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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@@ -13,7 +13,7 @@ from pydantic import BaseModel
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from app.config import get_settings
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from app.core.cssrs_content import load_cssrs_russian
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from app.core.intake_questions import DIARY_PARTS, content, diary_config, texts
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from app.core.intake_questions import DIARY_PARTS, content, diary_config, red_flags, texts
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from app.core.scales import load_scale
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Section = Literal["safety", "mood", "trauma", "alcohol", "about", "diary", "scale"]
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@@ -92,6 +92,9 @@ def catalog() -> Catalog:
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),
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)
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flags = red_flags()
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add(FormInfo(id="red_flags", title="Вопросы о безопасности", section="safety"), [i["id"] for i in flags["items"]])
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cssrs = load_cssrs_russian()
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add(FormInfo(id="cssrs", title=cssrs.title, section="safety"), ["cssrs_" + i.id for i in cssrs.items])
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