외부 임상 검토 원장을 보강

This commit is contained in:
Yun Chan 2026-08-28 21:01:57 +09:00
parent dd71cb9710
commit 3b540a881f
8 changed files with 310 additions and 50 deletions

View file

@ -46,6 +46,7 @@ STATUS_DECISIONS = {
APPROVAL_FIELDS = {
"reviewer",
"organization",
"reviewer_role_or_qualification",
"reviewed_at",
"decision",
"notes",
@ -82,6 +83,7 @@ CASE_SET_FIELDS = {
"content_safety",
"official_source_scope",
"case_decision_contract",
"youth_review_responses",
"cases",
}
CASE_FIELDS = {
@ -93,12 +95,20 @@ CASE_FIELDS = {
}
SCENARIO_FIELDS = {"speaker_context", "signal", "method_or_means_detail_present"}
INVARIANT_FIELDS = {"invariant_id", "requirement"}
ASSESSMENT_FIELDS = {"decision", "rationale", "reviewed_at"}
ASSESSMENT_FIELDS = {
"decision",
"rationale",
"findings_and_required_changes",
"re_review",
"reviewed_at",
}
REQUIRED_COMPLETED_APPROVAL_FIELDS = {
"reviewer",
"organization",
"reviewer_role_or_qualification",
"reviewed_at",
"decision",
"notes",
"evidence_ref",
"evidence_sha256",
"reviewed_protocol_version",
@ -106,6 +116,30 @@ REQUIRED_COMPLETED_APPROVAL_FIELDS = {
}
ALLOWED_CASE_DECISIONS = {"pass", "conditional", "fail"}
EXPECTED_CASE_IDS = {f"P1-CRISIS-{index:03d}" for index in range(1, 7)}
NO_REQUIRED_CHANGE_VALUES = {
"없음",
"수정 요구 없음",
"해당 없음",
"none",
"n/a",
"na",
}
NO_RE_REVIEW_VALUES = {
"없음",
"재검토 불필요",
"해당 없음",
"none",
"n/a",
"na",
}
YOUTH_REVIEW_RESPONSE_FIELDS = {
"guardian_notification",
"means_restriction",
"risk_disposition",
"follow_up_48_72h",
"documentation",
"safeguarding",
}
REQUIRED_SOURCE_IDS = {
"samhsa_safe_t",
"nimh_youth_outpatient_bssa",
@ -262,10 +296,10 @@ def _validate_case_set_base(
missing = sorted(CASE_SET_FIELDS - set(case_set))
extra = sorted(set(case_set) - CASE_SET_FIELDS)
errors.append(f"case_set: 필드 불일치 missing={missing}, extra={extra}")
if manifest.get("schema_version") != "vignette.clinical_crisis_review.v1":
errors.append("manifest.schema_version: vignette.clinical_crisis_review.v1이어야 한다")
if case_set.get("schema_version") != "vignette.p1_crisis_review_cases.v1":
errors.append("case_set.schema_version: vignette.p1_crisis_review_cases.v1이어야 한다")
if manifest.get("schema_version") != "vignette.clinical_crisis_review.v2":
errors.append("manifest.schema_version: vignette.clinical_crisis_review.v2여야 한다")
if case_set.get("schema_version") != "vignette.p1_crisis_review_cases.v2":
errors.append("case_set.schema_version: vignette.p1_crisis_review_cases.v2여야 한다")
if manifest.get("technical_status") != "verified":
errors.append("manifest.technical_status: verified여야 한다")
if case_set.get("priority") != "P1":
@ -312,6 +346,17 @@ def _validate_case_set_base(
if contract.get("pending_value", object()) is not None:
errors.append("case_set.case_decision_contract.pending_value: null이어야 한다")
youth_responses = case_set.get("youth_review_responses")
if not isinstance(youth_responses, dict):
errors.append("case_set.youth_review_responses: 객체여야 한다")
elif set(youth_responses) != YOUTH_REVIEW_RESPONSE_FIELDS:
missing = sorted(YOUTH_REVIEW_RESPONSE_FIELDS - set(youth_responses))
extra = sorted(set(youth_responses) - YOUTH_REVIEW_RESPONSE_FIELDS)
errors.append(
"case_set.youth_review_responses: 필드 불일치 "
f"missing={missing}, extra={extra}"
)
cases = case_set.get("cases")
if not isinstance(cases, list) or not cases:
errors.append("case_set.cases: 하나 이상의 합성 사례가 필요하다")
@ -366,6 +411,7 @@ def _validate_case_set_base(
def _validate_pending(
approval: dict[str, Any],
cases: list[Any],
youth_review_responses: Any,
) -> list[str]:
errors: list[str] = []
for field in sorted(APPROVAL_FIELDS):
@ -380,11 +426,20 @@ def _validate_pending(
if not isinstance(assessment, dict):
errors.append(f"pending_external_review: {label}.reviewer_assessment가 필요하다")
continue
for field in ("decision", "rationale", "reviewed_at"):
for field in sorted(ASSESSMENT_FIELDS):
if assessment.get(field, object()) is not None:
