feat: add health data management workspace

This commit is contained in:
2026-07-03 00:25:11 -07:00
parent dc034b6d85
commit 41807ff557
53 changed files with 7367 additions and 3 deletions

View File

@@ -0,0 +1,677 @@
import { eq } from "drizzle-orm";
import { getDatabase } from "@/modules/core/server/db";
import {
admissions,
beds,
buildings,
campuses,
chronicConditions,
elders,
floors,
healthAnomalyReviews,
healthProfiles,
rooms,
systemIncidents,
vitalRecords,
} from "@/modules/core/server/schema";
type SeedRoom = {
buildingName: string;
campusName: string;
code: string;
floorLevel: number;
floorName: string;
name: string;
capacity: number;
};
type SeedBed = {
code: string;
notes: string;
roomCode: string;
status: "available" | "occupied" | "maintenance" | "disabled";
};
type SeedElder = {
age: number;
careLevel: "self-care" | "semi-assisted" | "assisted" | "intensive";
gender: "male" | "female" | "other";
medicalNotes: string;
name: string;
phone: string;
primaryContact: string;
status: "active" | "pending" | "discharged";
};
type SeedAdmission = {
bedCode: string;
elderName: string;
notes: string;
status: "active" | "transferred" | "discharged";
};
type SeedHealthProfile = {
allergyNotes: string;
careRestrictions: string;
elderName: string;
emergencyNotes: string;
medicalHistory: string;
medicationNotes: string;
};
type SeedVitalRecord = {
bloodGlucoseTenths?: number;
diastolicBp?: number;
elderName: string;
heartRate?: number;
notes: string;
recordedHoursAgo: number;
source: "manual" | "device" | "import";
spo2?: number;
systolicBp?: number;
temperatureTenths?: number;
weightTenths?: number;
};
type SeedChronicCondition = {
elderName: string;
followUpNotes: string;
name: string;
status: "active" | "controlled" | "resolved";
treatmentNotes: string;
};
type SeedHealthReview = {
description: string;
elderName: string;
resolutionNotes: string;
severity: "info" | "warning" | "critical";
status: "pending" | "reviewed" | "resolved";
title: string;
vitalIndex: number;
};
const DEFAULT_ROOMS: SeedRoom[] = [
{ campusName: "主院区", buildingName: "护理楼", floorName: "一层", floorLevel: 1, code: "A101", name: "阳光房", capacity: 2 },
{ campusName: "主院区", buildingName: "护理楼", floorName: "一层", floorLevel: 1, code: "A102", name: "康养房", capacity: 2 },
{ campusName: "主院区", buildingName: "护理楼", floorName: "二层", floorLevel: 2, code: "A201", name: "记忆照护房", capacity: 2 },
{ campusName: "主院区", buildingName: "护理楼", floorName: "二层", floorLevel: 2, code: "A202", name: "重点照护房", capacity: 2 },
{ campusName: "主院区", buildingName: "康复楼", floorName: "一层", floorLevel: 1, code: "R101", name: "康复观察房", capacity: 2 },
{ campusName: "主院区", buildingName: "康复楼", floorName: "一层", floorLevel: 1, code: "R102", name: "短住评估房", capacity: 2 },
{ campusName: "北苑院区", buildingName: "颐养楼", floorName: "一层", floorLevel: 1, code: "B101", name: "自理房", capacity: 2 },
{ campusName: "北苑院区", buildingName: "颐养楼", floorName: "二层", floorLevel: 2, code: "B201", name: "亲情套房", capacity: 2 },
];
const DEFAULT_BEDS: SeedBed[] = [
{ code: "A101-1", roomCode: "A101", status: "occupied", notes: "靠窗,已完成入住评估" },
{ code: "A101-2", roomCode: "A101", status: "available", notes: "可安排半护理老人入住" },
