feat(llm): RAG knowledge base over clinical guidelines with cited extractive answers
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- docs/source/rag: PDF sources (KR PTSD 2023, KR depression 2024, meds module spec),
  pdf->txt converter (tables as markdown, page markers, hand-transcribed figures),
  word-level check against pdftotext; fixes HAM-D/MADRS fake headers and split rows
- config/rag: corpus txt + sources.yaml (documents, audiences, retrieval params, synonyms)
- app/llm/rag: Snowball stemmer, section-aware chunker with page citations,
  BM25 + synonym expansion + densest-passage reranking, extractive answer()
  with coverage gate, patient dose/prescribing filter, optional LLM rephrasing
  rejected when it adds content; CLI python -m app.llm.rag
- tests: gold retrieval set (hit@3 >= 15/18), off-topic, safety, faithfulness
- ADR-011

Refs #60

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
This commit is contained in:
2026-10-04 04:11:06 +03:00
co-authored by Claude Opus 5.5
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"""Knowledge-base corpus: `config/rag/sources.yaml` + txt files -> citable chunks.
The txt files come from `docs/source/rag/pdf_to_txt.py`: paragraphs are separated by blank lines, pages by
`--- стр. N ---` markers, tables are markdown, text transcribed from figures follows an
`[Изображение: ...]` line. Chunking rules:
* a chunk never crosses a section boundary (numbered headings "2.1 ...", "Приложение Г5", ...), so its
section title is reliable context; the title is stored separately and indexed with extra weight;
* "Комментарии: ..." after a recommendation stays with the recommendation (the comment explains it);
* a line starting in lowercase continues the previous paragraph (cut by a page break the converter missed);
* tables are split by rows, every table piece repeats the table header, so a chunk is readable alone;
* each chunk keeps the page range it came from, for the citation "[КР ПТСР 2023, стр. 45]".
"""
import re
from dataclasses import dataclass, field
from functools import lru_cache
from pathlib import Path
import yaml
from pydantic import BaseModel, Field
from app.config import get_settings
Audience = str # "doctor" | "patient" | "team"
PAGE_MARKER = re.compile(r"^--- стр\. (\d+) ---$")
TABLE_DIVIDER = re.compile(r"^\|(-+\|)+$")
# "2.1 Жалобы и анамнез", "3.1.2. Купирующая терапия ..." — a numbered subsection title.
SUBSECTION = re.compile(r"^(\d{1,2}(?:\.\d{1,2})+)\.?\s+([А-ЯЁA-Z].*)$") # not dates "28.07.2022 N ..."
# Top-level KR sections: "1. Краткая информация ...", "3. Лечение, включая ...". Plain "1. ..." lines are
# list items, so a top-level heading must start with one of the standard KR section names.
TOPLEVEL = re.compile(
r"^([1-9])\.\s+(Краткая информация|Диагностика|Лечение|Медицинская реабилитация|Профилактика"
r"|Организация оказания|Дополнительная информация)"
)
NAMED = re.compile(
r"^(Приложение [А-ЯЁ]\d*(?:-[А-ЯЁ]+\d*)?\b.*|Критерии оценки качества медицинской помощи|Список литературы"
r"|Список сокращений|Термины и определения)$"
)
# Unnumbered short title lines (team specs): capitalised, short, no final punctuation, not a list item.
SHORT_TITLE = re.compile(r"^[А-ЯЁ][^.:;!?|]{2,60}$")
COMMENT = re.compile(r"^Комментари[йи]\s*:")
SENTENCE_SPLIT = re.compile(r"(?<=[.!?…])\s+(?=[А-ЯЁA-Z0-9«\"(])")
