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4d331e4c05 |
@@ -9,7 +9,7 @@ GIGACHAT_MODEL=GigaChat
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|||||||
# --- Chat agent: auto | off | mock | openrouter | gigachat. OpenRouter = temporary, synthetic data only.
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# --- Chat agent: auto | off | mock | openrouter | gigachat. OpenRouter = temporary, synthetic data only.
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CHAT_AGENT=auto
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CHAT_AGENT=auto
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OPENROUTER_API_KEY=
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OPENROUTER_API_KEY=
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OPENROUTER_MODEL=anthropic/claude-sonnet-4.5
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OPENROUTER_MODEL=google/gemini-2.5-flash-lite
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# --- Pseudonymisation key: 32+ random bytes, hex. Generate: python -c "import secrets;print(secrets.token_hex(32))"
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# --- Pseudonymisation key: 32+ random bytes, hex. Generate: python -c "import secrets;print(secrets.token_hex(32))"
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PSEUDO_KEY=
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PSEUDO_KEY=
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@@ -27,6 +27,9 @@ DOCTOR_NOTIFY_CHAT_ID=
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# --- Demo virtual clock (ADR-005)
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# --- Demo virtual clock (ADR-005)
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DEMO_CLOCK=true
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DEMO_CLOCK=true
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# Questionnaires of the intake (#53) on synthetic data, demo only (needs DEMO_CLOCK). The clinical release gate in
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# config/intake_runtime.yaml stays closed; without a signed routing policy every finished intake goes to review.
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INTAKE_DEMO=false
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TZ=Europe/Moscow
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TZ=Europe/Moscow
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# --- Gitea (for Claude Code / team workflow, not used by the app)
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# --- Gitea (for Claude Code / team workflow, not used by the app)
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@@ -34,3 +37,13 @@ GITEA_URL=https://gitea.24studbank.ru
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GITEA_REPO=MedITron/PTSRaiAgent
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GITEA_REPO=MedITron/PTSRaiAgent
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GITEA_USER=
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GITEA_USER=
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GITEA_TOKEN=
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GITEA_TOKEN=
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# MAX notifications: keep disabled until the backend/channel PRs and a real bot are installed.
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MAX_ENABLED=false
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MAX_BOT_TOKEN=
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MAX_BOT_USERNAME=
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MAX_WEBHOOK_SECRET=
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MAX_WEBHOOK_URL=
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MAX_SITE_URL=
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# Optional path to a trusted PEM CA bundle; never disable TLS verification.
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MAX_CA_BUNDLE=
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MAX_LINK_TTL_SECONDS=600
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@@ -0,0 +1,2 @@
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# Shell scripts run inside Linux containers: never check them out with CRLF (bash fails on the carriage return).
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*.sh text eol=lf
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@@ -1,15 +1,15 @@
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# Dashboard-only Streamlit settings (doctor dashboard + demo console).
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# Dashboard-only Streamlit settings (doctor dashboard + demo console).
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[theme]
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[theme]
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base = "light"
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base = "light"
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primaryColor = "#2A78D6"
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primaryColor = "#285E4E"
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backgroundColor = "#F6F7F9"
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backgroundColor = "#F6F7F3"
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secondaryBackgroundColor = "#FFFFFF"
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secondaryBackgroundColor = "#FFFFFF"
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textColor = "#1B1F24"
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textColor = "#213B38"
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borderColor = "#E3E6EA"
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borderColor = "#E1E7E3"
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baseRadius = "medium"
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baseRadius = "medium"
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# Falls back to the system sans-serif when offline (ADR-004).
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# Falls back to the system sans-serif when offline (ADR-004).
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font = "Inter:https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap, sans-serif"
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font = "sans-serif"
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headingFontWeights = 700
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headingFontWeights = 600
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[client]
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[client]
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toolbarMode = "minimal"
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toolbarMode = "minimal"
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@@ -9,6 +9,7 @@ from zoneinfo import ZoneInfo
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from app.api.schemas import (
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from app.api.schemas import (
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AlertOut,
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AlertOut,
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DemoPersona,
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DiscontinuationRisk,
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DiscontinuationRisk,
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DoseOut,
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DoseOut,
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PatientCard,
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PatientCard,
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@@ -21,6 +22,11 @@ TZ = ZoneInfo("Europe/Moscow")
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TODAY = date(2026, 10, 3)
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TODAY = date(2026, 10, 3)
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DOCTOR_ID = "doc-smirnova"
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DOCTOR_ID = "doc-smirnova"
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# Synthetic personas for the demo console and the demo ЕМИАС sign-in of the patient web app.
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DEMO_PERSONAS: list[DemoPersona] = [
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DemoPersona(token="tok-andrey", display_name="Андрей С.", therapy_day=13, scenario="data/synthetic/andrey.jsonl"),
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]
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def _risk(score: int, factors: list[str]) -> DiscontinuationRisk:
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def _risk(score: int, factors: list[str]) -> DiscontinuationRisk:
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level = "high" if score >= 60 else "medium" if score >= 30 else "low"
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level = "high" if score >= 60 else "medium" if score >= 30 else "low"
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@@ -0,0 +1,115 @@
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"""Server API for a future MAX connect UI; webhook processing is supplied by the channel adapter."""
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import hmac
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import json
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import re
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from datetime import datetime
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from typing import Annotated, Literal
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from fastapi import APIRouter, Depends, HTTPException, Request
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from fastapi.security import HTTPAuthorizationCredentials, HTTPBearer
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from pydantic import BaseModel, ConfigDict
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from sqlalchemy import select
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from sqlalchemy.exc import SQLAlchemyError
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from app.config import get_settings
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from app.core import clock
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from app.db import repo
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from app.db.max_notifications import MaxBinding, MaxDelivery
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from app.db.session import get_clinical_session, get_identity_session
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from app.integrations import max_store
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router = APIRouter(tags=["max-notifications"])
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bearer = HTTPBearer(auto_error=False)
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|
||||||
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||||||
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async def patient_token(auth: Annotated[HTTPAuthorizationCredentials | None, Depends(bearer)]) -> str:
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|
if auth is None or auth.scheme.lower() != "bearer" or not re.fullmatch(r"[A-Za-z0-9_-]{1,64}", auth.credentials):
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|
raise HTTPException(401, "patient authentication required", headers={"WWW-Authenticate": "Bearer"})
|
||||||
|
async with get_clinical_session() as session:
|
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|
if await repo.get_profile(session, auth.credentials) is None:
|
||||||
|
raise HTTPException(401, "patient authentication required")
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|
return auth.credentials
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|
|
||||||
|
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||||||
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PatientToken = Annotated[str, Depends(patient_token)]
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class MaxStatus(BaseModel):
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available: bool
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connected: bool
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last_delivery: str | None = None
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class LinkConsent(BaseModel):
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model_config = ConfigDict(extra="forbid")
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consent: Literal[True]
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|
|
||||||
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class MaxLink(BaseModel):
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url: str
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expires_at: datetime
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|
|
||||||
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||||||
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@router.get("/me/notifications/max", response_model=MaxStatus)
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async def status(token: PatientToken) -> MaxStatus:
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async with get_identity_session() as session:
|
||||||
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binding = await session.get(MaxBinding, token)
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||||||
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last = await session.scalar(
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select(MaxDelivery.state)
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.where(MaxDelivery.token == token)
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.order_by(MaxDelivery.created_at.desc(), MaxDelivery.id.desc())
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||||||
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.limit(1)
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||||||
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)
|
||||||
|
return MaxStatus(
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||||||
|
available=get_settings().max_enabled, connected=bool(binding and binding.enabled), last_delivery=last
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||||||
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)
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|
|
||||||
|
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||||||
|
@router.post("/me/notifications/max/link", response_model=MaxLink)
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||||||
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async def link(body: LinkConsent, token: PatientToken) -> MaxLink:
|
||||||
|
settings = get_settings()
|
||||||
|
if not settings.max_enabled:
|
||||||
|
raise HTTPException(503, "MAX is not configured")
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||||||
|
if not await max_store.active_patient(token):
|
||||||
|
raise HTTPException(403, "active consent and adult confirmation required")
|
||||||
|
async with get_identity_session() as session:
|
||||||
|
raw, expires = await max_store.issue_code(session, token, clock.now(), settings.max_link_ttl_seconds)
|
||||||
|
return MaxLink(url=f"https://max.ru/{settings.max_bot_username}?start={raw}", expires_at=expires)
|
||||||
|
|
||||||
|
|
||||||
|
@router.delete("/me/notifications/max", response_model=MaxStatus)
|
||||||
|
async def unlink(token: PatientToken) -> MaxStatus:
|
||||||
|
async with get_identity_session() as session:
|
||||||
|
await max_store.disconnect(session, token)
|
||||||
|
return MaxStatus(available=get_settings().max_enabled, connected=False)
|
||||||
|
|
||||||
|
|
||||||
|
@router.post("/webhooks/max")
|
||||||
|
async def webhook(request: Request) -> dict[str, bool]:
|
||||||
|
settings = get_settings()
|
||||||
|
if not settings.max_enabled:
|
||||||
|
raise HTTPException(503, "MAX is not configured")
|
||||||
|
expected = settings.max_webhook_secret.get_secret_value().encode()
|
||||||
|
supplied = request.headers.get("X-Max-Bot-Api-Secret", "").encode()
|
||||||
|
if not expected or not hmac.compare_digest(supplied, expected):
|
||||||
|
raise HTTPException(403, "invalid webhook secret")
|
||||||
|
raw = bytearray()
|
||||||
|
async for chunk in request.stream():
|
||||||
|
raw.extend(chunk)
|
||||||
|
if len(raw) > 65536:
|
||||||
|
raise HTTPException(413, "event is too large")
|
||||||
|
try:
|
||||||
|
event = json.loads(raw)
|
||||||
|
except (ValueError, UnicodeError) as exc:
|
||||||
|
raise HTTPException(400, "invalid JSON") from exc
|
||||||
|
if not isinstance(event, dict):
|
||||||
|
raise HTTPException(422, "event must be an object")
|
||||||
|
from app.channels.max_bot import handle_update
|
||||||
|
|
||||||
|
try:
|
||||||
|
await handle_update(event)
|
||||||
|
except SQLAlchemyError:
|
||||||
|
# Let MAX retry; do not log DB exception parameters containing identity data.
|
||||||
|
raise HTTPException(503, "notification storage unavailable") from None
|
||||||
|
return {"success": True}
|
||||||
@@ -0,0 +1,406 @@
|
|||||||
|
"""Patient web app: sign-in, the patient's own plan and public reference data (`/api/v1/auth/*`, `/me/*`,
|
||||||
|
`/crisis/resources`, `/instruments/catalog`, `/meds/reference`).
|
||||||
|
|
||||||
|
The web app is one more channel of the same dialog engine: after sign-in it talks to `/dialog/{token}/...`
|
||||||
|
exactly like the web console, and consent, onboarding, scales and check-ins come from the engine.
|
||||||
|
|
||||||
|
Two ways in:
|
||||||
|
- **ЕМИАС** (demo): the doctor's one-time connect code via `EmiasMock`, or a synthetic demo persona. The
|
||||||
|
patient is linked to the attending doctor, who sees the data on the dashboard.
|
||||||
|
- **Anonymous**: a random pseudonymous token and nothing else — no identity record, no doctor. The engine
|
||||||
|
supports tokens without an identity record (consent is kept in the dialog state), so no personal data is
|
||||||
|
stored at all. Crisis safety still works: the fixed crisis script does not depend on the doctor.
|
||||||
|
|
||||||
|
The token returned here is the session credential of the prototype. Production needs short-lived sessions
|
||||||
|
issued by the server instead of handing out the pseudonymous token itself.
|
||||||
|
"""
|
||||||
|
|
||||||
|
import logging
|
||||||
|
import secrets
|
||||||
|
from collections import defaultdict
|
||||||
|
from datetime import date, datetime, time, timedelta
|
||||||
|
from typing import Any, Literal
|
||||||
|
from zoneinfo import ZoneInfo
|
||||||
|
|
||||||
|
from fastapi import APIRouter, HTTPException
|
||||||
|
from pydantic import BaseModel, ConfigDict, Field
|
||||||
|
from sqlalchemy import select
|
||||||
|
|
||||||
|
from app.api import fixtures
|
||||||
|
from app.api.schemas import DemoPersona
|
||||||
|
from app.core import clock
|
||||||
|
from app.core.instrument_catalog import Catalog, catalog
|
||||||
|
from app.core.intake_questions import DIARY_KINDS
|
||||||
|
from app.core.intake_runtime import intake_enabled, load_runtime
|
||||||
|
from app.core.interpretation import texts as results_texts
|
||||||
|
from app.core.meds_reference import find_drug, indication_for, load_reference
|
||||||
|
from app.core.safety import CrisisResource, crisis_reply
|
||||||
|
from app.db import repo
|
||||||
|
from app.db.clinical import DailyCheckin, Dose, Prescription
|
||||||
|
from app.db.identity import TOKEN_LEN
|
||||||
|
from app.db.intake import QuestionnaireRecord
|
||||||
|
from app.db.session import get_clinical_session
|
||||||
|
from app.integrations.emias_mock import CODE_MAX_LEN, EmiasMock
|
||||||
|
|
||||||
|
log = logging.getLogger(__name__)
|
||||||
|
|
||||||
|
router = APIRouter(tags=["patient-web"])
|
||||||
|
_emias = EmiasMock()
|
||||||
|
|
||||||
|
|
||||||
|
class AuthOut(BaseModel):
|
||||||
|
token: str
|
||||||
|
mode: Literal["emias", "anonymous"]
|
||||||
|
display_name: str | None = None # only for ЕМИАС sign-in; anonymous has none by design
|
||||||
|
|
||||||
|
|
||||||
|
class EmiasCodeIn(BaseModel):
|
||||||
|
model_config = ConfigDict(extra="forbid", str_strip_whitespace=True)
|
||||||
|
code: str = Field(min_length=1, max_length=CODE_MAX_LEN)
|
||||||
|
|
||||||
|
|
||||||
|
class AnonymousIn(BaseModel):
|
||||||
|
model_config = ConfigDict(extra="forbid")
|
||||||
|
focus: Literal["depression", "ptsd"] | None = None # what the person suspects; picks the module
|
||||||
|
|
||||||
|
|
||||||
|
# Self-selected focus of an anonymous person → clinical module (PTSD is the veteran module, ADR-010).
|
||||||
|
_FOCUS_MODULE = {"depression": "depression", "ptsd": "veteran"}
|
||||||
|
|
||||||
|
|
||||||
|
class EmiasDemoIn(BaseModel):
|
||||||
|
model_config = ConfigDict(extra="forbid")
|
||||||
|
persona_token: str = Field(min_length=1, max_length=64)
|
||||||
|
|
||||||
|
|
||||||
|
async def _attach_doctor(token: str, doctor_id: str) -> None:
|
||||||
|
async with get_clinical_session() as s:
|
||||||
|
if await repo.get_profile(s, token) is None:
|
||||||
|
await repo.upsert_profile(s, token=token, doctor_id=doctor_id)
|
||||||
|
|
||||||
|
|
||||||
|
async def _seed_demo_persona(token: str) -> None:
|
||||||
|
"""Synthetic clinical start for a demo persona (no `make seed` yet): profile, prescription, today's doses.
|
||||||
|
|
||||||
|
Idempotent: only missing pieces are created. Data mirror the dashboard fixtures, so the patient app and the
|
||||||
|
doctor's card tell the same story.
|
||||||
|
"""
|
||||||
|
card = fixtures.card(token)
|
||||||
|
item = next((p for p in fixtures.PATIENTS if p.token == token), None)
|
||||||
|
if card is None or item is None:
|
||||||
|
return
|
||||||
|
now = clock.now()
|
||||||
|
today = now.date()
|
||||||
|
async with get_clinical_session() as s:
|
||||||
|
if await repo.get_profile(s, token) is None:
|
||||||
|
await repo.upsert_profile(
|
||||||
|
s,
|
||||||
|
token=token,
|
||||||
|
doctor_id=fixtures.DOCTOR_ID,
|
||||||
|
modules=list(item.modules),
|
||||||
|
therapy_start=min((p.start_date for p in card.prescriptions if p.start_date), default=today),
|
||||||
|
next_visit=today + timedelta(days=15),
|
||||||
|
)
|
||||||
|
if await s.scalar(select(Prescription.id).where(Prescription.token == token)) is not None:
|
||||||
|
return
|
||||||
|
for p in card.prescriptions:
|
||||||
|
rx = Prescription(
|
||||||
|
token=token, drug=p.drug, dose=p.dose, schedule=p.schedule, start_date=p.start_date or today
|
||||||
|
)
|
||||||
|
s.add(rx)
|
||||||
|
await s.flush()
|
||||||
|
# The dose history of the dashboard story (days before today), so the week marks match the doctor's card.
|
||||||
|
for d in card.doses:
|
||||||
|
if d.drug == p.drug and d.planned_at.astimezone(now.tzinfo).date() < today:
|
||||||
|
s.add(Dose(token=token, prescription_id=rx.id, planned_at=d.planned_at, status=d.status))
|
||||||
|
for t in p.schedule.get("times", []):
|
||||||
|
hh, mm = (int(x) for x in t.split(":"))
|
||||||
|
s.add(
|
||||||
|
Dose(
|
||||||
|
token=token, prescription_id=rx.id, planned_at=datetime.combine(today, time(hh, mm), now.tzinfo)
|
||||||
|
)
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
|
@router.post("/auth/emias", response_model=AuthOut)
|
||||||
|
async def auth_emias(body: EmiasCodeIn) -> AuthOut:
|
||||||
|
"""Sign-in through ЕМИАС (demo: one-time connect code from the doctor)."""
|
||||||
|
person = await _emias.verify(body.code)
|
||||||
|
if person is None:
|
||||||
|
log.info("web auth: emias code rejected")
|
||||||
|
raise HTTPException(401, "code not accepted")
|
||||||
|
await _attach_doctor(person.token, person.doctor_id)
|
||||||
|
log.info("web auth: emias tok=%s", person.token[:6])
|
||||||
|
return AuthOut(token=person.token, mode="emias")
|
||||||
|
|
||||||
|
|
||||||
|
@router.get("/patient/demo-personas", response_model=list[DemoPersona])
|
||||||
|
async def patient_demo_personas() -> list[DemoPersona]:
|
||||||
|
"""Synthetic ЕМИАС accounts for the patient app sign-in (the demo console has its own `/demo/personas`)."""
|
||||||
|
return fixtures.DEMO_PERSONAS
|
||||||
|
|
||||||
|
|
||||||
|
@router.post("/auth/emias/demo", response_model=AuthOut)
|
||||||
|
async def auth_emias_demo(body: EmiasDemoIn) -> AuthOut:
|
||||||
|
"""Demo ЕМИАС account: signs in as one of the synthetic personas (`/patient/demo-personas`)."""
|
||||||
|
persona = next((p for p in fixtures.DEMO_PERSONAS if p.token == body.persona_token), None)
|
||||||
|
if persona is None:
|
||||||
|
raise HTTPException(404, "persona not found")
|
||||||
|
await _seed_demo_persona(persona.token)
|
||||||
|
log.info("web auth: emias demo tok=%s", persona.token[:6])
|
||||||
|
return AuthOut(token=persona.token, mode="emias", display_name=persona.display_name)
|
||||||
|
|
||||||
|
|
||||||
|
@router.post("/auth/anonymous", response_model=AuthOut)
|
||||||
|
async def auth_anonymous(body: AnonymousIn | None = None) -> AuthOut:
|
||||||
|
"""Anonymous sign-in: a fresh random token; no identity record, no doctor.
|
||||||
|
|
||||||
|
The clinical side gets a doctor-less pseudonymous profile (the dialog API serves known profiles only). It holds
|
||||||
|
no personal data — only the module of the chosen `focus`; the stage 1 screening then sets the modules itself.
|
||||||
|
"""
|
||||||
|
token = secrets.token_hex(TOKEN_LEN // 2)
|
||||||
|
focus = body.focus if body is not None else None
|
||||||
|
async with get_clinical_session() as s:
|
||||||
|
await repo.upsert_profile(s, token=token, doctor_id="", modules=[_FOCUS_MODULE[focus]] if focus else [])
|
||||||
|
log.info("web auth: anonymous tok=%s", token[:6])
|
||||||
|
return AuthOut(token=token, mode="anonymous")
|
||||||
|
|
||||||
|
|
||||||
|
class DoseItem(BaseModel):
|
||||||
|
id: int
|
||||||
|
drug: str
|
||||||
|
dose: str
|
||||||
|
time: str # HH:MM, patient's local time
|
||||||
|
status: Literal["taken", "missed", "skipped", "pending"]
|
||||||
|
|
||||||
|
|
||||||
|
class WeekDay(BaseModel):
|
||||||
|
day: date
|
||||||
|
status: Literal["taken", "missed", "pending", "none"]
|
||||||
|
|
||||||
|
|
||||||
|
class PrescriptionItem(BaseModel):
|
||||||
|
drug: str
|
||||||
|
dose: str
|
||||||
|
times: list[str]
|
||||||
|
week: list[WeekDay] # Mon..Sun of the current week
|
||||||
|
ref_id: str | None = None # entry of /meds/reference, if the drug is covered
|
||||||
|
indication: Literal["depression", "ptsd"] | None = None
|
||||||
|
start_date: date | None = None
|
||||||
|
therapy_day: int | None = None # 1 on the start date (spec: M5, «ожидаемый эффект» cards on days 1/7/14)
|
||||||
|
|
||||||
|
|
||||||
|
class Questionnaires(BaseModel):
|
||||||
|
"""Questionnaire state for the home screen. Answers and scores are not exposed here."""
|
||||||
|
|
||||||
|
enabled: bool
|
||||||
|
intake: Literal["none", "active", "paused", "complete", "review"]
|
||||||
|
diary_done: bool # both parts of today's diary
|
||||||
|
diary_next: Literal["morning", "evening"] | None = None # the part still open today
|
||||||
|
|
||||||
|
|
||||||
|
class TodayOut(BaseModel):
|
||||||
|
today: date
|
||||||
|
now: str # HH:MM on the (demo) clock — the client never uses its own clock
|
||||||
|
has_doctor: bool
|
||||||
|
checkin_done: bool
|
||||||
|
next_visit: date | None
|
||||||
|
doses: list[DoseItem]
|
||||||
|
prescriptions: list[PrescriptionItem]
|
||||||
|
questionnaires: Questionnaires
|
||||||
|
|
||||||
|
|
||||||
|
def _intake_state(records: list[QuestionnaireRecord]) -> Literal["none", "active", "paused", "complete", "review"]:
|
||||||
|
intake = [r for r in records if r.kind == "intake"]
|
||||||
|
if any(r.status == "complete" for r in intake):
|
||||||
|
return "complete"
|
||||||
|
if not intake:
|
||||||
|
return "none"
|
||||||
|
last = max(intake, key=lambda r: r.started_at).status
|
||||||
|
if last in ("active", "paused"):
|
||||||
|
return last
|
||||||
|
return "review" if last in ("review_required", "interrupted") else "none"
|
||||||
|
|
||||||
|
|
||||||
|
def _day_status(statuses: list[str]) -> Literal["taken", "missed", "pending", "none"]:
|
||||||
|
if not statuses:
|
||||||
|
return "none"
|
||||||
|
if any(s in ("missed", "skipped") for s in statuses):
|
||||||
|
return "missed"
|
||||||
|
return "taken" if all(s == "taken" for s in statuses) else "pending"
|
||||||
|
|
||||||
|
|
||||||
|
@router.get("/me/{token}/today", response_model=TodayOut)
|
||||||
|
async def my_today(token: str) -> TodayOut:
|
||||||
|
"""The patient's own plan for today (home screen) and this week's dose marks (medication screen).
|
||||||
|
|
||||||
|
Only the patient's own prescription data; no scores, no alerts. Anonymous tokens have no profile → empty plan.
|
||||||
|
"""
|
||||||
|
now = clock.now()
|
||||||
|
today = now.date()
|
||||||
|
week_start = today - timedelta(days=today.weekday())
|
||||||
|
async with get_clinical_session() as s:
|
||||||
|
profile = await repo.get_profile(s, token)
|
||||||
|
prescriptions = (await s.scalars(select(Prescription).where(Prescription.token == token))).all()
|
||||||
|
doses = (
|
||||||
|
await s.scalars(
|
||||||
|
select(Dose)
|
||||||
|
.where(Dose.token == token, Dose.planned_at >= datetime.combine(week_start, time.min, now.tzinfo))
|
||||||
|
.order_by(Dose.planned_at)
|
||||||
|
)
|
||||||
|
).all()
|
||||||
|
checkin = await s.scalar(select(DailyCheckin).where(DailyCheckin.token == token, DailyCheckin.day == today))
|
||||||
|
records = list((await s.scalars(select(QuestionnaireRecord).where(QuestionnaireRecord.token == token))).all())
|
||||||
|
|
||||||
|
by_rx: dict[int, Prescription] = {p.id: p for p in prescriptions}
|
||||||
|
today_doses: list[DoseItem] = []
|
||||||
|
marks: dict[tuple[int, date], list[str]] = defaultdict(list)
|
||||||
|
for d in doses:
|
||||||
|
local = d.planned_at.astimezone(now.tzinfo)
|
||||||
|
marks[(d.prescription_id, local.date())].append(d.status)
|
||||||
|
rx = by_rx.get(d.prescription_id)
|
||||||
|
if local.date() == today and rx is not None:
|
||||||
|
today_doses.append(
|
||||||
|
DoseItem(id=d.id, drug=rx.drug, dose=rx.dose, time=local.strftime("%H:%M"), status=d.status)
|
||||||
|
)
|
||||||
|
week = [week_start + timedelta(days=i) for i in range(7)]
|
||||||
|
modules = list(profile.modules or []) if profile else []
|
||||||
|
diary_day = now.astimezone(ZoneInfo(load_runtime().timezone)).date()
|
||||||
|
done_parts = {r.kind for r in records if r.day == diary_day and r.status == "complete"}
|
||||||
|
open_parts = [k.removeprefix("diary_") for k in DIARY_KINDS if k not in done_parts]
|
||||||
|
diary_done = not open_parts
|
||||||
|
|
||||||
|
def item(p: Prescription) -> PrescriptionItem:
|
||||||
|
ref = find_drug(p.drug)
|
||||||
|
return PrescriptionItem(
|
||||||
|
drug=p.drug,
|
||||||
|
dose=p.dose,
|
||||||
|
times=list((p.schedule or {}).get("times", [])),
|
||||||
|
week=[WeekDay(day=d, status=_day_status(marks[(p.id, d)])) for d in week],
|
||||||
|
ref_id=ref["id"] if ref else None,
|
||||||
|
indication=indication_for(modules, ref) if ref else None,
|
||||||
|
start_date=p.start_date,
|
||||||
|
therapy_day=(today - p.start_date).days + 1 if p.start_date else None,
|
||||||
|
)
|
||||||
|
|
||||||
|
return TodayOut(
|
||||||
|
today=today,
|
||||||
|
now=now.strftime("%H:%M"),
|
||||||
|
has_doctor=profile is not None and bool(profile.doctor_id),
|
||||||
|
checkin_done=(checkin is not None and checkin.mood is not None) or diary_done,
|
||||||
|
next_visit=profile.next_visit if profile else None,
|
||||||
|
doses=today_doses,
|
||||||
|
prescriptions=[
|
||||||
|
item(p)
|
||||||
|
for p in prescriptions
|
||||||
|
if (p.end_date is None or p.end_date >= today) and (p.start_date is None or p.start_date <= today)
|
||||||
|
],
|
||||||
|
questionnaires=Questionnaires(
|
||||||
|
# Stage 1 needs no profile: the screening creates it (anonymous people have none before it).
|
||||||
|
enabled=intake_enabled(),
|
||||||
|
intake=_intake_state(records),
|
||||||
|
diary_done=diary_done,
|
||||||
|
diary_next=open_parts[0] if open_parts else None,
|
||||||
|
),
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
|
class ResultFinding(BaseModel):
|
||||||
|
code: str
|
||||||
|
title: str
|
||||||
|
|
||||||
|
|
||||||
|
class Conclusion(BaseModel):
|
||||||
|
"""Preliminary conclusion of stage 1 — a screening result, not a diagnosis."""
|
||||||
|
|
||||||
|
day: date
|
||||||
|
title: str
|
||||||
|
lines: list[str]
|
||||||
|
findings: list[ResultFinding]
|
||||||
|
modules: list[str]
|
||||||
|
disclaimer: str
|
||||||
|
|
||||||
|
|
||||||
|
class HistoryItem(BaseModel):
|
||||||
|
id: str
|
||||||
|
kind: str
|
||||||
|
kind_title: str
|
||||||
|
status: str
|
||||||
|
status_title: str
|
||||||
|
day: date
|
||||||
|
started_at: datetime
|
||||||
|
completed_at: datetime | None
|
||||||
|
title: str | None # interpretation shown to the patient when the form was finished
|
||||||
|
lines: list[str]
|
||||||
|
|
||||||
|
|
||||||
|
class ResultsOut(BaseModel):
|
||||||
|
conclusion: Conclusion | None
|
||||||
|
history: list[HistoryItem]
|
||||||
|
|
||||||
|
|
||||||
|
@router.get("/me/{token}/results", response_model=ResultsOut)
|
||||||
|
async def my_results(token: str) -> ResultsOut:
|
||||||
|
"""The patient's own questionnaire log: every administration with its date, status and the interpretation that
|
||||||
|
was shown when it was finished (stored with the record, so it never changes afterwards). No raw answers."""
|
||||||
|
async with get_clinical_session() as s:
|
||||||
|
records = list(
|
||||||
|
(
|
||||||
|
await s.scalars(
|
||||||
|
select(QuestionnaireRecord)
|
||||||
|
.where(QuestionnaireRecord.token == token)
|
||||||
|
.order_by(QuestionnaireRecord.started_at.desc(), QuestionnaireRecord.id)
|
||||||
|
)
|
||||||
|
).all()
|
||||||
|
)
|
||||||
|
t = results_texts()
|
||||||
|
intake = next((r for r in records if r.kind == "intake" and r.status == "complete"), None)
|
||||||
|
conclusion = None
|
||||||
|
if intake and intake.details.get("interpretation"):
|
||||||
|
i = intake.details["interpretation"]
|
||||||
|
conclusion = Conclusion(
|
||||||
|
day=intake.day,
|
||||||
|
title=i["title"],
|
||||||
|
lines=i["lines"],
|
||||||
|
findings=[ResultFinding(**f) for f in i.get("findings", [])],
|
||||||
|
modules=i.get("modules", []),
|
||||||
|
disclaimer=i.get("disclaimer", t["disclaimer"]),
|
||||||
|
)
|
||||||
|
history = [
|
||||||
|
HistoryItem(
|
||||||
|
id=r.id,
|
||||||
|
kind=r.kind,
|
||||||
|
kind_title=t["kinds"].get(r.kind, r.kind),
|
||||||
|
status=r.status,
|
||||||
|
status_title=t["status"].get(r.status, r.status),
|
||||||
|
day=r.day,
|
||||||
|
started_at=r.started_at,
|
||||||
|
completed_at=r.completed_at,
|
||||||
|
title=(r.details.get("interpretation") or {}).get("title"),
|
||||||
|
lines=(r.details.get("interpretation") or {}).get("lines", []),
|
||||||
|
)
|
||||||
|
for r in records
|
||||||
|
]
|
||||||
|
return ResultsOut(conclusion=conclusion, history=history)
|
||||||
|
|
||||||
|
|
||||||
|
@router.get("/crisis/resources", response_model=list[CrisisResource])
|
||||||
|
async def crisis_resources() -> list[CrisisResource]:
|
||||||
|
"""Help lines for the always-visible «help now» button — the same list as the fixed crisis script."""
|
||||||
|
return crisis_reply([], "patient").resources
|
||||||
|
|
||||||
|
|
||||||
|
@router.get("/instruments/catalog", response_model=Catalog)
|
||||||
|
async def instruments_catalog() -> Catalog:
|
||||||
|
"""Form, position and recall period of every questionnaire item, for the question screen header."""
|
||||||
|
return catalog()
|
||||||
|
|
||||||
|
|
||||||
|
@router.get("/meds/reference")
|
||||||
|
async def meds_reference() -> dict[str, Any]:
|
||||||
|
"""Patient drug reference (draft from the Minzdrav guidelines): expected effect, course, side effects, red flags.
|
||||||
|
|
||||||
|
The internal rule parameters stay on the server.
|
||||||
|
"""
|
||||||
|
ref = load_reference()
|
||||||
|
return {k: v for k, v in ref.items() if k != "rules"}
|
||||||
@@ -15,7 +15,8 @@ from sqlalchemy import select
|
|||||||
|
|
||||||
from app.api import demo as console
|
from app.api import demo as console
|
||||||
from app.api import doctor_views as views
|
from app.api import doctor_views as views
|
||||||
from app.api import fixtures
|
from app.api import fixtures, max_notifications
|
||||||
|
from app.api.patient_web import router as patient_web_router
|
||||||
from app.api.questionnaire import router as questionnaire_router
|
from app.api.questionnaire import router as questionnaire_router
|
||||||
from app.api.schemas import (
|
from app.api.schemas import (
|
||||||
AckIn,
|
AckIn,
|
||||||
@@ -45,7 +46,9 @@ from app.scheduler import jobs as scheduler
|
|||||||
from app.services.monitoring import refresh_status
|
from app.services.monitoring import refresh_status
|
||||||
|
|
||||||
router = APIRouter(prefix="/api/v1")
|
router = APIRouter(prefix="/api/v1")
|
||||||
|
router.include_router(max_notifications.router)
|
||||||
router.include_router(questionnaire_router)
|
router.include_router(questionnaire_router)
|
||||||
|
router.include_router(patient_web_router)
|
||||||
|
|
||||||
DEFAULT_CLINIC = "clinic-demo"
|
DEFAULT_CLINIC = "clinic-demo"
|
||||||
CODE_ALPHABET = "ABCDEFGHJKLMNPQRSTUVWXYZ23456789" # no 0/O/1/I: the code may be typed by hand
|
CODE_ALPHABET = "ABCDEFGHJKLMNPQRSTUVWXYZ23456789" # no 0/O/1/I: the code may be typed by hand
|
||||||
|
|||||||
@@ -1,10 +1,12 @@
|
|||||||
"""Typed application settings. The only place that reads environment variables."""
|
"""Typed application settings. The only place that reads environment variables."""
|
||||||
|
|
||||||
|
import re
|
||||||
from functools import lru_cache
|
from functools import lru_cache
|
||||||
from pathlib import Path
|
from pathlib import Path
|
||||||
from typing import Literal
|
from typing import Literal
|
||||||
|
from urllib.parse import urlsplit
|
||||||
|
|
||||||
from pydantic import Field
|
from pydantic import Field, SecretStr, model_validator
|
||||||
from pydantic_settings import BaseSettings, SettingsConfigDict
|
from pydantic_settings import BaseSettings, SettingsConfigDict
|
||||||
|
|
||||||
ROOT_DIR = Path(__file__).resolve().parent.parent
|
ROOT_DIR = Path(__file__).resolve().parent.parent
|
||||||
@@ -33,8 +35,9 @@ class Settings(BaseSettings):
|
|||||||
# data only — prod must use GigaChat (152-FZ, foreign services are forbidden for real PII).
|
# data only — prod must use GigaChat (152-FZ, foreign services are forbidden for real PII).
|
||||||
chat_agent: Literal["auto", "off", "mock", "openrouter", "gigachat"] = "auto"
|
chat_agent: Literal["auto", "off", "mock", "openrouter", "gigachat"] = "auto"
|
||||||
openrouter_api_key: str = ""
|
openrouter_api_key: str = ""
|
||||||
openrouter_model: str = "anthropic/claude-sonnet-4.5"
|
openrouter_model: str = "google/gemini-2.5-flash-lite"
|
||||||
openrouter_base_url: str = "https://openrouter.ai/api/v1"
|
openrouter_base_url: str = "https://openrouter.ai/api/v1"
|
||||||
|
gigachat_agent_model: str = "GigaChat-2-Pro" # function calling quality matters more than price here
|
||||||
chat_agent_timeout_s: float = 25.0
|
chat_agent_timeout_s: float = 25.0
|
||||||
chat_agent_max_steps: int = 5
|
chat_agent_max_steps: int = 5
|
||||||
|
|
||||||
@@ -42,6 +45,36 @@ class Settings(BaseSettings):
|
|||||||
tg_bot_token: str = ""
|
tg_bot_token: str = ""
|
||||||
doctor_notify_chat_id: int | None = None
|
doctor_notify_chat_id: int | None = None
|
||||||
|
|
||||||
|
# MAX is opt-in. Its adapter is delivered in the related backend/channel changes.
|
||||||
|
max_enabled: bool = False
|
||||||
|
max_bot_token: SecretStr = SecretStr("")
|
||||||
|
max_bot_username: str = ""
|
||||||
|
max_webhook_secret: SecretStr = SecretStr("")
|
||||||
|
max_webhook_url: str = ""
|
||||||
|
max_site_url: str = ""
|
||||||
|
max_ca_bundle: Path | None = None
|
||||||
|
max_link_ttl_seconds: int = Field(default=600, ge=60, le=1800)
|
||||||
|
|
||||||
|
@model_validator(mode="after")
|
||||||
|
def validate_max(self) -> "Settings":
|
||||||
|
if not self.max_enabled:
|
||||||
|
return self
|
||||||
|
if not self.max_bot_token.get_secret_value().strip():
|
||||||
|
raise ValueError("MAX_BOT_TOKEN is required when MAX_ENABLED=true")
|
||||||
|
if not re.fullmatch(r"[A-Za-z0-9_]{1,128}", self.max_bot_username):
|
||||||
|
raise ValueError("MAX_BOT_USERNAME must be the bot nickname without @ or a URL")
|
||||||
|
if not re.fullmatch(r"[A-Za-z0-9_-]{32,256}", self.max_webhook_secret.get_secret_value()):
|
||||||
|
raise ValueError("MAX_WEBHOOK_SECRET must contain 32..256 URL-safe characters")
|
||||||
|
for name, value in (("MAX_SITE_URL", self.max_site_url), ("MAX_WEBHOOK_URL", self.max_webhook_url)):
|
||||||
|
url = urlsplit(value)
|
||||||
|
if url.scheme != "https" or not url.hostname or url.username or url.password or url.port not in (None, 443):
|
||||||
|
raise ValueError(f"{name} must use HTTPS on port 443 without credentials")
|
||||||
|
if url.query or (name == "MAX_WEBHOOK_URL" and url.fragment):
|
||||||
|
raise ValueError(f"{name} must not contain a query string (or a fragment for webhook)")
|
||||||
|
if self.max_ca_bundle is not None and not self.max_ca_bundle.is_file():
|
||||||
|
raise ValueError("MAX_CA_BUNDLE must point to an existing trusted CA bundle")
|
||||||
|
return self
|
||||||
|
|
||||||
# Virtual clock for the demo (ADR-005).
|
# Virtual clock for the demo (ADR-005).
|
||||||
demo_clock: bool = True
|
demo_clock: bool = True
|
||||||
tz: str = "Europe/Moscow"
|
tz: str = "Europe/Moscow"
|
||||||
|
|||||||
@@ -0,0 +1,139 @@
|
|||||||
|
"""Read-only catalog of questionnaire items for patient clients (web app).
|
||||||
|
|
||||||
|
The dialog engine sends a questionnaire question as plain text plus buttons; the button payload carries the item id
|
||||||
|
(`iq:<nonce>:<item>:<i>`, `scale:<scale>:<item>:<v>`). A client looks the item up here to show which form it belongs
|
||||||
|
to, its position and recall period. Nothing here changes what is asked or how it is scored — the texts stay those of
|
||||||
|
the versioned sources in config/.
|
||||||
|
"""
|
||||||
|
|
||||||
|
from functools import lru_cache
|
||||||
|
from typing import Any, Literal
|
||||||
|
|
||||||
|
from pydantic import BaseModel
|
||||||
|
|
||||||
|
from app.config import get_settings
|
||||||
|
from app.core.cssrs_content import load_cssrs_russian
|
||||||
|
from app.core.intake_questions import DIARY_PARTS, content, diary_config, texts
|
||||||
|
from app.core.scales import load_scale
|
||||||
|
|
||||||
|
Section = Literal["safety", "mood", "trauma", "alcohol", "about", "diary", "scale"]
|
||||||
|
|
||||||
|
# Forms whose item order depends on earlier answers: a client shows the position without «из N».
|
||||||
|
ADAPTIVE = {"cssrs", "rus_audit", "diary", "context"}
|
||||||
|
|
||||||
|
|
||||||
|
class FormInfo(BaseModel):
|
||||||
|
id: str
|
||||||
|
title: str
|
||||||
|
section: Section
|
||||||
|
recall_period: str | None = None
|
||||||
|
instruction: str | None = None
|
||||||
|
|
||||||
|
|
||||||
|
class ItemInfo(BaseModel):
|
||||||
|
form: str
|
||||||
|
index: int # 1-based position in the form
|
||||||
|
total: int
|
||||||
|
adaptive: bool
|
||||||
|
optional: bool = False
|
||||||
|
numeric: bool = False
|
||||||
|
|
||||||
|
|
||||||
|
class DrinksTable(BaseModel):
|
||||||
|
"""RUS-AUDIT item 2 standard-drink table, exactly as in config/texts/intake.yaml (the approved form)."""
|
||||||
|
|
||||||
|
title: str
|
||||||
|
header: list[str]
|
||||||
|
rows: list[tuple[str, list[str]]]
|
||||||
|
note: str
|
||||||
|
|
||||||
|
|
||||||
|
class Catalog(BaseModel):
|
||||||
|
forms: dict[str, FormInfo]
|
||||||
|
items: dict[str, ItemInfo]
|
||||||
|
standard_drinks: DrinksTable | None
|
||||||
|
|
||||||
|
|
||||||
|
def _drinks() -> DrinksTable | None:
|
||||||
|
raw = texts().get("standard_drinks")
|
||||||
|
if not raw:
|
||||||
|
return None
|
||||||
|
lines = [line.strip() for line in raw.splitlines() if line.strip()]
|
||||||
|
title, header_line, *rest = lines
|
||||||
|
rows = [line for line in rest if ":" in line]
|
||||||
|
note = " ".join(line for line in rest if ":" not in line)
|
||||||
|
return DrinksTable(
|
||||||
|
title=title,
|
||||||
|
header=[h.strip() for h in header_line.split("·")],
|
||||||
|
rows=[
|
||||||
|
(label.strip(), [c.strip() for c in cells.split("·")]) for label, cells in (r.split(":", 1) for r in rows)
|
||||||
|
],
|
||||||
|
note=note,
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
|
@lru_cache(maxsize=1)
|
||||||
|
def catalog() -> Catalog:
|
||||||
|
forms: dict[str, FormInfo] = {}
|
||||||
|
items: dict[str, ItemInfo] = {}
|
||||||
|
|
||||||
|
def add(form: FormInfo, ids: list[str], *, optional: set[str] = frozenset(), numeric: set[str] = frozenset()):
|
||||||
|
forms[form.id] = form
|
||||||
|
for i, item in enumerate(ids, 1):
|
||||||
|
items.setdefault(
|
||||||
|
item,
|
||||||
|
ItemInfo(
|
||||||
|
form=form.id,
|
||||||
|
index=i,
|
||||||
|
total=len(ids),
|
||||||
|
adaptive=form.id in ADAPTIVE,
|
||||||
|
optional=item in optional,
|
||||||
|
numeric=item in numeric,
|
||||||
|
),
|
||||||
|
)
|
||||||
|
|
||||||
|
cssrs = load_cssrs_russian()
|
||||||
|
add(FormInfo(id="cssrs", title=cssrs.title, section="safety"), ["cssrs_" + i.id for i in cssrs.items])
|
||||||
|
|
||||||
|
intake_forms: dict[str, Any] = content()["forms"]
|
||||||
|
for sid, section in (("phq9", "mood"), ("tsq", "trauma"), ("pcl5", "trauma"), ("rus_audit", "alcohol")):
|
||||||
|
raw = intake_forms.get(sid) or {}
|
||||||
|
scale = load_scale(sid)
|
||||||
|
add(
|
||||||
|
FormInfo(
|
||||||
|
id=sid,
|
||||||
|
title=raw.get("title") or scale.title,
|
||||||
|
section=section,
|
||||||
|
recall_period=raw.get("recall_period") or scale.recall_period,
|
||||||
|
instruction=raw.get("instruction") or scale.instruction,
|
||||||
|
),
|
||||||
|
list(scale.item_ids),
|
||||||
|
)
|
||||||
|
add(FormInfo(id="trauma", title="Травматическое событие", section="trauma"), ["trauma", "recent_trauma"])
|
||||||
|
add(FormInfo(id="context", title="Общие вопросы", section="about"), ["sex", "tbi", "psychotropics"])
|
||||||
|
|
||||||
|
diary = diary_config()
|
||||||
|
core = [item for part in DIARY_PARTS for item in diary[part]]
|
||||||
|
depression = [f"dphq_{i['id'].rsplit('_', 1)[1]}" for i in intake_forms[diary["depression"]["form"]]["items"]]
|
||||||
|
ptsd = [f"dpcl_{i.rsplit('_', 1)[1]}" for i in diary["ptsd"]["items"]]
|
||||||
|
add(
|
||||||
|
FormInfo(id="diary", title="Дневник самочувствия", section="diary"),
|
||||||
|
[i["id"] for i in core] + depression + ptsd,
|
||||||
|
optional={i["id"] for i in core if i.get("optional")},
|
||||||
|
numeric={i["id"] for i in core if i.get("numeric")},
|
||||||
|
)
|
||||||
|
|
||||||
|
# Scales of the onboarding / scheduled sessions (`scale:<id>:...` buttons): the form header only.
|
||||||
|
for path in sorted((get_settings().config_dir / "scales").glob("*.yaml")):
|
||||||
|
scale = load_scale(path.stem)
|
||||||
|
forms.setdefault(
|
||||||
|
scale.id,
|
||||||
|
FormInfo(
|
||||||
|
id=scale.id,
|
||||||
|
title=scale.title,
|
||||||
|
section="scale",
|
||||||
|
recall_period=scale.recall_period,
|
||||||
|
instruction=scale.instruction,
|
||||||
|
),
|
||||||
|
)
|
||||||
|
return Catalog(forms=forms, items=items, standard_drinks=_drinks())
|
||||||
@@ -18,6 +18,7 @@ class Question:
|
|||||||
period: str = "context"
|
period: str = "context"
|
||||||
numeric: bool = False
|
numeric: bool = False
|
||||||
optional: bool = False
|
optional: bool = False
|
||||||
|
maximum: float = 24
|
||||||
|
|
||||||
|
|
||||||
def content() -> dict:
|
def content() -> dict:
|
||||||
@@ -53,18 +54,10 @@ def cssrs_answers(answers: dict) -> dict[str, int]:
|
|||||||
|
|
||||||
|
|
||||||
def next_intake(answers: dict, policy: IntakePolicy, sex: str | None) -> Question | None:
|
def next_intake(answers: dict, policy: IntakePolicy, sex: str | None) -> Question | None:
|
||||||
c = score_cssrs_recent(cssrs_answers(answers))
|
"""Stage 1 in the fixed order of «Опросники для MVP»: PHQ-2, trauma filter → TSQ, RUS-AUDIT-S, C-SSRS screener,
|
||||||
if c.missing:
|
then the context questions; stage 2 (rest of PHQ-9, PCL-5, full RUS-AUDIT) only where stage 1 is positive.
|
||||||
form = load_cssrs_russian()
|
Items inside a scale keep the order of the source. The risk stop rules run after every answer (flows/intake.py),
|
||||||
item = next(i for i in form.items if i.id == c.missing[0])
|
so a positive answer interrupts the questionnaire wherever it comes."""
|
||||||
period = texts()["periods"][item.recall_period]
|
|
||||||
# Guidance is interviewer-facing; retained in the source and record version.
|
|
||||||
return Question(
|
|
||||||
"cssrs_" + item.id,
|
|
||||||
period + "\n\n" + item.text,
|
|
||||||
tuple((o.value, o.label) for o in form.options),
|
|
||||||
item.recall_period,
|
|
||||||
)
|
|
||||||
for item in ("phq9_1", "phq9_2"):
|
for item in ("phq9_1", "phq9_2"):
|
||||||
if item not in answers:
|
if item not in answers:
|
||||||
return scale_question("phq9", item)
|
return scale_question("phq9", item)
|
||||||
@@ -81,6 +74,18 @@ def next_intake(answers: dict, policy: IntakePolicy, sex: str | None) -> Questio
|
|||||||
for item in load_scale("rus_audit_s").item_ids:
|
for item in load_scale("rus_audit_s").item_ids:
|
||||||
if item not in answers:
|
if item not in answers:
|
||||||
return scale_question("rus_audit_s", item)
|
return scale_question("rus_audit_s", item)
|
||||||
|
c = score_cssrs_recent(cssrs_answers(answers))
|
||||||
|
if c.missing:
|
||||||
|
form = load_cssrs_russian()
|
||||||
|
item = next(i for i in form.items if i.id == c.missing[0])
|
||||||
|
period = texts()["periods"][item.recall_period]
|
||||||
|
# Guidance is interviewer-facing; retained in the source and record version.
|
||||||
|
return Question(
|
||||||
|
"cssrs_" + item.id,
|
||||||
|
period + "\n\n" + item.text,
|
||||||
|
tuple((o.value, o.label) for o in form.options),
|
||||||
|
item.recall_period,
|
||||||
|
)
|
||||||
if sex is None and "sex" not in answers:
|
if sex is None and "sex" not in answers:
|
||||||
return Question("sex", texts()["sex"], (("f", "Женский"), ("m", "Мужской"), ("unknown", "Не указывать")))
|
return Question("sex", texts()["sex"], (("f", "Женский"), ("m", "Мужской"), ("unknown", "Не указывать")))
|
||||||
for key in ("tbi", "psychotropics"):
|
for key in ("tbi", "psychotropics"):
|
||||||
@@ -108,34 +113,78 @@ def next_intake(answers: dict, policy: IntakePolicy, sex: str | None) -> Questio
|
|||||||
return None
|
return None
|
||||||
|
|
||||||
|
|
||||||
def diary_questions(
|
def cssrs_since_contact_question(answers: dict) -> Question | None:
|
||||||
modules: list[str], *, suicide_monitoring: bool, weekday: int, day_index: int | None = None
|
"""Daily suicide-risk module of stage 2: the C-SSRS screener asked «since the last contact».
|
||||||
) -> tuple[Question, ...]:
|
|
||||||
config = yaml.safe_load((get_settings().config_dir / "instruments/diary.yaml").read_text())
|
The official Russian Since Last Contact form is not in the repository yet (docs/clinical/README.md, C06), so the
|
||||||
selected = ["core"]
|
items of the Recent form are asked verbatim under the since-last-contact period. Behaviour since the last contact
|
||||||
detailed = [name for name in ("veteran", "depression") if name in modules]
|
is recent by definition: the answer to q6 also fills q6_recent (derived), so the recent triage applies.
|
||||||
if len(detailed) == 2:
|
"""
|
||||||
detailed = [detailed[(day_index if day_index is not None else weekday) % 2]]
|
c = score_cssrs_recent(cssrs_answers(answers))
|
||||||
if "veteran" in detailed:
|
missing = [k for k in c.missing if k != "q6_recent"]
|
||||||
selected.append("ptsd")
|
if not missing:
|
||||||
if "depression" in detailed:
|
return None
|
||||||
selected.append("depression")
|
form = load_cssrs_russian()
|
||||||
if suicide_monitoring or "depression" in modules:
|
item = next(i for i in form.items if i.id == missing[0])
|
||||||
selected.append("suicide")
|
return Question(
|
||||||
questions = []
|
"cssrs_" + item.id,
|
||||||
for section in selected:
|
texts()["periods"]["since_last_contact"] + "\n\n" + item.text,
|
||||||
for item in config[section]:
|
tuple((o.value, o.label) for o in form.options),
|
||||||
if item.get("weekly") and weekday != 0:
|
"since_last_contact",
|
||||||
continue
|
)
|
||||||
questions.append(
|
|
||||||
|
|
||||||
|
DIARY_PARTS = ("morning", "evening")
|
||||||
|
DIARY_KINDS = ("diary_morning", "diary_evening")
|
||||||
|
|
||||||
|
|
||||||
|
def diary_config() -> dict:
|
||||||
|
return yaml.safe_load((get_settings().config_dir / "instruments/diary.yaml").read_text(encoding="utf-8"))
|
||||||
|
|
||||||
|
|
||||||
|
def diary_questions(part: str, modules: list[str], *, day_index: int = 0) -> tuple[Question, ...]:
|
||||||
|
"""Stage 2 diary of one part of the day: the core block plus, in the evening, the modules of the profile.
|
||||||
|
|
||||||
|
PTSD («veteran») and depression run side by side when both are present. The depression module asks three
|
||||||
|
PHQ-9 items a day in rotation by `day_index` (days since the first diary). Ids are prefixed (`dphq_`, `dpcl_`)
|
||||||
|
so diary answers never mix with the full scales.
|
||||||
|
"""
|
||||||
|
if part not in DIARY_PARTS:
|
||||||
|
raise ValueError("unknown diary part")
|
||||||
|
config = diary_config()
|
||||||
|
questions = [
|
||||||
Question(
|
Question(
|
||||||
item["id"],
|
item["id"],
|
||||||
item["text"],
|
item["text"],
|
||||||
tuple((o["value"], o["label"]) for o in item.get("options", [])),
|
tuple((o["value"], o["label"]) for o in item.get("options", [])),
|
||||||
"past_week" if item.get("weekly") else "past_day",
|
"past_day",
|
||||||
item.get("numeric", False),
|
item.get("numeric", False),
|
||||||
item.get("optional", False),
|
item.get("optional", False),
|
||||||
|
item.get("max", 24),
|
||||||
)
|
)
|
||||||
|
for item in config[part]
|
||||||
|
]
|
||||||
|
if part == "evening":
|
||||||
|
forms = content()["forms"]
|
||||||
|
if "depression" in modules:
|
||||||
|
module = config["depression"]
|
||||||
|
items = forms[module["form"]]["items"]
|
||||||
|
per_day = module["items_per_day"]
|
||||||
|
start = (day_index % (len(items) // per_day)) * per_day
|
||||||
|
options = tuple((o["value"], o["label"]) for o in module["options"])
|
||||||
|
for item in items[start : start + per_day]:
|
||||||
|
number = item["id"].rsplit("_", 1)[1]
|
||||||
|
questions.append(
|
||||||
|
Question(f"dphq_{number}", module["question"] + "\n\n" + item["text"], options, "today")
|
||||||
|
)
|
||||||
|
if "veteran" in modules:
|
||||||
|
module = config["ptsd"]
|
||||||
|
form = forms[module["form"]]
|
||||||
|
by_id = {i["id"]: i["text"] for i in form["items"]}
|
||||||
|
options = tuple((o["value"], o["label"]) for o in form["options"])
|
||||||
|
for item_id in module["items"]:
|
||||||
|
number = item_id.rsplit("_", 1)[1]
|
||||||
|
questions.append(
|
||||||
|
Question(f"dpcl_{number}", module["question"] + "\n\n" + by_id[item_id], options, "today")
|
||||||
)
|
)
|
||||||
questions.sort(key=lambda q: q.id != "death_thoughts")
|
|
||||||
return tuple(questions)
|
return tuple(questions)
|
||||||
|
|||||||
@@ -10,7 +10,7 @@ import yaml
|
|||||||
from pydantic import BaseModel, ConfigDict, Field, model_validator
|
from pydantic import BaseModel, ConfigDict, Field, model_validator
|
||||||
|
|
||||||
from app.config import get_settings
|
from app.config import get_settings
|
||||||
from app.core.questionnaire import Approval, load_policy
|
from app.core.questionnaire import Approval, demo_mode, load_policy
|
||||||
|
|
||||||
|
|
||||||
class RuntimePolicy(BaseModel):
|
class RuntimePolicy(BaseModel):
|
||||||
@@ -21,13 +21,20 @@ class RuntimePolicy(BaseModel):
|
|||||||
content_review: Approval | None = None
|
content_review: Approval | None = None
|
||||||
contact_review: Approval | None = None
|
contact_review: Approval | None = None
|
||||||
timezone: str
|
timezone: str
|
||||||
daily_hour: int = Field(ge=0, le=23)
|
morning_hour: int = Field(ge=0, le=23)
|
||||||
mood_baseline_days: int = Field(ge=2)
|
evening_hour: int = Field(ge=0, le=23)
|
||||||
mood_bad_days: int = Field(ge=1)
|
norm_days: int = Field(ge=2)
|
||||||
mood_drop: int = Field(ge=1, le=10)
|
week_days: int = Field(ge=2)
|
||||||
|
min_norm_values: int = Field(ge=1)
|
||||||
|
min_week_values: int = Field(ge=1)
|
||||||
|
mood_drop: float = Field(gt=0, le=10)
|
||||||
|
depression_item_rise: float = Field(gt=0, le=3)
|
||||||
|
ptsd_sum_rise: float = Field(gt=0, le=16)
|
||||||
sleep_bad_days: int = Field(ge=1)
|
sleep_bad_days: int = Field(ge=1)
|
||||||
sleep_hours_below: float = Field(gt=0, le=24)
|
sleep_hours_below: float = Field(gt=0, le=24)
|
||||||
nightmares_at: int = Field(ge=0, le=4)
|
alcohol_heavy_portions: float = Field(gt=0)
|
||||||
|
alcohol_heavy_days: int = Field(ge=1)
|
||||||
|
adherence_below: float = Field(gt=0, le=1)
|
||||||
missed_medication_days: int = Field(ge=1)
|
missed_medication_days: int = Field(ge=1)
|
||||||
high_risk_silence_days: int = Field(ge=1)
|
high_risk_silence_days: int = Field(ge=1)
|
||||||
medication_days: tuple[int, ...]
|
medication_days: tuple[int, ...]
|
||||||
@@ -44,6 +51,8 @@ class RuntimePolicy(BaseModel):
|
|||||||
set(row) != {"phq9", "pcl5"} for row in self.route_intervals.values()
|
set(row) != {"phq9", "pcl5"} for row in self.route_intervals.values()
|
||||||
):
|
):
|
||||||
raise ValueError("all route and scale intervals must be defined")
|
raise ValueError("all route and scale intervals must be defined")
|
||||||
|
if self.morning_hour >= self.evening_hour:
|
||||||
|
raise ValueError("the morning diary must come before the evening one")
|
||||||
if not self.medication_days or tuple(sorted(set(self.medication_days))) != self.medication_days:
|
if not self.medication_days or tuple(sorted(set(self.medication_days))) != self.medication_days:
|
||||||
raise ValueError("medication days must be nonempty and strictly increasing")
|
raise ValueError("medication days must be nonempty and strictly increasing")
|
||||||
if self.medication_days[0] < 1 or any(v < 1 for row in self.route_intervals.values() for v in row.values()):
|
if self.medication_days[0] < 1 or any(v < 1 for row in self.route_intervals.values() for v in row.values()):
|
||||||
@@ -64,8 +73,17 @@ def load_runtime(path: Path | None = None) -> RuntimePolicy:
|
|||||||
return RuntimePolicy.model_validate(yaml.safe_load(path.read_text()))
|
return RuntimePolicy.model_validate(yaml.safe_load(path.read_text()))
|
||||||
|
|
||||||
|
|
||||||
|
def demo_intake() -> bool:
|
||||||
|
"""Demo-only switch (INTAKE_DEMO=1 with the virtual clock): shows the questionnaires on synthetic data.
|
||||||
|
|
||||||
|
It never touches the clinical release gate in config/intake_runtime.yaml; production runs keep the forms off
|
||||||
|
until the approvals are recorded there.
|
||||||
|
"""
|
||||||
|
return demo_mode()
|
||||||
|
|
||||||
|
|
||||||
def intake_enabled() -> bool:
|
def intake_enabled() -> bool:
|
||||||
return load_runtime().released and load_policy().approval is not None
|
return (load_runtime().released and load_policy().approval is not None) or demo_intake()
|
||||||
|
|
||||||
|
|
||||||
def month_before(day: date, months: int = 1) -> date:
|
def month_before(day: date, months: int = 1) -> date:
|
||||||
@@ -115,39 +133,73 @@ def due_scales(
|
|||||||
return tuple(sorted(due))
|
return tuple(sorted(due))
|
||||||
|
|
||||||
|
|
||||||
def diary_flags(history: dict[date, dict], today: date, policy: RuntimePolicy | None = None) -> tuple[str, ...]:
|
def _mean(values: list[float]) -> float:
|
||||||
"""Consecutive calendar dates; missing data never become zero or missed doses.
|
return sum(values) / len(values)
|
||||||
|
|
||||||
Baseline is the seven dates BEFORE the three-day deterioration window;
|
|
||||||
every baseline value is required. Nightmares OR short sleep must hold on
|
def diary_flags(
|
||||||
each of three nights. These candidate definitions require signed review.
|
history: dict[date, dict],
|
||||||
|
today: date,
|
||||||
|
policy: RuntimePolicy | None = None,
|
||||||
|
*,
|
||||||
|
medication_active: bool = False,
|
||||||
|
) -> tuple[str, ...]:
|
||||||
|
"""Stage 2 diary flags («Этап 2», p.4): weekly means against the personal norm, never single days.
|
||||||
|
|
||||||
|
`history` holds the merged morning + evening answers per date. The norm is the first `norm_days` of
|
||||||
|
observation; trends are checked only after it. Missing data never become zero or missed doses.
|
||||||
"""
|
"""
|
||||||
p = policy or load_runtime()
|
p = policy or load_runtime()
|
||||||
flags = []
|
flags: list[str] = []
|
||||||
current = history.get(today, {})
|
current = history.get(today, {})
|
||||||
if current.get("death_thoughts") == 1:
|
start = min(history) if history else today
|
||||||
flags.append("suicide_assessment_now")
|
norm = [history[d] for d in sorted(history) if (d - start).days < p.norm_days]
|
||||||
recent = [history.get(today - timedelta(days=i), {}) for i in range(p.mood_bad_days)]
|
week_start = today - timedelta(days=p.week_days - 1)
|
||||||
baseline = [
|
week = [history[d] for d in sorted(history) if week_start <= d <= today]
|
||||||
history.get(today - timedelta(days=i), {}).get("mood")
|
trend = (week_start - start).days >= p.norm_days
|
||||||
for i in range(p.mood_bad_days, p.mood_bad_days + p.mood_baseline_days)
|
|
||||||
]
|
def values(rows: list[dict], key) -> list[float]:
|
||||||
if all(x is not None for x in baseline) and all(x.get("mood") is not None for x in recent):
|
return [v for r in rows if (v := key(r)) is not None]
|
||||||
mean = sum(baseline) / len(baseline)
|
|
||||||
if all(mean - x["mood"] >= p.mood_drop for x in recent):
|
def risen(key, by: float, *, min_norm: int, min_week: int, drop: bool = False) -> bool:
|
||||||
|
before, now = values(norm, key), values(week, key)
|
||||||
|
if not trend or len(before) < min_norm or len(now) < min_week:
|
||||||
|
return False
|
||||||
|
change = _mean(before) - _mean(now) if drop else _mean(now) - _mean(before)
|
||||||
|
return change >= by
|
||||||
|
|
||||||
|
if risen(lambda r: r.get("mood"), p.mood_drop, min_norm=p.min_norm_values, min_week=p.min_week_values, drop=True):
|
||||||
flags.append("phq9_due_mood")
|
flags.append("phq9_due_mood")
|
||||||
|
# Depression module: each PHQ-9 item comes every third day, so a weekly mean has ~2 values per item.
|
||||||
|
for item in range(1, 10):
|
||||||
|
if risen(lambda r, i=item: r.get(f"dphq_{i}"), p.depression_item_rise, min_norm=2, min_week=2):
|
||||||
|
flags.append("phq9_due_depression")
|
||||||
|
break
|
||||||
|
# PTSD module: only the sum of the four items is interpreted, never single clusters.
|
||||||
|
ptsd_items = ("dpcl_1", "dpcl_7", "dpcl_10", "dpcl_18")
|
||||||
|
|
||||||
|
def ptsd_sum(r):
|
||||||
|
return sum(r[k] for k in ptsd_items) if all(k in r for k in ptsd_items) else None
|
||||||
|
|
||||||
|
if risen(ptsd_sum, p.ptsd_sum_rise, min_norm=p.min_norm_values, min_week=p.min_week_values):
|
||||||
|
flags.append("pcl5_due_ptsd")
|
||||||
nights = [history.get(today - timedelta(days=i), {}) for i in range(p.sleep_bad_days)]
|
nights = [history.get(today - timedelta(days=i), {}) for i in range(p.sleep_bad_days)]
|
||||||
if all(
|
if all(
|
||||||
(r.get("nightmares") is not None and r["nightmares"] >= p.nightmares_at)
|
(r.get("sleep_hours") is not None and r["sleep_hours"] < p.sleep_hours_below) or r.get("sleep_quality") == 0
|
||||||
or (r.get("sleep_hours") is not None and r["sleep_hours"] < p.sleep_hours_below)
|
|
||||||
for r in nights
|
for r in nights
|
||||||
):
|
):
|
||||||
flags.append("sleep_review")
|
flags.append("sleep_review")
|
||||||
|
heavy = [r for r in week if (r.get("alcohol_portions") or 0) >= p.alcohol_heavy_portions]
|
||||||
|
if medication_active and (current.get("alcohol_portions") or 0) >= p.alcohol_heavy_portions:
|
||||||
|
flags.append("alcohol_on_medication")
|
||||||
|
if len(heavy) >= p.alcohol_heavy_days:
|
||||||
|
flags.append("rus_audit_due_alcohol")
|
||||||
doses = [history.get(today - timedelta(days=i), {}) for i in range(p.missed_medication_days)]
|
doses = [history.get(today - timedelta(days=i), {}) for i in range(p.missed_medication_days)]
|
||||||
if all(r.get("medication") == "none" for r in doses):
|
if all(r.get("medication") == "no" for r in doses):
|
||||||
flags.append("medication_contact")
|
flags.append("medication_contact")
|
||||||
if current.get("side_effects") == 1:
|
taken = [r["medication"] for r in week if r.get("medication") in ("yes", "no")]
|
||||||
|
if len(taken) >= p.min_week_values and taken.count("yes") / len(taken) < p.adherence_below:
|
||||||
|
flags.append("adherence_review")
|
||||||
|
if current.get("medication_reason") == "side_effects":
|
||||||
flags.append("side_effects_review")
|
flags.append("side_effects_review")
|
||||||
if current.get("medication") == "partial":
|
|
||||||
flags.append("partial_medication_review")
|
|
||||||
return tuple(flags)
|
return tuple(flags)
|
||||||
|
|||||||
@@ -0,0 +1,165 @@
|
|||||||
|
"""Patient-facing interpretation of questionnaire results: deterministic rules, texts from config/texts/results.yaml.
