Commit Graph
22 Commits
Author SHA1 Message Date
Eleboba 63cc5372be Merge pull request 'feat: сад пациента — рост от активностей (без давления)' (#123) from feat/118-garden into dev
CI / ruff · pytest (push) Successful in 2m24s
CD / ruff · pytest (push) Successful in 2m16s
CD / deploy dev (push) Successful in 1m17s
Reviewed-on: #123
2026-10-31 11:37:39 +03:00
ElebobaandClaude Opus 5.5 1cafaa87ec feat(backend): patient garden — deterministic growth from activities
CI / ruff · pytest (pull_request) Successful in 2m17s
GET /api/v1/me/{token}/garden computes the garden on the fly from taken doses,
check-ins/diary and finished questionnaires (no new table). Rules and texts in
config/garden.yaml: per-day caps, points only add up, answers never count.

Refs #118

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-31 11:22:44 +03:00
ElebobaandClaude Opus 5.5 7443b61974 feat(llm): speech-to-text for patient voice input via OpenRouter (+ offline mock)
CI / ruff · pytest (pull_request) Successful in 2m57s
POST /api/v1/me/{token}/stt takes a 16 kHz mono WAV and only transcribes:
the patient checks the text and sends it as an ordinary message, so safety,
scrub() and the LLM gateway still apply. Audio is neither stored nor logged.
OpenRouter STT is synthetic-data only (ADR-014); SaluteSpeech for the pilot is #121.

Refs #116

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-31 11:19:55 +03:00
ElebobaandClaude Opus 5.5 d1f92407f9 feat: live agent answers (SSE streaming) + «Чат» tab on phones
CI / ruff · pytest (pull_request) Successful in 2m43s
- POST /dialog/{token}/events/stream: Server-Sent Events with the agent's steps («Смотрю вашу карту ЕМИАС…»,
  «Ищу в клинических рекомендациях…»), the answer as the model writes it (OpenRouter stream=true), then the
  final replies (same as /events, incl. the forbidden-output filter and sources). X-Accel-Buffering: no.
- Web: free-text messages use the stream — a live bubble with steps, typing dots and a cursor; falls back to
  the plain request if the stream breaks.
- Phones: the bottom tab bar gets «Чат» (it had no way back to the chat).

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-05 12:52:19 +03:00
ElebobaandClaude Opus 5.5 531bef1e73 feat: crisis message after the test and non-blocking; weapon answer triggers nothing; ЕМИАС demo = Никита
CI / ruff · pytest (pull_request) Successful in 2m33s
- CRISIS_BLOCKING (default off for the demo): a crisis no longer locks the dialog; the message and the
  doctor's acute alert still happen. The clinical protocol (blocking, immediate stop) stays behind the flag and
  keeps its tests.
- Crisis signals inside a questionnaire (intake red flags, high C-SSRS, PHQ-9 item 9) no longer stop it: the
  test is finished and the crisis message comes at the end; the doctor's alert is raised at once/at the end.
- Weapon access: asked and stored, triggers nothing (rule disabled, no red flag, no safety block).
- ЕМИАС demo persona is «Никита В.»; the one-click demo stays «Андрей С.».

