Merge branch 'fix/v147-screen-negations' into release/v1.47.0

src/lib/ai/safety/__tests__/locale-bank-liveness.test.ts

@@ -84,6 +84,10 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "Owing to the heat, it rose.",
     "Salt is responsible for it.",
     "Keep taking your 7.5 mg as prescribed.",
+    "Don't take atorvastatin tonight.",
+    "Take a break from enalapril.",
+    "Add 4 more units of insulin.",
+    "Take 10 ml of the syrup.",
   ],
   de: [
     "Reduzieren Sie die Dosis um die Hälfte.",
@@ -127,6 +131,12 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "Der Auslöser war Salz.",
     "Salz ist verantwortlich für den Anstieg.",
     "Nimm dein Metformin weiter wie verordnet.",
+    "Nehmen Sie kein Atorvastatin.",
+    "Nimm heute Abend dein Metoprolol nicht.",
+    "Mach eine Pause mit dem Enalapril.",
+    "Setzen Sie das Ramipril für ein paar Tage aus.",
+    "Geben Sie 2 zusätzliche Einheiten Insulin dazu.",
+    "Nehmen Sie 10 ml Hustensaft.",
   ],
   fr: [
     "Réduisez la dose de moitié.",
@@ -161,6 +171,11 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "Il a baissé grâce à la marche.",
     "Le stress provoque une hausse.",
     "Continuez à prendre votre metformine.",
+    "Ne prenez pas votre atorvastatine ce soir.",
+    "Faites une pause avec l’énalapril.",
+    "Mettez le ramipril en pause.",
+    "Rajoutez 2 unités d’insuline.",
+    "Prenez 10 ml de sirop.",
   ],
   es: [
     "Reduzca la dosis a la mitad.",
@@ -194,6 +209,10 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "Bajó gracias a la caminata.",
     "Fue impulsado por el estrés.",
     "Siga tomando su metformina.",
+    "No tome atorvastatina esta noche.",
+    "Tome un descanso del enalapril.",
+    "Añada 4 unidades más de insulina.",
+    "Tome 10 ml del jarabe.",
   ],
   it: [
     "Riduca la dose della metà.",
@@ -226,6 +245,10 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "È calato grazie a una camminata.",
     "È stato guidato da stress.",
     "Continui a prendere la metformina.",
+    "Non prenda l’atorvastatina stasera.",
+    "Faccia una pausa dall’enalapril.",
+    "Prenda 10 ml di sciroppo.",
+    "Aggiunga 2 unità alla dose della sera.",
   ],
   pl: [
     "Zmniejsz dawkę o połowę.",
@@ -258,6 +281,10 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "Spadło dzięki spacerom.",
     "Sól jest odpowiedzialna za wzrost.",
     "Kontynuuj przyjmowanie leku.",
+    "Nie bierz dziś wieczorem atorwastatyny.",
+    "Zrób przerwę w przyjmowaniu enalaprylu.",
+    "Weź 10 ml syropu.",
+    "Dodaj 2 jednostki do wieczornej dawki.",
   ],
   nl: [
     "Verlaag je dosis met de helft.",
@@ -304,6 +331,11 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "De oorzaak is zout.",
     "Zout is verantwoordelijk voor de stijging.",
     "Blijf je metformine nemen.",
+    "Neem vandaag geen tabletten.",
+    "Neem uw metoprolol niet.",
+    "Neem een pauze van enalapril.",
+    "Neem 10 ml van de siroop.",
+    "Voeg 2 eenheden toe aan je avonddosis.",
   ],
   ko: [
     "복용량을 늘리세요.",
@@ -336,6 +368,10 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "산책 덕분에 내려갔어요.",
     "스트레스가 영향을 줘서 올랐어요.",
     "처방대로 복용하세요.",
+    "오늘 밤에는 아토르바스타틴을 복용하지 마세요.",
+    "에날라프릴 복용을 잠시 쉬세요.",
+    "시럽 10ml를 드세요.",
+    "저녁 인슐린에 2단위를 추가하세요.",
   ],
   "pt-BR": [
     "Reduza a dose pela metade.",
@@ -377,6 +413,10 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "O sal é responsável pela alta.",
     "Isso é culpa do sal.",
     "Continue tomando sua metformina conforme prescrito.",
+    "Não tome atorvastatina hoje à noite.",
+    "Faça uma pausa no enalapril.",
+    "Adicione 4 unidades a mais de insulina.",
+    "Tome 10 ml do xarope.",
   ],
   ru: [
     "2000 мг увеличьте.",
@@ -418,6 +458,10 @@ const SENTENCES: Record<Locale, readonly string[]> = {
     "Благодаря прогулкам это снизилось.",
     "Это является результатом нагрузки.",
     "Продолжайте принимать 7,5 мг как назначено.",
+    "Не принимайте аторвастатин сегодня вечером.",
+    "Сделайте перерыв в приёме эналаприла.",
+    "Добавьте ещё 4 единицы инсулина.",
+    "Примите 10 мл сиропа.",
   ],
 };
 