|
||||||
|
|
||||||
|
Stage 1 («Опросники для MVP»): screening levels per scale → a preliminary conclusion and the diary modules of stage 2.
|
||||||
|
Stage 2 («Этап 2»): full scales on schedule (level + change: response, remission, worsening) and diary flags.
|
||||||
|
Nothing here diagnoses: the conclusion is a screening result, the diagnosis is the doctor's (ADR-007, guardrail 3).
|
||||||
|
"""
|
||||||
|
|
||||||
|
from typing import Any
|
||||||
|
|
||||||
|
import yaml
|
||||||
|
|
||||||
|
from app.config import get_settings
|
||||||
|
from app.core.intake_questions import content
|
||||||
|
from app.core.questionnaire import IntakeDecision, IntakePolicy
|
||||||
|
|
||||||
|
# Stage 1 finding → diary module of stage 2 (PTSD is the «veteran» module of the profile).
|
||||||
|
FINDING_MODULE = {"depression_suspected": "depression", "ptsd_suspected": "veteran"}
|
||||||
|
# Remission and improvement cut-offs of the full scales («Этап 2», p.5: Kroenke 2001; Marx et al., 2022).
|
||||||
|
PHQ9_REMISSION_BELOW = 5
|
||||||
|
PHQ9_IMPROVED_BY = 5
|
||||||
|
PCL5_RESPONSE_BY = 10
|
||||||
|
PCL5_IMPROVED_BELOW = 28
|
||||||
|
|
||||||
|
|
||||||
|
def texts() -> dict[str, Any]:
|
||||||
|
return yaml.safe_load((get_settings().config_dir / "texts/results.yaml").read_text(encoding="utf-8"))
|
||||||
|
|
||||||
|
|
||||||
|
def render(interpretation: dict[str, Any]) -> str:
|
||||||
|
"""Plain text of an interpretation for the dialog reply (title, lines, then the disclaimer if any)."""
|
||||||
|
parts = [interpretation["title"], *interpretation.get("lines", [])]
|
||||||
|
if interpretation.get("disclaimer"):
|
||||||
|
parts.append(interpretation["disclaimer"])
|
||||||
|
return "\n\n".join(p for p in parts if p)
|
||||||
|
|
||||||
|
|
||||||
|
def _alcohol_zone(totals: dict) -> int | None:
|
||||||
|
full, short = totals.get("rus_audit") or {}, totals.get("rus_audit_s") or {}
|
||||||
|
return full.get("zone") if full.get("complete") else short.get("zone")
|
||||||
|
|
||||||
|
|
||||||
|
def intake_findings(totals: dict, answers: dict, policy: IntakePolicy) -> list[str]:
|
||||||
|
"""Screening findings of stage 1, in the order they are shown."""
|
||||||
|
found = []
|
||||||
|
phq = totals.get("phq9") or {}
|
||||||
|
if phq.get("complete"):
|
||||||
|
if phq["total"] >= policy.phq9_specialist_at:
|
||||||
|
found.append("depression_suspected")
|
||||||
|
elif phq["total"] >= policy.phq9_psychologist_at:
|
||||||
|
found.append("depression_mild")
|
||||||
|
pcl, tsq = totals.get("pcl5") or {}, totals.get("tsq") or {}
|
||||||
|
if pcl.get("complete") and pcl["total"] >= policy.pcl5_specialist_at:
|
||||||
|
found.append("ptsd_suspected")
|
||||||
|
elif answers.get("trauma") == 1 and tsq.get("complete") and tsq["total"] >= policy.tsq_expand_at:
|
||||||
|
found.append("ptsd_signs")
|
||||||
|
zone = _alcohol_zone(totals)
|
||||||
|
if zone == 4:
|
||||||
|
found.append("alcohol_high")
|
||||||
|
elif zone in (2, 3):
|
||||||
|
found.append("alcohol_risky")
|
||||||
|
if (totals.get("cssrs_recent") or {}).get("risk") == "low":
|
||||||
|
found.append("suicide_low")
|
||||||
|
if answers.get("tbi") == 1:
|
||||||
|
found.append("tbi")
|
||||||
|
return found
|
||||||
|
|
||||||
|
|
||||||
|
def intake_interpretation(totals: dict, answers: dict, decision: IntakeDecision, policy: IntakePolicy) -> dict:
|
||||||
|
t = texts()
|
||||||
|
found = intake_findings(totals, answers, policy)
|
||||||
|
modules = [FINDING_MODULE[f] for f in found if f in FINDING_MODULE]
|
||||||
|
head = t["intake"]["attention" if found else "ok"]
|
||||||
|
lines = [head["text"]]
|
||||||
|
lines += [f"{t['findings'][f]['title']}. {t['findings'][f]['text']}" for f in found]
|
||||||
|
if decision.primary_route in t["routes"]:
|
||||||
|
lines.append(t["routes"][decision.primary_route])
|
||||||
|
names = ", ".join(t["modules"]["names"][m] for m in modules)
|
||||||
|
lines.append(t["modules"]["diary"].format(modules=t["modules"]["with"].format(names=names) if names else ""))
|
||||||
|
return {
|
||||||
|
"kind": "intake",
|
||||||
|
"title": head["title"],
|
||||||
|
"lines": lines,
|
||||||
|
"codes": found or ["ok"],
|
||||||
|
"findings": [{"code": f, "title": t["findings"][f]["title"]} for f in found],
|
||||||
|
"route": decision.primary_route,
|
||||||
|
"modules": modules,
|
||||||
|
"disclaimer": t["disclaimer"],
|
||||||
|
}
|
||||||
|
|
||||||
|
|
||||||
|
def _phq9_level(total: int) -> str:
|
||||||
|
band = next(b for b in content()["forms"]["phq9"]["severity"] if b["min"] <= total <= b["max"])
|
||||||
|
return band["code"]
|
||||||
|
|
||||||
|
|
||||||
|
def scale_interpretation(
|
||||||
|
kind: str,
|
||||||
|
totals: dict,
|
||||||
|
*,
|
||||||
|
baseline: int | None,
|
||||||
|
previous: int | None,
|
||||||
|
policy: IntakePolicy,
|
||||||
|
retriage_delta: int,
|
||||||
|
) -> dict:
|
||||||
|
"""A scheduled full scale: level, then the change against the start of observation and the last measurement."""
|
||||||
|
t = texts()["scales"]
|
||||||
|
if kind == "rus_audit_s":
|
||||||
|
zone = _alcohol_zone(totals)
|
||||||
|
result = totals.get("rus_audit") if (totals.get("rus_audit") or {}).get("complete") else totals["rus_audit_s"]
|
||||||
|
level = t[kind]["levels"][f"zone_{zone}" if zone else "unknown"]
|
||||||
|
line = t["score"].format(title=t[kind]["title"], total=result.get("total"), level=level)
|
||||||
|
return {
|
||||||
|
"kind": kind,
|
||||||
|
"title": t[kind]["title"],
|
||||||
|
"lines": [line],
|
||||||
|
"codes": [f"zone_{zone}" if zone else "unknown"],
|
||||||
|
}
|
||||||
|
total = totals[kind]["total"]
|
||||||
|
pcl5_level = "probable" if total >= policy.pcl5_specialist_at else "below"
|
||||||
|
code = _phq9_level(total) if kind == "phq9" else pcl5_level
|
||||||
|
lines = [t["score"].format(title=t[kind]["title"], total=total, level=t[kind]["levels"][code])]
|
||||||
|
change = None
|
||||||
|
if previous is not None and total - previous >= retriage_delta:
|
||||||
|
change = "worse"
|
||||||
|
elif baseline is not None:
|
||||||
|
if kind == "phq9":
|
||||||
|
if total < PHQ9_REMISSION_BELOW:
|
||||||
|
change = "remission"
|
||||||
|
elif baseline > 0 and total <= baseline / 2:
|
||||||
|
change = "response"
|
||||||
|
elif baseline - total >= PHQ9_IMPROVED_BY:
|
||||||
|
change = "improved"
|
||||||
|
else:
|
||||||
|
change = "stable"
|
||||||
|
else:
|
||||||
|
if baseline - total >= PCL5_RESPONSE_BY:
|
||||||
|
change = "response"
|
||||||
|
elif total < PCL5_IMPROVED_BELOW <= baseline:
|
||||||
|
change = "improved"
|
||||||
|
else:
|
||||||
|
change = "stable"
|
||||||
|
if change:
|
||||||
|
lines.append(t["change"][change])
|
||||||
|
return {"kind": kind, "title": t[kind]["title"], "lines": lines, "codes": [code, *([change] if change else [])]}
|
||||||
|
|
||||||
|
|
||||||
|
def diary_interpretation(part: str, flags: tuple[str, ...] | list[str]) -> dict:
|
||||||
|
t = texts()["diary"]
|
||||||
|
shown = [f for f in flags if f in t["flags"]]
|
||||||
|
return {
|
||||||
|
"kind": f"diary_{part}",
|
||||||
|
"title": t["saved"].format(part=t["parts"][part]),
|
||||||
|
"lines": [t["flags"][f] for f in shown],
|
||||||
|
"codes": list(flags),
|
||||||
|
}
|
||||||
|
|
||||||
|
|
||||||
|
def cssrs_interpretation(risk: str | None) -> dict:
|
||||||
|
t = texts()["cssrs"]
|
||||||
|
return {
|
||||||
|
"kind": "cssrs_since_contact",
|
||||||
|
"title": t["low" if risk == "low" else "none"],
|
||||||
|
"lines": [],
|
||||||
|
"codes": [risk or "none"],
|
||||||
|
}
|
||||||
@@ -0,0 +1,35 @@
|
|||||||
|
"""Drug reference of the medication module (data/meds/meds_reference.json, built by scripts/build_meds_reference.py).
|
||||||
|
|
||||||
|
Read-only patient information collected from the Minzdrav clinical guidelines: when to expect the effect, how long
|
||||||
|
the course lasts, common side effects, red flags. It never suggests a drug or a dose — the app only follows the
|
||||||
|
doctor's prescription. Draft until reviewed by a psychiatrist (`status` in the file).
|
||||||
|
"""
|
||||||
|
|
||||||
|
import json
|
||||||
|
from functools import lru_cache
|
||||||
|
from typing import Any, Literal
|
||||||
|
|
||||||
|
from app.config import get_settings
|
||||||
|
|
||||||
|
Indication = Literal["depression", "ptsd"]
|
||||||
|
|
||||||
|
|
||||||
|
@lru_cache(maxsize=1)
|
||||||
|
def load_reference() -> dict[str, Any]:
|
||||||
|
path = get_settings().data_dir / "meds" / "meds_reference.json"
|
||||||
|
return json.loads(path.read_text(encoding="utf-8"))
|
||||||
|
|
||||||
|
|
||||||
|
def find_drug(name: str) -> dict[str, Any] | None:
|
||||||
|
"""Reference entry for a prescription's drug (INN in Russian or the latin id), or None if it is not covered."""
|
||||||
|
key = name.strip().split()[0].casefold() if name.strip() else ""
|
||||||
|
for drug in load_reference()["drugs"]:
|
||||||
|
if key in (drug["id"], drug["name_ru"].casefold()):
|
||||||
|
return drug
|
||||||
|
return None
|
||||||
|
|
||||||
|
|
||||||
|
def indication_for(modules: list[str], drug: dict[str, Any]) -> Indication | None:
|
||||||
|
"""The indication the patient is followed for, among those the drug has in the guidelines."""
|
||||||
|
preferred: list[Indication] = ["ptsd", "depression"] if "veteran" in modules else ["depression", "ptsd"]
|
||||||
|
return next((i for i in preferred if i in drug["indications"]), None)
|
||||||
@@ -8,6 +8,7 @@ the returned status. Pending clinical policy never authorizes routine continuati
|
|||||||
|
|
||||||
from __future__ import annotations
|
from __future__ import annotations
|
||||||
|
|
||||||
|
import os
|
||||||
from dataclasses import dataclass
|
from dataclasses import dataclass
|
||||||
from datetime import datetime
|
from datetime import datetime
|
||||||
from pathlib import Path
|
from pathlib import Path
|
||||||
@@ -69,8 +70,17 @@ class IntakePolicy(BaseModel):
|
|||||||
return self
|
return self
|
||||||
|
|
||||||
|
|
||||||
|
def demo_mode() -> bool:
|
||||||
|
"""Demo-only switch (INTAKE_DEMO=1 with the virtual clock): questionnaires on synthetic data.
|
||||||
|
|
||||||
|
It selects `config/questionnaire_demo.yaml` (marked as NOT a clinical approval) instead of the real policy; the
|
||||||
|
real policy and the release gate in config/intake_runtime.yaml are never touched.
|
||||||
|
"""
|
||||||
|
return os.environ.get("INTAKE_DEMO", "").lower() in ("1", "true", "yes") and get_settings().demo_clock
|
||||||
|
|
||||||
|
|
||||||
def load_policy(path: Path | None = None) -> IntakePolicy:
|
def load_policy(path: Path | None = None) -> IntakePolicy:
|
||||||
path = path or get_settings().config_dir / "questionnaire.yaml"
|
path = path or get_settings().config_dir / ("questionnaire_demo.yaml" if demo_mode() else "questionnaire.yaml")
|
||||||
return IntakePolicy.model_validate(yaml.safe_load(path.read_text(encoding="utf-8")))
|
return IntakePolicy.model_validate(yaml.safe_load(path.read_text(encoding="utf-8")))
|
||||||
|
|
||||||
|
|
||||||
|
|||||||
@@ -5,6 +5,7 @@ The only module (besides registration code) that touches both schemas — and on
|
|||||||
|
|
||||||
from app.db import audit as _audit # noqa: F401 (registers audit_log in clinical metadata)
|
from app.db import audit as _audit # noqa: F401 (registers audit_log in clinical metadata)
|
||||||
from app.db import intake as _intake # noqa: F401
|
from app.db import intake as _intake # noqa: F401
|
||||||
|
from app.db import max_notifications as _max_notifications # noqa: F401
|
||||||
from app.db import scheduler as _scheduler # noqa: F401
|
from app.db import scheduler as _scheduler # noqa: F401
|
||||||
from app.db.clinical import ClinicalBase
|
from app.db.clinical import ClinicalBase
|
||||||
from app.db.identity import IdentityBase
|
from app.db.identity import IdentityBase
|
||||||
|
|||||||
@@ -0,0 +1,50 @@
|
|||||||
|
"""MAX identifiers and delivery metadata live only in the identity DB; no medical message bodies."""
|
||||||
|
|
||||||
|
from datetime import datetime
|
||||||
|
|
||||||
|
from sqlalchemy import BigInteger, Boolean, Integer, String
|
||||||
|
from sqlalchemy.orm import Mapped, mapped_column
|
||||||
|
|
||||||
|
from app.db.identity import IdentityBase
|
||||||
|
from app.db.types import TZDateTime
|
||||||
|
|
||||||
|
|
||||||
|
class MaxBinding(IdentityBase):
|
||||||
|
__tablename__ = "max_bindings"
|
||||||
|
|
||||||
|
# No FK: anonymous web profiles intentionally have no patients row in identity.
|
||||||
|
token: Mapped[str] = mapped_column(String(64), primary_key=True)
|
||||||
|
user_id: Mapped[int] = mapped_column(BigInteger, unique=True)
|
||||||
|
enabled: Mapped[bool] = mapped_column(Boolean, default=True)
|
||||||
|
connected_at: Mapped[datetime] = mapped_column(TZDateTime)
|
||||||
|
|
||||||
|
|
||||||
|
class MaxLinkCode(IdentityBase):
|
||||||
|
__tablename__ = "max_link_codes"
|
||||||
|
|
||||||
|
digest: Mapped[str] = mapped_column(String(64), primary_key=True)
|
||||||
|
token: Mapped[str] = mapped_column(String(64), unique=True)
|
||||||
|
expires_at: Mapped[datetime] = mapped_column(TZDateTime, index=True)
|
||||||
|
used_at: Mapped[datetime | None] = mapped_column(TZDateTime)
|
||||||
|
|
||||||
|
|
||||||
|
class MaxReceipt(IdentityBase):
|
||||||
|
__tablename__ = "max_webhook_receipts"
|
||||||
|
|
||||||
|
digest: Mapped[str] = mapped_column(String(64), primary_key=True)
|
||||||
|
received_at: Mapped[datetime] = mapped_column(TZDateTime, index=True)
|
||||||
|
|
||||||
|
|
||||||
|
class MaxDelivery(IdentityBase):
|
||||||
|
__tablename__ = "max_deliveries"
|
||||||
|
|
||||||
|
id: Mapped[str] = mapped_column(String(64), primary_key=True)
|
||||||
|
token: Mapped[str | None] = mapped_column(String(64), index=True)
|
||||||
|
user_id: Mapped[int] = mapped_column(BigInteger)
|
||||||
|
kind: Mapped[str] = mapped_column(String(24))
|
||||||
|
state: Mapped[str] = mapped_column(String(16), default="queued", index=True)
|
||||||
|
attempts: Mapped[int] = mapped_column(Integer, default=0)
|
||||||
|
created_at: Mapped[datetime] = mapped_column(TZDateTime)
|
||||||
|
next_attempt_at: Mapped[datetime] = mapped_column(TZDateTime, index=True)
|
||||||
|
lease: Mapped[str | None] = mapped_column(String(32))
|
||||||
|
error_code: Mapped[str | None] = mapped_column(String(32))
|
||||||
@@ -70,7 +70,9 @@ async def onboarding_entry(ctx: Ctx, after: str | None = None) -> str:
|
|||||||
modules = list(profile.modules) if profile is not None and profile.modules else []
|
modules = list(profile.modules) if profile is not None and profile.modules else []
|
||||||
from app.core.intake_runtime import intake_enabled
|
from app.core.intake_runtime import intake_enabled
|
||||||
|
|
||||||
if after is None and intake_enabled() and any(m in modules for m in ("veteran", "depression")):
|
# Stage 1 is the same for everyone (ADR-012): it does not depend on modules, which it sets itself — an anonymous
|
||||||
|
# person has no profile at all before it.
|
||||||
|
if after is None and intake_enabled():
|
||||||
return "intake.start"
|
return "intake.start"
|
||||||
if after in modules:
|
if after in modules:
|
||||||
modules = modules[modules.index(after) + 1 :]
|
modules = modules[modules.index(after) + 1 :]
|
||||||
|
|||||||
@@ -4,9 +4,13 @@ import math
|
|||||||
from dataclasses import asdict, replace
|
from dataclasses import asdict, replace
|
||||||
from zoneinfo import ZoneInfo
|
from zoneinfo import ZoneInfo
|
||||||
|
|
||||||
|
from app.core import interpretation
|
||||||
from app.core.intake_questions import (
|
from app.core.intake_questions import (
|
||||||
|
DIARY_KINDS,
|
||||||
|
Question,
|
||||||
content,
|
content,
|
||||||
cssrs_answers,
|
cssrs_answers,
|
||||||
|
cssrs_since_contact_question,
|
||||||
diary_questions,
|
diary_questions,
|
||||||
group_answers,
|
group_answers,
|
||||||
next_intake,
|
next_intake,
|
||||||
@@ -17,6 +21,7 @@ from app.core.intake_runtime import diary_flags, intake_enabled, load_runtime
|
|||||||
from app.core.questionnaire import alcohol_expansion, load_policy, score_alcohol, score_cssrs_recent
|
from app.core.questionnaire import alcohol_expansion, load_policy, score_alcohol, score_cssrs_recent
|
||||||
from app.core.scales import load_scale
|
from app.core.scales import load_scale
|
||||||
from app.core.types import AlertLevel
|
from app.core.types import AlertLevel
|
||||||
|
from app.db import repo
|
||||||
from app.db.intake import QuestionnaireRecord, QuestionnaireTask
|
from app.db.intake import QuestionnaireRecord, QuestionnaireTask
|
||||||
from app.dialog.contracts import Button, Event, Reply
|
from app.dialog.contracts import Button, Event, Reply
|
||||||
from app.dialog.crisis import crisis_open, open_crisis
|
from app.dialog.crisis import crisis_open, open_crisis
|
||||||
@@ -28,21 +33,23 @@ def allowed(ctx):
|
|||||||
return ctx.data.get("consent") is True and ctx.data.get("adult") is True and intake_enabled()
|
return ctx.data.get("consent") is True and ctx.data.get("adult") is True and intake_enabled()
|
||||||
|
|
||||||
|
|
||||||
|
def side_effects_question():
|
||||||
|
"""FIBSER-style tolerability question added to the full scales while a medication is active («Этап 2», p.3)."""
|
||||||
|
return Question("side_effects", texts()["side_effects"], ((1, "Да"), (0, "Нет")), "past_week")
|
||||||
|
|
||||||
|
|
||||||
def next_question(row):
|
def next_question(row):
|
||||||
a = row.answers
|
a = row.answers
|
||||||
if row.kind == "intake":
|
if row.kind == "intake":
|
||||||
return next_intake(a, load_policy(), row.details.get("sex"))
|
return next_intake(a, load_policy(), row.details.get("sex"))
|
||||||
if row.kind == "diary":
|
if row.kind == "cssrs_since_contact":
|
||||||
for q in diary_questions(
|
return cssrs_since_contact_question(a)
|
||||||
row.details["modules"], suicide_monitoring=row.details["suicide_monitoring"], weekday=row.day.weekday()
|
if row.kind in DIARY_KINDS:
|
||||||
):
|
part = row.kind.removeprefix("diary_")
|
||||||
|
for q in diary_questions(part, row.details["modules"], day_index=row.details.get("day_index", 0)):
|
||||||
if q.id in a:
|
if q.id in a:
|
||||||
continue
|
continue
|
||||||
if q.id == "medication_reason" and a.get("medication") not in ("partial", "none"):
|
if q.id == "medication_reason" and a.get("medication") != "no":
|
||||||
continue
|
|
||||||
if q.id == "side_effects" and a.get("medication") == "not_prescribed":
|
|
||||||
continue
|
|
||||||
if q.id == "thought_intensity" and a.get("death_thoughts") != 1:
|
|
||||||
continue
|
continue
|
||||||
return q
|
return q
|
||||||
return None
|
return None
|
||||||
@@ -63,11 +70,7 @@ def next_question(row):
|
|||||||
q = replace(q, text=q.text.replace("последний месяц", "последнюю неделю"), period="past_week")
|
q = replace(q, text=q.text.replace("последний месяц", "последнюю неделю"), period="past_week")
|
||||||
return q
|
return q
|
||||||
if row.details.get("medication_active") and "side_effects" not in a:
|
if row.details.get("medication_active") and "side_effects" not in a:
|
||||||
return next(
|
return side_effects_question()
|
||||||
q
|
|
||||||
for q in diary_questions([], suicide_monitoring=False, weekday=row.day.weekday())
|
|
||||||
if q.id == "side_effects"
|
|
||||||
)
|
|
||||||
return None
|
return None
|
||||||
|
|
||||||
|
|
||||||
@@ -89,7 +92,7 @@ async def urgent(ctx, row=None, *, code="help_now", categories=None):
|
|||||||
if profile:
|
if profile:
|
||||||
profile.enhanced_monitoring = True
|
profile.enhanced_monitoring = True
|
||||||
flags = list(service.decision(row).flags) if row else []
|
flags = list(service.decision(row).flags) if row else []
|
||||||
if row and (row.answers.get("death_thoughts") == 1 or row.answers.get("phq9_9", 0) > 0):
|
if row and (row.answers.get("dphq_9", 0) > 0 or row.answers.get("phq9_9", 0) > 0):
|
||||||
flags.append("cssrs_since_contact_required")
|
flags.append("cssrs_since_contact_required")
|
||||||
if row:
|
if row:
|
||||||
await service.finish(ctx, row, "interrupted", extra={"stop_reason": code, "flags": flags})
|
await service.finish(ctx, row, "interrupted", extra={"stop_reason": code, "flags": flags})
|
||||||
@@ -132,7 +135,8 @@ async def advance(ctx, row):
|
|||||||
a = row.answers
|
a = row.answers
|
||||||
c = score_cssrs_recent(cssrs_answers(a))
|
c = score_cssrs_recent(cssrs_answers(a))
|
||||||
policy = load_policy()
|
policy = load_policy()
|
||||||
if a.get("phq9_9", 0) > 0 or a.get("death_thoughts") == 1 or c.risk_lower_bound == "high":
|
# PHQ-9 item 9 ≥1 — in the full scale or in the depression module of the diary — stops at once (stage 1 rule).
|
||||||
|
if a.get("phq9_9", 0) > 0 or a.get("dphq_9", 0) > 0 or c.risk_lower_bound == "high":
|
||||||
return await urgent(ctx, row, code="suicide_signal")
|
return await urgent(ctx, row, code="suicide_signal")
|
||||||
if c.positive and policy.cssrs_positive_policy == "stop_any":
|
if c.positive and policy.cssrs_positive_policy == "stop_any":
|
||||||
return await urgent(ctx, row, code="cssrs_positive")
|
return await urgent(ctx, row, code="cssrs_positive")
|
||||||
@@ -153,9 +157,6 @@ async def advance(ctx, row):
|
|||||||
ctx.now,
|
ctx.now,
|
||||||
params={"record_id": row.id},
|
params={"record_id": row.id},
|
||||||
)
|
)
|
||||||
if row.kind == "cssrs_since_contact":
|
|
||||||
# Recent and Since Last Contact are different instruments. No silent substitution.
|
|
||||||
return await manual_review(ctx, row, "cssrs_since_contact_required")
|
|
||||||
try:
|
try:
|
||||||
q = next_question(row)
|
q = next_question(row)
|
||||||
# Validate preserved short answers against a newly answered full-form item 1.
|
# Validate preserved short answers against a newly answered full-form item 1.
|
||||||
@@ -187,6 +188,8 @@ async def advance(ctx, row):
|
|||||||
extra = {"decision": asdict(result), "totals": service.summary(row)}
|
extra = {"decision": asdict(result), "totals": service.summary(row)}
|
||||||
if a.get("recent_trauma") == 1:
|
if a.get("recent_trauma") == 1:
|
||||||
extra["recent_trauma"] = True
|
extra["recent_trauma"] = True
|
||||||
|
extra["interpretation"] = interpretation.intake_interpretation(extra["totals"], a, result, policy)
|
||||||
|
await apply_modules(ctx, extra["interpretation"]["modules"])
|
||||||
if result.primary_route != "self_help" or result.flags or result.parallel_routes or a.get("recent_trauma"):
|
if result.primary_route != "self_help" or result.flags or result.parallel_routes or a.get("recent_trauma"):
|
||||||
await service.alert(
|
await service.alert(
|
||||||
ctx.session,
|
ctx.session,
|
||||||
@@ -196,23 +199,29 @@ async def advance(ctx, row):
|
|||||||
ctx.now,
|
ctx.now,
|
||||||
params={"record_id": row.id, **extra},
|
params={"record_id": row.id, **extra},
|
||||||
)
|
)
|
||||||
elif row.kind == "diary":
|
elif row.kind == "cssrs_since_contact":
|
||||||
history = {
|
extra["totals"] = {"cssrs_recent": asdict(c)}
|
||||||
r.day: r.answers
|
extra["interpretation"] = interpretation.cssrs_interpretation(c.risk)
|
||||||
for r in await service.records(ctx.session, ctx.token)
|
elif row.kind in DIARY_KINDS:
|
||||||
if r.kind == "diary" and r.status == "complete"
|
# Morning and evening answers of one date form one diary day.
|
||||||
}
|
history: dict = {}
|
||||||
history[row.day] = a
|
for r in await service.records(ctx.session, ctx.token):
|
||||||
flags = diary_flags(history, row.day)
|
if r.kind in DIARY_KINDS and r.status == "complete" and r.id != row.id:
|
||||||
|
history.setdefault(r.day, {}).update(r.answers)
|
||||||
|
history.setdefault(row.day, {}).update(a)
|
||||||
|
flags = diary_flags(history, row.day, medication_active=row.details.get("medication_active", False))
|
||||||
extra["flags"] = flags
|
extra["flags"] = flags
|
||||||
for flag in flags:
|
for flag in flags:
|
||||||
await service.alert(
|
await service.alert(
|
||||||
ctx.session, ctx.token, row.id + ":" + flag, flag, ctx.now, params={"record_id": row.id}
|
ctx.session, ctx.token, row.id + ":" + flag, flag, ctx.now, params={"record_id": row.id}
|
||||||
)
|
)
|
||||||
if flag == "phq9_due_mood":
|
if flag in DIARY_SCALE_TASKS:
|
||||||
await service.queue_task(ctx.session, ctx.token, "phq9", row.id + ":phq9", ctx.now)
|
sid = DIARY_SCALE_TASKS[flag]
|
||||||
|
await service.queue_task(ctx.session, ctx.token, sid, row.id + ":" + sid, ctx.now)
|
||||||
|
extra["interpretation"] = interpretation.diary_interpretation(row.kind.removeprefix("diary_"), flags)
|
||||||
else:
|
else:
|
||||||
extra["totals"] = service.summary(row)
|
extra["totals"] = service.summary(row)
|
||||||
|
runtime = load_runtime()
|
||||||
if row.kind in ("phq9", "pcl5"):
|
if row.kind in ("phq9", "pcl5"):
|
||||||
sid = row.kind
|
sid = row.kind
|
||||||
total = extra["totals"][sid]["total"]
|
total = extra["totals"][sid]["total"]
|
||||||
@@ -223,27 +232,37 @@ async def advance(ctx, row):
|
|||||||
if total >= priority
|
if total >= priority
|
||||||
else ("psychiatrist_or_psychotherapist" if total >= specialist else "review_with_treating_clinician")
|
else ("psychiatrist_or_psychotherapist" if total >= specialist else "review_with_treating_clinician")
|
||||||
)
|
)
|
||||||
prior = next(
|
earlier = [
|
||||||
(
|
|
||||||
r
|
r
|
||||||
for r in reversed(await service.records(ctx.session, ctx.token))
|
for r in await service.records(ctx.session, ctx.token)
|
||||||
if r.id != row.id
|
if r.id != row.id
|
||||||
and r.status == "complete"
|
and r.status == "complete"
|
||||||
and r.version == row.version
|
and r.version == row.version
|
||||||
and r.details.get("totals", {}).get(sid, {}).get("complete")
|
and r.details.get("totals", {}).get(sid, {}).get("complete")
|
||||||
and (sid != "pcl5" or r.details.get("weekly_pcl", False) == row.details.get("weekly_pcl", False))
|
and (sid != "pcl5" or r.details.get("weekly_pcl", False) == row.details.get("weekly_pcl", False))
|
||||||
),
|
]
|
||||||
None,
|
prior = earlier[-1] if earlier else None
|
||||||
)
|
|
||||||
if prior:
|
if prior:
|
||||||
change = total - prior.details["totals"][sid]["total"]
|
change = total - prior.details["totals"][sid]["total"]
|
||||||
extra["delta"] = {
|
extra["delta"] = {
|
||||||
"baseline_record": prior.id,
|
"baseline_record": prior.id,
|
||||||
"value": change,
|
"value": change,
|
||||||
"retriage": change >= getattr(load_runtime(), sid + "_retriage_delta"),
|
"retriage": change >= getattr(runtime, sid + "_retriage_delta"),
|
||||||
}
|
}
|
||||||
|
extra["interpretation"] = interpretation.scale_interpretation(
|
||||||
|
sid,
|
||||||
|
extra["totals"],
|
||||||
|
baseline=earlier[0].details["totals"][sid]["total"] if earlier else None,
|
||||||
|
previous=prior.details["totals"][sid]["total"] if prior else None,
|
||||||
|
policy=policy,
|
||||||
|
retriage_delta=getattr(runtime, sid + "_retriage_delta"),
|
||||||
|
)
|
||||||
if row.kind == "rus_audit_s" and not row.details.get("sex"):
|
if row.kind == "rus_audit_s" and not row.details.get("sex"):
|
||||||
return await manual_review(ctx, row, "alcohol_sex_unknown")
|
return await manual_review(ctx, row, "alcohol_sex_unknown")
|
||||||
|
if row.kind == "rus_audit_s":
|
||||||
|
extra["interpretation"] = interpretation.scale_interpretation(
|
||||||
|
"rus_audit_s", extra["totals"], baseline=None, previous=None, policy=policy, retriage_delta=0
|
||||||
|
)
|
||||||
if extra["totals"]["rus_audit"].get("zone") == 4:
|
if extra["totals"]["rus_audit"].get("zone") == 4:
|
||||||
extra["parallel_routes"] = ["narcologist"]
|
extra["parallel_routes"] = ["narcologist"]
|
||||||
retriage = extra.get("delta", {}).get("retriage", False)
|
retriage = extra.get("delta", {}).get("retriage", False)
|
||||||
@@ -257,13 +276,48 @@ async def advance(ctx, row):
|
|||||||
params={"record_id": row.id, **extra},
|
params={"record_id": row.id, **extra},
|
||||||
)
|
)
|
||||||
await service.finish(ctx, row, "complete", extra=extra)
|
await service.finish(ctx, row, "complete", extra=extra)
|
||||||
|
shown = interpretation.render(extra["interpretation"]) if extra.get("interpretation") else texts()["done"]
|
||||||
|
if row.kind == "cssrs_since_contact" and not await done_today(ctx, "diary_evening"):
|
||||||
|
# The risk questions open the evening diary; continue straight into it.
|
||||||
|
step = await start(ctx, "diary_evening")
|
||||||
|
step.replies.insert(0, Reply(text=shown, kind="info"))
|
||||||
|
return step
|
||||||
from app.dialog.flows.core import menu_reply
|
from app.dialog.flows.core import menu_reply
|
||||||
|
|
||||||
replies = [menu_reply(ctx, texts()["done"])]
|
return Step(replies=[menu_reply(ctx, shown)], next_state="idle", data={"questionnaire_record": None})
|
||||||
alcohol_total = extra.get("totals", {}).get("rus_audit", {})
|
|
||||||
if alcohol_total.get("zone") in (2, 3):
|
|
||||||
replies.insert(0, Reply(text=texts()["alcohol_advice"], kind="info"))
|
# Diary flags that bring a full scale forward («Этап 2», p.4).
|
||||||
return Step(replies=replies, next_state="idle", data={"questionnaire_record": None})
|
DIARY_SCALE_TASKS = {
|
||||||
|
"phq9_due_mood": "phq9",
|
||||||
|
"phq9_due_depression": "phq9",
|
||||||
|
"pcl5_due_ptsd": "pcl5",
|
||||||
|
"rus_audit_due_alcohol": "rus_audit_s",
|
||||||
|
}
|
||||||
|
|
||||||
|
|
||||||
|
async def apply_modules(ctx, modules):
|
||||||
|
"""Stage 1 result → diary modules of stage 2. Without a doctor the screening defines them; a doctor's modules
|
||||||
|
(diagnosis from ЕМИАС) are kept and only extended."""
|
||||||
|
profile = await ctx.profile()
|
||||||
|
if profile is None:
|
||||||
|
await repo.upsert_profile(ctx.session, token=ctx.token, doctor_id="", modules=list(modules))
|
||||||
|
return
|
||||||
|
current = list(profile.modules or [])
|
||||||
|
merged = [*current, *(m for m in modules if m not in current)] if profile.doctor_id else list(modules)
|
||||||
|
await repo.upsert_profile(ctx.session, token=ctx.token, modules=merged)
|
||||||
|
|
||||||
|
|
||||||
|
def local_day(ctx):
|
||||||
|
return ctx.now.astimezone(ZoneInfo(load_runtime().timezone)).date()
|
||||||
|
|
||||||
|
|
||||||
|
async def done_today(ctx, kind):
|
||||||
|
day = local_day(ctx)
|
||||||
|
return any(
|
||||||
|
r.kind == kind and r.day == day and r.status == "complete"
|
||||||
|
for r in await service.records(ctx.session, ctx.token)
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
async def start(ctx, kind="intake", task=None):
|
async def start(ctx, kind="intake", task=None):
|
||||||
@@ -288,6 +342,8 @@ async def start(ctx, kind="intake", task=None):
|
|||||||
if task:
|
if task:
|
||||||
return Step()
|
return Step()
|
||||||
return Step(replies=[Reply(text=texts()["review"], kind="info")])
|
return Step(replies=[Reply(text=texts()["review"], kind="info")])
|
||||||
|
# A manual start takes over the scheduled task of the same form, so the task does not stay outstanding.
|
||||||
|
task = task or await service.outstanding_task(ctx.session, ctx.token, kind)
|
||||||
row = await service.create_record(ctx, kind, task=task)
|
row = await service.create_record(ctx, kind, task=task)
|
||||||
return await advance(ctx, row)
|
return await advance(ctx, row)
|
||||||
|
|
||||||
@@ -316,14 +372,28 @@ async def checkin(ctx, event):
|
|||||||
existing = await service.records(ctx.session, ctx.token)
|
existing = await service.records(ctx.session, ctx.token)
|
||||||
if not any(r.kind == "intake" and r.status == "complete" for r in existing):
|
if not any(r.kind == "intake" and r.status == "complete" for r in existing):
|
||||||
return await start(ctx)
|
return await start(ctx)
|
||||||
day = ctx.now.astimezone(ZoneInfo(load_runtime().timezone)).date()
|
return await next_diary(ctx)
|
||||||
if any(r.kind == "diary" and r.day == day and r.status == "complete" for r in existing):
|
|
||||||
return Step(replies=[Reply(text=texts()["done"], kind="info")])
|
|
||||||
|
async def next_diary(ctx):
|
||||||
|
"""The part of today's diary that is still open: morning first, then evening. The evening opens with the C-SSRS
|
||||||
|
«since last contact» when the profile is under suicide-risk monitoring («Этап 2», module of suicide risk)."""
|
||||||
|
day = local_day(ctx)
|
||||||
|
done = {r.kind for r in await service.records(ctx.session, ctx.token) if r.day == day and r.status == "complete"}
|
||||||
|
for kind in DIARY_KINDS:
|
||||||
|
if kind in done:
|
||||||
|
continue
|
||||||
|
profile = await ctx.profile()
|
||||||
|
if kind == "diary_evening" and profile and profile.enhanced_monitoring and "cssrs_since_contact" not in done:
|
||||||
risk_task = await service.queue_task(ctx.session, ctx.token, "cssrs_since_contact", f"cssrs:{day}", ctx.now)
|
risk_task = await service.queue_task(ctx.session, ctx.token, "cssrs_since_contact", f"cssrs:{day}", ctx.now)
|
||||||
if risk_task.status in ("pending", "active"):
|
|
||||||
await service.queue_task(ctx.session, ctx.token, "diary", f"diary:{day}", ctx.now)
|
|
||||||
return await start(ctx, "cssrs_since_contact", risk_task)
|
return await start(ctx, "cssrs_since_contact", risk_task)
|
||||||
return await start(ctx, "diary")
|
return await start(ctx, kind)
|
||||||
|
return Step(replies=[Reply(text=texts()["diary_done"], kind="info")])
|
||||||
|
|
||||||
|
|
||||||
|
@trigger("button:diary:next")
|
||||||
|
async def diary_button(ctx, event):
|
||||||
|
return await next_diary(ctx)
|
||||||
|
|
||||||
|
|
||||||
@state("intake")
|
@state("intake")
|
||||||
@@ -365,12 +435,16 @@ async def collect(ctx, event: Event):
|
|||||||
elif event.type == "text" and q.numeric:
|
elif event.type == "text" and q.numeric:
|
||||||
try:
|
try:
|
||||||
value = float(str(ctx.text).replace(",", "."))
|
value = float(str(ctx.text).replace(",", "."))
|
||||||
valid = math.isfinite(value) and 0 <= value <= 24
|
valid = math.isfinite(value) and 0 <= value <= q.maximum
|
||||||
except ValueError:
|
except ValueError:
|
||||||
pass
|
pass
|
||||||
elif event.type == "text" and q.optional:
|
elif event.type == "text" and q.optional:
|
||||||
value, valid = str(ctx.text)[:2000], True
|
value, valid = str(ctx.text)[:2000], True
|
||||||
if not valid:
|
if not valid:
|
||||||
return Step(replies=[Reply(text=texts()["numeric" if q.numeric else "invalid"]), question_reply(row, q)])
|
hint = "invalid" if not q.numeric else ("numeric_portions" if q.id == "alcohol_portions" else "numeric")
|
||||||
|
return Step(replies=[Reply(text=texts()[hint]), question_reply(row, q)])
|
||||||
service.save_answer(row, q, value, ctx.now)
|
service.save_answer(row, q, value, ctx.now)
|
||||||
|
if row.kind == "cssrs_since_contact" and q.id == "cssrs_q6_lifetime":
|
||||||
|
# Behaviour since the last contact is recent by definition (see cssrs_since_contact_question).
|
||||||
|
service.save_answer(row, replace(q, id="cssrs_q6_recent"), value, ctx.now, derived=True)
|
||||||
return await advance(ctx, row)
|
return await advance(ctx, row)
|
||||||
|
|||||||
@@ -47,6 +47,8 @@ from app.llm.med_qa import DOSE_QUESTION, fallback_text, med_qa
|
|||||||
|
|
||||||
QUESTION_STATE = "meds.question"
|
QUESTION_STATE = "meds.question"
|
||||||
SIDE_EFFECT_TEXT_STATE = "meds.side_effect_text"
|
SIDE_EFFECT_TEXT_STATE = "meds.side_effect_text"
|
||||||
|
# A client sends this button when the person submits a free-text step without writing anything.
|
||||||
|
NO_COMMENT = "text:skip"
|
||||||
SIDE_EFFECT_CODES = ("nausea", "insomnia", "headache", "dizziness", "agitation", "other")
|
SIDE_EFFECT_CODES = ("nausea", "insomnia", "headache", "dizziness", "agitation", "other")
|
||||||
SKIP_REASONS = ("forgot", "side_effects", "quit", "other")
|
SKIP_REASONS = ("forgot", "side_effects", "quit", "other")
|
||||||
|
|
||||||
@@ -379,7 +381,8 @@ def _side_effect_code(code: str) -> Any:
|
|||||||
async def handler(ctx: Ctx, event: Event, ref: str) -> Step:
|
async def handler(ctx: Ctx, event: Event, ref: str) -> Step:
|
||||||
if code == "other":
|
if code == "other":
|
||||||
return Step(
|
return Step(
|
||||||
replies=[Reply(text=load_meds_texts().side_effects.describe)],
|
# kind="question": the engine waits for free text here (clients show an input, optional).
|
||||||
|
replies=[Reply(text=load_meds_texts().side_effects.describe, kind="question")],
|
||||||
next_state=SIDE_EFFECT_TEXT_STATE,
|
next_state=SIDE_EFFECT_TEXT_STATE,
|
||||||
data={"med_se_ref": ref},
|
data={"med_se_ref": ref},
|
||||||
)
|
)
|
||||||
@@ -394,12 +397,15 @@ for _code in SIDE_EFFECT_CODES:
|
|||||||
|
|
||||||
@state(SIDE_EFFECT_TEXT_STATE)
|
@state(SIDE_EFFECT_TEXT_STATE)
|
||||||
async def _side_effect_text(ctx: Ctx, event: Event) -> Step:
|
async def _side_effect_text(ctx: Ctx, event: Event) -> Step:
|
||||||
|
ref = ctx.data.get("med_se_ref")
|
||||||
|
if event.type == "button" and event.button == NO_COMMENT:
|
||||||
|
# The description is optional: «other» side effect without words.
|
||||||
|
return await _after_side_effects(ctx, ["other"], str(ref) if ref else None)
|
||||||
if event.type != "text" or ctx.text is None:
|
if event.type != "text" or ctx.text is None:
|
||||||
return await leave_to_idle(ctx, event, {"med_se_ref": None})
|
return await leave_to_idle(ctx, event, {"med_se_ref": None})
|
||||||
facts = await ctx.gateway.extract_checkin(ctx.text)
|
facts = await ctx.gateway.extract_checkin(ctx.text)
|
||||||
# Store only normalised codes, never the description itself (it stays in the scrubbed message log).
|
# Store only normalised codes, never the description itself (it stays in the scrubbed message log).
|
||||||
codes = [str(c) for c in facts.side_effects] if facts is not None and facts.side_effects else ["other"]
|
codes = [str(c) for c in facts.side_effects] if facts is not None and facts.side_effects else ["other"]
|
||||||
ref = ctx.data.get("med_se_ref")
|
|
||||||
return await _after_side_effects(ctx, codes, str(ref) if ref else None)
|
return await _after_side_effects(ctx, codes, str(ref) if ref else None)
|
||||||
|
|
||||||
|
|
||||||
@@ -429,7 +435,7 @@ async def _menu_question(ctx: Ctx, event: Event) -> Step:
|
|||||||
t = load_meds_texts().question
|
t = load_meds_texts().question
|
||||||
if await current_prescription(ctx) is None:
|
if await current_prescription(ctx) is None:
|
||||||
return Step(replies=[menu_reply(ctx, t.no_prescription)])
|
return Step(replies=[menu_reply(ctx, t.no_prescription)])
|
||||||
return Step(replies=[Reply(text=t.prompt)], next_state=QUESTION_STATE)
|
return Step(replies=[Reply(text=t.prompt, kind="question")], next_state=QUESTION_STATE)
|
||||||
|
|
||||||
|
|
||||||
async def answer_question(ctx: Ctx, rx: Rx | None) -> str:
|
async def answer_question(ctx: Ctx, rx: Rx | None) -> str:
|
||||||
|
|||||||
@@ -448,7 +448,9 @@ async def _idle_text(ctx: Ctx, event: Event) -> Step:
|
|||||||
await save_checkin(ctx, **fields)
|
await save_checkin(ctx, **fields)
|
||||||
if text is None and facts.med_question and not facts.quit_intent:
|
if text is None and facts.med_question and not facts.quit_intent:
|
||||||
text = await answer_question(ctx, await current_prescription(ctx))
|
text = await answer_question(ctx, await current_prescription(ctx))
|
||||||
if text is None and not fields and looks_like_question(ctx.text):
|
# A question is answered even if it also mentioned alcohol/side effects (those are recorded above).
|
||||||
|
# Quit intent gets the rule reaction (delayed-onset explanation + doctor notified) — no second answer.
|
||||||
|
if text is None and not facts.quit_intent and looks_like_question(ctx.text):
|
||||||
text = await knowledge_answer(ctx, explicit=False) # general question → clinical guidelines (#64)
|
text = await knowledge_answer(ctx, explicit=False) # general question → clinical guidelines (#64)
|
||||||
if text is None:
|
if text is None:
|
||||||
text = await ctx.gateway.phrase("support")
|
text = await ctx.gateway.phrase("support")
|
||||||
|
|||||||
@@ -0,0 +1,35 @@
|
|||||||
|
"""ЕМИАС sign-in mock for the patient web app (SPEC §9 `esia_mock`: registration by the doctor's code).
|
||||||
|
|
||||||
|
Real ЕМИАС / ЕСИА OAuth needs a registered information system, so the prototype accepts the one-time connect
|
||||||
|
code the doctor hands out after the visit (323-FZ art. 36.2): code → patient token + attending doctor. The
|
||||||
|
class implements `IdentityProvider`, so the real OAuth client replaces it without touching the web channel.
|
||||||
|
|
||||||
|
It is deliberately NOT installed into `integrations.identity`: the Telegram channel verifies a code twice
|
||||||
|
(on `/start` and in the core flow), which a one-time redeeming provider would break. Lane B wires the
|
||||||
|
production provider for all channels (#14).
|
||||||
|
|
||||||
|
This module may use the identity DB: it is the registration boundary (guardrail #5).
|
||||||
|
"""
|
||||||
|
|
||||||
|
from app.core import clock
|
||||||
|
from app.db import identity_repo
|
||||||
|
from app.db.identity import ConnectCode
|
||||||
|
from app.db.session import get_identity_session
|
||||||
|
from app.integrations.base import VerifiedPerson
|
||||||
|
|
||||||
|
CODE_MAX_LEN = 32
|
||||||
|
|
||||||
|
|
||||||
|
class EmiasMock:
|
||||||
|
async def verify(self, auth_code: str) -> VerifiedPerson | None:
|
||||||
|
code = auth_code.strip().upper()
|
||||||
|
if not code or len(code) > CODE_MAX_LEN:
|
||||||
|
return None
|
||||||
|
async with get_identity_session() as s:
|
||||||
|
row = await s.get(ConnectCode, code)
|
||||||
|
if row is None:
|
||||||
|
return None
|
||||||
|
token = await identity_repo.redeem_connect_code(s, code=code, now=clock.now())
|
||||||
|
if token is None:
|
||||||
|
return None
|
||||||
|
return VerifiedPerson(token=token, doctor_id=row.doctor_id)
|
||||||
@@ -0,0 +1,201 @@
|
|||||||
|
"""Registration boundary and durable MAX queue. Callers own the identity transaction.
|
||||||
|
|
||||||
|
Only this boundary joins a pseudonymous profile to a MAX recipient. Clinical modules never import it.
|
||||||
|
Queue rows contain a template name, never replies, scores, prescriptions or patient-auth tokens in URLs.
|
||||||
|
"""
|
||||||
|
|
||||||
|
import hashlib
|
||||||
|
import secrets
|
||||||
|
from datetime import datetime, timedelta
|
||||||
|
|
||||||
|
from sqlalchemy import delete, select, update
|
||||||
|
from sqlalchemy.exc import IntegrityError
|
||||||
|
from sqlalchemy.ext.asyncio import AsyncSession
|
||||||
|
|
||||||
|
from app.db import repo
|
||||||
|
from app.db.clinical import ScaleResult
|
||||||
|
from app.db.intake import QuestionnaireRecord
|
||||||
|
from app.db.max_notifications import MaxBinding, MaxDelivery, MaxLinkCode
|
||||||
|
from app.db.session import get_clinical_session
|
||||||
|
|
||||||
|
MAX_ATTEMPTS = 6
|
||||||
|
LEASE_SECONDS = 60
|
||||||
|
|
||||||
|
|
||||||
|
def digest(value: str) -> str:
|
||||||
|
return hashlib.sha256(value.encode()).hexdigest()
|
||||||
|
|
||||||
|
|
||||||
|
async def active_patient(token: str) -> bool:
|
||||||
|
"""Same consent/adult gate used by the scheduler, checked again at delivery time."""
|
||||||
|
async with get_clinical_session() as session:
|
||||||
|
state = await repo.get_dialog_state(session, token)
|
||||||
|
return bool(
|
||||||
|
await repo.get_profile(session, token)
|
||||||
|
and state
|
||||||
|
and state.data.get("consent") is True
|
||||||
|
and state.data.get("adult") is True
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
|
async def issue_code(session: AsyncSession, token: str, now: datetime, ttl: int) -> tuple[str, datetime]:
|
||||||
|
raw = secrets.token_urlsafe(32)
|
||||||
|
expires = now + timedelta(seconds=ttl)
|
||||||
|
await session.execute(delete(MaxLinkCode).where(MaxLinkCode.token == token))
|
||||||
|
session.add(MaxLinkCode(digest=digest(raw), token=token, expires_at=expires))
|
||||||
|
await session.flush()
|
||||||
|
return raw, expires
|
||||||
|
|
||||||
|
|
||||||
|
async def code_token(session: AsyncSession, raw: str, now: datetime) -> str | None:
|
||||||
|
row = await session.get(MaxLinkCode, digest(raw))
|
||||||
|
return row.token if row and row.used_at is None and row.expires_at > now else None
|
||||||
|
|
||||||
|
|
||||||
|
async def bind(session: AsyncSession, raw: str, user_id: int, now: datetime) -> str | None:
|
||||||
|
"""Atomically consume a code. Existing active identities cannot be silently reassigned."""
|
||||||
|
token = await code_token(session, raw, now)
|
||||||
|
if token is None:
|
||||||
|
return None
|
||||||
|
owner = await session.scalar(select(MaxBinding).where(MaxBinding.user_id == user_id))
|
||||||
|
binding = await session.get(MaxBinding, token)
|
||||||
|
if owner and owner.token != token and owner.enabled:
|
||||||
|
return None
|
||||||
|
if binding and binding.user_id != user_id and binding.enabled:
|
||||||
|
return None
|
||||||
|
used = await session.execute(
|
||||||
|
update(MaxLinkCode)
|
||||||
|
.where(MaxLinkCode.digest == digest(raw), MaxLinkCode.used_at.is_(None), MaxLinkCode.expires_at > now)
|
||||||
|
.values(used_at=now)
|
||||||
|
.returning(MaxLinkCode.token)
|
||||||
|
)
|
||||||
|
if used.scalar_one_or_none() is None:
|
||||||
|
return None
|
||||||
|
if owner and owner.token != token:
|
||||||
|
await session.delete(owner)
|
||||||
|
await session.flush()
|
||||||
|
if binding is None:
|
||||||
|
binding = MaxBinding(token=token, user_id=user_id, connected_at=now)
|
||||||
|
session.add(binding)
|
||||||
|
# Cancel stale deliveries even when the same account reconnects later.
|
||||||
|
await cancel_pending(session, token)
|
||||||
|
binding.user_id, binding.enabled, binding.connected_at = user_id, True, now
|
||||||
|
await session.flush()
|
||||||
|
return token
|
||||||
|
|
||||||
|
|
||||||
|
async def cancel_pending(session: AsyncSession, token: str) -> None:
|
||||||
|
await session.execute(
|
||||||
|
update(MaxDelivery)
|
||||||
|
.where(MaxDelivery.token == token, MaxDelivery.state.in_(("queued", "sending")))
|
||||||
|
.values(state="cancelled", lease=None)
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
|
async def disconnect(session: AsyncSession, token: str) -> None:
|
||||||
|
binding = await session.get(MaxBinding, token)
|
||||||
|
if binding:
|
||||||
|
binding.enabled = False
|
||||||
|
await session.execute(delete(MaxLinkCode).where(MaxLinkCode.token == token))
|
||||||
|
await cancel_pending(session, token)
|
||||||
|
|
||||||
|
|
||||||
|
async def enqueue(
|
||||||
|
session: AsyncSession, *, key: str, user_id: int, kind: str, now: datetime, token: str | None = None
|
||||||
|
) -> None:
|
||||||
|
if await session.get(MaxDelivery, key) is not None:
|
||||||
|
return
|
||||||
|
try:
|
||||||
|
async with session.begin_nested():
|
||||||
|
session.add(
|
||||||
|
MaxDelivery(id=key, user_id=user_id, token=token, kind=kind, created_at=now, next_attempt_at=now)
|
||||||
|
)
|
||||||
|
await session.flush()
|
||||||
|
except IntegrityError:
|
||||||
|
# Another worker may enqueue the same event between SELECT and INSERT.
|
||||||
|
if await session.get(MaxDelivery, key) is None:
|
||||||
|
raise
|
||||||
|
|
||||||
|
|
||||||
|
async def collect_completed(session: AsyncSession, now: datetime) -> None:
|
||||||
|
"""Recover completion events from committed clinical records, including after a restart.
|
||||||
|
|
||||||
|
No clinical hooks depend on identity. Read only IDs/dates, then enqueue a generic template.
|
||||||
|
A binding's activation time bounds history; repeated scans are idempotent.
|
||||||
|
"""
|
||||||
|
bindings = (await session.scalars(select(MaxBinding).where(MaxBinding.enabled.is_(True)))).all()
|
||||||
|
for binding in bindings:
|
||||||
|
if not await active_patient(binding.token):
|
||||||
|
continue
|
||||||
|
async with get_clinical_session() as clinical:
|
||||||
|
forms = (
|
||||||
|
await clinical.scalars(
|
||||||
|
select(QuestionnaireRecord.id).where(
|
||||||
|
QuestionnaireRecord.token == binding.token,
|
||||||
|
QuestionnaireRecord.status == "complete",
|
||||||
|
QuestionnaireRecord.completed_at >= binding.connected_at,
|
||||||
|
)
|
||||||
|
)
|
||||||
|
).all()
|
||||||
|
scales = (
|
||||||
|
await clinical.scalars(
|
||||||
|
select(ScaleResult.id).where(
|
||||||
|
ScaleResult.token == binding.token,
|
||||||
|
ScaleResult.complete.is_(True),
|
||||||
|
ScaleResult.ts >= binding.connected_at,
|
||||||
|
)
|
||||||
|
)
|
||||||
|
).all()
|
||||||
|
for source, ids in (("form", forms), ("scale", scales)):
|
||||||
|
for record_id in ids:
|
||||||
|
key = digest(f"completed:{binding.token}:{binding.connected_at.isoformat()}:{source}:{record_id}")
|
||||||
|
await enqueue(session, key=key, token=binding.token, user_id=binding.user_id, kind="completed", now=now)
|
||||||
|
|
||||||
|
|
||||||
|
async def claim(session: AsyncSession, now: datetime) -> MaxDelivery | None:
|
||||||
|
"""One lease per row; recovery after a worker crash is bounded by the lease deadline."""
|
||||||
|
ready = (MaxDelivery.state.in_(("queued", "sending"))) & (MaxDelivery.next_attempt_at <= now)
|
||||||
|
row = await session.scalar(
|
||||||
|
select(MaxDelivery)
|
||||||
|
.where(ready)
|
||||||
|
.order_by(MaxDelivery.created_at, MaxDelivery.id)
|
||||||
|
.with_for_update(skip_locked=True)
|
||||||
|
.limit(1)
|
||||||
|
)
|
||||||
|
if row is None:
|
||||||
|
return None
|
||||||
|
if row.attempts >= MAX_ATTEMPTS:
|
||||||
|
row.state, row.error_code, row.lease = "failed", "attempt_limit", None
|
||||||
|
return None
|
||||||
|
lease = secrets.token_hex(16)
|
||||||
|
result = await session.execute(
|
||||||
|
update(MaxDelivery)
|
||||||
|
.where(MaxDelivery.id == row.id, ready)
|
||||||
|
.values(
|
||||||
|
state="sending",
|
||||||
|
attempts=MaxDelivery.attempts + 1,
|
||||||
|
lease=lease,
|
||||||
|
next_attempt_at=now + timedelta(seconds=LEASE_SECONDS),
|
||||||
|
)
|
||||||
|
.returning(MaxDelivery.id)
|
||||||
|
)
|
||||||
|
if result.scalar_one_or_none() is None:
|
||||||
|
return None
|
||||||
|
await session.refresh(row)
|
||||||
|
return row
|
||||||
|
|
||||||
|
|
||||||
|
async def finish(
|
||||||
|
session: AsyncSession,
|
||||||
|
row: MaxDelivery,
|
||||||
|
*,
|
||||||
|
state: str,
|
||||||
|
now: datetime,
|
||||||
|
error: str | None = None,
|
||||||
|
retry_seconds: float = 0,
|
||||||
|
) -> None:
|
||||||
|
await session.execute(
|
||||||
|
update(MaxDelivery)
|
||||||
|
.where(MaxDelivery.id == row.id, MaxDelivery.lease == row.lease, MaxDelivery.state == "sending")
|
||||||
|
.values(state=state, lease=None, error_code=error, next_attempt_at=now + timedelta(seconds=retry_seconds))
|
||||||
|
)
|
||||||
@@ -22,6 +22,7 @@ from app.config import Settings, get_settings
|
|||||||
from app.core.types import ScrubbedText
|
from app.core.types import ScrubbedText
|
||||||
from app.llm.agent.prompts import SYSTEM_PROMPT
|
from app.llm.agent.prompts import SYSTEM_PROMPT
|
||||||
from app.llm.agent.providers import (
|
from app.llm.agent.providers import (
|
||||||
|
GigaChatToolProvider,
|
||||||
MockAgentProvider,
|
MockAgentProvider,
|
||||||
OpenRouterProvider,
|
OpenRouterProvider,
|
||||||
ProviderError,
|
ProviderError,
|
||||||
@@ -34,6 +35,7 @@ from app.llm.guard import assert_scrubbed
|
|||||||
log = logging.getLogger(__name__)
|
log = logging.getLogger(__name__)
|
||||||
|
|
||||||
MAX_ANSWER_CHARS = 1200
|
MAX_ANSWER_CHARS = 1200
|
||||||
|
NUDGE = "Сформулируй ответ пациенту по результатам инструментов выше (3–6 предложений)."
|
||||||
_ALLOWED_MSG_KEYS = {"role", "content", "tool_calls", "tool_call_id"}
|
_ALLOWED_MSG_KEYS = {"role", "content", "tool_calls", "tool_call_id"}
|
||||||
|
|
||||||
|
|
||||||
@@ -48,7 +50,7 @@ def build_provider(settings: Settings | None = None) -> ToolChatProvider | None:
|
|||||||
s = settings or get_settings()
|
s = settings or get_settings()
|
||||||
mode = s.chat_agent
|
mode = s.chat_agent
|
||||||
if mode == "auto":
|
if mode == "auto":
|
||||||
mode = "openrouter" if s.openrouter_api_key else "off"
|
mode = "gigachat" if s.gigachat_credentials else "openrouter" if s.openrouter_api_key else "off"
|
||||||
if mode == "openrouter":
|
if mode == "openrouter":
|
||||||
if not s.openrouter_api_key:
|
if not s.openrouter_api_key:
|
||||||
log.warning("chat agent: openrouter selected without OPENROUTER_API_KEY — disabled")
|
log.warning("chat agent: openrouter selected without OPENROUTER_API_KEY — disabled")
|
||||||
@@ -57,12 +59,32 @@ def build_provider(settings: Settings | None = None) -> ToolChatProvider | None:
|
|||||||
if mode == "mock":
|
if mode == "mock":
|
||||||
return MockAgentProvider()
|
return MockAgentProvider()
|
||||||
if mode == "gigachat":
|
if mode == "gigachat":
|
||||||
# TODO(GigaChat): function calling via the `gigachat` package (functions=..., message.function_call).
|
if not s.gigachat_credentials:
|
||||||
log.warning("chat agent: gigachat provider not implemented yet — disabled")
|
log.warning("chat agent: gigachat selected without GIGACHAT_CREDENTIALS — disabled")
|
||||||
return None
|
return None
|
||||||
|
return GigaChatToolProvider(s)
|
||||||
return None
|
return None
|
||||||
|
|
||||||
|
|
||||||
|
async def _chat_with_retry(provider: ToolChatProvider, messages: list[dict[str, Any]]):
|
||||||
|
"""One retry: OpenRouter occasionally fails a single call (seen live as intermittent ProviderError)."""
|
||||||
|
wire = _wire(messages) if provider.name == "openrouter" else messages # gigachat needs the tool `name`
|
||||||
|
try:
|
||||||
|
return await provider.chat(wire, TOOL_SPECS)
|
||||||
|
except ProviderError as exc:
|
||||||
|
log.warning("chat agent provider=%s retry after %s", provider.name, exc)
|
||||||
|
return await provider.chat(wire, TOOL_SPECS)
|
||||||
|
|
||||||
|
|
||||||
|
async def _patient_brief(ctx: ToolContext) -> str:
|
||||||
|
"""One line of context so the model knows what «мои таблетки» means (drug names only, no identifiers)."""
|
||||||
|
rec = await ctx.record()
|
||||||
|
if rec is None or not rec.current_prescriptions:
|
||||||
|
return "\n\nТекущее назначение психиатра: нет данных."
|
||||||
|
drugs = ", ".join(p.drug for p in rec.current_prescriptions)
|
||||||
|
return f"\n\nТекущее назначение психиатра: {drugs}. «Мои таблетки» = это назначение."
|
||||||
|
|
||||||
|
|
||||||
def _wire(messages: list[dict[str, Any]]) -> list[dict[str, Any]]:
|
def _wire(messages: list[dict[str, Any]]) -> list[dict[str, Any]]:
|
||||||
"""Strip internal keys (tool `name`) before sending."""
|
"""Strip internal keys (tool `name`) before sending."""