# Abbreviations after which a capital letter does not start a new sentence: "(см. Приложение Б5)".
ABBREVIATION_END = re.compile(
r"(?:\b(?:см|т\.\s?е|т\.\s?д|т\.\s?п|др|напр|рис|табл|стр|г|гг|им|ср|англ|лат|греч)|\b[А-ЯЁA-Z])\.$"
)
MAX_TITLE_CHARS = 300
class DocumentMeta(BaseModel):
id: str
file: str
title: str
short: str
issuer: str
year: int
icd: list[str] = Field(default_factory=list)
audiences: list[Audience]
class ChunkingConfig(BaseModel):
max_chars: int = 1200
min_chars: int = 200
skip_sections: list[str] = Field(default_factory=list)
class RetrievalConfig(BaseModel):
top_k: int = 5
bm25_k1: float = 1.5
bm25_b: float = 0.75
title_weight: int = 2
min_score: float = 3.0
rerank_candidates: int = 30
window_sentences: int = 2
window_weight: float = 0.5
# section title prefix -> score multiplier, per audience ({"patient": {"Приложение В": 1.5}})
section_boost: dict[str, dict[str, float]] = Field(default_factory=dict)
class AnswerConfig(BaseModel):
max_chunks: int = 3
max_passages: int = 2
max_sentences: int = 3
max_chars: int = 600
min_coverage: float = 0.5
second_passage_ratio: float = 0.8
neighbor_ratio: float = 0.5
class RagConfig(BaseModel):
documents: list[DocumentMeta]
chunking: ChunkingConfig = ChunkingConfig()
retrieval: RetrievalConfig = RetrievalConfig()
answer: AnswerConfig = AnswerConfig()
synonyms: list[list[str]] = Field(default_factory=list)
@dataclass(frozen=True)
class Chunk:
id: str # "<doc>#<n>"
doc: DocumentMeta
section: str # nearest heading ("" before the first one)
page_start: int
page_end: int
text: str # display text: paragraphs and markdown table rows
@property
def pages(self) -> str:
return str(self.page_start) if self.page_start == self.page_end else f"{self.page_start}–{self.page_end}"
@property
def citation(self) -> str:
return f"[{self.doc.short}, стр. {self.pages}]"
@dataclass
class _Unit:
"""Indivisible piece of a chunk: a paragraph (with its comment) or one table row."""
text: str
page: int
table_header: str | None = None # "| a | b |\n|---|---|" for table rows
@dataclass
class _Section:
title: str
units: list[_Unit] = field(default_factory=list)
def rag_dir() -> Path:
return get_settings().config_dir / "rag"
@lru_cache
def load_config(path: Path | None = None) -> RagConfig:
path = path or rag_dir() / "sources.yaml"
return RagConfig.model_validate(yaml.safe_load(path.read_text(encoding="utf-8")))
def heading(line: str) -> str | None:
"""The line's text if it is a section heading, else `None`."""
if len(line) > MAX_TITLE_CHARS or line.startswith("|"):
return None
if SUBSECTION.match(line) or TOPLEVEL.match(line) or NAMED.match(line):
return line
return None
def _is_short_title(block: list[str], next_block: list[str] | None) -> bool:
"""A lone short line followed by a body paragraph (unnumbered headings in team docs)."""
return (
len(block) == 1
and bool(SHORT_TITLE.match(block[0]))
and next_block is not None
and not PAGE_MARKER.match(next_block[0])
and (len(next_block) > 1 or len(next_block[0]) > 80 or next_block[0].startswith("|"))
)
def _blocks(text: str) -> list[list[str]]:
"""Blank-line separated blocks of non-empty lines."""
