feat(bot): veteran daily check-in, medication reminders and rule reactions
Daily check-in (mood → dose → sleep/nightmares → alcohol → free text with extract_checkin, buttons win over the LLM, progressive upsert of daily_checkins), medication reminder flow (taken / skip with reason / side effects → doses + daily_checkins), medication question menu via med_qa, med_info rule reactions from the drug instruction excerpt, «записаться раньше» request recorded for lane B, friendly intros for scheduled scales. actions.py: additive med_info handler hook. Refs #37 Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
This commit is contained in:
Claude Opus 5.5
+15
-3
@@ -6,7 +6,7 @@ are ignored here. While a crisis is open only crisis-relevant actions (crisis, s
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the patient: no medication tips or visit offers in the middle of a crisis.
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"""
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from collections.abc import Iterable
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from collections.abc import Awaitable, Callable, Iterable
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from typing import Any
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from app.core.rules import Action
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@@ -20,6 +20,16 @@ from app.dialog.scale_session import active_scale, add_pending
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_MED_INFO_INTENTS = {"delayed_effect": "quit_intent", "alcohol_interaction": "alcohol_info", "nausea": "nausea_info"}
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_CRISIS_SAFE = {"crisis", "show_safety_plan", "schedule_scale"}
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# Optional `med_info` answerer registered by a flow (`flows/meds.py`, #37): answers from the drug instruction
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# (med_qa). Returning None falls back to the phrase template below.
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MedInfoHandler = Callable[[Ctx, Action], Awaitable[Reply | None]]
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_med_info_handler: MedInfoHandler | None = None
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def register_med_info_handler(handler: MedInfoHandler | None) -> None:
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global _med_info_handler
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_med_info_handler = handler
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def _plan_line(step: Any) -> str:
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if isinstance(step, dict):
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@@ -57,9 +67,11 @@ async def execute(ctx: Ctx, actions: Iterable[Action]) -> Step:
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pending = add_pending(data, scale_id, bool(action.params.get("scheduled", False)))
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step = step.then(Step(data={"pending_scales": pending}))
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elif action.type == "med_info":
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reply = await _med_info_handler(ctx, action) if _med_info_handler is not None else None
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if reply is None:
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intent = _MED_INFO_INTENTS.get(str(action.params.get("topic")), "default")
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text = await ctx.gateway.phrase(intent, {})
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step = step.then(Step(replies=[Reply(text=text, kind="info")]))
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reply = Reply(text=await ctx.gateway.phrase(intent, {}), kind="info")
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step = step.then(Step(replies=[reply]))
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elif action.type == "suggest_visit":
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text = await ctx.gateway.phrase("book_visit_offer", {})
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button = Button(label=ctx.texts.visit.button, data="menu:visit")
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@@ -0,0 +1,405 @@
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"""Medication flow (#37, case scenario «управление приёмом лекарств»). Module-agnostic: every patient with a
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prescription gets it, whatever the clinical module.
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system:med_reminder {dose_id, drug, dose}
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──▶ «Принял» → dose taken, check-in med_taken = true
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──▶ «Пропущу» → dose skipped, med_taken = false ──▶ reason:
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забыл / побочки (→ side effects) / решил бросить (quit_intent) / другое
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──▶ «Есть побочные эффекты» → code buttons (тошнота, бессонница, …) or «Другое» → free text
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→ check-in side_effects (+ dose.side_effects) → «А препарат сегодня приняли?»
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menu «Вопрос о лекарстве" ──▶ meds.question (free text) ──▶ med_qa (instruction excerpt) or «уточните у врача»
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rule action med_info (actions.py hook) ──▶ instruction excerpt for the rule topic + fixed notice
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Everything the patient answers is written to the clinical DB (`doses`, `daily_checkins`) and the step asks the
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engine to run monitoring (`notify_monitoring`): the rules (lane B, ADR-007) decide alerts and further actions
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(quit intent → delayed-onset explanation, missed doses → caring contact). Nothing here decides risk.
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Reminder buttons carry fixed data ("med:taken", ...) so they are plain idle triggers; the dose they refer to is
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kept in `dialog_state.data["med_pending"]` ({dose_id, drug, dose, day}) — a button from an earlier day is stale.
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"""
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from datetime import date, timedelta
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from functools import lru_cache
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from pathlib import Path
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from typing import Any
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import yaml
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from pydantic import BaseModel, ConfigDict
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from sqlalchemy import select
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from app.config import get_settings
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from app.core.privacy import scrub
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from app.core.rules import Action
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from app.db import repo
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from app.db.clinical import DailyCheckin, Dose
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from app.db.clinical import Prescription as PrescriptionRow
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from app.dialog.actions import register_med_info_handler
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from app.dialog.contracts import Button, Event, Reply
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from app.dialog.flows.core import menu_reply
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from app.dialog.fsm import Ctx, Step, get_trigger, handler_for, state, trigger
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from app.integrations.base import integrations
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from app.llm.med_qa import fallback_text, med_qa
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QUESTION_STATE = "meds.question"
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SIDE_EFFECT_TEXT_STATE = "meds.side_effect_text"
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SIDE_EFFECT_CODES = ("nausea", "insomnia", "headache", "dizziness", "agitation", "other")
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SKIP_REASONS = ("forgot", "side_effects", "quit", "other")
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# ------------------------------------------------------------------------------------------- texts
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class _Strict(BaseModel):
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model_config = ConfigDict(extra="forbid", frozen=True)
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class ReminderTexts(_Strict):
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text: str
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text_no_drug: str
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taken: str
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skip: str
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side_effects: str
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class SkipTexts(_Strict):
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question: str
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reasons: dict[str, str]
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ack: dict[str, str]
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class SideEffectTexts(_Strict):
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question: str
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options: dict[str, str]
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questions: dict[str, str]
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describe: str
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ack: str
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repeat: str
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ask_dose: str
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dose_yes: str
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dose_no: str
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class CheckinMedTexts(_Strict):
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question: str
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question_no_drug: str
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yes: str
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no: str
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later: str
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class QuestionTexts(_Strict):
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prompt: str
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no_prescription: str
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class MedInfoTopic(_Strict):
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section: str # med_qa section code (side_effects | onset | alcohol | ...)
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question: str
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lead: str = ""
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fallback: str
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notice: str = ""
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class MedsTexts(_Strict):
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status: str
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reminder: ReminderTexts
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taken_ack: str
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stale: str
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skip: SkipTexts
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side_effects: SideEffectTexts
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checkin: CheckinMedTexts
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question: QuestionTexts
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med_info: dict[str, MedInfoTopic]
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def meds_texts_path() -> Path:
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return get_settings().config_dir / "texts" / "meds.yaml"
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@lru_cache
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def load_meds_texts(path: Path | None = None) -> MedsTexts:
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path = path or meds_texts_path()
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return MedsTexts.model_validate(yaml.safe_load(path.read_text(encoding="utf-8")))
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# ------------------------------------------------------------------------------------------- data helpers
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class Rx(BaseModel):
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"""Active prescription as the dialog needs it (drug INN + dose exactly as the doctor wrote them)."""
