Spaces:
Runtime error
Runtime error
File size: 12,695 Bytes
aacc29a | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 | """The bilingual visit bridge: interpreted turns become both end-of-visit documents.
Runs the real Interpreter websocket pipeline and the real Scribe pipeline in one
process, keyless, exactly as the combined app does in production.
"""
from __future__ import annotations
import os
import sys
import tempfile
import unittest
from pathlib import Path
REPO_ROOT = Path(__file__).resolve().parents[2]
sys.path.insert(0, str(REPO_ROOT / "scribe"))
sys.path.insert(0, str(REPO_ROOT / "interpreter"))
os.environ.setdefault("ASR_PROVIDER", "mock")
os.environ.setdefault("ALLOW_MOCK_ASR", "true")
os.environ.setdefault("LLM_PROVIDER", "offline")
os.environ.setdefault("MEDICAL_LEXICON_PATH", str(REPO_ROOT / "data" / "medical_lexicon.json"))
os.environ.setdefault("CAREPATH_ENV_FILE", "__tests_no_env__")
os.environ.setdefault("PROVIDER_MODE", "mock")
_TMP_DB = Path(tempfile.mkdtemp(prefix="carepath_visit_")) / "visit.db"
os.environ["DATABASE_URL"] = f"sqlite:///{_TMP_DB.as_posix()}"
from fastapi.testclient import TestClient
import app.config as interpreter_config
import app.db as interpreter_db
from carepath.main import _render_visit_transcript, app, get_pipeline, get_settings
class _Turn:
"""Minimal stand-in for TurnRecord, for the pure rendering rules."""
def __init__(self, speaker, src_lang, source_text, translation, status, corrected_text=None):
self.speaker = speaker
self.src_lang = src_lang
self.source_text = source_text
self.translation = translation
self.status = status
self.corrected_text = corrected_text
class VisitTranscriptRenderingTests(unittest.TestCase):
"""Source speech is always usable; a translation only once it is confirmed."""
def test_source_language_turns_always_use_what_was_said(self) -> None:
turns = [_Turn("doctor", "vi", "Ngừng thuốc này", "Stop this medicine", "awaiting_confirm")]
vietnamese, withheld = _render_visit_transcript(turns, "vi")
self.assertIn("Bác sĩ: Ngừng thuốc này", vietnamese)
self.assertEqual(withheld, 0, "the clinician's own words were never in doubt")
def test_unconfirmed_translation_is_withheld_and_counted(self) -> None:
turns = [_Turn("doctor", "vi", "Ngừng thuốc này", "Stop this medicine", "awaiting_confirm")]
english, withheld = _render_visit_transcript(turns, "en")
self.assertEqual(english, "")
self.assertEqual(withheld, 1)
self.assertNotIn("Stop this medicine", english)
def test_blocked_translation_is_withheld(self) -> None:
turns = [_Turn("patient", "en", "I take 15 mg", "Tôi uống 15 mg", "blocked")]
vietnamese, withheld = _render_visit_transcript(turns, "vi")
self.assertEqual(withheld, 1)
self.assertNotIn("15 mg", vietnamese)
def test_confirmed_edit_wins_over_the_raw_translation(self) -> None:
turns = [
_Turn(
"patient",
"en",
"I take 15 mg",
"Tôi uống 15 mg",
"corrected",
corrected_text="Tôi uống 500 mg",
)
]
vietnamese, withheld = _render_visit_transcript(turns, "vi")
self.assertIn("500 mg", vietnamese)
self.assertNotIn("15 mg", vietnamese)
self.assertEqual(withheld, 0)
def test_every_speaker_has_a_label_in_both_languages(self) -> None:
"""The fallback is the raw key, and 'document:' reads as a bug to a patient."""
from carepath.main import SPEAKER_LABELS
for language in ("vi", "en"):
for speaker in ("doctor", "patient", "document"):
self.assertIn(speaker, SPEAKER_LABELS[language])
self.assertNotEqual(SPEAKER_LABELS[language][speaker], speaker)
def test_delivered_low_risk_turns_need_no_confirmation(self) -> None:
turns = [_Turn("patient", "en", "Good morning", "Chào buổi sáng", "delivered")]
vietnamese, withheld = _render_visit_transcript(turns, "vi")
self.assertIn("Bệnh nhân: Chào buổi sáng", vietnamese)
self.assertEqual(withheld, 0)
class VisitBridgeTests(unittest.TestCase):
@classmethod
def setUpClass(cls) -> None:
get_settings.cache_clear()
get_pipeline.cache_clear()
interpreter_config.get_settings.cache_clear()
interpreter_db.set_engine(None)
def _start_visit(self, client) -> str:
created = client.post(
"/api/sessions",
json={
"consent": {
"ai_disclosure": True,
"interpreter_right": True,
"patient_context": {"age": 34, "sex": "nam", "reason": "nổi mẩn da"},
}
},
)
self.assertEqual(created.status_code, 201, created.text)
return created.json()["session_id"]
def test_visit_produces_both_documents(self) -> None:
with TestClient(app) as client:
visit_id = self._start_visit(client)
with client.websocket_connect(f"/ws/sessions/{visit_id}") as ws:
ws.receive_json()
for speaker, lang, text in [
("patient", "en", "I developed a rash after taking amoxicillin"),
("doctor", "vi", "Bác sĩ sẽ ngừng thuốc này"),
]:
ws.send_json(
{"type": "text_turn", "speaker": speaker, "lang": lang, "text": text}
)
ws.receive_json()
response = client.post(f"/api/v1/visits/{visit_id}/note")
self.assertEqual(response.status_code, 200, response.text)
body = response.json()
self.assertEqual(body["visit_id"], visit_id)
self.assertEqual(body["turn_count"], 2)
self.assertTrue(body["clinical_note"]["review_required"])
self.assertTrue(body["patient_summary"]["review_required"])
self.assertIn("amoxicillin", body["patient_summary"]["what_we_discussed"])
def test_unconfirmed_turn_is_counted_and_its_translation_excluded(self) -> None:
with TestClient(app) as client:
visit_id = self._start_visit(client)
with client.websocket_connect(f"/ws/sessions/{visit_id}") as ws:
ws.receive_json()
