add real-time patient vital signs monitoring dashboard and API routers
This commit is contained in:
+1
-1
@@ -20,7 +20,7 @@ def get_http_client() -> httpx.AsyncClient:
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return _http_client
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return _http_client
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def get_cloud_base_url() -> str:
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def get_cloud_base_url() -> str:
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url = getattr(settings, "cloud_api_url", None) or os.getenv("CLOUD_API_URL") or "https://services-api.a2zhealth.in/v1/contec-monitor"
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url = getattr(settings, "cloud_api_url", None) or os.getenv("CLOUD_API_URL") or "https://contectfiveparamonitor.onrender.com"
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return url.rstrip("/")
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return url.rstrip("/")
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async def forward_vitals_to_api(vitals: NormalizedVitals) -> bool:
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async def forward_vitals_to_api(vitals: NormalizedVitals) -> bool:
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+1
-1
@@ -8,7 +8,7 @@
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"192.168.100.120": "CMS7000PLUS"
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"192.168.100.120": "CMS7000PLUS"
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},
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},
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"target_api_url": "https://services-api.a2zhealth.in/v1/contec-monitor",
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"target_api_url": "https://services-api.a2zhealth.in/v1/contec-monitor",
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"cloud_api_url": "https://services-api.a2zhealth.in/v1/contec-monitor",
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"cloud_api_url": "https://contectfiveparamonitor.onrender.com",
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"api_token": "",
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"api_token": "",
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"retry_interval_seconds": 60,
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"retry_interval_seconds": 60,
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"log_file": "hl7_forwarder.log",
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"log_file": "hl7_forwarder.log",
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@@ -10,7 +10,7 @@ class Settings(BaseSettings):
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monitor_model: str = "CMS7000PLUS"
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monitor_model: str = "CMS7000PLUS"
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device_models: dict = {}
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device_models: dict = {}
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target_api_url: str = "https://services-api.a2zhealth.in/v1/contec-monitor"
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target_api_url: str = "https://services-api.a2zhealth.in/v1/contec-monitor"
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cloud_api_url: str = "https://services-api.a2zhealth.in/v1/contec-monitor"
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cloud_api_url: str = "https://contectfiveparamonitor.onrender.com"
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api_token: str = ""
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api_token: str = ""
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retry_interval_seconds: int = 60
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retry_interval_seconds: int = 60
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log_file: str = "hl7_forwarder.log"
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log_file: str = "hl7_forwarder.log"
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@@ -1,17 +0,0 @@
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__pycache__/
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*.py[cod]
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*.db
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*.sqlite3
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*.log
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*.bin
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.env
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venv/
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.venv/
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build/
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dist/
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*.spec
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scratch/
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captures/
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.git/
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.idea/
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.vscode/
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@@ -1,37 +0,0 @@
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# Byte-compiled / optimized / DLL files
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__pycache__/
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*.py[cod]
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*$py.class
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# PyInstaller
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build/
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dist/
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*.spec
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# Databases
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*.db
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*.sqlite3
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# Logs
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*.log
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# Environments
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.env
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.venv
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env/
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venv/
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ENV/
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env.bak/
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venv.bak/
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# Scratch / debug
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scratch/
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captures/
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*.bin
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# IDE / OS
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.idea/
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.vscode/
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*.swp
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*.swo
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.DS_Store
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@@ -1,16 +0,0 @@
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FROM python:3.12-slim
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WORKDIR /app
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ENV PYTHONPATH=/app
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# Install dependencies
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COPY requirements.txt .
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RUN pip install --no-cache-dir -r requirements.txt
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# Copy application code
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COPY . .
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# Render sets PORT env var (default 10000)
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EXPOSE 10000
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CMD uvicorn main:app --host 0.0.0.0 --port ${PORT:-10000}
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@@ -1 +0,0 @@
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web: python3 -m uvicorn main:app --host 0.0.0.0 --port $PORT
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@@ -1,126 +0,0 @@
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import httpx
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import logging
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import asyncio
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import os
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from typing import Optional
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from schemas import NormalizedVitals
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from config import settings
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logger = logging.getLogger(__name__)
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_http_client: Optional[httpx.AsyncClient] = None
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def get_http_client() -> httpx.AsyncClient:
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global _http_client
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if _http_client is None or _http_client.is_closed:
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_http_client = httpx.AsyncClient(
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timeout=httpx.Timeout(connect=5.0, read=5.0, write=5.0, pool=10.0),
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limits=httpx.Limits(max_keepalive_connections=20, max_connections=50)
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)
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return _http_client
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def get_cloud_base_url() -> str:
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url = getattr(settings, "cloud_api_url", None) or os.getenv("CLOUD_API_URL") or "https://services-api.a2zhealth.in/v1/contec-monitor"
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return url.rstrip("/")
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async def forward_vitals_to_api(vitals: NormalizedVitals) -> bool:
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"""
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Attempts to POST the normalized vitals to the configured target API
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and to the Cloud server concurrently.
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Returns True if at least one forward succeeds.
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"""
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headers = {"Content-Type": "application/json"}
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# Strip heavy wave sample arrays before REST transmission (cloud APIs only ingest vital signs)
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payload = vitals.model_dump(mode="json")
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payload.pop("ecg_wave", None)
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payload.pop("pleth_wave", None)
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if not payload.get("patient_id"):
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payload["patient_id"] = "UNKNOWN"
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client = get_http_client()
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# 1. Forward to primary target API (e.g. Injomo Dev Workflow)
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async def _forward_primary() -> bool:
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primary_url = settings.target_api_url
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if not primary_url:
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return False
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try:
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primary_headers = headers.copy()
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if settings.api_token:
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primary_headers["Authorization"] = f"Bearer {settings.api_token}"
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response = await client.post(
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primary_url,
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json=payload,
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headers=primary_headers
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)
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response.raise_for_status()
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logger.info(f"Successfully forwarded vitals to primary API for device {vitals.device_id}")
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return True
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except Exception as e:
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err_msg = str(e).strip() or "timeout / connection reset"
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logger.warning(f"Error forwarding to primary API: {type(e).__name__} ({err_msg})")
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return False
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# 2. Forward to Cloud Server
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async def _forward_cloud() -> bool:
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cloud_base = get_cloud_base_url()
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cloud_url = f"{cloud_base}/api/push-vitals"
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is_on_cloud = os.getenv("RENDER") is not None or os.getenv("PORT") == "10000" or "render.local" in os.getenv("HOSTNAME", "")
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if is_on_cloud and ("onrender.com" in cloud_base):
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return True
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try:
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url_with_key = cloud_url
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if settings.api_token:
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url_with_key = f"{cloud_url}?api_key={settings.api_token}"
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response = await client.post(
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url_with_key,
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json=payload,
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headers=headers
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)
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response.raise_for_status()
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logger.info(f"Successfully forwarded vitals to Cloud API for device {vitals.device_id}")
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return True
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except Exception as e:
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err_msg = str(e).strip() or "timeout / connection reset"
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logger.warning(f"Error forwarding to Cloud API: {type(e).__name__} ({err_msg})")
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return False
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results = await asyncio.gather(_forward_primary(), _forward_cloud(), return_exceptions=True)
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return any(r is True for r in results if not isinstance(r, Exception))
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async def sync_patient_assignment_to_cloud(patient_data: dict, device_id: str) -> bool:
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"""
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Synchronizes patient demographics assignment to Cloud Server.
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Ensures local and remote dashboards always show the exact same patient.
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"""
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cloud_base = get_cloud_base_url()
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is_on_cloud = os.getenv("RENDER") is not None or os.getenv("PORT") == "10000" or "render.local" in os.getenv("HOSTNAME", "")
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if is_on_cloud and ("onrender.com" in cloud_base):
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return True
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client = get_http_client()
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cloud_assign_url = f"{cloud_base}/api/patient/assign"
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payload = {
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"device_id": device_id,
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"mrn": patient_data.get("mrn") or patient_data.get("patient_id") or "",
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"name": patient_data.get("name") or patient_data.get("patient_name") or "Unknown",
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"dob": patient_data.get("dob") or patient_data.get("patient_dob"),
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"gender": patient_data.get("gender") or patient_data.get("patient_gender"),
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"bed_id": patient_data.get("bed_id"),
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"patient_type": patient_data.get("patient_type")
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}
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try:
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url_with_key = cloud_assign_url
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if settings.api_token:
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url_with_key = f"{cloud_assign_url}?api_key={settings.api_token}"
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resp = await client.post(url_with_key, json=payload, headers={"Content-Type": "application/json"})
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resp.raise_for_status()
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logger.info(f"Successfully synced patient {payload['mrn']} ({payload['name']}) to Cloud for {device_id}")
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return True
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except Exception as e:
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logger.warning(f"Could not sync patient assignment to Cloud: {type(e).__name__} ({e})")
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return False
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@@ -1,169 +0,0 @@
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import asyncio
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import logging
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from database import SessionLocal
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from models import VitalReading, TransmissionLog
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from schemas import NormalizedVitals
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from api_client import forward_vitals_to_api
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from config import settings
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logger = logging.getLogger(__name__)
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async def retry_failed_transmissions():
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"""
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Background task that periodically checks for untransmitted vital readings
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and attempts to forward them to the API.
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"""
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logger.info("Starting background task for retrying failed transmissions...")
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while True:
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try:
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# 1. Fetch untransmitted readings in a quick DB session and close it immediately
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db = SessionLocal()
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readings_to_retry = []
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try:
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failed_readings = db.query(VitalReading).filter(VitalReading.transmitted == False).order_by(VitalReading.id.desc()).limit(20).all()
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for r in failed_readings:
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readings_to_retry.append({
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"id": r.id,
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"vitals": NormalizedVitals(
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device_id=r.device_id,
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patient_id=r.patient_id,
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timestamp=r.timestamp,
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heart_rate=r.heart_rate,
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spo2=r.spo2,
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systolic_bp=r.systolic_bp,
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diastolic_bp=r.diastolic_bp,
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map_bp=r.map_bp,
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respiratory_rate=r.respiratory_rate,
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temperature=r.temperature
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)
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})
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finally:
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db.close()
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# 2. Forward outside of any DB transaction
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successful_ids = []
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failed_ids = []
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consecutive_failures = 0
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for item in readings_to_retry:
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success = await forward_vitals_to_api(item["vitals"])
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if success:
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successful_ids.append(item["id"])
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consecutive_failures = 0
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else:
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failed_ids.append(item["id"])
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consecutive_failures += 1
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# If external API is unresponsive, stop this batch immediately so we don't spam
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if consecutive_failures >= 3:
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logger.warning("External API appears unreachable during retry; pausing retry queue.")
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break
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# 3. Update status in a quick DB session
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if successful_ids or failed_ids:
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db = SessionLocal()
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try:
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for rid in successful_ids:
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db.query(VitalReading).filter(VitalReading.id == rid).update({"transmitted": True})
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db.add(TransmissionLog(reading_id=rid, status="success", response_code=200))
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for rid in failed_ids:
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db.add(TransmissionLog(reading_id=rid, status="failed", error_message="Retry failed"))
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db.commit()
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except Exception as e:
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logger.error(f"Failed updating retry transmission status: {e}")
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db.rollback()
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finally:
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db.close()
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except Exception as e:
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logger.error(f"Error in retry background task: {e}")
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await asyncio.sleep(settings.retry_interval_seconds)
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async def sync_cloud_state():
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"""
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Periodically syncs all assigned patients and their latest non-null vitals to Render Cloud.
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Ensures that whenever Render restarts or deploys with an empty DB, the cloud dashboard
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is immediately populated with the same data as localhost.
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"""
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import os
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if os.getenv("RENDER") is not None or os.getenv("PORT") == "10000" or "render.local" in os.getenv("HOSTNAME", ""):
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return # Do not run sync loop if we are running inside Render
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from models import Patient
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from api_client import sync_patient_assignment_to_cloud, forward_vitals_to_api
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from datetime import datetime, timezone
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from sqlalchemy import or_
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logger.info("Starting background task for periodic cloud state sync to Render...")
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await asyncio.sleep(5)
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while True:
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try:
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db = SessionLocal()
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try:
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patients = db.query(Patient).filter(
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Patient.patient_id != "UNKNOWN",
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Patient.mrn != "UNKNOWN"
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).all()
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for p in patients:
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if not p.device_id:
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continue
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# 1. Sync patient demographics assignment to Render
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p_data = {
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"mrn": p.mrn or p.patient_id,
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"name": p.name,
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"gender": p.gender,
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"dob": p.dob,
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"bed_id": p.bed_id,
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"patient_type": getattr(p, "patient_type", None)
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}
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await sync_patient_assignment_to_cloud(p_data, p.device_id)
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# 2. Forward latest non-null vitals to Render (Option B)
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from sqlalchemy import or_
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from datetime import datetime, timezone
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patient_filters = or_(
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VitalReading.patient_id == p.mrn,
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VitalReading.patient_id == p.patient_id,
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VitalReading.device_id == p.device_id
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)
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hr_r = db.query(VitalReading.heart_rate).filter(patient_filters, VitalReading.heart_rate != None).order_by(VitalReading.timestamp.desc()).first()
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||||||
spo2_r = db.query(VitalReading.spo2).filter(patient_filters, VitalReading.spo2 != None).order_by(VitalReading.timestamp.desc()).first()
|
|
||||||
bp_r = db.query(VitalReading.systolic_bp, VitalReading.diastolic_bp, VitalReading.map_bp).filter(patient_filters, VitalReading.systolic_bp != None).order_by(VitalReading.timestamp.desc()).first()
|
|
||||||
temp_r = db.query(VitalReading.temperature).filter(patient_filters, VitalReading.temperature != None).order_by(VitalReading.timestamp.desc()).first()
|
|
||||||
temp2_r = db.query(VitalReading.temperature2).filter(patient_filters, VitalReading.temperature2 != None).order_by(VitalReading.timestamp.desc()).first()
|
|
||||||
temp_diff_r = db.query(VitalReading.temperature_diff).filter(patient_filters, VitalReading.temperature_diff != None).order_by(VitalReading.timestamp.desc()).first()
|
|
||||||
rr_r = db.query(VitalReading.respiratory_rate).filter(patient_filters, VitalReading.respiratory_rate != None).order_by(VitalReading.timestamp.desc()).first()
|
|
||||||
|
|
||||||
if hr_r or spo2_r or temp_r or bp_r:
|
|
||||||
merged = NormalizedVitals(
|
|
||||||
device_id=p.device_id,
|
|
||||||
patient_id=p.mrn or p.patient_id,
|
|
||||||
patient_name=p.name,
|
|
||||||
patient_gender=p.gender,
|
|
||||||
patient_dob=p.dob,
|
|
||||||
bed_id=p.bed_id,
|
|
||||||
patient_type=getattr(p, "patient_type", None),
|
|
||||||
timestamp=datetime.now(timezone.utc),
|
|
||||||
heart_rate=hr_r[0] if hr_r else None,
|
|
||||||
spo2=spo2_r[0] if spo2_r else None,
|
|
||||||
systolic_bp=bp_r[0] if bp_r else None,
|
|
||||||
diastolic_bp=bp_r[1] if bp_r else None,
|
|
||||||
map_bp=bp_r[2] if bp_r else None,
|
|
||||||
temperature=temp_r[0] if temp_r else None,
|
|
||||||
temperature2=temp2_r[0] if temp2_r else None,
|
|
||||||
temperature_diff=temp_diff_r[0] if temp_diff_r else None,
|
|
||||||
respiratory_rate=rr_r[0] if rr_r else None
|
|
||||||
)
|
|
||||||
await forward_vitals_to_api(merged)
|
|
||||||
finally:
|
|
||||||
db.close()
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Error in sync_cloud_state background task: {e}")
|
|
||||||
|
|
||||||
await asyncio.sleep(15)
|
|
||||||
|
|
||||||
@@ -1,29 +0,0 @@
|
|||||||
@echo off
|
|
||||||
echo Building Mindray HL7 Forwarder Executable...
|
|
||||||
|
|
||||||
REM Clean previous builds
|
|
||||||
rmdir /s /q build
|
|
||||||
rmdir /s /q dist
|
|
||||||
|
|
||||||
REM Run PyInstaller with necessary hidden imports for FastAPI, Uvicorn, and SQLAlchemy
|
|
||||||
pyinstaller -F --clean ^
|
|
||||||
--name "MindrayHL7Forwarder" ^
|
|
||||||
--hidden-import uvicorn.logging ^
|
|
||||||
--hidden-import uvicorn.loops ^
|
|
||||||
--hidden-import uvicorn.loops.auto ^
|
|
||||||
--hidden-import uvicorn.protocols ^
|
|
||||||
--hidden-import uvicorn.protocols.http ^
|
|
||||||
--hidden-import uvicorn.protocols.http.auto ^
|
|
||||||
--hidden-import uvicorn.protocols.websockets ^
|
|
||||||
--hidden-import uvicorn.protocols.websockets.auto ^
|
|
||||||
--hidden-import uvicorn.lifespan ^
|
|
||||||
--hidden-import uvicorn.lifespan.on ^
|
|
||||||
--hidden-import uvicorn.lifespan.off ^
|
|
||||||
--hidden-import fastapi ^
|
|
||||||
--hidden-import pydantic ^
|
|
||||||
--hidden-import sqlalchemy ^
|
|
||||||
--hidden-import hl7 ^
|
|
||||||
main.py
|
|
||||||
|
|
||||||
echo Build complete! Executable is located in the dist/ folder.
|
|
||||||
pause
|
|
||||||
@@ -1,28 +0,0 @@
|
|||||||
#!/bin/bash
|
|
||||||
echo "Building Mindray HL7 Forwarder Executable for Linux..."
|
|
||||||
|
|
||||||
# Clean previous builds
|
|
||||||
rm -rf build
|
|
||||||
rm -rf dist
|
|
||||||
|
|
||||||
# Run PyInstaller with necessary hidden imports for FastAPI, Uvicorn, and SQLAlchemy
|
|
||||||
pyinstaller -F --clean \
|
|
||||||
--name "MindrayHL7Forwarder" \
|
|
||||||
--hidden-import uvicorn.logging \
|
|
||||||
--hidden-import uvicorn.loops \
|
|
||||||
--hidden-import uvicorn.loops.auto \
|
|
||||||
--hidden-import uvicorn.protocols \
|
|
||||||
--hidden-import uvicorn.protocols.http \
|
|
||||||
--hidden-import uvicorn.protocols.http.auto \
|
|
||||||
--hidden-import uvicorn.protocols.websockets \
|
|
||||||
--hidden-import uvicorn.protocols.websockets.auto \
|
|
||||||
--hidden-import uvicorn.lifespan \
|
|
||||||
--hidden-import uvicorn.lifespan.on \
|
|
||||||
--hidden-import uvicorn.lifespan.off \
|
|
||||||
--hidden-import fastapi \
|
|
||||||
--hidden-import pydantic \
|
|
||||||
--hidden-import sqlalchemy \
|
|
||||||
--hidden-import hl7 \
|
|
||||||
main.py
|
|
||||||
|
|
||||||
echo "Build complete! Executable is located in the dist/ folder."
|
|
||||||
@@ -1,16 +0,0 @@
|
|||||||
{
|
|
||||||
"hl7_host": "0.0.0.0",
|
|
||||||
"hl7_port": 6060,
|
|
||||||
"contec_ports": [511, 512, 513, 514, 515, 516, 517, 518, 519, 520, 8001, 8002, 8300, 9000, 9100, 9200, 10008, 12345],
|
|
||||||
"monitor_ip": "",
|
|
||||||
"monitor_model": "CMS8500",
|
|
||||||
"device_models": {
|
|
||||||
"192.168.100.120": "CMS7000PLUS"
|
|
||||||
},
|
|
||||||
"target_api_url": "https://services-api.a2zhealth.in/v1/contec-monitor",
|
|
||||||
"cloud_api_url": "https://services-api.a2zhealth.in/v1/contec-monitor",
|
|
||||||
"api_token": "",
|
|
||||||
"retry_interval_seconds": 60,
|
|
||||||
"log_file": "hl7_forwarder.log",
|
|
||||||
"database_url": "sqlite:///./hl7_forwarder.db"
|
|
||||||
}
|
|
||||||
@@ -1,46 +0,0 @@
|
|||||||
import json
|
|
||||||
import os
|
|
||||||
from pydantic_settings import BaseSettings
|
|
||||||
|
|
||||||
class Settings(BaseSettings):
|
|
||||||
hl7_host: str = "0.0.0.0"
|
|
||||||
hl7_port: int = 6060
|
|
||||||
contec_ports: list = [511, 515, 516, 517, 518, 519, 520]
|
|
||||||
monitor_ip: str = ""
|
|
||||||
monitor_model: str = "CMS7000PLUS"
|
|
||||||
device_models: dict = {}
|
|
||||||
target_api_url: str = "https://services-api.a2zhealth.in/v1/contec-monitor"
|
|
||||||
cloud_api_url: str = "https://services-api.a2zhealth.in/v1/contec-monitor"
|
|
||||||
api_token: str = ""
|
|
||||||
retry_interval_seconds: int = 60
|
|
||||||
log_file: str = "hl7_forwarder.log"
|
|
||||||
database_url: str = "sqlite:///./hl7_forwarder.db"
|
|
||||||
|
|
||||||
class Config:
|
|
||||||
env_file = ".env"
|
|
||||||
|
|
||||||
def get_settings() -> Settings:
|
|
||||||
base_dir = os.path.dirname(os.path.abspath(__file__))
|
|
||||||
config_file = os.path.join(base_dir, "config.json")
|
|
||||||
|
|
||||||
settings_obj = Settings()
|
|
||||||
|
|
||||||
if os.path.exists(config_file):
|
|
||||||
with open(config_file, "r") as f:
|
|
||||||
try:
|
|
||||||
data = json.load(f)
|
|
||||||
for k, v in data.items():
|
|
||||||
setattr(settings_obj, k, v)
|
|
||||||
except json.JSONDecodeError:
|
|
||||||
pass
|
|
||||||
|
|
||||||
if settings_obj.database_url.startswith("sqlite:///./"):
|
|
||||||
db_name = settings_obj.database_url.split("sqlite:///./")[1]
|
|
||||||
settings_obj.database_url = f"sqlite:///{os.path.join(base_dir, db_name)}"
|
|
||||||
|
|
||||||
if not os.path.isabs(settings_obj.log_file):
|
|
||||||
settings_obj.log_file = os.path.join(base_dir, settings_obj.log_file)
|
|
||||||
|
|
||||||
return settings_obj
|
|
||||||
|
|
||||||
settings = get_settings()
|
|
||||||
@@ -1,246 +0,0 @@
|
|||||||
"""
|
|
||||||
Contec CMS7000PLUS / CMS9200PLUS Discovery Tool
|
|
||||||
==================================
|
|
||||||
This script listens on multiple TCP ports simultaneously to discover
|
|
||||||
what data the CMS7000PLUS / CMS9200PLUS patient monitor sends over the network.
|
|
||||||
|
|
||||||
Usage:
|
|
||||||
python contec_discovery.py
|
|
||||||
|
|
||||||
It will listen on ports: 511, 515, 516, 517, 518, 519, 520, 6060
|
|
||||||
and display all received data in hex + ASCII format for protocol analysis.
|
|
||||||
|
|
||||||
IMPORTANT: Run as Administrator (required for port 511 on Windows)
|
|
||||||
"""
|
|
||||||
|
|
||||||
import asyncio
|
|
||||||
import logging
|
|
||||||
import sys
|
|
||||||
import os
|
|
||||||
from datetime import datetime
|
|
||||||
|
|
||||||
# --- Configuration ---
|
|
||||||
LISTEN_HOST = "0.0.0.0"
|
|
||||||
DISCOVERY_PORTS = [511, 515, 516, 517, 518, 519, 520, 6060]
|
|
||||||
LOG_DIR = "captures"
|
|
||||||
|
|
||||||
# --- Setup Logging ---
|
|
||||||
logging.basicConfig(
|
|
||||||
level=logging.INFO,
|
|
||||||
format='%(asctime)s [%(levelname)s] %(message)s',
|
|
||||||
handlers=[logging.StreamHandler(sys.stdout)]
|
|
||||||
)
|
|
||||||
logger = logging.getLogger("contec_discovery")
|
|
||||||
|
|
||||||
|
|
||||||
def hex_dump(data: bytes, width: int = 16) -> str:
|
|
||||||
"""Format bytes as a hex dump with ASCII representation."""
