File size: 15,905 Bytes
10795db | 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 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 | """Persistence layer for the Jarvis explainability + feedback + chat loops.
Four tables:
* ``jarvis_explanations`` β one row per analysis the reasoner produces
for an alert-level reading (warning / critical). The full structured
payload (top features, recommendations, RAG passage ids, generated
clinical note) is stored as JSON so we can replay an explanation
weeks later without rerunning the model. This is the audit trail
the ANVISA-compliant deployment depends on.
* ``jarvis_feedback`` β clinician-supplied corrections that close the
HIL loop. A correction always points back to an explanation row so
we can retrain on the model's actual outputs rather than on raw
sensor data.
* ``jarvis_conversations`` β one row per chat thread between a
clinician and the local Llama LLM. Optionally linked to a patient
so the chat carries live BioPatch context into every turn.
* ``jarvis_messages`` β ordered user/assistant turns inside a
conversation, plus the RAG passage ids that grounded each
assistant response.
"""
from __future__ import annotations
from datetime import datetime
from typing import TYPE_CHECKING
from sqlalchemy import JSON, DateTime, Float, ForeignKey, Integer, String, Text, func
from sqlalchemy.orm import Mapped, mapped_column, relationship
from core.database import Base
if TYPE_CHECKING:
from .patient import Patient
from .user import User
from .vitals import VitalsHistory
class JarvisExplanation(Base):
__tablename__ = "jarvis_explanations"
id: Mapped[int] = mapped_column(primary_key=True)
patient_id: Mapped[int] = mapped_column(
ForeignKey("patients.id", ondelete="CASCADE"), index=True, nullable=False
)
vitals_id: Mapped[int | None] = mapped_column(
ForeignKey("vitals_history.id", ondelete="SET NULL"), index=True, nullable=True
)
severity: Mapped[str] = mapped_column(String(16), index=True, nullable=False)
score: Mapped[float] = mapped_column(Float, default=0.0, nullable=False)
confidence: Mapped[float] = mapped_column(Float, default=0.0, nullable=False)
lang: Mapped[str] = mapped_column(String(4), default="en", nullable=False)
bacterial_signature: Mapped[str | None] = mapped_column(String(128), nullable=True)
tissue_state: Mapped[str | None] = mapped_column(String(32), nullable=True)
note_headline: Mapped[str | None] = mapped_column(String(255), nullable=True)
note_body: Mapped[str | None] = mapped_column(Text, nullable=True)
reasoning: Mapped[dict] = mapped_column(JSON, nullable=False)
citations: Mapped[list] = mapped_column(JSON, nullable=False, default=list)
generator: Mapped[str] = mapped_column(String(32), default="template-v1", nullable=False)
model_version: Mapped[str | None] = mapped_column(String(64), nullable=True)
created_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True), server_default=func.now(), index=True, nullable=False
)
patient: Mapped["Patient"] = relationship("Patient")
vitals: Mapped["VitalsHistory | None"] = relationship("VitalsHistory")
feedback: Mapped[list["JarvisFeedback"]] = relationship(
"JarvisFeedback", back_populates="explanation", cascade="all, delete-orphan"
)
def __repr__(self) -> str:
return (
f"<JarvisExplanation id={self.id} patient_id={self.patient_id} "
f"severity={self.severity!r} score={self.score}>"
)
class JarvisFeedback(Base):
"""Clinician correction of a Jarvis explanation (the HIL loop)."""
__tablename__ = "jarvis_feedback"
id: Mapped[int] = mapped_column(primary_key=True)
explanation_id: Mapped[int] = mapped_column(
ForeignKey("jarvis_explanations.id", ondelete="CASCADE"),
index=True,
nullable=False,
)
author_id: Mapped[int] = mapped_column(ForeignKey("users.id"), nullable=False)
correct_severity: Mapped[str] = mapped_column(String(16), nullable=False)
correction_kind: Mapped[str] = mapped_column(
String(32), default="confirmation", nullable=False
) # confirmation | false_positive | false_negative | nuance
clinician_notes: Mapped[str | None] = mapped_column(Text, nullable=True)
created_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True), server_default=func.now(), nullable=False
)
explanation: Mapped["JarvisExplanation"] = relationship("JarvisExplanation", back_populates="feedback")
author: Mapped["User"] = relationship("User")
def __repr__(self) -> str:
return (
f"<JarvisFeedback id={self.id} explanation_id={self.explanation_id} "
f"kind={self.correction_kind!r}>"
)
class JarvisConversation(Base):
"""A chat thread between a clinician and the local Jarvis LLM."""