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id: int | None
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drug: str
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dose: str
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async def current_prescription(ctx: Ctx) -> Rx | None:
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"""Latest prescription active today: clinical DB first, then the МИС integration (demo: in-memory)."""
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today = ctx.now.date()
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rows = await ctx.session.scalars(
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select(PrescriptionRow).where(PrescriptionRow.token == ctx.token).order_by(PrescriptionRow.id.desc())
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)
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for row in rows:
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if (row.start_date is None or row.start_date <= today) and (row.end_date is None or row.end_date >= today):
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return Rx(id=row.id, drug=row.drug, dose=row.dose)
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for p in await integrations.prescriptions.get_prescriptions(ctx.token):
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if (p.start_date is None or p.start_date <= today) and (p.end_date is None or p.end_date >= today):
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return Rx(id=None, drug=p.drug, dose=p.dose)
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return None
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async def checkin_of(ctx: Ctx, day: date) -> DailyCheckin | None:
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return await ctx.session.scalar(
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select(DailyCheckin).where(DailyCheckin.token == ctx.token, DailyCheckin.day == day)
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)
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async def save_checkin(ctx: Ctx, **fields: Any) -> DailyCheckin:
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return await repo.upsert_checkin(ctx.session, token=ctx.token, day=ctx.now.date(), now=ctx.now, **fields)
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def pending_dose(ctx: Ctx) -> dict[str, Any] | None:
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"""Today's reminder the patient is answering, or None (no reminder / reminder from an earlier day)."""
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pending = ctx.data.get("med_pending")
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if isinstance(pending, dict) and pending.get("day") == ctx.now.date().isoformat():
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return pending
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return None
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async def _dose_row(ctx: Ctx, pending: dict[str, Any] | None) -> Dose | None:
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if not pending or pending.get("dose_id") is None:
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return None
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row = await ctx.session.get(Dose, pending["dose_id"])
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return row if row is not None and row.token == ctx.token else None
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async def record_dose(ctx: Ctx, taken: bool, *, status: str | None = None) -> None:
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"""Dose answer → `doses` row of today's reminder (if any) + `daily_checkins.med_taken` (rules read both)."""
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row = await _dose_row(ctx, pending_dose(ctx))
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if row is not None:
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row.status = status or ("taken" if taken else "skipped")
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row.answered_at = ctx.now
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await save_checkin(ctx, med_taken=taken)
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async def record_side_effects(ctx: Ctx, codes: list[str]) -> None:
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"""Merge side-effect codes into today's check-in (rule `side_effect_3d` counts days with any code)."""
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today = await checkin_of(ctx, ctx.now.date())
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merged = list(dict.fromkeys([*(today.side_effects if today and today.side_effects else []), *codes]))
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await save_checkin(ctx, side_effects=merged)
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row = await _dose_row(ctx, pending_dose(ctx))
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if row is not None:
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row.side_effects = ",".join(c for c in dict.fromkeys([*(row.side_effects or "").split(","), *codes]) if c)
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async def side_effect_reply(ctx: Ctx, codes: list[str]) -> Reply:
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"""Reaction to newly reported side effects.
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Same effect as yesterday → short support (the instruction was already shown; persistence over 3 days is the
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rules' business). New effect with a known instruction question → the excerpt of the drug instruction
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(med_qa, section side_effects) — never generated advice. Otherwise a plain acknowledgement.
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"""
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t = load_meds_texts().side_effects
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yesterday = await checkin_of(ctx, ctx.now.date() - timedelta(days=1))
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if yesterday is not None and set(codes) & set(yesterday.side_effects or []):
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return Reply(text=t.repeat, kind="info")
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rx = await current_prescription(ctx)
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for code in codes:
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if code in t.questions and rx is not None:
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answer = await med_qa(rx.drug, scrub(t.questions[code]), topic="side_effects")
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if answer is not None:
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return Reply(text=answer.text, kind="info")
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return Reply(text=t.ack, kind="info")
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async def leave_to_idle(ctx: Ctx, event: Event, data: dict[str, Any] | None = None) -> Step:
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"""Abandon the current sub-flow and let the idle state handle the event (menu button, system event...)."""
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step = Step(next_state="idle", data=data or {})
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idle = handler_for("idle")
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return step.then(await idle(ctx, event)) if idle is not None else step
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async def run_trigger_inline(ctx: Ctx, key: str, event: Event) -> Step | None:
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"""Run an idle trigger from inside another flow (e.g. a reminder button pressed during the check-in)."""
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handler = get_trigger(key)
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return await handler(ctx, event) if handler is not None else None
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# ------------------------------------------------------------------------------------------- reminder
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def _reminder_buttons() -> list[list[Button]]:
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t = load_meds_texts().reminder
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return [
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[Button(label=t.taken, data="med:taken")],
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[Button(label=t.skip, data="med:skip")],
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[Button(label=t.side_effects, data="med:side_effects")],
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]
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@trigger("system:med_reminder", replace=True)
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async def _med_reminder(ctx: Ctx, event: Event) -> Step:
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t = load_meds_texts().reminder
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rx = await current_prescription(ctx)
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drug = str(event.params.get("drug") or (rx.drug if rx else ""))
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dose = str(event.params.get("dose") or (rx.dose if rx else ""))
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try:
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dose_id: int | None = int(event.params["dose_id"]) # type: ignore[call-overload]
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except (KeyError, TypeError, ValueError):
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dose_id = None
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if dose_id is None and rx is not None and rx.id is not None:
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# No scheduler row (demo console without #13): create the planned dose so the answer has a record.
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row = Dose(token=ctx.token, prescription_id=rx.id, planned_at=ctx.now, status="pending")
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ctx.session.add(row)
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await ctx.session.flush()
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dose_id = row.id
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pending = {"dose_id": dose_id, "drug": drug, "dose": dose, "day": ctx.now.date().isoformat()}
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text = t.text.format(drug=drug, dose=dose).replace(" ", " ") if drug else t.text_no_drug
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return Step(replies=[Reply(text=text, buttons=_reminder_buttons(), kind="question")], data={"med_pending": pending})
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def _stale(ctx: Ctx) -> Step | None:
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return None if pending_dose(ctx) is not None else Step(replies=[Reply(text=load_meds_texts().stale)])
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@trigger("button:med:taken")
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async def _taken(ctx: Ctx, event: Event) -> Step:
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if (stale := _stale(ctx)) is not None:
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return stale
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await record_dose(ctx, True)
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return Step(replies=[Reply(text=load_meds_texts().taken_ack)], notify_monitoring=True)
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@trigger("button:med:skip")
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async def _skip(ctx: Ctx, event: Event) -> Step:
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if (stale := _stale(ctx)) is not None:
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return stale
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await record_dose(ctx, False, status="skipped")
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t = load_meds_texts().skip
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buttons = [[Button(label=t.reasons[r], data=f"med:skip_reason:{r}")] for r in SKIP_REASONS]
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return Step(replies=[Reply(text=t.question, buttons=buttons, kind="question")], notify_monitoring=True)
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def _side_effect_question() -> Reply:
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t = load_meds_texts().side_effects
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buttons = [[Button(label=t.options[c], data=f"med:se:{c}")] for c in SIDE_EFFECT_CODES]
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return Reply(text=t.question, buttons=buttons, kind="question")
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def _skip_reason(reason: str) -> Any:
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async def handler(ctx: Ctx, event: Event) -> Step:
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if reason == "side_effects":
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return Step(replies=[_side_effect_question()])
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if reason == "quit":
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# «Решил бросить» is the same signal as "брошу" in free text: rule `quit_intent` reacts (alert +
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# delayed-onset explanation through the med_info action).