|
|
||||||
lines = []
|
|
||||||
for i in range(0, len(data), width):
|
|
||||||
chunk = data[i:i + width]
|
|
||||||
hex_part = ' '.join(f'{b:02x}' for b in chunk)
|
|
||||||
ascii_part = ''.join(chr(b) if 32 <= b < 127 else '.' for b in chunk)
|
|
||||||
lines.append(f" {i:04x} {hex_part:<{width * 3}} |{ascii_part}|")
|
|
||||||
return '\n'.join(lines)
|
|
||||||
|
|
||||||
|
|
||||||
def try_decode_hl7(data: bytes) -> str | None:
|
|
||||||
"""Attempt to decode the data as an HL7 message."""
|
|
||||||
try:
|
|
||||||
# Strip MLLP framing if present
|
|
||||||
cleaned = data
|
|
||||||
if cleaned.startswith(b'\x0b'):
|
|
||||||
cleaned = cleaned[1:]
|
|
||||||
if b'\x1c\x0d' in cleaned:
|
|
||||||
cleaned = cleaned[:cleaned.find(b'\x1c\x0d')]
|
|
||||||
|
|
||||||
text = cleaned.decode('utf-8', errors='ignore').strip()
|
|
||||||
if 'MSH|' in text or 'MSH' in text[:20]:
|
|
||||||
return text
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
async def handle_discovery_client(
|
|
||||||
reader: asyncio.StreamReader,
|
|
||||||
writer: asyncio.StreamWriter,
|
|
||||||
port: int,
|
|
||||||
capture_file
|
|
||||||
):
|
|
||||||
"""Handle a single incoming connection and dump all data."""
|
|
||||||
client_ip, client_port = writer.get_extra_info('peername')
|
|
||||||
timestamp = datetime.now().strftime("%Y-%m-%d %H:%M:%S.%f")
|
|
||||||
|
|
||||||
print("\n" + "=" * 80)
|
|
||||||
print(f" NEW CONNECTION on port {port}")
|
|
||||||
print(f" From: {client_ip}:{client_port}")
|
|
||||||
print(f" Time: {timestamp}")
|
|
||||||
print("=" * 80)
|
|
||||||
|
|
||||||
capture_file.write(f"\n{'='*80}\n")
|
|
||||||
capture_file.write(f"Connection on port {port} from {client_ip}:{client_port} at {timestamp}\n")
|
|
||||||
capture_file.write(f"{'='*80}\n")
|
|
||||||
capture_file.flush()
|
|
||||||
|
|
||||||
packet_count = 0
|
|
||||||
|
|
||||||
try:
|
|
||||||
while True:
|
|
||||||
data = await asyncio.wait_for(reader.read(8192), timeout=30.0)
|
|
||||||
if not data:
|
|
||||||
break
|
|
||||||
|
|
||||||
packet_count += 1
|
|
||||||
recv_time = datetime.now().strftime("%H:%M:%S.%f")
|
|
||||||
|
|
||||||
print(f"\n--- Packet #{packet_count} on port {port} [{recv_time}] ({len(data)} bytes) ---")
|
|
||||||
print(hex_dump(data))
|
|
||||||
|
|
||||||
# Try to decode as HL7
|
|
||||||
hl7_text = try_decode_hl7(data)
|
|
||||||
if hl7_text:
|
|
||||||
print(f"\n >>> HL7 MESSAGE DETECTED <<<")
|
|
||||||
segments = hl7_text.replace('\n', '\r').split('\r')
|
|
||||||
for seg in segments:
|
|
||||||
seg = seg.strip()
|
|
||||||
if seg:
|
|
||||||
print(f" {seg}")
|
|
||||||
|
|
||||||
# Extract vital signs from OBX segments
|
|
||||||
if seg.startswith("OBX|"):
|
|
||||||
fields = seg.split('|')
|
|
||||||
if len(fields) > 5:
|
|
||||||
obs_id = fields[3] if len(fields) > 3 else "?"
|
|
||||||
obs_value = fields[5] if len(fields) > 5 else "?"
|
|
||||||
obs_unit = fields[6] if len(fields) > 6 else ""
|
|
||||||
print(f" -> Vital: {obs_id} = {obs_value} {obs_unit}")
|
|
||||||
|
|
||||||
# Also try plain text decode
|
|
||||||
try:
|
|
||||||
text = data.decode('utf-8', errors='ignore')
|
|
||||||
printable_ratio = sum(1 for c in text if c.isprintable() or c in '\r\n\t') / max(len(text), 1)
|
|
||||||
if printable_ratio > 0.7 and not hl7_text:
|
|
||||||
print(f"\n [Text representation]:")
|
|
||||||
for line in text.split('\r'):
|
|
||||||
line = line.strip()
|
|
||||||
if line:
|
|
||||||
print(f" {line}")
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
|
|
||||||
# Write to capture file
|
|
||||||
capture_file.write(f"\nPacket #{packet_count} [{recv_time}] ({len(data)} bytes)\n")
|
|
||||||
capture_file.write(hex_dump(data) + "\n")
|
|
||||||
if hl7_text:
|
|
||||||
capture_file.write(f"HL7: {hl7_text}\n")
|
|
||||||
capture_file.write(f"Raw bytes: {data.hex()}\n")
|
|
||||||
capture_file.flush()
|
|
||||||
|
|
||||||
except asyncio.TimeoutError:
|
|
||||||
print(f" [Timeout - no data for 30s on port {port}]")
|
|
||||||
except asyncio.CancelledError:
|
|
||||||
pass
|
|
||||||
except ConnectionResetError:
|
|
||||||
print(f" [Connection reset by {client_ip} on port {port}]")
|
|
||||||
except Exception as e:
|
|
||||||
print(f" [Error on port {port}: {e}]")
|
|
||||||
finally:
|
|
||||||
print(f"\n Connection closed on port {port} from {client_ip} ({packet_count} packets received)")
|
|
||||||
writer.close()
|
|
||||||
try:
|
|
||||||
await writer.wait_closed()
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
|
|
||||||
|
|
||||||
async def start_port_listener(port: int, capture_file):
|
|
||||||
"""Start a TCP server on a specific port."""
|
|
||||||
async def client_handler(reader, writer):
|
|
||||||
await handle_discovery_client(reader, writer, port, capture_file)
|
|
||||||
|
|
||||||
try:
|
|
||||||
server = await asyncio.start_server(client_handler, LISTEN_HOST, port)
|
|
||||||
logger.info(f" ✓ Listening on port {port}")
|
|
||||||
return server
|
|
||||||
except PermissionError:
|
|
||||||
logger.error(f" ✗ Port {port} - Permission denied (try running as Administrator)")
|
|
||||||
return None
|
|
||||||
except OSError as e:
|
|
||||||
if "already in use" in str(e).lower() or e.errno == 10048:
|
|
||||||
logger.error(f" ✗ Port {port} - Already in use by another application")
|
|
||||||
else:
|
|
||||||
logger.error(f" ✗ Port {port} - {e}")
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
async def main():
|
|
||||||
print(r"""
|
|
||||||
╔══════════════════════════════════════════════════════════════╗
|
|
||||||
║ Contec CMS7000PLUS / CMS9200PLUS Discovery Tool ║
|
|
||||||
║ ║
|
|
||||||
║ This tool listens for incoming data from your patient ║
|
|
||||||
║ monitor to discover its communication protocol. ║
|
|
||||||
║ ║
|
|
||||||
║ SETUP REQUIRED: ║
|
|
||||||
║ 1. Connect monitor to your PC via Ethernet ║
|
|
||||||
║ 2. Set your PC's Ethernet IP to: 192.168.1.50 ║
|
|
||||||
║ (or whatever subnet your monitor uses) ║
|
|
||||||
║ 3. On the monitor, set CMS/Server IP to YOUR PC's IP ║
|
|
||||||
║ 4. Run this script as Administrator ║
|
|
||||||
║ ║
|
|
||||||
║ Press Ctrl+C to stop ║
|
|
||||||
╚══════════════════════════════════════════════════════════════╝
|
|
||||||
""")
|
|
||||||
|
|
||||||
# Create captures directory
|
|
||||||
os.makedirs(LOG_DIR, exist_ok=True)
|
|
||||||
capture_filename = os.path.join(
|
|
||||||
LOG_DIR,
|
|
||||||
f"capture_{datetime.now().strftime('%Y%m%d_%H%M%S')}.txt"
|
|
||||||
)
|
|
||||||
capture_file = open(capture_filename, 'w', encoding='utf-8')
|
|
||||||
logger.info(f"Capture log: {capture_filename}")
|
|
||||||
|
|
||||||
# Show current network config hint
|
|
||||||
print("\nStarting listeners on all discovery ports...")
|
|
||||||
print("(If port 511 fails, run PowerShell as Administrator)\n")
|
|
||||||
|
|
||||||
servers = []
|
|
||||||
for port in DISCOVERY_PORTS:
|
|
||||||
server = await start_port_listener(port, capture_file)
|
|
||||||
if server:
|
|
||||||
servers.append(server)
|
|
||||||
|
|
||||||
if not servers:
|
|
||||||
logger.error("No ports could be opened! Check permissions and existing services.")
|
|
||||||
capture_file.close()
|
|
||||||
return
|
|
||||||
|
|
||||||
active_ports = [s.sockets[0].getsockname()[1] for s in servers if s.sockets]
|
|
||||||
print(f"\n{'─' * 60}")
|
|
||||||
print(f" Active on ports: {active_ports}")
|
|
||||||
print(f" Waiting for data from CMS7000PLUS / CMS9200PLUS...")
|
|
||||||
print(f" Make sure the monitor's CMS/Server IP points to this PC")
|
|
||||||
print(f"{'─' * 60}\n")
|
|
||||||
|
|
||||||
try:
|
|
||||||
# Keep running until Ctrl+C
|
|
||||||
await asyncio.Event().wait()
|
|
||||||
except asyncio.CancelledError:
|
|
||||||
pass
|
|
||||||
finally:
|
|
||||||
print("\nShutting down...")
|
|
||||||
for server in servers:
|
|
||||||
server.close()
|
|
||||||
for server in servers:
|
|
||||||
await server.wait_closed()
|
|
||||||
capture_file.close()
|
|
||||||
print(f"Capture saved to: {capture_filename}")
|
|
||||||
|
|
||||||
|
|
||||||
if __name__ == "__main__":
|
|
||||||
try:
|
|
||||||
asyncio.run(main())
|
|
||||||
except KeyboardInterrupt:
|
|
||||||
print("\n\nDiscovery stopped by user.")
|
|
||||||
@@ -1,530 +0,0 @@
|
|||||||
import logging
|
|
||||||
from datetime import datetime, timezone
|
|
||||||
from typing import Optional, List
|
|
||||||
import struct
|
|
||||||
|
|
||||||
from schemas import NormalizedVitals
|
|
||||||
from config import settings
|
|
||||||
|
|
||||||
logger = logging.getLogger(__name__)
|
|
||||||
|
|
||||||
# Contec CMS7000PLUS / CMS8000 / CMS9200PLUS OBX identifiers mapping to schema fields
|
|
||||||
CONTEC_PARAM_MAP = {
|
|
||||||
# Heart Rate / Pulse Rate
|
|
||||||
"HR": "heart_rate",
|
|
||||||
"HEART_RATE": "heart_rate",
|
|
||||||
"ECG_HR": "heart_rate",
|
|
||||||
"PR": "heart_rate",
|
|
||||||
"PULSE_RATE": "heart_rate",
|
|
||||||
"SPO2_PR": "heart_rate",
|
|
||||||
"ECGHR": "heart_rate",
|
|
||||||
"ECG-HR": "heart_rate",
|
|
||||||
"PULSERATE": "heart_rate",
|
|
||||||
|
|
||||||
# SpO2
|
|
||||||
"SPO2": "spo2",
|
|
||||||
"SAO2": "spo2",
|
|
||||||
"SPO2_PCT": "spo2",
|
|
||||||
"OXYGEN_SAT": "spo2",
|
|
||||||
"SPO2_VAL": "spo2",
|
|
||||||
"O2SAT": "spo2",
|
|
||||||
|
|
||||||
# Blood Pressure (NIBP)
|
|
||||||
"NIBP_SYS": "systolic_bp",
|
|
||||||
"NIBP_DIA": "diastolic_bp",
|
|
||||||
"NIBP_MEAN": "map_bp",
|
|
||||||
"NIBP_MAP": "map_bp",
|
|
||||||
"SYS": "systolic_bp",
|
|
||||||
"DIA": "diastolic_bp",
|
|
||||||
"MAP": "map_bp",
|
|
||||||
"NBP_S": "systolic_bp",
|
|
||||||
"NBP_D": "diastolic_bp",
|
|
||||||
"NBP_M": "map_bp",
|
|
||||||
"NIBP-S": "systolic_bp",
|
|
||||||
"NIBP-D": "diastolic_bp",
|
|
||||||
"NIBP-M": "map_bp",
|
|
||||||
"BP_SYS": "systolic_bp",
|
|
||||||
"BP_DIA": "diastolic_bp",
|
|
||||||
"BP_MEAN": "map_bp",
|
|
||||||
|
|
||||||
# Respiratory Rate
|
|
||||||
"RESP": "respiratory_rate",
|
|
||||||
"RESP_RATE": "respiratory_rate",
|
|
||||||
"RR": "respiratory_rate",
|
|
||||||
"BR": "respiratory_rate",
|
|
||||||
"RESPRATE": "respiratory_rate",
|
|
||||||
"RESP-RATE": "respiratory_rate",
|
|
||||||
|
|
||||||
# Temperature
|
|
||||||
"TEMP": "temperature",
|
|
||||||
"TEMP1": "temperature",
|
|
||||||
"TEMP2": "temperature2",
|
|
||||||
"T1": "temperature",
|
|
||||||
"T2": "temperature2",
|
|
||||||
"BODY_TEMP": "temperature",
|
|
||||||
"TEMP-1": "temperature",
|
|
||||||
"TEMP-2": "temperature2",
|
|
||||||
"BODYTEMP": "temperature",
|
|
||||||
"TD": "temperature_diff",
|
|
||||||
}
|
|
||||||
|
|
||||||
# Sentinel value used by Contec to mark an invalid/disconnected parameter
|
|
||||||
INVALID_SENTINEL_U16 = 9999 # 0x270F
|
|
||||||
INVALID_SENTINEL_F32 = 9999.0
|
|
||||||
|
|
||||||
|
|
||||||
def safe_float(value: str) -> Optional[float]:
|
|
||||||
try:
|
|
||||||
return float(value)
|
|
||||||
except (ValueError, TypeError):
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
def is_valid_u16(val: Optional[int]) -> bool:
|
|
||||||
return val is not None and val != INVALID_SENTINEL_U16 and val != 255 and val != 65535
|
|
||||||
|
|
||||||
|
|
||||||
def is_valid_f32(val: Optional[float]) -> bool:
|
|
||||||
return val is not None and abs(val - INVALID_SENTINEL_F32) > 1.0
|
|
||||||
|
|
||||||
|
|
||||||
def read_u16_le(buf: bytes, offset: int) -> Optional[int]:
|
|
||||||
if offset + 2 <= len(buf):
|
|
||||||
return struct.unpack_from('<H', buf, offset)[0]
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
def read_f32_le(buf: bytes, offset: int) -> Optional[float]:
|
|
||||||
if offset + 4 <= len(buf):
|
|
||||||
return struct.unpack_from('<f', buf, offset)[0]
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
def parse_contec_hl7_text(raw_text: str, client_ip: str) -> Optional[NormalizedVitals]:
|
|
||||||
"""
|
|
||||||
Lightweight, native parser for Contec HL7 messages.
|
|
||||||
Splits segments and fields manually, avoiding third-party library dependencies.
|
|
||||||
"""
|
|
||||||
try:
|
|
||||||
# Strip MLLP framing if present (VT=0x0b, FS=0x1c, CR=0x0d)
|
|
||||||
clean_text = raw_text.strip()
|
|
||||||
if clean_text.startswith("\x0b"):
|
|
||||||
clean_text = clean_text[1:]
|
|
||||||
if "\x1c\x0d" in clean_text:
|
|
||||||
clean_text = clean_text.split("\x1c\x0d")[0]
|
|
||||||
|
|
||||||
# Split into segments by CR or LF
|
|
||||||
segments = [seg.strip() for seg in clean_text.replace("\n", "\r").split("\r") if seg.strip()]
|
|
||||||
|
|
||||||
if not segments or not segments[0].startswith("MSH"):
|
|
||||||
return None
|
|
||||||
|
|
||||||
# Parse MSH segment
|
|
||||||
model = settings.device_models.get(client_ip, settings.monitor_model)
|
|
||||||
msh_fields = segments[0].split("|")
|
|
||||||
device_id = msh_fields[2] if len(msh_fields) > 2 and msh_fields[2] else f"{model}_{client_ip}"
|
|
||||||
|
|
||||||
patient_id = "UNKNOWN"
|
|
||||||
vitals_dict = {
|
|
||||||
"device_id": device_id,
|
|
||||||
"patient_id": patient_id,
|
|
||||||
"timestamp": datetime.now(timezone.utc),
|
|
||||||
"ip_address": client_ip,
|
|
||||||
}
|
|
||||||
|
|
||||||
found_any = False
|
|
||||||
|
|
||||||
# Parse PID, PV1 and OBX segments
|
|
||||||
for seg in segments[1:]:
|
|
||||||
fields = seg.split("|")
|
|
||||||
if not fields:
|
|
||||||
continue
|
|
||||||
|
|
||||||
seg_name = fields[0]
|
|
||||||
|
|
||||||
if seg_name == "PID":
|
|
||||||
# PID-3: MRN / Patient ID
|
|
||||||
if len(fields) > 3 and fields[3]:
|
|
||||||
patient_id = fields[3].split("^")[0].strip()
|
|
||||||
vitals_dict["patient_id"] = patient_id
|
|
||||||
|
|
||||||
# PID-5: Patient Name (format: FamilyName^GivenName^...)
|
|
||||||
if len(fields) > 5 and fields[5]:
|
|
||||||
name_parts = fields[5].split("^")
|
|
||||||
family = name_parts[0].strip() if len(name_parts) > 0 else ""
|
|
||||||
given = name_parts[1].strip() if len(name_parts) > 1 else ""
|
|
||||||
full_name = f"{given} {family}".strip() or family or given
|
|
||||||
if full_name:
|
|
||||||
vitals_dict["patient_name"] = full_name
|
|
||||||
|
|
||||||
# PID-7: Date of Birth (YYYYMMDD or YYYY-MM-DD)
|
|
||||||
if len(fields) > 7 and fields[7]:
|
|
||||||
vitals_dict["patient_dob"] = fields[7].strip()
|
|
||||||
|
|
||||||
# PID-8: Administrative Sex (M / F / U / O)
|
|
||||||
if len(fields) > 8 and fields[8]:
|
|
||||||
vitals_dict["patient_gender"] = fields[8].strip().upper()
|
|
||||||
|
|
||||||
# PID-35: Patient Category (ADULT / PEDIATRIC / NEONATAL)
|
|
||||||
if len(fields) > 35 and fields[35]:
|
|
||||||
vitals_dict["patient_type"] = fields[35].strip()
|
|
||||||
|
|
||||||
elif seg_name == "PV1":
|
|
||||||
# PV1-3: Assigned Patient Location (Room^Bed^...)
|
|
||||||
if len(fields) > 3 and fields[3]:
|
|
||||||
location_parts = fields[3].split("^")
|
|
||||||
# Use second component (Bed) if present, else first (Room)
|
|
||||||
bed = location_parts[1].strip() if len(location_parts) > 1 else location_parts[0].strip()
|
|
||||||
if bed:
|
|
||||||
vitals_dict["bed_id"] = bed
|
|
||||||
|
|
||||||
# PV1-18: Patient Type
|
|
||||||
if len(fields) > 18 and fields[18]:
|
|
||||||
vitals_dict["patient_type"] = fields[18].strip()
|
|
||||||
|
|
||||||
elif seg_name == "OBX":
|
|
||||||
if len(fields) > 5:
|
|
||||||
obs_val = fields[5].strip()
|
|
||||||
|
|
||||||
if not obs_val or obs_val == "---":
|
|
||||||
continue
|
|
||||||
|
|
||||||
val_float = safe_float(obs_val)
|
|
||||||
if val_float is None:
|
|
||||||
continue
|
|
||||||
|
|
||||||
# Split OBX-3 (Observation Identifier) by '^' and check all parts for parameter matches
|
|
||||||
obs_parts = [p.strip().upper() for p in fields[3].split("^") if p.strip()]
|
|
||||||
|
|
||||||
matched = False
|
|
||||||
for param_key, mapped_field in CONTEC_PARAM_MAP.items():
|
|
||||||
for part in obs_parts:
|
|
||||||
if param_key == part or param_key in part:
|
|
||||||
vitals_dict[mapped_field] = val_float
|
|
||||||
found_any = True
|
|
||||||
logger.info(f"Parsed Contec HL7 Vital: {mapped_field} = {val_float} (from OBX-3: {fields[3]})")
|
|
||||||
matched = True
|
|
||||||
break
|
|
||||||
if matched:
|
|
||||||
break
|
|
||||||
|
|
||||||
return NormalizedVitals(**vitals_dict) if found_any else None
|
|
||||||
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Error parsing Contec HL7 text: {e}")
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
def _extract_vitals_block(data: bytes, offset: int, client_ip: str) -> Optional[NormalizedVitals]:
|
|
||||||
"""
|
|
||||||
Extract vitals from a Contec vitals block starting at the given offset.
|
|
||||||
|
|
||||||
Known Contec CMS7000PLUS binary vitals block layout (confirmed from packet captures):
|
|
||||||
|
|
||||||
PACKET TYPE B (header bytes [xx][00][04][46] or [xx][yy][04][46]):
|
|
||||||
-----------------------------------------------------------------------
|
|
||||||
Bytes 8-11 : float32 LE → NIBP Systolic (9999.0 = invalid)
|
|
||||||
Bytes 12-15 : float32 LE → NIBP Diastolic (9999.0 = invalid)
|
|
||||||
Bytes 16-19 : float32 LE → NIBP MAP (9999.0 = invalid)
|
|
||||||
Bytes 20-23 : float32 LE → Temperature 1 (°C, 9999.0 = invalid)
|
|
||||||
Bytes 24-27 : float32 LE → Temperature 2 (°C, 9999.0 = invalid)
|
|
||||||
|
|
||||||
Vitals summary block (at data[offset] position, found by scanning for SpO2+HR pattern):
|
|
||||||
Offset +0 : uint16 LE → SpO2 (%) (9999 = invalid)
|
|
||||||
Offset +2 : uint16 LE → Heart Rate (bpm)(9999 = invalid, ECG not connected)
|
|
||||||
Offset +4 : uint16 LE → Pulse Rate (bpm)(from SpO2 probe, also 9999 if invalid)
|
|
||||||
Offset +6 : uint16 LE → (SpO2 alarm/threshold)
|
|
||||||
Offset +8 : uint16 LE → (mode flags)
|
|
||||||
Offset +10 : uint16 LE → NIBP Systolic (9999 = invalid)
|
|
||||||
Offset +12 : uint16 LE → NIBP Diastolic (9999 = invalid)
|
|
||||||
"""
|
|
||||||
model = settings.device_models.get(client_ip, settings.monitor_model)
|
|
||||||
vitals_dict = {
|
|
||||||
"device_id": f"{model}_{client_ip}",
|
|
||||||
"patient_id": "UNKNOWN",
|
|
||||||
"timestamp": datetime.now(timezone.utc),
|
|
||||||
"ip_address": client_ip,
|
|
||||||
}
|
|
||||||
found = False
|
|
||||||
|
|
||||||
spo2 = read_u16_le(data, offset)
|
|
||||||
hr_ecg = read_u16_le(data, offset + 2)
|
|
||||||
hr_spo2 = read_u16_le(data, offset + 4)
|
|
||||||
|
|
||||||
# SpO2 value: valid range 50–100
|
|
||||||
if spo2 is not None and 50 <= spo2 <= 100:
|
|
||||||
vitals_dict["spo2"] = float(spo2)
|
|
||||||
found = True
|
|
||||||
|
|
||||||
# Heart rate: ECG HR at offset+2 is primary; SpO2 PR at offset+4 is fallback.
|
|
||||||
if is_valid_u16(hr_ecg) and 20 <= hr_ecg <= 300:
|
|
||||||
vitals_dict["heart_rate"] = float(hr_ecg)
|
|
||||||
found = True
|
|
||||||
elif is_valid_u16(hr_spo2) and 20 <= hr_spo2 <= 300:
|
|
||||||
vitals_dict["heart_rate"] = float(hr_spo2)
|
|
||||||
found = True
|
|
||||||
|
|
||||||
return NormalizedVitals(**vitals_dict) if found else None
|
|
||||||
|
|
||||||
|
|
||||||
def _parse_45_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
|
||||||
"""
|
|
||||||
Parse 45/47-byte packet (Subtype 22) — contains NIBP values and alarm limits.