|
||||||
return [{k: v for k, v in m.items() if k in _ALLOWED_MSG_KEYS} for m in messages]
|
return [{k: v for k, v in m.items() if k in _ALLOWED_MSG_KEYS} for m in messages]
|
||||||
@@ -82,14 +104,20 @@ async def answer_chat(
|
|||||||
return None
|
return None
|
||||||
ctx = ToolContext(token=token)
|
ctx = ToolContext(token=token)
|
||||||
messages: list[dict[str, Any]] = [
|
messages: list[dict[str, Any]] = [
|
||||||
{"role": "system", "content": SYSTEM_PROMPT},
|
{"role": "system", "content": SYSTEM_PROMPT + await _patient_brief(ctx)},
|
||||||
{"role": "user", "content": str(question)},
|
{"role": "user", "content": str(question)},
|
||||||
]
|
]
|
||||||
|
nudged = False
|
||||||
try:
|
try:
|
||||||
async with asyncio.timeout(s.chat_agent_timeout_s * 2):
|
async with asyncio.timeout(s.chat_agent_timeout_s * 2):
|
||||||
for _ in range(s.chat_agent_max_steps):
|
for _ in range(s.chat_agent_max_steps):
|
||||||
turn = await provider.chat(_wire(messages) if provider.name != "mock" else messages, TOOL_SPECS)
|
turn = await _chat_with_retry(provider, messages)
|
||||||
if not turn.tool_calls:
|
if not turn.tool_calls:
|
||||||
|
if not (turn.content or "").strip() and not nudged:
|
||||||
|
# Some models (Gemini Flash) occasionally end with an empty message after tool results.
|
||||||
|
nudged = True
|
||||||
|
messages.append({"role": "user", "content": NUDGE})
|
||||||
|
continue
|
||||||
return _finish(turn.content or "", ctx, provider.name)
|
return _finish(turn.content or "", ctx, provider.name)
|
||||||
messages.append(
|
messages.append(
|
||||||
{
|
{
|
||||||
@@ -111,7 +139,10 @@ async def answer_chat(
|
|||||||
log.warning("chat agent: step limit reached tools=%s", ",".join(ctx.used))
|
log.warning("chat agent: step limit reached tools=%s", ",".join(ctx.used))
|
||||||
return None
|
return None
|
||||||
except (ProviderError, TimeoutError) as exc:
|
except (ProviderError, TimeoutError) as exc:
|
||||||
log.error("chat agent provider=%s failed: %s", provider.name, type(exc).__name__ or "timeout")
|
log.error("chat agent provider=%s failed: %s %s", provider.name, type(exc).__name__, exc)
|
||||||
|
return None
|
||||||
|
except Exception: # noqa: BLE001 — the agent is optional: any bug must degrade to the extractive answer, not a 500
|
||||||
|
log.exception("chat agent provider=%s crashed", provider.name)
|
||||||
return None
|
return None
|
||||||
|
|
||||||
|
|
||||||
|
|||||||
@@ -6,11 +6,20 @@ SYSTEM_PROMPT = """Ты — помощник пациента в сервисе
|
|||||||
Как работать:
|
Как работать:
|
||||||
1. Сначала собери данные инструментами. Для вопросов о лекарствах, сочетаниях, составе, аллергиях всегда
|
1. Сначала собери данные инструментами. Для вопросов о лекарствах, сочетаниях, составе, аллергиях всегда
|
||||||
вызывай get_patient_record и check_drug_for_patient (для каждого упомянутого препарата и, если вопрос
|
вызывай get_patient_record и check_drug_for_patient (для каждого упомянутого препарата и, если вопрос
|
||||||
о «моих таблетках», для текущего назначения). Для общих вопросов о лечении вызывай search_guidelines.
|
о «моих таблетках», для текущего назначения). Вопросы об алкоголе, еде, вождении, сочетании с другими
|
||||||
|
средствами, составе и непереносимостях — тоже вопросы о лекарстве: проверь текущее назначение через
|
||||||
|
check_drug_for_patient (там есть состав, сравнение с непереносимостями и все взаимодействия).
|
||||||
|
Вопросы «когда подействует», «что будет, если бросить», «как принимать», побочные эффекты — смотри поле
|
||||||
|
instruction в check_drug_for_patient (инструкция ГРЛС) и дополняй search_guidelines.
|
||||||
|
Для общих вопросов о лечении вызывай search_guidelines.
|
||||||
2. Отвечай ТОЛЬКО на основе результатов инструментов. Если в них нет ответа — честно скажи, что в
|
2. Отвечай ТОЛЬКО на основе результатов инструментов. Если в них нет ответа — честно скажи, что в
|
||||||
рекомендациях и инструкции этого нет, и предложи уточнить у лечащего врача. Ничего не додумывай.
|
рекомендациях и инструкции этого нет, и предложи уточнить у лечащего врача. Ничего не додумывай.
|
||||||
3. Если check_drug_for_patient вернул находки — назови их простыми словами и посоветуй обсудить с врачом
|
3. Если check_drug_for_patient вернул findings — назови КАЖДУЮ находку (сначала severity=high) простыми
|
||||||
до приёма. Пустой список не значит «безопасно».
|
словами и посоветуй обсудить с врачом до приёма. Пустой список не значит «безопасно».
|
||||||
|
Находки (findings) упоминай, когда вопрос о приёме, сочетании или безопасности препарата; на вопросы о
|
||||||
|
сроках действия, отмене, побочных эффектах отвечай по существу, без посторонних находок.
|
||||||
|
Про состав и непереносимости (intolerance_check) говори, только если о них спросили.
|
||||||
|
Про алкоголь бери текст из general_interactions.
|
||||||
4. Ссылайся на источник в тексте коротко: «по клиническим рекомендациям», «по инструкции к препарату»,
|
4. Ссылайся на источник в тексте коротко: «по клиническим рекомендациям», «по инструкции к препарату»,
|
||||||
«в вашей карте указано».
|
«в вашей карте указано».
|
||||||
|
|
||||||
|
|||||||
@@ -52,7 +52,10 @@ class OpenRouterProvider:
|
|||||||
self._client = client
|
self._client = client
|
||||||
|
|
||||||
async def chat(self, messages: list[dict[str, Any]], tools: list[dict[str, Any]]) -> AssistantTurn:
|
async def chat(self, messages: list[dict[str, Any]], tools: list[dict[str, Any]]) -> AssistantTurn:
|
||||||
body = {"model": self._model, "messages": messages, "tools": tools, "temperature": 0.1, "max_tokens": 900}
|
body: dict[str, Any] = {"model": self._model, "messages": messages, "tools": tools, "temperature": 0.1}
|
||||||
|
body["max_tokens"] = 900
|
||||||
|
if not any(m["role"] == "tool" for m in messages):
|
||||||
|
body["tool_choice"] = "required" # never answer from the model's own memory: ground first
|
||||||
headers = {"Authorization": f"Bearer {self._key}", "X-Title": "PTSRaiAgent prototype (synthetic data)"}
|
headers = {"Authorization": f"Bearer {self._key}", "X-Title": "PTSRaiAgent prototype (synthetic data)"}
|
||||||
try:
|
try:
|
||||||
if self._client is not None:
|
if self._client is not None:
|
||||||
@@ -63,6 +66,13 @@ class OpenRouterProvider:
|
|||||||
except httpx.HTTPError as exc:
|
except httpx.HTTPError as exc:
|
||||||
raise ProviderError(type(exc).__name__) from exc
|
raise ProviderError(type(exc).__name__) from exc
|
||||||
if resp.status_code != 200:
|
if resp.status_code != 200:
|
||||||
|
# Provider error bodies are generic (no patient text) — log the message to make failures diagnosable.
|
||||||
|
try:
|
||||||
|
err = resp.json().get("error", "")
|
||||||
|
detail = str(err.get("message", "") if isinstance(err, dict) else err)[:200]
|
||||||
|
except (ValueError, AttributeError):
|
||||||
|
detail = resp.text[:200]
|
||||||
|
log.error("openrouter http %s: %s", resp.status_code, detail)
|
||||||
raise ProviderError(f"http {resp.status_code}")
|
raise ProviderError(f"http {resp.status_code}")
|
||||||
try:
|
try:
|
||||||
msg = resp.json()["choices"][0]["message"]
|
msg = resp.json()["choices"][0]["message"]
|
||||||
@@ -81,6 +91,88 @@ class OpenRouterProvider:
|
|||||||
return AssistantTurn(content=msg.get("content"), tool_calls=calls)
|
return AssistantTurn(content=msg.get("content"), tool_calls=calls)
|
||||||
|
|
||||||
|
|
||||||
|
class GigaChatToolProvider:
|
||||||
|
"""GigaChat function calling (RF provider, 152-FZ compliant). Converts the OpenAI-style history the agent keeps:
|
||||||
|
assistant `tool_calls` → `function_call`, `tool` results → role `function` with the function name.
|
||||||
|
GigaChat returns at most one function call per turn — the agent loop handles that naturally."""
|
||||||
|
|
||||||
|
name = "gigachat"
|
||||||
|
|
||||||
|
def __init__(self, settings: Settings, client: Any | None = None) -> None:
|
||||||
|
self._settings = settings
|
||||||
|
self._client = client
|
||||||
|
|
||||||
|
def _get_client(self) -> Any:
|
||||||
|
if self._client is None:
|
||||||
|
from gigachat import GigaChat
|
||||||
|
|
||||||
|
s = self._settings
|
||||||
|
self._client = GigaChat(
|
||||||
|
credentials=s.gigachat_credentials,
|
||||||
|
scope=s.gigachat_scope,
|
||||||
|
model=s.gigachat_agent_model,
|
||||||
|
verify_ssl_certs=s.gigachat_verify_ssl,
|
||||||
|
timeout=s.chat_agent_timeout_s,
|
||||||
|
)
|
||||||
|
return self._client
|
||||||
|
|
||||||
|
@staticmethod
|
||||||
|
def to_messages(messages: list[dict[str, Any]]) -> list[Any]:
|
||||||
|
from gigachat.models import FunctionCall, Messages, MessagesRole
|
||||||
|
|
||||||
|
out = []
|
||||||
|
for m in messages:
|
||||||
|
role = m["role"]
|
||||||
|
if role == "system":
|
||||||
|
out.append(Messages(role=MessagesRole.SYSTEM, content=m["content"]))
|
||||||
|
elif role == "user":
|
||||||
|
out.append(Messages(role=MessagesRole.USER, content=m["content"]))
|
||||||
|
elif role == "assistant":
|
||||||
|
calls = m.get("tool_calls") or []
|
||||||
|
for c in calls or [None]:
|
||||||
|
fc = None
|
||||||
|
if c is not None:
|
||||||
|
fc = FunctionCall(name=c["function"]["name"], arguments=json.loads(c["function"]["arguments"]))
|
||||||
|
out.append(Messages(role=MessagesRole.ASSISTANT, content=m.get("content") or "", function_call=fc))
|
||||||
|
elif role == "tool":
|
||||||
|
out.append(Messages(role=MessagesRole.FUNCTION, name=m.get("name"), content=m["content"]))
|
||||||
|
return out
|
||||||
|
|
||||||
|
@staticmethod
|
||||||
|
def to_functions(tools: list[dict[str, Any]]) -> list[Any]:
|
||||||
|
from gigachat.models import Function
|
||||||
|
|
||||||
|
return [Function.model_validate(t["function"]) for t in tools]
|
||||||
|
|
||||||
|
async def chat(self, messages: list[dict[str, Any]], tools: list[dict[str, Any]]) -> AssistantTurn:
|
||||||
|
from gigachat.models import Chat
|
||||||
|
|
||||||
|
chat = Chat(
|
||||||
|
messages=self.to_messages(messages),
|
||||||
|
functions=self.to_functions(tools),
|
||||||
|
function_call="auto",
|
||||||
|
temperature=0.1,
|
||||||
|
max_tokens=900,
|
||||||
|
)
|
||||||
|
try:
|
||||||
|
resp = await self._get_client().achat(chat)
|
||||||
|
except Exception as exc: # noqa: BLE001 — network/auth/HTTP errors of the SDK
|
||||||
|
raise ProviderError(type(exc).__name__) from exc
|
||||||
|
msg = resp.choices[0].message
|
||||||
|
calls = []
|
||||||
|
if msg.function_call is not None:
|
||||||
|
args = msg.function_call.arguments or {}
|
||||||
|
if isinstance(args, str):
|
||||||
|
try:
|
||||||
|
args = json.loads(args)
|
||||||
|
except json.JSONDecodeError:
|
||||||
|
args = {}
|
||||||
|
calls.append(ToolCall(id=msg.function_call.name, name=msg.function_call.name, arguments=args))
|
||||||
|
usage = getattr(resp, "usage", None)
|
||||||
|
log.info("gigachat agent ok calls=%d tokens=%s", len(calls), getattr(usage, "total_tokens", None))
|
||||||
|
return AssistantTurn(content=msg.content or None, tool_calls=calls)
|
||||||
|
|
||||||
|
|
||||||
# ------------------------------------------------------------------------------------------------ offline mock
|
# ------------------------------------------------------------------------------------------------ offline mock
|
||||||
|
|
||||||
_DRUG_WORDS = re.compile(
|
_DRUG_WORDS = re.compile(
|
||||||
|
|||||||
@@ -10,6 +10,7 @@ import re
|
|||||||
from dataclasses import dataclass, field
|
from dataclasses import dataclass, field
|
||||||
from typing import Any
|
from typing import Any
|
||||||
|
|
||||||
|
from app.integrations.base import integrations
|
||||||
from app.integrations.emias_record import PatientRecord, emias_records
|
from app.integrations.emias_record import PatientRecord, emias_records
|
||||||
from app.llm.agent.drug_safety import check_patient, find_drug, load_db
|
from app.llm.agent.drug_safety import check_patient, find_drug, load_db
|
||||||
from app.llm.rag import retrieve
|
from app.llm.rag import retrieve
|
||||||
@@ -77,8 +78,9 @@ TOOL_SPECS: list[dict[str, Any]] = [
|
|||||||
),
|
),
|
||||||
"parameters": {
|
"parameters": {
|
||||||
"type": "object",
|
"type": "object",
|
||||||
"properties": {"drug": {"type": "string"}},
|
"properties": {
|
||||||
"required": ["drug"],
|
"drug": {"type": "string", "description": "Название препарата; пусто — текущее назначение пациента"}
|
||||||
|
},
|
||||||
},
|
},
|
||||||
},
|
},
|
||||||
},
|
},
|
||||||
@@ -157,7 +159,12 @@ def _drug_info(ctx: ToolContext, name: str) -> dict[str, Any]:
|
|||||||
|
|
||||||
|
|
||||||
async def _check(ctx: ToolContext, name: str) -> dict[str, Any]:
|
async def _check(ctx: ToolContext, name: str) -> dict[str, Any]:
|
||||||
entry = find_drug(name)
|
entry = find_drug(name) if name.strip() else None
|
||||||
|
if entry is None:
|
||||||
|
# "мои таблетки" / no name → the current psychiatric prescription from the record.
|
||||||
|
rec = await ctx.record()
|
||||||
|
current = [find_drug(p.drug) for p in (rec.current_prescriptions if rec else [])]
|
||||||
|
entry = next((e for e in current if e is not None), None) if not find_drug(name) else None
|
||||||
if entry is None:
|
if entry is None:
|
||||||
return {"found": False, "drug": name, "note": "Препарата нет в справочнике — отвечать «уточните у врача»."}
|
return {"found": False, "drug": name, "note": "Препарата нет в справочнике — отвечать «уточните у врача»."}
|
||||||
rec = await ctx.record()
|
rec = await ctx.record()
|
||||||
@@ -165,15 +172,48 @@ async def _check(ctx: ToolContext, name: str) -> dict[str, Any]:
|
|||||||
return {"found": True, "inn": entry.inn, "record": False, "findings": []}
|
return {"found": True, "inn": entry.inn, "record": False, "findings": []}
|
||||||
ctx.cite(entry.source)
|
ctx.cite(entry.source)
|
||||||
ctx.cite("ЕМИАС: медицинская карта")
|
ctx.cite("ЕМИАС: медицинская карта")
|
||||||
findings = check_patient(entry, rec, load_db())
|
db = load_db()
|
||||||
|
findings = check_patient(entry, rec, db)
|
||||||
|
comp = entry.composition
|
||||||
|
intolerances = [a.name for a in rec.allergies]
|
||||||
|
intolerance_check = None
|
||||||
|
if comp is not None and intolerances:
|
||||||
|
hit = {t for a in rec.allergies for t in a.tags} & set(comp.excipient_tags)
|
||||||
|
intolerance_check = f"Непереносимость из карты ({', '.join(intolerances)}): " + (
|
||||||
|
"вещество ЕСТЬ в составе."
|
||||||
|
if hit
|
||||||
|
else "в примере состава этого вещества нет; состав зависит от производителя."
|
||||||
|
)
|
||||||
|
instruction = await _instruction(ctx, entry.inn)
|
||||||
return {
|
return {
|
||||||
"found": True,
|
"found": True,
|
||||||
"inn": entry.inn,
|
"inn": entry.inn,
|
||||||
"record": True,
|
"record": True,
|
||||||
|
"instruction": instruction, # ГРЛС excerpts: onset, side effects, discontinuation, administration
|
||||||
"findings": [f.model_dump() for f in findings],
|
"findings": [f.model_dump() for f in findings],
|
||||||
"note": "Пустой список не означает, что препарат безопасен: решение о приёме принимает врач.",
|
"intolerance_check": intolerance_check,
|
||||||
|
"composition": comp.model_dump(exclude={"excipient_tags"}) if comp else None,
|
||||||
|
"general_interactions": [i.text for i in entry.interactions], # incl. alcohol — for questions about it
|
||||||
|
"contraindications": entry.contraindications,
|
||||||
|
"note": "Пустой findings не означает, что препарат безопасен: решение о приёме принимает врач.",
|
||||||
}
|
}
|
||||||
|
|
||||||
|
|
||||||
|
INSTRUCTION_SECTIONS = ("onset", "side_effects", "discontinuation", "administration", "alcohol")
|
||||||
|
|
||||||
|
|
||||||
|
async def _instruction(ctx: ToolContext, inn: str) -> dict[str, str]:
|
||||||
|
"""ГРЛС excerpts for the drug (no doses in mg — see data/meds/grls)."""
|
||||||
|
try:
|
||||||
|
sections = await integrations.drug_info.sections(inn)
|
||||||
|
except Exception as exc: # noqa: BLE001
|
||||||
|
log.error("drug_info unavailable: %s", type(exc).__name__)
|
||||||
|
return {}
|
||||||
|
out = {s.section: s.text for s in sections if s.section in INSTRUCTION_SECTIONS}
|
||||||
|
if out:
|
||||||
|
ctx.cite(sections[0].source.split(",")[0] + ": инструкция к препарату")
|
||||||
|
return out
|
||||||
|
|
||||||
|
|
||||||
def _json(data: Any) -> str:
|
def _json(data: Any) -> str:
|
||||||
return json.dumps(data, ensure_ascii=False)
|
return json.dumps(data, ensure_ascii=False)
|
||||||
|
|||||||
@@ -30,12 +30,24 @@ async def lifespan(_: FastAPI) -> AsyncGenerator[None, None]:
|
|||||||
# In compose Postgres is required and healthy before the app starts; this branch is for running the
|
# In compose Postgres is required and healthy before the app starts; this branch is for running the
|
||||||
# API (and its tests) without a database. Endpoints touching the DB will fail until it is reachable.
|
# API (and its tests) without a database. Endpoints touching the DB will fail until it is reachable.
|
||||||
log.error("db init failed, continuing without db: %s", type(exc).__name__)
|
log.error("db init failed, continuing without db: %s", type(exc).__name__)
|
||||||
|
if settings.max_enabled:
|
||||||
|
raise # MAX requires persistent bindings and a delivery queue.
|
||||||
# Lanes fill these in (#13, #11); main.py itself stays frozen (#34).
|
# Lanes fill these in (#13, #11); main.py itself stays frozen (#34).
|
||||||
await scheduler.start()
|
max_channel = None
|
||||||
|
try:
|
||||||
await telegram.start()
|
await telegram.start()
|
||||||
|
if settings.max_enabled:
|
||||||
|
from app.channels import max_bot
|
||||||
|
|
||||||
|
max_channel = max_bot
|
||||||
|
await max_channel.start()
|
||||||
|
await scheduler.start()
|
||||||
yield
|
yield
|
||||||
await telegram.stop()
|
finally:
|
||||||
await scheduler.stop()
|
await scheduler.stop()
|
||||||
|
if max_channel is not None:
|
||||||
|
await max_channel.stop()
|
||||||
|
await telegram.stop()
|
||||||
await dispose()
|
await dispose()
|
||||||
|
|
||||||
|
|
||||||
|
|||||||
@@ -15,7 +15,9 @@ from sqlalchemy import select, text
|
|||||||
from sqlalchemy.exc import SQLAlchemyError
|
from sqlalchemy.exc import SQLAlchemyError
|
||||||
|
|
||||||
from app.core import clock
|
from app.core import clock
|
||||||
|
from app.core.intake_questions import DIARY_KINDS
|
||||||
from app.core.intake_runtime import due_scales, intake_enabled, load_runtime
|
from app.core.intake_runtime import due_scales, intake_enabled, load_runtime
|
||||||
|
from app.core.questionnaire import load_policy
|
||||||
from app.db import repo
|
from app.db import repo
|
||||||
from app.db.clinical import PatientProfile
|
from app.db.clinical import PatientProfile
|
||||||
from app.db.intake import QuestionnaireTask
|
from app.db.intake import QuestionnaireTask
|
||||||
@@ -45,16 +47,18 @@ async def plan():
|
|||||||
initial = next((r for r in reversed(rows) if r.kind == "intake" and r.status == "complete"), None)
|
initial = next((r for r in reversed(rows) if r.kind == "intake" and r.status == "complete"), None)
|
||||||
if initial is None:
|
if initial is None:
|
||||||
continue
|
continue
|
||||||
last_activity = max([r.day for r in rows if r.kind == "diary" and r.status == "complete"] + [initial.day])
|
diaries = [r.day for r in rows if r.kind in DIARY_KINDS and r.status == "complete"]
|
||||||
|
last_activity = max([*diaries, initial.day])
|
||||||
high_risk = profile.enhanced_monitoring or bool(state.data.get("crisis"))
|
high_risk = profile.enhanced_monitoring or bool(state.data.get("crisis"))
|
||||||
if high_risk and (local.date() - last_activity).days >= p.high_risk_silence_days:
|
if high_risk and (local.date() - last_activity).days >= p.high_risk_silence_days:
|
||||||
await service.alert(session, profile.token, f"silence:{last_activity}", "high_risk_silence", now)
|
await service.alert(session, profile.token, f"silence:{last_activity}", "high_risk_silence", now)
|
||||||
if (state.data.get("crisis") or {}).get("open") or state.data.get("intake_review_required"):
|
if (state.data.get("crisis") or {}).get("open") or state.data.get("intake_review_required"):
|
||||||
continue
|
continue
|
||||||
if local.hour >= p.daily_hour and not any(
|
done = {r.kind for r in rows if r.day == local.date() and r.status == "complete"}
|
||||||
r.kind == "diary" and r.day == local.date() and r.status == "complete" for r in rows
|
# Stage 2 diary: morning block after waking, evening block at evening_hour («Этап 2», p.2).
|
||||||
):
|
for kind, hour in (("diary_morning", p.morning_hour), ("diary_evening", p.evening_hour)):
|
||||||
await service.queue_task(session, profile.token, "diary", f"diary:{local.date()}", now)
|
if local.hour >= hour and kind not in done:
|
||||||
|
await service.queue_task(session, profile.token, kind, f"{kind}:{local.date()}", now)
|
||||||
last = {}
|
last = {}
|
||||||
for row in rows:
|
for row in rows:
|
||||||
if row.status != "complete":
|
if row.status != "complete":
|
||||||
@@ -82,11 +86,20 @@ async def plan():
|
|||||||
after_crisis=crisis_date,
|
after_crisis=crisis_date,
|
||||||
policy=p,
|
policy=p,
|
||||||
)
|
)
|
||||||
if scales or local.hour >= p.daily_hour:
|
# Suicide-risk module: C-SSRS «since last contact» every day, only under risk monitoring.
|
||||||
|
if profile.enhanced_monitoring and local.hour >= p.evening_hour and "cssrs_since_contact" not in done:
|
||||||
await service.queue_task(session, profile.token, "cssrs_since_contact", f"cssrs:{local.date()}", now)
|
await service.queue_task(session, profile.token, "cssrs_since_contact", f"cssrs:{local.date()}", now)
|
||||||
|
totals = initial.details.get("totals", {})
|
||||||
|
modules = set(profile.modules or [])
|
||||||
|
policy = load_policy()
|
||||||
|
# PHQ-9 only with depression or a positive PHQ-2; PCL-5 only with PTSD or a positive TSQ («Этап 2», p.3).
|
||||||
|
wanted = {
|
||||||
|
"phq9": "depression" in modules or bool(totals.get("phq9", {}).get("complete")),
|
||||||
|
"pcl5": "veteran" in modules or (totals.get("tsq", {}).get("total") or 0) >= policy.tsq_expand_at,
|
||||||
|
"rus_audit_s": True,
|
||||||
|
}
|
||||||
for sid in scales:
|
for sid in scales:
|
||||||
if sid == "pcl5" and initial.answers.get("trauma") != 1:
|
if wanted[sid]:
|
||||||
continue
|
|
||||||
await service.queue_task(session, profile.token, sid, f"{sid}:{local.date()}", now)
|
await service.queue_task(session, profile.token, sid, f"{sid}:{local.date()}", now)
|
||||||
|
|
||||||
|
|
||||||
|
|||||||
@@ -47,6 +47,7 @@ async def create_record(ctx, kind, *, task=None):
|
|||||||
sex = profile.sex if profile else None
|
sex = profile.sex if profile else None
|
||||||
if sex is None and prior:
|
if sex is None and prior:
|
||||||
sex = prior.details.get("sex")
|
sex = prior.details.get("sex")
|
||||||
|
day = ctx.now.astimezone(ZoneInfo(runtime.timezone)).date()
|
||||||
row = QuestionnaireRecord(
|
row = QuestionnaireRecord(
|
||||||
id=uuid4().hex,
|
id=uuid4().hex,
|
||||||
token=ctx.token,
|
token=ctx.token,
|
||||||
@@ -54,7 +55,7 @@ async def create_record(ctx, kind, *, task=None):
|
|||||||
version=content()["version"],
|
version=content()["version"],
|
||||||
policy_version=load_policy().version,
|
policy_version=load_policy().version,
|
||||||
started_at=ctx.now,
|
started_at=ctx.now,
|
||||||
day=ctx.now.astimezone(ZoneInfo(runtime.timezone)).date(),
|
day=day,
|
||||||
status="active",
|
status="active",
|
||||||
answers={},
|
answers={},
|
||||||
details={
|
details={
|
||||||
@@ -69,6 +70,8 @@ async def create_record(ctx, kind, *, task=None):
|
|||||||
"weekly_pcl": kind == "pcl5" and bool((ctx.data.get("crisis") or {}).get("closed_at")),
|
"weekly_pcl": kind == "pcl5" and bool((ctx.data.get("crisis") or {}).get("closed_at")),
|
||||||
"answer_metadata": {},
|
"answer_metadata": {},
|
||||||
"task_id": task.id if task else None,
|
"task_id": task.id if task else None,
|
||||||
|
# Days since stage 1: rotates the PHQ-9 items of the depression diary module (3 a day).
|
||||||
|
"day_index": (day - prior.day).days if prior else 0,
|
||||||
},
|
},
|
||||||
)
|
)
|
||||||
ctx.session.add(row)
|
ctx.session.add(row)
|
||||||
@@ -79,7 +82,7 @@ async def create_record(ctx, kind, *, task=None):
|
|||||||
return row
|
return row
|
||||||
|
|
||||||
|
|
||||||
def save_answer(row, question, value, now):
|
def save_answer(row, question, value, now, *, derived=False):
|
||||||
"""Anchor recall windows to administration, never to the day of a resumed answer."""
|
"""Anchor recall windows to administration, never to the day of a resumed answer."""
|
||||||
day = row.day
|
day = row.day
|
||||||
starts = {
|
starts = {
|
||||||
@@ -105,8 +108,8 @@ def save_answer(row, question, value, now):
|
|||||||
"period": question.period,
|
"period": question.period,
|
||||||
"period_start": starts[question.period].isoformat() if question.period in starts else None,
|
"period_start": starts[question.period].isoformat() if question.period in starts else None,
|
||||||
"period_end": day.isoformat(),
|
"period_end": day.isoformat(),
|
||||||
"source": "patient",
|
"source": "derived" if derived else "patient",
|
||||||
"derived": False,
|
"derived": derived,
|
||||||
},
|
},
|
||||||
},
|
},
|
||||||
}
|
}
|
||||||
@@ -258,6 +261,16 @@ async def queue_task(session, token, kind, key, now):
|
|||||||
return row
|
return row
|
||||||
|
|
||||||
|
|
||||||
|
async def outstanding_task(session, token, kind):
|
||||||
|
return await session.scalar(
|
||||||
|
select(QuestionnaireTask).where(
|
||||||
|
QuestionnaireTask.token == token,
|
||||||
|
QuestionnaireTask.kind == kind,
|
||||||
|
QuestionnaireTask.status.in_(("pending", "active")),
|
||||||
|
)
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
async def lock_patient(session, token):
|
async def lock_patient(session, token):
|
||||||
# PostgreSQL serializes callbacks from different workers. SQLite tests additionally
|
# PostgreSQL serializes callbacks from different workers. SQLite tests additionally
|
||||||
# use the engine's in-process lock. Consent and answers share this transaction.
|
# use the engine's in-process lock. Consent and answers share this transaction.
|
||||||
|
|||||||
@@ -1,189 +1,84 @@
|
|||||||
version: diary-v2-2026-10-03
|
# Stage 2 daily diary — «Этап 2: наблюдение после диагноза» (@Andrey, 2026-10-03), p.1–3.
|
||||||
core:
|
# Every block comes from an instrument checked for frequent use; there are no own questions. No validated thresholds
|
||||||
- id: mood
|
# exist for daily data: the diary shows a trend and brings a full scale forward, routes come from full scales only.
|
||||||
text: 'Какое у Вас сегодня настроение?
|
# Modules follow the screening result of stage 1 (profile modules): depression → «depression», PTSD → «veteran».
|
||||||
|
version: diary-v3-2026-10-04
|
||||||
|
|
||||||
0 — самое плохое, 10 — самое хорошее.'
|
# Core — everyone. Morning block after waking (the sleep diary is built for it), evening block at 20:00.
|
||||||
options:
|
morning:
|
||||||
- value: 0
|
|
||||||
label: '0'
|
|
||||||
- value: 1
|
|
||||||
label: '1'
|
|
||||||
- value: 2
|
|
||||||
label: '2'
|
|
||||||
- value: 3
|
|
||||||
label: '3'
|
|
||||||
- value: 4
|
|
||||||
label: '4'
|
|
||||||
- value: 5
|
|
||||||
label: '5'
|
|
||||||
- value: 6
|
|
||||||
label: '6'
|
|
||||||
- value: 7
|
|
||||||
label: '7'
|
|
||||||
- value: 8
|
|
||||||
label: '8'
|
|
||||||
- value: 9
|
|
||||||
label: '9'
|
|
||||||
- value: 10
|
|
||||||
label: '10'
|
|
||||||
- id: sleep_hours
|
- id: sleep_hours
|
||||||
text: Сколько часов Вы спали прошлой ночью?
|
source: Consensus Sleep Diary
|
||||||
|
text: Сколько часов Вы спали этой ночью?
|
||||||
numeric: true
|
numeric: true
|
||||||
- id: rested
|
max: 24
|
||||||
text: 'Насколько Вы выспались?
|
- id: sleep_quality
|
||||||
|
source: Consensus Sleep Diary
|
||||||
0 — совсем не выспались, 4 — полностью выспались.'
|
text: Как Вы оцениваете качество своего сна?
|
||||||
options:
|
options:
|
||||||
- value: 0
|
- {value: 0, label: Очень плохо}
|
||||||
label: '0'
|
- {value: 1, label: Плохо}
|
||||||
- value: 1
|
- {value: 2, label: Удовлетворительно}
|
||||||
label: '1'
|
- {value: 3, label: Хорошо}
|
||||||
- value: 2
|
- {value: 4, label: Очень хорошо}
|
||||||
label: '2'
|
- id: alcohol_portions
|
||||||
- value: 3
|
source: принцип Timeline Followback; порция по RUS-AUDIT
|
||||||
label: '3'
|
text: |-
|
||||||
- value: 4
|
Сколько стандартных порций алкоголя Вы выпили вчера?
|
||||||
label: '4'
|
|
||||||
|
Одна порция — 100 мл вина, 250 мл пива или 30 мл крепкого алкоголя. Если не пили — введите 0.
|
||||||
|
numeric: true
|
||||||
|
max: 50
|
||||||
|
evening:
|
||||||
|
- id: mood
|
||||||
|
source: ежедневная оценка настроения (недельные средние коррелируют с PHQ-9)
|
||||||
|
text: |-
|
||||||
|
Как Вы оцениваете своё настроение сегодня?
|
||||||
|
|
||||||
|
0 — самое плохое, 10 — самое хорошее.
|
||||||
|
options:
|
||||||
|
- {value: 0, label: '0'}
|
||||||
|
- {value: 1, label: '1'}
|
||||||
|
- {value: 2, label: '2'}
|
||||||
|
- {value: 3, label: '3'}
|
||||||
|
- {value: 4, label: '4'}
|
||||||
|
- {value: 5, label: '5'}
|
||||||
|
- {value: 6, label: '6'}
|
||||||
|
- {value: 7, label: '7'}
|
||||||
|
- {value: 8, label: '8'}
|
||||||
|
- {value: 9, label: '9'}
|
||||||
|
- {value: 10, label: '10'}
|
||||||
- id: medication
|
- id: medication
|
||||||
text: Приняли ли Вы сегодня лекарства по схеме?
|
source: КР ПТСР — дневник приёма лекарств
|
||||||
|
text: Приняли ли Вы сегодня лекарства, назначенные врачом?
|
||||||
options:
|
options:
|
||||||
- value: full
|
- {value: 'yes', label: Да}
|
||||||
label: По схеме
|
- {value: 'no', label: Нет}
|
||||||
- value: partial
|
- {value: not_prescribed, label: Лекарства не назначены}
|
||||||
label: Частично
|
|
||||||
- value: none
|
|
||||||
label: Нет
|
|
||||||
- value: not_prescribed
|
|
||||||
label: Не назначены
|
|
||||||
- id: medication_reason
|
- id: medication_reason
|
||||||
text: Почему не приняли лекарства по схеме?
|
source: КР ПТСР — дневник приёма лекарств
|
||||||
|
text: Почему не приняли?
|
||||||
options:
|
options:
|
||||||
- value: forgot
|
- {value: forgot, label: Забыл(а)}
|
||||||
label: Забыл(а)
|
- {value: side_effects, label: Побочные эффекты}
|
||||||
- value: side_effects
|
- {value: declined, label: Решил(а) не принимать}
|
||||||
label: Побочные эффекты
|
- {value: ran_out, label: Закончились}
|
||||||
- value: declined
|
|
||||||
label: Не хочу
|
# Depression module: PHQ-9 items with the official Russian text (config/instruments/intake_forms.yaml), answer
|
||||||
- value: ran_out
|
# options adapted to one day. Three items a day in rotation: day 1 — items 1–3, day 2 — 4–6, day 3 — 7–9.
|
||||||
label: Закончились
|
# Item 9 ≥1 → stop and the crisis protocol (stage 1 rule).
|
||||||
- value: other
|
|
||||||
label: Другая причина
|
|
||||||
- id: side_effects
|
|
||||||
text: Беспокоили ли Вас сегодня побочные эффекты лекарств?
|
|
||||||
options: &id001
|
|
||||||
- value: 1
|
|
||||||
label: Да
|
|
||||||
- value: 0
|
|
||||||
label: Нет
|
|
||||||
- id: substances
|
|
||||||
text: Употребляли ли Вы сегодня алкоголь или другие вещества?
|
|
||||||
options: *id001
|
|
||||||
- id: comment
|
|
||||||
text: Что хотите передать врачу?
|
|
||||||
optional: true
|
|
||||||
ptsd:
|
|
||||||
- id: intrusions
|
|
||||||
text: 'Насколько за последние сутки Вас беспокоили: нежелательные воспоминания о событии?'
|
|
||||||
options: &id002
|
|
||||||
- value: 0
|
|
||||||
label: Совсем нет
|
|
||||||
- value: 1
|
|
||||||
label: Немного
|
|
||||||
- value: 2
|
|
||||||
label: Умеренно
|
|
||||||
- value: 3
|
|
||||||
label: Сильно
|
|
||||||
- value: 4
|
|
||||||
label: Крайне сильно
|
|
||||||
- id: nightmares
|
|
||||||
text: 'Насколько за последние сутки Вас беспокоили: кошмары прошлой ночью?'
|
|
||||||
options: *id002
|
|
||||||
- id: avoidance
|
|
||||||
text: 'Насколько за последние сутки Вас беспокоили: желание избегать мест, людей и мыслей, напоминающих о событии?'
|
|
||||||
options: *id002
|
|
||||||
- id: hypervigilance
|
|
||||||
text: 'Насколько за последние сутки Вас беспокоили: настороженность, вздрагивание, ощущение опасности?'
|
|
||||||
options: *id002
|
|
||||||
- id: irritability
|
|
||||||
text: 'Насколько за последние сутки Вас беспокоили: раздражительность или вспышки гнева?'
|
|
||||||
options: *id002
|
|
||||||
depression:
|
depression:
|
||||||
- id: interest
|
form: phq9
|
||||||
text: 'Насколько Вам сегодня было интересно и приятно что-то делать?
|
items_per_day: 3
|
||||||
|
question: 'Насколько сегодня Вас беспокоило:'
|
||||||
0 — совсем нет, 4 — крайне сильно.'
|
|
||||||
options: *id002
|
|
||||||
- id: depressed
|
|
||||||
text: Насколько Вы сегодня чувствовали подавленность или безнадёжность?
|
|
||||||
options: *id002
|
|
||||||
- id: energy
|
|
||||||
text: 'Насколько у Вас сегодня были силы и энергия?
|
|
||||||
|
|
||||||
0 — совсем нет, 4 — крайне сильно.'
|
|
||||||
options: *id002
|
|
||||||
- id: planned_activity
|
|
||||||
text: Сделали ли Вы сегодня хотя бы одно запланированное дело?
|
|
||||||
options: *id001
|
|
||||||
suicide:
|
|
||||||
- id: death_thoughts
|
|
||||||
text: Были ли у Вас сегодня мысли о смерти или о том, что не хочется жить?
|
|
||||||
options: *id001
|
|
||||||
- id: thoughts_intensity
|
|
||||||
text: 'Если да — насколько сильными они были?
|
|
||||||
|
|
||||||
0 — совсем слабые, 10 — максимально сильные.'
|
|
||||||
options:
|
options:
|
||||||
- value: 0
|
- {value: 0, label: Совсем нет}
|
||||||
label: '0'
|
- {value: 1, label: Немного}
|
||||||
- value: 1
|
- {value: 2, label: Умеренно}
|
||||||
label: '1'
|
- {value: 3, label: Сильно}
|
||||||
- value: 2
|
|
||||||
label: '2'
|
|
||||||
- value: 3
|
|
||||||
label: '3'
|
|
||||||
- value: 4
|
|
||||||
label: '4'
|
|
||||||
- value: 5
|
|
||||||
label: '5'
|
|
||||||
- value: 6
|
|
||||||
label: '6'
|
|
||||||
- value: 7
|
|
||||||
label: '7'
|
|
||||||
- value: 8
|
|
||||||
label: '8'
|
|
||||||
- value: 9
|
|
||||||
label: '9'
|
|
||||||
- value: 10
|
|
||||||
label: '10'
|
|
||||||
- id: hope
|
|
||||||
text: 'Насколько Вы верите, что станет лучше?
|
|
||||||
|
|
||||||
0 — совсем не верю, 10 — полностью верю.'
|
# PTSD module: short 4-item PCL-5 (Price et al., 2016), one item per cluster B, C, D, E; «today» instead of «the
|
||||||
options:
|
# past month», options 0–4 of PCL-5. Item numbers must still be checked against the article (PDF p.7, «Медику»).
|
||||||
- value: 0
|
ptsd:
|
||||||
label: '0'
|
form: pcl5
|
||||||
- value: 1
|
items: [pcl5_1, pcl5_7, pcl5_10, pcl5_18]
|
||||||
label: '1'
|
question: 'Насколько сильно сегодня Вас беспокоили:'
|
||||||
- value: 2
|
|
||||||
label: '2'
|
|
||||||
- value: 3
|
|
||||||
label: '3'
|
|
||||||
- value: 4
|
|
||||||
label: '4'
|
|
||||||
- value: 5
|
|
||||||
label: '5'
|
|
||||||
- value: 6
|
|
||||||
label: '6'
|
|
||||||
- value: 7
|
|
||||||
label: '7'
|
|
||||||
- value: 8
|
|
||||||
label: '8'
|
|
||||||
- value: 9
|
|
||||||
label: '9'
|
|
||||||
- value: 10
|
|
||||||
label: '10'
|
|
||||||
- id: burden
|
|
||||||
text: Чувствовали ли Вы себя обузой для близких?
|
|
||||||
options: *id001
|
|
||||||
weekly: true
|
|
||||||
|
|||||||
@@ -1,17 +1,27 @@
|
|||||||
version: intake-v2-2026-10-03
|
version: intake-v3-2026-10-04
|
||||||
enabled: false
|
enabled: false
|
||||||
approval: null
|
approval: null
|
||||||
# Release decisions cover texts, diary anchors/thresholds, schedules and contact readiness.
|
# Release decisions cover texts, diary anchors/thresholds, schedules and contact readiness.
|
||||||
content_review: null
|
content_review: null
|
||||||
contact_review: null
|
contact_review: null
|
||||||
timezone: Europe/Moscow
|
timezone: Europe/Moscow
|
||||||
daily_hour: 19
|
# Stage 2 diary («Этап 2: наблюдение после диагноза»): morning block after waking, evening block at 20:00.
|
||||||
mood_baseline_days: 7
|
morning_hour: 8
|
||||||
mood_bad_days: 3
|
evening_hour: 20
|
||||||
mood_drop: 3
|
# Personal norm = the first `norm_days` of observation; compared with the mean of the last `week_days`.
|
||||||
sleep_bad_days: 3
|
# Flag numbers are the team's candidates (PDF «Этап 2», p.4) — agree with the doctor.
|
||||||
|
norm_days: 14
|
||||||
|
week_days: 7
|
||||||
|
min_norm_values: 7
|
||||||
|
min_week_values: 4
|
||||||
|
mood_drop: 3 # weekly mood mean fell ≥3 below the norm → unscheduled PHQ-9
|
||||||
|
depression_item_rise: 1.0 # weekly mean of a PHQ-9 diary item rose ≥1 above its norm → PHQ-9 earlier
|
||||||
|
ptsd_sum_rise: 3.0 # weekly mean of the 4-item PCL-5 sum rose ≥3 above the norm → PCL-5 earlier
|
||||||
|
sleep_bad_days: 3 # <4 h or «очень плохо» three nights in a row → flag to the doctor
|
||||||
sleep_hours_below: 4
|
sleep_hours_below: 4
|
||||||
nightmares_at: 3
|
alcohol_heavy_portions: 6 # ≥6 standard drinks a day = heavy day (volumes of RUS-AUDIT item 3)
|
||||||
|
alcohol_heavy_days: 2 # heavy days in a week → full RUS-AUDIT
|
||||||
|
adherence_below: 0.8 # share of days with medication taken over a week
|
||||||
missed_medication_days: 3
|
missed_medication_days: 3
|
||||||
high_risk_silence_days: 2
|
high_risk_silence_days: 2
|
||||||
medication_days: [7, 14, 28]
|
medication_days: [7, 14, 28]
|
||||||
|
|||||||
@@ -0,0 +1,21 @@
|
|||||||
|
# DEMO ONLY (INTAKE_DEMO=1 + demo clock, synthetic data). NOT a clinical approval: the real policy is
|
||||||
|
# config/questionnaire.yaml and stays closed until the doctor's decisions C01–C09 (docs/clinical/README.md).
|
||||||
|
# Values follow the MVP PDF so the demo can reach a result and stage 2:
|
||||||
|
# C01 → graded: low C-SSRS risk shows the safety plan and continues (PDF p.11, routing table);
|
||||||
|
# C02 → full RUS-AUDIT from zone II of RUS-AUDIT-S (WHO zones, Bunova 2022).
|
||||||
|
version: mvp-v2-demo-2026-10-04
|
||||||
|
approval:
|
||||||
|
reviewer: "DEMO — синтетические данные, не клиническое согласование"
|
||||||
|
decision_reference: "INTAKE_DEMO"
|
||||||
|
approved_at: "2026-10-04T00:00:00+03:00"
|
||||||
|
policy_version: mvp-v2-demo-2026-10-04
|
||||||
|
cssrs_positive_policy: graded
|
||||||
|
rus_audit_s_expand_from_zone: 2
|
||||||
|
phq2_expand_at: 2
|
||||||
|
tsq_expand_at: 6
|
||||||
|
phq9_psychologist_at: 5
|
||||||
|
phq9_specialist_at: 10
|
||||||
|
phq9_priority_at: 20
|
||||||
|
pcl5_specialist_at: 31
|
||||||
|
pcl5_priority_at: 50
|
||||||
|
pcl5_behavior_flag_at: 3
|
||||||
@@ -14,7 +14,11 @@ sex: "Укажите пол для интерпретации алкогольн
|
|||||||
tbi: "Были ли у Вас контузия или черепно-мозговая травма?"
|
tbi: "Были ли у Вас контузия или черепно-мозговая травма?"
|
||||||
psychotropics: "Принимаете ли Вы сейчас психотропные препараты?"
|
psychotropics: "Принимаете ли Вы сейчас психотропные препараты?"
|
||||||
missing_followup: "Для оценки изменений со времени прошлого контакта нужна консультация специалиста. Если Вам нужна помощь сейчас, нажмите кнопку ниже."
|
missing_followup: "Для оценки изменений со времени прошлого контакта нужна консультация специалиста. Если Вам нужна помощь сейчас, нажмите кнопку ниже."
|
||||||
|
side_effects: "Беспокоили ли Вас за последнее время побочные эффекты лекарств?"
|
||||||
|
numeric_portions: "Введите число стандартных порций, например 0 или 2."
|
||||||
|
diary_done: "Дневник на сегодня уже заполнен. Спасибо!"
|
||||||
periods:
|
periods:
|
||||||
|
since_last_contact: "С момента Вашего последнего ответа на эти вопросы."
|
||||||
past_month: "За последний месяц."
|
past_month: "За последний месяц."
|
||||||
lifetime: "За всю жизнь."
|
lifetime: "За всю жизнь."
|
||||||
past_3_months: "За последние три месяца."
|
past_3_months: "За последние три месяца."
|
||||||
|
|||||||
@@ -0,0 +1,120 @@
|
|||||||
|
# Patient-facing interpretation of questionnaire results (ADR-008: texts in config). The rules that pick a text are
|
||||||
|
# deterministic (app/core/interpretation.py) and use the thresholds of config/questionnaire*.yaml, PDF «Опросники для
|
||||||
|
# MVP» (stage 1) and «Этап 2» (follow-up). The app never diagnoses: every result is a screening result.
|
||||||
|
disclaimer: "Это результат скрининга, а не диагноз. Диагноз ставит врач после очной консультации."
|
||||||
|
|
||||||
|
intake:
|
||||||
|
ok:
|
||||||
|
title: "Признаков депрессии и ПТСР не выявлено"
|
||||||
|
text: "По Вашим ответам сейчас нет признаков, которые требуют обращения к специалисту. Можно спать спокойно: продолжайте короткий дневник — так Вы заметите изменения раньше."
|
||||||
|
attention:
|
||||||
|
title: "Есть признаки, которые стоит обсудить со специалистом"
|
||||||
|
text: "Это не диагноз, но ответы похожи на те, что бывают при состояниях ниже. Ниже — что именно мы заметили и что делать дальше."
|
||||||
|
|
||||||
|
findings:
|
||||||
|
depression_suspected:
|
||||||
|
title: "Предположение депрессии"
|
||||||
|
text: "Ответы указывают на выраженные симптомы депрессии за последние 2 недели. Включаем модуль «Депрессия» в ежедневном дневнике."
|
||||||
|
depression_mild:
|
||||||
|
title: "Лёгкие симптомы депрессии"
|
||||||
|
text: "Есть отдельные симптомы сниженного настроения. Они часто проходят сами, но за ними стоит последить."
|
||||||
|
ptsd_suspected:
|
||||||
|
title: "Склонность к ПТСР"
|
||||||
|
text: "Ответы указывают на выраженные последствия пережитого травматического события за последний месяц. Включаем модуль «ПТСР» в ежедневном дневнике."
|
||||||
|
ptsd_signs:
|
||||||
|
title: "Отдельные признаки посттравматического стресса"
|
||||||
|
text: "После травматического события есть отдельные реакции, но их выраженность ниже порога вероятного ПТСР."
|
||||||
|
alcohol_risky:
|
||||||
|
title: "Рискованное употребление алкоголя"
|
||||||
|
text: "Употребление алкоголя выше безопасного уровня. Стоит сократить его и обсудить это с врачом."
|
||||||
|
alcohol_high:
|
||||||
|
title: "Высокий риск зависимости от алкоголя"
|
||||||
|
text: "Рекомендуем консультацию нарколога — параллельно с основным маршрутом."
|
||||||
|
suicide_low:
|
||||||
|
title: "Тяжёлые мысли"
|
||||||
|
text: "Вы отметили мысли о смерти. Мы добавили план безопасности и будем каждый день коротко спрашивать о самочувствии. Если станет тяжело — звоните 112 или на телефон доверия."
|
||||||
|
tbi:
|
||||||
|
title: "Контузия или ЧМТ"
|
||||||
|
text: "Рекомендуем консультацию невролога."
|
||||||
|
|
||||||
|
routes:
|
||||||
|
urgent_psychiatrist: "Срочно свяжитесь с психиатром — сегодня или завтра."
|
||||||
|
priority_psychiatrist: "Рекомендуем приоритетную запись к психиатру в ближайшие дни."
|
||||||
|
psychiatrist_or_psychotherapist: "Рекомендуем плановую запись к психиатру или психотерапевту."
|
||||||
|
psychologist: "Рекомендуем консультацию психолога."
|
||||||
|
self_help: "Достаточно самопомощи и короткого ежедневного дневника."
|
||||||
|
|
||||||
|
modules:
|
||||||
|
title: "Что дальше"
|
||||||
|
diary: "Каждый день — короткий дневник: 3 вопроса утром и 2 вечером{modules}. Полные опросники — по расписанию."
|
||||||
|
names:
|
||||||
|
depression: "«Депрессия»"
|
||||||
|
veteran: "«ПТСР»"
|
||||||
|
with: ", плюс модуль {names}"
|
||||||
|
|
||||||
|
scales:
|
||||||
|
phq9:
|
||||||
|
title: "Опросник PHQ-9 (депрессия)"
|
||||||
|
levels:
|
||||||
|
minimal: "минимальные симптомы"
|
||||||
|
mild: "лёгкие симптомы"
|
||||||
|
moderate: "умеренные симптомы"
|
||||||
|
moderately_severe: "умеренно тяжёлые симптомы"
|
||||||
|
severe: "тяжёлые симптомы"
|
||||||
|
pcl5:
|
||||||
|
title: "Опросник PCL-5 (ПТСР)"
|
||||||
|
levels:
|
||||||
|
below: "ниже порога вероятного ПТСР"
|
||||||
|
probable: "выше порога вероятного ПТСР"
|
||||||
|
rus_audit_s:
|
||||||
|
title: "Опросник RUS-AUDIT-S (алкоголь)"
|
||||||
|
levels:
|
||||||
|
zone_1: "относительно низкий риск"
|
||||||
|
zone_2: "опасное употребление"
|
||||||
|
zone_3: "пагубное употребление"
|
||||||
|
zone_4: "риск зависимости"
|
||||||
|
unknown: "нельзя оценить без указания пола"
|
||||||
|
score: "{title}: {total} — {level}."
|
||||||
|
change:
|
||||||
|
remission: "Это ремиссия по шкале — отличный результат."
|
||||||
|
response: "По сравнению с началом наблюдения — ответ на лечение."
|
||||||
|
improved: "По сравнению с началом наблюдения — клинически значимое улучшение."
|
||||||
|
stable: "По сравнению с началом наблюдения существенных изменений нет."
|
||||||
|
worse: "По сравнению с прошлым замером состояние ухудшилось. Врач получит сигнал и пересмотрит план."
|
||||||
|
|
||||||
|
diary:
|
||||||
|
saved: "Спасибо, дневник за {part} сохранён."
|
||||||
|
parts:
|
||||||
|
morning: "утро"
|
||||||
|
evening: "вечер"
|
||||||
|
flags:
|
||||||
|
phq9_due_mood: "Настроение за неделю заметно ниже Вашей обычной нормы — предложим полный опросник PHQ-9 раньше срока."
|
||||||
|
phq9_due_depression: "Симптомы депрессии за неделю выше Вашей нормы — предложим полный опросник PHQ-9 раньше срока."
|
||||||
|
pcl5_due_ptsd: "Симптомы ПТСР за неделю выше Вашей нормы — предложим полный опросник PCL-5 раньше срока."
|
||||||
|
sleep_review: "Несколько ночей подряд очень плохой или короткий сон. Врач увидит это в сводке."
|
||||||
|
alcohol_on_medication: "Много алкоголя при приёме лекарств опасно. Врач получит отметку."
|
||||||
|
rus_audit_due_alcohol: "За неделю было несколько дней с большим количеством алкоголя — предложим опросник об алкоголе."
|
||||||
|
medication_contact: "Несколько дней подряд без лекарств. Не прекращайте приём без врача — мы сообщим ему."
|
||||||
|
adherence_review: "За неделю лекарства пропущены чаще, чем в 1 из 5 дней. Обсудите это с врачом."
|
||||||
|
side_effects_review: "Вы отметили побочные эффекты — врач получит отметку."
|
||||||
|
|
||||||
|
cssrs:
|
||||||
|
none: "Спасибо за ответы."
|
||||||
|
low: "Спасибо, что ответили честно. Откройте план безопасности, если станет тяжело."
|
||||||
|
|
||||||
|
kinds:
|
||||||
|
intake: "Первичный опрос"
|
||||||
|
diary_morning: "Дневник — утро"
|
||||||
|
diary_evening: "Дневник — вечер"
|
||||||
|
cssrs_since_contact: "Вопросы о безопасности"
|
||||||
|
phq9: "PHQ-9 по расписанию"
|
||||||
|
pcl5: "PCL-5 по расписанию"
|
||||||
|
rus_audit_s: "Алкоголь по расписанию"
|
||||||
|
diary: "Дневник"
|
||||||
|
status:
|
||||||
|
complete: "пройден"
|
||||||
|
review_required: "остановлен для оценки специалиста"
|
||||||
|
interrupted: "прерван: открыта экстренная помощь"
|
||||||
|
active: "в процессе"
|
||||||
|
paused: "на паузе"
|
||||||
|
cancelled: "отменён"
|
||||||
@@ -42,7 +42,10 @@ def dose_strip_html(grid: h.DoseGrid, start: date | None) -> str:
|
|||||||
f'<span><i style="border:1.5px dashed var(--grey)"></i>ожидается · {c["pending"]}</span>'
|
f'<span><i style="border:1.5px dashed var(--grey)"></i>ожидается · {c["pending"]}</span>'
|
||||||
"</div>"
|
"</div>"
|
||||||
)
|
)
|
||||||
return f'<div class="mt-doses" style="grid-template-columns:{cols}">{"".join(cells)}</div>{legend}'
|
return (
|
||||||
|
f'<div class="mt-dose-scroll"><div class="mt-doses" style="grid-template-columns:{cols}">'
|
||||||
|
f"{''.join(cells)}</div></div>{legend}"
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
def _tile(label: str, value: str, hint: str = "", tone: str = "blue") -> str:
|
def _tile(label: str, value: str, hint: str = "", tone: str = "blue") -> str:
|
||||||
@@ -181,7 +184,7 @@ def render(card: PatientCard, today: date | None) -> None:
|
|||||||
|
|
||||||
main, side = st.columns([1.75, 1], gap="large")
|
main, side = st.columns([1.75, 1], gap="large")
|
||||||
with main:
|
with main:
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-scales"):
|
||||||
c1, c2 = st.columns(2)
|
c1, c2 = st.columns(2)
|
||||||
for col, scale_id, title in ((c1, "phq9", "PHQ-9"), (c2, "pcl5", "PCL-5")):
|
for col, scale_id, title in ((c1, "phq9", "PHQ-9"), (c2, "pcl5", "PCL-5")):
|
||||||
fig = charts.scale_figure(card.series, scale_id, title, start)
|
fig = charts.scale_figure(card.series, scale_id, title, start)
|
||||||
@@ -191,22 +194,22 @@ def render(card: PatientCard, today: date | None) -> None:
|
|||||||
else:
|
else:
|
||||||
st.plotly_chart(fig, config=theme.PLOTLY_CONFIG, key=f"chart-{scale_id}")
|
st.plotly_chart(fig, config=theme.PLOTLY_CONFIG, key=f"chart-{scale_id}")
|
||||||
st.caption("◇ — внеплановое заполнение (по триггеру правил). Полосы — градации тяжести из config/scales.")
|
st.caption("◇ — внеплановое заполнение (по триггеру правил). Полосы — градации тяжести из config/scales.")
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-wellbeing"):
|
||||||
fig = charts.wellbeing_figure(card.series, start)
|
fig = charts.wellbeing_figure(card.series, start)
|
||||||
if fig is None:
|
if fig is None:
|
||||||
st.caption("Ежедневных чек-инов пока нет")
|
st.caption("Ежедневных чек-инов пока нет")
|
||||||
else:
|
else:
|
||||||
st.plotly_chart(fig, config=theme.PLOTLY_CONFIG, key="chart-wellbeing")
|
st.plotly_chart(fig, config=theme.PLOTLY_CONFIG, key="chart-wellbeing")
|
||||||
st.caption("Красная зона настроения ≤ 3 (3 дня → внеплановый PHQ-9); пунктир — сон 4 ч.")
|
st.caption("Красная зона настроения ≤ 3 (3 дня → внеплановый PHQ-9); пунктир — сон 4 ч.")
