DCE / decision /engine /models.py
That guy James Bond :)
Deploy Medical Intent Escalation API
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"""
Core data models for the Decision Engine.
All models are immutable dataclasses to prevent accidental mutation
during safety-critical evaluation pipelines.
"""
from __future__ import annotations
import enum
from dataclasses import dataclass, field
from typing import Any, Dict, List, Optional
# ---------------------------------------------------------------------------
# Enums
# ---------------------------------------------------------------------------
class ConfidenceTier(enum.Enum):
"""Confidence tier for taxonomy trigger matches."""
HIGH = "high"
MEDIUM = "medium"
LOW = "low"
NONE = "none"
def __ge__(self, other: ConfidenceTier) -> bool:
order = {self.HIGH: 3, self.MEDIUM: 2, self.LOW: 1, self.NONE: 0}
return order[self] >= order[other]
def __gt__(self, other: ConfidenceTier) -> bool:
order = {self.HIGH: 3, self.MEDIUM: 2, self.LOW: 1, self.NONE: 0}
return order[self] > order[other]
def __le__(self, other: ConfidenceTier) -> bool:
order = {self.HIGH: 3, self.MEDIUM: 2, self.LOW: 1, self.NONE: 0}
return order[self] <= order[other]
def __lt__(self, other: ConfidenceTier) -> bool:
order = {self.HIGH: 3, self.MEDIUM: 2, self.LOW: 1, self.NONE: 0}
return order[self] < order[other]
class RiskClass(enum.Enum):
"""Clinical risk classification tier."""
R0 = "R0" # No clinical concern
R1 = "R1" # Low-level concern, routine follow-up
R2 = "R2" # Moderate concern, warm transfer to nurse
R3 = "R3" # Emergent, instruct to call 911 + transfer
@property
def is_emergent(self) -> bool:
return self == RiskClass.R3
@property
def requires_nurse(self) -> bool:
return self in (RiskClass.R2, RiskClass.R3)
@property
def severity_rank(self) -> int:
return {self.R0: 0, self.R1: 1, self.R2: 2, self.R3: 3}[self]
def __ge__(self, other: RiskClass) -> bool:
return self.severity_rank >= other.severity_rank
def __gt__(self, other: RiskClass) -> bool:
return self.severity_rank > other.severity_rank
def __le__(self, other: RiskClass) -> bool:
return self.severity_rank <= other.severity_rank
def __lt__(self, other: RiskClass) -> bool:
return self.severity_rank < other.severity_rank
class MatchType(enum.Enum):
"""Type of lexical match that fired."""
PHRASE = "phrase"
REGEX = "regex"
PARTIAL = "partial"
class NegationAction(enum.Enum):
"""What to do when negation is detected."""
SUPPRESS = "suppress" # Remove domain nomination entirely
DOWNGRADE_CONFIDENCE = "downgrade_confidence" # Drop confidence one tier
class TurnOutcome(enum.Enum):
"""Possible outcomes after a conversational turn."""
PROCEED = "proceed"
CLARIFY = "clarify"
ESCALATE = "escalate"
HANDOFF = "handoff"
END = "end"
class FlowType(enum.Enum):
"""Type of conversation flow."""
SCREENING = "screening"
ESCALATION = "escalation"
CLARIFICATION = "clarification"
RESOLUTION = "resolution"
HANDOFF = "handoff"
PRIMITIVE = "primitive"
class CallPhase(enum.Enum):
"""Phase of the current call."""
SESSION_START = "session_start"
ACTIVE_CALL = "active_call"
ENDED = "ended"
# ---------------------------------------------------------------------------
# Trigger & Match Models
# ---------------------------------------------------------------------------
@dataclass(frozen=True)
class TriggerMatch:
"""A single lexical match from a taxonomy trigger."""
domain: str
confidence_tier: ConfidenceTier
match_type: MatchType
matched_text: str # The phrase/pattern that matched
matched_span: str # The actual text span from patient input
priority: int # Domain priority from triggers.yaml
@dataclass(frozen=True)
class NegationResult:
"""Result of negation analysis on a domain match."""
is_negated: bool
action: NegationAction
matched_pattern: str = "" # Which negation pattern matched
original_confidence: ConfidenceTier = ConfidenceTier.NONE
adjusted_confidence: ConfidenceTier = ConfidenceTier.NONE
@dataclass(frozen=True)
class DomainNomination:
"""A nominated clinical domain with combined confidence from ML + lexical signals."""
domain: str
display_name: str
confidence_tier: ConfidenceTier
priority: int # From triggers.yaml priority field
target_risk_class: Optional[RiskClass] # Default risk from rules.yaml
trigger_matches: tuple # Tuple of TriggerMatch (frozen)
negation_result: Optional[NegationResult] = None
ml_label: Optional[str] = None # DriveHealthBERT predicted label
ml_confidence: Optional[float] = None # DriveHealthBERT probability
recommended_flow: Optional[str] = None # From rules.yaml decision_rules
@property
def is_negated(self) -> bool:
return self.negation_result is not None and self.negation_result.is_negated
@property
def is_safety_critical(self) -> bool:
"""R3 domains or hard-escalate domains."""
