@peopl-health/nexus 5.71.0-dev.12718 → 5.71.1

package/lib/clinical/helpers/doctorReviewMessageHelper.js

@@ -27,6 +27,7 @@ function flagsByStatus(sections) {
     absent: named(false),
     unassessed: pending.map((flag) => inlineOf(flag.flag)),
     drugSafety: pending.filter((flag) => flag.blocksDrug !== false).map((flag) => inlineOf(flag.flag)),
+    urgent: pending.filter((flag) => flag.urgentIfPositive === true).map((flag) => inlineOf(flag.flag)),
   };
 }
 
@@ -60,13 +61,16 @@ function proposalLine({ proposal, withheldReason, conduct, sections }) {
   const declared = [...(proposal.conditions ?? []), ...(proposal.ruledOut ?? []).map((key) => `descartado ${key}`)]
     .map((key) => inlineOf(key)?.replace(/_/g, ' ')).filter(Boolean);
   const table = formularyFor(proposal.symptom)?.label;
-  const { unassessed, drugSafety } = flagsByStatus(sections);
-  const lead = drugSafety.length
-    ? `→ Propuesta para su aprobación si se confirma sin ${drugSafety.join(', ')} (tabla ${table})`
+  const { unassessed, drugSafety, urgent } = flagsByStatus(sections);
+  const gate = unassessed.filter((flag) => drugSafety.includes(flag) || urgent.includes(flag));
+  const call = urgent.length ? `Llamar antes de indicar: ${urgent.join(', ')}. ` : '';
+  const lead = gate.length
+    ? `→ ${call}Propuesta para su aprobación si se confirma sin ${gate.join(', ')} (tabla ${table})`
     : `→ Propuesta para su aprobación (tabla ${table})`;
+  const armedConduct = urgent.length ? inlineOf(conduct) : null;
   return [
     `${lead}: ${sentence(drugs.join('; '))}`,
-    unassessed.length && 'Si algo de lo pendiente es positivo: valoración presencial.',
+    armedConduct ? sentence(armedConduct) : unassessed.length && 'Si algo de lo pendiente es positivo: valoración presencial.',
     declared.length && `Verificar: ${sentence(declared.join(', '))}`,
   ].filter(Boolean).join(' ');
 }

package/lib/clinical/services/escalationDraftService.js

@@ -36,14 +36,16 @@ function settleProposal(parsed) {
   const items = Array.isArray(raw?.items) ? raw.items : [];
   const stated = trimmed(parsed?.proposalWithheldReason);
   const conduct = stated && !drugsNamedIn(stated).length ? stated : null;
-  if (withheld) return { proposal: null, withheldReason: withheld, conduct, strippedItems: items.length };
-  if (!items.length) return { proposal: null, withheldReason: null, conduct, strippedItems: 0 };
+  const { present, urgent } = flagsByStatus(parsed);
+  const callFirst = urgent.length && !present.length ? `llamar antes de indicar: ${urgent.join(', ')}` : null;
+  if (withheld) return { proposal: null, withheldReason: [withheld, callFirst].filter(Boolean).join('; '), conduct, strippedItems: items.length };
+  if (!items.length) return { proposal: null, withheldReason: callFirst, conduct, strippedItems: 0 };
 
   const conditions = Array.isArray(raw.conditions) ? raw.conditions : [];
   const ruledOut = Array.isArray(raw.ruledOut) ? raw.ruledOut : [];
   const proposal = { symptom: raw.symptom, items, conditions, ruledOut };
   const { valid, issues } = validateProposal(proposal, { conditions, ruledOut });
-  return valid ? { proposal, withheldReason: null, strippedItems: 0 } : { invalid: issues };
+  return valid ? { proposal, withheldReason: null, conduct, strippedItems: 0 } : { invalid: issues };
 }
 
 const textList = (value) => (Array.isArray(value) ? value.map(trimmed).filter(Boolean) : []);
@@ -155,7 +157,11 @@ async function generateEscalationDraft({
 
   const issues = settled.flatMap((entry) => entry.invalid ?? []);
   if (!issues.length) issues.push(...crossSymptomIssues(proposals));
-  const confirmed = settled.filter((entry) => entry.proposal && !flagsByStatus(entry.block).drugSafety.length).map((entry) => entry.proposal);
+  const isConfirmed = ({ block, proposal }) => {
+    const { drugSafety, urgent } = flagsByStatus(block);
+    return proposal && !drugSafety.length && !urgent.length;
+  };
+  const confirmed = settled.filter(isConfirmed).map((entry) => entry.proposal);
   const patientDrugs = unproposedDrugsIn(patientMessage, confirmed);
   if (!issues.length && patientDrugs.length) {
     issues.push(`el mensaje al paciente menciona ${patientDrugs.join(', ')}, que no está en la propuesta de tratamiento`);

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@peopl-health/nexus",
-  "version": "5.71.0-dev.12718",
+  "version": "5.71.1",
   "description": "Core messaging and assistant library for WhatsApp communication platforms",
   "keywords": [
     "whatsapp",