__tablename__ = "jarvis_conversations"
id: Mapped[int] = mapped_column(primary_key=True)
user_id: Mapped[int] = mapped_column(
ForeignKey("users.id", ondelete="CASCADE"), index=True, nullable=False
)
patient_id: Mapped[int | None] = mapped_column(
ForeignKey("patients.id", ondelete="SET NULL"), index=True, nullable=True
)
title: Mapped[str] = mapped_column(String(255), default="New conversation", nullable=False)
lang: Mapped[str] = mapped_column(String(4), default="en", nullable=False)
created_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True), server_default=func.now(), index=True, nullable=False
)
updated_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True),
server_default=func.now(),
onupdate=func.now(),
nullable=False,
)
user: Mapped["User"] = relationship("User")
patient: Mapped["Patient | None"] = relationship("Patient")
messages: Mapped[list["JarvisMessage"]] = relationship(
"JarvisMessage",
back_populates="conversation",
cascade="all, delete-orphan",
order_by="JarvisMessage.created_at",
)
def __repr__(self) -> str:
return (
f"<JarvisConversation id={self.id} user_id={self.user_id} "
f"patient_id={self.patient_id} title={self.title!r}>"
)
class JarvisMessage(Base):
"""A single user or assistant turn inside a Jarvis chat."""
__tablename__ = "jarvis_messages"
id: Mapped[int] = mapped_column(primary_key=True)
conversation_id: Mapped[int] = mapped_column(
ForeignKey("jarvis_conversations.id", ondelete="CASCADE"),
index=True,
nullable=False,
)
role: Mapped[str] = mapped_column(String(16), nullable=False) # user | assistant | system
content: Mapped[str] = mapped_column(Text, nullable=False)
citations: Mapped[list] = mapped_column(JSON, nullable=False, default=list)
rag_passage_ids: Mapped[list] = mapped_column(JSON, nullable=False, default=list)
actions: Mapped[list] = mapped_column(JSON, nullable=False, default=list)
token_count: Mapped[int | None] = mapped_column(Integer, nullable=True)
finished: Mapped[bool] = mapped_column(default=True, nullable=False)
created_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True), server_default=func.now(), index=True, nullable=False
)
conversation: Mapped["JarvisConversation"] = relationship(
"JarvisConversation", back_populates="messages"
)
def __repr__(self) -> str:
return (
f"<JarvisMessage id={self.id} conv={self.conversation_id} "
f"role={self.role!r}>"
)
class JarvisPreference(Base):
"""Per-user key/value preferences that Jarvis adapts to over time.
Keys are free-form but the standard set is:
* ``lang`` β clinician-preferred response language.
* ``last_patient_id`` β the patient most recently focused.
* ``voice_enabled`` β whether to auto-speak Jarvis replies.
* ``wake_greeting`` β whether to play the welcome on session.
* ``preferred_body_view`` β front / back / xray / thermal.
"""
__tablename__ = "jarvis_preferences"
id: Mapped[int] = mapped_column(primary_key=True)
user_id: Mapped[int] = mapped_column(
ForeignKey("users.id", ondelete="CASCADE"), index=True, nullable=False
)
key: Mapped[str] = mapped_column(String(64), nullable=False)
value: Mapped[str] = mapped_column(Text, nullable=False)
updated_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True),
server_default=func.now(),
onupdate=func.now(),
nullable=False,
)
user: Mapped["User"] = relationship("User")
def __repr__(self) -> str:
return f"<JarvisPreference user_id={self.user_id} key={self.key!r}>"
class JarvisCommandLog(Base):
"""Audit trail for voice / text commands and their outcomes.
The reasoner reads this table to bias future routing β e.g. if
the same clinician repeatedly says "open les patients" and the
rule router misses it 3 times in a row, an admin can promote
that phrasing to the multilingual alias table.
"""
__tablename__ = "jarvis_command_log"
id: Mapped[int] = mapped_column(primary_key=True)
user_id: Mapped[int] = mapped_column(
ForeignKey("users.id", ondelete="CASCADE"), index=True, nullable=False
)
transcript: Mapped[str] = mapped_column(Text, nullable=False)
transport: Mapped[str] = mapped_column(String(16), default="text", nullable=False) # text | voice
lang: Mapped[str] = mapped_column(String(4), default="en", nullable=False)
action_name: Mapped[str | None] = mapped_column(String(64), nullable=True)
action_params: Mapped[dict] = mapped_column(JSON, nullable=False, default=dict)
confidence: Mapped[float | None] = mapped_column(Float, nullable=True)
outcome: Mapped[str] = mapped_column(
String(16), default="pending", nullable=False
) # pending | ok | failed | corrected
created_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True), server_default=func.now(), index=True, nullable=False
)
user: Mapped["User"] = relationship("User")
def __repr__(self) -> str:
return (
f"<JarvisCommandLog id={self.id} user={self.user_id} "
f"action={self.action_name!r} outcome={self.outcome!r}>"
)
class ConfirmedInfection(Base):
"""Doctor-validated infection record β the institutional memory.
Created by a wound specialist (or admin) when they confirm that a
Jarvis alert corresponded to a real surgical-site infection. The
record snapshots the wound vitals at confirmation, links back to
the originating Jarvis explanation, and captures the clinical
outcome (organism, treatment, time to resolution).
