release: dev → main (финальная сдача) #114
+2
-1
@@ -25,7 +25,8 @@ 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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# ЕМИАС demo sign-in shows this persona as «Никита В.» (the one-click demo on the welcome screen is «Андрей С.»).
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DemoPersona(token="tok-andrey", display_name="Никита В.", therapy_day=13, scenario="data/synthetic/andrey.jsonl"),
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]
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@@ -158,6 +158,7 @@ async def auth_emias_demo(body: EmiasDemoIn) -> AuthOut:
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DEMO_SOURCE = "tok-andrey"
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ONE_CLICK_NAME = "Андрей С." # «Демо: войти как Андрей»; the ЕМИАС demo persona is named in fixtures (Никита)
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@router.post("/auth/demo/fresh", response_model=AuthOut)
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@@ -172,12 +173,13 @@ async def _fresh_demo_copy(*, start_in_chat: bool) -> AuthOut:
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token = f"{DEMO_SOURCE}-{secrets.token_hex(4)}"
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now = clock.now()
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persona = next(p for p in fixtures.DEMO_PERSONAS if p.token == DEMO_SOURCE)
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name = persona.display_name if not start_in_chat else ONE_CLICK_NAME
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snils = f"000-{secrets.randbelow(10**3):03d}-{secrets.randbelow(10**3):03d} {secrets.randbelow(100):02d}"
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async with get_identity_session() as s:
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await identity_repo.create_patient(
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s,
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token=token,
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display_name=f"{persona.display_name} (демо)",
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display_name=f"{name} (демо)",
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snils=snils,
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clinic_id="demo",
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doctor_id=fixtures.DOCTOR_ID,
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@@ -194,7 +196,7 @@ async def _fresh_demo_copy(*, start_in_chat: bool) -> AuthOut:
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consent = {"consent": True, "consent_ver": "demo", "consent_at": now.isoformat(), "revoked_at": None}
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await repo.set_dialog_state(s, token=token, state="idle", data={**consent, "adult": True}, now=now)
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log.info("web auth: demo fresh tok=%s", token[:14])
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return AuthOut(token=token, mode="emias", display_name=persona.display_name)
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return AuthOut(token=token, mode="emias", display_name=name)
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@router.post("/auth/anonymous", response_model=AuthOut)
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@@ -80,6 +80,9 @@ class Settings(BaseSettings):
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demo_clock: bool = True
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# Initial screening (onboarding questionnaires) on/off — the default; the demo console can flip it at runtime.
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screening_enabled: bool = True
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# Crisis blocks the dialog until the doctor's ack (clinical protocol) — off for the demo: the crisis message
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# and the doctor's alert still happen, the patient keeps using everything.
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crisis_blocking: bool = False
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tz: str = "Europe/Moscow"
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api_base_url: str = "http://localhost:8000"
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@@ -61,6 +61,11 @@ def red_flag_category(item_id: str) -> str | None:
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return next((i["category"] for i in red_flags()["items"] if i["id"] == item_id), None)
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def red_flag_triggers(item_id: str) -> bool:
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"""False for questions that are asked and stored but never stop/alert (rf_weapons, team decision 2026-10-04)."""
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return next((i.get("trigger", True) for i in red_flags()["items"] if i["id"] == item_id), True)
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def next_intake(answers: dict, policy: IntakePolicy, sex: str | None) -> Question | None:
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"""Stage 1: the red-flag block first (config/instruments/red_flags.yaml), then the fixed order of «Опросники
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для MVP»: PHQ-2, trauma filter → TSQ, RUS-AUDIT-S, C-SSRS screener, the context questions; stage 2 (rest of
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@@ -14,6 +14,7 @@ Decisions:
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from typing import Any
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from app.config import get_settings
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from app.core.safety import CrisisResource, CrisisScript, crisis_reply
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from app.dialog.contracts import Reply
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from app.dialog.fsm import Ctx, Step
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@@ -37,6 +38,9 @@ def open_crisis(ctx: Ctx, categories: list[str], source: str) -> Step:
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text = "\n".join([ctx.texts.crisis.repeat, *_resource_lines(script.resources)])
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return Step(replies=[Reply(text=text, kind="crisis")])
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crisis = {"open": True, "opened_at": ctx.now.isoformat(), "source": source, "variant": script.variant}
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if not get_settings().crisis_blocking:
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# Non-blocking (demo default): the script is shown, the doctor is alerted, the patient keeps going.