{ code: "A102-1", roomCode: "A102", status: "occupied", notes: "夜间巡护重点关注" },
{ code: "A102-2", roomCode: "A102", status: "maintenance", notes: "床头呼叫器检修中" },
{ code: "A201-1", roomCode: "A201", status: "occupied", notes: "记忆照护专区" },
{ code: "A201-2", roomCode: "A201", status: "available", notes: "靠近护理站" },
{ code: "A202-1", roomCode: "A202", status: "occupied", notes: "压疮风险重点巡查" },
{ code: "A202-2", roomCode: "A202", status: "disabled", notes: "待更换护栏" },
{ code: "R101-1", roomCode: "R101", status: "occupied", notes: "康复训练后休息床位" },
{ code: "R101-2", roomCode: "R101", status: "available", notes: "临时观察床位" },
{ code: "R102-1", roomCode: "R102", status: "available", notes: "短住评估床位" },
{ code: "R102-2", roomCode: "R102", status: "available", notes: "短住评估床位" },
{ code: "B101-1", roomCode: "B101", status: "occupied", notes: "自理老人长期床位" },
{ code: "B101-2", roomCode: "B101", status: "available", notes: "低照护需求床位" },
{ code: "B201-1", roomCode: "B201", status: "occupied", notes: "亲属探访便利" },
{ code: "B201-2", roomCode: "B201", status: "available", notes: "亲情套房备用床" },
];
const DEFAULT_ELDERS: SeedElder[] = [
{
name: "王桂兰",
gender: "female",
age: 82,
careLevel: "intensive",
status: "active",
primaryContact: "张敏",
phone: "13800000001",
medicalNotes: "高血压,需晨晚血压记录。",
},
{
name: "李建国",
gender: "male",
age: 76,
careLevel: "semi-assisted",
status: "active",
primaryContact: "李明",
phone: "13800000002",
medicalNotes: "餐后散步陪同,关注睡眠情况。",
},
{
name: "周玉珍",
gender: "female",
age: 88,
careLevel: "assisted",
status: "active",
primaryContact: "周强",
phone: "13800000003",
medicalNotes: "糖尿病饮食,餐前血糖提醒。",
},
{
name: "赵国华",
gender: "male",
age: 91,
careLevel: "intensive",
status: "active",
primaryContact: "赵琳",
phone: "13800000004",
medicalNotes: "夜间翻身,两小时巡房。",
},
{
name: "孙秀梅",
gender: "female",
age: 73,
careLevel: "semi-assisted",
status: "active",
primaryContact: "孙磊",
phone: "13800000005",
medicalNotes: "膝关节康复训练,每日下午一次。",
},
{
name: "刘长青",
gender: "male",
age: 68,
careLevel: "self-care",
status: "active",
primaryContact: "刘洋",
phone: "13800000006",
medicalNotes: "自理,需定期复查用药。",
},
{
name: "陈秀英",
gender: "female",
age: 69,
careLevel: "self-care",
status: "pending",
primaryContact: "陈佳",
phone: "13800000007",
medicalNotes: "待完成入住评估。",
},
{
name: "何德明",
gender: "male",
age: 84,
careLevel: "assisted",
status: "pending",
primaryContact: "何静",
phone: "13800000008",
medicalNotes: "家属已提交体检资料,等待床位确认。",
},
{
name: "吴佩兰",
gender: "female",
age: 79,
careLevel: "semi-assisted",
status: "discharged",
primaryContact: "吴昊",
phone: "13800000009",
medicalNotes: "已退住,保留历史档案。",
},
{
name: "郑文远",
gender: "male",
age: 72,
careLevel: "self-care",
status: "discharged",
primaryContact: "郑洁",
phone: "13800000010",
medicalNotes: "短住康复结束后退住。",
},
];
const DEFAULT_ADMISSIONS: SeedAdmission[] = [
{ elderName: "王桂兰", bedCode: "A101-1", status: "active", notes: "默认工作区入住记录" },
{ elderName: "李建国", bedCode: "A102-1", status: "active", notes: "默认工作区入住记录" },
{ elderName: "周玉珍", bedCode: "A201-1", status: "active", notes: "记忆照护专区入住" },
{ elderName: "赵国华", bedCode: "A202-1", status: "active", notes: "重点照护入住" },
{ elderName: "孙秀梅", bedCode: "R101-1", status: "active", notes: "康复观察入住" },
{ elderName: "刘长青", bedCode: "B101-1", status: "active", notes: "自理区入住" },