return [[ln for ln in b.splitlines() if ln.strip()] for b in re.split(r"\n\s*\n", text) if b.strip()]
def _sections(text: str, skip: list[str]) -> list[_Section]:
blocks = _blocks(text)
sections = [_Section(title="")]
page = 1
skipping = False
for i, block in enumerate(blocks):
first = block[0]
if first.startswith("# ") or first.startswith("Источник:"):
continue # file header written by the converter
m = PAGE_MARKER.match(first)
if m:
page = int(m.group(1))
continue
nxt = next((b for b in blocks[i + 1 :] if not PAGE_MARKER.match(b[0])), None)
if first.startswith("|"):
if not skipping:
sections[-1].units.extend(_table_units(block, page))
continue
if first.startswith("[Изображение"):
if not skipping: # transcribed figure: one unit, keeps its own line breaks
sections[-1].units.append(_Unit("\n".join(block[1:]) if len(block) > 1 else first, page))
continue
for j, line in enumerate(block):
title = heading(line)
if title is None and j == 0 and _is_short_title(block, nxt):
title = line
if title is not None:
skipping = any(title.startswith(s) for s in skip)
sections.append(_Section(title=title))
continue
if skipping:
continue
units = sections[-1].units
if COMMENT.match(line) and units and units[-1].table_header is None:
units[-1].text += "\n" + line
elif line[0].islower() and units and units[-1].table_header is None:
units[-1].text += " " + line # paragraph continued after a page break or a figure
else:
units.append(_Unit(line, page))
return [s for s in sections if s.units]
def _table_units(block: list[str], page: int) -> list[_Unit]:
if len(block) >= 2 and TABLE_DIVIDER.match(block[1]):
header = f"{block[0]}\n{block[1]}"
rows = block[2:]
else: # continuation without a header line (should not happen with the converter, but be safe)
header, rows = "", block
return [_Unit(row, page, table_header=header) for row in rows]
def split_sentences(text: str) -> list[str]:
"""Sentences of one line/paragraph; does not split after "см.", "т.е.", initials."""
out: list[str] = []
for part in SENTENCE_SPLIT.split(text):
if out and ABBREVIATION_END.search(out[-1]):
out[-1] += " " + part
else:
out.append(part)
return [p.strip() for p in out if p.strip()]
def _split_long(unit: _Unit, max_chars: int) -> list[_Unit]:
if len(unit.text) <= max_chars or unit.table_header is not None:
return [unit]
parts: list[str] = []
for sentence in split_sentences(unit.text):
if parts and len(parts[-1]) + 1 + len(sentence) <= max_chars:
parts[-1] += " " + sentence
else:
parts.append(sentence)
return [_Unit(p, unit.page) for p in parts]
def _render(units: list[_Unit]) -> str:
out: list[str] = []
header: str | None = None
for u in units:
if u.table_header is not None:
if header != u.table_header:
header = u.table_header
if header:
out.append(header)
out.append(u.text)
else:
header = None
out.append(u.text)
return "\n".join(out)
def _pack(section: _Section, max_chars: int, min_chars: int) -> list[list[_Unit]]:
units = [p for u in section.units for p in _split_long(u, max_chars)]
groups: list[list[_Unit]] = [[]]
size = 0
for u in units:
if groups[-1] and size + len(u.text) > max_chars:
groups.append([])
size = 0
groups[-1].append(u)
size += len(u.text) + 1
if len(groups) > 1 and sum(len(u.text) for u in groups[-1]) < min_chars:
groups[-2].extend(groups.pop())
return [g for g in groups if g]
def chunk_document(doc: DocumentMeta, text: str, cfg: ChunkingConfig) -> list[Chunk]:
chunks: list[Chunk] = []
for section in _sections(text, cfg.skip_sections):
for group in _pack(section, cfg.max_chars, cfg.min_chars):
chunks.append(
Chunk(
id=f"{doc.id}#{len(chunks)}",
doc=doc,
section=section.title,
page_start=group[0].page,
page_end=group[-1].page,
text=_render(group),
)
)
return chunks
@lru_cache
def load_chunks(config_path: Path | None = None) -> tuple[Chunk, ...]:
cfg = load_config(config_path)
base = (config_path.parent if config_path else rag_dir()).resolve()
out: list[Chunk] = []
for doc in cfg.documents:
out.extend(chunk_document(doc, (base / doc.file).read_text(encoding="utf-8"), cfg.chunking))
return tuple(out)