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return Step(replies=[Reply(text=script.text, kind="crisis")], data={"crisis": crisis})
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return Step(
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replies=[Reply(text=script.text, kind="crisis")],
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next_state="crisis",
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@@ -37,6 +37,7 @@ from weakref import WeakValueDictionary
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from sqlalchemy.exc import InterfaceError, OperationalError
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from sqlalchemy.ext.asyncio import AsyncSession
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from app.config import get_settings
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from app.core import clock, safety
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from app.core.intake_runtime import intake_enabled
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from app.core.privacy import scrub
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@@ -68,6 +69,9 @@ from app.services.contracts import MonitoringService, get_monitoring
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log = logging.getLogger(__name__)
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LAST_PROMPT = "last_prompt"
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DEFERRED_CRISIS = "deferred_crisis"
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QUESTIONNAIRE_PREFIXES = ("scale.", "veteran.onboarding.", "intake.")
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DEFERRABLE_KINDS = frozenset({"crisis", "safety_plan"})
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MEDICINE_WORDS = re.compile(
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r"(лекарств|таблет|препарат|сертралин|пароксетин|флуоксетин|эсциталопрам|антидепрессант|побочк)", re.I
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)
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@@ -145,6 +149,8 @@ class Engine:
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await self._apply(ctx, await self._start_pending(ctx), run)
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self._defer_crisis_messages(ctx, event, run)
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if _consented(ctx):
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for reply in run.replies:
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# Outgoing texts may quote the safety plan (names of relatives) — scrub before storing too.
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@@ -177,6 +183,21 @@ class Engine:
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)
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return run.replies
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def _defer_crisis_messages(self, ctx: Ctx, event: Event, run: _Run) -> None:
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"""Crisis messages triggered by test answers wait until the questionnaire is over (team decision
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2026-10-04: let the patient finish the test, then show the crisis message; it blocks nothing). The doctor's
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alert is not delayed — only the patient-facing message. A typed acute message is never deferred."""
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if get_settings().crisis_blocking:
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return # clinical protocol: the crisis takes over immediately
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if event.type == "button" and ctx.state.startswith(QUESTIONNAIRE_PREFIXES):
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held = [r for r in run.replies if r.kind in DEFERRABLE_KINDS]
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if held:
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run.replies[:] = [r for r in run.replies if r.kind not in DEFERRABLE_KINDS]
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ctx.data[DEFERRED_CRISIS] = [*(ctx.data.get(DEFERRED_CRISIS) or []), *(r.model_dump() for r in held)]
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return
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if ctx.data.get(DEFERRED_CRISIS) and not ctx.state.startswith(QUESTIONNAIRE_PREFIXES):
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run.replies.extend(Reply.model_validate(r) for r in ctx.data.pop(DEFERRED_CRISIS))
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def _abandoned(self, ctx: Ctx) -> bool:
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"""The current question step was left unanswered longer than `abandon_after_hours` (app.core.clock)."""
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if intake_enabled() or not _consented(ctx) or ctx.state in RESTING_STATES or crisis_open(ctx.data):
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@@ -4,6 +4,7 @@ import math
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from dataclasses import asdict, replace
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from zoneinfo import ZoneInfo
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from app.config import get_settings
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from app.core import interpretation
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from app.core.intake_questions import (
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DIARY_KINDS,
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@@ -15,6 +16,7 @@ from app.core.intake_questions import (
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group_answers,
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next_intake,
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red_flag_category,
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red_flag_triggers,
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scale_question,
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texts,
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)
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@@ -116,6 +118,39 @@ async def urgent(ctx, row=None, *, code="help_now", categories=None):
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return step
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def _defer_urgent(row, code, categories=None):
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"""Remember the first crisis signal of this questionnaire; the questionnaire goes on (team decision
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2026-10-04: the crisis message comes at the end and blocks nothing)."""
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if not row.details.get("pending_urgent"):
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row.details = {**row.details, "pending_urgent": {"code": code, "categories": categories or []}}
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async def _flush_urgent(ctx, row, step):
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"""Questionnaire over: acute alert + callback for the doctor, then the (non-blocking) crisis message."""
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pending = (row.details or {}).get("pending_urgent")
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if not pending or step.next_state == "intake.collect":
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return step
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row.details = {**row.details, "pending_urgent": None}
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code, categories = pending["code"], pending.get("categories") or []
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profile = await ctx.profile()
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if profile:
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profile.enhanced_monitoring = True
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await service.alert(
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ctx.session,
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ctx.token,
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f"{row.id}:{code}",
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code,
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ctx.now,
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level=AlertLevel.ACUTE,
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params={"record_id": row.id, "deferred": True},
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)
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await schedule_post_crisis_call(ctx.session, ctx.token, ctx.now, source="questionnaire:" + code)
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crisis = open_crisis(ctx, categories, source="questionnaire:" + code)
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for reply in crisis.replies:
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reply.buttons.append([Button(label=ctx.texts.safety_plan.title.rstrip(":"), data="safety_plan")])
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return step.then(crisis)
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async def item9_discrepancy(ctx, row):
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profile = await ctx.profile()
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if profile:
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@@ -170,18 +205,27 @@ async def manual_review(ctx, row, code):
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async def advance(ctx, row):
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return await _flush_urgent(ctx, row, await _advance(ctx, row))
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async def _advance(ctx, row):
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a = row.answers
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c = score_cssrs_recent(cssrs_answers(a))
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policy = load_policy()
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# Red flags (asked first): any «Да» stops the questionnaire with the help screen of its category.