|
|
||||||
|
|
||||||
Verified layout:
|
|
||||||
[0-1] Packet length LE u16 = 45 or 47
|
|
||||||
[2-3] Marker: 01 46 or 00 46
|
|
||||||
[4-7] Sub-header (00 00 16 00)
|
|
||||||
[8-9] Year LE u16
|
|
||||||
[10] Month, [11] Day, [12] Hour, [13] Minute, [14] Seconds
|
|
||||||
[15-16] NIBP Systolic (LE u16, 32767 / 9999 = no measurement / idle)
|
|
||||||
[17-18] NIBP Diastolic (LE u16, 32767 / 9999 = no measurement / idle)
|
|
||||||
[19-20] NIBP MAP (LE u16, 32767 / 9999 = no measurement / idle)
|
|
||||||
"""
|
|
||||||
if len(data) < 21:
|
|
||||||
return False
|
|
||||||
|
|
||||||
if "present_fields" not in vitals_dict:
|
|
||||||
vitals_dict["present_fields"] = []
|
|
||||||
|
|
||||||
logger.debug("DEBUG_NIBP_PKT len=%d nibp_hex=%s", len(data), data[8:24].hex())
|
|
||||||
nibp_sys = read_u16_le(data, 15)
|
|
||||||
nibp_dia = read_u16_le(data, 17)
|
|
||||||
nibp_map = read_u16_le(data, 19)
|
|
||||||
|
|
||||||
sentinels = (9999, 32767, 65535, 0)
|
|
||||||
|
|
||||||
if nibp_sys is not None and nibp_sys not in sentinels and 40 <= nibp_sys <= 260:
|
|
||||||
vitals_dict["systolic_bp"] = float(nibp_sys)
|
|
||||||
if "systolic_bp" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("systolic_bp")
|
|
||||||
|
|
||||||
if nibp_dia is not None and nibp_dia not in sentinels and 20 <= nibp_dia <= 200:
|
|
||||||
vitals_dict["diastolic_bp"] = float(nibp_dia)
|
|
||||||
if "diastolic_bp" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("diastolic_bp")
|
|
||||||
|
|
||||||
if nibp_map is not None and nibp_map not in sentinels and 20 <= nibp_map <= 250:
|
|
||||||
vitals_dict["map_bp"] = float(nibp_map)
|
|
||||||
if "map_bp" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("map_bp")
|
|
||||||
|
|
||||||
return True
|
|
||||||
|
|
||||||
|
|
||||||
def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
|
||||||
"""
|
|
||||||
Parse 56-byte packet (Subtype 23) — contains float32 Temperature values for T1 and T2.
|
|
||||||
|
|
||||||
Verified layout:
|
|
||||||
[8-11] Temperature 1 (float32)
|
|
||||||
[12-15] Temperature 2 (float32)
|
|
||||||
[20-23] Temp 1 Alarm High Limit (float32)
|
|
||||||
[24-27] Temp 1 Alarm Low Limit (float32)
|
|
||||||
"""
|
|
||||||
if len(data) < 16:
|
|
||||||
return False
|
|
||||||
|
|
||||||
if "present_fields" not in vitals_dict:
|
|
||||||
vitals_dict["present_fields"] = []
|
|
||||||
|
|
||||||
temp1 = read_f32_le(data, 8)
|
|
||||||
temp2 = read_f32_le(data, 12)
|
|
||||||
|
|
||||||
def is_real_temp(t):
|
|
||||||
# Disconnected sentinel is 9999.0 or 3276.7 (0x7FFF)
|
|
||||||
return t is not None and is_valid_f32(t) and abs(t - 3276.7) > 1.0 and 20.0 < t < 45.0
|
|
||||||
|
|
||||||
t1_val = round(temp1, 1) if is_real_temp(temp1) else None
|
|
||||||
t2_val = round(temp2, 1) if is_real_temp(temp2) else None
|
|
||||||
|
|
||||||
vitals_dict["temperature"] = t1_val
|
|
||||||
vitals_dict["temperature2"] = t2_val
|
|
||||||
if t1_val is not None and t2_val is not None:
|
|
||||||
vitals_dict["temperature_diff"] = round(abs(t1_val - t2_val), 1)
|
|
||||||
else:
|
|
||||||
vitals_dict["temperature_diff"] = None
|
|
||||||
|
|
||||||
if "temperature" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("temperature")
|
|
||||||
if "temperature2" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("temperature2")
|
|
||||||
if "temperature_diff" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("temperature_diff")
|
|
||||||
|
|
||||||
return (t1_val is not None or t2_val is not None)
|
|
||||||
|
|
||||||
|
|
||||||
def _parse_spo2_waveform_packet(data: bytes, vitals_dict: dict) -> bool:
|
|
||||||
"""
|
|
||||||
Parse SpO2 & Pleth waveform packet (Subtype 21 for CMS7000PLUS / CMS8500).
|
|
||||||
SpO2% is located at offset 264. Disconnected sentinel is 65535, 32767, or 255.
|
|
||||||
Offsets 270+ contain alarm limits (100, 90) and must NOT be parsed as vitals.
|
|
||||||
"""
|
|
||||||
if len(data) < 266:
|
|
||||||
return False
|
|
||||||
|
|
||||||
if "present_fields" not in vitals_dict:
|
|
||||||
vitals_dict["present_fields"] = []
|
|
||||||
|
|
||||||
# Extract Pleth waveform samples (bytes 8..263)
|
|
||||||
vitals_dict["pleth_wave"] = list(data[8:min(264, len(data))])
|
|
||||||
if "pleth_wave" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("pleth_wave")
|
|
||||||
|
|
||||||
# Check SpO2 at standard offset 264
|
|
||||||
spo2_val = read_u16_le(data, 264)
|
|
||||||
|
|
||||||
if spo2_val is not None and 50 <= spo2_val <= 100:
|
|
||||||
vitals_dict["spo2"] = float(spo2_val)
|
|
||||||
if "spo2" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("spo2")
|
|
||||||
|
|
||||||
# Pulse Rate / ECG HR is at offset 266 in the footer
|
|
||||||
ecg_hr = read_u16_le(data, 266)
|
|
||||||
if ecg_hr is not None and ecg_hr not in (9999, 65535, 32767, 0) and 20 <= ecg_hr <= 300:
|
|
||||||
vitals_dict["heart_rate"] = float(ecg_hr)
|
|
||||||
if "heart_rate" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("heart_rate")
|
|
||||||
|
|
||||||
logger.info(
|
|
||||||
f"SpO2 pkt: SpO2[264]={spo2_val} ECG_HR[266]={ecg_hr} alarm_hi[268]={read_u16_le(data,268)} alarm_lo[270]={read_u16_le(data,270) if len(data)>=272 else 'N/A'}"
|
|
||||||
)
|
|
||||||
|
|
||||||
return True
|
|
||||||
|
|
||||||
|
|
||||||
def _parse_286_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
|
||||||
return _parse_spo2_waveform_packet(data, vitals_dict)
|
|
||||||
|
|
||||||
|
|
||||||
def _parse_288_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
|
||||||
return _parse_spo2_waveform_packet(data, vitals_dict)
|
|
||||||
|
|
||||||
|
|
||||||
def _parse_341_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
|
||||||
return _parse_spo2_waveform_packet(data, vitals_dict)
|
|
||||||
|
|
||||||
|
|
||||||
def _parse_989_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
|
||||||
"""
|
|
||||||
Parse 989-byte waveform packet (Subtype 20 / 14h).
|
|
||||||
|
|
||||||
Verified layout:
|
|
||||||
[8..903] ECG waveform samples (8-bit unsigned, 896 samples @ ~250Hz)
|
|
||||||
[904-905] ECG Heart Rate (LE u16)
|
|
||||||
65535 or 9999 = invalid/disconnected
|
|
||||||
"""
|
|
||||||
if len(data) < 906:
|
|
||||||
return False
|
|
||||||
|
|
||||||
if "present_fields" not in vitals_dict:
|
|
||||||
vitals_dict["present_fields"] = []
|
|
||||||
|
|
||||||
# Extract ECG waveform samples (bytes 8..903), downsample to ~224 points for smooth real-time rendering
|
|
||||||
raw_ecg = list(data[8:904])
|
|
||||||
vitals_dict["ecg_wave"] = raw_ecg[::4]
|
|
||||||
if "ecg_wave" not in vitals_dict["present_fields"]:
|
|
||||||
vitals_dict["present_fields"].append("ecg_wave")
|
|
||||||
|
|
||||||
logger.debug("DEBUG_ECG_PKT len=%d tail_hex=%s", len(data), data[890:989].hex())
|
|
||||||
hr_val = read_u16_le(data, 904)
|
|
||||||
if hr_val is not None and hr_val not in (65535, 32767, 9999, 0) and 20 <= hr_val <= 300:
|
|
||||||
if vitals_dict.get("heart_rate") is None:
|
|
||||||
vitals_dict["heart_rate"] = float(hr_val)
|
|
||||||
if "heart_rate" not in vitals_dict.setdefault("present_fields", []):
|
|
||||||
vitals_dict["present_fields"].append("heart_rate")
|
|
||||||
|
|
||||||
return True
|
|
||||||
|
|
||||||
|
|
||||||
def _find_vitals_block_in_stream(data: bytes, client_ip: str) -> Optional[NormalizedVitals]:
|
|
||||||
"""
|
|
||||||
Scan the data stream for Contec CMS7000PLUS / CMS8500 sub-packets and parse them.
|
|
||||||
"""
|
|
||||||
model = settings.device_models.get(client_ip, settings.monitor_model)
|
|
||||||
vitals_dict = {
|
|
||||||
"device_id": f"{model}_{client_ip}",
|
|
||||||
"patient_id": "UNKNOWN",
|
|
||||||
"timestamp": datetime.now(timezone.utc),
|
|
||||||
"ip_address": client_ip,
|
|
||||||
}
|
|
||||||
found_any = False
|
|
||||||
|
|
||||||
i = 0
|
|
||||||
while i < len(data) - 8:
|
|
||||||
if (data[i + 2] == 0x04 or data[i + 2] == 0x01 or data[i + 2] == 0x00) and data[i + 3] == 0x46:
|
|
||||||
pkt_len = struct.unpack_from('<H', data, i)[0]
|
|
||||||
|
|
||||||
if 30 < pkt_len < 1050 and i + pkt_len <= len(data):
|
|
||||||
pkt_data = data[i:i + pkt_len]
|
|
||||||
|
|
||||||
if pkt_len in (45, 47):
|
|
||||||
if _parse_45_byte_packet(pkt_data, vitals_dict):
|
|
||||||
found_any = True
|
|
||||||
elif pkt_len == 56:
|
|
||||||
if _parse_56_byte_packet(pkt_data, vitals_dict):
|
|
||||||
found_any = True
|
|
||||||
elif pkt_len in (286, 288, 341):
|
|
||||||
if _parse_spo2_waveform_packet(pkt_data, vitals_dict):
|
|
||||||
found_any = True
|
|
||||||
elif pkt_len == 989:
|
|
||||||
if _parse_989_byte_packet(pkt_data, vitals_dict):
|
|
||||||
found_any = True
|
|
||||||
# Handled specifically by known packet sizes above
|
|
||||||
|
|
||||||
i += max(pkt_len, 4)
|
|
||||||
else:
|
|
||||||
i += 1
|
|
||||||
|
|
||||||
return NormalizedVitals(**vitals_dict) if found_any else None
|
|
||||||
|
|
||||||
|
|
||||||
def parse_contec_binary_packet(data: bytes, client_ip: str) -> Optional[NormalizedVitals]:
|
|
||||||
"""
|
|
||||||
Decodes the Contec CMS7000PLUS proprietary binary protocol.
|
|
||||||
|
|
||||||
The monitor sends two alternating TCP packets:
|
|
||||||
- Packet A (991 bytes): ECG waveform + SpO2 waveform + vitals footer
|
|
||||||
- Packet B (397 bytes): Resp waveform + vitals summary + param block
|
|
||||||
|
|
||||||
Both have the structure: [len_lo][len_hi][04][46][subtype][00][sublen][00]...[payload]...
|
|
||||||
"""
|
|
||||||
try:
|
|
||||||
return _find_vitals_block_in_stream(data, client_ip)
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Error parsing Contec binary packet: {e}")
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
def parse_contec_data(raw_data: bytes, client_ip: str) -> Optional[NormalizedVitals]:
|
|
||||||
"""
|
|
||||||
Unified entry point for parsing data from a Contec CMS7000PLUS monitor.
|
|
||||||
Attempts HL7 text parsing first, falling back to proprietary binary parsing.
|
|
||||||
"""
|
|
||||||
if not raw_data:
|
|
||||||
return None
|
|
||||||
|
|
||||||
# Attempt 1: HL7 Text Decoding
|
|
||||||
try:
|
|
||||||
text = raw_data.decode("utf-8", errors="ignore").strip()
|
|
||||||
if "MSH" in text or "\x0bMSH" in text:
|
|
||||||
vitals = parse_contec_hl7_text(text, client_ip)
|
|
||||||
if vitals:
|
|
||||||
return vitals
|
|
||||||
else:
|
|
||||||
logger.warning(f"HL7 message detected but failed to parse. Content: {repr(text)}")
|
|
||||||
except Exception as e:
|
|
||||||
logger.warning(f"Failed decoding/parsing HL7: {e}")
|
|
||||||
|
|
||||||
# Attempt 2: Binary Parsing (Contec proprietary protocol)
|
|
||||||
vitals = parse_contec_binary_packet(raw_data, client_ip)
|
|
||||||
if vitals:
|
|
||||||
return vitals
|
|
||||||
|
|
||||||
# Logging fallback
|
|
||||||
logger.warning(
|
|
||||||
f"Data packet from {client_ip} unrecognized. "
|
|
||||||
f"Len: {len(raw_data)}, Hex head: {raw_data[:32].hex()}"
|
|
||||||
)
|
|
||||||
return None
|
|
||||||
@@ -1,726 +0,0 @@
|
|||||||
import asyncio
|
|
||||||
import logging
|
|
||||||
import re
|
|
||||||
from datetime import datetime, timezone
|
|
||||||
|
|
||||||
from contec_parser import parse_contec_data
|
|
||||||
from database import SessionLocal
|
|
||||||
from models import Device, Patient, VitalReading, TransmissionLog
|
|
||||||
from api_client import forward_vitals_to_api
|
|
||||||
from terminal_display import get_terminal_display
|
|
||||||
|
|
||||||
logger = logging.getLogger(__name__)
|
|
||||||
|
|
||||||
# Constants for MLLP framing (used on port 511 for Contec HL7 text)
|
|
||||||
VT = b'\x0b'
|
|
||||||
FS_CR = b'\x1c\x0d'
|
|
||||||
|
|
||||||
|
|
||||||
def generate_ack(received_msg: str) -> str:
|
|
||||||
"""Generates a simple HL7 ACK message to satisfy the monitor's TCP client."""
|
|
||||||
try:
|
|
||||||
segments = received_msg.split('\r')
|
|
||||||
msh = segments[0] if segments else ""
|
|
||||||
if not msh.startswith("MSH|"):
|
|
||||||
return ""
|
|
||||||
|
|
||||||
fields = msh.split('|')
|
|
||||||
if len(fields) < 10:
|
|
||||||
return ""
|
|
||||||
|
|
||||||
sending_app = fields[2]
|
|
||||||
sending_fac = fields[3]
|
|
||||||
rec_app = fields[4]
|
|
||||||
rec_fac = fields[5]
|
|
||||||
msg_control_id = fields[9]
|
|
||||||
|
|
||||||
now_str = datetime.now().strftime("%Y%m%d%H%M%S")
|
|
||||||
|
|
||||||
ack_msh = (
|
|
||||||
f"MSH|^~\\&|{rec_app}|{rec_fac}|{sending_app}|{sending_fac}"
|
|
||||||
f"|{now_str}||ACK|{now_str}|P|2.3\r"
|
|
||||||
)
|
|
||||||
ack_msa = f"MSA|AA|{msg_control_id}\r"
|
|
||||||
|
|
||||||
return ack_msh + ack_msa
|
|
||||||
except Exception as e:
|
|
||||||
logger.debug(f"Could not generate ACK: {e}")
|
|
||||||
return ""
|
|
||||||
|
|
||||||
|
|
||||||
TELEMETRY_WORDS = {
|
|
||||||
'sensor', 'off', 'lead', 'leads', 'fall', 'searching', 'pulse',
|
|
||||||
'le', 'le1', 'le2', 'le3', 'le4', 'le5', 'alarm', 'probe',
|
|
||||||
'cuff', 'error', 'leak', 'motion', 'weak', 'signal', 'learning', 'arr',
|
|
||||||
'asystole', 'vfib', 'vtac', 'pvc', 'brady', 'tachy', 'adult', 'pediatric',
|
|
||||||
'neonate', 'unknown', 'none', 'clear', 'default', 'demo', 't1', 't2',
|
|
||||||
'spo2', 'ecg', 'nibp', 'resp', 'temp', 'hr', 'pr', 'map', 'dia', 'sys'
|
|
||||||
}
|
|
||||||
|
|
||||||
|
|
||||||
def is_telemetry_word(s_lower: str) -> bool:
|
|
||||||
"""Check if string matches hardware telemetry or alarm words."""
|
|
||||||
if s_lower in TELEMETRY_WORDS:
|
|
||||||
return True
|
|
||||||
tokens = set(re.findall(r'[a-zA-Z0-9]+', s_lower))
|
|
||||||
alarm_tokens = {
|
|
||||||
'sensor', 'alarm', 'lead', 'leads', 'searching', 'pulse', 'cuff', 'probe',
|
|
||||||
'off', 'fall', 'leak', 'motion', 'weak', 'arr', 'asystole', 'vfib', 'vtac',
|
|
||||||
'pvc', 'brady', 'tachy', 'error', 'ecg', 'spo2', 'nibp', 'resp', 'temp',
|
|
||||||
'mv', 'bpm', 'mmhg'
|
|
||||||
}
|
|
||||||
if any(tok in alarm_tokens for tok in tokens):
|
|
||||||
return True
|
|
||||||
return False
|
|
||||||
|
|
||||||
|
|
||||||
def extract_demographics_from_packet(data: bytes, client_ip: str) -> dict:
|
|
||||||
"""
|
|
||||||
Extracts real patient demographics from Contec packets.
|
|
||||||
Only extracts clean, legitimate patient fields — strictly rejects sensor alarms,
|
|
||||||
waveform noise, and hardware telemetry.
|
|
||||||
"""
|
|
||||||
patient_type = None
|
|
||||||
data_upper = data.upper()
|
|
||||||
if b'PEDIATRIC' in data_upper or b'PED' in data_upper:
|
|
||||||
patient_type = 'Pediatric'
|
|
||||||
elif b'NEONATE' in data_upper or b'NEONATAL' in data_upper or b'NEO' in data_upper:
|
|
||||||
patient_type = 'Neonatal'
|
|
||||||
elif b'ADULT' in data_upper or b'ADU' in data_upper:
|
|
||||||
patient_type = 'Adult'