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-doses"):
|
||||||
st.html('<div class="mt-panel-title">Календарь приёма</div>')
|
st.html('<div class="mt-panel-title">Календарь приёма</div>')
|
||||||
st.html(dose_strip_html(grid, start))
|
st.html(dose_strip_html(grid, start))
|
||||||
with side:
|
with side:
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-alerts"):
|
||||||
_alerts_feed(card.alerts, today)
|
_alerts_feed(card.alerts, today)
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-summary"):
|
||||||
_summary(card.summary)
|
_summary(card.summary)
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-safety"):
|
||||||
_safety_plan(card.safety_plan)
|
_safety_plan(card.safety_plan)
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-prescriptions"):
|
||||||
_prescriptions(card)
|
_prescriptions(card)
|
||||||
|
|||||||
@@ -51,7 +51,7 @@ def render_playback_panel(persona: dict[str, Any]) -> None:
|
|||||||
token = persona["token"]
|
token = persona["token"]
|
||||||
scenario, source = w.scenario_for(persona)
|
scenario, source = w.scenario_for(persona)
|
||||||
state = w.playback_state(token)
|
state = w.playback_state(token)
|
||||||
st.subheader("🎬 Сценарий демо")
|
st.subheader("Сценарий демо")
|
||||||
_scenario_source_controls(persona, source)
|
_scenario_source_controls(persona, source)
|
||||||
if scenario.errors:
|
if scenario.errors:
|
||||||
with st.expander(f"⚠️ Замечания к сценарию: {len(scenario.errors)}", expanded=not scenario.days):
|
with st.expander(f"⚠️ Замечания к сценарию: {len(scenario.errors)}", expanded=not scenario.days):
|
||||||
|
|||||||
@@ -368,10 +368,9 @@ def render_doctor_panel(highlight_token: str | None, *, key: str = "doc") -> Non
|
|||||||
]
|
]
|
||||||
for a in fresh_acute[:1]:
|
for a in fresh_acute[:1]:
|
||||||
st.markdown(
|
st.markdown(
|
||||||
"<div style='background:#c62828;color:#fff;padding:18px 20px;border-radius:12px;"
|
"<div class='mt-banner t-red mt-console-alert'><div>"
|
||||||
"font-size:1.35rem;font-weight:700;margin-bottom:8px'>"
|
|
||||||
f"🚨 ОСТРЫЙ АЛЕРТ · {_escape(a.get('patient_name', ''))} · {_fmt_ts(a.get('ts'))}<br>"
|
f"🚨 ОСТРЫЙ АЛЕРТ · {_escape(a.get('patient_name', ''))} · {_fmt_ts(a.get('ts'))}<br>"
|
||||||
f"<span style='font-size:1.05rem;font-weight:500'>{_escape(a.get('reason', ''))}</span></div>",
|
f"<div class='mt-sub'>{_escape(a.get('reason', ''))}</div></div></div>",
|
||||||
unsafe_allow_html=True,
|
unsafe_allow_html=True,
|
||||||
)
|
)
|
||||||
c1, c2 = st.columns(2)
|
c1, c2 = st.columns(2)
|
||||||
|
|||||||
@@ -68,7 +68,7 @@ def _reset() -> None:
|
|||||||
|
|
||||||
def _result(res: ConnectPatientOut, name: str) -> None:
|
def _result(res: ConnectPatientOut, name: str) -> None:
|
||||||
link = h.absolute_link(res.deep_link, os.environ.get("DASHBOARD_PUBLIC_URL", "http://localhost:8501"))
|
link = h.absolute_link(res.deep_link, os.environ.get("DASHBOARD_PUBLIC_URL", "http://localhost:8501"))
|
||||||
with st.container(border=True):
|
with st.container(border=True, key="panel-connect-result"):
|
||||||
st.html(
|
st.html(
|
||||||
f'<div class="mt-kicker">Пациент подключён · {escape(name)}</div>'
|
f'<div class="mt-kicker">Пациент подключён · {escape(name)}</div>'
|
||||||
'<div class="mt-sub" style="margin:4px 0 10px">Покажите QR пациенту или продиктуйте код — бот спросит '
|
'<div class="mt-sub" style="margin:4px 0 10px">Покажите QR пациенту или продиктуйте код — бот спросит '
|
||||||
@@ -108,7 +108,7 @@ def main() -> None:
|
|||||||
st.button("Заполнить демо-данными (Андрей)", icon=":material/auto_fix_high:", on_click=_fill_demo, args=(today,))
|
st.button("Заполнить демо-данными (Андрей)", icon=":material/auto_fix_high:", on_click=_fill_demo, args=(today,))
|
||||||
|
|
||||||
left, right = st.columns(2, gap="large")
|
left, right = st.columns(2, gap="large")
|
||||||
with left, st.container(border=True):
|
with left, st.container(border=True, key="panel-connect-person"):
|
||||||
st.html('<div class="mt-panel-title">Пациент</div>')
|
st.html('<div class="mt-panel-title">Пациент</div>')
|
||||||
st.text_input("Имя и инициал фамилии", key="cp_name", placeholder="Андрей С.", help="Без полного ФИО")
|
st.text_input("Имя и инициал фамилии", key="cp_name", placeholder="Андрей С.", help="Без полного ФИО")
|
||||||
a, b = st.columns(2)
|
a, b = st.columns(2)
|
||||||
@@ -128,7 +128,7 @@ def main() -> None:
|
|||||||
key="cp_modules",
|
key="cp_modules",
|
||||||
format_func=lambda m: h.MODULE_LABELS[m],
|
format_func=lambda m: h.MODULE_LABELS[m],
|
||||||
)
|
)
|
||||||
with right, st.container(border=True):
|
with right, st.container(border=True, key="panel-connect-prescription"):
|
||||||
st.html('<div class="mt-panel-title">Назначение</div>')
|
st.html('<div class="mt-panel-title">Назначение</div>')
|
||||||
d1, d2 = st.columns([1.4, 1])
|
d1, d2 = st.columns([1.4, 1])
|
||||||
with d1:
|
with d1:
|
||||||
|
|||||||
@@ -14,21 +14,31 @@ sys.path.insert(0, str(Path(__file__).resolve().parents[1]))
|
|||||||
from console import widgets as w # noqa: E402
|
from console import widgets as w # noqa: E402
|
||||||
from console.playback_ui import render_playback_panel # noqa: E402
|
from console.playback_ui import render_playback_panel # noqa: E402
|
||||||
|
|
||||||
|
from dashboard import theme # noqa: E402
|
||||||
|
from dashboard.components import ui # noqa: E402
|
||||||
|
|
||||||
st.set_page_config(page_title="Демо-консоль", page_icon="🎬", layout="wide")
|
st.set_page_config(page_title="Демо-консоль", page_icon="🎬", layout="wide")
|
||||||
|
|
||||||
|
st.html(theme.CSS)
|
||||||
|
st.html(
|
||||||
|
ui.page_header(
|
||||||
|
"Демо-консоль",
|
||||||
|
"Чат пациента и сценарий сопровождения. Прототип на синтетических данных.",
|
||||||
|
kicker="Демонстрация",
|
||||||
|
)
|
||||||
|
)
|
||||||
|
|
||||||
persona = w.select_persona()
|
persona = w.select_persona()
|
||||||
w.render_connect_hero()
|
w.render_connect_hero()
|
||||||
w.show_flash()
|
w.show_flash()
|
||||||
st.sidebar.caption(f"API: {w.get_api().base_url}")
|
st.sidebar.caption(f"API: {w.get_api().base_url}")
|
||||||
|
|
||||||
st.title("Демо-консоль")
|
with st.container(border=True, key="panel-console-clock"):
|
||||||
st.caption("Прототип на синтетических данных. Время — виртуальные демо-часы (ADR-005).")
|
w.render_clock_bar(persona, key="console-clock")
|
||||||
w.render_clock_bar(persona, key="console-clock")
|
|
||||||
st.divider()
|
|
||||||
|
|
||||||
chat_col, play_col = st.columns([1.05, 1], gap="large")
|
chat_col, play_col = st.columns([1.05, 1], gap="large")
|
||||||
with chat_col:
|
with chat_col, st.container(border=True, key="panel-console-chat"):
|
||||||
st.subheader(f"💬 Чат пациента — {persona.get('display_name') or persona['token']}")
|
st.subheader(f"Чат пациента — {persona.get('display_name') or persona['token']}")
|
||||||
w.render_chat(persona["token"], height=560, key="console-chat")
|
w.render_chat(persona["token"], height=560, key="console-chat")
|
||||||
with play_col:
|
with play_col, st.container(border=True, key="panel-console-scenario"):
|
||||||
render_playback_panel(persona)
|
render_playback_panel(persona)
|
||||||
|
|||||||
@@ -15,12 +15,12 @@ sys.path.insert(0, str(Path(__file__).resolve().parents[1]))
|
|||||||
|
|
||||||
from console import widgets as w # noqa: E402
|
from console import widgets as w # noqa: E402
|
||||||
|
|
||||||
|
from dashboard import theme # noqa: E402
|
||||||
|
from dashboard.components import ui # noqa: E402
|
||||||
|
|
||||||
st.set_page_config(page_title="Сплит-экран", page_icon="🖥️", layout="wide", initial_sidebar_state="collapsed")
|
st.set_page_config(page_title="Сплит-экран", page_icon="🖥️", layout="wide", initial_sidebar_state="collapsed")
|
||||||
st.markdown(
|
st.html(theme.CSS)
|
||||||
"<style>.block-container{padding-top:1.2rem;max-width:100%} "
|
st.html(ui.page_header("Сплит-экран", "Пациент и врач: сопровождение в реальном времени.", kicker="Демонстрация"))
|
||||||
"[data-testid='stMarkdownContainer'] p, [data-testid='stMarkdownContainer'] li{font-size:1.08rem}</style>",
|
|
||||||
unsafe_allow_html=True,
|
|
||||||
)
|
|
||||||
|
|
||||||
persona = w.select_persona()
|
persona = w.select_persona()
|
||||||
w.show_flash()
|
w.show_flash()
|
||||||
@@ -44,15 +44,15 @@ if clicked and nxt is not None:
|
|||||||
st.rerun()
|
st.rerun()
|
||||||
|
|
||||||
left, right = st.columns([1.1, 1], gap="large")
|
left, right = st.columns([1.1, 1], gap="large")
|
||||||
with left:
|
with left, st.container(border=True, key="panel-split-patient"):
|
||||||
url = w.patient_web_url()
|
url = w.patient_web_url()
|
||||||
if url:
|
if url:
|
||||||
st.markdown(f"#### 📱 Пациент — {persona.get('display_name') or token}")
|
st.markdown(f"#### Пациент — {persona.get('display_name') or token}")
|
||||||
st.iframe(url, height=760)
|
st.iframe(url, height=760)
|
||||||
st.caption(f"Веб-приложение пациента: {url}")
|
st.caption(f"Веб-приложение пациента: {url}")
|
||||||
else:
|
else:
|
||||||
st.markdown(f"#### 💬 Пациент — {persona.get('display_name') or token}")
|
st.markdown(f"#### Пациент — {persona.get('display_name') or token}")
|
||||||
w.render_chat(token, height=600, key="split-chat")
|
w.render_chat(token, height=600, key="split-chat")
|
||||||
with right:
|
with right, st.container(border=True, key="panel-split-doctor"):
|
||||||
st.markdown("#### 🩺 Кабинет врача — д-р Смирнова Е. А.")
|
st.markdown("#### Кабинет врача — д-р Смирнова Е. А.")
|
||||||
w.polled_doctor_panel(token, key="split-doc")
|
w.polled_doctor_panel(token, key="split-doc")
|
||||||
|
|||||||
@@ -138,8 +138,8 @@ div[class*="st-key-prow-"] {{ border-top:1px solid var(--line); padding:18px 0 4
|
|||||||
.mt-empty p {{ font-size:.85rem; margin:8px 0 0; }}
|
.mt-empty p {{ font-size:.85rem; margin:8px 0 0; }}
|
||||||
|
|
||||||
/* ---------- chips, badges, bars ---------- */
|
/* ---------- chips, badges, bars ---------- */
|
||||||
.mt-chip {{ display:inline-block; font-size:.72rem; padding: 1px 8px; border-radius: 999px; margin-right: 4px;
|
.mt-chip {{ display:inline-block; font-size:.72rem; padding: 1px 8px; border-radius: 5px; margin-right: 4px;
|
||||||
background: var(--blue-tint); color: var(--blue-ink); font-weight: 500; }}
|
background: #edf3ee; color: #38634b; font-weight: 500; }}
|
||||||
.mt-badge {{ display:inline-flex; align-items:center; gap:6px; font-size:.7rem; font-weight:550; padding: 5px 8px;
|
.mt-badge {{ display:inline-flex; align-items:center; gap:6px; font-size:.7rem; font-weight:550; padding: 5px 8px;
|
||||||
border-radius: 5px; white-space: normal; }}
|
border-radius: 5px; white-space: normal; }}
|
||||||
.mt-badge.t-red {{ background: var(--red-tint); color: var(--red-ink); }}
|
.mt-badge.t-red {{ background: var(--red-tint); color: var(--red-ink); }}
|
||||||
@@ -166,7 +166,7 @@ div[class*="st-key-prow-"] {{ border-top:1px solid var(--line); padding:18px 0 4
|
|||||||
.mt-banner b {{ color: inherit; }}
|
.mt-banner b {{ color: inherit; }}
|
||||||
.mt-pulse {{ width: 12px; height: 12px; border-radius: 50%; background: var(--red); margin-top: 5px; flex: none;
|
.mt-pulse {{ width: 12px; height: 12px; border-radius: 50%; background: var(--red); margin-top: 5px; flex: none;
|
||||||
box-shadow: 0 0 0 4px #faeeee; }}
|
box-shadow: 0 0 0 4px #faeeee; }}
|
||||||
.mt-panel-title {{ font-size: .8rem; text-transform: uppercase; letter-spacing: .07em; font-weight: 650;
|
.mt-panel-title {{ font-size: .82rem; text-transform: uppercase; letter-spacing: .03em; font-weight: 550;
|
||||||
color: var(--ink-3); margin: 2px 0 8px; }}
|
color: var(--ink-3); margin: 2px 0 8px; }}
|
||||||
.mt-alert {{ border-left: 4px solid var(--grey); padding: 4px 0 4px 12px; }}
|
.mt-alert {{ border-left: 4px solid var(--grey); padding: 4px 0 4px 12px; }}
|
||||||
.mt-alert.t-red {{ border-left-color: var(--red); }}
|
.mt-alert.t-red {{ border-left-color: var(--red); }}
|
||||||
@@ -175,9 +175,9 @@ div[class*="st-key-prow-"] {{ border-top:1px solid var(--line); padding:18px 0 4
|
|||||||
.mt-alert .when {{ color: var(--ink-3); font-size: .78rem; }}
|
.mt-alert .when {{ color: var(--ink-3); font-size: .78rem; }}
|
||||||
.mt-alert .why {{ color: var(--ink); font-weight: 600; font-size: .92rem; margin: 2px 0; }}
|
.mt-alert .why {{ color: var(--ink); font-weight: 600; font-size: .92rem; margin: 2px 0; }}
|
||||||
.mt-alert.acked .why {{ color: var(--ink-3); font-weight: 500; }}
|
.mt-alert.acked .why {{ color: var(--ink-3); font-weight: 500; }}
|
||||||
.mt-summary {{ background: var(--blue-tint); border-radius: 12px; padding: 14px 16px; color: var(--ink);
|
.mt-summary {{ background: #f4f6f2; border:1px solid var(--line); border-radius: 12px; padding: 14px 16px;
|
||||||
line-height: 1.5; font-size: .93rem; }}
|
color: var(--ink); line-height: 1.5; font-size: .93rem; }}
|
||||||
.mt-summary .disc {{ color: var(--blue-ink); font-size: .76rem; margin-top: 8px; }}
|
.mt-summary .disc {{ color: var(--ink-2); font-size: .76rem; margin-top: 8px; }}
|
||||||
.mt-plan ol {{ margin: 0; padding-left: 1.2rem; }}
|
.mt-plan ol {{ margin: 0; padding-left: 1.2rem; }}
|
||||||
.mt-plan li {{ margin: 3px 0; color: var(--ink); font-size: .9rem; }}
|
.mt-plan li {{ margin: 3px 0; color: var(--ink); font-size: .9rem; }}
|
||||||
|
|
||||||
@@ -195,6 +195,21 @@ div[class*="st-key-prow-"] {{ border-top:1px solid var(--line); padding:18px 0 4
|
|||||||
.mt-legend i {{ display:inline-block; width: 12px; height: 12px; border-radius: 3px; margin-right: 5px;
|
.mt-legend i {{ display:inline-block; width: 12px; height: 12px; border-radius: 3px; margin-right: 5px;
|
||||||
vertical-align: -1px; }}
|
vertical-align: -1px; }}
|
||||||
|
|
||||||
|
/* ---------- internal pages ---------- */
|
||||||
|
div[class*="st-key-panel-"] {{ background:var(--surface); border:1px solid var(--line); border-radius:12px;
|
||||||
|
padding:20px; }}
|
||||||
|
[data-testid="stExpander"] {{ background:var(--surface); border-color:var(--line); border-radius:12px; }}
|
||||||
|
[data-testid="stChatMessage"] {{ background:#f4f6f2; border:1px solid var(--line); border-radius:12px; }}
|
||||||
|
[data-testid="stChatInput"] {{ background:var(--surface); border:1px solid var(--line); border-radius:8px; }}
|
||||||
|
[data-testid="stNumberInputContainer"], [data-testid="stDateInput"] input {{
|
||||||
|
background:var(--surface); color:var(--ink); border-color:var(--line); border-radius:8px; }}
|
||||||
|
[data-testid="stApp"] [data-variant="pills"][data-selected] {{ background:#edf3ee; color:#285e4e;
|
||||||
|
border-color:#b4c6ba; }}
|
||||||
|
.mt-console-alert {{ font-size:1.1rem; font-weight:600; }}
|
||||||
|
.mt-console-alert .mt-sub {{ color:var(--red-ink); font-weight:400; }}
|
||||||
|
.mt-dose-scroll {{ overflow-x:auto; padding-bottom:4px; }}
|
||||||
|
.mt-doses {{ min-width:max-content; }}
|
||||||
|
|
||||||
/* ---------- connect result ---------- */
|
/* ---------- connect result ---------- */
|
||||||
.mt-code {{ font-size: 2.4rem; font-weight: 700; letter-spacing: .12em; color: var(--ink);
|
.mt-code {{ font-size: 2.4rem; font-weight: 700; letter-spacing: .12em; color: var(--ink);
|
||||||
font-variant-numeric: tabular-nums; }}
|
font-variant-numeric: tabular-nums; }}
|
||||||
@@ -222,6 +237,8 @@ div[class*="st-key-prow-"] {{ border-top:1px solid var(--line); padding:18px 0 4
|
|||||||
.mt-mobile-label {{ display:block; color:var(--ink-3); font-size:.68rem; margin-bottom:5px; }}
|
.mt-mobile-label {{ display:block; color:var(--ink-3); font-size:.68rem; margin-bottom:5px; }}
|
||||||
.mt-row-details {{ grid-template-columns:1fr; gap:12px; }}
|
.mt-row-details {{ grid-template-columns:1fr; gap:12px; }}
|
||||||
.mt-list-footer {{ flex-wrap:wrap; }}
|
.mt-list-footer {{ flex-wrap:wrap; }}
|
||||||
|
.mt-head .mt-side {{ text-align:left; }}
|
||||||
|
div[class*="st-key-panel-"] {{ padding:16px; }}
|
||||||
.mt-tip:hover::after, .mt-tip:focus-visible::after {{ display:none; }}
|
.mt-tip:hover::after, .mt-tip:focus-visible::after {{ display:none; }}
|
||||||
}}
|
}}
|
||||||
@media (prefers-reduced-motion: reduce) {{
|
@media (prefers-reduced-motion: reduce) {{
|
||||||
|
|||||||
@@ -3,6 +3,12 @@
|
|||||||
> Живой журнал: **что** решили и **почему**. Новые записи — сверху. Одна запись = одно решение.
|
> Живой журнал: **что** решили и **почему**. Новые записи — сверху. Одна запись = одно решение.
|
||||||
> При конфликте с [`docs/info/SPEC.md`](info/SPEC.md) действует ADR.
|
> При конфликте с [`docs/info/SPEC.md`](info/SPEC.md) действует ADR.
|
||||||
|
|
||||||
|
## 2026-10-04 — ADR-012: Два этапа опросов — общий скрининг, предварительный результат пациенту, дневник по результату
|
||||||
|
**Контекст:** PDF «Опросники для MVP» (этап 1) и «Этап 2: наблюдение после диагноза». Пациент должен видеть, что у него всё в порядке или есть признаки депрессии/ПТСР, и дальше вести дневник под свой результат. Клиническая политика (`config/questionnaire.yaml`) закрыта до решений врача C01–C09, поэтому в демо опрос всегда заканчивался остановкой «нужна оценка специалиста».
|
||||||
|
**Решение:** этап 1 общий для всех и идёт в фиксированном порядке документа: PHQ-2 → фильтр травмы/TSQ → RUS-AUDIT-S → C-SSRS → общие вопросы, затем этап 2 только там, где этап 1 положительный. Пункты внутри шкал не переставляются. Стоп-правила риска срабатывают после каждого ответа. После этапа 1 правила (`app/core/interpretation.py`, тексты в `config/texts/results.yaml`) показывают пациенту предварительный результат: «не выявлено», «предположение депрессии» (PHQ-9 ≥10), «склонность к ПТСР» (PCL-5 ≥31), алкоголь, ЧМТ, маршрут. Это всегда «результат скрининга, не диагноз». Результат включает модули дневника: `depression` и `veteran` (ПТСР). Без врача их определяет скрининг, модули врача сохраняются и дополняются. Дневник этапа 2 состоит из двух частей: утро (часы сна, качество сна, порции алкоголя) и вечер (настроение, лекарства + модули: 3 пункта PHQ-9 в день по кругу, короткая PCL-5 из 4 пунктов). C-SSRS «с последнего контакта» задаётся каждый вечер только при суицидальном риске. Флаги считаются по недельным средним против личной нормы за первые 14 дней и выносят полную шкалу раньше срока. Каждая запись хранит интерпретацию, показанную при завершении; журнал отдаёт `/me/{token}/results`. Демо (`INTAKE_DEMO=1` + демо-часы) читает отдельный `config/questionnaire_demo.yaml`, помеченный «не клиническое согласование», а реальная политика не меняется.
|
||||||
|
**Причина:** пациенту нужен понятный итог и путь дальше, а не тупик; решения о риске и маршруте при этом остаются детерминированными (ADR-007).
|
||||||
|
**Последствия:** отступления от присланного PDF сохранены по `docs/clinical/README.md`: TSQ вместо PC-PTSD-5 (v2 PDF), RUS-AUDIT-S — пункты 3/9/10 (ВОЗ). Открыто: номера 4 пунктов короткой PCL-5 (Price et al., 2016), официальная форма C-SSRS Since Last Contact (сейчас — тексты Recent с периодом «с последнего ответа»), пороги «роста» модулей дневника — согласовать с врачом.
|
||||||
|
|
||||||
## 2026-10-04 — ADR-011: База знаний (RAG) — лексический поиск BM25 и экстрактивные ответы с цитатами
|
## 2026-10-04 — ADR-011: База знаний (RAG) — лексический поиск BM25 и экстрактивные ответы с цитатами
|
||||||
**Контекст:** агенту нужны ответы по клиническим рекомендациям (КР ПТСР 2023, КР Депрессия 2024) со ссылкой на источник (#60). Эмбеддинги требуют либо сети (GigaChat Embeddings), либо тяжёлых зависимостей (torch, модель на сотни МБ). При этом демо должно работать офлайн (ADR-004), а `pyproject.toml` заморожен (#34).
|
**Контекст:** агенту нужны ответы по клиническим рекомендациям (КР ПТСР 2023, КР Депрессия 2024) со ссылкой на источник (#60). Эмбеддинги требуют либо сети (GigaChat Embeddings), либо тяжёлых зависимостей (torch, модель на сотни МБ). При этом демо должно работать офлайн (ADR-004), а `pyproject.toml` заморожен (#34).
|
||||||
**Решение:** PDF переводятся в txt один раз, офлайн (`docs/source/rag/pdf_to_txt.py`: таблицы → markdown, маркеры страниц, текст блок-схем перенесён вручную). Корпус лежит в `config/rag/`. Поиск — BM25 по основам слов (свой стеммер Snowball) с синонимами и переранжированием по самому плотному отрывку. Ответ **экстрактивный**: показываются только предложения из найденного фрагмента с цитатой «[КР ПТСР 2023, стр. N]». LLM может лишь упростить их для пациента, а перефразировка с новым содержанием отбраковывается. Если отрывки покрывают слишком малую долю вопроса (`min_coverage`), ответ — «ответа нет, уточните у врача». Пациенту не показываются предложения о назначении и дозах. Внутренние документы команды (`audiences: [team]`) не доходят ни до пациента, ни до врача.
|
**Решение:** PDF переводятся в txt один раз, офлайн (`docs/source/rag/pdf_to_txt.py`: таблицы → markdown, маркеры страниц, текст блок-схем перенесён вручную). Корпус лежит в `config/rag/`. Поиск — BM25 по основам слов (свой стеммер Snowball) с синонимами и переранжированием по самому плотному отрывку. Ответ **экстрактивный**: показываются только предложения из найденного фрагмента с цитатой «[КР ПТСР 2023, стр. N]». LLM может лишь упростить их для пациента, а перефразировка с новым содержанием отбраковывается. Если отрывки покрывают слишком малую долю вопроса (`min_coverage`), ответ — «ответа нет, уточните у врача». Пациенту не показываются предложения о назначении и дозах. Внутренние документы команды (`audiences: [team]`) не доходят ни до пациента, ни до врача.
|
||||||
|
|||||||
@@ -0,0 +1,142 @@
|
|||||||
|
# RAG по клиническим рекомендациям Минздрава
|
||||||
|
|
||||||
|
> Статус: черновик подхода, 2026-10-04. Реализация — отдельной задачей (lane B, `app/llm/rag.py` по SPEC §структура).
|
||||||
|
> Пример исходника: КР «Посттравматическое стрессовое расстройство», ID 753, 2023 (Российское общество психиатров).
|
||||||
|
|
||||||
|
## Принцип
|
||||||
|
|
||||||
|
Файлов мало, глубина нужна максимальная, поэтому мы **не** делаем классический RAG «нарезка по N токенов → эмбеддинги → top-k».
|
||||||
|
Каждая КР один раз превращается в **размеченную и вычитанную базу знаний** из смысловых единиц. Поиск по ней почти тривиален, а
|
||||||
|
каждый ответ проверяется по цитате.
|
||||||
|
|
||||||
|
## 1. Кому отвечает RAG
|
||||||
|
|
||||||
|
КР написаны для врачей: дозы, препараты off-label (`#`), показания к госпитализации. Пересказывать это пациенту нельзя —
|
||||||
|
это противоречит нашим guardrails (`app/llm/med_qa.py`: о препаратах — только по инструкции ГРЛС и без доз).
|
||||||
|
|
||||||
|
| Потребитель | Что можно отдавать из КР |
|
||||||
|
|---|---|
|
||||||
|
| Пациент (бот) | Только `Приложение В. Информация для пациента` и психообразование. Без доз и названий препаратов |
|
||||||
|
| Врач (дашборд) | Всё, с цитатой, уровнем убедительности (УУР) и достоверности доказательств (УДД) |
|
||||||
|
| Команда (design-time) | Обоснование порогов в `config/` (TSQ ≥ 6 — Прил. Г1, градации шкалы Бека — Г10): ссылки на источник, а не runtime-RAG |
|
||||||
|
|
||||||
|
У каждой единицы есть поле `audience`. Фильтр по нему применяется **до** поиска, а не через промпт LLM.
|
||||||
|
|
||||||
|
## 2. Разбивка на смысловые единицы
|
||||||
|
|
||||||
|
Структура КР Минздрава стабильна, используем её как схему.
|
||||||
|
|
||||||
|
| `type` | Пример из КР ПТСР | Как хранить |
|
||||||
|
|---|---|---|
|
||||||
|
| `recommendation` | «Пациентам с ПТСР … рекомендуется начинать терапию с СИОЗС…» | Тезис + УУР/УДД + комментарий + номера источников |
|
||||||
|
| `definition` / `criteria` | Критерии МКБ-10 А–Д, кластеры МКБ-11 | По одному критерию на единицу |
|
||||||
|
| `dose_row` | Таблица «Рекомендуемые дозы» (Прил. А3) | Строка: препарат, диапазон, `off_label`, `zhnvlp` (**) |
|
||||||
|
| `scale` | TSQ, CAPS, IES-R, BHS, TOP-8 (Прил. Г1–Г11) | Пункты + ключ интерпретации как данные |
|
||||||
|
| `algorithm` | Прил. Б и Б1 (в PDF это картинки) | Переписать вручную в шаги и ветвления |
|
||||||
|
| `patient_info` | Прил. В | Абзацы с `audience: patient` |
|
||||||
|
| `quality_criterion` | «Критерии оценки качества медицинской помощи» | По строке таблицы |
|
||||||
|
|
||||||
|
Пример единицы:
|
||||||
|
|
||||||
|
```json
|
||||||
|
{
|
||||||
|
"id": "kr753.3.2.rec01",
|
||||||
|
"doc": {"kr_id": 753, "title": "ПТСР", "approved": "2023", "revise_by": "2025"},
|
||||||
|
"path": ["3. Лечение", "3.2. Психофармакотерапия", "Терапия первой линии"],
|
||||||
|
"type": "recommendation",
|
||||||
|
"text": "Пациентам с ПТСР в качестве препаратов первой линии ... рекомендуется начинать терапию с СИОЗС ...",
|
||||||
|
"comment": "После установления диагноза ... эффективность оценивается через 4–6 недель ...",
|
||||||
|
"uur": "A",
|
||||||
|
"udd": 1,
|
||||||
|
"refs": [51, 53, 302],
|
||||||
|
"drugs": ["пароксетин", "сертралин", "флуоксетин", "венлафаксин"],
|
||||||
|
"contains_dose": true,
|
||||||
|
"off_label": ["флуоксетин", "венлафаксин"],
|
||||||
|
"audience": ["doctor"],
|
||||||
|
"pages": [17, 18]
|
||||||
|
}
|
||||||
|
```
|
||||||
|
|
||||||
|
Комментарий хранится вместе с тезисом: по отдельности они теряют смысл, а основная глубина КР — именно в комментариях.
|
||||||
|
|
||||||
|
## 3. Пайплайн подготовки: автоматика, затем вычитка
|
||||||
|
|
||||||
|
Файлов мало, поэтому ручная вычитка реальна и даёт больше всего качества. Повторяем практику `docs/clinical/`: хеши
|
||||||
|
исходников, `review-status.json`.
|
||||||
|
|
||||||
|
1. **Источник.** Первоисточник — cr.minzdrav.gov.ru, а не перевёрстки (пример выше — перевёрстка с disuria.ru). Храним sha256.
|
||||||
|
2. **Очистка.** Убрать колонтитулы («Страница N из 117», рекламу сайта), склеить переносы и разрывы страниц
|
||||||
|
(слипания вида «клиникопсихопатологических»), собрать таблицы, разорванные между страницами.
|
||||||
|
3. **Парсер по шаблону.** Абзац «- Пациентам…» до строки «Уровень убедительности рекомендаций X (уровень достоверности
|
||||||
|
доказательств N)» — одна единица `recommendation`. Следующий за ней блок «Комментарии:» — её поле `comment`.
|
||||||
|
4. **Список литературы не индексируем.** Это шум для поиска; номера источников остаются в `refs`.
|
||||||
|
5. **Ручная вычитка.** В первую очередь — единицы для пациента и всё, где есть числа. В КР ПТСР уже видны ошибки самого
|
||||||
|
источника, которые автоматика пропустит:
|
||||||
|
- в таблице критериев качества перепутаны колонки УДД и УУР;
|
||||||
|
- раздел 6.1 встречается дважды;
|
||||||
|
- опечатка «ценить суицидальный риск» вместо «оценивать».
|
||||||
|
6. **Словарь аббревиатур и синонимов** — из списка сокращений в начале каждой КР. Нужен для расширения запросов:
|
||||||
|
СИОЗС ↔ сертралин/пароксетин, ДПДГ ↔ EMDR, ТФ-КПТ и т.д.
|
||||||
|
|
||||||
|
Раскладка по ADR-008:
|
||||||
|
|
||||||
|
```
|
||||||
|
data/kb/sources/ исходные PDF + sha256
|
||||||
|
data/kb/units/*.jsonl вычитанные единицы (в git)
|
||||||
|
data/kb/review-status.json статус вычитки по единицам
|
||||||
|
data/eval/kb_questions.yaml эталонные вопросы
|
||||||
|
```
|
||||||
|
|
||||||
|
## 4. Поиск
|
||||||
|
|
||||||
|
Корпус маленький, тяжёлая инфраструктура не нужна.
|
||||||
|
|
||||||
|
- **Фильтр по метаданным до поиска:** `audience`, `doc`, `type`. Вопрос пациента о дозе — отказ без поиска.
|
||||||
|
- **Гибридный поиск:**
|
||||||
|
- BM25 с русской лемматизацией (pymorphy3) и расширением запроса по словарю аббревиатур;
|
||||||
|
- эмбеддинги — только GigaChat Embeddings или локальная модель (guardrails 4 и 9; для офлайн-демо — только локальная).
|
||||||
|
- **Small-to-big.** Найден тезис — в контекст LLM уходит тезис с комментарием и заголовками родительского раздела. При
|
||||||
|
нашем объёме допустимо отдавать раздел целиком.
|
||||||
|
- **Порог уверенности.** Лучшая единица ниже порога — ответ «В клинических рекомендациях ответа на этот вопрос нет»
|
||||||
|
(по аналогии с `fallback` в `config/texts/med_qa.yaml`).
|
||||||
|
|
||||||
|
## 5. Генерация строго по источнику
|
||||||
|
|
||||||
|
Переиспользуем механизмы `app/llm/med_qa.py`:
|
||||||
|
|
||||||
|
- LLM получает пронумерованные единицы и обязана ссылаться на `id` в каждом утверждении.
|
||||||
|
- **Детерминированная проверка после генерации:**
|
||||||
|
- каждое число в ответе встречается в процитированных единицах;
|
||||||
|
- доля «новых» слов ограничена (`MAX_NOVEL_STEM_SHARE`).
|
||||||
|
|
||||||
|
Не прошло — вместо пересказа отдаём саму цитату.
|
||||||
|
- Ссылка на источник («КР ПТСР 2023, разд. 3.2, УУР A») и фраза «решение принимает врач» добавляются кодом, не через LLM.
|
||||||
|
- До поиска действуют общие guardrails: проверка безопасности (`acute` → фиксированный кризисный скрипт), затем `scrub()`,
|
||||||
|
затем вызов модели только через `app/llm/gateway.py`.
|
||||||
|
|
||||||
|
## 6. Оценка качества
|
||||||
|
|
||||||
|
Эталонный набор в `data/eval/` на 50–100 вопросов с ожидаемыми `id` единиц. Вопросы трёх видов:
|
||||||
|
|
||||||
|
- прямые;
|
||||||
|
- перефразированные;
|
||||||
|
- ловушки, на которые в КР ответа нет.
|
||||||
|
|
||||||
|
Метрики:
|
||||||
|
|
||||||
|
- recall@k по `id` (есть ли нужные единицы среди первых k найденных);
|
||||||
|
- доля ответов, прошедших проверку по цитате;
|
||||||
|
- доля правильных отказов на ловушках.
|
||||||
|
|
||||||
|
Оценка запускается обычным pytest-тестом, чтобы правки разметки не ломали поиск незаметно.
|
||||||
|
|
||||||
|
## Риски и ограничения
|
||||||
|
|
||||||
|
- **Актуальность.** КР ПТСР указывает «пересмотр не позднее 2025». Перед использованием проверить в рубрикаторе Минздрава
|
||||||
|
наличие новой редакции. `approved` / `revise_by` храним в метаданных и показываем в ответе.
|
||||||
|
- **Объём к дедлайну (05.10.2026, 13:00).** Реалистичный MVP:
|
||||||
|
- 2–3 КР (ПТСР, депрессия), размеченные полуавтоматически и вычитанные;
|
||||||
|
- BM25 + фильтр по `audience`;
|
||||||
|
- строгие цитаты.
|
||||||
|
|
||||||
|
Эмбеддинги и реранкер — по остаточному принципу: глубину даёт качество разметки, а не векторная база.
|
||||||
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.3 MiB |
|
After Width: | Height: | Size: 1.4 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.2 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.6 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
|
After Width: | Height: | Size: 1.7 MiB |
|
After Width: | Height: | Size: 1.5 MiB |
@@ -0,0 +1,323 @@
|
|||||||
|
# Запрос на мокапы: приложение пациента «Сопровождение пациента»
|
||||||
|
|
||||||
|
Хакатон MedITron, кейс SberMed AI «ИИ-помощник пациента». По мокапам сразу пишется код (React, затем мобильное
|
||||||
|
приложение через Capacitor), поэтому важны точные токены, реальные тексты и все состояния экранов.
|
||||||
|
|
||||||
|
---
|
||||||
|
|
||||||
|
## 1. О продукте
|
||||||
|
|
||||||
|
**Что это.** Сервис сопровождения между визитами к врачу: напоминает о лекарствах, раз в день спрашивает о
|
||||||
|
самочувствии, по расписанию проводит короткие медицинские анкеты и сообщает врачу, если состоянию нужно
|
||||||
|
внимание. ИИ не ставит диагнозы и не лечит.
|
||||||
|
|
||||||
|
**Для кого.** Ветераны боевых действий 25–55 лет с ПТСР и депрессией, позже — их семьи. Часто уставшие,
|
||||||
|
недоверчивые к «приложениям», могут быть в тяжёлом состоянии. Пользуются в основном телефоном.
|
||||||
|
|
||||||
|
**Главная задача интерфейса.** Ежедневная отметка самочувствия и приёма лекарства занимает меньше минуты и не
|
||||||
|
вызывает тревоги. Человеку хочется её заполнять.
|
||||||
|
|
||||||
|
**Два способа входа.**
|
||||||
|
- Через ЕМИАС: врач видит ответы и получает сигнал при ухудшении.
|
||||||
|
- Анонимно: без имени и полиса, врач ничего не видит.
|
||||||
|
|
||||||
|
---
|
||||||
|
|
||||||
|
## 2. Требования к мокапам
|
||||||
|
|
||||||
|
### Формат
|
||||||
|
- Мобильные кадры **390×844**, по одному экрану на кадр.
|
||||||
|
- Для A1 и C1 дополнительно десктоп **1440×1000**.
|
||||||
|
- Отдать **PNG** и, если есть, ссылку на Figma с открытым просмотром.
|
||||||
|
- Имена файлов по ID экрана: `B3-scale.png`, `C1-today.png`, `C1-today-desktop.png`.
|
||||||
|
- Состояния — отдельными кадрами с суффиксом: `D1-mood-selected.png`, `S2-offline.png`.
|
||||||
|
|
||||||
|
### Содержание
|
||||||
|
- **Только реальные тексты на русском** из этого документа. Никаких lorem ipsum и «Заголовок».
|
||||||
|
- **Без логотипов ЕМИАС, mos.ru, Госуслуг и Минздрава.** Вход — текстовая кнопка «Войти через ЕМИАС».
|
||||||
|
- **Баллы анкет, диагнозы и уровни тяжести пациенту не показываются нигде.**
|
||||||
|
- **Кнопка «Нужна помощь»** (звонок 112) есть в шапке каждого экрана.
|
||||||
|
- Без иллюстраций людей, стоковых фото, эмодзи, градиентов, стеклянных эффектов и 3D.
|
||||||
|
- Учесть вырез экрана сверху и home indicator снизу.
|
||||||
|
|
||||||
|
### Состояния (там, где они есть у экрана)
|
||||||
|
Обычное · выбранный вариант · кнопка неактивна · загрузка · ошибка с понятным действием.
|
||||||
|
|
||||||
|
---
|
||||||
|
|
||||||
|
|
||||||
|
## 4. Общий промпт
|
||||||
|
|
||||||
|
Вставляется перед промптом любого экрана из раздела 5.
|
||||||
|
|
||||||
|
```
|
||||||
|
Спроектируй экран мобильного приложения (390×844) «Сопровождение пациента» — сервиса сопровождения
|
||||||
|
между визитами к врачу. Пользователи — ветераны боевых действий 25–55 лет с ПТСР и депрессией, часто
|
||||||
|
уставшие и недоверчивые. Цель — чтобы ежедневные отметки занимали меньше минуты и не вызывали тревоги.
|
||||||
|
|
||||||
|
Стиль: строгий государственный медицинский сервис уровня mos.ru и Госуслуг, но тёплый и спокойный.
|
||||||
|
Без логотипов ЕМИАС, mos.ru и Госуслуг. Без иллюстраций людей, стоковых фото, эмодзи, градиентов,
|
||||||
|
стекла и 3D. Много воздуха, чёткая иерархия, крупный текст.
|
||||||
|
|
||||||
|
Правила: кнопки не ниже 48 px, основная кнопка на всю ширину внизу; один вопрос — один экран,
|
||||||
|
варианты ответа — крупные карточки на всю ширину, выбранный подсвечивается цветом направления;
|
||||||
|
в шапке красная кнопка «Нужна помощь»; нижняя навигация «Сегодня · Лекарства · Сообщения · Профиль»
|
||||||
|
(кроме экранов входа и анкет). Баллы, диагнозы и оценки тяжести не показывать. Тексты на русском,
|
||||||
|
короткие, на «вы», без медицинского жаргона и без давления. Учти вырез экрана и home indicator.
|
||||||
|
```
|
||||||
|
|
||||||
|
---
|
||||||
|
|
||||||
|
## 5. Экраны и промпты
|
||||||
|
|
||||||
|
Приоритет: **волна 1** нужна в первую очередь — это ядро ежедневного сценария.
|
||||||
|
|
||||||
|
### Волна 1
|
||||||
|
|
||||||
|
**C1 · Сегодня (главная)**
|
||||||
|
```
|
||||||
|
Экран «Сегодня». Приветствие «Добрый день» и дата «Воскресенье, 4 октября». Список задач дня карточками
|
||||||
|
с временем слева и цветной полосой направления: «09:00 · Утренний приём» (лекарства, отмечено
|
||||||
|
«Принято»), «14:00 · Как вы сегодня?» (самочувствие, кнопка «Ответить», «≈ 1 минута»),
|
||||||
|
«Анкета о сне и настроении» (самочувствие, «≈ 5 минут», «до 11 октября»). Ниже блок
|
||||||
|
«Следующий визит: 12 октября, 10:30, врач Смирнова Е. А.». Быстрые действия: «Вопрос о лекарстве»,
|
||||||
|
«Написать врачу». Нижняя навигация, активна вкладка «Сегодня». Отдельно десктоп 1440×1000.
|
||||||
|
```
|
||||||
|
|
||||||
|
**C2 · Всё сделано**
|
||||||
|
```
|
||||||
|
Экран «Сегодня», когда задачи выполнены: спокойное пустое состояние «На сегодня всё. Следующее
|
||||||
|
напоминание — завтра в 09:00». Все карточки дня отмечены как выполненные. Без конфетти и наград.
|
||||||
|
```
|
||||||
|
|
||||||
|
**D1 · Настроение**
|
||||||
|
```
|
||||||
|
Первый шаг ежедневной отметки. Прогресс «1 из 5», кнопка «Назад». Вопрос крупно: «Как вы себя
|
||||||
|
чувствуете сегодня?». Шкала 0–10 крупными кнопками с цветовой градацией от тёплого красного к
|
||||||
|
зелёному, подписи по краям «Очень тяжело» и «Отлично». Состояния: ничего не выбрано; выбрано 6.
|
||||||
|
Кнопка «Дальше» внизу.
|
||||||
|
```
|
||||||
|
|
||||||
|
**D2 · Лекарство сегодня**
|
||||||
|
```
|
||||||
|
Шаг 2 из 5. «Вы приняли лекарство сегодня?» Карточки: «Да, принял(а)», «Нет, пропущу», «Не помню».
|
||||||
|
Цвет выбора — бирюзовый (лекарства).
|
||||||
|
```
|
||||||
|
|
||||||
|
**D3 · Сон и кошмары**
|
||||||
|
```
|
||||||
|
Шаг 3 из 5. «Сколько часов вы спали этой ночью?» — четыре карточки «Меньше 4», «4–6», «6–8»,
|
||||||
|
«Больше 8». Ниже второй вопрос на том же экране: «Снились ли кошмары?» — «Да» / «Нет».
|
||||||
|
```
|
||||||
|
|
||||||
|
**D4 · Алкоголь**
|
||||||
|
```
|
||||||
|
Шаг 4 из 5. «Выпивали ли вы алкоголь вчера?» — «Нет», «1–2 порции», «Больше». Нейтральный тон,
|
||||||
|
без осуждения, подпись мелко: «Ответ видит только ваш врач».
|
||||||
|
```
|
||||||
|
|
||||||
|
**D5 · Пару слов**
|
||||||
|
```
|
||||||
|
Шаг 5 из 5. «Как прошёл день? Пару слов» — поле ввода на несколько строк, подсказка «Например:
|
||||||
|
плохо спал, болит голова». Кнопки «Отправить» и «Пропустить». Клавиатура открыта.
|
||||||
|
```
|
||||||
|
|
||||||
|
**D6 · Готово**
|
||||||
|
```
|
||||||
|
Итог отметки: «Спасибо, записали». Короткая сводка ответов без оценок: «Настроение 6 из 10 ·
|
||||||
|
Лекарство принято · Сон 6–8 часов». Строка «Ваш врач увидит отметку в карточке». Пример ответа
|
||||||
|
сервиса: карточка «Эффект препарата наступает не сразу — обычно через 2–4 недели». Кнопка «На главную».
|
||||||
|
```
|
||||||
|
|
||||||
|
**E1 · Напоминание о приёме**
|
||||||
|
```
|
||||||
|
Экран, открывающийся по уведомлению. Бирюзовый акцент. «09:00 · Время утреннего приёма». Название
|
||||||
|
препарата и «1 таблетка после еды» (без дозировок в мг). Три кнопки: основная «Принял(а)»,
|
||||||
|
вторичные «Пропущу» и «Есть побочные эффекты».
|
||||||
|
```
|
||||||
|
|
||||||
|
**B3 · Вопрос анкеты (универсальный экран)**
|
||||||
|
```
|
||||||
|
Экран одного вопроса анкеты. Сверху «Вопрос 3 из 20» с полосой прогресса, «Назад» и «Пауза».
|
||||||
|
Мелко период: «За последний месяц». Вопрос крупно: «Как часто вас беспокоили повторяющиеся
|
||||||
|
тревожные воспоминания о пережитом?». Пять карточек-вариантов: «Совсем нет», «Немного»,
|
||||||
|
«Умеренно», «Сильно», «Очень сильно». Без баллов рядом с ответами. Состояния: не выбрано; выбрано
|
||||||
|
«Умеренно». Отдельно экран паузы: «Можно продолжить позже — ответы сохранены».
|
||||||
|
```
|
||||||
|
|
||||||
|
**G2 · Кризисный экран**
|
||||||
|
```
|
||||||
|
Полноэкранный экран поддержки. Спокойный, не пугающий: белый фон, красный используется только для
|
||||||
|
кнопок звонка. Текст: «Мне очень жаль, что вам сейчас так тяжело. Вы не одни». Две крупные
|
||||||
|
кнопки звонка: «112 — если есть угроза жизни прямо сейчас» и «+7 (495) 989-50-50 — Психологическая
|
||||||
|
помощь МЧС, круглосуточно». Блок дыхания: круг, который плавно расширяется и сжимается, подпись
|
||||||
|
«Вдох на 4 счёта — выдох на 6». Внизу «Я рядом».
|
||||||
|
```
|
||||||
|
|
||||||
|
### Волна 2
|
||||||
|
|
||||||
|
**A1 · Выбор входа** (уже свёрстан, нужен улучшенный вариант)
|
||||||
|
```
|
||||||
|
Стартовый экран. Заголовок «Лечение продолжается и между приёмами», подзаголовок «Напомним о
|
||||||
|
лекарствах, раз в день спросим о самочувствии и сообщим врачу, если состоянию нужно внимание».
|
||||||
|
Две карточки выбора: «Через ЕМИАС» (метка «Рекомендуем», плюсы: назначения подгружаются
|
||||||
|
автоматически; врач видит ответы и получает сигнал при ухудшении; история на любом устройстве;
|
||||||
|
кнопка «Войти через ЕМИАС») и «Анонимно» (плюсы: не нужны имя, полис и телефон; опросы и помощь в
|
||||||
|
кризисе доступны; минусы: врач не видит ответы; история только на этом устройстве; кнопка
|
||||||
|
«Продолжить анонимно»). Отдельно десктоп 1440×1000.
|
||||||
|
```
|
||||||
|
|
||||||
|
**A2 · Вход через ЕМИАС**
|
||||||
|
```
|
||||||
|
Экран входа. Плашка «Демонстрационный режим: вход подтверждается одноразовым кодом, который врач
|
||||||
|
выдаёт на приёме». Поле «Код подключения от врача» и кнопка «Сканировать QR-код». Кнопка «Войти».
|
||||||
|
Ниже разделитель «или» и список «Демо-пациенты»: строка «Андрей С. · 13-й день терапии · Войти».
|
||||||
|
Состояния: ошибка «Код не подошёл. Проверьте написание или попросите врача выдать новый код».
|
||||||
|
```
|
||||||
|
|
||||||
|
**A3 · Анонимный вход**
|
||||||
|
```
|
||||||
|
«Анонимный вход». Три пункта с галочками: что доступно, что врач не видит, что нужно согласие.
|
||||||
|
Жёлтая плашка: «История привязана к этому устройству. Если вы выйдете, восстановить её будет нельзя».
|
||||||
|
Кнопка «Начать анонимно».
|
||||||
|
```
|
||||||
|
|
||||||
|
**A4 · Согласие на обработку данных**
|
||||||
|
```
|
||||||
|
Экран согласия (152-ФЗ). Заголовок «Перед началом нужно ваше согласие». Короткие блоки с иконками:
|
||||||
|
«Что обрабатываем» — ответы о самочувствии, сне, приёме лекарств; «Кто видит» — только ваш лечащий
|
||||||
|
врач; «Как отозвать» — в любой момент в профиле. Ссылка «Полный текст согласия». Кнопки «Согласен(на)»
|
||||||
|
и «Не согласен(на)» равного веса — без давления.
|
||||||
|
```
|
||||||
|
|
||||||
|
**A5 · Возраст**
|
||||||
|
```
|
||||||
|
«Вам уже исполнилось 18 лет?» Две карточки: «Да, мне 18 или больше», «Нет, мне меньше 18».
|
||||||
|
```
|
||||||
|
|
||||||
|
**A6 · Отказ или младше 18**
|
||||||
|
```
|
||||||
|
Спокойный информационный экран без упрёка: «Без согласия мы не можем сохранять ваши ответы. Если
|
||||||
|
передумаете — нажмите „Начать заново“». Блок «Если нужна помощь сейчас» с номерами. Вариант для
|
||||||
|
младше 18: «Сервис рассчитан на взрослых» и детский телефон доверия 8-800-2000-122.
|
||||||
|
```
|
||||||
|
|
||||||
|
**B1 · Вступление к анкете**
|
||||||
|
```
|
||||||
|
«Сначала несколько вопросов». Абзац «Многие после возвращения замечают проблемы со сном,
|
||||||
|
раздражительность, тревогу — это частая реакция, и с ней можно справиться». Раскрывающиеся
|
||||||
|
вопросы FAQ: «Зачем эти вопросы?», «Кто увидит ответы?», «Можно ли прерваться?». Подпись
|
||||||
|
«≈ 10 минут, можно с перерывами». Кнопка «Начнём».
|
||||||
|
```
|
||||||
|
|
||||||
|
**B2 · Травматический опыт**
|
||||||
|
```
|
||||||
|
«Был ли у вас опыт, связанный с угрозой жизни — вашей или других людей?» Карточки «Да», «Нет»,
|
||||||
|
«Не хочу отвечать». Деликатно, без подробностей события.
|
||||||
|
```
|
||||||
|
|
||||||
|
**B4 · Доступ к оружию**
|
||||||
|
```
|
||||||
|
«Есть ли у вас дома оружие?» Карточки: «Нет», «Да, у меня», «Да, хранится у других или в сейфе»,
|
||||||
|
«Не хочу отвечать». Отдельный кадр — блок о безопасном хранении: спокойный тон, совет хранить
|
||||||
|
оружие и патроны отдельно или передать на время близкому человеку.
|
||||||
|
```
|
||||||
|
|
||||||
|
**B5 · Итог анкеты**
|
||||||
|
```
|
||||||
|
«Спасибо, анкета заполнена». Без баллов и диагнозов: «Ваш врач получит результаты к следующему
|
||||||
|
визиту». Блок «Что дальше»: ежедневная отметка в 14:00, напоминания о приёме, повторная анкета
|
||||||
|
через 2 недели. Кнопка «Перейти на главную».
|
||||||
|
```
|
||||||
|
|
||||||
|
**E2 · Причина пропуска**
|
||||||
|
```
|
||||||
|
«Почему пропускаете приём?» Карточки: «Забыл(а)», «Побочные эффекты», «Решил(а) бросить», «Другое».
|
||||||
|
Подпись: «Ответ поможет врачу подобрать лечение».
|
||||||
|
```
|
||||||
|
|
||||||
|
**E3 · Побочные эффекты**
|
||||||
|
```
|
||||||
|
«Что беспокоит?» Чипы с множественным выбором: тошнота, бессонница, сонливость, головная боль,
|
||||||
|
снижение аппетита, другое. При «Другое» — поле ввода. Кнопка «Отправить».
|
||||||
|
```
|
||||||
|
|
||||||
|
**E4 · Моя схема (вкладка «Лекарства»)**
|
||||||
|
```
|
||||||
|
Вкладка «Лекарства». Карточка препарата: название, «1 таблетка утром после еды», время 09:00.
|
||||||
|
Полоса отметок за 7 дней: принято / пропущено / нет отметки. Блок «Вопрос о лекарстве».
|
||||||
|
Строка «Схему меняет только ваш врач».
|
||||||
|
```
|
||||||
|
|
||||||
|
**E5 · Вопрос о лекарстве**
|
||||||
|
```
|
||||||
|
Поле вопроса и пример ответа: карточка «По инструкции к препарату: …» с подписью источника
|
||||||
|
«Инструкция ГРЛС». Внизу всегда: «Не меняйте схему приёма самостоятельно — решения принимает врач».
|
||||||
|
Состояние «В инструкции нет ответа — уточните у врача».
|
||||||
|
```
|
||||||
|
|
||||||
|
**F1 · Написать врачу**
|
||||||
|
```
|
||||||
|
«Сообщение врачу». Поле ввода, подсказка «Врач ответит в рабочее время». Красная плашка: «Если
|
||||||
|
помощь нужна сейчас — звоните 112». Кнопка «Отправить». Экран успеха: «Сообщение передано».
|
||||||
|
```
|
||||||
|
|
||||||
|
**F2 · Следующий визит**
|
||||||
|
```
|
||||||
|
Дата и время визита, врач, адрес поликлиники. Список «Что обсудить на приёме» — можно добавить
|
||||||
|
свой пункт. Кнопка «Добавить в календарь».
|
||||||
|
```
|
||||||
|
|
||||||
|
**G1 · Нужна помощь** (шторка снизу)
|
||||||
|
```
|
||||||
|
Нижняя шторка поверх любого экрана: «Если вам сейчас очень тяжело». Две крупные строки звонка с
|
||||||
|
номерами 112 и +7 (495) 989-50-50, кнопка «Позвонить» у каждой.
|
||||||
|
```
|
||||||
|
|
||||||
|
**G3 · План безопасности**
|
||||||
|
```
|
||||||
|
«Мой план безопасности». Шаги: «Мои тревожные сигналы», «Что мне помогает успокоиться», «Кому я
|
||||||
|
могу позвонить» (контакты), «Куда обратиться» (номера служб). Каждый шаг можно редактировать.
|
||||||
|
```
|
||||||
|
|
||||||
|
**G4 · Вопросы о безопасности**
|
||||||
|
```
|
||||||
|
Экран вопроса из опросника риска. Очень спокойная подача, без красного цвета. Подпись: «Мы
|
||||||
|
спрашиваем об этом всех — это помогает вовремя поддержать». Ответы «Да» / «Нет».
|
||||||
|
```
|
||||||
|
|
||||||
|
**H1 · Профиль**
|
||||||
|
```
|
||||||
|
Вкладка «Профиль». Способ входа (ЕМИАС или анонимно). Для анонимного — кнопка «Подключить ЕМИАС».
|
||||||
|
Настройки: время ежедневной отметки, уведомления о приёме. Разделы «Мои данные и согласие», «Выйти».
|
||||||
|
```
|
||||||
|
|
||||||
|
**H2 · Данные и согласие**
|
||||||
|
```
|
||||||
|
«Мои данные». Дата согласия, ссылка на текст. Кнопка «Отозвать согласие» с подтверждением:
|
||||||
|
«Обработка ответов прекратится, данные будут помечены к удалению». Для анонимного — «Удалить мои данные».
|
||||||
|
```
|
||||||
|
|
||||||
|
**I1 · Сообщения**
|
||||||
|
```
|
||||||
|
Вкладка «Сообщения» — чат с помощником. Сообщения помощника слева на белом, ответы пациента справа
|
||||||
|
на синем. Кнопки ответа под сообщением — карточками. Поле ввода внизу.
|
||||||
|
```
|
||||||
|
|
||||||
|
**S1–S4 · Системные состояния**
|
||||||
|
```
|
||||||
|
Четыре кадра: загрузка (скелетон главной); нет сети («Нет соединения — ответы отправятся, когда
|
||||||
|
появится сеть», кнопка «Нужна помощь» работает); ошибка («Не удалось загрузить. Повторить»);
|
||||||
|
сессия истекла («Войдите снова»).
|
||||||
|
```
|
||||||
|
|
||||||
|
---
|
||||||
|
|
||||||
|
## 6. Чек-лист приёмки
|
||||||
|
|
||||||
|
- [ ] Все кадры 390×844, имена файлов по ID.
|
||||||
|
- [ ] Цвета, шрифт и скругления — из раздела 3.
|
||||||
|
- [ ] Кнопка «Нужна помощь» на каждом экране, кроме кризисного (там она заменена звонками).
|
||||||
|
- [ ] Нигде нет баллов анкет, диагнозов и логотипов ЕМИАС, mos.ru, Госуслуг.
|
||||||
|
- [ ] Тексты реальные, на русском; у вопросов есть выбранное состояние.
|
||||||
|
- [ ] Кнопки не ниже 48 px; текст не мельче 12 px.
|
||||||
@@ -0,0 +1,24 @@
|
|||||||
|
#!/usr/bin/env bash
|
||||||
|
# Deploy origin/dev to the shared server (ssh alias `vobot`, dir /srv/ptsr). Run from a clean checkout:
|
||||||
|
# infra/deploy/deploy.sh [git-ref] default: origin/dev
|
||||||
|
# Keeps /srv/ptsr/.env (secrets live only on the server) and the Postgres volume.
|
||||||
|
set -euo pipefail
|
||||||
|
REF=${1:-origin/dev}
|
||||||
|
HOST=${DEPLOY_HOST:-vobot}
|
||||||
|
DIR=/srv/ptsr
|
||||||
|
git fetch -q origin || true
|
||||||
|
SHA=$(git rev-parse --short "$REF")
|
||||||
|
echo "deploy $REF ($SHA) -> $HOST:$DIR"
|
||||||
|
git archive --format=tar "$REF" | ssh "$HOST" "rm -rf $DIR/app.new && mkdir -p $DIR/app.new && tar -x -C $DIR/app.new"
|
||||||
|
ssh "$HOST" bash -s <<SH
|
||||||
|
set -euo pipefail
|
||||||
|
cd $DIR
|
||||||
|
cp .env app.new/.env
|
||||||
|
rm -rf app.old; [ -d app ] && mv app app.old; mv app.new app
|
||||||
|
cd app
|
||||||
|
echo "$SHA" > REVISION
|
||||||
|
docker run --rm -v "\$PWD/web:/w" -w /w node:20-alpine sh -c "npm ci --no-audit --no-fund >/dev/null && npm run build >/dev/null"
|
||||||
|
docker compose -p ptsr -f docker-compose.yml -f infra/deploy/docker-compose.server.yml up -d --build </dev/null
|
||||||
|
for i in \$(seq 1 40); do curl -sf 127.0.0.1:8010/health >/dev/null && break; sleep 3; done
|
||||||
|
curl -sf 127.0.0.1:8010/health && echo " api ok"
|
||||||
|
SH
|
||||||
@@ -0,0 +1,30 @@
|
|||||||
|
# Server override (shared host with vobot): loopback-only ports behind host nginx, restart policy, memory caps.
|
||||||
|
# docker compose -p ptsr -f docker-compose.yml -f infra/deploy/docker-compose.server.yml up -d --build
|
||||||
|
services:
|
||||||
|
postgres:
|
||||||
|
ports: !reset []
|
||||||
|
restart: unless-stopped
|
||||||
|
mem_limit: 512m
|
||||||
|
|
||||||
|
app:
|
||||||
|
ports: !override
|
||||||
|
- "127.0.0.1:8010:8000"
|
||||||
|
restart: unless-stopped
|
||||||
|
mem_limit: 768m
|
||||||
|
|
||||||
|
dashboard:
|
||||||
|
command:
|
||||||
|
- streamlit
|
||||||
|
- run
|
||||||
|
- dashboard/app.py
|
||||||
|
- --server.port=8501
|
||||||
|
- --server.address=0.0.0.0
|
||||||
|
- --server.baseUrlPath=doctor
|
||||||
|
- --browser.gatherUsageStats=false
|
||||||
|
environment:
|
||||||
|
API_BASE_URL: http://app:8000
|
||||||
|
DASHBOARD_PUBLIC_URL: ${PUBLIC_URL:-http://localhost}/doctor
|
||||||
|
ports: !override
|
||||||
|
- "127.0.0.1:8511:8501"
|
||||||
|
restart: unless-stopped
|
||||||
|
mem_limit: 768m
|
||||||
@@ -0,0 +1,52 @@
|
|||||||
|
# meditron.tenvex.ru — PTSRaiAgent prototype (synthetic data only).
|
||||||
|
# / patient web app (static, web/dist)
|
||||||
|
# /api/ FastAPI (127.0.0.1:8010)
|
||||||
|
# /doctor/ Streamlit doctor dashboard + demo console (127.0.0.1:8511, baseUrlPath=doctor)
|
||||||
|
# TLS: after the DNS A-record exists — certbot --nginx -d meditron.tenvex.ru
|
||||||
|
|
||||||
|
map $http_upgrade $ptsr_connection_upgrade {
|
||||||
|
default upgrade;
|
||||||
|
'' close;
|
||||||
|
}
|
||||||
|
|
||||||
|
server {
|
||||||
|
listen 80;
|
||||||
|
listen [::]:80;
|
||||||
|
server_name meditron.tenvex.ru;
|
||||||
|
|
||||||
|
access_log /var/log/nginx/ptsr-access.log;
|
||||||
|
client_max_body_size 5m;
|
||||||
|
|
||||||
|
root /srv/ptsr/app/web/dist;
|
||||||
|
index index.html;
|
||||||
|
|
||||||
|
location / {
|
||||||
|
try_files $uri $uri/ /index.html;
|
||||||
|
}
|
||||||
|
|
||||||
|
location /api/ {
|
||||||
|
proxy_pass http://127.0.0.1:8010;
|
||||||
|
proxy_set_header Host $host;
|
||||||
|
proxy_set_header X-Real-IP $remote_addr;
|
||||||
|
proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
|
||||||
|
proxy_set_header X-Forwarded-Proto $scheme;
|
||||||
|
proxy_read_timeout 120s; # chat agent + scheduler replay on clock advance
|
||||||
|
}
|
||||||
|
|
||||||
|
location ~ ^/(docs|openapi.json|health)$ {
|
||||||
|
proxy_pass http://127.0.0.1:8010;
|
||||||
|
proxy_set_header Host $host;
|
||||||
|
}
|
||||||
|
|
||||||
|
location /doctor/ {
|
||||||
|
proxy_pass http://127.0.0.1:8511;
|
||||||
|
proxy_http_version 1.1;
|
||||||
|
proxy_set_header Upgrade $http_upgrade;
|
||||||
|
proxy_set_header Connection $ptsr_connection_upgrade;
|
||||||
|
proxy_set_header Host $host;
|
||||||
|
proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
|
||||||
|
proxy_set_header X-Forwarded-Proto $scheme;
|
||||||
|
proxy_read_timeout 86400s;
|
||||||
|
proxy_buffering off;
|
||||||
|
}
|
||||||
|
}
|
||||||
@@ -0,0 +1,542 @@
|
|||||||
|
"""Builds data/meds/meds_reference.json — the drug reference of the medication module.
|
||||||
|
|
||||||
|
Source of every value: the two Minzdrav clinical guidelines in config/rag/corpus/ —
|
||||||
|
* «Депрессивный эпизод, рекуррентное депрессивное расстройство» (2024): прил. А3 табл. 2 (дозы),
|
||||||
|
табл. 3 (профили побочных эффектов), разд. 3.1–3.6, прил. Б5, В;
|
||||||
|
* «Посттравматическое стрессовое расстройство» (2023, ID 753): разд. 3.2, прил. А3 (дозы).
|
||||||
|
Patient side-effect items: effects rated «++»/«+++» in табл. 3 (antidepressants) or named in the КР text
|
||||||
|
(other drugs), worded for a patient. Nothing here is a recommendation: the app only follows the doctor's
|
||||||
|
prescription (module spec, «Границы»). Texts and draft parameters must be reviewed by a psychiatrist.
|
||||||
|
|
||||||
|
Run: uv run python -m scripts.build_meds_reference
|
||||||
|
"""
|
||||||
|
|
||||||
|
import json
|
||||||
|
from pathlib import Path
|
||||||
|
|
||||||
|
OUT = Path(__file__).resolve().parents[1] / "data" / "meds" / "meds_reference.json"
|
||||||
|
|
||||||
|
DEP = "КР депрессия 2024"
|
||||||
|
PTSD = "КР ПТСР 2023 (ID 753)"
|
||||||
|
|
||||||
|
# Patient wording of the КР табл. 3 columns (and of effects named in the КР text).
|
||||||
|
SE = {
|
||||||
|
"anticholinergic": "Сухость во рту или запоры",
|
||||||
|
"nausea": "Тошнота",
|
||||||
|
"sedation": "Сонливость днём",
|
||||||
|
"insomnia": "Бессонница или беспокойство",
|
||||||
|
"sexual": "Сексуальные проблемы",
|
||||||
|
"orthostatic": "Головокружение при вставании",
|
||||||
|
"weight": "Прибавка веса",
|
||||||
|
"headache": "Головная боль",
|
||||||
|
"dizziness": "Головокружение",
|
||||||
|
"coordination": "Нарушение координации",
|
||||||
|
"memory": "Снижение внимания и памяти",
|
||||||
|
"akathisia": "Беспокойство, невозможность усидеть на месте",
|
||||||
|
"eps": "Скованность или дрожь в теле",
|
||||||
|
"skin": "Кожная сыпь или зуд",
|
||||||
|
}
|
||||||
|
|
||||||
|
RF_BLEEDING = "Необычные кровотечения или синяки"
|
||||||
|
RF_EARLY = "Мысли о самоубийстве или резкое усиление тревоги в первые недели приёма"
|
||||||
|
RF_JAUNDICE = "Желтушность кожи или глаз"
|
||||||
|
RF_RASH = "Кожная сыпь"
|
||||||
|
RF_PRIAPISM = "Длительная болезненная эрекция"
|
||||||
|
RF_UTERINE = "Маточное кровотечение"
|
||||||
|
|
||||||
|
TCA_MON = "Артериальное давление и ЭКГ"
|
||||||
|
AP_MON = "Вес и признаки метаболического синдрома"
|
||||||
|
|
||||||
|
|
||||||
|
def ad(id_, name, cls, start, lo, hi, items, *, ptsd=None, red=(), mon=(), withdrawal=None, overdose=False, note=None):
|
||||||
|
"""Antidepressant: doses from КР депрессия табл. 2, side effects from табл. 3."""
|
||||||
|
d = {
|
||||||
|
"id": id_,
|
||||||
|
"name_ru": name,
|
||||||
|
"group": "Антидепрессант",
|
||||||
|
"class": cls,
|
||||||
|
"indications": {
|
||||||
|
"depression": {
|
||||||
|
"start_mg": start,
|
||||||
|
"min_mg": lo,
|
||||||
|
"max_mg": hi,
|
||||||
|
"off_label": False,
|
||||||
|
"expected_response": "3–4 недели",
|
||||||
|
"course": "После улучшения лечение продолжают в той же дозе ещё 4–6 месяцев",
|
||||||
|
"source": f"{DEP}, прил. А3 табл. 2; разд. 3.1",
|
||||||
|
}
|
||||||
|
},
|
||||||
|
"diary_items": [SE[i] for i in items],
|
||||||
|
"diary_items_source": f"{DEP}, прил. А3 табл. 3 (++/+++)",
|
||||||
|
"red_flags": [RF_EARLY, *red],
|
||||||
|
"monitoring": list(mon),
|
||||||
|
"withdrawal_risk": withdrawal,
|
||||||
|
"overdose_danger": overdose,
|
||||||
|
"max_course_days": None,
|
||||||
|
}
|
||||||
|
if ptsd:
|
||||||
|
d["indications"]["ptsd"] = ptsd
|
||||||
|
if note:
|
||||||
|
d["note"] = note
|
||||||
|
return d
|
||||||
|
|
||||||
|
|
||||||
|
def ptsd_ind(lo, hi, off_label, start=None):
|
||||||
|
return {
|
||||||
|
"start_mg": start,
|
||||||
|
"min_mg": lo,
|
||||||
|
"max_mg": hi,
|
||||||
|
"off_label": off_label,
|
||||||
|
"expected_response": "4–6 недель",
|
||||||
|
"course": "Обычно 6–12 месяцев после стабилизации",
|
||||||
|
"source": f"{PTSD}, разд. 3.2; прил. А3",
|
||||||
|
}
|
||||||
|
|
||||||
|
|
||||||
|
def other(
|
||||||
|
id_, name, cls, lo, hi, off_label, items, *, red=(), mon=(), withdrawal=None, course_days=None, src, note=None
|
||||||
|
):
|
||||||
|
"""Non-antidepressant used for PTSD: doses from КР ПТСР прил. А3 / разд. 3.2, effects named in the text."""