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await save_checkin(ctx, quit_intent=True)
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return Step(replies=[Reply(text=load_meds_texts().skip.ack["quit"])], notify_monitoring=True)
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return Step(replies=[Reply(text=load_meds_texts().skip.ack[reason])])
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return handler
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for _reason in SKIP_REASONS:
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trigger(f"button:med:skip_reason:{_reason}")(_skip_reason(_reason))
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@trigger("button:med:side_effects")
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async def _side_effects(ctx: Ctx, event: Event) -> Step:
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return Step(replies=[_side_effect_question()])
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async def _after_side_effects(ctx: Ctx, codes: list[str]) -> Step:
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await record_side_effects(ctx, codes)
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replies = [await side_effect_reply(ctx, codes)]
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today = await checkin_of(ctx, ctx.now.date())
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if (today is None or today.med_taken is None) and await current_prescription(ctx) is not None:
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t = load_meds_texts().side_effects
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buttons = [[Button(label=t.dose_yes, data="med:dose:yes")], [Button(label=t.dose_no, data="med:dose:no")]]
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replies.append(Reply(text=t.ask_dose, buttons=buttons, kind="question"))
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return Step(replies=replies, next_state="idle", notify_monitoring=True)
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def _side_effect_code(code: str) -> Any:
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async def handler(ctx: Ctx, event: Event) -> Step:
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if code == "other":
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return Step(
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replies=[Reply(text=load_meds_texts().side_effects.describe)], next_state=SIDE_EFFECT_TEXT_STATE
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)
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return await _after_side_effects(ctx, [code])
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return handler
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for _code in SIDE_EFFECT_CODES:
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trigger(f"button:med:se:{_code}")(_side_effect_code(_code))
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@state(SIDE_EFFECT_TEXT_STATE)
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async def _side_effect_text(ctx: Ctx, event: Event) -> Step:
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if event.type != "text" or ctx.text is None:
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return await leave_to_idle(ctx, event)
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facts = await ctx.gateway.extract_checkin(ctx.text)
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# Store only normalised codes, never the description itself (it stays in the scrubbed message log).
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codes = [str(c) for c in facts.side_effects] if facts is not None and facts.side_effects else ["other"]
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return await _after_side_effects(ctx, codes)
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def _dose_answer(taken: bool) -> Any:
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async def handler(ctx: Ctx, event: Event) -> Step:
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await record_dose(ctx, taken, status=None if taken else "missed")
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return Step(
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replies=[Reply(text=load_meds_texts().taken_ack if taken else load_meds_texts().skip.ack["other"])],
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notify_monitoring=True,
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)
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return handler
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trigger("button:med:dose:yes")(_dose_answer(True))
|
||||
trigger("button:med:dose:no")(_dose_answer(False))
|
||||
|
||||
|
||||
# ------------------------------------------------------------------------------------------- question menu
|
||||
|
||||
|
||||
@trigger("button:menu:med_question", replace=True)
|
||||
async def _menu_question(ctx: Ctx, event: Event) -> Step:
|
||||
t = load_meds_texts().question
|
||||
if await current_prescription(ctx) is None:
|
||||
return Step(replies=[menu_reply(ctx, t.no_prescription)])
|
||||
return Step(replies=[Reply(text=t.prompt)], next_state=QUESTION_STATE)
|
||||
|
||||
|
||||
async def answer_question(ctx: Ctx, rx: Rx | None) -> str:
|
||||
"""Answer from the instruction excerpt only (SPEC §7 п.5); dose questions and gaps → «уточните у врача»."""
|
||||
if rx is None or ctx.text is None:
|
||||
return load_meds_texts().question.no_prescription
|
||||
answer = await med_qa(rx.drug, ctx.text)
|
||||
return answer.text if answer is not None else fallback_text()
|
||||
|
||||
|
||||
@state(QUESTION_STATE)
|
||||
async def _question(ctx: Ctx, event: Event) -> Step:
|
||||
if event.type != "text" or ctx.text is None:
|
||||
return await leave_to_idle(ctx, event)
|
||||
text = await answer_question(ctx, await current_prescription(ctx))
|
||||
return Step(replies=[menu_reply(ctx, text)], next_state="idle")
|
||||
|
||||
|
||||
# ------------------------------------------------------------------------------------------- rule actions
|
||||
|
||||
|
||||
async def med_info_reply(ctx: Ctx, action: Action) -> Reply | None:
|
||||
"""`med_info` action of a rule (quit_intent → onset, alcohol_3d → alcohol): instruction excerpt framed by
|
||||
fixed texts. The rule already decided to say it; this only picks the words. None → engine template."""
|
||||
spec = load_meds_texts().med_info.get(str(action.params.get("topic")))
|
||||
if spec is None:
|
||||
return None
|
||||
rx = await current_prescription(ctx)
|
||||
answer = await med_qa(rx.drug, scrub(spec.question), topic=spec.section) if rx is not None else None
|
||||
body = answer.text if answer is not None else spec.fallback
|
||||
return Reply(text="\n\n".join(p for p in (spec.lead, body, spec.notice) if p), kind="info")
|
||||
|
||||
|
||||
register_med_info_handler(med_info_reply)
|
||||
@@ -0,0 +1,480 @@
|
||||
"""Daily check-in and scheduled-scale intros (#37, ADR-002, CLINICAL_MODULES §1–2, case «мониторинг после
|
||||
обращения»).
|
||||
|
||||
Check-in = core (mood 0–10, dose taken) + the module question (veteran: sleep hours + nightmares; alcohol for
|
||||
veterans and for anyone with a positive AUDIT-C) + free text:
|
||||
|
||||
system:daily_checkin / menu «Как я сегодня»
|
||||
──▶ daily.mood buttons 0–10 (a bare number is accepted too)
|
||||
──▶ daily.med only with a prescription and no dose answer today (the reminder may have got it)
|
||||
──▶ daily.sleep <4 / 4–6 / 6–8 / >8 h ┐ module veteran
|
||||
──▶ daily.nightmares yes / no ┘
|
||||
──▶ daily.alcohol none / 1–2 / more (veteran or AUDIT-C positive)
|
||||
──▶ daily.text «Как вы? Пару слов» (skip button) → extract_checkin on the SCRUBBED text
|
||||
──▶ [daily.alcohol_amount] alcohol mentioned in the text but not asked by button → amount buttons
|
||||
──▶ idle upsert done, `notify_monitoring` → rules (lane B) → dialog actions
|
||||
|
||||
Data algorithm (medical data, jury requirement):
|
||||
* Every button answer is written to `daily_checkins` immediately (`repo.upsert_checkin` merges non-None
|
||||
fields), so an interrupted check-in (crisis, the patient walking away) still leaves today's mood on record —
|
||||
the "mood ≤ 3 three days in a row" rule must not miss a day because the free text was never written.