|
|
||||||
|
|
||||||
# Strictly reject binary waveform/measurement packets from generating false patient records.
|
|
||||||
# Patient MRN/Name extraction requires an authentic HL7 message with PID or MSH.
|
|
||||||
if b'PID|' not in data and b'MSH|' not in data:
|
|
||||||
if patient_type:
|
|
||||||
return {"patient_type": patient_type}
|
|
||||||
return None
|
|
||||||
|
|
||||||
clean = []
|
|
||||||
# Match strings of printable alphanumeric and reasonable characters, allowing single spaces
|
|
||||||
for m in re.finditer(rb'[a-zA-Z0-9_\-\.]{2,}(?:\s+[a-zA-Z0-9_\-\.]{2,})*', data):
|
|
||||||
s = m.group(0).decode('latin1', errors='ignore').strip()
|
|
||||||
if not s or len(s) < 2:
|
|
||||||
continue
|
|
||||||
s_lower = s.lower()
|
|
||||||
if is_telemetry_word(s_lower):
|
|
||||||
continue
|
|
||||||
if len(set(s)) == 1:
|
|
||||||
continue
|
|
||||||
if set(s).issubset({'.', '-', '_', '/', '\\'}):
|
|
||||||
continue
|
|
||||||
if len(s) > 6 and re.match(r'^[A-Za-z0-9]+$', s):
|
|
||||||
diffs = [abs(ord(s[i]) - ord(s[i-1])) for i in range(1, len(s))]
|
|
||||||
if sum(1 for d in diffs if d <= 2) / len(diffs) > 0.6:
|
|
||||||
continue
|
|
||||||
if re.match(r'^\.\d+$', s):
|
|
||||||
continue
|
|
||||||
clean.append(s)
|
|
||||||
|
|
||||||
if not clean and not patient_type:
|
|
||||||
return None
|
|
||||||
|
|
||||||
name = None
|
|
||||||
mrn = None
|
|
||||||
dob = None
|
|
||||||
gender = None
|
|
||||||
|
|
||||||
for s in clean:
|
|
||||||
s_up = s.upper()
|
|
||||||
s_low = s.lower()
|
|
||||||
|
|
||||||
# Check gender first
|
|
||||||
if s_up in ('MALE', 'FEMALE') and not gender:
|
|
||||||
gender = 'Male' if s_up == 'MALE' else 'Female'
|
|
||||||
continue
|
|
||||||
elif s_up in ('M', 'F') and not gender:
|
|
||||||
gender = 'Male' if s_up == 'M' else 'Female'
|
|
||||||
continue
|
|
||||||
|
|
||||||
if is_telemetry_word(s_low):
|
|
||||||
continue
|
|
||||||
|
|
||||||
# Date of birth: 4-digit birth year between 1920 and 2026, or YYYY-MM-DD
|
|
||||||
if re.match(r'^(19\d\d|20[01]\d|202[0-6])$', s) and not dob:
|
|
||||||
dob = s
|
|
||||||
continue
|
|
||||||
elif re.match(r'^\d{4}[-/]\d{2}[-/]\d{2}$', s) and not dob:
|
|
||||||
dob = s
|
|
||||||
continue
|
|
||||||
|
|
||||||
# Name candidate: contains letters and a vowel, length between 3 and 40
|
|
||||||
if re.search(r'^[A-Za-z\s\.\-]{3,40}$', s) and re.search(r'[aeiouyAEIOUY]', s) and not name:
|
|
||||||
if not is_telemetry_word(s_low):
|
|
||||||
name = s
|
|
||||||
continue
|
|
||||||
|
|
||||||
# MRN candidate: numeric or alphanumeric ID, 2..15 chars, not a birth year
|
|
||||||
if not mrn and re.match(r'^[A-Za-z0-9\-]{2,15}$', s) and not is_telemetry_word(s_low):
|
|
||||||
if not (s.isdigit() and 1920 <= int(s) <= 2030):
|
|
||||||
if s.isdigit() and len(s) > 10:
|
|
||||||
continue
|
|
||||||
mrn = s
|
|
||||||
continue
|
|
||||||
|
|
||||||
# Accept if valid MRN or Name was detected
|
|
||||||
if mrn or name:
|
|
||||||
clean_mrn = mrn or name
|
|
||||||
clean_name = name or f"Patient {clean_mrn}"
|
|
||||||
return {
|
|
||||||
"name": clean_name,
|
|
||||||
"mrn": clean_mrn,
|
|
||||||
"patient_id": clean_mrn,
|
|
||||||
"dob": dob,
|
|
||||||
"gender": gender,
|
|
||||||
"patient_type": patient_type,
|
|
||||||
}
|
|
||||||
elif patient_type:
|
|
||||||
return {
|
|
||||||
"patient_type": patient_type,
|
|
||||||
}
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
async def apply_auto_demographics(client_ip: str, demo: dict):
|
|
||||||
from config import settings
|
|
||||||
from api_client import sync_patient_assignment_to_cloud
|
|
||||||
model = settings.device_models.get(client_ip, settings.monitor_model)
|
|
||||||
device_id = f"{model}_{client_ip}"
|
|
||||||
name = demo.get("name")
|
|
||||||
mrn = demo.get("mrn")
|
|
||||||
dob = demo.get("dob")
|
|
||||||
gender = demo.get("gender")
|
|
||||||
patient_type = demo.get("patient_type")
|
|
||||||
|
|
||||||
current = device_patient_map.get(device_id, {})
|
|
||||||
# If only patient_type updated
|
|
||||||
if not mrn and not name:
|
|
||||||
if patient_type and current.get("patient_type") != patient_type:
|
|
||||||
current["patient_type"] = patient_type
|
|
||||||
device_patient_map[device_id] = current
|
|
||||||
return
|
|
||||||
|
|
||||||
if (current.get("name") == name and current.get("mrn") == mrn and
|
|
||||||
current.get("dob") == dob and current.get("gender") == gender and
|
|
||||||
current.get("patient_type") == patient_type):
|
|
||||||
return
|
|
||||||
|
|
||||||
logger.info(f"*** REAL PATIENT DEMOGRAPHICS DETECTED FROM MACHINE ({client_ip}): Name={name}, MRN={mrn}, DOB={dob}, Gender={gender}, Type={patient_type} ***")
|
|
||||||
|
|
||||||
bed_id = "1" if "192.168.100.106" in client_ip else "2"
|
|
||||||
p_data = {
|
|
||||||
"patient_id": mrn,
|
|
||||||
"mrn": mrn,
|
|
||||||
"name": name,
|
|
||||||
"gender": gender,
|
|
||||||
"dob": dob,
|
|
||||||
"bed_id": bed_id,
|
|
||||||
"patient_type": patient_type or current.get("patient_type"),
|
|
||||||
}
|
|
||||||
device_patient_map[device_id] = p_data
|
|
||||||
|
|
||||||
if device_id in device_cache:
|
|
||||||
cached = device_cache[device_id]
|
|
||||||
cached.patient_id = mrn
|
|
||||||
cached.patient_name = name
|
|
||||||
cached.patient_gender = gender
|
|
||||||
cached.patient_dob = dob
|
|
||||||
cached.bed_id = bed_id
|
|
||||||
|
|
||||||
db = SessionLocal()
|
|
||||||
try:
|
|
||||||
db.query(Patient).filter(Patient.device_id == device_id).update({"device_id": None})
|
|
||||||
patient = db.query(Patient).filter(Patient.mrn == mrn).first()
|
|
||||||
if not patient:
|
|
||||||
patient = Patient(
|
|
||||||
patient_id=mrn,
|
|
||||||
mrn=mrn,
|
|
||||||
name=name or "Unknown",
|
|
||||||
gender=gender,
|
|
||||||
dob=dob,
|
|
||||||
bed_id=bed_id,
|
|
||||||
device_id=device_id
|
|
||||||
)
|
|
||||||
db.add(patient)
|
|
||||||
else:
|
|
||||||
patient.patient_id = mrn
|
|
||||||
patient.mrn = mrn
|
|
||||||
if name:
|
|
||||||
patient.name = name
|
|
||||||
if gender:
|
|
||||||
patient.gender = gender
|
|
||||||
if dob:
|
|
||||||
patient.dob = dob
|
|
||||||
patient.bed_id = bed_id
|
|
||||||
patient.device_id = device_id
|
|
||||||
db.commit()
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Error persisting auto patient: {e}")
|
|
||||||
db.rollback()
|
|
||||||
finally:
|
|
||||||
db.close()
|
|
||||||
|
|
||||||
try:
|
|
||||||
from routers.dashboard import get_ws_manager
|
|
||||||
ws_manager = get_ws_manager()
|
|
||||||
await ws_manager.broadcast_vitals({
|
|
||||||
"event": "patient_assigned",
|
|
||||||
"device_id": device_id,
|
|
||||||
"patient_id": mrn,
|
|
||||||
"mrn": mrn,
|
|
||||||
"patient_name": name,
|
|
||||||
"name": name,
|
|
||||||
"patient_gender": gender,
|
|
||||||
"gender": gender,
|
|
||||||
"patient_dob": dob,
|
|
||||||
"dob": dob,
|
|
||||||
"bed_id": bed_id,
|
|
||||||
"patient_type": p_data.get("patient_type"),
|
|
||||||
})
|
|
||||||
except Exception as e:
|
|
||||||
logger.debug(f"Failed to broadcast auto patient: {e}")
|
|
||||||
|
|
||||||
# Forward to Render Cloud Server so remote is kept in sync
|
|
||||||
asyncio.create_task(sync_patient_assignment_to_cloud(p_data, device_id))
|
|
||||||
|
|
||||||
|
|
||||||
async def handle_contec_client(reader: asyncio.StreamReader, writer: asyncio.StreamWriter, port: int):
|
|
||||||
"""
|
|
||||||
TCP server handler for Contec CMS7000PLUS client connections.
|
|
||||||
Directs incoming traffic to the unified parse_contec_data handler.
|
|
||||||
"""
|
|
||||||
client_ip, client_port = writer.get_extra_info('peername')
|
|
||||||
logger.info(f"Accepted Contec CMS7000PLUS connection from {client_ip}:{client_port} on port {port}")
|
|
||||||
|
|
||||||
sock = writer.get_extra_info('socket')
|
|
||||||
if sock:
|
|
||||||
try:
|
|
||||||
sock.setsockopt(socket.IPPROTO_TCP, socket.TCP_NODELAY, 1)
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
|
|
||||||
display = get_terminal_display()
|
|
||||||
display.connection_opened(client_ip, port)
|
|
||||||
|
|
||||||
buffer = b""
|
|
||||||
|
|
||||||
try:
|
|
||||||
while True:
|
|
||||||
data = await reader.read(8192)
|
|
||||||
if not data:
|
|
||||||
logger.info(f"Contec client {client_ip}:{client_port} on port {port} sent EOF (0 bytes)")
|
|
||||||
break
|
|
||||||
|
|
||||||
# Dynamically extract and apply patient demographics sent from the machine
|
|
||||||
try:
|
|
||||||
demo = extract_demographics_from_packet(data, client_ip)
|
|
||||||
if demo:
|
|
||||||
await apply_auto_demographics(client_ip, demo)
|
|
||||||
except Exception as ex:
|
|
||||||
logger.debug(f"Demographics extraction error: {ex}")
|
|
||||||
|
|
||||||
buffer += data
|
|
||||||
|
|
||||||
# ---------------------------------------------------------------
|
|
||||||
# MLLP / HL7 text path (typically port 511)
|
|
||||||
# ---------------------------------------------------------------
|
|
||||||
if VT in buffer and FS_CR in buffer and b"MSH|" in buffer:
|
|
||||||
while True:
|
|
||||||
start_idx = buffer.find(VT)
|
|
||||||
end_idx = buffer.find(FS_CR)
|
|
||||||
if start_idx != -1 and end_idx != -1 and start_idx < end_idx:
|
|
||||||
raw_hl7 = buffer[start_idx + 1:end_idx].decode('utf-8', errors='ignore')
|
|
||||||
buffer = buffer[end_idx + 2:]
|
|
||||||
logger.info(f"Contec MLLP message detected on port {port}")
|
|
||||||
vitals = parse_contec_data(raw_hl7.encode('utf-8'), client_ip)
|
|
||||||
if vitals:
|
|
||||||
await process_vitals(vitals)
|
|
||||||
ack_msg = generate_ack(raw_hl7)
|
|
||||||
if ack_msg:
|
|
||||||
writer.write(VT + ack_msg.encode('utf-8') + FS_CR)
|
|
||||||
await writer.drain()
|
|
||||||
else:
|
|
||||||
break
|
|
||||||
continue # Go back to reading more data
|
|
||||||
|
|
||||||
# ---------------------------------------------------------------
|
|
||||||
# Binary Contec proprietary protocol (port 514)
|
|
||||||
# Packets are framed as: [len_lo][len_hi][04][46] ... payload ...
|
|
||||||
# The monitor sends each packet as a complete TCP write,
|
|
||||||
# but we buffer anyway in case of TCP segmentation.
|
|
||||||
# ---------------------------------------------------------------
|
|
||||||
consumed = 0
|
|
||||||
while consumed < len(buffer) - 4:
|
|
||||||
b0 = buffer[consumed]
|
|
||||||
b1 = buffer[consumed + 1]
|
|
||||||
b2 = buffer[consumed + 2]
|
|
||||||
b3 = buffer[consumed + 3]
|
|
||||||
|
|
||||||
if (b2 == 0x04 or b2 == 0x01 or b2 == 0x00) and b3 == 0x46:
|
|
||||||
pkt_len = b0 | (b1 << 8)
|
|
||||||
pkt_end = consumed + pkt_len
|
|
||||||
|
|
||||||
if pkt_len < 5 or pkt_len > 8192:
|
|
||||||
# Bad length — skip one byte and keep scanning
|
|
||||||
consumed += 1
|
|
||||||
continue
|
|
||||||
|
|
||||||
if pkt_end > len(buffer):
|
|
||||||
# Don't have the full packet yet — wait for more data
|
|
||||||
break
|
|
||||||
|
|
||||||
# Parse the complete packet
|
|
||||||
pkt = buffer[consumed:pkt_end]
|
|
||||||
vitals = parse_contec_data(pkt, client_ip)
|
|
||||||
if vitals:
|
|
||||||
logger.info(
|
|
||||||
f"[PORT {port}] Vitals from {client_ip}: "
|
|
||||||
f"SpO2={vitals.spo2}%, HR={vitals.heart_rate}bpm "
|
|
||||||
f"BP={vitals.systolic_bp}/{vitals.diastolic_bp} "
|
|
||||||
f"Temp={vitals.temperature}C"
|
|
||||||
)
|
|
||||||
await process_vitals(vitals)
|
|
||||||
|
|
||||||
consumed = pkt_end
|
|
||||||
|
|
||||||
elif (b2 == 0x04 or b2 == 0x01) and b3 == 0x47:
|
|
||||||
# End-of-frame marker — skip 4 bytes
|
|
||||||
consumed += 4
|
|
||||||
|
|
||||||
else:
|
|
||||||
# Not a recognised frame start — advance one byte
|
|
||||||
consumed += 1
|
|
||||||
|
|
||||||
# Discard consumed bytes from front of buffer
|
|
||||||
buffer = buffer[consumed:]
|
|
||||||
|
|
||||||
# Safety valve
|
|
||||||
if len(buffer) > 32768:
|
|
||||||
logger.warning(f"Buffer too large ({len(buffer)} bytes) on port {port}, resetting")
|
|
||||||
buffer = b""
|
|
||||||
|
|
||||||
except asyncio.CancelledError:
|
|
||||||
pass
|
|
||||||
except ConnectionResetError:
|
|
||||||
logger.info(f"Contec CMS7000PLUS connection reset from {client_ip} on port {port}")
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Error in Contec client handler (port {port}): {e}")
|
|
||||||
finally:
|
|
||||||
logger.info(f"Closing Contec CMS7000PLUS connection from {client_ip}:{client_port} on port {port}")
|
|
||||||
display.connection_closed(client_ip, port)
|
|
||||||
writer.close()
|
|
||||||
try:
|
|
||||||
await writer.wait_closed()
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
|
|
||||||
|
|
||||||
# Cache to hold merged vitals per device to prevent fragmentation
|
|
||||||
device_cache = {}
|
|
||||||
device_field_timestamps = {} # {device_id: {field_name: datetime}}
|
|
||||||
last_db_write = {}
|
|
||||||
|
|
||||||
# In-memory mapping of device_id -> patient demographic dict:
|
|
||||||
# {"mrn": "...", "name": "...", "dob": "...", "gender": "...", "bed_id": "..."}
|
|
||||||
device_patient_map = {}
|
|
||||||
|
|
||||||
|
|
||||||
def get_assigned_patient(device_id: str):
|
|
||||||
"""Retrieve patient demographics assigned to device_id (cached or from DB)."""
|
|
||||||
if device_id in device_patient_map:
|
|
||||||
return device_patient_map[device_id]
|
|
||||||
|
|
||||||
db = SessionLocal()
|
|
||||||
try:
|
|
||||||
patient = db.query(Patient).filter(Patient.device_id == device_id).first()
|
|
||||||
if patient:
|
|
||||||
p_data = {
|
|
||||||
"patient_id": patient.mrn or patient.patient_id,
|
|
||||||
"mrn": patient.mrn or patient.patient_id,
|
|
||||||
"name": patient.name or "Unknown",
|
|
||||||
"gender": patient.gender,
|
|
||||||
"dob": patient.dob,
|
|
||||||
"bed_id": patient.bed_id,
|
|
||||||
"patient_type": getattr(patient, "patient_type", None),
|
|
||||||
}
|
|
||||||
device_patient_map[device_id] = p_data
|
|
||||||
return p_data
|
|
||||||
except Exception as e:
|
|
||||||
logger.debug(f"Error querying patient for device {device_id}: {e}")
|
|
||||||
finally:
|
|
||||||
db.close()
|
|
||||||
return None
|
|
||||||
|
|
||||||
|
|
||||||
def set_assigned_patient(device_id: str, patient_data: dict):
|
|
||||||
"""Update in-memory mapping and active device cache for device_id."""
|
|
||||||
device_patient_map[device_id] = patient_data
|
|
||||||
if device_id in device_cache:
|
|
||||||
cached = device_cache[device_id]
|
|
||||||
cached.patient_id = patient_data.get("mrn") or patient_data.get("patient_id") or "UNKNOWN"
|
|
||||||
cached.patient_name = patient_data.get("name")
|
|
||||||
cached.patient_gender = patient_data.get("gender")
|
|
||||||
cached.patient_dob = patient_data.get("dob")
|
|
||||||
cached.bed_id = patient_data.get("bed_id")
|
|
||||||
cached.patient_type = patient_data.get("patient_type")
|
|
||||||
|
|
||||||
|
|
||||||
async def process_vitals(vitals):
|
|
||||||
"""
|
|
||||||
Log, database, WebSocket broadcast, and REST forward parsed vitals.
|
|
||||||
"""
|
|
||||||
device_id = vitals.device_id
|
|
||||||
now = datetime.now(timezone.utc)
|
|
||||||
|
|
||||||
if device_id not in device_field_timestamps:
|
|
||||||
device_field_timestamps[device_id] = {}
|
|
||||||
|
|
||||||
# Check for assigned patient demographics
|
|
||||||
assigned = get_assigned_patient(device_id)
|
|
||||||
if (vitals.patient_id == "UNKNOWN" or not vitals.patient_name or vitals.patient_name == "Unknown") and assigned:
|
|
||||||
vitals.patient_id = assigned.get("mrn") or assigned.get("patient_id") or "UNKNOWN"
|
|
||||||
vitals.patient_name = assigned.get("name")
|
|
||||||
vitals.patient_gender = assigned.get("gender")
|
|
||||||
vitals.patient_dob = assigned.get("dob")
|
|
||||||
vitals.bed_id = assigned.get("bed_id")
|
|
||||||
vitals.patient_type = assigned.get("patient_type")
|
|
||||||
elif vitals.patient_name and vitals.patient_name != "Unknown":
|
|
||||||
# Monitor sent fresh demographics via HL7 PID segment!
|
|
||||||
device_patient_map[device_id] = {
|
|
||||||
"patient_id": vitals.patient_id,
|
|
||||||
"mrn": vitals.patient_id,
|
|
||||||
"name": vitals.patient_name,
|
|
||||||
"gender": vitals.patient_gender,
|
|
||||||
"dob": vitals.patient_dob,
|
|
||||||
"bed_id": vitals.bed_id,
|
|
||||||
"patient_type": getattr(vitals, "patient_type", None),
|
|
||||||
}
|
|
||||||
|
|
||||||
# Check if incoming packet has fresh waveforms
|
|
||||||
has_fresh_waveforms = (vitals.ecg_wave is not None) or (vitals.pleth_wave is not None)
|
|
||||||
|
|
||||||
# 1. Merge new vitals into cached vitals to prevent fragmented entries
|
|
||||||
if device_id not in device_cache:
|
|
||||||
device_cache[device_id] = vitals
|
|
||||||
# Track initial timestamps for present values
|
|
||||||
for field, value in vitals.model_dump().items():
|
|
||||||
if field == "present_fields" or field in ["device_id", "patient_id", "timestamp"]:
|
|
||||||
continue
|
|
||||||
if value is not None:
|
|
||||||
device_field_timestamps[device_id][field] = now
|
|
||||||
else:
|
|
||||||
cached = device_cache[device_id]
|
|
||||||
|
|
||||||
# Determine active fields in incoming packet
|
|
||||||
active_fields = []
|
|
||||||
if vitals.present_fields is not None:
|
|
||||||
active_fields = vitals.present_fields
|
|
||||||
else:
|
|
||||||
for field, value in vitals.model_dump().items():
|
|
||||||
if field == "present_fields" or field in ["device_id", "patient_id", "timestamp"]:
|
|
||||||
continue
|
|
||||||
if value is not None:
|
|
||||||
active_fields.append(field)
|
|
||||||
|
|
||||||
# Update cache & record timestamps for present values
|
|
||||||
for field in active_fields:
|
|
||||||
val = getattr(vitals, field, None)
|
|
||||||
if val is not None:
|
|
||||||
setattr(cached, field, val)
|
|
||||||
device_field_timestamps[device_id][field] = now
|
|
||||||
else:
|
|
||||||
setattr(cached, field, None)
|
|
||||||
device_field_timestamps[device_id].pop(field, None)
|
|
||||||
|
|
||||||
# Clean up stale fields:
|
|
||||||
# Live vitals (HR, SpO2, Temp, RR) have a 15-second window
|
|
||||||
# NIBP (BP, MAP) has a 15-minute window because it is measured intermittently
|
|
||||||
for field in list(device_field_timestamps[device_id].keys()):
|
|
||||||
last_updated = device_field_timestamps[device_id][field]
|
|
||||||
timeout = 900.0 if field in ("systolic_bp", "diastolic_bp", "map_bp") else 15.0
|
|
||||||
if (now - last_updated).total_seconds() > timeout:
|
|
||||||
setattr(cached, field, None)
|
|
||||||
device_field_timestamps[device_id].pop(field, None)
|
|
||||||
|
|
||||||
cached.timestamp = vitals.timestamp
|
|
||||||
if vitals.patient_id and vitals.patient_id != "UNKNOWN":
|
|
||||||
cached.patient_id = vitals.patient_id
|
|
||||||
if vitals.patient_name:
|
|
||||||
cached.patient_name = vitals.patient_name
|
|
||||||
if vitals.patient_gender:
|
|
||||||
cached.patient_gender = vitals.patient_gender
|
|
||||||
if vitals.patient_dob:
|
|
||||||
cached.patient_dob = vitals.patient_dob
|
|
||||||
if vitals.bed_id:
|
|
||||||
cached.bed_id = vitals.bed_id
|
|
||||||
vitals = cached
|
|
||||||
|
|
||||||
# 2. Update console display banner
|
|
||||||
display = get_terminal_display()
|
|
||||||
display.update_vitals(vitals)
|
|
||||||
|
|
||||||
logger.info(
|
|
||||||
f"Vitals for Device {vitals.device_id}, Patient {vitals.patient_id} ({vitals.patient_name}): "
|
|
||||||
f"HR={vitals.heart_rate}, SpO2={vitals.spo2}, "
|
|
||||||
f"BP={vitals.systolic_bp}/{vitals.diastolic_bp}, "
|
|
||||||
f"RR={vitals.respiratory_rate}, Temp={vitals.temperature}"
|
|
||||||
)
|
|
||||||
|
|
||||||
# 3. Broadcast to live WebSockets dashboard in real-time
|
|
||||||
try:
|
|
||||||
from routers.dashboard import get_ws_manager
|
|
||||||
ws_manager = get_ws_manager()
|
|
||||||
vitals_dict = vitals.model_dump(mode="json")
|
|
||||||
vitals_dict["mrn"] = vitals.patient_id
|
|
||||||
vitals_dict["name"] = vitals.patient_name
|
|
||||||
vitals_dict["gender"] = vitals.patient_gender
|
|
||||||
vitals_dict["dob"] = vitals.patient_dob
|
|
||||||
vitals_dict["bed_id"] = vitals.bed_id
|
|
||||||
vitals_dict["patient_type"] = getattr(vitals, "patient_type", None)
|
|
||||||
await ws_manager.broadcast_vitals(vitals_dict)
|
|
||||||
except Exception as e:
|
|
||||||
logger.debug(f"WebSocket broadcast failed: {e}")
|
|
||||||
|
|
||||||
# 4. Asynchronous background persistence and cloud forwarding (completely non-blocking, throttled to 1s)
|
|
||||||
now = datetime.now(timezone.utc)
|
|
||||||
should_persist = False
|
|
||||||
if device_id not in last_db_write or (now - last_db_write[device_id]).total_seconds() >= 1.0:
|
|
||||||
should_persist = True
|
|
||||||
last_db_write[device_id] = now
|
|
||||||
|
|
||||||
if should_persist:
|
|
||||||
asyncio.create_task(_persist_and_forward_bg(vitals, should_persist))
|
|
||||||
|
|
||||||
# Clear waveforms from cache to prevent repetition in subsequent non-waveform sub-packets
|
|
||||||
if device_id in device_cache:
|
|
||||||
device_cache[device_id].ecg_wave = None
|
|
||||||
device_cache[device_id].pleth_wave = None
|
|
||||||
|
|
||||||
|
|
||||||
async def _persist_and_forward_bg(vitals, should_persist):
|
|
||||||
"""Background worker for DB persistence and external cloud forwarding."""