|
||||||
|
ind = ptsd_ind(lo, hi, off_label)
|
||||||
|
ind["expected_response"] = None
|
||||||
|
ind["course"] = None
|
||||||
|
d = {
|
||||||
|
"id": id_,
|
||||||
|
"name_ru": name,
|
||||||
|
"group": next(g for key, g in GROUPS.items() if key in cls),
|
||||||
|
"class": cls,
|
||||||
|
"indications": {"ptsd": ind},
|
||||||
|
"diary_items": [SE[i] for i in items],
|
||||||
|
"diary_items_source": src,
|
||||||
|
"red_flags": list(red),
|
||||||
|
"monitoring": list(mon),
|
||||||
|
"withdrawal_risk": withdrawal,
|
||||||
|
"overdose_danger": False,
|
||||||
|
"max_course_days": course_days,
|
||||||
|
}
|
||||||
|
if note:
|
||||||
|
d["note"] = note
|
||||||
|
return d
|
||||||
|
|
||||||
|
|
||||||
|
# Patient-facing drug group by the КР class wording.
|
||||||
|
GROUPS = {
|
||||||
|
"бензодиазепин": "Анксиолитик (транквилизатор)",
|
||||||
|
"Анксиолитик": "Анксиолитик",
|
||||||
|
"Антипсихотическое": "Антипсихотик",
|
||||||
|
"Противоэпилептический": "Противоэпилептический препарат",
|
||||||
|
}
|
||||||
|
|
||||||
|
SSRI = ["nausea", "insomnia", "sexual", "headache"] # табл. 3 + головная боль из разд. 3.1 (СИОЗС)
|
||||||
|
BENZO = ["sedation", "dizziness", "coordination", "memory"] # КР ПТСР 3.2: седация, головокружение, координация…
|
||||||
|
BENZO_SRC = f"{PTSD}, разд. 3.2 (комментарии о производных бензодиазепина)"
|
||||||
|
AP_SRC = f"{PTSD}, разд. 3.2: акатизия, экстрапирамидные расстройства, метаболический синдром"
|
||||||
|
|
||||||
|
DRUGS = [
|
||||||
|
ad(
|
||||||
|
"paroxetine",
|
||||||
|
"Пароксетин",
|
||||||
|
"СИОЗС",
|
||||||
|
20,
|
||||||
|
20,
|
||||||
|
50,
|
||||||
|
SSRI,
|
||||||
|
ptsd=ptsd_ind(20, 50, False),
|
||||||
|
red=[RF_BLEEDING],
|
||||||
|
withdrawal="high",
|
||||||
|
),
|
||||||
|
ad("sertraline", "Сертралин", "СИОЗС", 50, 50, 200, SSRI, ptsd=ptsd_ind(25, 200, False), red=[RF_BLEEDING]),
|
||||||
|
ad(
|
||||||
|
"fluvoxamine",
|
||||||
|
"Флувоксамин",
|
||||||
|
"СИОЗС",
|
||||||
|
50,
|
||||||
|
100,
|
||||||
|
300,
|
||||||
|
SSRI,
|
||||||
|
red=[RF_BLEEDING],
|
||||||
|
note="Стартовая доза по табл. 2: 50–100 мг",
|
||||||
|
),
|
||||||
|
ad(
|
||||||
|
"fluoxetine",
|
||||||
|
"Флуоксетин",
|
||||||
|
"СИОЗС",
|
||||||
|
20,
|
||||||
|
20,
|
||||||
|
80,
|
||||||
|
SSRI,
|
||||||
|
ptsd=ptsd_ind(20, 40, True),
|
||||||
|
red=[RF_BLEEDING],
|
||||||
|
withdrawal="low",
|
||||||
|
),
|
||||||
|
ad("citalopram", "Циталопрам", "СИОЗС", 20, 20, 40, SSRI, red=[RF_BLEEDING]),
|
||||||
|
ad("escitalopram", "Эсциталопрам", "СИОЗС", 10, 10, 20, SSRI, red=[RF_BLEEDING]),
|
||||||
|
ad(
|
||||||
|
"venlafaxine",
|
||||||
|
"Венлафаксин",
|
||||||
|
"СИОЗСН",
|
||||||
|
75,
|
||||||
|
75,
|
||||||
|
375,
|
||||||
|
["nausea", "insomnia", "sexual"],
|
||||||
|
ptsd=ptsd_ind(75, 225, True),
|
||||||
|
mon=["Артериальное давление"],
|
||||||
|
withdrawal="high",
|
||||||
|
note="Депрессия: >225 мг/сут — в стационарных условиях",
|
||||||
|
),
|
||||||
|
ad("duloxetine", "Дулоксетин", "СИОЗСН", 60, 60, 120, ["nausea", "insomnia"]),
|
||||||
|
ad(
|
||||||
|
"amitriptyline",
|
||||||
|
"Амитриптилин",
|
||||||
|
"ТЦА",
|
||||||
|
50,
|
||||||
|
150,
|
||||||
|
300,
|
||||||
|
["anticholinergic", "sedation", "orthostatic", "weight"],
|
||||||
|
ptsd=ptsd_ind(75, 150, True),
|
||||||
|
mon=[TCA_MON],
|
||||||
|
withdrawal="high",
|
||||||
|
overdose=True,
|
||||||
|
note="Депрессия: старт 50–75 мг; >150 мг/сут — в стационарных условиях",
|
||||||
|
),
|
||||||
|
ad(
|
||||||
|
"imipramine",
|
||||||
|
"Имипрамин",
|
||||||
|
"ТЦА",
|
||||||
|
25,
|
||||||
|
150,
|
||||||
|
300,
|
||||||
|
["anticholinergic", "insomnia", "orthostatic", "weight"],
|
||||||
|
ptsd=ptsd_ind(75, 250, True),
|
||||||
|
mon=[TCA_MON],
|
||||||
|
withdrawal="high",
|
||||||
|
overdose=True,
|
||||||
|
note="Депрессия: старт 25–75 мг; >200 мг/сут — в стационарных условиях",
|
||||||
|
),
|
||||||
|
ad(
|
||||||
|
"clomipramine",
|
||||||
|
"Кломипрамин",
|
||||||
|
"ТЦА",
|
||||||
|
50,
|
||||||
|
100,
|
||||||
|
250,
|
||||||
|
["anticholinergic", "sexual", "orthostatic", "weight"],
|
||||||
|
mon=[TCA_MON],
|
||||||
|
withdrawal="high",
|
||||||
|
overdose=True,
|
||||||
|
note="Старт 50–75 мг; летальность при передозировке средняя",
|
||||||
|
),
|
||||||
|
ad(
|
||||||
|
"pipofezine",
|
||||||
|
"Пипофезин",
|
||||||
|
"ТЦА (АТХ — другие антидепрессанты)",
|
||||||
|
25,
|
||||||
|
150,
|
||||||
|
500,
|
||||||
|
[],
|
||||||
|
note="В табл. 3 КР не описан — побочные эффекты уточнять у врача; старт 25–50 мг",
|
||||||
|
),
|
||||||
|
ad("mianserin", "Миансерин", "НаССА", 30, 60, 90, ["sedation"], mon=["Формула крови (по КР — изменения редко)"]),
|
||||||
|
ad(
|
||||||
|
"mirtazapine",
|
||||||
|
"Миртазапин",
|
||||||
|
"НаССА",
|
||||||
|
15,
|
||||||
|
15,
|
||||||
|
45,
|
||||||
|
["sedation", "weight"],
|
||||||
|
ptsd=ptsd_ind(30, 60, True),
|
||||||
|
note="Старт 15–30 мг",
|
||||||
|
),
|
||||||
|
ad(
|
||||||
|
"trazodone",
|
||||||
|
"Тразодон",
|
||||||
|
"Специфический серотонинергический АД",
|
||||||
|
100,
|
||||||
|
150,
|
||||||
|
600,
|
||||||
|
["sedation", "sexual"],
|
||||||
|
red=[RF_PRIAPISM],
|
||||||
|
note=">450 мг/сут — в стационарных условиях",
|
||||||
|
),
|
||||||
|
ad(
|
||||||
|
"pirlindole",
|
||||||
|
"Пирлиндол",
|
||||||
|
"Ингибитор МАО-А",
|
||||||
|
50,
|
||||||
|
150,
|
||||||
|
400,
|
||||||
|
[],
|
||||||
|
note="В табл. 3 КР не описан — побочные эффекты уточнять у врача; старт 50–75 мг",
|
||||||
|
),
|
||||||
|
ad(
|
||||||
|
"agomelatine",
|
||||||
|
"Агомелатин",
|
||||||
|
"Мелатонинергический АД",
|
||||||
|
25,
|
||||||
|
25,
|
||||||
|
50,
|
||||||
|
[],
|
||||||
|
red=[RF_JAUNDICE],
|
||||||
|
mon=["Билирубин, АСТ, АЛТ, щелочная фосфатаза — в начале лечения и при повышении дозы"],
|
||||||
|
),
|
||||||
|
ad("vortioxetine", "Вортиоксетин", "Серотонинергический модулятор", 10, 10, 20, ["nausea", "insomnia"]),
|
||||||
|
# КР ПТСР: анксиолитики, антипсихотические средства, противоэпилептические препараты
|
||||||
|
other(
|
||||||
|
"diazepam",
|
||||||
|
"Диазепам",
|
||||||
|
"Производное бензодиазепина",
|
||||||
|
5,
|
||||||
|
15,
|
||||||
|
False,
|
||||||
|
BENZO,
|
||||||
|
withdrawal="high",
|
||||||
|
course_days=28,
|
||||||
|
src=BENZO_SRC,
|
||||||
|
note="Курс не более 4 недель, в тяжёлых случаях до 8–12 недель",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"lorazepam",
|
||||||
|
"Лоразепам",
|
||||||
|
"Производное бензодиазепина",
|
||||||
|
2,
|
||||||
|
10,
|
||||||
|
False,
|
||||||
|
BENZO,
|
||||||
|
withdrawal="high",
|
||||||
|
course_days=21,
|
||||||
|
src=BENZO_SRC,
|
||||||
|
note="Дозы — из текста разд. 3.2 (в табл. А3 не приведён)",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"clonazepam",
|
||||||
|
"Клоназепам",
|
||||||
|
"Производное бензодиазепина",
|
||||||
|
1,
|
||||||
|
4,
|
||||||
|
False,
|
||||||
|
BENZO,
|
||||||
|
withdrawal="high",
|
||||||
|
course_days=21,
|
||||||
|
src=BENZO_SRC,
|
||||||
|
note="Дозы — из текста разд. 3.2 (в табл. А3 не приведён)",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"alprazolam",
|
||||||
|
"Алпразолам",
|
||||||
|
"Производное бензодиазепина",
|
||||||
|
0.25,
|
||||||
|
4.5,
|
||||||
|
False,
|
||||||
|
BENZO,
|
||||||
|
withdrawal="high",
|
||||||
|
course_days=90,
|
||||||
|
src=BENZO_SRC,
|
||||||
|
note="Курс до 3 месяцев; отмена в течение 2–6 недель",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"tofisopam",
|
||||||
|
"Тофизопам",
|
||||||
|
"Производное бензодиазепина (дневной транквилизатор)",
|
||||||
|
50,
|
||||||
|
300,
|
||||||
|
False,
|
||||||
|
[],
|
||||||
|
course_days=84,
|
||||||
|
src=f"{PTSD}, разд. 3.2",
|
||||||
|
note="По КР не вызывает физической зависимости и седации; курс 4–12 недель",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"etifoxine",
|
||||||
|
"Этифоксин",
|
||||||
|
"Анксиолитик",
|
||||||
|
150,
|
||||||
|
200,
|
||||||
|
False,
|
||||||
|
["sedation", "skin"],
|
||||||
|
red=[RF_JAUNDICE, RF_UTERINE],
|
||||||
|
course_days=42,
|
||||||
|
src=f"{PTSD}, разд. 3.2",
|
||||||
|
note="Курс от нескольких дней до 4–6 недель",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"hydroxyzine",
|
||||||
|
"Гидроксизин",
|
||||||
|
"Анксиолитик",
|
||||||
|
25,
|
||||||
|
100,
|
||||||
|
True,
|
||||||
|
["sedation"],
|
||||||
|
course_days=56,
|
||||||
|
src=f"{PTSD}, разд. 3.2",
|
||||||
|
note="Курс обычно 4–8 недель",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"buspirone",
|
||||||
|
"Буспирон",
|
||||||
|
"Анксиолитик",
|
||||||
|
20,
|
||||||
|
30,
|
||||||
|
False,
|
||||||
|
[],
|
||||||
|
src=f"{PTSD}, разд. 3.2",
|
||||||
|
note="Эффект с 7–14 дня, максимум к 4-й неделе",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"alimemazine",
|
||||||
|
"Алимемазин",
|
||||||
|
"Антипсихотическое средство",
|
||||||
|
15,
|
||||||
|
80,
|
||||||
|
False,
|
||||||
|
[],
|
||||||
|
mon=[AP_MON],
|
||||||
|
src=f"{PTSD}, разд. 3.2",
|
||||||
|
note="По КР побочные эффекты редки и слабо выражены",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"risperidone",
|
||||||
|
"Рисперидон",
|
||||||
|
"Антипсихотическое средство",
|
||||||
|
0.5,
|
||||||
|
8,
|
||||||
|
True,
|
||||||
|
["akathisia", "eps", "weight"],
|
||||||
|
mon=[AP_MON],
|
||||||
|
src=AP_SRC,
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"quetiapine",
|
||||||
|
"Кветиапин",
|
||||||
|
"Антипсихотическое средство",
|
||||||
|
50,
|
||||||
|
300,
|
||||||
|
True,
|
||||||
|
["akathisia", "eps", "weight"],
|
||||||
|
mon=[AP_MON],
|
||||||
|
src=AP_SRC,
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"olanzapine",
|
||||||
|
"Оланзапин",
|
||||||
|
"Антипсихотическое средство",
|
||||||
|
5,
|
||||||
|
20,
|
||||||
|
True,
|
||||||
|
["weight", "sedation"],
|
||||||
|
mon=[AP_MON],
|
||||||
|
src=f"{DEP}, разд. 3.3 (увеличение веса, седация); {PTSD}, разд. 3.2",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"tiapride", "Тиаприд", "Антипсихотическое средство", 200, 300, False, [], mon=[AP_MON], src=f"{PTSD}, разд. 3.2"
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"chlorprothixene",
|
||||||
|
"Хлорпротиксен",
|
||||||
|
"Антипсихотическое средство",
|
||||||
|
25,
|
||||||
|
150,
|
||||||
|
True,
|
||||||
|
[],
|
||||||
|
mon=[AP_MON],
|
||||||
|
src=f"{PTSD}, разд. 3.2",
|
||||||
|
note="Расхождение в КР ПТСР: в тексте 15–100 мг, в табл. А3 — 25–150 мг",
|
||||||
|
),
|
||||||
|
other(
|
||||||
|
"lamotrigine",
|
||||||
|
"Ламотриджин",
|
||||||
|
"Противоэпилептический препарат",
|
||||||
|
25,
|
||||||
|
500,
|
||||||
|
True,
|
||||||
|
[],
|
||||||
|
red=[RF_RASH],
|
||||||
|
src=f"{PTSD}, разд. 3.2",
|
||||||
|
note="Частые кожные высыпания вплоть до токсического эпидермального некролиза",
|
||||||
|
),
|
||||||
|
other("topiramate", "Топирамат", "Противоэпилептический препарат", 200, 400, True, [], src=f"{PTSD}, разд. 3.2"),
|
||||||
|
]
|
||||||
|
|
||||||
|
TEXTS = {
|
||||||
|
"expect_effect_depression": (
|
||||||
|
"Лекарства от депрессии действуют не сразу. Первые изменения иногда заметны уже через 1–2 недели, "
|
||||||
|
"а эффект врач оценивает через 3–4 недели. Принимайте препарат по схеме, даже если пока не чувствуете разницы."
|
||||||
|
),
|
||||||
|
"expect_effect_ptsd": (
|
||||||
|
"Эффект препарата при ПТСР развивается постепенно — его оценивают через 4–6 недель. В первую неделю тревога "
|
||||||
|
"может временно усилиться: это известная реакция, сообщите о ней врачу. Не прекращайте приём самостоятельно."
|
||||||
|
),
|
||||||
|
"dont_stop_alone": (
|
||||||
|
"Не прекращайте приём самостоятельно: резкая отмена может ухудшить самочувствие, а лечение — потерять эффект. "
|
||||||
|
"Если препарат мешает жить или вы в нём сомневаетесь, обсудите это с врачом — он может изменить дозу "
|
||||||
|
"или подобрать другой."
|
||||||
|
),
|
||||||
|
"why_continue_depression": (
|
||||||
|
"Даже когда становится лучше, лечение продолжают ещё несколько месяцев в той же дозе: так ниже риск, "
|
||||||
|
"что депрессия вернётся."
|
||||||
|
),
|
||||||
|
"withdrawal_missed": (
|
||||||
|
"Вы пропустили приём два дня подряд. При резком прекращении этого препарата бывают неприятные ощущения: "
|
||||||
|
"головокружение, раздражительность, нарушения сна, состояние как при гриппе. Вернитесь к обычной схеме "
|
||||||
|
"и сообщите врачу, если стало хуже."
|
||||||
|
),
|
||||||
|
"ran_out": (
|
||||||
|
"Лекарство закончилось? Не откладывайте — попросите у врача новый рецепт: "
|
||||||
|
"перерыв в приёме может ухудшить самочувствие."
|
||||||
|
),
|
||||||
|
"red_flag": "Этот симптом нужно обсудить с врачом сегодня. Если состояние тяжёлое — вызывайте скорую: 103 или 112.",
|
||||||
|
"side_effects_general": (
|
||||||
|
"Спасибо, что сообщили. Побочные эффекты часто ослабевают в первые недели. Если они мешают жить — это повод "
|
||||||
|
"обсудить с врачом дозу или замену препарата. Не меняйте схему сами."
|
||||||
|
),
|
||||||
|
"instruction_fallback": "Уточните у врача или в инструкции к препарату.",
|
||||||
|
}
|
||||||
|
|
||||||
|
RULES = [
|
||||||
|
{"id": "M1", "params": {"missed_days_in_row": 2}, "status": "черновик"},
|
||||||
|
{"id": "M2", "params": {}, "status": "черновик"},
|
||||||
|
{"id": "M3", "params": {"ran_out_days_in_row": 2}, "status": "черновик"},
|
||||||
|
{"id": "M4", "params": {"default_max_course_days": 21}, "status": "КР ПТСР 3.2"},
|
||||||
|
{
|
||||||
|
"id": "M5",
|
||||||
|
"params": {"check_day": 28, "baseline_lookback_days": 14, "phq9_min_drop_pct": 50, "pcl5_min_drop": 10},
|
||||||
|
"status": "черновик",
|
||||||
|
},
|
||||||
|
{"id": "M6", "params": {}, "status": "КР депрессия 3.1.3"},
|
||||||
|
{"id": "M7", "params": {}, "status": "черновик"},
|
||||||
|
{"id": "M8", "params": {"fibser_burden_min": 5, "side_effect_misses_in_7_days": 2}, "status": "черновик"},
|
||||||
|
{"id": "M9", "params": {}, "status": "в сводке врачу"},
|
||||||
|
{"id": "M10", "params": {}, "status": "приложения А3 обеих КР"},
|
||||||
|
]
|
||||||
|
|
||||||
|
|
||||||
|
def main() -> None:
|
||||||
|
OUT.parent.mkdir(parents=True, exist_ok=True)
|
||||||
|
doc = {
|
||||||
|
"version": "draft-2026-10-04",
|
||||||
|
"status": "черновик: собран по КР Минздрава, тексты и параметры вычитывает психиатр",
|
||||||
|
"sources": [
|
||||||
|
{
|
||||||
|
"id": "kr_depression_2024",
|
||||||
|
"title": "Депрессивный эпизод, рекуррентное депрессивное расстройство",
|
||||||
|
"year": 2024,
|
||||||
|
"file": "docs/source/rag/kr_depression.pdf",
|
||||||
|
},
|
||||||
|
{
|
||||||
|
"id": "kr_ptsd_2023",
|
||||||
|
"title": "Посттравматическое стрессовое расстройство",
|
||||||
|
"year": 2023,
|
||||||
|
"kr_id": 753,
|
||||||
|
"file": "docs/source/rag/kr_ptsd.pdf",
|
||||||
|
},
|
||||||
|
],
|
||||||
|
"drugs": DRUGS,
|
||||||
|
"texts": TEXTS,
|
||||||
|
"rules": RULES,
|
||||||
|
}
|
||||||
|
OUT.write_text(json.dumps(doc, ensure_ascii=False, indent=2) + "\n", encoding="utf-8")
|
||||||
|
print(f"{OUT}: {len(DRUGS)} drugs")
|
||||||
|
|
||||||
|
|
||||||
|
if __name__ == "__main__":
|
||||||
|
main()
|
||||||
@@ -0,0 +1,17 @@
|
|||||||
|
"""Test-wide isolation: a developer's local `.env` (e.g. OPENROUTER_API_KEY) must never make tests call a real
|
||||||
|
LLM provider — that costs money and makes results depend on the network. Agent tests pass explicit
|
||||||
|
providers/settings; everything else runs with the chat agent off."""
|
||||||
|
|
||||||
|
import pytest
|
||||||
|
|
||||||
|
from app.config import get_settings
|
||||||
|
|
||||||
|
|
||||||
|
@pytest.fixture(autouse=True)
|
||||||
|
def _no_live_llm(monkeypatch: pytest.MonkeyPatch):
|
||||||
|
monkeypatch.setenv("CHAT_AGENT", "off")
|
||||||
|
monkeypatch.setenv("OPENROUTER_API_KEY", "")
|
||||||
|
monkeypatch.setenv("LLM_PROVIDER", "mock")
|
||||||
|
get_settings.cache_clear()
|
||||||
|
yield
|
||||||
|
get_settings.cache_clear()
|
||||||
@@ -0,0 +1,103 @@
|
|||||||
|
"""MAX endpoints authenticate before reading bindings or accepting events."""
|
||||||
|
|
||||||
|
import sys
|
||||||
|
from types import SimpleNamespace
|
||||||
|
from unittest.mock import AsyncMock
|
||||||
|
from urllib.parse import parse_qs, urlsplit
|
||||||
|
|
||||||
|
import pytest
|
||||||
|
from httpx import ASGITransport, AsyncClient
|
||||||
|
from sqlalchemy.exc import OperationalError
|
||||||
|
|
||||||
|
from app.config import get_settings
|
||||||
|
from app.core import clock
|
||||||
|
from app.db import repo, session
|
||||||
|
from app.db.bootstrap import init_db
|
||||||
|
from app.integrations import max_store
|
||||||
|
from app.main import app
|
||||||
|
|
||||||
|
BASE = "/api/v1/me/notifications/max"
|
||||||
|
HOOK = "/api/v1/webhooks/max"
|
||||||
|
TOKEN = "synthetic-patient"
|
||||||
|
AUTH = {"Authorization": f"Bearer {TOKEN}"}
|
||||||
|
SECRET = "test-secret-" * 4
|
||||||
|
|
||||||
|
|
||||||
|
@pytest.fixture
|
||||||
|
async def client(monkeypatch):
|
||||||
|
for key, value in {
|
||||||
|
"MAX_ENABLED": "true",
|
||||||
|
"MAX_BOT_TOKEN": "fake-token",
|
||||||
|
"MAX_BOT_USERNAME": "test_bot",
|
||||||
|
"MAX_WEBHOOK_SECRET": SECRET,
|
||||||
|
"MAX_WEBHOOK_URL": "https://api.example.org" + HOOK,
|
||||||
|
"MAX_SITE_URL": "https://example.org",
|
||||||
|
}.items():
|
||||||
|
monkeypatch.setenv(key, value)
|
||||||
|
get_settings.cache_clear()
|
||||||
|
await session.configure(identity_url="sqlite+aiosqlite:///:memory:", clinical_url="sqlite+aiosqlite:///:memory:")
|
||||||
|
await init_db()
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
await repo.upsert_profile(s, token=TOKEN, doctor_id="")
|
||||||
|
await repo.set_dialog_state(
|
||||||
|
s, token=TOKEN, state="idle", data={"consent": True, "adult": True}, now=clock.now()
|
||||||
|
)
|
||||||
|
async with AsyncClient(transport=ASGITransport(app=app), base_url="http://test") as c:
|
||||||
|
yield c
|
||||||
|
await session.configure()
|
||||||
|
get_settings.cache_clear()
|
||||||
|
|
||||||
|
|
||||||
|
@pytest.mark.parametrize("auth", [{}, {"Authorization": "Bearer unknown"}, {"Authorization": "Basic test"}])
|
||||||
|
async def test_auth_required(client, auth):
|
||||||
|
assert (await client.get(BASE, headers=auth)).status_code == 401
|
||||||
|
assert (await client.post(BASE + "/link", headers=auth, json={"consent": True})).status_code == 401
|
||||||
|
assert (await client.delete(BASE, headers=auth)).status_code == 401
|
||||||
|
|
||||||
|
|
||||||
|
async def test_link_requires_consent_and_hides_patient_credential(client):
|
||||||
|
for body in ({}, {"consent": False}, {"consent": True, "user_id": 100}):
|
||||||
|
assert (await client.post(BASE + "/link", headers=AUTH, json=body)).status_code == 422
|
||||||
|
response = await client.post(BASE + "/link", headers=AUTH, json={"consent": True})
|
||||||
|
assert response.status_code == 200
|
||||||
|
assert TOKEN not in response.text
|
||||||
|
url = urlsplit(response.json()["url"])
|
||||||
|
assert url.netloc == "max.ru" and url.path == "/test_bot"
|
||||||
|
code = parse_qs(url.query)["start"][0]
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert await max_store.bind(s, code, 100, clock.now()) == TOKEN
|
||||||
|
assert (await client.get(BASE, headers=AUTH)).json()["connected"] is True
|
||||||
|
assert (await client.delete(BASE, headers=AUTH)).json()["connected"] is False
|
||||||
|
|
||||||
|
|
||||||
|
async def test_revoke_consent_prevents_linking(client):
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
await repo.set_dialog_state(
|
||||||
|
s, token=TOKEN, state="idle", data={"consent": False, "adult": True}, now=clock.now()
|
||||||
|
)
|
||||||
|
assert (await client.post(BASE + "/link", headers=AUTH, json={"consent": True})).status_code == 403
|
||||||
|
|
||||||
|
|
||||||
|
async def test_disabled_service_still_allows_disconnect(client, monkeypatch):
|
||||||
|
monkeypatch.setenv("MAX_ENABLED", "false")
|
||||||
|
get_settings.cache_clear()
|
||||||
|
assert (await client.get(BASE, headers=AUTH)).json()["available"] is False
|
||||||
|
assert (await client.post(BASE + "/link", headers=AUTH, json={"consent": True})).status_code == 503
|
||||||
|
assert (await client.post(HOOK, json={})).status_code == 503
|
||||||
|
assert (await client.delete(BASE, headers=AUTH)).status_code == 200
|
||||||
|
|
||||||
|
|
||||||
|
async def test_webhook_secret_checked_before_body_or_adapter(client):
|
||||||
|
assert (await client.post(HOOK, content="not-json")).status_code == 403
|
||||||
|
assert (await client.post(HOOK, headers={"X-Max-Bot-Api-Secret": "wrong"}, json={})).status_code == 403
|
||||||
|
headers = {"X-Max-Bot-Api-Secret": SECRET}
|
||||||
|
assert (await client.post(HOOK, headers=headers, content="not-json")).status_code == 400
|
||||||
|
assert (await client.post(HOOK, headers=headers, json=[])).status_code == 422
|
||||||
|
assert (await client.post(HOOK, headers=headers, content=" " * 65537)).status_code == 413
|
||||||
|
|
||||||
|
|
||||||
|
async def test_webhook_storage_failure_is_retryable_without_identity_details(client, monkeypatch):
|
||||||
|
handler = AsyncMock(side_effect=OperationalError("private SQL", {"token": TOKEN}, Exception("private")))
|
||||||
|
monkeypatch.setitem(sys.modules, "app.channels.max_bot", SimpleNamespace(handle_update=handler))
|
||||||
|
response = await client.post(HOOK, headers={"X-Max-Bot-Api-Secret": SECRET}, json={})
|
||||||
|
assert response.status_code == 503 and TOKEN not in response.text and "private" not in response.text
|
||||||
@@ -0,0 +1,222 @@
|
|||||||
|
"""Patient web app API: ЕМИАС (demo) and anonymous sign-in, crisis resources, hand-off to the dialog engine."""
|
||||||
|
|
||||||
|
from collections.abc import AsyncIterator
|
||||||
|
from datetime import datetime, time, timedelta
|
||||||
|
|
||||||
|
import pytest
|
||||||
|
from httpx import ASGITransport, AsyncClient
|
||||||
|
|
||||||
|
from app.api import fixtures
|
||||||
|
from app.core import clock
|
||||||
|
from app.db import identity_repo, repo, session
|
||||||
|
from app.db.bootstrap import init_db
|
||||||
|
from app.db.clinical import Dose, Prescription
|
||||||
|
from app.main import app
|
||||||
|
|
||||||
|
MEM = "sqlite+aiosqlite:///:memory:"
|
||||||
|
TOKEN = "b" * 32
|
||||||
|
|
||||||
|
|
||||||
|
@pytest.fixture
|
||||||
|
async def client() -> AsyncIterator[AsyncClient]:
|
||||||
|
await session.configure(identity_url=MEM, clinical_url=MEM)
|
||||||
|
await init_db()
|
||||||
|
async with AsyncClient(transport=ASGITransport(app=app), base_url="http://test") as c:
|
||||||
|
yield c
|
||||||
|
await session.configure()
|
||||||
|
|
||||||
|
|
||||||
|
async def _patient_with_code(code: str) -> None:
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
await identity_repo.create_patient(
|
||||||
|
s,
|
||||||
|
token=TOKEN,
|
||||||
|
display_name="Синтетический П.",
|
||||||
|
snils="000-000-000 00",
|
||||||
|
clinic_id="clinic-1",
|
||||||
|
doctor_id="doc-1",
|
||||||
|
now=clock.now(),
|
||||||
|
)
|
||||||
|
await identity_repo.create_connect_code(s, code=code, token=TOKEN, doctor_id="doc-1", now=clock.now())
|
||||||
|
|
||||||
|
|
||||||
|
async def test_anonymous_tokens_are_fresh_and_store_no_personal_data(client: AsyncClient) -> None:
|
||||||
|
first = (await client.post("/api/v1/auth/anonymous")).json()
|
||||||
|
second = (await client.post("/api/v1/auth/anonymous")).json()
|
||||||
|
assert first["mode"] == "anonymous" and first["display_name"] is None
|
||||||
|
assert len(first["token"]) == 32 and first["token"] != second["token"]
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert await identity_repo.get_patient(s, first["token"]) is None
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
# Only a doctor-less pseudonymous profile: the dialog API serves known profiles only.
|
||||||
|
profile = await repo.get_profile(s, first["token"])
|
||||||
|
assert profile.doctor_id == "" and profile.modules == []
|
||||||
|
|
||||||
|
|
||||||
|
async def test_anonymous_focus_picks_the_module_without_a_doctor(client: AsyncClient) -> None:
|
||||||
|
token = (await client.post("/api/v1/auth/anonymous", json={"focus": "ptsd"})).json()["token"]
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
profile = await repo.get_profile(s, token)
|
||||||
|
assert profile.modules == ["veteran"] and not profile.doctor_id
|
||||||
|
assert (await client.get(f"/api/v1/me/{token}/today")).json()["has_doctor"] is False
|
||||||
|
assert (await client.post("/api/v1/auth/anonymous", json={"focus": "flu"})).status_code == 422
|
||||||
|
|
||||||
|
|
||||||
|
async def test_anonymous_token_starts_the_engine_dialog(client: AsyncClient) -> None:
|
||||||
|
token = (await client.post("/api/v1/auth/anonymous")).json()["token"]
|
||||||
|
replies = (await client.post(f"/api/v1/dialog/{token}/events", json={"type": "start"})).json()["replies"]
|
||||||
|
buttons = [b["data"] for r in replies for row in r["buttons"] for b in row]
|
||||||
|
assert "consent:yes" in buttons and "consent:no" in buttons
|
||||||
|
|
||||||
|
|
||||||
|
async def test_emias_code_is_one_time_and_attaches_doctor(client: AsyncClient) -> None:
|
||||||
|
await _patient_with_code("DEMO-0042")
|
||||||
|
ok = await client.post("/api/v1/auth/emias", json={"code": " demo-0042 "})
|
||||||
|
assert ok.status_code == 200 and ok.json() == {"token": TOKEN, "mode": "emias", "display_name": None}
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
assert (await repo.get_profile(s, TOKEN)).doctor_id == "doc-1"
|
||||||
|
again = await client.post("/api/v1/auth/emias", json={"code": "DEMO-0042"})
|
||||||
|
assert again.status_code == 401
|
||||||
|
|
||||||
|
|
||||||
|
async def test_emias_rejects_unknown_code(client: AsyncClient) -> None:
|
||||||
|
assert (await client.post("/api/v1/auth/emias", json={"code": "NOPE"})).status_code == 401
|
||||||
|
assert (await client.post("/api/v1/auth/emias", json={"code": ""})).status_code == 422
|
||||||
|
|
||||||
|
|
||||||
|
async def test_emias_demo_persona(client: AsyncClient) -> None:
|
||||||
|
persona = fixtures.DEMO_PERSONAS[0]
|
||||||
|
res = await client.post("/api/v1/auth/emias/demo", json={"persona_token": persona.token})
|
||||||
|
assert res.json() == {"token": persona.token, "mode": "emias", "display_name": persona.display_name}
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
assert (await repo.get_profile(s, persona.token)).doctor_id == fixtures.DOCTOR_ID
|
||||||
|
missing = await client.post("/api/v1/auth/emias/demo", json={"persona_token": "tok-nobody"})
|
||||||
|
assert missing.status_code == 404
|
||||||
|
|
||||||
|
|
||||||
|
async def test_today_plan_and_week_marks(client: AsyncClient) -> None:
|
||||||
|
now = clock.now()
|
||||||
|
today = now.date()
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
await repo.upsert_profile(s, token=TOKEN, doctor_id="doc-1", next_visit=today + timedelta(days=5))
|
||||||
|
rx = Prescription(token=TOKEN, drug="sertraline", dose="50 мг", schedule={"times": ["09:00", "21:00"]})
|
||||||
|
s.add(rx)
|
||||||
|
await s.flush()
|
||||||
|
morning = datetime.combine(today, time(9, 0), now.tzinfo)
|
||||||
|
s.add_all(
|
||||||
|
[
|
||||||
|
Dose(token=TOKEN, prescription_id=rx.id, planned_at=morning, status="taken"),
|
||||||
|
Dose(token=TOKEN, prescription_id=rx.id, planned_at=morning + timedelta(hours=12)),
|
||||||
|
]
|
||||||
|
)
|
||||||
|
await repo.upsert_checkin(s, token=TOKEN, day=today, now=now, mood=6)
|
||||||
|
|
||||||
|
body = (await client.get(f"/api/v1/me/{TOKEN}/today")).json()
|
||||||
|
assert body["has_doctor"] and body["checkin_done"]
|
||||||
|
assert body["next_visit"] == (today + timedelta(days=5)).isoformat()
|
||||||
|
assert [(d["time"], d["status"]) for d in body["doses"]] == [("09:00", "taken"), ("21:00", "pending")]
|
||||||
|
week = body["prescriptions"][0]["week"]
|
||||||
|
assert len(week) == 7 and next(w for w in week if w["day"] == today.isoformat())["status"] == "pending"
|
||||||
|
|
||||||
|
|
||||||
|
async def test_today_for_anonymous_is_empty(client: AsyncClient) -> None:
|
||||||
|
token = (await client.post("/api/v1/auth/anonymous")).json()["token"]
|
||||||
|
body = (await client.get(f"/api/v1/me/{token}/today")).json()
|
||||||
|
assert body["has_doctor"] is False and body["doses"] == [] and body["prescriptions"] == []
|
||||||
|
|
||||||
|
|
||||||
|
async def test_crisis_resources_come_from_config(client: AsyncClient) -> None:
|
||||||
|
phones = [r["phone"] for r in (await client.get("/api/v1/crisis/resources")).json()]
|
||||||
|
assert "112" in phones
|
||||||
|
|
||||||
|
|
||||||
|
async def test_today_links_prescription_to_reference_and_therapy_day(client: AsyncClient) -> None:
|
||||||
|
today = clock.now().date()
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
await repo.upsert_profile(s, token=TOKEN, doctor_id="doc-1", modules=["veteran"])
|
||||||
|
s.add(Prescription(token=TOKEN, drug="Сертралин", dose="50 мг", schedule={}, start_date=today - timedelta(13)))
|
||||||
|
rx = (await client.get(f"/api/v1/me/{TOKEN}/today")).json()["prescriptions"][0]
|
||||||
|
assert rx["ref_id"] == "sertraline" and rx["indication"] == "ptsd" and rx["therapy_day"] == 14
|
||||||
|
|
||||||
|
|
||||||
|
async def test_demo_persona_week_mirrors_dashboard_story(client: AsyncClient) -> None:
|
||||||
|
persona = fixtures.DEMO_PERSONAS[0].token
|
||||||
|
await client.post("/api/v1/auth/emias/demo", json={"persona_token": persona})
|
||||||
|
rx = (await client.get(f"/api/v1/me/{persona}/today")).json()["prescriptions"][0]
|
||||||
|
assert rx["ref_id"] == "sertraline" and rx["therapy_day"] > 1
|
||||||
|
|
||||||
|
|
||||||
|
async def test_questionnaires_are_off_without_release_or_demo_flag(
|
||||||
|
client: AsyncClient, monkeypatch: pytest.MonkeyPatch
|
||||||
|
) -> None:
|
||||||
|
monkeypatch.delenv("INTAKE_DEMO", raising=False)
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
await repo.upsert_profile(s, token=TOKEN, doctor_id="doc-1")
|
||||||
|
q = (await client.get(f"/api/v1/me/{TOKEN}/today")).json()["questionnaires"]
|
||||||
|
assert q == {"enabled": False, "intake": "none", "diary_done": False, "diary_next": "morning"}
|
||||||
|
|
||||||
|
|
||||||
|
async def test_demo_flag_opens_intake_in_the_engine(client: AsyncClient, monkeypatch: pytest.MonkeyPatch) -> None:
|
||||||
|
monkeypatch.setenv("INTAKE_DEMO", "1")
|
||||||
|
persona = fixtures.DEMO_PERSONAS[0].token
|
||||||
|
await client.post("/api/v1/auth/emias/demo", json={"persona_token": persona})
|
||||||
|
|
||||||
|
async def press(button: str | None = None) -> list[str]:
|
||||||
|
event = {"type": "button", "button": button} if button else {"type": "start"}
|
||||||
|
replies = (await client.post(f"/api/v1/dialog/{persona}/events", json=event)).json()["replies"]
|
||||||
|
return [b["data"] for r in replies for row in r["buttons"] for b in row]
|
||||||
|
|
||||||
|
await press()
|
||||||
|
await press("consent:yes")
|
||||||
|
buttons = await press("age:adult")
|
||||||
|
# Stage 1 starts with PHQ-2, in the order of the MVP questionnaire.
|
||||||
|
assert any(b.startswith("iq:") and ":phq9_1:" in b for b in buttons)
|
||||||
|
assert "intake:help" in buttons and "intake:pause" in buttons
|
||||||
|
q = (await client.get(f"/api/v1/me/{persona}/today")).json()["questionnaires"]
|
||||||
|
assert q["enabled"] and q["intake"] == "active"
|
||||||
|
|
||||||
|
|
||||||
|
async def test_instrument_catalog_describes_intake_items(client: AsyncClient) -> None:
|
||||||
|
body = (await client.get("/api/v1/instruments/catalog")).json()
|
||||||
|
phq = body["items"]["phq9_3"]
|
||||||
|
assert phq["form"] == "phq9" and phq["index"] == 3 and phq["total"] == 9 and not phq["adaptive"]
|
||||||
|
assert body["items"]["cssrs_q1"]["adaptive"] and body["forms"]["cssrs"]["section"] == "safety"
|
||||||
|
assert body["items"]["sleep_hours"]["numeric"] and body["items"]["alcohol_portions"]["numeric"]
|
||||||
|
assert body["items"]["dphq_9"]["form"] == "diary" and body["items"]["dpcl_18"]["form"] == "diary"
|
||||||
|
assert body["forms"]["pcl5"]["recall_period"] and body["forms"]["gad7"]["section"] == "scale"
|
||||||
|
drinks = body["standard_drinks"]
|
||||||
|
assert len(drinks["header"]) == 4 and len(drinks["rows"]) == 5 and all(len(c) == 4 for _, c in drinks["rows"])
|
||||||
|
|
||||||
|
|
||||||
|
async def test_meds_reference_is_sourced_and_hides_rule_params(client: AsyncClient) -> None:
|
||||||
|
body = (await client.get("/api/v1/meds/reference")).json()
|
||||||
|
assert "rules" not in body and body["texts"]["dont_stop_alone"]
|
||||||
|
drugs = {d["id"]: d for d in body["drugs"]}
|
||||||
|
sertraline = drugs["sertraline"]
|
||||||
|
assert sertraline["indications"]["depression"]["max_mg"] == 200
|
||||||
|
assert (
|
||||||
|
sertraline["indications"]["ptsd"]["min_mg"] == 25 and "КР ПТСР" in sertraline["indications"]["ptsd"]["source"]
|
||||||
|
)
|
||||||
|
assert drugs["diazepam"]["max_course_days"] == 28 and drugs["alprazolam"]["max_course_days"] == 90
|
||||||
|
assert all(ind["source"] for d in body["drugs"] for ind in d["indications"].values())
|
||||||
|
|
||||||
|
|
||||||
|
async def test_stage_one_starts_without_modules(client: AsyncClient, monkeypatch: pytest.MonkeyPatch) -> None:
|
||||||
|
# Stage 1 is the same for everyone: it does not wait for a module (it sets them itself).
|
||||||
|
monkeypatch.setenv("INTAKE_DEMO", "1")
|
||||||
|
token = (await client.post("/api/v1/auth/anonymous")).json()["token"]
|
||||||
|
|
||||||
|
async def press(button: str | None = None) -> list[str]:
|
||||||
|
event = {"type": "button", "button": button} if button else {"type": "start"}
|
||||||
|
replies = (await client.post(f"/api/v1/dialog/{token}/events", json=event)).json()["replies"]
|
||||||
|
return [b["data"] for r in replies for row in r["buttons"] for b in row]
|
||||||
|
|
||||||
|
assert (await client.get(f"/api/v1/me/{token}/today")).json()["questionnaires"]["enabled"]
|
||||||
|
await press()
|
||||||
|
await press("consent:yes")
|
||||||
|
assert any(":phq9_1:" in b for b in await press("age:adult"))
|
||||||
|
|
||||||
|
|
||||||
|
async def test_patient_app_has_its_own_demo_personas(client: AsyncClient) -> None:
|
||||||
|
body = (await client.get("/api/v1/patient/demo-personas")).json()
|
||||||
|
assert [p["token"] for p in body] == [p.token for p in fixtures.DEMO_PERSONAS]
|
||||||
@@ -0,0 +1,47 @@
|
|||||||
|
"""MAX stays off without credentials; enabled deployments fail closed on incomplete settings."""
|
||||||
|
|
||||||
|
import pytest
|
||||||
|
from pydantic import ValidationError
|
||||||
|
|
||||||
|
from app.config import Settings
|
||||||
|
|
||||||
|
|
||||||
|
def configured(**overrides):
|
||||||
|
fields = {
|
||||||
|
"max_enabled": True,
|
||||||
|
"max_bot_token": "test-only-token",
|
||||||
|
"max_bot_username": "test_bot",
|
||||||
|
"max_webhook_secret": "test-only-secret-" * 3,
|
||||||
|
"max_webhook_url": "https://api.example.org/api/v1/webhooks/max",
|
||||||
|
"max_site_url": "https://patient.example.org/#/today",
|
||||||
|
}
|
||||||
|
return Settings(_env_file=None, **(fields | overrides))
|
||||||
|
|
||||||
|
|
||||||
|
def test_max_disabled_by_default():
|
||||||
|
assert not Settings(_env_file=None).max_enabled
|
||||||
|
|
||||||
|
|
||||||
|
def test_max_secrets_are_redacted():
|
||||||
|
settings = configured()
|
||||||
|
assert "test-only-token" not in repr(settings)
|
||||||
|
assert "test-only-secret" not in repr(settings)
|
||||||
|
|
||||||
|
|
||||||
|
@pytest.mark.parametrize(
|
||||||
|
"overrides",
|
||||||
|
[
|
||||||
|
{"max_bot_token": ""},
|
||||||
|
{"max_bot_username": "@test_bot"},
|
||||||
|
{"max_webhook_secret": "short"},
|
||||||
|
{"max_site_url": "http://patient.example.org"},
|
||||||
|
{"max_webhook_url": "http://api.example.org"},
|
||||||
|
{"max_webhook_url": "https://api.example.org:8443/hook"},
|
||||||
|
{"max_webhook_url": "https://user:password@api.example.org/hook"},
|
||||||
|
{"max_webhook_url": "https://api.example.org/hook#fragment"},
|
||||||
|
{"max_site_url": "https://patient.example.org?token=credential"},
|
||||||
|
],
|
||||||
|
)
|
||||||
|
def test_max_rejects_incomplete_or_unsafe_settings(overrides):
|
||||||
|
with pytest.raises(ValidationError):
|
||||||
|
configured(**overrides)
|
||||||
@@ -53,7 +53,15 @@ async def _tables(engine_fn: Callable[[], AsyncEngine]) -> set[str]:
|
|||||||
async def test_create_all_puts_tables_in_the_right_db(dbs: None) -> None:
|
async def test_create_all_puts_tables_in_the_right_db(dbs: None) -> None:
|
||||||
identity_tables = await _tables(session.identity_engine)
|
identity_tables = await _tables(session.identity_engine)
|
||||||
clinical_tables = await _tables(session.clinical_engine)
|
clinical_tables = await _tables(session.clinical_engine)
|
||||||
assert identity_tables == {"patients", "doctors", "connect_codes"}
|
assert identity_tables == {
|
||||||
|
"patients",
|
||||||
|
"doctors",
|
||||||
|
"connect_codes",
|
||||||
|
"max_bindings",
|
||||||
|
"max_link_codes",
|
||||||
|
"max_webhook_receipts",
|
||||||
|
"max_deliveries",
|
||||||
|
}
|
||||||
assert {
|
assert {
|
||||||
"patient_profiles",
|
"patient_profiles",
|
||||||
"item_responses",
|
"item_responses",
|
||||||
|
|||||||
@@ -94,6 +94,17 @@ async def complete_intake(e, choices=None):
|
|||||||
raise AssertionError("intake did not terminate")
|
raise AssertionError("intake did not terminate")
|
||||||
|
|
||||||
|
|
||||||
|
async def to_cssrs(e, choices=None):
|
||||||
|
"""Stage 1 up to the C-SSRS screener, which comes after PHQ-2, the trauma filter and RUS-AUDIT-S."""
|
||||||
|
replies = await press(e, "intake:start")
|
||||||
|
for _ in range(20):
|
||||||
|
button = answer_button(replies, {"trauma": 1, **(choices or {})})
|
||||||
|
if ":cssrs_" in button:
|
||||||
|
return replies
|
||||||
|
replies = await press(e, button)
|
||||||
|
raise AssertionError("C-SSRS not reached")
|
||||||
|
|
||||||
|
|
||||||
async def test_minimal_intake_raw_data_not_imputed_and_restart(released):
|
async def test_minimal_intake_raw_data_not_imputed_and_restart(released):
|
||||||
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
||||||
(row,) = await rows()
|
(row,) = await rows()
|
||||||
@@ -111,13 +122,13 @@ async def test_pause_restart_and_duplicate_callbacks(released):
|
|||||||
old = answer_button(replies)
|
old = answer_button(replies)
|
||||||
await asyncio.gather(press(released, old), press(released, old))
|
await asyncio.gather(press(released, old), press(released, old))
|
||||||
(row,) = await rows()
|
(row,) = await rows()
|
||||||
assert row.answers == {"cssrs_q1": 0}
|
assert row.answers == {"phq9_1": 0}
|
||||||
await press(released, "intake:pause")
|
await press(released, "intake:pause")
|
||||||
restarted = Engine(gateway=LLMGateway(MockTasks()))
|
restarted = Engine(gateway=LLMGateway(MockTasks()))
|
||||||
replies = await press(restarted, "intake:resume")
|
replies = await press(restarted, "intake:resume")
|
||||||
assert "cssrs_q2" in answer_button(replies)
|
assert "phq9_2" in answer_button(replies)
|
||||||
await press(restarted, old)
|
await press(restarted, old)
|
||||||
assert (await rows())[0].answers == {"cssrs_q1": 0}
|
assert (await rows())[0].answers == {"phq9_1": 0}
|
||||||
assert all(len(b.data.encode()) <= 64 for r in replies for line in r.buttons for b in line)
|
assert all(len(b.data.encode()) <= 64 for r in replies for line in r.buttons for b in line)
|
||||||
|
|
||||||
|
|
||||||
@@ -127,6 +138,7 @@ async def test_immediate_stop_preserves_partial_answers(released, signal):
|
|||||||
if signal == "help":
|
if signal == "help":
|
||||||
replies = await press(released, "intake:help")
|
replies = await press(released, "intake:help")
|
||||||
elif signal == "cssrs":
|
elif signal == "cssrs":
|
||||||
|
replies = await to_cssrs(released)
|
||||||
for item in ("cssrs_q1", "cssrs_q2", "cssrs_q3", "cssrs_q4"):
|
for item in ("cssrs_q1", "cssrs_q2", "cssrs_q3", "cssrs_q4"):
|
||||||
replies = await press(released, answer_button(replies, {item: 0}))
|
replies = await press(released, answer_button(replies, {item: 0}))
|
||||||
else:
|
else:
|
||||||
@@ -169,12 +181,13 @@ async def test_alcohol_conflict_keeps_positive_short_answer(released):
|
|||||||
|
|
||||||
|
|
||||||
async def test_low_risk_shows_safety_plan_but_moderate_stops(released):
|
async def test_low_risk_shows_safety_plan_but_moderate_stops(released):
|
||||||
replies = await press(released, "intake:start")
|
replies = await to_cssrs(released)
|
||||||
replies = await press(released, answer_button(replies, {"cssrs_q1": 0}))
|
replies = await press(released, answer_button(replies, {"cssrs_q1": 0}))
|
||||||
replies = await press(released, answer_button(replies))
|
replies = await press(released, answer_button(replies))
|
||||||
replies = await press(released, answer_button(replies))
|
replies = await press(released, answer_button(replies))
|
||||||
assert any(r.kind == "safety_plan" for r in replies)
|
assert any(r.kind == "safety_plan" for r in replies)
|
||||||
assert "phq9_1" in answer_button(replies)
|
# The screener ends stage 1; the context questions follow (sex is known from the profile).
|
||||||
|
assert ":tbi:" in answer_button(replies)
|
||||||
|
|
||||||
|
|
||||||
async def test_notification_failure_retry_and_consent_cancellation(released, monkeypatch):
|
async def test_notification_failure_retry_and_consent_cancellation(released, monkeypatch):
|
||||||
@@ -210,9 +223,10 @@ async def test_scheduler_idempotent_and_failed_outbox_recovery(released, monkeyp
|
|||||||
monkeypatch.setattr(integrations, "outbox", Failing())
|
monkeypatch.setattr(integrations, "outbox", Failing())
|
||||||
await jobs.run_until_now()
|
await jobs.run_until_now()
|
||||||
tasks = await rows(QuestionnaireTask)
|
tasks = await rows(QuestionnaireTask)
|
||||||
assert len(tasks) == 2
|
# 20:00 Moscow: both parts of the diary are due; no risk monitoring → no daily C-SSRS.
|
||||||
risk = next(t for t in tasks if t.kind == "cssrs_since_contact")
|
assert {t.kind for t in tasks} == {"diary_morning", "diary_evening"}
|
||||||
assert risk.delivery and risk.sent_at is None
|
morning = next(t for t in tasks if t.kind == "diary_morning")
|
||||||
|
assert morning.delivery and morning.sent_at is None
|
||||||
outbox = MemoryOutbox()
|
outbox = MemoryOutbox()
|
||||||
monkeypatch.setattr(integrations, "outbox", outbox)
|
monkeypatch.setattr(integrations, "outbox", outbox)
|
||||||
await jobs.run_until_now()
|
await jobs.run_until_now()
|
||||||
@@ -222,17 +236,29 @@ async def test_scheduler_idempotent_and_failed_outbox_recovery(released, monkeyp
|
|||||||
assert len(await rows()) == 2
|
assert len(await rows()) == 2
|
||||||
|
|
||||||
|
|
||||||
async def test_missing_since_contact_is_manual_review_not_recent(released):
|
async def test_since_contact_risk_check_opens_the_evening_diary(released):
|
||||||
async with session.get_clinical_session() as s:
|
async with session.get_clinical_session() as s:
|
||||||
task = await service.queue_task(s, TOKEN, "cssrs_since_contact", "synthetic", NOW)
|
task = await service.queue_task(s, TOKEN, "cssrs_since_contact", "synthetic", NOW)
|
||||||
task_id = task.id
|
task_id = task.id
|
||||||
replies = await released.handle(
|
replies = await released.handle(
|
||||||
TOKEN, Event(type="system", system="daily_checkin", params={"questionnaire_task": task_id})
|
TOKEN, Event(type="system", system="daily_checkin", params={"questionnaire_task": task_id})
|
||||||
)
|
)
|
||||||
(row,) = await rows()
|
assert any("последнего ответа" in r.text for r in replies)
|
||||||
assert row.kind == "cssrs_since_contact" and row.status == "review_required" and not row.answers
|
for _ in range(5):
|
||||||
assert row.details["stop_reason"] == "cssrs_since_contact_required"
|
button = answer_button(replies)
|
||||||
assert not answer_button(replies)
|
if ":cssrs_" not in (button or ""):
|
||||||
|
break
|
||||||
|
replies = await press(released, button)
|
||||||
|
risk = next(r for r in await rows() if r.kind == "cssrs_since_contact")
|
||||||
|
assert risk.status == "complete" and risk.answers == {
|
||||||
|
"cssrs_q1": 0,
|
||||||
|
"cssrs_q2": 0,
|
||||||
|
"cssrs_q6_lifetime": 0,
|
||||||
|
"cssrs_q6_recent": 0,
|
||||||
|
}
|
||||||
|
assert risk.details["answer_metadata"]["cssrs_q6_recent"]["derived"] is True
|
||||||
|
assert ":mood:" in answer_button(replies)
|
||||||
|
assert any(r.kind == "diary_evening" and r.status == "active" for r in await rows())
|
||||||
|
|
||||||
|
|
||||||
async def test_disabled_or_no_adult_confirmation_cannot_start(released):
|
async def test_disabled_or_no_adult_confirmation_cannot_start(released):
|
||||||
@@ -256,6 +282,20 @@ async def review_risk_record(e):
|
|||||||
)
|
)
|
||||||
|
|
||||||
|
|
||||||
|
async def run_diary(e, replies, choices=None, numbers=("6,5", "2")):
|
||||||
|
"""Answers the open diary questions; numeric items take `numbers` in turn."""
|
||||||
|
numbers = list(numbers)
|
||||||
|
for _ in range(30):
|
||||||
|
button = answer_button(replies, choices)
|
||||||
|
if button:
|
||||||
|
replies = await press(e, button)
|
||||||
|
elif any("часов" in r.text or "порци" in r.text for r in replies) and numbers:
|
||||||
|
replies = await e.handle(TOKEN, Event(type="text", text=numbers.pop(0)))
|
||||||
|
else:
|
||||||
|
return replies
|
||||||
|
raise AssertionError("diary did not terminate")
|
||||||
|
|
||||||
|
|
||||||
async def test_doctor_review_is_audited_and_unblocks_diary(released):
|
async def test_doctor_review_is_audited_and_unblocks_diary(released):
|
||||||
from fastapi import HTTPException
|
from fastapi import HTTPException
|
||||||
|
|
||||||
@@ -263,8 +303,14 @@ async def test_doctor_review_is_audited_and_unblocks_diary(released):
|
|||||||
from app.db.audit import AuditLog
|
from app.db.audit import AuditLog
|
||||||
|
|
||||||
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
||||||
await jobs.run_until_now()
|
async with session.get_clinical_session() as s:
|
||||||
|
(await repo.get_profile(s, TOKEN)).enhanced_monitoring = True
|
||||||
|
replies = await run_diary(released, await press(released, "menu:checkin"))
|
||||||
|
# Evening: the risk check comes first; thoughts of a method (q3) are a moderate risk → stop for a specialist.
|
||||||
|
replies = await press(released, "menu:checkin")
|
||||||
|
replies = await complete_existing(released, replies, {"cssrs_q1": 0, "cssrs_q2": 0, "cssrs_q3": 0})
|
||||||
risk = next(r for r in await rows() if r.kind == "cssrs_since_contact")
|
risk = next(r for r in await rows() if r.kind == "cssrs_since_contact")
|
||||||
|
assert risk.status == "review_required"
|
||||||
with pytest.raises(HTTPException) as exc:
|
with pytest.raises(HTTPException) as exc:
|
||||||
await review(
|
await review(
|
||||||
TOKEN,
|
TOKEN,
|
||||||
@@ -277,53 +323,43 @@ async def test_doctor_review_is_audited_and_unblocks_diary(released):
|
|||||||
assert (await repo.get_dialog_state(s, TOKEN)).data.get("intake_review_required")
|
assert (await repo.get_dialog_state(s, TOKEN)).data.get("intake_review_required")
|
||||||
await review_risk_record(released)
|
await review_risk_record(released)
|
||||||
await jobs.run_until_now()
|
await jobs.run_until_now()
|
||||||
assert any(r.kind == "diary" and r.status == "active" for r in await rows())
|
assert any(r.kind == "diary_evening" and r.status == "active" for r in await rows())
|
||||||
await history(TOKEN, "synthetic-doctor")
|
await history(TOKEN, "synthetic-doctor")
|
||||||
audits = await rows(AuditLog)
|
audits = await rows(AuditLog)
|
||||||
assert {a.action for a in audits} >= {"view_questionnaires", "review_questionnaire"}
|
assert {a.action for a in audits} >= {"view_questionnaires", "review_questionnaire"}
|
||||||
|
|
||||||
|
|
||||||
async def test_diary_numeric_skip_and_not_prescribed(released):
|
async def test_diary_morning_then_evening_with_the_ptsd_module(released):
|
||||||
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
||||||
await press(released, "menu:checkin")
|
|
||||||
await review_risk_record(released)
|
|
||||||
replies = await press(released, "menu:checkin")
|
replies = await press(released, "menu:checkin")
|
||||||
for _ in range(30):
|
assert any("часов" in r.text for r in replies)
|
||||||
q = next(
|
|
||||||
(b.data.split(":")[2] for r in replies for line in r.buttons for b in line if b.data.startswith("iq:")),
|
|
||||||
None,
|
|
||||||
)
|
|
||||||
if q == "comment":
|
|
||||||
button = next(b.data for r in replies for line in r.buttons for b in line if b.data.endswith(":skip"))
|
|
||||||
replies = await press(released, button)
|
|
||||||
elif q:
|
|
||||||
replies = await press(released, answer_button(replies, {"medication": 3}))
|
|
||||||
elif any("часов" in r.text for r in replies):
|
|
||||||
invalid = await released.handle(TOKEN, Event(type="text", text="nan"))
|
invalid = await released.handle(TOKEN, Event(type="text", text="nan"))
|
||||||
assert any("число часов" in r.text for r in invalid)
|
assert any("число часов" in r.text for r in invalid)
|
||||||
replies = await released.handle(TOKEN, Event(type="text", text="6,5"))
|
replies = await run_diary(released, invalid, {"sleep_quality": 3})
|
||||||
else:
|
assert any("утро" in r.text for r in replies)
|
||||||
break
|
morning = next(r for r in await rows() if r.kind == "diary_morning")
|
||||||
diary = next(r for r in await rows() if r.kind == "diary")
|
assert morning.status == "complete"
|
||||||
assert diary.status == "complete" and diary.answers["sleep_hours"] == 6.5
|
assert morning.answers == {"sleep_hours": 6.5, "sleep_quality": 3, "alcohol_portions": 2.0}
|
||||||
assert "medication_reason" not in diary.answers and "side_effects" not in diary.answers
|
replies = await run_diary(released, await press(released, "menu:checkin"), {"mood": 7, "medication": 2})
|
||||||
assert diary.answers["comment"] is None
|
evening = next(r for r in await rows() if r.kind == "diary_evening")
|
||||||
|
assert evening.status == "complete" and evening.answers["medication"] == "not_prescribed"
|
||||||
|
assert "medication_reason" not in evening.answers
|
||||||
|
assert {"dpcl_1", "dpcl_7", "dpcl_10", "dpcl_18"} <= set(evening.answers)
|
||||||
|
assert evening.details["interpretation"]["kind"] == "diary_evening"
|
||||||
|
replies = await press(released, "menu:checkin")
|
||||||
|
assert any("уже заполнен" in r.text for r in replies)
|
||||||
|
|
||||||
|
|
||||||
async def test_high_risk_diary_asks_safety_first_and_stops(released):
|
async def test_depression_module_item9_stops_with_crisis(released, monkeypatch):
|
||||||
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
||||||
async with session.get_clinical_session() as s:
|
async with session.get_clinical_session() as s:
|
||||||
(await repo.get_profile(s, TOKEN)).enhanced_monitoring = True
|
await repo.upsert_profile(s, token=TOKEN, modules=["depression"])
|
||||||
await press(released, "menu:checkin")
|
monkeypatch.setattr(clock, "now", lambda: NOW + timedelta(days=2))
|
||||||
await review_risk_record(released)
|
await run_diary(released, await press(released, "menu:checkin"))
|
||||||
replies = await press(released, "menu:checkin")
|
replies = await run_diary(released, await press(released, "menu:checkin"), {"medication": 2, "dphq_9": 1})
|
||||||
button = answer_button(replies)
|
|
||||||
assert "death_thoughts" in button
|
|
||||||
replies = await press(released, button)
|
|
||||||
assert any(r.kind == "crisis" for r in replies)
|
assert any(r.kind == "crisis" for r in replies)
|
||||||
assert any(b.data == "safety_plan" for r in replies for line in r.buttons for b in line)
|
evening = next(r for r in await rows() if r.kind == "diary_evening")
|
||||||
diary = next(r for r in await rows() if r.kind == "diary")
|
assert evening.answers["dphq_9"] == 1 and evening.status == "interrupted"
|
||||||
assert diary.answers == {"death_thoughts": 1} and diary.status == "interrupted"
|
|
||||||
|
|
||||||
|
|
||||||
async def test_unknown_sex_goes_to_review_without_a_zone(released):
|
async def test_unknown_sex_goes_to_review_without_a_zone(released):
|
||||||
@@ -344,7 +380,7 @@ async def test_version_change_blocks_resume_and_preserves_answers(released):
|
|||||||
path.write_text(yaml.safe_dump(data, allow_unicode=True))
|
path.write_text(yaml.safe_dump(data, allow_unicode=True))
|
||||||
await press(released, "intake:resume")
|
await press(released, "intake:resume")
|
||||||
(row,) = await rows()
|
(row,) = await rows()
|
||||||
assert row.status == "review_required" and row.answers == {"cssrs_q1": 0}
|
assert row.status == "review_required" and row.answers == {"phq9_1": 0}
|
||||||
|
|
||||||
|
|
||||||
async def test_followup_delta_uses_comparable_complete_baseline(released):
|
async def test_followup_delta_uses_comparable_complete_baseline(released):
|
||||||
@@ -377,20 +413,23 @@ async def test_stop_any_policy_interrupts_first_positive(released):
|
|||||||
data = yaml.safe_load(path.read_text())
|
data = yaml.safe_load(path.read_text())
|
||||||
data["cssrs_positive_policy"] = "stop_any"
|
data["cssrs_positive_policy"] = "stop_any"
|
||||||
path.write_text(yaml.safe_dump(data, allow_unicode=True))
|
path.write_text(yaml.safe_dump(data, allow_unicode=True))
|
||||||
replies = await press(released, "intake:start")
|
replies = await to_cssrs(released)
|
||||||
replies = await press(released, answer_button(replies, {"cssrs_q1": 0}))
|
replies = await press(released, answer_button(replies, {"cssrs_q1": 0}))
|
||||||
assert any(r.kind == "crisis" for r in replies)
|
assert any(r.kind == "crisis" for r in replies)
|
||||||
assert (await rows())[0].answers == {"cssrs_q1": 1}
|
assert (await rows())[0].answers["cssrs_q1"] == 1
|
||||||
|
|
||||||
|
|
||||||
async def test_evening_schedule_uses_moscow_date(released, monkeypatch):
|
async def test_diary_schedule_uses_moscow_date(released, monkeypatch):
|
||||||
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
||||||
monkeypatch.setattr(clock, "now", lambda: NOW.replace(hour=15, minute=59))
|
monkeypatch.setattr(clock, "now", lambda: NOW.replace(hour=4, minute=59))
|
||||||
await jobs.plan()
|
await jobs.plan()
|
||||||
assert await rows(QuestionnaireTask) == []
|
assert await rows(QuestionnaireTask) == []
|
||||||
monkeypatch.setattr(clock, "now", lambda: NOW.replace(hour=16, minute=0))
|
monkeypatch.setattr(clock, "now", lambda: NOW.replace(hour=5, minute=0))
|
||||||
await jobs.plan()
|
await jobs.plan()
|
||||||
assert {t.kind for t in await rows(QuestionnaireTask)} == {"diary", "cssrs_since_contact"}
|
assert {t.kind for t in await rows(QuestionnaireTask)} == {"diary_morning"}
|
||||||
|
monkeypatch.setattr(clock, "now", lambda: NOW.replace(hour=17, minute=0))
|
||||||
|
await jobs.plan()
|
||||||
|
assert {t.kind for t in await rows(QuestionnaireTask)} == {"diary_morning", "diary_evening"}
|
||||||
|
|
||||||
|
|
||||||
async def test_resumed_answer_keeps_original_period(released, monkeypatch):
|
async def test_resumed_answer_keeps_original_period(released, monkeypatch):
|
||||||
@@ -401,7 +440,35 @@ async def test_resumed_answer_keeps_original_period(released, monkeypatch):
|
|||||||
replies = await press(released, "intake:resume")
|
replies = await press(released, "intake:resume")
|
||||||
await press(released, answer_button(replies))
|
await press(released, answer_button(replies))
|
||||||
(record,) = await rows()
|
(record,) = await rows()
|
||||||
metadata = record.details["answer_metadata"]["cssrs_q2"]
|
metadata = record.details["answer_metadata"]["phq9_2"]
|
||||||
assert metadata["period_start"] == "2026-09-03"
|
assert metadata["period_start"] == "2026-09-19"
|
||||||
assert metadata["period_end"] == "2026-10-03"
|
assert metadata["period_end"] == "2026-10-03"
|
||||||
assert metadata["answered_at"].startswith("2026-10-04")
|
assert metadata["answered_at"].startswith("2026-10-04")
|
||||||
|
|
||||||
|
|
||||||
|
async def test_intake_result_is_shown_logged_and_sets_the_diary_modules(released):
|
||||||
|
from app.api.patient_web import my_results
|
||||||
|
|
||||||
|
choices = {f"phq9_{i}": 2 for i in range(1, 9)}
|
||||||
|
choices.update(trauma=1, tbi=1, psychotropics=1)
|
||||||
|
replies = await complete_intake(released, choices)
|
||||||
|
assert any("Предположение депрессии" in r.text for r in replies)
|
||||||
|
assert any("не диагноз" in r.text for r in replies)
|
||||||
|
(row,) = await rows()
|
||||||
|
interpretation = row.details["interpretation"]
|
||||||
|
assert interpretation["codes"] == ["depression_suspected"] and interpretation["modules"] == ["depression"]
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
# A doctor's modules (diagnosis) stay; the screening only adds to them.
|
||||||
|
assert (await repo.get_profile(s, TOKEN)).modules == ["veteran", "depression"]
|
||||||
|
results = await my_results(TOKEN)
|
||||||
|
assert results.conclusion.title == interpretation["title"]
|
||||||
|
assert [h.kind for h in results.history] == ["intake"] and results.history[0].status_title == "пройден"
|
||||||
|
|
||||||
|
|
||||||
|
async def test_without_a_doctor_the_screening_defines_the_modules(released):
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
await repo.upsert_profile(s, token=TOKEN, doctor_id="", modules=["veteran"])
|
||||||
|
replies = await complete_intake(released, {"trauma": 1, "tbi": 1, "psychotropics": 1})
|
||||||
|
assert any("не выявлено" in r.text for r in replies)
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
assert (await repo.get_profile(s, TOKEN)).modules == []
|
||||||
|
|||||||
@@ -202,6 +202,14 @@ async def test_side_effect_other_free_text(engine: Engine) -> None:
|
|||||||
assert (await checkin()).side_effects == ["headache", "other"]
|
assert (await checkin()).side_effects == ["headache", "other"]
|
||||||
|
|
||||||
|
|
||||||
|
async def test_side_effect_description_is_optional(engine: Engine) -> None:
|
||||||
|
reminder = await system(engine, "med_reminder")
|
||||||
|
r = await tap(engine, await tap(engine, reminder, "med:side_effects"), "med:se:other")
|
||||||
|
assert r[0].kind == "question" # the client shows an (optional) input for it
|
||||||
|
await press(engine, "text:skip")
|
||||||
|
assert (await checkin()).side_effects == ["other"] and (await get_state())[0] == "idle"
|
||||||
|
|
||||||
|
|
||||||
async def test_same_side_effect_as_yesterday_gets_support(engine: Engine) -> None:
|
async def test_same_side_effect_as_yesterday_gets_support(engine: Engine) -> None:
|
||||||
async with session.get_clinical_session() as s:
|
async with session.get_clinical_session() as s:
|
||||||
await repo.upsert_checkin(
|
await repo.upsert_checkin(
|
||||||
|
|||||||
@@ -56,28 +56,51 @@ def test_medication_schedule_overlapping_and_delayed_completion():
|
|||||||
)
|
)
|
||||||
|
|
||||||
|
|
||||||
def test_diary_consecutive_days_and_baseline_do_not_include_bad_window():
|
def norm_and_week(norm: dict, week: dict, today=date(2026, 10, 30)):
|
||||||
today = date(2026, 10, 3)
|
"""14 days of personal norm starting 27 days ago, then the last 7 days with other values."""
