PR #3759 - BigSimmo/PsychSift

Requested by Josh · project thread

Summary

Second #05WXHX batch. src/data/medication-source-links.json now proposes sources for 74 of 330 medicines (was 26).
New: other anticonvulsants (oxcarbazepine, topiramate, phenytoin, levetiracetam), gabapentinoids, oral antipsychotics, QTc-prolonging antiemetics (ondansetron, domperidone), TCAs and other overdose-risk antidepressants, benzodiazepines and Z-drugs, buprenorphine, S8 stimulants, ketamine, propranolol and clonidine.
Each maps to its TGA Product Information search link. Stimulants, alprazolam, buprenorphine, ketamine and the gabapentinoids also map to the WA Monitored Medicines Prescribing Code (Parts 2, 3, 6, 7, 8 read from the PDF) and ScriptCheckWA.
Owner decision 2026-10-22 (decision card in the project thread): the live TGA PI search is the PI source, signed with no fixed version, because www.ebs.tga.gov.au/robots.txt is Disallow: / and no PI version or date can be read. Adds dateModel: "live_product_information" in src/lib/sources/acquisition-ledger.ts. It is narrow: only publisherCode TGA with the eBS PICMI search URL (t=pi, non-empty q), the fixed version "Current TGA-approved Product Information (live search)", and no publication, review, update or expiry date. missing_dates is exempt from the capture-defect floor only for that shape (acquisitionRecordMetadataDefects).
All 71 TGA PI records (26 existing + 45 new) move from rejected to candidate under that model, so the owner can sign them with npm run clinical:review -- --pack --kind source.
Captures WA High Risk Medication Management Policy MP 0131/20 v2.0 (amended 18 Dec 2025) as an unmapped candidate.
Decision recorded in docs/decisions/2026-10-22-tga-pi-live-search-source.md, linked from the source protocol. Ledger update request queued for #05WXHX.

No visible change. medicationSourceLinks shows a record only when it is adopted, owner-attested against its current digest and current. Nothing here is adopted or attested, and the test asserts every one of the 74 slugs still renders nothing.

Verification

npm run check:source-acquisitions: "Source acquisition ledger passed." (173 candidate, 14 rejected)
npm run check:source-catalogue: "Source catalogue coverage passed."
npx vitest run tests/source-acquisition-ledger.test.ts tests/medication-source-links.test.ts tests/source-catalogue-providers.test.ts tests/medication-record-page.dom.test.tsx: 4 files, 114 tests passed (5 new tests for the live model)
npm run check:decisions: 0 errors. npm run check:instructions: pass. check:ledger-write-discipline: passed.
npm run clinical:review -- --pack --kind source builds a pack with all 71 TGA PI records
eslint on changed TS files clean; Prettier applied

Risk and rollout

Risk: low. Register data and one ledger validation rule. No retrieval, ranking or authority-register change, nothing rendered until owner sign-off and adoption.
Rollback: revert the two commits.
Provider or production effects: None.

RAG impact: no retrieval behaviour change. Source register records and ledger validation only. No publisher registered and no ranking surface touched.

Clinical Governance Preflight

Source-backed claims still require linked source verification before clinical use
No patient-identifiable document workflow was introduced or expanded without explicit governance approval
Supabase target remains PsychSift Production (sjrfecxgysukkwxsowpy)
Service-role keys and private document access remain server-only
Demo/synthetic content remains clearly separated from real clinical sources
Source metadata, review status, and outdated/unknown-source behavior remain conservative
Deployment classification/TGA SaMD impact was checked when clinical decision-support behavior changed

Notes

Known tooling gap, not widened here: signing does not adopt, and adopting after signing stales the attestation, so making a link visible currently takes sign, adopt, then sign again.

🤖 Generated with Claude Code

https://claude.ai/code/session_01A9mseShVV3W5j4edvB7roR