fix(api): provide pseudonymous patients access to doctor care

This commit is contained in:
Pavel Eliseev
2026-10-04 16:47:06 +03:00
parent 079c3003aa
commit 0743184f3d
6 changed files with 141 additions and 15 deletions
+30 -7
View File
@@ -7,9 +7,9 @@ exactly like the web console, and consent, onboarding, scales and check-ins come
Two ways in:
- **ЕМИАС** (demo): the doctor's one-time connect code via `EmiasMock`, or a synthetic demo persona. The
patient is linked to the attending doctor, who sees the data on the dashboard.
- **Anonymous**: a random pseudonymous token and nothing else — no identity record, no doctor. The engine
supports tokens without an identity record (consent is kept in the dialog state), so no personal data is
stored at all. Crisis safety still works: the fixed crisis script does not depend on the doctor.
- **Anonymous**: a random pseudonymous token, no identity record, and access to the prototype care team.
Clinical answers are stored on the server and visible to the assigned doctor under a pseudonym.
Consent is kept in the dialog state. Existing doctor-less profiles require explicit care opt-in.
The token returned here is the session credential of the prototype. Production needs short-lived sessions
issued by the server instead of handing out the pseudonymous token itself.
@@ -36,11 +36,13 @@ from app.core.interpretation import texts as results_texts
from app.core.meds_reference import find_drug, indication_for, load_reference
from app.core.safety import CrisisResource, crisis_reply
from app.db import repo
from app.db.audit import audit
from app.db.clinical import DailyCheckin, Dose, Prescription
from app.db.identity import TOKEN_LEN
from app.db.intake import QuestionnaireRecord
from app.db.session import get_clinical_session
from app.integrations.emias_mock import CODE_MAX_LEN, EmiasMock
from app.services import anonymous_care
log = logging.getLogger(__name__)
@@ -153,19 +155,40 @@ async def auth_emias_demo(body: EmiasDemoIn) -> AuthOut:
@router.post("/auth/anonymous", response_model=AuthOut)
async def auth_anonymous(body: AnonymousIn | None = None) -> AuthOut:
"""Anonymous sign-in: a fresh random token; no identity record, no doctor.
"""Anonymous sign-in: a fresh random token; care without an identity record.
The clinical side gets a doctor-less pseudonymous profile (the dialog API serves known profiles only). It holds
no personal data — only the module of the chosen `focus`; the stage 1 screening then sets the modules itself.
The clinical side gets a pseudonymous profile assigned to the prototype care team. It holds
no identity fields. Legacy clients may supply `focus`; the common stage 1 screening sets modules itself.
"""
token = secrets.token_hex(TOKEN_LEN // 2)
focus = body.focus if body is not None else None
async with get_clinical_session() as s:
await repo.upsert_profile(s, token=token, doctor_id="", modules=[_FOCUS_MODULE[focus]] if focus else [])
await repo.upsert_profile(
s, token=token, doctor_id=anonymous_care.doctor_id(), modules=[_FOCUS_MODULE[focus]] if focus else []
)
log.info("web auth: anonymous tok=%s", token[:6])
return AuthOut(token=token, mode="anonymous")
@router.get("/patient/capabilities")
async def patient_capabilities() -> dict[str, bool]:
"""Expose availability without leaking clinical policy or server configuration."""
return {"primary_screening": intake_enabled()}
@router.post("/me/{token}/doctor/connect")
async def connect_anonymous_doctor(token: str) -> dict[str, bool]:
"""Explicit opt-in for old doctor-less profiles; never reassign an existing doctor."""
async with get_clinical_session() as s:
profile = await repo.get_profile(s, token)
if profile is None:
raise HTTPException(404, "patient not found")
if not profile.doctor_id:
profile.doctor_id = anonymous_care.doctor_id()
await audit(s, actor=token, action="anonymous_care_opt_in", token=token, ts=clock.now())
return {"has_doctor": True}
class DoseItem(BaseModel):
id: int
drug: str