- Sign-in: centred ЕМИАС card without the sidebar; anonymous entry asks «Депрессия / ПТСР».
- Stage 1 is the same for everyone and follows the fixed order of the MVP questionnaire:
PHQ-2 → trauma filter/TSQ → RUS-AUDIT-S → C-SSRS → context; stage 2 only where stage 1
is positive. Starts without a profile.
- After stage 1 the patient sees a preliminary result (screening, not a diagnosis), stored
with the record; it switches on the diary modules (depression / PTSD).
- Stage 2 diary: morning (sleep, sleep quality, alcohol) and evening (mood, medication,
3 PHQ-9 items in rotation, short PCL-5); C-SSRS since last contact only under risk;
flags on weekly means against the personal norm; scheduled full scales with change
(remission, response, worsening).
- Questionnaire log: GET /me/{token}/results and the «Мои результаты» screen.
- Questionnaires centred without the sidebar and without scale names; «Продолжить позже»
goes home; confirmations are toasts; free-text comments are optional.
- Demo policy config/questionnaire_demo.yaml (INTAKE_DEMO only, not a clinical approval).
ADR-012.
Refs #77
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
140 lines
5.0 KiB
Python
140 lines
5.0 KiB
Python
"""Read-only catalog of questionnaire items for patient clients (web app).
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The dialog engine sends a questionnaire question as plain text plus buttons; the button payload carries the item id
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(`iq:<nonce>:<item>:<i>`, `scale:<scale>:<item>:<v>`). A client looks the item up here to show which form it belongs
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to, its position and recall period. Nothing here changes what is asked or how it is scored — the texts stay those of
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the versioned sources in config/.
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"""
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from functools import lru_cache
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from typing import Any, Literal
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from pydantic import BaseModel
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from app.config import get_settings
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from app.core.cssrs_content import load_cssrs_russian
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from app.core.intake_questions import DIARY_PARTS, content, diary_config, texts
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from app.core.scales import load_scale
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Section = Literal["safety", "mood", "trauma", "alcohol", "about", "diary", "scale"]
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# Forms whose item order depends on earlier answers: a client shows the position without «из N».
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ADAPTIVE = {"cssrs", "rus_audit", "diary", "context"}
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class FormInfo(BaseModel):
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id: str
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title: str
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section: Section
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recall_period: str | None = None
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instruction: str | None = None
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class ItemInfo(BaseModel):
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form: str
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index: int # 1-based position in the form
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total: int
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adaptive: bool
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optional: bool = False
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numeric: bool = False
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class DrinksTable(BaseModel):
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"""RUS-AUDIT item 2 standard-drink table, exactly as in config/texts/intake.yaml (the approved form)."""
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title: str
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header: list[str]
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rows: list[tuple[str, list[str]]]
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note: str
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class Catalog(BaseModel):
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forms: dict[str, FormInfo]
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items: dict[str, ItemInfo]
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standard_drinks: DrinksTable | None
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def _drinks() -> DrinksTable | None:
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raw = texts().get("standard_drinks")
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if not raw:
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return None
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lines = [line.strip() for line in raw.splitlines() if line.strip()]
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title, header_line, *rest = lines
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rows = [line for line in rest if ":" in line]
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note = " ".join(line for line in rest if ":" not in line)
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return DrinksTable(
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title=title,
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header=[h.strip() for h in header_line.split("·")],
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rows=[
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(label.strip(), [c.strip() for c in cells.split("·")]) for label, cells in (r.split(":", 1) for r in rows)
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],
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note=note,
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)
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@lru_cache(maxsize=1)
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def catalog() -> Catalog:
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forms: dict[str, FormInfo] = {}
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items: dict[str, ItemInfo] = {}
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def add(form: FormInfo, ids: list[str], *, optional: set[str] = frozenset(), numeric: set[str] = frozenset()):
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forms[form.id] = form
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for i, item in enumerate(ids, 1):
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items.setdefault(
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item,
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ItemInfo(
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form=form.id,
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index=i,
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total=len(ids),
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adaptive=form.id in ADAPTIVE,
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optional=item in optional,
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numeric=item in numeric,
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),
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)
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cssrs = load_cssrs_russian()
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add(FormInfo(id="cssrs", title=cssrs.title, section="safety"), ["cssrs_" + i.id for i in cssrs.items])
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intake_forms: dict[str, Any] = content()["forms"]
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for sid, section in (("phq9", "mood"), ("tsq", "trauma"), ("pcl5", "trauma"), ("rus_audit", "alcohol")):
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raw = intake_forms.get(sid) or {}
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scale = load_scale(sid)
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add(
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FormInfo(
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id=sid,
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title=raw.get("title") or scale.title,
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section=section,
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recall_period=raw.get("recall_period") or scale.recall_period,
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instruction=raw.get("instruction") or scale.instruction,
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),
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list(scale.item_ids),
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)
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add(FormInfo(id="trauma", title="Травматическое событие", section="trauma"), ["trauma", "recent_trauma"])
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add(FormInfo(id="context", title="Общие вопросы", section="about"), ["sex", "tbi", "psychotropics"])
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diary = diary_config()
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core = [item for part in DIARY_PARTS for item in diary[part]]
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depression = [f"dphq_{i['id'].rsplit('_', 1)[1]}" for i in intake_forms[diary["depression"]["form"]]["items"]]
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ptsd = [f"dpcl_{i.rsplit('_', 1)[1]}" for i in diary["ptsd"]["items"]]
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add(
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FormInfo(id="diary", title="Дневник самочувствия", section="diary"),
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[i["id"] for i in core] + depression + ptsd,
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optional={i["id"] for i in core if i.get("optional")},
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numeric={i["id"] for i in core if i.get("numeric")},
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)
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# Scales of the onboarding / scheduled sessions (`scale:<id>:...` buttons): the form header only.
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for path in sorted((get_settings().config_dir / "scales").glob("*.yaml")):
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scale = load_scale(path.stem)
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forms.setdefault(
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scale.id,
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FormInfo(
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id=scale.id,
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title=scale.title,
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section="scale",
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recall_period=scale.recall_period,
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instruction=scale.instruction,
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),
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)
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return Catalog(forms=forms, items=items, standard_drinks=_drinks())
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