|
|
||||||
if not should_persist:
|
|
||||||
return
|
|
||||||
reading_id = None
|
|
||||||
if should_persist:
|
|
||||||
db = SessionLocal()
|
|
||||||
try:
|
|
||||||
device = db.query(Device).filter(Device.device_id == vitals.device_id).first()
|
|
||||||
if not device:
|
|
||||||
device = Device(
|
|
||||||
device_id=vitals.device_id,
|
|
||||||
ip_address=vitals.ip_address or "unknown",
|
|
||||||
status="active"
|
|
||||||
)
|
|
||||||
db.add(device)
|
|
||||||
else:
|
|
||||||
if vitals.ip_address:
|
|
||||||
device.ip_address = vitals.ip_address
|
|
||||||
device.status = "active"
|
|
||||||
device.last_seen = datetime.now(timezone.utc)
|
|
||||||
|
|
||||||
patient = None
|
|
||||||
if vitals.patient_id and vitals.patient_id != "UNKNOWN":
|
|
||||||
patient = db.query(Patient).filter(
|
|
||||||
(Patient.mrn == vitals.patient_id) | (Patient.patient_id == vitals.patient_id)
|
|
||||||
).first()
|
|
||||||
|
|
||||||
if not patient and vitals.device_id:
|
|
||||||
patient = db.query(Patient).filter(
|
|
||||||
Patient.device_id == vitals.device_id,
|
|
||||||
Patient.patient_id != "UNKNOWN"
|
|
||||||
).first()
|
|
||||||
|
|
||||||
if not patient:
|
|
||||||
if vitals.patient_id and vitals.patient_id != "UNKNOWN":
|
|
||||||
patient = Patient(
|
|
||||||
patient_id=vitals.patient_id,
|
|
||||||
mrn=vitals.patient_id,
|
|
||||||
name=vitals.patient_name or "Unknown",
|
|
||||||
gender=vitals.patient_gender,
|
|
||||||
dob=vitals.patient_dob,
|
|
||||||
bed_id=vitals.bed_id,
|
|
||||||
patient_type=getattr(vitals, "patient_type", None),
|
|
||||||
device_id=vitals.device_id
|
|
||||||
)
|
|
||||||
db.add(patient)
|
|
||||||
else:
|
|
||||||
if vitals.patient_id and vitals.patient_id != "UNKNOWN":
|
|
||||||
patient.patient_id = vitals.patient_id
|
|
||||||
patient.mrn = vitals.patient_id
|
|
||||||
if vitals.patient_name and vitals.patient_name != "Unknown":
|
|
||||||
patient.name = vitals.patient_name
|
|
||||||
if vitals.patient_gender:
|
|
||||||
patient.gender = vitals.patient_gender
|
|
||||||
if vitals.patient_dob:
|
|
||||||
patient.dob = vitals.patient_dob
|
|
||||||
if vitals.bed_id:
|
|
||||||
patient.bed_id = vitals.bed_id
|
|
||||||
if getattr(vitals, "patient_type", None):
|
|
||||||
patient.patient_type = vitals.patient_type
|
|
||||||
if vitals.device_id:
|
|
||||||
patient.device_id = vitals.device_id
|
|
||||||
if patient:
|
|
||||||
if not vitals.patient_id or vitals.patient_id == "UNKNOWN":
|
|
||||||
vitals.patient_id = patient.mrn or patient.patient_id
|
|
||||||
if not vitals.patient_name or vitals.patient_name == "Unknown":
|
|
||||||
vitals.patient_name = patient.name
|
|
||||||
if not vitals.patient_gender and patient.gender:
|
|
||||||
vitals.patient_gender = patient.gender
|
|
||||||
if not vitals.patient_dob and patient.dob:
|
|
||||||
vitals.patient_dob = patient.dob
|
|
||||||
if not vitals.bed_id and patient.bed_id:
|
|
||||||
vitals.bed_id = patient.bed_id
|
|
||||||
if not getattr(vitals, "patient_type", None) and getattr(patient, "patient_type", None):
|
|
||||||
vitals.patient_type = patient.patient_type
|
|
||||||
|
|
||||||
reading = VitalReading(
|
|
||||||
device_id=vitals.device_id,
|
|
||||||
patient_id=vitals.patient_id or (patient.mrn if patient else "UNKNOWN"),
|
|
||||||
timestamp=vitals.timestamp,
|
|
||||||
heart_rate=vitals.heart_rate,
|
|
||||||
spo2=vitals.spo2,
|
|
||||||
systolic_bp=vitals.systolic_bp,
|
|
||||||
diastolic_bp=vitals.diastolic_bp,
|
|
||||||
map_bp=vitals.map_bp,
|
|
||||||
respiratory_rate=vitals.respiratory_rate,
|
|
||||||
temperature=vitals.temperature,
|
|
||||||
temperature2=vitals.temperature2,
|
|
||||||
temperature_diff=vitals.temperature_diff,
|
|
||||||
transmitted=False
|
|
||||||
)
|
|
||||||
db.add(reading)
|
|
||||||
db.commit()
|
|
||||||
db.refresh(reading)
|
|
||||||
reading_id = reading.id
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Background database operation failed: {e}")
|
|
||||||
db.rollback()
|
|
||||||
finally:
|
|
||||||
db.close()
|
|
||||||
|
|
||||||
# DB connection is now completely closed. Awaiting HTTP requests will never exhaust DB connections!
|
|
||||||
success = False
|
|
||||||
if should_persist:
|
|
||||||
try:
|
|
||||||
success = await forward_vitals_to_api(vitals)
|
|
||||||
except Exception as e:
|
|
||||||
logger.warning(f"Background REST forward failed: {type(e).__name__}: {e}")
|
|
||||||
|
|
||||||
# Record transmission log in a separate, brief connection
|
|
||||||
if reading_id is not None:
|
|
||||||
db = SessionLocal()
|
|
||||||
try:
|
|
||||||
log_entry = TransmissionLog(
|
|
||||||
reading_id=reading_id,
|
|
||||||
status="success" if success else "failed",
|
|
||||||
response_code=200 if success else 500,
|
|
||||||
error_message=None if success else "Immediate REST forward failed"
|
|
||||||
)
|
|
||||||
db.add(log_entry)
|
|
||||||
db.commit()
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Failed to record transmission log: {e}")
|
|
||||||
db.rollback()
|
|
||||||
finally:
|
|
||||||
db.close()
|
|
||||||
@@ -1,22 +0,0 @@
|
|||||||
from sqlalchemy import create_engine
|
|
||||||
from sqlalchemy.pool import NullPool
|
|
||||||
from sqlalchemy.orm import sessionmaker, declarative_base
|
|
||||||
from config import settings
|
|
||||||
|
|
||||||
connect_args = {"check_same_thread": False} if settings.database_url.startswith("sqlite") else {}
|
|
||||||
|
|
||||||
engine = create_engine(
|
|
||||||
settings.database_url,
|
|
||||||
connect_args=connect_args,
|
|
||||||
poolclass=NullPool
|
|
||||||
)
|
|
||||||
SessionLocal = sessionmaker(autocommit=False, autoflush=False, bind=engine)
|
|
||||||
|
|
||||||
Base = declarative_base()
|
|
||||||
|
|
||||||
def get_db():
|
|
||||||
db = SessionLocal()
|
|
||||||
try:
|
|
||||||
yield db
|
|
||||||
finally:
|
|
||||||
db.close()
|
|
||||||
@@ -1,259 +0,0 @@
|
|||||||
import asyncio
|
|
||||||
import logging
|
|
||||||
import multiprocessing
|
|
||||||
import socket
|
|
||||||
from contextlib import asynccontextmanager
|
|
||||||
from functools import partial
|
|
||||||
|
|
||||||
from fastapi import FastAPI, WebSocket, WebSocketDisconnect
|
|
||||||
import uvicorn
|
|
||||||
|
|
||||||
from config import settings
|
|
||||||
from database import engine, Base
|
|
||||||
from contec_server import handle_contec_client
|
|
||||||
from background_tasks import retry_failed_transmissions, sync_cloud_state
|
|
||||||
from routers import dashboard
|
|
||||||
from routers.dashboard import get_ws_manager
|
|
||||||
|
|
||||||
# Setup Logging
|
|
||||||
logging.basicConfig(
|
|
||||||
level=logging.INFO,
|
|
||||||
format='%(asctime)s - %(name)s - %(levelname)s - %(message)s',
|
|
||||||
handlers=[
|
|
||||||
logging.FileHandler(settings.log_file),
|
|
||||||
logging.StreamHandler()
|
|
||||||
]
|
|
||||||
)
|
|
||||||
logger = logging.getLogger(__name__)
|
|
||||||
|
|
||||||
# Create database tables if they don't exist
|
|
||||||
Base.metadata.create_all(bind=engine)
|
|
||||||
|
|
||||||
|
|
||||||
def _make_contec_handler(port: int):
|
|
||||||
"""Create a connection handler closure for a specific Contec port."""
|
|
||||||
async def handler(reader, writer):
|
|
||||||
await handle_contec_client(reader, writer, port)
|
|
||||||
return handler
|
|
||||||
|
|
||||||
|
|
||||||
def _get_local_ips():
|
|
||||||
"""Get all local IP addresses for this machine."""
|
|
||||||
ips = []
|
|
||||||
try:
|
|
||||||
for info in socket.getaddrinfo(socket.gethostname(), None, socket.AF_INET):
|
|
||||||
ip = info[4][0]
|
|
||||||
if ip not in ips and not ip.startswith('127.'):
|
|
||||||
ips.append(ip)
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
# Also try connecting to an external address to find the primary IP
|
|
||||||
try:
|
|
||||||
s = socket.socket(socket.AF_INET, socket.SOCK_DGRAM)
|
|
||||||
s.connect(('8.8.8.8', 80))
|
|
||||||
primary_ip = s.getsockname()[0]
|
|
||||||
s.close()
|
|
||||||
if primary_ip not in ips:
|
|
||||||
ips.insert(0, primary_ip)
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
return ips if ips else ['Could not detect — check ipconfig']
|
|
||||||
|
|
||||||
|
|
||||||
@asynccontextmanager
|
|
||||||
async def lifespan(app: FastAPI):
|
|
||||||
# Protect against Windows IOCP Proactor crashes (WinError 64 / 121 / 10054 on accept)
|
|
||||||
import sys
|
|
||||||
if sys.platform == "win32":
|
|
||||||
try:
|
|
||||||
loop = asyncio.get_running_loop()
|
|
||||||
def silence_windows_iocp_errors(loop, context):
|
|
||||||
msg = str(context.get("message", ""))
|
|
||||||
exc = context.get("exception")
|
|
||||||
winerr = getattr(exc, "winerror", None)
|
|
||||||
if winerr in (64, 121, 10054) or "Accept failed on a socket" in msg or "The specified network name is no longer available" in msg:
|
|
||||||
return
|
|
||||||
loop.default_exception_handler(context)
|
|
||||||
loop.set_exception_handler(silence_windows_iocp_errors)
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
|
|
||||||
servers = []
|
|
||||||
|
|
||||||
# === Start Contec CMS7000PLUS TCP Servers ===
|
|
||||||
logger.info("Starting Contec CMS7000PLUS listeners...")
|
|
||||||
for port in settings.contec_ports:
|
|
||||||
try:
|
|
||||||
contec_server = await asyncio.start_server(
|
|
||||||
_make_contec_handler(port),
|
|
||||||
settings.hl7_host,
|
|
||||||
port
|
|
||||||
)
|
|
||||||
servers.append(contec_server)
|
|
||||||
logger.info(f" [OK] Contec listener on port {port}")
|
|
||||||
except PermissionError:
|
|
||||||
logger.warning(
|
|
||||||
f" [FAIL] Port {port} - Permission denied. "
|
|
||||||
f"Run as Administrator for ports below 1024."
|
|
||||||
)
|
|
||||||
except OSError as e:
|
|
||||||
if "already in use" in str(e).lower() or getattr(e, 'errno', 0) == 10048:
|
|
||||||
logger.warning(f" [FAIL] Port {port} - Already in use")
|
|
||||||
else:
|
|
||||||
logger.warning(f" [FAIL] Port {port} - {e}")
|
|
||||||
|
|
||||||
if servers:
|
|
||||||
active_ports = []
|
|
||||||
for s in servers:
|
|
||||||
for sock in s.sockets:
|
|
||||||
active_ports.append(sock.getsockname()[1])
|
|
||||||
app.state.active_ports = active_ports
|
|
||||||
logger.info(f" Active listener ports: {active_ports}")
|
|
||||||
else:
|
|
||||||
app.state.active_ports = []
|
|
||||||
logger.error("No servers could be started! Check port availability and permissions.")
|
|
||||||
|
|
||||||
# === Print startup banner ===
|
|
||||||
import os
|
|
||||||
port = int(os.environ.get("PORT", 8000))
|
|
||||||
local_ips = _get_local_ips()
|
|
||||||
model = settings.monitor_model
|
|
||||||
print("\n" + "=" * 65)
|
|
||||||
print(f" Contec {model} Patient Monitor - Vital Signs Forwarder")
|
|
||||||
print("=" * 65)
|
|
||||||
print(f" DASHBOARD: http://localhost:{port}/dashboard")
|
|
||||||
print(f" http://localhost:{port}/api/dashboard")
|
|
||||||
print(f" API Docs: http://localhost:{port}/docs")
|
|
||||||
print(f" Contec Ports: {settings.contec_ports}")
|
|
||||||
print(f" Monitor Model: {model}")
|
|
||||||
print(f" API Target: {settings.target_api_url}")
|
|
||||||
print(f" Cloud Sync: {getattr(settings, 'cloud_api_url', settings.target_api_url)}")
|
|
||||||
print(f" Database: {settings.database_url}")
|
|
||||||
print(f" ---------------------------------------------------------")
|
|
||||||
print(f" YOUR PC's IP ADDRESSES (configure on your monitor):")
|
|
||||||
for ip in local_ips:
|
|
||||||
print(f" -> {ip}")
|
|
||||||
print("=" * 65)
|
|
||||||
print(f" Waiting for {model} connections...")
|
|
||||||
print(f" On your monitor: System Setup > Network > CMS Settings")
|
|
||||||
print(f" Set Server IP = one of the IPs above, Port = {settings.contec_ports[0] if settings.contec_ports else 511}")
|
|
||||||
print("=" * 65 + "\n")
|
|
||||||
|
|
||||||
# Startup: Start background retry and cloud state sync tasks
|
|
||||||
retry_task = asyncio.create_task(retry_failed_transmissions())
|
|
||||||
cloud_sync_task = asyncio.create_task(sync_cloud_state())
|
|
||||||
|
|
||||||
# Startup: Start bore tunnel for remote monitors if available and not already running
|
|
||||||
bore_proc = None
|
|
||||||
bore_exe = os.path.join(os.path.dirname(os.path.abspath(__file__)), "bore.exe")
|
|
||||||
if os.path.exists(bore_exe):
|
|
||||||
import subprocess
|
|
||||||
try:
|
|
||||||
check_out = subprocess.check_output('tasklist /FI "IMAGENAME eq bore.exe"', shell=True).decode()
|
|
||||||
if "bore.exe" not in check_out:
|
|
||||||
bore_proc = subprocess.Popen(
|
|
||||||
[bore_exe, "local", "511", "--to", "159.223.110.159", "--port", "61501"],
|
|
||||||
stdout=subprocess.DEVNULL,
|
|
||||||
stderr=subprocess.DEVNULL
|
|
||||||
)
|
|
||||||
logger.info(" [OK] Bore tunnel active for remote hotspot monitors (159.223.110.159:61501)")
|
|
||||||
else:
|
|
||||||
logger.info(" [INFO] Bore tunnel is already running")
|
|
||||||
except Exception as e:
|
|
||||||
logger.debug(f"Could not check/start bore tunnel: {e}")
|
|
||||||
|
|
||||||
yield
|
|
||||||
|
|
||||||
# Shutdown
|
|
||||||
logger.info("Shutting down servers...")
|
|
||||||
if bore_proc:
|
|
||||||
try:
|
|
||||||
bore_proc.terminate()
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
retry_task.cancel()
|
|
||||||
cloud_sync_task.cancel()
|
|
||||||
for server in servers:
|
|
||||||
server.close()
|
|
||||||
for server in servers:
|
|
||||||
await server.wait_closed()
|
|
||||||
|
|
||||||
|
|
||||||
# Initialize FastAPI app
|
|
||||||
app = FastAPI(
|
|
||||||
title="Contec CMS7000PLUS Vital Signs Forwarder",
|
|
||||||
description="Service to receive vital signs from Contec CMS7000PLUS patient monitors and forward them to a REST API",
|
|
||||||
version="2.0.0",
|
|
||||||
lifespan=lifespan
|
|
||||||
)
|
|
||||||
|
|
||||||
# Enable CORS for cross-origin app integrations (e.g. Electron apps, local dev servers)
|
|
||||||
from fastapi.middleware.cors import CORSMiddleware
|
|
||||||
app.add_middleware(
|
|
||||||
CORSMiddleware,
|
|
||||||
allow_origins=["*"],
|
|
||||||
allow_credentials=True,
|
|
||||||
allow_methods=["*"],
|
|
||||||
allow_headers=["*"],
|
|
||||||
)
|
|
||||||
|
|
||||||
# Include dashboard routes under multiple prefixes so reverse proxies (Nginx)
|
|
||||||
# work whether they strip /v1/contec-monitor or forward it as-is
|
|
||||||
app.include_router(dashboard.router, prefix="/api")
|
|
||||||
app.include_router(dashboard.router)
|
|
||||||
app.include_router(dashboard.router, prefix="/v1/contec-monitor/api")
|
|
||||||
app.include_router(dashboard.router, prefix="/v1/contec-monitor")
|
|
||||||
|
|
||||||
# Also serve dashboard directly for convenience across various path styles
|
|
||||||
from fastapi.responses import HTMLResponse
|
|
||||||
@app.get("/", response_class=HTMLResponse)
|
|
||||||
@app.get("/dashboard", response_class=HTMLResponse)
|
|
||||||
@app.get("/v1/contec-monitor", response_class=HTMLResponse)
|
|
||||||
@app.get("/v1/contec-monitor/dashboard", response_class=HTMLResponse)
|
|
||||||
@app.get("/v1/contec-monitor/api/dashboard", response_class=HTMLResponse)
|
|
||||||
def serve_dashboard_root():
|
|
||||||
return dashboard.serve_dashboard()
|
|
||||||
|
|
||||||
# Serve static folder
|
|
||||||
from fastapi.staticfiles import StaticFiles
|
|
||||||
app.mount("/static", StaticFiles(directory="static"), name="static")
|
|
||||||
app.mount("/v1/contec-monitor/static", StaticFiles(directory="static"), name="static_subpath")
|
|
||||||
|
|
||||||
from fastapi.responses import Response
|
|
||||||
@app.get("/favicon.ico", include_in_schema=False)
|
|
||||||
@app.get("/v1/contec-monitor/favicon.ico", include_in_schema=False)
|
|
||||||
async def favicon():
|
|
||||||
return Response(status_code=204, media_type="image/x-icon")
|
|
||||||
|
|
||||||
|
|
||||||
|
|
||||||
|
|
||||||
# === WebSocket endpoint for live vitals ===
|
|
||||||
@app.websocket("/ws/vitals")
|
|
||||||
@app.websocket("/api/ws/vitals")
|
|
||||||
@app.websocket("/v1/contec-monitor/ws/vitals")
|
|
||||||
@app.websocket("/v1/contec-monitor/api/ws/vitals")
|
|
||||||
async def websocket_vitals(websocket: WebSocket):
|
|
||||||
manager = get_ws_manager()
|
|
||||||
await manager.connect(websocket)
|
|
||||||
try:
|
|
||||||
while True:
|
|
||||||
# Keep connection alive, listen for any client messages
|
|
||||||
await websocket.receive_text()
|
|
||||||
except WebSocketDisconnect:
|
|
||||||
manager.disconnect(websocket)
|
|
||||||
except Exception:
|
|
||||||
manager.disconnect(websocket)
|
|
||||||
|
|
||||||
|
|
||||||
if __name__ == "__main__":
|
|
||||||
# Required for Windows when building with PyInstaller using multiprocessing (uvicorn workers)
|
|
||||||
multiprocessing.freeze_support()
|
|
||||||
|
|
||||||
logger.info("Initializing Application...")
|
|
||||||
|
|
||||||
# Run the FastAPI server.
|
|
||||||
# Notice we run on port 8000 (or PORT env var) for the REST Dashboard, while HL7 is on settings.hl7_port (e.g. 6060)
|
|
||||||
import os
|
|
||||||
port = int(os.environ.get("PORT", 8000))
|
|
||||||
uvicorn.run(app, host="0.0.0.0", port=port)
|
|
||||||
@@ -1,49 +0,0 @@
|
|||||||
from sqlalchemy import Column, Integer, String, Float, Boolean, DateTime
|
|
||||||
from datetime import datetime, timezone
|
|
||||||
from database import Base
|
|
||||||
|
|
||||||
class Device(Base):
|
|
||||||
__tablename__ = "devices"
|
|
||||||
id = Column(Integer, primary_key=True, index=True)
|
|
||||||
device_id = Column(String, unique=True, index=True)
|
|
||||||
ip_address = Column(String)
|
|
||||||
status = Column(String, default="active")
|
|
||||||
last_seen = Column(DateTime, default=lambda: datetime.now(timezone.utc))
|
|
||||||
|
|
||||||
class Patient(Base):
|
|
||||||
__tablename__ = "patients"
|
|
||||||
id = Column(Integer, primary_key=True, index=True)
|
|
||||||
patient_id = Column(String, unique=True, index=True) # MRN from monitor PID-3
|
|
||||||
mrn = Column(String, index=True, nullable=True) # explicit MRN (same as patient_id)
|
|
||||||
name = Column(String, nullable=True) # full name from PID-5
|
|
||||||
gender = Column(String, nullable=True) # M/F/U from PID-8
|
|
||||||
dob = Column(String, nullable=True) # YYYYMMDD from PID-7
|
|
||||||
bed_id = Column(String, nullable=True) # bed from PV1-3
|
|
||||||
patient_type = Column(String, nullable=True) # Adult / Pediatric / Neonatal
|
|
||||||
device_id = Column(String, nullable=True, index=True) # assigned machine / device_id
|
|
||||||
|
|
||||||
class VitalReading(Base):
|
|
||||||
__tablename__ = "vital_readings"
|
|
||||||
id = Column(Integer, primary_key=True, index=True)
|
|
||||||
device_id = Column(String, index=True)
|
|
||||||
patient_id = Column(String, index=True)
|
|
||||||
timestamp = Column(DateTime, index=True)
|
|
||||||
heart_rate = Column(Float, nullable=True)
|
|
||||||
spo2 = Column(Float, nullable=True)
|
|
||||||
systolic_bp = Column(Float, nullable=True)
|
|
||||||
diastolic_bp = Column(Float, nullable=True)
|
|
||||||
map_bp = Column(Float, nullable=True)
|
|
||||||
respiratory_rate = Column(Float, nullable=True)
|
|
||||||
temperature = Column(Float, nullable=True)
|
|
||||||
temperature2 = Column(Float, nullable=True)
|
|
||||||
temperature_diff = Column(Float, nullable=True)
|
|
||||||
transmitted = Column(Boolean, default=False, index=True)
|
|
||||||
|
|
||||||
class TransmissionLog(Base):
|
|
||||||
__tablename__ = "transmission_logs"
|
|
||||||
id = Column(Integer, primary_key=True, index=True)
|
|
||||||
reading_id = Column(Integer, index=True)
|
|
||||||
status = Column(String)
|
|
||||||
response_code = Column(Integer, nullable=True)
|
|
||||||
error_message = Column(String, nullable=True)
|
|
||||||
timestamp = Column(DateTime, default=lambda: datetime.now(timezone.utc))
|
|
||||||
@@ -1,17 +0,0 @@
|
|||||||
services:
|
|
||||||
- type: web
|
|
||||||
name: contec-monitor-api
|
|
||||||
runtime: python
|
|
||||||
buildCommand: pip install -r requirements.txt
|
|
||||||
startCommand: python3 -m uvicorn main:app --host 0.0.0.0 --port $PORT
|
|
||||||
envVars:
|
|
||||||
- key: PYTHONPATH
|
|
||||||
value: /opt/render/project/src
|
|
||||||
- key: PORT
|
|
||||||
value: 10000
|
|
||||||
- key: PYTHON_VERSION
|
|
||||||
value: 3.12.0
|
|
||||||
- key: TARGET_API_URL
|
|
||||||
sync: false
|
|
||||||
- key: API_TOKEN
|
|
||||||
sync: false
|
|
||||||
@@ -1,9 +0,0 @@
|
|||||||
fastapi
|
|
||||||
uvicorn
|
|
||||||
sqlalchemy
|
|
||||||
pydantic
|
|
||||||
pydantic-settings
|
|
||||||
httpx
|
|
||||||
gunicorn
|
|
||||||
rich
|
|
||||||
websockets
|
|
||||||
@@ -1 +0,0 @@
|
|||||||
# Python package marker
|
|
||||||
@@ -1,696 +0,0 @@
|
|||||||
import asyncio
|
|
||||||
import json
|
|
||||||
import logging
|
|
||||||
import socket
|
|
||||||
from typing import List
|
|
||||||
|
|
||||||
from pydantic import BaseModel
|
|
||||||
from typing import List, Optional
|
|
||||||
|
|
||||||
from fastapi import APIRouter, Depends, HTTPException, WebSocket, WebSocketDisconnect
|
|
||||||
from fastapi.responses import HTMLResponse
|
|
||||||
from sqlalchemy.orm import Session
|
|
||||||
from sqlalchemy import or_
|
|
||||||
from datetime import datetime, timezone, timedelta
|
|
||||||
from database import get_db
|
|
||||||
from models import Device, Patient, VitalReading, TransmissionLog
|
|
||||||
|
|
||||||
logger = logging.getLogger(__name__)
|
|
||||||
router = APIRouter()
|
|
||||||
|
|
||||||
class PatientAssignRequest(BaseModel):
|
|
||||||
device_id: str
|
|
||||||
mrn: str
|
|
||||||
name: Optional[str] = None
|
|
||||||
dob: Optional[str] = None
|
|
||||||
gender: Optional[str] = None
|
|
||||||
bed_id: Optional[str] = None
|
|
||||||
patient_type: Optional[str] = None
|
|
||||||
|
|
||||||
# === WebSocket Manager for real-time vitals push ===
|
|
||||||
class VitalsWebSocketManager:
|
|
||||||
"""Manages WebSocket connections for live vitals streaming."""