|
||||||
history = {today - timedelta(days=i): {"mood": 8} for i in range(3, 10)}
|
start = today - timedelta(days=27)
|
||||||
for i in range(3):
|
history = {start + timedelta(days=i): dict(norm) for i in range(14)}
|
||||||
history[today - timedelta(days=i)] = {"mood": 5, "sleep_hours": 3.9, "medication": "none"}
|
history.update({today - timedelta(days=i): dict(week) for i in range(7)})
|
||||||
assert set(diary_flags(history, today)) == {"phq9_due_mood", "sleep_review", "medication_contact"}
|
return history, today
|
||||||
history[today - timedelta(days=1)] = {}
|
|
||||||
assert diary_flags(history, today) == ()
|
|
||||||
history[today]["death_thoughts"] = 1
|
|
||||||
assert diary_flags(history, today) == ("suicide_assessment_now",)
|
|
||||||
|
|
||||||
|
|
||||||
def test_sleep_alternation_counts_but_threshold_is_strict():
|
def test_weekly_mood_against_personal_norm():
|
||||||
|
history, today = norm_and_week({"mood": 8}, {"mood": 5})
|
||||||
|
assert "phq9_due_mood" in diary_flags(history, today)
|
||||||
|
history, today = norm_and_week({"mood": 8}, {"mood": 6})
|
||||||
|
assert "phq9_due_mood" not in diary_flags(history, today)
|
||||||
|
# Inside the norm window there is no trend yet.
|
||||||
|
early = {date(2026, 10, 1) + timedelta(days=i): {"mood": 9 if i < 3 else 1} for i in range(10)}
|
||||||
|
assert "phq9_due_mood" not in diary_flags(early, date(2026, 10, 10))
|
||||||
|
|
||||||
|
|
||||||
|
def test_module_trends_bring_full_scales_forward():
|
||||||
|
ptsd = {"dpcl_1": 1, "dpcl_7": 1, "dpcl_10": 1, "dpcl_18": 1}
|
||||||
|
history, today = norm_and_week(ptsd, {k: 2 for k in ptsd})
|
||||||
|
assert "pcl5_due_ptsd" in diary_flags(history, today)
|
||||||
|
history, today = norm_and_week({"dphq_4": 0}, {"dphq_4": 1})
|
||||||
|
assert "phq9_due_depression" in diary_flags(history, today)
|
||||||
|
|
||||||
|
|
||||||
|
def test_sleep_alcohol_and_medication_flags():
|
||||||
today = date(2026, 10, 3)
|
today = date(2026, 10, 3)
|
||||||
h = {
|
nights = {today - timedelta(days=i): {"sleep_hours": 7, "sleep_quality": 0} for i in range(3)}
|
||||||
today: {"nightmares": 3},
|
nights[today - timedelta(days=1)] = {"sleep_hours": 3.5, "sleep_quality": 2}
|
||||||
today - timedelta(days=1): {"sleep_hours": 3.5},
|
assert "sleep_review" in diary_flags(nights, today)
|
||||||
today - timedelta(days=2): {"sleep_hours": 3.5},
|
nights[today - timedelta(days=1)]["sleep_hours"] = 4
|
||||||
}
|
assert "sleep_review" not in diary_flags(nights, today)
|
||||||
assert "sleep_review" in diary_flags(h, today)
|
|
||||||
h[today - timedelta(days=1)]["sleep_hours"] = 4
|
drinks = {today: {"alcohol_portions": 6}, today - timedelta(days=2): {"alcohol_portions": 7}}
|
||||||
assert "sleep_review" not in diary_flags(h, today)
|
assert set(diary_flags(drinks, today, medication_active=True)) >= {"alcohol_on_medication", "rus_audit_due_alcohol"}
|
||||||
|
assert "alcohol_on_medication" not in diary_flags(drinks, today)
|
||||||
|
|
||||||
|
missed = {today - timedelta(days=i): {"medication": "no"} for i in range(3)}
|
||||||
|
assert "medication_contact" in diary_flags(missed, today)
|
||||||
|
week = {today - timedelta(days=i): {"medication": "yes" if i % 3 else "no"} for i in range(7)}
|
||||||
|
assert "adherence_review" in diary_flags(week, today)
|
||||||
|
assert diary_flags({today: {"medication": "no", "medication_reason": "side_effects"}}, today) == (
|
||||||
|
"side_effects_review",
|
||||||
|
)
|
||||||
|
|
||||||
|
|
||||||
def test_total_threshold_and_zone_are_separate_decisions():
|
def test_total_threshold_and_zone_are_separate_decisions():
|
||||||
@@ -96,15 +119,60 @@ def test_total_threshold_and_zone_are_separate_decisions():
|
|||||||
IntakePolicy.model_validate({**data, "rus_audit_s_expand_from_zone": 2})
|
IntakePolicy.model_validate({**data, "rus_audit_s_expand_from_zone": 2})
|
||||||
|
|
||||||
|
|
||||||
def test_module_rotation_never_drops_suicide_question():
|
def test_diary_parts_and_module_rotation():
|
||||||
from app.core.intake_questions import diary_questions
|
from app.core.intake_questions import diary_questions
|
||||||
|
|
||||||
first = {
|
assert [q.id for q in diary_questions("morning", ["veteran", "depression"])] == [
|
||||||
q.id for q in diary_questions(["veteran", "depression"], suicide_monitoring=False, weekday=0, day_index=100)
|
"sleep_hours",
|
||||||
}
|
"sleep_quality",
|
||||||
second = {
|
"alcohol_portions",
|
||||||
q.id for q in diary_questions(["veteran", "depression"], suicide_monitoring=False, weekday=1, day_index=101)
|
]
|
||||||
}
|
evening = [q.id for q in diary_questions("evening", ["veteran", "depression"], day_index=0)]
|
||||||
assert "death_thoughts" in first & second
|
assert evening == ["mood", "medication", "medication_reason", "dphq_1", "dphq_2", "dphq_3"] + [
|
||||||
assert "nightmares" in first and "nightmares" not in second
|
"dpcl_1",
|
||||||
assert "burden" in first and "burden" not in second
|
"dpcl_7",
|
||||||
|
"dpcl_10",
|
||||||
|
"dpcl_18",
|
||||||
|
]
|
||||||
|
assert [q.id for q in diary_questions("evening", ["depression"], day_index=5)][-3:] == [
|
||||||
|
"dphq_7",
|
||||||
|
"dphq_8",
|
||||||
|
"dphq_9",
|
||||||
|
]
|
||||||
|
assert [q.id for q in diary_questions("evening", [], day_index=1)] == ["mood", "medication", "medication_reason"]
|
||||||
|
|
||||||
|
|
||||||
|
def test_demo_policy_is_separate_and_marked(monkeypatch):
|
||||||
|
from app.config import get_settings
|
||||||
|
|
||||||
|
monkeypatch.setenv("INTAKE_DEMO", "1")
|
||||||
|
monkeypatch.setattr(get_settings(), "demo_clock", True)
|
||||||
|
demo = load_policy()
|
||||||
|
assert demo.approval and "DEMO" in demo.approval.reviewer and demo.cssrs_positive_policy == "graded"
|
||||||
|
monkeypatch.delenv("INTAKE_DEMO")
|
||||||
|
assert load_policy().approval is None
|
||||||
|
|
||||||
|
|
||||||
|
def test_full_scale_change_against_the_start_of_observation():
|
||||||
|
from app.core.interpretation import scale_interpretation
|
||||||
|
|
||||||
|
def phq(total, baseline, previous=None):
|
||||||
|
totals = {"phq9": {"complete": True, "total": total}}
|
||||||
|
return scale_interpretation(
|
||||||
|
"phq9", totals, baseline=baseline, previous=previous, policy=load_policy(), retriage_delta=5
|
||||||
|
)["codes"]
|
||||||
|
|
||||||
|
assert phq(4, 16) == ["minimal", "remission"]
|
||||||
|
assert phq(8, 16) == ["mild", "response"]
|
||||||
|
assert phq(11, 16) == ["moderate", "improved"]
|
||||||
|
assert phq(15, 16) == ["moderately_severe", "stable"]
|
||||||
|
assert phq(21, 10, previous=16) == ["severe", "worse"]
|
||||||
|
pcl = scale_interpretation(
|
||||||
|
"pcl5",
|
||||||
|
{"pcl5": {"complete": True, "total": 27}},
|
||||||
|
baseline=45,
|
||||||
|
previous=40,
|
||||||
|
policy=load_policy(),
|
||||||
|
retriage_delta=10,
|
||||||
|
)
|
||||||
|
assert pcl["codes"] == ["below", "response"]
|
||||||
|
|||||||
@@ -0,0 +1,123 @@
|
|||||||
|
"""Persistent, one-time linking and queue recovery; synthetic identities only."""
|
||||||
|
|
||||||
|
from datetime import timedelta
|
||||||
|
|
||||||
|
import pytest
|
||||||
|
from sqlalchemy import select
|
||||||
|
|
||||||
|
from app.core import clock
|
||||||
|
from app.db import repo, session
|
||||||
|
from app.db.bootstrap import init_db
|
||||||
|
from app.db.clinical import ScaleResult
|
||||||
|
from app.db.max_notifications import MaxBinding, MaxDelivery, MaxLinkCode
|
||||||
|
from app.integrations import max_store as store
|
||||||
|
|
||||||
|
|
||||||
|
@pytest.fixture(autouse=True)
|
||||||
|
async def database():
|
||||||
|
await session.configure(identity_url="sqlite+aiosqlite:///:memory:", clinical_url="sqlite+aiosqlite:///:memory:")
|
||||||
|
await init_db()
|
||||||
|
yield
|
||||||
|
await session.configure()
|
||||||
|
|
||||||
|
|
||||||
|
async def test_codes_are_hashed_expiring_one_time_and_replaced():
|
||||||
|
now = clock.now()
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
old, _ = await store.issue_code(s, "patient", now, 60)
|
||||||
|
code, expires = await store.issue_code(s, "patient", now, 60)
|
||||||
|
assert await store.code_token(s, old, now) is None
|
||||||
|
row = (await s.scalars(select(MaxLinkCode))).one()
|
||||||
|
assert row.digest != code and row.digest == store.digest(code)
|
||||||
|
assert await store.code_token(s, code, expires) is None
|
||||||
|
assert await store.bind(s, code, 100, now) == "patient"
|
||||||
|
assert await store.bind(s, code, 100, now) is None
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert (await s.get(MaxBinding, "patient")).user_id == 100
|
||||||
|
|
||||||
|
|
||||||
|
async def test_active_binding_cannot_be_reassigned_in_either_direction():
|
||||||
|
now = clock.now()
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
code, _ = await store.issue_code(s, "one", now, 60)
|
||||||
|
await store.bind(s, code, 100, now)
|
||||||
|
code, _ = await store.issue_code(s, "two", now, 60)
|
||||||
|
assert await store.bind(s, code, 100, now) is None
|
||||||
|
assert await store.code_token(s, code, now) == "two"
|
||||||
|
code, _ = await store.issue_code(s, "one", now, 60)
|
||||||
|
assert await store.bind(s, code, 200, now) is None
|
||||||
|
await store.disconnect(s, "one")
|
||||||
|
assert await store.code_token(s, code, now) is None
|
||||||
|
code, _ = await store.issue_code(s, "two", now, 60)
|
||||||
|
assert await store.bind(s, code, 100, now) == "two"
|
||||||
|
|
||||||
|
|
||||||
|
async def test_disconnect_cancels_pending_delivery_and_prevents_stale_ack():
|
||||||
|
now = clock.now()
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
await store.enqueue(s, key="job", user_id=100, token="one", kind="notification", now=now)
|
||||||
|
row = await store.claim(s, now)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
await store.disconnect(s, "one")
|
||||||
|
await store.finish(s, row, state="sent", now=now)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert (await s.get(MaxDelivery, "job")).state == "cancelled"
|
||||||
|
|
||||||
|
|
||||||
|
async def test_queue_survives_sessions_deduplicates_and_recovers_expired_lease():
|
||||||
|
now = clock.now()
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
for _ in range(2):
|
||||||
|
await store.enqueue(s, key="job", user_id=100, kind="help", now=now)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
first = await store.claim(s, now)
|
||||||
|
assert first.attempts == 1
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert await store.claim(s, now + timedelta(seconds=59)) is None
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
second = await store.claim(s, now + timedelta(seconds=61))
|
||||||
|
assert second.id == first.id and second.lease != first.lease and second.attempts == 2
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
await store.finish(s, first, state="sent", now=now)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert (await s.get(MaxDelivery, "job")).state == "sending"
|
||||||
|
await store.finish(s, second, state="sent", now=now)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert await store.claim(s, now + timedelta(days=1)) is None
|
||||||
|
|
||||||
|
|
||||||
|
async def test_retry_deadline_and_attempt_limit():
|
||||||
|
now = clock.now()
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
await store.enqueue(s, key="job", user_id=100, kind="help", now=now)
|
||||||
|
for attempt in range(store.MAX_ATTEMPTS):
|
||||||
|
when = now + timedelta(seconds=attempt * 120)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
row = await store.claim(s, when)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
await store.finish(s, row, state="queued", now=when, retry_seconds=120, error="http_429")
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert await store.claim(s, when + timedelta(seconds=119)) is None
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
assert await store.claim(s, now + timedelta(days=1)) is None
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
row = await s.get(MaxDelivery, "job")
|
||||||
|
assert row.state == "failed" and row.attempts == store.MAX_ATTEMPTS
|
||||||
|
|
||||||
|
|
||||||
|
async def test_completion_scan_ignores_old_and_incomplete_tests_and_recovers_without_duplicates():
|
||||||
|
now = clock.now()
|
||||||
|
async with session.get_clinical_session() as s:
|
||||||
|
await repo.upsert_profile(s, token="one", doctor_id="")
|
||||||
|
await repo.set_dialog_state(s, token="one", state="idle", data={"consent": True, "adult": True}, now=now)
|
||||||
|
for ts, complete in ((now - timedelta(days=1), True), (now, True), (now, False)):
|
||||||
|
s.add(ScaleResult(token="one", ts=ts, scale="phq9", total=0, severity="none", complete=complete))
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
s.add(MaxBinding(token="one", user_id=100, enabled=True, connected_at=now))
|
||||||
|
for _ in range(2):
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
await store.collect_completed(s, now)
|
||||||
|
async with session.get_identity_session() as s:
|
||||||
|
row = (await s.scalars(select(MaxDelivery))).one()
|
||||||
|
assert row.kind == "completed" and row.token == "one"
|
||||||
|
assert "phq9" not in row.id
|
||||||
@@ -169,3 +169,103 @@ def test_build_provider_modes():
|
|||||||
assert isinstance(agent.build_provider(Settings(_env_file=None, chat_agent="mock")), MockAgentProvider)
|
assert isinstance(agent.build_provider(Settings(_env_file=None, chat_agent="mock")), MockAgentProvider)
|
||||||
assert agent.build_provider(Settings(_env_file=None, chat_agent="openrouter")) is None # no key
|
assert agent.build_provider(Settings(_env_file=None, chat_agent="openrouter")) is None # no key
|
||||||
assert agent.build_provider(Settings(_env_file=None, chat_agent="off")) is None
|
assert agent.build_provider(Settings(_env_file=None, chat_agent="off")) is None
|
||||||
|
|
||||||
|
|
||||||
|
async def test_check_defaults_to_current_prescription(sertraline):
|
||||||
|
out = json.loads(await run_tool(ToolContext(token=ANDREY), "check_drug_for_patient", {"drug": "мои таблетки"}))
|
||||||
|
assert out["found"] and out["inn"] == "сертралин"
|
||||||
|
assert "лактоз" in out["intolerance_check"] and "нет" in out["intolerance_check"]
|
||||||
|
assert any("Алкоголь" in t for t in out["general_interactions"])
|
||||||
|
|
||||||
|
|
||||||
|
async def test_empty_final_answer_is_nudged(sertraline):
|
||||||
|
replies = iter(
|
||||||
|
[
|
||||||
|
{"role": "assistant", "content": None, "tool_calls": _CALLS},
|
||||||
|
{"role": "assistant", "content": ""},
|
||||||
|
{"role": "assistant", "content": "Алкоголь во время лечения не рекомендуется. Обсудите с врачом."},
|
||||||
|
]
|
||||||
|
)
|
||||||
|
sent = []
|
||||||
|
|
||||||
|
def handler(request):
|
||||||
|
sent.append(json.loads(request.content))
|
||||||
|
return httpx.Response(200, json={"choices": [{"message": next(replies)}]})
|
||||||
|
|
||||||
|
provider = OpenRouterProvider(_settings(), client=httpx.AsyncClient(transport=httpx.MockTransport(handler)))
|
||||||
|
ans = await agent.answer_chat(ANDREY, scrub("пиво можно?"), provider=provider, settings=_settings())
|
||||||
|
assert ans is not None and "Алкоголь" in ans.text
|
||||||
|
assert sent[0]["tool_choice"] == "required" and "tool_choice" not in sent[1]
|
||||||
|
assert "сертралин" in sent[0]["messages"][0]["content"] # patient brief in the system prompt
|
||||||
|
|
||||||
|
|
||||||
|
async def test_region_block_string_error_degrades():
|
||||||
|
# Seen live from the RF server: 403 {"success": false, "error": "Access denied by security policy."}
|
||||||
|
client = httpx.AsyncClient(
|
||||||
|
transport=httpx.MockTransport(lambda r: httpx.Response(403, json={"success": False, "error": "Access denied"}))
|
||||||
|
)
|
||||||
|
provider = OpenRouterProvider(_settings(), client=client)
|
||||||
|
assert await agent.answer_chat(ANDREY, scrub("вопрос"), provider=provider, settings=_settings()) is None
|
||||||
|
|
||||||
|
|
||||||
|
async def test_unexpected_provider_bug_degrades():
|
||||||
|
class Broken:
|
||||||
|
name = "broken"
|
||||||
|
|
||||||
|
async def chat(self, messages, tools):
|
||||||
|
raise AttributeError("boom")
|
||||||
|
|
||||||
|
assert await agent.answer_chat(ANDREY, scrub("вопрос"), provider=Broken(), settings=_settings()) is None
|
||||||
|
|
||||||
|
|
||||||
|
# ------------------------------------------------------------------------------------------------- gigachat
|
||||||
|
|
||||||
|
|
||||||
|
class _FakeGiga:
|
||||||
|
"""Mimics gigachat.GigaChat.achat: first a function_call, then the final text."""
|
||||||
|
|
||||||
|
def __init__(self):
|
||||||
|
self.chats = []
|
||||||
|
|
||||||
|
async def achat(self, chat):
|
||||||
|
from types import SimpleNamespace as NS
|
||||||
|
|
||||||
|
self.chats.append(chat)
|
||||||
|
if len(self.chats) == 1:
|
||||||
|
fc = NS(name="check_drug_for_patient", arguments={"drug": "ибупрофен"})
|
||||||
|
msg = NS(content="", function_call=fc)
|
||||||
|
else:
|
||||||
|
msg = NS(
|
||||||
|
content="Ибупрофен вместе с сертралином повышает риск кровотечений. Обсудите с врачом.",
|
||||||
|
function_call=None,
|
||||||
|
)
|
||||||
|
return NS(choices=[NS(message=msg)], usage=NS(total_tokens=42))
|
||||||
|
|
||||||
|
|
||||||
|
async def test_gigachat_tool_loop(sertraline):
|
||||||
|
from app.llm.agent.providers import GigaChatToolProvider
|
||||||
|
|
||||||
|
fake = _FakeGiga()
|
||||||
|
s = Settings(_env_file=None, chat_agent="gigachat", gigachat_credentials="x", chat_agent_timeout_s=5.0)
|
||||||
|
ans = await agent.answer_chat(
|
||||||
|
ANDREY, scrub("Можно ибупрофен?"), provider=GigaChatToolProvider(s, client=fake), settings=s
|
||||||
|
)
|
||||||
|
assert ans is not None and "кровотеч" in ans.text and ans.provider == "gigachat"
|
||||||
|
second = fake.chats[1]
|
||||||
|
roles = [str(m.role.value if hasattr(m.role, "value") else m.role) for m in second.messages]
|
||||||
|
assert roles == ["system", "user", "assistant", "function"]
|
||||||
|
assert second.messages[2].function_call.name == "check_drug_for_patient"
|
||||||
|
assert second.messages[3].name == "check_drug_for_patient"
|
||||||
|
assert {f.name for f in second.functions} == {
|
||||||
|
"search_guidelines",
|
||||||
|
"get_patient_record",
|
||||||
|
"get_drug_info",
|
||||||
|
"check_drug_for_patient",
|
||||||
|
}
|
||||||
|
|
||||||
|
|
||||||
|
def test_build_provider_prefers_gigachat():
|
||||||
|
from app.llm.agent.providers import GigaChatToolProvider
|
||||||
|
|
||||||
|
s = Settings(_env_file=None, chat_agent="auto", gigachat_credentials="x", openrouter_api_key="y")
|
||||||
|
assert isinstance(agent.build_provider(s), GigaChatToolProvider)
|
||||||
|
|||||||
@@ -0,0 +1,4 @@
|
|||||||
|
node_modules/
|
||||||
|
dist/
|
||||||
|
*.tsbuildinfo
|
||||||
|
.vite/
|
||||||
@@ -0,0 +1,71 @@
|
|||||||
|
# Веб-приложение пациента
|
||||||
|
|
||||||
|
Ещё один канал к тому же движку диалога, что и Telegram-бот (ADR-004): согласие, онбординг, шкалы, чек-ины и
|
||||||
|
кризисный скрипт приходят из `app/dialog` через `/api/v1/dialog/{token}/...`. Бот продолжает работать параллельно.
|
||||||
|
|
||||||
|
## Запуск
|
||||||
|
|
||||||
|
```bash
|
||||||
|
make up # или: uv run uvicorn app.main:app --port 8000
|
||||||
|
cd web && npm install
|
||||||
|
npm run dev # http://localhost:5173 — /api проксируется на :8000
|
||||||
|
```
|
||||||
|
|
||||||
|
Интерфейс открывается на **:5173**; на :8000 работает только API (`/docs`).
|
||||||
|
|
||||||
|
## Вход
|
||||||
|
|
||||||
|
| Способ | Что происходит | API |
|
||||||
|
|---|---|---|
|
||||||
|
| ЕМИАС (демо) | одноразовый код от врача → токен пациента, привязка к врачу; или синтетический демо-пациент | `POST /auth/emias`, `POST /auth/emias/demo` |
|
||||||
|
| Анонимно | случайный токен, в identity-БД ничего не пишется, врач не привязан | `POST /auth/anonymous` |
|
||||||
|
|
||||||
|
Реальная авторизация ЕМИАС/ЕСИА подключается как `IdentityProvider` (`app/integrations/emias_mock.py`) без
|
||||||
|
изменений во фронтенде.
|
||||||
|
|
||||||
|
## Структура (под перенос в мобильное приложение)
|
||||||
|
|
||||||
|
```
|
||||||
|
src/theme/tokens.css цвета, шрифт, отступы — единственный источник; три цвета = три направления сервиса
|
||||||
|
src/content/ru.ts все тексты интерфейса (тексты диалога — в config/texts/, их отдаёт движок)
|
||||||
|
src/api/ типы-зеркала контрактов бэкенда и клиент
|
||||||
|
src/session/store.ts хранение сессии за интерфейсом: localStorage → Capacitor Preferences/Keychain
|
||||||
|
src/dialog/ общий разговор с движком (DialogContext) и выбор вида экрана по ответу движка (step.ts)
|
||||||
|
src/screens/ экраны по docs/mock: вход A1–A3, фокус-экран /flow (A4–A6, B, D, E1–E3, E5, G2–G4),
|
||||||
|
«Сегодня» C1/C2, «Лекарства» E4, «Врач» F, «Профиль» H, «Сообщения» I1
|
||||||
|
```
|
||||||
|
|
||||||
|
### Как устроены экраны
|
||||||
|
|
||||||
|
Логика сценариев живёт только в движке диалога. Экран `/flow` берёт последний ответ движка и рисует его
|
||||||
|
как отдельный экран мокапа: вопрос анкеты с прогрессом «Вопрос n из N», шкала 0–10, свободный текст,
|
||||||
|
напоминание о лекарстве, согласие, кризисный экран. Новый сценарий в движке появится в вебе без правок фронтенда.
|
||||||
|
|
||||||
|
Данные для «Сегодня» и «Лекарства» — `GET /api/v1/me/{token}/today` (дозы на сегодня, отметки за неделю,
|
||||||
|
следующий визит, время по демо-часам).
|
||||||
|
|
||||||
|
### Анкеты, дневник и модуль «Лекарства»
|
||||||
|
|
||||||
|
- **Анкеты этапа 1** (C-SSRS, PHQ-2/PHQ-9, фильтр травмы, TSQ, PCL-5, RUS-AUDIT-S/RUS-AUDIT) и **дневник этапа 2** —
|
||||||
|
тот же фокус-экран. Пункт распознаётся по кнопкам `iq:…`; чип раздела, «Вопрос n из N» (для адаптивных форм —
|
||||||
|
без «из N»), период, «Продолжить позже», «Мне нужна помощь сейчас», пропуск необязательных пунктов, ввод часов сна,
|
||||||
|
шкалы 0–10 с подписями концов, таблица стандартных порций для п. 2 RUS-AUDIT (из утверждённого бланка, без
|
||||||
|
калькулятора). Метаданные — `GET /api/v1/instruments/catalog`.
|
||||||
|
- Анкеты включаются только в демо: `INTAKE_DEMO=1` (вместе с `DEMO_CLOCK`). Клинический замок в
|
||||||
|
`config/intake_runtime.yaml` не трогается. Пока нет подписанной политики маршрутизации и формы C-SSRS «с последнего
|
||||||
|
контакта», завершённый опрос и дневник уходят на оценку специалиста — UI показывает это отдельным экраном.
|
||||||
|
- **Карточка препарата** `/meds/:ref` — справочник `data/meds/meds_reference.json` (собирается
|
||||||
|
`scripts/build_meds_reference.py` по КР Минздрава: депрессия 2024, ПТСР 2023): когда ждать эффекта (с днём лечения),
|
||||||
|
сколько принимать, что может беспокоить, когда срочно к врачу, «не прекращать самостоятельно». Дозы не показываются.
|
||||||
|
Черновик — вычитывает психиатр. `GET /api/v1/meds/reference`.
|
||||||
|
- «Сообщить о побочном эффекте» доступно всегда (`med:side_effects:<доза или дата>`), карточка «День N лечения» на
|
||||||
|
«Сегодня» — в 1-й, 7-й и 14-й день.
|
||||||
|
|
||||||
|
Мобильная версия: mobile-first вёрстка, safe-area, hash-роутинг и относительные пути сборки — `dist/` оборачивается
|
||||||
|
Capacitor без изменений (`VITE_API_BASE` = абсолютный адрес API).
|
||||||
|
|
||||||
|
## Известные ограничения прототипа
|
||||||
|
|
||||||
|
- Токен пациента используется как учётные данные сессии; в проде — короткоживущие серверные сессии.
|
||||||
|
- Подбор кодов не ограничен по частоте.
|
||||||
|
- В демо нет сида кодов подключения: для показа используйте демо-пациента.
|
||||||
@@ -0,0 +1,15 @@
|
|||||||
|
<!doctype html>
|
||||||
|
<html lang="ru">
|
||||||
|
<head>
|
||||||
|
<meta charset="UTF-8" />
|
||||||
|
<meta name="viewport" content="width=device-width, initial-scale=1, viewport-fit=cover" />
|
||||||
|
<meta name="theme-color" content="#ffffff" />
|
||||||
|
<meta name="description" content="Сопровождение пациентов между визитами к врачу" />
|
||||||
|
<link rel="icon" href="./favicon.svg" type="image/svg+xml" />
|
||||||
|
<title>Сопровождение пациента</title>
|
||||||
|
</head>
|
||||||
|
<body>
|
||||||
|
<div id="root"></div>
|
||||||
|
<script type="module" src="/src/main.tsx"></script>
|
||||||
|
</body>
|
||||||
|
</html>
|
||||||
@@ -0,0 +1,25 @@
|
|||||||
|
{
|
||||||
|
"name": "ptsr-patient-web",
|
||||||
|
"private": true,
|
||||||
|
"version": "0.1.0",
|
||||||
|
"type": "module",
|
||||||
|
"scripts": {
|
||||||
|
"dev": "vite",
|
||||||
|
"build": "tsc -b && vite build",
|
||||||
|
"preview": "vite preview",
|
||||||
|
"typecheck": "tsc -b"
|
||||||
|
},
|
||||||
|
"dependencies": {
|
||||||
|
"@fontsource/golos-text": "^5.1.0",
|
||||||
|
"react": "^18.3.1",
|
||||||
|
"react-dom": "^18.3.1",
|
||||||
|
"react-router-dom": "^6.28.0"
|
||||||
|
},
|
||||||
|
"devDependencies": {
|
||||||
|
"@types/react": "^18.3.12",
|
||||||
|
"@types/react-dom": "^18.3.1",
|
||||||
|
"@vitejs/plugin-react": "^4.3.3",
|
||||||
|
"typescript": "~5.6.3",
|
||||||
|
"vite": "^5.4.10"
|
||||||
|
}
|
||||||
|
}
|
||||||
@@ -0,0 +1 @@
|
|||||||
|
<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 32 32"><rect width="32" height="32" rx="9" fill="#285e4e"/><path d="M16 8v16M8 16h16" stroke="#fff" stroke-width="2" stroke-linecap="round"/></svg>
|
||||||
|
After Width: | Height: | Size: 201 B |
@@ -0,0 +1,57 @@
|
|||||||
|
import type {
|
||||||
|
AuthResult,
|
||||||
|
Catalog,
|
||||||
|
CrisisResource,
|
||||||
|
DemoPersona,
|
||||||
|
DialogEvent,
|
||||||
|
Focus,
|
||||||
|
MedsReference,
|
||||||
|
Reply,
|
||||||
|
Results,
|
||||||
|
TodayPlan,
|
||||||
|
} from "./types";
|
||||||
|
|
||||||
|
// Web: same-origin /api/v1 (Vite proxy in dev). Mobile shell: set VITE_API_BASE to the absolute API URL at build.
|
||||||
|
const BASE: string = import.meta.env.VITE_API_BASE ?? "/api/v1";
|
||||||
|
|
||||||
|
export class ApiError extends Error {
|
||||||
|
constructor(
|
||||||
|
readonly status: number,
|
||||||
|
message: string,
|
||||||
|
) {
|
||||||
|
super(message);
|
||||||
|
}
|
||||||
|
}
|
||||||
|
|
||||||
|
async function request<T>(path: string, init?: RequestInit): Promise<T> {
|
||||||
|
let res: Response;
|
||||||
|
try {
|
||||||
|
res = await fetch(`${BASE}${path}`, {
|
||||||
|
...init,
|
||||||
|
headers: { "Content-Type": "application/json", ...init?.headers },
|
||||||
|
});
|
||||||
|
} catch {
|
||||||
|
throw new ApiError(0, "network");
|
||||||
|
}
|
||||||
|
if (!res.ok) throw new ApiError(res.status, res.statusText);
|
||||||
|
return (await res.json()) as T;
|
||||||
|
}
|
||||||
|
|
||||||
|
const post = <T>(path: string, body?: unknown) =>
|
||||||
|
request<T>(path, { method: "POST", body: body === undefined ? undefined : JSON.stringify(body) });
|
||||||
|
|
||||||
|
export const api = {
|
||||||
|
signInEmias: (code: string) => post<AuthResult>("/auth/emias", { code }),
|
||||||
|
signInEmiasDemo: (personaToken: string) => post<AuthResult>("/auth/emias/demo", { persona_token: personaToken }),
|
||||||
|
signInAnonymous: (focus: Focus) => post<AuthResult>("/auth/anonymous", { focus }),
|
||||||
|
demoPersonas: () => request<DemoPersona[]>("/patient/demo-personas"),
|
||||||
|
crisisResources: () => request<CrisisResource[]>("/crisis/resources"),
|
||||||
|
catalog: () => request<Catalog>("/instruments/catalog"),
|
||||||
|
medsReference: () => request<MedsReference>("/meds/reference"),
|
||||||
|
today: (token: string) => request<TodayPlan>(`/me/${encodeURIComponent(token)}/today`),
|
||||||
|
results: (token: string) => request<Results>(`/me/${encodeURIComponent(token)}/results`),
|
||||||
|
sendEvent: async (token: string, event: DialogEvent) =>
|
||||||
|
(await post<{ replies: Reply[] }>(`/dialog/${encodeURIComponent(token)}/events`, event)).replies,
|
||||||
|
outbox: async (token: string) =>
|
||||||
|
(await request<{ replies: Reply[] }>(`/dialog/${encodeURIComponent(token)}/outbox`)).replies,
|
||||||
|
};
|
||||||
@@ -0,0 +1,182 @@
|
|||||||
|
// Mirrors of the backend contracts (app/dialog/contracts.py, app/api/schemas.py, app/api/patient_web.py).
|
||||||
|
// Keep in sync by hand: the frozen contracts change only through a [contract] PR.
|
||||||
|
|
||||||
|
export interface DialogButton {
|
||||||
|
label: string;
|
||||||
|
data: string;
|
||||||
|
}
|
||||||
|
|
||||||
|
export type ReplyKind = "normal" | "question" | "crisis" | "safety_plan" | "info";
|
||||||
|
|
||||||
|
export interface Reply {
|
||||||
|
text: string;
|
||||||
|
buttons: DialogButton[][];
|
||||||
|
kind: ReplyKind;
|
||||||
|
}
|
||||||
|
|
||||||
|
export type DialogEvent =
|
||||||
|
| { type: "start"; params?: Record<string, unknown> }
|
||||||
|
| { type: "text"; text: string }
|
||||||
|
| { type: "button"; button: string };
|
||||||
|
|
||||||
|
export type AuthMode = "emias" | "anonymous";
|
||||||
|
|
||||||
|
/** What an anonymous person suspects; the backend maps it to a clinical module. */
|
||||||
|
export type Focus = "depression" | "ptsd";
|
||||||
|
|
||||||
|
export interface AuthResult {
|
||||||
|
token: string;
|
||||||
|
mode: AuthMode;
|
||||||
|
display_name: string | null;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface CrisisResource {
|
||||||
|
name: string;
|
||||||
|
phone: string;
|
||||||
|
note: string;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface DemoPersona {
|
||||||
|
token: string;
|
||||||
|
display_name: string;
|
||||||
|
therapy_day: number;
|
||||||
|
scenario: string | null;
|
||||||
|
}
|
||||||
|
|
||||||
|
export type DoseStatus = "taken" | "missed" | "skipped" | "pending";
|
||||||
|
|
||||||
|
export interface TodayDose {
|
||||||
|
id: number;
|
||||||
|
drug: string;
|
||||||
|
dose: string;
|
||||||
|
time: string;
|
||||||
|
status: DoseStatus;
|
||||||
|
}
|
||||||
|
|
||||||
|
export type Indication = "depression" | "ptsd";
|
||||||
|
|
||||||
|
export interface TodayPrescription {
|
||||||
|
drug: string;
|
||||||
|
dose: string;
|
||||||
|
times: string[];
|
||||||
|
week: { day: string; status: "taken" | "missed" | "pending" | "none" }[];
|
||||||
|
ref_id: string | null;
|
||||||
|
indication: Indication | null;
|
||||||
|
start_date: string | null;
|
||||||
|
therapy_day: number | null;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface Questionnaires {
|
||||||
|
enabled: boolean;
|
||||||
|
intake: "none" | "active" | "paused" | "complete" | "review";
|
||||||
|
diary_done: boolean;
|
||||||
|
diary_next: "morning" | "evening" | null;
|
||||||
|
}
|
||||||
|
|
||||||
|
// app/api/patient_web.py: /me/{token}/results — preliminary conclusion of stage 1 and the questionnaire log.
|
||||||
|
export interface Conclusion {
|
||||||
|
day: string;
|
||||||
|
title: string;
|
||||||
|
lines: string[];
|
||||||
|
findings: { code: string; title: string }[];
|
||||||
|
modules: string[];
|
||||||
|
disclaimer: string;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface HistoryItem {
|
||||||
|
id: string;
|
||||||
|
kind: string;
|
||||||
|
kind_title: string;
|
||||||
|
status: string;
|
||||||
|
status_title: string;
|
||||||
|
day: string;
|
||||||
|
started_at: string;
|
||||||
|
completed_at: string | null;
|
||||||
|
title: string | null;
|
||||||
|
lines: string[];
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface Results {
|
||||||
|
conclusion: Conclusion | null;
|
||||||
|
history: HistoryItem[];
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface TodayPlan {
|
||||||
|
today: string;
|
||||||
|
now: string;
|
||||||
|
has_doctor: boolean;
|
||||||
|
checkin_done: boolean;
|
||||||
|
next_visit: string | null;
|
||||||
|
doses: TodayDose[];
|
||||||
|
prescriptions: TodayPrescription[];
|
||||||
|
questionnaires: Questionnaires;
|
||||||
|
}
|
||||||
|
|
||||||
|
// app/core/instrument_catalog.py
|
||||||
|
export type Section = "safety" | "mood" | "trauma" | "alcohol" | "about" | "diary" | "scale";
|
||||||
|
|
||||||
|
export interface FormInfo {
|
||||||
|
id: string;
|
||||||
|
title: string;
|
||||||
|
section: Section;
|
||||||
|
recall_period: string | null;
|
||||||
|
instruction: string | null;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface ItemInfo {
|
||||||
|
form: string;
|
||||||
|
index: number;
|
||||||
|
total: number;
|
||||||
|
adaptive: boolean;
|
||||||
|
optional: boolean;
|
||||||
|
numeric: boolean;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface Catalog {
|
||||||
|
forms: Record<string, FormInfo>;
|
||||||
|
items: Record<string, ItemInfo>;
|
||||||
|
standard_drinks: { title: string; header: string[]; rows: [string, string[]][]; note: string } | null;
|
||||||
|
}
|
||||||
|
|
||||||
|
// data/meds/meds_reference.json (draft from the Minzdrav guidelines)
|
||||||
|
export interface DrugIndication {
|
||||||
|
off_label: boolean;
|
||||||
|
expected_response: string | null;
|
||||||
|
course: string | null;
|
||||||
|
source: string;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface DrugRef {
|
||||||
|
id: string;
|
||||||
|
name_ru: string;
|
||||||
|
group: string;
|
||||||
|
class: string;
|
||||||
|
indications: Partial<Record<Indication, DrugIndication>>;
|
||||||
|
diary_items: string[];
|
||||||
|
diary_items_source: string;
|
||||||
|
red_flags: string[];
|
||||||
|
monitoring: string[];
|
||||||
|
withdrawal_risk: "high" | "low" | null;
|
||||||
|
overdose_danger: boolean;
|
||||||
|
max_course_days: number | null;
|
||||||
|
note?: string;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface MedsReference {
|
||||||
|
version: string;
|
||||||
|
status: string;
|
||||||
|
sources: { id: string; title: string; year: number }[];
|
||||||
|
drugs: DrugRef[];
|
||||||
|
texts: Record<
|
||||||
|
| "expect_effect_depression"
|
||||||
|
| "expect_effect_ptsd"
|
||||||
|
| "dont_stop_alone"
|
||||||
|
| "why_continue_depression"
|
||||||
|
| "withdrawal_missed"
|
||||||
|
| "ran_out"
|
||||||
|
| "red_flag"
|
||||||
|
| "side_effects_general"
|
||||||
|
| "instruction_fallback",
|
||||||
|
string
|
||||||
|
>;
|
||||||
|
}
|
||||||
@@ -0,0 +1,216 @@
|
|||||||
|
import type { ReactNode } from "react";
|
||||||
|
import { Link, NavLink } from "react-router-dom";
|
||||||
|
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
import { useSession } from "../session/SessionContext";
|
||||||
|
import { HotlineCard, useHelp } from "./HelpSheet";
|
||||||
|
import { Icon, LogoMark, type IconName } from "./Icon";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* Shared patient workspace, following the approved doctor dashboard.
|
||||||
|
* phone: content → «Экстренная помощь» block → bottom tab bar (signed in)
|
||||||
|
* desktop: white sidebar | workspace header | content + emergency panel
|
||||||
|
* bare: one centred column on every width (questionnaires)
|
||||||
|
*/
|
||||||
|
|
||||||
|
const TABS: { to: string; label: string; icon: IconName }[] = [
|
||||||
|
{ to: "/today", label: ru.nav.today, icon: "home" },
|
||||||
|
{ to: "/meds", label: ru.nav.meds, icon: "pill" },
|
||||||
|
{ to: "/doctor", label: ru.nav.doctor, icon: "doctor" },
|
||||||
|
{ to: "/profile", label: ru.nav.profile, icon: "user" },
|
||||||
|
];
|
||||||
|
|
||||||
|
/** Inline emergency block shown at the bottom of every phone screen (hidden on desktop: the rail has it). */
|
||||||
|
export function EmergencyBlock() {
|
||||||
|
const { resources, open } = useHelp();
|
||||||
|
return (
|
||||||
|
<section className="sosblock" aria-label={ru.help.block}>
|
||||||
|
<button type="button" className="sosblock__head" onClick={open}>
|
||||||
|
<span className="sosblock__icon">
|
||||||
|
<Icon name="phone" size={18} />
|
||||||
|
</span>
|
||||||
|
<span>{ru.help.block}</span>
|
||||||
|
<Icon name="chevronRight" size={20} />
|
||||||
|
</button>
|
||||||
|
<div className="sosblock__lines">
|
||||||
|
{resources.slice(0, 2).map((r) => (
|
||||||
|
<HotlineCard key={r.phone} r={r} size="sm" />
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
</section>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Sidebar({ signedIn }: { signedIn: boolean }) {
|
||||||
|
const { open } = useHelp();
|
||||||
|
const { unread } = useDialog();
|
||||||
|
return (
|
||||||
|
<nav className="sidebar" aria-label="Разделы">
|
||||||
|
<Link to={signedIn ? "/today" : "/"} className="sidebar__brand">
|
||||||
|
<LogoMark />
|
||||||
|
<span>
|
||||||
|
<span className="sidebar__name">{ru.product.name}</span>
|
||||||
|
<span className="sidebar__tag">{ru.product.tagline}</span>
|
||||||
|
</span>
|
||||||
|
</Link>
|
||||||
|
{signedIn ? (
|
||||||
|
<ul className="sidebar__list">
|
||||||
|
{TABS.map((t) => (
|
||||||
|
<li key={t.to}>
|
||||||
|
<NavLink to={t.to} className="sidebar__link">
|
||||||
|
<Icon name={t.icon} />
|
||||||
|
{t.label}
|
||||||
|
</NavLink>
|
||||||
|
</li>
|
||||||
|
))}
|
||||||
|
<li>
|
||||||
|
<NavLink to="/messages" className="sidebar__link">
|
||||||
|
<Icon name="message" />
|
||||||
|
{ru.nav.messages}
|
||||||
|
{unread > 0 && <span className="dot" aria-label="новое" />}
|
||||||
|
</NavLink>
|
||||||
|
</li>
|
||||||
|
</ul>
|
||||||
|
) : (
|
||||||
|
<ul className="sidebar__list">
|
||||||
|
<li>
|
||||||
|
<NavLink to="/" end className="sidebar__link">
|
||||||
|
<Icon name="home" />
|
||||||
|
{ru.nav.signIn}
|
||||||
|
</NavLink>
|
||||||
|
</li>
|
||||||
|
<li>
|
||||||
|
<button type="button" className="sidebar__link" onClick={open}>
|
||||||
|
<Icon name="question" />
|
||||||
|
{ru.nav.help}
|
||||||
|
</button>
|
||||||
|
</li>
|
||||||
|
</ul>
|
||||||
|
)}
|
||||||
|
<div className="sidebar__note">
|
||||||
|
<strong>{ru.product.supportTitle}</strong>
|
||||||
|
<span>{ru.product.supportText}</span>
|
||||||
|
</div>
|
||||||
|
</nav>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function BottomNav() {
|
||||||
|
return (
|
||||||
|
<nav className="tabbar" aria-label="Разделы">
|
||||||
|
{TABS.map((t) => (
|
||||||
|
<NavLink key={t.to} to={t.to} className="tabbar__item">
|
||||||
|
<Icon name={t.icon} />
|
||||||
|
<span>{t.label}</span>
|
||||||
|
</NavLink>
|
||||||
|
))}
|
||||||
|
</nav>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Rail({ aside }: { aside?: ReactNode }) {
|
||||||
|
const { resources, open } = useHelp();
|
||||||
|
return (
|
||||||
|
<aside className="rail">
|
||||||
|
{aside}
|
||||||
|
<section className="railsos" aria-label={ru.help.block}>
|
||||||
|
<button type="button" className="railsos__head" onClick={open}>
|
||||||
|
<Icon name="phone" size={18} />
|
||||||
|
<span>{ru.help.block}</span>
|
||||||
|
</button>
|
||||||
|
{resources.map((r) => (
|
||||||
|
<HotlineCard key={r.phone} r={r} size="sm" />
|
||||||
|
))}
|
||||||
|
</section>
|
||||||
|
</aside>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function WorkspaceHeader({ signedIn, bare = false }: { signedIn: boolean; bare?: boolean }) {
|
||||||
|
const { session } = useSession();
|
||||||
|
return (
|
||||||
|
<header className={`workspace${bare ? " workspace--bare" : ""}`}>
|
||||||
|
<div className="workspace__brand">
|
||||||
|
<LogoMark size={30} />
|
||||||
|
<span>{bare ? ru.product.name : signedIn ? ru.product.workspace : ru.nav.signIn}</span>
|
||||||
|
</div>
|
||||||
|
{signedIn && !bare ? (
|
||||||
|
<Link className="workspace__profile" to="/profile">
|
||||||
|
<span className="avatar"><Icon name="user" size={18} /></span>
|
||||||
|
<span>{session?.displayName || ru.nav.profile}</span>
|
||||||
|
</Link>
|
||||||
|
) : <span className="workspace__tag">{ru.product.tagline}</span>}
|
||||||
|
</header>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
export function AppShell({
|
||||||
|
children,
|
||||||
|
signedIn = true,
|
||||||
|
aside,
|
||||||
|
focus = false,
|
||||||
|
sos = true,
|
||||||
|
bare = false,
|
||||||
|
}: {
|
||||||
|
children: ReactNode;
|
||||||
|
signedIn?: boolean;
|
||||||
|
aside?: ReactNode;
|
||||||
|
/** Focus screens (one question per screen) hide the tab bar on phones, like in the mocks. */
|
||||||
|
focus?: boolean;
|
||||||
|
/** The crisis screen shows the hotlines itself, so it drops the bottom block. */
|
||||||
|
sos?: boolean;
|
||||||
|
/** Questionnaires: no sidebar, rail or tab bar — one centred column, so nothing distracts from the answers. */
|
||||||
|
bare?: boolean;
|
||||||
|
}) {
|
||||||
|
if (bare)
|
||||||
|
return (
|
||||||
|
<div className="app app--bare">
|
||||||
|
<div className="app__main">
|
||||||
|
<WorkspaceHeader signedIn={signedIn} bare />
|
||||||
|
<main className="screen" id="main">
|
||||||
|
{children}
|
||||||
|
{sos && <EmergencyBlock />}
|
||||||
|
</main>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
return (
|
||||||
|
<div className={`app${signedIn && !focus ? " app--tabs" : ""}`}>
|
||||||
|
<Sidebar signedIn={signedIn} />
|
||||||
|
<div className="app__main">
|
||||||
|
<WorkspaceHeader signedIn={signedIn} />
|
||||||
|
<main className="screen" id="main">
|
||||||
|
{children}
|
||||||
|
{sos && <EmergencyBlock />}
|
||||||
|
</main>
|
||||||
|
<Rail aside={aside} />
|
||||||
|
</div>
|
||||||
|
{signedIn && !focus && <BottomNav />}
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
export function Notice({ tone = "info", children }: { tone?: "info" | "warn" | "danger" | "ok"; children: ReactNode }) {
|
||||||
|
const icon: IconName = tone === "info" ? "info" : tone === "ok" ? "check" : tone === "danger" ? "x" : "alert";
|
||||||
|
return (
|
||||||
|
<div className={`notice notice--${tone}`} role="note">
|
||||||
|
<Icon name={icon} />
|
||||||
|
<div>{children}</div>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
export function TopBar({ onBack, title, children }: { onBack?: () => void; title?: string; children?: ReactNode }) {
|
||||||
|
return (
|
||||||
|
<div className="topbar">
|
||||||
|
{onBack && (
|
||||||
|
<button type="button" className="icon-btn" onClick={onBack} aria-label={ru.common.back}>
|
||||||
|
<Icon name="arrowLeft" />
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
{title && <span className="topbar__title">{title}</span>}
|
||||||
|
{children}
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,115 @@
|
|||||||
|
import { createContext, useCallback, useContext, useEffect, useRef, useState, type ReactNode } from "react";
|
||||||
|
|
||||||
|
import { api } from "../api/client";
|
||||||
|
import type { CrisisResource } from "../api/types";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { Icon } from "./Icon";
|
||||||
|
|
||||||
|
// 112 is shown even when the API is unreachable: emergency help must never be empty (S2 «нет сети»).
|
||||||
|
const FALLBACK: CrisisResource[] = [{ name: ru.help.fallbackName, phone: "112", note: "" }];
|
||||||
|
|
||||||
|
export const telHref = (phone: string) => `tel:${phone.replace(/[^\d+]/g, "")}`;
|
||||||
|
|
||||||
|
interface HelpApi {
|
||||||
|
resources: CrisisResource[];
|
||||||
|
open: () => void;
|
||||||
|
}
|
||||||
|
|
||||||
|
const Ctx = createContext<HelpApi>({ resources: FALLBACK, open: () => undefined });
|
||||||
|
export const useHelp = () => useContext(Ctx);
|
||||||
|
|
||||||
|
/** Crisis lines (from config/texts/crisis.yaml via the API) + the G1 «Экстренная помощь» sheet. */
|
||||||
|
export function HelpProvider({ children }: { children: ReactNode }) {
|
||||||
|
const [resources, setResources] = useState<CrisisResource[]>(FALLBACK);
|
||||||
|
const [isOpen, setOpen] = useState(false);
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
api
|
||||||
|
.crisisResources()
|
||||||
|
.then((r) => r.length && setResources(r))
|
||||||
|
.catch(() => undefined);
|
||||||
|
}, []);
|
||||||
|
|
||||||
|
const open = useCallback(() => setOpen(true), []);
|
||||||
|
return (
|
||||||
|
<Ctx.Provider value={{ resources, open }}>
|
||||||
|
{children}
|
||||||
|
<HelpSheet open={isOpen} onClose={() => setOpen(false)} resources={resources} />
|
||||||
|
</Ctx.Provider>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
export function HotlineCard({ r, size = "lg" }: { r: CrisisResource; size?: "lg" | "sm" }) {
|
||||||
|
const emergency = r.phone.replace(/\D/g, "").length <= 3;
|
||||||
|
return (
|
||||||
|
<a className={`hotline hotline--${size}`} href={telHref(r.phone)}>
|
||||||
|
<span className="hotline__icon">
|
||||||
|
<Icon name={emergency ? "phone" : "headset"} size={size === "lg" ? 26 : 20} />
|
||||||
|
</span>
|
||||||
|
<span className="hotline__text">
|
||||||
|
{emergency ? (
|
||||||
|
<>
|
||||||
|
<span className="hotline__phone">{r.phone}</span>
|
||||||
|
<span className="hotline__name">{r.name}</span>
|
||||||
|
</>
|
||||||
|
) : (
|
||||||
|
<>
|
||||||
|
<span className="hotline__name hotline__name--strong">{r.name}</span>
|
||||||
|
<span className="hotline__phone hotline__phone--sm">{r.phone}</span>
|
||||||
|
</>
|
||||||
|
)}
|
||||||
|
{r.note && size === "lg" && <span className="hotline__note">{r.note}</span>}
|
||||||
|
</span>
|
||||||
|
{size === "lg" && <Icon name="chevronRight" size={20} />}
|
||||||
|
</a>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function HelpSheet({ open, onClose, resources }: { open: boolean; onClose: () => void; resources: CrisisResource[] }) {
|
||||||
|
const ref = useRef<HTMLDialogElement>(null);
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
const dialog = ref.current;
|
||||||
|
if (!dialog) return;
|
||||||
|
if (open && !dialog.open) dialog.showModal();
|
||||||
|
if (!open && dialog.open) dialog.close();
|
||||||
|
}, [open]);
|
||||||
|
|
||||||
|
return (
|
||||||
|
<dialog
|
||||||
|
ref={ref}
|
||||||
|
className="sheet"
|
||||||
|
aria-labelledby="help-title"
|
||||||
|
onClose={onClose}
|
||||||
|
onClick={(e) => e.target === ref.current && onClose()}
|
||||||
|
>
|
||||||
|
<div className="sheet__body">
|
||||||
|
<div className="sheet__bar">
|
||||||
|
<button type="button" className="icon-btn" onClick={onClose} aria-label={ru.help.close}>
|
||||||
|
<Icon name="close" />
|
||||||
|
</button>
|
||||||
|
<h2 id="help-title" className="sheet__title">
|
||||||
|
{ru.help.title}
|
||||||
|
</h2>
|
||||||
|
</div>
|
||||||
|
<div className="sos">
|
||||||
|
<span className="sos__ring">
|
||||||
|
<span className="sos__btn">
|
||||||
|
<Icon name="phone" size={40} />
|
||||||
|
</span>
|
||||||
|
</span>
|
||||||
|
<p className="sos__lead">{ru.help.lead}</p>
|
||||||
|
</div>
|
||||||
|
<div className="hotlines">
|
||||||
|
{resources.map((r) => (
|
||||||
|
<HotlineCard key={r.phone} r={r} />
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
<p className="notice notice--info">
|
||||||
|
<Icon name="info" />
|
||||||
|
<span>{ru.help.alwaysNote}</span>
|
||||||
|
</p>
|
||||||
|
</div>
|
||||||
|
</dialog>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,170 @@
|
|||||||
|
// Line icon set (24px grid, 1.8 stroke). Decorative by default: pass `label` to expose to screen readers.
|
||||||
|
|
||||||
|
const paths = {
|
||||||
|
home: <path d="M4 10.5L12 4l8 6.5V19a1 1 0 0 1-1 1h-4.5v-6h-5v6H5a1 1 0 0 1-1-1v-8.5z" />,
|
||||||
|
pill: (
|
||||||
|
<>
|
||||||
|
<rect x="3" y="8.5" width="18" height="7" rx="3.5" transform="rotate(-45 12 12)" />
|
||||||
|
<path d="M9.5 9.5l5 5" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
doctor: (
|
||||||
|
<>
|
||||||
|
<circle cx="12" cy="7.5" r="3.5" />
|
||||||
|
<path d="M5 20.5c0-3.9 3.1-6.5 7-6.5s7 2.6 7 6.5" />
|
||||||
|
<path d="M12 15.5v3m-1.5-1.5h3" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
user: (
|
||||||
|
<>
|
||||||
|
<circle cx="12" cy="8" r="4" />
|
||||||
|
<path d="M4.5 20.5c.8-3.7 3.8-6 7.5-6s6.7 2.3 7.5 6" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
bell: (
|
||||||
|
<>
|
||||||
|
<path d="M6 16.5V11a6 6 0 0 1 12 0v5.5l1.5 2h-15L6 16.5z" />
|
||||||
|
<path d="M10 20.5a2 2 0 0 0 4 0" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
chevronRight: <path d="M9.5 6l6 6-6 6" />,
|
||||||
|
chevronDown: <path d="M6 9.5l6 6 6-6" />,
|
||||||
|
arrowLeft: <path d="M19 12H5m6-6l-6 6 6 6" />,
|
||||||
|
close: <path d="M6 6l12 12M18 6L6 18" />,
|
||||||
|
check: <path d="M5 12.5l4.5 4.5L19 7.5" />,
|
||||||
|
x: <path d="M7 7l10 10M17 7L7 17" />,
|
||||||
|
info: (
|
||||||
|
<>
|
||||||
|
<circle cx="12" cy="12" r="9" />
|
||||||
|
<path d="M12 11v5m0-8.5v.5" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
alert: (
|
||||||
|
<>
|
||||||
|
<path d="M12 3.5l9.5 16.5h-19L12 3.5z" />
|
||||||
|
<path d="M12 10v4.5m0 2.5v.5" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
phone: (
|
||||||
|
<path d="M6.6 3.8h2.6l1.4 4-2 1.4a12 12 0 0 0 5.9 5.9l1.4-2 4 1.4v2.6c0 1-.8 1.8-1.8 1.8A15.8 15.8 0 0 1 4.8 5.6c0-1 .8-1.8 1.8-1.8z" />
|
||||||
|
),
|
||||||
|
headset: (
|
||||||
|
<>
|
||||||
|
<path d="M4 14v-2a8 8 0 0 1 16 0v2" />
|
||||||
|
<rect x="3" y="13.5" width="4" height="6" rx="1.5" />
|
||||||
|
<rect x="17" y="13.5" width="4" height="6" rx="1.5" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
calendar: (
|
||||||
|
<>
|
||||||
|
<rect x="3.5" y="5" width="17" height="15.5" rx="2" />
|
||||||
|
<path d="M3.5 9.5h17M8 3v4m8-4v4M8 13h1m3 0h1m3 0h1M8 16.5h1m3 0h1" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
clock: (
|
||||||
|
<>
|
||||||
|
<circle cx="12" cy="12" r="8.5" />
|
||||||
|
<path d="M12 7.5V12l3 2" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
pin: (
|
||||||
|
<>
|
||||||
|
<path d="M12 21s-6.5-5.6-6.5-11a6.5 6.5 0 0 1 13 0c0 5.4-6.5 11-6.5 11z" />
|
||||||
|
<circle cx="12" cy="10" r="2.5" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
smile: (
|
||||||
|
<>
|
||||||
|
<circle cx="12" cy="12" r="8.5" />
|
||||||
|
<path d="M8.5 14c.9 1.3 2.1 2 3.5 2s2.6-.7 3.5-2M9 9.8v.4m6-.4v.4" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
doc: (
|
||||||
|
<>
|
||||||
|
<path d="M6 3.5h8l4 4V20a.5.5 0 0 1-.5.5h-11A.5.5 0 0 1 6 20V3.5z" />
|
||||||
|
<path d="M14 3.5V8h4M9 12h6m-6 3.5h6" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
docPlus: (
|
||||||
|
<>
|
||||||
|
<path d="M6 3.5h8l4 4V20a.5.5 0 0 1-.5.5h-11A.5.5 0 0 1 6 20V3.5z" />
|
||||||
|
<path d="M14 3.5V8h4M12 11v6m-3-3h6" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
shield: (
|
||||||
|
<>
|
||||||
|
<path d="M12 3l7.5 3v5.5c0 4.6-3.2 8.2-7.5 9.5-4.3-1.3-7.5-4.9-7.5-9.5V6L12 3z" />
|
||||||
|
<path d="M9 12l2 2 4-4" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
lock: (
|
||||||
|
<>
|
||||||
|
<rect x="5" y="10.5" width="14" height="10" rx="2" />
|
||||||
|
<path d="M8.5 10.5V7.5a3.5 3.5 0 0 1 7 0v3" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
edit: <path d="M5 19l1-4L15.5 5.5a2 2 0 0 1 3 3L9 18l-4 1zM14 7l3 3" />,
|
||||||
|
trash: <path d="M5 7h14M10 7V4.5h4V7m-7 0l1 12.5h8L17 7M10.5 11v5m3-5v5" />,
|
||||||
|
logout: <path d="M14 4h4.5A1.5 1.5 0 0 1 20 5.5v13a1.5 1.5 0 0 1-1.5 1.5H14M10 8l-4 4 4 4M6 12h10" />,
|
||||||
|
send: <path d="M4 12l16-8-6 16-2.5-6.5L4 12z" />,
|
||||||
|
heart: <path d="M12 19.5s-7.5-4.4-7.5-10a4.2 4.2 0 0 1 7.5-2.6 4.2 4.2 0 0 1 7.5 2.6c0 5.6-7.5 10-7.5 10z" />,
|
||||||
|
lungs: (
|
||||||
|
<>
|
||||||
|
<path d="M12 4v8m0 0c-1 1.2-2.3 2-3.5 2M12 12c1 1.2 2.3 2 3.5 2" />
|
||||||
|
<path d="M8.5 7.5C6 8 4 11.5 4 16c0 2 1 3.5 3 3.5s3-1.5 3-4V9M15.5 7.5C18 8 20 11.5 20 16c0 2-1 3.5-3 3.5s-3-1.5-3-4V9" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
question: (
|
||||||
|
<>
|
||||||
|
<circle cx="12" cy="12" r="8.5" />
|
||||||
|
<path d="M9.6 9.5a2.4 2.4 0 0 1 4.7.7c0 1.6-2.3 2-2.3 3.6m0 2.7v.3" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
message: <path d="M4 5.5h16v11H9.5L5 20v-3.5H4z" />,
|
||||||
|
plus: <path d="M12 5v14M5 12h14" />,
|
||||||
|
clipboard: (
|
||||||
|
<>
|
||||||
|
<rect x="5" y="5" width="14" height="16" rx="2" />
|
||||||
|
<path d="M9 3.5h6v3H9zM8.5 11h7M8.5 14.5h7M8.5 18h4" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
book: (
|
||||||
|
<>
|
||||||
|
<path d="M5 4.5h10.5A2.5 2.5 0 0 1 18 7v13H7.5A2.5 2.5 0 0 1 5 17.5z" />
|
||||||
|
<path d="M5 17.5A2.5 2.5 0 0 1 7.5 15H18M9 8.5h5" />
|
||||||
|
</>
|
||||||
|
),
|
||||||
|
pause: <path d="M9 6v12M15 6v12" />,
|
||||||
|
} as const;
|
||||||
|
|
||||||
|
export type IconName = keyof typeof paths;
|
||||||
|
|
||||||
|
export function Icon({ name, size = 22, label }: { name: IconName; size?: number; label?: string }) {
|
||||||
|
return (
|
||||||
|
<svg
|
||||||
|
width={size}
|
||||||
|
height={size}
|
||||||
|
viewBox="0 0 24 24"
|
||||||
|
fill="none"
|
||||||
|
stroke="currentColor"
|
||||||
|
strokeWidth={1.8}
|
||||||
|
strokeLinecap="round"
|
||||||
|
strokeLinejoin="round"
|
||||||
|
role={label ? "img" : undefined}
|
||||||
|
aria-label={label}
|
||||||
|
aria-hidden={label ? undefined : true}
|
||||||
|
focusable="false"
|
||||||
|
>
|
||||||
|
{paths[name]}
|
||||||
|
</svg>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
export function LogoMark({ size = 32 }: { size?: number }) {
|
||||||
|
return (
|
||||||
|
<svg width={size} height={size} viewBox="0 0 32 32" aria-hidden="true" focusable="false">
|
||||||
|
<rect width="32" height="32" rx="9" fill="var(--c-primary)" />
|
||||||
|
<path d="M16 8v16M8 16h16" stroke="#fff" strokeWidth="2" strokeLinecap="round" />
|
||||||
|
</svg>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,55 @@
|
|||||||
|
import { createContext, useCallback, useContext, useMemo, useRef, useState, type ReactNode } from "react";
|
||||||
|
|
||||||
|
import { Icon } from "./Icon";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* Short confirmations («отметил приём», «дневник сохранён») as a toast in the top-right corner instead of a separate
|
||||||
|
* confirmation page: the person lands on the home screen right away and still sees what happened.
