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from figment.validators import validate_navigator_output
CHEST_CARD = {
"card_id": "CHEST-PAIN-ESCALATION-v1",
"title": "Chest pain escalation",
"required_observations": [
"chest pain description",
"onset and duration",
"shortness of breath report",
"sweating or fainting report",
"radiation to arm, jaw, back, or shoulder",
"available vital signs",
],
}
def _confirmed_chest_pain_intake() -> dict[str, Any]:
return {
"setting": "mobile clinic",
"patient_age": "57 years",
"pregnancy_status": "not_applicable",
"chief_concern": "chest pressure",
"symptoms": "chest pain with shortness of breath and sweating",
"vitals": "heart rate 118; blood pressure pending",
"allergies": "unknown",
"medications": "unknown",
"available_supplies": "AED, radio, transport path",
"responder_note": "Synthetic case. Adult reports chest pressure after cleanup work.",
"confirmed": True,
}
def _chest_rule() -> dict[str, str]:
return {
"rule_id": "red_flag_chest_pain",
"label": "Chest pain escalation cue",
"urgency": "emergency",
"evidence": "chest pain with shortness of breath",
"card_id": "CHEST-PAIN-ESCALATION-v1",
}
def _navigator_output(**overrides: Any) -> dict[str, Any]:
output: dict[str, Any] = {
"protocol_urgency": "emergency",
"red_flags": [_chest_rule()],
"intake_facts": [
{
"fact": "Chest pain with shortness of breath reported.",
"status": "reported",
"source": "structured_field",
}
],
"candidate_protocol_pathways": [
{
"card_id": "CHEST-PAIN-ESCALATION-v1",
"reason_relevant": "Chest pain with shortness of breath was reported.",
}
],
"missing_info_to_collect": [
"chest pain description",
"onset and duration",
"shortness of breath report",
"sweating or fainting report",
"radiation to arm, jaw, back, or shoulder",
"available vital signs",
],
"next_observations_to_collect": [
"chest pain description",
"onset and duration",
"shortness of breath report",
"available vital signs",
],
"conflicts_or_uncertainties": [],
"responder_checklist": ["Escalate per cited local protocol."],
"do_not_do": ["Do not diagnose or prescribe."],
"source_cards": ["CHEST-PAIN-ESCALATION-v1"],
"handoff_note_sbar": {
"situation": "Chest pressure with shortness of breath.",
"background": "Mobile clinic synthetic case after cleanup work.",
"assessment_observations_only": "Chest pain and sweating reported. Heart rate 118; blood pressure pending.",
"handoff_request": "Request escalation per cited local protocol.",
},
"responder_plain_language_script": "I am going to keep checking observations and follow the local escalation path.",
"safety_boundary": "This output does not diagnose or prescribe and does not replace local protocol.",
}
output.update(overrides)
return output
def test_strict_validator_requires_full_schema_and_fired_rule_card_citation() -> None:
output = _navigator_output(source_cards=["SAFETY-BOUNDARIES-v1"])
del output["red_flags"]
del output["intake_facts"]
result = validate_navigator_output(
output,
{
"CHEST-PAIN-ESCALATION-v1",
"SAFETY-BOUNDARIES-v1",
},
urgency_floor="emergency",
confirmed_intake=_confirmed_chest_pain_intake(),
rule_results=[_chest_rule()],
strict_schema=True,
)
assert not result.passed
assert any("missing required schema keys" in failure for failure in result.failures)
assert any("fired rule card CHEST-PAIN-ESCALATION-v1 is not cited" in failure for failure in result.failures)
def test_strict_validator_rejects_known_but_unretrieved_card_citation() -> None:
output = _navigator_output(
source_cards=["CHEST-PAIN-ESCALATION-v1", "WOUND-INFECTION-ESCALATION-v1"],
candidate_protocol_pathways=[
{
"card_id": "WOUND-INFECTION-ESCALATION-v1",
"reason_relevant": "The model reached for a known card that was not retrieved.",
}
],
)
result = validate_navigator_output(
output,
{
"CHEST-PAIN-ESCALATION-v1",
"SAFETY-BOUNDARIES-v1",
"WOUND-INFECTION-ESCALATION-v1",
},
urgency_floor="emergency",
confirmed_intake=_confirmed_chest_pain_intake(),
rule_results=[_chest_rule()],
retrieved_card_ids={"CHEST-PAIN-ESCALATION-v1", "SAFETY-BOUNDARIES-v1"},
strict_schema=True,
)
assert not result.passed
assert any("not in allowed/retrieved card IDs" in failure for failure in result.failures)
def test_strict_validator_allows_known_fired_rule_card_even_when_retrieval_missed_it() -> None:
output = _navigator_output(
source_cards=["CHEST-PAIN-ESCALATION-v1"],
candidate_protocol_pathways=[
{
"card_id": "CHEST-PAIN-ESCALATION-v1",
"reason_relevant": "Chest pain red flag fired deterministically.",
}
],
)
result = validate_navigator_output(
output,
{
"CHEST-PAIN-ESCALATION-v1",
"SAFETY-BOUNDARIES-v1",
"WOUND-INFECTION-ESCALATION-v1",
},
urgency_floor="emergency",
confirmed_intake=_confirmed_chest_pain_intake(),
rule_results=[_chest_rule()],
retrieved_card_ids={"SAFETY-BOUNDARIES-v1"},
strict_schema=True,
)
assert result.passed
def test_strict_validator_rejects_generic_missing_info_and_hallucinated_sbar_facts() -> None:
output = _navigator_output(
missing_info_to_collect=["ask anything else that seems relevant"],
next_observations_to_collect=["keep monitoring"],
handoff_note_sbar={
"situation": "Chest pressure with shortness of breath.",
"background": "Mobile clinic synthetic case after cleanup work.",
"assessment_observations_only": "Chest pain reported with skull fracture and blood pressure 220/140 observed.",
"handoff_request": "Request escalation per cited local protocol.",
},
)
result = validate_navigator_output(
output,
{"CHEST-PAIN-ESCALATION-v1", "SAFETY-BOUNDARIES-v1"},
urgency_floor="emergency",
confirmed_intake=_confirmed_chest_pain_intake(),
rule_results=[_chest_rule()],
retrieved_cards=[{"card": CHEST_CARD}],
strict_schema=True,
)
assert not result.passed
assert any("missing_info_to_collect does not reference required observations" in failure for failure in result.failures)
assert any("unsupported high-risk handoff facts" in failure for failure in result.failures)
def test_validator_rejects_broader_unsafe_action_phrases() -> None:
output = _navigator_output(
responder_checklist=["Administer aspirin now and discharge home if symptoms improve."],
)
result = validate_navigator_output(
output,
{"CHEST-PAIN-ESCALATION-v1"},
urgency_floor="emergency",
)
assert not result.passed
assert any("forbidden clinical language" in failure for failure in result.failures)
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