Files
PTSRaiAgent/app/core/instrument_catalog.py
T
Arxip222andClaude Opus 5.5 44814b7293 fix(clinical): red flags, one crisis rule, callback after a crisis, one table of numbers
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>
2026-10-04 16:21:16 +03:00

143 lines
5.2 KiB
Python

"""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, red_flags, 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,
),
)
flags = red_flags()
add(FormInfo(id="red_flags", title="Вопросы о безопасности", section="safety"), [i["id"] for i in flags["items"]])
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())