|
||||||
|
*/
|
||||||
|
|
||||||
|
interface Toast {
|
||||||
|
id: number;
|
||||||
|
text: string;
|
||||||
|
}
|
||||||
|
|
||||||
|
const Ctx = createContext<(text: string) => void>(() => undefined);
|
||||||
|
const LIFETIME_MS = 6000;
|
||||||
|
|
||||||
|
export function ToastProvider({ children }: { children: ReactNode }) {
|
||||||
|
const [toasts, setToasts] = useState<Toast[]>([]);
|
||||||
|
const next = useRef(0);
|
||||||
|
|
||||||
|
const close = useCallback((id: number) => setToasts((all) => all.filter((t) => t.id !== id)), []);
|
||||||
|
const show = useCallback(
|
||||||
|
(text: string) => {
|
||||||
|
const id = ++next.current;
|
||||||
|
setToasts((all) => [...all.slice(-2), { id, text }]);
|
||||||
|
window.setTimeout(() => close(id), LIFETIME_MS);
|
||||||
|
},
|
||||||
|
[close],
|
||||||
|
);
|
||||||
|
|
||||||
|
const value = useMemo(() => show, [show]);
|
||||||
|
return (
|
||||||
|
<Ctx.Provider value={value}>
|
||||||
|
{children}
|
||||||
|
<div className="toasts" role="status" aria-live="polite">
|
||||||
|
{toasts.map((t) => (
|
||||||
|
<div key={t.id} className="toast">
|
||||||
|
<span className="toast__icon" aria-hidden="true">
|
||||||
|
<Icon name="check" size={18} />
|
||||||
|
</span>
|
||||||
|
<p className="toast__text">{t.text}</p>
|
||||||
|
<button type="button" className="toast__close" onClick={() => close(t.id)} aria-label="Закрыть">
|
||||||
|
<Icon name="close" size={18} />
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
</Ctx.Provider>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
export function useToast(): (text: string) => void {
|
||||||
|
return useContext(Ctx);
|
||||||
|
}
|
||||||
@@ -0,0 +1,41 @@
|
|||||||
|
import { useEffect, useState } from "react";
|
||||||
|
|
||||||
|
import { api } from "../api/client";
|
||||||
|
import type { Catalog, MedsReference } from "../api/types";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* Static reference data from the server (questionnaire catalog, drug reference): fetched once per app run and
|
||||||
|
* shared by every screen. A failed fetch is retried on the next mount; screens work without it, only less rich.
|
||||||
|
*/
|
||||||
|
|
||||||
|
function cached<T>(load: () => Promise<T>) {
|
||||||
|
let value: T | null = null;
|
||||||
|
let inflight: Promise<T> | null = null;
|
||||||
|
const get = () => {
|
||||||
|
inflight ??= load().then(
|
||||||
|
(v) => (value = v),
|
||||||
|
(e) => {
|
||||||
|
inflight = null;
|
||||||
|
throw e;
|
||||||
|
},
|
||||||
|
);
|
||||||
|
return inflight;
|
||||||
|
};
|
||||||
|
return function useCached(): T | null {
|
||||||
|
const [v, setV] = useState<T | null>(value);
|
||||||
|
useEffect(() => {
|
||||||
|
if (value) return;
|
||||||
|
let alive = true;
|
||||||
|
get()
|
||||||
|
.then((x) => alive && setV(x))
|
||||||
|
.catch(() => undefined);
|
||||||
|
return () => {
|
||||||
|
alive = false;
|
||||||
|
};
|
||||||
|
}, []);
|
||||||
|
return v;
|
||||||
|
};
|
||||||
|
}
|
||||||
|
|
||||||
|
export const useCatalog = cached<Catalog>(api.catalog);
|
||||||
|
export const useMedsReference = cached<MedsReference>(api.medsReference);
|
||||||
@@ -0,0 +1,256 @@
|
|||||||
|
/*
|
||||||
|
* All interface texts of the patient app (copy from docs/mock). Dialog content — consent, questions, scales,
|
||||||
|
* reminders — comes from the engine (config/texts/) and is NOT duplicated here.
|
||||||
|
*/
|
||||||
|
export const ru = {
|
||||||
|
product: {
|
||||||
|
name: "Сопровождение пациента",
|
||||||
|
tagline: "между визитами к врачу",
|
||||||
|
workspace: "Личный кабинет",
|
||||||
|
supportTitle: "Рядом между визитами",
|
||||||
|
supportText: "Наблюдение за самочувствием и поддержка назначенного лечения.",
|
||||||
|
},
|
||||||
|
nav: {
|
||||||
|
today: "Сегодня",
|
||||||
|
meds: "Лекарства",
|
||||||
|
doctor: "Врач",
|
||||||
|
profile: "Профиль",
|
||||||
|
messages: "Сообщения",
|
||||||
|
signIn: "Вход",
|
||||||
|
help: "Помощь",
|
||||||
|
},
|
||||||
|
help: {
|
||||||
|
block: "Экстренная помощь",
|
||||||
|
title: "Экстренная помощь",
|
||||||
|
lead: "Если вам нужна срочная помощь, позвоните сразу.",
|
||||||
|
call: "Позвонить",
|
||||||
|
close: "Закрыть",
|
||||||
|
alwaysNote: "Вы не одни. Помощь доступна круглосуточно.",
|
||||||
|
fallbackName: "Единый номер экстренных служб",
|
||||||
|
fallbackNote: "",
|
||||||
|
},
|
||||||
|
common: {
|
||||||
|
back: "Назад",
|
||||||
|
next: "Далее",
|
||||||
|
skip: "Пропустить",
|
||||||
|
send: "Отправить",
|
||||||
|
retry: "Повторить",
|
||||||
|
toToday: "Вернуться на сегодня",
|
||||||
|
recommended: "Рекомендуем",
|
||||||
|
networkError: "Не удалось подключиться к сервису. Проверьте интернет и повторите.",
|
||||||
|
},
|
||||||
|
welcome: {
|
||||||
|
title: "Вход",
|
||||||
|
emias: {
|
||||||
|
title: "Войти через ЕМИАС",
|
||||||
|
perks: [
|
||||||
|
"Назначения врача подгружаются автоматически",
|
||||||
|
"Врач видит ответы и получает сигнал при ухудшении",
|
||||||
|
"История доступна с любого устройства",
|
||||||
|
],
|
||||||
|
},
|
||||||
|
or: "или",
|
||||||
|
anonymous: {
|
||||||
|
title: "Войти анонимно",
|
||||||
|
text: "Без имени и полиса. Врач не видит ответы, история хранится только на этом устройстве.",
|
||||||
|
},
|
||||||
|
disclaimer: "Сервис не ставит диагнозы и не назначает лечение — решения принимает врач.",
|
||||||
|
},
|
||||||
|
emias: {
|
||||||
|
title: "Введите код от врача",
|
||||||
|
lead: "Это одноразовый код. Он нужен, чтобы безопасно подключить ваши назначения и план наблюдения.",
|
||||||
|
demoNotice: "Демонстрационный режим: авторизация в ЕМИАС не выполняется, вход подтверждается кодом от врача.",
|
||||||
|
codeLabel: "Код подключения",
|
||||||
|
codePlaceholder: "Код из памятки",
|
||||||
|
submit: "Продолжить",
|
||||||
|
submitting: "Проверяем код…",
|
||||||
|
codeError: "Код не подошёл — проверьте написание или попросите врача выдать новый.",
|
||||||
|
or: "или",
|
||||||
|
demoTitle: "Демо-пациенты",
|
||||||
|
demoLead: "Нет кода? Войдите под синтетической учётной записью.",
|
||||||
|
demoDay: (day: number) => `${day}-й день терапии`,
|
||||||
|
},
|
||||||
|
anonymous: {
|
||||||
|
title: "Что вы хотите проверить?",
|
||||||
|
note: "Анонимно: врач не видит ответы, история хранится только на этом устройстве.",
|
||||||
|
focus: {
|
||||||
|
depression: { title: "Депрессия", text: "Подавленность, потеря интереса, усталость" },
|
||||||
|
ptsd: { title: "ПТСР", text: "Последствия травмы: флешбэки, кошмары, тревога" },
|
||||||
|
},
|
||||||
|
submitting: "Создаём профиль…",
|
||||||
|
},
|
||||||
|
today: {
|
||||||
|
title: "Сегодня",
|
||||||
|
takeMed: "Принять лекарство",
|
||||||
|
now: "Сейчас",
|
||||||
|
checkin: "Отметка самочувствия",
|
||||||
|
checkinHint: "меньше минуты",
|
||||||
|
done: "Уже выполнено",
|
||||||
|
medTaken: "Лекарство",
|
||||||
|
medTakenAt: (time: string) => `принято, ${time}`,
|
||||||
|
checkinDone: "Самочувствие отмечено",
|
||||||
|
allDoneTitle: "На сегодня всё сделано",
|
||||||
|
allDoneNext: (time: string) => `Следующее напоминание о лекарстве — ${time}`,
|
||||||
|
allDoneNoMeds: "Следующая отметка самочувствия — завтра",
|
||||||
|
viewMeds: "Посмотреть лекарства",
|
||||||
|
visit: "Следующий визит к врачу",
|
||||||
|
medQuestion: "Вопрос о лекарстве",
|
||||||
|
medQuestionHint: "Ответ по официальной инструкции",
|
||||||
|
messageDoctor: "Сообщение врачу",
|
||||||
|
messageDoctorHint: "Врач ответит в рабочее время",
|
||||||
|
week: "Приём на этой неделе",
|
||||||
|
weekTaken: (taken: number, total: number) => (total ? `Принято ${taken} из ${total}` : "Отметок пока нет"),
|
||||||
|
noDoctor: "Врач не подключён. Подключите ЕМИАС в профиле, чтобы назначения и визиты появились здесь.",
|
||||||
|
newMessage: "Новое сообщение",
|
||||||
|
open: "Открыть",
|
||||||
|
continue: "Продолжить",
|
||||||
|
intakeStart: "Первичный опрос",
|
||||||
|
intakeStartHint: "15–20 минут, можно прерваться и продолжить позже",
|
||||||
|
intakeResume: "Продолжить первичный опрос",
|
||||||
|
intakeResumeHint: "Ответы сохранены, можно продолжить",
|
||||||
|
intakeReview:
|
||||||
|
"Опрос приостановлен: продолжить можно после оценки специалиста, врач уже получил уведомление. Если нужна помощь сейчас — 112.",
|
||||||
|
intakeDone: "Первичный опрос пройден",
|
||||||
|
diary: "Дневник самочувствия",
|
||||||
|
diaryHint: "2–3 минуты: настроение, сон, лекарства",
|
||||||
|
diaryPart: { morning: "Дневник — утро", evening: "Дневник — вечер" },
|
||||||
|
diaryPartHint: { morning: "3 вопроса: сон и алкоголь", evening: "Настроение, лекарства и модули по результату опроса" },
|
||||||
|
results: "Мой результат",
|
||||||
|
diaryDone: "Дневник заполнен",
|
||||||
|
therapyDay: (day: number) => `День ${day} лечения`,
|
||||||
|
effectHint: "Когда ждать эффекта и что важно знать",
|
||||||
|
},
|
||||||
|
meds: {
|
||||||
|
title: "Моя схема приёма",
|
||||||
|
lead: "По назначению врача. Отмечайте приём препаратов, чтобы не пропускать.",
|
||||||
|
byDoctor: "По назначению врача",
|
||||||
|
tablet: "1 приём",
|
||||||
|
week: ["Пн", "Вт", "Ср", "Чт", "Пт", "Сб", "Вс"],
|
||||||
|
onlyDoctor: "Схему меняет только врач. Не изменяйте дозировку самостоятельно.",
|
||||||
|
empty: "Назначения появятся здесь после входа через ЕМИАС.",
|
||||||
|
question: "Вопрос о лекарстве",
|
||||||
|
reminderTitle: "Время принять препарат",
|
||||||
|
reminderLead: "По назначению врача",
|
||||||
|
taken: "Принял(а)",
|
||||||
|
skip: "Пропущу",
|
||||||
|
sideEffects: "Есть побочные эффекты",
|
||||||
|
about: "О препарате",
|
||||||
|
reportSideEffect: "Сообщить о побочном эффекте",
|
||||||
|
therapyDay: (day: number) => `День лечения: ${day}`,
|
||||||
|
card: {
|
||||||
|
back: "К схеме приёма",
|
||||||
|
prescribed: "Назначено",
|
||||||
|
effect: "Когда ждать эффекта",
|
||||||
|
effectAt: (when: string) => `Эффект оценивают через ${when}`,
|
||||||
|
progress: (day: number) => `Вы принимаете препарат ${day} ${day % 10 === 1 && day % 100 !== 11 ? "день" : [2, 3, 4].includes(day % 10) && ![12, 13, 14].includes(day % 100) ? "дня" : "дней"}`,
|
||||||
|
course: "Сколько принимать",
|
||||||
|
courseShort: (days: number) => `Обычно не дольше ${Math.round(days / 7)} недель — срок определяет врач`,
|
||||||
|
sideEffects: "Что может беспокоить",
|
||||||
|
sideEffectsHint:
|
||||||
|
"Побочные эффекты часто ослабевают в первые недели. Если они мешают жить, сообщите врачу — он может изменить дозу или подобрать другой препарат. Не меняйте схему сами.",
|
||||||
|
sideEffectsNone: "Частые побочные эффекты в клинических рекомендациях не описаны — спросите врача.",
|
||||||
|
redFlags: "Когда срочно к врачу",
|
||||||
|
important: "Важно",
|
||||||
|
withdrawal: "Резкая отмена этого препарата может вызвать неприятные ощущения: головокружение, раздражительность, нарушения сна. Отменяют его постепенно и только с врачом.",
|
||||||
|
overdose: "Храните препарат в недоступном для других месте и принимайте строго в назначенной дозе.",
|
||||||
|
monitoring: "Врач может назначить обследования",
|
||||||
|
instruction: "Как принимать, что делать при пропуске, алкоголь и вождение",
|
||||||
|
ask: "Задать вопрос о лекарстве",
|
||||||
|
source: (sources: string) => `Источник: ${sources}. Черновик справочника, проверяется врачом-психиатром.`,
|
||||||
|
offLabel: "Назначение вне зарегистрированных показаний — так бывает, решение принимает врач.",
|
||||||
|
unknown: "Справки по этому препарату пока нет. Уточните у врача или в инструкции к препарату.",
|
||||||
|
},
|
||||||
|
},
|
||||||
|
doctor: {
|
||||||
|
title: "Врач",
|
||||||
|
visit: "Следующий визит",
|
||||||
|
visitNone: "Дата следующего визита пока не назначена",
|
||||||
|
attending: "Ваш лечащий врач",
|
||||||
|
write: "Написать врачу",
|
||||||
|
writeNote: "Обычно врач отвечает в рабочее время. Если срочно — 112.",
|
||||||
|
earlier: "Записаться к врачу раньше",
|
||||||
|
plan: "Мой план безопасности",
|
||||||
|
noDoctor: "Врач не подключён. Подключите ЕМИАС в профиле, чтобы связаться с лечащим врачом.",
|
||||||
|
},
|
||||||
|
profile: {
|
||||||
|
title: "Профиль",
|
||||||
|
signInMode: "Способ входа",
|
||||||
|
emias: "ЕМИАС",
|
||||||
|
anonymous: "Анонимно",
|
||||||
|
connectEmias: "Подключить ЕМИАС",
|
||||||
|
data: "Мои данные",
|
||||||
|
revoke: "Отозвать согласие",
|
||||||
|
revokeTitle: "Отозвать согласие?",
|
||||||
|
revokeText: "Ваши ответы больше не будут обрабатываться в приложении.",
|
||||||
|
revokeConfirm: "Да, отозвать",
|
||||||
|
cancel: "Отмена",
|
||||||
|
wipe: "Удалить данные с устройства",
|
||||||
|
wipeNote: "Для анонимного режима: история на этом устройстве будет удалена.",
|
||||||
|
logout: "Выйти",
|
||||||
|
messages: "Сообщения",
|
||||||
|
result: "Предварительный результат",
|
||||||
|
resultNone: "Появится после первичного опроса.",
|
||||||
|
history: "История опросов",
|
||||||
|
historySub: "Все опросы и дневники с датами и результатами",
|
||||||
|
},
|
||||||
|
results: {
|
||||||
|
title: "Мои результаты",
|
||||||
|
conclusion: "Предварительный результат",
|
||||||
|
conclusionDay: (d: string) => `Первичный опрос от ${d}`,
|
||||||
|
modules: { depression: "Модуль «Депрессия»", veteran: "Модуль «ПТСР»" },
|
||||||
|
history: "История опросов",
|
||||||
|
empty: "Здесь появятся пройденные опросы.",
|
||||||
|
noResult: "Пройдите первичный опрос — после него здесь будет результат.",
|
||||||
|
toIntake: "Пройти первичный опрос",
|
||||||
|
},
|
||||||
|
flow: {
|
||||||
|
home: "На главный экран",
|
||||||
|
question: (n: number, total: number) => `Вопрос ${n} из ${total}`,
|
||||||
|
period: "За последний месяц",
|
||||||
|
textPlaceholder: "Напишите несколько слов",
|
||||||
|
sending: "Отправляем…",
|
||||||
|
doneTitle: "Готово",
|
||||||
|
resultTitle: "Результат",
|
||||||
|
sendEmpty: "Отправить без комментария",
|
||||||
|
doneLead: "Врач увидит отметку.",
|
||||||
|
breathe: "Вдох на 4 — выдох на 6",
|
||||||
|
breatheIn: "Вдох",
|
||||||
|
breatheOut: "Выдох",
|
||||||
|
openPlan: "Открыть мой план безопасности",
|
||||||
|
supportTitle: "Вы не одни",
|
||||||
|
exit: "К главной",
|
||||||
|
planTitle: "Мой план безопасности",
|
||||||
|
consentTitle: "Согласие на обработку данных о здоровье",
|
||||||
|
sections: {
|
||||||
|
safety: "Безопасность",
|
||||||
|
mood: "Настроение",
|
||||||
|
trauma: "Пережитый опыт",
|
||||||
|
alcohol: "Алкоголь",
|
||||||
|
about: "О вас",
|
||||||
|
diary: "Дневник",
|
||||||
|
scale: "Опросник",
|
||||||
|
},
|
||||||
|
questionN: (n: number) => `Вопрос ${n}`,
|
||||||
|
recall: (period: string) => `Период: ${period}`,
|
||||||
|
hoursLabel: "Сколько часов",
|
||||||
|
hoursUnit: "ч",
|
||||||
|
hoursHint: "От 0 до 24, можно с половиной: 6,5",
|
||||||
|
portionsLabel: "Сколько порций",
|
||||||
|
portionsUnit: "порц.",
|
||||||
|
portionsHint: "Если не пили — 0. Можно дробное: 1,5",
|
||||||
|
drinks: "Таблица стандартных порций",
|
||||||
|
drinksLead: "Посчитайте, сколько порций выходит в обычный день, когда вы выпиваете.",
|
||||||
|
noticeTitle: "Опрос приостановлен",
|
||||||
|
},
|
||||||
|
messages: {
|
||||||
|
title: "Сообщения",
|
||||||
|
inputLabel: "Сообщение",
|
||||||
|
inputPlaceholder: "Напишите сообщение",
|
||||||
|
you: "Вы",
|
||||||
|
empty: "Здесь будут сообщения помощника.",
|
||||||
|
},
|
||||||
|
footer: {
|
||||||
|
law: "Обработка данных о здоровье — только с вашего согласия (152‑ФЗ).",
|
||||||
|
prototype: "Прототип для хакатона MedITron. Используются только синтетические данные.",
|
||||||
|
},
|
||||||
|
} as const;
|
||||||
@@ -0,0 +1,115 @@
|
|||||||
|
import { createContext, useCallback, useContext, useEffect, useMemo, useRef, useState, type ReactNode } from "react";
|
||||||
|
|
||||||
|
import { api } from "../api/client";
|
||||||
|
import type { DialogEvent, Reply } from "../api/types";
|
||||||
|
import { useSession } from "../session/SessionContext";
|
||||||
|
import { sessionStore, type ChatEntry, type DialogSnapshot } from "../session/store";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* One conversation with the dialog engine per signed-in patient, shared by every screen:
|
||||||
|
* focus screens render `pending` (the latest unanswered batch), «Сообщения» renders `entries`.
|
||||||
|
* The engine owns the logic (consent, onboarding, scales, check-ins, meds, crisis) — exactly as in Telegram.
|
||||||
|
*/
|
||||||
|
|
||||||
|
const OUTBOX_POLL_MS = 6000;
|
||||||
|
|
||||||
|
let seq = 0;
|
||||||
|
const newId = () => `${Date.now().toString(36)}-${(seq++).toString(36)}`;
|
||||||
|
const asEntries = (replies: Reply[]): ChatEntry[] => replies.map((reply) => ({ id: newId(), from: "assistant", reply }));
|
||||||
|
|
||||||
|
interface DialogApi extends DialogSnapshot {
|
||||||
|
busy: boolean;
|
||||||
|
error: boolean;
|
||||||
|
started: boolean;
|
||||||
|
/** Sends an event; `echo` is what the patient «said» (button label / text) for the history. */
|
||||||
|
send: (event: DialogEvent, echo?: string) => Promise<boolean>;
|
||||||
|
start: () => Promise<boolean>;
|
||||||
|
markRead: () => void;
|
||||||
|
}
|
||||||
|
|
||||||
|
const Ctx = createContext<DialogApi | null>(null);
|
||||||
|
const EMPTY: DialogSnapshot = { entries: [], pending: [], unread: 0 };
|
||||||
|
|
||||||
|
export function DialogProvider({ children }: { children: ReactNode }) {
|
||||||
|
const { session } = useSession();
|
||||||
|
const token = session?.token ?? null;
|
||||||
|
const [owner, setOwner] = useState(token);
|
||||||
|
const [snap, setSnap] = useState<DialogSnapshot>(() => (token ? sessionStore.loadDialog(token) : EMPTY));
|
||||||
|
const [busy, setBusy] = useState(false);
|
||||||
|
const [error, setError] = useState(false);
|
||||||
|
const tokenRef = useRef(token);
|
||||||
|
tokenRef.current = token;
|
||||||
|
|
||||||
|
// Switching accounts: reset to that token's snapshot during render, so it is never saved under another token.
|
||||||
|
if (owner !== token) {
|
||||||
|
setOwner(token);
|
||||||
|
setSnap(token ? sessionStore.loadDialog(token) : EMPTY);
|
||||||
|
setError(false);
|
||||||
|
}
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
if (token && owner === token) sessionStore.saveDialog(token, snap);
|
||||||
|
}, [token, owner, snap]);
|
||||||
|
|
||||||
|
const send = useCallback(
|
||||||
|
async (event: DialogEvent, echo?: string) => {
|
||||||
|
const t = tokenRef.current;
|
||||||
|
if (!t) return false;
|
||||||
|
setBusy(true);
|
||||||
|
setError(false);
|
||||||
|
try {
|
||||||
|
const replies = await api.sendEvent(t, event);
|
||||||
|
setSnap((prev) => ({
|
||||||
|
entries: [
|
||||||
|
...prev.entries,
|
||||||
|
...(echo ? [{ id: newId(), from: "patient" as const, text: echo }] : []),
|
||||||
|
...asEntries(replies),
|
||||||
|
],
|
||||||
|
pending: replies,
|
||||||
|
unread: 0,
|
||||||
|
}));
|
||||||
|
return true;
|
||||||
|
} catch {
|
||||||
|
setError(true);
|
||||||
|
return false;
|
||||||
|
} finally {
|
||||||
|
setBusy(false);
|
||||||
|
}
|
||||||
|
},
|
||||||
|
[],
|
||||||
|
);
|
||||||
|
|
||||||
|
const start = useCallback(() => send({ type: "start" }), [send]);
|
||||||
|
const markRead = useCallback(() => setSnap((prev) => (prev.unread ? { ...prev, unread: 0 } : prev)), []);
|
||||||
|
|
||||||
|
// System-initiated messages (reminders, check-ins, scales) arrive through the outbox.
|
||||||
|
useEffect(() => {
|
||||||
|
if (!token) return;
|
||||||
|
const timer = window.setInterval(() => {
|
||||||
|
api
|
||||||
|
.outbox(token)
|
||||||
|
.then((replies) => {
|
||||||
|
if (!replies.length || tokenRef.current !== token) return;
|
||||||
|
setSnap((prev) => ({
|
||||||
|
entries: [...prev.entries, ...asEntries(replies)],
|
||||||
|
pending: replies,
|
||||||
|
unread: prev.unread + replies.length,
|
||||||
|
}));
|
||||||
|
})
|
||||||
|
.catch(() => undefined);
|
||||||
|
}, OUTBOX_POLL_MS);
|
||||||
|
return () => window.clearInterval(timer);
|
||||||
|
}, [token]);
|
||||||
|
|
||||||
|
const value = useMemo<DialogApi>(
|
||||||
|
() => ({ ...snap, busy, error, started: snap.entries.length > 0, send, start, markRead }),
|
||||||
|
[snap, busy, error, send, start, markRead],
|
||||||
|
);
|
||||||
|
return <Ctx.Provider value={value}>{children}</Ctx.Provider>;
|
||||||
|
}
|
||||||
|
|
||||||
|
export function useDialog(): DialogApi {
|
||||||
|
const value = useContext(Ctx);
|
||||||
|
if (!value) throw new Error("useDialog outside DialogProvider");
|
||||||
|
return value;
|
||||||
|
}
|
||||||
@@ -0,0 +1,189 @@
|
|||||||
|
import type { DialogButton, Reply } from "../api/types";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* Maps a batch of engine replies to a focus-screen layout (docs/mock). Pure function: the engine decides WHAT is
|
||||||
|
* asked, this only decides HOW it looks. Unknown shapes fall back to a plain choice / text screen.
|
||||||
|
*/
|
||||||
|
|
||||||
|
export type Step =
|
||||||
|
| { kind: "idle"; notes: string[] } // engine is back at the menu: the flow is over
|
||||||
|
| { kind: "ack"; text: string[] } // a short confirmation without a question: a toast, then home
|
||||||
|
| { kind: "consent"; lead: string[]; title: string; buttons: DialogButton[] }
|
||||||
|
| { kind: "crisis"; text: string; buttons: DialogButton[] }
|
||||||
|
| { kind: "plan"; lead: string[]; title: string; lines: string[]; buttons: DialogButton[] }
|
||||||
|
| { kind: "number"; lead: string[]; title: string; options: DialogButton[] }
|
||||||
|
| { kind: "actions"; lead: string[]; title: string; options: DialogButton[] }
|
||||||
|
| { kind: "choice"; lead: string[]; title: string; options: DialogButton[]; progress?: Progress; formId?: string }
|
||||||
|
| { kind: "text"; lead: string[]; title: string; skip?: DialogButton }
|
||||||
|
| Survey
|
||||||
|
// A questionnaire stopped: paused by the patient (resume button) or held for a specialist (help button only).
|
||||||
|
| { kind: "notice"; text: string[]; primary?: DialogButton; help?: DialogButton };
|
||||||
|
|
||||||
|
/** One item of a versioned questionnaire (app/dialog/flows/intake.py → question_reply). */
|
||||||
|
export interface Survey {
|
||||||
|
kind: "survey";
|
||||||
|
itemId: string;
|
||||||
|
instruction: string[]; // form instruction / recall period above the question
|
||||||
|
title: string; // the item text, verbatim
|
||||||
|
footnotes: string[]; // «*…» explanations printed under the item on the paper form
|
||||||
|
options: DialogButton[];
|
||||||
|
input: "choice" | "number" | "hours" | "portions" | "text";
|
||||||
|
anchors?: string[]; // «0 — самое плохое», «10 — самое хорошее»: the scale ends as printed in the item
|
||||||
|
asOf?: string; // ISO date the recall period counts from
|
||||||
|
skip?: DialogButton;
|
||||||
|
help?: DialogButton;
|
||||||
|
pause?: DialogButton;
|
||||||
|
}
|
||||||
|
|
||||||
|
export interface Progress {
|
||||||
|
n: number;
|
||||||
|
total: number;
|
||||||
|
}
|
||||||
|
|
||||||
|
// config/texts/dialog.yaml → idle.menu_prompt: the bare menu carries no message of its own.
|
||||||
|
const MENU_PROMPT = "Чем могу помочь?";
|
||||||
|
// config/texts/dialog.yaml → scale.question: "{n}/{total}. {text}"
|
||||||
|
const SCALE_ITEM = /^(\d+)\/(\d+)\.\s+([\s\S]+)$/;
|
||||||
|
// config/texts/intake.yaml → as_of: "Период отсчитывается от даты начала этого опроса: {day}."
|
||||||
|
const AS_OF = /^Период отсчитывается[^:]*:\s*(\d{4}-\d{2}-\d{2})\.?$/;
|
||||||
|
// config/texts/intake.yaml → standard_drinks: printed inside the RUS-AUDIT item 2 instruction; shown as a table.
|
||||||
|
const DRINKS_START = "Стандартная порция";
|
||||||
|
const ANCHORS = /^\d+\s*—/;
|
||||||
|
const IQ = /^iq:[^:]+:([^:]+):(\d+|skip)$/;
|
||||||
|
|
||||||
|
const isMenu = (r: Reply) => r.buttons.flat().some((b) => b.data.startsWith("menu:"));
|
||||||
|
const flat = (r: Reply) => r.buttons.flat();
|
||||||
|
const paragraphs = (text: string) =>
|
||||||
|
text
|
||||||
|
.split(/\n\s*\n/)
|
||||||
|
.map((p) => p.trim())
|
||||||
|
.filter(Boolean);
|
||||||
|
|
||||||
|
/** Splits a reply into a title (the actual question) and lead paragraphs above it. */
|
||||||
|
function titled(texts: string[]): { lead: string[]; title: string; progress?: Progress } {
|
||||||
|
const parts = texts.flatMap(paragraphs);
|
||||||
|
const last = parts.pop() ?? "";
|
||||||
|
const m = SCALE_ITEM.exec(last);
|
||||||
|
if (m) return { lead: parts, title: m[3].trim(), progress: { n: Number(m[1]), total: Number(m[2]) } };
|
||||||
|
// A long last paragraph is body text, not a heading.
|
||||||
|
if (last.length > 220) return { lead: [...parts, last], title: "" };
|
||||||
|
return { lead: parts, title: last };
|
||||||
|
}
|
||||||
|
|
||||||
|
function survey(batch: Reply[], qIndex: number): Survey | null {
|
||||||
|
const buttons = flat(batch[qIndex]);
|
||||||
|
const iq = buttons.map((b) => IQ.exec(b.data)).find(Boolean);
|
||||||
|
const help = buttons.find((b) => b.data === "intake:help");
|
||||||
|
const pause = buttons.find((b) => b.data === "intake:pause");
|
||||||
|
if (!pause || !help) return null;
|
||||||
|
// A free-text / numeric item has no answer buttons: the item id is then unknown, the text is still verbatim.
|
||||||
|
const itemId = iq?.[1] ?? "";
|
||||||
|
const options = buttons.filter((b) => IQ.test(b.data) && !b.data.endsWith(":skip"));
|
||||||
|
const skip = buttons.find((b) => b.data.startsWith("iq:") && b.data.endsWith(":skip"));
|
||||||
|
|
||||||
|
let asOf: string | undefined;
|
||||||
|
const parts = paragraphs(batch[qIndex].text).filter((p) => {
|
||||||
|
const m = AS_OF.exec(p);
|
||||||
|
if (m) asOf = m[1];
|
||||||
|
return !m;
|
||||||
|
});
|
||||||
|
const footnotes = parts.filter((p) => p.startsWith("*"));
|
||||||
|
const body = parts.filter((p) => !p.startsWith("*"));
|
||||||
|
let title = body.pop() ?? "";
|
||||||
|
let anchors: string[] | undefined;
|
||||||
|
if (ANCHORS.test(title) && body.length) {
|
||||||
|
anchors = title.replace(/\.$/, "").split(/,\s*(?=\d+\s*—)/);
|
||||||
|
title = body.pop() ?? "";
|
||||||
|
}
|
||||||
|
const instruction = body
|
||||||
|
.map((p) => (p.includes(DRINKS_START) ? p.slice(0, p.indexOf(DRINKS_START)).trim() : p))
|
||||||
|
.filter(Boolean);
|
||||||
|
// Replies before the question in the same batch (e.g. «invalid answer» note) stay visible above it.
|
||||||
|
const before = batch.slice(0, qIndex).map((r) => r.text.trim()).filter(Boolean);
|
||||||
|
|
||||||
|
const input =
|
||||||
|
options.length >= 5 && options.every((b) => /^\d{1,2}$/.test(b.label.trim()))
|
||||||
|
? "number"
|
||||||
|
: options.length
|
||||||
|
? "choice"
|
||||||
|
: skip
|
||||||
|
? "text"
|
||||||
|
: // Numeric items carry no buttons: diary alcohol is counted in standard drinks, everything else in hours.
|
||||||
|
/порци/i.test(title)
|
||||||
|
? "portions"
|
||||||
|
: "hours";
|
||||||
|
return { kind: "survey", itemId, instruction: [...before, ...instruction], title, footnotes, options, input, anchors, asOf, skip, help, pause };
|
||||||
|
}
|
||||||
|
|
||||||
|
export function classify(batch: Reply[]): Step | null {
|
||||||
|
if (batch.length === 0) return null;
|
||||||
|
|
||||||
|
const crisis = batch.find((r) => r.kind === "crisis");
|
||||||
|
if (crisis) return { kind: "crisis", text: crisis.text, buttons: batch.flatMap(flat) };
|
||||||
|
|
||||||
|
if (batch.some(isMenu)) {
|
||||||
|
const notes = batch
|
||||||
|
.filter((r) => !isMenu(r) || r.text.trim() !== MENU_PROMPT)
|
||||||
|
.map((r) => r.text.trim())
|
||||||
|
.filter((t) => t && t !== MENU_PROMPT);
|
||||||
|
return { kind: "idle", notes };
|
||||||
|
}
|
||||||
|
|
||||||
|
const plan = batch.find((r) => r.kind === "safety_plan");
|
||||||
|
if (plan) {
|
||||||
|
const [title, ...rest] = plan.text.split("\n").map((l) => l.trim());
|
||||||
|
const lead = batch.filter((r) => r !== plan).map((r) => r.text);
|
||||||
|
return {
|
||||||
|
kind: "plan",
|
||||||
|
lead,
|
||||||
|
title,
|
||||||
|
lines: rest.filter(Boolean).map((l) => l.replace(/^[•\-–]\s*/, "")),
|
||||||
|
buttons: batch.flatMap(flat),
|
||||||
|
};
|
||||||
|
}
|
||||||
|
|
||||||
|
// The question is the last reply with buttons; everything before it is context.
|
||||||
|
const qIndex = batch.map((r) => r.buttons.length > 0).lastIndexOf(true);
|
||||||
|
const texts = batch.map((r) => r.text);
|
||||||
|
if (qIndex === -1) {
|
||||||
|
// Without buttons the engine waits for free text only when it marks the reply as a question; anything else
|
||||||
|
// («отметил приём») is a confirmation.
|
||||||
|
if (!batch.some((r) => r.kind === "question")) return { kind: "ack", text: texts.filter(Boolean) };
|
||||||
|
const { lead, title } = titled(texts);
|
||||||
|
return { kind: "text", lead, title };
|
||||||
|
}
|
||||||
|
const options = flat(batch[qIndex]);
|
||||||
|
const s = survey(batch, qIndex);
|
||||||
|
if (s) return s;
|
||||||
|
const resume = options.find((b) => b.data === "intake:resume" || b.data === "intake:start");
|
||||||
|
const helpOnly = options.length === 1 && options[0].data === "intake:help";
|
||||||
|
if ((resume && options.length === 1) || helpOnly)
|
||||||
|
return { kind: "notice", text: texts.filter(Boolean), primary: resume, help: helpOnly ? options[0] : undefined };
|
||||||
|
const head = titled(texts.slice(0, qIndex + 1));
|
||||||
|
const tail = texts.slice(qIndex + 1); // rare: info after the question
|
||||||
|
const lead = [...head.lead, ...tail];
|
||||||
|
|
||||||
|
if (options.some((b) => b.data === "consent:yes")) return { kind: "consent", lead, title: head.title, buttons: options };
|
||||||
|
if (options.every((b) => b.data.endsWith(":skip")))
|
||||||
|
return { kind: "text", lead, title: head.title, skip: options[0] };
|
||||||
|
if (options.length >= 5 && options.every((b) => /^\d{1,2}$/.test(b.label.trim())))
|
||||||
|
return { kind: "number", lead, title: head.title, options };
|
||||||
|
if (options.some((b) => /^med:(taken|skip|side_effects):/.test(b.data)))
|
||||||
|
return { kind: "actions", lead, title: head.title, options };
|
||||||
|
const formId = /^scale:([^:]+):/.exec(options[0]?.data ?? "")?.[1];
|
||||||
|
return { kind: "choice", lead, title: head.title, options, progress: head.progress, formId };
|
||||||
|
}
|
||||||
|
|
||||||
|
/** Blocks of an engine text: «• item» lines become list items; wrapped plain lines are joined into paragraphs. */
|
||||||
|
export function lines(text: string): { list: boolean; text: string }[] {
|
||||||
|
const out: { list: boolean; text: string }[] = [];
|
||||||
|
for (const raw of text.split("\n")) {
|
||||||
|
const l = raw.trim();
|
||||||
|
if (!l) continue;
|
||||||
|
if (/^[•\-–]\s+/.test(l)) out.push({ list: true, text: l.replace(/^[•\-–]\s+/, "") });
|
||||||
|
else if (out.length && !out[out.length - 1].list && !/[.!?:»)]$/.test(out[out.length - 1].text))
|
||||||
|
out[out.length - 1] = { list: false, text: `${out[out.length - 1].text} ${l}` };
|
||||||
|
else out.push({ list: false, text: l });
|
||||||
|
}
|
||||||
|
return out;
|
||||||
|
}
|
||||||
@@ -0,0 +1,65 @@
|
|||||||
|
import "./theme/tokens.css";
|
||||||
|
import "./theme/global.css";
|
||||||
|
|
||||||
|
import { StrictMode, type ReactNode } from "react";
|
||||||
|
import { createRoot } from "react-dom/client";
|
||||||
|
import { HashRouter, Navigate, Route, Routes } from "react-router-dom";
|
||||||
|
|
||||||
|
import { HelpProvider } from "./components/HelpSheet";
|
||||||
|
import { ToastProvider } from "./components/Toast";
|
||||||
|
import { DialogProvider } from "./dialog/DialogContext";
|
||||||
|
import { AnonymousSignIn } from "./screens/AnonymousSignIn";
|
||||||
|
import { Doctor } from "./screens/Doctor";
|
||||||
|
import { DrugInfo } from "./screens/DrugInfo";
|
||||||
|
import { EmiasSignIn } from "./screens/EmiasSignIn";
|
||||||
|
import { Flow } from "./screens/Flow";
|
||||||
|
import { DoseReminder, Meds } from "./screens/Meds";
|
||||||
|
import { Messages } from "./screens/Messages";
|
||||||
|
import { Profile } from "./screens/Profile";
|
||||||
|
import { Results } from "./screens/Results";
|
||||||
|
import { Today } from "./screens/Today";
|
||||||
|
import { Welcome } from "./screens/Welcome";
|
||||||
|
import { SessionProvider, useSession } from "./session/SessionContext";
|
||||||
|
|
||||||
|
function Private({ children }: { children: ReactNode }) {
|
||||||
|
const { session } = useSession();
|
||||||
|
return session ? <>{children}</> : <Navigate to="/" replace />;
|
||||||
|
}
|
||||||
|
|
||||||
|
// Hash routing works the same on a static host, file:// and inside the Capacitor WebView.
|
||||||
|
function AppRoutes() {
|
||||||
|
const { session } = useSession();
|
||||||
|
return (
|
||||||
|
<Routes>
|
||||||
|
<Route path="/" element={session ? <Navigate to="/today" replace /> : <Welcome />} />
|
||||||
|
<Route path="/emias" element={<EmiasSignIn />} />
|
||||||
|
<Route path="/anonymous" element={<AnonymousSignIn />} />
|
||||||
|
<Route path="/flow" element={<Private><Flow /></Private>} />
|
||||||
|
<Route path="/today" element={<Private><Today /></Private>} />
|
||||||
|
<Route path="/dose/:id" element={<Private><DoseReminder /></Private>} />
|
||||||
|
<Route path="/meds" element={<Private><Meds /></Private>} />
|
||||||
|
<Route path="/meds/:ref" element={<Private><DrugInfo /></Private>} />
|
||||||
|
<Route path="/doctor" element={<Private><Doctor /></Private>} />
|
||||||
|
<Route path="/profile" element={<Private><Profile /></Private>} />
|
||||||
|
<Route path="/results" element={<Private><Results /></Private>} />
|
||||||
|
<Route path="/messages" element={<Private><Messages /></Private>} />
|
||||||
|
<Route path="*" element={<Navigate to="/" replace />} />
|
||||||
|
</Routes>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
createRoot(document.getElementById("root")!).render(
|
||||||
|
<StrictMode>
|
||||||
|
<SessionProvider>
|
||||||
|
<DialogProvider>
|
||||||
|
<HelpProvider>
|
||||||
|
<ToastProvider>
|
||||||
|
<HashRouter>
|
||||||
|
<AppRoutes />
|
||||||
|
</HashRouter>
|
||||||
|
</ToastProvider>
|
||||||
|
</HelpProvider>
|
||||||
|
</DialogProvider>
|
||||||
|
</SessionProvider>
|
||||||
|
</StrictMode>,
|
||||||
|
);
|
||||||
@@ -0,0 +1,66 @@
|
|||||||
|
import { useState } from "react";
|
||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import { api } from "../api/client";
|
||||||
|
import type { Focus } from "../api/types";
|
||||||
|
import { AppShell, Notice, TopBar } from "../components/AppShell";
|
||||||
|
import { Icon, type IconName } from "../components/Icon";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useSession } from "../session/SessionContext";
|
||||||
|
|
||||||
|
const FOCUS: { id: Focus; icon: IconName }[] = [
|
||||||
|
{ id: "depression", icon: "smile" },
|
||||||
|
{ id: "ptsd", icon: "heart" },
|
||||||
|
];
|
||||||
|
|
||||||
|
// A3 · Анонимный вход: человек выбирает, что хочет проверить — от этого зависит стартовый опрос
|
||||||
|
export function AnonymousSignIn() {
|
||||||
|
const t = ru.anonymous;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const { signIn } = useSession();
|
||||||
|
const [busy, setBusy] = useState(false);
|
||||||
|
const [error, setError] = useState(false);
|
||||||
|
|
||||||
|
const start = async (focus: Focus) => {
|
||||||
|
setBusy(true);
|
||||||
|
setError(false);
|
||||||
|
try {
|
||||||
|
signIn(await api.signInAnonymous(focus));
|
||||||
|
navigate("/flow", { replace: true });
|
||||||
|
} catch {
|
||||||
|
setError(true);
|
||||||
|
setBusy(false);
|
||||||
|
}
|
||||||
|
};
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell signedIn={false} focus>
|
||||||
|
<div className="focus">
|
||||||
|
<TopBar onBack={() => navigate("/")} />
|
||||||
|
<div className="stack signin">
|
||||||
|
<h1 className="h1">{t.title}</h1>
|
||||||
|
|
||||||
|
<div className="entry-grid">
|
||||||
|
{FOCUS.map(({ id, icon }) => (
|
||||||
|
<button key={id} type="button" className="entry" onClick={() => start(id)} disabled={busy}>
|
||||||
|
<span className="entry__top">
|
||||||
|
<span className="tile-icon">
|
||||||
|
<Icon name={icon} size={26} />
|
||||||
|
</span>
|
||||||
|
</span>
|
||||||
|
<span className="entry__title">
|
||||||
|
{t.focus[id].title}
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</span>
|
||||||
|
<span className="entry__text">{t.focus[id].text}</span>
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
|
||||||
|
{error && <Notice tone="danger">{ru.common.networkError}</Notice>}
|
||||||
|
<p className="muted small">{busy ? t.submitting : t.note}</p>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,73 @@
|
|||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import { AppShell, Notice } from "../components/AppShell";
|
||||||
|
import { Icon, type IconName } from "../components/Icon";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
import { humanDate, useToday } from "./useToday";
|
||||||
|
|
||||||
|
// F1 / F2 · Врач: следующий визит и связь с врачом (действия выполняет движок диалога)
|
||||||
|
export function Doctor() {
|
||||||
|
const t = ru.doctor;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const { plan } = useToday();
|
||||||
|
|
||||||
|
const go = (button: string, label: string) =>
|
||||||
|
void dialog.send({ type: "button", button }, label).then((ok) => ok && navigate("/flow"));
|
||||||
|
|
||||||
|
const actions: { button: string; label: string; icon: IconName }[] = [
|
||||||
|
{ button: "menu:contact_doctor", label: t.write, icon: "message" },
|
||||||
|
{ button: "menu:visit", label: t.earlier, icon: "calendar" },
|
||||||
|
{ button: "safety_plan", label: t.plan, icon: "shield" },
|
||||||
|
];
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell>
|
||||||
|
<div className="stack">
|
||||||
|
<header className="head">
|
||||||
|
<h1 className="h1">{t.title}</h1>
|
||||||
|
</header>
|
||||||
|
|
||||||
|
{plan && !plan.has_doctor ? (
|
||||||
|
<Notice>{t.noDoctor}</Notice>
|
||||||
|
) : (
|
||||||
|
<div className="cols">
|
||||||
|
<section className="card-list" aria-label={t.visit}>
|
||||||
|
<div className="card-list__row">
|
||||||
|
<span className="tile-icon tile-icon--blue">
|
||||||
|
<Icon name="calendar" />
|
||||||
|
</span>
|
||||||
|
<span>
|
||||||
|
<span className="row-card__sub">{t.visit}</span>
|
||||||
|
<span className="row-card__title">{plan?.next_visit ? humanDate(plan.next_visit) : t.visitNone}</span>
|
||||||
|
</span>
|
||||||
|
</div>
|
||||||
|
<div className="card-list__row">
|
||||||
|
<span className="tile-icon tile-icon--blue">
|
||||||
|
<Icon name="doctor" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__title">{t.attending}</span>
|
||||||
|
</div>
|
||||||
|
</section>
|
||||||
|
|
||||||
|
<div className="stack stack--sm">
|
||||||
|
{actions.map((a) => (
|
||||||
|
<button key={a.button} type="button" className="row-card" onClick={() => go(a.button, a.label)} disabled={dialog.busy}>
|
||||||
|
<span className="tile-icon">
|
||||||
|
<Icon name={a.icon} />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{a.label}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
<Notice>{t.writeNote}</Notice>
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,225 @@
|
|||||||
|
import { useNavigate, useParams } from "react-router-dom";
|
||||||
|
|
||||||
|
import type { DrugRef, Indication, MedsReference } from "../api/types";
|
||||||
|
import { AppShell, Notice, TopBar } from "../components/AppShell";
|
||||||
|
import { Icon, type IconName } from "../components/Icon";
|
||||||
|
import { useMedsReference } from "../content/reference";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
import { sendSideEffect } from "./Meds";
|
||||||
|
import { useToday } from "./useToday";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* E6 · О препарате (spec «Модуль Лекарства»: карточка препарата). Patient information from the drug reference
|
||||||
|
* built on the Minzdrav guidelines: when to expect the effect, how long, what may bother, when to see a doctor
|
||||||
|
* urgently. No doses or ranges are shown — the prescription comes from the doctor only.
|
||||||
|
*/
|
||||||
|
|
||||||
|
const cap = (s: string) => s.charAt(0).toUpperCase() + s.slice(1);
|
||||||
|
|
||||||
|
/** «3–4 недели» → the upper bound in days, for the progress bar (null when the text has no weeks). */
|
||||||
|
function weeksToDays(text: string | null | undefined): number | null {
|
||||||
|
const m = /(\d+)(?:\s*[–-]\s*(\d+))?\s*недел/.exec(text ?? "");
|
||||||
|
return m ? Number(m[2] ?? m[1]) * 7 : null;
|
||||||
|
}
|
||||||
|
|
||||||
|
function Section({ icon, tone, title, children }: { icon: IconName; tone?: string; title: string; children: React.ReactNode }) {
|
||||||
|
return (
|
||||||
|
<section className="drug__sec">
|
||||||
|
<h2 className="drug__h">
|
||||||
|
<span className={`badge-icon ${tone ? `badge-icon--${tone}` : ""}`}>
|
||||||
|
<Icon name={icon} size={18} />
|
||||||
|
</span>
|
||||||
|
{title}
|
||||||
|
</h2>
|
||||||
|
{children}
|
||||||
|
</section>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function EffectTimeline({ day, horizon, when }: { day: number; horizon: number; when: string }) {
|
||||||
|
const pct = Math.min(100, (day / horizon) * 100);
|
||||||
|
return (
|
||||||
|
<div className="timeline" aria-label={ru.meds.card.progress(day)}>
|
||||||
|
<div className="timeline__bar">
|
||||||
|
<span className="timeline__fill" style={{ width: `${pct}%` }} />
|
||||||
|
<span className="timeline__mark" style={{ left: `${pct}%` }} />
|
||||||
|
</div>
|
||||||
|
<div className="timeline__legend">
|
||||||
|
<span>{ru.meds.card.progress(day)}</span>
|
||||||
|
<span>{ru.meds.card.effectAt(when)}</span>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Card({
|
||||||
|
drug,
|
||||||
|
reference: ref,
|
||||||
|
indication,
|
||||||
|
day,
|
||||||
|
prescribed,
|
||||||
|
}: {
|
||||||
|
drug: DrugRef;
|
||||||
|
reference: MedsReference;
|
||||||
|
indication: Indication | null;
|
||||||
|
day: number | null;
|
||||||
|
prescribed?: string;
|
||||||
|
}) {
|
||||||
|
const c = ru.meds.card;
|
||||||
|
const ind = indication ? drug.indications[indication] : Object.values(drug.indications)[0];
|
||||||
|
const expect = indication === "ptsd" ? ref.texts.expect_effect_ptsd : ref.texts.expect_effect_depression;
|
||||||
|
const horizon = weeksToDays(ind?.expected_response);
|
||||||
|
const sources = ind?.source ?? "";
|
||||||
|
|
||||||
|
return (
|
||||||
|
<div className="drug">
|
||||||
|
<header className="drug__head">
|
||||||
|
<span className="tile-icon tile-icon--teal tile-icon--xl">
|
||||||
|
<Icon name="pill" size={32} />
|
||||||
|
</span>
|
||||||
|
<div>
|
||||||
|
<h1 className="h1">{drug.name_ru}</h1>
|
||||||
|
<p className="muted">
|
||||||
|
{drug.group}
|
||||||
|
{drug.group !== drug.class && `, ${drug.class}`}
|
||||||
|
</p>
|
||||||
|
{prescribed && (
|
||||||
|
<p className="drug__rx">
|
||||||
|
<Icon name="doctor" size={18} />
|
||||||
|
{c.prescribed}: {prescribed}
|
||||||
|
</p>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
</header>
|
||||||
|
|
||||||
|
<div className="drug__grid">
|
||||||
|
<div className="drug__col">
|
||||||
|
{ind?.expected_response && (
|
||||||
|
<Section icon="clock" tone="blue" title={c.effect}>
|
||||||
|
{day !== null && horizon && <EffectTimeline day={day} horizon={horizon} when={ind.expected_response} />}
|
||||||
|
<p>{expect}</p>
|
||||||
|
</Section>
|
||||||
|
)}
|
||||||
|
|
||||||
|
{(ind?.course || drug.max_course_days) && (
|
||||||
|
<Section icon="calendar" tone="blue" title={c.course}>
|
||||||
|
{ind?.course && <p>{ind.course}.</p>}
|
||||||
|
{drug.max_course_days && <p>{c.courseShort(drug.max_course_days)}.</p>}
|
||||||
|
{indication === "depression" && <p className="muted">{ref.texts.why_continue_depression}</p>}
|
||||||
|
</Section>
|
||||||
|
)}
|
||||||
|
|
||||||
|
<Section icon="smile" tone="teal" title={c.sideEffects}>
|
||||||
|
{drug.diary_items.length ? (
|
||||||
|
<ul className="bullets">
|
||||||
|
{drug.diary_items.map((s) => (
|
||||||
|
<li key={s}>{s}</li>
|
||||||
|
))}
|
||||||
|
</ul>
|
||||||
|
) : (
|
||||||
|
<p>{c.sideEffectsNone}</p>
|
||||||
|
)}
|
||||||
|
<p className="muted">{c.sideEffectsHint}</p>
|
||||||
|
</Section>
|
||||||
|
</div>
|
||||||
|
|
||||||
|
<div className="drug__col">
|
||||||
|
{drug.red_flags.length > 0 && (
|
||||||
|
<section className="drug__sec drug__sec--red">
|
||||||
|
<h2 className="drug__h">
|
||||||
|
<span className="badge-icon badge-icon--red">
|
||||||
|
<Icon name="alert" size={18} />
|
||||||
|
</span>
|
||||||
|
{c.redFlags}
|
||||||
|
</h2>
|
||||||
|
<ul className="bullets">
|
||||||
|
{drug.red_flags.map((s) => (
|
||||||
|
<li key={s}>{s}</li>
|
||||||
|
))}
|
||||||
|
</ul>
|
||||||
|
<p>{ref.texts.red_flag}</p>
|
||||||
|
</section>
|
||||||
|
)}
|
||||||
|
|
||||||
|
<Section icon="shield" tone="blue" title={c.important}>
|
||||||
|
<p>{ref.texts.dont_stop_alone}</p>
|
||||||
|
{drug.withdrawal_risk === "high" && <p>{c.withdrawal}</p>}
|
||||||
|
{drug.overdose_danger && <p>{c.overdose}</p>}
|
||||||
|
{ind?.off_label && <p className="muted">{c.offLabel}</p>}
|
||||||
|
{drug.monitoring.length > 0 && (
|
||||||
|
<>
|
||||||
|
<p className="drug__sub">{c.monitoring}:</p>
|
||||||
|
<ul className="bullets">
|
||||||
|
{drug.monitoring.map((s) => (
|
||||||
|
<li key={s}>{s}</li>
|
||||||
|
))}
|
||||||
|
</ul>
|
||||||
|
</>
|
||||||
|
)}
|
||||||
|
</Section>
|
||||||
|
|
||||||
|
<Section icon="doc" tone="blue" title={c.instruction}>
|
||||||
|
<p>{ref.texts.instruction_fallback}</p>
|
||||||
|
</Section>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
|
||||||
|
<p className="muted small">{c.source(sources)}</p>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
export function DrugInfo() {
|
||||||
|
const c = ru.meds.card;
|
||||||
|
const { ref: refId } = useParams();
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const { plan } = useToday();
|
||||||
|
const ref = useMedsReference();
|
||||||
|
const drug = ref?.drugs.find((d) => d.id === refId);
|
||||||
|
const rx = plan?.prescriptions.find((p) => p.ref_id === refId);
|
||||||
|
|
||||||
|
const ask = () =>
|
||||||
|
void dialog.send({ type: "button", button: "menu:med_question" }, c.ask).then((ok) => ok && navigate("/flow"));
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell>
|
||||||
|
<div className="stack">
|
||||||
|
<TopBar onBack={() => navigate("/meds")} />
|
||||||
|
{!ref ? (
|
||||||
|
<div className="loader" aria-label="Загрузка" />
|
||||||
|
) : !drug ? (
|
||||||
|
<Notice>{c.unknown}</Notice>
|
||||||
|
) : (
|
||||||
|
<Card
|
||||||
|
drug={drug}
|
||||||
|
reference={ref}
|
||||||
|
indication={rx?.indication ?? null}
|
||||||
|
day={rx?.therapy_day ?? null}
|
||||||
|
prescribed={rx ? `${cap(rx.drug)}, ${rx.dose} · ${rx.times.join(", ")}` : undefined}
|
||||||
|
/>
|
||||||
|
)}
|
||||||
|
{rx && (
|
||||||
|
<div className="btn-row btn-row--stack-phone">
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="btn btn--outline-red"
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => sendSideEffect(dialog, navigate, plan, rx.drug, ru.meds.reportSideEffect)}
|
||||||
|
>
|
||||||
|
<Icon name="alert" />
|
||||||
|
{ru.meds.reportSideEffect}
|
||||||
|
</button>
|
||||||
|
{plan?.has_doctor && (
|
||||||
|
<button type="button" className="btn btn--outline" disabled={dialog.busy} onClick={ask}>
|
||||||
|
<Icon name="question" />
|
||||||
|
{c.ask}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,128 @@
|
|||||||
|
import { useEffect, useState, type FormEvent } from "react";
|
||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import { ApiError, api } from "../api/client";
|
||||||
|
import type { AuthResult, DemoPersona } from "../api/types";
|
||||||
|
import { AppShell, Notice, TopBar } from "../components/AppShell";
|
||||||
|
import { Icon } from "../components/Icon";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useSession } from "../session/SessionContext";
|
||||||
|
|
||||||
|
// A2 · Вход через ЕМИАС (демо: одноразовый код от врача или синтетический пациент)
|
||||||
|
export function EmiasSignIn() {
|
||||||
|
const t = ru.emias;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const { signIn } = useSession();
|
||||||
|
const [code, setCode] = useState("");
|
||||||
|
const [busy, setBusy] = useState(false);
|
||||||
|
const [error, setError] = useState<string | null>(null);
|
||||||
|
const [personas, setPersonas] = useState<DemoPersona[] | null>(null);
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
api
|
||||||
|
.demoPersonas()
|
||||||
|
.then(setPersonas)
|
||||||
|
.catch(() => setPersonas([]));
|
||||||
|
}, []);
|
||||||
|
|
||||||
|
const finish = (auth: AuthResult) => {
|
||||||
|
signIn(auth);
|
||||||
|
navigate("/flow", { replace: true });
|
||||||
|
};
|
||||||
|
|
||||||
|
const fail = (e: unknown) => {
|
||||||
|
setError(e instanceof ApiError && e.status === 401 ? t.codeError : ru.common.networkError);
|
||||||
|
setBusy(false);
|
||||||
|
};
|
||||||
|
|
||||||
|
const submit = async (e: FormEvent) => {
|
||||||
|
e.preventDefault();
|
||||||
|
if (!code.trim() || busy) return;
|
||||||
|
setBusy(true);
|
||||||
|
setError(null);
|
||||||
|
try {
|
||||||
|
finish(await api.signInEmias(code.trim()));
|
||||||
|
} catch (err) {
|
||||||
|
fail(err);
|
||||||
|
}
|
||||||
|
};
|
||||||
|
|
||||||
|
const demo = async (persona: DemoPersona) => {
|
||||||
|
setBusy(true);
|
||||||
|
setError(null);
|
||||||
|
try {
|
||||||
|
finish(await api.signInEmiasDemo(persona.token));
|
||||||
|
} catch (err) {
|
||||||
|
fail(err);
|
||||||
|
}
|
||||||
|
};
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell signedIn={false} focus>
|
||||||
|
<div className="focus">
|
||||||
|
<TopBar onBack={() => navigate("/")} />
|
||||||
|
<div className="split">
|
||||||
|
<div className="split__lead">
|
||||||
|
<header className="head">
|
||||||
|
<span className="tile-icon tile-icon--teal">
|
||||||
|
<Icon name="docPlus" size={26} />
|
||||||
|
</span>
|
||||||
|
<h1 className="h1">{t.title}</h1>
|
||||||
|
<p className="lead">{t.lead}</p>
|
||||||
|
</header>
|
||||||
|
<Notice>{t.demoNotice}</Notice>
|
||||||
|
</div>
|
||||||
|
<div className="split__act">
|
||||||
|
<form className="stack stack--sm" onSubmit={submit} noValidate>
|
||||||
|
<label htmlFor="code" className="visually-hidden">
|
||||||
|
{t.codeLabel}
|
||||||
|
</label>
|
||||||
|
<input
|
||||||
|
id="code"
|
||||||
|
className={error ? "code-input is-error" : "code-input"}
|
||||||
|
value={code}
|
||||||
|
onChange={(e) => setCode(e.target.value)}
|
||||||
|
placeholder={t.codePlaceholder}
|
||||||
|
autoComplete="one-time-code"
|
||||||
|
autoCapitalize="characters"
|
||||||
|
spellCheck={false}
|
||||||
|
maxLength={32}
|
||||||
|
aria-invalid={error ? true : undefined}
|
||||||
|
aria-describedby={error ? "code-error" : undefined}
|
||||||
|
/>
|
||||||
|
{error && (
|
||||||
|
<div id="code-error" role="alert">
|
||||||
|
<Notice tone="danger">{error}</Notice>
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
<button type="submit" className="btn btn--primary" disabled={busy || !code.trim()}>
|
||||||
|
{busy ? t.submitting : t.submit}
|
||||||
|
</button>
|
||||||
|
</form>
|
||||||
|
|
||||||
|
<div className="divider" role="separator">
|
||||||
|
<span>{t.or}</span>
|
||||||
|
</div>
|
||||||
|
|
||||||
|
<section className="stack stack--sm" aria-labelledby="demo-title">
|
||||||
|
<h2 id="demo-title" className="h3">
|
||||||
|
{t.demoTitle}
|
||||||
|
</h2>
|
||||||
|
<p className="muted">{t.demoLead}</p>
|
||||||
|
{personas?.map((p) => (
|
||||||
|
<button key={p.token} type="button" className="row-card" onClick={() => demo(p)} disabled={busy}>
|
||||||
|
<span className="avatar">{p.display_name.charAt(0)}</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{p.display_name}</span>
|
||||||
|
<span className="row-card__sub">{t.demoDay(p.therapy_day)}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
</section>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,730 @@
|
|||||||
|
import { Fragment, useEffect, useMemo, useRef, useState, type CSSProperties, type ReactNode } from "react";
|
||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import type { Catalog, DialogButton } from "../api/types";
|
||||||
|
import { AppShell, Notice, TopBar } from "../components/AppShell";
|
||||||
|
import { HotlineCard, telHref, useHelp } from "../components/HelpSheet";
|
||||||
|
import { useToast } from "../components/Toast";
|
||||||
|
import { Icon, type IconName } from "../components/Icon";
|
||||||
|
import { useCatalog } from "../content/reference";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
import { classify, lines, type Step, type Survey } from "../dialog/step";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* Focus screen: renders the engine's current step as one screen of docs/mock — consent (A4), age (A5),
|
||||||
|
* onboarding and scales (B1–B5, G4), daily check-in (D1–D6), medication (E1–E3, E5), crisis (G2), plan (G3),
|
||||||
|
* versioned questionnaires and the diary (stage 1 / stage 2: C-SSRS, PHQ, TSQ, PCL-5, RUS-AUDIT, дневник).
|
||||||
|
*/
|
||||||
|
|
||||||
|
const PHONE_RE = /(\+7[\d\s()-]{9,}\d|\b112\b|\b10[23]\b)/g;
|
||||||
|
|
||||||
|
function RichText({ text }: { text: string }) {
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
{text.split(PHONE_RE).map((part, i) =>
|
||||||
|
i % 2 === 1 ? (
|
||||||
|
<a key={i} href={telHref(part)} className="tel">
|
||||||
|
{part}
|
||||||
|
</a>
|
||||||
|
) : (
|
||||||
|
<Fragment key={i}>{part}</Fragment>
|
||||||
|
),
|
||||||
|
)}
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Body({ texts }: { texts: string[] }) {
|
||||||
|
if (!texts.length) return null;
|
||||||
|
return (
|
||||||
|
<div className="body-text">
|
||||||
|
{texts.map((t, i) => {
|
||||||
|
const ls = lines(t);
|
||||||
|
return (
|
||||||
|
<div key={i} className="body-text__block">
|
||||||
|
{ls.map((l, j) =>
|
||||||
|
l.list ? (
|
||||||
|
<ul key={j} className="bullets">
|
||||||
|
<li>
|
||||||
|
<RichText text={l.text} />
|
||||||
|
</li>
|
||||||
|
</ul>
|
||||||
|
) : (
|
||||||
|
<p key={j}>
|
||||||
|
<RichText text={l.text} />
|
||||||
|
</p>
|
||||||
|
),
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
})}
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Progress({ n, total, adaptive = false }: { n: number; total: number; adaptive?: boolean }) {
|
||||||
|
// Adaptive forms (C-SSRS, alcohol, diary) skip items by earlier answers: «из N» would be wrong, so no bar.