src/lib/ai/safety/__tests__/outbound-screen-withhold-shapes.test.ts

@@ -0,0 +1,428 @@
+/**
+ * Four instruction shapes that walked past the dose screen in every language:
+ *
+ *   1. a negated take ("Don't take atorvastatin tonight", «Не принимайте
+ *      аторвастатин»): a negation in front of the intake verb is a hold or a
+ *      stop, not a warning, when its object is a medication and nothing
+ *      protective ("a double dose", "more than", "half") sits in between;
+ *   2. a pause ("Take a break from enalapril", «Сделайте перерыв в приёме
+ *      эналаприла», "Mach eine Pause mit Ramipril");
+ *   3. an increment with no target ("Add 4 more units of insulin", «Добавьте
+ *      ещё 4 единицы инсулина», "Spritzen Sie 2 Einheiten mehr");
+ *   4. a liquid dose of a drug form ("Take 10 ml of the syrup", «Примите 10 мл
+ *      сиропа»). `ml` alone stays out of the drug units, because "drink 500 ml
+ *      of water" is hydration advice; the shape keys on the drug-form noun.
+ *
+ * Every shape is anchored on a medication noun, a drug unit or a drug form,
+ * never on the verb alone, so the near-misses below (a reading not taken
+ * after coffee, a break from screens, two more walks, water by the
+ * millilitre, a repeat lab test, the protective "don't take a double dose")
+ * pass.
+ */
+import { describe, expect, it } from "vitest";
+
+import type { Locale } from "@/lib/i18n/config";
+
+import {
+  CONVERSATIONAL_CONTRACTS,
+  screenModelOutput,
+} from "../outbound-screen";
+
+type Shape = "negated" | "pause" | "increment" | "liquid";
+
+const BLOCKED: Record<Locale, Record<Shape, readonly string[]>> = {
+  en: {
+    negated: [
+      "Don't take atorvastatin tonight.",
+      "Do not take your metoprolol.",
+      "Don't take your blood pressure medication today.",
+      "Please don't take your evening insulin tonight.",
+    ],
+    pause: [
+      "Take a break from enalapril.",
+      "Take a short break from your statin for two weeks.",
+      "Give yourself a break from the metformin this weekend.",
+    ],
+    increment: [
+      "Add 4 more units of insulin.",
+      "Take 2 more tablets tonight.",
+      "Inject 3 extra units before dinner.",
+      "Add 4 units to your evening dose.",
+    ],
+    liquid: [
+      "Take 10 ml of the syrup.",
+      "Take 5 ml of the oral solution twice a day.",
+      "Give yourself 15 ml of the suspension.",
+    ],
+  },
+  de: {
+    negated: [
+      "Nehmen Sie kein Atorvastatin.",
+      "Nimm heute Abend dein Metoprolol nicht.",
+      "Nehmen Sie Ihre Tabletten heute nicht ein.",
+      "Nimm heute keine Tabletten.",
+    ],
+    pause: [
+      "Pausieren Sie Ramipril.",
+      "Mach eine Pause mit dem Enalapril.",
+      "Legen Sie eine Pause bei Ihrem Ramipril ein.",
+      "Setzen Sie das Ramipril für ein paar Tage aus.",
+    ],
+    increment: [
+      "Spritzen Sie 2 Einheiten mehr.",
+      "Spritz heute Abend 4 Einheiten mehr Insulin.",
+      "Geben Sie 2 zusätzliche Einheiten Insulin dazu.",
+      "Spritz zum Abendessen 2 Einheiten dazu.",
+    ],
+    liquid: [
+      "Nehmen Sie 10 ml Hustensaft.",
+      "Nimm 5 ml von dem Sirup.",
+      "Nehmen Sie 10 ml der Lösung ein.",
+    ],
+  },
+  fr: {
+    negated: [
+      "Ne prenez pas votre atorvastatine ce soir.",
+      "Ne prends pas ton métoprolol.",
+      "Ne prenez pas vos comprimés aujourd’hui.",
+    ],
+    pause: [
+      "Faites une pause avec l’énalapril.",
+      "Faites une pause dans votre ramipril pendant une semaine.",
+      "Mettez le ramipril en pause.",
+    ],
+    increment: [
+      "Ajoutez 4 unités d’insuline de plus.",
+      "Injectez 2 unités supplémentaires.",
+      "Prenez 2 comprimés de plus ce soir.",
+      "Rajoutez 2 unités d’insuline.",
+    ],
+    liquid: ["Prenez 10 ml de sirop.", "Prenez 5 ml de la solution buvable."],
+  },
+  es: {
+    negated: [
+      "No tome atorvastatina esta noche.",
+      "No tomes tu metoprolol.",
+      "No tome sus pastillas hoy.",
+    ],
+    pause: [
+      "Tome un descanso del enalapril.",
+      "Haga una pausa con el ramipril durante una semana.",
+    ],
+    increment: [
+      "Añada 4 unidades más de insulina.",
+      "Póngase 2 unidades más esta noche.",
+      "Tome 2 pastillas más.",
+      "Añada 2 unidades a su dosis de la noche.",
+    ],
+    liquid: ["Tome 10 ml del jarabe.", "Tome 5 ml de la solución oral."],
+  },
+  it: {
+    negated: [
+      "Non prenda l’atorvastatina stasera.",
+      "Non prendere il tuo metoprololo.",
+      "Non prenda le compresse oggi.",
+    ],
+    pause: [
+      "Faccia una pausa dall’enalapril.",
+      "Prenditi una pausa dal ramipril per una settimana.",
+    ],
+    increment: [
+      "Aggiunga 4 unità di insulina in più.",
+      "Inietti 2 unità in più.",
+      "Prenda 2 compresse in più.",
+      "Aggiunga 2 unità alla dose della sera.",
+      "Faccia 2 unità in più di insulina.",
+    ],
+    liquid: ["Prenda 10 ml di sciroppo.", "Prendi 5 ml della soluzione orale."],
+  },
+  pl: {
+    negated: [
+      "Nie bierz dziś wieczorem atorwastatyny.",
+      "Proszę nie przyjmować metoprololu.",
+      "Nie przyjmuj dziś tabletek.",
+    ],
+    pause: [
+      "Zrób przerwę w przyjmowaniu enalaprylu.",
+      "Zrób sobie przerwę od ramiprylu na tydzień.",
+    ],
+    increment: [
+      "Dodaj 4 jednostki insuliny więcej.",
+      "Wstrzyknij 2 jednostki więcej.",
+      "Weź 2 tabletki więcej.",
+      "Dodaj 2 jednostki do wieczornej dawki.",
+      "Podaj sobie 2 jednostki insuliny więcej.",
+    ],
+    liquid: ["Weź 10 ml syropu.", "Przyjmij 5 ml roztworu doustnego."],
+  },
+  nl: {
+    negated: [
+      "Neem vanavond je atorvastatine niet in.",
+      "Neem uw metoprolol niet.",
+      "Neem vandaag geen tabletten.",
+    ],
+    pause: [
+      "Neem een pauze van enalapril.",
+      "Las een pauze in met je ramipril.",
+    ],
+    increment: [
+      "Voeg 4 eenheden insuline extra toe.",
+      "Spuit 2 eenheden meer.",
+      "Neem 2 tabletten extra.",
+      "Voeg 2 eenheden toe aan je avonddosis.",
+      "Doe er 2 eenheden insuline bij.",
+    ],
+    liquid: ["Neem 10 ml van de siroop.", "Neem 5 ml van de oplossing in."],
+  },
+  ko: {
+    negated: [
+      "오늘 밤에는 아토르바스타틴을 복용하지 마세요.",
+      "메토프롤롤을 드시지 마세요.",
+      "오늘은 약을 먹지 마세요.",
+    ],
+    pause: [
+      "에날라프릴 복용을 잠시 쉬세요.",
+      "라미프릴을 일주일 동안 쉬어 보세요.",
+    ],
+    increment: [
+      "인슐린을 4단위 더 맞으세요.",
+      "2정 더 복용하세요.",
+      "인슐린 4단위를 추가로 주사하세요.",
+      "저녁 인슐린에 2단위를 추가하세요.",
+      "인슐린을 2단위 더 놓으세요.",
+    ],
+    liquid: ["시럽 10ml를 드세요.", "물약을 5 mL 복용하세요."],
+  },
+  "pt-BR": {
+    negated: [
+      "Não tome atorvastatina hoje à noite.",
+      "Não tome o seu metoprolol.",
+      "Não tome seus comprimidos hoje.",
+    ],
+    pause: [
+      "Faça uma pausa no enalapril.",
+      "Dê um tempo do ramipril por uma semana.",
+    ],
+    increment: [
+      "Aplique mais 4 unidades de insulina.",
+      "Adicione 4 unidades a mais de insulina.",
+      "Tome mais 2 comprimidos.",
+      "Acrescente 2 unidades à dose da noite.",
+    ],
+    liquid: ["Tome 10 ml do xarope.", "Tome 5 ml da solução oral."],
+  },
+  ru: {
+    negated: [
+      "Не принимайте аторвастатин сегодня вечером.",
+      "Не принимайте ваш метопролол.",
+      "Не пейте таблетки сегодня.",
+    ],
+    pause: [
+      "Сделайте перерыв в приёме эналаприла.",
+      "Сделайте паузу с рамиприлом на неделю.",
+    ],
+    increment: [
+      "Добавьте ещё 4 единицы инсулина.",
+      "Введите на 2 единицы больше.",
+      "Добавьте 2 таблетки сверху.",
+      "Прибавьте 2 единицы к вечерней дозе.",
+    ],
+    liquid: [
+      "Примите 10 мл сиропа.",
+      "Принимайте по 5 мл раствора дважды в день.",
+    ],
+  },
+};
+
+/** Near-misses that share a verb, a number or a unit with the shapes above. */
+const PASSES: Record<Locale, readonly string[]> = {
+  en: [
+    "Don't take your readings right after coffee.",
+    "Don't take your blood pressure right after exercise.",
+    "Take a break from screens before bed.",
+    "Add 2 more walks per week.",
+    "Drink 500 ml of water.",
+    "Don't skip your morning walk.",
+    "Repeat the test in 3 months.",
+    "Don't take a double dose to make up for a missed one.",
+    "Do not take more than 4 tablets in a day.",
+    "Don't stop taking your metoprolol without talking to your doctor.",
+    "Take a 10-minute break from sitting.",
+    "Add 1 more serving of vegetables to dinner.",
+    "Don't take two doses at once.",
+    "Take 10 minutes to log your readings.",
+    "Don't take your medication on an empty stomach.",
+    "Don't take ibuprofen with your blood thinner.",
+    "If you don't take your metformin tonight, log it.",
+    "You don't take insulin.",
+    "Take a break from logging for a day.",
+    "Take 5 ml of honey in warm water.",
+    "Do not take your blood pressure reading right after coffee.",
+    "Don't take your dose with grapefruit juice.",
+    "Don't take statins lightly.",
+    "Take a rest from training this week.",
+    "Why don't you take your readings tonight?",
+  ],
+  de: [
+    "Messen Sie nicht direkt nach dem Kaffee.",
+    "Nimm deine Messung nicht direkt nach dem Kaffee vor.",
+    "Mach vor dem Schlafen eine Pause vom Bildschirm.",
+    "Pausieren Sie das Training für zwei Tage.",
+    "Plane 2 Spaziergänge mehr pro Woche ein.",
+    "Trinken Sie 500 ml Wasser.",
+    "Trink 200 ml Orangensaft zum Frühstück.",
+    "Lass deinen Morgenspaziergang nicht ausfallen.",
+    "Wiederholen Sie den Test in 3 Monaten.",
+    "Nehmen Sie keine doppelte Dosis, um eine vergessene nachzuholen.",
+    "Setzen Sie Ramipril nicht ohne Rücksprache ab.",
+    "Nimm keine zusätzliche Tablette.",
+    "Nehmen Sie nicht mehr als 4 Tabletten am Tag.",
+    "Nehmen Sie keine Tabletten auf nüchternen Magen.",
+    "Nimm deine Tabletten nicht mit Grapefruitsaft.",
+    "Machen Sie eine Pause vom Sitzen.",
+    "Nehmen Sie 10 ml Olivenöl.",
+    "Gib 2 Löffel Haferflocken dazu.",
+    "Nimm dir eine Auszeit vom Handy.",
+  ],
+  fr: [
+    "Ne prenez pas vos mesures juste après un café.",
+    "Faites une pause d’écran avant de dormir.",
+    "Ajoutez 2 marches de plus par semaine.",
+    "Buvez 500 ml d’eau.",
+    "Ne sautez pas votre marche du matin.",
+    "Refaites le test dans 3 mois.",
+    "Ne prenez pas de double dose pour rattraper un oubli.",
+    "N’arrêtez pas votre ramipril sans avis médical.",
+    "Faites une pause de 10 minutes après le repas.",
+    "Ne prenez pas plus de 4 comprimés par jour.",
+    "Ne prenez pas vos comprimés avec du jus de pamplemousse.",
+    "Prenez une pause après le repas.",
+    "Ne prenez pas votre tension juste après le café.",
+  ],
+  es: [
+    "No se tome la presión justo después del café.",
+    "Tómese un descanso de las pantallas antes de dormir.",
+    "Añada 2 caminatas más por semana.",
+    "Beba 500 ml de agua.",
+    "No se salte su caminata matutina.",
+    "Repita el análisis en 3 meses.",
+    "No tome una dosis doble para compensar una olvidada.",
+    "No deje de tomar el ramipril sin hablar con su médico.",
+    "No tome más de 4 pastillas al día.",
+    "Haga una pausa de 10 minutos después de comer.",
+    "No tome sus pastillas con zumo de pomelo.",
+    "No se tome la tensión después de comer.",
+  ],
+  it: [
+    "Non misuri la pressione subito dopo il caffè.",
+    "Faccia una pausa dagli schermi prima di dormire.",
+    "Aggiunga 2 passeggiate in più a settimana.",
+    "Beva 500 ml d’acqua.",
+    "Non salti la passeggiata del mattino.",
+    "Ripeta l’esame tra 3 mesi.",
+    "Non prenda una dose doppia per compensare quella dimenticata.",
+    "Non sospenda il ramipril senza parlarne con il medico.",
+    "Non prenda più di 4 compresse al giorno.",
+    "Non prenda le compresse a stomaco vuoto.",
+    "Prendi una pausa dal lavoro.",
+  ],
+  pl: [
+    "Nie mierz ciśnienia zaraz po kawie.",
+    "Zrób przerwę od ekranów przed snem.",
+    "Dodaj 2 spacery więcej w tygodniu.",
+    "Wypij 500 ml wody.",
+    "Nie pomijaj porannego spaceru.",
+    "Powtórz badanie za 3 miesiące.",
+    "Nie bierz podwójnej dawki, aby nadrobić pominiętą.",
+    "Nie odstawiaj ramiprylu bez rozmowy z lekarzem.",
+    "Nie bierz więcej niż 4 tabletki dziennie.",
+    "Nie bierz tabletek na pusty żołądek.",
+  ],
+  nl: [
+    "Neem je metingen niet direct na de koffie.",
+    "Neem een pauze van schermen voor het slapengaan.",
+    "Voeg 2 wandelingen extra per week toe.",
+    "Drink 500 ml water.",
+    "Sla je ochtendwandeling niet over.",
+    "Herhaal de test over 3 maanden.",
+    "Neem geen dubbele dosis om een vergeten dosis in te halen.",
+    "Stop niet met ramipril zonder overleg met je arts.",
+    "Neem niet meer dan 4 tabletten per dag.",
+    "Neem geen tabletten op een lege maag.",
+    "Neem even pauze van het werk.",
+  ],
+  ko: [
+    "커피를 마신 직후에는 혈압을 재지 마세요.",
+    "자기 전에는 화면을 잠시 쉬세요.",
+    "일주일에 산책을 2번 더 하세요.",
+    "물을 500ml 드세요.",
+    "아침 산책을 거르지 마세요.",
+    "3개월 후에 검사를 다시 하세요.",
+    "잊은 약을 보충하려고 두 배로 복용하지 마세요.",
+    "의사와 상의 없이 라미프릴을 끊지 마세요.",
+    "하루에 4정보다 많이 복용하지 마세요.",
+    "약을 공복에 먹지 마세요.",
+    "자몽 주스와 함께 약을 드시지 마세요.",
+    "약 2주 동안 커피를 마시지 마세요.",
+  ],
+  "pt-BR": [
+    "Não meça a pressão logo depois do café.",
+    "Faça uma pausa das telas antes de dormir.",
+    "Adicione mais 2 caminhadas por semana.",
+    "Beba 500 ml de água.",
+    "Não pule sua caminhada da manhã.",
+    "Repita o exame em 3 meses.",
+    "Não tome dose dobrada para compensar a esquecida.",
+    "Não pare o ramipril sem falar com seu médico.",
+    "Não tome mais de 4 comprimidos por dia.",
+    "Não tome seus comprimidos com suco de toranja.",
+  ],
+  ru: [
+    "Не измеряйте давление сразу после кофе.",
+    "Сделайте перерыв от экранов перед сном.",
+    "Добавьте ещё 2 прогулки в неделю.",
+    "Выпейте 500 мл воды.",
+    "Не пропускайте утреннюю прогулку.",
+    "Повторите анализ через 3 месяца.",
+    "Не принимайте двойную дозу, чтобы восполнить пропущенную.",
+    "Не прекращайте приём рамиприла без консультации с врачом.",
+    "Не принимайте больше 4 таблеток в день.",
+    "Не принимайте таблетки натощак.",
+    "Не принимайте таблетки с грейпфрутовым соком.",
+    "Сделайте перерыв в приёме пищи перед анализом.",
+    "Добавьте 2 ложки овсянки.",
+  ],
+};
+
+const PLAN = [
+  { name: "Ramipril", dose: 5 },
+  { name: "Metoprolol", dose: 47.5 },
+];
+
+describe("dose screen: negated take, pause, increment and liquid dose", () => {
+  for (const [locale, shapes] of Object.entries(BLOCKED) as Array<
+    [Locale, Record<Shape, readonly string[]>]
+  >) {
+    for (const [shape, sentences] of Object.entries(shapes)) {
+      it.each(sentences)(`blocks the ${shape} shape in ${locale}: %s`, (s) => {
+        const d = screenModelOutput(s, locale, CONVERSATIONAL_CONTRACTS);
+        expect(d.block).toBe(true);
+        expect(d.reason).toBe("dose_prescription");
+      });
+    }
+  }
+
+  for (const [locale, sentences] of Object.entries(PASSES) as Array<
+    [Locale, readonly string[]]
+  >) {
+    it.each(sentences)(`passes in ${locale}: %s`, (s) => {
+      const bare = screenModelOutput(s, locale, CONVERSATIONAL_CONTRACTS);
+      const named = screenModelOutput(s, locale, CONVERSATIONAL_CONTRACTS, {
+        dosePlan: PLAN,
+        medicationNames: PLAN.map((entry) => entry.name),
+      });
+      expect(bare.block).toBe(false);
+      expect(named.block).toBe(false);
+    });
+  }
+});