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for item_id, value in a.items():
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if item_id.startswith("rf_") and value == 1:
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if item_id.startswith("rf_") and value == 1 and red_flag_triggers(item_id):
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category = red_flag_category(item_id)
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return await urgent(ctx, row, code="red_flag_" + item_id[3:], categories=[category] if category else [])
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if get_settings().crisis_blocking: # clinical protocol: stop at once
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return await urgent(ctx, row, code="red_flag_" + item_id[3:], categories=[category] if category else [])
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_defer_urgent(row, "red_flag_" + item_id[3:], [category] if category else [])
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break
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# One crisis rule for the whole app (ADR-013): the crisis screen opens at a HIGH C-SSRS risk only. Moderate →
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# stop + psychiatrist (about 24 h); low → flag, safety plan, continue.
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if c.risk_lower_bound == "high":
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return await urgent(ctx, row, code="suicide_signal")
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if get_settings().crisis_blocking:
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return await urgent(ctx, row, code="suicide_signal")
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_defer_urgent(row, "suicide_signal")
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if a.get("dphq_9", 0) > 0 and row.kind in DIARY_KINDS:
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# Diary depression module, item 9 ≥1 → the C-SSRS right away («Этап 2»); its risk level decides.
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return await item9_assessment(ctx, row)
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@@ -33,6 +33,7 @@ from dataclasses import replace
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from datetime import timedelta
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from typing import Any
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from app.config import get_settings
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from app.core.privacy import scrub
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from app.core.scales import Item, ScaleDef, ScaleResult, load_scale, score
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from app.db import repo
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@@ -237,7 +238,10 @@ async def _record(
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sex = profile.sex if profile is not None and profile.sex in ("m", "f") else None
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result = score(scale.id, answers, sex=sex) # type: ignore[arg-type]
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crisis_flags = [f for f in result.flags if f in ctx.texts.settings.crisis_flags]
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if crisis_flags or session["idx"] + 1 >= len(scale.items):
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# Clinical protocol (crisis_blocking): a crisis flag ends the scale at once. Demo default: the scale is finished
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# first and the crisis message comes at the end of the questionnaire (engine defers it), blocking nothing.
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stop_now = bool(crisis_flags) and get_settings().crisis_blocking
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if stop_now or session["idx"] + 1 >= len(scale.items):
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return await _finish(ctx, scale, session, answers, result, crisis_flags)
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updated = {**session, "answers": answers, "idx": session["idx"] + 1}
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sessions = {**(ctx.data.get("scales") or {}), scale.id: updated}
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@@ -278,7 +282,7 @@ async def _finish(
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# Crisis path decided by the scale's own flags (deterministic), not by the LLM.
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risk_screen = ctx.texts.settings.risk_screen_scale
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if crisis_open(ctx.data):
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crisis = Step(next_state="crisis")
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crisis = Step(next_state="crisis") if get_settings().crisis_blocking else Step()
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else:
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crisis = open_crisis(ctx, categories=[], source=f"scale:{scale.id}")
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step = done.then(crisis)
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@@ -17,6 +17,8 @@ items:
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- id: rf_weapons
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text: Есть ли у Вас дома или рядом доступ к оружию?
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category: null
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# Asked and stored, but NOT a stop rule (team decision 2026-10-04: weapon ownership is common in Russia).
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trigger: false
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- id: rf_violence
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text: Угрожает ли Вам сейчас кто-то дома или применяет к Вам насилие?
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category: domestic_violence
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@@ -47,6 +47,7 @@ rules:
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reason_ru: "C-SSRS: высокий риск (намерение/план или поведение)"
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- id: weapon_access_risk
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enabled: false # team decision 2026-10-04: weapon ownership is common in Russia — the answer triggers nothing
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description: >
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Access to weapons together with any suicide-risk signal (recent PHQ-9 item 9 >= 1 or C-SSRS >= moderate).
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Means restriction is one of the most evidence-based suicide-prevention measures → crisis safety block.
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@@ -14,7 +14,8 @@ status: "черновик, утверждает психиатр (#8)"
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settings:
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# Флаги шкал (config/scales/*.yaml), которые считаются сигналом риска для блока безопасного хранения оружия.
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# Положительный п.9 PHQ-9 и C-SSRS — суицидальный риск; AUDIT-C — алкоголь как фактор риска при доступе к оружию.
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weapon_risk_flags: [phq9_item9_positive, cssrs_high, cssrs_moderate, auditc_positive]
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# The weapon question exists but affects nothing (team decision 2026-10-04): no safety block, no trigger.
