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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@@ -155,7 +155,9 @@ def test_severe_totals(scale: str, total: int, code: str, fires: bool) -> None:
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acts = evaluate(s)
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assert (code in codes(acts)) is fires
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if fires:
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assert next(a for a in acts if a.code == code).level == AlertLevel.HIGH
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# PCL-5 alone is a planned specialist review, not a priority (clinical review 2026-10-04).
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expected = AlertLevel.MODERATE if scale == "pcl5" else AlertLevel.HIGH
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assert next(a for a in acts if a.code == code).level == expected
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@pytest.mark.parametrize(
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