errors.append(
f"pending_external_review: {label}.reviewer_assessment.{field}는 null이어야 한다"
)
if not isinstance(youth_review_responses, dict):
errors.append("pending_external_review: youth_review_responses 객체가 필요하다")
else:
for field in sorted(YOUTH_REVIEW_RESPONSE_FIELDS):
if youth_review_responses.get(field, object()) is not None:
errors.append(
"pending_external_review: "
f"youth_review_responses.{field}는 null이어야 한다"
)
return errors
@ -435,6 +490,7 @@ def _validate_completed(
approval: dict[str, Any],
case_set_path: Path,
cases: list[Any],
youth_review_responses: Any,
) -> list[str]:
errors: list[str] = []
for field in sorted(REQUIRED_COMPLETED_APPROVAL_FIELDS):
@ -444,11 +500,6 @@ def _validate_completed(
reviewed_at = approval.get("reviewed_at")
if not _is_iso_date(reviewed_at):
errors.append(f"{status}: approval.reviewed_at은 YYYY-MM-DD 실제 날짜여야 한다")
if status in {"conditional", "rejected"} and not _is_nonempty_string(approval.get("notes")):
errors.append(f"{status}: approval.notes에 조건 또는 반려 사유가 필요하다")
elif approval.get("notes") is not None and not _is_nonempty_string(approval.get("notes")):
errors.append(f"{status}: approval.notes는 null 또는 비어 있지 않은 문자열이어야 한다")
if approval.get("decision") != STATUS_DECISIONS[status]:
errors.append(f"{status}: approval.decision은 {STATUS_DECISIONS[status]}이어야 한다")
if approval.get("reviewed_protocol_version") != manifest.get("version"):
@ -462,6 +513,15 @@ def _validate_completed(
errors.extend(_validate_evidence(root, approval))
if not isinstance(youth_review_responses, dict):
errors.append(f"{status}: youth_review_responses 객체가 필요하다")
else:
for field in sorted(YOUTH_REVIEW_RESPONSE_FIELDS):
if not _is_nonempty_string(youth_review_responses.get(field)):
errors.append(
f"{status}: youth_review_responses.{field} 답변이 필요하다"
)
decisions: list[str] = []
for index, case in enumerate(cases):
if not isinstance(case, dict):
@ -478,6 +538,25 @@ def _validate_completed(
decisions.append(decision)
if not _is_nonempty_string(assessment.get("rationale")):
errors.append(f"{status}: {label}.reviewer_assessment.rationale이 필요하다")
findings = assessment.get("findings_and_required_changes")
re_review = assessment.get("re_review")
if not _is_nonempty_string(findings):
errors.append(
f"{status}: {label}.reviewer_assessment.findings_and_required_changes가 필요하다"
)
if not _is_nonempty_string(re_review):
errors.append(f"{status}: {label}.reviewer_assessment.re_review가 필요하다")
if decision in {"conditional", "fail"}:
if isinstance(findings, str) and findings.strip().casefold() in NO_REQUIRED_CHANGE_VALUES:
errors.append(
f"{status}: {label}.reviewer_assessment.findings_and_required_changes에 "
"실제 수정 요구를 기록해야 한다"
)
if isinstance(re_review, str) and re_review.strip().casefold() in NO_RE_REVIEW_VALUES:
errors.append(
f"{status}: {label}.reviewer_assessment.re_review에 "
"재검토 제출 조건 또는 일정을 기록해야 한다"
)
if assessment.get("reviewed_at") != reviewed_at:
errors.append(f"{status}: {label}.reviewer_assessment.reviewed_at이 전체 검토일과 달라서는 안 된다")
@ -551,8 +630,9 @@ def validate_review_contract(
cases = case_set.get("cases")
if not isinstance(cases, list):
return errors
youth_review_responses = case_set.get("youth_review_responses")
if status == "pending_external_review":
errors.extend(_validate_pending(approval, cases))
errors.extend(_validate_pending(approval, cases, youth_review_responses))
else:
errors.extend(
_validate_completed(
@ -562,6 +642,7 @@ def validate_review_contract(
approval,
case_set_file,
cases,
youth_review_responses,
)
)
return errors
@ -604,6 +685,7 @@ def main(argv: list[str] | None = None) -> int:
"protocol": f"{manifest['protocol_id']}@{manifest['version']}",
"case_set": f"{case_set['case_set_id']}@{case_set['version']}",
"case_count": len(case_set["cases"]),
"review_complete": manifest["clinical_status"] != "pending_external_review",
"external_review_replaced": False,
},
ensure_ascii=False,