|
||||||
|
if (adaptive)
|
||||||
|
return (
|
||||||
|
<div className="progress">
|
||||||
|
<span className="progress__label">{ru.flow.questionN(n)}</span>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
return (
|
||||||
|
<div className="progress" role="progressbar" aria-valuemin={1} aria-valuemax={total} aria-valuenow={n}>
|
||||||
|
<span className="progress__bar">
|
||||||
|
<span style={{ width: `${(n / total) * 100}%` }} />
|
||||||
|
</span>
|
||||||
|
<span className="progress__label">{ru.flow.question(n, total)}</span>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
// RUS-AUDIT item 2: the standard-drink table of the approved form (no calculator — config/scales/rus_audit.yaml).
|
||||||
|
function DrinksTable({ table }: { table: NonNullable<Catalog["standard_drinks"]> }) {
|
||||||
|
return (
|
||||||
|
<section className="drinks" aria-label={ru.flow.drinks}>
|
||||||
|
<h2 className="h3">{ru.flow.drinks}</h2>
|
||||||
|
<p className="muted small">{ru.flow.drinksLead}</p>
|
||||||
|
<div className="drinks__scroll">
|
||||||
|
<table>
|
||||||
|
<thead>
|
||||||
|
<tr>
|
||||||
|
<th scope="col">СП</th>
|
||||||
|
{table.header.map((h) => (
|
||||||
|
<th key={h} scope="col">
|
||||||
|
{h}
|
||||||
|
</th>
|
||||||
|
))}
|
||||||
|
</tr>
|
||||||
|
</thead>
|
||||||
|
<tbody>
|
||||||
|
{table.rows.map(([label, cells]) => (
|
||||||
|
<tr key={label}>
|
||||||
|
<th scope="row">{label.replace(/\s*СП$/, "")}</th>
|
||||||
|
{cells.map((c, i) => (
|
||||||
|
<td key={i}>{c}</td>
|
||||||
|
))}
|
||||||
|
</tr>
|
||||||
|
))}
|
||||||
|
</tbody>
|
||||||
|
</table>
|
||||||
|
</div>
|
||||||
|
<p className="muted small">
|
||||||
|
{/* The form name stays hidden while answering: only the definition of a standard drink is shown. */}
|
||||||
|
{table.title.replace(/\s*Таблица бланка RUS-AUDIT:?/, "")} {table.note}
|
||||||
|
</p>
|
||||||
|
</section>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Head({ title, lead, icon }: { title: string; lead: string[]; icon?: IconName }) {
|
||||||
|
return (
|
||||||
|
<header className="head">
|
||||||
|
{icon && (
|
||||||
|
<span className="tile-icon tile-icon--blue">
|
||||||
|
<Icon name={icon} size={26} />
|
||||||
|
</span>
|
||||||
|
)}
|
||||||
|
{title && <h1 className="h1">{title}</h1>}
|
||||||
|
<Body texts={lead} />
|
||||||
|
</header>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Choice({
|
||||||
|
options,
|
||||||
|
busy,
|
||||||
|
onSubmit,
|
||||||
|
}: {
|
||||||
|
options: DialogButton[];
|
||||||
|
busy: boolean;
|
||||||
|
onSubmit: (b: DialogButton) => void;
|
||||||
|
}) {
|
||||||
|
const [picked, setPicked] = useState<DialogButton | null>(null);
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
<div className="options" role="radiogroup">
|
||||||
|
{options.map((b) => {
|
||||||
|
const on = picked?.data === b.data;
|
||||||
|
return (
|
||||||
|
<button
|
||||||
|
key={b.data}
|
||||||
|
type="button"
|
||||||
|
role="radio"
|
||||||
|
aria-checked={on}
|
||||||
|
className={on ? "option is-on" : "option"}
|
||||||
|
onClick={() => setPicked(b)}
|
||||||
|
>
|
||||||
|
<span className="option__mark">{on && <Icon name="check" size={16} />}</span>
|
||||||
|
<span className="option__label">{b.label}</span>
|
||||||
|
</button>
|
||||||
|
);
|
||||||
|
})}
|
||||||
|
</div>
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="btn btn--primary"
|
||||||
|
disabled={!picked || busy}
|
||||||
|
onClick={() => picked && onSubmit(picked)}
|
||||||
|
>
|
||||||
|
{ru.common.next}
|
||||||
|
</button>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function NumberScale({
|
||||||
|
options,
|
||||||
|
busy,
|
||||||
|
onSubmit,
|
||||||
|
anchors,
|
||||||
|
}: {
|
||||||
|
options: DialogButton[];
|
||||||
|
busy: boolean;
|
||||||
|
onSubmit: (b: DialogButton) => void;
|
||||||
|
anchors?: string[];
|
||||||
|
}) {
|
||||||
|
const [picked, setPicked] = useState<DialogButton | null>(null);
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
<div className="numscale">
|
||||||
|
<span className="numscale__value" aria-live="polite">
|
||||||
|
{picked ? picked.label : "–"}
|
||||||
|
</span>
|
||||||
|
<div className="numscale__row" role="radiogroup" style={{ "--n": options.length } as CSSProperties}>
|
||||||
|
{options.map((b) => (
|
||||||
|
<button
|
||||||
|
key={b.data}
|
||||||
|
type="button"
|
||||||
|
role="radio"
|
||||||
|
aria-checked={picked?.data === b.data}
|
||||||
|
className={picked?.data === b.data ? "num is-on" : "num"}
|
||||||
|
onClick={() => setPicked(b)}
|
||||||
|
>
|
||||||
|
{b.label}
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
{anchors && anchors.length === 2 && (
|
||||||
|
<div className="numscale__ends">
|
||||||
|
<span>{anchors[0]}</span>
|
||||||
|
<span>{anchors[1]}</span>
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="btn btn--primary"
|
||||||
|
disabled={!picked || busy}
|
||||||
|
onClick={() => picked && onSubmit(picked)}
|
||||||
|
>
|
||||||
|
{ru.common.next}
|
||||||
|
</button>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
// Sent when a free-text step is submitted empty: a comment is never required (app/dialog/flows/meds.py).
|
||||||
|
const NO_COMMENT: DialogButton = { label: ru.flow.sendEmpty, data: "text:skip" };
|
||||||
|
|
||||||
|
function FreeText({
|
||||||
|
skip,
|
||||||
|
busy,
|
||||||
|
onSend,
|
||||||
|
onSkip,
|
||||||
|
onExit,
|
||||||
|
}: {
|
||||||
|
skip?: DialogButton;
|
||||||
|
busy: boolean;
|
||||||
|
onSend: (text: string) => void;
|
||||||
|
onSkip: (b: DialogButton) => void;
|
||||||
|
onExit: () => void;
|
||||||
|
}) {
|
||||||
|
const [text, setText] = useState("");
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
<div className="textarea">
|
||||||
|
<label htmlFor="free" className="visually-hidden">
|
||||||
|
{ru.messages.inputLabel}
|
||||||
|
</label>
|
||||||
|
<textarea
|
||||||
|
id="free"
|
||||||
|
rows={5}
|
||||||
|
maxLength={500}
|
||||||
|
value={text}
|
||||||
|
placeholder={ru.flow.textPlaceholder}
|
||||||
|
onChange={(e) => setText(e.target.value)}
|
||||||
|
/>
|
||||||
|
<span className="textarea__count">{text.length}/500</span>
|
||||||
|
</div>
|
||||||
|
<div className="btn-row">
|
||||||
|
{skip ? (
|
||||||
|
<button type="button" className="btn btn--ghost" disabled={busy} onClick={() => onSkip(skip)}>
|
||||||
|
{skip.label}
|
||||||
|
</button>
|
||||||
|
) : (
|
||||||
|
<button type="button" className="btn btn--ghost" disabled={busy} onClick={onExit}>
|
||||||
|
{ru.flow.exit}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="btn btn--primary"
|
||||||
|
disabled={busy}
|
||||||
|
onClick={() => (text.trim() ? onSend(text.trim()) : onSkip(skip ?? NO_COMMENT))}
|
||||||
|
>
|
||||||
|
{text.trim() ? ru.common.send : ru.flow.sendEmpty}
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
const NUMERIC = {
|
||||||
|
hours: { label: ru.flow.hoursLabel, unit: ru.flow.hoursUnit, hint: ru.flow.hoursHint, max: 24 },
|
||||||
|
portions: { label: ru.flow.portionsLabel, unit: ru.flow.portionsUnit, hint: ru.flow.portionsHint, max: 50 },
|
||||||
|
};
|
||||||
|
|
||||||
|
function HoursInput({
|
||||||
|
busy,
|
||||||
|
onSend,
|
||||||
|
kind = "hours",
|
||||||
|
}: {
|
||||||
|
busy: boolean;
|
||||||
|
onSend: (text: string) => void;
|
||||||
|
kind?: keyof typeof NUMERIC;
|
||||||
|
}) {
|
||||||
|
const f = NUMERIC[kind];
|
||||||
|
const [v, setV] = useState("");
|
||||||
|
const n = Number(v.replace(",", "."));
|
||||||
|
const ok = v.trim() !== "" && Number.isFinite(n) && n >= 0 && n <= f.max;
|
||||||
|
return (
|
||||||
|
<form
|
||||||
|
className="hours"
|
||||||
|
onSubmit={(e) => {
|
||||||
|
e.preventDefault();
|
||||||
|
if (ok) onSend(v.trim());
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<label htmlFor="hours" className="hours__label">
|
||||||
|
{f.label}
|
||||||
|
</label>
|
||||||
|
<div className="hours__field">
|
||||||
|
<input
|
||||||
|
id="hours"
|
||||||
|
inputMode="decimal"
|
||||||
|
autoComplete="off"
|
||||||
|
value={v}
|
||||||
|
onChange={(e) => setV(e.target.value.replace(/[^\d.,]/g, "").slice(0, 4))}
|
||||||
|
aria-describedby="hours-hint"
|
||||||
|
/>
|
||||||
|
<span aria-hidden="true">{f.unit}</span>
|
||||||
|
</div>
|
||||||
|
<p id="hours-hint" className="muted small">
|
||||||
|
{f.hint}
|
||||||
|
</p>
|
||||||
|
<button type="submit" className="btn btn--primary" disabled={!ok || busy}>
|
||||||
|
{ru.common.next}
|
||||||
|
</button>
|
||||||
|
</form>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
// No form name or section above the question: the person should not see what a questionnaire screens for while
|
||||||
|
// answering it. Names and results appear only after it is finished (Results screen).
|
||||||
|
function SurveyLead({ step, catalog }: { step: Survey; catalog: Catalog | null }) {
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
<header className="head survey">
|
||||||
|
{step.instruction.length > 0 && (
|
||||||
|
<div className="survey__instr">
|
||||||
|
<Body texts={step.instruction} />
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
<h1 className="h1 survey__q">{step.title}</h1>
|
||||||
|
{step.footnotes.map((f) => (
|
||||||
|
<p key={f} className="muted small">
|
||||||
|
{f}
|
||||||
|
</p>
|
||||||
|
))}
|
||||||
|
</header>
|
||||||
|
{step.itemId === "rus_audit_2" && catalog?.standard_drinks && <DrinksTable table={catalog.standard_drinks} />}
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function SurveyAct({
|
||||||
|
step,
|
||||||
|
stepKey,
|
||||||
|
busy,
|
||||||
|
press,
|
||||||
|
say,
|
||||||
|
onPause,
|
||||||
|
onHome,
|
||||||
|
}: {
|
||||||
|
step: Survey;
|
||||||
|
stepKey: string;
|
||||||
|
busy: boolean;
|
||||||
|
press: (b: DialogButton) => void;
|
||||||
|
say: (text: string) => void;
|
||||||
|
onPause: (b: DialogButton) => void;
|
||||||
|
onHome: () => void;
|
||||||
|
}) {
|
||||||
|
let answer: ReactNode;
|
||||||
|
switch (step.input) {
|
||||||
|
case "number":
|
||||||
|
answer = <NumberScale key={stepKey} options={step.options} busy={busy} onSubmit={press} anchors={step.anchors} />;
|
||||||
|
break;
|
||||||
|
case "hours":
|
||||||
|
case "portions":
|
||||||
|
answer = <HoursInput key={stepKey} busy={busy} onSend={say} kind={step.input} />;
|
||||||
|
break;
|
||||||
|
case "text":
|
||||||
|
answer = (
|
||||||
|
<FreeText key={stepKey} skip={step.skip} busy={busy} onSend={say} onSkip={press} onExit={onHome} />
|
||||||
|
);
|
||||||
|
break;
|
||||||
|
default:
|
||||||
|
answer = (
|
||||||
|
<>
|
||||||
|
<Choice key={stepKey} options={step.options} busy={busy} onSubmit={press} />
|
||||||
|
{step.skip && (
|
||||||
|
<button type="button" className="btn btn--ghost" disabled={busy} onClick={() => press(step.skip!)}>
|
||||||
|
{step.skip.label}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
{answer}
|
||||||
|
<div className="survey__aux">
|
||||||
|
{step.pause && (
|
||||||
|
<button type="button" className="btn btn--soft btn--auto" disabled={busy} onClick={() => onPause(step.pause!)}>
|
||||||
|
<Icon name="pause" size={18} />
|
||||||
|
{step.pause.label}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
{step.help && (
|
||||||
|
<button type="button" className="linkbtn linkbtn--danger" disabled={busy} onClick={() => press(step.help!)}>
|
||||||
|
<Icon name="alert" size={18} />
|
||||||
|
{step.help.label}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function MedActions({ options, busy, onPress }: { options: DialogButton[]; busy: boolean; onPress: (b: DialogButton) => void }) {
|
||||||
|
const style = (b: DialogButton) =>
|
||||||
|
b.data.startsWith("med:taken")
|
||||||
|
? { cls: "act act--teal", icon: "check" as IconName }
|
||||||
|
: b.data.startsWith("med:side_effects")
|
||||||
|
? { cls: "act act--red", icon: "alert" as IconName }
|
||||||
|
: { cls: "act", icon: "clock" as IconName };
|
||||||
|
return (
|
||||||
|
<div className="acts">
|
||||||
|
{options.map((b) => {
|
||||||
|
const s = style(b);
|
||||||
|
return (
|
||||||
|
<button key={b.data} type="button" className={s.cls} disabled={busy} onClick={() => onPress(b)}>
|
||||||
|
<span className="act__icon">
|
||||||
|
<Icon name={s.icon} size={20} />
|
||||||
|
</span>
|
||||||
|
{b.label}
|
||||||
|
</button>
|
||||||
|
);
|
||||||
|
})}
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function Breathing() {
|
||||||
|
return (
|
||||||
|
<section className="breath" aria-label={ru.flow.breathe}>
|
||||||
|
<Icon name="lungs" size={28} />
|
||||||
|
<div className="breath__text">
|
||||||
|
<p className="breath__title">{ru.flow.breathe}</p>
|
||||||
|
<div className="breath__viz">
|
||||||
|
<span>{ru.flow.breatheIn}</span>
|
||||||
|
<span className="breath__ring" aria-hidden="true" />
|
||||||
|
<span>{ru.flow.breatheOut}</span>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
</section>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
// The engine's closing note: its first paragraph is the result headline (config/texts/results.yaml), the rest
|
||||||
|
// explains it. Results stay in «Мои результаты» with the date.
|
||||||
|
function Done({ notes, onHome, onResults }: { notes: string[]; onHome: () => void; onResults: () => void }) {
|
||||||
|
const [head = ru.flow.doneTitle, ...rest] = notes
|
||||||
|
.join("\n\n")
|
||||||
|
.split(/\n{2,}/)
|
||||||
|
.map((p) => p.trim())
|
||||||
|
.filter(Boolean);
|
||||||
|
return (
|
||||||
|
<div className="stack narrow done">
|
||||||
|
<span className="done__badge" aria-hidden="true">
|
||||||
|
<Icon name="check" size={40} />
|
||||||
|
</span>
|
||||||
|
<h1 className="h1 center">{head}</h1>
|
||||||
|
{rest.length > 0 && (
|
||||||
|
<div className="panel">
|
||||||
|
<Body texts={rest} />
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
<button type="button" className="btn btn--primary" onClick={onHome}>
|
||||||
|
{ru.common.toToday}
|
||||||
|
</button>
|
||||||
|
<button type="button" className="btn btn--soft" onClick={onResults}>
|
||||||
|
{ru.today.results}
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
const SHORT_PARAGRAPHS = 3;
|
||||||
|
|
||||||
|
export function Flow() {
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const toast = useToast();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const { resources } = useHelp();
|
||||||
|
const catalog = useCatalog();
|
||||||
|
const step: Step | null = useMemo(() => classify(dialog.pending), [dialog.pending]);
|
||||||
|
const stepKey = useMemo(() => dialog.pending.map((r) => r.text).join("|"), [dialog.pending]);
|
||||||
|
const home = () => navigate("/today");
|
||||||
|
|
||||||
|
// First visit after sign-in: the engine opens the dialog (consent → age → onboarding), as /start in Telegram.
|
||||||
|
useEffect(() => {
|
||||||
|
if (!dialog.started && !dialog.busy) void dialog.start();
|
||||||
|
}, []);
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
dialog.markRead();
|
||||||
|
}, [dialog.pending]);
|
||||||
|
|
||||||
|
// A short confirmation becomes a toast in the top-right corner and the person goes straight home. Only a long
|
||||||
|
// result (the conclusion of the first questionnaire) keeps its own screen.
|
||||||
|
const toasted = useRef("");
|
||||||
|
useEffect(() => {
|
||||||
|
if (!step || (step.kind !== "idle" && step.kind !== "ack")) return;
|
||||||
|
const texts = step.kind === "ack" ? step.text : step.notes;
|
||||||
|
const paragraphs = texts.join("\n\n").split(/\n{2,}/).map((p) => p.trim()).filter(Boolean);
|
||||||
|
if (step.kind === "idle" && paragraphs.length > SHORT_PARAGRAPHS) return;
|
||||||
|
if (paragraphs.length && toasted.current !== stepKey) {
|
||||||
|
toasted.current = stepKey;
|
||||||
|
toast(paragraphs.join(" "));
|
||||||
|
}
|
||||||
|
navigate("/today", { replace: true });
|
||||||
|
}, [step, stepKey, navigate, toast]);
|
||||||
|
|
||||||
|
const press = (b: DialogButton) => void dialog.send({ type: "button", button: b.data }, b.label);
|
||||||
|
// «Продолжить позже»: answers are already saved on the server — pause and go straight home, no confirmation.
|
||||||
|
const pause = (b: DialogButton) =>
|
||||||
|
void dialog.send({ type: "button", button: b.data }, b.label).then((ok) => ok && navigate("/today", { replace: true }));
|
||||||
|
const say = (text: string) => void dialog.send({ type: "text", text }, text);
|
||||||
|
|
||||||
|
let content: ReactNode;
|
||||||
|
if (!step) {
|
||||||
|
content = dialog.error ? (
|
||||||
|
<div className="stack narrow">
|
||||||
|
<Notice tone="danger">{ru.common.networkError}</Notice>
|
||||||
|
<button type="button" className="btn btn--primary" onClick={() => void dialog.start()}>
|
||||||
|
{ru.common.retry}
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
) : (
|
||||||
|
<div className="loader" aria-label="Загрузка" />
|
||||||
|
);
|
||||||
|
} else if (step.kind === "ack") {
|
||||||
|
content = <div className="loader" aria-label="Загрузка" />;
|
||||||
|
} else if (step.kind === "idle") {
|
||||||
|
content = <Done notes={step.notes} onHome={home} onResults={() => navigate("/results")} />;
|
||||||
|
} else if (step.kind === "notice") {
|
||||||
|
content = (
|
||||||
|
<div className="stack narrow done">
|
||||||
|
<span className="tile-icon tile-icon--blue tile-icon--xl center-self" aria-hidden="true">
|
||||||
|
<Icon name={step.help ? "shield" : "pause"} size={32} />
|
||||||
|
</span>
|
||||||
|
<h1 className="h1 center">{ru.flow.noticeTitle}</h1>
|
||||||
|
<div className="panel">
|
||||||
|
<Body texts={step.text} />
|
||||||
|
</div>
|
||||||
|
{step.primary && (
|
||||||
|
<button type="button" className="btn btn--primary" disabled={dialog.busy} onClick={() => press(step.primary!)}>
|
||||||
|
{step.primary.label}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
{step.help && (
|
||||||
|
<button type="button" className="btn btn--danger" disabled={dialog.busy} onClick={() => press(step.help!)}>
|
||||||
|
{step.help.label}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
<button type="button" className="btn btn--soft" onClick={home}>
|
||||||
|
{ru.common.toToday}
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
} else {
|
||||||
|
const item = step.kind === "survey" ? catalog?.items[step.itemId] : undefined;
|
||||||
|
const progress =
|
||||||
|
step.kind === "choice" && step.progress ? (
|
||||||
|
<Progress {...step.progress} />
|
||||||
|
) : item ? (
|
||||||
|
<Progress n={item.index} total={item.total} adaptive={item.adaptive} />
|
||||||
|
) : null;
|
||||||
|
const top = progress ? <TopBar>{progress}</TopBar> : null;
|
||||||
|
// Phone: one column. Desktop: question and context on the left, answers and actions on the right.
|
||||||
|
let lead: ReactNode;
|
||||||
|
let act: ReactNode;
|
||||||
|
switch (step.kind) {
|
||||||
|
case "consent":
|
||||||
|
lead = (
|
||||||
|
<>
|
||||||
|
<Head title={ru.flow.consentTitle} lead={[]} icon="shield" />
|
||||||
|
<div className="panel panel--scroll">
|
||||||
|
<Body texts={[...step.lead, step.title].filter(Boolean)} />
|
||||||
|
</div>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
act = (
|
||||||
|
<div className="btn-row btn-row--stack-desk">
|
||||||
|
{step.buttons.map((b, i) => (
|
||||||
|
<button
|
||||||
|
key={b.data}
|
||||||
|
type="button"
|
||||||
|
className={i === 0 ? "btn btn--primary" : "btn btn--outline"}
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => press(b)}
|
||||||
|
>
|
||||||
|
{b.label}
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
break;
|
||||||
|
case "number":
|
||||||
|
lead = <Head title={step.title} lead={step.lead} icon="smile" />;
|
||||||
|
act = <NumberScale key={stepKey} options={step.options} busy={dialog.busy} onSubmit={press} />;
|
||||||
|
break;
|
||||||
|
case "actions":
|
||||||
|
lead = (
|
||||||
|
<div className="reminder">
|
||||||
|
<span className="tile-icon tile-icon--teal tile-icon--xl">
|
||||||
|
<Icon name="pill" size={34} />
|
||||||
|
</span>
|
||||||
|
<h1 className="h1 center">{step.title || ru.meds.reminderTitle}</h1>
|
||||||
|
<Body texts={step.lead} />
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
act = <MedActions options={step.options} busy={dialog.busy} onPress={press} />;
|
||||||
|
break;
|
||||||
|
case "text":
|
||||||
|
lead = <Head title={step.title} lead={step.lead} icon="edit" />;
|
||||||
|
act = (
|
||||||
|
<FreeText key={stepKey} skip={step.skip} busy={dialog.busy} onSend={say} onSkip={press} onExit={home} />
|
||||||
|
);
|
||||||
|
break;
|
||||||
|
case "crisis":
|
||||||
|
lead = (
|
||||||
|
<>
|
||||||
|
<header className="head">
|
||||||
|
<span className="tile-icon tile-icon--teal tile-icon--xl">
|
||||||
|
<Icon name="heart" size={32} />
|
||||||
|
</span>
|
||||||
|
<h1 className="h1">{ru.flow.supportTitle}</h1>
|
||||||
|
</header>
|
||||||
|
<div className="panel">
|
||||||
|
<Body texts={[step.text]} />
|
||||||
|
</div>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
act = (
|
||||||
|
<>
|
||||||
|
<div className="hotlines">
|
||||||
|
{resources.map((r) => (
|
||||||
|
<HotlineCard key={r.phone} r={r} />
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
<Breathing />
|
||||||
|
{step.buttons.map((b) => (
|
||||||
|
<button key={b.data} type="button" className="btn btn--outline" disabled={dialog.busy} onClick={() => press(b)}>
|
||||||
|
{b.label}
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="row-card"
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => press({ label: ru.flow.openPlan, data: "safety_plan" })}
|
||||||
|
>
|
||||||
|
<Icon name="shield" />
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{ru.flow.openPlan}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
break;
|
||||||
|
case "plan":
|
||||||
|
lead = <Head title={step.title || ru.flow.planTitle} lead={step.lead} icon="shield" />;
|
||||||
|
act = (
|
||||||
|
<>
|
||||||
|
<ul className="plan">
|
||||||
|
{step.lines.map((l) => (
|
||||||
|
<li key={l} className="plan__item">
|
||||||
|
<Icon name="shield" size={20} />
|
||||||
|
<span>{l}</span>
|
||||||
|
</li>
|
||||||
|
))}
|
||||||
|
</ul>
|
||||||
|
<button type="button" className="btn btn--primary" onClick={home}>
|
||||||
|
{ru.common.toToday}
|
||||||
|
</button>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
break;
|
||||||
|
case "survey":
|
||||||
|
lead = <SurveyLead step={step} catalog={catalog} />;
|
||||||
|
act = <SurveyAct step={step} stepKey={stepKey} busy={dialog.busy} press={press} say={say} onPause={pause} onHome={home} />;
|
||||||
|
break;
|
||||||
|
case "choice":
|
||||||
|
lead = <Head title={step.title} lead={step.lead} />;
|
||||||
|
act = <Choice key={stepKey} options={step.options} busy={dialog.busy} onSubmit={press} />;
|
||||||
|
break;
|
||||||
|
}
|
||||||
|
content = (
|
||||||
|
<div className="focus" key={stepKey}>
|
||||||
|
{top}
|
||||||
|
<div className={`split split--${step.kind}${step.kind === "survey" ? ` split--in-${step.input}` : ""}`}>
|
||||||
|
<div className="split__lead">{lead}</div>
|
||||||
|
<div className="split__act">
|
||||||
|
{act}
|
||||||
|
{dialog.error && <Notice tone="danger">{ru.common.networkError}</Notice>}
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell focus bare sos={step?.kind !== "crisis"}>
|
||||||
|
<nav className="flow-nav" aria-label={ru.flow.home}>
|
||||||
|
{/* Leaving does not send an answer or clear pending: Today can reopen this same question.
|
||||||
|
Wait for an in-flight answer before leaving so its result has reached the shared dialog. */}
|
||||||
|
<button type="button" className="btn btn--ghost btn--auto" disabled={dialog.busy} onClick={home}>
|
||||||
|
<Icon name="home" size={20} />
|
||||||
|
{ru.flow.home}
|
||||||
|
</button>
|
||||||
|
</nav>
|
||||||
|
{content}
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,199 @@
|
|||||||
|
import { useNavigate, useParams } from "react-router-dom";
|
||||||
|
|
||||||
|
import type { TodayPlan, TodayPrescription } from "../api/types";
|
||||||
|
|
||||||
|
import { AppShell, Notice, TopBar } from "../components/AppShell";
|
||||||
|
import { Icon, type IconName } from "../components/Icon";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
import { useToday } from "./useToday";
|
||||||
|
|
||||||
|
const DOT: Record<string, { cls: string; icon?: IconName }> = {
|
||||||
|
taken: { cls: "wk wk--taken", icon: "check" },
|
||||||
|
missed: { cls: "wk wk--missed", icon: "x" },
|
||||||
|
pending: { cls: "wk wk--pending" },
|
||||||
|
none: { cls: "wk" },
|
||||||
|
};
|
||||||
|
|
||||||
|
export function WeekDots({ week }: { week: TodayPrescription["week"] }) {
|
||||||
|
return (
|
||||||
|
<ol className="week" aria-label="Отметки за неделю">
|
||||||
|
{week.map((w, i) => (
|
||||||
|
<li key={w.day} className="week__day">
|
||||||
|
<span className="week__label">{ru.meds.week[i]}</span>
|
||||||
|
<span className={DOT[w.status].cls} aria-label={w.status}>
|
||||||
|
{DOT[w.status].icon && <Icon name={DOT[w.status].icon!} size={14} />}
|
||||||
|
</span>
|
||||||
|
</li>
|
||||||
|
))}
|
||||||
|
</ol>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
/**
|
||||||
|
* «Сообщить о побочном эффекте» — always available (spec «Модуль Лекарства»). Same engine step as the reminder's
|
||||||
|
* «Есть побочные эффекты»: `med:side_effects:<ref>`, where ref is today's dose of the drug or, without a dose row,
|
||||||
|
* today's ISO date (app/dialog/flows/meds.py).
|
||||||
|
*/
|
||||||
|
export function sendSideEffect(
|
||||||
|
dialog: ReturnType<typeof useDialog>,
|
||||||
|
navigate: (to: string) => void,
|
||||||
|
plan: TodayPlan | null,
|
||||||
|
drug: string,
|
||||||
|
label: string,
|
||||||
|
) {
|
||||||
|
if (!plan) return;
|
||||||
|
const dose = plan.doses.find((d) => d.drug === drug && d.status === "pending") ?? plan.doses.find((d) => d.drug === drug);
|
||||||
|
const ref = dose ? String(dose.id) : plan.today;
|
||||||
|
void dialog.send({ type: "button", button: `med:side_effects:${ref}` }, label).then((ok) => ok && navigate("/flow"));
|
||||||
|
}
|
||||||
|
|
||||||
|
// E4 · Моя схема приёма
|
||||||
|
export function Meds() {
|
||||||
|
const t = ru.meds;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const { plan } = useToday();
|
||||||
|
|
||||||
|
const ask = () =>
|
||||||
|
void dialog.send({ type: "button", button: "menu:med_question" }, t.question).then((ok) => ok && navigate("/flow"));
|
||||||
|
const reportSideEffect = (drug: string) => sendSideEffect(dialog, navigate, plan, drug, t.reportSideEffect);
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell>
|
||||||
|
<div className="stack">
|
||||||
|
<header className="head">
|
||||||
|
<h1 className="h1">{t.title}</h1>
|
||||||
|
<p className="lead">{t.lead}</p>
|
||||||
|
</header>
|
||||||
|
|
||||||
|
{plan && plan.prescriptions.length === 0 && <Notice>{t.empty}</Notice>}
|
||||||
|
|
||||||
|
<div className="grid2">
|
||||||
|
{plan?.prescriptions.map((p) => (
|
||||||
|
<article key={p.drug} className="rx">
|
||||||
|
<div className="rx__head">
|
||||||
|
<span className="tile-icon tile-icon--teal">
|
||||||
|
<Icon name="pill" />
|
||||||
|
</span>
|
||||||
|
<span>
|
||||||
|
<span className="rx__drug">{p.drug.charAt(0).toUpperCase() + p.drug.slice(1)}</span>
|
||||||
|
<span className="rx__by">
|
||||||
|
{p.dose} · {t.byDoctor}
|
||||||
|
</span>
|
||||||
|
</span>
|
||||||
|
</div>
|
||||||
|
<ul className="rx__times">
|
||||||
|
{p.times.map((time) => (
|
||||||
|
<li key={time}>
|
||||||
|
<Icon name="clock" size={18} />
|
||||||
|
<strong>{time}</strong>
|
||||||
|
<span>{t.tablet}</span>
|
||||||
|
</li>
|
||||||
|
))}
|
||||||
|
</ul>
|
||||||
|
<WeekDots week={p.week} />
|
||||||
|
<div className="rx__foot">
|
||||||
|
{p.ref_id && (
|
||||||
|
<button type="button" className="btn btn--soft btn--sm" onClick={() => navigate(`/meds/${p.ref_id}`)}>
|
||||||
|
<Icon name="info" size={18} />
|
||||||
|
{t.about}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="btn btn--ghost-red btn--sm"
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => reportSideEffect(p.drug)}
|
||||||
|
>
|
||||||
|
<Icon name="alert" size={18} />
|
||||||
|
{t.reportSideEffect}
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
</article>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
|
||||||
|
{plan && plan.prescriptions.length > 0 && <Notice>{t.onlyDoctor}</Notice>}
|
||||||
|
|
||||||
|
{plan?.has_doctor && (
|
||||||
|
<button type="button" className="btn btn--outline" onClick={ask} disabled={dialog.busy}>
|
||||||
|
<Icon name="question" />
|
||||||
|
{t.question}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
// E1 · Напоминание о приёме (opened from «Сегодня»); answers go to the engine like the Telegram reminder buttons.
|
||||||
|
export function DoseReminder() {
|
||||||
|
const t = ru.meds;
|
||||||
|
const { id } = useParams();
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const { plan } = useToday();
|
||||||
|
const dose = plan?.doses.find((d) => String(d.id) === id);
|
||||||
|
|
||||||
|
const answer = (data: string, label: string) =>
|
||||||
|
void dialog.send({ type: "button", button: `${data}:${id}` }, label).then((ok) => ok && navigate("/flow"));
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell focus>
|
||||||
|
<div className="focus">
|
||||||
|
<TopBar onBack={() => navigate("/today")} />
|
||||||
|
<div className="split">
|
||||||
|
<div className="split__lead">
|
||||||
|
<div className="reminder">
|
||||||
|
<span className="tile-icon tile-icon--teal tile-icon--xl">
|
||||||
|
<Icon name="pill" size={34} />
|
||||||
|
</span>
|
||||||
|
<h1 className="h1 center">{t.reminderTitle}</h1>
|
||||||
|
<p className="muted center">{t.reminderLead}</p>
|
||||||
|
{dose && (
|
||||||
|
<div className="reminder__time">
|
||||||
|
<Icon name="clock" />
|
||||||
|
<span>{dose.time}</span>
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
{dose && (
|
||||||
|
<p className="reminder__drug">
|
||||||
|
{dose.drug.charAt(0).toUpperCase() + dose.drug.slice(1)}, {dose.dose}
|
||||||
|
</p>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
<div className="split__act">
|
||||||
|
<div className="acts">
|
||||||
|
<button type="button" className="act act--teal" disabled={dialog.busy} onClick={() => answer("med:taken", t.taken)}>
|
||||||
|
<span className="act__icon">
|
||||||
|
<Icon name="check" size={20} />
|
||||||
|
</span>
|
||||||
|
{t.taken}
|
||||||
|
</button>
|
||||||
|
<button type="button" className="act" disabled={dialog.busy} onClick={() => answer("med:skip", t.skip)}>
|
||||||
|
<span className="act__icon">
|
||||||
|
<Icon name="clock" size={20} />
|
||||||
|
</span>
|
||||||
|
{t.skip}
|
||||||
|
</button>
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="act act--red"
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => answer("med:side_effects", t.sideEffects)}
|
||||||
|
>
|
||||||
|
<span className="act__icon">
|
||||||
|
<Icon name="alert" size={20} />
|
||||||
|
</span>
|
||||||
|
{t.sideEffects}
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
{dialog.error && <Notice tone="danger">{ru.common.networkError}</Notice>}
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,96 @@
|
|||||||
|
import { useEffect, useRef, useState, type FormEvent, type KeyboardEvent } from "react";
|
||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import { AppShell, TopBar } from "../components/AppShell";
|
||||||
|
import { Icon } from "../components/Icon";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
|
||||||
|
// I1 · Сообщения: вся переписка с помощником; быстрые ответы — кнопки последнего сообщения движка.
|
||||||
|
export function Messages() {
|
||||||
|
const t = ru.messages;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const [draft, setDraft] = useState("");
|
||||||
|
const endRef = useRef<HTMLDivElement>(null);
|
||||||
|
const quick = dialog.pending.flatMap((r) => r.buttons.flat());
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
dialog.markRead();
|
||||||
|
endRef.current?.scrollIntoView({ block: "end" });
|
||||||
|
}, [dialog.entries.length]);
|
||||||
|
|
||||||
|
const send = async (e?: FormEvent) => {
|
||||||
|
e?.preventDefault();
|
||||||
|
const text = draft.trim();
|
||||||
|
if (!text || dialog.busy) return;
|
||||||
|
setDraft("");
|
||||||
|
if (!(await dialog.send({ type: "text", text }, text))) setDraft(text);
|
||||||
|
};
|
||||||
|
|
||||||
|
const onKeyDown = (e: KeyboardEvent<HTMLTextAreaElement>) => {
|
||||||
|
if (e.key === "Enter" && !e.shiftKey && !e.nativeEvent.isComposing) {
|
||||||
|
e.preventDefault();
|
||||||
|
void send();
|
||||||
|
}
|
||||||
|
};
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell>
|
||||||
|
<div className="stack chat">
|
||||||
|
<TopBar onBack={() => navigate("/today")} title={t.title} />
|
||||||
|
{dialog.entries.length === 0 && <p className="muted">{t.empty}</p>}
|
||||||
|
<ol className="bubbles" aria-live="polite">
|
||||||
|
{dialog.entries.map((e) =>
|
||||||
|
e.from === "assistant" ? (
|
||||||
|
<li key={e.id} className={`bubble bubble--bot bubble--${e.reply.kind}`}>
|
||||||
|
<span className="bubble__avatar">
|
||||||
|
<Icon name="smile" size={20} />
|
||||||
|
</span>
|
||||||
|
<p>{e.reply.text}</p>
|
||||||
|
</li>
|
||||||
|
) : (
|
||||||
|
<li key={e.id} className="bubble bubble--me">
|
||||||
|
<span className="visually-hidden">{t.you}: </span>
|
||||||
|
<p>{e.text}</p>
|
||||||
|
</li>
|
||||||
|
),
|
||||||
|
)}
|
||||||
|
</ol>
|
||||||
|
{quick.length > 0 && (
|
||||||
|
<div className="quickreplies">
|
||||||
|
{quick.map((b) => (
|
||||||
|
<button
|
||||||
|
key={b.data}
|
||||||
|
type="button"
|
||||||
|
className="qr"
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => void dialog.send({ type: "button", button: b.data }, b.label)}
|
||||||
|
>
|
||||||
|
{b.label}
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
<div ref={endRef} />
|
||||||
|
<form className="composer" onSubmit={send}>
|
||||||
|
<label htmlFor="msg" className="visually-hidden">
|
||||||
|
{t.inputLabel}
|
||||||
|
</label>
|
||||||
|
<textarea
|
||||||
|
id="msg"
|
||||||
|
rows={1}
|
||||||
|
value={draft}
|
||||||
|
placeholder={t.inputPlaceholder}
|
||||||
|
onChange={(e) => setDraft(e.target.value)}
|
||||||
|
onKeyDown={onKeyDown}
|
||||||
|
maxLength={2000}
|
||||||
|
/>
|
||||||
|
<button type="submit" className="send" disabled={dialog.busy || !draft.trim()} aria-label={ru.common.send}>
|
||||||
|
<Icon name="send" size={20} />
|
||||||
|
</button>
|
||||||
|
</form>
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,166 @@
|
|||||||
|
import { useEffect, useRef, useState } from "react";
|
||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import { api } from "../api/client";
|
||||||
|
import { AppShell } from "../components/AppShell";
|
||||||
|
import { Icon } from "../components/Icon";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
import { useSession } from "../session/SessionContext";
|
||||||
|
|
||||||
|
// H1 / H2 · Профиль и мои данные
|
||||||
|
export function Profile() {
|
||||||
|
const t = ru.profile;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const { session, signOut } = useSession();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const [confirm, setConfirm] = useState(false);
|
||||||
|
const [conclusion, setConclusion] = useState<string | null>(null);
|
||||||
|
const ref = useRef<HTMLDialogElement>(null);
|
||||||
|
|
||||||
|
// The preliminary conclusion of stage 1 is part of the profile until the doctor's diagnosis replaces it.
|
||||||
|
useEffect(() => {
|
||||||
|
if (!session) return;
|
||||||
|
api
|
||||||
|
.results(session.token)
|
||||||
|
.then((r) => setConclusion(r.conclusion?.title ?? null))
|
||||||
|
.catch(() => undefined);
|
||||||
|
}, [session]);
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
const d = ref.current;
|
||||||
|
if (!d) return;
|
||||||
|
if (confirm && !d.open) d.showModal();
|
||||||
|
if (!confirm && d.open) d.close();
|
||||||
|
}, [confirm]);
|
||||||
|
|
||||||
|
if (!session) return null;
|
||||||
|
const anon = session.mode === "anonymous";
|
||||||
|
|
||||||
|
const revoke = async () => {
|
||||||
|
setConfirm(false);
|
||||||
|
if (await dialog.send({ type: "button", button: "consent:revoke" }, t.revoke)) navigate("/flow");
|
||||||
|
};
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell>
|
||||||
|
<div className="stack">
|
||||||
|
<header className="head">
|
||||||
|
<h1 className="h1">{t.title}</h1>
|
||||||
|
</header>
|
||||||
|
|
||||||
|
<div className="cols">
|
||||||
|
<section className="stack stack--sm">
|
||||||
|
<div className="row-card row-card--static">
|
||||||
|
<span className="avatar avatar--lg">
|
||||||
|
<Icon name={anon ? "lock" : "user"} />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__sub">{t.signInMode}</span>
|
||||||
|
<span className="row-card__title">
|
||||||
|
{anon ? t.anonymous : t.emias}
|
||||||
|
{session.displayName ? ` · ${session.displayName}` : ""}
|
||||||
|
</span>
|
||||||
|
</span>
|
||||||
|
</div>
|
||||||
|
{anon && (
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="btn btn--soft"
|
||||||
|
onClick={() => {
|
||||||
|
signOut();
|
||||||
|
navigate("/emias");
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
{t.connectEmias}
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
</section>
|
||||||
|
|
||||||
|
<section className="stack stack--sm">
|
||||||
|
<h2 className="h3">{t.data}</h2>
|
||||||
|
<button type="button" className="row-card" onClick={() => navigate("/results")}>
|
||||||
|
<span className="tile-icon tile-icon--teal">
|
||||||
|
<Icon name="clipboard" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{t.result}</span>
|
||||||
|
<span className="row-card__sub">{conclusion ?? t.resultNone}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
<button type="button" className="row-card" onClick={() => navigate("/results")}>
|
||||||
|
<span className="tile-icon">
|
||||||
|
<Icon name="book" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{t.history}</span>
|
||||||
|
<span className="row-card__sub">{t.historySub}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
<button type="button" className="row-card" onClick={() => navigate("/messages")}>
|
||||||
|
<span className="tile-icon">
|
||||||
|
<Icon name="message" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{t.messages}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
<button type="button" className="row-card row-card--danger" onClick={() => setConfirm(true)}>
|
||||||
|
<span className="tile-icon tile-icon--red">
|
||||||
|
<Icon name="shield" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{t.revoke}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
{anon && (
|
||||||
|
<button type="button" className="row-card" onClick={() => signOut({ wipe: true })}>
|
||||||
|
<span className="tile-icon">
|
||||||
|
<Icon name="trash" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{t.wipe}</span>
|
||||||
|
<span className="row-card__sub">{t.wipeNote}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
<button type="button" className="row-card row-card--danger" onClick={() => signOut()}>
|
||||||
|
<span className="tile-icon tile-icon--red">
|
||||||
|
<Icon name="logout" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__title">{t.logout}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
</section>
|
||||||
|
</div>
|
||||||
|
</div>
|
||||||
|
|
||||||
|
<dialog ref={ref} className="modal" aria-labelledby="revoke-title" onClose={() => setConfirm(false)}>
|
||||||
|
<div className="modal__body">
|
||||||
|
<div className="modal__head">
|
||||||
|
<h2 id="revoke-title" className="h2">
|
||||||
|
{t.revokeTitle}
|
||||||
|
</h2>
|
||||||
|
<button type="button" className="icon-btn" onClick={() => setConfirm(false)} aria-label={t.cancel}>
|
||||||
|
<Icon name="close" />
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
<p className="muted">{t.revokeText}</p>
|
||||||
|
<button type="button" className="btn btn--danger" onClick={revoke}>
|
||||||
|
{t.revokeConfirm}
|
||||||
|
</button>
|
||||||
|
<button type="button" className="btn btn--soft" onClick={() => setConfirm(false)}>
|
||||||
|
{t.cancel}
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
</dialog>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,118 @@
|
|||||||
|
import { useEffect, useState } from "react";
|
||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import { api } from "../api/client";
|
||||||
|
import type { Results as ResultsData } from "../api/types";
|
||||||
|
import { AppShell, Notice, TopBar } from "../components/AppShell";
|
||||||
|
import { Icon } from "../components/Icon";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useSession } from "../session/SessionContext";
|
||||||
|
import { dayMonth } from "./useToday";
|
||||||
|
|
||||||
|
/*
|
||||||
|
* «Мои результаты»: the preliminary conclusion of stage 1 (a screening result, not a diagnosis) and the log of every
|
||||||
|
* questionnaire with its date, status and the interpretation shown when it was finished. Data come from the server
|
||||||
|
* (`/me/{token}/results`), so the log is the same on every device.
|
||||||
|
*/
|
||||||
|
export function Results() {
|
||||||
|
const t = ru.results;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const { session } = useSession();
|
||||||
|
const [data, setData] = useState<ResultsData | null>(null);
|
||||||
|
const [failed, setFailed] = useState(false);
|
||||||
|
const [open, setOpen] = useState<string | null>(null);
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
if (!session) return;
|
||||||
|
api
|
||||||
|
.results(session.token)
|
||||||
|
.then(setData)
|
||||||
|
.catch(() => setFailed(true));
|
||||||
|
}, [session]);
|
||||||
|
|
||||||
|
const c = data?.conclusion;
|
||||||
|
return (
|
||||||
|
<AppShell>
|
||||||
|
<div className="stack">
|
||||||
|
<TopBar onBack={() => navigate("/profile")} title={t.title} />
|
||||||
|
{failed && <Notice tone="danger">{ru.common.networkError}</Notice>}
|
||||||
|
{!data && !failed && <div className="loader" aria-label="Загрузка" />}
|
||||||
|
|
||||||
|
{data && (
|
||||||
|
<section className="stack stack--sm" aria-labelledby="conclusion">
|
||||||
|
<h2 id="conclusion" className="h3">
|
||||||
|
{t.conclusion}
|
||||||
|
</h2>
|
||||||
|
{c ? (
|
||||||
|
<div className="result">
|
||||||
|
<p className="muted small">{t.conclusionDay(dayMonth(c.day))}</p>
|
||||||
|
<p className="result__title">{c.title}</p>
|
||||||
|
{c.findings.length > 0 && (
|
||||||
|
<div className="result__chips">
|
||||||
|
{c.findings.map((f) => (
|
||||||
|
<span key={f.code} className="chip chip--teal">
|
||||||
|
{f.title}
|
||||||
|
</span>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
{c.lines.map((l) => (
|
||||||
|
<p key={l}>{l}</p>
|
||||||
|
))}
|
||||||
|
{c.modules.length > 0 && (
|
||||||
|
<p className="muted small">{c.modules.map((m) => t.modules[m as keyof typeof t.modules] ?? m).join(" · ")}</p>
|
||||||
|
)}
|
||||||
|
<p className="muted small">{c.disclaimer}</p>
|
||||||
|
</div>
|
||||||
|
) : (
|
||||||
|
<Notice>{t.noResult}</Notice>
|
||||||
|
)}
|
||||||
|
</section>
|
||||||
|
)}
|
||||||
|
|
||||||
|
{data && (
|
||||||
|
<section className="stack stack--sm" aria-labelledby="history">
|
||||||
|
<h2 id="history" className="h3">
|
||||||
|
{t.history}
|
||||||
|
</h2>
|
||||||
|
{data.history.length === 0 && <p className="muted">{t.empty}</p>}
|
||||||
|
<ul className="log">
|
||||||
|
{data.history.map((h) => {
|
||||||
|
const expanded = open === h.id;
|
||||||
|
return (
|
||||||
|
<li key={h.id}>
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="log__row"
|
||||||
|
aria-expanded={expanded}
|
||||||
|
onClick={() => setOpen(expanded ? null : h.id)}
|
||||||
|
disabled={!h.title && h.lines.length === 0}
|
||||||
|
>
|
||||||
|
<span className="log__date">{dayMonth(h.day)}</span>
|
||||||
|
<span className="log__text">
|
||||||
|
<span className="log__kind">{h.kind_title}</span>
|
||||||
|
<span className="log__sub">{h.title ?? h.status_title}</span>
|
||||||
|
</span>
|
||||||
|
{(h.title || h.lines.length > 0) && <Icon name={expanded ? "chevronDown" : "chevronRight"} />}
|
||||||
|
</button>
|
||||||
|
{expanded && (
|
||||||
|
<div className="log__body">
|
||||||
|
<p className="muted small">
|
||||||
|
{h.status_title}
|
||||||
|
{h.completed_at ? ` · ${new Date(h.completed_at).toLocaleString("ru-RU")}` : ""}
|
||||||
|
</p>
|
||||||
|
{h.lines.map((l) => (
|
||||||
|
<p key={l}>{l}</p>
|
||||||
|
))}
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
</li>
|
||||||
|
);
|
||||||
|
})}
|
||||||
|
</ul>
|
||||||
|
</section>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||
@@ -0,0 +1,332 @@
|
|||||||
|
import { useNavigate } from "react-router-dom";
|
||||||
|
|
||||||
|
import type { TodayDose, TodayPrescription } from "../api/types";
|
||||||
|
import { AppShell, Notice } from "../components/AppShell";
|
||||||
|
import { Icon, type IconName } from "../components/Icon";
|
||||||
|
import { useCatalog } from "../content/reference";
|
||||||
|
import { ru } from "../content/ru";
|
||||||
|
import { useDialog } from "../dialog/DialogContext";
|
||||||
|
import { classify } from "../dialog/step";
|
||||||
|
import { useSession } from "../session/SessionContext";
|
||||||
|
import { WeekDots } from "./Meds";
|
||||||
|
import { humanDate, useToday } from "./useToday";
|
||||||
|
|
||||||
|
// Spec «Модуль Лекарства»: the expected-effect card is pushed on these days of therapy.
|
||||||
|
const EFFECT_DAYS = [1, 7, 14];
|
||||||
|
|
||||||
|
function Task({
|
||||||
|
icon,
|
||||||
|
title,
|
||||||
|
sub,
|
||||||
|
hero,
|
||||||
|
chip,
|
||||||
|
onClick,
|
||||||
|
disabled,
|
||||||
|
}: {
|
||||||
|
icon: IconName;
|
||||||
|
title: string;
|
||||||
|
sub: string;
|
||||||
|
hero?: boolean;
|
||||||
|
chip?: string;
|
||||||
|
onClick: () => void;
|
||||||
|
disabled?: boolean;
|
||||||
|
}) {
|
||||||
|
return (
|
||||||
|
<button type="button" className={hero ? "task task--hero" : "task"} onClick={onClick} disabled={disabled}>
|
||||||
|
<span className={hero ? "task__icon" : "task__icon task__icon--teal"}>
|
||||||
|
<Icon name={icon} />
|
||||||
|
</span>
|
||||||
|
<span className="task__text">
|
||||||
|
<span className="task__title">{title}</span>
|
||||||
|
<span className="task__sub">{sub}</span>
|
||||||
|
</span>
|
||||||
|
{chip ? <span className="chip chip--teal-solid">{chip}</span> : <Icon name="chevronRight" />}
|
||||||
|
</button>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function VisitCard({ date, onOpen }: { date: string; onOpen: () => void }) {
|
||||||
|
return (
|
||||||
|
<button type="button" className="row-card" onClick={onOpen}>
|
||||||
|
<span className="tile-icon tile-icon--blue">
|
||||||
|
<Icon name="calendar" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__sub">{ru.today.visit}</span>
|
||||||
|
<span className="row-card__title">{humanDate(date)}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
function WeekCard({ rx, onOpen }: { rx: TodayPrescription; onOpen: () => void }) {
|
||||||
|
const taken = rx.week.filter((w) => w.status === "taken").length;
|
||||||
|
const counted = rx.week.filter((w) => w.status !== "none").length;
|
||||||
|
return (
|
||||||
|
<button type="button" className="card weekcard" onClick={onOpen}>
|
||||||
|
<span className="card__head">
|
||||||
|
<span className="tile-icon tile-icon--teal">
|
||||||
|
<Icon name="pill" />
|
||||||
|
</span>
|
||||||
|
<span className="row-card__text">
|
||||||
|
<span className="row-card__sub">{ru.today.week}</span>
|
||||||
|
<span className="row-card__title">{ru.today.weekTaken(taken, counted)}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</span>
|
||||||
|
<WeekDots week={rx.week} />
|
||||||
|
</button>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|
||||||
|
// C1 / C2 · Сегодня
|
||||||
|
export function Today() {
|
||||||
|
const t = ru.today;
|
||||||
|
const navigate = useNavigate();
|
||||||
|
const { session } = useSession();
|
||||||
|
const dialog = useDialog();
|
||||||
|
const { plan, failed } = useToday();
|
||||||
|
const catalog = useCatalog();
|
||||||
|
|
||||||
|
// An unanswered engine question (reminder, check-in, scale, unfinished onboarding) waits on the focus screen.
|
||||||
|
const waiting = classify(dialog.pending);
|
||||||
|
// A paused questionnaire is not an open step: the «continue the questionnaire» card below resumes it.
|
||||||
|
const paused = waiting?.kind === "notice" && waiting.primary?.data === "intake:resume";
|
||||||
|
const hasOpenStep = waiting !== null && waiting.kind !== "idle" && waiting.kind !== "ack" && !paused;
|
||||||
|
const surveyItem = waiting?.kind === "survey" ? catalog?.items[waiting.itemId] : undefined;
|
||||||
|
const surveyForm = surveyItem ? catalog?.forms[surveyItem.form] : undefined;
|
||||||
|
|
||||||
|
const go = (button: string, label: string) =>
|
||||||
|
void dialog.send({ type: "button", button }, label).then((ok) => ok && navigate("/flow"));
|
||||||
|
|
||||||
|
// Questionnaires (stage 1 intake → stage 2 diary) replace the simple check-in once they are switched on.
|
||||||
|
const q = plan?.questionnaires;
|
||||||
|
const surveys = q?.enabled === true;
|
||||||
|
const intakeOpen = surveys && q.intake !== "complete" && q.intake !== "review";
|
||||||
|
const diaryDue = surveys && q.intake === "complete" && !q.diary_done;
|
||||||
|
const effectRx = plan?.prescriptions.find((p) => p.ref_id && p.therapy_day && EFFECT_DAYS.includes(p.therapy_day));
|
||||||
|
|
||||||
|
const pendingDoses = plan?.doses.filter((d) => d.status === "pending") ?? [];
|
||||||
|
const takenDoses = plan?.doses.filter((d) => d.status === "taken") ?? [];
|
||||||
|
const doseNow = pendingDoses.some((d) => d.time <= (plan?.now ?? "00:00"));
|
||||||
|
const allDone =
|
||||||
|
plan !== null &&
|
||||||
|
pendingDoses.length === 0 &&
|
||||||
|
plan.checkin_done &&
|
||||||
|
!hasOpenStep &&
|
||||||
|
!intakeOpen &&
|
||||||
|
!diaryDue &&
|
||||||
|
q?.intake !== "review";
|
||||||
|
const nextDose = plan?.prescriptions.flatMap((p) => p.times).sort()[0];
|
||||||
|
const noDoctor = session?.mode === "anonymous" || (plan !== null && !plan.has_doctor);
|
||||||
|
|
||||||
|
const now = plan?.now ?? "00:00";
|
||||||
|
const openDose = (d: TodayDose) => navigate(`/dose/${d.id}`);
|
||||||
|
const visit = plan?.next_visit ? <VisitCard date={plan.next_visit} onOpen={() => navigate("/doctor")} /> : null;
|
||||||
|
const hasDone = takenDoses.length > 0 || plan?.checkin_done;
|
||||||
|
|
||||||
|
return (
|
||||||
|
<AppShell aside={visit}>
|
||||||
|
<div className="dash">
|
||||||
|
<header className="today-head dash__head">
|
||||||
|
<div>
|
||||||
|
<h1 className="h1">{t.title}</h1>
|
||||||
|
{plan && <p className="muted">{humanDate(plan.today)}</p>}
|
||||||
|
</div>
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="icon-btn icon-btn--bell"
|
||||||
|
onClick={() => navigate("/messages")}
|
||||||
|
aria-label={ru.nav.messages}
|
||||||
|
>
|
||||||
|
<Icon name="bell" />
|
||||||
|
{dialog.unread > 0 && <span className="dot" />}
|
||||||
|
</button>
|
||||||
|
</header>
|
||||||
|
|
||||||
|
{failed && <Notice tone="danger">{ru.common.networkError}</Notice>}
|
||||||
|
|
||||||
|
<section className="dash__main" aria-label={t.title}>
|
||||||
|
{hasOpenStep &&
|
||||||
|
(waiting?.kind === "survey" ? (
|
||||||
|
<Task
|
||||||
|
hero
|
||||||
|
icon={surveyForm?.section === "diary" ? "book" : "clipboard"}
|
||||||
|
title={surveyForm?.section === "diary" ? t.diary : t.intakeResume}
|
||||||
|
sub={t.intakeResumeHint}
|
||||||
|
chip={t.continue}
|
||||||
|
onClick={() => navigate("/flow")}
|
||||||
|
/>
|
||||||
|
) : (
|
||||||
|
<Task
|
||||||
|
hero
|
||||||
|
icon="message"
|
||||||
|
title={t.newMessage}
|
||||||
|
sub={dialog.pending[0]?.text.split("\n")[0].slice(0, 90) ?? ""}
|
||||||
|
chip={t.open}
|
||||||
|
onClick={() => navigate("/flow")}
|
||||||
|
/>
|
||||||
|
))}
|
||||||
|
|
||||||
|
{surveys && q.intake === "review" && <Notice>{t.intakeReview}</Notice>}
|
||||||
|
|
||||||
|
{effectRx && (
|
||||||
|
<button type="button" className="effect" onClick={() => navigate(`/meds/${effectRx.ref_id}`)}>
|
||||||
|
<span className="effect__day">
|
||||||
|
<span className="effect__num">{effectRx.therapy_day}</span>
|
||||||
|
<span className="effect__unit">день</span>
|
||||||
|
</span>
|
||||||
|
<span className="task__text">
|
||||||
|
<span className="task__title">{t.therapyDay(effectRx.therapy_day!)}</span>
|
||||||
|
<span className="task__sub">{t.effectHint}</span>
|
||||||
|
</span>
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
|
||||||
|
{allDone ? (
|
||||||
|
<div className="alldone">
|
||||||
|
<span className="done__badge" aria-hidden="true">
|
||||||
|
<Icon name="check" size={36} />
|
||||||
|
</span>
|
||||||
|
<h2 className="h2 center">{t.allDoneTitle}</h2>
|
||||||
|
<p className="muted center">{nextDose ? t.allDoneNext(`завтра в ${nextDose}`) : t.allDoneNoMeds}</p>
|
||||||
|
{plan && plan.prescriptions.length > 0 && (
|
||||||
|
<button type="button" className="btn btn--primary btn--auto" onClick={() => navigate("/meds")}>
|
||||||
|
{t.viewMeds}
|
||||||
|
<Icon name="chevronRight" size={20} />
|
||||||
|
</button>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
) : (
|
||||||
|
<div className="tasks">
|
||||||
|
{pendingDoses.map((d) => (
|
||||||
|
<button
|
||||||
|
key={d.id}
|
||||||
|
type="button"
|
||||||
|
className={d.time <= now && !hasOpenStep ? "task task--hero" : "task"}
|
||||||
|
onClick={() => openDose(d)}
|
||||||
|
>
|
||||||
|
<span className="task__icon task__icon--teal">
|
||||||
|
<Icon name="pill" />
|
||||||
|
</span>
|
||||||
|
<span className="task__text">
|
||||||
|
<span className="task__title">{t.takeMed}</span>
|
||||||
|
<span className="task__sub">
|
||||||
|
{d.time} · {d.drug}, {d.dose}
|
||||||
|
</span>
|
||||||
|
</span>
|
||||||
|
{d.time <= now && <span className="chip chip--teal-solid">{t.now}</span>}
|
||||||
|
<Icon name="chevronRight" />
|
||||||
|
</button>
|
||||||
|
))}
|
||||||
|
{intakeOpen && waiting?.kind !== "survey" && (
|
||||||
|
<Task
|
||||||
|
hero={!hasOpenStep && !doseNow}
|
||||||
|
icon="clipboard"
|
||||||
|
title={t.intakeStart}
|
||||||
|
sub={q.intake === "none" ? t.intakeStartHint : t.intakeResumeHint}
|
||||||
|
chip={q.intake === "none" ? undefined : t.continue}
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() =>
|
||||||
|
q.intake === "none" ? go("intake:start", t.intakeStart) : go("intake:resume", t.intakeResume)
|
||||||
|
}
|
||||||
|
/>
|
||||||
|
)}
|
||||||
|
{diaryDue && waiting?.kind !== "survey" && (
|
||||||
|
<Task
|
||||||
|
icon="book"
|
||||||
|
title={q.diary_next ? t.diaryPart[q.diary_next] : t.diary}
|
||||||
|
sub={q.diary_next ? t.diaryPartHint[q.diary_next] : t.diaryHint}
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => go("menu:checkin", q.diary_next ? t.diaryPart[q.diary_next] : t.diary)}
|
||||||
|
/>
|
||||||
|
)}
|
||||||
|
{plan && !surveys && !plan.checkin_done && (
|
||||||
|
<Task
|
||||||
|
icon="smile"
|
||||||
|
title={t.checkin}
|
||||||
|
sub={t.checkinHint}
|
||||||
|
disabled={dialog.busy}
|
||||||
|
onClick={() => go("menu:checkin", t.checkin)}
|
||||||
|
/>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
|
||||||
|
</section>
|
||||||
|
|
||||||
|
<section className="dash__side">
|
||||||
|
{plan?.next_visit && (
|
||||||
|
<div className="only-phone">
|
||||||
|
<VisitCard date={plan.next_visit} onOpen={() => navigate("/doctor")} />
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
|
||||||
|
{!allDone && hasDone && (
|
||||||
|
<div className="card">
|
||||||
|
<h2 className="h3">{t.done}</h2>
|
||||||
|
{takenDoses.map((d) => (
|
||||||
|
<div key={d.id} className="done-row">
|
||||||
|
<span className="badge-icon badge-icon--teal">
|
||||||
|
<Icon name="check" size={16} />
|
||||||
|
</span>
|
||||||
|
<span>
|
||||||
|
<span className="done-row__title">{t.medTaken}</span>
|
||||||
|
<span className="done-row__sub">{t.medTakenAt(d.time)}</span>
|
||||||
|
</span>
|
||||||
|
</div>
|
||||||
|
))}
|
||||||
|
{plan?.checkin_done && (
|
||||||
|
<div className="done-row">
|
||||||
|
<span className="badge-icon badge-icon--teal">
|
||||||
|
<Icon name="check" size={16} />
|
||||||
|
</span>
|
||||||
|
<span className="done-row__title">{surveys ? t.diaryDone : t.checkinDone}</span>
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
|
||||||
|
{plan?.prescriptions[0] && <WeekCard rx={plan.prescriptions[0]} onOpen={() => navigate("/meds")} />}
|
||||||
|
|
||||||
|
{noDoctor ? (
|
||||||
|
<Notice>{t.noDoctor}</Notice>
|
||||||
|
) : (
|
||||||
|
<div className="quick">
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="quick__btn"
|
||||||
|
onClick={() => go("menu:med_question", t.medQuestion)}
|
||||||
|
disabled={dialog.busy}
|
||||||
|
>
|
||||||
|
<span className="tile-icon tile-icon--blue">
|
||||||
|
<Icon name="question" />
|
||||||
|
</span>
|
||||||
|
<span>
|
||||||
|
<span className="quick__title">{t.medQuestion}</span>
|
||||||
|
<span className="quick__sub">{t.medQuestionHint}</span>
|
||||||
|
</span>
|
||||||
|
</button>
|
||||||
|
<button
|
||||||
|
type="button"
|
||||||
|
className="quick__btn"
|
||||||
|
onClick={() => go("menu:contact_doctor", t.messageDoctor)}
|
||||||
|
disabled={dialog.busy}
|
||||||
|
>
|
||||||
|
<span className="tile-icon tile-icon--blue">
|
||||||
|
<Icon name="message" />
|
||||||
|
</span>
|
||||||
|
<span>
|
||||||
|
<span className="quick__title">{t.messageDoctor}</span>
|
||||||
|
<span className="quick__sub">{t.messageDoctorHint}</span>
|
||||||
|
</span>
|
||||||
|
</button>
|
||||||
|
</div>
|
||||||
|
)}
|
||||||
|
</section>
|
||||||
|
</div>
|
||||||
|
</AppShell>
|
||||||
|
);
|
||||||
|
}
|
||||||