Conflict in app/api/routes.py: /demo/personas keeps the dev version (demo console, DB patients
with scenarios); the patient app gets its own /patient/demo-personas (synthetic ЕМИАС accounts).
Anonymous sign-in now always creates a doctor-less pseudonymous profile, since the dialog API
of #12 serves known profiles only.
Refs #77
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- Sign-in: centred ЕМИАС card without the sidebar; anonymous entry asks «Депрессия / ПТСР».
- Stage 1 is the same for everyone and follows the fixed order of the MVP questionnaire:
PHQ-2 → trauma filter/TSQ → RUS-AUDIT-S → C-SSRS → context; stage 2 only where stage 1
is positive. Starts without a profile.
- After stage 1 the patient sees a preliminary result (screening, not a diagnosis), stored
with the record; it switches on the diary modules (depression / PTSD).
- Stage 2 diary: morning (sleep, sleep quality, alcohol) and evening (mood, medication,
3 PHQ-9 items in rotation, short PCL-5); C-SSRS since last contact only under risk;
flags on weekly means against the personal norm; scheduled full scales with change
(remission, response, worsening).
- Questionnaire log: GET /me/{token}/results and the «Мои результаты» screen.
- Questionnaires centred without the sidebar and without scale names; «Продолжить позже»
goes home; confirmations are toasts; free-text comments are optional.
- Demo policy config/questionnaire_demo.yaml (INTAKE_DEMO only, not a clinical approval).
ADR-012.
Refs #77
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
On Windows git converted infra/postgres/init.sh to CRLF; Postgres then failed to run it
(/bin/bash^M: bad interpreter), so the identity/clinical databases and roles were never
created and every API call returned 500.
Refs #77
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
With OPENROUTER_API_KEY in a developer's .env the chat agent switched on in dialog tests (real API calls,
spent money, flaky results). An autouse fixture turns the agent off; agent tests pass explicit providers.
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>
- Patient list sorted red -> yellow -> grey -> green with KPI row, trend arrows,
7-day adherence bars, discontinuation-risk badge with factor tooltip.
- Patient card: scales with severity bands from config/scales (unscheduled marked),
mood/sleep/alcohol small multiples, dose heat-strip, alerts feed with ack,
safety plan, AI summary with disclaimer.
- Live alerts: st.fragment(run_every=2.5s) polling, toast + pinned acute banner on
every page; full rerun on new alert only on doctor pages.
- Connect form -> POST /patients/connect -> code, QR, deep link.
- Thin httpx ApiClient over the frozen schemas with graceful "API недоступен".
- app.py discovers dashboard/pages/*.py automatically (st.navigation); demo pages
of #17 plug in by adding a file.
Refs #16
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- personas degrade: /demo/personas → doctor's patients (hero first) → env token
- scenario file guessed from the transliterated first name (andrey.jsonl), like the backend
- «Подключить демо-пациента»: connects the synthetic hero via /patients/connect when no seed
- connect code prefilled from ?code= of the console link
Refs #17
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- scripts/seed_demo.py: doctor doc-smirnova (on call), Andrey day 0 (connect code,
no consent) or day N with history; 7 patients with seeded-random histories.
Alerts and colours come from the real rules evaluated day by day.
- --reset drops/recreates both DBs and zeroes the demo clock; seed keeps the
persisted clock offset so dates match the running app.
- data/synthetic/andrey.jsonl: console scenario for days 0..13 generated from
config button labels (--write-scenario).
- tests: idempotency, modes, colours, scenario format/sync and a full replay of
the scenario through the real engine, scheduler and monitoring.
Refs #18
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- pages/2_Демо-консоль.py: persona selector, virtual clock bar (+1 h, to 08:00/20:00,
next day, reset with confirm), fallback patient web chat (buttons from Reply.buttons,
kind styling, outbox drained after every action and on a 2 s fragment poll), scenario panel
- pages/3_Сплит-экран.py: patient chat or PATIENT_WEB_URL iframe on the left, compact doctor
panel (patients, live alerts, red banner on a new acute alert) on the right
- console/playback.py: data/synthetic/<persona>.jsonl runner (advance_to/press/text/
expect_color/start), date chaining between days, pause on failure with retry/skip/manual
- console/api.py: own HTTP client over the frozen API contract, ApiError only
Refs #17
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Doctor list/card/alerts/ack/connect, dialog events/outbox/history and demo
controls now read the identity and clinical DBs. Rule-based discontinuation
risk index, trend, adherence; every doctor read is audited.
Refs #12
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- menu button «Вопрос о лечении» -> kb.question -> rag.answer (KR quote + source)
or «уточните у врача»; dose questions get a fixed doctor redirect
- free text in idle that looks like a question (no check-in signals, not a drug
question) -> knowledge base; no answer -> the usual support phrase
- routing order unchanged: consent/safety first, side effects/quit/alcohol -> check-in,
own drug -> med_qa (instruction only, SPEC §7 p.5)
- question cues, small talk and texts in config/texts/knowledge.yaml; scrub placeholders
before "что такое X" no longer hide the definition question
Refs #64
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- Focus screen renders versioned questionnaire items (iq: buttons): section chip, position
(adaptive forms without "of N"), recall date, pause / help-now actions, optional skip,
sleep-hours input, 0-10 scale anchors, RUS-AUDIT item 2 standard-drink table.
- Paused / held-for-review questionnaires get their own screen.
