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>
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>
- 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>
- 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>
- 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>
- 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>
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>
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>
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>
- 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>
- /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>
- 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>
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>
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>
ElebobaandClaude Opus 5.5
Arxip222