- Greetings / chit-chat answered without the LLM (instant, free, no medical findings dumped into «привет»).
- At most 4 tool calls per turn (one «как дела?» turn fired 23 parallel searches).
- «My drug» is never asked back; analogues → the drug's group, replacement only by the doctor.
- Markdown stripped to plain text with «•»; no sources footer under short replies.
- Diagnosis filter no longer blocks definitions («ПТСР — это расстройство…»); diagnosis-like statements about
the patient are still blocked.
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- Idle chat: all messages go to the agent (greetings, side-effect and substitute questions included); check-in
signals are still recorded silently, quit intent keeps its rule reaction. Seen live: «какие будут побочки»
was logged as a complaint («Спасибо, отметил»), «привет» got a canned phrase.
- Agent prompt: warm short replies to small talk; substitutes → only the doctor changes the drug.
- ЕМИАС demo persona button creates a private copy too (starting from consent + questionnaires, subject to
the screening switch); the web app drops a stored session of the old shared demo account.
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
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>
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>
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>
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>
ElebobaandClaude Opus 5.5
Arxip222andClaude Opus 5.5