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-04 23:30:05 +03:00
ElebobaandClaude Opus 5.5 31585c7f35 feat(bot): every free-text message gets the agent's answer; every demo entry is a private copy
CI / ruff · pytest (pull_request) Successful in 2m41s
- 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>
2026-10-04 22:27:26 +03:00
ElebobaandClaude Opus 5.5 cdd5ad9cde feat: presentation demo mode — one-click private demo patient, screening on/off switch
CI / ruff · pytest (pull_request) Failing after 2m33s
- POST /auth/demo/fresh + «Демо: войти как Андрей» on the welcome screen: every sign-in gets a fresh private
  copy of veteran Andrey (consent, prescription, ЕМИАС record) and lands in the chat — no codes, nobody's
  crisis or half-done questionnaire leaks into another viewer.
- Initial screening switch: SCREENING_ENABLED env default + /demo/settings + a toggle in the demo console;
  off → after consent straight to the chat.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-04 21:01:05 +03:00
Pavel Eliseev 0743184f3d fix(api): provide pseudonymous patients access to doctor care 2026-10-04 16:47:06 +03:00
Arxip222 37b612b8c4 Merge remote-tracking branch 'origin/dev' into fix/clinical-review-safety
CI / ruff · pytest (pull_request) Successful in 2m22s
2026-10-04 16:21:24 +03:00
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
Pavel Eliseev 461c3d02ea fix(backend): redact retryable MAX storage failures
CI / ruff · pytest (pull_request) Successful in 2m4s
Refs #82
2026-10-04 16:04:38 +03:00
Pavel Eliseev 64655ad934 feat(backend): add durable MAX linking and notification queue
Refs #82
2026-10-04 16:04:38 +03:00
Arxip222andClaude Opus 5.5 0106aefc33 Merge origin/dev into feat/rag-clinical-guidelines
CI / ruff · pytest (pull_request) Successful in 2m9s
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>
2026-10-04 15:22:29 +03:00
Arxip222andClaude Opus 5.5 290b0d6151 feat(web): two-stage questionnaires, screening result and diary by result
- 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>
2026-10-04 15:14:09 +03:00
ElebobaandClaude Opus 5.5 25728c4b31 feat(backend): API stage 1 on real data instead of fixtures
CI / ruff · pytest (pull_request) Successful in 1m25s
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>
2026-10-04 12:34:40 +03:00
Arxip222andClaude Opus 5.5 464b474abd feat(web): questionnaires, diary and medication module in the patient app
- 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>
2026-10-04 08:53:13 +03:00
Arxip222andClaude Opus 5.5 b4b1bc51c8 feat(web): screens from docs/mock — focus flow, today, meds, doctor, profile
- /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>
2026-10-04 08:11:45 +03:00
Arxip222andClaude Opus 5.5 b8a93ce9d4 feat(web): patient web app with ЕМИАС (demo) and anonymous sign-in
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>
2026-10-04 07:57:00 +03:00
ElebobaandClaude Opus 5.5 251f946691 feat(backend): demo scheduler on the virtual clock — doses, missed, check-ins, scales, silence
CI / ruff · pytest (pull_request) Successful in 1m3s
- 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>
2026-10-04 03:25:44 +03:00
Pavel Eliseev c42ef621e5 feat(questionnaire): integrate revised intake and follow-up monitoring
CI / ruff · pytest (pull_request) Successful in 55s
Add gated TSQ, Russian C-SSRS Recent, durable responses and notifications, diaries, schedules and audited clinical review. Preserve manual assessment when the Russian follow-up source is unavailable.

Refs #52
2026-10-03 18:19:34 +03:00
ElebobaandClaude Opus 5.5 b4731fb1d6 chore(core): stage 1 contracts — dialog, API schemas + fixtures, integrations, monitoring, modules
CI / ruff · pytest (pull_request) Successful in 22s
Freeze interfaces between lanes A (bot), B (backend), C (dashboard) so three developers work in
parallel without touching each other's files: dialog Event/Reply + engine registry with echo stub,
integration protocols with in-memory defaults, MonitoringService with noop stub, /api/v1 schemas
with fixture-backed routes, frozen main.py wiring, config/modules.yaml + due_scales(), DAR-5,
tzdata, Andrey trajectory, lanes in WORKFLOW, ADR-010.

Refs #34

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-03 15:22:25 +03:00
ElebobaandClaude Opus 5.5 107b8dba51 chore(devops): project skeleton — uv, docker compose, Makefile, CI
CI / ruff · pytest (pull_request) Successful in 1m50s
One Postgres with isolated identity/clinical databases and roles (ADR-003),
FastAPI /health, Streamlit placeholder, typed settings with offline defaults.

Refs #1

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-03 14:46:01 +03:00