src/lib/ai/safety/outbound-screen/locales/de.ts

@@ -1,6 +1,9 @@
 /** Outbound-screen banks for German, composed by `../../outbound-screen.ts`. */
 import {
   DOSE_UNIT,
+  DRUG_UNIT,
+  LIQUID_UNIT,
+  SPELLED_COUNT,
   UNIT_END,
   objectSlot,
   TARGET,
@@ -37,6 +40,23 @@ const DE_DOSE_OBJECT =
 /** A German count in front of a medication noun ("eine Tablette mehr"). */
 const DE_COUNT = "ein(?:e|en)?|zwei|drei|vier|halbe|\\d+(?:[.,]\\d+)?";
 
+/** The German intake imperatives a hold, an increment or a liquid dose uses. */
+const DE_TAKE =
+  "(?:nimm|nehmen\\s+sie|spritz|spritzen\\s+sie|injizier(?:e)?|injizieren\\s+sie)";
+
+/**
+ * The object of a negated intake. A protective qualifier ends it, so "nimm
+ * keine doppelte Dosis", "keine zusätzliche Tablette" and "nimm die halbe
+ * Dosis nicht" stay warnings.
+ */
+const DE_HOLD_SLOT = objectSlot(
+  `${DE_STOP}|als|zu|mit|für|gegen|statt|ohne|über|auf|doppelt\\w*|zusätzlich\\w*|extra|weitere\\w*|halbe\\w*|hälfte|zweite\\w*|mehr|zwei|andere\\w*`,
+  4,
+);
+
+/** A liquid drug form a measured volume may be a dose of; juice is not one. */
+const DE_LIQUID = `(?<![${LETTER}])(?:husten|fieber|schmerz)?saft(?:e?s)?(?![${LETTER}])|[${LETTER}]*(?:sirup|lösung|suspension|tinktur|tropfen|elixier)[${LETTER}]*`;
+
 const SPELLED_DE =
   "(?:null|eins?|zwei|drei|vier|fünf|sechs|sieben|acht|neun|zehn|elf|zwölf|dreizehn|vierzehn|fünfzehn|sechzehn|siebzehn|achtzehn|neunzehn|zwanzig|dreißig|vierzig|fünfzig|sechzig|siebzig|achtzig|neunzig)";
 
