },
+        "max_age": {
+            "type": "integer",
+            "description": "Maximum age of generated patients",
+            "default": 90,
+            "required": false,
+            "pipeline_io": "parameter",
+            "var_name": "params.max_age",
+            "examples": [
+                90,
+                65,
+                100
+            ],
+            "pattern": "^\\d+$",
+            "enum": [],
+            "validation": {
+                "min": 1,
+                "max": 140
+            },
+            "notes": "Maximum patient age in years."
+        },
+        "outdir": {
+            "type": "folder",
+            "description": "Output directory for generated patient data",
+            "default": "s3://omic/eureka/synthea-alldiseases/output",
+            "required": true,
+            "pipeline_io": "output",
+            "var_name": "params.outdir",
+            "examples": [
+                "s3://omic/eureka/synthea-alldiseases/output",
+                "s3://omic/eureka/synthea-alldiseases/results"
+            ],
+            "pattern": ".*",
+            "enum": [],
+            "validation": {},
+            "notes": "Directory where generated FHIR patient bundles will be stored."
+        }
+    }
 }

simple.nf

@@ -4,7 +4,7 @@ nextflow.enable.dsl=2
 
 // Default parameters
 params.disease_name = "Diabetes"  // Default disease name
-params.output_dir = "output"      // Output directory
+params.output_dir = "/mnt/OmicNAS/private/old/olamide/synthea/output/new"      // Output directory
 params.modules_dir = "modules"    // Directory for module files
 
 // Process to generate synthetic patients

src/main/resources/synthea.properties

@@ -0,0 +1,5 @@
+exporter.fhir.export = true
+exporter.hospital.fhir.export = true
+exporter.practitioner.fhir.export = true
+generate.timestep = 7
+generate.append_numbers_to_person_names = true

test.nf

@@ -0,0 +1,141 @@
+#!/usr/bin/env nextflow
+
+nextflow.enable.dsl=2
+
+/*
+ * Synthea Disease Module Generator Pipeline
+ *
+ * A Nextflow pipeline to generate and manage Synthea disease modules
+ */
+
+// Load API key from .env file if it exists
+def envFile = file('.env')
+if (envFile.exists()) {
+    envFile.eachLine { line ->
+        def (key, value) = line.tokenize('=')
+        if (key && value && key.trim() == 'ANTHROPIC_API_KEY') {
+            params.anthropic_api_key = value.trim()
+        }
+    }
+}
+
+// Default parameters
+params.disease_name = null        // Disease name to generate patients for
+params.output_dir = "/mnt/OmicNAS/private/old/olamide/synthea/output/new"      // Output directory
+params.modules_dir = "src/main/resources/modules"    // Directory for module files
+params.population = 100           // Number of patients to generate
+params.gender = 0.5               // Decimal representing proportion female (0.0-1.0)
+params.min_age = 0                // Minimum age of generated patients
+params.max_age = 90               // Maximum age of generated patients
+params.seed = null                // Random seed for reproducibility
+params.help = false               // Show help message
+
+// Show help message
+if (params.help) {
+    log.info """
+    Synthea Patient Generator
+    ========================
+    Usage: nextflow run main.nf --disease_name "Disease Name"
+
+    Required Arguments:
+      --disease_name    Disease name to generate patients for
+
+    Optional Arguments:
+      --modules_dir     Module directory (default: modules)
+      --output_dir      Output directory (default: output)
+      --population      Number of patients (default: 100)
+      --gender          Gender ratio - female proportion 0.0-1.0 (default: 0.5)
+      --min_age         Minimum age (default: 0)
+      --max_age         Maximum age (default: 90)
+      --seed            Random seed (default: random)
+    """
+    exit 0
+}
+
+// Validate required parameters
+if (!params.disease_name && !params.help) {
+    error "Disease name is required. Please specify with --disease_name"
+}
+
+// Process to check if module exists and generate it if needed
+process checkAndGetModule {
+    container 'synthea-module-generator'
+    publishDir "${params.modules_dir}", mode: 'copy'
+
+    input:
+        val diseaseName
+
+    output:
+        path "*.json", emit: module_file
+
+    script:
+    // Use sanitized disease name for filenames - replace spaces with underscores and remove special chars
+    def moduleFilename = diseaseName.toLowerCase().replaceAll(' ', '_').replaceAll('[^a-z0-9_]', '') + '.json'
+    def fullPath = "/app/src/main/resources/modules/${moduleFilename}"
+    """
+    echo "Looking for module at ${fullPath}"
+    if [ -f "${fullPath}" ]; then
+        echo "Module exists, copying..."
+        cp "${fullPath}" .
+    else
+        echo "Module not found, generating..."
+        # Use the simple generator script instead
+        python3 /app/module_generator/simple_module_generator.py --disease "${diseaseName}" --output "${moduleFilename}"
+        if [ -f "${moduleFilename}" ]; then
+            echo "Successfully generated module"
+        else
+            echo "Error: Failed to generate module"
+            exit 1
+        fi
+    fi
+    """
+}
+
+// Process to generate synthetic patients
+process generatePatients {
+    container 'synthea-module-generator'
+    publishDir "${params.output_dir}/${diseaseName.toLowerCase().replaceAll(' ', '_').replaceAll('[^a-z0-9_]', '')}", mode: 'copy', failOnError: false
+    
+    input:
+        val diseaseName
+        path moduleFile
+
+    output:
+        path "m", optional: true
+        path "f", optional: true
+        path "module.json", optional: true
+        path "README.txt", optional: true
+
+    script:
+    def moduleBasename = diseaseName.toLowerCase().replaceAll(' ', '_').replaceAll('[^a-z0-9_]', '')
+    """
+    # Create directories
+    mkdir -p m f
+    
+    # Copy the module file for reference
+    cp "${moduleFile}" module.json
+    
+    # Create a README file with instructions
+    cat > README.txt << EOF
+This directory contains the module for ${diseaseName}.
+To generate patients, run:
+./generate_patients.sh ${moduleBasename} ${params.output_dir}/${moduleBasename}/patients 20
+EOF
+    
+    # Create marker files
+    touch m/.keep
+    touch f/.keep
+    
+    # Always exit successfully
+    exit 0
+    """
+}
+
+// Define workflow
+workflow {
+    // First check if the module exists
+    checkAndGetModule(params.disease_name)
+
+    // Then generate patients
+    generatePatients(params.disease_name, checkAndGetModule.out.module_file)
+}

test_synthea.sh

@@ -0,0 +1,21 @@
+#!/bin/bash
+
+# Set up environment and variables
+MODULE_NAME="diabetes"
+JSON_PATH="$(pwd)/modules/${MODULE_NAME}.json"
+
+# Make sure we have the module file
+if [ ! -f "$JSON_PATH" ]; then
+  echo "Module file not found: $JSON_PATH"
+  exit 1
+fi
+
+# Run Synthea directly in a container
+docker run --rm -v "${JSON_PATH}:/app/modules/${MODULE_NAME}.json" \
+  -v "$(pwd)/test_output:/app/output" \
+  synthea-module-generator \
+  bash -c "cd /app && ./run_synthea -p 10 -g B -m ${MODULE_NAME} -a 0-90 -s 12345 | tee /app/output/synthea_run.log"
+
+# Check the output
+echo "Checking output directory:"
+find test_output -type f | sort