Commit Graph
4 Commits
Author SHA1 Message Date
Arxip222andClaude Opus 5.5 44814b7293 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>
2026-10-04 16:21:16 +03:00
ElebobaandClaude Opus 5.5 83ad5d8b33 fix(bot): chat agent — ГРЛС excerpts in drug check, questions with alcohol answered, retry, clearer logs
CI / ruff · pytest (pull_request) Successful in 2m13s
Live run through the API (Andrey, real OpenRouter): onset questions now answered from the instruction
excerpt, «можно пиво?» reaches the agent although the check-in records alcohol, quit intent keeps the single
rule reaction, findings are mentioned only for intake/combination questions, one retry on a provider error,
provider error message logged.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-04 15:20:18 +03:00
ElebobaandClaude Opus 5.5 9ec61b9a03 feat(bot): chat agent on Gemini 2.5 Flash-Lite — grounded first turn, current-prescription defaults
CI / ruff · pytest (pull_request) Successful in 2m5s
Live-tested on OpenRouter: Flash-Lite answers in 3–8 s with correct findings at ~$0.10/$0.40 per 1M tokens
(qwen3.7-flash and gpt-oss-120b took 26–32 s). Force a tool call on the first turn, give the model the
current prescription, let check_drug_for_patient default to it and return composition, intolerance check
and general interactions (alcohol); retry once on an empty final message.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-04 14:59:38 +03:00
ElebobaandClaude Opus 5.5 6dda5f9b30 feat(bot): tool-using chat agent over RAG, ЕМИАС record and drug-safety reference
CI / ruff · pytest (pull_request) Successful in 2m10s
Free-text treatment and medication questions go to an LLM agent with read-only tools bound to the current
patient: guideline search (RAG, doses stripped), ЕМИАС record mock (diagnoses, comorbidities, intolerances,
other specialists' drugs, current prescription), drug info (composition, contraindications, interactions)
and a deterministic patient-specific check. Providers: OpenRouter (temporary, synthetic data only) and an
offline mock; GigaChat to follow. Scrubbed input only, forbidden-output filter, any failure falls back to
the existing extractive RAG / instruction answers. Off unless OPENROUTER_API_KEY or CHAT_AGENT=mock.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-04 14:39:16 +03:00