|
||||
* Button answers are the patient's own and always win over the LLM: from the free text the LLM may only add
|
||||
side effects, the quit intent and fields that were not asked by buttons today.
|
||||
* The LLM never decides anything here: alerts and follow-ups (delayed-onset explanation, unscheduled PHQ-9,
|
||||
alcohol interaction, visit offer) come from the rules through `MonitoringService` (ADR-007).
|
||||
* A free-text message classified POSSIBLE by the safety layer is taken over by the engine (C-SSRS). When the
|
||||
screen returns to `daily.text` the message counts as the answer: the check-in is closed, not asked again.
|
||||
* A check-in left unfinished is dropped on the next system event of a later day.
|
||||
|
||||
Also here: friendly intros for scheduled scales (pcl5, phq9, dar5, auditc) — the engine starts `scale_due`
|
||||
scales without an intro, so an exact `scale.<id>` enter hook adds one and delegates to the generic scale hook.
|
||||
"""
|
||||
|
||||
import re
|
||||
from dataclasses import replace
|
||||
from datetime import datetime
|
||||
from functools import lru_cache
|
||||
from pathlib import Path
|
||||
from typing import Any
|
||||
|
||||
import yaml
|
||||
from pydantic import BaseModel, ConfigDict
|
||||
|
||||
from app.config import get_settings
|
||||
from app.core.intake_runtime import intake_enabled
|
||||
from app.core.rules import load_rules
|
||||
from app.db import repo
|
||||
from app.dialog.contracts import Button, Event, Reply
|
||||
from app.dialog.flows import intake
|
||||
from app.dialog.flows.core import menu_reply
|
||||
from app.dialog.flows.meds import (
|
||||
answer_question,
|
||||
checkin_of,
|
||||
current_prescription,
|
||||
leave_to_idle,
|
||||
load_meds_texts,
|
||||
record_dose,
|
||||
record_side_effects,
|
||||
run_trigger_inline,
|
||||
save_checkin,
|
||||
side_effect_reply,
|
||||
)
|
||||
from app.dialog.fsm import Ctx, Step, enter_hook_for, on_enter, state, trigger
|
||||
from app.dialog.scale_session import PREFIX as SCALE_PREFIX
|
||||
from app.dialog.scale_session import active_scale, scale_state
|
||||
|
||||
PREFIX = "daily"
|
||||
STEPS = ("mood", "med", "sleep", "nightmares", "alcohol", "text")
|
||||
ALCOHOL_AMOUNT = "alcohol_amount"
|
||||
SLEEP_BUCKETS = ("<4", "4-6", "6-8", ">8")
|
||||
ALCOHOL_BUCKETS = ("none", "1-2", "more")
|
||||
_NUMBER = re.compile(r"^\s*(\d{1,2})\s*$")
|
||||
|
||||
|
||||
# ------------------------------------------------------------------------------------------- texts
|
||||
|
||||
|
||||
class _Strict(BaseModel):
|
||||
model_config = ConfigDict(extra="forbid", frozen=True)
|
||||
|
||||
|
||||
class DailySettings(_Strict):
|
||||
sleep_modules: list[str]
|
||||
alcohol_daily_modules: list[str]
|
||||
intro_scales: list[str]
|
||||
|
||||
|
||||
class Question(_Strict):
|
||||
question: str
|
||||
|
||||
|
||||
class OptionsQuestion(_Strict):
|
||||
question: str
|
||||
options: dict[str, str]
|
||||
|
||||
|
||||
class YesNoQuestion(_Strict):
|
||||
question: str
|
||||
yes: str
|
||||
no: str
|
||||
|
||||
|
||||
class AlcoholQuestion(_Strict):
|
||||
question: str
|
||||
clarify: str
|
||||
options: dict[str, str]
|
||||
|
||||
|
||||
class TextQuestion(_Strict):
|
||||
question: str
|
||||
skip: str
|
||||
|
||||
|
||||
class CheckinTexts(_Strict):
|
||||
start: str
|
||||
mood: Question
|
||||
sleep: OptionsQuestion
|
||||
nightmares: YesNoQuestion
|
||||
alcohol: AlcoholQuestion
|
||||
text: TextQuestion
|
||||
buttons_hint: str
|
||||
done: str
|
||||
already_done: str
|
||||
|
||||
|
||||
class VisitTexts(_Strict):
|
||||
requested: str
|
||||
|
||||
|
||||
class ScaleIntros(_Strict):
|
||||
scheduled: dict[str, str]
|
||||
unscheduled: dict[str, str]
|
||||
|
||||
|
||||
class DailyTexts(_Strict):
|
||||
status: str
|
||||
settings: DailySettings
|
||||
checkin: CheckinTexts
|
||||
visit: VisitTexts
|
||||
scale_intros: ScaleIntros
|
||||
|
||||
|
||||
def daily_texts_path() -> Path:
|
||||
return get_settings().config_dir / "texts" / "veteran_daily.yaml"
|
||||
|
||||
|
||||
@lru_cache
|
||||
def load_daily_texts(path: Path | None = None) -> DailyTexts:
|
||||
path = path or daily_texts_path()
|
||||
return DailyTexts.model_validate(yaml.safe_load(path.read_text(encoding="utf-8")))
|
||||
|
||||
|
||||
# ------------------------------------------------------------------------------------------- step logic
|
||||
|
||||
|
||||
def _today(ctx: Ctx) -> str:
|
||||
return ctx.now.date().isoformat()
|
||||
|
||||
|
||||
def _ck(ctx: Ctx) -> dict[str, Any]:
|
||||
return dict(ctx.data.get("checkin") or {})
|
||||
|
||||
|
||||
async def _modules(ctx: Ctx) -> set[str]:
|
||||
profile = await ctx.profile()
|
||||
return set(profile.modules or []) if profile is not None else set()
|
||||
|
||||
|
||||
async def _auditc_positive(ctx: Ctx) -> bool:
|
||||
"""Latest AUDIT-C at or above the sex-specific cut-off of rule `auditc_positive` (one threshold, one place)."""