{ elderName: "吴佩兰", bedCode: "B201-1", status: "discharged", notes: "历史退住记录" },
];
const DEFAULT_HEALTH_PROFILES: SeedHealthProfile[] = [
{
elderName: "王桂兰",
allergyNotes: "青霉素过敏",
medicalHistory: "高血压十余年,偶发胸闷。",
medicationNotes: "晨服降压药,晚间复核血压。",
careRestrictions: "低盐饮食,避免剧烈活动。",
emergencyNotes: "胸闷或血压持续升高时立即联系医生。",
},
{
elderName: "周玉珍",
allergyNotes: "无明确药物过敏史",
medicalHistory: "2 型糖尿病,轻度认知障碍。",
medicationNotes: "餐前血糖监测,按医嘱用药。",
careRestrictions: "控糖饮食,夜间加强巡护。",
emergencyNotes: "低血糖症状时立即补糖并记录。",
},
{
elderName: "赵国华",
allergyNotes: "海鲜过敏",
medicalHistory: "脑梗后遗症,长期卧床风险。",
medicationNotes: "抗凝药按时服用。",
careRestrictions: "两小时翻身,防跌倒,防压疮。",
emergencyNotes: "意识异常或血氧下降时立即启动应急流程。",
},
{
elderName: "刘长青",
allergyNotes: "",
medicalHistory: "冠心病随访。",
medicationNotes: "自主管理用药,护理员每日提醒。",
careRestrictions: "避免爬楼和长时间站立。",
emergencyNotes: "胸痛需立即报告。",
},
];
const DEFAULT_VITAL_RECORDS: SeedVitalRecord[] = [
{
elderName: "王桂兰",
recordedHoursAgo: 2,
source: "manual",
systolicBp: 158,
diastolicBp: 96,
heartRate: 88,
temperatureTenths: 367,
spo2: 96,
bloodGlucoseTenths: 62,
weightTenths: 612,
notes: "血压偏高,已安排复测。",
},
{
elderName: "李建国",
recordedHoursAgo: 5,
source: "device",
systolicBp: 128,
diastolicBp: 78,
heartRate: 76,
temperatureTenths: 365,
spo2: 98,
notes: "体征平稳。",
},
{
elderName: "周玉珍",
recordedHoursAgo: 7,
source: "manual",
systolicBp: 134,
diastolicBp: 82,
heartRate: 80,
temperatureTenths: 366,
spo2: 97,
bloodGlucoseTenths: 118,
notes: "餐后血糖偏高,已记录饮食。",
},
{
elderName: "赵国华",
recordedHoursAgo: 12,
source: "manual",
systolicBp: 146,
diastolicBp: 88,
heartRate: 92,
temperatureTenths: 381,
spo2: 91,
notes: "体温和血氧异常,需复核。",
},
];
const DEFAULT_CHRONIC_CONDITIONS: SeedChronicCondition[] = [
{
elderName: "王桂兰",
name: "高血压",
status: "active",
treatmentNotes: "规律服药,晨晚血压监测。",
followUpNotes: "每周汇总血压趋势。",
},
{
elderName: "周玉珍",
name: "糖尿病",
status: "active",
treatmentNotes: "控糖饮食,餐前餐后血糖记录。",
followUpNotes: "异常血糖进入复核队列。",
},
{
elderName: "刘长青",
name: "冠心病",
status: "controlled",
treatmentNotes: "按医嘱服药,避免劳累。",
followUpNotes: "月度复诊提醒。",
},
];
const DEFAULT_HEALTH_REVIEWS: SeedHealthReview[] = [
{
elderName: "王桂兰",
vitalIndex: 0,
severity: "warning",
status: "pending",
title: "血压异常",
description: "收缩压和舒张压偏高,需要复测并确认用药。",
resolutionNotes: "",
},
{
elderName: "赵国华",
vitalIndex: 3,
severity: "critical",
status: "pending",
title: "血氧和体温异常",
description: "血氧低于阈值且体温偏高,需要立即复核。",
resolutionNotes: "",
},
{
elderName: "周玉珍",
vitalIndex: 2,
severity: "info",
status: "reviewed",
title: "餐后血糖偏高",
description: "餐后血糖高于日常水平。",
resolutionNotes: "已调整晚餐主食并安排次日复测。",
},
];
function hasRows(rows: unknown[]): boolean {
return rows.length > 0;
}
export async function seedDefaultWorkspaceData(organizationId: string): Promise<void> {
const database = getDatabase();
const [existingRooms, existingBeds, existingElders, existingAdmissions] = await Promise.all([
database.select({ id: rooms.id }).from(rooms).where(eq(rooms.organizationId, organizationId)).limit(1),
database.select({ id: beds.id }).from(beds).where(eq(beds.organizationId, organizationId)).limit(1),
database.select({ id: elders.id }).from(elders).where(eq(elders.organizationId, organizationId)).limit(1),
