Arxip222andClaude Opus 5.5
44814b7293
Clinical review of the questionnaires (ADR-013):
- Red-flag block first in stage 1 (config/instruments/red_flags.yaml); any «Да» stops the
questionnaire with an acute alert and the help screen of its category.
- One crisis rule: the crisis screen opens at a HIGH C-SSRS risk only; moderate stops and goes
to a psychiatrist (24 h as a guide), low is a flag with the safety plan. PHQ-9 item 9 with a
negative screener is a discrepancy flag; without a completed screener it asks the C-SSRS at once.
config/questionnaire.yaml: cssrs_positive_policy graded (C01).
- Every crisis leaves a callback task for the doctor on duty (post_crisis_call, one per patient)
and the app asks how the person is the next day, the safety plan one tap away.
- Routing: risk and flags first, scales second; PCL-5 >= 50 no longer means a priority
appointment (pcl5_severe is moderate on the dashboard too).
- Crisis numbers live only in config/texts/crisis.yaml; texts and the agent prompt refer to them
via {phone:<key>}. Fixes the children's helpline offered to adults by the chat agent.
Refs #92
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
126 lines
2.5 KiB
Python
126 lines
2.5 KiB
Python
"""Patient-facing dialog texts from `config/texts/dialog.yaml` (ADR-008: texts live in config, not code)."""
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from functools import lru_cache
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from pathlib import Path
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import yaml
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from pydantic import BaseModel, ConfigDict, Field
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from app.config import get_settings
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from app.core.safety import fill_phones
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class _Strict(BaseModel):
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# A typo in a YAML key must fail at load time, not silently show an empty message to a patient.
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model_config = ConfigDict(extra="forbid", frozen=True)
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class DialogSettings(_Strict):
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cssrs_cooldown_hours: float = 24
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max_safety_events: int = 50
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crisis_flags: list[str] = Field(default_factory=list)
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risk_screen_scale: str = "cssrs_screen"
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abandon_after_hours: float = 6
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class Commands(_Strict):
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revoke: list[str]
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class ConsentTexts(_Strict):
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version: str
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text: str
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accept: str
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decline: str
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refused: str
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reconsider: str
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code_invalid: str
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class AgeGateTexts(_Strict):
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question: str
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adult: str
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minor: str
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unclear: str
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minor_stop: str
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class IdleButtons(_Strict):
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checkin: str
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med_question: str
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kb_question: str
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contact_doctor: str
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revoke: str
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class IdleTexts(_Strict):
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welcome: str
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menu_prompt: str
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buttons: IdleButtons
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stub_checkin: str
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stub_med_question: str
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contact_doctor_ack: str
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visit_stub: str
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class RevokedTexts(_Strict):
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confirm: str
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class CrisisTexts(_Strict):
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repeat: str
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hold: str
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closed: str
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class ScaleTexts(_Strict):
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intro: str
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question: str
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clarify: str
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buttons_only: str
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done: str
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risk_screen_intro: str
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class SafetyPlanTexts(_Strict):
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title: str
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template: list[str]
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means_restriction: str
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class ReachOutTexts(_Strict):
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silence: str
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missed_doses: str
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default: str
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after_crisis: str
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class VisitTexts(_Strict):
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button: str
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class DialogTexts(_Strict):
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status: str
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settings: DialogSettings
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commands: Commands
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consent: ConsentTexts
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age_gate: AgeGateTexts
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idle: IdleTexts
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revoked: RevokedTexts
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crisis: CrisisTexts
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scale: ScaleTexts
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safety_plan: SafetyPlanTexts
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reach_out: ReachOutTexts
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visit: VisitTexts
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unavailable: str
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def dialog_texts_path() -> Path:
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return get_settings().config_dir / "texts" / "dialog.yaml"
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@lru_cache
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def load_dialog_texts(path: Path | None = None) -> DialogTexts:
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path = path or dialog_texts_path()
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return DialogTexts.model_validate(yaml.safe_load(fill_phones(path.read_text(encoding="utf-8"))))
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