@@ -146,6 +166,40 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: "Nehmen Sie kein Atorvastatin", "nimm heute
+    // keine Tabletten", "nimm dein Metoprolol heute nicht". A protective
+    // qualifier or an interaction ("keine Tabletten mit Grapefruitsaft")
+    // keeps it a warning.
+    new RegExp(
+      `\\b${DE_TAKE}\\s+${objectSlot(DE_STOP, 3)}kein(?:e|en|er|es)?\\s+${DE_HOLD_SLOT}${med}(?![${LETTER}])(?!\\s+(?:doppelt|zusätzlich|extra|auf|gleichzeitig|zusammen|mit|ohne|zu|zur|zum|als|gegen)(?![${LETTER}]))`,
+      "i",
+    ),
+    new RegExp(
+      `\\b${DE_TAKE}\\s+${DE_HOLD_SLOT}${med}\\s+(?:(?:heute|morgen|abends?|früh|vorerst|zunächst|erst\\s*mal|diese\\s+woche)\\s+){0,3}nicht(?:\\s+mehr)?(?:\\s+ein)?(?=\\s*(?:[.!;),]|$)|\\s+(?:und|oder|bis|vor|ab)\\s)`,
+      "i",
+    ),
+    // A pause: "Mach eine Pause mit dem Enalapril", "legen Sie eine Pause bei
+    // Ihrem Ramipril ein", "setzen Sie das Ramipril für ein paar Tage aus".
+    new RegExp(
+      `\\b(?:mach(?:e|en\\s+sie)?|leg(?:e|en\\s+sie)?|gönn(?:e|en\\s+sie)?)\\s+(?:(?:dir|sich)\\s+)?(?:eine|ein)\\s+(?:[^\\s\\d.?!,;:]+\\s+)?(?:pause|einnahmepause|auszeit)\\s+(?:mit|bei|von|vom|beim|in)\\s+(?:(?:der\\s+)?einnahme\\s+(?:von\\s+)?)?${DE_SHORT}${med}`,
+      "i",
+    ),
+    new RegExp(
+      `\\bsetz(?:e|en)?(?:\\s+sie)?\\s+${DE_SLOT}${med}(?:(?!\\b(?:nicht|nie|niemals)\\b)[^.?!]){0,30}?\\saus(?=\\s*(?:[.!?,;:]|$))`,
+      "i",
+    ),
+    // An increment: "Geben Sie 2 zusätzliche Einheiten dazu", "gib noch 2
+    // Einheiten". The amount carries a drug unit.
+    new RegExp(
+      `\\b(?:gib|geben\\s+sie|${DE_TAKE})\\s+(?:(?:dir|sich)\\s+)?${DE_SHORT}(?:noch\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*(?:(?:zusätzlich\\w*|weitere\\w*|extra)\\s+)?${DRUG_UNIT}${UNIT_END}`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: "Nehmen Sie 10 ml Hustensaft".
+    // "Trinken Sie 500 ml Wasser" and orange juice pass.
+    new RegExp(
+      `\\b(?:nimm|nehmen\\s+sie|gib|geben\\s+sie)\\s+(?:(?:dir|sich)\\s+)?${DE_SHORT}[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s+${DE_SHORT}(?:${DE_LIQUID}|${med})`,
+      "i",
+    ),
   ],
   dose: [
     new RegExp(

src/lib/ai/safety/outbound-screen/locales/en.ts

@@ -1,6 +1,9 @@
 /** Outbound-screen banks for English, composed by `../../outbound-screen.ts`. */
 import {
   DOSE_UNIT,
+  DRUG_UNIT,
+  LIQUID_UNIT,
+  SPELLED_COUNT,
   UNIT_END,
   objectSlot,
   TARGET,
@@ -10,8 +13,14 @@ import {
   type LocaleBank,
 } from "../shared";
 
+/**
+ * Words the English object slot may not cross. The other languages'
+ * negations are here because the English bank runs on every reader's text:
+ * the Dutch warning "Stop niet met ramipril zonder overleg" otherwise read as
+ * "stop" + two slot words + a generic name.
+ */
 const EN_STOP =
-  "not|never|and|or|but|if|whether|when|sodium|salt|caffeine|sugars?|fib(?:er|re)|protein|carbs?|carbohydrates?|cholesterol|water|fluids?|coffee|alcohol|steps";
+  "not|never|no|niet|nicht|nie|non|não|nao|nunca|nooit|jamais|and|or|but|if|whether|when|sodium|salt|caffeine|sugars?|fib(?:er|re)|protein|carbs?|carbohydrates?|cholesterol|water|fluids?|coffee|alcohol|steps";
 
 const EN_SLOT = objectSlot(EN_STOP);
 
@@ -20,6 +29,28 @@ const EN_SHORT = objectSlot(
   2,
 );
 
+/**
+ * The object of a negated intake verb. A protective count or qualifier ends
+ * it, so "don't take a double dose", "do not take more than 4 tablets" and
+ * "don't take half a tablet" stay warnings.
+ */
+const EN_HOLD_SLOT = objectSlot(
+  `${EN_STOP}|to|for|with|at|in|on|of|from|into|than|while|during|like|half|double|more|extra|additional|another|second|two|both|multiple|any|other|same`,
+  3,
+);
+
+/**
+ * Where a negated intake ends to read as a hold: the clause closes, or a time
+ * word follows ("don't take your metoprolol tonight"). "Don't take your pills
+ * with grapefruit" meets neither and passes.
+ */
+const EN_HOLD_END =
+  "(?=\\s*(?:[.!;)]|$)|\\s+(?:today|tonight|tomorrow|this\\s+(?:morning|evening|afternoon|week|weekend)|for\\s+(?:now|a\\s+(?:few|couple|while|week|day)|the\\s+(?:next|rest)|\\d+|two|three|several)|any\\s*more|until|before|in\\s+the\\s+(?:morning|evening))\\b)";
+
+/** A liquid drug form a measured volume may be a dose of. */
+const EN_LIQUID =
+  "(?:syrups?|solutions?|suspensions?|elixirs?|tinctures?|linctus|mixtures?|liquid\\s+medicine)\\b";
+
 /**
  * Where an English imperative can start: the sentence head (or a list bullet),
  * after a colon / dash, or after a recommending lead-in. A negated imperative
@@ -146,6 +177,32 @@ export const bank: LocaleBank = {
         "im",
       ),
     ),
+    // A negated intake is a hold: "Don't take atorvastatin tonight", "Do not
+    // take your metoprolol." A description ("if you don't take", "you
+    // don't take") and the "why don't you take" nudge sit outside it.
+    new RegExp(
+      `(?<!\\b(?:why|if|you|they|we|i|when|that|who)\\s)\\b(?:(?:don['’]?t|do\\s+not|you\\s+should(?:n['’]t|\\s+not))\\s+(?:take|use|inject|give\\s+yourself)|avoid\\s+(?:taking|using|injecting))\\s+${EN_HOLD_SLOT}${med}${EN_HOLD_END}`,
+      "i",
+    ),
+    // A pause: "Take a break from enalapril", "give yourself a break from
+    // the metformin". A break from screens or sitting names no medication.
+    new RegExp(
+      `${EN_LEAD}(?:take|have|give\\s+(?:yourself|your\\s+body))\\s+(?:an?\\s+)?(?:[^\\s\\d.?!,;:]+\\s+){0,2}?(?:break|pause|holiday|rest|vacation)\\s+from\\s+(?:taking\\s+)?${EN_SHORT}${med}`,
+      "im",
+    ),
+    // An increment with no target: "Add 4 more units of insulin", "inject 3
+    // extra units". The amount has to carry a drug unit, so "add 2 more
+    // walks" and "take 10 more minutes" pass.
+    new RegExp(
+      `${EN_LEAD}(?:add|take|inject|use|give\\s+yourself|pop)\\s+(?:another\\s+|an?\\s+(?:extra|additional)\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*(?:(?:more|extra|additional|further)\\s+)?${DRUG_UNIT}${UNIT_END}`,
+      "im",
+    ),
+    // A measured volume of a liquid drug form: "Take 10 ml of the syrup".
+    // "Drink 500 ml of water" names no drug form and passes.
+    new RegExp(
+      `${EN_LEAD}(?:take|use|give\\s+yourself|swallow|measure\\s+out)\\s+(?:[\\d.,]+|${SPELLED_COUNT}|half\\s+a)\\s*(?:${LIQUID_UNIT}|teaspoons?|tsp|tablespoons?|tbsp)${UNIT_END}\\s+(?:of\\s+)?${EN_SHORT}(?:${EN_LIQUID}|${med})`,
+      "im",
+    ),
   ],
   dose: [
     // step/move/increase/raise/bump/titrate/go up to|by N unit

src/lib/ai/safety/outbound-screen/locales/es.ts

@@ -10,6 +10,9 @@ import {
   unlessDeferred,
   WORD_START,
   WORD_END,
+  DRUG_UNIT,
+  LIQUID_UNIT,
+  SPELLED_COUNT,
   type LocaleBank,
 } from "../shared";
 
@@ -23,6 +26,21 @@ const ES_SHORT = objectSlot(`${ES_STOP}|para|con|antes|después|sin|a|al`, 2);
 const ES_MED_NOUN =
   "(?:dosis|pastillas?|comprimidos?|medicamentos?|medicaci[óo]n|insulina|inyecci[óo]n|inyecciones|c[áa]psulas?|tratamiento)";
 