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weapon_risk_flags: []
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intro:
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text: |-
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@@ -12,6 +12,8 @@ def _no_live_llm(monkeypatch: pytest.MonkeyPatch):
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monkeypatch.setenv("CHAT_AGENT", "off")
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monkeypatch.setenv("OPENROUTER_API_KEY", "")
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monkeypatch.setenv("LLM_PROVIDER", "mock")
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# Tests cover the clinical protocol by default (blocking crisis); demo-mode tests flip it explicitly.
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monkeypatch.setenv("CRISIS_BLOCKING", "true")
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get_settings.cache_clear()
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yield
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get_settings.cache_clear()
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@@ -0,0 +1,36 @@
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"""Demo mode (crisis_blocking off): a crisis signal inside a questionnaire does not stop it; the crisis message
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comes at the end and blocks nothing; the weapon question triggers nothing."""
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import pytest
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from app.db.clinical import Alert
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from tests.test_dialog_intake import answer_button, complete_existing, press, released, rows # noqa: F401
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@pytest.fixture
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def non_blocking(monkeypatch):
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from app.config import get_settings
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monkeypatch.setattr(get_settings(), "crisis_blocking", False)
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async def test_red_flag_does_not_stop_the_questionnaire(released, non_blocking): # noqa: F811
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replies = await press(released, "intake:start")
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replies = await press(released, answer_button(replies, {"rf_psychosis": 0})) # «Да» on a red flag
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assert not any(r.kind == "crisis" for r in replies), "no crisis window in the middle of the test"
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assert any(r.buttons for r in replies), "the next question is asked"
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(row,) = await rows()
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assert row.status != "interrupted" and row.details["pending_urgent"]["code"] == "red_flag_psychosis"
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replies = await complete_existing(released, replies, {})
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assert any(r.kind == "crisis" for r in replies), "the crisis message comes at the end"
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assert any(a.code == "red_flag_psychosis" and a.level == "acute" for a in await rows(Alert))
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async def test_weapon_answer_triggers_nothing(released, non_blocking): # noqa: F811
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replies = await press(released, "intake:start")
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for _ in range(2): # psychosis, harm to others: «Нет»
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replies = await press(released, answer_button(replies))
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replies = await press(released, answer_button(replies, {"rf_weapons": 0})) # «Да» on weapons
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assert not any(r.kind == "crisis" for r in replies)
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(row,) = await rows()
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assert not row.details.get("pending_urgent")
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@@ -268,7 +268,7 @@ async def test_auditc_sex_declined_uses_default_threshold(dbs_nosex: None, engin
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assert (await results())["auditc"].severity == "positive" # unknown sex → sensitive threshold ≥ 3
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# Weapon at home + AUDIT-C positive = risk signal → safe-storage block.
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r = await press(engine, "vonb:weapon:self")
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assert VT.weapon.safety_block_self in [x.text for x in r]
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assert VT.weapon.safety_block_self not in [x.text for x in r] # the weapon answer affects nothing
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# ----------------------------------------------------------------------------------------------- weapon / safety
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+3
-2
@@ -125,8 +125,9 @@ def test_cssrs_levels() -> None:
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@pytest.mark.parametrize(
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("weapon", "cssrs", "item9", "fires"),
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[
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(True, "moderate", None, True),
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(True, None, 1, True),
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# Team decision 2026-10-04: weapon access triggers nothing (rule disabled in config/rules.yaml).
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(True, "moderate", None, False),
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(True, None, 1, False),
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(True, "low", 0, False),
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(False, "high", 2, False),
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(None, "moderate", None, False),
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@@ -223,10 +223,9 @@ async def test_weapon_access_from_dialog_facts(db: MemoryNotifier) -> None:
|
||||
assert snap is not None and snap.weapon_access is True
|
||||
await scale("cssrs_screen", 3, severity="moderate", scheduled=False)
|
||||
actions = await monitoring.RuleMonitoring().after_data_change(TOKEN)
|
||||
assert {a.code for a in actions if a.type == "crisis"} == {"weapon_access_risk"}
|
||||
plan = next(a for a in actions if a.type == "show_safety_plan")
|
||||
assert plan.params["block"] == "means_restriction"
|
||||
assert await color() == "red"
|
||||
# Team decision 2026-10-04: weapon access is stored but triggers nothing (no crisis, no safety block).
|
||||
assert "weapon_access_risk" not in {a.code for a in actions}
|
||||
assert not any(a.type == "show_safety_plan" and a.params.get("block") == "means_restriction" for a in actions)
|
||||
|
||||
|
||||
async def test_snapshot_mapping_and_unknown_patient(db: MemoryNotifier) -> None:
|
||||
|
||||
Reference in New Issue
Block a user