database.select({ id: admissions.id }).from(admissions).where(eq(admissions.organizationId, organizationId)).limit(1),
]);
if ([existingRooms, existingBeds, existingElders, existingAdmissions].some(hasRows)) {
return;
}
await database.transaction(async (transaction) => {
const uniqueCampusNames = Array.from(new Set(DEFAULT_ROOMS.map((room) => room.campusName)));
const campusRows = await transaction
.insert(campuses)
.values(
uniqueCampusNames.map((name) => ({
organizationId,
name,
address: `${name}养老服务院区`,
})),
)
.returning();
if (campusRows.length !== uniqueCampusNames.length) {
throw new Error("默认院区初始化失败");
}
const campusIdByName = new Map(campusRows.map((campus) => [campus.name, campus.id]));
const uniqueBuildings = Array.from(
new Map(DEFAULT_ROOMS.map((room) => [`${room.campusName}/${room.buildingName}`, room])).values(),
);
const buildingRows = await transaction
.insert(buildings)
.values(
uniqueBuildings.map((building) => {
const campusId = campusIdByName.get(building.campusName);
if (!campusId) {
throw new Error("默认楼栋初始化失败");
}
return {
organizationId,
campusId,
name: building.buildingName,
};
}),
)
.returning();
if (buildingRows.length !== uniqueBuildings.length) {
throw new Error("默认楼栋初始化失败");
}
const buildingIdByKey = new Map(
buildingRows.map((building, index) => {
const source = uniqueBuildings[index];
if (!source) {
throw new Error("默认楼栋初始化失败");
}
return [`${source.campusName}/${source.buildingName}`, building.id];
}),
);
const uniqueFloors = Array.from(
new Map(
DEFAULT_ROOMS.map((room) => [
`${room.campusName}/${room.buildingName}/${room.floorLevel}`,
room,
]),
).values(),
);
const floorRows = await transaction
.insert(floors)
.values(
uniqueFloors.map((floor) => {
const buildingId = buildingIdByKey.get(`${floor.campusName}/${floor.buildingName}`);
if (!buildingId) {
throw new Error("默认楼层初始化失败");
}
return {
organizationId,
buildingId,
name: floor.floorName,
level: floor.floorLevel,
};
}),
)
.returning();
if (floorRows.length !== uniqueFloors.length) {
throw new Error("默认楼层初始化失败");
}
const floorIdByKey = new Map(
floorRows.map((floor, index) => {
const source = uniqueFloors[index];
if (!source) {
throw new Error("默认楼层初始化失败");
}
return [`${source.campusName}/${source.buildingName}/${source.floorLevel}`, floor.id];
}),
);
const roomRows = await transaction
.insert(rooms)
.values(
DEFAULT_ROOMS.map((room) => {
const floorId = floorIdByKey.get(`${room.campusName}/${room.buildingName}/${room.floorLevel}`);
if (!floorId) {
throw new Error("默认房间初始化失败");
}
return {
organizationId,
floorId,
name: room.name,
code: room.code,
capacity: room.capacity,
};
}),
)
.returning();
if (roomRows.length !== DEFAULT_ROOMS.length) {
throw new Error("默认房间初始化失败");
}
const roomIdByCode = new Map(roomRows.map((room) => [room.code, room.id]));
const bedRows = await transaction
.insert(beds)
.values(
DEFAULT_BEDS.map((bed) => {
const roomId = roomIdByCode.get(bed.roomCode);
if (!roomId) {
throw new Error("默认床位初始化失败");
}
return {
organizationId,
roomId,
code: bed.code,
status: bed.status,
notes: bed.notes,
};
}),
)
.returning();
if (bedRows.length !== DEFAULT_BEDS.length) {
throw new Error("默认床位初始化失败");
}
const elderRows = await transaction
.insert(elders)
.values(DEFAULT_ELDERS.map((elder) => ({ ...elder, organizationId })))