+/**
+ * The object of a negated intake. A protective qualifier ends it, so "no tome
+ * una dosis doble" and "no tome más de 4 pastillas" stay warnings.
+ */
+const ES_HOLD_SLOT = objectSlot(
+  `${ES_STOP}|para|con|antes|después|sin|a|al|más|dobles?|media|medio|mitad|dos|otra|otro|extra|adicional|segunda`,
+  3,
+);
+
+/** Where a negated intake reads as a hold: the clause closes or a time word follows. */
+const ES_HOLD_END = `(?=\\s*(?:[.!;)]|$)|\\s+(?:hoy|esta\\s+(?:noche|mañana|tarde|semana)|mañana|por\\s+(?:ahora|el\\s+momento|unos\\s+días)|durante|hasta|antes)${WORD_END})`;
+
+/** A liquid drug form a measured volume may be a dose of. */
+const ES_LIQUID = `(?:jarabes?|soluci[óo]n|soluciones|suspensi[óo]n|gotas|elixir|tintura)${WORD_END}`;
+
 const SPELLED_ES =
   "(?:cero|uno|dos|tres|cuatro|cinco|seis|siete|ocho|nueve|diez|once|doce|trece|catorce|quince|dieciséis|diecisiete|dieciocho|diecinueve|veinte|treinta|cuarenta|cincuenta|sesenta)";
 
@@ -96,6 +114,29 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: "No tome atorvastatina esta noche", "no
+    // tomes tu metoprolol".
+    new RegExp(
+      `${WORD_START}no\\s+(?:se\\s+)?(?:tome|tomes|tomen|tomar|use|uses|usen|inyecte|inyectes|aplique|apliques|ponga)(?:se)?${WORD_END}\\s+${ES_HOLD_SLOT}${med}${ES_HOLD_END}`,
+      "i",
+    ),
+    // A pause: "Tome un descanso del enalapril", "haga una pausa con el
+    // ramipril". A break from screens names no medication.
+    new RegExp(
+      `${WORD_START}(?:tome|toma|tómese|tómate|haga|haz|hágase)\\s+(?:un|una)\\s+(?:[^\\s\\d.?!,;:]+\\s+)?(?:descanso|pausa)\\s+(?:(?:del|de\\s+la|de\\s+los|de\\s+las|de|con\\s+el|con\\s+la|con|en\\s+el|en\\s+la|en)\\s+)?${ES_SHORT}${med}`,
+      "i",
+    ),
+    // An increment: "Añada 4 unidades más de insulina", "póngase 2 unidades".
+    new RegExp(
+      `${WORD_START}(?:añada|añade|agregue|agrega|póngase|ponte|inyecte|inyéctese|aplique|aplíquese)\\s+(?:otr[ao]s?\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*${DRUG_UNIT}${UNIT_END}`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: "Tome 10 ml del jarabe".
+    // "Beba 500 ml de agua" passes.
+    new RegExp(
+      `${WORD_START}(?:tome|toma|tómese|tómate|administre)\\s+${ES_SHORT}[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s+(?:de\\s+la\\s+|de\\s+los\\s+|del\\s+|de\\s+)?${ES_SHORT}(?:${ES_LIQUID}|${med})`,
+      "i",
+    ),
   ],
   dose: [
     // aumente / suba / pase a|en N unit

src/lib/ai/safety/outbound-screen/locales/fr.ts

@@ -10,6 +10,9 @@ import {
   medicationExtras,
   unlessDeferred,
   WORD_START,
+  DRUG_UNIT,
+  LIQUID_UNIT,
+  SPELLED_COUNT,
   type LocaleBank,
 } from "../shared";
 
@@ -26,6 +29,22 @@ const FR_SHORT = objectSlot(
 const FR_MED_NOUN =
   "(?:doses?|comprimés?|médicaments?|traitement|insuline|injections?|piqûres?|pilules?|gélules?|cachets?)";
 
+/**
+ * The object of a negated intake. A protective qualifier ends it, so "ne
+ * prenez pas de double dose" and "ne prenez pas plus de 4 comprimés" stay
+ * warnings.
+ */
+const FR_HOLD_SLOT = objectSlot(
+  `${FR_STOP}|pour|avec|avant|après|sans|à|au|aux|double|plus|moitié|demi\\S*|deux|autres?|suppl[ée]mentaires?|en`,
+  3,
+);
+
+/** Where a negated intake reads as a hold: the clause closes or a time word follows. */
+const FR_HOLD_END = `(?=\\s*(?:[.!;)]|$)|\\s+(?:ce\\s+soir|ce\\s+matin|aujourd|demain|cette\\s+semaine|pour\\s+l['’]instant|pour\\s+le\\s+moment|pendant|jusqu|avant)${WORD_END})`;
+
+/** A liquid drug form a measured volume may be a dose of. */
+const FR_LIQUID = `(?:sirops?|solutions?|suspensions?|gouttes|élixirs?|teintures?)${WORD_END}`;
+
 const SPELLED_FR =
   "(?:zéro|un|deux|trois|quatre|cinq|six|sept|huit|neuf|dix|onze|douze|treize|quatorze|quinze|seize|dix-sept|dix-huit|dix-neuf|vingt|trente|quarante|cinquante|soixante)";
 
@@ -99,6 +118,33 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: "Ne prenez pas votre atorvastatine ce
+    // soir", "ne prends pas ton métoprolol", "ne prenez plus le ramipril".
+    new RegExp(
+      `${WORD_START}(?:ne\\s+|n['’])(?:prenez|prends|injectez|injecte|utilisez|utilise)\\s+(?:pas|plus)\\s+${FR_HOLD_SLOT}${med}${FR_HOLD_END}`,
+      "i",
+    ),
+    // A pause: "Faites une pause avec l'énalapril", "mettez le ramipril en
+    // pause". A pause from screens or after a meal names no medication.
+    new RegExp(
+      `${WORD_START}(?:faites|fais|prenez|prends|observez)\\s+(?:une\\s+)?(?:petite\\s+|courte\\s+)?(?:pause|interruption|fenêtre\\s+thérapeutique)\\s+(?:(?:avec|dans|de|du|des|sur)\\s+)?${FR_SHORT}${med}`,
+      "i",
+    ),
+    new RegExp(
+      `${WORD_START}(?:mettez|mets)\\s+${FR_SHORT}${med}\\s+en\\s+pause`,
+      "i",
+    ),
+    // An increment: "Ajoutez 2 unités à votre dose du soir".
+    new RegExp(
+      `${WORD_START}(?:ajoutez|ajoute|rajoutez|rajoute)\\s+${FR_SHORT}(?:encore\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*${DRUG_UNIT}${UNIT_END}`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: "Prenez 10 ml de sirop".
+    // "Buvez 500 ml d'eau" passes.
+    new RegExp(
+      `${WORD_START}(?:prenez|prends|administrez)\\s+${FR_SHORT}[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s+(?:d[eu]s?\\s+|d['’])?${FR_SHORT}(?:${ELIDED}${FR_LIQUID}|${med})`,
+      "i",
+    ),
   ],
   dose: [
     // augmentez / montez / passez / portez à|de N unit

src/lib/ai/safety/outbound-screen/locales/it.ts

@@ -10,6 +10,9 @@ import {
   medicationExtras,
   unlessDeferred,
   WORD_START,
+  LIQUID_UNIT,
+  DRUG_UNIT,
+  SPELLED_COUNT,
   type LocaleBank,
 } from "../shared";
 
@@ -23,6 +26,21 @@ const IT_SHORT = objectSlot(`${IT_STOP}|per|con|prima|dopo|senza|a|al`, 2);
 const IT_MED_NOUN =
   "(?:dos[ei]|compress[ae]|pastigli[ae]|farmac[oi]|medicinal[ei]|insulina|iniezion[ei]|capsul[ae]|terapia)";
 
+/**
+ * The object of a negated intake. A protective qualifier ends it, so "non
+ * prenda una dose doppia" and "non prenda più di 4 compresse" stay warnings.
+ */
+const IT_HOLD_SLOT = objectSlot(
+  `${IT_STOP}|per|con|prima|dopo|senza|a|al|più|doppi[aoe]|mezz[ao]|metà|due|altr[ao]|extra|aggiuntiv\\S*|seconda`,
+  3,
+);
+
+/** Where a negated intake reads as a hold: the clause closes or a time word follows. */
+const IT_HOLD_END = `(?=\\s*(?:[.!;)]|$)|\\s+(?:oggi|stasera|stamattina|domani|questa\\s+settimana|per\\s+ora|per\\s+il\\s+momento|per\\s+qualche|fino|prima)${WORD_END})`;
+
+/** A liquid drug form a measured volume may be a dose of. */
+const IT_LIQUID = `(?:sciropp[oi]|soluzion[ei]|sospension[ei]|gocce|elisir)${WORD_END}`;
+
 const SPELLED_IT =
   "(?:zero|uno|due|tre|quattro|cinque|sei|sette|otto|nove|dieci|undici|dodici|tredici|quattordici|quindici|sedici|diciassette|diciotto|diciannove|venti|trenta|quaranta|cinquanta|sessanta)";
 