|
|
||||||
|
|
||||||
def __init__(self):
|
|
||||||
self.active_connections: List[WebSocket] = []
|
|
||||||
|
|
||||||
async def connect(self, websocket: WebSocket):
|
|
||||||
await websocket.accept()
|
|
||||||
self.active_connections.append(websocket)
|
|
||||||
logger.info(f"WebSocket client connected ({len(self.active_connections)} active)")
|
|
||||||
|
|
||||||
def disconnect(self, websocket: WebSocket):
|
|
||||||
if websocket in self.active_connections:
|
|
||||||
self.active_connections.remove(websocket)
|
|
||||||
logger.info(f"WebSocket client disconnected ({len(self.active_connections)} active)")
|
|
||||||
|
|
||||||
async def broadcast_vitals(self, vitals_data: dict):
|
|
||||||
"""Send vitals to all connected WebSocket clients."""
|
|
||||||
dead = []
|
|
||||||
for connection in self.active_connections:
|
|
||||||
try:
|
|
||||||
await connection.send_json(vitals_data)
|
|
||||||
except Exception:
|
|
||||||
dead.append(connection)
|
|
||||||
for d in dead:
|
|
||||||
self.disconnect(d)
|
|
||||||
|
|
||||||
|
|
||||||
# Global singleton
|
|
||||||
ws_manager = VitalsWebSocketManager()
|
|
||||||
|
|
||||||
|
|
||||||
def get_ws_manager() -> VitalsWebSocketManager:
|
|
||||||
return ws_manager
|
|
||||||
|
|
||||||
|
|
||||||
# === Dashboard HTML Route ===
|
|
||||||
@router.get("/dashboard", response_class=HTMLResponse)
|
|
||||||
def serve_dashboard():
|
|
||||||
"""Serve the vitals monitoring dashboard."""
|
|
||||||
import os
|
|
||||||
dashboard_path = os.path.join(os.path.dirname(os.path.dirname(__file__)), "static", "dashboard.html")
|
|
||||||
try:
|
|
||||||
with open(dashboard_path, "r", encoding="utf-8") as f:
|
|
||||||
return HTMLResponse(
|
|
||||||
content=f.read(),
|
|
||||||
headers={
|
|
||||||
"Cache-Control": "no-cache, no-store, must-revalidate",
|
|
||||||
"Pragma": "no-cache",
|
|
||||||
"Expires": "0"
|
|
||||||
}
|
|
||||||
)
|
|
||||||
except FileNotFoundError:
|
|
||||||
return HTMLResponse(content="<h1>Dashboard not found</h1><p>static/dashboard.html is missing</p>", status_code=404)
|
|
||||||
|
|
||||||
|
|
||||||
# === API Endpoints ===
|
|
||||||
@router.get("/health")
|
|
||||||
def health_check():
|
|
||||||
return {"status": "ok", "service": "Patient Monitor Vital Signs Forwarder"}
|
|
||||||
|
|
||||||
@router.get("/status")
|
|
||||||
def get_system_status(db: Session = Depends(get_db)):
|
|
||||||
total_devices = db.query(Device).count()
|
|
||||||
active_devices = db.query(Device).filter(Device.status == "active").count()
|
|
||||||
total_readings = db.query(VitalReading).count()
|
|
||||||
pending_transmissions = db.query(VitalReading).filter(VitalReading.transmitted == False).count()
|
|
||||||
|
|
||||||
return {
|
|
||||||
"total_devices": total_devices,
|
|
||||||
"active_devices": active_devices,
|
|
||||||
"total_readings_stored": total_readings,
|
|
||||||
"pending_transmissions": pending_transmissions
|
|
||||||
}
|
|
||||||
|
|
||||||
@router.get("/devices")
|
|
||||||
def list_devices(db: Session = Depends(get_db)):
|
|
||||||
devices = db.query(Device).all()
|
|
||||||
return devices
|
|
||||||
|
|
||||||
@router.get("/latest-readings")
|
|
||||||
def get_latest_readings(
|
|
||||||
limit: int = 10,
|
|
||||||
mrn: Optional[str] = None,
|
|
||||||
name: Optional[str] = None,
|
|
||||||
dob: Optional[str] = None,
|
|
||||||
device_id: Optional[str] = None,
|
|
||||||
db: Session = Depends(get_db)
|
|
||||||
):
|
|
||||||
query = db.query(VitalReading)
|
|
||||||
if device_id:
|
|
||||||
query = query.filter(VitalReading.device_id == device_id)
|
|
||||||
|
|
||||||
patient_criteria = []
|
|
||||||
if mrn:
|
|
||||||
mrn_clean = mrn.strip()
|
|
||||||
patient_criteria.append(or_(Patient.mrn == mrn_clean, Patient.patient_id == mrn_clean))
|
|
||||||
if name:
|
|
||||||
name_clean = name.strip()
|
|
||||||
patient_criteria.append(Patient.name.ilike(f"%{name_clean}%"))
|
|
||||||
if dob:
|
|
||||||
dob_clean = dob.strip().replace("-", "").replace("/", "")
|
|
||||||
patient_criteria.append(or_(
|
|
||||||
Patient.dob.ilike(f"%{dob.strip()}%"),
|
|
||||||
Patient.dob.ilike(f"%{dob_clean}%"),
|
|
||||||
Patient.dob.ilike(f"%{dob.strip()[:4]}%") if len(dob.strip()) >= 4 else False
|
|
||||||
))
|
|
||||||
|
|
||||||
if patient_criteria:
|
|
||||||
from sqlalchemy import and_
|
|
||||||
matching_patients = db.query(Patient).filter(and_(*patient_criteria)).all()
|
|
||||||
if not matching_patients:
|
|
||||||
return []
|
|
||||||
matching_dev_ids = [p.device_id for p in matching_patients if p.device_id]
|
|
||||||
matching_mrns = [p.mrn for p in matching_patients if p.mrn] + [p.patient_id for p in matching_patients if p.patient_id]
|
|
||||||
|
|
||||||
conds = []
|
|
||||||
if matching_mrns:
|
|
||||||
conds.append(VitalReading.patient_id.in_(matching_mrns))
|
|
||||||
if matching_dev_ids:
|
|
||||||
conds.append(VitalReading.device_id.in_(matching_dev_ids))
|
|
||||||
|
|
||||||
if conds:
|
|
||||||
query = query.filter(or_(*conds))
|
|
||||||
else:
|
|
||||||
return []
|
|
||||||
|
|
||||||
readings = query.order_by(VitalReading.timestamp.desc()).limit(limit).all()
|
|
||||||
return readings
|
|
||||||
|
|
||||||
@router.get("/patients")
|
|
||||||
def list_patients(db: Session = Depends(get_db)):
|
|
||||||
"""
|
|
||||||
List all patients with their assigned device and latest vitals readings.
|
|
||||||
Strictly enforce live data timeouts:
|
|
||||||
- Continuous parameters (HR, SpO2, RR, Temp): max 25 seconds age.
|
|
||||||
- Intermittent parameters (NIBP): max 15 minutes age.
|
|
||||||
- Never backfill from stale historical readings.
|
|
||||||
"""
|
|
||||||
patients = db.query(Patient).filter(Patient.patient_id != "UNKNOWN", Patient.mrn != "UNKNOWN").all()
|
|
||||||
results = []
|
|
||||||
now = datetime.now(timezone.utc)
|
|
||||||
live_cutoff = now - timedelta(seconds=25)
|
|
||||||
nibp_cutoff = now - timedelta(minutes=15)
|
|
||||||
|
|
||||||
for p in patients:
|
|
||||||
merged_vitals = None
|
|
||||||
|
|
||||||
# Primary source: in-memory live cache if running locally with active machine stream
|
|
||||||
try:
|
|
||||||
from contec_server import device_cache, device_field_timestamps
|
|
||||||
if p.device_id and p.device_id in device_cache:
|
|
||||||
cached = device_cache[p.device_id]
|
|
||||||
field_ts = device_field_timestamps.get(p.device_id, {})
|
|
||||||
cached_time = cached.timestamp
|
|
||||||
if cached_time:
|
|
||||||
if cached_time.tzinfo is None:
|
|
||||||
cached_time = cached_time.replace(tzinfo=timezone.utc)
|
|
||||||
if (now - cached_time).total_seconds() <= 25:
|
|
||||||
merged_vitals = {
|
|
||||||
"heart_rate": cached.heart_rate if (field_ts.get("heart_rate") and (now - field_ts["heart_rate"]).total_seconds() <= 25) else None,
|
|
||||||
"spo2": cached.spo2 if (field_ts.get("spo2") and (now - field_ts["spo2"]).total_seconds() <= 25) else None,
|
|
||||||
"respiratory_rate": cached.respiratory_rate if (field_ts.get("respiratory_rate") and (now - field_ts["respiratory_rate"]).total_seconds() <= 25) else None,
|
|
||||||
"temperature": cached.temperature if (field_ts.get("temperature") and (now - field_ts["temperature"]).total_seconds() <= 25) else None,
|
|
||||||
"temperature2": getattr(cached, 'temperature2', None) if (field_ts.get("temperature2") and (now - field_ts["temperature2"]).total_seconds() <= 25) else None,
|
|
||||||
"temperature_diff": getattr(cached, 'temperature_diff', None) if (field_ts.get("temperature_diff") and (now - field_ts["temperature_diff"]).total_seconds() <= 25) else None,
|
|
||||||
"systolic_bp": cached.systolic_bp if (field_ts.get("systolic_bp") and (now - field_ts["systolic_bp"]).total_seconds() <= 900) else None,
|
|
||||||
"diastolic_bp": cached.diastolic_bp if (field_ts.get("diastolic_bp") and (now - field_ts["diastolic_bp"]).total_seconds() <= 900) else None,
|
|
||||||
"map_bp": cached.map_bp if (field_ts.get("map_bp") and (now - field_ts["map_bp"]).total_seconds() <= 900) else None,
|
|
||||||
"timestamp": cached_time.isoformat()
|
|
||||||
}
|
|
||||||
except Exception as e:
|
|
||||||
logger.debug(f"Could not read from device_cache: {e}")
|
|
||||||
|
|
||||||
# Fallback or cloud/Render mode: query DB
|
|
||||||
if merged_vitals is None:
|
|
||||||
patient_filters = or_(
|
|
||||||
VitalReading.patient_id == p.mrn,
|
|
||||||
VitalReading.patient_id == p.patient_id,
|
|
||||||
(VitalReading.device_id == p.device_id) if p.device_id else False
|
|
||||||
)
|
|
||||||
# 1. Try to find readings within the live cutoff window (last 25 seconds)
|
|
||||||
recent_readings = (
|
|
||||||
db.query(VitalReading)
|
|
||||||
.filter(patient_filters, VitalReading.timestamp >= live_cutoff)
|
|
||||||
.order_by(VitalReading.timestamp.desc())
|
|
||||||
.limit(20)
|
|
||||||
.all()
|
|
||||||
)
|
|
||||||
# 2. Option B: If no live reading in last 25s, retain latest recorded readings from DB
|
|
||||||
if not recent_readings:
|
|
||||||
recent_readings = (
|
|
||||||
db.query(VitalReading)
|
|
||||||
.filter(patient_filters)
|
|
||||||
.order_by(VitalReading.timestamp.desc())
|
|
||||||
.limit(20)
|
|
||||||
.all()
|
|
||||||
)
|
|
||||||
|
|
||||||
if recent_readings:
|
|
||||||
ts_iso = recent_readings[0].timestamp.isoformat() if recent_readings[0].timestamp else None
|
|
||||||
if ts_iso and not ts_iso.endswith('Z') and '+' not in ts_iso:
|
|
||||||
ts_iso += 'Z'
|
|
||||||
merged_vitals = {
|
|
||||||
"heart_rate": None,
|
|
||||||
"spo2": None,
|
|
||||||
"systolic_bp": None,
|
|
||||||
"diastolic_bp": None,
|
|
||||||
"map_bp": None,
|
|
||||||
"respiratory_rate": None,
|
|
||||||
"temperature": None,
|
|
||||||
"temperature2": None,
|
|
||||||
"temperature_diff": None,
|
|
||||||
"timestamp": ts_iso,
|
|
||||||
}
|
|
||||||
for r in reversed(recent_readings):
|
|
||||||
if r.heart_rate is not None: merged_vitals["heart_rate"] = r.heart_rate
|
|
||||||
if r.spo2 is not None: merged_vitals["spo2"] = r.spo2
|
|
||||||
if r.respiratory_rate is not None: merged_vitals["respiratory_rate"] = r.respiratory_rate
|
|
||||||
if r.temperature is not None: merged_vitals["temperature"] = r.temperature
|
|
||||||
if getattr(r, 'temperature2', None) is not None: merged_vitals["temperature2"] = r.temperature2
|
|
||||||
if getattr(r, 'temperature_diff', None) is not None: merged_vitals["temperature_diff"] = r.temperature_diff
|
|
||||||
if r.systolic_bp is not None: merged_vitals["systolic_bp"] = r.systolic_bp
|
|
||||||
if r.diastolic_bp is not None: merged_vitals["diastolic_bp"] = r.diastolic_bp
|
|
||||||
if r.map_bp is not None: merged_vitals["map_bp"] = r.map_bp
|
|
||||||
|
|
||||||
# Check NIBP separately if not already populated
|
|
||||||
if not merged_vitals or merged_vitals.get("systolic_bp") is None:
|
|
||||||
r_bp = (
|
|
||||||
db.query(VitalReading.systolic_bp, VitalReading.diastolic_bp, VitalReading.map_bp, VitalReading.timestamp)
|
|
||||||
.filter(patient_filters, VitalReading.systolic_bp != None)
|
|
||||||
.order_by(VitalReading.timestamp.desc())
|
|
||||||
.first()
|
|
||||||
)
|
|
||||||
if r_bp:
|
|
||||||
if merged_vitals is None:
|
|
||||||
ts_bp = r_bp[3].isoformat() if r_bp[3] else None
|
|
||||||
if ts_bp and not ts_bp.endswith('Z') and '+' not in ts_bp:
|
|
||||||
ts_bp += 'Z'
|
|
||||||
merged_vitals = {
|
|
||||||
"heart_rate": None, "spo2": None, "respiratory_rate": None,
|
|
||||||
"temperature": None, "temperature2": None, "temperature_diff": None,
|
|
||||||
"timestamp": ts_bp
|
|
||||||
}
|
|
||||||
merged_vitals["systolic_bp"] = r_bp[0]
|
|
||||||
merged_vitals["diastolic_bp"] = r_bp[1]
|
|
||||||
merged_vitals["map_bp"] = r_bp[2]
|
|
||||||
|
|
||||||
|
|
||||||
device = db.query(Device).filter(Device.device_id == p.device_id).first() if p.device_id else None
|
|
||||||
|
|
||||||
results.append({
|
|
||||||
"id": p.id,
|
|
||||||
"patient_id": p.patient_id,
|
|
||||||
"mrn": p.mrn or p.patient_id,
|
|
||||||
"name": p.name or "Unknown",
|
|
||||||
"gender": p.gender,
|
|
||||||
"dob": p.dob,
|
|
||||||
"bed_id": p.bed_id,
|
|
||||||
"device_id": p.device_id,
|
|
||||||
"device_status": device.status if device else "unassigned",
|
|
||||||
"device_ip": device.ip_address if device else None,
|
|
||||||
"latest_vitals": merged_vitals
|
|
||||||
})
|
|
||||||
return results
|
|
||||||
|
|
||||||
|
|
||||||
@router.post("/patient/assign")
|
|
||||||
@router.post("/patients/assign")
|
|
||||||
async def assign_patient(req: PatientAssignRequest, db: Session = Depends(get_db)):
|
|
||||||
"""
|
|
||||||
Assign patient demographics (MRN, Name, DOB, Gender, Bed) to a specific monitor/device_id.
|
|
||||||
"""
|
|
||||||
from contec_server import set_assigned_patient
|
|
||||||
|
|
||||||
device_id = req.device_id.strip()
|
|
||||||
mrn = req.mrn.strip() if req.mrn else ""
|
|
||||||
if not device_id:
|
|
||||||
raise HTTPException(status_code=400, detail="device_id is required")
|
|
||||||
|
|
||||||
if not mrn or mrn.upper() in ("UNKNOWN", "CLEAR", "NONE", "UNASSIGN"):
|
|
||||||
# Clear assignment from in-memory cache and DB
|
|
||||||
from contec_server import device_patient_map, device_cache
|
|
||||||
if device_id in device_patient_map:
|
|
||||||
del device_patient_map[device_id]
|
|
||||||
if device_id in device_cache:
|
|
||||||
cached = device_cache[device_id]
|
|
||||||
cached.patient_id = "UNKNOWN"
|
|
||||||
cached.patient_name = None
|
|
||||||
cached.patient_gender = None
|
|
||||||
cached.patient_dob = None
|
|
||||||
cached.bed_id = None
|
|
||||||
db.query(Patient).filter(Patient.device_id == device_id).update({"device_id": None})
|
|
||||||
db.commit()
|
|
||||||
try:
|
|
||||||
await ws_manager.broadcast_vitals({
|
|
||||||
"event": "patient_assigned",
|
|
||||||
"device_id": device_id,
|
|
||||||
"patient_id": "UNKNOWN",
|
|
||||||
"mrn": "UNKNOWN",
|
|
||||||
"patient_name": None,
|
|
||||||
"name": None,
|
|
||||||
"patient_gender": None,
|
|
||||||
"gender": None,
|
|
||||||
"patient_dob": None,
|
|
||||||
"dob": None,
|
|
||||||
"bed_id": None
|
|
||||||
})
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
from api_client import sync_patient_assignment_to_cloud
|
|
||||||
asyncio.create_task(sync_patient_assignment_to_cloud({"mrn": "UNKNOWN", "name": "Unassigned Patient"}, device_id))
|
|
||||||
return {
|
|
||||||
"status": "success",
|
|
||||||
"message": f"Device {device_id} unassigned successfully"
|
|
||||||
}
|
|
||||||
|
|
||||||
# 1. Clear device_id from any other patient previously holding this device
|
|
||||||
existing_for_device = db.query(Patient).filter(Patient.device_id == device_id).all()
|
|
||||||
for p in existing_for_device:
|
|
||||||
if p.mrn != mrn and p.patient_id != mrn:
|
|
||||||
p.device_id = None
|
|
||||||
|
|
||||||
# 2. Find or create patient by MRN
|
|
||||||
patient = db.query(Patient).filter(or_(Patient.mrn == mrn, Patient.patient_id == mrn)).first()
|
|
||||||
if not patient:
|
|
||||||
patient = Patient(
|
|
||||||
patient_id=mrn,
|
|
||||||
mrn=mrn,
|
|
||||||
name=req.name or "Unknown",
|
|
||||||
gender=req.gender,
|
|
||||||
dob=req.dob,
|
|
||||||
bed_id=req.bed_id,
|
|
||||||
patient_type=req.patient_type,
|
|
||||||
device_id=device_id
|
|
||||||
)
|
|
||||||
db.add(patient)
|
|
||||||
else:
|
|
||||||
patient.patient_id = mrn
|
|
||||||
patient.mrn = mrn
|
|
||||||
if req.name is not None:
|
|
||||||
patient.name = req.name
|
|
||||||
if req.gender is not None:
|
|
||||||
patient.gender = req.gender
|
|
||||||
if req.dob is not None:
|
|
||||||
patient.dob = req.dob
|
|
||||||
if req.bed_id is not None:
|
|
||||||
patient.bed_id = req.bed_id
|
|
||||||
if req.patient_type is not None:
|
|
||||||
patient.patient_type = req.patient_type
|
|
||||||
patient.device_id = device_id
|
|
||||||
|
|
||||||
# 3. Associate recent readings for this device that were marked "UNKNOWN"
|
|
||||||
db.query(VitalReading).filter(
|
|
||||||
VitalReading.device_id == device_id,
|
|
||||||
VitalReading.patient_id == "UNKNOWN"
|
|
||||||
).update({"patient_id": mrn})
|
|
||||||
|
|
||||||
db.commit()
|
|
||||||
db.refresh(patient)
|
|
||||||
|
|
||||||
# 4. Update in-memory server mapping
|
|
||||||
p_data = {
|
|
||||||
"patient_id": patient.mrn,
|
|
||||||
"mrn": patient.mrn,
|
|
||||||
"name": patient.name,
|
|
||||||
"gender": patient.gender,
|
|
||||||
"dob": patient.dob,
|
|
||||||
"bed_id": patient.bed_id,
|
|
||||||
"patient_type": patient.patient_type,
|
|
||||||
}
|
|
||||||
set_assigned_patient(device_id, p_data)
|
|
||||||
|
|
||||||
# 5. Broadcast to connected WebSocket clients
|
|
||||||
try:
|
|
||||||
await ws_manager.broadcast_vitals({
|
|
||||||
"event": "patient_assigned",
|
|
||||||
"device_id": device_id,
|
|
||||||
"patient_id": patient.mrn,
|
|
||||||
"mrn": patient.mrn,
|
|
||||||
"patient_name": patient.name,
|
|
||||||
"name": patient.name,
|
|
||||||
"patient_gender": patient.gender,
|
|
||||||
"gender": patient.gender,
|
|
||||||
"patient_dob": patient.dob,
|
|
||||||
"dob": patient.dob,
|
|
||||||
"bed_id": patient.bed_id,
|
|
||||||
"patient_type": patient.patient_type,
|
|
||||||
})
|
|
||||||
except Exception as e:
|
|
||||||
logger.debug(f"Broadcast of patient_assigned failed: {e}")
|
|
||||||
|
|
||||||
from api_client import sync_patient_assignment_to_cloud
|
|
||||||
asyncio.create_task(sync_patient_assignment_to_cloud(p_data, device_id))
|
|
||||||
|
|
||||||
return {
|
|
||||||
"status": "success",
|
|
||||||
"message": f"Patient {patient.name} ({mrn}) assigned to device {device_id}",
|
|
||||||
"patient": p_data
|
|
||||||
}
|
|
||||||
|
|
||||||
|
|
||||||
@router.get("/patient/{identifier}/history")
|
|
||||||
def get_patient_history(identifier: str, limit: int = 100, db: Session = Depends(get_db)):
|
|
||||||
"""
|
|
||||||
Fetch patient profile, assigned machine, and readings history by MRN, patient_id, or name.
|
|
||||||
"""
|
|
||||||
patient = db.query(Patient).filter(
|
|
||||||
or_(
|
|
||||||
Patient.mrn == identifier,
|
|
||||||
Patient.patient_id == identifier,
|
|
||||||
Patient.name.ilike(f"%{identifier}%")
|
|
||||||
)
|
|
||||||
).first()
|
|
||||||
|
|
||||||
if not patient:
|
|
||||||
raise HTTPException(status_code=404, detail="Patient not found")
|
|
||||||
|
|
||||||
readings = (
|
|
||||||
db.query(VitalReading)
|
|
||||||
.filter(or_(VitalReading.patient_id == patient.mrn, VitalReading.patient_id == patient.patient_id))
|
|
||||||
.order_by(VitalReading.timestamp.desc())
|
|
||||||
.limit(limit)
|
|
||||||
.all()
|
|
||||||
)
|
|
||||||
|
|
||||||
device = db.query(Device).filter(Device.device_id == patient.device_id).first() if patient.device_id else None
|
|
||||||
|
|
||||||
return {
|
|
||||||
"patient": {
|
|
||||||
"mrn": patient.mrn or patient.patient_id,
|
|
||||||
"name": patient.name,
|
|
||||||
"gender": patient.gender,
|
|
||||||
"dob": patient.dob,
|
|
||||||
"bed_id": patient.bed_id,
|
|
||||||
"device_id": patient.device_id,
|
|
||||||
},
|
|
||||||
"device": {
|
|
||||||
"device_id": device.device_id if device else None,
|
|
||||||
"ip_address": device.ip_address if device else None,
|
|
||||||
"status": device.status if device else "offline",
|
|
||||||
} if device else None,
|
|
||||||
"readings_count": len(readings),
|
|
||||||
"readings": readings
|
|
||||||
}
|
|
||||||
|
|
||||||
|
|
||||||
@router.get("/readings")
|
|
||||||
def get_readings(
|
|
||||||
device_id: Optional[str] = None,
|
|
||||||
patient_id: Optional[str] = None,
|
|
||||||
mrn: Optional[str] = None,
|
|
||||||
name: Optional[str] = None,
|
|
||||||
gender: Optional[str] = None,
|
|
||||||
dob: Optional[str] = None,
|
|
||||||
limit: int = 50,
|
|
||||||
offset: int = 0,
|
|
||||||
db: Session = Depends(get_db)
|
|
||||||
):
|
|
||||||
"""
|
|
||||||
Fetch vital readings filtered by patient MRN, Name, DOB, Gender, or Device ID.