.returning();
if (elderRows.length !== DEFAULT_ELDERS.length) {
throw new Error("默认老人档案初始化失败");
}
const elderIdByName = new Map(elderRows.map((elder) => [elder.name, elder.id]));
const bedIdByCode = new Map(bedRows.map((bed) => [bed.code, bed.id]));
await transaction.insert(admissions).values(
DEFAULT_ADMISSIONS.map((admission) => {
const elderId = elderIdByName.get(admission.elderName);
const bedId = bedIdByCode.get(admission.bedCode);
if (!elderId || !bedId) {
throw new Error("默认入住初始化失败");
}
return {
organizationId,
elderId,
bedId,
status: admission.status,
dischargedAt: admission.status === "discharged" ? new Date() : undefined,
notes: admission.notes,
};
}),
);
await transaction.insert(healthProfiles).values(
DEFAULT_HEALTH_PROFILES.map((profile) => {
const elderId = elderIdByName.get(profile.elderName);
if (!elderId) {
throw new Error("默认健康档案初始化失败");
}
return {
organizationId,
elderId,
allergyNotes: profile.allergyNotes,
medicalHistory: profile.medicalHistory,
medicationNotes: profile.medicationNotes,
careRestrictions: profile.careRestrictions,
emergencyNotes: profile.emergencyNotes,
};
}),
);
const now = new Date();
const vitalRows = await transaction
.insert(vitalRecords)
.values(
DEFAULT_VITAL_RECORDS.map((vital) => {
const elderId = elderIdByName.get(vital.elderName);
if (!elderId) {
throw new Error("默认生命体征初始化失败");
}
return {
organizationId,
elderId,
recordedAt: new Date(now.getTime() - vital.recordedHoursAgo * 60 * 60 * 1000),
source: vital.source,
systolicBp: vital.systolicBp,
diastolicBp: vital.diastolicBp,
heartRate: vital.heartRate,
temperatureTenths: vital.temperatureTenths,
spo2: vital.spo2,
bloodGlucoseTenths: vital.bloodGlucoseTenths,
weightTenths: vital.weightTenths,
notes: vital.notes,
};
}),
)
.returning();
if (vitalRows.length !== DEFAULT_VITAL_RECORDS.length) {
throw new Error("默认生命体征初始化失败");
}
await transaction.insert(chronicConditions).values(
DEFAULT_CHRONIC_CONDITIONS.map((condition) => {
const elderId = elderIdByName.get(condition.elderName);
if (!elderId) {
throw new Error("默认慢病记录初始化失败");
}
return {
organizationId,
elderId,
name: condition.name,
status: condition.status,
treatmentNotes: condition.treatmentNotes,
followUpNotes: condition.followUpNotes,
};
}),
);
await transaction.insert(healthAnomalyReviews).values(
DEFAULT_HEALTH_REVIEWS.map((review) => {
const elderId = elderIdByName.get(review.elderName);
const vital = vitalRows[review.vitalIndex];
if (!elderId || !vital) {
throw new Error("默认健康异常复核初始化失败");
}
return {
organizationId,
elderId,
vitalRecordId: vital.id,
severity: review.severity,
status: review.status,
title: review.title,
description: review.description,
resolutionNotes: review.resolutionNotes,
};
}),
);
await transaction.insert(systemIncidents).values([
{
organizationId,
severity: "warning",
status: "open",
title: "床头呼叫器待检修",
description: "A102-2 床位呼叫器处于检修状态,完成后可恢复使用。",
source: "默认工作区初始化",
},
{
organizationId,
severity: "info",
status: "acknowledged",
title: "本周护理评估待完成",
description: "陈秀英、何德明等待入住评估,可在老人档案和床位工作区继续处理。",
source: "默认工作区初始化",
},
{
organizationId,
severity: "critical",
status: "resolved",
title: "夜间巡房异常已处理",
description: "重点照护房夜间巡房提醒已恢复,保留事件用于状态页验证。",
source: "默认工作区初始化",
},
]);
});
}