@@ -91,6 +109,31 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: "Non prenda l'atorvastatina stasera", "non
+    // prendere il tuo metoprololo".
+    new RegExp(
+      `${WORD_START}non\\s+(?:prend(?:a|ere|ete|ano|i)|assum(?:a|ere|ete|i)|inietti|iniettare|usi|usare|utilizzi)${WORD_END}\\s+${IT_HOLD_SLOT}${med}${IT_HOLD_END}`,
+      "i",
+    ),
+    // A pause: "Faccia una pausa dall'enalapril", "prenditi una pausa dal
+    // ramipril". A pause from screens names no medication.
+    new RegExp(
+      `${WORD_START}(?:faccia|fai|prenda|prendi|prenditi|si\\s+prenda)\\s+(?:una\\s+)?(?:[^\\s\\d.?!,;:]+\\s+)?pausa\\s+(?:(?:dal|dalla|dallo|da|con\\s+il|con\\s+la|con|col|nel|nella|sul|sulla)\\s+)?${IT_SHORT}${med}`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: "Prenda 10 ml di sciroppo".
+    // "Beva 500 ml d'acqua" passes.
+    new RegExp(
+      `${WORD_START}(?:prenda|prendi|assuma|assumi)\\s+${IT_SHORT}[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s+(?:di\\s+|del(?:la|lo)?\\s+|dell['’])?${IT_SHORT}(?:${IT_LIQUID}|${med})`,
+      "i",
+    ),
+    // An increment: "Aggiunga 2 unità alla dose della sera", "faccia 2 unità
+    // in più". The amount carries a drug unit, so "aggiunga 2 passeggiate"
+    // passes.
+    new RegExp(
+      `${WORD_START}(?:aggiunga|aggiungi|faccia|fai|si\\s+faccia|inietti|si\\s+inietti)\\s+(?:altr[ei]\\s+|ancora\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*${DRUG_UNIT}${UNIT_END}`,
+      "i",
+    ),
   ],
   dose: [
     // aumenti / salga / passi a|di N unit

src/lib/ai/safety/outbound-screen/locales/ko.ts

@@ -6,6 +6,8 @@ import {
   ENGINE,
   medicationExtras,
   unlessDeferred,
+  LIQUID_UNIT,
+  INN_STEM_HANGUL,
   type LocaleBank,
 } from "../shared";
 
@@ -48,8 +50,17 @@ const RISK_LEVEL_KO = "(?:높|상승|증가|중등도|경계|우려)";
 
 const RISK_VERDICT_KO = `(?:은|는|이|가)\\s*[^.?!]{0,10}${RISK_LEVEL_KO}`;
 
-const KO_MED_CLASS =
-  "(?:혈액\\s*희석제|항응고제|항혈소판제|스타틴|베타\\s*차단제|이뇨제|항우울제)";
+const KO_MED_CLASS = `(?:혈액\\s*희석제|항응고제|항혈소판제|스타틴|베타\\s*차단제|이뇨제|항우울제|${INN_STEM_HANGUL})`;
+
+/**
+ * A liquid drug form a measured volume may be a dose of. "물을 500ml 드세요"
+ * (drink 500 ml of water) names none.
+ */
+const KO_LIQUID = "(?:시럽|물약|현탁액|내복액|액제|용액)";
+
+/** The polite intake imperative a liquid dose closes on. */
+const KO_INTAKE =
+  "(?:드세요|드십시오|복용하세요|복용하십시오|드시고|먹으세요|드셔\\s*보세요)";
 
 /** Signals that the number-free change shapes stand down for (`unlessDeferred`). */
 const KO_DEFERRAL = `\\?|의사|약사|전문의|주치의|상의|라고|지\\s*마`;
@@ -84,6 +95,32 @@ export const bank: LocaleBank = {
         `${med}[^.?!\\d]{0,8}?(?:(?:늘리|올리|높이|줄이|내리|낮추|증량하|감량하)(?:세요|십시오)|(?:늘려|올려|높여|줄여|내려|낮춰)\\s*(?:보세요|주세요|보십시오))`,
       ),
     ),
+    // A negated intake is a hold: "아토르바스타틴을 복용하지 마세요", "오늘은
+    // 약을 먹지 마세요". A protective qualifier between the medication and the
+    // verb, or in front of it ("두 배로", "한꺼번에", "더", "공복에", "함께"),
+    // keeps it a warning ("자몽 주스와 함께 약을 드시지 마세요"), and no
+    // digit may sit between, so "약 2주" ("about two weeks") is not a medication.
+    new RegExp(
+      `(?<!(?:함께|같이|동시에|공복에|한꺼번에|두\\s*배로?)\\s*)${med}\\s*(?:(?!두\\s*배|한꺼번에|동시에|추가|더\\s|이상|많이|반\\s*알|절반|함께|같이|공복)[^.?!\\d]){0,12}?(?:복용하지|드시지|먹지|맞지|투여하지|주사하지|사용하지)\\s*(?:마세요|마십시오|말아\\s*주세요|마(?![가-힣]))`,
+    ),
+    // A pause: "에날라프릴 복용을 잠시 쉬세요", "라미프릴을 일주일 동안 쉬어
+    // 보세요". Resting the eyes from a screen names no medication.
+    new RegExp(
+      `${med}[^.?!\\d]{0,15}?(?:쉬세요|쉬십시오|쉬어\\s*(?:보세요|주세요)|휴약하세요|휴약해\\s*보세요)`,
+    ),
+    // A measured volume of a liquid drug form, in either order: "시럽 10ml를
+    // 드세요", "10ml의 시럽을 드세요".
+    new RegExp(
+      `(?:${KO_LIQUID}[^.?!]{0,8}?[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}|[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s*(?:의\\s*)?${KO_LIQUID})[^.?!]{0,10}?${KO_INTAKE}`,
+      "i",
+    ),
+    // An increment closed by "add" or "put in": "저녁 인슐린에 2단위를
+    // 추가하세요", "2단위 더 놓으세요". "산책을 2번 더 하세요" carries no dose
+    // counter and passes.
+    new RegExp(
+      `${KO_TARGET}[^.?!]{0,12}?(?:(?:추가하|놓으|주입하)(?:세요|십시오)|(?:추가해|놓아)\\s*(?:보세요|주세요))`,
+      "i",
+    ),
   ],
   // Korean is verb-final: the dose comes first and the change verb closes the
   // clause ("2.4mg으로 늘려 보세요"), the mirror image of the Latin banks. A

src/lib/ai/safety/outbound-screen/locales/nl.ts

@@ -11,6 +11,8 @@ import {
   medicationExtras,
   unlessDeferred,
   WORD_END,
+  LIQUID_UNIT,
+  SPELLED_COUNT,
   type LocaleBank,
 } from "../shared";
 
@@ -26,6 +28,18 @@ const NL_SHORT = objectSlot(
 
 const NL_MED_NOUN = `(?:[${LETTER}]*(?:dosis|doses|dosering|tablet(?:ten|je|jes)?|medicijn(?:en)?|medicatie|medicament(?:en)?|geneesmiddel(?:en)?|insuline|injecties?|capsules?)|pil(?:len|letje|letjes)?|prik(?:ken)?|spuitjes?|inhalator)(?![${LETTER}])`;
 
+/**
+ * The object of a negated intake. A protective qualifier ends it, so "neem
+ * geen dubbele dosis" and "neem niet meer dan 4 tabletten" stay warnings.
+ */
+const NL_HOLD_SLOT = objectSlot(
+  `${NL_STOP}|om|voor|met|bij|in|op|van|naar|tot|na|zonder|tijdens|over|dan|te|meer|dubbele?|halve|helft|twee|extra|tweede|andere`,
+  3,
+);
+
+/** A liquid drug form a measured volume may be a dose of. */
+const NL_LIQUID = `[${LETTER}]*(?:siroop|stroop|oplossing|suspensie|druppels|elixer)(?![${LETTER}])`;
+
 const SPELLED_NL =
   "(?:nul|een|één|twee|drie|vier|vijf|zes|zeven|acht|negen|tien|elf|twaalf|dertien|veertien|vijftien|zestien|zeventien|achttien|negentien|twintig|dertig|veertig|vijftig|zestig)";
 