return self.target_risk_class == RiskClass.R3
# ---------------------------------------------------------------------------
# Risk Assessment Models
# ---------------------------------------------------------------------------
@dataclass(frozen=True)
class RiskRuleMatch:
"""A risk escalation rule that fired."""
rule_id: str
domain: str
risk_class: RiskClass
conditions_met: Dict[str, Any] = field(default_factory=dict)
context_conditions: Optional[Dict[str, Any]] = None
@dataclass(frozen=True)
class SuppressionResult:
"""Result of domain suppression evaluation."""
suppressed: bool
suppressor_domain: Optional[str] = None
rule_reason: Optional[str] = None
@dataclass(frozen=True)
class RiskAssessment:
"""Complete risk assessment for a patient utterance."""
# Primary result
risk_class: RiskClass
primary_domain: Optional[str]
# All nominated domains (ranked by priority)
domain_nominations: tuple # Tuple of DomainNomination
# Which rules fired
matched_rules: tuple # Tuple of RiskRuleMatch
# Suppression results
suppressions: tuple = () # Tuple of SuppressionResult
# Metadata
hard_escalate: bool = False # suicidal_ideation / homicidal_ideation
safety_override: bool = False # Lexical safety signal regardless of ML
ml_label: Optional[str] = None
ml_confidence: Optional[float] = None
recommended_flow: Optional[str] = None
recommended_action: Optional[TurnOutcome] = None
@property
def requires_911(self) -> bool:
return self.risk_class == RiskClass.R3
@property
def requires_nurse_transfer(self) -> bool:
return self.risk_class >= RiskClass.R2
def to_dict(self) -> Dict[str, Any]:
"""Serialize for API response."""
return {
"risk_class": self.risk_class.value,
"primary_domain": self.primary_domain,
"requires_911": self.requires_911,
"requires_nurse_transfer": self.requires_nurse_transfer,
"hard_escalate": self.hard_escalate,
"safety_override": self.safety_override,
"ml_label": self.ml_label,
"ml_confidence": self.ml_confidence,
"recommended_flow": self.recommended_flow,
"recommended_action": self.recommended_action.value if self.recommended_action else None,
"domain_nominations": [
{
"domain": n.domain,
"confidence_tier": n.confidence_tier.value,
"priority": n.priority,
"target_risk_class": n.target_risk_class.value if n.target_risk_class else None,
"is_negated": n.is_negated,
"recommended_flow": n.recommended_flow,
"trigger_match_count": len(n.trigger_matches),
}
for n in self.domain_nominations
],
"matched_rules": [
{
"rule_id": r.rule_id,
"domain": r.domain,
"risk_class": r.risk_class.value,
}
for r in self.matched_rules
],
}
# ---------------------------------------------------------------------------
# Flow Execution Models (Phase 2 — stubs for forward compatibility)
# ---------------------------------------------------------------------------
@dataclass(frozen=True)
class ResponseSpec:
"""LLM response constraints for a flow step."""
spec_id: str
goal: str
tone: str
must_include: tuple = ()
must_ask: tuple = ()
must_not: tuple = ()
max_questions: int = 0
@dataclass(frozen=True)
class FlowStep:
"""A single step in a conversation flow."""
step_number: int
step_type: str # "ask", "respond", "handoff"
response_spec: ResponseSpec
collects: tuple = () # Slot names to extract
handoff_target: Optional[str] = None
handoff_urgency: Optional[str] = None
@dataclass(frozen=True)
class ConversationFlow:
"""A complete conversation flow definition."""
flow_id: str
flow_type: FlowType
domain: Optional[str]
required_slots: tuple = ()
steps: tuple = () # Tuple of FlowStep
exit_rules: Dict[str, str] = field(default_factory=dict)
# ---------------------------------------------------------------------------
# Session State Models (Phase 2 — stubs for forward compatibility)
# ---------------------------------------------------------------------------
@dataclass
class SlotState:
"""Mutable slot tracker for an active conversation."""
slots: Dict[str, Any] = field(default_factory=dict)
def set_slot(self, name: str, value: Any) -> None:
self.slots[name] = value
def get_slot(self, name: str) -> Optional[Any]:
return self.slots.get(name)
def has_slot(self, name: str) -> bool:
return name in self.slots
def has_all(self, slot_names: List[str]) -> bool:
return all(name in self.slots for name in slot_names)
@dataclass
class SessionState:
"""Mutable state for an active call session."""
session_id: str
patient_id: Optional[str] = None
tenant_id: Optional[str] = None
call_phase: CallPhase = CallPhase.SESSION_START
current_flow: Optional[str] = None
current_step: int = 0
agenda_position: int = 0
slots: SlotState = field(default_factory=SlotState)
domain_history: List[str] = field(default_factory=list)
risk_history: List[RiskAssessment] = field(default_factory=list)
turn_count: int = 0