|
||||
results = await repo.list_scale_results(ctx.session, ctx.token, "auditc")
|
||||
if not results:
|
||||
return False
|
||||
rule = next((r for r in load_rules().rules if r.id == "auditc_positive"), None)
|
||||
if rule is None:
|
||||
return False
|
||||
profile = await ctx.profile()
|
||||
key = "threshold_f" if profile is not None and profile.sex == "f" else "threshold_m"
|
||||
return results[-1].total >= int(rule.params[key])
|
||||
|
||||
|
||||
async def _applicable(ctx: Ctx, step: str) -> bool:
|
||||
settings = load_daily_texts().settings
|
||||
if step in ("mood", "text"):
|
||||
return True
|
||||
if step == "med":
|
||||
today = await checkin_of(ctx, ctx.now.date())
|
||||
return (today is None or today.med_taken is None) and await current_prescription(ctx) is not None
|
||||
modules = await _modules(ctx)
|
||||
if step in ("sleep", "nightmares"):
|
||||
return bool(modules & set(settings.sleep_modules))
|
||||
if step == "alcohol":
|
||||
return bool(modules & set(settings.alcohol_daily_modules)) or await _auditc_positive(ctx)
|
||||
return False
|
||||
|
||||
|
||||
async def _next_step(ctx: Ctx, after: str | None) -> str:
|
||||
rest = STEPS if after is None else STEPS[STEPS.index(after) + 1 :]
|
||||
for step in rest:
|
||||
if await _applicable(ctx, step):
|
||||
return step
|
||||
return "text"
|
||||
|
||||
|
||||
def _buttons(step: str, options: list[tuple[str, str]]) -> list[list[Button]]:
|
||||
return [[Button(label=label, data=f"{PREFIX}:{step}:{value}")] for value, label in options]
|
||||
|
||||
|
||||
async def _question(ctx: Ctx, step: str, note: str = "") -> Reply:
|
||||
t = load_daily_texts().checkin
|
||||
buttons: list[list[Button]]
|
||||
if step == "mood":
|
||||
text = t.mood.question
|
||||
# Two rows (0–5, 6–10): 11 buttons in one column are hard to use on a phone.
|
||||
buttons = [
|
||||
[Button(label=str(v), data=f"{PREFIX}:mood:{v}") for v in range(6)],
|
||||
[Button(label=str(v), data=f"{PREFIX}:mood:{v}") for v in range(6, 11)],
|
||||
]
|
||||
elif step == "med":
|
||||
m = load_meds_texts().checkin
|
||||
rx = await current_prescription(ctx)
|
||||
text = m.question.format(drug=rx.drug) if rx is not None else m.question_no_drug
|
||||
buttons = _buttons(step, [("yes", m.yes), ("no", m.no), ("later", m.later)])
|
||||
elif step == "sleep":
|
||||
text = t.sleep.question
|
||||
buttons = _buttons(step, [(b, t.sleep.options[b]) for b in SLEEP_BUCKETS])
|
||||
elif step == "nightmares":
|
||||
text = t.nightmares.question
|
||||
buttons = _buttons(step, [("yes", t.nightmares.yes), ("no", t.nightmares.no)])
|
||||
elif step in ("alcohol", ALCOHOL_AMOUNT):
|
||||
text = t.alcohol.question if step == "alcohol" else t.alcohol.clarify
|
||||
buttons = _buttons(step, [(b, t.alcohol.options[b]) for b in ALCOHOL_BUCKETS])
|
||||
else:
|
||||
text = t.text.question
|
||||
buttons = _buttons("text", [("skip", t.text.skip)])
|
||||
return Reply(text="\n\n".join(p for p in (note, text) if p), buttons=buttons, kind="question")
|
||||
|
||||
|
||||
async def start_checkin(ctx: Ctx, *, from_menu: bool) -> Step:
|
||||
if ctx.data.get("checkin_done") == _today(ctx):
|
||||
# The scheduler may fire twice; the menu button gets a friendly note instead of a second check-in.
|
||||
return Step(replies=[menu_reply(ctx, load_daily_texts().checkin.already_done)]) if from_menu else Step()
|
||||
first = await _next_step(ctx, None)
|
||||
ck = {"day": _today(ctx), "answered": [], "started_at": ctx.now.isoformat()}
|
||||
return Step(
|
||||
replies=[Reply(text=load_daily_texts().checkin.start)],
|
||||
next_state=f"{PREFIX}.{first}",
|
||||
data={"checkin": ck},
|
||||
)
|
||||
|
||||
|
||||
def _finish(ctx: Ctx, replies: list[Reply] | None = None) -> Step:
|
||||
done = Reply(text=load_daily_texts().checkin.done)
|
||||
return Step(
|
||||
replies=[done, *(replies or [])],
|
||||
next_state="idle",
|
||||
data={"checkin": None, "checkin_done": _today(ctx)},
|
||||
notify_monitoring=True,
|
||||
)
|
||||
|
||||
|
||||
def _consumed_by_safety(ctx: Ctx, ck: dict[str, Any]) -> bool:
|
||||
"""The free-text answer was taken over by the safety layer (C-SSRS screen) after the question was asked."""
|
||||
asked = ck.get("text_asked_at")
|
||||
if not asked:
|
||||
return False
|
||||
for event in reversed(ctx.data.get("safety_events") or []):
|
||||
if event.get("state") == f"{PREFIX}.text" and datetime.fromisoformat(event["ts"]) >= datetime.fromisoformat(
|
||||
asked
|
||||
):
|
||||
return True
|
||||
return False
|
||||
|
||||
|
||||
@on_enter(PREFIX)
|
||||
async def _enter(ctx: Ctx) -> Step:
|
||||
step = ctx.state.split(".", 1)[1] if "." in ctx.state else ""
|
||||
ck = _ck(ctx)
|
||||
if not ck or ck.get("day") != _today(ctx):
|
||||
return Step(next_state="idle", data={"checkin": None})
|
||||
if step == "text":
|
||||
if _consumed_by_safety(ctx, ck):
|
||||
return _finish(ctx)
|
||||
return Step(
|
||||
replies=[await _question(ctx, step)], data={"checkin": {**ck, "text_asked_at": ctx.now.isoformat()}}
|
||||
)
|
||||
return Step(replies=[await _question(ctx, step)])
|
||||
|
||||
|
||||
async def _advance(ctx: Ctx, step: str, ck: dict[str, Any]) -> Step:
|
||||
ck = {**ck, "answered": [*ck.get("answered", []), step]}
|
||||
if step == ALCOHOL_AMOUNT:
|
||||
return _finish(ctx)
|
||||
nxt = await _next_step(ctx, step)
|
||||
return Step(next_state=f"{PREFIX}.{nxt}", data={"checkin": ck})
|
||||
|
||||
|
||||
async def _record_button(ctx: Ctx, step: str, value: str) -> bool:
|
||||
"""Store one button answer right away. False = value not valid for this step (stale/forged button)."""
