fix(clinical): red flags, one crisis rule, callback after a crisis, one table of numbers
Clinical review of the questionnaires (ADR-013):
- Red-flag block first in stage 1 (config/instruments/red_flags.yaml); any «Да» stops the
questionnaire with an acute alert and the help screen of its category.
- One crisis rule: the crisis screen opens at a HIGH C-SSRS risk only; moderate stops and goes
to a psychiatrist (24 h as a guide), low is a flag with the safety plan. PHQ-9 item 9 with a
negative screener is a discrepancy flag; without a completed screener it asks the C-SSRS at once.
config/questionnaire.yaml: cssrs_positive_policy graded (C01).
- Every crisis leaves a callback task for the doctor on duty (post_crisis_call, one per patient)
and the app asks how the person is the next day, the safety plan one tap away.
- Routing: risk and flags first, scales second; PCL-5 >= 50 no longer means a priority
appointment (pcl5_severe is moderate on the dashboard too).
- Crisis numbers live only in config/texts/crisis.yaml; texts and the agent prompt refer to them
via {phone:<key>}. Fixes the children's helpline offered to adults by the chat agent.
Refs #92
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
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@@ -16,6 +16,7 @@ from app.api.schemas import (
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PatientListItem,
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SeriesPoint,
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)
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from app.core.safety import fill_phones
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from app.integrations.base import Prescription
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TZ = ZoneInfo("Europe/Moscow")
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@@ -262,7 +263,7 @@ def andrey_card() -> PatientCard:
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"Что помогает: прогулка с собакой, душ",
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"Люди и места: брат Олег, спортзал",
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"Кому звонить: жена, сослуживец Миша",
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"Специалисты: д-р Смирнова, 8-800-2000-122, 112",
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fill_phones("Специалисты: д-р Смирнова, {phone:helpline}, 112"),
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"Безопасная среда: ружьё хранится у брата",
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],
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summary="За 13 дней: приверженность 12/13, эпизод намерения бросить на 5-й день (снят после звонка врача). "
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