The case-retrieval engine queries this table at every new alert,
surfaces the K most similar historical cases as empirical
evidence, and updates the BioPatch institutional memory in real
time without ever auto-tuning thresholds.
"""
__tablename__ = "jarvis_confirmed_infections"
id: Mapped[int] = mapped_column(primary_key=True)
patient_id: Mapped[int] = mapped_column(
ForeignKey("patients.id", ondelete="CASCADE"), index=True, nullable=False
)
explanation_id: Mapped[int | None] = mapped_column(
ForeignKey("jarvis_explanations.id", ondelete="SET NULL"),
index=True,
nullable=True,
)
vitals_id: Mapped[int | None] = mapped_column(
ForeignKey("vitals_history.id", ondelete="SET NULL"), nullable=True
)
confirmed_by_id: Mapped[int] = mapped_column(
ForeignKey("users.id"), nullable=False
)
# Snapshot of the wound + patient at confirmation
temperature_c: Mapped[float] = mapped_column(Float, nullable=False)
ph: Mapped[float] = mapped_column(Float, nullable=False)
humidity: Mapped[float] = mapped_column(Float, nullable=False)
severity_at_confirmation: Mapped[str] = mapped_column(String(16), nullable=False)
score_at_confirmation: Mapped[float] = mapped_column(Float, default=0.0, nullable=False)
age_at_confirmation: Mapped[int] = mapped_column(Integer, nullable=False)
diabetes: Mapped[bool] = mapped_column(default=False, nullable=False)
smoker: Mapped[bool] = mapped_column(default=False, nullable=False)
sex: Mapped[str] = mapped_column(String(1), default="X", nullable=False)
surgery_type: Mapped[str] = mapped_column(String(128), nullable=False)
days_post_op: Mapped[int | None] = mapped_column(Integer, nullable=True)
# Trajectory (free-form snapshot of recent vitals at confirmation time)
vitals_trajectory: Mapped[list] = mapped_column(JSON, nullable=False, default=list)
# Clinical outcome
organism: Mapped[str | None] = mapped_column(String(128), nullable=True)
organism_confidence: Mapped[float | None] = mapped_column(Float, nullable=True)
treatment: Mapped[str | None] = mapped_column(Text, nullable=True)
resolution_days: Mapped[int | None] = mapped_column(Integer, nullable=True)
outcome: Mapped[str] = mapped_column(
String(32), default="ongoing", nullable=False
) # ongoing | resolved | escalated | deceased | unresolved
# Doctor's free-form notes
clinical_notes: Mapped[str | None] = mapped_column(Text, nullable=True)
tags: Mapped[list] = mapped_column(JSON, nullable=False, default=list)
created_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True), server_default=func.now(), index=True, nullable=False
)
updated_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True),
server_default=func.now(),
onupdate=func.now(),
nullable=False,
)
patient: Mapped["Patient"] = relationship("Patient")
confirmed_by: Mapped["User"] = relationship("User")
def __repr__(self) -> str:
return (
f"<ConfirmedInfection id={self.id} patient_id={self.patient_id} "
f"organism={self.organism!r} outcome={self.outcome!r}>"
)
class DoctorCorrection(Base):
"""Rich correction record from the wound specialist.
Goes beyond the binary :class:`JarvisFeedback` (false positive /
confirmation) to capture *what* Jarvis got wrong on multiple axes:
severity, bacterial signature, tissue state, recommended actions.
Each axis is stored separately so the learning analytics can show
Jarvis's per-dimension agreement rate with the specialist.
"""
__tablename__ = "jarvis_doctor_corrections"
id: Mapped[int] = mapped_column(primary_key=True)
explanation_id: Mapped[int] = mapped_column(
ForeignKey("jarvis_explanations.id", ondelete="CASCADE"),
index=True,
nullable=False,
)
doctor_id: Mapped[int] = mapped_column(ForeignKey("users.id"), nullable=False)
# Per-axis corrections β None = doctor agreed with Jarvis on that axis
corrected_severity: Mapped[str | None] = mapped_column(String(16), nullable=True)
corrected_signature: Mapped[str | None] = mapped_column(String(128), nullable=True)
corrected_tissue_state: Mapped[str | None] = mapped_column(String(32), nullable=True)
rationale: Mapped[str | None] = mapped_column(Text, nullable=True)
teaching_point: Mapped[str | None] = mapped_column(Text, nullable=True)
# Whether this correction was promoted into a ConfirmedInfection
promoted_to_case_id: Mapped[int | None] = mapped_column(
ForeignKey("jarvis_confirmed_infections.id", ondelete="SET NULL"),
nullable=True,
)
created_at: Mapped[datetime] = mapped_column(
DateTime(timezone=True), server_default=func.now(), nullable=False
)
doctor: Mapped["User"] = relationship("User")
def __repr__(self) -> str:
return (
f"<DoctorCorrection id={self.id} explanation_id={self.explanation_id} "
f"by={self.doctor_id}>"
)
|