|
||||
if step == "mood" and value.isdigit() and 0 <= int(value) <= 10:
|
||||
await save_checkin(ctx, mood=int(value))
|
||||
elif step == "med" and value in ("yes", "no", "later"):
|
||||
if value != "later": # «Ещё нет» is not a missed dose: nothing is recorded yet
|
||||
await record_dose(ctx, value == "yes", status=None if value == "yes" else "missed")
|
||||
elif step == "sleep" and value in SLEEP_BUCKETS:
|
||||
await save_checkin(ctx, sleep_bucket=value)
|
||||
elif step == "nightmares" and value in ("yes", "no"):
|
||||
await save_checkin(ctx, nightmares=value == "yes")
|
||||
elif step in ("alcohol", ALCOHOL_AMOUNT) and value in ALCOHOL_BUCKETS:
|
||||
await save_checkin(ctx, alcohol_bucket=value)
|
||||
else:
|
||||
return False
|
||||
return True
|
||||
|
||||
|
||||
async def _free_text(ctx: Ctx, ck: dict[str, Any]) -> Step:
|
||||
assert ctx.text is not None
|
||||
facts = await ctx.gateway.extract_checkin(ctx.text)
|
||||
answered = set(ck.get("answered", []))
|
||||
fields: dict[str, Any] = {"free_text_scrubbed": ctx.text}
|
||||
replies: list[Reply] = []
|
||||
clarify_alcohol = False
|
||||
if facts is not None:
|
||||
if facts.quit_intent:
|
||||
fields["quit_intent"] = True
|
||||
# Buttons win: the LLM only fills what was not asked today.
|
||||
if "med" not in answered and facts.med_taken is not None:
|
||||
today = await checkin_of(ctx, ctx.now.date())
|
||||
if today is None or today.med_taken is None:
|
||||
fields["med_taken"] = facts.med_taken
|
||||
if "sleep" not in answered and facts.sleep_hours_bucket is not None:
|
||||
fields["sleep_bucket"] = facts.sleep_hours_bucket
|
||||
if "nightmares" not in answered and facts.nightmares is not None:
|
||||
fields["nightmares"] = facts.nightmares
|
||||
if "alcohol" not in answered and facts.alcohol is not None:
|
||||
fields["alcohol_bucket"] = facts.alcohol # provisional; the amount buttons below refine it
|
||||
clarify_alcohol = facts.alcohol != "none"
|
||||
if facts.side_effects:
|
||||
await record_side_effects(ctx, [str(c) for c in facts.side_effects])
|
||||
# One topic per message: when the text also carries a quit intent or alcohol, the rules answer
|
||||
# those (delayed onset / interaction); the side-effect excerpt would only bury that message.
|
||||
if not facts.quit_intent and facts.alcohol in (None, "none"):
|
||||
replies.append(await side_effect_reply(ctx, [str(c) for c in facts.side_effects]))
|
||||
await save_checkin(ctx, **fields)
|
||||
if clarify_alcohol:
|
||||
return Step(replies=replies, next_state=f"{PREFIX}.{ALCOHOL_AMOUNT}", data={"checkin": ck})
|
||||
return _finish(ctx, replies)
|
||||
|
||||
|
||||
@state(PREFIX)
|
||||
async def _handle(ctx: Ctx, event: Event) -> Step:
|
||||
step = ctx.state.split(".", 1)[1] if "." in ctx.state else ""
|
||||
ck = _ck(ctx)
|
||||
if not ck or ck.get("day") != _today(ctx):
|
||||
# Unfinished check-in from an earlier day: drop it and handle the event as idle would.
|
||||
return await leave_to_idle(ctx, event, {"checkin": None})
|
||||
|
||||
if event.type == "button" and event.button:
|
||||
parts = event.button.split(":")
|
||||
if len(parts) == 3 and parts[0] == PREFIX and parts[1] == step:
|
||||
if step == "text" and parts[2] == "skip":
|
||||
return _finish(ctx)
|
||||
if await _record_button(ctx, step, parts[2]):
|
||||
return await _advance(ctx, step, ck)
|
||||
if parts[0] == "med":
|
||||
# A reminder button pressed mid check-in: answer it, then repeat the current question.
|
||||
inline = await run_trigger_inline(ctx, f"button:{event.button}", event)
|
||||
if inline is not None:
|
||||
return inline if inline.next_state else inline.then(Step(replies=[await _question(ctx, step)]))
|
||||
if parts[0] in (PREFIX, "scale"):
|
||||
return Step(replies=[await _question(ctx, step)]) # stale button of an earlier question
|
||||
return await leave_to_idle(ctx, event, {"checkin": None})
|
||||
|
||||
if event.type == "system" and event.system:
|
||||
if event.system == "daily_checkin":
|
||||
return Step(replies=[await _question(ctx, step)])
|
||||
inline = await run_trigger_inline(ctx, f"system:{event.system}", event)
|
||||
if inline is None:
|
||||
return Step()
|
||||
return inline if inline.next_state else inline.then(Step(replies=[await _question(ctx, step)]))
|
||||
|
||||
if event.type == "text" and ctx.text is not None:
|
||||
if step == "text":
|
||||
return await _free_text(ctx, ck)
|
||||
number = _NUMBER.match(ctx.text)
|
||||
if step == "mood" and number and await _record_button(ctx, "mood", number.group(1)):
|
||||
return await _advance(ctx, step, ck)
|
||||
return Step(replies=[await _question(ctx, step, note=load_daily_texts().checkin.buttons_hint)])
|
||||
|
||||
return Step(replies=[await _question(ctx, step)])
|
||||
|
||||
|
||||
# ------------------------------------------------------------------------------------------- idle triggers
|
||||
|
||||
|
||||
@trigger("system:daily_checkin", replace=True)
|
||||
async def _daily_checkin(ctx: Ctx, event: Event) -> Step:
|
||||
if intake_enabled(): # the intake diary (#53, feature flag) replaces this check-in when released
|
||||
return await intake.checkin(ctx, event)
|
||||
return await start_checkin(ctx, from_menu=False)
|
||||
|
||||
|
||||
@trigger("button:menu:checkin", replace=True)
|
||||
async def _menu_checkin(ctx: Ctx, event: Event) -> Step:
|
||||
if intake_enabled():
|
||||
return await intake.checkin(ctx, event)
|
||||
return await start_checkin(ctx, from_menu=True)
|
||||
|
||||
|
||||
@trigger("button:menu:visit", replace=True)
|
||||
async def _visit(ctx: Ctx, event: Event) -> Step:
|
||||
# «Записаться раньше» (rule action suggest_visit): no online booking yet — the request is a fact for lane B
|
||||
# (#38) and the dashboard, like `contact_requests`. No alert is created here (ADR-007).
|
||||
requests = [*(ctx.data.get("visit_requests") or []), {"ts": ctx.now.isoformat()}][-20:]
|
||||
return Step(
|
||||
replies=[Reply(text=load_daily_texts().visit.requested)],
|
||||
data={"visit_requests": requests},
|
||||
notify_monitoring=True,
|
||||
)
|
||||
|
||||
|
||||
@trigger("text:idle", replace=True)
|
||||
async def _idle_text(ctx: Ctx, event: Event) -> Step:
|
||||
"""Free text outside the check-in: drug question → instruction excerpt; side effects / quit intent / alcohol
|
||||
→ today's check-in (the rules react); otherwise the neutral support phrase with the menu."""
