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ElebobaandClaude Opus 5.5 9362eb6ecc
CI / ruff · pytest (pull_request) Successful in 1m26s
feat(integrations): demo adapters for МИС, connect-code identity, ГРЛС excerpts, doctor notifier
- setup() at package import (idempotent, replaces only base.py defaults): MisMock, ConnectCodeIdentity,
  GrlsExcerpts, CompositeNotifier; outbox stays MemoryOutbox
- MisMock: clinical DB prescriptions, fallback data/meds/mis_prescriptions.json (synthetic, by token)
- ConnectCodeIdentity: one-time connect code via identity_repo, 15 min grace for the double check in one
  connect flow (Telegram /start + engine `new` state)
- GrlsExcerpts: synthetic paraphrased instruction excerpts for sertraline, paroxetine, escitalopram,
  fluoxetine, mirtazapine, prazosin
- CompositeNotifier: in-memory feed (recent(since_id)) + Telegram doctor chat, PII-free, never raises
- test_llm_med_qa: default-registry test now patches NoDrugInfo explicitly

Refs #14

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-04 12:36:07 +03:00

98 lines
3.8 KiB
Python

"""МИС / ЕГИСЗ stand-in: the patient's prescriptions (SPEC §9).
Source order: the clinical DB table `prescriptions` (written when the doctor connects a patient or by the
demo seed), then the synthetic catalogue `data/meds/mis_prescriptions.json` keyed by token. In prod this is
a regional МИС query; the Protocol stays the same.
"""
import json
import logging
from datetime import date
from pathlib import Path
from typing import Any
from pydantic import BaseModel, Field, ValidationError
from sqlalchemy import select
from sqlalchemy.exc import SQLAlchemyError
from app.config import get_settings
from app.integrations.base import Prescription
log = logging.getLogger(__name__)
class _CatalogPatient(BaseModel):
persona: str
tokens: list[str] = Field(default_factory=list)
prescriptions: list[Prescription]
class _Catalog(BaseModel):
patients: list[_CatalogPatient]
def _from_row(drug: str, dose: str, schedule: dict[str, Any], start: date | None, end: date | None) -> Prescription:
# The table has no instructions column; the doctor's note («утром после еды») may ride in the schedule JSON.
times = {k: [str(x) for x in v] for k, v in schedule.items() if isinstance(v, list)}
return Prescription(
drug=drug,
dose=dose,
schedule=times or {"times": ["08:00"]},
instructions=str(schedule.get("instructions") or ""),
start_date=start,
end_date=end,
)
def default_catalog_path() -> Path:
return get_settings().data_dir / "meds" / "mis_prescriptions.json"
class MisMock:
"""`PrescriptionSource`: clinical DB first, synthetic JSON catalogue as the fallback."""
def __init__(self, catalog_path: Path | None = None, *, use_db: bool = True) -> None:
self._path = catalog_path
self._use_db = use_db
self._by_token: dict[str, list[Prescription]] | None = None
def _catalog(self) -> dict[str, list[Prescription]]:
# Lazy: the package is imported before startup, a missing/broken file must not break the import.
if self._by_token is None:
path = self._path or default_catalog_path()
index: dict[str, list[Prescription]] = {}
try:
catalog = _Catalog.model_validate(json.loads(path.read_text(encoding="utf-8")))
except (OSError, ValueError, ValidationError) as exc:
log.warning("mis_mock catalogue not loaded error=%s", type(exc).__name__)
catalog = _Catalog(patients=[])
for patient in catalog.patients:
for token in patient.tokens:
index[token] = patient.prescriptions
self._by_token = index
return self._by_token
async def _from_db(self, token: str) -> list[Prescription]:
from app.db.clinical import Prescription as PrescriptionRow
from app.db.session import get_clinical_session
async with get_clinical_session() as s:
rows = (
await s.scalars(
select(PrescriptionRow).where(PrescriptionRow.token == token).order_by(PrescriptionRow.id)
)
).all()
return [_from_row(r.drug, r.dose, r.schedule or {}, r.start_date, r.end_date) for r in rows]
async def get_prescriptions(self, token: str) -> list[Prescription]:
if self._use_db:
try:
found = await self._from_db(token)
except (OSError, SQLAlchemyError) as exc:
# DB down or not migrated: the demo still shows the catalogue prescription.
log.warning("mis_mock db lookup failed error=%s", type(exc).__name__)
found = []
if found:
return found
return [p.model_copy(deep=True) for p in self._catalog().get(token, [])]