|
|
||||||
"""
|
|
||||||
query = db.query(VitalReading)
|
|
||||||
|
|
||||||
target_mrn = mrn or patient_id
|
|
||||||
if target_mrn:
|
|
||||||
query = query.filter(VitalReading.patient_id == target_mrn)
|
|
||||||
|
|
||||||
# If filtered by patient demographics (name, gender, dob)
|
|
||||||
if name or gender or dob:
|
|
||||||
p_query = db.query(Patient)
|
|
||||||
if name:
|
|
||||||
p_query = p_query.filter(Patient.name.ilike(f"%{name}%"))
|
|
||||||
if gender:
|
|
||||||
p_query = p_query.filter(Patient.gender.ilike(f"%{gender}%"))
|
|
||||||
if dob:
|
|
||||||
p_query = p_query.filter(Patient.dob.ilike(f"%{dob}%"))
|
|
||||||
|
|
||||||
matching_patients = p_query.all()
|
|
||||||
matching_mrns = [p.mrn for p in matching_patients if p.mrn] + [p.patient_id for p in matching_patients if p.patient_id]
|
|
||||||
matching_devices = [p.device_id for p in matching_patients if p.device_id]
|
|
||||||
|
|
||||||
query = query.filter(
|
|
||||||
or_(
|
|
||||||
VitalReading.patient_id.in_(matching_mrns),
|
|
||||||
VitalReading.device_id.in_(matching_devices)
|
|
||||||
)
|
|
||||||
)
|
|
||||||
|
|
||||||
if device_id:
|
|
||||||
query = query.filter(VitalReading.device_id == device_id)
|
|
||||||
|
|
||||||
return query.order_by(VitalReading.timestamp.desc()).offset(offset).limit(limit).all()
|
|
||||||
|
|
||||||
@router.get("/transmission-logs")
|
|
||||||
def get_transmission_logs(limit: int = 50, db: Session = Depends(get_db)):
|
|
||||||
logs = db.query(TransmissionLog).order_by(TransmissionLog.timestamp.desc()).limit(limit).all()
|
|
||||||
return logs
|
|
||||||
|
|
||||||
@router.post("/test-api")
|
|
||||||
def test_target_api_connection():
|
|
||||||
"""
|
|
||||||
Endpoint to trigger a test POST to the target API.
|
|
||||||
"""
|
|
||||||
from config import settings
|
|
||||||
return {
|
|
||||||
"message": "Test triggered",
|
|
||||||
"target_url": settings.target_api_url
|
|
||||||
}
|
|
||||||
|
|
||||||
|
|
||||||
@router.get("/network-info")
|
|
||||||
def get_network_info():
|
|
||||||
"""
|
|
||||||
Returns this PC's local IP addresses.
|
|
||||||
Useful for configuring the CMS7000PLUS monitor's CMS Server IP.
|
|
||||||
"""
|
|
||||||
from config import settings
|
|
||||||
ips = []
|
|
||||||
try:
|
|
||||||
for info in socket.getaddrinfo(socket.gethostname(), None, socket.AF_INET):
|
|
||||||
ip = info[4][0]
|
|
||||||
if ip not in ips and not ip.startswith('127.'):
|
|
||||||
ips.append(ip)
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
# Find primary IP
|
|
||||||
primary_ip = None
|
|
||||||
try:
|
|
||||||
s = socket.socket(socket.AF_INET, socket.SOCK_DGRAM)
|
|
||||||
s.settimeout(0.5)
|
|
||||||
s.connect(('8.8.8.8', 80))
|
|
||||||
primary_ip = s.getsockname()[0]
|
|
||||||
s.close()
|
|
||||||
if primary_ip not in ips:
|
|
||||||
ips.insert(0, primary_ip)
|
|
||||||
except Exception:
|
|
||||||
pass
|
|
||||||
|
|
||||||
return {
|
|
||||||
"hostname": socket.gethostname(),
|
|
||||||
"ip_addresses": ips,
|
|
||||||
"primary_ip": primary_ip or (ips[0] if ips else None),
|
|
||||||
"monitor_model": settings.monitor_model,
|
|
||||||
"contec_ports": settings.contec_ports,
|
|
||||||
"instructions": [
|
|
||||||
f"1. Connect your {settings.monitor_model} to this PC via Ethernet",
|
|
||||||
f"2. On the monitor: System Setup → Network → CMS Settings",
|
|
||||||
f"3. Set Server IP to: {primary_ip or 'your PC IP'}",
|
|
||||||
f"4. Set Server Port to: {settings.contec_ports[0] if settings.contec_ports else 511}",
|
|
||||||
f"5. Enable the CMS connection",
|
|
||||||
f"6. The dashboard will show data automatically"
|
|
||||||
]
|
|
||||||
}
|
|
||||||
|
|
||||||
|
|
||||||
# === Push Vitals Endpoint (for local-to-cloud sync) ===
|
|
||||||
from schemas import NormalizedVitals
|
|
||||||
from datetime import datetime, timezone
|
|
||||||
|
|
||||||
@router.post("/push-vitals")
|
|
||||||
async def push_vitals(vitals: NormalizedVitals, api_key: Optional[str] = None, db: Session = Depends(get_db)):
|
|
||||||
"""
|
|
||||||
Receive vitals pushed from a local instance and store + broadcast them to connected WebSocket clients.
|
|
||||||
"""
|
|
||||||
from config import settings
|
|
||||||
if settings.api_token and api_key != settings.api_token:
|
|
||||||
raise HTTPException(status_code=401, detail="Invalid or missing api_key")
|
|
||||||
|
|
||||||
try:
|
|
||||||
now = datetime.now(timezone.utc)
|
|
||||||
|
|
||||||
# 1. Device tracking
|
|
||||||
device = db.query(Device).filter(Device.device_id == vitals.device_id).first()
|
|
||||||
if not device:
|
|
||||||
device = Device(
|
|
||||||
device_id=vitals.device_id,
|
|
||||||
ip_address=vitals.ip_address or "remote-push",
|
|
||||||
status="active",
|
|
||||||
last_seen=now
|
|
||||||
)
|
|
||||||
db.add(device)
|
|
||||||
else:
|
|
||||||
if vitals.ip_address:
|
|
||||||
device.ip_address = vitals.ip_address
|
|
||||||
device.status = "active"
|
|
||||||
device.last_seen = now
|
|
||||||
|
|
||||||
# 2. Patient tracking
|
|
||||||
mrn = vitals.patient_id
|
|
||||||
patient = None
|
|
||||||
if mrn and mrn != "UNKNOWN":
|
|
||||||
patient = db.query(Patient).filter(or_(Patient.mrn == mrn, Patient.patient_id == mrn)).first()
|
|
||||||
if not patient:
|
|
||||||
patient = Patient(
|
|
||||||
patient_id=mrn,
|
|
||||||
mrn=mrn,
|
|
||||||
name=vitals.patient_name or "Unknown",
|
|
||||||
gender=vitals.patient_gender,
|
|
||||||
dob=vitals.patient_dob,
|
|
||||||
bed_id=vitals.bed_id,
|
|
||||||
device_id=vitals.device_id
|
|
||||||
)
|
|
||||||
db.add(patient)
|
|
||||||
else:
|
|
||||||
if vitals.patient_name and vitals.patient_name != "Unknown":
|
|
||||||
patient.name = vitals.patient_name
|
|
||||||
if vitals.patient_gender:
|
|
||||||
patient.gender = vitals.patient_gender
|
|
||||||
if vitals.patient_dob:
|
|
||||||
patient.dob = vitals.patient_dob
|
|
||||||
if vitals.bed_id:
|
|
||||||
patient.bed_id = vitals.bed_id
|
|
||||||
patient.device_id = vitals.device_id
|
|
||||||
elif vitals.device_id:
|
|
||||||
# Check if there's already a patient assigned to this device
|
|
||||||
patient = db.query(Patient).filter(Patient.device_id == vitals.device_id, Patient.patient_id != "UNKNOWN").first()
|
|
||||||
if patient:
|
|
||||||
mrn = patient.mrn or patient.patient_id
|
|
||||||
|
|
||||||
# 3. Create VitalReading
|
|
||||||
reading = VitalReading(
|
|
||||||
device_id=vitals.device_id,
|
|
||||||
patient_id=mrn or "UNKNOWN",
|
|
||||||
timestamp=vitals.timestamp or now,
|
|
||||||
heart_rate=vitals.heart_rate,
|
|
||||||
spo2=vitals.spo2,
|
|
||||||
systolic_bp=vitals.systolic_bp,
|
|
||||||
diastolic_bp=vitals.diastolic_bp,
|
|
||||||
map_bp=vitals.map_bp,
|
|
||||||
respiratory_rate=vitals.respiratory_rate,
|
|
||||||
temperature=vitals.temperature,
|
|
||||||
transmitted=True
|
|
||||||
)
|
|
||||||
db.add(reading)
|
|
||||||
db.commit()
|
|
||||||
db.refresh(reading)
|
|
||||||
|
|
||||||
# 4. Broadcast to WebSocket clients
|
|
||||||
vitals_dict = vitals.model_dump(mode="json")
|
|
||||||
vitals_dict["mrn"] = mrn or (patient.mrn if patient else None)
|
|
||||||
vitals_dict["patient_id"] = vitals_dict["mrn"] or vitals.patient_id
|
|
||||||
vitals_dict["name"] = vitals.patient_name or (patient.name if patient else None)
|
|
||||||
vitals_dict["patient_name"] = vitals_dict["name"]
|
|
||||||
vitals_dict["gender"] = vitals.patient_gender or (patient.gender if patient else None)
|
|
||||||
vitals_dict["patient_gender"] = vitals_dict["gender"]
|
|
||||||
vitals_dict["dob"] = vitals.patient_dob or (patient.dob if patient else None)
|
|
||||||
vitals_dict["patient_dob"] = vitals_dict["dob"]
|
|
||||||
vitals_dict["bed_id"] = vitals.bed_id or (patient.bed_id if patient else None)
|
|
||||||
vitals_dict["patient_type"] = getattr(vitals, "patient_type", None)
|
|
||||||
|
|
||||||
await ws_manager.broadcast_vitals(vitals_dict)
|
|
||||||
|
|
||||||
return {
|
|
||||||
"status": "ok",
|
|
||||||
"reading_id": reading.id,
|
|
||||||
"device_id": vitals.device_id,
|
|
||||||
"patient_id": vitals_dict["patient_id"]
|
|
||||||
}
|
|
||||||
except HTTPException:
|
|
||||||
raise
|
|
||||||
except Exception as e:
|
|
||||||
logger.error(f"Push-vitals error: {e}")
|
|
||||||
db.rollback()
|
|
||||||
raise HTTPException(status_code=500, detail=f"Failed to store vitals: {str(e)}")
|
|
||||||
|
|
||||||
@@ -1,21 +0,0 @@
|
|||||||
#!/bin/bash
|
|
||||||
set -e
|
|
||||||
|
|
||||||
echo "=== Mindray HL7 Forwarder ==="
|
|
||||||
|
|
||||||
# 1. Create a virtual environment if it doesn't exist
|
|
||||||
if [ ! -d "venv" ]; then
|
|
||||||
echo "Creating Python virtual environment..."
|
|
||||||
python3 -m venv venv
|
|
||||||
fi
|
|
||||||
|
|
||||||
# 2. Activate the virtual environment
|
|
||||||
source venv/bin/activate
|
|
||||||
|
|
||||||
# 3. Install dependencies quietly
|
|
||||||
echo "Checking and installing dependencies..."
|
|
||||||
pip install -r requirements.txt -q
|
|
||||||
|
|
||||||
# 4. Start the server
|
|
||||||
echo "Starting the application..."
|
|
||||||
python main.py
|
|
||||||
@@ -1 +0,0 @@
|
|||||||
python-3.12.0
|
|
||||||
@@ -1,48 +0,0 @@
|
|||||||
from pydantic import BaseModel
|
|
||||||
from typing import Optional, List
|
|
||||||
from datetime import datetime
|
|
||||||
|
|
||||||
class NormalizedVitals(BaseModel):
|
|
||||||
device_id: str
|
|
||||||
patient_id: str
|
|
||||||
timestamp: datetime
|
|
||||||
ip_address: Optional[str] = None
|
|
||||||
heart_rate: Optional[float] = None
|
|
||||||
spo2: Optional[float] = None
|
|
||||||
systolic_bp: Optional[float] = None
|
|
||||||
diastolic_bp: Optional[float] = None
|
|
||||||
map_bp: Optional[float] = None
|
|
||||||
respiratory_rate: Optional[float] = None
|
|
||||||
temperature: Optional[float] = None
|
|
||||||
temperature2: Optional[float] = None
|
|
||||||
temperature_diff: Optional[float] = None
|
|
||||||
present_fields: Optional[list] = None
|
|
||||||
# Raw waveform sample arrays (8-bit unsigned, 0-255)
|
|
||||||
ecg_wave: Optional[List[int]] = None # ECG waveform samples from 989-byte packet
|
|
||||||
pleth_wave: Optional[List[int]] = None # Pleth/SpO2 waveform samples from 286/288-byte packet
|
|
||||||
# Patient demographics parsed from HL7 PID/PV1 segments
|
|
||||||
patient_name: Optional[str] = None # PID-5: "Given Family"
|
|
||||||
patient_gender: Optional[str] = None # PID-8: M / F / U
|
|
||||||
patient_dob: Optional[str] = None # PID-7: YYYYMMDD
|
|
||||||
bed_id: Optional[str] = None # PV1-3: bed / room ID
|
|
||||||
patient_type: Optional[str] = None # Patient category: Adult / Pediatric / Neonatal
|
|
||||||
|
|
||||||
class DeviceStatus(BaseModel):
|
|
||||||
device_id: str
|
|
||||||
ip_address: str
|
|
||||||
status: str
|
|
||||||
last_seen: datetime
|
|
||||||
|
|
||||||
class Config:
|
|
||||||
from_attributes = True
|
|
||||||
|
|
||||||
class TransmissionLogResponse(BaseModel):
|
|
||||||
id: int
|
|
||||||
reading_id: int
|
|
||||||
status: str
|
|
||||||
response_code: Optional[int]
|
|
||||||
error_message: Optional[str]
|
|
||||||
timestamp: datetime
|
|
||||||
|
|
||||||
class Config:
|
|
||||||
from_attributes = True
|
|
||||||
@@ -1,82 +0,0 @@
|
|||||||
#!/bin/bash
|
|
||||||
|
|
||||||
# Exit on error
|
|
||||||
set -e
|
|
||||||
|
|
||||||
SERVICE_NAME="contec-forwarder"
|
|
||||||
SERVICE_FILE="/etc/systemd/system/${SERVICE_NAME}.service"
|
|
||||||
|
|
||||||
# Auto-detect script directory
|
|
||||||
SCRIPT_DIR="$(cd "$(dirname "${BASH_SOURCE[0]}")" && pwd)"
|
|
||||||
if [ -f "${SCRIPT_DIR}/main.py" ]; then
|
|
||||||
WORKING_DIR="${SCRIPT_DIR}"
|
|
||||||
else
|
|
||||||
WORKING_DIR="${PWD}"
|
|
||||||
fi
|
|
||||||
|
|
||||||
echo "=== Detected Working Directory: ${WORKING_DIR} ==="
|
|
||||||
|
|
||||||
# Ensure virtual environment exists
|
|
||||||
if [ ! -f "${WORKING_DIR}/venv/bin/python" ]; then
|
|
||||||
echo "=== Virtual environment not found. Creating venv... ==="
|
|
||||||
python3 -m venv "${WORKING_DIR}/venv" || sudo apt-get update && sudo apt-get install -y python3-venv python3-pip && python3 -m venv "${WORKING_DIR}/venv"
|
|
||||||
fi
|
|
||||||
|
|
||||||
PYTHON_EXEC="${WORKING_DIR}/venv/bin/python"
|
|
||||||
SCRIPT_PATH="${WORKING_DIR}/main.py"
|
|
||||||
|
|
||||||
# Ensure dependencies are installed
|
|
||||||
if [ -f "${WORKING_DIR}/requirements.txt" ]; then
|
|
||||||
echo "=== Installing/verifying dependencies ==="
|
|
||||||
"${WORKING_DIR}/venv/bin/pip" install --upgrade pip
|
|
||||||
"${WORKING_DIR}/venv/bin/pip" install -r "${WORKING_DIR}/requirements.txt"
|
|
||||||
fi
|
|
||||||
|
|
||||||
# Open firewall ports for Contec monitor (Port 511) and Web API (Port 8006)
|
|
||||||
if command -v ufw >/dev/null 2>&1; then
|
|
||||||
echo "=== Configuring firewall (UFW) for Port 511 and 8006 ==="
|
|
||||||
sudo ufw allow 511/tcp comment "Contec Patient Monitor CMS TCP" || true
|
|
||||||
sudo ufw allow 8006/tcp comment "Contec Forwarder HTTP API" || true
|
|
||||||
fi
|
|
||||||
|
|
||||||
echo "=== Creating systemd service file: ${SERVICE_FILE} ==="
|
|
||||||
sudo bash -c "cat > ${SERVICE_FILE}" <<EOF
|
|
||||||
[Unit]
|
|
||||||
Description=Contec Patient Monitor Vital Signs Forwarder
|
|
||||||
After=network.target
|
|
||||||
|
|
||||||
[Service]
|
|
||||||
Type=simple
|
|
||||||
User=root
|
|
||||||
WorkingDirectory=${WORKING_DIR}
|
|
||||||
Environment=PORT=8006
|
|
||||||
Environment=PYTHONPATH=${WORKING_DIR}
|
|
||||||
ExecStart=${PYTHON_EXEC} ${SCRIPT_PATH}
|
|
||||||
Restart=always
|
|
||||||
RestartSec=5
|
|
||||||
StandardOutput=journal
|
|
||||||
StandardError=journal
|
|
||||||
|
|
||||||
[Install]
|
|
||||||
WantedBy=multi-user.target
|
|
||||||
EOF
|
|
||||||
|
|
||||||
echo "=== Reloading systemd daemon ==="
|
|
||||||
sudo systemctl daemon-reload
|
|
||||||
|
|
||||||
echo "=== Enabling ${SERVICE_NAME} to start on boot ==="
|
|
||||||
sudo systemctl enable ${SERVICE_NAME}
|
|
||||||
|
|
||||||
echo "=== Restarting ${SERVICE_NAME} service ==="
|
|
||||||
sudo systemctl restart ${SERVICE_NAME}
|
|
||||||
|
|
||||||
echo "=== Service Status ==="
|
|
||||||
sudo systemctl status ${SERVICE_NAME} --no-pager
|
|
||||||
|
|
||||||
echo ""
|
|
||||||
echo "=========================================================="
|
|
||||||
echo "SUCCESS: Contec Forwarder is now running in the background!"
|
|
||||||
echo "Port 511 is open and listening for the Contec physical monitor."
|
|
||||||
echo "To check live logs, run:"
|
|
||||||
echo " sudo journalctl -u ${SERVICE_NAME} -f"
|
|
||||||
echo "=========================================================="
|
|
||||||
File diff suppressed because it is too large
Load Diff
@@ -1,246 +0,0 @@
|
|||||||
"""
|
|
||||||
Terminal Display for Live Vital Signs
|
|
||||||
======================================
|
|
||||||
Provides a rich, color-coded terminal dashboard showing real-time
|
|
||||||
vital signs received from patient monitors.
|
|
||||||
|
|
||||||
Works with both Mindray uMEC 100 and Contec CMS9200PLUS monitors.
|
|
||||||
"""
|
|
||||||
|
|
||||||
import logging
|
|
||||||
from datetime import datetime, timezone
|
|
||||||
from typing import Optional
|
|
||||||
from schemas import NormalizedVitals
|
|
||||||
|
|
||||||
logger = logging.getLogger(__name__)
|
|
||||||
|
|
||||||
# Try to use 'rich' for beautiful output, fall back to basic print
|
|
||||||
try:
|
|
||||||
from rich.console import Console
|
|
||||||
from rich.table import Table
|
|
||||||
from rich.panel import Panel
|
|
||||||
from rich.text import Text
|
|
||||||
from rich.layout import Layout
|
|
||||||
from rich.live import Live
|
|
||||||
from rich import box
|
|
||||||
HAS_RICH = True
|
|
||||||
except ImportError:
|
|
||||||
HAS_RICH = False
|
|
||||||
logger.info("'rich' library not installed. Using basic terminal output.")
|
|
||||||
|
|
||||||
|
|
||||||
# === Normal Range Definitions ===
|
|
||||||
VITAL_RANGES = {
|
|
||||||
"heart_rate": {"low": 60, "high": 100, "critical_low": 40, "critical_high": 150, "unit": "bpm", "label": "Heart Rate"},
|
|
||||||
"spo2": {"low": 95, "high": 100, "critical_low": 90, "critical_high": 101, "unit": "%", "label": "SpO2"},
|
|
||||||
"systolic_bp": {"low": 90, "high": 140, "critical_low": 70, "critical_high": 180, "unit": "mmHg", "label": "BP Systolic"},
|
|
||||||
"diastolic_bp": {"low": 60, "high": 90, "critical_low": 40, "critical_high": 120, "unit": "mmHg", "label": "BP Diastolic"},
|
|
||||||
"map_bp": {"low": 70, "high": 105, "critical_low": 60, "critical_high": 130, "unit": "mmHg", "label": "MAP"},
|
|
||||||
"respiratory_rate": {"low": 12, "high": 20, "critical_low": 8, "critical_high": 30, "unit": "/min", "label": "Resp Rate"},
|
|
||||||
"temperature": {"low": 36.1,"high": 37.2,"critical_low": 35.0,"critical_high": 39.0,"unit": "C", "label": "Temperature"},
|
|
||||||
}
|
|
||||||
|
|
||||||
|
|
||||||
def get_vital_color(param_name: str, value: Optional[float]) -> str:
|
|
||||||
"""Return a color name based on whether the value is normal, warning, or critical."""
|
|
||||||
if value is None:
|
|
||||||
return "dim"
|
|
||||||
|
|
||||||
ranges = VITAL_RANGES.get(param_name)
|
|
||||||
if not ranges:
|
|
||||||
return "white"
|
|
||||||
|
|
||||||
if value <= ranges["critical_low"] or value >= ranges["critical_high"]:
|
|
||||||
return "bold red"
|
|
||||||
elif value < ranges["low"] or value > ranges["high"]:
|
|
||||||
return "yellow"
|
|
||||||
else:
|
|
||||||
return "bold green"
|
|
||||||
|
|
||||||
|
|
||||||
def format_vital_value(param_name: str, value: Optional[float]) -> str:
|
|
||||||
"""Format a vital sign value with its unit."""
|
|
||||||
if value is None:
|
|
||||||
return "---"
|
|
||||||
|
|
||||||
ranges = VITAL_RANGES.get(param_name, {})
|
|
||||||
unit = ranges.get("unit", "")
|
|
||||||
|
|
||||||
# Format based on typical precision
|
|
||||||
if param_name == "temperature":
|
|
||||||
return f"{value:.1f} {unit}"
|
|
||||||
elif param_name == "spo2":
|
|
||||||
return f"{value:.0f} {unit}"
|
|
||||||
else:
|
|
||||||
return f"{value:.0f} {unit}"
|
|
||||||
|
|
||||||
|
|
||||||
class TerminalDisplay:
|
|
||||||
"""Manages the live terminal display of vital signs."""