|
||||
assert ctx.text is not None
|
||||
facts = await ctx.gateway.extract_checkin(ctx.text)
|
||||
if facts is None:
|
||||
return Step(replies=[menu_reply(ctx, await ctx.gateway.phrase("support"))])
|
||||
fields: dict[str, Any] = {}
|
||||
if facts.quit_intent:
|
||||
fields["quit_intent"] = True
|
||||
if facts.alcohol is not None and facts.alcohol != "none":
|
||||
today = await checkin_of(ctx, ctx.now.date())
|
||||
if today is None or today.alcohol_bucket in (None, "none"):
|
||||
fields["alcohol_bucket"] = facts.alcohol
|
||||
text: str | None = None
|
||||
if facts.side_effects:
|
||||
codes = [str(c) for c in facts.side_effects]
|
||||
await record_side_effects(ctx, codes)
|
||||
if not facts.quit_intent:
|
||||
text = (await side_effect_reply(ctx, codes)).text
|
||||
if fields:
|
||||
await save_checkin(ctx, **fields)
|
||||
if text is None and facts.med_question and not facts.quit_intent:
|
||||
text = await answer_question(ctx, await current_prescription(ctx))
|
||||
if text is None:
|
||||
text = await ctx.gateway.phrase("support")
|
||||
return Step(replies=[menu_reply(ctx, text)], notify_monitoring=bool(fields or facts.side_effects))
|
||||
|
||||
|
||||
# ------------------------------------------------------------------------------------------- scale intros
|
||||
|
||||
|
||||
async def _scale_intro(ctx: Ctx) -> Step:
|
||||
"""Add the friendly intro of a scheduled (or rule-triggered) scale, then run the generic scale enter hook.
|
||||
|
||||
Onboarding sessions (#36) and sessions started with their own intro are left untouched.
|
||||
"""
|
||||
scale_id = active_scale(ctx.state)
|
||||
sessions = dict(ctx.data.get("scales") or {})
|
||||
session = sessions.get(scale_id) if scale_id else None
|
||||
if (
|
||||
scale_id is not None
|
||||
and session is not None
|
||||
and session.get("idx") == 0
|
||||
and not session.get("intro_shown")
|
||||
and not session.get("intro")
|
||||
and ".onboarding" not in str(session.get("return_state", ""))
|
||||
):
|
||||
intros = load_daily_texts().scale_intros
|
||||
intro = (intros.scheduled if session.get("scheduled", True) else intros.unscheduled).get(scale_id)
|
||||
if intro:
|
||||
sessions[scale_id] = {**session, "intro": intro}
|
||||
ctx = replace(ctx, data={**ctx.data, "scales": sessions})
|
||||
generic = enter_hook_for(SCALE_PREFIX)
|
||||
return await generic(ctx) if generic is not None else Step()
|
||||
|
||||
|
||||
for _scale_id in load_daily_texts().settings.intro_scales:
|
||||
on_enter(scale_state(_scale_id))(_scale_intro)
|
||||
@@ -0,0 +1,98 @@
|
||||
# Тексты приёма препарата (issue #37): напоминание, пропуск, побочные эффекты, вопрос о лекарстве, ответы
|
||||
# на действия правил med_info (отсроченный эффект, алкоголь, побочные эффекты).
|
||||
# СТАТУС: черновик, утверждает психиатр (#8).
|
||||
#
|
||||
# Правила текстов: без диагнозов и названий расстройств; без советов по дозам и схеме приёма (решает врач);
|
||||
# не использовать слова, которые звучат как постановка на учёт или слежка (проверяется тестом). Ответы о
|
||||
# препарате берутся только из выдержки инструкции ГРЛС (app/llm/med_qa.py); тексты ниже — обрамление и
|
||||
# запасные варианты, если выдержки нет.
|
||||
|
||||
status: "черновик, утверждает психиатр (#8)"
|
||||
|
||||
reminder:
|
||||
# {drug}, {dose} — из назначения врача (МНН и дозировка как в назначении, без изменений).
|
||||
text: "Время принять {drug} {dose}. Отметьте, пожалуйста, как получилось."
|
||||
text_no_drug: "Время принять препарат, назначенный врачом. Отметьте, пожалуйста, как получилось."
|
||||
taken: "Принял(а)"
|
||||
skip: "Пропущу"
|
||||
side_effects: "Есть побочные эффекты"
|
||||
|
||||
taken_ack: "Отлично, отметил приём. Спасибо!"
|
||||
# Кнопка от напоминания, которое уже неактуально (например, вчерашнего).
|
||||
stale: "Это напоминание уже неактуально. Если хотите отметить самочувствие — нажмите «Как я сегодня»."
|
||||
|
||||
skip:
|
||||
question: "Понял, отметил. Подскажите, что помешало? Это поможет вашему врачу."
|
||||
reasons:
|
||||
forgot: "Забыл(а)"
|
||||
side_effects: "Из-за побочных эффектов"
|
||||
quit: "Решил(а) бросить"
|
||||
other: "Другое"
|
||||
ack:
|
||||
forgot: "Понял, бывает. Завтра напомню в обычное время."
|
||||
quit: "Спасибо, что честно сказали — это важно, и решать это лучше вместе с врачом."
|
||||
other: "Понял, отметил. Если захотите рассказать подробнее — просто напишите."
|
||||
|
||||
side_effects:
|
||||
question: "Что беспокоит? Выберите вариант или «Другое», чтобы описать своими словами."
|
||||
options:
|
||||
nausea: "Тошнота"
|
||||
insomnia: "Бессонница"
|
||||
headache: "Головная боль"
|
||||
dizziness: "Головокружение"
|
||||
agitation: "Беспокойство"
|
||||
other: "Другое"
|
||||
# Короткий вопрос к инструкции препарата (med_qa, раздел «побочные эффекты») для выбранного эффекта.
|
||||
questions:
|
||||
nausea: "тошнота после приёма, когда пройдёт"
|
||||
insomnia: "бессонница, нарушения сна"
|
||||
headache: "головная боль"
|
||||
dizziness: "головокружение"
|
||||
agitation: "беспокойство, тревога"
|
||||
describe: "Опишите, пожалуйста, коротко, что вы заметили."
|
||||
ack: "Спасибо, отметил. Ваш врач увидит это в вашей карточке."
|
||||
# Тот же эффект был и вчера: инструкцию второй раз не повторяем.
|
||||
repeat: "Понимаю, это неприятно. Я отмечаю это каждый день, и ваш врач увидит, если не проходит."
|
||||
ask_dose: "А препарат сегодня приняли?"
|
||||
dose_yes: "Да, принял(а)"
|
||||
dose_no: "Нет"
|
||||
|
||||
# Ежедневный чек-ин: если сегодня ещё нет отметки о приёме.
|
||||
checkin:
|
||||
question: "Сегодня приняли {drug}?"