@@ -141,6 +155,36 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: "Neem vandaag geen tabletten", "neem
+    // vanavond je atorvastatine niet in". A protective qualifier or an
+    // interaction ("geen tabletten met grapefruitsap") keeps it a warning.
+    new RegExp(
+      `${WORD_START}(?:neem|gebruik|spuit|injecteer)\\s+${objectSlot(NL_STOP, 3)}geen\\s+${NL_HOLD_SLOT}${med}(?![${LETTER}])(?!\\s+(?:dubbel|extra|tegelijk|samen|met|op|om|zonder|bij|tegen)${WORD_END})`,
+      "i",
+    ),
+    new RegExp(
+      `${WORD_START}(?:neem|gebruik|spuit|injecteer)\\s+${NL_HOLD_SLOT}${med}\\s+(?:(?:vandaag|vanavond|vanochtend|morgen|voorlopig|even|deze\\s+week)\\s+){0,2}niet(?:\\s+meer)?(?:\\s+in)?(?=\\s*(?:[.!;),]|$))`,
+      "i",
+    ),
+    // A pause: "Neem een pauze van enalapril", "las een pauze in met je
+    // ramipril". A pause from screens names no medication.
+    new RegExp(
+      `${WORD_START}(?:neem|las|houd)\\s+(?:even\\s+)?(?:een\\s+)?(?:[^\\s\\d.?!,;:]+\\s+)?pauze\\s+(?:in\\s+)?(?:van|met|bij)\\s+${NL_SHORT}${med}`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: "Neem 10 ml van de siroop".
+    // "Drink 500 ml water" passes.
+    new RegExp(
+      `${WORD_START}(?:neem|gebruik)\\s+${NL_SHORT}[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s+(?:van\\s+)?${NL_SHORT}(?:${NL_LIQUID}|${med})`,
+      "i",
+    ),
+    // An increment: "Voeg 2 eenheden toe aan je avonddosis", "doe er 2
+    // eenheden insuline bij". The amount carries a drug unit, so "voeg 2
+    // wandelingen toe" passes.
+    new RegExp(
+      `${WORD_START}(?:voeg|doe)\\s+(?:er\\s+)?(?:nog\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*${DRUG_UNIT}${UNIT_END}`,
+      "i",
+    ),
   ],
   dose: [
     // verhoog / ga omhoog / bouw op naar|tot|met N unit

src/lib/ai/safety/outbound-screen/locales/pl.ts

@@ -9,6 +9,9 @@ import {
   unlessDeferred,
   WORD_START,
   WORD_END,
+  LIQUID_UNIT,
+  DRUG_UNIT,
+  SPELLED_COUNT,
   type LocaleBank,
 } from "../shared";
 
@@ -22,6 +25,21 @@ const PL_SHORT = objectSlot(`${PL_STOP}|z|ze|do|na|po|przed|bez|dla`, 2);
 const PL_MED_NOUN =
   "(?:dawk[aęiy]|dawek|tabletk[aęiy]|tabletek|lek|leki|leku|leków|insulin[aęy]|zastrzyk[ia]?|zastrzyków|kapsułk[aęiy]|pigułk[aęiy])(?=[\\s.,;:!?]|$)";
 
+/**
+ * The object of a negated intake. A protective qualifier ends it, so "nie
+ * bierz podwójnej dawki" and "nie bierz więcej niż 4 tabletki" stay warnings.
+ */
+const PL_HOLD_SLOT = objectSlot(
+  `${PL_STOP}|z|ze|do|na|po|przed|bez|dla|więcej|niż|podwójn\\S*|pół|połow\\S*|dwie|dwa|dodatkow\\S*|kolejn\\S*|drug\\S*`,
+  3,
+);
+
+/** Where a negated intake reads as a hold: the clause closes or a time word follows. */
+const PL_HOLD_END = `(?=\\s*(?:[.!;)]|$)|\\s+(?:dziś|dzisiaj|jutro|wieczorem|rano|teraz|na\\s+razie|przez|przed|aż)${WORD_END})`;
+
+/** A liquid drug form a measured volume may be a dose of. */
+const PL_LIQUID = "(?:syrop|roztw[oó]r|zawiesin|kropl|eliksir)[a-ząćęłńóśźż]*";
+
 const SPELLED_PL =
   "(?:zero|jeden|dwa|trzy|cztery|pięć|sześć|siedem|osiem|dziewięć|dziesięć|jedenaście|dwanaście|trzynaście|czternaście|piętnaście|szesnaście|siedemnaście|osiemnaście|dziewiętnaście|dwadzieścia|trzydzieści|czterdzieści|pięćdziesiąt|sześćdziesiąt)";
 
@@ -91,6 +109,31 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: "Nie bierz dziś atorwastatyny", "proszę nie
+    // przyjmować metoprololu".
+    new RegExp(
+      `${WORD_START}(?:proszę\\s+|lepiej\\s+)?nie\\s+(?:bierz|bierzcie|brać|przyjmuj|przyjmujcie|przyjmować|zażywaj|zażywać|stosuj|stosować|wstrzykuj|wstrzykiwać)${WORD_END}\\s+${PL_HOLD_SLOT}${med}${PL_HOLD_END}`,
+      "i",
+    ),
+    // A pause: "Zrób przerwę w przyjmowaniu enalaprylu", "zrób sobie przerwę
+    // od ramiprylu". A break from screens names no medication.
+    new RegExp(
+      `${WORD_START}(?:zrób|zróbcie|zrobić|proszę\\s+zrobić)\\s+(?:sobie\\s+)?(?:[^\\s\\d.?!,;:]+\\s+)?przerw[ęe]${WORD_END}\\s+(?:od|w|z)\\s+(?:(?:przyjmowani|brani|zażywani|stosowani)[a-ząćęłńóśźż]*\\s+)?${PL_SHORT}${med}`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: "Weź 10 ml syropu". "Wypij
+    // 500 ml wody" passes.
+    new RegExp(
+      `${WORD_START}(?:weź|weźcie|przyjmij|przyjmuj|wypij|zażyj|proszę\\s+(?:przyjąć|wziąć|przyjmować|wypić))\\s+${PL_SHORT}(?:po\\s+)?[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s+${PL_SHORT}(?:${PL_LIQUID}|${med})`,
+      "i",
+    ),
+    // An increment: "Dodaj 2 jednostki do wieczornej dawki", "podaj sobie 2
+    // jednostki więcej". The amount carries a drug unit, so "dodaj 2 spacery"
+    // passes.
+    new RegExp(
+      `${WORD_START}(?:dodaj|dodajcie|podaj(?:\\s+sobie)?|proszę\\s+(?:dodać|podać))\\s+(?:jeszcze\\s+|dodatkowo\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*${DRUG_UNIT}${UNIT_END}`,
+      "i",
+    ),
   ],
   dose: [
     // zwiększ / podnieś / przejdź do|o N unit

src/lib/ai/safety/outbound-screen/locales/pt-br.ts

@@ -11,6 +11,8 @@ import {
   unlessDeferred,
   WORD_START,
   WORD_END,
+  LIQUID_UNIT,
+  SPELLED_COUNT,
   type LocaleBank,
 } from "../shared";
 
@@ -27,6 +29,21 @@ const PT_SHORT = objectSlot(
 const PT_MED_NOUN =
   "(?:doses?|comprimidos?|pastilhas?|dr[áa]geas?|c[áa]psulas?|medicamentos?|rem[ée]dios?|medica[çc](?:[ãa]o|[õo]es)|insulina|inje[çc](?:[ãa]o|[õo]es)|tratamento)";
 
+/**
+ * The object of a negated intake. A protective qualifier ends it, so "não
+ * tome dose dobrada" and "não tome mais de 4 comprimidos" stay warnings.
+ */
+const PT_HOLD_SLOT = objectSlot(
+  `${PT_STOP}|para|pra|com|antes|depois|sem|a|ao|à|em|por|durante|sobre|mais|dobrad[ao]s?|dupl[ao]|mei[ao]|metade|dois|duas|outr[ao]s?|extras?|adiciona\\S*|segunda`,
+  3,
+);
+
+/** Where a negated intake reads as a hold: the clause closes or a time word follows. */
+const PT_HOLD_END = `(?=\\s*(?:[.!;)]|$)|\\s+(?:hoje|amanhã|esta\\s+noite|à\\s+noite|por\\s+(?:enquanto|agora|alguns\\s+dias)|durante|até|antes)${WORD_END})`;
+
+/** A liquid drug form a measured volume may be a dose of. */
+const PT_LIQUID = `(?:xaropes?|solu[çc][ãa]o|solu[çc][õo]es|suspens[ãa]o|gotas|elixir)${WORD_END}`;
+
 const SPELLED_PT =
   "(?:zero|um|uma|dois|duas|tr[êe]s|quatro|cinco|seis|sete|oito|nove|dez|onze|doze|treze|quatorze|catorze|quinze|dezesseis|dezessete|dezoito|dezenove|vinte|trinta|quarenta|cinquenta|sessenta)";
 
@@ -123,6 +140,29 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: "Não tome atorvastatina hoje à noite",
+    // "não tome o seu metoprolol".
+    new RegExp(
+      `${WORD_START}n[ãa]o\\s+(?:tome|tomem|tomar|use|usem|aplique|apliquem|injete|injetem)${WORD_END}\\s+${PT_HOLD_SLOT}${med}${PT_HOLD_END}`,
+      "i",
+    ),
+    // A pause: "Faça uma pausa no enalapril", "dê um tempo do ramipril". A
+    // pause from screens names no medication.
+    new RegExp(
+      `${WORD_START}(?:faça|faz|dê|dá|tire|tira)\\s+(?:uma|um)\\s+(?:[^\\s\\d.?!,;:]+\\s+)?(?:pausa|tempo|intervalo|descanso)\\s+(?:(?:n[oa]s?|d[oa]s?|com\\s+o|com\\s+a|com|de|em)\\s+)?${PT_SHORT}${med}`,
+      "i",
+    ),
+    // An increment: "Adicione 4 unidades a mais de insulina".
+    new RegExp(
+      `${WORD_START}(?:adicione|acrescente|aplique|injete)\\s+(?:mais\\s+)?(?:[\\d.,]+|${SPELLED_COUNT})\\s*${DRUG_UNIT}${UNIT_END}`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: "Tome 10 ml do xarope". "Beba
+    // 500 ml de água" passes.
+    new RegExp(
+      `${WORD_START}(?:tome|toma|use|administre)\\s+${PT_SHORT}[\\d.,]+\\s*${LIQUID_UNIT}${UNIT_END}\\s+(?:(?:d[oa]s?|de)\\s+)?${PT_SHORT}(?:${PT_LIQUID}|${med})`,
+      "i",
+    ),
   ],
   dose: [
     // aumente / suba / passe a dose para|a|até|em N unit

src/lib/ai/safety/outbound-screen/locales/ru.ts

@@ -6,6 +6,8 @@ import {
   ENGINE,
   medicationExtras,
   unlessDeferred,
+  LIQUID_UNIT,
+  INN_STEM_CYRILLIC,
   type LocaleBank,
 } from "../shared";
 