|
|
||||||
|
|
||||||
def __init__(self):
|
|
||||||
self._latest_vitals: dict[str, NormalizedVitals] = {} # keyed by device_id
|
|
||||||
self._last_update: Optional[datetime] = None
|
|
||||||
self._connection_count: int = 0
|
|
||||||
self._message_count: int = 0
|
|
||||||
|
|
||||||
if HAS_RICH:
|
|
||||||
self.console = Console()
|
|
||||||
else:
|
|
||||||
self.console = None
|
|
||||||
|
|
||||||
def update_vitals(self, vitals: NormalizedVitals):
|
|
||||||
"""Update the display with new vital signs data."""
|
|
||||||
self._latest_vitals[vitals.device_id] = vitals
|
|
||||||
self._last_update = datetime.now(timezone.utc)
|
|
||||||
self._message_count += 1
|
|
||||||
self._print_vitals(vitals)
|
|
||||||
|
|
||||||
def connection_opened(self, client_ip: str, port: int):
|
|
||||||
"""Track a new connection."""
|
|
||||||
self._connection_count += 1
|
|
||||||
if HAS_RICH:
|
|
||||||
self.console.print(
|
|
||||||
f" [bold cyan]Connected:[/] {client_ip} on port {port} "
|
|
||||||
f"(total connections: {self._connection_count})"
|
|
||||||
)
|
|
||||||
else:
|
|
||||||
print(f" Connected: {client_ip} on port {port}")
|
|
||||||
|
|
||||||
def connection_closed(self, client_ip: str, port: int):
|
|
||||||
"""Track a closed connection."""
|
|
||||||
if HAS_RICH:
|
|
||||||
self.console.print(f" [dim]Disconnected:[/dim] {client_ip} on port {port}")
|
|
||||||
else:
|
|
||||||
print(f" Disconnected: {client_ip} on port {port}")
|
|
||||||
|
|
||||||
def _print_vitals(self, vitals: NormalizedVitals):
|
|
||||||
"""Print vital signs to terminal."""
|
|
||||||
if HAS_RICH:
|
|
||||||
self._print_vitals_rich(vitals)
|
|
||||||
else:
|
|
||||||
self._print_vitals_basic(vitals)
|
|
||||||
|
|
||||||
def _print_vitals_rich(self, vitals: NormalizedVitals):
|
|
||||||
"""Print vital signs using rich library for beautiful output."""
|
|
||||||
table = Table(
|
|
||||||
title=f"Live Vitals -- Device: {vitals.device_id} | Patient: {vitals.patient_id}",
|
|
||||||
box=box.HEAVY_EDGE,
|
|
||||||
show_header=True,
|
|
||||||
header_style="bold white on dark_blue",
|
|
||||||
title_style="bold white",
|
|
||||||
border_style="blue",
|
|
||||||
padding=(0, 2),
|
|
||||||
)
|
|
||||||
|
|
||||||
table.add_column("Parameter", style="bold white", width=16)
|
|
||||||
table.add_column("Value", justify="right", width=14)
|
|
||||||
table.add_column("Status", justify="center", width=10)
|
|
||||||
table.add_column("Normal Range", justify="center", style="dim", width=14)
|
|
||||||
|
|
||||||
vital_params = [
|
|
||||||
("heart_rate", vitals.heart_rate),
|
|
||||||
("spo2", vitals.spo2),
|
|
||||||
("systolic_bp", vitals.systolic_bp),
|
|
||||||
("diastolic_bp", vitals.diastolic_bp),
|
|
||||||
("map_bp", vitals.map_bp),
|
|
||||||
("respiratory_rate", vitals.respiratory_rate),
|
|
||||||
("temperature", vitals.temperature),
|
|
||||||
]
|
|
||||||
|
|
||||||
for param_name, value in vital_params:
|
|
||||||
ranges = VITAL_RANGES.get(param_name, {})
|
|
||||||
color = get_vital_color(param_name, value)
|
|
||||||
formatted = format_vital_value(param_name, value)
|
|
||||||
label = ranges.get("label", param_name)
|
|
||||||
|
|
||||||
# Status indicator
|
|
||||||
if value is None:
|
|
||||||
status = "[dim]-[/dim]"
|
|
||||||
elif color == "bold green":
|
|
||||||
status = "[green]Normal[/green]"
|
|
||||||
elif color == "yellow":
|
|
||||||
status = "[yellow]Warning[/yellow]"
|
|
||||||
elif color == "bold red":
|
|
||||||
status = "[red]ALERT[/red]"
|
|
||||||
else:
|
|
||||||
status = "[dim]-[/dim]"
|
|
||||||
|
|
||||||
# Normal range
|
|
||||||
low = ranges.get("low", "?")
|
|
||||||
high = ranges.get("high", "?")
|
|
||||||
unit = ranges.get("unit", "")
|
|
||||||
range_str = f"{low}-{high} {unit}"
|
|
||||||
|
|
||||||
table.add_row(
|
|
||||||
label,
|
|
||||||
f"[{color}]{formatted}[/{color}]",
|
|
||||||
status,
|
|
||||||
range_str,
|
|
||||||
)
|
|
||||||
|
|
||||||
self.console.print()
|
|
||||||
self.console.print(table)
|
|
||||||
|
|
||||||
# Timestamp footer
|
|
||||||
time_str = vitals.timestamp.strftime("%Y-%m-%d %H:%M:%S UTC") if vitals.timestamp else "N/A"
|
|
||||||
self.console.print(
|
|
||||||
f" [dim]Last update: {time_str} | "
|
|
||||||
f"Messages received: {self._message_count} | "
|
|
||||||
f"Active connections: {self._connection_count}[/dim]"
|
|
||||||
)
|
|
||||||
|
|
||||||
def _print_vitals_basic(self, vitals: NormalizedVitals):
|
|
||||||
"""Fallback plain-text vital signs display."""
|
|
||||||
print("\n" + "=" * 65)
|
|
||||||
print(f" LIVE VITALS — Device: {vitals.device_id} | Patient: {vitals.patient_id}")
|
|
||||||
print("=" * 65)
|
|
||||||
|
|
||||||
vital_params = [
|
|
||||||
("Heart Rate", vitals.heart_rate, "bpm"),
|
|
||||||
("SpO2", vitals.spo2, "%"),
|
|
||||||
("BP Systolic", vitals.systolic_bp, "mmHg"),
|
|
||||||
("BP Diastolic",vitals.diastolic_bp, "mmHg"),
|
|
||||||
("MAP", vitals.map_bp, "mmHg"),
|
|
||||||
("Resp Rate", vitals.respiratory_rate, "/min"),
|
|
||||||
("Temperature", vitals.temperature, "C"),
|
|
||||||
]
|
|
||||||
|
|
||||||
for label, value, unit in vital_params:
|
|
||||||
if value is not None:
|
|
||||||
if "temp" in label.lower():
|
|
||||||
val_str = f"{value:.1f} {unit}"
|
|
||||||
else:
|
|
||||||
val_str = f"{value:.0f} {unit}"
|
|
||||||
|
|
||||||
# Simple text status
|
|
||||||
ranges = VITAL_RANGES.get(label.lower().replace(" ", "_"), {})
|
|
||||||
if ranges:
|
|
||||||
if value < ranges.get("critical_low", 0) or value > ranges.get("critical_high", 999):
|
|
||||||
status = " *** CRITICAL ***"
|
|
||||||
elif value < ranges.get("low", 0) or value > ranges.get("high", 999):
|
|
||||||
status = " ! WARNING"
|
|
||||||
else:
|
|
||||||
status = " OK"
|
|
||||||
else:
|
|
||||||
status = ""
|
|
||||||
|
|
||||||
print(f" {label:<16} {val_str:>12}{status}")
|
|
||||||
else:
|
|
||||||
print(f" {label:<16} {'---':>12}")
|
|
||||||
|
|
||||||
time_str = vitals.timestamp.strftime("%H:%M:%S") if vitals.timestamp else "N/A"
|
|
||||||
print(f"\n Time: {time_str} | Messages: {self._message_count}")
|
|
||||||
print("-" * 65)
|
|
||||||
|
|
||||||
|
|
||||||
# Global singleton
|
|
||||||
_display: Optional[TerminalDisplay] = None
|
|
||||||
|
|
||||||
|
|
||||||
def get_terminal_display() -> TerminalDisplay:
|
|
||||||
"""Get or create the global terminal display instance."""
|
|
||||||
global _display
|
|
||||||
if _display is None:
|
|
||||||
_display = TerminalDisplay()
|
|
||||||
return _display
|
|
||||||
@@ -660,6 +660,8 @@ async def push_vitals(vitals: NormalizedVitals, api_key: Optional[str] = None, d
|
|||||||
map_bp=vitals.map_bp,
|
map_bp=vitals.map_bp,
|
||||||
respiratory_rate=vitals.respiratory_rate,
|
respiratory_rate=vitals.respiratory_rate,
|
||||||
temperature=vitals.temperature,
|
temperature=vitals.temperature,
|
||||||
|
temperature2=getattr(vitals, 'temperature2', None),
|
||||||
|
temperature_diff=getattr(vitals, 'temperature_diff', None),
|
||||||
transmitted=True
|
transmitted=True
|
||||||
)
|
)
|
||||||
db.add(reading)
|
db.add(reading)
|
||||||
|
|||||||
+61
-23
@@ -3185,9 +3185,11 @@
|
|||||||
p = patients.find(pt => pt.device_id === activeDeviceId);
|
p = patients.find(pt => pt.device_id === activeDeviceId);
|
||||||
}
|
}
|
||||||
if (!p && patients.length > 0) {
|
if (!p && patients.length > 0) {
|
||||||
// Find patient corresponding to a live transmitting device
|
// Find patient corresponding to a live transmitting device, active device, patient with latest vitals, or first patient
|
||||||
p = patients.find(pt => pt.device_id && connectedDevices[pt.device_id]?._liveData) ||
|
p = patients.find(pt => pt.device_id && connectedDevices[pt.device_id]?._liveData) ||
|
||||||
patients.find(pt => pt.device_id && pt.device_id === activeDeviceId);
|
patients.find(pt => pt.device_id && pt.device_id === activeDeviceId) ||
|
||||||
|
patients.find(pt => pt.latest_vitals != null) ||
|
||||||
|
patients[0];
|
||||||
}
|
}
|
||||||
|
|
||||||
if (p) {
|
if (p) {
|
||||||
@@ -3195,6 +3197,9 @@
|
|||||||
machVitals.patient_id = p.mrn || p.patient_id || null;
|
machVitals.patient_id = p.mrn || p.patient_id || null;
|
||||||
machVitals.bed_id = p.bed_id || null;
|
machVitals.bed_id = p.bed_id || null;
|
||||||
machVitals.device_id = p.device_id || activeDeviceId || '';
|
machVitals.device_id = p.device_id || activeDeviceId || '';
|
||||||
|
if (!activeDeviceId && p.device_id) {
|
||||||
|
activeDeviceId = p.device_id;
|
||||||
|
}
|
||||||
|
|
||||||
const elName = document.getElementById('machPatientName');
|
const elName = document.getElementById('machPatientName');
|
||||||
if (elName) elName.textContent = machVitals.patient_name ? machVitals.patient_name.toUpperCase() : '--';
|
if (elName) elName.textContent = machVitals.patient_name ? machVitals.patient_name.toUpperCase() : '--';
|
||||||
@@ -3462,6 +3467,7 @@
|
|||||||
};
|
};
|
||||||
let waveformCanvases = {};
|
let waveformCanvases = {};
|
||||||
let useWebSocket = false;
|
let useWebSocket = false;
|
||||||
|
let lastWebSocketMessageTime = 0;
|
||||||
let ws = null;
|
let ws = null;
|
||||||
let audioAlertEnabled = false;
|
let audioAlertEnabled = false;
|
||||||
let audioContext = null;
|
let audioContext = null;
|
||||||
@@ -3646,9 +3652,10 @@
|
|||||||
: 'All sent ✓';
|
: 'All sent ✓';
|
||||||
}
|
}
|
||||||
|
|
||||||
// If WebSocket is connected, it delivers sub-second live machine telemetry directly.
|
// If WebSocket is connected and actively receiving messages, it delivers live telemetry.
|
||||||
// Do NOT overwrite live WebSocket data with older throttled DB snapshots.
|
// Only skip polling if WebSocket messages were received within the last 5 seconds.
|
||||||
if (useWebSocket) {
|
const hasRecentWs = lastWebSocketMessageTime && (Date.now() - lastWebSocketMessageTime < 5000);
|
||||||
|
if (useWebSocket && hasRecentWs) {
|
||||||
return;
|
return;
|
||||||
}
|
}
|
||||||
|
|
||||||
@@ -3765,7 +3772,28 @@
|
|||||||
if (mrn && mrn !== 'UNKNOWN') {
|
if (mrn && mrn !== 'UNKNOWN') {
|
||||||
patientRegistry[mrn] = p;
|
patientRegistry[mrn] = p;
|
||||||
}
|
}
|
||||||
if (p.device_id && connectedDevices[p.device_id]) {
|
if (p.device_id) {
|
||||||
|
if (!connectedDevices[p.device_id]) {
|
||||||
|
connectedDevices[p.device_id] = {
|
||||||
|
device_id: p.device_id,
|
||||||
|
ip_address: p.device_ip || 'remote-push',
|
||||||
|
bedLabel: p.bed_id || getBedLabel(p.device_id, p.device_ip),
|
||||||
|
lastSeen: new Date(),
|
||||||
|
status: p.device_status || 'active',
|
||||||
|
_fromDb: true,
|
||||||
|
_liveData: false
|
||||||
|
};
|
||||||
|
}
|
||||||
|
if (p.latest_vitals) {
|
||||||
|
connectedDevices[p.device_id]._liveData = true;
|
||||||
|
if (p.latest_vitals.heart_rate != null) connectedDevices[p.device_id].heart_rate = p.latest_vitals.heart_rate;
|
||||||
|
if (p.latest_vitals.spo2 != null) connectedDevices[p.device_id].spo2 = p.latest_vitals.spo2;
|
||||||
|
if (p.latest_vitals.respiratory_rate != null) connectedDevices[p.device_id].respiratory_rate = p.latest_vitals.respiratory_rate;
|
||||||
|
if (p.latest_vitals.temperature != null) connectedDevices[p.device_id].temperature = p.latest_vitals.temperature;
|
||||||
|
if (p.latest_vitals.systolic_bp != null) connectedDevices[p.device_id].systolic_bp = p.latest_vitals.systolic_bp;
|
||||||
|
if (p.latest_vitals.diastolic_bp != null) connectedDevices[p.device_id].diastolic_bp = p.latest_vitals.diastolic_bp;
|
||||||
|
if (p.latest_vitals.map_bp != null) connectedDevices[p.device_id].map_bp = p.latest_vitals.map_bp;
|
||||||
|
}
|
||||||
Object.assign(connectedDevices[p.device_id], {
|
Object.assign(connectedDevices[p.device_id], {
|
||||||
patient_id: mrn,
|
patient_id: mrn,
|
||||||
mrn: mrn,
|
mrn: mrn,
|
||||||
@@ -3804,6 +3832,8 @@
|
|||||||
renderSingleDevice(connectedDevices[activeDeviceId]);
|
renderSingleDevice(connectedDevices[activeDeviceId]);
|
||||||
}
|
}
|
||||||
} else {
|
} else {
|
||||||
|
const devIds = Object.keys(connectedDevices);
|
||||||
|
if (!activeDeviceId && devIds.length > 0) activeDeviceId = devIds[0];
|
||||||
if (viewMode === 'grid') renderMultiBedGrid();
|
if (viewMode === 'grid') renderMultiBedGrid();
|
||||||
else if (activeDeviceId && connectedDevices[activeDeviceId]) renderSingleDevice(connectedDevices[activeDeviceId]);
|
else if (activeDeviceId && connectedDevices[activeDeviceId]) renderSingleDevice(connectedDevices[activeDeviceId]);
|
||||||
}
|
}
|
||||||
@@ -3868,8 +3898,11 @@
|
|||||||
const tabsContainer = document.getElementById('deviceTabs');
|
const tabsContainer = document.getElementById('deviceTabs');
|
||||||
if (!tabsContainer) return;
|
if (!tabsContainer) return;
|
||||||
|
|
||||||
// Only show devices that have received a live WebSocket packet
|
// Show devices that are live via WebSocket, or have recent data/active status
|
||||||
let devIds = Object.keys(connectedDevices).filter(id => connectedDevices[id]._liveData === true);
|
let devIds = Object.keys(connectedDevices).filter(id => {
|
||||||
|
const dev = connectedDevices[id];
|
||||||
|
return dev._liveData === true || dev.status === 'active' || (dev.lastSeen && (Date.now() - dev.lastSeen.getTime()) < 900000);
|
||||||
|
});
|
||||||
if (hasTargetFilter) {
|
if (hasTargetFilter) {
|
||||||
devIds = devIds.filter(id => matchesTargetPatient(connectedDevices[id], id));
|
devIds = devIds.filter(id => matchesTargetPatient(connectedDevices[id], id));
|
||||||
}
|
}
|
||||||
@@ -3899,8 +3932,11 @@
|
|||||||
|
|
||||||
function renderMultiBedGrid() {
|
function renderMultiBedGrid() {
|
||||||
const multiGrid = document.getElementById('multiBedGrid');
|
const multiGrid = document.getElementById('multiBedGrid');
|
||||||
// Only show devices confirmed live via WebSocket — exclude DB-only ghost devices
|
// Show devices confirmed live via WebSocket or active with vitals
|
||||||
let devIds = Object.keys(connectedDevices).filter(id => connectedDevices[id]._liveData === true);
|
let devIds = Object.keys(connectedDevices).filter(id => {
|
||||||
|
const dev = connectedDevices[id];
|
||||||
|
return dev._liveData === true || dev.status === 'active' || (dev.lastSeen && (Date.now() - dev.lastSeen.getTime()) < 900000);
|
||||||
|
});
|
||||||
if (hasTargetFilter) {
|
if (hasTargetFilter) {
|
||||||
devIds = devIds.filter(id => matchesTargetPatient(connectedDevices[id], id));
|
devIds = devIds.filter(id => matchesTargetPatient(connectedDevices[id], id));
|
||||||
}
|
}
|
||||||
@@ -3985,28 +4021,29 @@
|
|||||||
const pGender = (dev.patient_gender && dev.patient_gender !== 'Unknown') ? dev.patient_gender : null;
|
const pGender = (dev.patient_gender && dev.patient_gender !== 'Unknown') ? dev.patient_gender : null;
|
||||||
const pDob = (dev.patient_dob && dev.patient_dob !== 'Unknown') ? dev.patient_dob : null;
|
const pDob = (dev.patient_dob && dev.patient_dob !== 'Unknown') ? dev.patient_dob : null;
|
||||||
|
|
||||||
// A device is "live" only if it has received a live WebSocket packet within 8 seconds
|
// A device is live if actively transmitting or active in DB within 30 seconds
|
||||||
// Devices loaded only from DB (never seen via WebSocket) are shown as DISCONNECTED
|
const isLive = (dev._liveData === true || dev.status === 'active') && dev.lastSeen && (Date.now() - dev.lastSeen.getTime()) < 30000;
|
||||||
const isLive = dev._liveData === true && dev.lastSeen && (Date.now() - dev.lastSeen.getTime()) < 8000;
|
// Has recorded vitals
|
||||||
// Has active vitals (probe connected and sending data)
|
const hasVitals = (dev.heart_rate != null || dev.spo2 != null || dev.temperature != null);
|
||||||
const hasVitals = isLive && (dev.heart_rate != null || dev.spo2 != null || dev.temperature != null);
|
const hr = dev.heart_rate != null ? Math.round(dev.heart_rate) : '---';
|
||||||
const hr = hasVitals && dev.heart_rate != null ? Math.round(dev.heart_rate) : '---';
|
const spo2 = dev.spo2 != null ? Math.round(dev.spo2) : '---';
|
||||||
const spo2 = hasVitals && dev.spo2 != null ? Math.round(dev.spo2) : '---';
|
const sys = dev.systolic_bp != null ? Math.round(dev.systolic_bp) : '--';
|
||||||
const sys = hasVitals && dev.systolic_bp != null ? Math.round(dev.systolic_bp) : '--';
|
const dia = dev.diastolic_bp != null ? Math.round(dev.diastolic_bp) : '--';
|
||||||
const dia = hasVitals && dev.diastolic_bp != null ? Math.round(dev.diastolic_bp) : '--';
|
|
||||||
const bp = (sys !== '--' || dia !== '--') ? `${sys}/${dia}` : '---';
|
const bp = (sys !== '--' || dia !== '--') ? `${sys}/${dia}` : '---';
|
||||||
const temp = hasVitals && dev.temperature != null ? dev.temperature.toFixed(1) + '°C' : '---';
|
const temp = dev.temperature != null ? dev.temperature.toFixed(1) + '°C' : '---';
|
||||||
const rr = hasVitals && dev.respiratory_rate != null ? Math.round(dev.respiratory_rate) : '---';
|
const rr = dev.respiratory_rate != null ? Math.round(dev.respiratory_rate) : '---';
|
||||||
const timeStr = dev.lastSeen ? dev.lastSeen.toLocaleTimeString('en-US', { hour12: false }) : '--';
|
const timeStr = dev.lastSeen ? dev.lastSeen.toLocaleTimeString('en-US', { hour12: false }) : '--';
|
||||||
|
|
||||||
const genderIcon = pGender ? (pGender.toLowerCase().startsWith('m') ? '♂ Male' : pGender.toLowerCase().startsWith('f') ? '♀ Female' : pGender) : '';
|
const genderIcon = pGender ? (pGender.toLowerCase().startsWith('m') ? '♂ Male' : pGender.toLowerCase().startsWith('f') ? '♀ Female' : pGender) : '';
|
||||||
|
|
||||||
// Badge: LIVE (data flowing) | CONNECTED (monitor on, probe off) | DISCONNECTED
|
// Badge: LIVE (data flowing) | CONNECTED (monitor on / recent data) | DISCONNECTED
|
||||||
const statusBadge = isLive
|
const statusBadge = isLive
|
||||||
? (hasVitals
|
? (hasVitals
|
||||||
? `<span class="status-badge normal">Live ↗</span>`
|
? `<span class="status-badge normal">Live ↗</span>`
|
||||||
: `<span class="status-badge warning" style="background:rgba(234,179,8,.15);color:#fbbf24;border:1px solid rgba(234,179,8,.3);">Connected</span>`)
|
: `<span class="status-badge warning" style="background:rgba(234,179,8,.15);color:#fbbf24;border:1px solid rgba(234,179,8,.3);">Connected</span>`)
|
||||||
: `<span class="status-badge offline" style="background:rgba(239,68,68,.15);color:#f87171;border:1px solid rgba(239,68,68,.3);">Disconnected</span>`;
|
: (hasVitals
|
||||||
|
? `<span class="status-badge warning" style="background:rgba(234,179,8,.15);color:#fbbf24;border:1px solid rgba(234,179,8,.3);">Recent</span>`
|
||||||
|
: `<span class="status-badge offline" style="background:rgba(239,68,68,.15);color:#f87171;border:1px solid rgba(239,68,68,.3);">Disconnected</span>`);
|
||||||
|
|
||||||
html += `
|
html += `
|
||||||
<div class="bed-card" onclick="selectDevice('${id}')" title="Click to view detailed waveforms for ${label}">
|
<div class="bed-card" onclick="selectDevice('${id}')" title="Click to view detailed waveforms for ${label}">
|
||||||
@@ -4121,6 +4158,7 @@
|
|||||||
}
|
}
|
||||||
|
|
||||||
if (!data.device_id) return;
|
if (!data.device_id) return;
|
||||||
|
lastWebSocketMessageTime = Date.now();
|
||||||
|
|
||||||
// Hide setup guide once data starts flowing
|
// Hide setup guide once data starts flowing
|
||||||
if (!hasReceivedData) {
|
if (!hasReceivedData) {
|
||||||
|
|||||||
Reference in New Issue
Block a user