|
||||
question_no_drug: "Сегодня приняли назначенный препарат?"
|
||||
"yes": "Да"
|
||||
"no": "Нет"
|
||||
later: "Ещё нет"
|
||||
|
||||
question:
|
||||
prompt: "Напишите ваш вопрос о препарате. Я отвечаю только по официальной инструкции, а если ответа в ней нет — подскажу обратиться к врачу."
|
||||
no_prescription: "Я не нашёл в карточке назначенного препарата. Пожалуйста, уточните вопрос у вашего врача."
|
||||
|
||||
# Ответы на действие правила med_info. Ответ = lead + выдержка из инструкции (med_qa по разделу section,
|
||||
# вопрос question) + notice. Если выдержки нет — lead + fallback + notice.
|
||||
med_info:
|
||||
delayed_effect:
|
||||
section: onset
|
||||
question: "когда начнёт действовать препарат, нет эффекта, только хуже"
|
||||
lead: "Понимаю, что сейчас тяжело."
|
||||
fallback: "Эффект таких препаратов обычно наступает не сразу, а через 2–4 недели регулярного приёма. Пожалуйста, не прекращайте приём самостоятельно."
|
||||
notice: "Я сообщил вашему врачу — он свяжется с вами, чтобы обсудить, как вы себя чувствуете."
|
||||
alcohol_interaction:
|
||||
section: alcohol
|
||||
question: "можно ли алкоголь вместе с препаратом, сон"
|
||||
lead: "Спасибо, что честно рассказали."
|
||||
fallback: "В инструкции к препарату есть предупреждение о совместном приёме с алкоголем, а алкоголь сам по себе ухудшает сон."
|
||||
notice: "Я передал это вашему врачу."
|
||||
nausea:
|
||||
section: side_effects
|
||||
question: "тошнота после приёма, когда пройдёт"
|
||||
lead: ""
|
||||
fallback: "Тошнота часто встречается в первые дни приёма и обычно проходит сама."
|
||||
notice: "Если станет хуже — напишите мне, я передам врачу."
|
||||
side_effects:
|
||||
section: side_effects
|
||||
question: "побочные эффекты в начале приёма"
|
||||
lead: ""
|
||||
fallback: "Спасибо, что сообщили о самочувствии. Я отмечу это для вашего врача."
|
||||
notice: "Если станет хуже — напишите мне, я передам врачу."
|
||||
@@ -0,0 +1,62 @@
|
||||
# Тексты ежедневного чек-ина и плановых шкал (issue #37, ADR-002, CLINICAL_MODULES §1–2).
|
||||
# Ядро (настроение + приём) задаётся всем; вопрос про сон и кошмары — модулю veteran; алкоголь — см. settings.
|
||||
# СТАТУС: черновик, утверждает психиатр (#8).
|
||||
#
|
||||
# Правила текстов: без диагнозов и названий расстройств; без советов по дозам; пациент не видит баллов шкал;
|
||||
# не использовать слова, которые звучат как постановка на учёт или слежка (проверяется тестом).
|
||||
|
||||
status: "черновик, утверждает психиатр (#8)"
|
||||
|
||||
settings:
|
||||
# Модули, которым задаётся вопрос про сон и кошмары (modules.yaml: daily_question = sleep_nightmares).
|
||||
sleep_modules: [veteran]
|
||||
# Ежедневный вопрос об алкоголе: модули, где он задаётся всегда (у ветеранов алкоголь — частый способ
|
||||
# «заглушить» бессонницу и фактор риска, CLINICAL_MODULES §1); остальным — при положительном AUDIT-C
|
||||
# (порог берётся из правила auditc_positive в config/rules.yaml, ADR-002).
|
||||
alcohol_daily_modules: [veteran]
|
||||
# Плановые шкалы, перед которыми показывается дружелюбное вступление (см. scale_intros).
|
||||
intro_scales: [pcl5, phq9, dar5, auditc]
|
||||
|
||||
checkin:
|
||||
start: "Добрый день! Короткая отметка о самочувствии — это займёт меньше минуты."
|
||||
mood:
|
||||
question: "Как ваше настроение сегодня по шкале от 0 до 10? 0 — очень плохо, 10 — отлично."
|
||||
sleep:
|
||||
question: "Сколько часов удалось поспать прошлой ночью?"
|
||||
options:
|
||||
"<4": "Меньше 4 ч"
|
||||
"4-6": "4–6 ч"
|
||||
"6-8": "6–8 ч"
|
||||
">8": "Больше 8 ч"
|
||||
nightmares:
|
||||
question: "Снились ли кошмары или тяжёлые сны?"
|
||||
"yes": "Да"
|
||||
"no": "Нет"
|
||||
alcohol:
|
||||
question: "Выпивали ли вы алкоголь за последние сутки?"
|
||||
clarify: "Вы упомянули алкоголь. Сколько примерно выпили за последние сутки?"
|
||||
options:
|
||||
none: "Не пил(а)"
|
||||
"1-2": "1–2 порции"
|
||||
more: "Больше"
|
||||
text:
|
||||
question: "Как вы? Можно пару слов — что было за день, что беспокоит."
|
||||
skip: "Пропустить"
|
||||
buttons_hint: "Выберите, пожалуйста, вариант кнопкой."
|
||||
done: "Спасибо, записал. Если что-то изменится — пишите в любое время."
|
||||
already_done: "Сегодня вы уже отмечались, спасибо! Если хотите что-то добавить — просто напишите."
|
||||
|
||||
visit:
|
||||
# Нажата кнопка «Записаться к врачу раньше» (действие правила suggest_visit). Онлайн-записи пока нет —
|
||||
# просьба передаётся врачу как факт в карточке.
|
||||
requested: "Передал врачу просьбу о более раннем визите. С вами свяжутся, чтобы договориться о времени. Если станет хуже до визита — пишите мне или звоните 112."
|
||||
|
||||
# Дружелюбное вступление перед шкалой (параметр intro у start_scale). Пациент не видит баллов.
|
||||
scale_intros:
|
||||
scheduled:
|
||||
pcl5: "Раз в две недели я прошу ответить на вопросы о том, как беспокоят тяжёлые воспоминания и их последствия. Это займёт 3–4 минуты. Так ваш врач увидит, что меняется со временем."
|
||||
phq9: "Пора для короткого опроса о настроении и силах за последние две недели — 9 вопросов. Отвечайте так, как есть, правильных ответов нет."
|
||||
dar5: "Несколько вопросов о раздражительности и вспышках гнева. После службы это бывает у многих, и врачу важно видеть, как это меняется."
|
||||
auditc: "Три коротких вопроса об алкоголе. Отвечайте как есть: это нужно врачу, чтобы лечение было безопасным."
|
||||
unscheduled:
|
||||
phq9: "Последние дни настроение ниже обычного. Давайте я задам несколько вопросов — так ваш врач лучше поймёт, как вы сейчас."
|
||||
Reference in New Issue
Block a user