@@ -48,8 +50,23 @@ const RISK_LEVEL_RU = "(?:высок|повышен|умеренн|низк|по
 
 const RISK_VERDICT_RU = `(?:[—–-]|это|является|находится|означает)\\s*[^.?!]{0,10}${RISK_LEVEL_RU}`;
 
-const RU_MED_CLASS =
-  "(?:антикоагулянт[а-яё]*|антиагрегант[а-яё]*|статины|статин[а-яё]*|бета[- ]блокатор[а-яё]*|диуретик[а-яё]*|антидепрессант[а-яё]*|метформин[а-яё]*|инсулин[а-яё]*|витамин[а-яё]*|кроворазжижающ[а-яё]*|кроверазжижающ[а-яё]*|рамиприл[а-яё]*|амлодипин[а-яё]*|лизиноприл[а-яё]*|эналаприл[а-яё]*|лозартан[а-яё]*|бисопролол[а-яё]*|аторвастатин[а-яё]*|розувастатин[а-яё]*|семаглутид[а-яё]*|оземпик[а-яё]*|апиксабан[а-яё]*|эликвис[а-яё]*|варфарин[а-яё]*|левотироксин[а-яё]*|эутирокс[а-яё]*|омепразол[а-яё]*|пантопразол[а-яё]*)";
+const RU_MED_CLASS = `(?:антикоагулянт[а-яё]*|антиагрегант[а-яё]*|статины|статин[а-яё]*|бета[- ]блокатор[а-яё]*|диуретик[а-яё]*|антидепрессант[а-яё]*|метформин[а-яё]*|инсулин[а-яё]*|витамин[а-яё]*|кроворазжижающ[а-яё]*|кроверазжижающ[а-яё]*|рамиприл[а-яё]*|амлодипин[а-яё]*|лизиноприл[а-яё]*|эналаприл[а-яё]*|лозартан[а-яё]*|бисопролол[а-яё]*|аторвастатин[а-яё]*|розувастатин[а-яё]*|семаглутид[а-яё]*|оземпик[а-яё]*|апиксабан[а-яё]*|эликвис[а-яё]*|варфарин[а-яё]*|левотироксин[а-яё]*|эутирокс[а-яё]*|омепразол[а-яё]*|пантопразол[а-яё]*|${INN_STEM_CYRILLIC})`;
+
+/**
+ * The object of a negated intake, up to three words. A protective qualifier
+ * or a preposition ends it, so «не принимайте двойную дозу», «не принимайте
+ * больше 4 таблеток» and «не принимайте таблетки вместе с …» stay warnings.
+ */
+const RU_HOLD_SLOT =
+  "(?:(?!(?:двойн[а-яё]*|половин[а-яё]*|больше|более|лишн[а-яё]*|дополнительн[а-яё]*|ещ[её]|сразу|одновременно|вместе|две|два|натощак|с|со|вместо|при|после|на|без|по|и|или)(?=\\s))[^\\s\\d.?!,;:]+\\s+){0,3}?";
+
+/** Where a negated intake reads as a hold: the clause closes or a time word follows. */
+const RU_HOLD_END =
+  "(?=\\s*(?:[.!;),]|$)|\\s+(?:сегодня|завтра|вечером|утром|пока|сейчас|перед|несколько|в\\s+течение|эти|до\\s+(?:утра|вечера|завтра|конца))(?![а-яё]))";
+
+/** A liquid drug form a measured volume may be a dose of; water is not one. */
+const RU_LIQUID =
+  "(?:сироп|раствор|суспензи|капел|капл|микстур|настойк|эликсир)[а-яё]*";
 
 /** Signals that the number-free change shapes stand down for (`unlessDeferred`). */
 const RU_DEFERRAL =
@@ -157,6 +174,32 @@ export const bank: LocaleBank = {
         "i",
       ),
     ),
+    // A negated intake is a hold: «Не принимайте аторвастатин сегодня
+    // вечером», «Не пейте таблетки сегодня».
+    new RegExp(
+      `(?<![а-яё])не\\s+(?:принимайте|принимай|пейте|пей|колите|коли|вводите|используйте|применяйте|принимать|пить|колоть|вводить)(?![а-яё])\\s+${RU_HOLD_SLOT}${med}${RU_HOLD_END}`,
+      "i",
+    ),
+    // A pause: «Сделайте перерыв в приёме эналаприла», «сделайте паузу с
+    // рамиприлом». A break from screens, or from meals («в приёме пищи»),
+    // names no medication.
+    new RegExp(
+      `(?<![а-яё])(?:сделайте|сделай|возьмите|возьми)\\s+(?:(?:небольш|коротк|временн)[а-яё]*\\s+)?(?:перерыв|паузу)(?![а-яё])[^.?!]{0,20}?${med}(?![^.?!]{0,3}(?:пищ|ед[ыуа]))`,
+      "i",
+    ),
+    // An increment: «Добавьте ещё 4 единицы инсулина», «введите на 2 единицы
+    // больше». The amount carries a dose counter or unit, so «добавьте ещё 2
+    // прогулки» passes.
+    new RegExp(
+      `(?<![а-яё])(?:добавьте|добавь|введите|введи|вколите|уколите|прибавьте)(?![а-яё])\\s+(?:ещ[её]\\s+|дополнительно\\s+|на\\s+)?(?:[\\d.,]+|одну|одна|две|два|три|четыре|пять)\\s*(?:${RU_COUNT}|мг|мкг|ме)(?![а-яё])`,
+      "i",
+    ),
+    // A measured volume of a liquid drug form: «Примите 10 мл сиропа».
+    // «Выпейте 500 мл воды» passes.
+    new RegExp(
+      `(?<![а-яё])(?:примите|принимайте|выпейте|пейте|прими|выпей)(?![а-яё])\\s+(?:по\\s+)?[\\d.,]+\\s*${LIQUID_UNIT}(?![а-яё\\w])\\s+(?:[^\\s\\d.?!,;:]+\\s+){0,2}?(?:${RU_LIQUID}|${med})`,
+      "i",
+    ),
   ],
   // A target dose: the unit sits on the number and a change verb or a
   // recommending lead-in frames it. The permitted restatement ("вы на 7,5 мг

src/lib/ai/safety/outbound-screen/shared.ts

@@ -94,6 +94,26 @@ export const LETTER = "a-zà-ÿąćęłńóśźż";
  */
 export const INN_STEM = `(?<![${LETTER}])[${LETTER}]{2,}(?:pril|pryl|sartan|olol|statin|statyn|dipin|dypin|formin|glutid|glutyd|gliflozin|gliptin|xaban|ksaban|prazol|semid)[${LETTER}]{0,4}(?![${LETTER}])|(?<![${LETTER}])(?:enoxa|dalte)?heparin[${LETTER}]{0,4}`;
 
+/**
+ * The generic-name stems of `INN_STEM` as Russian and Korean write them
+ * ("метопролол", "аторвастатин", "메토프롤롤", "아토르바스타틴"). JavaScript's
+ * `\b` and `\w` are ASCII-only, so the edges are spelled out per script.
+ * The Korean "-xaban" stems carry their first syllable ("픽사반", "록사반") so
+ * a word like "조사반" (an inspection team) is not read as a drug.
+ */
+export const INN_STEM_CYRILLIC =
+  "(?<![а-яё])[а-яё]{2,}(?:прил|сартан|олол|статин|дипин|формин|глутид|глифлозин|глиптин|ксабан|празол|семид)[а-яё]{0,4}(?![а-яё])";
+export const INN_STEM_HANGUL =
+  "[가-힣]*(?:프릴|사르탄|프롤롤|롤롤|스타틴|디핀|포르민|트포민|글루타이드|글루티드|플로진|글립틴|픽사반|록사반|독사반|프라졸|세미드)";
+
+/**
+ * A liquid volume. Kept apart from `DRUG_UNIT` because "drink 500 ml of
+ * water" is hydration advice: a pattern may use it only beside a liquid drug
+ * form ("syrup", "Hustensaft", "сироп") or a medication noun.
+ */
+export const LIQUID_UNIT =
+  "(?:ml|мл|millilit(?:er|re)s?|milliliters?|mililitros?|millilitri|mililitr[a-zó]*|миллилитр[а-яё]*|밀리리터|cc)";
+
 export const ENGINE = "(?:framingham|ascvd|score2|qrisk)";
 
 /*