- Today: intake and diary tasks, review notice, therapy-day card on days 1/7/14.
- Drug card /meds/:ref from data/meds/meds_reference.json (draft built from the Minzdrav
guidelines: depression 2024, PTSD 2023) — expected effect, course, side effects, red flags;
no doses shown. "Report a side effect" always available (med:side_effects:<ref>).
- API: /instruments/catalog, /meds/reference; today gains questionnaire state, reference id,
indication and therapy day; demo persona seeds the dashboard dose history.
- INTAKE_DEMO=1 (demo clock only) opens the questionnaires on synthetic data without touching
the clinical release gate in config/intake_runtime.yaml.
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- focus screens: question and context on the left, answers on the right in
one wide card; consent text and the 0–10 scale in one wide column
- today: dashboard with tasks, this week's doses and quick actions side by
side; meds / doctor / profile in two-column grids; welcome gets «Как это
работает» steps
- fix: 0–10 scale no longer overflows narrow containers
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- /flow renders the dialog engine's current step as a mock screen (consent,
age, onboarding and scales with progress, mood 0–10, free text, dose
reminder, crisis with hotlines and breathing, safety plan), so every
engine scenario gets the design without duplicating its logic
- today / meds / doctor / profile / messages tabs; navy sidebar and
emergency rail on desktop, emergency block and tab bar on phones
- API: GET /me/{token}/today (today's doses, week marks, next visit, demo
clock time); demo ЕМИАС sign-in seeds the persona's synthetic profile and
prescription from the dashboard fixtures
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
A second channel to the same dialog engine as the Telegram bot: consent,
onboarding, scales and check-ins come from app/dialog; the bot is unchanged.
- API: /auth/emias (doctor's one-time connect code via EmiasMock),
/auth/emias/demo (synthetic personas), /auth/anonymous (random token,
nothing stored in the identity DB), /crisis/resources from crisis.yaml
- web/: React + TS + Vite, mobile-first, safe areas, hash routing,
tokens and texts isolated for a Capacitor mobile build
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Structure-aware units with audience/evidence metadata, manual review,
hybrid BM25 search, citation-checked answers and an eval set.
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- converter marks a paragraph glued across a page break with ⟦стр. N⟧; the chunker
strips the marker and extends the chunk's page range (wrong-page citations 24 -> 3,
the rest are scale-form table rows split by a page)
- [NAME]/[PHONE] placeholders from privacy.scrub() no longer count as unknown words
(a scrubbed question used to fall below the coverage gate)
- a question naming one disease boosts its guideline in retrieval and passage choice
("ТМС при депрессии" was answered from the PTSD guideline); "антидепрессант" is not a cue
Refs #62
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- app/scheduler/demo.py: run_until(now) replays due and fresh events in time order: dose rows +
med_reminder, missed after 2 h without an answer → monitoring, daily_checkin, scale_due by the
config/modules.yaml schedules, daily monitoring pass (silence, missed doses) → reach_out/scale_due
- idempotent via scheduler_events (unique token+key); stale events are not sent; no contact without
consent or during an open crisis
- config/scheduler.yaml: times and windows; runs while the questionnaire release is off
- POST /demo/clock/advance replays the scheduler up to the new time
Refs #13
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- app/services/snapshot.py: PatientSnapshot from the clinical DB (field mapping, age, therapy day,
recent C-SSRS risk, weapon access from dialog facts)
- app/services/monitoring.py: RuleMonitoring registered via register_monitoring; persists alert/crisis
actions, crisis_acute audit, enhanced_monitoring flag, cached status_color, notifies the doctor (and
the doctor on duty for crises) after commit; a running crisis is not restarted
- demo clock offset persisted in clock_state, restored on scheduler start
- tests: Andrey's 13 days through the service → G G G Y Y G G G G Y Y Y R
Refs #38
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
- No same-day C-SSRS repeat: a risk screen completed within cssrs_cooldown_hours is not queued again
after PHQ-9 item 9 >= 1 (scale crisis path, rule schedule_scale, scale_due); crisis script and alerts stay.
- Scale intro registry: register_scale_intro(scale_id, text_or_fn); start_scale(intro=None) uses it.
veteran_daily migrated from per-scale on_enter hooks.
- Prefix triggers "button:<prefix>:*" with trigger_payload(event); medication buttons carry the dose
(med:taken:<dose_id>, ...), med_pending dropped; payload-less legacy buttons answer as stale.
- Abandoned-step timeout: settings.abandon_after_hours (default 6 h) returns abandonable states
(daily.*, meds.*, scale.* not in onboarding) to idle before the next event; never in crisis or with intake on.
Refs #56
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Daily check-in (mood → dose → sleep/nightmares → alcohol → free text with
extract_checkin, buttons win over the LLM, progressive upsert of
daily_checkins), medication reminder flow (taken / skip with reason /
side effects → doses + daily_checkins), medication question menu via
med_qa, med_info rule reactions from the drug instruction excerpt,
«записаться раньше» request recorded for lane B, friendly intros for
scheduled scales. actions.py: additive med_info handler hook.
Refs #37
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Start screening of the veteran module: peer-tone intro, trauma exposure gate for
PC-PTSD-5, PCL-5/PHQ-9/AUDIT-C via scale sessions (sex asked if unknown), weapon
access question stored as facts for lane B with a safe-storage block on risk,
plain-language result, modules enabled in profile, FAQ, resume after a crisis.
Refs #36
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
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