feat: complete production hardening implementation, specialty canonicalization, google-genai migration, voice reliability, sqlite concurrency, and test suite consolidation

ai-patient-onboarding/app/specialties/gastroenterology.py

@@ -0,0 +1,32 @@
+GASTROENTEROLOGY_CONFIG = {
+    "code": "gastroenterology",
+    "name": "Gastroenterology (Stomach & Digestive Care)",
+
+    "purpose": (
+        "Collect abdominal symptoms including stomach ache, acid reflux/GERD, "
+        "vomiting, bowel movement alterations (diarrhea/constipation), and dietary associations."
+    ),
+
+    "focus_areas": [
+        "Abdominal pain location and character (upper stomach burning/acidity, right upper quadrant, lower abdominal cramps)",
+        "Bowel habits (loose stools/diarrhea frequency, constipation, bloody stools/melena)",
+        "Upper GI symptoms (nausea, persistent vomiting, heartburn, difficulty swallowing/dysphagia)",
+        "Relationship to meals (worse after oily/spicy food, pain relieved by eating or antacids)",
+        "Current GI medications (Pantoprazole/Pan-D, Omeprazole, Gelusil, ORS, probiotics)",
+        "History of ulcer disease, gallstones, jaundice, or liver disease",
+    ],
+
+    "emergency_keywords": [
+        "vomiting blood or coffee ground material",
+        "black tarry stools",
+        "severe rigid abdomen with intolerable pain",
+        "high fever with severe jaundice and vomiting",
+        "acute abdomen",
+    ],
+
+    "clarification_rules": [
+        "If abdominal pain is reported, ask exact location (upper stomach vs lower belly) and duration.",
+        "Check if symptom is accompanied by vomiting, loose motions, or acidity after meals.",
+        "Inquire if patient has taken antacids (Pan-D, Digene) or ORS.",
+    ],
+}