# A dose is high risk, so this turn is gated awaiting confirmation.
ws.send_json(
{
"type": "text_turn",
"speaker": "patient",
"lang": "en",
"text": "I was taking 500 mg twice a day",
}
)
result = ws.receive_json()
self.assertTrue(result["requires_confirmation"])
response = client.post(f"/api/v1/visits/{visit_id}/note")
self.assertEqual(response.status_code, 200, response.text)
body = response.json()
self.assertEqual(body["unconfirmed_turn_count"], 1)
# The gated turn's machine translation must not reach either document.
documents = " ".join(
str(value)
for section in ("clinical_note", "patient_summary")
for value in body[section].values()
)
self.assertNotIn("[en->vi]", documents)
def test_confirmed_turn_reaches_the_clinical_note(self) -> None:
with TestClient(app) as client:
visit_id = self._start_visit(client)
with client.websocket_connect(f"/ws/sessions/{visit_id}") as ws:
ws.receive_json()
ws.send_json(
{
"type": "text_turn",
"speaker": "patient",
"lang": "en",
"text": "I was taking 500 mg twice a day",
}
)
turn_id = ws.receive_json()["turn"]["id"]
confirmed = client.post(
f"/api/turns/{turn_id}/confirm",
json={"edited_translation": "Bệnh nhân uống 500 mg, ngày hai lần"},
)
self.assertEqual(confirmed.status_code, 200, confirmed.text)
body = client.post(f"/api/v1/visits/{visit_id}/note").json()
self.assertEqual(body["unconfirmed_turn_count"], 0)
joined = " ".join(str(value) for value in body["clinical_note"].values())
self.assertIn("500 mg", joined)
def test_confirmed_prescription_lines_become_the_patient_medication_list(self) -> None:
"""Not generated: the patient's instructions are the confirmed translation."""
with TestClient(app) as client:
visit_id = self._start_visit(client)
with client.websocket_connect(f"/ws/sessions/{visit_id}") as ws:
ws.receive_json()
ws.send_json(
{
"type": "text_turn",
"speaker": "document",
"lang": "vi",
"text": "Amoxicillin 500 mg Uống 1 viên, ngày 2 lần",
}
)
turn_id = ws.receive_json()["turn"]["id"]
confirmed = client.post(
f"/api/turns/{turn_id}/confirm",
json={"edited_translation": "Amoxicillin 500 mg - take 1 tablet twice a day"},
)
self.assertEqual(confirmed.status_code, 200, confirmed.text)
body = client.post(f"/api/v1/visits/{visit_id}/note").json()
self.assertIn(
"Amoxicillin 500 mg - take 1 tablet twice a day",
body["patient_summary"]["medications"],
)
def test_follow_up_advice_is_not_filed_as_a_medication(self) -> None:
"""A frequency alone is not a medicine: 'come back in 5 days' carries one."""
with TestClient(app) as client:
visit_id = self._start_visit(client)
with client.websocket_connect(f"/ws/sessions/{visit_id}") as ws:
ws.receive_json()
ws.send_json(
{
"type": "text_turn",
"speaker": "document",
"lang": "vi",
"text": "Lời dặn: Uống nhiều nước. Tái khám sau 5 ngày.",
}
)
turn_id = ws.receive_json()["turn"]["id"]
client.post(
f"/api/turns/{turn_id}/confirm",
json={"edited_translation": "Advice: drink water. Follow-up after 5 days."},
)
body = client.post(f"/api/v1/visits/{visit_id}/note").json()
self.assertNotIn("Follow-up after 5 days", body["patient_summary"]["medications"])
def test_unconfirmed_prescription_lines_stay_out_of_the_medication_list(self) -> None:
with TestClient(app) as client:
visit_id = self._start_visit(client)
with client.websocket_connect(f"/ws/sessions/{visit_id}") as ws:
ws.receive_json()
# A dose is high risk, so this line is gated.
ws.send_json(
{
"type": "text_turn",
"speaker": "document",
"lang": "vi",
"text": "Amoxicillin 500 mg Uống 1 viên, ngày 2 lần",
}
)
self.assertTrue(ws.receive_json()["requires_confirmation"])
# Something ungated so the visit still has content to document.
ws.send_json(
{"type": "text_turn", "speaker": "patient", "lang": "en", "text": "Thank you"}
)
ws.receive_json()
body = client.post(f"/api/v1/visits/{visit_id}/note").json()
self.assertNotIn("Amoxicillin", body["patient_summary"]["medications"])
self.assertGreaterEqual(body["unconfirmed_turn_count"], 1)
def test_unknown_visit_is_404(self) -> None:
with TestClient(app) as client:
response = client.post("/api/v1/visits/does-not-exist/note")
self.assertEqual(response.status_code, 404)
def test_visit_without_turns_is_400(self) -> None:
with TestClient(app) as client:
visit_id = self._start_visit(client)
response = client.post(f"/api/v1/visits/{visit_id}/note")
self.assertEqual(response.status_code, 400)
if __name__ == "__main__":
unittest.main()
|